| Department File Number : | M201989222 |
| Claim Number : | 2018-08-675-002 |
| Date Submitted : | 7/1/2019 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| LEXINGTON INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 25-114949 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Kaye | Monello | |||
| Street Address | |||||
| 2985 Drew Street | |||||
| City | State | Zip | |||
| Clearwater | FL | 33759 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (727) 754 - 9268 | (727) 519 - 1276 | kaye.monello@baycare.org | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Derek | E | Williams | ||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 455 Pinellas Street | ||||
| City | State | Zip Code | County | ||
| Clearwater | FL | 33756 | Pinellas | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 120-73-195 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME124590 | Surgery - Cardiovascular Disease | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Pinellas | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| MORTON PLANT HOSPITAL | 100127 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 7/12/2016 | 1/22/2018 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| 60 year old male presented to the ED with chest pain and shortness of breath. Echocardiogram performed 5 months earlier showed severe aortic stenosis, but he had not seen a cardiologist. He had HTN and was a heavy smoker. A cardiac catheterization was performed and results showed double vessel disease, aortic valve stenosis, normal LV function, RCA mid 50% occlusion, mid to distal 60% to 70% occlusion, aortic valve stenosis and severe AVA. The recommendations following the catheterization included valvular surgery, specifically aortic valve replacement. As such, Cardiothoracic Surgery was consulted and the patient was scheduled to undergo an Aortic Valve Replacement (AVR) with bio-prosthetic valve on July 12, 2016, with a plan for an upper mini-sternotomy. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Aortic Valve Replacement (AVR) with bio-prosthetic valve surgery with a plan for an upper mini-sternotomy was undertaken. Following completion of the valve placement the patient developed hypotension and right ventricular dysfunction. The planned mini-sternotomy was converted to a full sternotomy. Due to multiple episodes of hypotension, it was decided to place an intra-aortic balloon pump. Prior to conclusion of the case, flow was noted in both the left main and right coronary artery on trans esophageal echocardiogram. The patient was transferred to the ICU with the balloon pump and required significant inotropic/pressor support. Heparin was given during the case and reversed with Protamine. On July 13, 2016, after the patient had a very significant elevation of his CK-MB and troponin, he underwent catheterization which showed patent left main and right coronary arteries but with ¿sluggish refill¿ of the right coronary artery. The patient also developed a right pleural effusion concerning for pneumothorax. He was taken back to surgery and mediastinal exploration ensued. During the surgery, evacuation of mediastinal and right hemithorax blood proceeded. Again, Heparin was used during the case and reversed. On July 15, 2014, the patient was taken back to the operating room for evacuation of 600 mL of pleural effusion and closure of the chest. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| The patient developed HIT (Heparin Induced Thrombocytopenia) following his surgeries which caused clotting of the vessels in his extremities. The patient was found to have four-extremity ischemia ¿due to low flow state,¿ and Heparin Induced Thrombocytopenia (¿HIT¿). Vascular surgery was consulted for the ischemia to the hands and feet. An ultrasound done of the extremities was consistent with low output and this eventually led to amputations of the bilateral arms below the elbows and bilateral legs below the knees. There is nothing in the operative report to indicate that an inadequate surgical performance occurred. | |||||
| Severity Of Injury | |||||
| Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 6/11/2018 | 2018-03322-CI | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Pinellas | 6/3/2019 | ||||
| Other Defendants Involved in this Claim | |||||
| Morton Plant Hospital BayCare Medical Group | |||||
| 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 | |||||
| 6/3/2019 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $9,500,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Any risk issues have been addressed. | |||||||||||||||||||||
| Updates | |
| No updates found. |
| Department File Number : | M201989257 |
| Claim Number : | 2018-08-675-002 |
| Date Submitted : | 7/5/2019 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| LEXINGTON INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 25-114949 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Kaye | Monello | |||
| Street Address | |||||
| 2985 Drew Street | |||||
| City | State | Zip | |||
| Clearwater | FL | 33759 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (727) 754 - 9268 | (727) 519 - 1276 | kaye.monello@baycare.org | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Derek | E | Williams | ||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 455 Pinellas Street | ||||
| City | State | Zip Code | County | ||
| Clearwater | FL | 33756 | Pinellas | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 120-73-195 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME124590 | Surgery - Cardiovascular Disease | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Pinellas | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| MORTON PLANT HOSPITAL | 100127 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 7/12/2016 | 1/22/2018 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| 60 year old male presented to the ED with chest pain and shortness of breath. Echocardiogram performed 5 months earlier showed severe aortic stenosis, but he had not seen a cardiologist. He had HTN and was a heavy smoker. A cardiac catheterization was performed and results showed double vessel disease, aortic valve stenosis, normal LV function, RCA mid 50% occlusion, mid to distal 60% to 70% occlusion, aortic valve stenosis and severe AVA. The recommendations following the catheterization included valvular surgery, specifically aortic valve replacement. As such, Cardiothoracic Surgery was consulted and the patient was scheduled to undergo an Aortic Valve Replacement (AVR) with bio-prosthetic valve on July 12, 2016, with a plan for an upper mini-sternotomy. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Aortic Valve Replacement (AVR) with bio-prosthetic valve surgery with a plan for an upper mini-sternotomy was undertaken. Following completion of the valve placement the patient developed hypotension and right ventricular dysfunction. The planned mini-sternotomy was converted to a full sternotomy. Due to multiple episodes of hypotension, it was decided to place an intra-aortic balloon pump. Prior to conclusion of the case, flow was noted in both the left main and right coronary artery on trans esophageal echocardiogram. The patient was transferred to the ICU with the balloon pump and required significant inotropic/pressor support. Heparin was given during the case and reversed with Protamine. On July 13, 2016, after the patient had a very significant elevation of his CK-MB and troponin, he underwent catheterization which showed patent left main and right coronary arteries but with ¿sluggish refill¿ of the right coronary artery. The patient also developed a right pleural effusion concerning for pneumothorax. He was taken back to surgery and mediastinal exploration ensued. During the surgery, evacuation of mediastinal and right hemithorax blood proceeded. Again, Heparin was used during the case and reversed. On July 15, 2014, the patient was taken back to the operating room for evacuation of 600 mL of pleural effusion and closure of the chest. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| The patient developed HIT (Heparin Induced Thrombocytopenia) following his surgeries which caused clotting of the vessels in his extremities. The patient was found to have four-extremity ischemia ¿due to low flow state,¿ and Heparin Induced Thrombocytopenia (¿HIT¿). Vascular surgery was consulted for the ischemia to the hands and feet. An ultrasound done of the extremities was consistent with low output and this eventually led to amputations of the bilateral arms below the elbows and bilateral legs below the knees. There is nothing in the operative report to indicate that an inadequate surgical performance occurred. | |||||
| Severity Of Injury | |||||
| Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 6/11/2018 | 2018-03322-CI | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Pinellas | 6/3/2019 | ||||
| Other Defendants Involved in this Claim | |||||
| Morton Plant Hospital BayCare Medical Group | |||||
| 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 | |||||
| 6/3/2019 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $9,500,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $59,288 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Any risk issues have been addressed. | |||||||||||||||||||||
| Updates | |
| No updates found. |
Does Dr. DEREK E WILLIAMS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. DEREK E WILLIAMS, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).