PLAT and transient ischemic attack: This is a case of a 76-year-old male with a past medical history of hypertension, chronic kidney disease (CKD), transient ischemic attack (TIA) status post tissue plasminogen activator (tPA), bilateral carotid stenosis, and seizure disorder who was brought into a South Florida emergency department by emergency medical services after a drowning incident secondary to a seizure.