A chest X-ray was ordered, and the radiologist discovered a two-centimeter mass in Workman’s lung. He didn’t tell Workman directly but noted the finding, and recommended an immediate follow-up in an electronically signed note sent to Workman’s primary care doctor at VA.
But that doctor never bothered to look at the note, nor the X-ray. Nearly two years later, Workman was diagnosed with lung cancer. He died in January 2011.
Read the rest of this post on the original site »