State Consumer Disputes Redressal Commission
Dr. S.M.Ali vs Apex Hospital Malviya Nagar Jaipur ... on 6 August, 2019
1 jkT; miHkksDrk fookn izfrrks"k vk;ksx] cSap la- 2]jktLFkku] t;iqj ifjokn la[;k %& 10@2016 MkWa0 lS;~;n eksgEen vyh iq= Jh lS;~;n oklhe vyh] fuoklh lh&108] xksyekdsZV] tokgj uxj] t;iqjA ¼e`rd nkSjkus okn ½ 01- eqlekr jSgkuk vyh iRuh Lo0 MkWa0 lS;~;n eksgEen vyh 02- MkWa lS;~;n nkful vyh iq= Lo0 MkWa0 lS;~;n eksgEen vyh 03- MkWa0 vue vyh iq=h Lo0 MkWa0 lS;~;n eksgEen vyh leLr fuoklh lh&108] xksyekdsZV] tokgj uxj] t;iqj ifjoknh cuke 01- ,isDl gkWLihVy ekyoh; uxj] t;iqj tfj;s izcU/kd 02- QksfVZl gkWLihVy] tokgj yky usg: ekxZ] ekyoh; uxj] t;iqj tfj;s izcU/kd 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 'kf'k'ks[kj xkSM+ vf/koDRkk foi{kh dh vksj ls Jh v'kksd esgrk vf/koDrk fu.kZ; fnukad 06 vxLr] 2019 jkT; vk;ksx jktLFkku t;iqj ¼}kjk Jh dey dqekj ckxM+h] lnL;] ¼U;kf;d½ ;g ifjokn MkWa0 lS;~;n eksgEen vyh ,oa vU; dh vksj ls ,isDl gkWLihVy ,oa vU; ds fo:) bl vk;ksx esa fnukad 27 tuojh] 2016 dks is'k fd;kA 2 izdj.k ds rF; bl izdkj gS fd ifjoknh ,d izfrf"Br fpfdRld gS] tks fd dbZ o"kkZs ls fpfdRlk dk;Z djrk gSA fnukad 21-12-2014 dks izkr% 6-00 cts ifjoknh vko';d dk;Z ls okfil ykSVrs le; ifjoknh dk okgu >ksVokM+k iqfy;k ds ikl nq?kZVukxzLr gks x;k] ftlls ifjoknh dks dkQh pksVsa vk;hA ogkWa mifLFkr iqfyl ds x'rh ny }kjk ifjoknh dks lokbZ ekuflag fpfdRlky; esa HkrhZ djok;k] Patient had B/L chest teauma with blood collection in the rib cage & lunge rFkk ftlds fy, ifjoknh dks iksyhVªksek lsUVj ds vkbZ-lh-;w- esa HkrhZ fd;k x;kA ;gkWa ij ifjoknh dh lHkh tkWapas ,oa ,Dljs fd;s x;s] bu tkWapksa ds i'pkr~ ;g ik;k x;k fd ifjoknh dks B/L 4&7 ribs fracture with pulmonary premthorap vkSj ifjoknh dks lkWl ysus esa leL;k gks jgh Fkh] blfy, mls vkDlhtu ij j[k x;k] vkxs tkap ls irk pyk fd ifjoknh ds fgi tkbZUV fMlyksdsV gksus ds dkj.k ls pksV yxus ds ckn ifjoknh dks ew= foltZu Hkh ugha gqvk] ftlls ifjoknh dh fdMuh dh dk;Ziz.kkyh esa Hkh leL;k mRiUu gksus yxhA vkxs blh dkj.kksa ls ifjoknh dks fnukad 23-12-2014 ls osUVhysVj ij j[kk x;kA bZykt ds ckotwn ifjoknh dh gkyr esa dksbZ lq/kkj ugha gqvk] ifjoknh dh gkyr dks ns[krs gq, ifjoknh ds fj'rsnkjksa us ifjoknh dks foi{kh la[;k 1 ds ;gkWa HkrhZ djok;kA foi{kh ds ;gkWa HkrhZ djokus ls iwoZ ifjoknh ds fj'rsnkjksa us ifjoknh ds bZykt ls lacaf/kr leLr nLrkost fn[kk;s Fks] muds }kjk ifjoknh ds bZykt dh dk;Zokgh csgrj rhjds ls fd;s tkus dk vk'oklu ds i'pkr~ ifjoknh dks foi{kh la[;k 1 ds ;gkWa yk;k x;kA ifjoknh dks fnukad 24-12-2014 ls 25-01-2015 rd foi{kh la[;k 1 ls vkbZlh;w esa HkrhZ j[kk rFkk ml vof/k esa foi{kh la[;k 1 ds LVkWQ ds }kjk mDr vkbZlh;w