Medical Malpractice Cases

Dr. Keith G Chisholm Medical Malpractice Cases

Court Case # 11-389 CA

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201265208
Claim Number :09G36750PL
Date Submitted :10/24/2012
 
Insurer Information
 
Insurer NameCoverage Type
Univ of FL JHMHC Self-Insurance ProgramPrimary
Insurer FEINProfessional License Number
59-600205 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualMerryCReid
Street Address
2124 NE Waldo Road, Suite 3100
CityStateZip
GainesvilleFL32609
PhoneExtFaxE-Mail Address
(352) 273 - 7006 (352) 273 - 5424REIDM@ufl.edu
 
Insured Information
 
TypeFirst NameMILast Name
IndividualKeithGChisholm
Insurer TypeStreet Address of Practice
Self-Insurer1600 S. W. Archer Road
CityStateZip CodeCounty
GainesvilleFL32610Alachua
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
UFBOT09G$2,000,000*NR
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME83998Surgery - General 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FAlachua
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
SHANDS AT LAKE SHORE100102
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
5/27/20101/24/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Abdominal pain, nausea
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Gastrectomy
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Afferent loop obstruction, sepsis, and temporary renal failure
Severity Of Injury
Temporary: Major - Burns, surgical material left, drug side effect, brain damage.Recovery delayed.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/29/201111-389 CA
County Suit Filed inDate of Final Disposition
Columbia3/26/2012
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/26/2012
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$13,934
All Other Loss Adjustment Expense Paid$7,439
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Assessment of treatment with physician
 
Updates
 
No updates found.

 

 

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

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