She watched Dr. Dean tell this important doctor, on the spot, that she was issuing a health order to shut him down. What struck her was the total absence of apology or hesitation in Dr. Dean’s voice. “You know how some people kind of look away when there’s conflict,” she said. “She doesn’t do that. It’s straight eye contact, and very direct. ‘Effective today, you’re closed. Here’s what we need to do.’ ”