| Department File Number : | M201884416 |
| Claim Number : | WC/110650-17 |
| Date Submitted : | 2/26/2018 |
| 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 | S | Ferguson | ||
| 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 | ||||
| Osteopathic Physician | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| OS10716 | Surgery - Plastic | ||||
| 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 | ||||
| Physician's Office | |||||
| Name of Institution | Code | ||||
| N/A | 000000 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Patients' Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 3/14/2016 | 10/3/2017 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| 34 year old female began receiving cosmetic laser hair removal treatments to her face, chest, neck, breast, bikini, legs, and arms from 2012 thru 2016. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Patient was seen and treated for elective cosmetic laser hair removal from February of 2012 up to March of 2016 to multiple regions of the body. From the onset of her laser treatments until October of 2014 all treatments were performed using the YAG laser following the hair removal treatment guidelines without evidence of burn, trauma, or injury. October of 2014 due to the patient's hair becoming more medium to fine in coarseness, settings were changed with the Alexandrite laser being used following the manufactures recommended treatment guidelines. Per and post treatment evaluations, recommendations, and management followed the appropriate guidelines. The patient never had any evidence of burns, or evidence of any inappropriate treatment. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| Not applicable. This case does not involve a misdiagnosis. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Allegations were that Dr. Ferguson inappropriately provided laser hair removal to the patient by utilizing an inappropriate laser devise, thus causing discoloration to the patient's skin. This claim and allegations were felt to be without merit. Of note the Claimants own expert accurately identifies the patient's skin tone and when the skin tone is compared to the manufacturer's instructions for the various laser devices utilized by Dr. Ferguson, it is clear that the laser utilized was, in fact, the appropriate laser and that the settings utilized were per manufacturer's directions. Potential known side effects related to laser hair removal includes, though rare, changes to skin color. | |||||
| Severity Of Injury | |||||
| Temporary: Slight - Lacerations, contusions, minor scars, rash. No delay. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 1/9/2018 | ||||
| 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 | |||||
| 1/9/2018 | |||||
| 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 | $5,381 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $5,475 | ||||||||||||||||||||
| 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 event reviewed with individual parties involved. | |||||||||||||||||||||
| Updates | |
| No updates found. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. JOHN S FERGUSON, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JOHN S FERGUSON, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).