Department File Number : | M201887090 |
Claim Number : | NEWSPC000074907a |
Date Submitted : | 11/20/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
LIBERTY SURPLUS INSURANCE CORPORATION | Primary | ||||
Insurer FEIN | Professional License Number | ||||
04-3390891 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Julie | Hamilton | |||
Street Address | |||||
615 Crescent Executive Court, Suite 212 | |||||
City | State | Zip | |||
Lake Mary | FL | 32746 | |||
Phone | Ext | Fax | E-Mail Address | ||
(321) 972 - 0121 | juliehamilton@hamlinandburton.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | WAYNE | MCCORMICK | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 30522 US Hwy 19 N | ||||
City | State | Zip Code | County | ||
Palm Harbor | FL | 34684 | Pinellas | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
AHE1000155-0113 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME62992 | General Preventative Medicine - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Pinellas | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Outpatient Facility | Urgent care clinic | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Date of Occurrence | Date Reported to Insurer | ||||
1/12/2014 | 7/11/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Swine flu and pneumonia. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
The patient presented with a cough, dizziness and a fever. She was examined, diagnosed with bronchitis and discharged with antibiotics, cough medications, an inhaler and instructions to go to the ER if her condition worsened. She was not given a chest x-ray or a flu test. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
The patient was allegedly misdiagnosed with bronchitis when she had the flu. | |||||
Principal Injury Giving Rise To The Claim | |||||
The patient alleged failure to diagnose and treat the flu, resulting in pneumonia, for which she was hospitalized and treated with medication that caused gangrene in her extremities, necessitating amputations of her arms and legs. | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
3/6/2015 | 15-1503-CI | ||||
County Suit Filed in | Date of Final Disposition | ||||
Pinellas | 3/29/2018 | ||||
Other Defendants Involved in this Claim | |||||
BHASKAR, VARUN Baycare Health dba Mease Countryside Hospital | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Claim or suit abandoned. | |||||
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 | $115,463 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $15,480 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $16,667 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
None |
Updates | |
No updates found. |
Does Dr. WAYNE MCCORMICK, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. WAYNE MCCORMICK, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).