PLCR

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M200851379
Claim Number : P-07-61-0665
Date Submitted : 11/18/2008
 
Insurer Information
 
Insurer Name Coverage Type
LEXINGTON INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
25-1149494  
Insurer Contact Information
Type First Name MI Last Name
Individual CECILIA   SALA
Street Address
4211 BOYSCOUT BLVD., STE. 160
City State Zip
TAMPA FL 33624
Phone Ext Fax E-Mail Address
(813) 874 - 0768   (813) 874 - 0710 csala@che.org
 
Insured Information
 
Type First Name MI Last Name
Individual ISHWARI   PRASAD
Insurer Type Street Address of Practice
Licensed 14447 Bruce B. Downs Blvd.
City State Zip Code County
Tampa FL 33613 Hillsborough
Policy Number Per Claim Policy Limits Aggregate Policy Limits
390-4900 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME58761 Gastroenterology - Minor Surgery  

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 Hillsborough
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Outpatient Facility  
Name of Institution Code
BRANDON REGIONAL HOSPITAL 100243
Location of Institutional Injury Other Location of Institutional Injury
Special Procedure Room  
Date of Occurrence Date Reported to Insurer
6/30/2005 10/8/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient with history of chronic pancreatitis, GERD, hypertension, hemorrhoids, cholecystectomy, hepatitis-C, non-insulin diabetes, stroke, and IBS, presented for stent removal/replacement secondary to complaints of abdominal discomfort.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient underwent ERCP procedure to remove/replace previously placed endo-biliary stent.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis. Claim alleges failure to obtain a scout film x-ray to confirm the presence of the biliary stent prior to procedure.
Principal Injury Giving Rise To The Claim
Patient was transferred to another facility following the development of a spontaneous perforation of a diverticula in the third portion of the duodenum, and after an extended hospitalization, the patient subsequently expired.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Legal Information
 
Date of Suit Circuit Court Case Number
1/2/2008 07 18603 Div. G
County Suit Filed in Date of Final Disposition
Hillsborough 10/22/2008
Other Defendants Involved in this Claim
Brandon Regional Hospital
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
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/22/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $115,000
Loss Adjust Expense Paid to Defense Counsel $31,206
All Other Loss Adjustment Expense Paid $0
Injured Person's Total Non-Economic Loss $500,000
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $13,864 $0
Wage Loss $0 $0
Other Expenses $10,000 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Defense counsel discussed case with physician.
 
Updates
 
No updates found.

 

 

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