This case involves a male patient in his late 50s who had a tonsillectomy for recurrent sinus infections. Prior to surgery, he underwent a pre-op clearance exam by from his primary care provider, where an abnormality on EKG suggestive of ischemia was discovered. Consequently, he was sent for a stress test by a cardiologist which was interpreted as normal. A report issued by the cardiologist that the patient should be worked up for “reactive airway disease” due to difficulty breathing during the exam with no apparent cardiac cause. Regardless the Tonsillectomy went forward, and in post-op the nurses noted problems with O2 saturation. Regardless, the patient was discharged from the surgery center with Percocet for pain relief and instructions to lie propped up when sleeping. In the evening he was on the couch propped up, and was found unresponsive by his wife. An ambulance was called but he was pronounced dead in the home. On autopsy, the coroner found extensive blockages in coronary arteries, but no heart damage. The coroner indicated the likely cause of death was coronary artery disease.