Dr. RICHARD KNIGHT, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. RICHARD KNIGHT, MD

PO Box 18904

Tampa, FL

33679

Hillsborough

Court Case # 13-CA015191

Indemnity Paid: $250,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201781908
Claim Number :	2013-09-500-001
Date Submitted :	4/24/2017

Insurer Information

Insurer Name				Coverage Type
Lexington Insurace Company				Primary
Insurer FEIN		Professional License Number
25-114949
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Jessica			Hayden
Street Address
2985 Drew Street
City				State	Zip
Clearwater				FL	33764
Phone	Ext	Fax	E-Mail Address
(727) 519 - 1268			jessica.hayden@baycare.org

Insured Information

Type	First Name		MI	Last Name
Individual	Richard			Knight
Insurer Type		Street Address of Practice
Self-Insurer		PO Box 18904
City		State	Zip Code	County
Tampa		FL	33679	Hillsborough
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
839-6469		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME35469		Radiology - Diagnostic - No Surgery

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Hillsborough
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
N/A		000000
Location of Institutional Injury		Other Location of Institutional Injury
Radiology, Emergency Room
Date of Occurrence		Date Reported to Insurer
3/19/2008		6/28/2013

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
48 yo male presented to the ER in March 2008 with flank pain and flu like symptoms, including fever and cough. CT angiogram was done. A left lower lobe peripheral wedge shaped opacity consistent with pneumonia was seen with a comment by the Radiologist who did the wet read that Â¿cannot rule out infarctÂ¿. Diagnosis of pneumonia and left chest wall pain was made. The ED physician counselled the patient regarding test results and he showed the patient the film (per his documented note) and pointed out a Â¿spotÂ¿ on the lung. Discharge instructions directed the patient to follow up with his PCP and a pulmonologist. The patient did not follow up with any physician for several months and when he did, he did not mention this March 2008 ED visit or a radiograph with a Â¿spotÂ¿. Later records indicated he continued to have chronic coughing. In February 2010 the patient presented to his physician who ordered a CT scan. A mass was reported in the Left Lower Lobe. In December 2011 the patient underwent bronchoscopy where small cell CA of the lung was diagnosed.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
CT Angiogram
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
As per protocol the final reading of the film was done and a detailed report was dictated by Dr. Knight. He noted the patientÂ¿s history of fever and cough. He noted a dense infiltrate in the LLL and part of infiltrate had a more nodular configuration as it approached the hilumÂ¿ He recommended the patient be followed up with chest x-ray or CT. The hospital had a policy addressing radiographic studies ordered in the ER which directed that RadiologistÂ¿s dictated reports are delivered to the ED physician on duty who would review the report and if there was a difference in interpretation from the preliminary reading the patient would be contacted. The patient was found to have confirmed lung cancer. It was alleged that Dr. Knight failed to notify the ER physician who ordered the CT in March of 2008 of the difference in diagnosis between the preliminary report and the final report and that Dr. Knight concealed from the ED physician and patient that he had cancer.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
2/7/2014			13-CA015191
County Suit Filed in			Date of Final Disposition
Hillsborough			4/7/2017
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
12/1/2016

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

$316,414

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Any risk issues have been/will be addressed.

Updates

No updates found.

*NR: Prior to 04/28/1999 this field was not required in submitted claims.

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