| Department File Number : | M201574052 |
| Claim Number : | WC/101551-10 |
| Date Submitted : | 4/1/2015 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| Watson Clinic LLP | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 59-070493 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Diane | Szymanski | |||
| Street Address | |||||
| 1600 Lakeland Hills Blvd | |||||
| City | State | Zip | |||
| Lakeland | FL | 33805 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (863) 680 - 7697 | (863) 616 - 2430 | aszymanski@watsonclinic.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | John | R | Bradshaw | ||
| 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 | |||
| YD009900h | $2,000,000 | $15,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME50635 | Radiology - interventional | N/A | |||
| 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 Inpatient Facility | |||||
| Name of Institution | Code | ||||
| Lakeland Regional Medical Center | 100157 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Patients' Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 3/23/2009 | 5/5/2010 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Abdominal aortic aneurysm | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Endovascular repair using stent graft | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| Not applicable. No misdiagnosis was made in this case. Abdominal aortic aneurysm | |||||
| Principal Injury Giving Rise To The Claim | |||||
| 60 y.o. pt with abdominal aortic aneurysm underwent surgical repair using a stent graft experienced postopcomplication of hypertensive encephalopathy and suffered a stroke in the ICU. Plaintiff alleged failure torecognize improper placement of graft. | |||||
| 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 | ||||
| 9/23/2010 | 2010CA007897000000 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Polk | 3/4/2015 | ||||
| Other Defendants Involved in this Claim | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| After court verdict and prior to filing of notice of appeal. | |||||
| Final Method of Claim Disposition | |||||
| Settled by parties | |||||
| Court Decision | Other | ||||
| Directed verdict for plaintiff. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 3/4/2015 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $947,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $83,358 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $60,526 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Circumstance of event has been reviewed with the individual parties involved | |||||||||||||||||||||
| Updates | |
| No updates found. |
This page is not displaying certain sensitive information.
| Department File Number : | M201884096 |
| Claim Number : | WC/101771-12 |
| Date Submitted : | 1/15/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| Watson Clinic LLP | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 59-070493 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Diane | Szymanski | |||
| Street Address | |||||
| 1600 Lakeland Hills Blvd | |||||
| City | State | Zip | |||
| Lakeland | FL | 33805 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (863) 680 - 7620 | (863) 616 - 2430 | aszymanski@watsonclinic.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | John | Bradshaw | |||
| 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 | |||
| PH1102659 | $2,000,000 | $18,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME50635 | Radiology - Diagnostic - 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 | ||||
| Other Outpatient Facility | Procedure Room | ||||
| Name of Institution | Code | ||||
| N/A | 000000 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | Watson Clinic, LLP | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 11/24/2009 | 2/8/2012 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Severe wedge collapse of T12 vertebra with retropulsion along with advanced disc degeneration in the upper lumbar region and lower lumbar region with mild disc bulges and central spinal stenosis at L1-2 and L2-3. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| On November 5, 2009 Dr. Bradshaw performed three procedures: Kyphoplasty of T12, he treated the inferior portion of T11, and biopsied T12. Dr. Bradshaw treated the inferior portion of T11 with kyphoplasty and placed implants into her vertebral bodies. The implants were bioinert wafers used to separate the end plates and regain the height of the vertebral body. The procedure resulted in considerable reduction of the fracture with approximately 70% of reduced collapse. The patient was seen 19 days later for a post-procedural follow-up and reported initial post-procedure pain improvement however, she still had complaints of pain. An x-ray was performed which showed the T11 stack was unchanged but the T12 vertebral body showed changes that were felt to be new fractures. Patient was then seen on December 4, 2009 for recurrent pain. Dr. Bradshaw added more cement at that time because it was felt that the vertebroplasty was probably not adequate for the remaining compression. At this point, Dr. Bradshaw believed that L1 was fractured as well however; the patient's only complaint was pain but with no signs or complaints of any other problems with ambulating. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| Not applicable. This claim did not involve a misdiagnosis. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| 65 y.o. patient with age indeterminate fracture noted at T12 vertebra and multilevel degenerative disc disease at lumbar region. Patient had poor response to StaXx procedure, kyphoplasty/vertebroplasty to area with recurrent fracture; a known and disclosed consequence of kyphoplasty procedure. Allegation is of negligence regarding the care and treatment rendered involving a kyphoplasty with StaXx. | |||||
| Severity Of Injury | |||||
| Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 6/8/2012 | 2012CA0040920000WH | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Polk | 12/15/2017 | ||||
| Other Defendants Involved in this Claim | |||||
| Lakeland Regional Medical Center | |||||
| 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 | |||||
| 12/15/2017 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $65,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $72,486 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $10,077 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Circumstance of event reviewed with individual parties involved. | |||||||||||||||||||||
| Updates | |
| No updates found. |
This page is not displaying certain sensitive information.
