| Department File Number : | M201885382 |
| Claim Number : | 59275101 |
| Date Submitted : | 5/25/2018 |
| 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 | Renee | M | Bradley | ||
| Street Address | |||||
| 901 S. Mopac Expwy, Blg. 5, Suite 500 | |||||
| City | State | Zip | |||
| Austin | TX | 78746 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (512) 425 - 5924 | renee-silvia@tmlt.org | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Mohsen | A | Rashdan | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 1000 N.W. 9th Court, Suite 105 | ||||
| City | State | Zip Code | County | ||
| Boca Raton | FL | 33486 | Palm Beach | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 131736 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME46554 | Cardiovascular Disease - Minor Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Palm Beach | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| BOCA RATON COMMUNITY HOSPITAL | 100168 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Special Procedure Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 4/27/2015 | 3/22/2017 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Patient had a myocardial infarction. He had chest pain, became unresponsive and pulseless, requiring electrical shocking with CPR. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| The patient was found to have an occlusion of his left main as the cause of the myocardial infarction and Dr. Rashdan performed an immediate cardiac catheterization. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| After recannulation of the left coronary vessels, Mr. Block's BP did not show expected improvement. The patient's respiratory status deteriorated and his oxygen saturations decreased to 40%. As such, the patient was intubated and dye was found floating in the ascending aorta. The wall of the hart developed an opening or perforated, causing blood to flow into the pericardial sac; the patient had cardiac tamponade. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 7/25/2017 | 2017-CA-008259 MB | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Palm Beach | 5/18/2018 | ||||
| Other Defendants Involved in this Claim | |||||
| Boca Raton Regional Hospital, Inc. | |||||
| 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 | |||||
| 5/22/2018 | |||||
| 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 | $44,285 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $14,325 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| N/A | |||||||||||||||||||||
| 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. MOHSEN A RASHDAN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. MOHSEN A RASHDAN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).