Department File Number : | M202092566 |
Claim Number : | WC/118626 |
Date Submitted : | 5/26/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Watson Clinic LLP | Primary | ||||
Insurer FEIN | Professional License Number | ||||
59-0704934 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kimberly | Watkins | |||
Street Address | |||||
1600 Lakeland Hills Blvd | |||||
City | State | Zip | |||
Lakeland | FL | 33805 | |||
Phone | Ext | Fax | E-Mail Address | ||
(863) 680 - 7620 | kwatkins@watsonclinic.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | NAHOMY | CALIXTE | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 1600 Lakeland Hills Blvd | ||||
City | State | Zip Code | County | ||
LAKELAND | FL | 33805 | Polk | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PH1806734-PL | $2,000,000 | $18,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME127480 | Urology- minor surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Polk | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Date of Occurrence | Date Reported to Insurer | ||||
12/18/2018 | 12/2/2019 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Being treated by urologist for recurrent urinary tract infections and BPH sp resection of prostate and cystolitholapaxy with persistent urinary tract infections. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Prescribed Gentamicin IM x 7 days for recurrent escherichia-coli UTI. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Treatment related, Improper management | |||||
Principal Injury Giving Rise To The Claim | |||||
76 y/o male with history of hearing loss and tinnitus with Gentamicin induced ototoxicity. Pt presented with recurrent Urinary tract infections and lower urinary tract symptoms. He subsequently underwent resection of prostate and cystolitholapaxy for bladder stones but continued to suffer from recurrent urinary tract infections. Due to many allergies and resistance to many antibiotics physician prescribed Gentamycin IM for 7 days which was not monitored during course of treatment resulting in ototoxicity with vestibulopathy. | |||||
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 | 4/23/2020 | ||||
Other Defendants Involved in this Claim | |||||
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 not subject to Arbitration. | |||||
Date of Payment | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $475,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $10,271 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $1,967 | ||||||||||||||||||||
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 event were reviewed with individual parties involved. |
Updates | |
No updates found. |
Does Dr. NAHOMY CALIXTE, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. NAHOMY CALIXTE, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).