Rockville patients often move between primary care, urgent care, imaging centers, and specialists—sometimes across different health systems. That “handoff” model can create gaps where:
- abnormal lab or imaging results are filed but not clearly communicated
- referrals are suggested but follow‑up is not tracked
- discharge instructions are misunderstood or not acted on
- a patient is told to “watch and wait” despite ongoing red‑flag symptoms
In a practical sense, many delayed diagnosis cases turn on documentation: what was known at each visit, what was recommended, and whether anyone followed through.


