I recently sent a man to the ER stating my concern to the Doc there that, given his history and exam, my patient likely had an epidural abscess. Definitive diagnosis is by MRI. The ER Doc squoze the man's neck a couple times and said it's just a muscle spasm, stating in his medical note my concern was in error. I sent the patient to another hospital. MR was done, and the abscess was confirmed. The next day, surgeons did a decompression and fusion surgery on his neck. Epidural abscesses are fast growing and can lead to paralysis or death. This was a medical error.