State Consumer Disputes Redressal Commission
Harihar Rajak vs Goyal Hospital & Research Centre on 13 December, 2017
1 jkT; miHkksDrk fookn izfrrks"k vk;ksx] lfdZV cSap] tks/kiqj jktLFkku ifjokn la[;k % 4@2007 01- Jh gfjgj jtd iq= Jh ykyw jtd] vk;q 68 o"kZ] fuoklh & lh&165] d`".kk uxj] ikyh jksM] tks/kiqjA 02- Jherh lqfe=k nsoh iRuh Jh gfjgj jtd] vk;q 65 o"kZ] fuoklh & lh&165] d`".kk uxj] ikyh jksM] tks/kiqjA 03- Jherh vk'kk iRuh Lo- Jh ,l- ds- jtd] vk;q 43 o"kZ] fuoklh & lh&165] d`".kk uxj] ikyh jksM] tks/kiqjA 04- vafdr iq= Lo- Jh ,l- ds- jtd] vk;q 13 o"kZ] fuoklh & lh&165] d`".kk uxj] ikyh jksM] tks/kiqjA 05- vkdka{kk iq=h Lo- Jh ,l- ds- jtd] vk;q 10 o"kZ] fuoklh & lh&165] d`".kk uxj] ikyh jksM] tks/kiqjA ifjoknhx.k cuke 01- xks;y gkWLihVy ,.M fjlpZ lsUVj izk- fy-] 961@3] jsthMsUlh jksM] jksVsjh Hkou ds lkeus] tks/kiqj tfj;s Mk;jsDVj Mk- vkuUn xks;y 02- ,ldksVZ xks;y gkWVZ lsUVj] 961@3] jsthMsUlh jksM] jksVsjh Hkou ds lkeus] tks/kiqj tfj;s eSusftax Mk;jsDVj Mk- vkuUn xks;y 03- Mk- iadt oksgjk] dkfMZ;ksyksftLV] xks;y ,ldksVZ gkVZ lsUVj] 961@3] jsthMsUlh jksM] jksVsjh Hkou ds lkeus] tks/kiqjA 04- Mk- jktw O;kl] dkfMZ;ks Fkkjsfld ltZu] xks;y ,ldksVZ gkVZ lsUVj] 961@3] jsthMsUlh jksM] jksVsjh Hkou ds lkeus] tks/kiqjA 05- Mk- izeksn feRry] dkfMZ;ks ltZu] xks;y ,ldksVZ gkVZ lsUVj] 961@3] jsthMsUlh jksM] jksVsjh Hkou ds lkeus] tks/kiqjA 06- Mk- vk'kqrks"k 'kekZ] ,usLFksfl;ksyksftLV] xks;y ,ldksVZ gkVZ lsUVj] 961@3] jsthMsUlh jksM] jksVsjh Hkou ds lkeus] tks/kiqjA 07- Mk- ghjsu <ksyfd;k] ,usLFksfl;ksyksftLV] xks;y ,ldksVZ gkVZ lsUVj] 961@3] jsthMsUlh jksM] jksVsjh Hkou ds lkeus] tks/kiqjA 2 08- Mk- jkenso pkS/kjh] xks;y gkWLihVy ,.M fjlpZ lsUVj] 961@3] xks;y gkWLihVy ,.M fjlpZ lsUVj] tks/kiqjA 09- Mk- v'kksd dqekj] iSFkksyksftLV] xks;y gkWLihVy ,.M fjlpZ lsUVj] 961@3] xks;y gkWLihVy ,.M fjlpZ lsUVj] tks/kiqjA ifjokn vUrxZr /kkjk 17 miHkksDrk laj{k.k vf/kfu;e] 1986 le{k ekuuh; Jh dey dqekj ckxM+h] lnL; ¼U;kf;d½ ekuuh; Jherh ehuk esgrk] lnL;
mifLFkr %& ifjoknhx.k dh vksj ls Jh jkenso iksVfy;k] vf/koDrkA foi{khx.k dh vksj ls Jh vfuy Hk.Mkjh dh vksj ls Jh fnus'k pkS/kjh vf/koDrkA &% fu.kZ; %& fnukad % 13 fnlEcj 2017 la{ksi esa rF; bl izdkj gSa fd fnukad 31&5&2007 dks ifjoknhx.k us vizkFkhZx.k ds fo:) ;g ifjokn bl vk'k; dk is'k fd;k gS fd vizkFkhZ la[;k 1 ukxfjdksa dks Hkqxrku ds ,ot esa fpfdRlh; lsok;sa miyC/k djokrk gSA vizkFkhZ la[;k 2] vizkFkhZ la[;k 1 ds lkFk lg;ksxh gS vkSj vizkFkhZ la[;k 1 ds ,ot esa fpfdRlh; lsok;sa iznku djrk gSA vizkFkhZ la[;k 3 o 4 dkfMZ;ksyksftLV o dkfMZ;ks Fkksjsfld ltZu gSa tks vizkFkhZ la[;k 1 o 2 ds ;gka fu;qDr gSaA vizkFkhZ la[;k 5 Hkh izfroknh la[;k 1 o 2 ds ;gka dkfMZ;ks Fkksjsfld ltZu ds :i esa dk;Z djrk gSA vizkFkhZ la[;k 6 o 7] izr1 o 2 ds ;gka ,usLFksfl;ksyksftLV gSaA vizkFkhZ la[;k 8 o 9] vizkFkhZ la[;k 1 o 2 ds ;gka iSFkksyksftLV ds :i esa dk;Z djrs gSaA ,l- ds- jtd] ifjoknh la[;k 1 o 2 dk iq= gS rFkk ifjoknh la[;k 3 dk ifr o ifjoknh la[;k 4 o 5 dk firk FkkA ,l- ds- jtd dk tUe fnukad 25&11&1962 dks gqvk Fkk rFkk og lsUVªy cSad vkQ bf.M;k esa fnukad 6&6&1983 dks DydZ ds :i esa fu;qDr gqvk FkkA fnukad 1&6&2005 dks e`R;q ds le; og lh-Vh-vks- ds :i esa lsUVªy cSad vkQ bf.M;k] e:/kj b.MfLVª;y ,fj;k czkap] tks/kiqj esa dk;Zjr FkkA 3 og vizkFkhZ la[;k 3 ds lkFk fookfgr FkkA og la;qDr ifjokj ds :i esa vius ekrk firk ds lkFk jgrk FkkA ifjokn esa vkxs dFku fd;k x;k gS fd ,l- ds- jtd dks iwoZ esa dksbZ xEHkhj