This case involves a twenty-nine-year-old patient who delivered a child by cesarean section. One month after her delivery, the mother presented to an emergency room and advised the staff that she had a headache. She also complained of onset nausea and vomiting. The emergency room doctor ordered a CT-head that was interpreted busing stroke telemedicine, and was assessed to be normal. A progress note recorded that the patient advised staff that it was a painful migraine and that she was experiencing blurred vision. A decision was made to discharge the patient from the emergency room in light of the negative head CT. She was given a prescription for Topamax, but no medication or treatment was provided for the patient’s high blood pressure. Two days later, the patient returned to the hospital with slurred speech, drooling, and weakness of the upper and lower limbs. An additional head CT was immediately ordered which showed an intracranial hemorrhage. The patient was airlifted to a tertiary care center where she ultimately died of an intraparenchymal hemorrhage in the left cerebral hemisphere.