| Department File Number : | M201573372 |
| Claim Number : | 0AA962971 |
| Date Submitted : | 2/4/2015 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| HOMELAND INSURANCE COMPANY OF NEW YORK | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 52-1568827 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Mike | Clark | |||
| Street Address | |||||
| 199 Scott Swamp Road | |||||
| City | State | Zip | |||
| Farmington | CT | 06032 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (860) 321 - 2544 | (877) 256 - 5067 | mclark@onebeaconpro.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | KHALID | SABHA | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 8971 Daniels Center Drive | ||||
| City | State | Zip Code | County | ||
| Fort Myers | FL | 33912 | Lee | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| PHY010612 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME96707 | Internal Medicine - No 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 MEDICAL CENTER (PANAMA CITY) | 100242 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Radiology, Emergency Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 5/1/2010 | 9/4/2012 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Ms. Green complained of tightness in her mid chest and pain in her left shoulder and left arm, which began the previous day. The symptoms were located in the left chest, right chest and substernal chest; and were described as aching, with moderate intensity. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| See next section | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| delay in diagnosis of cervical spine disease | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Plaintiff alleged that having appropriately ruled out a cardiac cause for her chest pain, Dr. Sabha mistakenly discharged her with pain medications and instructions to follow up with her PCP rather than conducting additional testing to determine whether her pain was being caused by a herniated cervical disc, which was discovered a days later after admission to another hospital to which Plaintiff presented with additional symptoms of neck pain with neurologic involvement in the lower extremities. Ultimately, due to a rapid neurological decline during the second hospitalization, Plaintiff required emergency surgery for the herniated cervical disc. The surgery resulted in temporary paralysis and ongoing neurogenic bladder issues. | |||||
| 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 | ||||
| 12/7/2012 | 12-CA-002692 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Lee | 1/20/2015 | ||||
| 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 | |||||
| 2/4/2015 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $199,999 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $256,887 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| there were additional practitioners invoved(Douglas Savage, Eillen Solis, Katherine Rhinehart as well as other business entities) are not our insureds. I cannot add them to the additional defendant are as I do not have there respective license numbers. not know of any safety steps taken at this time | |||||||||||||||||||||
| Updates | |||||||
| Date of Change: | 2/4/2015 3:28:19 PM | ||||||
| Reason for Change: | corrected data entry | ||||||
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Does Dr. KHALID SABHA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. KHALID SABHA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).