The patient was brought by ambulance to a local emergency room and a CT scan was ordered stat. The stat CT was canceled however because the patient’s symptoms were attributed to a scopolamine patch. The patient was kept in the emergency room overnight for observation. In the middle of the night, a physician’s assistant became concerned about the patient’s symptoms. The patient then underwent a stat CT scan and further neurological imaging which revealed an embolic cerebral vascular accident. An expert neurologist with specific expertise in vascular disease was sought to opine on managing a facelift patient who presents with postoperative neurologic sequelae.