| Department File Number : | M201988895 |
| Claim Number : | wc/107407-16 |
| Date Submitted : | 5/23/2019 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| Watson Clinic LLP | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 59-070493 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Diane | Szymanski | |||
| Street Address | |||||
| 1600 Lakeland Hills Blvd | |||||
| City | State | Zip | |||
| Lakeland | FL | 33805 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (863) 680 - 7620 | (863) 616 - 2430 | aszymanski@watsonclinic.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Pranay | C | Patel | ||
| 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 | |||
| PH1605501-PL | $2,000,000 | $18,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME74803 | Otorhinolaryngology - 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 | ||||
| N/A | 000000 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Patients' Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 7/19/2016 | 8/29/2017 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Patient underwent a CT scan of the maxillofacial skeleton without contrast which revealed complete left maxillary sinus opacification and thickening of the maxillary sinus walls, indicating a chronic process. Patient was scheduled for a balloon sinuplasty. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| On July 19, 2016, Dr. Patel, an otolaryngologist, performed a balloon sinuplasty on the left and right maxillary sinuses, left and right sphenoid sinuses and the left and right frontal sinuses on this patient. The procedure was uneventful. Following the sinuplasty, Dr. Patel observed his patient to ensure that no complications were incurred during the procedure. There were no complications noted. No drainage or bleeding was observed and no complaints of headache from the patient. The patient was discharged to home with instructions to follow-up if he developed any potential complications including cerebrospinal fluid drainage, bleeding and significant headaches.The following day, July 20th, Dr. Patel's office staff contacted the patient to follow-up and see how this patient was doing after the procedure. The staff member reported that the patient was doing well. On 7/25/2016, the patient and his wife were driving and the patient became aphasic. The patient was taken to the emergency room where he was considered a "stroke alert". As a part of the stroke alert workup, and in order to determine whether or not the patient was a potential TPA candidate, a CT scan of the head was performed and interpreted by the radiologist. The radiologist's written report did not reflect any evidence of intracranial aneurysm or vascular thrombosis. However, he identified intracranial gas densities along the upper portion of the head. These findings were communicated directly to the ER physician. Also reported by the radiologist was the note stating "I can't exclude a non-displaced fracture of gas-producing infection". As a result of the "stroke alert" status, a neurologist felt that TPA was an appropriate medication to administer. The patient was provided TPA and did, unfortunately, have a small intracranial hemorrhage. on 7/31/2016, a CT of the maxillofacial skeleton with contrast was performed which revealed an absence of the left fovea ethmoidalis/cribriform plate. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| This case is not related to a misdiagnosis for this provider. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Absence or perforation of left fovea themoidalis/cribriform plate and left subdural empyema is likely related to the balloon sinuplasty performed 7/19/2016. | |||||
| Severity Of Injury | |||||
| Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 5/10/2018 | 2018CA001053000000 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Polk | 4/25/2019 | ||||
| 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 | |||||
| 4/25/2019 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $99,500 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $55,744 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $33,475 | ||||||||||||||||||||
| 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. PRANAY C PATEL, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. PRANAY C PATEL, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).