Arranging, or making patient care decisions, in moments of no sleep - without discussion - doesn't work. And with Dr. Stellato he will tell you to schedule a surgery, that you have to cancel on - because he was in no condition to discuss the situation. In the 1980s surgeons could still do this, in 2013 they can't.
Surgeons coming in without sleep = a no-fault reschedule situation = a no-brainer, no discussion, come back another day situation, not a refund situation. The current Hubay Professor of Surgery at University Hospitals in Cleveland has changed the policy - and Dr. Stellato is still part of UH - you see patients awake, alert, and focused - or you reschedule without blaming the patient.
The problem - his Office Manager/secretary - Carol. Carol does not understand medical terminology - don't think she has taken ever even a Community College course in it - but runs Dr. Stellato. And she runs Dr. Stellato as no colleague is allowed to give any advice - she's an MD without an MD, dicatating that patients that don't show are 'standing Dr. Stellato up.' Maybe she should call the next-of-kin, or the patient's parents or spouse, but she doesn't. She only calls them to have the Police show up at the house - threatening that the patient is not to contact Dr. Stellato again. This happens even when Dr. Michael Rosen refers back to Stellato, and his secretary has a laugh about it - but it isn't funny.
Dr. Stellato needs to examine patients that he caused problems, complications, on without calling the South Euclid police. If only to prevent those complications in the future. University Suburban is not just for blacks, the good result patients, the no complication patients, or the nearly dead patients - it's for real patients.
This is not a protest situation, like climate change. All surgeons are responsible for the complications, both early and late, of any procedure - even 10 or more years later closures can rupture. So 'late complications' mean nerve inflammations, ruptures, and chronic abdominal wall pain. And there are now Pain Clinics, but Dr. Stellato still has to fill out a requisition for a pain clinic consultation - but when he has no sleep he doesn't think to do that. And it is not a woman MDs 'place' to remind him of that.
University Suburban is responsible for all Dr. Stellato's complications - early and late - of any procedures - procedures that he did at University Suburban Wright Surgical Center are still the responsibility of the place & the Medical Director - who is really a surgeon and not a medical anything.
There is no statute of limitations on the late problems of surgical procedures - you just bill again. It's not the Mayo Clinic's problem, Dr. Shuck's problem, Dr, Gauderer's problem, or the South Euclid police's problem - Dr. Stellato's nerve inflammation problems, and whatever another surgeon has done to try to treat this, are his problem. Dr. Stellato has to handle complications of surgical procedures that he caused. Bariatric surgeries will have metabolic complications that can occur decades later.
Complications, and handling them, are a part of surgery, and the art of surgery - something that Dr. Stellato forgot to include in that talk.