chekjh ugha FkhA fnukad 29&5&2005 jfookj dks mls Nkrh esa gYdk nnZ gqvkA vr% ifjoknh la[;k 1 o ,l- ds- tSu lR; Mk;XuksfLVd ij x;s vkSj izkr% 9-25 cts mldh ECG dh xbZ] ftldh izfr ,usDtj&1 ds :i esa izLrqr gSA blds i'pkr~ os xks;y gkWLihVy o fjlpZ lsUVj] tks/kiqj esa x;s tgka vizkFkhZ la[;k 1 us crk;k fd muds ikl dkfMZ;ksyksftLV dkfMZ;ks Fkksjsfld ltZu dh lqfo/kk gSA ifjoknh la[;k 1 o mlds iq= dks vizkFkhZ la[;k 2 ds ikl jsQj fd;k x;k rFkk Qhl dk Hkqxrku djus ij mUgsa Mk- iadt oksgjk] dkfMZ;ksyksftLV ds ikl jsQj fd;k x;kA Mk- iadt oksgjk us ijh{k.k djus ds ckn mUgsa rqjUr ,aft;ksxzkQh dh lykg nh vkSj mUgsa psrkouh nh fd ;fn os ,aft;ksxzkQh ugha djokrs gSa rks blds xEHkhj ifj.kke gks ldrs gSaA ,l- ds- jtd dks ,slk nnZ ugha Fkk ftlds fy;s ,aft;ksxzkQh t:jh gks rFkk os lkekU; psd&vi ds fy;s vk;s Fks] blfy;s mUgksua s ,aft;ksxzkQh djokus ls euk dj fn;kA bl ij Mk- iadt oksgjk us mu ij rRdky ,aft;ksxzkQh djokus ds fy;s ncko Mkyk rFkk dgk fd ,ldksVZ vLirky ds dqN fpfdRld lsUVj ij miyC/k gS tks ,aft;ksxzkQh ns[k dj mfpr lykg ns ldsx a Asa vr% muds tksj nsus ij ifjoknh la[;k 1 us 9900@& :i;s tek djok;s vkSj ,l- ds- jtd dh ,aft;ksxzkQh djokbZ xbZA ,aft;ksxzkQh dh Qhl dh jlhn dh izfr ,usDtj&2 ds :i esa izLrqr gSA ifjokn esa vkxs dFku fd;k x;k gS fd Mk- iadt oksgjk us ,aft;ksxzkQh dh fjiksVZ ns[k dj dgk fd ejht ds g`n; esa 90 izfr'kr CykWdst gS vkSj mlh fnu vtsZUV ckbZikl ltZjh dh lykg nh rFkk ;g Hkh dgk fd vU;Fkk ejht dks cpk;k ugha tk ldrk gSA vizkFkhZ la[;k 3 us ifjoknh la[;k 1 dks ;g Hkh dgk fd mlds iq= dks fnYyh ;k fdlh vU; 'kgj esa Hkh mfpr bykt ds fy;s ugha ys tk;k ldrk gS D;ksfa d ejht dk thou cpkus ds fy;s le; cgqr de jg x;k gSA ifjoknh la[;k 1 us tc ,aft;ksxzkQh dh fjiksVZ fn[kkus vkSj le>kus dks dgk rks vizkFkhZ la[;k 3 Mk- iadt oksgjk us bUdkj dj fn;k vkSj 1]10]000@& :i;s tek djokus vkSj vkijs'ku djokus ds fy;s dgkA ,l- ds- jtd dks ,slh dksbZ ijs'kkuh ugha Fkh fd ftlds fy;s vtsZUV ckbZikl ltZjh dh vko';drk gksA fnukad 28&5&2005 dks mlus cSad esa lkjk fnu dk;Z fd;k Fkk ysfdu mls dksbZ xEHkhj ijs'kkuh ugha FkhA ifjoknh la[;k 1 o mldk iq= rRdky ckbZikl ltZjh 4 ds fy;s rS;kj ugha Fks blfy;s ifjoknh la[;k 1 us ckbZikl ltZjh ds fy;s euk dj fn;kA bl ij iadt oksgjk us mUgsa dgk fd blds flok; ejht dh tku cpkuk vlEHko gS rFkk mUgsa vkaf'kd Hkqxrku tek djokus ds fy;s o 'ks"k Hkqxrku ckn esa tek djokus ds fy;s dgkA bl ij Hkh tc ifjoknh jkth ugha gqvk rks Mk- iadt oksgjk us ;g fy[k dj nsus ds fy;s dgk fd mldh vtsZUV CABG lykg ds ckotwn og blds fy;s rS;kj ugha gSa vkSj vius iq= dks ?kj ys tkuk pkgrk gSA bl ij tc ifjoknh us mijksDrkuqlkj fy[kuk 'kq: fd;k rks Mk- iadt oksgjk us ifjoknh la[;k 1 dks jksdk vkSj cgyk Qqlyk dj dgk fd mudh lykg ugha ekuus ij dqN vugksuh gks ldrh gS rFkk mUgksaus dgk fd fnYyh ls ,DliVZ MkDVj vk;s gq, gSa tks 'kke dks pys tk;saxsa rFkk mUgksua s dgk fd ;fn os vkijs'ku dh lgefr nsa rks ,DliVZ MkDVjksa dh Vhe dks os vkijs'ku ds fy;s jksd nsx a saA ijUrq ifjoknh iw.kZr% lUrq"V ugha gqvk rFkk og fdlh vU; fpfdRld ls lykg ysuk pkgrk FkkA exj vizkFkhZx.k us ncko nsdj mUgsa ,slk ugha djus fn;kA ifjoknh ds ikl bruh cM+h jde ugha Fkh bl ij mUgksaus dqN jkf'k mlh fnu tek djokus ds fy;s vkSj 'ks"k jkf'k vxys fnu tek djokus ds fy;s dgkA ifjoknh la[;k 1 us ncko ds dkj.k ckbZikl ltZjh dh lgefr nhA ifjoknh us fdlh rjg ls 50]000@& :i;s fnukad 29&5&2005 dks tek djok;s ftldh jlhn dh izfr ,usDtj&3 ds :i esa izLrqr gSA ckbZikl ltZjh ds fy;s