|Department File Number :
|Claim Number :
|Date Submitted :
|DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE)
|Professional License Number
|Insurer Contact Information
|12724 Gran Bay Parkway, W., Suite 400
|(904) 360 - 3038
|Street Address of Practice
|777 West Hickpoochee Avenue Suite C
|Per Claim Policy Limits
|Aggregate Policy Limits
|Profession or Business
|Other Profession or Business
|Specialty Code & Classification
|Neurology - including child - no surgery - All Other
|Injured Person Information
|Date of Birth
|County where Injury Occurred
|Location where injury occured
|Other location where injury occured
|Name of Institution
|Location of Institutional Injury
|Other Location of Institutional Injury
|Date of Occurrence
|Date Reported to Insurer
|Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
|50 year old male, father of 10 year old son with history if arachnoid shunt since age 5 (with undiagnosed shunt malfunction) recently medicated with Keppra complained of headaches, blurred vision and was referred by PCP to our insured to rule out seizure disorder.
|Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
|Insured sent patient to Lee Memorial ED with request for Neurological consult and to address patient severe complaints. Insured saw patient follow up two days later. Patient had stopped Keppra and had remarkable improvement. Insured ordered a video EEG with return visit planned. Patient never returned and was lost to our followup.
|Diagnostic Code :
|Misdiagnosis Made, If Any, Of Patient's Actual Condition
|Principal Injury Giving Rise To The Claim
|Patient was found to have a shunt malfunction and became legally blind five months later.
|Severity Of Injury
|Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.
|Date of Suit
|Circuit Court Case Number
|County Suit Filed in
|Date of Final Disposition
|Other Defendants Involved in this Claim
Lee Memorial Hospital
Neuroscience & Spine Associates
|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
|No Court Proceedings.
|Claim not subject to Arbitration.
|Date of Payment
|Was there a settlement Resulting in payment to the Plaintiff?
|Indemnity Paid by Insurer on behalf of Insured
|Loss Adjust Expense Paid to Defense Counsel
|All Other Loss Adjustment Expense Paid
|Injured Person's Total Non-Economic Loss
|Injured Person's Total Economic Loss
|Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
|Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.
|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.
*NR: Prior to 04/28/1999 this field was not required in submitted claims.
This page is not displaying certain sensitive information.
Does Dr. LENAY SANTANA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. LENAY SANTANA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).