Dr. DAVID FOREST, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. DAVID FOREST, MD

13995 W. Statler Blvd.

Surprise, AZ

85374

Maricopa

Court Case #

Indemnity Paid: $1,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201472679
Claim Number :	SIFL2011
Date Submitted :	11/17/2014

Insurer Information

Insurer Name				Coverage Type
Samaritan Insurance Funding Ltd				Primary
Insurer FEIN		Professional License Number
99999999		MM9999999
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	David		W	Forest
Street Address
1310 Atlantic Drive
City				State	Zip
Key West				FL	33040
Phone	Ext	Fax	E-Mail Address
(623) 696 - 6199			david.forest@comcast.net

Insured Information

Type	First Name		MI	Last Name
Individual	David			Forest
Insurer Type		Street Address of Practice
Self-Insurer		13995 W. Statler Blvd.
City		State	Zip Code	County
Surprise		AZ	85374	Out of state
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
SIFL2011		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME116496		Surgery - Obstetrics - Gynecology

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	Out of state
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
45TH STREET MENTAL HEALTH CENTER		104008
Location of Institutional Injury		Other Location of Institutional Injury
Patients' Room
Date of Occurrence		Date Reported to Insurer
3/9/2008		4/26/2010

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
On March 9, 2008, I assumed care of a patient admitted in early pregnancy for evaluation of abdominal pain and possible ectopic pregnancy. The patient had abnormally rising hCG levels (26.7% rise in 48 hours), an abnormal pelvic ultrasound not consistent with her elevated hCG level, and worsening pelvic pain. The patient was offered options of expectant management, surgical intervention with laparoscopy, or medical management with MTX for presumed ectopic pregnancy. After receiving counseling on the risks and benefits, the patient opted for MTX treatment. The patient was later found to have an intrauterine pregnancy. Despite counseling by Perinatology to terminate the pregnancy, the patient decided to maintain her pregnancy and delivered an infant with multiple anomalies, none of which were known to be associated with MTX administration, but were more consistent with VACTERL association.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
On March 9, 2008, I assumed care of a patient admitted in early pregnancy for evaluation of abdominal pain and possible ectopic pregnancy. The patient had abnormally rising hCG levels (26.7% rise in 48 hours), an abnormal pelvic ultrasound not consistent with her elevated hCG level, and worsening pelvic pain. The patient was offered options of expectant management, surgical intervention with laparoscopy, or medical management with MTX for presumed ectopic pregnancy. After receiving counseling on the risks and benefits, the patient opted for MTX treatment. The patient was later found to have an intrauterine pregnancy. Despite counseling by Perinatology to terminate the pregnancy, the patient decided to maintain her pregnancy and delivered an infant with multiple anomalies, none of which were known to be associated with MTX administration, but were more consistent with VACTERL association.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
On March 9, 2008, I assumed care of a patient admitted in early pregnancy for evaluation of abdominal pain and possible ectopic pregnancy. The patient had abnormally rising hCG levels (26.7% rise in 48 hours), an abnormal pelvic ultrasound not consistent with her elevated hCG level, and worsening pelvic pain. The patient was offered options of expectant management, surgical intervention with laparoscopy, or medical management with MTX for presumed ectopic pregnancy. After receiving counseling on the risks and benefits, the patient opted for MTX treatment. The patient was later found to have an intrauterine pregnancy. Despite counseling by Perinatology to terminate the pregnancy, the patient decided to maintain her pregnancy and delivered an infant with multiple anomalies, none of which were known to be associated with MTX administration, but were more consistent with VACTERL association.
Principal Injury Giving Rise To The Claim
On March 9, 2008, I assumed care of a patient admitted in early pregnancy for evaluation of abdominal pain and possible ectopic pregnancy. The patient had abnormally rising hCG levels (26.7% rise in 48 hours), an abnormal pelvic ultrasound not consistent with her elevated hCG level, and worsening pelvic pain. The patient was offered options of expectant management, surgical intervention with laparoscopy, or medical management with MTX for presumed ectopic pregnancy. After receiving counseling on the risks and benefits, the patient opted for MTX treatment. The patient was later found to have an intrauterine pregnancy. Despite counseling by Perinatology to terminate the pregnancy, the patient decided to maintain her pregnancy and delivered an infant with multiple anomalies, none of which were known to be associated with MTX administration, but were more consistent with VACTERL association.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
			*NR
County Suit Filed in			Date of Final Disposition
*NR			8/1/2011
Other Defendants Involved in this Claim
Brooks, Robert Mendoza, Rafael Banner Health Del Webb Hospital Adelante Health Care Advanced Care for Women
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

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$1,000,000

Loss Adjust Expense Paid to Defense Counsel

All Other Loss Adjustment Expense Paid

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

Standard of care followed.

Updates

No updates found.

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

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Frequently Asked Questions

Does Dr. DAVID FOREST, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. DAVID FOREST, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).

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