Legal Document View

Unlock Advanced Research with PRISMAI

- Know your Kanoon - Doc Gen Hub - Counter Argument - Case Predict AI - Talk with IK Doc - ...
Upgrade to Premium
[Cites 0, Cited by 1]

State Consumer Disputes Redressal Commission

Dr. Y.R.Krishna vs Ramnath Pandey & Anr. on 28 December, 2015

NRrhlx<+ jkT;

miHkksDrk fookn Áfrrks"k.k vk;ksx] i.Mjh] jk;iqj vihy Øekad% FA/14/748 lafLFkr fnukad% 05.11.2014 MkW- ok;-vkj-d`'.kk] d`'.kk baLVhV~;wV vkWQ esfMdy lkbalst] ,e-,e-ltZjh ¼fdEl½ vxzlsu pkSd exj ikjk rg- ,oa ftyk fcykliqj ¼N-x-½ -----vihykFkhZ fo:) 1- jkeukFk ik.Ms;] vkRet Lo- Jh fcUnk izlkn ik.Ms;] vk;q 62 o'kZ] fuoklh eksgYyk dqnqn.M] feyu pkSd] rg- o ftyk fcykliqj ¼N-x-½ 2- fn vksfj,aVy ba";ksjsal daiuh fyfeVsM }kjk eaMy izca/kd] e.My dk;kZy;

gkbZ dksVZ ds lkeus
fcykliqj ¼N-x-½-                                ----mRrjoknhx.k

le{k%
ekuuh; U;k;ewfrZ vkj-,l-"kekZ] v/;{k
ekuuh; lqJh fguk BDdj] lnL;
ekuuh; Jh ujsna z xqIrk] lnL;
i{kdkjksa ds vf/koDrk

vihykFkhZ dh vksj ls Jh eqds"k "kekZ] vf/koDrkA mRrjoknh dza- 1 dh vksj ls Jh ch-etwenkj] vf/koDrkA mRrjoknh dza- 2 dh vksj ls Jh ?ku";ke iVsy] vf/koDrkA vkns'k fnukad% 28@12@2015 }kjk% ekuuh; lqJh fguk BDdj] lnL;k vihykFkhZ@vukosnd us ;g vihy /kkjk&15 miHkksDrk laj{k.k vf/kfu;e 1986 ds vUrxZr ftyk miHkksDrk fookn izfrrks"k.k Qksje] // 2 // fcykliqj ¼N-x-½ ¼ftls vkxs laf{kIr esa *ftyk Qksje* lacksf/kr fd;k tk,xk½ ds ifjokn izdj.k dzekad CC/16/2006 **jkeukFk ik.M;s fo:) MkW- ok;-vkj-d`'.kk o vU;** esa ikfjr vkns"k fnukad 08-10-2014] ls {kqC/k gksdj izLrqr dh xbZ gSA ftyk Qksje }kjk mRrjoknh dh ifjokn dks Lohdkj dj vihykFkhZ dks funsZ"k fn;k fd bl vkns"k fnukad ls nks ekg dh vof/k ds Hkhrj ifjoknh dks mipkj gsrq fd;k x;k O;; 5]00]000@&:- e; 9 izfr- okf'kZd dh nj ls C;kt ¼vkosnu fnukad 23- 01-2006 ls Hkqxrku fnukad rd dk½] ekufld {kfriwfrZ 7]00]000@&:-

,oa okn O;; 5]000@&:- dk Hkqxrku djsxkA 2- ftyk Qksje ds le{k mRrjoknh }kjk izLrqr ifjokn dk la{ksi lkj bl izdkj gS fd fnukad 23-11-2004 dh jkr dks ifjoknh ds isV esa vpkud nnZ gqvk o mlds mipkj gsrq vukosnd dza-1 MkW- ok;-vkj-d`'.kk ds fpfdRlky; x;k tgka mls HkrhZ dj mldk mipkj izkjaHk fd;k x;k lksuksxzkQh fd;s tkus ij ;g Kkr gqvk fd mlds xkWyCysMj esa iFkjh Fkh o ihfy;k ls Hkh xzLr FkkA vukosnd fpfdRld }kjk ifjoknh dks vk"oklu fn;k x;k fd leqfpr mipkj mlds fpfdRlky; esa miyC/k gS ,oa rRdky "kY; fpfdRlk fd;s tkus dh lykg nh xbZ ifjoknh us Hkh vukosnd