| Department File Number : | M201885062 |
| Claim Number : | 110032 |
| Date Submitted : | 4/17/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| ASCENSION HEALTH ALLIANCE PL/GL SELF-INSURED TRUST | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 36-7046706 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Linda | S | Zinselmeier | ||
| Street Address | |||||
| 11775 Borman Drive | |||||
| City | State | Zip | |||
| St. Louis | MO | 63376 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (314) 733 - 8727 | lzinselmeier@ascension.org | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Juan | F | Ronderos | ||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 5153 North Ninth Avenue, Suite 302 | ||||
| City | State | Zip Code | County | ||
| Pensacola | FL | 32504 | Escambia | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 1111 | $10,000,000 | $10,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME66072 | Surgery - Neurology - Including Child | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Escambia | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| SACRED HEART HOSPITAL (PENSACOLA) | 100025 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 10/17/2016 | 4/21/2017 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| 60 year-old male had a T8-9 disc bulge that caused moderate to severe narrowing of the central spinal canal with resulting myelopathy. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| T7-8 thoracic discectomy, T7-8 anterior fusion using PEEK cage and morcellized autograft from the same site, and T7-8 anterior instrumentation. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| Surgery was performed at T7-8 rather than T8-9. Identifying the correct level in the lower thoracic spine (T7-12) is notoriously the most difficult. Dr. Ronderos had a vascular surgeon assist him for exposure of the disc space, and they worked together for a significant amount of time to identify the correct level. They counted up from the sacrum with fluoroscopy, and then verified the level with two additional counts. In spite of their best efforts, the surgery was performed one level above the one intended. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Wrong site surgery performed at T7-8 rather than T8-9, resulting in pain and suffering. | |||||
| 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 | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 1/29/2018 | ||||
| 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 | |||||
| 2/5/2018 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $350,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $17,100 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $250,000 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| N/A | |||||||||||||||||||||
| 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. JUAN F RONDEROS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JUAN F RONDEROS, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).