State Consumer Disputes Redressal Commission
Shyam Sahu S/O Radhey Shyam Sahu vs Agarwal Hospital Through ... on 12 September, 2023
Reportable jktLFkku jkT; miHkksDrk fookn izfrrks"k vk;ksx] t;iqj ifjokn la[;k 12@2017 ';ke lkgw iq= Jh jk/ks';ke lkgw] vk;q 30 o"kZ] fuoklh Nkouh pkSjkg] Vksd a ] jktLFkkuA ifjoknh cuke 1- vxzoky gkWfLiVy] ikdZ Iyktk flVh] lokbZ ek/kksiqj] jksM+] Vksd a ] jktLFkku tfj;s lapkyd@izksijkbZVj Mk0 lqjsUnz vxzokyA 2- MkW- lqjUs nz vxzoky] lapkyd@izksijkbZVj] vxzoky gkWfLiVy] ikdZ Iyktk flVh] lokbZ ek/kksiqj jksM+] Vksd a ] jktLFkkuA 3- MkW- Jherh lq"kek vxzoky] vxzoky gkWfLiVy] ikdZ Iyktk flVh] lokbZ ek/kksiqj jksM+] Vksad] jktLFkkuA 4- egkRek xk¡/kh esfMdy dkWyst ,.M gkWfLiVy] ;wfuV&bf.M;k ,stwds'ku VªLV] fjdks vkS|ksfxd ,sfj;k] lhrkiqjk] Vksd a jksM+] t;iqj tfj;s pS;jesu MkW -
,e-,y- Lo.kZdkj 5- thou js[kk fØVhdy ds;j ,.M Vªksek gkWfLiVy] fjlpZ ,.M Vªsfuax bUlfVV~;wV] ,l&24] lsUVªy LikbZu egy ;kstuk] vd'k; ik= efUnj ds ikl] txriqjk] t;iqj tfj;s okbZl izsflMsUl Mk0 euh"k eqatky 6- Mk0 ujsUnz dqekj :xaVk (Pediatrition), C/o thou js[kk fØVhdy ds;j ,.M Vªksek gkWfLiVy] fjlpZ ,.M Vªsfuax ,UlfVV~;wV] ,l&24] lsUVªy LikbZu egy ;kstuk] vd'k; ik= efUnj ds ikl] txriqjk] t;iqj] gky fuoklh ,&670] f'ko ekxZ] ekyoh; uxj] t;iqj] jktLFkkuA 7- fn U;w bf.M;k b';ksjsUl dEiuh fyfeVsM] 'kk[kk dk;kZy; ¼321101½ 104&105] f'kokth jksM+] cPpk ikdZ] esjB&250001 ¼;w0ih0½ 8- ;wukbZVsM bf.M;k bU';ksjsal dEiuh fyfeVsM] tfj;s 'kk[kk izcU/kd] 24&lh 2 jktLFkku jkT; miHkksDrk vk;ksx] t;iqj ifjokn la[;k 12@2017 ';ke lkgw cuke vxzoky gkWfLiVy ,oa vU;
9- fn U;w bf.M;k ,';ksjsUl dEiuh fyfeVsM] iathd`r dk;kZy; 87] ,e-th- jksM+] QksVZ] eqEcbZ&40001 vU; irk%& 'kk[kk dk;kZy; /kekZ gkbZV~l] 10] eksrh yky vVy jksM+] x.kifr Iyktk ds lkeus] ,e-vkbZ-jksM+] t;iqj&302001 foi{khx.k le{k%& ekuuh; Jh ,l-ds-tSu] ihBklhu lnL; ¼U;kf;d½ ekuuh; Jh 'kSysUnz HkV~V] lnL;
mifLFkr%& ifjoknh dh vksj ls Jh vuqjkx dqyJs"B] vf/koDrkA foi{kh la[;k 1 yxk;r 3 dh vksj ls Jh foTth vxzoky] vf/koDrkA foi{kh la[;k 4 dh vksj ls Jh vf'ouh cksgjk] vf/koDrkA foi{kh la[;k 5 o 6 dh vksj ls Jh fou; ikVuh] vf/koDrkA foi{kh la[;k 7 o 9 dh vksj ls Jh _f"kiky vxzoky] vf/koDrkA foi{kh la[;k 8 dh vksj ls Jh latho vjksM+k] vf/koDrkA cgl lquus dh fnukad 22-08-2023 fu.kZ; fnukad %& 12-09-2023 jktLFkku jkT; miHkksDrk vk;ksx] t;iqj [}kjk Jh ,l-ds-tSu] ihBklhu lnL; ¼U;kf;d½] ifjoknh us foi{kh la[;k 1 yxk;r 6 ds fo:) ifjokn i= miHkksDrk laj{k.k vf/kfu;e] 1986 ds rgr loZizFke fnukad 27-01-2017 dks izLrqr fd;k] mlds i'pkr foi{kh la[;k 7] 8 ,oa 9 dks Hkh i{kdkj ds :i esa tksM+k x;k gSA ifjokni= ds rF;ksa ds vuqlkj ifjoknh us viuh iRuh Jherh pUnk lkgw dk xHkkZoLFkk dk iwjk le; gksus ij fnukad 28-01-2015 dks isV esa vR;f/kd nnZ gksus vFkkZr~ rst yscj isu gksus ij fMyhojh ds fy, foi{kh la[;k 1 vLirky esa lqcg 5%10 ,-,e ij HkrhZ djok;k Fkk fdUrq foi{kh la[;k 1] 2 o 3 ds }kjk mls ugha ns[kk x;k rFkk loZizFke lqcg 7 cts 3 jktLFkku jkT; miHkksDrk vk;ksx] t;iqj ifjokn la[;k 12@2017 ';ke lkgw cuke vxzoky gkWfLiVy ,oa vU;
foi{kh la[;k 3 MkW- Jherh lq"kek vxzoky us ifjoknh dh iRuh dks ns[kk ,oa ;g crk;k fd ,d vaxqyh tkus ftruk cPpsnkuh dk eqg [kqyk gqvk gS rFkk mUgksus Injection Drotin Injection Epidosin fn;s A mlds i'pkr foi{kh la[;k 3 us Jherh pUnk lkgw dks lqcg 9%00 cts vkdj ns[kk rc ;g crk;k fd nks vaxqyh tkus ftruk cPpsnkuh dk eqg [kqyk gqvk gSA mlh le; mUgksus Uterus dk dksUVªsD'ku c<+kus ds fy, Injection Synto fn;k fdUrq dksbZ Hkh esfMdy VsLV ugha djok;k A blds ckn 11 ctdj 30 feuV ij Jherh pank lkgw ds Ýs'k CyhfMax gksus ij ;g ik;k fd xHkZLFk f'k'kq us xHkkZoLFkk esa xank ikuh NksM+ fn;k Fkk] tks foi{kh la[;k 1 yxk;r 3 dh ykijokgh jgh gSA A ;g Hkh fy[kk fd vkWijs'ku dh lgefr pank lkgw ls ugha ysdj mlds llqj Jh jk/ks';ke lkgw ls yh xbZ Fkh] tcfd Jherh pUnk lkgw gks'k esa FkhA bl izdkj ifjoknh ds vuqlkj lqcg 5%10 ,-,e- ls 7%00 ,-,e rd pUnk lkgw dks foi{kh la[;k 1 yxk;r 3 ds }kjk ugha ns[kk x;k] tcfd mlh le; xaHkhj fLFkfr ns[krs gq, vkWijs'ku ls fMyhojh dk fu.kZ; fy;k tkuk pkfg, Fkk rFkk ,slk ugha fd;s tkus ds dkj.k gh xHkZLFk f'k'kq us xank ikuh NksM+ fn;kA foi{kh la[;k 3 us 11%45 ,-,e ij LSCS dh lykg nh gS] tcfd vkWijs'ku ds fy, lgefr 11%30 ,-,e ij ys yh xbZ FkhA bl izdkj foi{kh la[;k 1 yxk;r 3 us Jherh pUnk lkgw dk vkWijs'ku djus esa nsjh dh gSA ;g Hkh fy[kk gS fd ejht ds fizLØI'ku rFkk IPD Papers ds fjdkWMZ esa vyx&vyx ckrs fy[kh gqbZ gS] ftlls ;g Li"V gksrk gS fd ejht dh izksxzsl 'khV ckn esa QthZ rS;kj dh xbZ gSA ifjokni= esa ;g Hkh fy[kk x;k gS fd Jherh pUnk lkgw ds vkWijs'ku ds le; cPpksa dk MkWDVj fotsUnz f=ikBh ekStwn ugha FkkA igys mlus iqfyl c;kuksa esa ;g crk;k gS fd fnukad 28-01-2015 dks 'kke dks vxzoky vLirky Vksad ls mldss ikl cPph ds laca/k esa dkWy vk;k Fkk rc mluss vLirky tkdj uotkr f'k'kq dks ns[kk Fkk] ftls 'okl ysus esa ijs'kkuh gks jgh Fkh vFkkZr~ og cPph fedkfu;e ,lfijs'ku flUMªkse uked chekjh ls ihfM+r FkhA Jherh pUnk lkgw dh Bleeding can ugha gksus ij foi{khx.k ds }kjk Hysterectomy dh xbZ vFkkZr~ ;wVsjl fudkyk x;kA IPD Papers rFkk vU; izksxzsl 'khV esa 4 jktLFkku jkT; miHkksDrk vk;ksx] t;iqj ifjokn la[;k 12@2017 ';ke lkgw cuke vxzoky gkWfLiVy ,oa vU;
dgha ij Hkh Hysterectomy djus dk le; ugha fy[kk x;k gSA Hysterectomy djus dh lgefr nksigj 1%30 ih-,e ij yh xbZ gSA ;g Hkh fy[kk x;k gS fd Anesthesia fo'ks"kK ds }kjk Pre Anesthetic Checkup fjiksVZ rS;kj dh xbZ gS fdUrq mlesa le; ugha fy[kk x;k gSA ;g Hkh fy[kk x;k gS fd foi{kh la[;k 3 MkW- lq"kek vxzoky us 11%45 ,-,e ij vLirky ds LVkQ dks lgefr ysus ,oa vkWijs'ku dh rS;kjh djus dk vkns'k fn;k gS rFkk mlh le; Anesthesia fo'ks"kK us Pre Anesthetic Checkup fjiksVZ rS;kj dh gSA bl izdkj ifjoknh ds vuqlkj foi{kh la[;k 1 yxk;r 3 ds }kjk ykijokgh dh xbZ gS rFkk leLr fpfdRlk nLrkostkr ckn esa QthZ rS;kj fd;s x;s gSaA ifjokni= esa ;g Hkh fy[kk x;k gS fd Hysterectomy djus ds i'pkr fpfdRlk nLrkostkr esa Urine Output,BP, Pulse vkfn dk tks fooj.k fy[kk x;k gS mlls Hkh ;g Li"V gksrk gS fd ;g fooj.k ckn esa vankts ls fy[kk x;k gSA ifjokni= esa ;g Hkh fy[kk x;k gS C-Section gksus ds ckn uotkr f'k'kq vkSj Jherh pUnk lkgw dh gkyr fpUrktud gks xbZ fdUrq bldh tkudkjh ifjoknh dks ugha nh xbZA uotkr f'k'kq dks 8%00 ih-,e ij gk;j lsUVj ds fy, jSQj fd;k x;k fdUrq Jherh pUnk lkgw dks DIC ( Disseminated Intravascular Coagulation) gksus ds ckotwn Hkh jSQj ugha fd;k x;kA bl izdkj foi{kh la[;k 1 yxk;r 3 us Jherh pUnk lkgw dks le; ij gk;j lsUVj ds fy, jSQj ugha fd;k ,oa uotkr f'k'kq dks Hkh le; ij gk;j lsUVj ds fy, jSQj ugha fd;s tkus ds dkj.k nksuksa dh e`R;q gks xbZA Jherh pUnk lkgw dks fnukad 28-01-2015 dks jkr djhc 11%30 cts gk;j lsUVj ds fy, jSQj fd;k x;k fdUrq fMLpktZ fVdV ij dksbZ le; vafdr ugha gSA ifjoknh ds vuqlkj uotkr f'k'kq rFkk Jherh pUnk lkgw dh rch;r C-Section ds ckn ls gh [kjkc Fkh] blfy, nksuksa dks ,d lkFk gk;j lsUVj ds fy, jSQj fd;k tkuk pkfg, FkkA ifjokni= esa ;g Hkh fy[kk x;k gS fd gk;j lsUVj esa jSQj fd;k tkus ij Jherh pUnk lkgw ds lkFk fdlh MkWDVj dks ugha Hkstk x;k cfYd uflZax LVkQ dks Hkstk x;kA Jherh pUnk lkgw dks tc jkr dks egkRek xk¡/kh esfMdy dkWyst ,.M gkWfLiVy] t;iqj ys tk;k x;k rc ogka BP Recordable ugha FkkA Bilrubin 5 jktLFkku jkT; miHkksDrk vk;ksx] t;iqj ifjokn la[;k 12@2017 ';ke lkgw cuke vxzoky gkWfLiVy ,oa vU;
c<+k gqvk 5-2 FkkA SIGT & SGOT Hkh c<+s gq, FksA Urea-50 and Creatinine- 1.7 FkkA ifjoknh viuh iRuh dks ogka ls thou js[kk fØVhdy ds;j ,.M Vªksek gkWfLiVy foi{kh la[;k 5 ds ;gka ys x;k] ogka Hkh Jherh pUnk lkgw dks Convulsion ds fy, Anticonvulsant ugha fn;k x;k cfYd pkj ckj Dialysis dj fn;k x;k] pkj ;wfuV Ýs'k ,jkstu Iyktk yxk x;k fn;k x;kA foi{kh la[;k 5 ,oa 6 dks Jherh pUnk lkgw ds DIC gksus dk 'kd Fkk fQj Hkh D-Diamer VsLV ugha djk;k x;kA foi{kh la[;k 5 vLirky esa foi{kh la[;k 6 MkW- ujsUnz dqekj :axVk ds }kjk bykt fd;k x;k] tks fd cPpksa ds MkWDVj gS tcfd pUnk lkgw dk bykt Hematologist rFkk Nephrologist ds }kjk fd;k tkuk pkfg, FkkA bl izdkj foi{kh la[;k 5 rFkk 6 ds }kjk Hkh ykijokgh dh xbZ gSA a foi{kh la[;k 5 ,oa 6 us Hkh tcju ejht dks okfil Vksd a vxzoky gkWfLiVy ys tkus ds fy, dkxtksa ij gLrk{kj djk fy;sA ifjoknh viuh iRuh pUnk lkgw dks t;iqj ls Vksd a yk;k fdUrq foi{kh la[;k 1 yxk;r 3 us Jherh pUnk lkgw dks vius gkWfLiVy esa ,MfeV djus ls euk dj fn;k] ftlds dkj.k Jherh pUnk lkgw ,aEcwysUl esa gh ej xbZA ifjoknh ds vuqlkj Jherh pUnk lkgw dk vkWijs'ku xyr gqvk Fkk] ftlds dkj.k [kwu cg jgk Fkk rFkk pUnk