dqN vkSipkfjdrk;sa iwjh djus ds fy;s ejht ¼,l- ds- jtd½ ds HkkbZ dks dqN [kkyh nLrkostksa ij gLrk{kj djus ds fy;s dgk x;k ftl ij mlus ln~Hkkouko'k vius HkkbZ ds mfpr bykt ds fy;s gLrk{kj dj fn;sA ifjoknh la[;k 1 us CABG dh 'ks"k Qhl dh jkf'k vxys fnu fnukad 30&5&2005 dks tek djok nh ftldh jlhn dh izfr ,usDtj&3&, ds :i esa izLrqr gSA blds i'pkr~ Mk- jktw O;kl vkSj Mk- izeksn feRry us ,l- ds- jtd dk vkijs'ku fd;k ftlds ifj.kkeLo:i ,l- ds- jtd dh vkijs'ku Vscy ij gh ltZjh ds nkSjku e`R;q gks xbZ ysfdu bl rF; ds ckjs esa mUgksaus fnukad 1&6&2005 dks lqcg crk;kA ifjokn esa vkxs dFku fd;k x;k gS fd Jh ,l- ds- jtd dh e`R;q vizkFkhZx.k dh ykijokgh dh otg ls gqbZ gSA mUgksua s e`R;q izek.k i= ds vykok bykt lEcU/kh dksbZ nLrkost miyC/k ugha djok;sA e`R;q izek.k i= dh izfr ,usDtj&4 ds :i esa izLrqr gSA iq= dh e`R;q ds dqN fnu ckn ifjoknh la[;k 1 us vLirky izkf/kdkfj;ksa dks bykt lEcU/kh nLrkost nsus ds fy;s dgk D;ksfa d os e`rd ds cSad esa izLrqr djus Fks ysfdu mUgksaus nLrkost ugha fn;sA dqN fnu ckn 5 ifjoknh la[;k 1 us vizkFkhZx.k ls iqu% lEidZ fd;k vkSj fnukad 19&7&2005 dks mUgsa i= Hkh fn;k ftldh izfr ,usDtj&5 izLrqr gSA ml i= ds tokc esa vizkFkhZx.k us i= fnukafdr 28&7&2005 Hkstk ftlesa ;g xyr dgk x;k fd visf{kr nLrkost ifjoknh dks igys gh fn;s tk pqds gSaA dqN fnu ckn ifjoknh la[;k 1 vizkFkhZx.k ls iqu% feyk o nLrkost nsus ds fy;s dgk bl ij mUgksaus e`R;q dh lejh fjiksVZ ¼Death summary report½] ,aft;ksxzkQh dh lh-Mh-] dkfMZ;ksxzke dh fjiksVZ] viw.kZ csM gsM fVdV miyC/k djokbZ rFkk vU; nLrkost ugha fn;sA Death summary report, copy of angiography, Report of Cardiogram, Bed Head Ticket ,usDtj&7] 8] 9 o 10 gSaA bl ij ifjoknh us fnukad 8&9&2005 dks ,d jftLVMZ fof/kd uksfVl vius vf/koDrk ds tfj;s Hkstk ftlds lkFk mu nLrkostksa dh lwph Hkh Hksth tks fd miyC/k djokbZ tkuh FkhA mDr uksfVl dh izfr ,usDtj&11 gSA tc bl ij Hkh dqN ugha gqvk rks ifjoknh us ftyk miHkksDrk laj{k.k eap ds le{k ,d f'kdk;r la[;k 70@2006 izLrqr dhA mDr f'kdk;r ds yfEcr jgrs vizkFkhZ us iqu% ,aft;ksxzkQh dh lh-Mh- o ,aft;ksxzkQh dh fjiksVZ miyC/k djokbZ o dqN QthZ o xyr nLrkost miyC/k djok;s ysfdu vU; nLrkost vkt rd ugha fn;sA ;gka ;g mYys[k djuk vko';d gS fd vizkFkhZx.k }kjk miyC/k djokbZ xbZ ,aft;ksxzkQh dh nksuksa lh-Mh- esa vUrj gS ftlds fy;s os gh Li"V dj ldrs gSa fd ,d gh ,aft;ksxzkQh dh nks fHkUu lh-Mh- mUgksaus dSls miyC/k djokbZA mDr lh-Mh- vkSj ,aft;ksxzkQh fjiksVZ ,usDtj&12 o 13 gSaA ifjokn esa vkxs dFku fd;k x;k gS fd ,l- ds- jtd e`R;q ds le; fu;ksDrk cSad ls 17]974@& :i;s osru izkIr dj jgk Fkk ftlds vfUre osru ds lEcU/k esa izek.k i= dh izfr ,usDtj&14 gSA ifjokn esa vkxs dFku fd;k x;k gS fd vizkFkhZx.k dh fpfdRlh; ykijokgh ds lEcU/k esa ifjoknh dh tkudkjh esa ;g rF; vk;s gSa fd vizkFkhZx.k us vkijs'ku ls iwoZ Nkrh dk ,Dljs ugha fd;k tks fd fpfdRlk fof/k'kkL= ds vuqlkj ,sls ekeyksa esa t:jh gSA vizkFkhZx.k us jDr o ew= dh vko';d tkap ugha djokbZ] u gh vU; egRoiw.kZ tkaps djokbZA vkijs'ku iwoZ ,usLFksfl;ka tkap Hkh ugha dh xbZA ejht dh ,usLFksfl;k dh ek=k o fdLe mfpr ugha Fkh ftldh otg ls og dkSek esa pyk x;k vkSj okil psru voLFkk esa ugha vk;kA vkijs'ku lQy ugha gqvk Fkk tSlk fd vizkFkhZx.k us dgkA vizkFkhZx.k us vkijs'ku ds nkSjku visf{kr ek=k esa jDr miyC/k ugha j[kk rFkk vkijs'ku ds nkSjku vR;f/kd jDr&L=ko gks x;k vkSj i;kZIr ek= esa jDr miyC/k ugha FkkA ;g Hkh e`R;q dk ,d dkj.k FkkA 6 vizkFkhZx.k us vkijs'ku mijkUr mfpr ns[kHkky ugha j[khA vizkFkhZx.k us