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He negotiated: arrange a same-day teleconsultation with an endocrinologist via the van’s satellite link. The specialist, a woman with a crisp voice and no patience for delay, reviewed the ECG, ultrasound images, and lab values. “Start antithyroid drugs and arrange inpatient monitoring for the next 48 hours if symptoms worsen,” she advised. The 7StarHDE official sighed but approved; a telemedicine log would satisfy the NGO’s checklist. He negotiated: arrange a same-day teleconsultation with an