Like the swarm of other reps who fed on the clinic, Perhacs began acceding to Dr. Ruan’s brazen requests for favors in hopes of winning his business. When Ruan asked, other reps would bring his cars in for maintenance, take his dog out for walks, pick up his relatives at the airport. Perhacs helped out with car auctions he participated in. She wrote at least one rave review online for his practice, posing as a patient under an alias, at his request. She joined his health-products pyramid scheme.