| Department File Number : | M201886322 |
| Claim Number : | 160832 |
| Date Submitted : | 9/5/2018 |
| 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 | Richard | Petersen | |||
| Street Address | |||||
| 4651 Salisbury Rd. #410 | |||||
| City | State | Zip | |||
| Jacksonville | FL | 32256 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (904) 309 - 8142 | (904) 394 - 7134 | rpetersen@norcal-group.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Allessa | D | Allison | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 525 Brent Lane | ||||
| City | State | Zip Code | County | ||
| Pensacola | FL | 32503 | Escambia | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| MG001435 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME119638 | Gynecology - Minor Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Escambia | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| BAPTIST HOSPITAL | 100093 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Labor and Delivery Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 10/31/2014 | 1/18/2017 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Leanne Fitzgerald presented as a 31 year old female 5' tall and 129 lbs in no acute distress at 17 weeks 3 days gestation initially on 09/08/14. She came in for normal exams thereafter on 09/22/14, 10/06/14, 10/21/14. On 10/28/14, she advised of increased water intake and limited salt intake. Due to elevated BP x 2 visits, pre-eclampsia labs were ordered. On 10/29/14, Ms. Fitzgerald was advised to come into the office. Her PIH labs showed an increase in uric acid. Due to the high levels and her increased BP and proteinuria, she was diagnosed with "severe preeclampsia." The patient was admitted to Baptist Hospital where she obtained serial BPs, started a 24 her urine, and underwent repeat blood work in the morning. The patient went into labor at approx. 4:38 a.m.. on 10/31/14. At 4:50 p. m., she was administered Pitocin. She gave birth at 10:40 p.m. The baby was delivered with the cord around the baby's neck and body. The baby was born without a pulse. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Leanne Fitzgerald presented as a 31 year old female 5' tall and 129 lbs in no acute distress at 17 weeks 3 days gestation initially on 09/08/14. She came in for normal exams thereafter on 09/22/14, 10/06/14, 10/21/14. On 10/28/14, she advised of increased water intake and limited salt intake. Due to elevated BP x 2 visits, pre-eclampsia labs were ordered. On 10/29/14, Ms. Fitzgerald was advised to come into the office. Her PIH labs showed an increase in uric acid. Due to the high levels and her increased BP and proteinuria, she was diagnosed with "severe preeclampsia." The patient was admitted to Baptist Hospital where she obtained serial BPs, started a 24 her urine, and underwent repeat blood work in the morning. The patient went into labor at approx. 4:38 a.m.. on 10/31/14. At 4:50 p. m., she was administered Pitocin. She gave birth at 10:40 p.m. The baby was delivered with the cord around the baby's neck and body. The baby was born without a pulse. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Leanne Fitzgerald presented as a 31 year old female 5' tall and 129 lbs in no acute distress at 17 weeks 3 days gestation initially on 09/08/14. She came in for normal exams thereafter on 09/22/14, 10/06/14, 10/21/14. On 10/28/14, she advised of increased water intake and limited salt intake. Due to elevated BP x 2 visits, pre-eclampsia labs were ordered. On 10/29/14, Ms. Fitzgerald was advised to come into the office. Her PIH labs showed an increase in uric acid. Due to the high levels and her increased BP and proteinuria, she was diagnosed with "severe preeclampsia." The patient was admitted to Baptist Hospital where she obtained serial BPs, started a 24 her urine, and underwent repeat blood work in the morning. The patient went into labor at approx. 4:38 a.m.. on 10/31/14. At 4:50 p. m., she was administered Pitocin. She gave birth at 10:40 p.m. The baby was delivered with the cord around the baby's neck and body. The baby was born without a pulse. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 7/3/2018 | ||||
| Other Defendants Involved in this Claim | |||||
| LaRose, Paul | |||||
| 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 | |||||
| No Payment Made | |||||
| Court Decision | Other | ||||
| Other | Submitted to NICA | ||||
| 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 | $9,463 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Facts of the claim were discussed with insured & risk management. | |||||||||||||||||||||
| 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. ALLESSA D ALLISON, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ALLESSA D ALLISON, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).