State Consumer Disputes Redressal Commission
Narayan Singh Dangi S/O Hira Lal Ji vs Apex Hospital Throuth Director Dr. ... on 13 December, 2019
1 jkT; miHkksDrk fookn izfrrks"k vk;ksx] cSap la- 1] jkt0] t;iqj ifjokn la[;k %& 87@2014 ukjk;.k flag Mkaxh iq= Jh ghjkyky th] mez djhc 50 o"kZ fuoklh&6@50] ch] lsUnM+k jksM] C;kojA ifjoknh cuke 01 ,siDs l gkWfLiVy tfj;s funs'kd MkWa- lfpu >Waoj] SP&4 &6] ekyoh; bUMLVªh;y ,sfj;k] ,siDl lfdZy ds ikl] ekyoh; uxj] t;iqj 302017 02 MkWa0 lfpo >Waoj] ,sisDl gkWfLiVy] t;iqj 03 MkWa0 jkgqy dukgkfM;k] ,siDs l gkWfLiVy] t;iqj 04 MkWa0 egs'k dqygkjh] ,sisDl gkWfLiVy] t;iqj 05 MkWa0 v:.k vxzoky ,sisDl gkWfLiVy] t;iqj 06 eSllZ us'kuy bZU';ksjsUa l daiuh fyfeVsM] t;iqj ch&498] egs'k uxj] 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 tkxs'k tks'kh vf/koDrk foi{kh la[;k 1 yxk;r 5 dh vksj ls Jh v'kksd esgrk vf/koDrk foi{kh la[;k 6 dh vksj ls Jh fjtoku vgen vf/koDrk 2 fu.kZ; fnukad 13 fnlEcj] 2019 jkT; vk;ksx jktLFkku t;iqj ¼}kjk Jh dey dqekj ckxM+h] lnL;] ¼U;kf;d½ ;g ifjokn ukjk;.k flag Mkaxh dh vksj ls ,siDs l gkWfLiVy ,oa vU; ds fo:) bl vk;ksx esa fnukad 24-09-2014 dks is'k fd;kA izdj.k ds rF; bl izdkj gS fd ifjoknh ds firk Jh ghjkyky dh foi{kh ,siDs l gkWfLiVy esa xyr bZykt ds nkSjku fpfdRlh; mis{kk ds dkj.kk fnukad 09-06-2014 dks e`R;q gks x;hA ifjoknh ds firk Jh ghjkyky dh rfc;r Bhd ugha Fkh blfy, ifjoknh us ,sisDl gkWfLiVy] t;iqj esa fnukad 20-05-2014 dks psd&vi djok;k rc fnukad 21-05-2014 dks Mk;Xuksl fd;k x;k rc fnukad 21-05-2014 dh MRCP ,oa vU; fjiksVksZ dks ,sisDl gkWfLiVy esa MkWa0 lfpu >aoj us ns[kdj crk;k fd xkyCysMj dk ekewyh lk vkWijs'ku fd;k tk;sxk vkSj blds fy, djhc 30&35 gtkj :i;s yxsaxsa vkSj nks ;k rhu fnu ckn NqV~Vh ns nh tk;sxhA Jh ghjkyky vkWijs'ku ls iwoZ vPNh rjg ls py fQj jgs Fks vkSj vius nSfud fdz;k dyki vius vki Lor% gh dj jgs Fks bl gkWfLiVy esa Hkh Loa; pydj bZykt gsrq vk;s FksA fnukad 21-05-2014 dks ifjoknh ds firk Jh ghjkyky ,sisDl gkWfLiVy t;iqj esa xky CysMj ds vkWijs'ku ds fy, HkrhZ gks x;s ,oa mudk vkWijs'ku fnukad 22-05-2014 dks fd;k x;k ijUrq vkWijs'ku ds ikap fnu ckn gh ifjoknh dks crk;k x;k fd vkWijs'ku esa dqN xyrh jg x;h gS] blfy, nqckjk ml txg dk vkWijs'ku djuk gh iM+sxk rFkk fnukad 28-05-2014 dks mlh txg dk nqckjk vkWijs'ku fd;k x;k rFkk rFkk fnukad 28-05-2014 dks vkWijs'ku esa iqu% ?kksj ykijokgh cjrh x;h ,oa nks ckj ds vkWijs'ku dk leLr [kpkZ ifjoknh ls tek djk;kA MkDVj }kjk vkWijs'ku ds nkSjku Vkads Bhd <ax ls can ugh djus ds dkj.k muesa il iM+ x;k fpfdRlh; mis{kk ds dkj.k vkSj blds ckn MkDVj }kjk Bhd djus gsrq vkSj vkxs HkrhZ jgus dh lykg nh x;h] ftlls ejht ds ifjokjtu ls vf/kd ls vf/kd [kpkZ djokrs jgs vkSj vf/kd ls vf/kd iSlk ,saBus dk dk;Zdze 'kq: gks x;kA ejht dh rfc;r dkQh dqN Bhd gksus ds ckn fnukad 04-06-14 ,oa 05- 06-2014 dks ejht dks 'kek dks gkWfLiVy dfeZ;ksa us gkWfLiVy dh ckydkWuh esa Hkze.k djok;k ,oa rc fnukad 05-06-14 dks ejht dh Vh ,y lh fjiksVZ fnukad 3 06-06-2014 (Count 18700 cumm) ds vk/kkj ij General Ward esa 'kke dks f'k¶V dj fn;kA ifjoknh ds firk dks fnukad 05-06-14 dks tujy okMZ esa f'k¶V dj fn;k ijUrq ifjoknh o muds ifjokj dks ;g ns[kdj vk'p;Z gqvk fd ejht dks fnukad 07-06-14 dks 9000&9000@&:- ds nks (Eraxis 100 mg) batsD'ku ,d lkFk fn;s tk jgs Fks vkSj iqu% ,d ;gh batsD'ku fnukad 08-06-2014 dks lqcg dks eaxkdj fn;k x;kA tc fd fnukad 04-06-14 dks ekbZdzksck;Wyksth fjiksVZ esa dksbZ Qaxy ,sfyesUV ugha Fkk ,oa fnukad 06-06-14 dh tkap fjiksVZ esa TLC count 13800 cumm Fkh tks fd lkekU; FkhA ejht dh fjiksVZ esa Qaxy ,sfyesUV ugha gksus ds ckotwn ejht dks (Eraxis 100 mg) dk batsD'ku yxkrkj fn;k x;k vkSj lkFk esa Tevran (50mg) dh ,d xksyh Hkh nh x;hA mDr izdkj ls xyr bZykt ds pkyw djrs gh ifjoknh ds firk dh gkyr vkSj [kjkc gks x;h rFkk tujy okMZ esa f'k¶V gksus ds ckotwn fnukad 07-06-14 dh jkr dks okil vkbZ lh ;w esa f'k¶V dj fn;k x;kA tgk ejht dks Infection cgqr T;knk c<+ x;k ,oa e`R;q gks x;hA ifjoknh ds firk dks fcuk mDr chekjh (fungus) ds (Eraxis100 mg) dk batsD'ku yxk;s tkus ds ckn gh ifjoknh ds firk dh nksuksa fdMfu;ka [kjkc gks x;h ,oa vU; egRoiw.kZ vaxksa us dke djuk can dj fn;kA M~;wVh MkDVjksa ls iwNus ij crk;k x;k fd mDr batsD'ku MkWa0 v:.k vxzoky ds fy[ks vuqlkj eaxok dj yxk;s x;s gSA vkbZ lh ;w esa f'k¶V fd;s tkus ls iwoZ ejht ds Vh ,y lh fjikVZ fnukad 06-06-2014 esa Vh ,y lh dkmUV 13800 lh ;w ,e,e Fkk ijUrq fnukad 08-06- 2014 dh tkap fjiksVZ ds vuqlkj vkbZ lh ;w esa f'k¶V fd;s tkus ds ckn Vh ,y lh dkm.V 41400 lh ;w ,e,e gkWfLiVy dh ykijokgh ls gks x;k vkSj tks fd fuf'pr :i ls (Eraxis100 mg) ds batsD'ku ds vksojMkst dh otg vFkok fcuk vko';drk yxk;s tkus ls ifjoknh ds firk dh chekjh vkSj T;knk c<+ x;hA 1 fnukad 08-06-2014 dks MkWa0 lfpu >aoj ds lgk;d MkDVj us djhc 1 2 cts nksigj dks vkseizdk'k Mkaxh ¼ HkkbZ ½ dks vius d{k eas cqykdj crk;k fd ejht ghjkyky th dh nksuksa fdMfu;k o QsQM+s dke ugha dj jgs gS rc mUgkssusa gh vLirky ds [kpsZ ij fnukad 08-06-2014 dks nksigj djhcu 2-00 cts lhVh Ldsu djk;k ftldh fjiksVZ ,oa 07-06-2014 dks bZykt (ICU) dh fjiksVZ Hkh ifjoknh dks miyC/k ugha djk;h x;h ,oa fnukad 20-05-2014 dks HkrhZ ls igys ,oa fnukad 4 04-06-2014 dks lksuksxzkQh djk;h x;h Fkh mlds vuqlkj nksuksa fdMfu;kWa fcYdqy lgh Fkh] fQj nksukss fdMfu;kWa ,oa vU; vax vpkud [kjkc dSls gks x;sA vxj MkDVj }kjk xyr bZykt ugha fd;k x;k gksrk rks fnukad 09-06-2014 dks ifjoknh ds firk dh vlkef;d e`R;q ugha gksrhA vr% ifjokn esa pkgs x;s vuqrks"k fnyok;s tk;saA ifjoknh dh vksj ls ifjokn ,oa lk{; ds leFkZu esa Lo;a dk 'kiFk&i= ,oa izn'kZ&1 yxk;r izn'kZ&7nLrkost izLrqr fd;sA foi{kh la[;k 1 yxk;r 5 dh vksj ls tokc esa dFku fd;k fd ifjoknh tks ykijokgh dk vkjksi yxk ds vkrk gS] mDr ykijokgh dks lkfcr djus dk iw.kZ o xaHkhj Hkkj mlh O;fDr ij jgsxkA foi{kh la[;k 2 }kjk fpfdRlh; ykijokgh ds laca/k esa 26-01-2014 ls 25- 01-2015 dh vof/k dk chek us'kuy ba';ksjsal daiuh fy0 ls izfr ekeys ,d djksM+ :i;s dk ys j[kk gSA fpfdRlh; ykijokgh dks lkfcr djus dk xaHkhj Hkkj vkosnd ij gksrk gS vkSj vkosnd dks bl Hkkj dk fuoZgu djus ds fy;s uk dsoy Li"V IyhfMaXl vafdr djuh pkfg, rFkk ;g Hkh Li"V :i ls vafdr djuh pkfg, fd fpfdRlh; ykijokgh D;k gq;hA viSDl vLirky mu dqN cgq&Lis'kfyVh vLirkyksa esa ,d gS ftuesa ,d gh Nr ds uhps lHkh izdkj ds jksxh dk lQy bZykt izHkko'kkyh MkWDVjksa dh Vhe }kjk fd;k tkrk gS ,oa viSDl vLirky vkfFkZd ewY;ksa ij mPp xq.koRrk fpfdRlk ns[kHkky iznku djus ds fy; Hkh izfrc) gSA vLirky esa ifjoknh ds firk dk bZykt Hkh MkDVjksa dh izHkko'kkyh Vhe }kjk fd;k x;k FkkA ifjoknh ds firk ftl fnu vLirky esa HkrhZ gq;s Fks mudh vk;q 82 Fkh rFkk os xkWy CysMj esa LVksu gksus ds dkj.k xaHkhj ihfy;k jksx ls xzflr Fks] mudh gkyr fpUrktud FkhA ifjoknh ds firk tc loZizFke vLirky esa vk;s Fks rc izkFkfed tkWap ds ckn fjiksVZ~l esa ihfy;k dk Kkr gqvk ,oa mudk Billirubin tks lkekU;r% ,d ls de gksrk gS og vk'p;Ztud :i ls 10 xquk c<+k gqvk Fkk tks fd ifjoknh ds firk dh xaHkhj fLFkfr n'kkZ jgk Fkk] ftlds ckn gh ifjoknh us vius firk dks vLirky esa vkxs ds bZykt ds fy;s HkrhZ djk;k FkkA ifjoknh dh vR;f/kd mez gksus ds ckotwn Hkh fir dh uyh esa iFkjh ls :ds gq;s jkLrs dks [kksyus ds fy;s vkWijs'ku dj iFkjh gVk dj Bile Duct [kksyk tkuk vko';d Fkk] vU;Fkk ejht dh gkyr fnu o 5 fnu xaHkhj gksdj fueksfu;k dk bZykt laHko ugha gks ldrk FkkA Bile Duct esa :dkoV gksus ds dkj.k fyoj ls fir vkek'k; esa ugha tk ik jgk FkkA mez dks ns[krs gq;s ;g vkWijs'ku dfBu Fkk ysfdu vko';d Fkk vkSj blfy, bu lHkh rF;ksa dks ejht o muds fj'rsnkjksa dks le>krs gq;s vkWijs'ku fd;k tkuk vko';d le>k x;kA ejht o muds fj'rsnkjksa dh lgefr ls fnukad 22-05-2014 dks firk'k; esa ls LVksu fudkyus ds fy;s vkWijs'ku fd;k x;kA vkWijs'ku lQy jgk ysfdu ,sls vkWijs'ku esa vf/kd mez ds yhdst gksus dh laHkkouk cuh jgrh gS is'ksUV dh mez T;knk gksus ds dkj.k is'ksUV dh fjdojh dkQh /khjs Fkh] ftls t:jh nokbZ;kWa nsdj iwjk fd;k tk jgk Fkk] ftlls is'ksUV esa fjdojh gks jgh FkhA ckn ds VsLV djok;s tkus ij ;g Kkr gqvk fd ckbZy MDV esa yhdst fjiksVZ gqvk gSA igys rks mls VªsfM'kuy rjhds ls gh jksdus dk iz;kl fd;k x;k tks fd lkekU;r% lQy gks tkrk gS] ysfdu] vf/kd mez gksus ds dkj.k tc VªsfM'kuy bZykt ls lQyrk ugha feyh rks lHkh