fpfdRlk dh lykg ij fo"okl djrs gq, vkWijs"ku ds fy;s lgefr ns nh rnksijkar vukosnd }kjk fnukad 29-11-2004 dks ifjoknh ds xkWyCysMj dk "kY; fpfdRlk dh xbZ o ifjoknh dks lwfpr fd;k fd vkijs"ku "kr&izfr"kr lQy jgk gS] ijarq vkijs"ku ds dqN le; ds i"pkr~ gh ifjoknh dh ijs"kkfu;ka vkSj c<+ xbZ mls isV nnZ ds lkFk fjlkoiu eglwl gqvkA ftldh f"kdk;r vukosnd fpfdRld ls fd;s tkus ij fpfdRld }kjk /;ku ugha fn;k x;k o ;g dgk x;k fd mls oge gks jgk gS ,oa fnukad 02-12-2004 dks vius fpfdRlky; ls mls NqV~Vh¼discharge½ ns nh xbZA ifjoknh vukosnd fpfdRld }kjk fn;s x;s funsZ"k ds vuqlkj nokbZ ysrk jgk fdarq mls vkjke eglwl ugha gqvk vkSj // 3 // mldk isV vlkeU; :i ls Qwyus yxk vkSj nnZ c<+ tkus ds dkj.k vukosnd fpfdRld ls fnukad 05-12-2004 dks laidZ fd;k x;k vukosnd }kjk mls iqu% HkrhZ fd;k x;k o lksuksxzkQh djokbZ xbZ o lksuksxzkQh fjiksVZ ns[kus ds i"pkr ifjoknh dks viksyks gkfLiVy MkW- nsosUnz flag ls feyus gsrq funsZf"kr fd;k x;kA viksyks gkfLiVy esa ifjoknh dh xaHkhj fLFkfr dks ns[krs gq, rqjar vkikr fpfdRlk d{k esa HkrhZ dj mldk vkijs"ku fd;k x;k mlds isV ls lk<s+ rhu yhVj ls vf/kd il vkSj [kwu fudkyk x;k ifjoknh ds "kjhj ds Hkhrjh vaxks esa ladze.k gks x;k Fkk vkSj vkarks dk dqN Hkkx fipd x;k Fkk mlds mipkj gsrq fnYyh tkus dh lykg nh xbZ ifjoknh us fnYyh ds ljxaxk jke gkfLiVy esa HkrhZ gksdj viuk mipkj djok;k tgka fnukad 05-01-2005 dks vkijs"ku dj mldh fiNyh vkar dks [kksyk x;kA ifjoknh fnYyh ls vkus ds mijkar Hkh vkB ekg rd foJke dj mipkj izkIr djrk jgkA ifjoknh }kjk ;g Hkh vfHkdFku fd;k x;k fd vukosnd fpfdRld }kjk "kY; fpfdRlk fd;s tkus ds mijkar mls vusdksa "kY; fdz;kvksa dh xgu ihM+k dks lguk iM+kA ;fn vukosnd fpfdRld }kjk mldh f"kdk;rksa ij igys /;ku fn;k gksrk rks mlds "kjhj esa bruh tfVyrk,a ugha c<+rh bl izdkj vukosnd fpfdRld }kjk vlQy "kY;fdz;k dj o mlds i"pkr~ mfpr ns[kHkky] vko";d /;ku u nsdj lsok esa fuEurk o fpfdRlh; mis{kk ifjoknh ds izfr dkfjr dh gSA ftlds ifj.kkeLo:i ifjoknh dh "kkjhfjd lajpuk esa LFkkbZ ifjorZu gks x;k o viuk fof/kd O;olk; djus esa lQy gks x;k ifjoknh orZeku esa vdsys ;k=k djus gsrq l{ke ugha gS ,oa fcuk fpfdRlh; lg;ksx ds "ks'k thou ;kiu ugha dj ldrk gS ifjoknh }kjk fpfdRlk O;;] "kY; fpfdRlk O;; rFkk "kY;fdz;kvksa ds dkj.k gq, "kkjhfjd o ekufld osnuk gsrq {kfriwfrZ ekufld larki ruko o ihM+k] Hkkoh thou ;kiu esa vlqfo/kk thou izR;k"kk dh deh o rkfRod {kfr vkfn fofHkUu enksa ij {kfr dh x.kuk // 4 // djrs gq, 19]50]000@&:- {kfriwfrZ dh jkf"k vukosnd fpfdRld ls fnyk;s tkus dh izkFkZuk dh xbZ gSA 3- vukosnd fpfdRld }kjk ftyk Qksje ds le{k viuk mRrj izLrqr dj vius izfrj{kk esa tks vfHkdFku fd;k mldk lkjka"k bl izdkj gS fd bl rF; ls badkj fd;k x;k gS fd mlds }kjk ifjoknh ds mipkj esa ykijokgh cjrh xbZ ;k lsok esa deh dh xbZ] vfirq mlds }kjk vuqeksfnr i)fr ls ifjoknh dh fpfdRlk dh xbZ Fkh ml mDr mipkj dk fdlh Hkh fpfdRld }kjk fojks/k ugha fd;k x;k gS tcfd ifjoknh dk mipkj vukosnd ds vykok vU; nks fpfdRlky; esa Hkh gqvk gS vukosnd }kjk ;g vfHkdFku fd;k x;k fd tc mlus fpfdRlky; ls tc ifjoknh dks N~V~Vh nh xbZ Fkh ifjoknh dks dksbZ Hkh tfVyrk ugha Fkh ijarq fnukad 07-12-2004 dks tc laidZ fd;k x;k rc lksuksxzkWQh ds vk/kkj ij Kkr gqvk ifjoknh ds "kjhj esa tfVyrk,a gS ,oa mlds mijkar gh viksyks fpfdRlky; laidZ djus dh lykg nh xbZ Fkh] fdarq Lo;a ifjoknh }kjk nks fnu vuko";d foyac fd;k x;k ml nkSjku mldh "kjhj esa gqbZ {kfr ds fy;s ;g vukosnd fpfdRld nkf;Ro/khu ugha gSA vukosnd }kjk ;g Hkh vfHkdFku fd;k x;k fd mlus vius O;olk; ds fy;s vksfj;aVy ba";ksjsal da- ls izksQs"kuy baMsfefuVh ikfylh izkIr dh gS vr% izdj.k esa chek daiuh Hkh vko";d i{kdkj gSA 4- fopkj.k ds nkSjku chek daiuh dks izdj.k esa i{kdkj cuk;k x;k gS ftlds }kjk i`Fkd ls mRrj izLrqr dj ifjokn dk fojks/k fd;k x;k o vkifRr dh xbZ fd ifjoknh }kjk vuko";d :i ls mls izdj.k esa i{kdkj cuk;k x;k gSA ifjoknh }kjk mlls u rks lsok izkIr dh xbZ gS u gh mlds }kjk dksbZ lsok esa deh dh xbZ gSA chek daiuh }kjk vius vfHkdFku esa bl rF; dks Lohdkj fd;k x;k fd vukosnd fpfdRld ds i{k esa fnukad 26-05-2004 ls 25-05-2005 rd dh vof/k ds fy, // 5 // ikWfylh "krksZa ds rgr 10]00]000@&:- dk izksQs"kuy baMsfefuVh ikWfylh tkjh fd;k x;k Fkk] fdarq bl laca/k esa mUgksaus vius nkf;Ro ls badkj bl vk/kkj ij fd;k gS fd iz"uxr ekeys ds laca/k esa vukosnd fpfdRld dh vksj ls mUgsa dksbZ lwpuk ugha nh xbZ] vr% ikWfylh "krksZa ds mYya?ku ds dkj.k os vukosnd fpfdRld dks HkjikbZ djus ds ftEesnkj ughaA mDr vk/kkj ij mUgksaus vius fo:) vkosnd dk ifjokn fujLr fd;s tkus dk fuosnu fd;kA 5- fo}ku ftyk Qksje }kjk fofu"p; fy;k x;k fd vukosnd }kjk "kY; fpfdRlk ds i"pkr~ gh ifjoknh }kjk isV esa Hkkjhiu o fjlkoiu dh f"kdk;r vukosnd fpfdRld ls fd;s tkus ds i"pkr Hkh vukosnd fpfdRld }kjk /;ku ugha fn;k x;k ifjoknh ds lkFk fd;s x;s "kY;fpfdRlk tksf[keiw.kZ FkhA ;fn vukosnd fpfdRld }kjk izkjaHk esa gh lko/kkuhiqoZd /;ku fn;k gksrk rks ifjoknh dks "ks'k nks vU; vkijks"ku ugha djokus