lkgw dks DIC gks x;k Fkk fdUrq bl rF; dks foi{kh la[;k 1 yxk;r 3 ds }kjk fNik;k x;k rFkk rqjra gk;j lsUVj ds fy, jSQj ugha fd;k x;kA bl izdkj ifjoknh us lHkh foi{khx.k ds fo:) ifjokni= izLrqr dj ;g vuqrks"k pkgk gS fd bykt ds isVs [kpZ dh xbZ dqy jkf'k 1]35]475@&:i;s ,EcqysUl fdjk;s dh [kpZ jkf'k 15]000@&:i;s foi{khx.k ls fnyk;k tkos rFkk bl jkf'k ij C;kt Hkh fnyk;s tkosA ifjoknh us Jherh pUnk lkgw ,oa uotkr f'k'kq cPph dh e`R;q gks tkus ds dkj.k 20]00]000@&:i;s {kfriwfrZ e; C;kt] vkfFkZd {kfr isVs 10]00]000@&:i;s] ekufld ,oa 'kkjhfjd {kfr isVs] 15]00]000@&:i;s e; C;kt rFkk ifjokn O;; isVs 75]000@&:i;s bl izdkj dqy 48]75]475@&:i;s e; C;kt fnyk;s tkus dk fuosnu fd;k gSA 02- foi{kh la[;k 1 yxk;r 3 us tokc ifjokni= izLrqr dj fpfdRlk ykijokgh gksus ds rF; ls badkj fd;k gS rFkk ;g fy[kk gS fd esfMdy 6 jktLFkku jkT; miHkksDrk vk;ksx] t;iqj ifjokn la[;k 12@2017 ';ke lkgw cuke vxzoky gkWfLiVy ,oa vU;
izksVksdkWy ds vuqlkj bykt fd;k x;k FkkA tokc ifjokni= esa ;g Hkh fy[kk gS fd lqcg 5 cts gh foi{kh la[;k 3 Jherh lq"kek vxzoky ds }kjk ifjoknh dh iRuh dk ijh{k.k dj fy;k Fkk] ml le; ,d vaxqyh tkus ftruk cPpsnkuh dk eqg [kqyk gqvk Fkk] cPps dh gkVZ lkm.M jsxqyj Fkh] CyM izs'kj lkekU; FkkA foi{kh la[;k 3 us ifjoknh }kjk ykbZ xbZ tkap fjiksVZ ,oa lksuksxzkQh fjiksVZ dks ns[kdj yscj :e esa ,MfeV djus dh lykg nh Fkh rFkk lgefr ysus dh lykg nh Fkh ,oa vko';d nokb;k¡ 'kq: dj nh FkhA mlds i'pkr 7%00 cts iqu% ijh{k.k fd;k x;k Fkk rc Hkh ,d vaxqyh tkus ftruk cPpsnkuh dk eqg [kqyk gqvk Fkk] cPps dh gkVZ lkm.M jsxqyj Fkh] CyM izs'kj lkekU; Fkk rc iqu% vko';d nokb;k¡ fy[kh xbZ FkhA tokc ifjokni= ds vuqlkj fMyhojh dh rhu LVst gksrh gS lksuksxzkQh fjiksVZ fnukad 23-01-2015 ds vuqlkj fdlh izdkj dh dksbZ Abnormality ugha Fkh] blfy, izkjaHk esa vkWijs'ku djus dh lykg ugha nh xbZ ] yscj isu c<+kus dh ,oa cPpsnkuh dk eqg [kksyus dh nokb;k¡ nh xbZA tokc ifjokni= esa ;g Hkh fy[kk x;k gS fd ifjoknh us iqfyl esa tks fjiksVZ ntZ djokbZ Fkh mlesa jkr 2 cts vLirky esa HkrhZ djuk fy[kk Fkk rFkk jktLFkku esfMdy dkmafly dks dh xbZ f'kdk;r esa C-Section djuk izkjEHk dj nsuk fy[kk Fkk] bl izdkj foi{khx.k ds vuqlkj ifjoknh us vius ifjokni= esa c<+k&p<+kdj vfHkopu fd;s gSaA tokc ifjokni= esa foi{kh la[;k 1 yxk;r 3 ds }kjk ;g Hkh fy[kk x;k gS fd foi{kh la[;k 3 MkW- lq"kek vxzoky lqcg 5%00 cts ls gh ifjoknh dh iRuh dks ns[k jgh Fkh rFkk lkekU; fMyhojh ds iz;kl dj jgh FkhA xHkZLFk f'k'kq ds }kjk xank ikuh NksM+ nsus ds ckjs esa tokc ifjokni= esa foi{kh la[;k 1 yxk;r 3 ds }kjk ;g fy[kk x;k gS fd Jherh pUnk lkgw dh Vagina ls djhc 11%30 cts CyhfMax gksus yxh] bl dkj.k ls xHkZLFk f'k'kq dks [kwu ,oa vkWDlhtu dh de ek=k feyus yxh] ftlls og LVªsl esa vk x;k rFkk mlus xank ikuh NksM+ fn;kA ifjoknh us iqfyl esa ntZ djok;h xbZ fjiksVZ rFkk jktLFkku esfMdy dkamfly dh f'kdk;r esa bl izdkj ds rF; ugha fy[ks Fks] tks fd ifjokni= esa ckn esa lksp&le>dj fy[ks x;s gSaA ;g Hkh fy[kk x;k gS fd ifjoknh ds }kjk 7 jktLFkku jkT; miHkksDrk vk;ksx] t;iqj ifjokn la[;k 12@2017 ';ke lkgw cuke vxzoky gkWfLiVy ,oa vU;
muds fo:) iqfyl esa ,Q-vkbZ-vkj- ntZ djok;h xbZ Fkh rc iqfyl us leLr fpfdRlk nLrkost foi{kh la[;k 1 vLirky ls tCr dj fy;s FksA blfy, ifjoknh dk ;g dguk xyr gS fd fpfdRlk nLrkost ckn esa QthZ rS;kj fd;s x;s gSA bl izdkj foi{kh la[;k 1 yxk;r 3 us foLr`r tokc ifjokni= izLrqr dj ;gh fy[kk gS fd cPpksa dk MkWDVj Hkh vkWijs'ku ds le; cqyk fy;k x;k Fkk] ftUgksus vius gkFk ls bykt dk ipkZ rS;kj fd;k gS ,oa cPps dks nksigj 3%00 cts gk;j lsUVj ds fy, jSQj dj fn;k gS fdUrq ifjoknh Lo;a cPps dks ysdj ugha x;k gSA ;g Hkh fy[kk x;k gS fd vf/kd CyhfMax gksus ls Hysterectomy lgefr ysdj dh xbZ FkhA CyM jksdus ds gj laHko iz;kl fd;s x;s Fks fdUrq CyM ugha :dus ds dkj.k fnukad 28-01-2015 dks Jherh pUnk lkgw dks gk;j lsUVj ds fy, jSQj dj fn;k FkkA bl izdkj mUgksus ifjokni= [kkfjt fd;s tkus dk fuosnu fd;k gSA 04- foi{kh la[;k 4 egkRek xk¡/kh vLirky us tokc ifjokni= izLrqr dj ;g fy[kk gS fd Jherh pUnk lkgw dh fMyhojh muds ;gka ugha gqbZ Fkh rFkk uotkr f'k'kq dk bykt Hkh muds ;gka ugha gqvk Fkk A ifjoknh Lo;a viuh iRuh pUnk lkgw dks fMLpktZ djkdj ys x;k Fkk] ftl le; Jherh pUnk lkgw muds vLirky esa HkrhZ gqbZ rc og fØfVdy daMh'ku esa FkhA CyM