Medical Malpractice Cases

Dr. MELINDA BLOM Medical Malpractice Cases

Court Case # 2013CA010786AB

Indemnity Paid: $600,000.00

Medical Malpractice Closed Claims Report

Department File Number :M201470712
Claim Number :148580-2
Date Submitted :5/5/2014
Insurer Information
Insurer NameCoverage Type
Insurer FEINProfessional License Number
Insurer Contact Information
TypeFirst NameMILast Name
IndividualTeresa Ross
Street Address
One Park Plaza P.O. Box 555
PhoneExtFaxE-Mail Address
(615) 344 - 5804
Insured Information
TypeFirst NameMILast Name
Insurer TypeStreet Address of Practice
Licensed12953 Palms West Drive Suie 201
CityStateZip CodeCounty
LoxahatcheeFL33470Palm Beach
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
Profession or BusinessOther Profession or Business
OtherPhysician Assistant
License NumberSpecialty Code & ClassificationCertification Number

Medical Malpractice Closed Claims Report

Injured Person Information
First NameMILast NameDate of Birth
Street AddressGenderCounty where Injury Occurred
 FPalm Beach
CityStateZip Code
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
Diagnostic Information
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Cholecystitis, pancreatitis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient underwent a laparoscopic cholecystectomy. Three days after discharge, patient suffered sepsis induced arrest, causing blindness, quadriplegia and brain damage.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Principal Injury Giving Rise To The Claim
Brain damage, paralysis, blindness.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report


Legal Information
Date of SuitCircuit Court Case Number
County Suit Filed inDate of Final Disposition
Palm Beach4/16/2014
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. 
Claim not subject to Arbitration.
Date of Payment
Financial Information
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$600,000
Loss Adjust Expense Paid to Defense Counsel$20,021
All Other Loss Adjustment Expense Paid$13,163
Injured Person's Total Non-Economic Loss$300,000
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$665,000$7,000,000
Wage Loss$100,000$700,000
Other Expenses$50,000$200,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Review of policies and procedures.
No updates found.



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

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