| Department File Number : | M201677296 |
| Claim Number : | MM255958 |
| Date Submitted : | 2/23/2016 |
| 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 | CRYSTAL | L | ALSTONBAYTON | ||
| Street Address | |||||
| 4600 COX ROAD | |||||
| City | State | Zip | |||
| GLEN ALLEN | VA | 23060 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (804) 864 - 3731 | (855) 662 - 7535 | CALSTONBAYTON@MARKELCORP.COM | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | ERIC | S | SCHULZE | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 75217 JACK LLOYD RD | ||||
| City | State | Zip Code | County | ||
| ABITA SPRINGS | TN | 70420-2739 | Out of state | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| MM816602 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME86515 | Radiology - Diagnostic - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Osceola | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Other Outpatient Facility | ADVENTIST HEAL SYSTEM/SUNBELT INC | ||||
| Name of Institution | Code | ||||
| FLORIDA HOSPITAL-CELEBRATION HEALTH | 23960017 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Radiology, Emergency Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 1/30/2010 | 3/26/2010 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| CLAIMANT PRESENTED TO INSURED AND INSURED¿S RADIOLOGIST ALLEGEDLY FAILED TO IDENTIFY A VENOUS SINUS THROMBOSIS AND MENINGIOMA ON MRI, WHICH RESULTED IN A PERMANENT LOSS OF VISION. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| CLAIMANT PRESENT TO OPTHAMOLOGIST ON JANUARY 30, 2009 WITH SUDDEN CHANGES IN VISION WITHIN ONE MONTH. THE DR¿S DIAGNOSIS WAS PAPILLEDEMA AND HE ORDERED A MRI OF THE HEAD WITH AND WITHOUT CONTRAST FOR SEVERE BILATERAL PAPILLEDEMA. THE PURPOSE WAS TO RULE OUT AN INTRACRANIAL LESION. AT THIS VISIT MR BERTRAM¿S VISION WAS 20/40 IN HIS RT EYE AND 20/HAND MOTION IN HIS LEFT EYE. MR BERTRAM PRESENTED TO FLORIDA HOSPITAL CELEBRATION WHERE THE MRI WAS PERFORMED AT 1051 PM. THE INSD¿S DR SIGNED HIS REPORT FOR THE INTERPRETATION OF THE MRI ON JANUARY 31, 2009 AT 253 AM. A PRELIMINARY COPY OF THE REPORT WAS FAXED TO THE OPTHAMOLOGIST AT 1209 AM AND THE FINAL REPORT WAS SENT TO HIM AT 301 AM. IT IS WITHOUT CONTROVERSY THAT THE INSD¿S DR DID NOT MENTION THE PRESENCE OF EITHER A MENINGIOMA (WHICH WAS DISCOVERED SEVERAL MONTHS LATER) OR A VENOUS SINUS THROMBOSIS (VST), WHICH WAS OBSERVED ON FEBRUARY 4, 2009 ON FOLLOW-UP STUDIES INCLUDING AN MRV SPECIFICALLY DESIGNED TO LOOK FOR VENOUS OCCLUSIONS. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| FAILED TO IDENTIFY A VENOUS SINUS THROMBOSIS AND MENINGIOMA ON MRI, WHICH RESULTED IN A PERMANENT LOSS OF VISION | |||||
| Principal Injury Giving Rise To The Claim | |||||
| CLAIMANT ALLEGES INSURED PHYSICIAN FAILED TO IDENTIFY A VENOUS SINUS THROMBOSIS AND MENINGIOMA ON MRI, WHICH RESULTED IN A PERMANENT LOSS OF VISION FOR THE CLAIMANT. | |||||
| Severity Of Injury | |||||
| Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 11/2/2010 | 10CA6705MP | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Osceola | 3/18/2015 | ||||
| Other Defendants Involved in this Claim | |||||
| HANZLIK, ANDREW J MALIK, KHIZAR HOARAU, DWIGHT SCHULZE, ERIC S HSIAO, JAMES J PATEL, VIKRAM KOS, DAVID A ADVETIST HEALTH SYSTEM | |||||
| 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 | |||||
| 2/20/2015 | |||||
| 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 | $148,059 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $7,150 | ||||||||||||||||||||
| 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. ERIC S SCHULZE, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ERIC S SCHULZE, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).