isz'kj fjdkWMsZcy ugha FkkA bl izdkj muds vuqlkj dksbZ lsoknks"k ugha fd;k x;k gSA 05- foi{kh la[;k 5 yxk;r 6 us tokc ifjokni= izLrqr dj ;g fy[kk gS fd Jherh pUnk lkgw dh xaHkhj fLFkfr dks ns[krs gq, Mk;ysfll fd;k x;k FkkA foi{kh la[;k 6 fØVhdy ds;j ds vuqHkoh fpfdRld gSA ;g Hkh fy[kk x;k gS fd ifjoknh Lo;a viuh iRuh dks fMLpktZ djkdj ys x;k FkkA bl izdkj mUgksus ifjokni= [kkfjt fd;s tkus dk fuosnu fd;k gSA 06- foi{khx.k 7] 8] 9 chek dEifu;ksa us i``Fkd&i`Fkd tokc ifjokni= izLrqr dj ifjokni= [kkfjt fd;s tkus dk fuosnu fd;k gSA 8 jktLFkku jkT; miHkksDrk vk;ksx] t;iqj ifjokn la[;k 12@2017 ';ke lkgw cuke vxzoky gkWfLiVy ,oa vU;
07- mHk;i{k dh vksj ls fofHkUu 'kiFk&i= ,oa fofHkUu nLrkostkr izLrqr fd;s x;s gSa] ftudk vko';drk vuqlkj foospu fd;k tkosxkA 08- mHk;i{k ds fo}ku vf/koDrkx.k dh cgl lquh xbZ ,oa i=koyh dk voyksdu fd;k x;kA 09- fo}ku vf/koDrk ifjoknh dh vksj ls ekuuh; jk"Vªh; miHkksDrk vk;ksx dk U;kf;d n`"Vkar Revision petition No. 4827/2008 Tirath Ram Shah Charitable Hospital V/s Kamini Yadav. Decided on 02.06.2023 izLrqr fd;k x;k gSA bl U;kf;d n`"Vkar okys ekeys esa xHkZLFk f'k'kq ds Distress esa vkus ds nks ?kaVs ckn LSCS fd;k x;k Fkk rFkk lgefr i= [kkyh ij gLrk{kj djk;s x;s Fks] tcfd gLrxr izdj.k esa djhc 11%30 vFkok 11%45 cts fnu ds vkl&ikl LSCS dk fu.kZ; ys fy;k x;k gS rFkk fpfdRld ds }kjk 11%30 ,-,e- ij gh ;g ik;k x;k fd xank ikuh fudy jgk gSA bl izdkj gLrxr izdj.k ds rF; ,sls ugha gS fd xHkZLFk f'k'kq ds Distress laca/kh tkudkjh gksus ds nks ?kaVs ckn LSCS fd;k x;k gksA 10- ifjoknh dh vksj ls ekuuh; jk"Vªh; miHkksDrk vk;ksx dk U;kf;d n`"Vkar izFke vihy la[;k 552@2019 Vishnu Priya Giri V/s G.M. Modi Hospital Research Centre For Medical Sciences and Anr. Decided on 13.05.2022 izLrqr fd;k x;k gSA bl ekeys esa ifjoknh us {kfriwfrZ jkf'k c<+k;s tkus ds fy, vihy dh Fkh rc {kfriwfrZ jkf'k c<+k;h xbZ FkhA 11- ifjoknh dh vksj ls dsjyk jkT; miHkksDrk vk;ksx dk U;kf;d n`"Vkar vihy la[;k 312@2009 ,oa 332@2009 fu.kZ; fnukad 11-05-2012 izLrqr fd;k x;k gS] tks fedkfu;e ,lfijs'ku flUMªkse ds ckjs esa gSA 12- ifjoknh dh vksj ls ekuuh; jk"Vªh; miHkksDrk vk;ksx dk U;kf;d n`"Vkar Revision petition No1921/2005 Holi Cross Hospital V/s Maniram. Decided on 28-02-2009 izLrqr fd;k x;k gSA bl U;kf;d n`"Vkar okys ekeys esa ejht dh lgefr ugha yh xbZ cfYd mldh iRuh dh lgefr yh xbZ Fkh fdUrq bl U;kf;d n`"Vkar esa ;g r; ugha fd;k x;k gS 9 jktLFkku jkT; miHkksDrk vk;ksx] t;iqj ifjokn la[;k 12@2017 ';ke lkgw cuke vxzoky gkWfLiVy ,oa vU;
fd ejht dh lgefr ugha fy;s tkus ds dkj.k gh foi{kh dks nks"kh ekuk x;k gksA 13- ifjoknh dh vksj ls ekuuh; jk"Vªh; miHkksDrk vk;ksx dk U;kf;d n`"Vkar Revision petition No. 3259/2014 Lucknow Hospital V/s Virendra Singh &Anr. Decided on 18-06-2020 izLrqr fd;k x;k gS] ftlesa vLirky ds }kjk fpfdRlk fjdkWMZ ekaxus ij ugha fn;k x;k Fkk fdUrq gLrxr izdj.k esa foi{kh la[;k 1 yxk;r 3 dk ;g dguk gS fd ifjoknh us iqfyl esa fjiksVZ ntZ djk nh Fkh] rc iqfyl us fpfdRlk nLrkost muds gkWfLiVy ls tCr dj fy;s FksA 14- ifjoknh dh vksj ls egkjk"Vª jkT; miHkksDrk vk;ksx dh cSap vkSjx a kckn dk U;kf;d n`"Vkar izFke vihy la[;k 67@2018 Dr. Kunal Kiran Kondewar V/s Baliram Murlidhar Ratnaparkhi. Decided on. 30-11- 2021 izLrqr fd;k x;k gS] ftlesa esfMdy cksMZ dh jk; vko';d ugha gksuk crk;k x;k gSA 15- ifjoknh dh vksj ls ekuuh; jk"Vªh; miHkksDrk vk;ksx dk U;kf;d n`"Vkar Revision petition No. 4216/2014 Dr. Ravnit Kaur Bal & Anr. V/s Varinderjeet Kaur & Anr. Decided on. 03-08-2015 izLrqr fd;k x;k gS] ftlesa fpfdRld LSCS djus ds fy, l{ke ;ksX;rk ugha j[krk Fkk] tcfd gLrxr izdj.k esa foi{kh la[;k 3 MkW- lq"kek vxzoky ;ksX;rk/kkjh ,oa vuqHkoh Gynecologist gS rFkk LSCS djus dh ;ksX;rk j[krh gSA fo}ku vf/koDrk ifjoknh dh vksj ls bl U;kf;d n`"Vkar dks izLrqr dj ;g cgl dh xbZ gS fd foi{kh la[;k 6 MkW ujsUnz dqekj :xaVk cPpksa ds MkWDVj gS fdUrq mUgksus ifjoknh dh iRuh dk Mk;ysfll fd;k gSA bl ckjs esa ;g ik;k tkrk gS fd MkW- ujsUnz dqekj :xaVk ds }kjk fØVhdy ds;j ;wfuV ds vuqHko ds ckjs esa fofHkUu nLrkost izLrqr fd;s x;s gS rFkk ;g crk;k x;k gS fd og jktLFkku esa fØVhdy ds;j ;wfuV dh ns[kHkky djus ds fy, lcls vuqHkoh fpfdRld gSA vr% bl U;kf;d n`"Vkar ds vk/kkj ij ifjoknh dks dksbZ lgk;rk ugha feyrh gSA 10 jktLFkku jkT; miHkksDrk vk;ksx] t;iqj ifjokn la[;k 12@2017 ';ke lkgw cuke vxzoky gkWfLiVy ,oa vU;
