| Department File Number : | M201987997 |
| Claim Number : | WC/109000-17 |
| Date Submitted : | 2/25/2019 |
| 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 | Richard | J | Cardosi | ||
| 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 | |||
| PH1706108-PL | $2,000,000 | $18,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME70566 | Surgery - Gynecology | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Polk | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| Lakeland Regional Medical Center | 100157 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 2/1/2017 | 11/30/2017 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Aorta and mesenteric artery perforation secondary to a robotic-assisted laparoscopic hysterectomy. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| 50 year old female with a history of multiple gynecological problems e.g. menstrual irregularities, pelvic pain, and vaginal dysplasia. Hysterectomy performed was complicated by the tremendous amounts of adhesions due to previous surgery and abdominoplasty. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| This claim did not involve a misdiagnosis | |||||
| Principal Injury Giving Rise To The Claim | |||||
| During the preliminary stages of the planned procedure the patient sustained a vascular injury to the anterior and right lateral wall of the distal aorta which was related to the Veres needle for Trocar placement during the robotic-assisted hysterectomy.The patient experienced a known surgical complication which was immediately recognized and addressed. She was discharged home after a five day hospital stay and her recovery went as expected. She essentially fully recovered with no residual deficits. | |||||
| 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 | ||||
| 1/9/2018 | 2017CA004152000000 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Polk | 1/31/2019 | ||||
| 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 | |||||
| 1/31/2019 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $325,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $66,369 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $38,786 | ||||||||||||||||||||
| 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. |
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
*NR:Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Does Dr. RICHARD J CARDOSI, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. RICHARD J CARDOSI, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).