In this unique and challenging medical malpractice case pending in Baldwin County, Alabama, the decedent died as a result of receiving 80 units of Levemir insulin instead of 8 units. The discrepency was due to a medical transcription error made by Thomas Hospital's medical transcription vendor, co-defenddant Precyse Solutions. The hopsital's vendor, without written authorization of the hospital and in violation of its contract, sub-contracted the medical trancription work to two unknown medical transcription companies located in India, co-defendants Medusind Solutions and Samtech Datysys. There was also miscommunication between the patient's physician, Dr. Amare, and a hospital nurse resulting in the incorrect Levemir insulin dose being written on a patient transfer form admission order which was used by a nursing facility, Mercy Medical, who adminsitered the insulin to Mrs. Juno. After a two week trial in which one of the primary defendants, Samtech, did not appear, the jury awarded plaintiff $140 million against four defendants: Thomas Hospital; Precyse Solutions; Medusind and Samtech. Prior to filing an appeal, all defendants execpt Samtech reached settlements with the plaintiff where the amounts are confidential.