Department File Number : | M201884183 |
Claim Number : | MM277998 |
Date Submitted : | 1/25/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
EVANSTON INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
36-2950161 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | CRYSTAL | L | ALSTONBAYTON | ||
Street Address | |||||
4600 COX ROAD | |||||
City | State | Zip | |||
GLEN ALLEN | VA | 23060 | |||
Phone | Ext | Fax | E-Mail Address | ||
(804) 864 - 3731 | (855) 662 - 7535 | CALSTONBAYTON@MARKELCORP.COM |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | MARIO | M | MAGCALAS | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 7100 W 20TH AVE ROOM 504 | ||||
City | State | Zip Code | County | ||
HIALEAH | FL | 33016 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MM825508 | $500,000 | $1,500,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME71103 | Pulmonary Diseases - 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 | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
MEMORIAL HOSPITAL WEST | 111527 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
12/27/2014 | 12/11/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
PRESENTED TO URGENT CARE AND ER WITH SEVERE COLD SYMPTOMS | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
SYMPTOMS OF COLD WORSENED AND PT BEGAN TO COMPLAIN OF CHEST PAINS. ALLEGEDLY THE LUNG EXPANDED AGAINST THE HEART ENABLING THE HEART FROM PUMPING BLOOD CAUSING HER TO BE UNABLE TO BE RECUSITATED. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
NO MISDIAGNOSIS | |||||
Principal Injury Giving Rise To The Claim | |||||
This Florida claim (NOI) arises from the death of a 45 year old female on December 30, 2014 while a patient at Memorial Hospital West located in Hollywood, Florida. The patient first presented with cold-like symptoms to an acute care facility on December 27, 2014. Those problems continued until she presented to the emergency room during the evening hours on December 29, 2014 with primary complaints of chest pain and difficulty breathing. The insured (consulting pulmonologist) first examined the patient in the telemetry unit on December 30, 2014 at 8:45 am. The patient's condition deteriorated throughout the day, culminating in a Code Blue at 9:22 pm and her death at 10:07 pm. A synopsis of the allegations again | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
5/10/2016 | CACE-16-008712 (05) | ||||
County Suit Filed in | Date of Final Disposition | ||||
Broward | 6/6/2017 | ||||
Other Defendants Involved in this Claim | |||||
SOUTH BROWARD HOSPITAL DISTRICT DBA MEMORIAL HOSPITAL WEST GOLDBERG, JUDAH INPHYNET SOUTH BROWARD LLC MARKOVIC, SLAVISA BREDY, MARJORIE INPATIENT CONSULTANTS OF FLORIDA, INC AMINI, KAYVAN SOUTH FLORIDA CARDIOLOGY CONSULTANTS PA | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
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 | |||||
3/17/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $495,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $58,842 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $5,000 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
NONE |
Updates | |
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Does Dr. MARIO M MAGCALAS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. MARIO M MAGCALAS, MD has at least 3 medical malpractice case(s), lawsuit(s), or complaint(s).