State Consumer Disputes Redressal Commission
Anoop Yadav S/O Kailash Chand Yadav vs Dr. Deepak Mittial Child Specialit ... on 1 March, 2019
1 jkT; miHkksDrk fookn izfrrks"k vk;ksx] cSap la- 2] jkt0] t;iqj ifjokn la[;k %& 101@2016 vuqi ;kno iq= Jh dSyk'k pUn ;kno] tkfr vghj] fuoklh xzke xWawrh] rglhy cgjksM] ftyk vyoj A ifjoknh cuke 01- MkWa0 nhid feÙry f'k'kq jksx fo'ks"kK izcU/kd lathouh vLirky] dksViwryh ftyk t;iqj ¼jkt0½ 02- ;wukbZVsM bf.M;k ba';ksjsal dEiuh fy0] tfj;s 'kk[kk izcU/kd] 42&lh] r`rh; ry] ewy pUn dkWef'kZ;y dkWEiysDl] ubZ fnYyh&1110024 03- lathouh vLirky] ;wfuV&vks,fll esfMds;j izkbZosV fyfeVsM tfj;s Mk;jsDVj@ekfyd Mk0 lkaoj ey ;kno] e/kqdj dkWykuh ¼x<½ dksViwryh&303108] ftyk t;iqj foi{khx.k le{k % ekuuh; Jh dey dqekj ckxMh] lnL; ¼U;kf;d½ ekuuh; lnL; Jherh ehuk esgrk mifLFkr %& ifjoknh dh vkSj ls Jh fnyhi flag tknksu vf/koDrk foi{kh la[;k 1 o 3 dh vksj ls Jh vuqjkx dqyJs"B vf/koDRkk foi{kh la[;k 2 dh vksj ls Jh latho vjksMk vf/koDRkk fu.kZ; fnukad 01 ekpZ] 2019 jkT; vk;ksx jktLFkku t;iqj ¼}kjk Jh dey dqekj ckxM+h] lnL;]U;kf;d½ ;g ifjokn vuqi ;kno dh vksj ls MkWa0 nhid feÙry ,oa vU; ds fo:) bl vk;ksx esa fnukad 12-08-2016 dks is'k fd;kA 2 izdj.k ds rF; bl izdkj gS fd ifjoknh us fnukad 30-08-2014 dks vizkFkhZ ds lathouh vLirky esa Loa; dh iRuh fufdrk dks izlo djkus ds fy;s HkrhZ djk;k FkkA fnuakd 30-08-2014 dks gh fufdrk ds ,d yMdk izheSP;ksj lkros ekg esa ukWjey izlo ls 2-800 xzke out dk vizkFkhZ ds gkWfLiVy esa gqvk FkkA mDr cPps dks Mk0 nhid ferry f'k'kq jksx fo'ks"kK dh ns[kjs[k (NICU) esa HkrhZ djk fn;k FkkA ifjoknh dh iRuh fufdrk dks fnukad 01-09-2014 dks NqV~Vh ns nh xbZ Fkh o cPps dks foi{kh ds ;gka ij fnukad 12-09-2014 rd HkrhZ j[kk Fkk] blds ckn ifjoknh us vius cPps dh rch;r esa lq/kkj uk gksus ds dkj.k foi{kh ds ;gka ls fMLpktZ djok fy;k vkSj mls dSyk'k gkWfLiVy cgjksM esa fnukad 12-09-2014 dks HkrhZ djok;k tks fnukad 16-09-2014 rd HkrhZ jgk] ftldh ns[kHkky Mk0 Mh-ch- flga }kjk dh xbZ FkhA ifjoknh ds cPps dks vkW[kksa ls uk fn[kkbZ nsus ds dkj.k fnukad 13-03-2015 dks ifjoknh us vius iq= jsgku mQZ fjrs'k dks MkW0 jktsUnz izlkn us= foKku dsUnz fnYyh esa fn[kk;k x;k rc ogka mUgksusa crk;k fd cPps dks T;knk vkWfDltu dk ncko nsus ls mldh nksuksa vkW[kks dk jsfVuk fldqM x;k ftl dkj.k ls cPps dks fn[kkbZ ugh ns jgk gSA blds ckn fnukad 20-03-2015 dks ds-lh- eseksfj;y vkbZ gkWfLiVy t;iqj esa fn[kk;k rks ;gka ij Hkh T;knk vkWDlhtu ds ncko ds dkj.k vkW[kks dk jsfVuk fldqMuk crk;k x;k A mlh fnu fnuakd 20-03-2015 dks MkW0 fojsUnz ystj Qsdks ltZjh lsUVj t;iqj esa fn[kk;k mUgksusa ,El fnYyh gkWfLiVy ds fy;s jSQj dj fn;k A blds ckn ifjoknh us vius iq= dks ysdj fnukad 23- 03-2015 dks MkW0 ,e-vkj- Mksxjk ds ikl paMhx< ys x;k] ogka mldk bZykt djk;k rks mUgksusa Hkh vkWDlhtu ds T;knk ncko ds dkj.k jsfVuk flqdMuk crk;k vkSj dgka fd vc ;s Bhd gksus dh fLFkfr esa ugh gS lkjh ftUnxh cPps dks vkW[kks ls fn[kkbZ ugh nsxkA ;g lc foi{kh dh bZykt esa ?kksj ykijokgh cjrus ds dkj.k gqvk gS ftldh otg ls og viuh vkW[ks [kks cSBkA ifjoknh ds iq= diks vkWDlhtu foi{kh lathouh gkWfLiVy dksViwryh ds (NICU) esa HkrhZ ds nkSjku N% fnu rd nh xbZ FkhA MkW0 }kjk ykijokgh ls vkWDlhtu dk T;knk ncko NksM fn;k x;k ftlls ifjoknh ds cPps dks lkjh mez ds fy;s vU/kk gksuk iM x;k] tks Hkfo"; esa dHkh Hkh ugh ns[k ldrk] tcfd foi{kh ds HkrhZ jgus ds nkSjku cPps dh vkW[k dks pSd djus dh dksbZ lykg ifjoknh dks ugh nh xbZA bl izdkj foi{kh us Hkkjh ykijokgh cjrh gS ftldh 3 rk mez dh {kfriwfrZ djus ds fy;s foi{kh ftEesnkj gS] ifjoknh dk iq= jsgku mQZ fjrs'k ftUnxh Hkj ds fy;s vU/kk gks x;k gS ftldh {kfriwfrZ lEHko ugh gSA ifjoknh ds iq= jsgku mQZ fjrs'k dks foi{kh ds gkWfLiVy esa N% fnu HkrhZ j[kk gS vkSj ogka bZykt ds nkSjku xEHkhj ykijokgh jgh gS ftldh otg ls ifjoknh dk iq= viuh nksuksa vkWa[kks dks [kks pqdk gSA ftl ckcr foi{kh }kjk viuh fjiksVZ esa ;g dkj.k Hkh ugh crk;k fd ifjoknh ds cPps dh vkWa[k fdl rjg pyh xbZ A ifjoknh ,d xjhc O;fDr gS ftlus vius cPps dh vkWa[kks dh jks'kuh izkIr djus gsrq fHkUu&fHkUu gkWfLiVyksa esa bZykt djk;k Fkk] ftl dkj.k ifjoknh dks foi{kh dh ykijokgh ls yk[kks :I;s dk vkfFkZd uqdlku Hkh mBkuk iMk ftldh {kfriwfrZ izkIr djus ds fy;s foi{kh dks iwjh rjg ls ftEesnkj Bgjk;k tkrk gSA cPps dks vkWDlhtu dh ek=k lkekU; ls vf/kd nsus ds dkj.k og viuh vkW[kksa dks [kks pqdk A vr% ifjoknh us foi{khx.k ls ifjokn i= pkgs x;s vuqrks"k fnykus dh izkFkZuk dh gSA ifjoknh dh vksj ls ifjokn ,oa lk{; ds leFkZu esa vuqi ;kno