Our client experienced severe back pain and numbness in his left leg after reaching for something and heard a popping sound. He went to the Long Beach VA Medical Center in a wheelchair. This alone should have been concerning when providers learned that our client does not normally require a wheelchair. X-Ray and MRI imaging showed that our client’s spinal cord was being impinged. He also described a history of incontinence. A subsequent bladder scan revealed definitive, red-flag signs of spinal cord impingement. He was on powerful pain medications which demonstrated the pain he felt. However, he was discharged without medical providers addressing the spinal cord compression. Our client was finally examined by a neurologist after he had received multiple doses of opiates and steroids IV. This examination failed to consider the masking power of the opiates and steroids. And no action was taken to explain or address the retained urine. He presented with multiple red-ﬂag symptoms of spinal cord compression, yet no neurosurgical intervention was provided for him. Research has shown the importance of surgical intervention within 48 hours of presentation to prevent the development of Cauda Equina Syndrome (CES), a condition that occurs when the nerve roots of the cauda equina are compressed and disrupt motor and sensory function to the lower extremities and bladder. As a result of California VA medical providers’ delay in diagnoses and failure to promptly provide neurosurgical intervention, our client suffered greatly. Now he is unable to work and cannot perform basic household chores and daily activities. The negligence of California VA medical providers at the Long Beach VA Medical Center and West Los Angeles VA Medical Center caused our client’s cauda equina syndrome. Our clients received $392,764. Other case fees include $100,000 for attorneys’ fees and $7,235 in litigation expenses.