| Department File Number : | M201886465 |
| Claim Number : | 2012-09-200-015 |
| Date Submitted : | 9/18/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| Lexington Insurace Company | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 25-114949 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Jessica | Hayden | |||
| Street Address | |||||
| 2985 Drew Street | |||||
| City | State | Zip | |||
| Clearwater | FL | 33764 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (727) 519 - 1268 | jessica.hayden@baycare.org | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Ashraf | Ads | |||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 3001 West Dr Martin Luther King Jr Boulevard | ||||
| City | State | Zip Code | County | ||
| Tampa | FL | 33607 | Hillsborough | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 112-37-063 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME103546 | Surgery - Traumatic | ||||
| 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 Inpatient Facility | |||||
| Name of Institution | Code | ||||
| SAINT JOSEPH'S HOSPITAL | 100075 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Radiology, Emergency Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 8/22/2012 | 9/4/2012 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| 2 yo female presented to ER with fever and vomiting for 1 week. Chest x-ray was ordered with an incidental finding of a button batteryfound to be lodged in the thoracic inlet. The battery was estimated to be lodged in place for approximately 5-7 days. ENT was consultedand surgically removed the battery. Significant mucosal erosion was noted. The child was admitted and an attempt at a barium swallowwas made but the child could not swallow the needed contrast. The exam did show no evidence of esophageal perforation and the babywas discharged. The child returned on August 19, 2012 with fever. CXR was clear. Viral syndrome was diagnosed due to fever andcough. She was discharged. The child returned to the ER that night as the child was crying and had neck pain. Lumbar puncture andseveral labs were performed. No neck pain on flexion was noted. The child was discharged with a diagnosis of viral syndrome. The childreturned to the ER on August 21, 2012 with continued fever. Her respirations were unlabored and she had clear lung sounds. She wasalert, playful and in no acute distress. Neck was supple. Further testing included throat culture, UA and x-rays, all of which werenegative. On August 22, 2012, the child returned via EMS unconscious and vomiting blood resulting from late onset of complicationsfrom the battery ingestion. EGD and other tests were completed. Diagnoses showed acute esophageal ulcer with perforation, gastric ulcerwith hemorrhage, hemorrhagic shock. Shortly after admission, the child coded and expired. Cause of death was exsanguination due toerosion of the common carotid artery through a carotid esophageal fistula that had formed due to a chemical alkaline battery burn. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Diagnostic testing as noted above. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| See below. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| The child expired due to complications from button battery ingestion. Allegations included failure to consider the child's past historynoted in her medical records, failure to order imaging including CT of the neck and esophagus, | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 4/29/2015 | 15-CA-3376 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Hillsborough | 8/27/2018 | ||||
| Other Defendants Involved in this Claim | |||||
| 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 | |||||
| 8/27/2018 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $250,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $77,964 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| Any risk issues have been/will be addressed. | |||||||||||||||||||||
| Updates | |
| No updates found. |
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Does Dr. ASHRAF ADS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ASHRAF ADS, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).