dk 'kiFk&i= ,oa nLrkost izLrqr fd;s x;sA foi{kh la[;k 1 us tokc esa dFku fd;k x;k gS fd mlds fo:) ;g ifjokn >waBs ,oa eux<Ur rF;ksa ds vk/kkj ij is'k fd;k gS ftldk dksbZ fof/kd egRo ugh gS D;ksfa d foi{kh la[;k&1 us ifjoknh ds vkB ekg izheSP;ksj cPps dks bZykt esfMdy lkbZUl ds vuqlkj mfpr <ax ls fd;k x;k gS blesa fdlh Hkh izdkj dh foi{kh la[;k&1 dh vksj ls lsok esa dksbZ deh ugh dh xbZ gSA ifjoknh dk mn~s'; dsoy foi{kh la[;k&1 ij vuqfpr vkjksi yxkdj Dyse izkIr djuk gSA foi{kh la[;k&1 is'ks ls ,d izfrf"Br fpfdRld gS rFkk ,e0ch0ch0,l0 rFkk pkbZYM gSYFk esa fMIyksek dh ;ksX;rk j[krk gS rFkk jktLFkku esfMdy dkWmfUly esa jftLVMZ MkDVj gSA foi{kh la[;k&1 us ifjoknh ds vkB ekg izheSP;ksj cPps dk bZykt esfMdy lkbZUl dss ekun.Mksa ds vuqlkj gh fd;k gSA foi{kh la[;k&1 us foi{kh la[;k&2 ;wukbZVsM bf.M;k ba';kjsal dEiuh fy0 ls vius leLr esfMdy mRrjnkf;Roks] usfXytsUl] {kfriwfrZ gsrq ds lEcU/k esa iwfrZ gsrq izksQs'kuy bUMhfefuVh&MkWDVlZ ikWfylh la[;k 041200@46@13@ 35@ 00007976 fnukad 24-03-2014 okLrs vof/k 12-03-2014 ls 11-03-2015 gsrq ys j[kh gS] ifjoknh us vius vkB ekg izheSP;ksj cPps dk bl ikWfylh dh vof/k esa gh 4 foi{kh la[;k&1 ls viuk bZykt djok;k FkkA ;g chek ikWfylh foi{kh la[;k&1 ds mijksDr leLr mRrjnkf;Roksa dk fuokZg djrh gSA foi{kh la[;k&1 Mk0 nhid ferry foi{kh la[;k&3 lathouh vLirky esa fizMhfVf'k;u ¼cPpks dk MkDVj½ ds in ij fnukad 01-06-2012 ls dk;Zjr gS rFkk mUgsa cPpksa ds bZykt ds fy;s vPNk vuqHko izkIr gSA ifjoknh us vius cPps dh nksuksa vkW[kks ds jsfVuk ds lq dMus dk ,d ek= dkj.k vius ifjokn esa foi{kh la[;k&1 }kjk vf/kd ncko ls vkDlhtu nsuk crk;k gS tcfd ifjoknh us vius lEiw.kZ ifjokn esa ;g dgh Hkh Li"V ugha fd;k gS fd 32&34 lIrkg ds gestation ago ds izheSP;ksj cPps dks 'okl esa fnDdr gksus ij fdruh ek=k esfMdy lkbZUl ds vuqlkn nh tkuh pkfg, rFkk ifjoknh ;g Hkh crkus esa vlQy jgk gS fd mlds izheSP;ksj cPps dks foi{kh la[;k&1 us tks fVªVesaV fn;k gS ok lgh gS ;k xyr gS rFkk bl lEcU/k esa ifjoknh us fdlh Hkh izdkj dh dksbZ ,DliVZ vksihfu;u ifjokn ds lkFk is'k ugh dh A ifjoknh dh iRuh Jherh fufdrk ;kno us fnukad 30-08-2014 dks lkekU; izlo }kjk ,d foi{kh la[;k&3 lathouh gkWfLiVy esa izheSP;ksj cPps tks fd 32&34 lIrkg ds gestation ago dk Fkk] tUe fn;k ftldk out 1-8 fdxzk FkkA mDr izheSP;ksj cPps dks tUe ds ckn ls gh 'okl esa fnDdr Fkh blfy, mls foi{kh la[;k&3 ds gkWfLiVy dh ,uvkbZlh;w esa HkrhZ djok;k x;k Fkk A mDr cPps dks ,u-vkbZ-lh-;w- esa HkrhZ ls igys ifjoknh ls iw.kZ lgefr ys yh xbZ Fkh rFkk cPps dh [kjkc fLFkfr ds ckjs esa iw.kZ :i ls crk fn;k x;k Fkk sfd ,sls cPps esa HkrhZ ds nkSjku o Hkfo"; esa bZykt ds ckn gksus okyh lHkh 'kkjhfjd tfVyrkvksa ds ckjs esa foLr`r :i ls crk fn;k x;k Fkk A cPps ds izheSP;ksj gksus dh otg ls cPps dks 'okl esa fnDdr (Respiration distress syndroms) ds izksostuy Mk;Xuksfll ds vk/kkj ij cPps dks Bubble CPAP (Continuous Positive Air Pressure) ij f'k¶V dj fn;k x;k ftlesa izkjfEHkd rkSj ij fio2 = 30% nh xbZ Fkh] tks cPps ds thou j{k.k ds fy;s t:jh FkhA vkDlhtu dks vkxs ds Ng fnu rd cPps dh fQthdy dUMh'ku ds vk/kkj ij /khek fn;k x;k] tks fd b.Mksj fVdV ij Li"V :i ls mYysf[kr gS A ;gkW ;g Li"V fd;k tkuk foi{kh la[;k&1 ds U;kf;dfgr ds fy;s vR;Ur vko';d gS fd cPps dks vko';drkuqlkj mlds thou j{k.k ds fy;s vkWDlhtu nh xbZ Fkh ftruh dh izheSP;ksj cPps ds fy, vko';d gksrh gS A foi{kh la[;k&1 }kjk dHkh Hkh bZykt ds nkSjku cPps dks t:jr ls T;knk vkDlhtu ugha nh xbZ gS rFkk cPps dh vkW[ks T;knk vkDlhtu 5 ds ncko dh otg ls [kjkc ugh gqbZ gSA ;gka ;g crk;k tkuk vR;Ur vko';d gS fd Retinopathy of prematurity (ROP) izheSP;ksj cPpks esa ,d egRoiw.kZ dkWEiyhds'ku gSA izheSP;ksj cPps dh Gestation age 28 lIrkg ls T;knk gksus ij Retinopathy of prematurity (ROP) dh igyh tkWp tUe ds rhu ls pkj lIrkg ckn vFkkZr 20&30 fnu ckn dh tkrh gS rHkh Retinopathy of prematurity (ROP) dh Different Stage dks Mk;Xuksl fd;k tk ldrk gS] rHkh cPps dh vkW[kks dh jks'kuh ds ckjs esa esfMdyh irk pyrk gS fd izheSP;ksj cPps dks (ROP) dkSulh LVst dk gS o ml vk/kkj ij bldk bZykt fd;k tkrk gSA izheSP;ksj cPps ds iSnk gksrs gh ;k tUe ds 7&8 fnu ckn Retinopathy of prematurity (ROP) dk irk ugh pyrk gS] tcfd ifjoknh us tUe ds 7 fnu ckn fnukad 07-09-2014 dks fpfdRld lykg ds fo:) /Leave Against Medical Advise/LAMA tkus ds ckn dHkh Hkh foi{kh la[;k&1 Follow-up ugha fy;k tks fd (ROP) ds Ldzsfuax ds fy, t:jh Fkk ,oa ifjoknh Loa; vius Premature cPps dks fpfdRld lykg ds fo:) vLirky ls fMlpktZ ys x;k A izheSP;ksj cPps esa Retinopathy