Thank-you all. Sounds like others have had this happen too. It's bizarre. You do have to laugh at it some. Anger isn't good for me. I will do something about it, polite and professionally, so he is aware. All kinds of ethical things were broken here.

I likely would have had symptoms of perforation, but to not have ruled that out (via xray) was very dangerous. A fracture was not something I had thought of, at all, honestly. But in hindsight my symptoms said muscle tear or rib problem. The one test he did do was an EKG, which he told me was fine. It was not fine. It had 2 tags on it. 'Borderline EKG' (rarely concerning) and 'possible left atrial enlargement' (not necessarily concerning, but unquestionably worth telling the patient, informing PCP, and noting to both parties that it bears doing a follow-up upon resolution of current problem). Given that I'm 30 pounds overweight now (thanks seroquel , on antipsychotics, and now have high BP, with strong family history of cardiac problems, to not even mention it to me and ignore a potentially early warning sign of problems is just outrageous. (I actually told him each of these things prior to the test).

As I might have said, I see PCP on Thursday for my annual (actually two years...oops). We can discuss all of these things during appointment. Technically she misdiagnosed as well, but largely based on previous assessment which was much closer in time to the injury. So I don't blame her at all. And she did order the MRI which showed this. The MRI was technically a huge resource waste, but I understand why she did it. Xray should have been done with the first doctor as I mentioned.

I like her a lot and has always been very good with me (even though I am way late in having a check-up/labs/etc).

I strongly encourage folks to always get copies of their records. And read any dc paperwork in depth. Get copies of doctor notes, tests, labs, etc. Do your own research if you do not know what things mean. (Be careful of over-googling things of course). It is always OK to call your doctor's nurse and ask questions. The records BELONG to you and are an invaluable source of information to help you navigate the health care system and monitor your health. Don't be obsessed with it or think folks are out to get you, but knowledge is power. This guy meant me no harm, but ****ed up in multiple ways. Your health is ultimately on the line.