In my career I signed dozens of documents and prescriptions daily. If I were asked to greatly reduce the size my John Hancock to accommodate a gallbladder collector after my 3000th cholecystectomy, I suspect that the authenticity of such a sig would be questioned and that Spence would not comply and issue a LOA. I would then spend my remaining days forever known as the physician who forged his own autograph. Is that a felony?