of prematurity (ROP) gksus ds dbZ dkj.k gksrs gS rFkk dbZ esfMdy tujy Hkh bl rF; dh iqf"V djrs gS fd dsoy vkWDlhtu gh (ROP) gksus dk eq[; dkj.k ugha gS blds dbZ vU; dkj.k Hkh gS tSls ambient light, vitamin E deficiency, acidosis, shock, sepsis, apneic attacks anemia, low birth weight vkfn rFkk dbZ esfMdy tujy ;g Hkh iqf"V djrs gS fd izheSP;ksj cPpksa esa fcuk vkWDlhtu fn;s Hkh (ROP) gks ldrk gSA ifjoknh ds izheSP;ksj cPps dks foi{kh la[;k&1 }kjk esfMdy lkbZUl ds vuqlkj mfpr ekin.Mksa ds vuq:i VªhVesaV fn;k x;k A ifjoknh ds izheSP;ksj cPps ds Cy Mesa bUQsD'ku Sepsis Hkh Fkk rFkk cPps Apnea Hkh vk;k Fkk vFkkZr cPpk izheSP;ksj gksus ds dkj.k lkal NksM jgk FkkA fnukad 01-09-2014 dks cPps ds CyM bUosLVhxs'ku Hkh dh xbZ ftlesa WBC 3500 CRP Totre 9.1 rFkk fnukad 01-09-2014 dks ifjoknh ds izheSP;ksj cPps dks vkxs (1) Fundos Examination for rule outu ROP, (2) USG Brain (3) OAE Test dh tkaps rhu lIrkg ckn djokus ds fy;s Iyku fd;k FkkA blds ckn ifjoknh ds cPps dh d.Mh'ku esa dkWQh lq/kkj vk x;k Fkk ftlds dkj.k fnukad 05-09-2014 dks 'kke dks cPps dh vkWDlhtu dks gVk fn;k x;k Fkk ysfdu fnukad 06-09-2014 dks 10-30 ih,e dks cPps dks Apnea vk;k Fkk tks fd esfMdy izksVksdkWy ds vuqlkj izheSP;ksj cPpks esa dkWeu chekjh gS rFkk cPps dks Aminophy line fn;k x;k rFkk okil vkDlhtu 6 yxk fn;k x;k tks fd cPps dh tku cpkus ds fy, vfr vko';d Fkk rFkk dh xEHkhj fLFkfr ds ckjs esa ifjoknh rFkk vU; fj'rsnkjks dks Li"V rkSj ls crk fn;k Fkk ysfdu vxys fnu fnukad 07-09-2014 dks cPps ds lEcU/k esa vko';d tkWp tSls CBC. CRP Titer, Serum calcium Level RBS, Blood culture & Sensitivity test, chest X-Ray vkfn Basic investigation djus ds fy;s crk;k x;k rks ifjoknh rFkk fj'rsnkjks us buls Hkh bUdkj dj fn;k rFkk fpfdRld lykg ds fo:) viuh ethZ ls ifjoknh us vius 15&20 fj'rsnkjksa rFkk tkuigpku okyks ds lkFk feydj vius izheSP;ksj cPps dks foi{kh la[;k&3 gkWfLiVy ls ys tkus (LAMA) vFkkZr fpfdRld lykg ds fo:) viuh ethZ ls ;g dgdj fMLpktZ djok fy;k fd ge nwljs vLirky ys tk jgs gS A cPps dks ys tkrs oDr foi{kh la[;k&1 us vkxs ds fy;s t:jh tkapks Fundos Examination for rule out ROP, (2) USG Brain (3( OAE Test ds ckjs esa ifjoknh dks crk fn;k x;k Fkk rFkk cPps dks (LAMA) ls gksus okyh lEcfU/kr lHkh Risk Factor dks crk fn;k x;k Fkk rFkk ifjoknh cPps ls lEcfU/kr fd;s x;s bUosLVhxs'ku dh ewy fjiksVZ Hkh ifjoknh dks lEHkyk nh xbZ Fkh A blds ckn Hkh ifjoknh us vius izheSP;ksj cPps dks fnukad 07-09-2014 ls 11-09-2014 rd fdlh Hkh gkWfLiVy esa ugha fn[kk;k] ftldk lk{; izk:i ifjoknh }kjk fn;s x;s dSyk'k gkWfLiVy ds ,Mfe'ku fVdV ij gS A ftlds dkj.k cPps dks otu 1-7 fdxzk ls ?kVdj 1-5 fdxzk fnukad 12-09-2014 dks gks x;k vFkkZr cPps dk out 10 ls 15 izfr'kr ds djhc ?kV x;k] tks Hkh cPps ds Retinopathy of prematurity (ROP) dk Hkh eq[; dkj.k gS vFkkZr ifjoknh [kqn vius izheSP;ksj cPps ds izfr ykijokg jgk tcfd ifjoknh us vkjksi yxk;k gS fd mlus fnukad 12-09-2014 dks foi{kh la[;k&3 ds vLirky ls fMLpktZ djok;k gS] tks fd >waBk ,oa xEHkhj vkjksi gS] vFkkZr Loa; ifjoknh us vius cPps ds bzZykt esa xEHkhj ykijokgh dh gS] ftldk og Loa; ftEesnkj gS A ,Mfe'ku fVdV] b.Mksj'khV ,o Vhihvkj pkVhZxa] lgefr QkeZ] ykek dh lgefr rFkk bUosLVhxs'ku fjiksVZ dh ,UVªh dh Nk;k izfr layXu gSA vr% ifjokn [kkfjt djus dk fuosnu fd;k gSA foi{kh la[;k&1 dh vksj ls tokc ,oa lk{; ds leFkZu esa Mk0 nhid feRry] MkWa0 /kuUt; dqekj eaxy] MkWa0 fu'khr /kksdk ds 'kiFk&i= ,oa izn'kZ&vkj&1@1 yxk;r izn'kZ&vkj&1@14 nLrkost izLrqr fd;sA 7 foi{kh la[;k 2 us vius tokc esa foi{kh la[;k 1 ds tokc dk leFkZu djrs gq, fuosnu fd;k fd mldk chek 10 yk[k :- dk Fkk mldk chek 10 yk[k :- ls T;knk ugha Fkk A foi{kh la[;k 2 us tokc ,oa lk{; ds leFkZu esa egs'k lUrkuh dk 'kiFk&i= ,oa nLrkost izLrqr fd;sA foi{kh la[;k 3 us vius tokc esa foi{kh la[;k 1 ds tokc dh iqf"V dh gSA foi{kh la[;k 3 us tokc ,oa lk{; ds leFkZu esa MkW0 lkaojey dk 'kiFk&i= ,oa izn'kZ&vkj@3@1 yxk;r izn'kZ&vkj&3@11 nLrkost izLrqr fd;sA fo)ku vf/koDrk ifjoknh us ifjokn esa of.kZr rF;ksa dks nksgjkrs gq, ifjokn Lohdkj djus dk fuosnu fd;kA foi{kh la[;k 1 o 3 ds vf/koDrk us tokc ifjokn ds rF;ksa dks nksgjkrs gq, fpfdRlh; fyVsjspj ds vuqlkj mudh dksbZ vlko/kkuh ugha gksus ds dkj.k ifjokn [kkfjt djus dk fuosnu fd;kA blds leFkZu esa foi{kh dh vksj ls Kusum sharma and ors. Vs. Batra Hospital & medical Research on 30 August, 2000 SCC APPEAL (CRL.) 144-145 OF 2004 DATED 05 AUGUST 2005 JACOB MATHEW Vs. STATE OF PUNJAB & ANR.
First Appeal No. 533 & 534 of 1996 D/d.
