Department File Number : | M201885119 |
Claim Number : | 2016FL189 |
Date Submitted : | 4/20/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PHYSICIANS CASUALTY RISK RETENTION GROUP, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
27-3867083 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Jody | Schwahn | |||
Street Address | |||||
611 Druid Road E, Suite 512 | |||||
City | State | Zip | |||
Clearwater | FL | 33756 | |||
Phone | Ext | Fax | E-Mail Address | ||
(727) 581 - 6400 | 1014 | jschwahn@physicianscasualty.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Hazem | Al-Andary | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 1839 Central Avenue | ||||
City | State | Zip Code | County | ||
St. Petersburg | FL | 33756 | Pinellas | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PC-2016-144 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME71483 | Internal Medicine - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Pinellas | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
SAINT ANTHONY'S HOSPITAL | 100067 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
8/20/2015 | 9/21/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Necrotizing fasciitis soft tissue infection and associated complications, including sepsis, clostridium difficile infection, renal failure, bilateral below knee amputations and bilateral hand amputations. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Plaintiffs alleged that various providers failed to timely diagnose a soft tissue infection post-plastic surgery (Brazilian Butt Lift) and failed to timely request a general surgical consult to address skin break down in the buttock region. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
As a result of an alleged delay in diagnosing a system-wide infection post-plastic surgery, plaintiffs claimed damages for necrotizing fasciitis, sepsis, renal failure, clostridium difficile infection, and bilateral hand and leg amputation. | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
2/6/2017 | 17-CI-000810 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Pinellas | 4/13/2018 | ||||
Other Defendants Involved in this Claim | |||||
St. Anthony's Hospital Mellace, Christine Bayside Emergency Physicians Professional Healthcare of Pinellas, Inc. | |||||
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 | |||||
3/1/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $200,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $30,201 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $15,369 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Updates | |
No updates found. |
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Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
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Does Dr. HAZEM AL-ANDARY, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. HAZEM AL-ANDARY, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).