An interview with doctor of medicine Alpesh A. Patel, is presented. Topics discussed include identify high-risk patients prior to surgical intervention as an important factors that are associated with increased risk in orthopedic surgery, his identification of cardiac arrhythmias including atrial fibrillation as a risk for Cerebrovascular accident (CVA), and appropriate addressal of a number of complications such as dysphagia and dysphonia in his study.