09.12.1998 V.P. KAPOOR & ANR. Vs. RAJ CHOPAR & ORS. U;kf;d n`"VkUr is'k fd;sA foi{kh la[;k 2 ds vf/koDrk us foi{kh la[;k 1 o 3 ds rdksZ dk leFkZu djrs gq, viuh lhek 10 yk[k rd crk;h gSA cgl i{kdkjku vf/koDrkx.k lquh ,oa i=koyh rFkk nLrkostkr dk voyksdu fd;kA 8 ;g izdj.k fpfdRlh; ykijokgh dk gS fpfdRlh; ykijokgh ds ekeys esa ekuuh; loksZPp U;k;k;y us fuEu fn'kk funsZ'k fn;s gS %& 2010 (I) RLW 722 (SC) Kusum sharma & ors. Vs. Batra Hospital & Medical Research Centre & ors.
I. Negligence is the breach of a duty exercised by ommission to do something which a reasonable man, guided by those considerations which ordinarily regulate the conduct of human affairs, would do, or doing something which a prudent and reasonable man would not do.
II. Negligence is an essential ingredient of the offence. The negligence to be established by the prosecution must be culpable or gross and not the negligence merely based upon an error of judgment.
III. The medical professional is ecpected to bring a reasonable degree of skill and knowledge and must exercise a reasonable degree of care. Neither the very highest nor a very low degree of care and competence judged in the light of the particular circumstances of each case is what the law requires. IV. A medical practitioner would be liable only where his conduct fell below that of the standards of a reasonable competent practitioner in his field.
V. In the realm of diagnosis and treatment there is scope for genuine difference of opinion and one professional doctor is clearly not negligent merely because his conclusion differs from that of other professional doctor.
VI. The medical professional is often called upon to adopt a procedure which involves higher element of risk, but which he honestly believes as providing greater chances of success for the patient rather than a procedure involving lesser risk but highest chances of failure. Just because a professional looking to the gravity of illness has taken higher element of risk to redeem the patient out of his/her suffering which did not yield the disired result may not amount to negligence. VII. Negligence cannot be attributed to a doctor so long as he performs his duties with reasonable skill and competence. Merely because the doctor chooses one course of action in preference to the other one available, he would not be liable if 9 the course of action chosen by him was acceptable to the medical profession.
VIII. It would not be conducive to the effciency of the medical profession if no doctor could administer medicine without a halter round his neck.
IX. It is our bounden duty and obligation of the civil society to ensure that the medical professionals are not unnecessarily harassed or humiliated so that they can perform their professional duties without fear and apprehension. X. The medical practitioners at times also have to be saved from such a class of complainants who use criminal process as a tool for pressurising the medical professionals/hospitals, particularly private hospitals or clinics for extractine uncalled for compensation. Such malicious proceedings deserve to be discarded against the medical practitoners.
XI. The medical professionals are entitled to get protection so long as they perform their duties with reasonable skill and competence and in the interest of the patients. The interest and welfare of the patients have to be paramount for the medical professionals.
ekuuh; loksZPp U;k;ky; }kjk Åij of.kZr fcUnqvksa ds vk/kkj ij vk;ksx dks ns[kuk gS fd D;k foi{kh la[;k 1 o 3 dh ykijokgh ls ifjoknh ds cPps dh vkWa[ksa LFkk;h :i ls pyh x;h] og dHkh ugha ns[k ldrkA ifjoknh dh iRuh fufdrk 30-08-2014 dks foi{kh la[;k 3 ds vLirky esa HkrhZ gqbZ mlds izh&eSP;ksj cPpk gqvk tks Retionopathy of prematurity (ROP) FkkA fMyhojh ukseZy gqbZ FkhA fdlh izdkj dh lhtsfj;u vkfn dh vko';drk ugha iM+hA cPps dk otu LokHkkfod :i ls de Fkk ijUrq izh&eSP;ksj fMyhojh FkhA mDr cPps dks foi{kh la[;k 1 ds okMZ esa N.I.C.U. esa HkrhZ djok fn;k ifjoknh iRuh dh NqV~Vh ns nh x;hA ifjoknh dk iq= vLirky esa HkrhZ jgk mlds vkWDlhtu p<+k;h x;hA ftlds ifj.kkeLo:i mlds vkWa[kksa ds jsfVuk fldqM+u vkdj vkWa[kksa dh jks'kuh LFkk;h :i ls pyh x;h] mlds ckn dSyk'k gkWfLiVy] cgjksM+ esa fQj MkWa0 jktsUnz izlkn us= foKku dsUnz fnYyh esa rFkk ds-lh- eseksfj;y vkbZ gkWfLiVy esa fn[kk;k rFkk MkWa0 ohjsUnz ystj Qsdks ltZjh lsUVªj t;iqj esa fn[kk;k ,El gkWfLiVy] fnYyh MkWa0 ,e0vkj0 Mksxjk p.Mhx<+ esa fn[kk;k x;kA ifjoknh ds 10 vuqlkj mudh Hkh ;gh jk; jgh fd T;knk vkWDlhtu nsus ds dkj.k vkWa[kksa dh jks'kuh pyh x;hA foi{kh }kjk izLrqr esMhdy lkbZal ds vuqlkj cPpksa dks lk/kkj.kr;k% 21 izfr'kr vkWDlhtu nh tkuh pkfg,A bl izdj.k esa cPps dks 30 izfr'kr vkDlhtu nh x;h Fkh tks lkekU; ls T;knk Fkh] 30 izfr'kr vkDlhtu nsuk foi{kh us vius tokc uksfVl esa Hkh Lohdkj fd;k gSA bl izdkj ifjoknh dks tks rF; lkfcr djus Fks og ifjoknh us vius ifjokn esa 'kiFk&i= o nLrkost ls lkfcr dj fn;s D;ksa fd ifjoknh dks ek= buf'k;y Burden lkfcr djus dk Fkk tks mlus lkfcr dj fn;k vc mlds i'pkr~ bldk [k.Mu djuk gSA vc cMZu vkrk gS foi{khx.k ij bl lac/a k esa II (2009) CPJ 61 SC NIZAM INSTITUTE OF MEDICAL SCIENCES Vs. PRASANTH S. DHANANKA esa ekuuh;
loksZPp U;k;ky; us fuEu fu/kkZfjr fd;k gS %& (ii) Medical Negligence--Burden of Proof -- Initial burden to prove medical negligence discharged by complainant - Burden shifts on hospital/attending doctors to satisfy Court that there was no lack of care or deligence.
(2004) 8 SCC page 56 SAVITA GARG (SMT) Vs.
DIRECTOR, NATIONAL HEART INSTITUTE esa ekuuh;
loksZPp U;k;ky; us fuEu fu/kkZfjr fd;k gS %& D. Consumer
Protection Act, 1986 - Ss. 22, 18, 12 and 13 -Mecical negligence -- Burden of proof -Held, once aclaim petition is filed and the complainant has successfully discharged the initial burden that the hospital/clinic/doctor was negligent, and that as a result of such negligence the patient died, then in that case the burden lies on the hospital and the doctor concened who treatedthe patient to show that there was no negligence involved in the treatment - Reasons for, given - Torts - Medical negligence--Burden of proof ekuuh; loksZPp U;k;ky; }kjk izfrikfnr fl)kUrksa ds vuqlkj vc foi{kh dks lkfcr djuk gksxk fd mUgksusa dksbZ ykijokgh ugha dhA iw.kZr% Skill o lko/kkuh ls bZykt fd;k FkkA MkWa0 nhid feRry ,e0ch0ch0,l0 o fizVhfVf'k;u Child 11 Health fMIyksek dh ;ksX;rk j[krs gSA bl izdkj cPpksa ds Lisf'kfyLV gSA i=koyh esa miyC/k nLrkost ds vuqlkj ejht ls Qhl Hkh olwy dh x;h rks MkWa0 feRry dk rFkk lathouh gkWfLiVy dk ;g drO; cu tkrk gS fd og iw.kZr;k Skill o lko/kkuh ls ejht dk bZykt djsaA bl laca/k esa (2019) 2 Supreme Court Cases Page 282 S.K. JHUNJHUNWALA Vs. DHANWANTI KUMAR AND ANOTHER esa ekuuh; loksZPp U;k;ky; us fuEu fu/kkZfjr fd;k gS %& A. Consumer Protection - Service -Medical practitioners/service -- Medical negligence - Test to determine
-Test laid down in balam, (1957) 1 WLR 582 and subsequently reiterated in Eckersley, (1988) 18 Con LR 1 (CA) - Held, is consistently followed by all the courts all over the world including Indian courts - Principles of law on above issue as stated by Supreme Court in Jacob Mathew, (2005) 6 scc 1 after extensively referring to Bolam case and Eckersley case - Taken note of (i.e.) (a) a professional may be held liable for negligence either (i) when he was not possessed of the requisite skill which he professed to have possessed, or, (ii) when he did not exercise, with reasonable competence in the given case, the skill which he did possess, (b) the fact that the defendant charged with negligence acted in accord with the general and approved practice, is enough to clear him of the charge (c) athe standard of care, when assessing the practice as adopted, is judged in the light of knowledge available at the time of incident and not at the date of trial and (d) the standard to be applied for judging the negligence would be that of an ordinary competent persion exercising ordinary skill in that profession.
