This case involves an elderly male with stage 2 colon cancer and stage 3 esophageal cancer. The plaintiff underwent a minimally invasive esophagectomy. His CT indicated a suspicious leak, although the surgeon was not convinced it was a threat. Patient is then discharged home. That evening he became short of breath with red sputum. His wife called the ambulance and he was taken to a different hospital. The following day the doctors at the new hospital spoke with the fellow from the cancer center who said they had suspected an air leak but it was likely not any worse than when they discharged him. That evening he was emergently intubated and kept in the MICU. He was also noted to have a pericardial effusion without tamponade. Their plan was to stabilize him and send him back to the cancer center. The next day, it was noted there was ongoing bilious fluid in the ETT but there were no beds at the cancer center. On his third day in the new hospital, a bronchoscopy was done, which was concerning for a broncho-esophageal fistula. The next day, he was transferred back to the cancer center where a bronchoscopy and endoscopy showed necrosis of the stomach and lung necessitating debridement and removal of 2/3 of the right lung. The plaintiff continues to need washouts and has pneumonia, delaying his colon cancer treatment.