| Department File Number : | M202092454 |
| Claim Number : | 375612 |
| Date Submitted : | 5/15/2020 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 95-3014772 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Dawn | Owens | |||
| Street Address | |||||
| 12724 GRAN BAY PKWY W, Suite 400 | |||||
| City | State | Zip | |||
| JACKSONVILLE | FL | 32258 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (904) 360 - 3044 | dowens@thedoctors.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | James | Dyer | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 9 Pine Cone Dr, Suite 102 | ||||
| City | State | Zip Code | County | ||
| Palm Coast | FL | 32137 | Flagler | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 0913835 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Physician Assistant | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| PA9108928 | Family Physicians or General Practitioners - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Flagler | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Physician's Office | |||||
| Name of Institution | Code | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 3/19/2018 | 10/4/2018 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Patient presented for episode of brief unconsciousness and referred to a specialist. Subsequent appointment seen for light headedness, shortness of breath, jaw pain, and teeth clenching | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| On 03/19/18, the patient presented to Palm Coast Urgent Care and was seen by Florence R. Fruehan DO withcomplaints that he fell unconscious for a few seconds at home on 03/16/18. He had been regularly takingLisinopril 10 QD, Metformin 500 QID, and a multivitamin. His EKG showed a sinus rhythm with QRS (R)contour abnormality consistent with an old inferior infarct. Dr. Fruehan referred Mr. Starr for a cardiologyconsultation related to his abnormal EKG and syncope. He also ordered a Holter Monitor for cardiology tointerpret.On 03/21/18, the patient saw Specialist for a cardiology work¿up of his abnormal ECG and syncope. Thespecialist evaluated the patient who administered an exercise stress test that was interpreted as `normal.¿On 03/26/18, the patient presented to Palm Coast Urgent Care again and was seen by PA with complaints oflightheadedness, shortness of breath, jaw pain, teeth clenching for 10¿20 minutes ¿ then resolved on its own. Thediagnosis was ¿angina symptoms and abscess.¿ PA noted that the patient had a negative stress test last week perpatient. PA noted to follow¿up with cardiology. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Allegation of failure to diagnose and treat acute coronary failure resulting in death. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 2/11/2020 | Pre-Suit 2-11-2020 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Flagler | 4/21/2020 | ||||
| Other Defendants Involved in this Claim | |||||
| Kurian, Kizhake AdventHealth Medical Group | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
| Final Method of Claim Disposition | |||||
| Settled by parties | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 4/21/2020 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $125,000 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate. | |||||||||||||||||||||
| Updates | |
| No updates found. |
Does Dr. JAMES DYER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JAMES DYER, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).