A man complained to his wife of severe abdominal pains.
As a result, he was taken to the emergency room for treatment.
While at the emergency room he was seen by two doctors, one of which was a gastroenterologist.
Two X-rays were performed, with one being a chest X-Ray.
A radiologist at the hospital read the X-Ray and noted the findings.
The radiologist’s findings were that an abnormal density could be seen in the upper lobe of the patient’s right lung.
The patient was discharged from the hospital with orders to follow up with the gastroenterologist who saw him in the emergency room upon discharge.
Because of the chest x-ray findings, copies of the X-rays and radiologist’s report was sent to the gastroenterologist.
But here is the critical issue; the doctor did not review the report.
The Gastroenterologist fails to read X-Ray report on the patient.
About a month after being discharged from the hospital and following up with the gastroenterologist the patient was complaining again about abdominal pain.
The patient was told that if the pain continued he was to go to the emergency room.
About a year and a half later the patient went to his primary care doctor complaining of arm pain.
Eventually a chest X-Ray was done of the patient and it revealed that the patient had a massive tumor in his upper right lung.
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