The Patient

A young mother develops pulmonary emboli — then a thrombophilia workup reveals a dangerous combination of inherited and acquired clotting disorders, including suspected Antiphospholipid Syndrome. As her care fragments across multiple providers and health systems, the stage is set for a critical anticoagulation decision that will define the rest of her life — and this entire case. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit thecharteddefense.substack.com/subscribe