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According to the disciplinary order "despite the patient's history, symptoms, and a finding of atypical cells during a urine cytology taken in October 2004, Dr. Chavez failed during this period to order appropriate diagnostic tests to determine the cause of the patient's hematuria." In December 2006 Patient A was found to have high-grade muscle-invasive urothelial carcinoma, a highly aggressive cancer with a very bad prognosis.