Department File Number : | M202091266 |
Claim Number : | CLW0004418 |
Date Submitted : | 1/28/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
NORCAL MUTUAL INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
94-2301054 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Diane | M | McNab | ||
Street Address | |||||
5555 Gate Parkway, Suite 150 | |||||
City | State | Zip | |||
Jacksonville | FL | 32256 | |||
Phone | Ext | Fax | E-Mail Address | ||
(954) 439 - 0580 | dmcnab@norcal-group.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | JACOB | JANUSZEWSKI | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 1601 S Appollo Boulevard Suite C | ||||
City | State | Zip Code | County | ||
Melbourne | FL | 32901 | Brevard | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
720586N | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Osteopathic Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
OS14529 | Surgery - Orthopedic |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Brevard | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
MELBOURNE SURGERY CENTER | 249 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
9/24/2018 | 6/3/2019 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
The patient presented to the hospital to have elective back surgery due to back pain and radiculopathy in both the lower extremities. MRI of the lumbar spine showed L4-L5 and L5-S1 spondylosis with severe loss of disc height at L5-S1. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Stage one of the patient's procedure performed by this health care provided consisted of a L4-L5 and L5-S1 oblique lateral interbody fusion with lateral and interior plate with allograft. During the procedure, the staff with the hospital removed the C Arm so the patient's surgery had to be continued to a later date. During the second stage of the patient's surgery, it consisted of a fluoroscopic guided L4 through S1 posterior percutaneous segmental pedical screw instrumental fixation with posterior lateral arthrodesis. The neuromonitoring report during both surgeries showed no significant changes from the patient's baseline. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Disputed allegation of the failure to timely recognize and treat a known complication of a noted foot drop. This provider was unaware of this finding. | |||||
Principal Injury Giving Rise To The Claim | |||||
Permanent foot drop. | |||||
Severity Of Injury | |||||
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 1/6/2020 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Settlement Reached Prior to Pre-Suit Period | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
1/22/2020 |
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 | $0 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
This claim was settled prior to presuit. |
Updates | |
No updates found. |
Does Dr. JACOB JANUSZEWSKI, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JACOB JANUSZEWSKI, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).