Department File Number : | M201884192 |
Claim Number : | 59270501 |
Date Submitted : | 1/26/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PHYSICIANS INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
13-4235490 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | John | D | King | ||
Street Address | |||||
901 south mopac Blvd V ste 400 | |||||
City | State | Zip | |||
Austin | TX | 78746 | |||
Phone | Ext | Fax | E-Mail Address | ||
(512) 425 - 5940 | (512) 328 - 8067 | john-king@tmlt.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Fawzi | Farha | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 2140 Kingsley Avenue, Ste 11 | ||||
City | State | Zip Code | County | ||
Orange Park | FL | 32073 | Clay | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
140250 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME92741 | Surgery - General |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Orange | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
ORANGE PARK MEDICAL CENTER | 100226 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
1/25/2015 | 1/13/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
patient was referred to reporting physician for surgical consultation after being diagnosed with a right inguinal hernia. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Reporting physician recommended surgery after consultation and examination. Surgery was performed on 11-25-2015. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Surgery was performed without noted complication. Patient had expected post-operative complaints on first post op visit 2 weeks later. In 3-2016 patient was referred to a urologist due to post op complaints. Later determined patient had developed right necrosis of the right testicle | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient underwent surgery to remove his right testicle and incurred past medical expenses. | |||||
Severity Of Injury | |||||
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
4/27/2017 | 2017-CA-00427 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Clay | 1/15/2018 | ||||
Other Defendants Involved in this Claim | |||||
First Coast Surgical Associates | |||||
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 | |||||
1/26/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $125,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $35,000 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $3,453 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $125,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
known complication of procedure |
Updates | |
No updates found. |
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Department File Number : | M201990440 |
Claim Number : | 59380501 |
Date Submitted : | 10/30/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PHYSICIANS INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
13-4235490 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | John | D | King | ||
Street Address | |||||
901 south mopac Blvd V ste 400 | |||||
City | State | Zip | |||
Austin | TX | 78746 | |||
Phone | Ext | Fax | E-Mail Address | ||
(512) 425 - 5940 | (512) 328 - 8067 | john-king@tmlt.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Fawzi | Farha | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 2140 Kingsley Avenue, Ste 11 | ||||
City | State | Zip Code | County | ||
Orange Park | FL | 32073 | Clay | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
140250 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME92741 | Surgery - General |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Clay | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
ORANGE PARK MEDICAL CENTER | 100226 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
2/3/2016 | 7/27/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
76 year old male patient presented to reporting physician for suspicion of a recurrence of right inguinal hernia | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Reporting physician determined that patient had a recurrence of a right inguinal hernia and recommended hernia repair. Surgery was performed on February 23, 2016 using a Parietex graft to close the hernia. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Reporting physician encountered extensive adhesions with difficult visualization during surgery. Once the hernia was identified, he placed a 10 x 15 cm Parietex graft to close the hernia. In May 2016, patient returned for follow up with evidence of a 5 cm palpable mass in the area of the previous hernia. | |||||
Principal Injury Giving Rise To The Claim | |||||
In February 2017, patient went to another surgeon who performed surgery on March 28, 2017. This surgeon documented that the mesh placed by reporting physician had migrated from its original position as the mesh had been placed with the adhesive side facing towards the bowel rather than toward the hernia defect. | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
7/31/2018 | 2018-CA-5176 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Duval | 10/17/2019 | ||||
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 | |||||
10/30/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $40,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $26,535 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $6,599 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $30,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
None- this was a defensible case for reporting physician but he did not want to go thru a protracted litigation process |
Updates | |
No updates found. |
Does Dr. FAWZI FARHA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. FAWZI FARHA, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).