Designed for a first- or second-semester Anatomy & Physiology course, this directed case study involves a 48-year-old Jamaican fisherman who suffered a cerebrovascular accident.  He was taken to a hospital, where he stayed for three days before he was discharged to his one-room home in a rural fishing village. His limited access to the healthcare system and his lack of understanding about his condition led him to spend the next month in bed. A physical therapist was the first clinician to see him at home. The case describes her findings and asks students to explain the anatomy, physiology, and cultural conditions that led to his present situation. The case consists of five sections that ask questions related to cultural competence, the nervous system, cardiovascular system, muscular system, and respiratory system. Sections can be used altogether, alone, or in any order or combination to help students apply their knowledge of body systems to this practical case.