Doctor Instruction:
A patient with splenic hematoma was admitted and received observation for 24-48 hours. Planned by the consultant for further observation and if the hematoma ruptures, the patient will have a splenectomy. The patient would like to self-discharge due to an important interview tomorrow. He is facing financial difficulties and his wife has a new diagnosis of cancer. You are the only surgical doctor in the ward, you have been bleeped to see this patient.
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