At the University of Kentucky Albert B. Chandler Medical Center, Integrative Clinicopathological Conferences are held regularly to explore various dimensions—economic, psychosocial, ethical, preventive, and medical—of health care. They are organized by Dr. Joseph Engelberg, Professor of Physiology and Biophysics. Psychosocial details of this case have been altered to protect the anonymity of individuals involved. The conference was moderated by Dr. David B. Clark, Chief of the Neurology Service, Veterans Administration Medical Center, Lexington, and Professor Emeritus, Department of Neurology.