This case involves a patient who arrived at the emergency department with acute presentations of stroke. The patient exhibited slurred speech, eye deviation, and facial weakness. A CT scan was completed, however, the patient was not admitted for an extended period of time. In the meantime, the patient deteriorated significantly. The patient did not receive a neurology consult until the following day, at which point they were diagnosed with a massive cerebral infarction and paralysis on one side of their body, warranting a transfer to ICU. An emergency medicine physician was sought to review the patient’s course of emergency care, and whether their symptoms were addressed in a manner to minimize the neurological damage.