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Wilkes-Barre Failure to Diagnose Lawyers

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Failure to Diagnose Lawyers Serving Wilkes-Barre, Scranton & Northeastern Pennsylvania

Most medical malpractice cases are not about a dramatic mistake in an operating room. They are about a diagnosis that came too late: chest pain sent home as reflux, dizziness called an inner-ear problem hours before a stroke, a shadow on a chest X-ray that no one followed up, a lump that was "probably nothing" until it was stage III. When a doctor, emergency department, radiologist or practice in Wilkes-Barre, Scranton or anywhere in Luzerne, Lackawanna or Dauphin County misses what a careful provider would have caught, Pennsylvania law lets the patient, or the family, hold them accountable.

These cases have three common forms. A missed diagnosis means the condition was never identified. A wrong diagnosis means the patient was treated for something else while the real illness progressed. A delayed diagnosis means the right answer came, but after the window for the best treatment had closed. In each one, the question is the same: what would a reasonably careful provider in that specialty have done, and what did the delay cost?

PA Attorney Source is a Wilkes-Barre firm. Every inquiry is reviewed by a licensed Pennsylvania attorney, and the first step in a diagnosis case is always the same: get the complete records, including the imaging, the lab results and the notes from each visit, in front of a physician in the right specialty. For the wider rules on Pennsylvania malpractice claims, see our medical malpractice lawyer page.

Key Facts About Failure to Diagnose Cases

The Claim:

The provider fell below the standard of care in diagnosing you, and the delay increased the risk of the harm you suffered. The provider does not have to have caused the illness itself.

The Deadline:

Generally two years, usually counted from when you learned, or should have learned, of the injury and its possible cause. Two years from the date of death for a family's claim.

The Gatekeeper:

Within 60 days of filing, Pennsylvania requires a Certificate of Merit stating that a qualified licensed professional has found a reasonable probability that the care fell below accepted standards and caused the harm.

Diagnostic Error: By the Numbers

The most complete national estimate comes from a Johns Hopkins–led study published in BMJ Quality & Safety. It looked only at the serious end of the spectrum: patients who died or were left permanently disabled.

795,000

Americans estimated to die or be permanently disabled each year because of a diagnostic error.

371,000 / 424,000

Estimated deaths and permanent disabilities, respectively, within that total.

About 3 in 4

Serious harms trace to three disease groups: infections, vascular events such as stroke and blood clots, and cancers.

38.7%

Share of serious harms from just five conditions: stroke, sepsis, pneumonia, venous thromboembolism and lung cancer.

Source: Newman-Toker DE, et al., "Burden of serious harms from diagnostic error in the USA," BMJ Quality & Safety 2024;33:109–120. Figures are modeled national estimates.

Conditions That Are Commonly Missed or Diagnosed Late

Any condition can be missed. These are the ones where a delay most often turns a treatable problem into a permanent one:

Cancer

Breast, lung, colorectal, skin and other cancers missed on a mammogram, chest imaging, colonoscopy or biopsy, or symptoms like rectal bleeding or a new lump put down to something benign. Months of delay can move a cancer to a later stage with fewer and harsher treatment options.

Stroke

The leading source of serious harm in the national study. Dizziness, sudden headache, slurred speech or vision changes sent home as a migraine, vertigo or intoxication, and warning-sign "mini-strokes" that were not worked up. The most effective stroke treatments have to be given within hours.

Heart Attack

Chest pain, shortness of breath or jaw and arm pain attributed to anxiety, reflux or a pulled muscle, especially when symptoms are atypical, as they often are in women and people with diabetes. An ECG or cardiac blood test that was not ordered, or not repeated.

Sepsis & Serious Infection

Fever, confusion, a racing heart or worsening pain after surgery dismissed as a virus. Sepsis, pneumonia, meningitis and spinal abscesses can progress quickly to organ failure, amputation, paralysis or death when antibiotics or surgery are delayed.

Blood Clots (DVT & Pulmonary Embolism)

Leg swelling or sudden shortness of breath after surgery, a long hospital stay, a fracture or a long trip, treated as a muscle strain or anxiety. A clot that reaches the lungs can be fatal.

Conditions in Children & Pregnancy

Meningitis, appendicitis and other emergencies in children, and preeclampsia or fetal distress during pregnancy. When a delay harms a newborn, see our child injury page.