vkijs'ku iwoZ ds vkSj i'pkr~ ds uksV~l rS;kj ugha fd;s tks fd t:jh FksA vizkFkhZx.k us ejht ds g`n; ds iqu% vkijs'ku ds fy;s ejht ds ifjokjtuksa dks lwfpr ugha fd;k] u gh lgefr yhA vizkFkhZx.k us ejht ds g`n; ds iqu% vkijs'ku ds fy;s mfpr ,usLFksfl;k iz;qDr ugha fd;kA vizkFkhZx.k us ejht dks ekufld o 'kkjhfjd :i ls vkijs'ku ds fy;s rS;kj ugha gksus fn;kA vr% vizkFkhZx.k dh ykijokgh o lsokvksa esa deh dh otg ls ejht ,l- ds- jtd dh e`R;q gks xbZA ifjokn esa vkxs dFku fd;k x;k gS fd vizkFkhZx.k us flQZ muds vkfFkZd ykHk ds fy;s ,aft;ksxzkQh o ckbZikl ltZjh dh lykg nh tcfd ejht dh fLFkfr bruh xEHkhj ugha Fkh fd rRdky ckbZikl ltZjh gh ,d ek= bykt FkkA ECG o Eco-cardiogram o vU; vkijs'ku iwoZ tkap ls ls rRdky CABG dh vko';drk gh ugha FkhA ,aft;ksxzkQh dh lh-Mh- o fjiksVZ vizkFkhZx.k us e`R;q ds dkQh yEcs le; ckn miyC/k djokbZ ftlls muds VsEiMZ gksus dk lUnsg gksrk gSA lh-Mh- esa ,aft;ksxzkQh dh rkjh[k o le;] okLrfod ,aft;ksxzkQh ds le; o rkjh[k ls esy ugha [kkrk gSA Created date dh lh-Mh- Hkh ifjoknh tks ifjoknh dks miyC/k djokbZ xbZ] og okLrfod rkjh[k ls dkQh igys dh gSA vr% ifjoknh dks ewy lh-Mh- miyC/k ugha djokbZ xbZ vkSj vizkFkhZx.k us Lo;a dks cpkus ds fy;s nLrkostksa dks VsEiMZ fd;k gSA ifjokn esa vkxs ;g Hkh dFku fd;k x;k gS fd vizkFkhZx.k us Death summary esa e`R;q dk dkj.k "Bradycardia" rFkk jDrpki esa fxjkoV dks crk;k gS tcfd "Bradycardia" ds fy;s lthZdy ikVZ ftEesnkj Fkk rFkk vR;f/kd jDr cgko ds dkj.k jDrpki esa fxjkoV gqbZ tks vkijs'ku esa mfpr lko/kkuh] n{krk o ;ksX;rk dh deh dh otg ls gqvkA bl ckr dk dksbZ Li"Vhdj.k ugha gS fd ejht esa "Bradycardia" D;ksa vkSj dSls gqvkA miyC/k djok;s x;s nLrkostksa ls izdV gksrk gS fd vizkFkhZ la[;k 6 o 7 us Pre-anesthetic test fd;s Fks ysfdu ejht dks fn;k x;k ,usLFksfl;k lgh ugha Fkk vkSj mldh ek= Hkh vf/kd FkhA vizkFkhZ izkf/kdkfj;ksa ds vuqlkj ejht dk nwljk vkijs'ku Hkh fd;k x;k Fkk ysfdu nwljs vkijs'ku ds fy;s ifjoknh dh dksbZ ekSf[kd ;k fyf[kr lgefr ugha yh xbZA vizkFkhZ izkf/kdkfj;ksa us izFke vkijs'ku gksus ij mls lQy crk;k Fkk ysfdu mUgksua s ifjoknh dks ejht ls feyus ;k ns[kus ugha fn;k vkSj bldk dksbZ mfpr dkj.k Hkh ugha crk;kA lthZdy izkslsl ds nkSjku e`R;q gksus ij iqfyl dks rqjUr lwfpr djuk o iksLVekVZe djokuk vko';d Fkk tks vizkFkhZx.k us ugha fd;k vkSj bldk dkj.k Hkh 7 ugha crk;kA miyC/k djokbZ xbZ Death summary fnukad 30&6&2005 dh gS tcfd ejht dh e`R;q fnukad 1&6&2005 dks gks xbZA brus yEcs le; rd e`R;q dk dkj.k ;kn jguk lEHko ugha gS] blfy;s Death summary lUnsgtud gSA e`R;q izek.k i= esa e`R;q dk dksbZ dkj.k ugha n'kkZ;k x;k gS] tcfd e`R;q izek.k i= esa foLr`r e`R;q dk dkj.k mYysf[kr djds fn;k tkuk vko';d gSA vkijs'ku ls iwoZ Nkrh dk ,Dljs djok;k tkuk vko';d Fkk D;ksfa d ;fn Nkrh esa ;fn dksbZ dksbZ fnDdr gksrh rks ,Dljs ls izdV gks ldrh FkhA ifjokn esa ;g Hkh dFku fd;k x;k gS fd ;g fof/k dk lqLFkkfir fl)kUr gS fd ;fn dksbZ i{kdkj ftlds its'ku esa vfHkys[k gS vkSj ryc djus ij Hkh izLrqr ugha djrk gS rks mlds fo:) izfrdwy mi/kkj.kk dk;e dh tkuh pkfg;sA mDr vk/kkjksa ij vizkFkhZx.k ls la;qDrr% o i`Fkdr% fuEuizdkj U;wure izfrdj fnykus dk fuosnu fd;k x;k %&
i) Hospital expences on treatment and other expenses on medicines paid to Hospital & Medical shop : 1,35,000/-
ii) Deprivation of care and affection and
loss of society to the child : 5,00,000/-
iii) Loss of society to wife : 2,00,000/-
iv) Loss of society to parents : 2,00,000/-
v) Loss of income which Late Shri S. K.
