Department File Number : | M201885894 |
Claim Number : | F16-0067-A-15 |
Date Submitted : | 7/12/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
FD INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-3704679 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Richard | Petersen | |||
Street Address | |||||
4651 Salisbury Rd. #410 | |||||
City | State | Zip | |||
Jacksonville | FL | 32256 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 309 - 8142 | (904) 394 - 7134 | rpetersen@norcal-group.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | THEODORA | KANJAMA | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 2180 W State Road | ||||
City | State | Zip Code | County | ||
Longwood | FL | 32779 | Seminole | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MG001641 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME112240 | Internal Medicine - No Surgery |
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 | ||||
Hospital Inpatient Facility | |||||
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 | ||||
6/19/2015 | 3/4/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
On 06/19/15, plaintiff presented to the ER at Florida Hospital at Winter Park with complaints of fullness in his throat and left-sided generalized weakness; he was seen by Dr. Theodora Kanjama (Hospitalist), who in turn, ordered a STAT head CT to determine transient ischemic stroke that was `negative¿, than MRAs of the head and neck should be performed; a head MRA was performed without incidentDr. Kanjama was a hospitalist who obtained the appropriate consults, and appropriately deferred to their judgment. It would not have been her place to second guess the consulting specialists, and she did not even read/interpret the diagnostic study in question. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Dr. Theodora Kanjama (Hospitalist), who in turn, ordered a STAT head CT to determine transient ischemic stroke that was `negative¿, than MRAs of the head and neck should be performed; a head MRA was performed without incidentDr. Kanjama was a hospitalist who obtained the appropriate consults, and appropriately deferred to their judgment. It would not have been her place to second guess the consulting specialists, and she did not even read/interpret the diagnostic study in question. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Possible Stroke | |||||
Severity Of Injury | |||||
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
9/22/2016 | 2016-CA-007683-0 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Orange | 5/15/2018 | ||||
Other Defendants Involved in this Claim | |||||
Florida Hospital | |||||
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 | |||||
No Payment Made | |||||
Court Decision | Other | ||||
Other | Dismissed by plaintiff | ||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $37,352 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Facts of the matter discussed w insured & risk management. |
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. THEODORA KANJAMA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. THEODORA KANJAMA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).