| Department File Number : | M201887075 |
| Claim Number : | 158190 |
| Date Submitted : | 11/19/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| NORCAL MUTUAL INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 94-2301054 | |||||
| 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 | Asad | U | Qamar | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 4730 SW 49th Road | ||||
| City | State | Zip Code | County | ||
| Ocala | FL | 34474 | Marion | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 720921N | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME73803 | Cardiovascular Disease - Minor Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Marion | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Physician's Office | |||||
| Name of Institution | Code | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Special Procedure Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 2/13/2013 | 8/25/2016 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| William Klenk (then age 75) presented to Dr. Qamar as referred by his PCP on 02/21/13 for severe disabling claudication. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| From 03/06/13 through 06/10/14, Dr. Qamar performed atherectomy, ballooning, and stenting of the 70% right common femoral artery stenosis; and stenting of the 60% right external iliac artery, both with end results of 0% stenosis. On 04/24/14, the plaintiff continued to suffer from severe claudication-like symptoms in the left lower leg. Dr. Qamar attempted intervention of the 100% lesion of the right superficial femoral artery, but this was unsuccessful. Dr. Qamar administered Alteplase, a blood thinner on 06/10/14. On 08/22/14, the patient presented to the ER with complaints of left lower extremity pain. CT scan showed occluded left superficial femoral artery stents, and on 08/27/14, a left iliofemoral endarterectomy and patch angioplasty was attempted unsuccessfully. Since he continued to have no significant arterial flow below the left knee, he decided to undergo a left above-the-knee amputation on 08/28/14.The plaintiff alleged that Dr. Qamar failed to perform adequate lower extremity angiography or via referral to a vascular surgeon. However, a defense standard of care expert found that the patient suffered from a profound peripheral vascular disease. The expert further opined that it is very difficult to conclusively link the patient's amputation to Dr. Qamar's treatment because, given Mr. Klenk's underlying vascular issues, he likely would have needed the amputation at some point. Furthermore, the patient suffered from severe peripheral vascular disease and to leave that untreated would have been below the standard of care, but Dr. Qamar was working to re-vascularize the patient and unfortunately he suffered a recognized complication that resulted in the amputation. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| William Klenk (then age 75) presented to Dr. Qamar as referred by his PCP on 02/21/13 for severe disabling claudication. | |||||
| 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 | ||||
| 5/31/2017 | 17-28-CAG | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Marion | 11/15/2018 | ||||
| Other Defendants Involved in this Claim | |||||
| Institute of Cardiovascular Excellence | |||||
| 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 | ||||
| Other | Settled between parties | ||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 11/5/2018 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $750,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $100,102 | ||||||||||||||||||||
| 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 suit were discussed with the insured and risk management. | |||||||||||||||||||||
| Updates | |
| No updates found. |
| Department File Number : | M201783324 |
| Claim Number : | 331110 |
| Date Submitted : | 10/9/2017 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 95-3014772 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Kelly | Andrews | |||
| Street Address | |||||
| 12724 Gran Bay Parkway, W., Suite 400 | |||||
| City | State | Zip | |||
| Jacksonville | FL | 32258 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (904) 360 - 3038 | kandrews@thedoctors.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Asad | U | Qamar | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 1040 SW 2nd Aveunue | ||||
| City | State | Zip Code | County | ||
| Ocala | FL | 34474 | Marion | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 0951139 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME73803 | Surgery - Cardiac | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Marion | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| WEST MARION COMMUNITY HOSPITAL | 23960039 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Patients' Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 1/30/2015 | 6/17/2015 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Fatigue, shortness of breath and cough in a patient with recently implanted pacemaker. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Cardiology consult. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| None. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Death. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 10/7/2015 | 2015-CA-002184a | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Marion | 10/2/2017 | ||||
| Other Defendants Involved in this Claim | |||||
| Noon, ARNP, Kevin Ali, MD, Abbas Institute of Cardiovascular Excellence, PLLC HCA West Marion The Surgery Center of Ocala, LLC | |||||
| 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 | |||||
| No Payment Made | |||||
| 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 | $54,699 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $19,612 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate. | |||||||||||||||||||||
| Updates | |
| No updates found. |
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Does Dr. ASAD U QAMAR, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ASAD U QAMAR, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).