Dr. DANIEL W GORSKI, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. DANIEL W GORSKI, MD

1 Tampa General Circle, Suite A-327

Tampa, FL

33606

Hillsborough

Court Case # 13CA-002750

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201575786
Claim Number :	305744
Date Submitted :	12/31/2015

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	Daniel		W	Gorski
Insurer Type		Street Address of Practice
Licensed		1 Tampa General Circle, Suite A-327
City		State	Zip Code	County
Tampa		FL	33606	Hillsborough
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
919546		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME84885		Anesthesiology

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Lee
City			State	Zip Code

Location where injury occured		Other location where injury occured
Other Outpatient Facility		Riverwalk Surgery Center
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
11/17/2011		5/6/2013

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Recurrent patellar dislocation.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Post-op femoral nerve block and popliteal nerve block following left laparoscopic lateral meniscectomy and lateral release.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Left femoral and popliteal nerve palsy and disability from employment, chronic pain and muscule atrophy.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
10/14/2013			13CA-002750
County Suit Filed in			Date of Final Disposition
Lee			8/13/2015
Other Defendants Involved in this Claim
Florida Gulf to Bay Anesthesiology Ass Riverwalk Surgery Center, Inc.
Stage of Legal System at which Settlement was Reached or Award Made
During trial, but before court verdict.
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
Other			Pending Dismissal
Arbitration
Claim not subject to Arbitration.
Date of Payment

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$500,000

Loss Adjust Expense Paid to Defense Counsel

$97,546

All Other Loss Adjustment Expense Paid

$98,804

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

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

Date of Change:

12/31/2015 10:41:22 AM

Reason for Change:

Reported wrong address for insured, corrected descriptions and financial information entered.

Field Changed	Former Value	New Value
Safety Management Steps Taken	Unknown	Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.
All Other Loss Adjustment Expense Paid	0	98804
Indemnity Paid	0	500000
Cause of Injury	Post-op femoral nerve block and popliteal nerve block following left laparoscopic laterla nenisectomy and lateral release.	Post-op femoral nerve block and popliteal nerve block following left laparoscopic lateral meniscectomy and lateral release.
Settlement Reached	0	1
Insured Address Street	2011 NW 23 Terrace	1 Tampa General Circle, Suite A-327
Amount of Loss Adjustment Expense Paid to Defense Counsel	0	97546
Insured Zip Code	33993	33606
Insured Address City	Cape Coral	Tampa
Insured Address County	Lee	Hillsborough
Principal Injury	Left femoral and poplireal nerve palsy and disability from employment, chronic pain and muscule atrophy.	Left femoral and popliteal nerve palsy and disability from employment, chronic pain and muscule atrophy.

*NR: Prior to 04/28/1999 this field was not required in submitted claims.

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Does Dr. DANIEL W GORSKI, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. DANIEL W GORSKI, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).

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