You send Mr. Darwin up to theatre for his craniotomy, and arrange for his admission to the intensive care unit. The spinal surgeons can decide whether they want an MRI or not in this case, it's not going to add much to his immediate management.

Ah! The weekend's coming up. Time to kick back and relax and... Oh but you're working. Again. It's lucky you're so dedicated and committed to your job, otherwise you'd be a bit upset.