Department File Number : | M201990222 |
Claim Number : | 59276701 |
Date Submitted : | 10/10/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PHYSICIANS INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
13-4235490 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | John | D | King | ||
Street Address | |||||
901 south mopac Blvd V ste 400 | |||||
City | State | Zip | |||
Austin | TX | 78746 | |||
Phone | Ext | Fax | E-Mail Address | ||
(512) 425 - 5940 | (512) 328 - 8067 | john-king@tmlt.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Waleed | Bolad | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 1646 33rd Street, Ste 101 | ||||
City | State | Zip Code | County | ||
Orlando | FL | 32839 | Orange | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
144792 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME120763 | Rheumatology - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Hillsborough | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
TAMPA GENERAL HOSPITAL | 100128 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Critical Care Unit | |||||
Date of Occurrence | Date Reported to Insurer | ||||
2/23/2017 | 5/2/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Decedent patient presented to the emergency room at a local hospital on 2-24-2017, complaining of shortness of breath, body aches and confusion. She was admitted to ICU and intubated as she experienced respiratory distress. She went into cardiogenic shock secondary to sepsis. Despite efforts, patient died on 2-25-2017. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Patient presented to physician on 2-23-2017. Patient had been diagnosed with lupus erythematosus. She was first seen by physician for this condition in 2-2016. She was receiving treatment for her condition including infusion therapya and Prednosone. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
On 2-23-2017, patient presented to physician with complaints of shortness of breath without chest pain. She also reported symptoms consistent lupus flare-up. She received infusion therapy and Prednisone. She was specifically instructed to go to the emergency room if her symptoms did not improve or worsen. | |||||
Principal Injury Giving Rise To The Claim | |||||
Death- patient died from complications of sepsis. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
2/27/2019 | 2019-CA-001363 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Orange | 9/26/2019 | ||||
Other Defendants Involved in this Claim | |||||
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 | |||||
9/26/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $800,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $44,520 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $23,610 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $750,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
None- |
Updates | |
No updates found. |
Does Dr. WALEED BOLAD, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. WALEED BOLAD, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).