Is the inpatient team incompetent, or do they actively despise this administration?

Are they so incompetent that they did not let Trump know that a psych hold and evaluation would be the immediate result if he tried to leave the ward to take a joy ride?
They would then rely on Trump having the decision making capacity to choose NOT to pull this stunt.
OR, if he tried still tried to go ahead with it, he would further prove to them that he is incapacitated and needs immediate psychiatric evaluation and care.

An alternative is that his medical team despises him enough to let him further self-destruct in the public's view through this selfish and crazy joy ride.
I had thought that this medical team actively hating him and trying to sabotage him was a possible reason that they agreed to his idiotic demands as to what can and can't be released during the 2 inane daily medical press conferences thus far. Trump and the admin would have been better served by a bland daily written statement from the medical team. These farcical press conferences have even further destroyed this admin's credibility.