Department File Number : | M201987798 |
Claim Number : | 59296001 |
Date Submitted : | 2/8/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PHYSICIANS INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
13-4235490 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | John | D | King | ||
Street Address | |||||
901 south mopac Blvd V ste 400 | |||||
City | State | Zip | |||
Austin | TX | 78746 | |||
Phone | Ext | Fax | E-Mail Address | ||
(512) 425 - 5940 | (512) 328 - 8067 | john-king@tmlt.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Qahtan | Abdulfattah | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 11323 Cortez Blvd | ||||
City | State | Zip Code | County | ||
Brooksville | FL | 34613 | Hernando | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
133409 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME92671 | Neurology - Including Child - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Hernando | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
BAYFRONT MEDICAL CENTER | 100032 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Critical Care Unit | |||||
Date of Occurrence | Date Reported to Insurer | ||||
3/8/2017 | 6/20/2018 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Decedent presented to the hospital ED with complaints of back pain. She was admitted and thru the course of work-up, she was diagnosed with a lumbar epidural abscess | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Decedent seen by many specialists as consultants included reporting physician. Following an MRI and lab results indication signs of infection, Decedent was diagnosed with spinal abscess | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Plaintiffs alleged the many physicians involved in Decedent's care failed to timely diagnose the spinal abscess and failed to address the condition, which led to the Decedent death. | |||||
Principal Injury Giving Rise To The Claim | |||||
Principal injury was the spinal abscess which caused the patient presenting symptoms of back pain. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 1/10/2019 | ||||
Other Defendants Involved in this Claim | |||||
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 | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
1/23/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $212,500 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $12,384 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $10,232 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $212,500 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
none taken |
Updates | |
No updates found. |
Does Dr. QAHTAN ABDULFATTAH, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. QAHTAN ABDULFATTAH, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).