16- ifjoknh dh vksj ls jktLFkku jkT; miHkksDrk vk;ksx] t;iqj dk U;kf;d n`"Vkar ifjokn izdj.k la[;k 101@2017 foØe flag ,oa vU; cuke MkW- fot;iky flag ,oa vU; fu.kZ; fnukad 24-11-2021 izLrqr fd;k x;k gSA bl U;kf;d n`"Vkar okys ekeys esa ;g ik;k x;k Fkk fd foi{kh la[;k 1 ltZu ds }kjk ,usfLFkfl;k batsD'ku ns fn;k x;k D;ksafd MkW - nhid JhokLro ds }kjk ,usfLFkfl;k batsD'ku fn;k tkuk lkfcr ugha ekuk x;k FkkA bl U;kf;d n`"Vkar okys ekeys esa ;g Hkh ekuk x;k gS fd foi{kh la[;k 1 fpfdRld us ejht ds [kkyh isV gksus ds rF; dks lqfuf'pr fd;s fcuk gh ,usfLFkfl;k batsD'ku fn;k Fkk] tcfd gLrxr izdj.k ds rF; bl izdkj ds ugha gSA vr% ;g U;kf;d n`"Vkar ifjoknh i{k dh dksbZ lgk;rk ugha djrk gSA 17- gLrxr izdj.k esa ifjoknh i{k dk eq[; vkjksi ;gh gS fd foi{kh la[;k 1 yxk;r 3 us ifjoknh dh iRuh dks lqcg 5 ctdj 10 feuV ls ysdj 7 cts rd ugha ns[kk rFkk vR;ar nsjh ls LSCS fd;kA bl ckjs esa foi{kh la[;k 3 MkW- lq"kek vxzoky us 'kiFk i= izLrqr fd;k gS ,oa ;g crk;k gS fd mUgksus mlh le; ifjoknh dh iRuh dks ns[k fy;k Fkk] rc ,d vaxqyh tkus ftruh cPpsnkuh [kqyh gqbZ Fkh rFkk lqcg 7 cts Hkh tc ijh{k.k fd;k x;k rc ,d vaxqyh tkus ftruk cPpsnkuh dk eqga [kqyk gqvk Fkk] cPps dh gkVZ lkm.M jsxqyj Fkh] CyM izs'kj lkekU; FkkA i=koyh esa foi{kh la[;k 1 yxk;r 3 ds fpfdRlk nLrkost miyC/k gS] ftuds voyksdu ls Hkh ;g Li"V gS fd fpfdRld ds }kjk 7 cts rFkk mlds ckn 9%30 cts yscj isu c<+us ds batsD'ku fn;s x;s gS] ftldk ;gh vFkZ fudyrk gS fd ml le; ifjoknh dh iRuh dh fLFkfr xaHkhj ugha FkhA fpfdRlk nLrkost ls ;g lkfcr gS fd 11%30 ,-,e- ij Ýs'k CyhfMax vk;h gS] rc LSCS dk fu.kZ; fy;k x;k gS rFkk 12%14 feuV ij LSCS dj fn;k x;k gS ,oa cPph dk tUe gks x;k gSA bl izdkj i=koyh ij miyC/k leLr nLrkostkr ,oa lk{; dks ns[krs gq, ;g ugha ekuk tk ldrk gS fd ifjoknh dh iRuh dh fLFkfr izkjEHk ls gh xaHkhj gks ,oa foi{kh la[;k 1 yxk;r 3 ds }kjk LSCS djus esa nsjh dh xbZ gksA 11 jktLFkku jkT; miHkksDrk vk;ksx] t;iqj ifjokn la[;k 12@2017 ';ke lkgw cuke vxzoky gkWfLiVy ,oa vU;
18- fo}ku vf/koDrk ifjoknh ds }kjk ;g rdZ fy;k x;k gS fd LSCS ds le; cPpksa ds MkW- fotsUnz f=ikBh mifLFkr ugha Fks D;ksafd mUgksus iqfyl c;ku esa 'kke dks vLirky tkus dk dFku fd;k gSA bl ckjs esa ;g ik;k tkrk gS fd MkW- Jh fotsUnz f=ikBh ds }kjk vxzoky vLirky esa tkdj izksxzs'k 'khV fy[kh xbZ gSA MkW- Jh fotsUnz f=ikBh us ifjokni= dh vUoh{kk ds nkSjku viuk 'kiFk i= Hkh izLrqr fd;k gSA iqfyl c;kuksa ij fotsUnz f=ikBh ds gLrk{kj ugha gSA Jh fotsUnz f=ikBh ls ifjoknh i{k ds }kjk bl ckjs esa dksbZ izfrijh{k.k djuk ugha pkgk x;k gSA bl izdkj ;g ugha ekuk tk ldrk gS fd Jh fotsUnz f=ikBh LSCS ds le; vLirky esa ekStwn u gksA 19- fo}ku vf/koDrk ifjoknh dh vksj ls ;g cgl dh xbZ gS fd foi{kh la[;k 1 yxk;r 3 ds }kjk QthZ nLrkost rS;kj dj izLrqr fd;s x;s gSaA bl ckjs esa ;g ik;k tkrk gS fd i=koyh esa iqfyl vuqla/kku fjiksVZ lyaXu gS] ftlesa iqfyl us ;g fy[kk gS fd vxzoky vLirky ls fpfdRlk laca/kh nLrkost tCr fd;s x;s A ifjoknh i{k ds }kjk ifjokni= dh vUoh{kk ds nkSjku /kkjk 340 n.M izfØ;k lfgark ds rgr dksbZ izkFkZuk&i= QthZ nLrkost izLrqr djus ds ckjs esa is'k ugha fd;k x;k gSA bl izdkj ;gh fu"d"kZ fudyrk gS fd foi{kh la[;k 1 yxk;r 3 ds }kjk QthZ nLrkost izLrqr ugha fd;s x;s gSa vFkkZr~ ifjoknh i{k vius bl rdZ dks lkfcr ugha dj ik;k gSA 20- fo}ku vf/koDrk ifjoknh dh vksj ls ;g Hkh cgl dh xbZ gS fd foi{kh la[;k 1 yxk;r 3 ds }kjk uotkr f'k'kq dh gkyr xaHkhj gksus ds ckn mls le; ij jsQj ugha fd;k x;kA bl ckjs esa i=koyh ij MkW- fojsUnz f=ikBh cPpksa ds MkWDVj dk 'kiFk&i= lyaXu gS] ftUgksus ;g crk;k gS fd uotkr f'k'kq dks 12%30 cts nksigj ,u-vkbZ-lh-;w- esa f'k¶V dj fn;k x;k Fkk rFkk djhc 1 cts nksigj gh uotkr f'k'kq dks gk;j lsUVj ij ys tkus ds fy, ifjoknh i{k dks dg fn;k x;k Fkk fdUrq ifjoknh i{k Jherh pank lkgw dh xaHkhj fLFkfr ds dkj.k cPps dks gk;j lsUVj ij ys tkuk ugha pkgrs FksA fpfdRlk nLrkost ls Hkh ;g Li"V gS fd foi{kh la[;k 1 yxk;r 12 jktLFkku jkT; miHkksDrk vk;ksx] t;iqj ifjokn la[;k 12@2017 ';ke lkgw cuke vxzoky gkWfLiVy ,oa vU;
