DeJong, who trained in North Dakota and holds a doctorate in pathology from the University of California-Davis in addition to her medical degree, had built her career as a fill-in doctor in rural emergency rooms. Concerned about how many patients she was seeing who couldn’t get in regularly to see a primary care doctor, she signed up in 2012 with a telemedicine company called Consult-a-Doctor. The company would refer calls to her for consultations in states in which she was licensed to practice. On Feb. 9, 2012, she consulted by phone with a patient in the Boise area who had severe cold symptoms, aches and pains, and a slight fever. DeJong advised the patient to treat the symptoms but also offered to call in a prescription for an antibiotic to take if the patient’s fever rose or her symptoms worsened, a move the patient welcomed.