iM+rs u gh mls "kkjhfjd osnuk lgu djuh iM+rh u ekufld d'V gksrk u gh mls vuko";d vkfFkZd {kfr ogu djuh iM+rhA vukosnd fpfdRld }kjk ifjoknh ds mipkj esa LosPN;k cjrh xbZ gS ftlds ifj.kkeLo:i mldk thou [krjs esa iM+ x;k] tcfd lko/kkuhiwoZd ns[kHkky vukosnd fpfdRld dk drZO; FkkA fpfdRlh; mis{kk o lsok esa fuEurk izekf.kr gksus ij ifjokn Lohdkj dj ifjoknh dks vuqrks'k iznku fd;s x;sA 6- gekjs le{k vihykFkhZ dh vksj ls Jh eqds"k "kekZ vf/koDrk mRrjoknh dza- 1 dh vksj ls Jh ch- etwenkj vf/koDrk] mRrjoknh dza- 2 dh vksj ls Jh vfer xk;dokM+ vf/koDrk }kjk vafre rdZ izLrqr fd;s x;s o gekjs }kjk ewy vfHkys[k dk ifj"khyu fd;k x;kA vihykFkhZ }kjk vfHkys[k esa fyf[kr rdZ dh izfr izLrqr dh xbZA // 6 // 7- vihykFkhZ ds fo}ku vf/koDrk Jh eqds"k "kekZ }kjk gekjs le{k ;g rdZ fd;k x;k fd ftyk Qksje }kjk bl rF; dks vuns[kk fd;k x;k gS fd vihykFkhZ fpfdRld }kjk mRrjoknh dza-1 dh tks "kY; fpfdRlk dh xbZ Fkh og vR;ar tfVy Fkh] ftlesa vusd izdkj dh tksf[ke o "kkjhfjd d'V laHko Fks ftyk Qksje }kjk bl rF; dks Hkh vuns[kk fd;k x;k gS fd tSls gh vihykFkhZ fpfdRld dks mRrjoknh dh tfVyrkvksa dh tkudkjh gqbZ mlds }kjk rqjar gh mPp fpfdRlh; dsUnz esa mipkj djus gsrq funsZ"k fn;k x;k Fkk vihykFkhZ fpfdRld }kjk ;Fkksfpr lrdZrk cjrh xbZ ijarq fQj Hkh ftyk Qksje }kjk ;g fu'd'kZ fn;k x;k fd vihykFkhZ fpfdRld }kjk lsok esa fuEurk dh xbZ gS ftyk Qksje }kjk fcuk fdlh fo"ks'kK er ds ;g fofu"p; dj fy;k fd fpfdRlh; mis{kk cjrh xbZ Fkh ftyk Qksje }kjk ;g xyr /kkfjr fd;k x;k gS fd ifjoknh dh "kY; fpfdRlk mijkar mldh ckW;y ls fjlko dks mis{kk ekuk gS ijarq ;g tfVyrk tks fd ,d xkWyCysMj dh "kY; fpfdRlk esa lkekU; tfVyrk gSA mRrjoknh dza- 1 }kjk vihykFkhZ fpfdRld dh lykg dks vuns[kk djrs gq, foyac ls viuk mipkj djok;k Fkk vr% ftlds ifj.kkeLo:i gh mDr tfVyrk vkSj mxz gks xbZ ,oa mRrjoknh dks fpfdRlh; O;; ogu djuk iM+k ijarq vihykFkhZ fpfdRld ml O;; o {kfriwfrZ gsrq nkf;Ro/khu ugha gSA vihy Lohdkj dj ftyk Qksje }kjk ikfjr vkyksP; vkns"k dks vikLr djus dh izkFkZuk dh xbZA 8- mRrjoknh dza-1 ds fo}ku vf/koDrk Jh ch- etwenkj }kjk gekjs le{k ;g rdZ fd;k x;k fd ftyk Qksje }kjk ikfjr vkns"k mfpr o U;k;laxr gS mlesa gLr{ksi dh vko";drk ugha gSA vihykFkhZ fpfdRld }kjk "kY;fdz;k esa lko/kkuh ugha cjrh xbZ ftlds ifj.kkeLo:i mRrjoknh ds mnj esa fjlko gqvk o Hk;adj ihM+k lgu djuh iM+h "kY; fpfdRlk mijkar lko/kkuh o ns[kHkky fd;s tkus gsrq vihykFkhZ drZO;c) // 7 // Fkk ijarq fQj Hkh ifjoknh }kjk mnj ihM+k dh f"kdk;r