| Department File Number : | M201783257 |
| Claim Number : | 2015-09-100-006 |
| Date Submitted : | 10/4/2017 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| Lexington Insurace Company | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 25-114949 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Jessica | Hayden | |||
| Street Address | |||||
| 2985 Drew Street | |||||
| City | State | Zip | |||
| Clearwater | FL | 33764 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (727) 519 - 1268 | jessica.hayden@baycare.org | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Matthew | Rahaim | |||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 1200 7th Ave N | ||||
| City | State | Zip Code | County | ||
| Safety Harbor | FL | 33705 | Pinellas | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 0114-66-393 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME82690 | Internal Medicine - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Pinellas | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Physician's Office | |||||
| Name of Institution | Code | ||||
| N/A | 000000 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | Physician's Office | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 9/19/2011 | 5/15/2015 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Patient presented on 9/19/2011 for routine screening mammogram which was interpreted by Dr. Rahaim as BI- RADS 2 (benign findings). The patient found a palpable lump on her left breast February 2013. MRI of the breasts on 2/28/13 was read by Dr. Rahaim as consistent with malignancy and BI-RADS 5. Breast needle biopsy on 3/1/13 confirmed invasive ductal carcinoma and a second pathology opinion verified invasive lobular carcinoma. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Bilateral screening digital mammogram. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| Dr. Rahaim¿s expert, Amy Campbell, MD, Chief of Breast Imaging at MedStar Georgetown University opined that he did not deviate from the standard of care for not having picked up on an area of suspicious malignancy or requesting further studies related to the 2011 mammogram. It is possible that additional diagnostic views could have still overlooked the area.When interpreting the 9/19/11 mammogram, Dr. Rahaim compared this to a prior mammogram done in 2009 which showed the same benign findings. Dr. Campbell agrees that the 2011 mammogram is similar to the 2009 study and does not suggest any malignancy. The 2013 mammogram study (which was not read by Dr. Rahaim) does show dramatic changes which made for the diagnosis of probable cancer being present.Dr. Rahaim correctly read the MRI in 2013 and described an area of increased density as suspicious for malignancy. This area was not present on the previous mammogram of 2011 that he interpreted. He testified there was no detectable cancer on the 2011 mammogram. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| The patient was diagnosed with cancer of the left breast within 2 years of the mammogram at issue. She underwent left mastectomy and later right prophylactic mastectomy. She claims that side effects from chemotherapy and radiation therapy caused fatigue, short term memory loss, lymphedema and continued hormone therapy medication for the next 5-10 years to prevent recurrence. Note: the patient has done well since 2013 and has had no recurrence of her cancer. | |||||
| 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 | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 9/18/2017 | ||||
| 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 | |||||
| 9/18/2017 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $100,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $82,477 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Any risk issues have been/will be addressed. | |||||||||||||||||||||
| 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. MATTHEW RAHAIM, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. MATTHEW RAHAIM, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).