This case involves a seventy-year-old male who presented to his family physician with complaints of abdominal pain, indigestion, and loss of appetite. He had smoked one pack of cigarettes a day for forty years. At first, his physician believed he was suffering from acid reflux and thought that his symptoms were aggravated by his diet since he stated that he loved to eat spicy foods. The physician advised him to cut back on those foods and advised him to take Nexium, a heartburn medication. They then scheduled a follow-up appointment. At his next appointment, the patient explained that his diet changes did not alleviate his symptoms. In fact, he experienced severe abdominal pain that limited him to soft foods. The physician explained that he may have a stomach ulcer. He prescribed him ranitidine, an antihistamine, and told him he would be fine with time. Two months later, the man contacted the family physician because he began to lose weight and felt extremely nauseous. He was referred to a gastroenterologist for further testing. Gastroscope exam revealed an area of ulceration which was biopsied. The pathologist noted that the man had stage 3 gastric adenocarcinoma. Upon being diagnosed, the man was scheduled for surgery to remove a portion of his stomach along with regional lymph nodes. The cancer returned after treatment, however, and was present in distant organs. The man died five months after being diagnosed with stomach cancer.