| Department File Number : | M201885342 |
| Claim Number : | WC/101771-12 |
| Date Submitted : | 5/18/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| Watson Clinic LLP | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 59-070493 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Diane | Szymanski | |||
| Street Address | |||||
| 1600 Lakeland Hills Blvd | |||||
| City | State | Zip | |||
| Lakeland | FL | 33809 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (863) 680 - 7620 | (863) 616 - 2430 | aszymanski@watsonclinic.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | John | Bradshaw | |||
| 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 | |||
| PH1102659 | $2,000,000 | $18,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME50635 | Radiology - Diagnostic - 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 | ||||
| Other Outpatient Facility | Procedure Room | ||||
| Name of Institution | Code | ||||
| N/A | 000000 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | Watson Clinic, LLP | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 11/9/2009 | 2/8/2012 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Severe wedge collapse of T12 vertebra with retropulsion along with advanced disc degeneration in the upper lumbar region and lower lumbar region with mild disc bulges and central spinal stenosis at L1-2 and L2-3. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| On November 5, 2009 Dr. Bradshaw performed three procedures: Kyphoplasty of T12, he treated the inferior portion of T11, and biopsied T12. Dr. Bradshaw treated the inferior portion of T11 with kyphoplasty and placed implants into her vertebral bodies. The implants were bioinert wafers used to separate the end plates and regain the height of the vertebral body. The procedure resulted in considerable reduction of the fracture with approximately 70% of reduced collapse. The patient was seen 19 days later for a post-procedural follow-up and reported initial post-procedure pain improvement however, she still had complaints of pain. An x-ray was performed which showed the T11 stack was unchanged but the T12 vertebral body showed changes that were felt to be new fractures. Patient was then seen on December 4, 2009 for recurrent pain. Dr. Bradshaw added more cement at that time because it was felt that the vertebroplasty was probably not adequate for the remaining compression. At this point, Dr. Bradshaw believed that L1 was fractured as well however; the patient's only complaint was pain but with no signs or complaints of any other problems with ambulating. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| Not applicable. This claim did not involve a misdiagnosis. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| 65 y.o. patient with age indeterminate fracture noted at T12 vertebra and multilevel degenerative disc disease at lumbar region. Patient had poor response to StaXx procedure, kyphoplasty/vertebroplasty to area with recurrent fracture; a known and disclosed consequence of kyphoplasty procedure. Allegation is of negligence regarding the care and treatment rendered involving a kyphoplasty with StaXx. | |||||
| Severity Of Injury | |||||
| Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 6/8/2012 | 2012CA0040920000WH | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Polk | 12/15/2017 | ||||
| Other Defendants Involved in this Claim | |||||
| Lakeland Regional Medical Center | |||||
| 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 | |||||
| 12/15/2017 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $65,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $72,486 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $10,077 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Circumstance of event reviewed with individual parties involved. | |||||||||||||||||||||
| Updates | |
| No updates found. |
This page is not displaying certain sensitive information.
Does Dr. JOHN R BRADSHAW, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JOHN R BRADSHAW, MD has at least 3 medical malpractice case(s), lawsuit(s), or complaint(s).