rF; crkrs gq;s iqu% vkWijs'ku djuk mfpr gksuk dgk x;kA lgefr feyus ij 28-05-2014 dks iqu% fd;k x;kA nqckjk vkWijs'ku fd;s tkus ds ckn 'kuS% 'kuS% mlds LokLF; esa fjdojh gksrh xbZ vkSj mldh fjiksVZ~l Hkh lgh vk jgh Fkh vkSj Vh-,y-lh- dkm.V tks fd ladze.k dks crkrs gS /khjs&/khjs de gks jgs Fks blfy, mUgsa iSny pyk;k x;k vkSj ckn esa okMZ esa f'k¶V dj fn;k x;k tks fd bZykt dh ,d lkekU; izfdz;k gSA ejht ds Vh-,y-lh- esa FkksM+h c<+ksrjh gqbZ Fkh rFkk dYpj fjiksVZ Hkh dqN ,UVhVª;ksfVd cnyko fn[ks FksA fnukad 03-06-2014 dks mls iqu% cq[kkj vk;k rks ckgj ls baUlsufVo ds;j Lis'kfyLV dks cqykdj fn[kk;k x;k ftuds funsZ'k ij ,UVhQaxy VªhVesaV 'kq: fd;k x;kA fnukad 04-06-2014 dks dYpj fjiksVZ vkus ij mls Qaxy baQDs 'ku ik;k x;kA ,UVhQaxy VªhVesaV ds ckn og 5 twu rd og dkQh nq:Lr gks x;k vkSj mls okMZ esa f'k¶V dj fn;k x;kA fnukad 06-06- 2014 dks mls iqu% cq[kkj vk;k vkSj Myusl vkus ij mls jkf= 11-30 cts vkbZlh;w esa f'k¶V dj fn;k x;kA fnukad 07-06-2014 dks Eraxsis ,UVhQaxy nok nh xbZ tks fd mDr ifjfLFkfr;ksa esa vko';d Fkh ysfdu ejht vR;f/kd mez gksus ds dkj.k mu nokvksa dks iw.kZ :i ls jsLiksUM ugha dj ik jgk FkkA vLirky dh vksj ls ejht dks nq:Lr djus ds gj iz;kl fd;s x;s ysfdu vUrr% 09-06-2014 dks lqcg 9-00 cts eYVh vkWjxu Qsfy;ksj ds dkj.k mldk fu/ku gks x;kA 6 vLirky esa fnukad 04-06-2014 dks Qaxy VsLV ikWthfVo ik;k x;k vkSj Qaxy VªhVesVa nsus ls iwoZ baUVsflo ds;j Lis'kfyLV MkWa0 v:.k vxzoky ls Hkh lykg nh xbZA ;g nok fdlh Hkh izdkj ls 'kjhj dks dksbZ xaHkhj uqdlku ugha igqapkrh ijUrq Qaxy VªhVesaV esa vko';d gksrh gSA is'ksUV dk bZykt fpfdRlk foKku ds txr esa lqLFkkfir ekin.Mksa ds vuqlkj fu/kkZfjr izfdz;k dk vuqlj.k djrs gq, fd;k x;k Fkk ,oa bjsfDll dk batsD'ku MkDVj }kjk is'ksUV dks fn;k x;k Fkk tks fd lkekU;r% ladze.k dks jksdus ds fy;s jksxh dks fn;k x;k Fkk ftldk mfpr vk/kkj fpfdRldksa ds ikl miyC/k FkkA ;g dguk xyr gS fd Qaxy VªhVesaV o bjsfDll 100 ,e-th- ds batsD'ku yxk;s tkus ds dkj.k gh fdMuh [kjkc gqbZ gksA cfYd ,slk VªhVesaV rks yhuh;ksj Qsfy;ksj esa Hkh fn;k tk ldrk gS vkSj bl VªhVesaV esa igyks Mkst 200 ,e-th- dk o blds ckn 14 fnu rd 100&100 ,e0th0 ds izfrfnu batsD'ku fn;s tkrs gSA tc fd ejht dks dqy 2 gh fnu 7 o 8 twu dks bjsfDll batsD'ku fn;s x;s Fks ftlls fdlh Hkh izdkj ds fdMuh dks uqdlku dh dksbZ laHkkouk ugha gSA ;g dguk xyr gS fd bjsfDll batsD'ku ds fcuk vko';drk yxkus ls c<+h gks cfYd batsD'ku yxkuk Qaxy ladze.k dks jksdus ds fy;s vko';d Fkk ftldk foLr`r esMhdy fyVjspj miyC/k gSA fjdkMZ ij ;g Hkh ugha vk;k fd ifjoknh gh e`rd dk vdsyk mRrjkf/kdkjh gS vU; mRrjkf/kdkfj;ksa dks i{kdkj ugha cuk;k x;k gSA vkSj ifjoknh e`rd ij vkfJr Hkh ugha gSA ,slh fLFkfr esa ifjoknh fdlh Hkh izdkj dk eqvkotk izkIr djus dk vf/kdkjh ugha gSA vr% ifjoknh dk ifjokn [kkfjt fd;k tk;saA foi{kh la[;k 1 yxk;r 5 dh vksj ls lk{; ds leFkZu esa MkWa0 lfpo >aoj dk 'kiFk&i= rFkk izn'kZ&A@1 ,oa izn'kZ&A@2 nLrkost izLrqr fd;sA foi{kh la[;k 6 ds tokc dk foospu djus dh vko';drk ugha] D;ksa fd ;fn foi{khx.k fdlh izdkj ls mRrjnk;h Bgjk;s tkrs gS rks ;g muds o chek daiuh ds chp dk ekeyk gS ifjoknh mldk miHkksDrk ugha gSA blfy, mlds fo:) ;g vk;ksx dksbZ vkns'k ugha ns ldrh gSA cgl lquh ,oa i=koyh dk voyksdu fd;kA 7 ;g izdj.k fpfdRlh; vlko/kkuh dk gS] bl ekeysa esa 2010 (I) RLW 722 (SC) Kusum sharma & ors. Vs. Batra Hospital & Medical Research Centre & ors. esa ekuuh; loksZPp U;k;ky; us fuEu fn'kk&funsZ'k fn;s gS%& "On scrutiny of the leading cases of medical negligence both in our country and other countries specially the United Kingdom, some basic principles emerge in dealing with the cases of medical negligence. While deciding whether the medical professional is guilty of medical negligence following well known principles must be kept in view:
I. Negligence is the breach of a duty exercised by omission 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 expected 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 8 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 the course of action chosen by him was acceptable to the medical profession.
