This case involves a man in his early 70s, with a history of smoking, who suffered a stroke while at a restaurant. The patient was immediately taken to the hospital with significantly high blood pressure. He spent a week in the hospital under treatment with a combination of blood pressure medications to bring his blood pressure levels to normal range. Once he was normalized, his medication was decreased and eventually discontinued in anticipation of his discharge to a rehab facility. However, less than 3 hours after he was discharged, his blood pressure soared to the 200s. He subsequently suffered a second stroke and was rushed back to the hospital. This resulted in permanent paralysis in his left side and slurred speech.