d{k es aifjoknh dks Lo;a ds vykok vU; fdlh dks Nwus Hkh ugha fn;kA bruh yEch vof/k rd ifjoknh vkbZlh;w esa jgk] bl vof/k esa ifjoknh iw.kZ :i ls foi{kh la[;k 1 ds LVkWQ ij iw.kZ :i ls fuHkZj jgk vFkkZr~ mlds izR;sd dk;Z foi{kh la[;k 1 }kjk gh lEiUu djok;s tkrs Fks] ftuesa leLr nSfud fdjk;s ifjoknh dks djoV ysuk] diM+s cnyokuk vkfn leLr dk;Z 'kkfey gSA blds ,ot esa foi{kh us ifjoknh ls Hkkjh Hkjde 'kqYd olwy fd;k foi{kh la[;k 1 }kjk tks tks nokbZ eaxokbZ ifjoknh ds ifjtuksa us ;g nokbZ;kWa ykdj nhA ifjoknh ds bZykt ds nkSjku lHkh fo'ks"kK fpfdRld ifjoknh dks ns[kus vkrs jgs] ftuds 'kqYd dk Hkqxrku ifjoknh us fd;k] ftlls Critical care, pulmologist, orthopedic, General physician, psychatrist vkfn 'kkfey Fks] 3 bu fpfdRldksa dks vkrk ns[kdj ifjoknh rFkk mlds ifjfprksa dks bl ckr dh larqf"V gksrh Fkh fd ifjoknh dk bZykt cM+s vPNs ls py jgk gS vkSj mldh ns[kjs[k es dksbZ deh foi{kh la[;k 1 }kjk ugha dh tk jgh gSA ifjoknh dks vkbZlh;w okMZ ls izkbZosV :i esa fnukad 25-01-2015 dks f'k¶V fd;k x;k rks ifjoknh ds iq= ,oa vU; fj'rsnkj ifjoknh dks ns[kdj vk'p;Z pfdr gks x;s D;ksa fd ifjoknh ds dkQh lkjs Presure/bed sure gks x;s Fks] buesa ls cncw vk jgh Fkh vkSj dkQh lkjk il cg jgk FkkA ifjoknh ds iq= us rqjUr bldh lwpuk foi{kh la[;k 1 ds fpfdRldksa dks nh ysfdu foi{kh la[;k 1 ds fpfdRldksa us bl vkSj dksbZ /;ku ugha fn;kA foi{kh ds mDr d`R; ls ifjoknh ds cSMlkSj brus vf/kd gks x;s ftldh ihM+k ifjoknh vkt rd eglwl dj jgk gSA bl dkj.k ls ifjoknh ds fgi okys fgLls esa iwjk bUQsD'ku QSy x;kA foi{kh la[;k 1 dks ;g irk Fkk fd ifjoknh e/kqesg dh chekjh ls ihfM+r gS vkSj mls bl voLFkk ls cpkuk vR;Ur vko';d gS vU;Fkk ifjoknh ds vR;f/kd eqlhcr [kM+h gks tk;sxhA ifjoknh ds }kjk ckj ckj fuosnu djus ij mldh tkap dh xbZ vkSj ifjoknh dks IykfLVd ltZu ls feyus dks dgkA foi{kh la[;k 1 ds mDr d`R; ls ijs'kku gksdj ifjoknh ds iq= us foi{kh la[;k 1 ds ;gkWa ls ifjoknh dks fMLpktZ djokdj rRdky foi{kh la[;k 2 ds ;gkWa HkrhZ djok;k x;k foi{kh la[;k 2 ds ;gkW ifjoknh dks bZykt gqvk vkSj fnukad 09-02-2015 dks ifjoknh dh IykfLVd ltZjh dh xbZA blls iwoZ ifjoknh ds ml iwjs fgLls esa ekal dks ogka ls gVk;k x;k ftl ij bUQsD'ku gks x;k FkkA il ifjoknh dh gM~fM;ksa rd igqWap pqdk Fkk] foi{kh la[;k 2 ds fpfdRldksa us ifjoknh dh gkyr dks ns[kdj vk'p;Z izdV fd;k fd foi{kh la[;k 1 ds ;gkWa vkbZlh;w esa HkrhZ ejht dh gkyr ,sls dSls gks ldrh gS tc fd vkbZlh;w esa HkrhZ izR;sd ejht ij fo'ks"k /;ku fn;k tkuk pkfg,A foi{kh la[;k 1 ds }kjk ,slh ?kksj ykijokgh D;ksa dh xbZ gSA foi{kh la[;k 2 ds ;gkWa ls fMLpktZ gksus ds ckn ifjoknh orZeku esa viuk dk;Z Lo;a djus esa vleFkZ gS] e/kqesg ,oa ifjoknh dh vk;q ds e/; utj bldk bZykt cM+h gh