On June 20, 2016, George Walker, then 75 years old, called the VA's American Lake Division and complained of shortness of breath and chest pain. Mr. Walker was directed to go to the American Lake Urgent Care. Mr. Walker went as instructed the following day. The staff at American Lake Urgent Care had him transported by ambulance to the VA's Seattle Division. He was diagnosed with aortic stenosis, which is a hereditary narrowing of the aortic valve; he needed a replacement. The VA scheduled his surgery for July 5, 2016, and sent him home. On July 1, Mr. Walker died at home. His widow, Peggy Walker, sued.