(2005) 6 Supreme Court Cases 1 JACOB MATHEW
Vs STATE OF PUNJAB AND AN OTHER esa ekuuh;
loksZPp U;k;ky; us fuEu fu/kkZfjr fd;k gS %& K. Tort -
Negligence - Professional negligence--when actionable--Test for--Held, a professional may be held liable for negligence either (1) wnen he was not possessed of the requisite skill which he professed to have possessed, or (2) when he did not exercise, with reasonable competence in the given case, the skill which 12 he did possess--Standard to be applied would be that of an ordinary competent person exercising ordinary skill in that profession--Test for professional negligence laid down in Bolam case, (1957) 2 All ER 118, 121 D-F [set out in para 19 herein], held, applicable in India - Professional negligence distinguished from occupational negligence.
N. Tort -Negligence-Definition and meaning (jurisprudential and forensic), discussed in estenso -Words and phrases The jurisprudential concept of negligence defies any precise definition. In current forensic speech, negligence has three meanings. They are: (i) a state of mind, in which it is apposed to intention; (ii) careless conduct; and (iii) the breach of a duty to take care that is imposed by either common or stature law. All three meanings are aplicable in different circumstances but any one of them does not necessarily exclude the other meanings. (paras 10 and 11 ) Negligence is the breach of a duty caused by omission to do domething which a reasonable man guided by those considerations which ordinarily regulate the conduct of human affairs would do, or doing something which a prudent and reasonable man would not do. Negligence becomes actionable on account of injury resulting from the act or omission amounting to negligence attributable to the person sued. The essential components of negligence, as recognised, are three:
"duty", "breach" and "resulting damage", that is to say:
(1) the existence of a duty to take care, which is owed by the defendant to the complainant;
(2) the failure to attain that standard of care, prescribed by the law, thereby committing a breach of such duty; and (3) damage, which is both causally connected with such breach and recognised by the law, has been suffered by the complainant.
If the Claimant satisfies the court on the evidence that these three ingredients are made out, the defendant should be held liable in negligence.
13III (2017) CPJ 598 (NC) D.K. MAJUMDAR (DR.) ANJANA BASU ROY esa ekuuh; jk"Vªh; vk;ksx us fuEu fu/kkZfjr fd;k gS %& 8. After thoughtful consideration, it is an admitted position that the patient was suffering from Hernia and she had also problem of uterus. As per Medical Text Book of Surgery by Belly and love, during surgery of Inguinal Hernia, there will be remote possibility of injury to urinary bladder, whereas bladder injury during hysterectomy operation is a known complication. Few patients show the post surgical complications like vesico vaginal fistula (VVF) On 25.3.1999, the surgery was performed under one setting only by OPs 2 and 3 jointly as the said surgery was performed at OP 1/ hospital by a team of surgeons comprised of OPs 2 and 3 Therefore, in my view, the law expects higher duty of care from both the operating surgeons but in the instant case, there was a breach of duty from either of one, which has resulted into the injury. Thus, it was a medical negligence. It is difficult to pin-point who performed and who assisted the surgery because both are competent surgeons and competent to perform either of the surgery. Therefore, OPs 2 and 3 are liable for the negligence.
II (2018) CPJ 342 (NC) P.D. HINDUJA NATIONAL HOSPITAL & MEDICAL RESEARCH CENTRE, DR.
SANJAY AGARWALA Vs. VEERA ROHINTON KOTWAL & ANR. 40. There is nowever, a difference between standard of care on the one hand and degree of care on the other, In the case of a doctor, the standard of care expected of him remains the same in all cases, but the degree of care will be different in different circumstances. Thus, while the same Standard of care is expected from a generalist and a specialist, the degree of care would be different. A higher degree of skill is expected from a specialist when compared to that of a generalist.
(2017) NCJ 37 (NC) Doon Valley Hospital & 2 ors.
Vs. Master Shivabshu & anr. esa ekuuh; jk"Vªh; vk;ksx us fuEu fu/kkZfjr fd;k gS %& Medical Negligence--Gangrene developed due to drip infusion--Amputation upto wrist of right 14 hand--Sought compensation--partly allowed--Validity-- Held -Since Hospital and attending Doctor are failed to satisfy the court that there was no lack of care or diligence, is entitied to pay compensation for loss occurred -Enhance the awarded compensation--Appeal is allowed.
(2017) NCJ 681 (NC) Sanjay Gandhi Post Graduate Institute of Medical Science & anr. Vs. Sita Ram Srivastava esa ekuuh; jk"Vªh; vk;ksx us fuEu fu/kkZfjr fd;k gS %& Medical Negligence -- Sought compensation--Allowed - Validity--Held--Since O.P. had tried to hush up the matter and clearly found careless in maintaing the standard of practice, is certainly liable to pay compensation -Awarded amount of compensatijon is reasonable requires no interference--Appeal is dismissed.
(1995) 6 Supreme Court Cases 651 Indian Medical
Association Vs. V.P. Shantha and Others esa ekuuh; loksZPp
U;k;ky; us fuEu fu/kkZfjr fd;k gS %& C. Consumer
Protection Act, 2 (1) (g) and 14 - Deficiency in service-- Services rendered by medical proactitioner or at hospitals or nursing homes--Deficiency has to be judged by applying the test of reasonable skill and care which is applicable in action for damages for negligence.
