Department File Number : | M201883959 |
Claim Number : | F15-0129-15 |
Date Submitted : | 1/4/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
FD INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-3704679 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | jason | haynie | |||
Street Address | |||||
4651 Salisbury Rd., Ste. 410 | |||||
City | State | Zip | |||
Jacksonville | FL | 32256 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 296 - 2887 | (904) 296 - 2887 | jhaynie@norcal-group.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Patrick | Gonzales | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 7400 Doc Grove Cir | ||||
City | State | Zip Code | County | ||
Orlando | FL | 32819 | Orange | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MG001528 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME50007 | Family Physicians or General Practitioners - No Surgery |
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 | ||||
Other Location | Southwest Orlando Family Medicine | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Southwest Orlando Family Medicine | ||||
Date of Occurrence | Date Reported to Insurer | ||||
1/13/2015 | 6/22/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Failed to properly address unstable angina, treat a patient with a history of chest pain, not performing an EKG and immediate cardiologist referral. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Patient first began treatment with our insured on 1/13/2015 with a history of HTN, obesity, kidney stones, alleged recent former smoker. This was to establish as a new patient. Patient was counseled regarding smoking, dietary changes, exercise, weight loss, and blood work was ordered. Patient returned on 1/15 after an unknown dental procedure with elevated BP and dizziness. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Failed to properly address unstable angina, treat a patient with a history of chest pain, not performing an EKG and immediate cardiologist referral. | |||||
Principal Injury Giving Rise To The Claim | |||||
Death | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
2/23/2016 | 2016-CA-000994-0 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Orange | 12/14/2017 | ||||
Other Defendants Involved in this Claim | |||||
Thomas, Kimonetia Akram, Kamran Cardiology Associates of Orlando | |||||
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 | |||||
12/1/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $250,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $56,022 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Discussed with Risk Management and Insured. |
Updates | |
No updates found. |
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Does Dr. PATRICK GONZALES, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. PATRICK GONZALES, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).