This case involves a female patient who suffered a massive stroke. Prior to the stroke, the patient was on Coumadin for atrial fibrillation. However, the medication was stopped two months before the patient’s stroke after she experienced bleeding from a puncture wound. The wound originated from a renal artery stent that was surgically repaired with no further bleeding. An expert cardiologist was sought to discuss whether taking a patient with atrial fibrillation off an anticoagulant for a prolonged period of time was within the standard of care.