Rajak would have saved from his salary
for the upbringing education, marriage
of child and other family duties : 36,00,000/-
v) Other losses : 1,00,000/-
Total : 47,35,000/-
vr% ifjoknhx.k us foi{khx.k ls mDr jkf'k fnykus ckcr~ fuosnu fd;k rFkk ifjokn dh rkjh[k ls 12 izfr'kr C;kt Hkh fnykus dk fuosnu fd;kA ifjokn ds leFkZu esa ifjoknhx.k Jh gfjgj jtd] Jherh lqfe=k nsoh] Jherh vk'kk nsoh us vius 'kiFk i= is'k fd;sA ifjoknhx.k dh vksj ls ifjoknh la[;k 1 gfjgj jtd us viuk foLr`r 'kiFk i= crkSj lk{; izLrqr fd;k gS rFkk ifjokn esa of.kZr izn'kZ dh izfr;ka izLrqr dh gSaA 8 foi{khx.k us mDr ifjokn dk tokc bl vk'k; dk is'k fd;k fd loksZRre fMxzh] ;ksX;rk o Kku /kkj.k djus okys fpfdRldksa ij dsoy ek= vkjksi yxkus ls mUgsa ykijokgh ds fy;s ftEesnkj ugha ekuk tk ldrk gSA ifjokn esa fpfdRldksa ds fo:) ykijokgh ds fy;s dksbZ lkjHkwr vfHkopu ugha gSA vizkFkhZx.k ij yxk;s x;s vkjksi xyr o vk/kkjghu gSaA ejht us Mk- iadt oksgjk dkfMZ;ksyksftLV ls ijke'kZ fy;k FkkA izLrqr ECG ls vVSd dh xEHkhjrk dk irk pyrk gS rFkk vR;ko';d fLFkfr esa ;g mls lko/kkuhiwoZd mipkj fn;k x;k ftlds vuqlkj fnukad 29&5&2005 dks ,l- ds- jtd us Nkrh esa nnZ] ?kcjkgV] ilhuk vkuk bR;kfn crk;k Fkk rFkk lR; Mk;XuksfLVd dh ECG ls irk pyrk gS fd mldh gkVZ jsV 57 chih,e FkhA bl ij ejht dks gsikfju ,uVhth buQ~;wtu ij j[kk x;kA is'ksUV fgLVªh ds vuqlkj ejht dks lu~ 2000 esa gkVZ vVSd vk;k Fkk vkSj og fiNys ikap o"kksZ ls g`n; dk ejht FkkA mls fiNys 5 o"kksZ ls yxkrkj Nkrh esa nnZ dh f'kdk;r Fkh rFkk og fiNys ikap o"kksZ ls mPp jDrpki ls xzflr FkkA og 20 o"kksZ ls Leksfdax ¼Smoking½ djrk Fkk rFkk ,d ls nl flxjsV izfrfnu ihrk FkkA og lkal ?kqVu dk vuqHko djrk FkkA mlds ekrk firk dks g`n; jksx FkkA og dksbZ 'kkjhfjd O;k;ke ugha djrk FkkA og yxkrkj ekalkgkjh FkkA mldh CTMT lu~ 2000 esa dh xbZ Fkh tks iksthfVo ikbZ xbZA ml le; mls dksjksujh ,aft;ksxzkQh dh lykg nh xbZ FkhA vr% ,l- ds- jtd fiNys ikap o"kksZ ls g`n; jksx ls ihfM+r FkkA ejht dh ,aft;ksxzkQh ls ;g Severe triple vessel disease (Left main equivalent) izdV gqvkA vr% ejht Jh jtd dks Coronary artery bypass grafting surgery dh lykg nh xbZA ejht dh fo"ke xEHkhj fLFkfr esa Rofjr CABG dh vko';drk FkhA Jherh vk'kk jtd o nsok'kh"k dqekj ls fu/kkZfjr izi= esa lgefr yh xbZA fnukad 30&5&2005 dks ejht dk Coronary artery bypass grafting surgery dh xbZA ejht dks vkijs'ku fFk;sVj esa le; 8-15 ,-,e- ij ys tk;k x;kA Mk- vk'kqrks"k 'kekZ }kjk vko';d psd vi jDr ijh{k.k] iYl jsV] CyM izs'kj bR;kfn dk ijh{k.k fd;k x;kA Mk- izeksn feRry o Mk- jktw O;kl }kjk Mk- vk'kqrks"k 'kekZ o Vhe esEclZ ds lkFk uohure midj.kksa ls vkijs'ku fd;k x;kA Mk- vk'kqrks"k 'kekZ ,usLFksfl;k fjdkMZ fd;k x;k tks fu;U=.k esa o lgh FkkA vkB ;wfuV jDr ch&Iyl miyC/k j[kk x;kA vkijs'ku iwjh lko/kkuh ls iw.kZ fd;k x;kA ejht ds vkijs'ku i'pkr~ gkykr fLFkj Fks blfy;s ejht dks 1-30 cts dkfMZ;d fjdojh ;wfuV esa Hkstk x;kA uflZax LVkQ o vVsf.Max fpfdRld us fu;fer vkWCtosZ'ku ij j[kkA uflZax pkVZ izLrqr fd;k tk jgk gSA 9 tokc esa dFku fd;k x;k gS fd djhc 3-30 ih-,e- ij ejht dh ECG esa ST depression with Sinus bradicardia with hypo tension dk ifjorZu vk;kA ejht dk thou cpkus ds fy;s le; xaok;s fcuk rRdky Support of heart IABP ij j[kk x;kA ejht dks fLFkfr dks fu;U=.k esa fy;k x;k rFkk ckn esa fnukad 30&5&2005 dks le; 8-20 ih-,e- ij mls iksLV vkijsfVo ds;j esa yk;k x;kA loksZRre