This case involves an elderly woman who presented to the emergency department in Kansas after experiencing a complete loss of sensation in her right arm. She also complained of severe neck pain. In the emergency room, an MRI of the woman’s cervical spine was performed, however, no additional testing for a possible stroke was performed. The emergency room physician diagnosed the patient with cervical radiculopathy, referred the patient to outpatient follow up with a neurosurgeon, and discharged the patient home. Several days later, the patient saw her primary care doctor complaining of severe neck pain. The doctor agreed that the patient was suffering from cervical radiculopathy, and referred the patient to outpatient physical therapy. The next day, the patient suffered a massive stroke causing paralysis to most of her right side. It was alleged that more comprehensive workup was warranted when the patient first presented to the emergency room.