69 y/o female; hx: hypothyroidism. Non-Med compliant; refusing to go to Hospital or clinic.  Family States altered mental status.

Family called with concerns of behavior/known severe thyroid dysfunction and not taking mediations.  Refused to come to appointment in hospital.  Patient given 2 liters Intravenous fluids; medications obtained by Cataldo Ambulance Service.  Able to direct admit six days later - no Emergency Department involvement.