iz;klksa ds ckotwn og advanced coronary disease dk f'kdkj gks x;kA ,l- ds- jtd dk bykt lokZf/kd n{k fpfdRldksa }kjk iwjh {kerk ls fd;k x;k ysfdu fnukad 1&6&2005 dks le; 4-30 ,-,e- ij og Hypertension, Old Anterior Wall Myocardial Infraction, Recurrent Post MI Angina, Severe triple vessels disease (Left Main Equivalent), Severe low out put syndrome dh otg ls dkfMZ;d ,jsLV dk f'kdkj gks x;kA tokc esa dFku fd;k x;k gS fd mDr rF;ksa dks ns[krs gq, Lo- jtd ds ifjokj }kjk fpfdRldksa ij ykijokgh dk vkjksi yxkuk mfpr ugha gS tcfd fpfdRldksa us mldk thou cpkus dk Hkjiwj iz;kl fd;kA ifjoknhx.k us nqHkkZouko'k >wBs vkjksi yxk;s gSaA fpfdRld Lo;a euq"; gSa vkSj laosnu'khy gSaA fpfdRlh; O;; iw.kZr% ;qfDr;qDr o mfpr FksA fpfdRldksa dh Vhe ,ldksVZl gksLihVy ubZ fnYyh ls lEc) FkhA tokc esa vizkFkhZx.k ds lHkh vkjksiksa dks xyr crkrs gq, dFku fd;k x;k gS fd fpfdRldksa }kjk ncko nsus dh ckr xyr gS vkSj ,aft;ksxzkQh ds fy;s e`rd o mlds ifjokjtuksa us lgefr nh FkhA fnukad 29&5&2005 dks ,l- ds- jtd dh Nkrh dk ,Dljs fy;k x;k Fkk ftlds ,Dljs jftLVj dh QksVks izfr is'k gSA vkijs'ku ls iwoZ jDr o ew= ijh{k.k fnukad 29 o 20 ebZ 2005 dks fd;s x;s FksA lqjf{kr ,usLFksfl;k ds fy;s loksZRre e'khu miyC/k FkhA ,aft;ksxzkQh gksus ds ckn ECG dk vf/kd egRo ugha gSA ,aft;ksxzkQh fjiksVZ o lh-Mh- vVs.MsUV~l dks miyC/k djokbZ xbZ FkhA ekLVj lh-Mh- ls nwljh lh-Mh cukbZ tkrh gSA ejht dh f}rh; iksLV vkijsfVo fnol dks e`R;q gqbZ] u fd ltZjh ds nkSjkuA lHkh vly fjiksVZ~l o ,Dljs vVs.MsUV~l dks e`R;qmijkUr ns fn;s x;s FksA e`rd ds ifjokjtuksa }kjk nh xbZ lgefr Li"V gSA ifjokn xyr rF;ksa ij vk/kkfjr gksus [kkfjt fd;s tkus dk fuosnu fd;k x;kA leFkZu esa Mk- vkuUn xks;y dk 'kiFk i= izLrqr fd;k x;kA tokc ds lkFk vizkFkhZx.k us 18 nLrkost izLrqr fd;sA vizkFkhZx.k dh vksj ls lk{; ds :i esa Mk- vkuUn xks;y us viuk 'kiFk i= izLrqr fd;k gSA 10 nksuksa i{kksa dh cgl lquh xbZA nksuksa gh i{kksa us foLr`r fyf[kr cgl Hkh izLrqr dh gSA i=koyh dk voyksdu fd;k x;kA nkSjkus cgl rFkk fyf[kr cgl esa ifjoknh i{k us ifjokn esa of.kZr rF;ksa dks nksgjk;k gS rFkk ;g Hkh dgk gS fd Surgion and anesthesia operation note (Pre and post) and CD of bypass surgery and Xrays, ECG, anesthesia report, observation report (pre and post) and reports of CPR notes vkt fnu rd miyC/k ugha djok;s x;s gSaA mudk rdZ jgk gS fd ftyk miHkksDrk laj{k.k eap ds le{k nLrkost izLrqr ds fy;s ifjoknh }kjk izLrqr ;kfpdk fnukad 24&4&2008 dks [kkfjt dh xbZ ftlds fo:) ,d jkT; miHkksDrk fookn fuokj.k vk;ksx] py ihB] tks/kiqj ds le{k vihy nk;j dh xbZ tks fd fnukad 10&12&2008 ds vkns'k }kjk Lohdkj dh xbZ ftlesa ftyk miHkksDrk laj{k.k eap ds vkns'k dks vikLr fd;k rFkk 10000@& :i;s okn O;; ds :i vnk djus dk vkns'k fn;k x;k rFkk ;g ik;k x;k fd lHkh visf{kr nLrkost ifjoknh dks dbZ ckj fuosnu ds ckotwn miyC/k ugha djok;s x;s blfy;s vizkFkhZx.k ds Hkkx ij lsokvksa esa deh gksuk ik;k x;kA fyf[kr cgl ds iSjk ua- 30 esa dgk x;k gS fd fnukad 29&5&2005 dks 11-30 ,- ,e- ij ,aft;ksxzkQh dh xbZ rFkk nks lh-Mh- ,aft;ksxzkQh dh fnukad 30&6&2005 o 17&1&2006 dks nh xbZ rFkk nksuks lh-Mh- esa vUrj dks Li"V fd;k x;k gSA blds foijhr vizkFkhZx.k dh vksj ls vius tokc esa of.kZr rF;ksa dks nksgjk;k x;k gS vkSj vU; nLrkostksa ds lkFk Braunald's heart disease 7th edition par 1278, 1279 dh izfr is'k dh xbZ gSA blds leFkZu esa fuEu U;kf;d fu.kZ; is'k gq, gS%&
