This case involves a 39-year-old severely obese man who presented to the hospital with severe right flank pain. Upon admission, the patient had a CT scan which showed a hematoma on the right side. The hospital staff elected to not put him on anti-coagulants for prophylaxis; due to a possible ongoing bleed even though the patient was bed ridden and not improving. One week into his hospital stay, the patient experienced severe shortness of breath and leg swelling. The only treatment he received was Albuterol. The patient was not given compression stockings nor was he considered for more advanced DVT prophylaxis such as an IVC filter. A pulmonologist was not called in for a consult until patient’s condition deteriorated to the point of intubation. The patient was eventually diagnosed with a pulmonary embolism and died shortly thereafter.