| Department File Number : | M201886793 |
| Claim Number : | 145841 |
| Date Submitted : | 10/22/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| MEDICUS INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 20-5623491 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Diane | M | McNab | ||
| Street Address | |||||
| 9372 Lake Serena Drive | |||||
| City | State | Zip | |||
| Boca Raton | FL | 33496 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (954) 439 - 0580 | dmcnab@norcal-group.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | James | M | Domesek | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 9623 Enclave Circle | ||||
| City | State | Zip Code | County | ||
| Port Saint Lucie | FL | 34986 | St. Lucie | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| FL-16035497 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME86904 | Radiology - Diagnostic - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Dade | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Other Location | Signet Diagnostics/Elite Imaging | ||||
| Name of Institution | Code | ||||
| 45TH STREET MENTAL HEALTH CENTER | 104008 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Special Procedure Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 10/2/2013 | 9/15/2015 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| The patient presented for a left breast ultrasound due to complaints of left breast pain and swelling. Her referring physician indicated probable Mastitis. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| The 42 year old female alleged improper interpretation of a left breast ultrasound resulting in a delay in the diagnosis of Inflammatory Breast Cancer. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| There was no misdiagnosis. The patient had been timely referred back to her breast surgeon whose working diagnosis based upon the patient's clinical presentation was Inflammatory Breast Cancer. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| The patient alleges this practitioner caused a delay in the diagnosis of her Inflammatory Breast Cancer. | |||||
| Severity Of Injury | |||||
| Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 12/8/2015 | 11th Judicial | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Dade | 9/26/2018 | ||||
| Other Defendants Involved in this Claim | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| During appeal. | |||||
| Final Method of Claim Disposition | |||||
| Settled by parties | |||||
| Court Decision | Other | ||||
| Other | Judgement Vacated | ||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 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 | $685,690 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $685,690 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Insured has conferenced with defense counsel and claims specialist multiple times. | |||||||||||||||||||||
| Updates | |
| No updates found. |
This page is not displaying certain sensitive information.
| Department File Number : | M201886999 |
| Claim Number : | 101978 |
| Date Submitted : | 11/13/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| MEDICUS INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 20-5623491 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Diane | M | McNab | ||
| Street Address | |||||
| 9372 Lake Serena Drive | |||||
| City | State | Zip | |||
| Boca Raton | FL | 33496 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (954) 439 - 0580 | dmcnab@norcal-group.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | James | M | Domesek | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 9623 Enclave Circle | ||||
| City | State | Zip Code | County | ||
| Port Saint Lucie | FL | 34986 | St. Lucie | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| FL-16035497 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME86904 | Radiology - Diagnostic - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Dade | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Other Outpatient Facility | Signet Diagnostics/Elite Imaging | ||||
| Name of Institution | Code | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Radiology, Emergency Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 10/2/2013 | 9/15/2015 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| The patient had been referred by her obstetrician/gynecologist to have a left breast ultrasound completed since the patient complained of pain and swelling in her left breast with a probably diagnosis by her treator as Mastitis | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Left breast ultrasound. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| The plaintiff alleges that there was an improper interpretation of her left breast ultrasound resulting in the delay in the diagnosis of Inflammatory Breast Cancer. However all allegations of negligence, causation and damages were strongly denied as no misdiagnosis occurred. The Plaintiff was immediately referred to a breast surgeon whose working diagnosis was Inflammatory Breast Cancer. The surgeon decided to monitor the patient rather than perform a biopsy. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Breast Cancer | |||||
| Severity Of Injury | |||||
| Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 12/8/2015 | 15th Judicial | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Dade | 10/17/2018 | ||||
| Other Defendants Involved in this Claim | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| During appeal. | |||||
| Final Method of Claim Disposition | |||||
| Settled by parties | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 10/4/2018 | |||||
| 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 | $696,278 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $696,278 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Insured met and conferenced with defense attorney and claims specialist multiple times on the claim. | |||||||||||||||||||||
| Updates | |
| No updates found. |
This page is not displaying certain sensitive information.
Does Dr. JAMES M DOMESEK, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JAMES M DOMESEK, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).