Physician is related to Name. Name is related to Rod. Rod is a type of Implement. Tool is a type of Implement. 
People is related to Lift. Lift is related to Box. you are likely to find Box in/at/on Pen. 
Physician <--RelatedTo--> Name <--RelatedTo--> Rod --IsA--> Implement <--IsA-- Tool 
People <--RelatedTo--> Lift <--RelatedTo--> Box --AtLocation--> Pen 