| Department File Number : | M202093271 |
| Claim Number : | PLFHMGO100929 |
| Date Submitted : | 8/13/2020 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| Florida Physicians Medical Group | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 59-3214635 | 800014080 | ||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Linda | Boelke | |||
| Street Address | |||||
| 900 Hope Way | |||||
| City | State | Zip | |||
| Altamonte Springs | FL | 32714 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (407) 357 - 2289 | linda.boelke@ahss.org | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Seble | Gabre-Madhin | |||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 2600 WESTHALL LN | ||||
| City | State | Zip Code | County | ||
| Maitland | FL | 32751 | Orange | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 8258 -2019 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME110692 | Surgery - General | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Lake | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| Florida Hospital Waterman | 100057 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 9/21/2017 | 10/2/2019 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Patient presented for reversal of a colostomy that had been performed due to persistent diverticulitis. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| A hand-assisted laparoscopic surgery with exploratory laparotomy, lysis of adhesions, resection of rectosigmoid, mobilization of splenic flexure, and reversal of colostomy was performed using a stapled anastamosis. Multiple abdominal adhesions had to be dissected in the mid and lower abdomen as well as release adhesions on the colon and the splenic flexure. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Alleged negligent performance of surgery resulting in transection of the left ureter by a staple. Ultimately, it was determined during subsequent treatment at another hospital that there was insufficient length to the ureter to allow it to be reattached to the bladder. Viable treatment alternatives offered consisted of permanent placement of a nephrostomy tube ; performance of nephrectomy potentially to be used as a donor; and renal artery embolization to eliminate blood supply to the kidney and allow it simply to become devitalized within her body. The patient elected to undergo an embolization procedure. Expert review supported that ureteral injury is a risk of the procedure. The case was settled in order to avoid an adverse finding by a jury in a medically complex matter. | |||||
| Severity Of Injury | |||||
| Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 7/17/2020 | ||||
| Other Defendants Involved in this Claim | |||||
| AdventHealth Medical Group Florida Hospital Waterman | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
| Final Method of Claim Disposition | |||||
| Settled by parties | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 7/17/2020 | |||||
| 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 | $0 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| N/A | |||||||||||||||||||||
| Updates | |
| No updates found. |
Does Dr. SEBLE GABRE-MADHIN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. SEBLE GABRE-MADHIN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).