PLCR

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M2023102688
Claim Number : 22-46520
Date Submitted : 4/21/2023
 
Insurer Information
 
Insurer Name Coverage Type
THE HEALTHCARE UNDERWRITING COMPANY, A RISK RETENTION GROUP Primary
Insurer FEIN Professional License Number
20-2837805  
Insurer Contact Information
Type First Name MI Last Name
Individual Ashley B Cole-Tyson
Street Address
14201 DALLAS PARKWAY
City State Zip
Dallas TX 75254
Phone Ext Fax E-Mail Address
(305) 962 - 8904     ashley.coletyson@tenethealth.com
 
Insured Information
 
Type First Name MI Last Name
Individual Fernando   Bayron-Velez
Insurer Type Street Address of Practice
Licensed 7421 N. University Drive, Suite 107
City State Zip Code County
Tamarac FL 33321 Broward
Policy Number Per Claim Policy Limits Aggregate Policy Limits
RRG-2022/23-1FL $3,000,000 $5,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME93401 Surgery - General  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Broward
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
FLORIDA MEDICAL CENTER 100210
Location of Institutional Injury Other Location of Institutional Injury
Operating Suite  
Date of Occurrence Date Reported to Insurer
12/15/2020 6/2/2022
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Large cystic lesion below the liver and gallbladder
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Diagnostic laparoscopy with excisional biopsy of mesenteric cyst was emergently converted to open laparotomy when patient hemorrhaged and became hemodynamically unstable. Dr. Bayron applied clips to what he believed to be the adrenal vein to stop bleeding.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Post op the patient developed hematuria. A renal angioplasty showed no visualization of the renal vein. Injury to the adrenal vein, leading to necrosis of the kidney and eventual nephrectomy.
Principal Injury Giving Rise To The Claim
Loss of kidney due to necrosis and inadvertent loss of gallbladder due to trauma.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Legal Information
 
Date of Suit Circuit Court Case Number
  *NR
County Suit Filed in Date of Final Disposition
*NR 10/7/2022
Other Defendants Involved in this Claim
Florida Medical Center and North Shore Medical Center, Inc.
Stage of Legal System at which Settlement was Reached or Award Made
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed).
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/15/2022
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $750,000
Loss Adjust Expense Paid to Defense Counsel $0
All Other Loss Adjustment Expense Paid $0
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
None known.
 
Updates
 
No updates found.

 

 

*NR: Prior to 04/28/1999 this field was not required in submitted claims.

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