Dr. SAMUEL E MYRICK, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. SAMUEL E MYRICK, MD

3627 UNIVERSITY BLVD S STE 310

Indemnity Paid: $250,000.00

Insurer Information

Insurer Name				Coverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INC				Primary
Insurer FEIN		Professional License Number
59-6614702
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Cheri		M	Montague
Street Address
1000 Riverside Drive, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3043	(904) 358 - 6728	montague@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	SAMUEL		E	MYRICK
Insurer Type		Street Address of Practice
Licensed		3627 UNIVERSITY BLVD S STE 310
City		State	Zip Code	County
JACKSONVILLE		FL	32216	Dade
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
9841		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME10984		Surgery - Vascular		80146

Injured Person Information

First Name	MI	Last Name		Date of Birth

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

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
MEMORIAL HOSPITAL JACKSONVILLE		100179
Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
12/3/2002		5/30/2003

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Severe occlusion of blood vessels in right leg.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Femoral popliteal vein graft and resultant debridement. Other vein gratfs followed.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Occlusion of blood vessels in right leg.
Principal Injury Giving Rise To The Claim
Above the knee amputation of right leg.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Legal Information

Date of Suit			Circuit Court Case Number
10/7/2003			1B-2003-CA-006472
County Suit Filed in			Date of Final Disposition
Duval			11/8/2004
Other Defendants Involved in this Claim
Memorial Hospital - Jacksonville
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
11/8/2004

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

$7,145

All Other Loss Adjustment Expense Paid

$5,281

Injured Person's Total Non-Economic Loss

$250,000

Deductible

Injured Person's Total Economic Loss

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

Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.

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Does Dr. SAMUEL E MYRICK, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. SAMUEL E MYRICK, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).