Dear Idiot ER Doctor in smaller hospital next county over:
Yes, I understand that the gal in your ER sees my partner, Dr. Johnson. But you are telling me that she is orthostatic, hypotensive, and blood is pouring out her vagina. I will NOT accept an unstable patient from a 45 minute drive away, so please call Dr. Smith at your hospital. She has GYN privileges at your hospital. And yes, I completely understand that she sees my partner. She could possible DIE in transit. Call Smith.
I needed to repeat that multiple times before he understood no means no.