Wilkes-Barre Failure to Diagnose Lawyers
A cancer, stroke, heart attack or infection that was missed, mistaken for something else, or caught too late. Serving Wilkes-Barre, Scranton, Hazleton and all of Luzerne & Lackawanna Counties, plus Harrisburg. Free case review — no fee unless we win.
Get a Free Consultation
Tell us what happened and when. A Pennsylvania attorney reviews every inquiry.
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
It is a medical malpractice claim based on a diagnosis that was missed, wrong, or made too late. The claim is not that the doctor caused the illness. It is that a reasonably careful provider in the same specialty would have recognized it sooner, and that the delay cost the patient something real: a treatable condition became harder to treat, a cancer moved to a later stage, or a stroke or infection did damage that prompt care would likely have prevented.
No. Diagnosis is hard, and the law does not require doctors to be right every time. A misdiagnosis becomes malpractice when the provider fell below the accepted standard of care (for example, by not ordering the test a careful doctor would have ordered, misreading an imaging study, or never following up on an abnormal result) and that failure caused harm. A physician expert has to say so in writing before a Pennsylvania case can go forward.
Generally two years. Under the discovery rule, that clock usually starts when you knew, or reasonably should have known, that you were injured and that a provider's care may have caused it, which in a missed-diagnosis case is often the day the correct diagnosis is finally made. For an injured child, the two years generally do not begin until age 18. If the patient died, the wrongful death and survival claims generally must be filed within two years of the date of death. Deadlines turn on specific facts, so have an attorney calculate yours.
That the delay made things worse. Pennsylvania lets a jury decide causation when expert testimony shows the provider's negligence increased the risk of the harm that actually happened (the Pennsylvania Supreme Court's decision in Hamil v. Bashline, applying Restatement (Second) of Torts section 323(a)). In practice, that means comparing what would likely have happened with a timely diagnosis to what did happen.
Possibly. Survival does not end the claim. If the delay meant more aggressive treatment, more surgery, a worse prognosis, a higher chance of recurrence, or time out of work that earlier treatment would have avoided, those losses can be compensated. The key questions are how much the cancer progressed during the delay and what that progression changed.
Anyone in the chain whose care fell short: the primary care doctor, emergency physician, radiologist, pathologist, specialist, physician assistant or nurse practitioner. Hospitals and practices can be responsible for their employees' errors, and in Pennsylvania a hospital can also be directly liable for its own failures, such as a system that let an abnormal test result go unreported.
It does not automatically end your case. Pennsylvania uses modified comparative negligence: you can recover as long as your share of fault is not greater than the providers' combined, and your award is reduced by your percentage. Whether a missed appointment matters at all depends on what you were told, whether anyone followed up, and whether the critical error happened before it.
Nothing. The review is free, and cases are handled on a contingency fee: no fee unless there is a recovery. Medical malpractice cases need records review and physician experts, and the attorney will explain how those costs are handled before you sign anything.
Our Office
Wilkes-Barre
220 S River St.
Wilkes-Barre, PA 18705
(877) 888-4777 — serving Luzerne, Lackawanna and Dauphin Counties
Email: team@paattorneysource.com
Hours
Hours: Available 24/7
Was Your Diagnosis Missed or Delayed?
Tell us what happened and when. A Pennsylvania attorney will review it and explain your options at no cost.
Areas We Serve
Our office is in Wilkes-Barre. We represent injured people across the Wyoming Valley and Scranton area, and in Harrisburg and Dauphin County:
Luzerne County
- Wilkes-Barre
- Hazleton
- Kingston
- Pittston
- Nanticoke · Plymouth · Mountain Top
- All Luzerne County Locations
Lackawanna County
- Scranton
- Dunmore · Carbondale · Clarks Summit · Dickson City
- All Lackawanna County Locations
Dauphin County
- Harrisburg
- Hershey · Middletown · Colonial Park
- All Dauphin County Locations
Contact Us
On This Page
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.