The Telemedicine Dilemma and Systems-Based Practice

The Crisis of Authority

You have a working diagnosis: Severe Dengue with Encephalopathy and Shock. Bayu needs immediate IV access, fluid resuscitation, and monitoring.

However, Pak Darman is resolute.

"We are wasting time. The spirit is getting stronger. We are leaving now. I will sign whatever paper you want."

The Dilemma:

If you let him leave, Bayu will likely die of hypovolemic shock or seizures en route to the shaman. If you physically force treatment, you risk a community riot. You need a third option.