Stroke patient mistreated

**\[TC or Tim Cobb]**

**Caregiver for: Tracy \[Arrington*

**Date:** July 3, 2025

**To:** \[Medical Insurance/Lawyer or Firm]

**Subject:** Request for Case Review and Evaluation – Ongoing Medical Negligence and Transportation Failures Affecting Tracy \[Arrington]

---

### **I. Background Information**

Tracy \Arrington], a stroke survivor, is currently in her **second year of recovery**. She continues to suffer from **severe daily pain** due to **facial trauma sustained in 2012**, when she was **violently assaulted by her brother**, resulting in her **jaw being broken in three places**. Emergency surgery was performed at **San Francisco General Hospital**, during which **metal plates** were installed with the intention of **removing them one year later**.

When Tracy returned for her follow-up, she was informed that the healing process was not sufficient and the removal was postponed. Now, more than a decade later, **Tracy is finally scheduled for removal surgery at Stanford Hospital on July 31, 2025**.

However, systemic negligence and lack of coordination between **her low-income medical insurance provider**, transportation service, and medical providers **threaten to jeopardize this long-awaited procedure.**

---

### **II. Missed Physical Appointment – July 3, 2025**

Stanford requires Tracy to undergo a **pre-surgical physical exam** no more than **30 days prior to the operation**. A physical was **scheduled for July 3rd at 9:45 AM**. Despite having **arranged Yellow Cab transportation 5 days in advance**, Tracy was **not delivered to her appointment until 10:05 AM**, causing her to **miss the appointment entirely**.

This puts her **July 31st surgery in jeopardy**, as pre-operative clearance is time-sensitive and required by Stanford for admission.

This is not the **first occurrence of transportation-related failure**. Tracy has faced **multiple delays and missed appointments due to the unreliability of insurance-approved transportation providers**, including Yellow Cab and others under contract.

---

### **III. Pattern of Negligence and Administrative Delays**

As Tracy’s caregiver, I have had to **consistently intervene and advocate on her behalf** due to an ongoing pattern of **poor communication, medical delay, and lack of case coordination**. Notable failures include:

* **Power Wheelchair Request – Submitted September 2024**

Despite a formal request by her physician in **September 2024**, Tracy **has still not received** her power wheelchair as of **July 2025**. Multiple follow-ups have yielded no resolution.

* **Physical Therapy Referral – Delayed Over 2 Months**

Tracy has been **awaiting referral approval to her preferred physical therapist** for over **60 days**. This gap in care is **hindering her stroke recovery**, particularly her mobility and function on the left side of her body.

* **Caregiver Burden**

I, as the caregiver (TC), have been required to **repeatedly call, email, and coordinate between the insurance company**, referral center, transportation provider, and multiple doctors. This has resulted in **emotional, physical, and financial stress**, especially given the basic nature of the services being requested.

---

### **IV. Physical and Emotional Distress**

Tracy has endured:

* Chronic pain due to unremoved metal plates in her jaw

* Repeated emotional trauma from delays and cancellations

* Mental health deterioration due to lost trust in her healthcare system

* Functional decline from lack of proper physical rehabilitation

* Unnecessary suffering due to lack of timely access to mobility equipment

---

### **V. Legal and Ethical Concerns**

The following concerns are raised for legal evaluation:

* **Medical Negligence**: Delay in treatment and failure to follow through on equipment and referrals

* **Breach of Duty of Care**: Insurance and contracted vendors failing to provide promised services

* **ADA Violations**: Tracy is a disabled person not receiving appropriate accommodation

* **Mental and Emotional Distress**: Ongoing suffering due to lack of coordination and care

* **Transportation Negligence**: Repeated missed appointments due to contractor failure

---

### **VI. Request for Legal Assistance**

We are seeking **legal representation and evaluation** for:

1. **Compensation** for medical delays, pain and suffering, and caregiver time

2. **A formal complaint process** against the insurance provider and transportation contractors

3. **Immediate assistance** to expedite Tracy’s power wheelchair, physical therapy referral, and reschedule her physical exam to preserve her surgery appointment on July 31

---

### **VII. Supporting Documents Available Upon Request**

* Medical records from SF General and Stanford

* Transportation request confirmations and complaint logs

* Power wheelchair request documentation

* Therapy referral notes

* Caregiver journal of communications and delays

---

**Sincerely,**

**\[TC or Tim Cobb**

**Primary Caregiver for Tracy \Arrington]**

**Email:** \slapmagazine100@gmail.com

**Phone:** \415-724-1669

**Date:** July 3, 2025

---