VIII. It would not be conducive to the efficiency 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 pressurizing the medical professionals/hospitals, particularly private hospitals or clinics for extracting uncalled for compensation. Such malicious proceedings deserve to be discarded against the medical practitioners. 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.
blh izdkj rhu ekuuh; U;k;kf/kifrx.k dh cSap us (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 %& J. Tort -Negligence -
Medical Negligence -When actionable -Test for Approach to be taken in dealing with cases of -Rationale for differential treatment of medical profession, discussed in extensor - Duties undertaken by doctors enumerated - Held, in a claim of medical negligence, it is enough for defendant to show that standard of care and skill attained was that of the ordinary competent medical practitioner exercising an ordinary degree of professional skill - Test for medical negligence laid down in 9 Balam case, (1957) 2 All ER 118, 121 D-F [set out in para 19 herein], held, applicable in India -Further explained in detail when deviation from normal medical practice would amount to evidence of medical negligence - various issues clarified as to (1) state of knowledge by which standard of care is to be determined, (2) Standard of care in case of charge of failure (a) to use some particular equipment, or (b) to take some precaution, (3) enquiry to be made when alleged negligence is
(a) due to an accident, or (b) due to an error of judgment in choice of a procedure or its execution--Considerations to be kept in mind by any forum trying issue of medical negligence, specified -Medical Practitioners K. Tort -Negligence - Professional negligence--when actionable--Test for--Held, a professional may be held liable for negligence either (1) when 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 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 extensor - 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 opposed 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 applicable 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 dome thing which a reasonable man guided by those considerations which ordinarily regulate the conduct of human 10 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 recognized, 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 recognized 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.
iSjk 48 esa fuEu fu/kkZfjr fd;k gS %& Negligence is the breach of a duty caused by omission 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. The definition of negligence as given in Law of Torts, Ratanlal & Dhirajlal (edited by Justice G.P. Singh), referred to hereinabove, holds good. 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, are three: "duty", "breach" and "resulting damage", Åij of.kZr nksuksa fu.kZ; cksyke dsl ij vk/kkfjr gSA fpfdRlh; vlko/kkuh ds ekeys esa vk;ksx dks ;g ns[kuk gS fd gkWfLiVy o fpfdRldksa us Skill & Care dk mi;ksx djrs gq, bZykt fd;kA ;fn Skill & Care dk mi;ksx ugha fd;k x;k rks ml fLFkfr esa fpfdRlh; vlko/kkuh ekuh tk;sxh D;ksa fd foi{kh gkWfLiVy futh gkWfLiVy gS rFkk dksjiksjsV gkWfLiVy gSA ;gkWa Lis'kfyLV MkDVj dke djrs gSA ,slh fLFkfr esa vLirky ls ;g vis{kk dh tkrh gS fd fd og High Skill & Care dk mi;ksx djrs gq, ejht dk bZykt djsAa 11 20 ebZ] 2014 dks BIOCHEMISTRY tkWap dh x;h ftldh fjiksVZ fuEu izdkj gS%& BIOCHEMISTRY REPORT Investigations Result Reference Interval Serum BILLIRUBIN (DIR.) 4.3 mg/dl 0. 03 mg/dl Serum BILLIRUBIN (INDIR.) 5.7 mg/dl 0.0 -1.1 mg/dl Serum BILLIRUBIN (TOTAL.) 10.0 mg/dl 0.2 -1.3 mg/dl Methodology: GOD-POD With Serum/Plasma SGOT 68 U/L 17 - 59 U/L SGPT 95 U/L 21 - 72 U/L Serum Alkaline PTASE 241U/L 38- 126 U/L 20 ebZ] 2014 dks gh HAMATOLOGY tkWap dh x;h ftldh fjiksVZ fuEu izdkj gS%& HAMATOLOGY REPORT Investigations Result Reference Interval Hemoglobin 9.8gm/dl 13 - 17 gm/dl NEUTROPHILS 85% 50 - 70 % LYMPHOCYTES 12% 20 - 40 % HEMTOCRIT (P.C.V.) 29.2% 40 - 50 % TOTAL RBC 3.26 Million/cu mm 4.5 - 5.5 Million/cu mm 20 ebZ] 2014 dks ejht dk vYVªklkm.M fd;k x;k ftldh fjiksVZ fuEu izdkj gS %& Gall bladder:- Gall bladder is over distended is size, normal in shape and location. Wall thickness is normal. Lumen of gall bladder is showing echogenic shadow suggestive of calculi. No pericholecystic fluid collection is seen. No focal mass or lesion is seen. Common bile duct is dilated with echogenic shadow suggestive of calculi.
IMPRESSION:
Hepatomegaly with fatty liver with dilated IHBR with over-distended GB Cholelithiasis with Choledocholithiasis Prostatic enlargement Advise:- LFT/ERCP 12 20 ebZ] 2014 dks CLINICAL PATHOLOGY tkWap dh x;h ftldh fjiksVZ fuEu izdkj gS%& CLINICAL PATHOLOGY REPORT Investigations Result Reference Interval URINE RBC/HPF 1-2 0-2 URINE EPL CELLS/HPF 2-4 0-2 21 ebZ] 2014 dks MRCP tkWap dh x;h ftldh fjiksVZ fuEu izdkj gS%& MRCP Multiple small filling defects (3-5mm) are seen is grossly distended GB including in its neck region - s/o cholelithiasis.
Smooth tapering is seen in terminal CBD with evidence of gross dilatation of proximal CBD (12mm) and IHBR, No obvious mass lesion is seen in head of pancreas - S/o stricture in terminal CBD -likely benign inflammatory stricture. Small filling defects are also seen in terminal CBC ERCP & BIOPSY/ CORRELATION WITH CLINICAL FINDINGS AND RELEVANT FURTHER INVESTIGATIONS MAY BE MORE INFORMATIVE ejht dks fnukad 21-05-2014 dks fn[kk;k x;k] xky CysMj dk vkWijs'ku djuk Fkk fnukad 22-05-2014 dks vkWijs'ku fd;k bldk vkWijs'ku uksV fuEu izdkj gS %& Diagnosis: Cholelithiasis, Choledocholithiasis Name of operation: Open Cholecystectomy with CBD Exploration with hepaticojejunostomy under GA Surgeon Name: Dr Sachin Anesthetist: Dr. Ashwini Kapoor Assisted by: Basant, Mr Dinesh.
