This case involves a middle-aged male patient with a past medical history of diabetes and hypertension who presented to his local emergency department complaining of total body weakness. A complete neurological examination was not performed despite the fact that the patient described being weak all over. The Emergency physician ordered a CT of the head and Cervical spine, both of which were read as negative for an acute process and the neurologist on-call was notified, however the neurologist did not see the patient. The patient’s symptoms grew worse overnight, and the neurologist finally saw the patient next morning. A subsequent MRI demonstrated a large herniated disk with significant edema in the corresponding cervical cord. Eventually, the patient developed permanent paralysis.