01. III (2005)CPJ 9 (SC) JACOB MATHEW (DR.) Vs. state of PUNJAB & ANR.
02. I (2009) CPJ 32 (SC) MARTIN F. D'SOUZA VS. MOHD.
ISHFAQ
03. I (2009) CPJ 53 (SC) GHAZIABAD DEVELOPMENT AUTHORITY Vs. RAMESH CHANDRA PANDIYA
04. 2010 (1) WLN 71 (SC) KUSUM SHARMA & OTHERS Vs. BATRA HOSPITAL & MEDICAL RESEARCH CENTRE & OTHERS
05. III (2011) CPJ 54 (SC) SENTHIL SCAN CENTRE Vs. SHANTHI SRIDHARAN & ANR.
06. IV (2013) CPJ 378 (NC) RAUSHANI DEVI Vs. MAHARAJA AGRASEN HOSPITAL & ORS.
1107. III (2016) CPJ 96 (NC) DEEPAK KUMAR SATSANGI (DR.) & ANR. Vs. SAN JEEVAN MEDICAL RESEARCH CENTRE (P) LTD & OTS.
nksuksa i{kksa }kjk }kjk izLrqr vfHkopuksa] ekSf[kd o nLrkosth lk{; rFkk nksuksa i{kksa ds rdksZ ij fopkj fd;k x;Ka bl ckr ij dksbZ fookn ugha gS fd e`rd ,l- ds- jTtd dh fnukad 29&5&2005 dks vizkFkhZx.k ds vLirky esa ,aft;ksxzkQh dh xbZ vkSj fnukad 30&5&2005 dks mlds g`n; dh ckbZikl ltZjh dh xbZA tgka rd ifjoknh dks bykt ls lEcfU/kr dqN nLrkost miyC/k u djokus dk iz'u gS] bl lEcU/k esa jkT; miHkksDrk fookn fuokj.k vk;ksx dk vkns'k fnukad 10&12&2008 i=koyh ij miyC/k gS ftlesa vk;ksx us ;g ik;k gS fd "All these facts indicate that Respondents did not give required documents to the complainant despite several requests made by him and therefore there was deficiency in services on the part of the Respondents." vk;ksx us ;g Hkh vkns'k fn;k fd "We, therefore allow this appeal. While setting aside the impugned order, we direct the Respondent to pay to the Complainant a sum of Rs. 10,000/- along with Rs. 3,500/- as cost of litigation within a period of one month failing which the Complainant shall further be entitled to get interest 9% per annum from the date of this order." bl rjg ls ;g rks Li"V gS fd vizkFkhZx.k us ifjoknh }kjk dbZ ckj fuosnu djus ds ckotwn nLrkost miyC/k ugha djok;s FksA ifjoknh ds vuqlkj tks nLrkost miyC/k djok;s x;s] muds vykok ftu nLrkostksa dh ekax dh xbZ] os vkt fnu rd miyC/k ugha djok;s x;s gSa] ftuesa Surgion and anesthesia operation note (Pre and post) and CD of bypass surgery and Xrays, ECG, anesthesia report, observation report (pre and post) and reports of CPR notes vkt fnu rd miyC/k ugha djok;s tkus dk dFku fd;k x;k gSA izFke rks mDr nLrkost ifjoknh dks miyC/k ugha djok;s tkus ds lEcU/k esa dksbZ lUrks"ktud mRrj vizkFkhZx.k dh vksj ls ugha vk;k gSA mDr nLrkostksa esa Hkh CD of bypass surgery vR;Ur egRoiw.kZ nLrkost gS] ftldk miyC/k u djok;k tkuk vizkFkhZx.k ds Hkkx ij lUnsg mRiUu djus ds fy;s i;kZIr vk/kkj gSA ;g lqLFkkfir fof/k gS fd ftl i{kdkj ds ikl nLrkost miyC/k gksa vkSj ;fn ekax ds mijkUr Hkh mDr nLrkostksa dks izLrqr u djs rks mlds fo:) ;g izfrdwy mi/kkj.kk yh tk;sxh fd ;fn og mDr nLrkost izLrqr djrk rks og mlds foijhr tkrkA gekjs fouez er esa vR;Ur egRoiw.kZ nLrkost dk izLrqr u fd;k tkuk vkSj mlds izLrqr u djus dk lUrks"ktud mRrj u nsuk] vizkFkhZx.k ds fo:) izfrdwy mi/kkj.kk dk;e djus 12 dk i;kZIr vk/kkj gSA vc ;fn vizkFkhZx.k }kjk izLrqr nLrkostkr~ ij xkSj fd;k tk;s rks vizkFkhZx.k }kjk izLrqr Patient History Questionnaire esa ;g crk;k x;k gS fd ejht fiNys ikap o"kZ ls lhus esa nnZ dh f'kdk;r dj jgk gS rFkk Blood clotting dks jksdus ds fy;s ,lfifju xksyh ys jgk Fkk rFkk ikap o"kZ iwoZ mls fny dk nkSjk iM+k FkkA bl ckr ij dksbZ fookn ugha gks ldrk gS fd mDr ,lfifju