Department File Number : | M201884177 |
Claim Number : | 0AB200696 |
Date Submitted : | 1/25/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
HOMELAND INSURANCE COMPANY OF NEW YORK | Primary | ||||
Insurer FEIN | Professional License Number | ||||
52-1568827 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Mike | Clark | |||
Street Address | |||||
199 Scott Swamp Road | |||||
City | State | Zip | |||
Farmington | CT | 06032 | |||
Phone | Ext | Fax | E-Mail Address | ||
(860) 321 - 2544 | (877) 256 - 5067 | mclark@onebeacon.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | ALDENE | M | MCCLYMONT | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 13681 Doctors Way | ||||
City | State | Zip Code | County | ||
Fort Myers | FL | 33619 | Lee | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PHY102916 | $200,000 | $600,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
OS13904 | Internal Medicine - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Bay | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
GULF COAST MEDICAL CENTER (PANAMA CITY) | 100242 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
9/6/2016 | 6/12/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Final diagnosis: compartment syndrome right arm. Actual condition: had extensive vascular disease. Was admitted to the hospital due to unprovoked vascular occlusion that occurred earlier in the night while at home on the left side and underwent immediate surgery. Mr. Connors developed IV infiltration in his right arm postoperatively | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Operation: Fasciotomy due to probable IV infiltration causing compartment syndrome. The alleged infiltration occurred overnight while Dr. McClymont was not on duty. Dr. McClymont did not place the IV and was not on duty when the events occurred. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Not applicable | |||||
Principal Injury Giving Rise To The Claim | |||||
Mr. Connors claimed that IV infiltration resulted in surgery on his right arm and that he sustained permanent neurological injury to his right arm and hand | |||||
Severity Of Injury | |||||
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 1/5/2018 | ||||
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 | |||||
Dropped before Action Filed | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
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 | $20,448 | ||||||||||||||||||||
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 | |||||||||||||||||||||
No action |
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. ALDENE M MCCLYMONT, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ALDENE M MCCLYMONT, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).