| Department File Number : | M201679323 |
| Claim Number : | 21511-01 |
| Date Submitted : | 8/3/2016 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| PODIATRY INSURANCE COMPANY OF AMERICA | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 58-1403235 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Karen | Kessler | |||
| Street Address | |||||
| 3000 Meridian Blvd., Suite 400 | |||||
| City | State | Zip | |||
| Franklin | TN | 37067 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (615) 371 - 8776 | 2249 | kkessler@picagroup.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Val | E | Haddon | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 38105 - 13th Ave. | ||||
| City | State | Zip Code | County | ||
| Zephyrhills | FL | 33542 | Hillsborough | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 1PD0045786 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Podiatric Physician | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| PO3491 | |||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Hillsborough | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Patient's Home | |||||
| Name of Institution | Code | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 1/22/2014 | 12/5/2014 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Ingrown hallux nails, bilateral | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Nail debridement, bilateral | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Diabetic patient was initially evaluated by the insured on 1/17/14 with problems associated with recurrent ingrown nails involving each hallux. Pulses were intact, and the nails were debrided. Five days later the patient presented with complaints of pain involving the plantar right heel consistent with plantar fasciitis. Radiographs demonstrated a plantar calcaneal spur along with vascular calcification. The heel was injected with steroid, and antibiotics were changed for the hallux. On 1/31/14, the calluses were debrided, fissures were noted involving the heel, and a low dye strapping was applied. The last visit with insured was on 2/19/14. The fascial symptoms had improved, and the skin fissures were better but still painful. On 2/27/14, patient was admitted to the hospital with secondary sepsis. Surgery was performed on 3/6/14 in an attempt to restore blood flow to the extremity. The anterior tibial artery was opened, but the posterior tibial artery was so occluded that this could not be improved. The patient was discharged from the hospital, but had issues relative to the wound, which failed to improve, and issues with recurrent infection. A right below knee amputation was performed on 5/23/14. Patient alleges the amputation occurred because insured incorrectly diagnosed him with plantar fasciitis. | |||||
| Severity Of Injury | |||||
| Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 4/1/2015 | 2015-CA-391 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Hernando | 8/2/2016 | ||||
| Other Defendants Involved in this Claim | |||||
| Ankle & Foot Center of Tampa Bay, P.A. | |||||
| 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 | |||||
| 8/2/2016 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $200,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $48,427 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $11,181 | ||||||||||||||||||||
| 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 - Specialty code #80993 | |||||||||||||||||||||
| Updates | |
| No updates found. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. VAL E HADDON, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. VAL E HADDON, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).