| Department File Number : | M201573349 |
| Claim Number : | MM260113 |
| Date Submitted : | 1/30/2015 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| EVANSTON INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 36-2950161 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Dion | L | Bradford | ||
| Street Address | |||||
| 4600 Cox Road | |||||
| City | State | Zip | |||
| Glen Allen | VA | 23060 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (804) 217 - 8816 | (855) 662 - 7535 | dbradford@markelcorp.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Cesar | Velilla | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 12709 Miramar Parkway | ||||
| City | State | Zip Code | County | ||
| Miramar | FL | 33027 | Broward | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| MM819181 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME98818 | Internal Medicine - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Broward | ||||
| 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 | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 2/26/2011 | 6/7/2011 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| The patient was diagnosed with necrotizing fasciitis. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| It is alleged that on February 24, 2011, the plaintiff was presented to our insured¿s place of business, and on that date, the plaintiff, a 44 year old woman, underwent an abdominal liposuction with fat transfer to her buttocks. Two days later, the plaintiff returned to the doctor¿s office to undergo the second part of her procedure, which was to be liposuction to her upper extremities. It is alleged that the plaintiff complained of nausea and weakness along with a possible syncopal episode. Subsequently, she was hospitalized at a medical center with a diagnosis of septic shock resulting from an infection to her abdomen and buttock. It would appear that the plaintiff was hospitalized for an extended period of time. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| There was no misdiagnosis made of the patient¿s actual condition. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| It is alleged that the plaintiff was exposed to a poorly sanitized surgical suite and/or unsterile conditions resulting in her subsequent diagnosis of necrotizing fasciitis, leading to septic shock, multiple organ failure and other morbidity. It is alleged that the plaintiff¿s diagnosis was a direct result of the insured¿s failure to provide a safe, clean and sterile surgical environment, condition and/or equipment. | |||||
| Severity Of Injury | |||||
| Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 1/25/2012 | 12002093 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Broward | 6/20/2013 | ||||
| Other Defendants Involved in this Claim | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| Settlement Reached Prior to Pre-Suit Period | |||||
| Final Method of Claim Disposition | |||||
| Settled by parties | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 8/13/2013 | |||||
| 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 | $13,325 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
| Deductible | $5,000 | ||||||||||||||||||||
| 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. CESAR VELILLA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. CESAR VELILLA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).