fd;s tkus ij Hkh vihykFkhZ fpfdRld }kjk Rofjr tkap o mipkj ugha fd;k x;k] vfirq ifjoknh dks Vkyk x;kA vihykFkhZ fpfdRld }kjk mis{kk iw.kZ "kY;fdz;k fd;s tkus ds mijkar viuh thou dh j{kk gsrq nks vU; "kY; fpfdRlk djokuh iM+h vuko";d fpfdRlh; O;; ogu djuk iM+k vlguh; ihM+k lgu djuh iM+h ftlls mRrjoknh dks vR;ar ekufld d'V gqvkA ftyk Qksje }kjk bl izdj.k esa ^^ifjfLFkfr;ka Lo;a cksyrh gS** ds vk/kkj ij fpfdRlh; mis{kk izekf.kr ekurs gq, ifjokn Lohdkj dj vuqrks'k iznku fd;s x;s gSa izdj.k esa vfrfjDr :i ls fo"ks'kK lk{; o fpfdRlh cksMZ vfHker dh vko";drk ugha Fkh vihy fujLr fd;s tkus dh izkFkZuk dh xbZA 9- mRrjoknh dza- 2 dh vksj ls mifLFkr vf/koDrk Jh ?ku";ke iVsy dh vksj ls rdZ fd;k x;k fd ftyk Qksje }kjk chek daiuh ds fo:) dksbZ vuqrks'k iznku ugha fd;k x;k gSA 10- vihy ds U;k;ksfpr fujkdj.k gsrq loZizFke gesa bl rF; dh tkap djuh gksxh fd ifjoknh@mRrjoknh dza-1 ds xkWyCysMj dh "kY;fpfdRlk es mis{kk cjrh xbZ Fkh\ izdj.k esa ;g Lohd`r rF; gS fd vukosnd@vihykFkhZ }kjk ifjoknh@mRrjoknh dk xkWyCysMj dk vkijs"ku fnukad 29-11-2004 dks fd;k x;k FkkA ifjoknh@mRrjoknh dks fnukad 02-12-2004 dks vukosnd@vihykFkhZ ds fpfdRlky; ls NqV~Vh nh xbZ FkhA ifjoknh ds vkijs"ku i"pkr mlds xkyCysMj dh tkap ds fy;s Mk- Jh/kj vxzoky dks izsf'kr fd;k x;k Fkk ftldh tkap izfrosnu fnukad 29-11-2004 dh izfr vfHkys[k esa layXu gS%& Dr. Shridhar Agrawal Patient's Name : Ram Nath Pandey (2497) age & sex:60M Referred by Dr. : Y.R.Krishna Date of Receipt: 29.11.04 Material sent : Gall Bladder Lab No. SA/:04/1428 A Chinical Diagnosis : Cholecyetitis Previous Ref...
// 8 // Gross Description : Slightly distended GB. Surface smooth. Wall uniform No stone.
Report Wall: of GB showe evidence of nonspecific inflammation.
Appeare to be acute exacerbation of chronic lesion.
Diagncsis :Cholecyetitis- acute exacerbation of chronic lesion.
........ bl izfrosnu ds vuqlkj ifjoknh ds xkWyCysMj esa iFkjh ugha Fkh vfirq ,d iqjkuk ?kko Fkk tks fd ykijokgh ds ifj.kkeLo:i gqvk FkkA ifjoknh ds dFkukuqlkj bl vkijs"ku ds i"pkr tc mls iqu% nnZ gqvk vihykFkhZ }kjk mls viskyks gkfLiVy tkus dh lykg nh xbZ Fkh tgkWa mls rqjar HkrhZ dj vkijs"ku fd;k x;k FkkA ifjoknh }kjk viksyks gkfLiVy dh fMLpktZ lejh dh izfr izLrqr dh xbZ gSA ftldk fooj.k fuEukuqlkj gS%& Apollo Hospital Discharge Summary BILASPUR NAME : MR. RAM NATH PANDEY Address : Milan Chowk
-----
Bilaspur Chattishgarh UHID : BSP. 0000043219 Age/Sex : ...
........
