| Department File Number : | M201574246 |
| Claim Number : | SHI-14-263870 |
| Date Submitted : | 4/9/2015 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| CONTINENTAL CASUALTY COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 36-2114545 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Therese | Sullivan | |||
| Street Address | |||||
| 456 bouchelle dr | |||||
| City | State | Zip | |||
| New Smyrna beach | FL | 32169 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (630) 207 - 3828 | jtmarls@aol.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Therese | E | Sullivan | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 1431 sw 1st ave | ||||
| City | State | Zip Code | County | ||
| Ocala | FL | 34471 | Marion | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| HAZ1064401339-11 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Physician Assistant | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| PA9105974 | Emergency Medicine - No Major Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Marion | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Emergency Room | |||||
| Name of Institution | Code | ||||
| OCALA REGIONAL MEDICAL CENTER | 100212 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | home | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 6/2/2012 | 4/23/2014 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| this was a case of highly doubtful and greatly disputed liability in which claims were made against myself and my supervising physician and hospital following the death of a patient. I saw the patient and learned from both he and then his wife that he had been noncompliant with his cpap machine, had not been sleeping and was feeling overworked, also was taking methadone and narcotic pain medication in addition to benzodiazepam which was not prescribed to him. My exam revealed an obese patient with rhonchi on exam of lungs with normal heart sounds iv fluids were given for diagnosed rhabdomyolisis and dehydration. ekg was interpreted as normal by supervising physician chest xray normal ct of brain normal. Following return of results I explained to patient that he needed to remain in hospital for further workup and monitoring as we did not have a clear explanation of his syncopal episode. He adamantly refused to stay despite all risk explained to both he and his wife, she was concerned about payment of bill if he signed out ama. Patient was made aware of all risk including death. In fact 2 board cert physicians agreed with my treatment and care of patient. My supervising physician also attempted to convince patient to stay.Patient returned next day in cardiac arrest. Despite my lack of liability the insurance carrier decided to settle for economic reasons due to uncertainty of litigation. I admitted no fault or liability as result of settlement. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| no treatment or procedure causing injury | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| no misdiagnosis was made | |||||
| Principal Injury Giving Rise To The Claim | |||||
| death, following cardiac arrest | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 4/15/2014 | SHI-14-263870 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Marion | 11/15/2014 | ||||
| Other Defendants Involved in this Claim | |||||
| POLLARD, STEPHEN W | |||||
| 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 | |||||
| 11/15/2014 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $750,000 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| patients who leave against medical advice must sign a form which they may avoid by eloping | |||||||||||||||||||||
| Updates | |
| No updates found. |
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Does Dr. THERESE E SULLIVAN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. THERESE E SULLIVAN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).