WILLPOWER MELTDOWN SOMETIMES

A man in his 70s was transported by ambulance with mild impaired consciousness and vomiting due to an acute subdural hematoma. Approximately one month prior, he had suffered a cerebral infarction, leaving him with severe left-sided paralysis, for which he had been hospitalized at Hospital A for rehabilitation. He had fallen and sustained a head contusion both two days and one day before transport. After vomiting late at night, a head CT scan had revealed the acute subdural hematoma, leading to his transport to this hospital. It appears he was refused admission at Hospital B, the nearest facility with a neurosurgery department. This was despite the fact that Hospital B had treated his cerebral infarction. Hospital B apparently has only a few neurosurgeons and cannot handle emergencies.