| Department File Number : | M201886841 |
| Claim Number : | 22776-01 |
| Date Submitted : | 10/25/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| PODIATRY INSURANCE COMPANY OF AMERICA | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 58-1403235 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Angeline | Schave | |||
| Street Address | |||||
| 3000 Meridian Blvd. Ste. 400 | |||||
| City | State | Zip | |||
| Franklin | TN | 37067 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (615) 371 - 8776 | 2998 | (615) 986 - 1945 | aschave@picagroup.com | ||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Ian | Goldbaum | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 16244 S. Military Trail, Ste. 290 | ||||
| City | State | Zip Code | County | ||
| Delray Beach | FL | 33484 | Palm Beach | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 1PD0009636 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Podiatric Physician | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| PO1651 | |||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Palm Beach | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Outpatient Facility | |||||
| Name of Institution | Code | ||||
| BOCA RATON OUTPATIENT SURGERY & LASER CENTER | 136 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 3/28/2014 | 8/5/2015 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Hallux abductovalgus and contracture to the tendon and capsule of the second, being performed to the right foot | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Hallux abducto Silver bunionectomy, with Akin procedure performed to the proximal phalanx, with staple fixation, utilizing a Metasurg MemoFix staple; Tendon capsule release at the second metatarsophalangeal joint are of the right foot | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Patient presented to the insured with complaints of a painful bilateral bunion. Patient expressed interest in surgery and insured discussed various surgical options and recommended a smaller surgical procedure due to the patient¿s level of activity and timeline for recovery. Prior to surgery, insured attempted conservative steroid injection therapy over 3 visits. On 3/5/2014 the patient presented for her pre-operative visit and continued to complain of bilateral foot pain with the right being worse than the left. Surgery was scheduled and performed on the right foot on 3/28/14. Patient did very well postoperatively and was noted on each visit to be improving. However, on the final two visits with the insured, the patient complained of sensitivity to the second toe and x-rays taken were unremarkable. On the final visit on 5/2/2014, the patient described some sensitivity to the 1st MPJ, which was thought to be secondary to capsulitis or scar tissue formation. Insured administered a steroid injection to address the complaint. Patient claims that her 2nd toe extensor tendon was severed during surgery and alleges that the insured failed to properly care and treat the patient and improperly performed the surgery. | |||||
| Severity Of Injury | |||||
| Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 8/28/2018 | ||||
| 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 | |||||
| 10/18/2018 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $45,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $57,743 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $2,582 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Specialty Code - 80993 | |||||||||||||||||||||
| 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. IAN GOLDBAUM, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. IAN GOLDBAUM, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).