eanxfr ls py jgk gS] ftl ij ifjoknh dks vR;f/kd iSlk O;; djuk iM jgk gSA ifjoknh vius Lo;a ds dk;Z djus esa vlEkFkZ gSa] ifjoknh nwljksa ij fuHkZj gSA ifjoknh dh ns[kjs[k ds fy;s ,d ulZ ,oa ,d vU; O;fDr dks j[kuk iM+ jgk 4 gS] ftldh lEiw.kZ ftEesokjh foi{kh la[;k 1 dh gS ftldk ikfjJfed ifjoknh }kjk izR;sd ekg 18]000@&:- ds :i esa ulZ o ifjoknh dh ns[kjs[k djus okys O;fDr dks vnk djuk iM+ jgk gSA ifjoknh us bl fo"k; esa foi{kh la[;k 1 ls ifjoknh dh gkyr ds fo"k; esa lEiw.kZ tkudkjh izkIr djuh pkgh rFkk bldh {kfriwfrZ fn;s tkus dks dgk ysfdu foi{kh la[;k 1 }kjk uk rks ifjoknh dks fdlh izdkj dh tkudkjh nh uk gh ifjoknh dks bldh dksbZ {kfriwfrZ fn;s tkus dks dgk] bl dkj.k ls ifjoknh dk ekuuh; vk;ksx ds le{k izkFkZuk&i= izLrqr djuk vko';d gqvkA ifjoknh ds bZykt ij orZeku eas yxHkx 20]00]000@&:- [kpZ gks pqds gSA blds vfrfjDr ifjoknh vius fpfdRlk O;olk; ls iw.kZr% oafpr gks x;k gS] ftldh {kfriwfrZ ifjoknh foi{khx.k ls izkIr djus dk vf/kdkjh gSA ifjoknh viuh Dyhfud ij izsfDVl fd;k djrk Fkk] mlls ifjoknh orZeku esa vk; ls oafpr gks x;k] ifjoknh mldh {kfriwfrZ Lo:i foi{khx.k ls 20]00]000@&:- izkIr djus dk vf/kdkjh gSA ifjoknh ,oa mldk ifjokj bl le; vR;f/kd ekufld ruko ls xqtj jgs gSa] ftldh {kfriwfrZ Lo;a ifjoknh ,oa mld ifjokj foi{khx.k ls crkSj {kfriwfrZ 45]00]000@&:- izkIr djus ds vf/kdkjh gSa vr% ifjokn esa pkgs x;s vuqrks"k fnyok;s tk;saA ifjoknh dh vksj ls ifjokn ,oa lk{; ds leFkZu es nkfu'k vyh iq= Lo0 MkWa0 lS;~;n eksgEen vyh ,oa eqLekr jsgkuk vyh iRuh Lo0 MkWa0 lS;~;n eksgEen vyh ds 'kiFk&i= ,oa izn'kZ@1 yxk;r 8 QksVksxzk¶l ,oa izn'kZ@9 yxk;r izn'kZ & 289 nLrkostkr izLrqr fd;sA foi{kh dh vksj ls tokc esa dFku fd;k fd ifjoknh MkWa- ,l-,e- vyh dk bZykt ,isDl vLirky dh fo'ks"kK MkWDVjksa dh Vhe }kjk visDl vLirky esa fd;k x;kA vLirky dh vksj ls ifjoknh dh gkyr dks nq:Lr djus ds fy, gjlaHko iz;kl fd;s x;s lkFk gh ifjoknh ,oa mlds ifjtuksa dks foLr`r ,oa rduhdh :i ls bZykt vkSj mlds igys,oa ckn dh fLFkfr;ksa dks [kqyklk fd;k x;kA bl lkjs ifjizs{; esa fdlh Hkh izdkj dh dksbZ fpfdRlh; ykijokgh ugha Fkh] fpfdRlh; ykijokgh ds ekeyks esa ;g lqLFkkfir fof/k cu pqdh gS] fd ifjoknh tks ykijokgh dk vkjksi yxk ds vkrk gSa] mDr ykijokgh dks lkfcr djus dk iw.kZ o xaHkhj Hkkj mlh O;fDr ij jgsxkA lkekU; vuqdze esa fdlh izdkj dh gkfu dks fpfdRldh; ykijokgh dk uke ugha fn;k tk ldrk gSA 5 vLirky esa dk;Zjr fpfdRld ijke'kZnkrk ds :i esa dk;Z djrs gS vkSj ejht dh bPNkuqlkj mUgsa dUlyVsaV dh lqfo/kk miyC/k djkbZ tkrh gSA orZeku ekeys esa bZykt ds nkSjku fdlh izdkj dh dksbZ esMhdy ;k iSjkesMhdy lsokvksa esa =qfV ugha gqbZA ifjoknh }kjk izLrqr ifjokn esa vafdr rF; dkWEihyhdsVsM uspj ds gksus ds dkj.k buesa foLr`r