| Department File Number : | M201677817 |
| Claim Number : | MM261001 |
| Date Submitted : | 4/4/2016 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| EVANSTON INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 36-2950161 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | CRYSTAL | L | ALSTONBAYTON | ||
| Street Address | |||||
| 4600 COX ROAD | |||||
| City | State | Zip | |||
| GLEN ALLEN | VA | 23060 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (804) 864 - 3731 | (855) 662 - 7535 | CALSTONBAYTON@MARKELCORP.COM | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | LEO | T | GONZALES | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 8383 N DAVIS HWY | ||||
| City | State | Zip Code | County | ||
| PENSACOLA | FL | 32514 | Escambia | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| MM819711 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME74826 | Emergency Medicine - No Major Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Escambia | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Emergency Room | |||||
| Name of Institution | Code | ||||
| WEST FLORIDA REG. MED. CTR (PENSACOLA) | 100231 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Patients' Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 5/21/2009 | 9/12/2011 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| CLMT PRESENTED WITH BACK PAIN AND CHRONIC BACK PAIN WHICH ONSET ABOUT 5 DAYS PRIOR AND WAS STILL PRESENT AT TIME OF TREATMENT. CLMT ALLEGES DULL ACHING AND ¿PAIN¿. CLMT DESCRIBES AS BEING SEVERE AND IN THE AREA OF THE LOWER LUMBAR SPINE AND RADIATING TO THE RT FOOT AND TO THE LT FOOT. WORSENED BY SITTING STANDING OR WALKING. RELIEVED BY LYING DOWN. MODERATE CONTINUAL BLADDER DYSFUNCTION. DYSFUNCTION IS DESCRIBED AS INCONTINENCE. BOWEL DYSFUNCTION. SENSORY LOSS. MEMORY LOSS. CLMT COMPLAINS THAT SHE WOKE UP THE SAME MORNING UNABLE TO FEEL HER VAGINA. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| CLMT FOUND TO HAVE HERNIATED DISK AND URINARY RETENTION (LIKELY DUE TO NARCOTIC/MUSCLE RELAXANT OVERUSE) CLMT ADVISED TO USE HEAT 30 MINUTES ON AND 30 MINUTES OFF, GENTLE STRETCHNG, MASSAGE 4-6 TIMES PER DAY. ALSO PRESCRIBED CIPRO 500 MG 1 TAB EVERY 12 HOURS FOR 10 DAYS. ALSO ADVISED TO FOLLOW-UP WITH UROLIGIST BY PHYSICIAN ASSISTANT. ER PHYSICIAN ORDERED NARCOTIC ANALGESICS TO BE ADMINISTERED FOR PAIN. MRI ORDERED BY PA THAT REVEALED A DISC PROTRUSION WITH NERVE ROOT IMPINGEMENT. ALSO THE MRI SHOWED PREVIOUS SURGERY. CATHEDER USED TO VOID BLADDER. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| THERE WAS NO MISDIAGNOSIS | |||||
| Principal Injury Giving Rise To The Claim | |||||
| MATTER INVOLVES CLMT CASE AGAINST ER PHYSICIAN AND THE EMPLOYER. THE CLMT WAS TREATED AT WEST FLORIDA HOSPITAL ER FOR VARIOUS COMPLAINTS INCLUDING BACK PAIN, URINARY RETENTION AND VAGINAL NUMBNESS. A PA¿S EXAM WAS REVIEWED BY ER PHYSICIAN AND TREATMENT WAS AGREED UPON. THE PA ORDERED A MRI TO RUL OUT EMERGENT NEUROLOGICAL CONDITIONS AND DETERMINED CAUDA EQUINA SYNDROME WAS NOT PRESENT. | |||||
| 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 | ||||
| 5/23/2011 | 2011CA000863 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Escambia | 1/18/2016 | ||||
| Other Defendants Involved in this Claim | |||||
| WEST FLORIDA REGIONAL MEDICAL CENTER, INC SHERIDAN HEALTHCARE INC TIVA HEALTHCARE INC | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
| Final Method of Claim Disposition | |||||
| Settled by parties | |||||
| Court Decision | Other | ||||
| Other | SETTLEMENT REACHED BETWEEN PARTIES | ||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 9/29/2015 | |||||
| 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 | $92,718 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $31,436 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
| Deductible | $25,000 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| NONE | |||||||||||||||||||||
| Updates | |
| No updates found. |
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Does Dr. LEO T GONZALES, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. LEO T GONZALES, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).