How Diagnostic Errors Happen

The records usually show exactly where the process broke down. The most common failures:

  • The right test was never ordered. The symptoms called for imaging, bloodwork or a referral, and the patient was sent home without it.
  • A result was misread. A radiologist or pathologist missed a finding a careful specialist would have reported.
  • An abnormal result went nowhere. The finding was reported, but it never reached the patient or the ordering doctor never acted on it.
  • The obvious answer was the only answer. The provider settled on a benign explanation without ruling out the dangerous possibilities that the symptoms required them to consider.
  • No referral or follow-up. A specialist consult, repeat test or follow-up visit that the standard of care required never happened.
  • History ignored. Family history, prior results or risk factors in the chart were not taken into account.

What You Have to Prove in Pennsylvania

Like every malpractice claim, a failure to diagnose case requires a duty (you were the provider's patient), a breach of the standard of care, causation and damages. Causation is where these cases are won or lost, because the provider did not create the disease.

Pennsylvania handles that with the increased risk of harm rule. In Hamil v. Bashline (1978), the Pennsylvania Supreme Court held that when expert testimony shows a provider's negligence increased the risk of the harm the patient actually suffered, the jury may decide whether that negligence was a substantial factor in causing it (Restatement (Second) of Torts § 323(a)). The plaintiff does not have to prove that earlier treatment would certainly have worked.

Under Pennsylvania's MCARE Act, the expert must generally be a licensed physician who is actively practicing or teaching, or was within the last five years, and who practices in the same or a similar specialty as the defendant. Finding the right expert, a radiologist to judge a radiologist or an emergency physician to judge an emergency physician, is the foundation of the case.

Pennsylvania Deadlines for Missed-Diagnosis Claims

  • Two years, with the discovery rule. The general limit is two years (42 Pa.C.S. § 5524). In a missed-diagnosis case the clock often starts when the correct diagnosis is made, because that is usually when the patient first learns something went wrong.
  • Children. For a minor, the two years generally do not begin to run until the child turns 18 (42 Pa.C.S. § 5533(b)).
  • When the patient died. Wrongful death and survival claims based on medical care generally must be filed within two years of the death (40 P.S. § 1303.513(d)), with an exception where the cause of death was misrepresented or concealed.

The records review and expert opinion take time, so contact an attorney well before any deadline.

Compensation in a Failure to Diagnose Case

Economic Losses

The added cost of treating a more advanced condition (more surgery, chemotherapy or rehabilitation than an early diagnosis would have required), future care, lost wages and lost earning capacity.

Non-Economic Losses

Pain and suffering, disfigurement, loss of life's pleasures and emotional distress, plus a spouse's loss of companionship. Pennsylvania's constitution bars caps on compensatory damages for personal injury.

When the Patient Died

A wrongful death claim for the family's losses and a survival action for what the patient lost, filed by the estate's personal representative.

Punitive Damages

Rare. They require outrageous conduct, and against an individual physician MCARE limits them to twice the compensatory award.

If You Think a Diagnosis Was Missed

  • Get the care you need first. Treatment for the condition comes before anything else.
  • Request your complete records. Ask every provider for your chart, including imaging reports and the images themselves, lab and pathology results, and ER notes. Federal law (HIPAA) gives you the right to copies, generally within 30 days.
  • Write down the timeline. Each visit, what symptoms you reported, what you were told and which tests were or were not done, while you still remember.
  • Do not discuss fault with the provider's insurer or sign anything they send before an attorney reviews it.
  • Call us. The review is free, and the sooner records are requested, the sooner a physician can tell you whether the delay mattered.

How a Failure to Diagnose Claim Proceeds

Free Case Review

A Pennsylvania attorney reviews what happened, the dates, and the providers involved, and tells you honestly whether it is worth investigating.

Records and Imaging

Complete records are collected from every provider in the chain, including the original images and pathology slides, which experts often re-read.

Physician Expert Review

A physician in the right specialty judges whether the care fell below the standard and what an earlier diagnosis would likely have changed.

Filing and Certificate of Merit

The complaint is filed in the Court of Common Pleas, and the Certificate of Merit follows within 60 days.

Discovery

Depositions of the providers, exchange of expert reports, and testing of the timeline: when the condition could have been found and what treatment would have looked like then.

Settlement or Trial

Most cases resolve by settlement. If a fair one is not offered, the case is tried to a jury. Nothing is accepted without your approval.

FAQs: Failure to Diagnose Claims in Pennsylvania

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Joseph J. Mashinski, Esq.

Reviewed by
Joseph J. Mashinski, Esq. — Managing Attorney, PA Attorney Source. Pennsylvania attorney since 2005 (PA ID 201414), Penn State Dickinson Law. Joseph reviews every case inquiry that comes to the firm.

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