Because many of his hypotheses are based on epiphanies or controversial insights, he often has trouble obtaining permission for medical procedures he considers necessary from his superior, who in all but the final season is hospital administrator Dr. Lisa Cuddy.
Debido a que gran parte das súas hipóteses están baseadas en epifanías ou percepcións controvertidas, adoita ter problemas para obter o permiso do seu superior para realizar o tratamento correspondente que considera necesario, que agás na última tempada é a administradora do hospital, a doutora Lisa Cuddy.