This case takes place in Kansas and involves an elderly female patient with a past medical history of obesity and Atrial Fibrillation. The patient had been prescribed Coumadin. She required a cardiac ablation. During the procedure the treating surgeons recognized that the patient required an emergent cholycystectomy – which had to be converted to open technique, due to complications intraoperatively. Post-operatively, physicians had a difficult time controlling the patient’s PTT. The patient was given a large dose of Heparin several days after the surgery. She later coded and died due to hemorrhaging.