Dr. STACY MCBROOM, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. STACY MCBROOM, MD

1715 Village Way

Indemnity Paid: $27,500.00

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	Odessa			Choice
Street Address
1000 Riverside Avenue, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3045	(904) 358 - 6728	odessa.choice@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	Stacy			McBroom
Insurer Type		Street Address of Practice
Licensed		1715 Village Way
City		State	Zip Code	County
Orange Park		FL	32073	Clay
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
75434		$250,000		$750,000
Profession or Business			Other Profession or Business
Osteopathic Physician
License Number		Specialty Code & Classification		Certification Number
OS8468		Surgery - Urological		80145

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Clay
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Outpatient Facility
Name of Institution		Code
ORANGE PARK MEDICAL CENTER		100226
Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
7/28/2004		12/11/2007

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient was suffering severe pain and discomfort from kidney stones.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The patient underwent cytoscopy with right retrograde, ureterscopy with laser lithotripsy and basket, with stent placement, to remove and treat patient's kidney stones.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
The retained foreign body was not diagnosed immediately post operation.Following the 7/28/04 stent placement, the patient had intermittent complaints and the metal wire was found by CT scan on 9/12/05.
Principal Injury Giving Rise To The Claim
The retention of foreign matter, which was a piece of wire from the device used to remove broken up stone matter called the "stone cone".The retained metallic wire approximately 4cm long caused intermittent pain until its' removal on 9/12/05.
Severity Of Injury
Temporary: Major - Burns, surgical material left, drug side effect, brain damage.Recovery delayed.

Legal Information

Date of Suit			Circuit Court Case Number
3/26/2008			08-CA-610
County Suit Filed in			Date of Final Disposition
Clay			11/3/2009
Other Defendants Involved in this Claim
Urology Associates of Northeast Florida, P.A. Orange Park Medical Center
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
11/3/2009

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$27,500

Loss Adjust Expense Paid to Defense Counsel

$19,309

All Other Loss Adjustment Expense Paid

$7,970

Injured Person's Total Non-Economic Loss

$27,500

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. STACY MCBROOM, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. STACY MCBROOM, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).