Pavarotti's introduction in 1965 at La Scala, in Milan, Italy, again as Rodolfo, came at the recommendation
of Herbert von Karajan, who had been leading La Bohème there for a long time and had, as Pavarotti stated, "come up short on tenors." Pavarotti was fairly angry that the welcome did not come straightforwardly from the La Scala administration. Additionally in 1965 Pavarotti made his American presentation in Miami, Florida, as Edgardo in Donizetti's Lucia di Lammermoor. Sickness vexed him amid his New York City make a big appearance at the Metropolitan Opera in November 1968 and constrained him to scratch off after the second demonstration of the second execution.