| Department File Number : | M201884178 |
| Claim Number : | 158160 |
| Date Submitted : | 1/25/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| FD INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 20-3704679 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Richard | Petersen | |||
| Street Address | |||||
| 4651 Salisbury Rd. #410 | |||||
| City | State | Zip | |||
| Jacksonville | FL | 32256 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (904) 309 - 8142 | (904) 394 - 7134 | rpetersen@norcal-group.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Michael | I | Schulman | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 10920 Technology Ter | ||||
| City | State | Zip Code | County | ||
| Bradenton | FL | 34211 | Walton | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| MG001162 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| OS6994 | Gastroenterology - Minor 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 | ||||
| Other Location | Office | ||||
| Name of Institution | Code | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 5/14/2016 | 8/23/2016 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| On 04/22/16, at approximately 7:00 a.m., the decedent underwent an upper GI endoscopy at the Tampa Bay Regional Surgery Center; during the procedure, multiple biopsies and the removal of a polyp with a hot snare;At approximately 8:30 a.m., Mrs. Tartaglia was discharged home, but fainted from abdominal pains as her husband was putting her into the car; she was brought back into the surgery center and evaluated by Dr. Schulman;At approximately 9:20 a.m., Mrs. Tartaglia was found to be pale with shallow respirations and non-responsive; intravenous fluids were started and pain medication was given per orders of Dr. Schulman; after the intravenous fluids and pain medications were given, Mrs. Tartaglia became responsive and at 10:20 a.m., she was discharged;Mrs. Tartaglia was taken to the ER at Largo Medical Center where a Stat CT Scan of the abdomen showed a moderate amount of free air in the abdomen;Mrs. Tartaglia died on 05/14/16 due to a perforated viscus. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| On 04/22/16, at approximately 7:00 a.m., the decedent underwent an upper GI endoscopy at the Tampa Bay Regional Surgery Center; during the procedure, multiple biopsies and the removal of a polyp with a hot snare;At approximately 8:30 a.m., Mrs. Tartaglia was discharged home, but fainted from abdominal pains as her husband was putting her into the car; she was brought back into the surgery center and evaluated by Dr. Schulman;At approximately 9:20 a.m., Mrs. Tartaglia was found to be pale with shallow respirations and non-responsive; intravenous fluids were started and pain medication was given per orders of Dr. Schulman; after the intravenous fluids and pain medications were given, Mrs. Tartaglia became responsive and at 10:20 a.m., she was discharged;Mrs. Tartaglia was taken to the ER at Largo Medical Center where a Stat CT Scan of the abdomen showed a moderate amount of free air in the abdomen;Mrs. Tartaglia died on 05/14/16 due to a perforated viscus. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| On 04/22/16, at approximately 7:00 a.m., the decedent underwent an upper GI endoscopy at the Tampa Bay Regional Surgery Center; during the procedure, multiple biopsies and the removal of a polyp with a hot snare;At approximately 8:30 a.m., Mrs. Tartaglia was discharged home, but fainted from abdominal pains as her husband was putting her into the car; she was brought back into the surgery center and evaluated by Dr. Schulman;At approximately 9:20 a.m., Mrs. Tartaglia was found to be pale with shallow respirations and non-responsive; intravenous fluids were started and pain medication was given per orders of Dr. Schulman; after the intravenous fluids and pain medications were given, Mrs. Tartaglia became responsive and at 10:20 a.m., she was discharged;Mrs. Tartaglia was taken to the ER at Largo Medical Center where a Stat CT Scan of the abdomen showed a moderate amount of free air in the abdomen;Mrs. Tartaglia died on 05/14/16 due to a perforated viscus. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 6/13/2017 | 17-003656 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Pinellas | 1/8/2018 | ||||
| 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 | ||||
| Other | Settled between parties | ||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 1/8/2018 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $225,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $8,616 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Circumstances of the case have been discussed with risk management and the insured | |||||||||||||||||||||
| 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. MICHAEL I SCHULMAN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. MICHAEL I SCHULMAN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).