3 ds }kjk uotkr f'k'kq dks igys gh jsQj dj fn;k x;k FkkA fpfdRlk nLrkost ls ;g Li"V gksrk gS fd fnukad 28-01-2015 dks gh 'kke 6%30 cts gk;j lsUVj ij ys tkus ds fy, fy[kk x;k gS rFkk 9 cts jkr dks ifjoknh dh iRuh dks gk;j lsUVj ij jsQj dj fn;k x;k gSA ,slh fLFkfr esa ;g ugha ekuk tk ldrk fd foi{kh la[;k 1 yxk;r 3 ds }kjk gk;j lsUVj ij jsQj djus ds fy, nsjh dh xbZ gksA 21- fo}ku vf/koDrk ifjoknh dh vksj ls ;g cgl Hkh dh xbZ gS fd Hysterectomy djus dk dksbZ le; ugha fy[kk x;k gSA fpfdRlk nLrkostkr ls ;g Li"V gS fd nksigj 3 cts ifjoknh dh iRuh dks vkbZ -lh- ;w- esa Hysterectomy ds ckn ys fy;k x;k gS rFkk ,slk ekeyk Hkh ugha gS fd foi{kh la[;k 1 yxk;r 3 us Hysterectomy djus esa dksbZ foyac fd;k gksA 22- gLrxr izdj.k esa foi{kh la[;k 1 o 6 dh fpfdRlk ykijokgh jgh vFkok ugha] bl ckjs esa gLrxr izdj.k dh rF;kRed fLFkfr dks ns[krs gq;s ekuuh; loksZPp U;k;ky; ,oa ekuuh; jk"Vªh; miHkksDrk vk;ksx] ubZ fnYyh ds fofHkUu U;kf;d fu.kZ;ksa dk voyksdu fd;k x;k] ftuesa ls dqN fuEu izdkj gSa%& 22(1) ekuuh; loksZPp U;k;ky; ds U;kf;d n`"Vkar Martin F. D'Suza versus Mohd. Ishfaq, (2009) 3 lqizhe dksVZ dslt s page 1 ds ekeys esa iSjk uacj 40 ,oa 42 esa fuEu izdkj fof/k fl)kar izfrikfnr fd;s x;s gaS%&
40. "Simply because a patient has not favourably responded to a treatment given by a doctor or a surgery has failed, the doctor cannot be held straighaway liable for a medical negligence by applying the doctrine of res ipsa loquitur. No sensible professional would intentionally commit an act or omission which would result in harm or injury to the patient since the professional reputation of the professional would be at stake. A single failure may cost him dear in his lapse."
13jktLFkku jkT; miHkksDrk vk;ksx] t;iqj ifjokn la[;k 12@2017 ';ke lkgw cuke vxzoky gkWfLiVy ,oa vU;
42. "When a patient dies or suffer some mishap, there is a tendency to blame the doctor for this. Things have gone wrong and therefore, somebody must be punished for it. However, it is well known that even the best professionals, what to say of the average professional, sometimes have failures. A lawyer cannot win every case in his professional career but surely he cannot be penalised for losing a case provided he appeared in it and made his submissions."
mijksDr iSjk la[;k 40 o 42 esa ekuuh; loksZPp U;k;ky; us ;g ekuk gS fd ;fn dksbZ vkWijs'ku vlQy gks tkrk gS] rc blh vk/kkj ij vkWijs'ku dju okys fpfdRld dks fpfdRlk ykijokgh dk nks"kh res ipsa loquitur fl)kar ds vk/kkj ij ugha ekuk tkosxkA ;g Hkh ekuk x;k gS fd ;fn dksbZ ejht ej tkrk gS vFkok fLFkfr fcxM+ tkrh gS] rc fpfdRld ij vkjksi yxkus dh VsUMsUlh gksrh gS] tcfd vPNs ls vPNk izksQs'kuy Hkh failure gks tkrk gS] tSls fd ,d vf/koDrk ges'kk gh viuk izdj.k ugha thr ikrk gSA 22(2) ekuuh; loksZPp U;k;ky; ds U;kf;d n`"Vkar C.P. Sreekumar(Dr.), MS (Ortho) v S.Ramanujam, (2009) 7 SCC 130 ds iSjk la[;k 37 esa fuEu fof/k fl)kar izfrikfnr fd;k x;k gS%& "37. We find from a reading of the order of the Commission that it proceeded on the basis that whatever had been alleged in the complaint by the respondent was in fact the inviolable truth even though it remained unsupported by any evidence. As already observed in Jacob Mathew case [(2005) 6 SCC 1 :
2005 SCC (Cri) 1369] the onus to prove medical negligence lies largely on the claimant and that this onus can be discharged by leading cogent evidence. A mere averment in a complaint which is denied by the other side can, by no stretch of imagination, be said to be evidence by which the 14 jktLFkku jkT; miHkksDrk vk;ksx] t;iqj ifjokn la[;k 12@2017 ';ke lkgw cuke vxzoky gkWfLiVy ,oa vU;
case of the complainant can be said to be proved. It is the obligation of the complainant to provide the facta probanda as well as the facta probantia."
mijksDr fof/k fl)kar esa ;g crk;k x;k gS fd fpfdRlk lsoknks"k dk vkjksi ifjokni= esa yxk;k tkuk gh i;kZIr ugha gS] cfYd lqn`<+ lk{; ls bl vkjksi dks lkfcr djuk vko';d gSA 22¼3½ ekuuh; loksZPp U;k;ky; ds U;kf;d n`"Vkar ÞKusum Sharma and Others v.Batra Hospital and Medical Research Centre and Others, (2010) 3 SCC 480 ds iSjk la[;k 47] 72] 78 esa fuEufyf[kr fof/k fl)kar izfrikfnr fd;s x;s gaS%& "47. Medical science has conferred great benefits on mankind, but these benefits are attended by considerable risks.
