This case involves a breast cancer patient who suffered severe burns after radiation treatment. The treating oncologist told the patient to keep an eye out for any abnormal skin reaction, particularly red patches or rash. The patient was informed that if she presented with skin rashes, radiation therapy would be paused to allow time for the skin to recover and to avoid scarring. When the patient underwent radiation therapy, she experienced a severe skin reaction from radiation injury. Her radiation injury was evident to the staff administering the treatment, but the staff elected to continue performing the treatment despite knowing that radiation should be paused in light of such indicators. The patient suffered permanent scarring as a result of the treatment. An expert in radiation oncology was sought to discuss protocol for preventing radiation burns.