| Department File Number : | M201573433 |
| Claim Number : | 59199301 |
| Date Submitted : | 2/11/2015 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| PHYSICIANS INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 13-4235490 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Antrine | Long | |||
| Street Address | |||||
| 361 Hillsboro Blvd. | |||||
| City | State | Zip | |||
| Deerfield Beach | FL | 33441 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (954) 788 - 5184 | (954) 944 - 1382 | along@picinsurance.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | MARCY | BERNSTEIN | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 4430 Sheridan Street, Suite B | ||||
| City | State | Zip Code | County | ||
| Hollywood | FL | 33021 | Broward | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 131256 | $500,000 | $1,500,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME44219 | Pediatrics - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Broward | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Other Location | Non applicable | ||||
| Name of Institution | Code | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | non applicable | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 1/1/2012 | 5/28/2013 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Patient was accompanied by her Mother, and presented to the insured on 08/29/2012 with back pain. She had been seen in the ER one week earlier for the same issue. Patient also had complaints of constipation, had been taking Miralax and was having large, hard, BM daily. The back pain persisted and had started to wake her at night. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| The insured ordered a Urinalysis and Urine Culture. Both returned negative. A renal ultrasound was obtained. Kidneys were noted as normal, and some distention of the urinary bladder was noted, but otherwise in normal limits. The insured referred the patient to an Orthopedist, and also advised to note all BM's and bladder emptying and to continue Mirilax as the patient had a history of constipation, and bowel was found in her colon during an abdominal Xray. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| The patient was admitted to hospital 09/04/2012. A Tumor (T10 thoracic spine), was found and was causing spinal compression. The pathology was consistent with Burkitts' Lymphoma. The patient was sent to the OR and the mass removed. | |||||
| Severity Of Injury | |||||
| Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 1/12/2015 | ||||
| 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 | |||||
| 1/5/2015 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $400,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $9,548 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $12,831 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| non applicable | |||||||||||||||||||||
| 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. MARCY BERNSTEIN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. MARCY BERNSTEIN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).