xgu o ,DliVZ ds lk{; dh vko';drk gS] tks fd miHkksDrk laj{k.k vf/kfu;e ds rgr~ tgkWa lejh Vªk;y gksrh gS] laj{k.kh; ,oa iks"k.kh; ugha gSA ifjoknh }kjk fd;k x;k dFku fd ifjoknh ds fj'rsnkjksa }kjk ifjoknh dks foi{kh la[;k 1 ¼ ,isDl gkWfLiVy ½ ds ;gkWa HkrhZ djus ls iwoZ foi{kh la[;k 1 ls vk'oklu izkIr fd;k x;k] lgh gS D;ksa fd foi{kh la[;k 1 mu cgqLis'kfyVh vLirkyksa esa ls ,d gS tks mlds ikl vkus okys ejhtksa dks mPp xq.koRrk fpfdRlk iznku djus ds fy, izfrc) gS ,oa bl dk;kZ dks viuk ije drZO; le>rk gSA ifjoknh MkWa0 ,l-,e-vyh 24-12-2014 dks bZykt gsrq HkrhZ gqvk FkkA ejht RTA Polytrauma # 4 to 8th Rifes B/L Pneumothrax Halmothoras # Actalulum Dislocation Hip, K/c/o DM, HTN, CAD, OBESITY ls xzflr FkkA ejht dh fLFkfr dkQh fdzfVdy Fkh] mldks lkals ysus esa leL;k gks jgh Fkh] blfy, mldks lkal dh e'khu osUVhysVj ij fy;k x;kA ejht ds fgi tkbZUV fMlyksdsV ,ao vU; QzsDpj gksus ds dkj.k ejht dks ew= foltZu esa leL;k gks jgh Fkh] ftlds dkj.k mldh fdMuh dh dk;Ziz.kkyh esa Hkh leL;k mRiUu gks jgh FkhA ifjoknh ds ifjtuksa dks crk;k x;k fd ifjoknh dh fLFkfr dkQh fdzfVdy gS vr% mUgsa vkbZ-lh-;w- esa HkrhZ djuk vko';d gS] rnqijkar ifjtuksa dh lgefr mijkar ejht dks ¼ ifjoknh dks ½ vkbZ-lh-;w- eas HkrhZ fd;k x;kA vkbZlh;w esa lHkh fdzfVdy ejht gksus ds dkj.k ,oa ogkWa ij ejhtksa dks bUQsD'ku ls cpkus ds dkj.k lHkh ejht ds ifjtuksa dks le; le; ij ejhtksa ls feyok;k tkrk gS rFkk mudh lEiw.kZ fLFkfr ls voxr djk;k tkrk gS] ijUrq Nqus ugha fn;k tkrk gS] vkbZ-lh-;w- esa fdzfVdy ejhtksa dks j[kk tkrk gS ,oa mudk mipkj fd;k tkrk gS] vkbZ-lh-;w- esa ,d fdzfVdy Vhe ftlesa fo'ks"kK MkWDVlZ gksrs gS] lnSo jgrs gSa] tks ejht dk fo'ks"k /;ku j[krs gSaA vkbZ-lh-;w- dk vladzfer voLFkk esa jguk ejhtksa dks bUQsD'ku ls cpkus ds fy, vko';d gS] vr% bl otg ls LVkWQ vkSj MkWDVlZ ds vfrfjDr vU; fdlh Hkh O;fDr dks ejht dks Nwus ugha fn;k tkrk gS vkSj uk gh ogkW :dus fn;k tkrk gSA 6 vkbZ-lh-;w- esa jgus dh vof/k ds nkSjku mlds leLr nSfud dk;Z djokuk foi{kh la[;k 1 ds LVkWQ ds }kjk fd;k tkrk Fkk] lR; gS D;ksa fd fpfdRlk dh lkekU; izfdz;k gS ftls mfpr izdkj ,oa fu;eksa }kjk lEiUu fd;k tkrk gSA ifjoknh ds bZykt ds nkSjku lHkh fo'ks"kK fpfdRldks]a ftuesa Critical care, pulmologist, orthopedic, General Physician, General Surgeon, Psychotrist bR;kfn 'kkfey gSa] ejht dks le; le; ij ns[kus vkrs jgs lgh gSA ifjoknh dks 25-01-2015 dks vkbZ-lh-;w- okMZ ls izkbZosV :e esa f'k¶V fd;k x;k] Lohdkj gS ,oa ejht ifjoknh dks BedSore gks x;k FkkA MkWa0 ,l-,e- vyh tc HkrhZ gq, rc RTA Polytrauma # 4 to 8th Rifes B/L Pneumothrax Halmothoras # Actalulum Dislocation Hip, K/c/o DM, HTN, CAD, OBESITY ls xzflr FkkA ejht MkWa0 ,l-,e- vyh dh fLFkfr dkQh