Type of Anesthesia: GA Incision:-Right subcostal lncisionof15cm Finding & Procedure: Under all aseptic Precaution, Patient's abdominal cavity was opened by above mentioned incision layer by layer & then there was
(i) Densely adherent gutloops & omentum to gall bladder.
(ii) Gall bladder full of bile & stones
(iii) Hepatic duct was grossly dilated
(iv) CBD was strictured at lower end and multiple stone was present in
hepatic duct & CBD
(v) Hepatic duct was densely adherent to duodenum & stomach.
13
Then gall bladder was dissected off from gall bladder Fossa retrogradly, then cystic duct and cystic artery identified and tied separately. Then CBD was opened multiple stone was removed out from CBD upper and lower part, then dilated part of hepaticduct cut off & sent for Biopsy? Choledochal cyst, which was very thin due to old age & narrowing of lower end of CBD and dense adhesions. It is decided that do hepatocojejunostomy. Hepatocojejunostomy was mad e& then abdominal drain placed in sub hepatic space. After homeostasis all mops & pads are counted & confirmed and then abdomen was closed layer by layer. After recovery from GA patient shifted to HDU.
23 ebZ] 2014 dks ejht dh ck;ksdes sLVªh tkWap dh x;h ftldh fjiksVZ fuEu izdkj gS%& BIOCHEMISTRY REPORT Investigations Result Reference Interval Creatinine 1.3mg/dl 0.66 - 12.0 mg/dl Methodology: Enzymatic (creatinine amidohydrolase) with serum Sodium 136mEq/L 137- 145 mEq/L S. Potassium 3.3 mEq/L 3.5 - 5.1 mEq/L 23 ebZ] 2014 dks gh HAMATOLOGY tkWap dh x;h ftldh fjiksVZ fuEu izdkj gS%& HAMATOLOGY REPORT Investigations Result Reference Interval (Automatic Cell Counter ( 5 Part analyzer ) with EDTA whole blood) Hemoglobin 6.1gm/dl 13 - 17 gm/dl T.L.C. 12,900/cu mm. 4000 - 11000 /cu mm.
NEUTROPHILS 90% 50 - 70 % LYMPHOCYTES 08% 20 - 40 % HEMTOCRIT (P.C.V.) 17.3% 40 - 50 % TOTAL RBC 1.96 Million/cu mm 4.5 - 5.5 Million/cu mm
24 ebZ] 2014 dks gh ck;ksdes sLVªh tkWap dh x;h ftldh fjiksVZ fuEu izdkj gS%& 14 BIOCHEMISTRY REPORT Investigations Result Reference Interval ELECTROLYTES (Direct Ion- Selective Eclectrode with Serum) S. Potassium 3.1 mEq/L 3.5 - 5.1 mEq/L 24 ebZ] 2014 dks gh HAMATOLOGY tkWap dh x;h ftldh fjiksVZ fuEu izdkj gS%& HAMATOLOGY REPORT Investigations Result Reference Interval Hemoglobin 8.1gm/dl 13 - 17 gm/dl T.L.C. 13,900/cu mm. 4000 - 11000 /cu mm.
NEUTROPHILS 90% 50 - 70 % LYMPHOCYTES 08% 20 - 40 % HEMTOCRIT (P.C.V.) 23.2% 40 - 50 % TOTAL RBC 2.61 Million/cu mm 4.5 - 5.5 Million/cu mm
25 ebZ] 2014 dks gh ck;ksdes sLVªh tkWap dh x;h ftldh fjiksVZ fuEu izdkj gS%& BIOCHEMISTRY REPORT Investigations Result Reference Interval ELECTROLYTES (Direct Ion- Selective Eclectrode with Serum) S. Potassium 2.9 mEq/L 3.5 - 5.1 mEq/L S. Chloride 93 mEq/L 98 - 107 mEq/L Serum BILLIRUBIN (DIR.) 2.6 mg/dl 0. 03 mg/dl Serum BILLIRUBIN (INDIR.) 4.1 mg/dl 0.0 -1.1 mg/dl Serum BILLIRUBIN (TOTAL.) 6.7 mg/dl 0.2 -1.3 mg/dl Methodology: Azobilirubin/Dyphylline Serum Alkaline Phosphate 164U/L 38 -126 U/L Methodology: AMP buffer Creatine phosphate with serum A/G RATIO 0.8:1 1.2 - 1.5 Methodology: TP, ALB, Biuret, BCG: with Serum 25 ebZ] 2014 dks gh HAMATOLOGY tkWap dh x;h ftldh fjiksVZ fuEu izdkj gS%& HAMATOLOGY REPORT 15 Investigations Result Reference Interval (Automatic Cell Counter (5 Part analyzer) with EDTA whole blood) Hemoglobin 10.8gm/dl 13 - 17 gm/dl T.L.C. 14,200/cu mm. 4000 - 11000 /cu mm.
NEUTROPHILS 87% 50 - 70 %
LYMPHOCYTES 10% 20 - 40 %
HEMTOCRIT (P.C.V.) 31.2% 40 - 50 %
TOTAL RBC 3.51 Million/cu mm 4.5 - 5.5 Million/cu mm
26 ebZ] 2014 dks gh HAMATOLOGY tkWap dh x;h ftldh fjiksVZ fuEu
izdkj gS%&
HAMATOLOGY REPORT
Investigations Result Reference Interval
(Automatic Cell Counter (5 Part analyzer) with EDTA whole blood) Hemoglobin 11.6gm/dl 13 - 17 gm/dl T.L.C. 11,000/cu mm. 4000 - 11000 /cu mm.
NEUTROPHILS 95% 50 - 70 % LYMPHOCYTES 08% 20 - 40 % HEMTOCRIT (P.C.V.) 34.3% 40 - 50 % TOTAL RBC 3.82 Million/cu mm 4.5 - 5.5 Million/cu mm
26 ebZ] 2014 dks gh ck;ksdes sLVªh tkWap dh x;h ftldh fjiksVZ fuEu izdkj gS%& BIOCHEMISTRY REPORT Investigations Result Reference Interval ELECTROLYTES (Direct Ion- Selective Eclectrode with Serum) S. Potassium 3.3 mEq/L 3.5 - 5.1 mEq/L S. Chloride 93 mEq/L 98 - 107 mEq/L 27 ebZ] 2014 dks gh ck;ksdes sLVªh tkWap dh x;h ftldh fjiksVZ fuEu izdkj gS%& BIOCHEMISTRY REPORT Investigations Result Reference Interval BILLIRUBIN (Azobilirubin/dyphylline) 16 Serum BILLIRUBIN (DIR.) 1.5 mg/dl 0. 03 mg/dl Serum BILLIRUBIN (INDIR.) 2.7 mg/dl 0.0 -1.1 mg/dl Serum BILLIRUBIN (TOTAL.) 4.2 mg/dl 0.2 -1.3 mg/dl ELECTROLYTES (Direct Ion -Selective Eclectrode with Serum) S. Potassium 3.4 mEq/L 3.5 - 5.1 mEq/L S. Chloride 93 mEq/L 98 - 107 mEq/L 27 ebZ] 2014 dks gh HAMATOLOGY tkWap dh x;h ftldh fjiksVZ fuEu izdkj gS%& HAMATOLOGY REPORT Investigations Result Reference Interval (Automatic Cell Counter (5 Part analyzer) with EDTA whole blood) Hemoglobin 12.6gm/dl 13 - 17 gm/dl NEUTROPHILS 80% 50 - 70 % LYMPHOCYTES 18% 20 - 40 % HEMTOCRIT (P.C.V.) 37.9% 40 - 50 % TOTAL RBC 4.16 Million/cu mm 4.5 - 5.5 Million/cu mm 28 ebZ] 2014 dks ejht dk vYVªklkm.M fd;k x;k ftldh fjiksVZ fuEu izdkj gS %& ULTRASOUND WHOLE ABDOMEN Gall bladder Gall bladder is absent. Common bile duct is not dilated in caliber but a 7.2 mm echo - bright focus with DAS is seen in the CBD- ? Air focus -? Calculus IHBR are dilated with pneumobilia. Hypoechoic collection is noted in the GB fossa region, in the right paracolic gutter and in the pelvic region.
