Department File Number : | M201679070 |
Claim Number : | PLFHMGO079709 |
Date Submitted : | 7/14/2016 |
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 | Matthew | Evans | |||
Street Address | |||||
900 Hope Way | |||||
City | State | Zip | |||
Altamonte Springs | FL | 32712 | |||
Phone | Ext | Fax | E-Mail Address | ||
(407) 357 - 2272 | matt.evans@ahss.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | TERESA | H. DEBECHE-ADAMS | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 661 E ALTAMONTE DR STE 220 | ||||
City | State | Zip Code | County | ||
Altamonte Springs | FL | 32825 | Seminole | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
8258 -2014 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME110412 | Surgery - Abdominal |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Seminole | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
FLORIDA HOSPITAL (ORLANDO) | 100007 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
11/27/2012 | 9/23/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Colorectal cancer. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Elective laproscopic diverting colostomy. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Involved was the alleged failure to recognize that the distal and proximal ends of the sigmoid colon, from which the section of the colon that contained the cancerous mass was resected and removed, had reversed during the patient's elective single-port laparoscopic diverting end-loop colostomy procedure, which resulted in the desired proximal end of the colon coming down from the small bowel that was intended to be connected to the stoma, instead being stapled closed, and the distal end that was to be stapled closed, being instead connected to the stoma; which was in turn, followed by an alleged delay in conducting the necessary reversal colostomy procedure. | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
1/20/2015 | 15-CA-81-O | ||||
County Suit Filed in | Date of Final Disposition | ||||
Orange | 6/10/2016 | ||||
Other Defendants Involved in this Claim | |||||
Florida Physician Medical Group | |||||
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 | |||||
6/10/2016 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $90,000 | ||||||||||||||||||||
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. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. TERESA H. DEBECHE-ADAMS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. TERESA H. DEBECHE-ADAMS, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).