fdzfVdy Fkh] nq?kZVuk eas yxh pksVksa ftuesa fgi QzsDpj vkSj fMlyksds'ku ,oa vU; QzsDplZ ds vfrfjDr ejht vU; 'kkjhfjd vLoLFkrkvksa ls xzflr Fkk] ftl otg ls mudh mipkj izfdz;k lkekU; ls vf/kd tfVy FkhA bl rjg dh chekfj;ksa ls xzflr ejht dks BedSore gksus ds pkal vU; ejhtksa dh rqyuk esa vf/kd gksrs gSaA lkekU; Hkk"kk esa BedSore dks ncko ls cuus okyk ?kko Hkh dgk tkrk gS] tks Ropk ij yxkrkj ncko ds dkj.k Ropk vkSj mlds uhps dh mRrdksa dh pksV ls curs gSaA lkekU;r% gfM~M;ksa ds Åij dh peM+h ,oa og fgLlk tks 'kjhj dk ncko ¼ otu ½ >syrk gSa] tSls fd ,M+h V[kuk] dqYgsa vkSj ihB dh gM~Mh ¼ Tail Bone½ ij blds gksus dh laHkkouk lokZf/kd gksh gSA BedSore gksus ds vU; dkj.kksa esa ?k"kZ.k] ueh] rkieku] fcLrj ij ew= ,oa ey R;kxuk] mez vkS j yxkrkj ncko Hkh gSaA fdlh Hkh HkrhZ gksus okys yxHkx 4 izfr'kr ls 10 izfr'kr ejhtksa esa dksbZ u dksbZ BedSore cuus dh laHkkouk gksrh gS ;g NHS (National Health Survey/service) ds ,d losZ esa dgk x;k gSA ifjoknh MkWa0,l-,e- vyh dh fLFkfr dkQh xaHkhj Fkh] mlds 'kjhj esa dkQh pksV yxh gksus ds dkj.k] lkFk gh ejht dk osUVhysVj ij gksus] dqYgs dk QzsDpj vkSj fMLyksds'ku gksus] ejht dks VªsD'ku vkbZ-lh-Mh-Vh- yxs gksus dh otg ls mls T;knk ewoesaV ugha djk;k tk ldrk FkkA ifjoknh dks lkFk esa DM CAD, HTN, OBESITY Hkh FksA MkWa0,l-,e- vyh dh fLFkfr FkksM+h fLFkj gksus ds mijkar vkSj mudk VªsD'ku gVus ds ckn mls posturing djokbZ xbZ] ijUrq visf{kr ,oa lEiw.kZ lko/kkuh ds miajkr Hkh ifjoknh ds dqYgs okys fgLls] tgkWa pksV yxh Fkh vkSj ftls dqN le; ds fy, fLFkj j[kuk mipkj ds fy, visf{kr ,oa vko';d Fkk] ij 7 Bedsore fodflr gks x;k Bedsore cuus ds i'pkr~ mudh leqfpr ns[kjs[k dh xbZA iwjs le; fQft;ksFkSjis h dh lqfo/kk nh xbZ] fdzfVdy Vhe tks fd vkbZ -lh-;w- esa jgrh gS muds }kjk gh ifjoknh dk bZykt fo'ks"kK MkWDVlZ dh ns[kjs[k esa fd;k x;kA ifjoknh ds fu;fer Mªsflax dh xbZ ,oa vU; lHkh mipkjkRed mik; viuk;s x;s] lkFk esa ifjoknh dh nSfud fdz;kvksa ds ckjs es]a mls gksus okyh lHkh ykHk&gkfu ds ckjs esa vkSj mldh fLFkfr ds ckjs esa mlds ifjtuksa ifjfprksa dks voxr djok;k x;kA Bedsore gksus ds ifjoknh ls ifjoknh dks lhfu;j IykfLVd ltZu us ns[kk ,oa mldh tkap o vuqlj.k djus ds i'pkr~ IykfLVd ltZu us Bedsore dks tYnh Bhd djus ds fy, bZykt ds lkFk ifjoknh dk Bedsore dk vkWijs'ku djus dh lykg nh ,oa ifjoknh ds Bedsore dks tYnh Bhd djus ds fy, ;g vkWijs'ku djus dk QSlyk fy;k vkSj bu lcds ckjs esa ifjoknh ds ifjtuksa dks crk;k x;k ,oa mUgsa larq"V fd;k x;k ysfdu ifjoknh ds ifjtu vkWijs'ku ds fy, rS;kj ugha gq, oju~ ifjoknh dks vLirky ls vU;= ys tkus ds fy, vLirky iz'kklu ij tksj Mkyus yxsA bl lac/a k esa ifjoknh ds ifjtuksa dks vLirky iz'kklu }kjk cgqr le>k;k x;k ysfdu ifjtuksa us