This case involves a female patient who was being seen by her family medicine physician for her prenatal and post-partum care. Her physician ordered an ultrasound due to the low growth of the baby in utero. An ultrasound was performed which revealed troubling signs of cardiac distress, and a follow-up ultrasound was ordered. The defect was noted on the patient’s records. Some time later, the patient was admitted to the hospital to have labor induced due to preeclampsia, however, during this time none of the patient’s doctors noted the earlier ultrasound findings. After the child was born, the mother’s doctor noted that the baby was failing to thrive, and several nurses had indicated concern over the baby’s condition. Nevertheless, the baby was discharged without further workup. It was later discovered that the child was suffering from a severe case of Erb’s Palsy and a serious cardiac issue that would have benefited greatly from earlier intervention.