An elderly lady presented to an academic emergency department with a syncopal episode in her retirement residence. She has just been discharged from the same hospital following a subdural/subarachanoid hematoma sustained earlier that month. After receiving both neurosurgical and medical management, and convalescing as an inpatient, she was returned to the retirement facility. Upon arrival from the retirement facility a CT head shows further evolution of the intracranial bleed, an ECG demonstrates ST elevation and bloodwork indicates rhabdomyolysis from the fall. The Neurosurgery team has nothing to offer further and refuses to be admitting MRP. The cardiology service attributes the ST elevation to intracranial pathology as there is no chest pain prodrome and refuses to be the admitting MRP. The medical ward refuses to assume care either as there have been prior referrals made to Neurosurgery and Cardiology who should, in their opinion, assess the patient. As commonly happens in the ED, we have multiple services able to care for a patient, and yet they all sign off, leaving you a very sick patient who cannot be discharged and needs an inpatient team that you cannot seem to convince. What do you do?