Department File Number : | M202092616 |
Claim Number : | WC/105920-16 |
Date Submitted : | 5/29/2020 |
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 | Kim | 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 | Sean | Costabile | |||
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 | |||
PH1504907 | $2,000,000 | $18,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME96335 | Anesthesiology |
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 | ||||
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 | ||||
1/21/2015 | 4/11/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Patient presented for neurosurgical evaluation for symptomatic right L4/5 disc herniation with severe herniation and facet hypertrophy. Symptoms correlated with radiographic findings. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
On 1/21/2015 patient underwent right L4-5 microdiscectomy with use of microscope; uncomplicated, per neurosurgeon. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Anesthesiologist and CRNA allegedly failed to recognize and manage hemodynamic instability both intraoperatively and in PACU which is alleged to have lead to lower extremity ischemia and compartment syndrome, due to a lacerated left common iliac artery during the L4-L5 microdiscectomy performed by neurosurgeon. Patient became hypotensive and tachycardiac during his PACU despite interventions. Anesthesiologist was called to PACU, evaluated immediately and given 2L of crystalloid. CBC was obtained with an initial Hgb of 10. Pt remained tachycardic and mildly hypotensive after fluids given. Subsequently found to have no palpable pulses in left lower extremity as well as poor capillary refill. CBC was repeated and Hgb was 7. Emergency blood ordered and pt taken to CT scan after 2 units PRBCs given rapidly. Pt found to have left iliac artery injury by CT Angio and emergently returned to OR for vascular intervention. Post operative complication directly related to surgical procedure and not anesthesia provider. | |||||
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 | ||||
10/28/2016 | 2016CA0028780000 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Polk | 3/20/2020 | ||||
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 | |||||
3/27/2020 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $99,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $120,570 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $21,109 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Safety management steps taken by insured to make similar occurrence less likely. |
Updates | |
No updates found. |
Does Dr. SEAN COSTABILE, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. SEAN COSTABILE, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).