| Department File Number : | M201989249 |
| Claim Number : | 818374-1 |
| Date Submitted : | 7/3/2019 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| LONE STAR ALLIANCE, INC., A RISK RETENTION GROUP | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 46-3209483 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | John | D | King | ||
| Street Address | |||||
| 901 south mopac Blvd V ste 400 | |||||
| City | State | Zip | |||
| Austin | TX | 78746 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (512) 425 - 5940 | (512) 328 - 8067 | john-king@tmlt.org | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | SOPAGNA | KHEANG | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 500 Winderley Place, Ste 115 | ||||
| City | State | Zip Code | County | ||
| Maitland | FL | 32751 | Orange | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 4-100142 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME122694 | Anesthesiology | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Orange | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Emergency Room | |||||
| Name of Institution | Code | ||||
| FLORIDA HOSPITAL - EAST ORLANDO | 100021 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Patients' Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 11/27/2016 | 5/10/2018 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| 42 year old male patient presented to local hospital with chief complaint of nausea, vomiting, diarrhea with chest complaints. 5 months prior to this presentation to the ER, patient underwent a kidney transplant. On this presentation, his vitals were within normal range but his labs showed a significant low WBC due to the medications he was taken to suppress his body from rejecting his transplanted kidneys. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Reporting physician was the attending emergency physician. Physician assessed patient and ordered labs. Physician was able to assess the prior hospital records since patient's kidney transplant surgery was performed at the same hospital. Physician was able to determine that his WBC were at baseline from previous labs. Patient was re-evaluated several hours later and his symptoms improved to where he was considered for possible discharge. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| Physician discussed admitting patient to the hospital for further workup but patient declined as he had an appointment the following morning with his treating nephrologist. Patient was discharged that same day and advised to return if symptoms worsened or new symptoms developed. Several hours later patient condition significant worsened and he was taken by EMS to another hospital closer to where he resided. Patient was diagnosed with Fournier's Gangrene from a rare infectious bug and died after undergoing debridement surgery | |||||
| Principal Injury Giving Rise To The Claim | |||||
| 42 Decedent was survived by his wife and 3 children, who were all under the age of 25 years old at the time of their father's death. Plaintiffs alleged physician failed to consider that Decedent had an infection when he presented and should have admitted patient based on his low WBC count. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 9/11/2018 | 2018-CA-9824-O | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Orange | 5/16/2019 | ||||
| Other Defendants Involved in this Claim | |||||
| Florida Emergency Physicians | |||||
| 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 | |||||
| 6/17/2019 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $1,000,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $42,453 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $15,342 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $1,000,000 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| none- | |||||||||||||||||||||
| Updates | |
| No updates found. |
Does Dr. SOPAGNA KHEANG, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. SOPAGNA KHEANG, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).