This case involves a female patient with pancreatic cancer. The patient had an exam with the defendant for cold like symptoms. Some months later, the patient saw the defendant for pain in the abdomen that had persisted for several days. The patient was given a prescription for Prilosec and told to follow up in a few weeks if symptoms persisted. The patient saw the defendant again some months later for continued pain in the abdomen. At this point, the patient’s weight had been declining steadily, which was initially attributed to mismanaged diabetes, so she was switched to Onglyza. During this visit, the patient underwent a colonoscopy which was unremarkable, prompting her physician to order an abdominal CT scan. The scan revealed a mass on the patient’s pancreas, which was followed by a tissue biopsy to confirm malignancy. The tissue sample taken during the biopsy, however, consisted of largely healthy tissue. Additional testing also failed to reveal the presence of malignant cells, however the patient continued to lose weight. Eventually, a rebiopsy was ordered that discovered malignant cells, and the patient died shortly afterwards.