Department File Number : | M201679988 |
Claim Number : | MCH-H-005640C |
Date Submitted : | 10/13/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MIAMI CHILDREN'S HOSPITAL | Primary | ||||
Insurer FEIN | Professional License Number | ||||
59-0638499 | 4067 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | NANCY | CARR | |||
Street Address | |||||
11440 SW 88th STREET | |||||
City | State | Zip | |||
MIAMI | FL | 33176 | |||
Phone | Ext | Fax | E-Mail Address | ||
(305) 274 - 4070 | (305) 274 - 2701 | carol.lobacz@nccrms.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | LOURDES | VALDES FERNANDEZ | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 3100 S.W. 62nd Avenue | ||||
City | State | Zip Code | County | ||
Miami | FL | 33155 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
HPL/GL 2011-00 11/12 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME84023 | Pediatrics - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Dade | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Outpatient Facility | |||||
Name of Institution | Code | ||||
MIAMI CHILDREN'S HOSPITAL | 110199 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Urgent Care Center | ||||
Date of Occurrence | Date Reported to Insurer | ||||
9/12/2010 | 7/12/2012 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Viral syndrome. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Not applicable. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
There was no misdiagnosis made of this patient. | |||||
Principal Injury Giving Rise To The Claim | |||||
The day after seen in the outpatient center for a viral syndrome, the patient was admitted to the hospital for fluid hydration and observation following a negative spinal tap. The patient continued to deteriorate and was ultimately diagnosed with acute encephalitis of unknown etiology, static encephalopathy characterized by refractory epilepsy, permanent vegetative state and spastic quadriparesis. The claimant attorney alleged failure to refer the patient to the Emergency Room for a lumbar puncture. The lawsuit against this practitioner was dismissed without prejudice. | |||||
Severity Of Injury | |||||
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
10/9/2012 | 12-039570 CA 01 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Dade | 8/11/2016 | ||||
Other Defendants Involved in this Claim | |||||
Pizarro, Anthony Meyer, Keith Anthony Pizarro, MD, PA Wolfsdorf, Raszynski & Sussmane, MD, PA Baptist Medical Plaza at West Kendall UCC | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Claim or suit abandoned. | |||||
Final Method of Claim Disposition | |||||
No Payment Made | |||||
Court Decision | Other | ||||
Other | Voluntary Dismissal with Prejudice | ||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $247,820 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $136,701 | ||||||||||||||||||||
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 | |||||||||||||||||||||
None required. |
Updates | |
No updates found. |
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Does Dr. LOURDES VALDES FERNANDEZ, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. LOURDES VALDES FERNANDEZ, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).