Every surgical operation is attended by risks. We cannot take the benefits without taking risks. Every advancement in technique is also attended by risks."
"72. The ratio of Bolam case [(1957) 1 WLR 582 : (1957) 2 All ER 118] is that it is enough for the defendant to show that the standard of care and the skill attained was that ordinary degree of professional skill. The fact that the respondent charged with negligence acted in accordance with the general and approved practice is enough to clear him of the charge. Two things are pertinent to be noted. Firstly, the standard of care, when 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. Secondly, when the charge of negligence arises out of failure to use some particular equipment, the charge would fail if the equipment was not generally available at that point of time on which it is suggested as should have been used."15
jktLFkku jkT; miHkksDrk vk;ksx] t;iqj ifjokn la[;k 12@2017 ';ke lkgw cuke vxzoky gkWfLiVy ,oa vU;
"78. It is a matter of common knowledge that after happening of some unfortunate event, there is a marked tendency to look for a human factor to blame for an untoward event, a tendency which is closely linked with the desire to punish. Things have gone wrong and, therefore, somebody must be found to answer for it. A professional deserves total protection. The Penal Code, 1860 has taken care to ensure that people who act in good faith should not be punished. Sections 88, 92 and 370 of the Penal Code give adequate protection to the professionals and particularly medical professionals."
mijksDr iSjkt esa Hkh ekuuh; loksZPp U;k;ky; us Hkh ;gh ekuk gS fd ;fn dksbZ unfortunate ?kVuk ?kfVr gks tkrh gS] rc ;g VsUMsUlh jgrh gS fd bl ?kVuk ds ?kfVr gksus dk dkj.k Li"V gksuk pkfg;s rFkk vkjksi yxkus dh VsUMsUlh gksrh gS] fdarq vizR;kf'kr ?kVuk ?kfVr gksus ds dkj.k gh nks"kh ugha ekuk tkuk pkfg;s] cfYd izksQs'kuy dks izksVsD'ku feyuk pkfg;sA 22¼4½ ekuuh; loksZPp U;k;ky; ds U;kf;d n`"Vkar Dr. Harish Kumar Khurana v Joginder Singh and ors., (2021) SCC Online SC 673 ds iSjk la[;k 11 ,oa iSjk la[;k 14 esa fuEufyf[kr fof/k fl)kar izfrikfnr fd;s x;s gaS%& "11. ........ Ordinarily an accident means an unintended and unforeseen injurious occurrence, something that does not occur in the usual course of events or that could not be reasonably anticipated. The learned counsel has also referred to the decision in Martin F. D'Suza versus Mohd. Ishfaq, ( 2009) 3SCC 1 wherein it is stated that simply because the patient has not favourably responded to a treatment given by doctor or a surgery has failed, the doctor cannot be held straight away liable for medical negligence by applying the doctrine of Res Ipsa Loquitor. It is further observed therein 16 jktLFkku jkT; miHkksDrk vk;ksx] t;iqj ifjokn la[;k 12@2017 ';ke lkgw cuke vxzoky gkWfLiVy ,oa vU;
that sometimes despite best efforts the treatment of a doctor fails and the same does not mean that the doctor or the surgeon must be held guilty of medical negligence unless there is some strong evidence to suggest that the doctor is negligent."
"14. Having noted the decisions relied upon by the learned counsel for the parties, it is clear that in every case where the treatment is not successful or the patient dies during surgery, it cannot be automatically assumed that the medical professional was negligent. To indicate negligence there should be material available on record or else appropriate medical evidence should be tendered. The negligence alleged should be so glaring, in which event the principle of res ipsa loquitur could be made applicable and not based on perception. In the instant case, apart from the allegations made by the claimants before the NCDRC both in the complaint and in the affidavit filed in the proceedings, there is no other medical evidence tendered by the complainant to indicate negligence on the part of the doctors who, on their own behalf had explained their position relating to the medical process in their affidavit to explain there was no negligence. .................."
mijksDr iSjkt esa ekuuh; loksZPp U;k;ky; us ;g ekuk gS fd fdlh Hkh vkWijs'ku ds vlQy gksus ds vk/kkj ij gh Res Ipsa Loquitor fl)kar ds vk/kkj ij fpfdRld dh ykijokgh ugha ekuh tkosxh] cfYd fpfdRld dh ykijokgh ds fy;s dqN lkexzh gksuh pkfg;sA 22¼5½ ekuuh; loksZPp U;k;ky; ds U;kf;d n`"Vkar II(2022)CPJ 51(SC) CHANDA RANI AKHOURI[DR.(MRS.)] AND ORS. VERSUS M.A. METHUSETHUPATHI [DR.] AND ORS. esa fuEufyf[kr fof/k fl)kar izfrikfnr fd;k x;k gS%& 17 jktLFkku jkT; miHkksDrk vk;ksx] t;iqj ifjokn la[;k 12@2017 ';ke lkgw cuke vxzoky gkWfLiVy ,oa vU;
Þ¼1½ Medical Negligence- Duty of care and caution- No doctor would assure full recovery in every case- At relevant time, only assurance given by implication is that he possessed requisite skills in branch of profession and while undertaking performance of his task, he would exercise his skills to best of his ability and with reasonable competence- Liability would only come if either doctor did not possess requisite skills which he professed to have possessed or he did not exercise with reasonable competence in given case skill which he did possess- Simple lack of care, error of judgment or accident, is not proof of negligence on part of medical professional- Hospital and doctors are required to exercise sufficient care in treating patients in all circumstances- Sufficient material on medical evidence should be available before adjudicating authority to arrive at conclusion that death is due to medical negligence- Death of patient cannot, on face of it, be considered to be medical negligence- medical practitioner is not to be held liable simply because things went wrong from mischance or misadventure or through error of judgment in choosing one reasonable course of treatment in preference to another- Term 'negligence' has no defined boundaries and if any medical negligence is there, whether it is pre or post-operative medical care or in follow-up care, at any point of time by treating doctors or anyone else, it is always open to be considered by Courts/Commission taking note of exposition of law laid down by this Court of which detailed reference has been made and each case has to be examined on its own merits in accordance with law."
22¼6½ ekuuh; loksZPp U;k;ky; us vius U;kf;d n`"Vkar flfoy vihy uacj 1658/2010 "Bombay Hospital and Medical 18 jktLFkku jkT; miHkksDrk vk;ksx] t;iqj ifjokn la[;k 12@2017 ';ke lkgw cuke vxzoky gkWfLiVy ,oa vU;
Research Center Versus Asha Jaiswal", fu.kZ; fnukad 30-11- 2021 esa ;g ekuk gS fd vLirky dk vkWijs'ku fFk;sVj laiw.kZ lqfo/kk ;qDr gks] fpfdRld ;ksX; ,oa vuqHkoh gks] rc Hkh ;fn ejht dh e`R;q gks tkrh gS] rc blh dkj.k ls fpfdRld dks ykijokgh dk nks"kh ugha ekuk tkosxkA 22¼7½ ekuuh; loksZPp U;k;ky; us vius U;kf;d n`"Vkar Bolam versus Frien Hospital Management Committtee (1957) I WLR 582 ds ekeys esa fuEufyf[kr fof/k fl)kar izfrikfnr fd;s gSa %&
1. Whether the doctor in question possessed the medical skills expected of an ordinary skilled practitioner in the field at that point of time;
2. Whether the doctor adopted the practice(of clinical observation diagnosis - including diagonstic tests and treatment) in the case that would be adopted by such a doctor of ordinary skill in accord with(at least) one of the responsible bodies of opinion of professional practitioners in the field.
