Samuel Gray was 61 when he reported excruciating pain and cramping in his left lower leg. He was taken by ambulance to a hospital emergency room where it was noted that he had diminished foot pulses and was in severe pain. He was later diagnosed as having acute ischemia of the lower leg and was given Heparin, a blood thinner.
The hospital staff contacted a thoracic surgeon, Dr. Panagiotis Iakovidis, who agreed to treat Gray and ordered a CT angiogram. The CT angiogram confirmed the diagnosis of acute ischemia in the lower leg.
However, Dr. Iakovidis did not see Gray personally until the next day, 22 hours after the hospital staff had requested his services. Despite an attempt to restore blood flow, Gray subsequently required below-the-knee amputation of his left leg.