vkxs dk bZykt djkus esa vleFkZrk tkfgj dhA vr% ifjoknh dks 02-02-2015 dks fMLPkkZt vkWu fjDosLV fd;k x;kA vr% foi{kh ds fo:) ifjoknhx.k dk ifjokn [kkfjt fd;k tk;saA foi{kh dh vksj ls tokc ,oa lk{; ds leFkZu esa MkWa0 lfpu >Waoj dk 'kiFk&i= ,oa izn'kZ & ,@1 yxk;r izn'kZ & ,@72 nLrkost izLrqr fd;sA cgl lquh ,oa i=koyh rFkk nLrkostkr dk voyksdu fd;kA bl izdj.k esa ifjoknh MkWa0 lS;~;n eksgEen vyh us fpfdRlh; vlko/kkuh dk dsl is'k fd;k gS] nkSjkus ifjokn MkW0 lS;~;n eksgEen vyh dh e`R;q gks x;hA bl ij mldh iRuh o iq= o iq=h fjdkMZ ij vk;sA ;g izdj.k esMhdy usxyhtsUlh dk gS] tks iw.kZr% futh gksrk gSA bl laca/k esa II (2011) CPJ 171 (NC) NEERAJ AMARNATH DORA VS. NANDAN HOSPITAL & ORS. esa ekuuh; jk"Vªh; vk;ksx us fuEu fu/kkZfjr fd;k gS %& Consumer Protction Regulations, 2005 - Regulation 15 (2) - Medical Negligence - Legal 8 representaives -OP 3 expired during pendency of proceedings - Application for bringing legal heirs to be allowed only if legal representatives inherit property from OP No. 3 - Hence, review - Contention, right to sue does not survive in case of medical negligence and legal heirs cannot be ordered to be brought on record - Accepted - Application for bringing legal heir, daughter of deceased OP No. 3 on record dismissed.
;|fi i{kdkjku ds ekeys esa ;g izdj.k fHkUu gS ijUrq D;ksa fd blesa foi{kh la[;k 3 dh e`R;q gqbZ Fkh rFkk bl ij mldh iq=h dks fjdkMZ ij yk;k x;k FkkA ftls ekuuh; jk"Vªh; vk;ksx us lgh ugha ekuk ijUrq tSlh Hkh fLFkfr gks] i{kdkj Fkk rFkk i{kdkj dh e`R;q ij mldh iq=h dks i{kdkj cuk;k x;k fLFkfr esa fjohtu fiVh'ku la[;k 2146@2002 fu.kZ; fnukad 17-01-2003 tud dqekjh cuke cyfoUnz dkSj ukxiky ,oa vU; tks pkj ekuuh; lnL;ksa dk fu.kZ; gS rFkk jk"Vªh; vk;ksx dk fu.kZ; gSA blesa fuEu fu/kkZfjr fd;k gS %&
1. Mrs. Janak Kumari filed a complaint against the respondents - opposite parties, doctor and the Insurance company, alleging medical neglignece inher treatment. She claimed damages. Her c omplaint was dismissed by the District Forum. During the Pendency of the complaint Janak Kumari died not because of alleged medical negligence by the respondent-doctor but on account of some other cause. Her legal representayives her children and husband were substituted in her place. After dismissal of the complaint legal representatives of Janak Kumari filed appeal in the Punjab State Consumer Disputes Redressal Commission which was again dismissed. Against that order of dismissal legarl representatives of Janak Kumari filed this petition.
7. It is quite settled law that claim for unliquidated damages for any tortuous liability is a mere right to sue which cannot be transferred.
