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Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Department File Number :	M200429130
Claim Number :	83-007638
Date Submitted :	2/19/2004

 

Insurer Information
Insurer Name				Coverage Type
TRUCK INSURANCE EXCHANGE				Primary
Insurer FEIN		Professional License Number
95-2575892
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	JULIE		L	BICKNELL
Street Address
P.O. BOX 4999
City				State	Zip
LOS ANGELES				CA	90051-4999
Phone	Ext	Fax	E-Mail Address
(323) 964 - 8271		(323) 937 - 1919

 

Insured Information
Type	First Name		MI	Last Name
Individual	KOMAIHA			HAMED
Insurer Type		Street Address of Practice
Licensed		9750 N W 33RD STREET #107
City		State	Zip Code	County
CORAL SPRINGS		FL	33065	Broward
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
0118087060000		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME74677		Internal Medicine - No Surgery		0

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
				M	*NR
City				State	Zip Code
Location where injury occured			Other location where injury occured
Hospital Inpatient Facility
Name of Institution			Code
WEST BOCA MEDICAL CENTER			110008
Location of Institutional Injury			Other Location of Institutional Injury
Patients' Room
Date of Occurrence			Date Reported to Insurer
8/30/1999			11/27/2001

 

Diagnostic Information
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
PATIENT WAS SEEN BY DR KOMAIHA FOR LOW-GRADE FEVERS AFTER HAVING UNDERGONE BACK SURGERY. DR KOMAIHA WAS TO PROVIDE AN INFECTIOUS DISEASE CONSULT. THE PT WAS RX'D ANTIBOTICS. SEVERAL DAYS LATER THE PT WAS ADMITTED TO THE HOSPITAL AGAIN WITH PULMONARY EMBOLOUS IN THE LUNGS AND A THROMBOSIS OF THE LEFT POPITEAL AND CALF VIENS.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
PATIENT ALLEGES THAT THE DEVELOPMENT OF THESE PROBLEMS WAS DUE TO SOME UNIDENTIFIED LACK OF TREATMENT BY OUR INSURED.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
THERE WAS NO MISDIAGNOSES AND NO CASUAL CONNECTIO BETWEEN THE ANTIBIOTICS PRESCRIBED AND THE SUBSEQUENT DEVELOPMENT OF THE PE AND THE THEMBOSIS.
Principal Injury Giving Rise To The Claim
PE AND DEEP VEIN THROMBOSIS TO THE LEFT POPLITEAL AND CALF VEINS.
Severity Of Injury
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
Date of Suit			Circuit Court Case Number
4/12/2002			2002-004689AE
County Suit Filed in			Date of Final Disposition
Palm Beach			11/3/2003
Other Defendants Involved in this Claim
COCHAN, J. MICHAEL TENENT HEALTH SYSTEMS,INC VILLALBA, JOSE
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Disposed of by Court
Court Decision			Other
Summary judgment for the defendant.
Arbitration
Claim not subject to Arbitration.
Date of Payment

 

Financial Information
Was there a settlement Resulting in payment to the Plaintiff?					No
Indemnity Paid by Insurer on behalf of Insured					$0
Loss Adjust Expense Paid to Defense Counsel					$3,650
All Other Loss Adjustment Expense Paid					$2,963
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
ACCORDING TO OUR EXPERT, OUR MD ACTED WITHIN THE STANDARD OF CARE. THEREFORE, THERE ARE NO STEPS TO TAKE IN THIS CASE.

 

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