[pvaldes]

All that we know is that the doctor carefully guided the patient out of the intervention, flashing a value that nobody had introduced before in the conversation. Is unclear WHY without more information.

The fair possibility is that it would be not the best choice for the patient,

But other possibility could be a schedule problem with the doctor holidays for example.

Or that it would be too expensive for the hospital

Or that they didn't have the materials or the experience

To go forward with this operations the interests of the patient, the doctor and the hospital must match. Sometimes only two parts benefit from it.