Instead, Harriet was transferred to her local hospital where she was examined by the neurologist. On examination, Harriet was unresponsive, decorticate on her right side, and flaccid on her left. Her blood pressure had increased to 200/120 and she was hyperventilating. A CT scan revealed a large cerebral bleed. When the neurologist consulted with the medical center, they decided that there was little that the center could do that would benefit Harriet and she would not be transferred. Harriet's brother arrived and wondered why she was not being transferred and whether she needed to be intubated since she was breathing erratically.