| Department File Number : | M201990748 |
| Claim Number : | W111710-17 |
| Date Submitted : | 11/29/2019 |
| 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 | Kim | Watkins | |||
| Street Address | |||||
| 1600 Lakeland Hills Blvd | |||||
| City | State | Zip | |||
| LAKELAND | FL | 33805 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (863) 680 - 7620 | (863) 616 - 2430 | kwatkins@watsonclinic.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Joffre | Rivera | |||
| 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 | |||
| PH1706108 - PL | $2,000,000 | $18,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME87248 | Gastroenterology - Minor Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Polk | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Outpatient 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 | ||||
| 11/29/2017 | 2/16/2018 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| A 66-year-old female with a history of Crohn's disease with multiple surgeries and a gastric surgery secondary to ulcers was seen by Dr. J. Rivera. Patient had an esophagogastroduodenoscopy performed on 8/23/16 for abdominal pain, which revealed stenosis at the ulceration site. Biopsies were taken and the patient was placed on medication and scheduled for a 3 month follow-up. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Follow-up esophagogastroduodenoscopy was performed by Dr. Rivera on 11/29/17 at Lakeland Regional Medical Center. The patient arrived at 5:30 a.m. for the procedure. The site appeared to show improvement of the stenosis at the ulceration site. Biopsies were taken again. Post procedure, the patient complained of abdominal pain. Morphine was administered with some improvement, but the patient's pain was not completely resolved. Abdominal x-ray was ordered and performed. At 09:44, Radiology called the Gastroenterology Unit and reported the x-ray to be negative for free air. Dr. Rivera relayed the x-ray results to the patient at 11:00 and offered the patient to remain on site for observation versus further testing. The patient opted to go home with instructions to call if no improvement. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| Failure to order further diagnostic testing. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| On 11/29/17, at 16:23, the patient returned to the hospital via ambulance with severe abdominal discomfort and vomiting. A CT scan was performed with findings of free retroperitoneal air. Due to the patient's worsening condition and need for qualified surgeon to treat, the patient was transferred to Tampa General Hospital for surgery as needed. The patient's condition deteriorated at Tampa General Hospital and she expired on 12/1/17 due to duodenal perforation that caused electrolyte disturbance, significant decrease in blood volume, and acute kidney failure. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 5/20/2019 | 2019CA-001899-0000-0 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Polk | 10/17/2019 | ||||
| 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 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $300,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $3,433 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $6,289 | ||||||||||||||||||||
| 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 with the individual parties involved. | |||||||||||||||||||||
| Updates | |
| No updates found. |
Does Dr. JOFFRE RIVERA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JOFFRE RIVERA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).