SteveR. I have to say I think you are a complete knob. Hoping TR loses his job as a result of trying anything possible to get a seriously ill man into hospital, is quite the nastiest thing I have heard recently. In the ambulance service, crews try everything in their power to convince patients who need hospital treatment to allow us to convey them. If they refuse completely AGAINST ALL ADVICE, we try to get a doctor to visit. Sometimes, that would take far too long, and the patient could conceivably die in the interim. This patient may possibly have had the capacity to refuse, but that does not necessarily mean that he knew what was best for him - as evinced by his subsequent downhill path. On a personal basis - people in LAS who know and work with TR (especially those on his complex) invariably speak of him as having a mixture of professionalism, expertise, experience, humanity and humour that certain others would do well to copy. They also say he is a damn good bloke. I tend to respect their opinion far more than yours. And finally - as I said - You appear to be a complete knob.