| Department File Number : | M201783437 |
| Claim Number : | 2015-08-901-001 |
| Date Submitted : | 10/20/2017 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| Lexington Insurace Company | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 25-114949 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Jessica | Hayden | |||
| Street Address | |||||
| 2985 Drew Street | |||||
| City | State | Zip | |||
| Clearwater | FL | 33764 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (727) 519 - 1268 | jessica.hayden@baycare.org | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Gerald | Ciemiega | |||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 13670 Walsingham Rd | ||||
| City | State | Zip Code | County | ||
| Largo | FL | 33774 | Pinellas | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 0114-66-393 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| OS6306 | Internal Medicine - No Surgery | ||||
| 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 | ||||
| Other Outpatient Facility | Urgent Care | ||||
| Name of Institution | Code | ||||
| N/A | 000000 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | Urgent Care | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 8/14/2012 | 2/19/2015 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| 56 yo male patient lacerated his finger while at work and was seen in an outside ER for treatment. The location was on the second digit of the right hand and measured 1.5 cm. wide and 1 cm deep. Three sutures were applied. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Two days later he presented to Bayfront Convenient Care where he was seen by a nurse practitioner for pain. Cephalexin and Mupirocin ointment were prescribed and he was told to wear a splint. He returned 4 days later where he was seen by Dr. Ciemiega for swelling, tenderness and redness. Examination revealed an infection with edema. Four days later he returned to Dr. Ciemiega for re-check and reported he was doing ¿much better¿. Again, recheck on August 31, 2012 showed the wound had closed and the redness was gone. He was instructed to continue his antibiotics. He continued to return for re-checks and complained of pain. He was referred to an orthopedic specialist on September 28, 2012. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Alleged failure to take an adequate history, failed to take x-rays and failed to refer him to an orthopedic surgeon for immediate evaluation. Once the patient was seen by Orthopedics it was discovered that he had a fractured right index finger that was mal-healed and misaligned. The patient underwent tenolysis and PIP joint release. He required physical therapy. On January 13, 2013 his orthopedic surgeon discussed that he may have sustained a cutaneous nerve injury at the time of the crush and dorsal laceration and that his pain was out of proportion to the injury. Chronic pain syndrome was felt to be likely per the MD. | |||||
| Severity Of Injury | |||||
| Temporary: Slight - Lacerations, contusions, minor scars, rash. No delay. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 4/1/2015 | 15-0001932-CI | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Pinellas | 10/9/2017 | ||||
| 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 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $6,668 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $9,442 | ||||||||||||||||||||
| 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/will be addressed. | |||||||||||||||||||||
| 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. GERALD CIEMIEGA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. GERALD CIEMIEGA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).