A crusty old country doc from Ohio told me in completely unvarnished terms to get out of his office and into a hospital right now. Make no stops just make the 2 minute drive to the hospital and they'll meet me at the front door. "You, sir, are a candidate for what we docs call "sudden death". He was rude, offensive, uncaring, and not-PC, but he was quite effective.
The lady can just go somewhere else to die and save him the paperwork, insurance, and public spectacle.