Department File Number : | M201782296 |
Claim Number : | 1017607-01 |
Date Submitted : | 8/17/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MEDICAL PROTECTIVE COMPANY (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
35-0506406 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Lynn | Louthan | |||
Street Address | |||||
5814 Reed Road | |||||
City | State | Zip | |||
Ft Wayne | IN | 46835 | |||
Phone | Ext | Fax | E-Mail Address | ||
(260) 486 - 0778 | reportaclaim@medpro.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | THOMAS | L | COOK | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 1336 Creekside Blvd Ste 1 | ||||
City | State | Zip Code | County | ||
Naples | FL | 34108 | Collier | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
635958 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME17696 | Anesthesiology |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Collier | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
NAPLES COMM. HOSPITAL (N. COLLIER) | 100018 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Labor and Delivery Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
1/31/2014 | 2/4/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
PREGNANCY. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
EPIDURAL FOR PAIN. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
INJECTION OF AIR INTO EPIDURAL SPACE CAUSING AIR EMBOLISM | |||||
Principal Injury Giving Rise To The Claim | |||||
AIR EMBOLISM RESULTING IN HYPOTENSION, PLACENTAL ABRUPTION AND PERMANENT BRAIN DAMAGE TO MOTHER | |||||
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 | ||||
2/29/2016 | 11-2016-CA-000376-00 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Collier | 6/8/2017 | ||||
Other Defendants Involved in this Claim | |||||
NCH Healthcare System Inc Sparks ARNP, CRNA, Wendy C Collier Anesthesia PA | |||||
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 | ||||
No Court Proceedings. | |||||
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 | $15,993 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $8,050 | ||||||||||||||||||||
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 | |||||||||||||||||||||
n/a |
Updates | ||||||||||
Date of Change: | 8/17/2017 2:07:05 PM | |||||||||
Reason for Change: | ALE UPDATE 8/17/2017 | |||||||||
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Does Dr. THOMAS L COOK, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. THOMAS L COOK, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).