This case involves a 32-year old male patient with persistent symptoms of irritable bowel syndrome. The patient had a colonoscopy which revealed a polyp in his colon but pathology never investigated if it was pre-cancerous. For 3 years, the patient complained to his primary care physician of abdominal pain and bowel irregularities, but the physician never referred him for additional treatment or to another specialist. The patient was suffering extreme bouts of constipation and had another colonoscopy. He was found to have stage III colon cancer with metastasis to his liver and appendix. An expert in gastrointestinal oncology was sought to opine on the standard of care for treating patients who repeatedly present with these symptoms.