| Department File Number : | M201575392 |
| Claim Number : | 2012-08-221-007 |
| Date Submitted : | 7/30/2015 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| LEXINGTON INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 25-114949 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Amy | A | Villareal | ||
| Street Address | |||||
| 16255 Bay Vista Drive | |||||
| City | State | Zip | |||
| Tampa | FL | 33760 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (727) 519 - 1274 | amy.villareal@baycare.org | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Jack | Messina | |||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 3003 W. Dr. MLK Jr. | ||||
| City | State | Zip Code | County | ||
| Tampa | FL | 33607 | Hillsborough | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 112-37-062 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME53236 | Surgery - Cardiovascular Disease | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Hillsborough | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| N/A | 000000 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Radiology, Emergency Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 2/7/2012 | 12/17/2012 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| 49yom presented to ED C/P. DX: AAA (49mm). | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Pt discharged to f/up cardiologist for further evaluation. Two days later, AAA reptured and pt underwent aortic valve replacement. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Pt had complicated post op course, including stroke and endocarditis. Pt died 6 months later. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 7/1/2013 | 13-009432 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Hillsborough | 6/30/2015 | ||||
| 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 | |||||
| 6/30/2015 | |||||
| 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 | $60,432 | ||||||||||||||||||||
| 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.
| Department File Number : | M201989913 |
| Claim Number : | WC/101743-13 |
| Date Submitted : | 9/10/2019 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| Watson Clinic LLP | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 59-0704934 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Lucretia | Nino | |||
| Street Address | |||||
| 1600 Lakeland Hills Blvd. | |||||
| City | State | Zip | |||
| Lakeland | FL | 33805 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (863) 680 - 7230 | lnino@watsonclinic.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | JACK | MESSINA | |||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 1600 Lakeland Hills Blvd | ||||
| City | State | Zip Code | County | ||
| Lakeland | FL | 33805 | Polk | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| PH1203281/PH1203282 | $2,000,000 | $18,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME53236 | Surgery - Thoracic | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Polk | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| Lakeland Regional Medical Center | 100157 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 11/20/2010 | 3/5/2013 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Patient originally presented to Watson Clinic Urgent Care for abdominal pain and multiple complaints. Was seen 4 days prior at another Outpatient Center and started on a Zpak, Medrol dosepak and albuterol inhaler. His condition continued to worsen. He had a productive cough, poor appetite and abdominal/back pain. Chest xray, labs and CT of abdomen/pelvis performed. Findings of Right lower pneumonitis, cardiomegaly with hepatic congestion and an inguinal hernia without obstruction. Patient admitted to hospital for further evaluation, monitoring and treatment. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| While in the hospital it was noted that the patient had an acute ST elevation MI. He went for a cardiac catheterization, coronary artery bypass graft and back to the operating room the next morning for placement of a left ventricular assist device. His condition continued to deteriorate and he exhibited signs of cardiogenic shock and persistent multi-organ failure. The patient expired from massive MI on 11/20/2010. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| Allegations of; Failed to use appropriate surgical technique during coronary bypass graft procedure and failed to take appropriate measures to ensure adequate blood perfusion to the heart of the patient. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Dr. Messina was consulted to perform a coronary bypassgraft on a 59 year old male. At 1 pm, on 11/19/2010 the patient was in the operating room when his heart stoppedand a period of CPR was performed. During the bypass Dr.Messina had difficulty finding a non-severely diseased vessel. The internal mammary artery was small but was anastomized side-to-side with the diffused diseases left anterior descending artery. While patient was being transferred to stretcher after surgery, he went intoventricular tachycardia which necessitated successful defibrillation.On 11/19/2010 at 8 pm the physician returned to the patient's bedside and increased the epinephrine drip and vasopressin was started. Another provider was consulted in regards to placing a permanent pacemaker.Patient had a tumultuous morning post bypass and required volume placement and pressors in order to maintain his blood pressure. Dr. Messina returned on11/20/2010 at 02:30 am to evacuate blood from the pericardium. At 4am patient was taken back to surgery for placement of left ventricular assist device. Dr.Messina ordered stat consult with social services in attempt to transfer the patient to Tampa GeneralHospital for a heart transplant.The patient's condition continued to deteriorate and he exhibited signs of cardiogenic shock and persistent multi-organ failure. At this time, the family chose to implement a DNR. The patient expired on 11/20/2010 at 8:40 pm. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 6/28/2013 | 2013CA-003830000000 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Polk | 8/26/2019 | ||||
| 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 | |||||
| 8/13/2019 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $99,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $135,382 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $13,410 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Circumstances of the event were reviewed and discussed with individual parties involved. | |||||||||||||||||||||
| Updates | |
| No updates found. |
Does Dr. JACK MESSINA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JACK MESSINA, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).