Department File Number : | M201677620 |
Claim Number : | EMP-0249-09 |
Date Submitted : | 3/18/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
EMERGENCY MEDICINE PROFESSIONAL ASSURANCE COMPANY RISK RETENTION GROUP | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-1141933 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Leroy | Honora | |||
Street Address | |||||
3100 S. Gessner, Suite 600 | |||||
City | State | Zip | |||
Houston | TX | 77063 | |||
Phone | Ext | Fax | E-Mail Address | ||
(800) 771 - 9818 | 1626 | (866) 393 - 8910 | lhonora@proclaimamerica.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Karen | B | Reed | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 11991 Rosemount Drive | ||||
City | State | Zip Code | County | ||
Fort Myers | FL | 33913 | Lee | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
EMPAC2010-131 | $500,000 | $1,500,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME69765 | Emergency Medicine - No Major Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Lee | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
GULF COAST HOSPITAL (FORT MYERS) | 111522 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
11/17/2010 | 2/18/2011 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Patient presented with complaint of tripping, twisting right knee and felt a pop with a history of knee replacement. Later determined to have DVT and developed compartment syndrome | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Fasciotomy of the right lower leg followed by above the knee amputation | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
DVT with compartment syndrome | |||||
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 | ||||
7/10/2012 | 12CA002120 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Lee | 12/2/2015 | ||||
Other Defendants Involved in this Claim | |||||
D'Souza, Raynita Gulf Coast MD., PA Mehalik, John Ruiz, Enrique Orthopedic Center of Florida, PA Lee Memorial Health System d/b/a Gulf Coast 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 subject to arbitration, but settlement reached in lieu of award. | |||||
Date of Payment | |||||
12/2/2015 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $247,500 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $192,000 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $1,000 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Review policies and procedures with regards to the need for appropriate and timely consultations to identify any deficiencies and correct same |
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. KAREN B REED, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. KAREN B REED, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).