Dr. JESSE SHAW, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. JESSE SHAW, MD

17779 S W 2nd Street

Pembroke Pines, FL

33029

Broward

Court Case #

Indemnity Paid: $125,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201575571
Claim Number :	15-0027-A-14
Date Submitted :	8/20/2015

Insurer Information

Insurer Name				Coverage Type
FD INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
20-3704679
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Tamla			Lloyd
Street Address
4651 Salisbury Road, Suite 410
City				State	Zip
Jacksonville				FL	32211
Phone	Ext	Fax	E-Mail Address
(904) 296 - 2887	212	(904) 296 - 1245	tlloyd@fdinsurancecompany.com

Insured Information

Type	First Name		MI	Last Name
Individual	Jesse			Shaw
Insurer Type		Street Address of Practice
Licensed		17779 SW 2nd St
City		State	Zip Code	County
Pembroke Pines		FL	33029	Broward
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
MS001392		$250,000		$750,000
Profession or Business			Other Profession or Business
Osteopathic Physician
License Number		Specialty Code & Classification		Certification Number
OS10003		Surgery - Orthopedic

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Broward
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
MEMORIAL HOSPITAL WEST		111527
Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
3/4/2014		2/3/2015

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient was presented to the insured on 11/14/13 with complaints of right hip pain.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The insured performed right total hip arthroplasty surgery on 3/4/14.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnoses were made.
Principal Injury Giving Rise To The Claim
Patient is alleging to have a 1 inch leg length discrepancy post-op. Alleged failure of the insured to inform or discuss the potential for leg length discrepancy with the patient preoperatively.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
			*NR
County Suit Filed in			Date of Final Disposition
*NR			7/24/2015
Other Defendants Involved in this Claim

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
7/24/2015

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

$7,696

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

The circumstances of this case have been discussed with the insured and risk management was notified. Risk management has discussed the case with the insured.

Updates

No updates found.

*NR: Prior to 04/28/1999 this field was not required in submitted claims.

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Court Case #

Indemnity Paid: $70,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201575569
Claim Number :	14-0002-A-13
Date Submitted :	9/17/2015

Insurer Information

Insurer Name				Coverage Type
FD INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
20-3704679
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Tamla			Lloyd
Street Address
4651 Salisbury Road, Suite 410
City				State	Zip
Jacksonville				FL	32256
Phone	Ext	Fax	E-Mail Address
(904) 296 - 2887	212	(904) 296 - 1245	tlloyd@fdinsurancecompany.com

Insured Information

Type	First Name		MI	Last Name
Individual	Jesse			Shaw
Insurer Type		Street Address of Practice
Licensed		17779 S W 2nd Street
City		State	Zip Code	County
Pembroke Pines		FL	33029	Broward
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
MS001392		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
OS10003		Surgery - Orthopedic

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Broward
City			State	Zip Code

Location where injury occured		Other location where injury occured
Physician's Office
Name of Institution		Code
N/A		000000
Location of Institutional Injury		Other Location of Institutional Injury
Other		Physician's Office
Date of Occurrence		Date Reported to Insurer
9/15/2013		1/2/2014

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient was presented to Memorial Regional and evaluated in the emergency room for laceration injury to her left thumb. The patient was then presented to the insured's office for a follow up as instructed by the ER team.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The ER team performed a wound closure on the tip of the finger that had a laceration type injury. On 10/2/13, the insured performed a trigger point injection.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
A misdiagnosis was not made in this case.
Principal Injury Giving Rise To The Claim
Alleged negligence caused and/ or substantially contributed to the injuries the patient sustained as a result of the insured delaying to perform a procedure to correct the insured's injury.
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
			*NR
County Suit Filed in			Date of Final Disposition
*NR			7/24/2015
Other Defendants Involved in this Claim

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
7/24/2015

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$70,000

Loss Adjust Expense Paid to Defense Counsel

$7,824

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

The circumstances of this case were discussed with the insured and risk management was notified. Risk Management discussed case with the insured.

Updates

Date of Change:

9/17/2015 4:09:47 PM

Reason for Change:

Correction to patient's last name.

Field Changed	Former Value	New Value
Injured Person Last Name	Abdolvahabi	Maytin

*NR: Prior to 04/28/1999 this field was not required in submitted claims.

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Frequently Asked Questions

Does Dr. JESSE SHAW, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. JESSE SHAW, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases