53-year-old construction supervisor had a laparoscopic cholecystectomy performed by a family practice physician. He documented "some difficulty" ascertaining anatomy. Post procedure, the patient complained of extreme abdominal pain, decreased urine output and other evidence of an acute abdomen. By the time the patient was transferred to a tertiary care center, he had ARDS, peritonitis and multiorgan failure from a bile leak. Patient required several weeks of hospitalization and was out of work for 18 months. Fortunately, patient recovered such that he returned to work full time but still must limit his activities. Settled for $1.925 million