This case involves a crew member of a shipping vessel who began experiencing symptoms of vomiting, bloody discharge, and severe abdominal pain. Though her symptoms were severe, no attempt was made to see that she received emergency medical attention on shore because there were no nearby port calls. Her symptoms persisted and worsened over the next 3 weeks. When the vessel finally landed, the crew member received treatment at a rural hospital which was not equipped to provide the necessary care. It was an additional 3 weeks before the crew member was able to receive the necessary treatment. By then, it was discovered that the crew member had developed a severe gastrointestinal infection from e-coli bacteria. She ultimately recovered but suffers from chronic medical complications including irritable bowel syndrome. An expert in maritime medical services was sought to review the facts of this case to determine if the shipping company’s response to this incident met the industry standards for medical response aboard a seafaring vessel.