I am one that is not eager to take a patient back, so if he knew which patient it was (and perhaps had issues with that patient), I could understand his reluctance.
Perhaps the "not gonna happen" was specifically designed in his mind to stop further lobbying. He may not have liked that patient.
On the other hand, if he didn't know which patient it was, he was rude and doesn't "deserve" the patient. The patient would be better served by someone who cares.