Date of Admission : 09-Dec-2004 03:22 PM Date of Discharge : 30-Dec-2004 01:45 PM Ref.Dr. : Dr. Y.R. Krishna Consultants : 1. DEVINDER SINGH DNB(GASTRO)MNAMS (GASTRO ENTEROLOGY) Surgery : GEN-126-042 RESECTION & REPAIR OF COM. HEPATIC DUCT was done on 09-Dec-2004 Principal Diagnosis : PYOPERI ONEUM WITH INTERNAL BILIARY ISTULA WITH GASTRICOUTL.... OBSTRUCTION. History of Present Illness: patient recently had lap chole for acute cheolecystitis. Post operatively he had intra abdominal collection & mild jaundice. He was referred for ERCP for susp.....d bile ... Physical Examination: Patient in shock // 9 // BP-60 mm systolic PR- 120/min Tense ascitis No pedal edema Fully conscious.
Investigations: Copies of Reports Are Attached Operative Notes : Exploratory laparotomy with peritoneal lavage with repair of biliary leak.
Course In The Hospital : After haemodynamic resuscitation paracetesis was done which yielded frank puis. He was taken up for surgery. Expl. lap with perironeal lavalge was done & biliary leak was repaired. Post operatively he improved. However, he continued to drain 400-500 ml bil through subhepatic drain. ERCP was attempted but in view of severe post bulbar stenosis endoscope could not be negotiated. He is being discharged & referred & higher centre for CRE balloon dilation of duodenal stenosis followed by biliary stenting.
mijksDr nLrkost ds vuqlkj ifjoknh ds izFke vkijs"ku ds i"pkr~ mldh ck;yjh ls fjlko gks jgk Fkk ftldks lq/kkjk x;k ftlls 400&500 ,e-,y- dk fjlko gks pqdk Fkk viksyks gkfLiVy ls fMLpktZ nsdj mls mPp fpfdRlk dsUnz ls laidZ djus gsrq lykg nh xbZ blls Li'V gS fd xkWyCysMj ds vkijs"ku ds nkSjku ykijokgh ds ifj.kkeLo:i ck;yjh fiRr uyh ls fjlko gks jgk Fkk ftlds ifj.kkeLo:i ifjoknh dks Hk;adj mnj ihM+k lgu djuh iM+h ,oa viksyks gkfLiVy esa fiRr uyh dks fjlko jksdus ds fy;s mls lq/kkjk x;kA ijarq viksyks gkfLiVy ls mls mipkj gsrq tkap o lykg gsrq mPp fpfdRlk dsUnz laidZ djus gsrq fnYyh Hkst x;kA ifjoknh }kjk ljxaxk jke gkfLiVy fnYyh dh fMLpktZ lejh dh izfr Hkh izzLrqr dh xbZ gS ftlds vuqlkj ifjoknh dk fuEukuqlkj funku o mipkj fd;k x;k gS%& DEPARTMENT OF GASTROENTEROLOGY Sir Ganga Ram Hospital RAJINDER NAGAR, NEW DELHI-110 060 DISCHARGE - SUMMARY NAME : RAMNATH PANDEY DIOGNOSIS : POST LAP CHOLECYSTECTOMY WITH BILE // 10 // LEAKAGE WITH PERITONITIS - LAPROTOMY DONE STENOSIS D1-D2 (DILATATION DONE) AMPULLARY STENOSIS WITH CBD STONES (BALLOON DILATATION AND STONE EXTRACTION DONE) (DRAIN IN SITU) HISTORY & COURCE OF THE ILLNESS DURING HOSPITAL STAY This 61 year old male, diabetic, normotensive FUC of lap cholecystectomy with bile leak with peritonitis laprotomy done. He had drain in situ for biliary leakage . No fresh complaint admitted for GRCP. On examination there was mild abdominal tenderness. ERCP do...initially showed stenosis D1 and D2 which was di.....Ampul..was stenotic and could not be accessed. Repeat ERCP was done, balloon dilatation A.........was done. Cholangiogram revealed CBD stones which were extracted by using dormia basket . He was given antibiotics and I/V fluids.Patient is settled and is being discharged.
