Department File Number : | M201781529 |
Claim Number : | 14-005-AB-000639 |
Date Submitted : | 3/30/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
HEALTH CARE CASUALTY RISK RETENTION GROUP | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-1994595 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Amber | Basra | |||
Street Address | |||||
8725 W. Higgins Rd., Ste. 810 | |||||
City | State | Zip | |||
Chicago | IL | 60631 | |||
Phone | Ext | Fax | E-Mail Address | ||
(773) 864 - 8291 | (773) 864 - 8281 | abasra@claritygrp.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Michaela | Klein | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 1421 Malabar Rd. NE | ||||
City | State | Zip Code | County | ||
Palm Bay | FL | 32907 | Brevard | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
14-PA-005-AB | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
OS11236 | Surgery - General |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Brevard | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
HOLMES REGIONAL-PALM BAY CAMPUS | 120007 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
12/12/2013 | 9/3/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
The patient presented to Dr. Klein with complaints of severe and disabling pain as a result of hemorrhoids. The patient refused an in-office examination indicating that he could not tolerate the pain. Dr. Klein diagnosed internal and external hemorrhoids when she did the examination while the patient was anesthetized. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
A complex hemorrhoidectomy was performed on 12/12/13. The patient did well initially but began experiencing pain during bowel movements. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
He was diagnosed with anal stenosis which required remedial surgery. This caused additional pain and suffering and a delay in his recovery. | |||||
Severity Of Injury | |||||
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
1/23/2015 | 05-2015-CA-01294 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Brevard | 12/6/2016 | ||||
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 | |||||
1/4/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $250,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $30,443 | ||||||||||||||||||||
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 | |||||||||||||||||||||
N/A |
Updates | |||||||
Date of Change: | 3/30/2017 2:44:25 PM | ||||||
Reason for Change: | Update insurer information | ||||||
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*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Department File Number : | M201887200 |
Claim Number : | 163123 |
Date Submitted : | 12/6/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
NORCAL MUTUAL INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
94-2301054 | |||||
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 | Michaela | S | Klein | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 38135 Market Square | ||||
City | State | Zip Code | County | ||
Zephyrhills | FL | 33542 | Pasco | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
725479N | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Osteopathic Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
OS11236 | Surgery - General |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Pasco | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
FLORIDA MEDICAL CLINIC AMBULATORY SURGERY CENTER | 14960499 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
5/25/2016 | 5/5/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
symptomatic diverticulitis | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Dr. Klein performed an abdominal lavage with antibiotic washout for symptomatic diverticulits. A colonic leak was later identified, Mr. Hudon became septic, requiring a second surgery for a colostomy. It is claimed by Plaintiff that rather than initially performing the abdominal lavage, a definitive surgery to treat a perforated large intestine from a ruptured diverticula should have been performed. A defense standard of care expert supported Dr. Klein¿s decision not to perform a Hartmann (surgical resection and colostomy, the later primary anastamosis) based on Mr. Hudon¿s young age and her desire to avoid a bigger surgery and diverting colostomy in the face of an ¿angry¿ abdomen. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
symptomatic diverticulitis | |||||
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 | ||||
9/5/2017 | 2017CA2746 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Pasco | 7/13/2018 | ||||
Other Defendants Involved in this Claim | |||||
Florida Medical Clinic | |||||
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 | |||||
7/13/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $250,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $37,827 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Facts of the case were discussed with insured and risk management. |
Updates | |
No updates found. |
Does Dr. MICHAELA KLEIN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. MICHAELA KLEIN, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).