In 2001, Nathan O. Swilley, age 10, accidentally stepped on a nail in his yard. His mother took him to Florida Hospital in Apopka for treatment. His wound was cleaned over the course of two visits and later he was seen by an orthopedic surgeon for antibiotic treatment. The antibiotics prescribed had the potential to cause kidney disease and, therefore, young Nathan’s blood needed to be carefully monitored. However, Nathan’s blood was never monitored after he was discharged. Tragically, Nathan fell ill as a result of the treatment and passed away on May 8, 2001.