Michael Grady (Partner-White Plains, NY), ably assisted by Kierra Greenwood (Associate-White Plains, NY), obtained a unanimous defense verdict in the Supreme Court of Nassau County in 45 minutes against a demand of $2.5 million. Michael and Kierra represented an emergency medicine physician and hospital in a case in which the plaintiff claimed our physician failed to diagnose an ongoing acute stroke and improperly discharged the patient. The patient presented with complaints of right-sided weakness, headache, slurred speech and elevated blood pressure. Our ER physician found an entirely normal exam except for slurred speech, and did a full work-up by obtaining a CT scan without contrast, chest x-ray and EKG, all of which were negative. She further provided aspirin and a statin, and then re-evaluated the patient by which time all the symptoms had resolved, and diagnosed the patient with a TIA (a transient ischemic attack), which presents with stroke-like symptoms but is transient and resolves. The patient was discharged home with instructions to follow up with her primary care provider the next morning. The next day, the patient was brought to another hospital where she was diagnosed with a stroke, resulting in the patient being confined to a wheelchair, with significant speech impairment, and was unable to use her right arm for the remaining five years of her life. Michael and Kierra argued that the ER physician met the emergency medicine standard of care; performed a thorough and proper work-up; correctly diagnosed the patient with a TIA; that strokes often occur following a series of TIAs; and that one cannot prevent a stroke or affect its severity.