Department File Number : | M201782010 |
Claim Number : | 16-005-AB-000949 |
Date Submitted : | 5/2/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
HEALTH CARE CASUALTY RISK RETENTION GROUP | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-1994595 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Amber | Basra | |||
Street Address | |||||
8725 W. Higgins Rd., Suite 810 | |||||
City | State | Zip | |||
Chicago | IL | 60631 | |||
Phone | Ext | Fax | E-Mail Address | ||
(773) 864 - 8291 | (773) 864 - 8281 | abasra@claritygrp.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Ernest | Block | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 1350 South Hickory Street | ||||
City | State | Zip Code | County | ||
Melbourne | FL | 32901 | Brevard | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
16-PA-005-AB | $500,000 | *NR | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME60765 | Physicians or Surgeons - major surgery. NOC classification. |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Brevard | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
HOLMES REGIONAL MEDICAL CENTER | 100019 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
12/24/2012 | 7/20/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
The patient presented to the emergency room of Holmes Regional Medical Center with complaints of severe abdominal pain and nausea and vomiting. A CT scan confirmed that the patient had a small bowel obstruction. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Dr. Block preformed a laparotomy on 12/24/12 and specimens were sent to pathology. The surgery was uneventful and the patient was discharged on December 26, 2012. Following the patient¿s discharge, a pathology report was created showing the patient as positive for a gastro-intestinal stromal tumor (GIST). | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
The patient was scheduled for a follow up visit in Dr. Block¿s office but failed to keep his appointment. As Dr. Block had received the pathology report indicating that Mr. Lettiere had a gastro-intestinal stromal tumor, he asked his office staff to contact the patient and request that he make another appointment. Apparently that did not happen as we were unable to locate any documentation which would suggest that either the patient was made aware of the pathology report or that any attempt was made to notify him of the findings contained within the report. In July of 2015, the patient presented with complaints of severe abdominal pain which began 2 months prior and continually increased in severity. The patient¿s ensuing work-up through Health First Cancer Institute, Brevard Health Alliance and Moffett Cancer Center resulted in a diagnosis of malignant neoplasm of connective and other soft tissue of the abdomen with apparent adherence to the bladder wall. The patient underwent an exploratory laparotomy on December 30, 2015 with resection of an abdominal wall tumor, pelvis tumor, prostatectomy, small bowel resection and partial cystectomy. | |||||
Severity Of Injury | |||||
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 3/20/2017 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
4/11/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $50,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $13,943 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $100,000 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Office staff educated as to follow-up reporting with patient. |
Updates | |
No updates found. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. ERNEST BLOCK, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ERNEST BLOCK, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).