The Cleveland Clinic was several hundred miles away. He was in Cincinnatiwhich isnt exactly Podunk.
Well, maybe it is. Second tier cities many times have marginal expertise, I've found.
For my heart and intestinal problems I get whisked to the University of Michigan medical center immediately! I live in central lower Michigan. I have Tricare (retired military) and Medicare. They authorize helicopter transportation if necessary.
249.5 miles.