mDr nLrkost ds vuqlkj ifjoknh dh vkarks dk --------- balloon dilatation fd;k x;k blls Li'V izrhr gksrk gS fd vukosnd dza- 1@vihykFkhZ }kjk mis{kkiw.kZ "kY;fdz;k fd;s tkus ds ifj.kkeLo:i ifjoknh dks ,d ds ckn "kY;fdz;k djokuh iM+h o vR;ar ihM+k ekufld larki o vkfFkZd {kfr dks Hkh ogu djuk iM+kA vukosnd dza-1 }kjk "kY;fdz;k djus ds i"pkr~ ifjoknh }kjk f"kdk;r fd;s tkus ij fd mlds isV es annZ gks jgk gS u rks vko";d tkap dh xbZ u gh ns[kHkky dh xbZ vfirq gkfLiVy ls mls ;g dgdj fMLpktZ fd;k x;k fd mls eu esa oge gks jgk gS bl izdkj vukosnd dza-1 }kjk vkijs"ku ds i"pkr~ mfpr ns[kHkky ugha dh ftlds ifj.kkeLo:i vukosnd dza-1 dh mis{kk ds dkj.k fiRr uyh ls fjlko gksus ij ifjoknh dks vU; "kkjhfjd {kfr o ihM+k gqbZ vkSj mDr L=ko dks jksdus o nzO; dks fudkyus gsrq vU;
"kY;fdz;k,a djkuh iM+hA vihykFkhZ dk ;g rdZ Lohdkj ;ksX; ugha gS fd xkWyCysMj ds "kY;fdz;k esa ,slh tfVyrk,a laHko o lkekU; gS vukosnd fpfdRld dks tSls gh tfVyrk dk Kku gqvk mlus rqjar mPp fpfdRlk // 11 // dsanz esa laidZ djus dh lykg nh ijarq ifjoknh }kjk foyac ls mipkj gsrq laidZ fd;k x;k FkkA vukosnd fpfdRld }kjk ,slk dksbZ Hkh nLrkost izLrqr ugha fd;k x;k gS fd xkWyCysMj dh "kY;fdz;k esa fiRr uyh ls fjlko gksuk ,d lkekU; d'V gSA ;fn ;g ,d lkekU; tfVyrk Fkh rks ,slh fLFkfr esa fpfdRld dks vkSj Hkh lko/kkuh o ltxrk ls "kY; fdz;k djuk pkfg;s lkFk gh "kY;fdz;k ds lkFk gh mfpr ns[kHkky djuk pkfg;s Fkk ijarq izLrqr izdj.k esa mls fMLpktZ dj fn;k x;k o ikap fnu ckn tc leL;k xaHkhj o Hk;adj ihM+k gks xbZ rc fpfdRld us tkap djokbZ bl izdkj ;g Li'V gS fd fpfdRld dks "kY;fdz;k ds ckn tc ifjoknh }kjk mnj ihM+k dh f"kdk;r dh xbZ rc mls fMLpktZ gh ugha djuk FkkA okLro esa f"kdk;r dk funku djus esa o "kY;fdz;k dh tfVyrk dk mipkj djus esa vukosnd fpfdRld }kjk foyac fd;k tkuk izekf.kr gks jgk gS izdj.k esa layXu fpfdRlh; nLrkostks ls laiw.kZ fLFkfr Li'Vr% izekf.kr gks jgh gS ,slh fLFkfr esa fdlh Hkh fo"ks'kK vfHker o esfMdy cksMZ ds izfrosnu ds fcuk Hkh izdj.k dk fujkdj.k fd;k tk ldrk gSA fo"ks'kK er vfHker rHkh vkgwr fd;k tkrk gS tc mldh vko";drk Qksje ;k vk;ksx dks izrhr gks] ;fn lE;d lk{; ds }kjk dksbZ rF; izekf.kr gksrk gS rks ,slh fLFkfr esa fo"ks'kK er ds vHkko esa dksbZ fu.kZ; ;k vkns"k xyr ;k vuqfpr ugha ekuk tk ldrkA 11- mijksDrkuqlkj izdj.k ds rF;ksa dh tkap djus ds mijkar o lk{;ksa ij fopkj&foe"kZ djus ds mijkar ge bl fu'd'kZ ij igqaprs gSa fd vihykFkhZ }kjk izLrqr vihy lkjghu vk/kkjghu gksus ls fujLr fd;s tkus ;ksX; gS vr% fujLr dh tkrh gS ftyk Qksje }kjk ikfjr vkns"k mfpr o lgh gksus ls laiq'V fd;k tkrk gSA ¼U;k;ewfrZ vkj-,l- "kekkZ½ ¼fguk BDdj½ ¼ujsUnz xqIrk½ v/;{k lnL;k lnL;
               @12@2015               @12@2015      @12@2015