Department File Number : | M201780941 |
Claim Number : | 0AB074163-A |
Date Submitted : | 1/25/2017 |
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@onebeacon.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Luz | E | Peguero | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 636 Del Prado Blvd | ||||
City | State | Zip Code | County | ||
Cape Coral | FL | 33990 | Lee | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PHY015312 | $250,000 | $75,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME107520 | 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 | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
CAPE CORAL HOSPITAL | 100244 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Critical Care Unit | |||||
Date of Occurrence | Date Reported to Insurer | ||||
10/6/2011 | 1/6/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
On 10/6/11, the patient presented to the Emergency Room at Cape Coral Hospital with a chief complaint of abdominal pain. The patient was subsequently admitted to Cape Coral Hospital with a diagnosis of colitis and abdominal pain. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
The night the patient presented to the ER at Cape Coral Hospital, Dr. Peguero was the covering physician. She was called in to see the patient in the ER when the ER physician had an emergency. Dr. Peguero saw the patient at 2:00am on 10/7/11. Dr. Peguero ordered medications for differential diagnosis, including possible infection, nausea, and pain medication. She also sought a consult from a gastroenterologist. At that time, the patient was stable and able to walk, but was in pain. Dr. Peguero noted that the patient needed to be admitted to treat the colitis and inflammation of the colon. Dr. Peguero was not involved in the patient's care and treatment other than the night the patient was admitted to the hospital on 10/7/11. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Plaintiff's Estate claimed that Dr. Peguero failed to appropriately examine, evaluate, diagnose and treat the patient during this admission at Cape Coral Hospital. | |||||
Principal Injury Giving Rise To The Claim | |||||
Plaintiff's Estate claimed that, due to the alleged medical negligence, the patient passed away at Cape Coral Hospital on 10/10/11, as a result of a pulmonary embolism. We disputed Dr. Peguero's alleged role in causing or contributing to the patient's death. These claims were disputed and defended. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
8/26/2014 | 14-CA-001457 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Lee | 1/6/2017 | ||||
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 | |||||
1/6/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $75,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Not known at this time |
Updates | |
No updates found. |
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Does Dr. LUZ E PEGUERO, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. LUZ E PEGUERO, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).