| Department File Number : | M201575175 |
| Claim Number : | C154206 |
| Date Submitted : | 7/13/2015 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| ADMIRAL INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 22-2235730 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Diane | M | Pucci | ||
| Street Address | |||||
| 1000 Howard Boulevard | |||||
| City | State | Zip | |||
| Mt. Laurel | NJ | 08054 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (856) 857 - 3375 | (856) 429 - 3630 | dpucci@admiralins.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Awais | K | Humayun | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 3702 Washington Street, Suite 303 | ||||
| City | State | Zip Code | County | ||
| Hollywood | FL | 33021 | Broward | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| EO000018126-02 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME78681 | Surgery - Cardiac | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Broward | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Other Location | Operating Suite | ||||
| Name of Institution | Code | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 3/22/2011 | 3/15/2013 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| COMPLAINTS OF CHEST PAIN, PALPITATIONS. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| THE INSURED PERFORMED A CARDIAC ABLATION FOR ATRIALFIBRILLATION (TWO UPPER CHAMBERS OF THE HEART, THEATRIA, CONTRACT AT AN EXCESSIVELY HIGH, IRREGULAR RATEWHICH RESULTS IN INEFFECTIVE CARDIAC ACTIVITY. CARDIACABLATION IS AN INVASIVE PROCEDURE USED TO REMOVE AFAULTY ELECRICAL PATHWAY FROM THE HEART. CATHETERABLATION INVOLVES ADVANCING SEVERAL FLEXIBLE CATHETERSINTO THE PATIENT'S BLOOD VESSELS, USUALLY EITHER IN THEFEMORAL VEIN, INTERNAL JUGULAR VEIN, OR SUBCLAVIAN VEIN.THE CATHETERS ARE THEN ADVANCED TOWARDS THE HEART.ELECTRICAL IMPULSES ARE THEN USED TO INDUCE THEARRHYTHMIA AND LOCAL HEATING OR FREEZING IS USED TOABLATE (DESTROY) THE ABNORMAL TISSUE THAT IS CAUSING IT. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| NO MISDIAGNOSIS - COMPLICATIONS DURING SURGERY | |||||
| Principal Injury Giving Rise To The Claim | |||||
| PLAINTIFF HAS PRODUCED AN AFFIDAVIT FROMCARDIOLOGY/ELECTROPHYSIOLOGIST WHO CONTENDS THEFOLLOWING:1. THERE WAS NO EVIDENCE OF EKG DOCUMENTEDATRIAL FIBRILLATION AND THERE WERE NO SYMPTOMS BY OTHERPRACTITIONERS; 2. EVEN IF ATRIAL FIBRILLATION EXISTEDAND WAS SYMPTOMATIC, AN ABLATION IS INDICATED ONLY IFTHE ATRIAL FIBRILLATION IS REFRACTORY TO DRUG THERAPY(ANTI-ARRHYTHMIA) OR IF THE PATIENT CANNOT TOLERATE DRUGTHERAPY; 3. PERICARDIOCENTESIS (A PROCEDURE WHERE FLUID,IN THIS CASE BLOOD, IS ASPIRATED FROM THE PERICARDIUM)WAS IMPROPERLY DELAYED IN THE SETTING OF HEMODYNAMICCOLLAPSE; AND4. THE PATIENT'S DESIRE TO BE OFFANTICOAGULATION WAS NOT A JUSTIFICATION FOR PERFORMINGAN ABLATION PROCEDURE DUE TO HIS AGE AND HYPERTENSION. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 3/20/2013 | 13-0222211 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Broward | 6/23/2015 | ||||
| Other Defendants Involved in this Claim | |||||
| 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 | |||||
| 7/1/2015 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $250,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $250,000 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| NONE | |||||||||||||||||||||
| Updates | |
| No updates found. |
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Does Dr. AWAIS K HUMAYUN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. AWAIS K HUMAYUN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).