I agree that you did the right thing, albeit it undoubtedly wasn't the easy thing to do. I feel we have to ask not only the right medical questions (which you undoubtedly did), but also need to realize the threshold of anxiety of the transferring physician. we have two "clients" in these cases; the patient and their physician. In this case you addressed both with resolving the anxiety of the physician and helping the patient; thus a true win/win. As you said, it meant that we didn't receive the money from the transfer; but doing the "right thing" at the "right time" is reward in itself.