ekuuh; loksZPp U;k;ky; o ekuuh; jk"Vªh; vk;ksx ds Åij of.kZr fu.kZ;ksa dk voyksdu djsa rks foi{khx.k dk drZO; Fkk fd os rF; lkfcr djs fd iw.kZ% Skill o lko/kkuh ls bZykt fd;kA ,sls ekeyksa esa fo'ks"kK dh lk{; dh vko';drk ugha gSA iwoZ esa tks ekuuh; loksZPp U;k;ky; us fu/kkZfjr fd;k Fkk fd ,sls ekeyks esa fo'ks"kK dh lk{; gksuk t:jh gSA bl fcUnq dks ekuuh; loksZPp U;k;ky; us Hkh lekIr dj fn;k rFkk ekuuh; jk"Vªh; vk;ksx us Hkh fu/kkZfjr dj fn;k fd fo'ks"kK dh vko';drk ugha gSA 15 bl lac/a k esa ekuuh; loksZPp U;k;ky; us (2010) 5 Supreme Court Cases 513 V. Kishan Rao Vs. Nikhil Super Speciality Hospital and Another esa fuEu fu/kkZfjr fd;k gS %& A. Consumer Protection -Service--Medical Practitioners/ services -- Medical negligence - Expert opinion of prima facie negligence, if a precondition for Consumer Forum to proceed with a case--No rule of general application, held, can be laid down in this regard--Expert opinion is required only when a case is complicated enough warranting expert opinion, or facts of a case are such that Forum cannot resolve as issue without expert's assistance--On facts held, where a patient who was suffering from intermittent fever and chills, was wrongly treated for typhoid insted of malaria for four days, which resulted in her death, was an apparent case of medical negligence--It was not necessary to obtain expert opinion in the first instance before District Forum could award compensation--Investignation conducted by another hospital where patient was removed in a critical condition on fifth day, showed that Widal Test for typhoid was negative whereas test for malarial parasite was positive, was sufficient for District Forum to conclude that it was a case of wrong treatment - Consumer Protection Act, 1986--Ss. 2 (o), 2 (g), 13 and 14 Evidence Act, 1872, S. 45 B. Consumer Protection -- Services -- Medical Practitioners / services -Medical negligence--Requirement to obtain independednt medical opinion before investigation is initiated against a doctor - Direction given in Jocob Mathew Case, (2005) 6 SCC 1, Para 52 - Held, is meant for criminal cases and not for civil cases filed in Consumer Fora for the purpose of determining civil liability--General directions given in Martin F. D'Sauza case, (2009) 3 SCC 1, Para 106 extending the same to divil cases, held, are per incuriam and not binding-- Consumer Forum can give appropriate relief on the basis of summary trial on affidavits--Consumenr Forum can also, in its discretion, permit expert evidence but it is not bound by views expressed by expert because medical negligence is a mixed question of law and fact, to be resolved finally by Forum - In complicated civil cases requiring expert evidence, parties are also free to approach civil court instead of Consumer Forum -
16Cousumer Protection Act, 1986--Ss. 1 (o), 3, 13 and 14 - Civil Procedure code, 1908 - S. 9 Evidence Act, 1872 - S. 45 -Penal Code, 1860--S.304 -A IV (2016) CPJ 347 (NC) A. PADMAVATHI Vs. DR.
M. VIJAYENDRA & ANR. esa ekuuh; jk"Vªh; vk;ksx us fuEu fu/kkZfjr fd;k gS %& Consumer Protection Act, 1986 -Sections 2(1) (g), 14 (10 ) (d), 21 (b) -Medical Negligence - Trans abdominal hysterectomy (TAH) -Recurring abdominal pain and uterine bleeding--Surgery conducted--Ureteric injury caused -Leakage of urine into abdomen leading to septicaemia
- Huge expenditure incurred in treatment--Deficiency in service -- District Forum dismissed complaint -- State Commission allowed appeal and awarded compensation of Rs. 2 Lakh- Hence revision - OP doctor must establish why there was injury to the ureter post operatively causing leakage of urine--Complainant discharged her onus about alleged negligence - Negligence proved -- Complainant did not produce any cogent evidence or any justification to enhance compensation.
I (2015 ) CPJ 203 (NC) STEPHEENA (DR.) & ANR.
Vs. LILLY JOSEPH esa ekuuh; jk"Vªh; vk;ksx us fuEu fu/kkZfjr fd;k gS %& Consumer Protection Act, 1986 - Section 2( 1) (g), 14 (1) (d), 21 (b) - Medical Negligence -Abdominal hysterectomy--Injury to bladder - Leaking of urin persisted-- Two successive major operations--Mental agony -Deficiency in service--District Forum allowed complaint -State Commission partly allowed appeal--Hence revision--Prior to hysterectomy, OP 1 should have treated patient for Endometrioses, primarily for 28 days with medicines like injection lupride -OP1 should have been more vigilant while separting and dissection of bladder adhesions--Consent of patient was not an informed consent -Compensation awarded is justified by evidence of economic loss and non-economic harm.
17 I (2017 ) CPJ 235 (NC) L.T.COL. ATMA SINGH Vs. FORTIS HEALTHCARE LIMITED & ORS. esa ekuuh; jk"Vªh; vk;ksx us fuEu fu/kkZfjr fd;k gS %& Consumer
Protection Act, 1986 - Section 2( 1) (g), 14 (1) (d), 21 (a) (ii) - Medical Negligence--Cancer surgery--Injection 'elexane' advised in High dose--post--operative complication--Internal bleeding--Deficiency in service--Vicarious liability -State Commission partly allowed complaint and awarded compensation of Rs. 10 lacs to complainant -Hence Appeal - Proper informed consent was taken by OPs for the initial and re-exploration surgery--Medical record reveals that clexance dosage was not monitored properly by OP No. 3 and his team - It was a failure to exercise reasonable care during post - operative period--It was the duty of operating surgeon to be more vigilant post opertively to look for signs of bleeding especially for cancer surgery--Negligence proved-- Complainant not entitled to reimbursement of expenses since entire treatment expenses are covered under ECHS Scheme-- Award of Rs. 3 lacs as compensation for mental agony whould be just and proper -Hospital also vicariously liable for acts of Omission and Commission of their doctor.
ifjoknh dh iRuh foi{kh la[;k 1 o 3 ds vLirky esa HkrhZ jgh ;g fooknkLin ugha gSaA ifjoknh dh iRuh us izh&eSP;ksj iq= dks tUe fn;k ;g fooknkLin ugha gSA iq= LoLFk gkyr esa iSnk ugha gqvk cPps dk otu de FkkA foi{khx.k ds vuqlkj mlds lkal esa lekIr vk x;h blfy, vkWDlhtu nsuk t:jh FkkA esMhdy lkbal ds vuqlkj cPps dks vkWDlhtu nsus ij Retionopathy of prematurity (ROP) jsfVuk izh&eSP;ksfjVh gks ldrh gSA tks ,d izdkj ls jsfVuk esa fldqM+u vkus ds dkj.k va/kkiu gks tkrk gSA cPps dks 21 izfr'kr vkDlhtu nsuh Fkh] mldh txg 30 izfr'kr vkWDlhtu nh x;h tks lk/kkj.k% lhek ls T;knk nh x;hA foi{kh dk ;g dguk gS fd cPps dks cpkus ds fy, ;g t:jh FkkA esMhdy lkbal ds vuqlkj nh tkuh pkfg, Fkh D;ksa fd foi{khx.k dk ;g Hkh drZO; Fkk fd oks T;knk vkWDlhtu nsus ds lkbZM bQsDV ns[ksAa esMhdy lkbal ds vuqlkj ;fn vkWDlhtu nsus ij Retionopathy of prematurity (ROP) gks ldrk gS rFkk cPps dh vkWa[ksa tk ldrh gS vxj ;g fjLd Fkh] rks] foi{khx.k dk drZO;
