This case takes place in California and involves a male patient who was prescribed a daily dosage of Coumadin without specific follow-up for routine lab studies. Some weeks after beginning the Coumadin regimen, the patient presented to the defendant physician with complaints of bruising. While the patient was bleeding internally, no thorough workup was ordered to evaluate the patient – instead, he was promptly discharged. No lab studies were ordered by the evaluating physician. A few days later, the patient presented to the ER where he expired as a result of internal bleeding. His INR hadn’t been monitored and it is alleged that if it were, earlier intervention or discontinuation of the Coumadin regimen would have likely resulted in a far better outcome for the patient.