James Kowher underwent a stress test after experiencing an episode of chest pain while he was sleeping. Cardiologist Dr. Sobhan Kodali interpreted the test as negative.
About nine months later, Kowher experienced repeated chest pain episodes accompanied by shortness of breath, nausea and perspiration. Additionally, these episodes were increasing in frequency and severity and continued for up to ten minutes. Kowher’s primary care physician arranged an appointment with Dr. Kodali for two days later.
Dr. Kodali ordered an EKG and diagnosed Kowher as having panic attacks before discharging him. The primary care physician subsequently referred Kowher to a gastroenterologist, whose notes stated that Kowher’s chest pain were ongoing and worsening.