Medical-Legal Triage: Wrong Expert Request

A paralegal called asking for a gastroenterologist in a specific county to perform an IME. I did not have what she asked for but I inquired further. Her case involved a woman who went to a barbeque, got Salmonella, went into renal failure, and got better.

Though most Salmonella cases involve gastroenterology, infectious disease, or microbiology issues, this one mandated a nephrologist (kidney expert). Moreover, an exam was completely unnecessary. Certainly, a nephrologist would have essentially nothing to examine; he/she would not say, “Turn over so I can cut open your back and feel your kidney.” This case review was entirely based on the medical records. Two major errors were avoided.