bl fu.kZ; ls ;g Li"V gks tkrk gS fd esMhdy usxyhtsUlh ds ekeys esa ;fn nkSjkus ifjokn ifjoknh dh e`R;q gks tkrh gS] rks] og ifjokn pyus ;ksX; ugha 9 jgsxkA bl izdj.k esa Hkh ;gh fLFkfr gSA ifjoknh dh nkSjkus ifjokn fopkj.k e`R;q gks x;hA ;|fi bl vk;ksx us e`rd dh iRuh] iq=] iq=h dks fjdkMZ ij ys fy;k ijUrq vafre LVst ij vk;ksx bl ij fopkj dj ldrk gSA fLFkfr esa ;g ifjokn pyus ;ksX; gh ugha FkkA vc iz'u mRiUu gksrk gS fd esMhdy usxyhtsUlh dk ifjoknh dk ,DlhMsaV gqvk mls ,l-,e-,l- vLirky ys tk;k x;k 3 fnu osaVhysVj ij jgk ijUrq ogkW bZykt ls larq"V ugha Fkk blfy, foi{kh la[;k 1 ds vLirky esa vk;k ifjoknh 24-12-2014 ls 25-01-2015 rd vkbZlh;w esa HkrhZ jgk] mlds ckn Lis'ku okMZ esa HkrhZ jgkA ifjoknh dh ilfy;kWa VwVh gqbZ Fkh rFkk fgi TokbZUV fMlyksdsV FkkA ftlds vkWijs'ku gq,] ifjoknh ds 'kqxj Fkh QksVksxzkQ ns[kus ls izrhr gksrk gS fd ifjoknh dk otu T;knk Fkk ifjoknh dks VªsD'ku ij Hkh j[kk x;k] osaVhysVj ij Hkh j[kk x;k ifjoknh dk bZykt fcYdqy lgh gks jgk Fkk mlds fj'rsnkj Hkh blls larq"V Fks] fofHkUu fo'ks"kK fpfdRldksa us ifjoknh dks ns[kkA ifjoknh dk iq= fpfdRld gS] iq=h fpfdRld gS ifjoknh [kqn fpfdRld Fkk blfy, mls fpfdRlk ds izfr vutku ugha dgk tk ldrkA ifjoknh us Lo;a us gh dgk gS fd og t;iqj dk Qsel fpfdRld jgk gS ifjokn ds iSjk uacj 9 esa fuEu vafdr fd;k x;k gS%& **ifjoknh ds bZykt ds nkSjku lHkh fo'ks"kK fpfdRld ifjoknh dks ns[kus vkrs jgs] ftuds 'kqYd dk Hkqxrku ifjoknh us fd;k] ftlls Critical care, pulmologist, orthopedic, General physician, psychatrist vkfn 'kkfey Fks] bu fpfdRldksa dks vkrk ns[kdj ifjoknh rFkk mlds ifjfprksa dks bl ckr dh larqf"V gksrh Fkh fd ifjoknh dk bZykt cM+s vPNs ls py jgk gS vkSj mldh ns[kjs[k es dksbZ deh foi{kh la[;k 1 }kjk ugha dh tk jgh gS**A blls ;g izrhr gksrk gS fd ifjoknh dh lgh ns[k js[k o lgh bZykt fd;k x;k gS rFkk ifjoknh dh fLFkfr Bhd gks x;h bl ij ifjoknh dks izkbZosV :e esa f'k¶V fnukad 25-01-2015 dks fd;k x;k rc ;g ik;k x;k fd ifjoknh ds fgIl ds Åij Bedsore gks x;s gS rFkk dej ij txg txg Bedsore fn[kkbZ ns jgs gS] ifjoknh dk otu T;knk Fkk] ifjoknh dks VªsD'ku ij j[kk x;k blfy, fgyus Mqyus dh fLFkr ugha Fkh ifjoknh dks osaVhysVj ij j[kk x;k] blls Hkh fgyus Mqyus dh fLFkfr ugha FkhA ifjoknh ds ihNs izs'kj iM+us vkfn ds dkj.k ls 10 Bedsore gks x;s] tks LokHkkfod FkkA ifjoknh dh vksj ls tks QksVksxzkQl is'k gq, gS blls visDl gkWfLiVy ds u gksdj ckn ds gSA ifjoknh us Bedsore ds bZykt ds fy;s foi{kh la[;k 1 ds gkWfLiVy ls fMLPkktZ ys fy;k rFkk ckn esa IykfLVd ltZjh QksfVZl gkWfLiVy esa djok;h Fkh tc fd foi{kh la[;k 1 us vius vLirky esa Hkh IykfLVd ltZjh ds fy, dgk Fkk ijUrq ogkWa ugha djok;h rFkk ifjoknh ds fuosnu ij mls fMLpktZ dj fn;k x;kA ifjokn ds 'kq: esa ifjoknh us QksfVZl gkWfLiVy dks Hkh i{kdkj cuk;k Fkk ijUrq fnukad 25-07-2017 dks fMyhV dj fn;kA (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 %& " 49 (2) Negligence in the context of medical profession " necessarily calls for a treatment with a difference. To infer rashness or negligence on the part of a professional, in particular a doctor, additional considerations apply. A case of occupational negligence is different from one of professional negligence. A simple lack of care, an error of judgment or an accident, is not proof of negligence on the part of a medical professional. So long as a doctor follows a practice acceptable to the medical profession of that day, he cannot be held liable for negligence merely because a better alternative course or method of treatment was also available or simply because a more skilled doctor would not have chosen to follow or resort to that practice or procedure which the accused followed. When it comes to the failure of taking precautions what has to be seen is whether those precautions were tame which the ordinary experience of men has found to be sufficient; a failure to use special or extraordinary precautions which might have prevented the particular happening cannot be the standard for judging the alleged negligence. So also, the standard of care, while assessing the practice as adopted, is judged in the light of knowledge available at the time of the incident, and not at the date of trial. Similarly, when the charge of negligence arises out to failure to use some particular equipment, the charge would fail if the equipment was not generally available at that 11 particular time (that is, the time of the incident) at which it is suggested it should have been used.