18Fkk fd vkWDlhtu c<+kus ls iwoZ cPps ds ekrk&firk ls lgefr ysrs mUgsa lHkh bQsDV ds ckjs esa crkrs rFkk bldh fyf[kr esa Hkh lgefr ysrs] ijUrq foi{khx.k us ,slk ugha fd;kA fLFkfr esa ;gh ekuk tk;sxk fd fcuk isjsUV~l dh Consent ds Excess vkWDlhtu nh x;hA foi{kh dh ,slh dksbZ lk{; ugha gS fd cPps ds va/kkiu gksus dk T;knk vkWDlhtu dk dkj.k ugha gSA bl laca/k esa foi{khx.k dk xksyeky tokc gS rFkk xksyeky lk{; gSA foi{khx.k us ;g dgk gS fd Retionopathy of prematurity (ROP) gksus ds dbZ dkj.k gS tSls Respiratory distress syndrome, decreased of postnatal weight, vitamin E deficiency, acidosis, shock, sepsis, apneic attacks anaemia, low birth weight vkfnA foi{khx.k dk ;g drZO; gS fd oks iw.kZ lk{; ls ;g lkfcr djs fd Åij of.kZr dkj.kksa ls cPpsa dh vkW[kksa dk jsfVuk fldqM+ x;k rFkk cPpk va/kk gks x;kA esMhdy lkbal dh fyVsjp s j esa Hkh blh dh laHkkouk crk;h gS] fuf'pr Fkk foi{khx.k dks lkfcr djuk Fkk tks mUgksusa lkfcr ugha dhA foi{khx.k dh vksj ls cM+h tksj nsdj cgl dh x;h gS fd cPps dks fcuk fpfdRlh; lykg ds tcjnLrh ys x;sA fookn dk fcUnq ;g Hkh gS fd 7 rkjh[k dks ys x;s ;k 12 rkjh[k dks ys x;s \ foi{kh dk tks gkWfLiVy ls lacaf/kr fjdkMZ gS mlds vuqlkj 7 rkjh[k rd dk pyk gS mlds ckn dk ;k rks pyk ugha ;k is'k ugha fd;kA fnukad 07-09-2014 dk tks uksV gS izFke og baxfya'k esa gS tc fd ifjoknh bruk i<+k fy[kk ugha gS fd oks le> ldsa u gh ifjoknh ds gLrk{kj gSA ifjoknh ds rkÅ ls ;g fy[kok;k x;k gS fd esjs cPps dks ethZ ls nwljs vLirky esa ys tk jgk gwWA tc fd cPps ds ekrk firk ekStwn Fks ekrk ds ml cPps dh fMyhojh mlh vLirky esa gqbZ Fkh] rks] rkÅls fy[kkus dh D;k vko';drk iM+ x;h] vxj ys tkuk gh pkgrs rks LAMA ds gLrk{kj o lgefr cPps ds ekrk firk ls ysuh pkfg, Fkh uk fd rkÅ ls] blls ;g izrhr gksrk gS fd foi{kh vLirky o fpfdRld us ;g QthZ uksV rS;kj djds QthZ lgefr n'kkZ dj 7 rkjh[k dks jokuk dj fn;k] ckn esa cPps dks ?kj ys x;s mlds 4 fnu ckn dSyk'k gkWfLiVy esa fn[kk;k ogkWa Hkh HkrhZ jgkA cPps ds tUe gksrs gh tc f'k'kq jksx fo'ks"kK dks fn[kk;k tkrk gS fd oks cPps dks vPNh rjg ls ns[k ys mldh /kM+du lgh dke dj jgh gS mlds QsQM+s lgh dke dj jgs gS mlds 'kjhj dh jpuk lgh gS mlds ukd] dku] vkWa[k lgh gS is'kkc o VV~Vh tkus dh O;oLFkk lgh gS vkWa[k Hkh ns[kuh pkfg, fd vkWa[k esa Hkh ns[kuk pkfg, fd vkWa[k esa dksbZ Fundus rks ugha gSA ;fn fpfdRld dks bldk lansg gks rks] vkW[kksa ds fpfdRld dks fn[kkuk pkfg, rFkk mlls tkWap djkuh pkfg,A foi{kh dk dguk gS fd mUgksusa NqV~Vh ds 19 le; Iyku dj j[kk Fkk fd cPps dh vkW[kksa dh VsfLVax djok;sxsa ysfdu VsfLVax djok;h ugha] ijUrq fpfdRld dks ;g lansg Fkk rHkh og vkW[kksa dh VsfLVax djkus dh Iyku dj jgk FkkA ;g tc cPps vkWa[ksa lansgkLin Fkh rks brtkj D;ksa fd;k x;k \ foi{kh ds vf/koDrk us tks esMhdy fyVsjspj is'k fd;k gS mlesa vafdr gS fd] The first screening be doen within 4 weeks (30 days) of life in infants with age > 28 weeks of gestational age. tc ;g tkap 4 lIrkg ds vanj gh gks ldrh gS rks fQj bartkj D;ksa fd;k x;kA fpfdRld vkW[ksa pSd djkus dk Iyku Hkh dj jgk FkkA blls Li"V mi/kkj.kk gksrh gS fd cPps dh vkWa[kks esa xM+cM+h Fkh fQj tkWap ugha djkuk vius vki esa vlko/kkuh utj vkrh gSA foi{kh us tksj nsdj dgk fd ckn esa 3&4 lIrkg dSyk'k gkWfLiVy bZykt gqvk FkkA dSyk'k gkWfLiVy dh ;g ftEesnkjh Fkh fd oks VsfLVax vkWa[kksa dh djokrs dSyk'k gkWfLiVy blds fy, ftEesnkj gSA ifjoknh us 4&5 fnu cPps dks ?kj j[kk gS mlds ckn dSyk'k gkWfLiVy esa HkrhZ djok;k gS] tUe ls 3 lIrkg rd cPps dks dqN fn[kkbZ nsrk FkkA blfy, dSyk'k gkWfLiVy bl ckr ij lansg gh D;ksa djrk rFkk dSyk'k gkWfLiVy esa HkrhZ vkWa[kksa ds fy, ugha djok;k x;k cfYd cPps dk otu de gks jgk Fkk rFkk LoLFk ugha Fkk blds fy, HkrhZ djok;k x;k FkkA ;gkWa ;g mfYyf[kr djuk Hkh mfpr gksxk fd ;fn vkWDlhtu nsus ls cPps dk otu de gks x;k otu de gksus ij jsfVuk esa fldqM+u vk ldrh gS rFkk bl fldqM+u ds ifj.kkeLo:i cPpsa dh vkW[ksa tk ldrh gSA mlds ckn fofHkUu laLFkkvksa fpfdRldksa o MkDVjksa tks fd us= jksx ds fo'ks"kK Fks ogkWa ifjoknh us vius cPps dks fn[kk;k gS lHkh us jsfVuk esa fldqM+u vkus dh ;kfu Retionopathy of prematurity (ROP) gks tkus ds dkj.k cPps dh vkWa[ks pyh x;h bldk dksbZ bZykt ugha gS rFkk LFkk;h fu'kDrrk vk x;h gSA vr% mijksDr foospu ds vk/kkj ij fpfdRlk lkbal ds vuqlkj ;fn vkWDlhtu nsus ij Retionopathy of prematurity (ROP) gks ldrh gS] ;|fi vkWDlhtu nsus dk ;g lkbZM bQsDV gSA orZeku es aikjnf'kZrk dk le; gS] fpfdRld dk drZO; gS fd oks ejht dk lko/kkuh iwoZd bZykt djsa tks Hkh fpfdRlk dj jgk Fkk oks mlds lkbZM bQsDV dh tkudkjh isjsUV~l dks nsa rFkk isjsUV~l ls fyf[kr esa lgefr ys ijUrq blesa ,slk ugha fd;k x;kA ;fn vkWDlhtu nsus ls Retionopathy of prematurity (ROP) gks ldrh gS tks bl izdj.k esa gqvk gS bldk [k.Mu foi{khx.k dh vksj ls Li"V :i ls ugha fd;k x;k gS cfYd nwljs 20 dkj.kksa ls Retionopathy of prematurity (ROP) gksus dh laHkkouk crk;h gS ijUrq fdl dkj.k ls Retionopathy of prematurity (ROP) gqbZ ;g fl) ugha fd;k gSA tc fd Åij of.kZr ekuuh; loksZPp U;k;ky; o ekuuh; jk"Vªh; vk;ksx }kjk izfrikfnr fl)kUrksa ds vuqlkj ;g lkfcr djus dk Hkkj foi{kh la[;k 1 o 3 ij Fkk tks mlus iwjk ugha fd;kA ;g rF; lkfcr gS fd foi{kh la[;k 1 o 3 dh vlko/kkuh iw.kZr Skill ,oa ds;j dk bLrseky ugha djus ds dkj.k ifjoknh ds iq= dks ;fn vkWDlhtu nsus ds dkj.k va/kkiu vk x;k gS rFkk og LFkk;h :i ls va/kk gks x;k gS mldh dHkh Hkh jks'kuh ugha vk;sxh og dHkh Hkh nqfu;k ugha ns[k ldsxkA II (2017) CPJ 35 (RAJ.) VIKAS ARYA Vs. SANTOKBA DURLABHJI MEMORIAL HOSPITAL & MEDICAL RESEARCH INSTITUTE & ANR esa bl jktLFkku jkT; vk;ksx us LFkk;h fu'kDrrk ds laca/k esa fuEu fl)kUr izfrikfnr fd;k gS%& Consumer Protection Act, 1986--Sections 2 (1) (g), 14 (1) (d) 17 -Medical Negligenc-- Delivery of child -Permanent disability--Mental agony and harassment -Deficiency in service -- Compensation -- Complainant's wife gave birth to male child with normal delivery -- Child is suffering from birth asphyxia - Child has developed cerebral palsy - No document submitted to prove that treatment was carried out properly - Child was not cared properly by doctors - Negligence proved - No money can compensate the suffering and helplessness of child and trauma and mental agony of parents - Quality of life of family members have spoiled forever and child has suffered permanent disablility - Compensation @ Rs. 50 Lakh awarded - Directions issued.
