On June 18, 2024 a
Complaint,Petition
was filed
involving a dispute between
Campos, Claudia,
Rivera, Daniel,
and
Asad M.D., Ansul,
Colontuono, Jill A,
Grimmius, Elise M,
Kelly M.D., Martin,
Munster Medicl Research Foundation, Inc.,
Uemura M.D., Masayoshi,
for CT - Civil Tort
in the District Court of Lake County.
Preview
45D10-2406-CT-000776 Filed: 6/18/2024 6:58 PM
Clerk
Lake Superior Court, Civil Division 6 Lake County, Indiana
STATE OF INDIANA LAKE COUNTY CIRCUIT/SUPERIOR COURTS
: SS
COUNTY OF LAKE
Claudia Campos and Daniel Rivera,
Parents of Elijah Mateo Rivera (Deceased),
Plaintiffs,
vs.
Anonymous Foundation, Inc., d/b/a Anonymous Hospital;
Anonymous MD-1; Anonymous MD-2; Anonymous MD-3;
Anonymous PA; and Anonymous NP,
Defendants.
Complaint for Medical Negligence
1. The plaintiffs are Claudia Campos and Daniel Rivera, Parents of Elijah Mateo Rivera
(Deceased)(“Elijah”). Claudia Campos and Daniel Rivera claim the following:
2. Elijah was a patient of Anonymous Foundation, Inc., d/b/a Anonymous Hospital; Anonymous
MD-1; Anonymous MD-2; Anonymous MD-3; Anonymous PA; and Anonymous NP, from his
birth on 05/21/2022 until his death on 06/19/2022.
3. Anonymous Foundation, Inc., d/b/a Anonymous Hospital; Anonymous MD-1; Anonymous MD-
2; Anonymous MD-3; Anonymous PA; and Anonymous NP, apparently are qualified
healthcare providers as defined at I.C. §34-18-2-24.5 et.seq.
4. Anonymous Foundation, Inc., d/b/a Anonymous Hospital; Anonymous MD-1; Anonymous MD-
2; Anonymous MD-3; Anonymous PA; and Anonymous NP, owed Elijah a duty to provide
neonatal intensive care services that would be reasonably careful, skillful, and prudently
provided by medical providers under the same or similar circumstances regarding a pre-
mature infant boy.
5. Anonymous Foundation, Inc., d/b/a Anonymous Hospital; is respondeat superior for the
negligent acts and omissions of the staff it employs including but not limited to its
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nursing staff, physician staff, physician assistant staff, and the facility’s apparent agents.
6. Anonymous Foundation, Inc., d/b/a Anonymous Hospital; Anonymous MD-1; Anonymous MD-
2; Anonymous MD-3; Anonymous PA; and Anonymous NP, breached the duties they owed to
Elijah when they failed to use the care and skill that reasonably careful, skillful, and
prudent hospital neonatal intensive care staff, treating physicians, and physician’s
assistants would use when attending to a patient such as Elijah.
7. Elijah died because the Defendants breached the duties they owed Elijah, including but
not limited to the failure to properly monitor and attend to him including but not limited
to incubator operation and control of bodily systems to prevent sepsis.
Wherefore, Claudia Campos and Daniel Rivera, Parents of Elijah Mateo Rivera
(Deceased) requests a JURY be convened in TRIAL to determine if the Defendants
failed Elijah, are responsible for his death, and applicable damages.
Respectfully submitted,
/s/Theodore L. Stacy
Theodore L. Stacy, 17776-64
Attorney for Claudia Campos and Daniel Rivera,
Parents of Elijah Mateo Rivera (Deceased)
258 W US Highway 6
Valparaiso, IN 46385
219.764.7064/attorneyted@mac.com
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Document Filed Date
June 20, 2024
Case Filing Date
June 18, 2024
Status
06/18/2024 , Pending (active)
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