IMPRESSION Hepatomegaly Post Cholecystectomy status Dilated IHBR with pneumobilia Echo- bright focus with DAS in the CBD -? Air focus? Calculus Collection as described above Prostatomegaly 17 28 ebZ] 2014 dks gh ck;ksdes sLVªh tkWap dh x;h ftldh fjiksVZ fuEu izdkj gS%& BIOCHEMISTRY REPORT Investigations Result Reference Interval Serum BILLIRUBIN (DIR.) 1.4 mg/dl 0. 03 mg/dl Serum BILLIRUBIN (INDIR.) 2.4 mg/dl 0.0 -1.1 mg/dl Serum BILLIRUBIN (TOTAL.) 3.8 mg/dl 0.2 -1.3 mg/dl Methodology: Azobilirubin/Dyphylline Serum Alkaline Phosphate 152 U/L 38 - 126 U/L Methodology: AMP buffer Creatine phosphate with serum ALBUMIN 2.9 mg/dl 3.5 - 5.0 mg/dl GLOBULIN 3.6 mg/dl 2.8 - 3.2g/dl A/G RATIO 0.8:1 1.2 - 1.5 Methodology: TP, ALB: Biluret, BCG : with Serum Blood Urea 53mg/dl 19 - 42mg/dl Methodology: Urease Indicator Dye with Serum fnukad 22 ebZ] 2014 dks vkWijs'ku Bhd gksuk crk;k tkrk gS] ijUrq ejht dh mez 82 o"kZ dh gksus ds dkj.k fjdojh /khjs gqbZ rFkk ckn esa tkWap ij irk pyk fd Bile Duct esa yhdst gSA igyk vkWijs'ku VªsfM'kuy bZykt ls fd;k x;k ftlesa iwjh lQyrk ugha feyhA nwljk vkWijs'ku 28-05-2014 dks fd;k x;k ftldk vkWijs'ku uksV fuEu izdkj gS %& Name of operation: Re exploratory laprotomy, roux-en-y Hepaticojejunostomy with jejunojejunostomy under GA Surgeon Name: Dr Sachin Anenthetist: Dr Ashwini Kapoor Assisted by: Mr Basant, Mr. Manohar Incision: Right subcostal incision on pervious laparotomy incision with extending upward and downward.
Finding & Procedure: Under all aseptic precaution patient painted & Drapped. There was clotted blood present over liver & anestomotis site at previous Hepaticojejunostomy there was a pus pocket present over mesocolon, at anastomotic site bile leakage was also present. Then Abdominal cavity thorougly washed by normal saline then pus drained and clot out, after that refreshing of hepatic duct end upto level of confluence done, then jejunal loop roux-en-y made & roux-en-y Hepaticojejunostomy anastomosis done & checked for any bile leakage. Then Jejunojejunostomy made. Hemostesis was achieved & abdomenal 18 cavity was closed layer by layer with previous drain in sub hepatic space. After recovery patient shifted to HDU.
ejht dks ICU esa j[kk x;k ckn esa ejht dks pykus dh dksf'k'k dh x;h ejht pyus ;ksX; gks x;k rks] tujy okMZ esa f'k¶V fd;k x;kA ejht ds iqu% vLoLFk gksus ij ICU esa f'k¶V fd;k x;kA ifjoknh dk eq[; vkjksi ;g gS fd ejht dks Eraxis 100 mg ds 2 batsD'ku 07-06-2014 dks fn;s x;s fnukad 08-06- 2014 dks ogh batsD'ku fn;k x;kA ejht dh fjiksVZ ds vuqlkj Qaxy ,sfyesUV ugha Fkk] blds ckotwn vksoj Mkst ds batsD'ku ns fn;s x;s ejht dh TLC Count Hkh lgh FkhA bu batsD'ku ds vykok ejht dks Tevran Tab nh x;h ftldh Hkh t:jr ugha FkhA bl izdj.k esa 04 twu] 2014 dks ejht dk vYVªklkm.M fd;k x;k ftldh fjiksVZ fuEu izdkj gS %& Gall bladder Gall bladder is absent -Post Cholecystectomy Status. Kidneys Both kidneys are normal in size, shape outline. Cortical echogenicity is normal Corticomedullary differentiation is maintained. No dilatation is seen on either side. No echogenic shadow suggestive of calculus is seen. Ureter is not dilated. IMPRESSION Post Cholecystectomy status Hepatomegaly with dilated IHBR with CHD seen, CBD not seen Prostatomegaly Note is made of localised collection of 40 x 31 mm in the right hypochondriac region 04 twu] 2014 dks gh ck;ksdsesLVªh tkWap dh x;h ftldh fjiksVZ fuEu izdkj gS%& BIOCHEMISTRY REPORT Investigations Result Reference Interval Sodium 135mEq/L 137- 145 mEq/L 04 twu] 2014 dks gh MICROBIOLOGY CULTURE & SENSITIVITY REPORT tkWap dh x;h ftldh fjiksVZ fuEu izdkj gS%& MICROBIOLOGY 19 CULTURE & SENSITIVITY REPORT Sample : Drain Fluid Organism Isolated : Candida other than C. albicans grown on culture (Moderate growth).
04 twu] 2014 dks gh MICROBIOLOGY CULTURE & SENSITIVITY REPORT Bacterial Count tkWap dh x;h ftldh fjiksVZ fuEu izdkj gS%& MICROBIOLOGY CULTURE & SENSITIVITY REPORT Bacterial Count : Significant growth (More than 105 /ml).
04 twu] 2014 dks gh HAMATOLOGY tkWap dh x;h ftldh fjiksVZ fuEu
izdkj gS%&
HAMATOLOGY REPORT
Investigations Result Reference Interval
Hemoglobin 9.0gm/dl 13 - 17 gm/dl
T.L.C. 21,800/cu mm. 4000 - 11000 /cu mm.
