In my opinion if the patient couldn't leave till he or she has payed the bill the nurse should step in and pay it . If I was a well payed nurse that's what I would do.
It could possibly cause a deformation or oddity in the muscle. It is unlikely that this would be visible but it could cause many issues in the tissue of said muscle.
Primary consumers are the ones eating the plants, so mostly they are herbivores, compared to the secondary consumers, which eat both, that can be called omnivores
The answer would be : False.
Hope this helps !
Photon