pwfa d bl deh'ku }kjk ikfjr fu.kZ; esa izfrikfnr fl)kUrksa ds vuqlkj cPps ds LFkk;h fu'kDrrk vkus ds dkj.k izdj.k esa bl vk;ksx }kjk 50 yk[k :-
{kfriwfrZ fnyok;h gSA bl izdj.k esa Hkh ;gh fLFkfr gS varj flQZ bruk gS fd ml izdj.k esa cPps dk Development cUn gks x;k FkkA bl izdj.k esa cPpk vU/kk gks x;k gS] 21 dHkh Bhd ugha gksxk dHkh nqfu;k ugha ns[k ik;sxkA fLFkfr esa ifjoknh }kjk 48 yk[k :- gh jkf'k ifjokn esa ekaxh x;h gS fLFkfr esa vk;ksx blls vf/kd ugha fnyok ldrk vr% 48]00]000@&:- jkf'k fnyok;k tkuk mfpr gSA vc iz'u mRiUu gksrk gS fd chek daiuh dk] pwfa d chek flQZ 10 yk[k :-
dk Fkk fLFkfr esa foi{kh la[;k 2 rknknh 10]00]000@&:- ¼ v{kjs nl yk[k :-½ dh lhek rd gh ftEesnkj gSA tgkWa cPps dks va/ksiu ds dkj.k eqvkotk fnykuk mfpr gS ogh ;g vk;ksx cPps dh lqj{kk mldh i<+kbZ o mlds ikyu iks"k.k ds ckjs esa Hkh fpfUrr gSA ,slh fLFkfr esa cPps dks jk"Vªh; iq:Ld`r LKC Jh txnEck va/k fo/kky; lfefr] guqekux<+ ekxZ] Jhxaxkuxj esa HkrhZ djok;k tkuk mldk ikyu iks"k.k djuk rFkk f'k{kk fnykuk mfpr jgsxkA vr% ,slh fLFkfr esa 48 yk[k :i;s esa ls 10]00]000@&:- ¼v{kjs nl yk[k :-½ o ml ij 9 izfr'kr C;kt chek daiuh LKC Jh txnEck va/k fo/kky; lfefr] guqekux<+ ekxZ] Jhxaxkuxj ds uke dh ,Q-Mh- djok;sxk 10]00]000@&:- ¼ v{kjs nl yk[k :-½ dk tks ifjokn izLrqfr fnukad 12-08-2016 ls C;kt curk gS og LKC Jh txnEck va/k fo/kky; lfefr] guqekux<+ ekxZ] Jhxaxkuxj dks udn vnk dj fn;k tk;sxk] rFkk 10]00]000@&:- ¼v{kjs nl yk[k :-½ dh jk"Vªh;d`r cSad SBI ;w-vkbZ-Vh- jksM+] Jh xaxkuxj czkUp] Jh xaxkuxj esa ,Q-Mh- cuk;h tk;sxh ftldk izfr o"kZ C;kt LKC Jh txnEck va/k fo/kky; lfefr] guqekux<+ ekxZ] Jhxaxkuxj dks cPps dks ikyu iks"k.k o f'k{kk ds fy, fn;s tk;sxsaA tc cPpk 18 lky dk gks tk;sxk og f'k{kk iw.kZ dj ysxk rc 10 yk[k :- cPps dks ns fn;s tk;sxsaA 'ks"k 38]00]000@&:- ¼ vM+rhl yk[k :- ½ ds fy, foi{kh la[;k 1 o 3 la;qDr ,oa i`Fkd&i`Fkd :i ls ftEesnkj gksxsa ;g jkf'k mudks ifjokn nk;j djus dh fnukad 12-08-2016 ls 9 izfr'kr C;kt lfgr vnk djuh gksxhA bl jkf'k esa ls 3]00]000@&:0 ifjoknh dh iRuh dks ifjokn izLrqfr fnukad 12-08-2016 ls 9 izfr'kr C;kt lfgr ,oa 35]00]000@&:- ifjokn izLrqfr fnukad 12-08-2016 ls 9 izfr'kr C;kt lfgr dh ,Q0Mh0vkj0 jk"Vªh;d`r cSad ls cuk;h tk;sxh tks fd cPpk 18 o"kZ dk gksus ij izkIr djus dk vf/kdkjh gksxkA 22 vkns'k vr% ifjoknh dk ifjokn foi{kh la[;k 1 o 3 ds fo:) la;qDr ,oa i`Fkd&i`Fkd :i ls 38]00]000@&:- dh lhek rd] rFkk foi{kh la[;k 2 ds fo:) 10]00]000@&:- dh lhek rd Lohdkj dj vkns'k fn;k tkrk gS fd foi{kh la[;k 1 o 3 dqy 38]00]000@&:- ¼ vM+rhl yk[k :- ½ esa ls 3]00]000@&:- ¼ v{kjs rhu yk[k :-½ dh jkf'k ifjokn nk;j djus dh fnukad 12-08-2016 ls 9 izfr'kr C;kt lfgr ifjoknh dh iRuh dks vnk djsxs]a 'ks"k 35]00]000@&:- dh jkf'k ifjokn nk;j djus dh fnukad 12-08-2016 ls 9 izfr'kr C;kt lfgr ,Q0Mh0vkj0 jk"Vªh;d`r cSad ls cuk;h tk;sxh tks fd cPpk 18 o"kZ dk gksus ij izkIr djus dk vf/kdkjh gksxkA blds vykok 10]00]000@&:- ¼ v{kjs nl yk[k :-½ chek daiuh ifjokn izLrqfr fnukad 12-08-2016 ls 9 izfr'kr C;kt lfgr LKC Jh txnEck va/k fo/kky; lfefr] guqekux<+ ekxZ] Jhxaxkuxj ds uke dh ,Q-Mh- djok;sxk 10]00]000@&:- ¼ v{kjs nl yk[k :-½ ls Åij dk ifjokn izLrqfr fnukad 12-08-2016 ls tks C;kt curk gS og LKC Jh txnEck va/k fo/kky; lfefr] guqekux<+ ekxZ] Jhxaxkuxj dks udn vnk dj fn;k tk;sxk] rFkk 10]00]000@&:- ¼v{kjs nl yk[k :-½ dh jk"Vªh;d`r cSad SBI ;w-vkbZ-Vh- jksM+] Jh xaxkuxj czkUp] Jh xaxkuxj esa ,Q-Mh- cuk;h tk;sxh ftldk izfr o"kZ C;kt LKC Jh txnEck va/k fo/kky; lfefr] guqekux<+ ekxZ] Jhxaxkuxj dks cPps dks ikyu iks"k.k o f'k{kk ds fy, fn;s tk;sxsAa tc cPpk 18 lky dk gks tk;sxk og f'k{kk iw.kZ dj ysxk rc 10 yk[k :- cPps dks ns fn;s tk;sxsa a ¼ ehuk esgrk ½ ¼ dey dqekj ckxMh ½ lnL; lnL; ¼U;kf;d½ @ikBd@ 23