(3) A professional may be held liable for negligence on one of the two finding: either he was not possessed of the requisite skill which he professed to have possessed, or, he did not exercise, with reasonable competence in the given case, the skill which he did possess. The standard to be applied for judging, whether the person charged has been negligent or not, would be that of an ordinary competent person exercising ordinary skill in that profession. It is not possible for every professional to possess the highest level of expertise or skills in that branch which he practices. A highly skilled professional may be possessed of better qualities, but that cannot be made the basis or the yardstick for judging the performance of the professional proceeded against on indictment of negligence.
II (2018) CPJ 447 (NC) SUKHDEV GILL V/S 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 (b) - Medical Negligence - Eye surgery
- Lack of care - Diminished vision in left eye 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 of left eye - Complainant failed to provide any cogent evidence that RD was due to outcome of squint correction surgery - Merely because patient did not respond favorably to treatment, cannot be a ground to fasten liability upon medical professional
- Negligence not proved.
IV (2014) CPJ 104 (NC) INDIRA (DR.) & ORS. V/S MUCHAPOTHULA NIRMALA esa ekuuh; jk"Vªh; vk;ksx us fuEu fu/kkZfjr fd;k gS %& Consumer Protection Act, 1986 - Sections 2(1)(g), 21(b) - Medical Negligence - Caesarean operation - Post operative complication - Loculated fluid 12 collected in abdomen - Alleged deficiency in service - District Forum dismissed complaint - State Commissio0n allowed appeal - Hence revision - Fluid can be collected even in normal delivery than merely on account, no negligence can be imputed on part of petitioner - No evidence of carelessness in performing operation - Complainant herself decided to go to other hospital and at her request; she was discharged from petitioner's hospital - Negligence not proved - Impugned order set aside.
II (2014) CPJ 601 (NC) BAIDYA NATH CHAKRABORTY (DR.) & ORS. V/S CHANDI BHATTACHARJEE & ORS. esa ekuuh; jk"Vªh; vk;ksx us
fuEu fu/kkZfjr fd;k gS %& (ii) Medical Negligence - Degree of Care - Doctor cannot be held negligent if he has acted with normal care, in accordance with recognized practice accepted as proper by responsible body of medical men, skilled in that particular field, even though there may be body of opinion that takes a contrary view.
II (2008) CPJ 77 (NC) KISHAN LAL & ANR. V/S SURETECH HOSPITAL & RESEARCH CENTRE PVT.
LTD. & ORS. esa ekuuh; jk"Vªh; vk;ksx us fuEu fu/kkZfjr fd;k gS %& Consumer Protection Act, 1986 - Section 2 (1) (g)
- Medical Negligence - Treatment - Leg fractured - Deceased aged 85 years, operated for fixing 'ender nailing' - Alleged, bed sores developed due to lack of proper care - Condition deteriorated - Patient expired - Deficiency in service and medical negligence alleged - As per discharge summary, no bed sores recorded at time of discharge - Patient never brought to hospital for review during advised period - 'Bed sores' if developed on subsequent dates, Ops cannot be held liable - Onus of proof lies o complainant, who failed to substantiate allegations - Medical negligence not proved -No relief entitled.
13ekuuh; lokssZPp U;k;ky; o ekuuh; jk"Vªh; vk;ksx }kjk fu/kkZfjr fl)kUrksa ds vuqlkj ejht dk izksij Skill & Care ls bZykt gksuk pkfg, tks ifjokn ds iSjk uacj 9 ls gh Li"V gks tkrk gS ifjoknh dk otu T;knk Fkk ifjoknh VªsD'ku ij jgk ifjoknh osaVhysVj ij jgk ml fLFkfr esa ifjoknh ds fgyus Mqyus dh fLFkfr ugha FkhA vkbZlh;w esa HkrhZ Fkk blfy, fj'rsnkj Hkh T;knk ugha tk ldrs Fks A ifjoknh Lo;a fpfdRld Fkk mlds iq= o iq=h Hkh fpfdRld gSA ,slh fLFkfr esa ;g ugha dgk tk ldrk fd og bZykt ds izfr ugha tkurk gksA ifjoknh ds Bedsore mRiUu gksuk ,d LokHkkfod izfdz;k Fkh tks gks x;sA ,slh fLFkfr esa foi{kh la[;k 1 dh dksbZ ykijokgh ugha jgh gSA vr% ifjoknh dk ifjoknj foi{kh ds fo:) [kkfjt fd;s tkus ;ksX; gSA vkns'k vr% ifjoknh dk ifjokn foi{kh ds fo:) [kkfjt fd;k tkrk gSA ¼ ehuk esgrk ½ ¼ dey dqekj ckxMh ½ lnL; lnL; ¼U;kf;d½ @ikBd@ 14