NEUTROPHILS 95% 50 - 70 %
LYMPHOCYTES 04% 20 - 40 %
HEMTOCRIT (P.C.V.) 25.2% 40 - 50 %
TOTAL RBC 2.97 Million/cu mm 4.5 - 5.5 Million/cu mm
06 twu] 2014 dks ejht dh ck;ksdes sLVªh tkWap dh x;h ftldh fjiksVZ fuEu izdkj gS%& BIOCHEMISTRY REPORT Investigations Result Reference Interval Creatinine 1.3mg/dl 0.66 - 12.0 mg/dl Methodology: Enzymatic (creatinine amidohydrolase) with serum Sodium 132mEq/L 137- 145 mEq/L BILLIRUBIN (DIR.) 0.6 mg/dl 00. 03 mg/dl BILLIRUBIN (INDIR.) 1.2 mg/dl 0.0 -1.1 mg/dl BILLIRUBIN (TOTAL.) 1.8 mg/dl 0.2 -1.3 mg/dl Methodology: Azobilirubin / Dyphylline 20 Serum Alkaline phosphate 151U/L 38 - 126 U/L Total Protein 5.7g/dl 6.3 - 8.2 g/dl ALBUMIN 2.2g/dl 3.5--5.0g/dl GLOBULIN 3.5 g/dl 2.8 -3.2g/dl 06 twu] 2014 dks gh HAMATOLOGY tkWap dh x;h ftldh fjiksVZ fuEu izdkj gS%& HAMATOLOGY REPORT Investigations Result Reference Interval Hemoglobin 8.9gm/dl 13 - 17 gm/dl T.L.C. 13,800/cu mm. 4000 - 11000 /cu mm.
NEUTROPHILS 90% 50 - 70 %
LYMPHOCYTES 08% 20 - 40 %
HEMTOCRIT (P.C.V.) 24.8% 40 - 50 %
TOTAL RBC 2.96 Million/cu mm 4.5 - 5.5 Million/cu mm
06 twu] 2014 dks gh SEROLOGY tkWap dh x;h ftldh fjiksVZ fuEu
izdkj gS%&
SEROLOGY REPORT
Investigations Result Reference Interval
CRP Quantitative 4.5gm/dl 0 - 0.6 gm/dl
tgkWa rd vkWijs'ku dk loky gS vkWijs'ku VªsfM'kuy rjhds ls fd;k x;k ijUrq ejht 82 lky dk o`) gksus ds dkj.k izksll s /khjs Fkk rFkk vkWijs'ku iw.kZr% lQy ugha gqvk ckn esa nwljk vkWijs'ku fd;k x;k tks lQy jgkA bl lac/a k esa ifjokn esa Hkh ifjokn dh dksbZ f'kdk;r ugha gSA ifjokn ds iSjk la[;k 6 esa Eraxis 100 mg o Tevran 50 mg vdkj.k nsus rFkk vksojMkst nsus ds ifj.kkeLo:i ejht dh gkyr [kjkc gksus rFkk ckn esa e`R;q gksus dk dgk gSA Åij of.kZr fjiksVksZ ds vuqlkj ejht dh TLC FkksM+k c<+k gqvk Fkk rFkk dYpj fjiksVZ ds vuqlkj ,UVªh ck;ksfVd cnyko fn[kkbZ ns jgs FksA fnukad 03-06-2014 dks ejht ds iqu% cq[kkj vk;k bl ij ICU Lis'kfyLV dks fn[kk;k x;k rks mlus ejht dh tkWap djus rFkk VsLV fjiksVZ fn[kkus ij Qaxy bUQsD'ku ik;k 05 twu] 21 2014 dks ejht Bhd gks x;k Fkk rks mls lkekU; okMZ esa f'k¶V dj fn;k x;kA fnukad 06-06-2014 dks iqu% cq[kkj vk x;k mls iqu% ICU esa HkrhZ fd;k x;k fnukad 07-06-2014 dks ejht dks Eraxis 100 mg ds nks batsD'ku fn;s x;s fnukad 08-06-2014 dks ,d batsD'ku fn;k x;k ijUrq ejht us jsLiksUM ugha fd;k rFkk mldh e`R;q gks x;hA ejht dh Åij of.kZr tkWap fjiksVZ ls ;g izrhr gksrk gS fd ejht ds Qaxy baQsD'ku Fkk] bl dkj.k cq[kkj Hkh vk jgk Fkk rFkk fjdojh Hkh /khjs FkhA ejht ,d ckj Bhd gksus dh fLFkfr esa vk x;k Fkk] rks tujy okMZ esa f'k¶V dj fn;k x;k iqu% cq[kkj vkus ij iqu% ICU esa f'k¶V dj fn;k x;k rFkk tks batsD'ku fn;s x;s mldk rdZ ;g jgk fd nks batsD'ku fn;s x;s rFkk mlds ckn 1 batsD'ku fn;k x;kA bl laca/k esa II (2019) CPJ 99 (SC) Vinod Jain vs Santokba Durlabhji Memorial Hospital & Anr. esa ekuuh; loksZPp U;k;ky; us fuEu fu/kkZfjr fd;k gS %&Consumer Protection Act, 1986- Section 2(1)(g), 23- medical negligence- Cancer Treatment- Death of Patient- Wrong diagnosis alleged- Deficiency in service- State Commission allowed complaint- National Commission allowed appeal- Respondent No.1- Hospital promptly attended to wife of appellant- Respondent No.2-Doctor after taking into consideration the fact that patient was normal, afebrile, well-hydrated and displayed normal vitals, oral administration of tablet was prescribed- Her physical condition was found to be one where oral administration of drug was possible- In perception of doctor, increase in lymphocytes in blood count was result of patient displaying an improved immune response to infection- There was no evidence to show any unexplained deviation from standard protocol- Deceased was medically compromised by the reason of her past illness- Death had been caused by a multiplicity of factors- Negligence not proved.
III (2019) CPJ 377 (NC) Rajangam @ Velusamy & Ors. Vs Dr. Fredrick John & Ors. esa ekuuh; jk"Vªh; vk;ksx us fuEu fu/kkZfjr fd;k gS %&Consumer Protection Act, 1986- Section 2(1) (g), 14(1)(b)- medical negligence- Total Abdominal 22 Hysterectomy (TAH)- Death of patient- Alleged deficiency in service- District Forum partly allowed complaint- State Commission allowed appeal- Hence revision- Record shows that within 24 hours, when Patient's abdomen showed distension, treating Doctors at 4:30 a.m. have taken a decision and performed a laparatomy to assess the bleed- Progress notes also shows that when patient's hemoglobin level has fallen, treating Doctors have taken right measures regarding transfusion of blood- Operation notes also shows that platelet counts has fallen and that there was excessive bleeding- Standard protocol of transfusion of blood and step taken to arrest breathing difficulty has been adhered to by treating Doctors- Complete blood picture, USG, ECG and X-rays were taken prior to surgery- Medical literature also evidences that Disseminated Intravascular Coagulation (DIC) is a post operative complication which cannot be controlled at all times and mortality rate is very high- Due care and caution was exhibited by treating Doctors and there is no negligence on their behalf- Directions.
