Department File Number : | M201782891 |
Claim Number : | 027-091548 |
Date Submitted : | 8/22/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
LEXINGTON INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
25-1149494 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | carolyn | r | ewell | ||
Street Address | |||||
17200 W 119th St | |||||
City | State | Zip | |||
Olathe | KS | 66061 | |||
Phone | Ext | Fax | E-Mail Address | ||
(913) 495 - 4217 | carolynranee.ewell@aig.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Eleidy | Miedes | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 1655 NE 36th Ave | ||||
City | State | Zip Code | County | ||
Homestead | FL | 33033 | Broward | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
001092196 | $1,000,000 | $6,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Other | certitied registered nurse anesthetists | ||||
License Number | Specialty Code & Classification | Certification Number | |||
ARNP9200892 |
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 | ||||
Hospital Outpatient Facility | |||||
Name of Institution | Code | ||||
BROWARD GENERAL MEDICAL CENTER | 100039 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
11/6/2007 | 11/6/2007 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Plaintiff went for outpatient surgery to treat carpal tunnel syndrome in her wrist. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
During intubation, as part of the administration of anesthesia for plaintiff's surgery, one of the tubes perforated plaintiff's esophagus. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
The surgery required plaintiff to be placed under general anesthesia | |||||
Principal Injury Giving Rise To The Claim | |||||
58-YEAR OLD FEMALE PATIENT SUSTAINED A PERFORATED ESOPHAGUS DURING INTUBATION. | |||||
Severity Of Injury | |||||
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
6/27/2008 | 08-029706 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Broward | 8/14/2017 | ||||
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 | |||||
8/16/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $323,733 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $655,197 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $32,606 | ||||||||||||||||||||
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 | |||||||||||||||||||||
N/A |
Updates | |
No updates found. |
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Does Dr. ELEIDY MIEDES, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ELEIDY MIEDES, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).