3. Whether the standards of skills, knowledge expected of the doctor, according to the said body of medical opinion, were of the time when the events leading to the allegations of medical negligence occurred and not of the time when the dispute was being adjudicated.
In the present case our answer to all points is "yes", because both the OP doctors are qualified ophthalmologists, practicing since two decades. The OP- 2 is a super specialist in IOL and myopia corrective surgery. The OP-3 is a consultant retina surgeon attached to OP-1, the navajyoti eye center. They have adopted the standards of practice, in proper diagnosis, referral and further management. Therefore, in the instant case OPs-2 19 jktLFkku jkT; miHkksDrk vk;ksx] t;iqj ifjokn la[;k 12@2017 ';ke lkgw cuke vxzoky gkWfLiVy ,oa vU;
and 3 are qualified and skilled in their specialty, hence, no negligence can be attributed to their attempts.
22¼8½ ekuuh; jk"Vªh; miHkksDrk vk;ksx us vius U;kf;d n`"Vkar 2016¼2½ CPR 77 ifjokn izdj.k la[;k 1499@2015 "Suman Taneja Versus Metro Hospital and Heart Institute and ors.", fu.kZ; fnukad& 02-02-2016 esa fuEufyf[kr fof/k fl)kar izfrikfnr fd;k gS%& "Consumer Protection Act, 1986 Section 2(1)g Allegation of Medical negligence- Referring patient to higher centre- Due to non availability of cardiologist- Patient suffered IWMI, it was a cardiac emergency and he was in a critical stage, After diagnosis, OP-2 rightly treated patient by thrombolysing agents- Due to non- availability of cardiologist, he has referred patient to higher centre- Referring the patient to higher centre is not a Medical negligence - Every cardiologist is not capable or experienced to the extent to perform PCI- Not find the OPs breached in their duty of care or there was deficiency on the part of OP-2 who referred the patient to higher centre due to non availability of cardiologist- Decision taken by OP2 to refer patient to higher centre was proper- Held, that doctors should not be dragged to court unnecessarily on frivolous ground which prevents them from discharging their duty to a suffering person who needs their assistance utmost- Complaint dismissed."
22¼9½ ekuuh; loksZPp U;k;ky; us vius U;kf;d n`"Vkar Jacob Mathew versus State of Punjab and anr.(2005) 6 SSC I esa fuEufyf[kr fof/k fl)kar izfrikfnr fd;k gS%& " a professional may be held liable on one of two findings:
either he was not possessed of requisite skill which he 20 jktLFkku jkT; miHkksDrk vk;ksx] t;iqj ifjokn la[;k 12@2017 ';ke lkgw cuke vxzoky gkWfLiVy ,oa vU;
professed to have possessed, or he did not exercise reasonable competence in given case, the skill which he did possess"
23. foi{kh la[;k 4 egkRek xka/kh vLirky ds fo:) fdlh izdkj dh dksbZ ykijokgh ugha crk;h xbZ gS] oSls Hkh bl vLirky esa ifjoknh dh iRuh vFkok ifjoknh ds cPps dk bykt ugha gqvk gSA 24- foi{kh la[;k 5 vLirky ,oa foi{kh la[;k 6 fpfdRld MkW - ujsUnz dqekj :xaVk ds ckjs esa ;g ik;k tkrk gS fd MkW- ujsUnz dqekj :xaVk yacs le; ls fØVhdy ds;j ;wfuV dk vuqHko j[krs gSa rFkk mUgksus vius vuqHko laca/kh fofHkUu nLrkost i=koyh esa izLrqr Hkh fd;s gSaA gLrxr izdj.k esa ifjoknh dh xaHkhj fLFkfr dks ns[krs gq, Mk;ysfll gh gksuk Fkk] tks fd foi{kh la[;k 5 vLirky esa foi{kh la[;k 6 ds }kjk fd;k x;k gSA 25- ekuuh; loksZPp U;k;ky; ,oa ekuuh; jk"Vªh; miHkksDrk vk;ksx ds fof/kd fl)karksa dks ns[krs gq, izdj.k dh fLFkfr dks ns[kk tkos rc ;g ik;k tkrk gS fd foi{kh la[;k 3 MkW- lq"kek vxzoky ;ksX;rk/kkjh ,oa vuqHkoh Gynecologist gSA ifjoknh dh iRuh dh fLFkfr izkjaHk esa xaHkhj ugha Fkh cfYd 11%30 ,-,e ij xaHkhj gqbZ gS rc foi{kh la[;k 3 us LSCS djus dk fu.kZ; ys fy;k gS rFkk ,usLFksf'k;k fo'ks"kK rFkk cPpksa ds MkWDVj dh mifLFkfr esa LSCS fd;k x;k gS rFkk le; ij uotkr f'k'kq dks ,oa ifjoknh dh iRuh dks gk;j lsUVj ds fy, jsQj dj fn;k x;k gSA foi{kh la[;k 6 MkW - ujsUnz :xaVk Hkh fØVhdy ds;j ;wfuV ds vuqHkoh fpfdRld gS rFkk muds }kjk Hkh esfMdy izksVksdkWy ds vuqlkj Mk;ysfll fd;k x;k gSA mijksDr of.kZr U;kf;d n`"Vkarksa esa ;gh crk;k x;k gS fd ;fn fpfdRld esfMdy izksVksdkWy ds vuqlkj bykt vFkok vkWijs'ku djrk gS rFkk fLFkfr fcxM+us ij ejht dks gk;j lsUVj ds fy, jsQj dj nsrk gS rc ;fn ejht dh e`R;q Hkh gks tkrh gS rc e`R;q gks tkus ds dkj.k fpfdRld ykijokgh dk nks"kh ugha ekuk tkosxkA vr% ;g fu"d"kZ fudyrk gS fd foi{kh la[;k 1 yxk;r 6 dh dksbZ fpRldh; ykijokgh ugha jgh gSA Qyr% ifjoknh ds }kjk leLr foi{khx.k ds fo:) izLrqr ifjokni= [kkfjt fd;s tkus ;ksX; gSaA 21 jktLFkku jkT; miHkksDrk vk;ksx] t;iqj ifjokn la[;k 12@2017 ';ke lkgw cuke vxzoky gkWfLiVy ,oa vU;
vkns'k ifjoknh ds }kjk foi{kh la[;k 1 yxk;r 9 ds fo:) izLrqr ifjokni= [kkfjt fd;k tkrk gSA mHk;i{k viuk&viuk [kpkZ eqdnek ogu djsx a sA ('kSysUnz Hkͽ ¼,l-ds-tSu½ lnL; ihBklhu lnL;¼U;kf;d½ @ljkst@&