This case involves a a male patient from Nebraska who presented to his dentist with a yellow spot on the left side of the tongue without undergoing appropriate screening for oral cancer. Some time after his initial presentation, the patient was seen by another dentist who noted two yellow and white patches on his tongue. At this point, the second dentist referred the patient to an oral surgeon. The surgeon diagnosed the lesions as a common irritation of the tongue and prescribed topical medication, however she did not perform a biopsy to rule out cancer. She advised that the lesions should be monitored by the patient’s dentist at routine appointments, and that she would only remove the lesions surgically if they grew. The patient continued to follow up with his dentist several times over the course of the next year, but no further action was taken in regards to the lesions on his tongue. Some time later , the patient called the oral surgeon’s office complaining of pain. The treating surgeon did not ask the patient to come in for examination – instead he prescribed more of the topical medication. A month later, the patient called the surgeon’s office again, complaining of worsening pain. At this point, the surgeon referred him to an ENT department following examination. The patient was subsequently diagnosed with squamous cell carcinoma, requiring surgical removal. The patient had his tongue removed, and additional exploratory surgeries discovered that the cancer had spread to his neck.