This case involves a male patient who was under the care of a hematologist for a diagnosis of a slow growing cancer of the bone marrow in New Hampshire. Over the course of two years, he developed progressively worsening knee pain and deformity. He relayed this concern to his hematologist, but was not referred to an oncologist. For more than 2 years, he was treated with a knee brace, a number of drugs, and physical therapy. He eventually transferred care to another facility where a flow cytometry test aided in diagnosing him with a soft tissue and bone sarcoma of the knee. He underwent an above the knee amputation, but was later found to have metastatic disease. His cancer was identified as advanced (stage 4) and was too advanced for tumor cryoablation; the only potential treatment was palliative chemotherapy. It was alleged that the delay in diagnosis and treatment worsened the patient’s outcome.