This case involves a middle-aged male patient in Iowa who had been on on Warfarin for prophylactic treatment of a cardiovascular condition for several years. He was monitored by the anti-coagulation unit at the defendant facility for the duration of his treatment, which included keeping track of the man’s medications, conducting periodic blood tests, and conducting follows up with the patient directly when he missed an appointment. Shortly before the incident in question, the man began to see a new primary care physician who advised him that he no longer needed to take Warfarin. However, the doctor did so without any consultation with the anti-coagulation unit or his cardiologist. Shortly after the man stopped his anti-coagulation medication he presented to the emergency room with sudden onset weakness and chest pain. He subsequently suffered a devastating stroke that left him with severe neurological injuries.