II (2018) CPJ 447 (NC) Sukhdev Gill Vs Rotary Eye Hospital & Ors. esa ekuuh; jk"Vªh; vk;ksx us fuEu fu/kkZfjr fd;k gS %&Consumer Protection Act, 1986- Section 2(1)(g), 21(g)- medical negligence- Eye surgery- Lack of care- Diminished vision in left eyes- Deficiency in service alleged- District Forum allowed complaint- State Commission allowed appeal- Hence revision- Prescription slips of different hospitals pursued- None of these doctors mentioned that Retina Detachment (RD) was due to negligence or carelessness during squint correction surgery performed by OP3- OP3 treated patient only for cosmetic squint correction left eye- Complainant failed to provide any cogent evidence that RD was due to outcome of squint correction surgery- Merely because patient did not be a ground to fasten liability upon medical professional- Negligence not proved.
I (2017) CPJ 619 (NC) Miss Heart Parmar Vs Venilal G. Panchal & Ors. esa ekuuh; jk"Vªh; vk;ksx us fuEu fu/kkZfjr fd;k gS %& Consumer Protection Act, 1986- Section 2(1)(g), 23 21(a)(ii)- medical negligence- Brain stroke-Diminished blood supply to part of brain- Death of patient- Lack of Care- Alleged deficiency in service - State Commission dismissed complaint- Hence appeal- Complainant has not examined any expert to prove that doctors have not followed standard of practice - OP's evidence clearly shows that father of complainant was treated properly- An 83 years old man developing brain stroke, a serious condition- Such patients are prone to succumb despite best treatment - Signs of left ventricular failure like breathlessness, gallop sound and rise in respiratory rate were not present in patient- Therefore, cardiac investigation were not advised- Only because patient was died or suffered any mishap, it cannot be taken as medical negligence of treating doctor- Patient was treated under ICU care with regular monitoring of vital parameters- Negligence not proved.
I (2014) CPJ 602 (NC) Shivaji Basu (Dr.) Vs Devapriya Ghosh & Ors. esa ekuuh; jk"Vªh; vk;ksx us fuEu fu/kkZfjr fd;k gS %& Consumer Protection Act, 1986- Section 2(1)(g), 21(a)(ii)- Medical negligence- Overdose of medicine - Treatment for Urinary Tract Infection- Hearing impairment- Alleged deficiency in service- State Commission allowed complaint- Hence appeal- Complainant has not filed any expert opinion or report to prove the fact that so called overdose of Amikacin affected hearing of complainant- To prove this fact complainant ought to have produced earlier audiography report and after treatment latest audiography report- Merely because OP No. 1 had not cautioned complainant regarding impact of Amikacin dose, no deficiency can be attributed- Complainant's treatment by Amikacin not impaired his hearing- Deficiency not proved.
III (2007) CPJ 322 (NC) Santosh Gupta & Ors. Vs G.G. Dhir (Dr.) & Ors. esa ekuuh; jk"Vªh; vk;ksx us fuEu fu/kkZfjr fd;k gS %& Consumer Protection Act, 1986- Section 2(1)(g)- medical negligence- Abnormal druf Reaction- Complainant noticed some boils on legs- Advised to take prescribed medicine- No relief despite change of prescription- New 24 medicine "Depsonil" prescribed- Consumption resulted into red spots on back of patient, high temperature and vomiting- Advised blood test- Reports normal, only reaction of some medicine- Condition deteriorated- Death after consulting several doctors- Alleged, Medicine for malaria given without getting any pathological report and high dosage of "Odirox- 300" resulted in side effects- Medical reports showed patient treated for skin disease- Death caused due to 'Viral Hepatitis'-
"Depsone" tablets non-toxic drug, preferred treatment for patient's disease- Non evidence to show "Odirox caused Hepatitis- Medical literature showed various drugs can cause drug induced hepatitis- No nexus found between cause of death and treatment given- Medical Negligence not proved- O.P. held not liable.
ekuuh; loksZPp U;k;ky; o ekuuh; jk"Vªh; vk;ksx }kjk fu/kkZfjr fl)kUrksa dh jks'kuh esa bl izdj.k dks ns[ks rks ejht 82 o"kZ dh mez dk Fkk tks fuf'pr :i ls o`) Fkk ejht ds bZykt esa izksxzsl /khjs gqbZ] ejht ds vkWijs'ku lgh gqvk ejht ds Qaxy bQsD'ku Fkk ftldh nokbZ ICU Lis'kfyLV dh lykg ij nh x;hA ejht ds le; le; ij VsLV djok;s x;s rFkk ejht dh vusdks fjiksVZ udkjkRed vk;h] bu fjiksVZ~l ds vk/kkj ij ejht dk bZykt fd;k x;kA vLirky iz'kklu us ejht dh ns[kHkky esa dksbZ vlko/kkuh cjrh gks ,slk u rks ifjokn esa dgk x;k gS u gh lk{; esa vkjksi gS ejht dks igys ICU es HkrhZ fd;k x;k fQj ejht dh fLFkfr Bhd gksus ij ;gkWa rd fd ejht dks pykdj ns[kk x;k rks lkekU; okMZ esa HkrhZ fd;k x;k ijUrq ejht ds cq[kkj vk x;k tks bl ckr dh vksj bafxr djrk gS fd ejht ds baQDs 'ku Fkk] baQDs 'ku dh nokvksa ds ekeys esa tks nok nsus dk izsLdkbZCM eSuj gS mlds vuqlkj nokbZ nh tkrh gS dksbZ nok dke djsa] ;k ugha djsa] ejht mlls Bhd gks ;k ugha gks ;g xkjaVh vLirky dh ugha gksrhA vLirky dk dke ejht dk bZykt iw.kZ Skill & Care ls djus dk gSA bl izdj.k esa ,slh dksbZ fLFkfr ugha gS fd ejht dk bZykt Skill & Care ls ugha fd;k x;k gksA ek= bZykt esa vlQy gksus rFkk ejht dh e`R;q gksus ls vLirky dh fpfdRlh; ykijokgh ugha ekuh tk ldrhA fLFkfr esa ifjoknh dk ifjokn [kkfjt fd;s tkus ;ksX; gSA 25 vkns'k vr% ifjoknh dk ifjokn [kkfjt fd;k tkrk gSA ¼ ehuk esgrk ½ ¼ dey dqekj ckxMh ½ lnL; lnL; ¼U;kf;d½ @ikBd@ 26