xksyh Blood clotting dks jksdus ds fy;s yh tkrh gS ;k vke cksypky dh Hkk"kk esa dgk tk;s rks jDr iryk djus ds fy;s rkfd /kefu;ksa esa jDr izokg vklku cuk;s j[kus ds fy;s mDr nok yh tkrh gSA ;fn rdZ ds fy;s ;g eku fy;k tk;s fd mDr Patient History Questionnaire QthZ rFkk ckn esa viuh lqfo/kk ds fy;s cukbZ gqbZ ugha gS vkSj lgh o lPph gS] rks iz'u ;g mRiUu gksrk gS fd ,d ,DliVZ fpfdRld ftlds lkeus g`n; dk ,d xEHkhj ejht vk;k gS] D;k og fpfdRld ml ejht dh mlh fnu rRdky ckbZikl ltZjh dh lykg ns ldrk gS tcfd og ejht Lo;a mls crk jgk gS fd og Blood clotting dks jksdus ds fy;s yh tkus okyh xksyh ,lfifju ys jgk gS] gekjs fouez er esa ,slk ugha gks ldrk gS D;ksafd bldk izcy dkj.k ;g gS fd de ls de nks ;k rhu fnu rd mls bl xksyh dks [kkus ls jksduk vko';d gS rkfd jDr dh rjyrk de gks tk;s vkSj vkijs'ku ds le; vR;f/kd jDrL=ko dk [krjk Vy tk;sA ,sls ejht dk ;fn rRdky vkijs'ku fd;k tk;s] og Hkh g`n; tSls ekfeZd Hkkx dk cM+k vkijs'ku fd;k tk;s rc vR;f/kd jDrL=ko ds [krjs dks Vkyus ds fy;s vkijs'ku ls de ls de nks ;k rhu iwoZ mDr xksyh dk cUn fd;k tkuk vko';d gSA blls Li"V gS fd fnukad 29 ;k 30 ebZ 2005 dks mDr xksyh dks cUn fd;s fcuk g`n; dh ckbZikl ltZjh fd;k tkuk [krjukd FkkA g`n; dk 'kY; fpfdRld bl ckr ls vufHkK gks] ;g ugha ekuk tk ldrk gSA Cardiac Evaluation Form esa ejht dks iwoZ esa Facial Paralysis psgjs dk ydok gksus dk rF; Hkh fy[kk x;k gS] vFkkZr~ ;g bl lEHkkouk dks bafxr djrk gS fd lEHkor% iwoZ esa flj ds vklikl ds fdlh Hkkx esa Blood clotting ls ,slk gqvk gksA iz'u ;g mRiUu gksrk gS fd ,sls ejht ds g`n; dh rRdky vtsZUV ckbZikl ltZjh djus ls igys D;k fpfdRld us mldh bl lEcU/k esa iwoZ dh dksbZ fjiksVZ ns[kh ;k mldh lhVh Ldsu fjiksVZ ns[kh \ vtsZUV ckbZikl ltZjh dk fu.kZ; ysus ls igys bls vo'; ns[kk tkuk pkfg;s FkkA mDr nLrkost esa ekrk ,oa firk dks mPp jDrpki ls xzflr gksuk 13 crk;k x;k gS ysfdu vk'p;Z gS fd ifjoknh la[;k 1 gfjgj jtd dh vk;q lu~ 2007 esa ifjokn izLrqr djrs le; 68 o"kZ ;kfu vkt 78 o"kZ gS vkSj blh rjg ls mldh iRuh ;kfu e`rd dh ekrk dh vk;q lu~ 2007 esa 65 o"kZ ;kfu vkt mldh vk;q 75 o"kZ gS vkSj nksuksa thfor gSa] eqdnek yM+ jgs gSa vkSj mudk 40&42 o"kZ dk iq= 90 izfr'kr CykWdst dk f'kdkj FkkA gkykafd ;g dksbZ vlEHko ckr rks ugha gS ysfdu tc ifjoknh ;g dg jgk gks fd mlds iq= dks iwoZ esa ,slh dksbZ chekjh ugha Fkh] mDr fnol dsoy gYdk lk Nkrh esa nnZ Fkk vkSj os py dj vk;s Fks rks fQj mDr nLrkost lUnsg ds ?ksjs esa vk tkrk gSA bldk nwljk dkj.k Cardiac Evaluation Form esa ifjoknh dk fy[kk v/kwjk okD; gS] ftlds fy;s ifjoknh us ;g dgk gS fd os vtsZUV ckbZikl ltZjh ugha djokuk pkgrs Fks vkSj fpfdRld ds dgs vuqlkj tc bl ckr dks ifjoknh blesa fy[k jgk Fkk rks fpfdRld us mls jksdk vkSj vtsZUV ckbZikl ltZjh djokus ds fy;s tksj fn;kA Patient History Questionnaire esa ejht }kjk 20 o"kksZ ls /kweziku djus dk rF; fy[kk x;k gS vkSj vizkFkhZx.k us tokc esa Hkh bl ckr dks nksgjk;k gSA iz'u ;g gS fd tc g`n; dh vtsZUV ckbZikl ltZjh dh tkuh gks vFkkZr~ ,d cM+k vkijs'ku fd;k tkuk gks rc D;k /kweziku ds ifj.kke dks ns[kus vkSj ejht ds QsQM+ksa dh fLFkfr dks ns[kus ds fy;s ejht dk ,Dljs fd;k tkuk vko';d ugha FkkA vizkFkhZx.k ds vuqlkj ,Dljs fd;k x;k Fkk vkSj ifjoknh ds vuqlkj u rks ,Dljs fd;k x;k vkSj u gh ,Dljs fn;k x;kA vfHkys[k ij ,Dljs miyC/k ugha gSA ;g fLFkfr Hkh vizkFkhZx.k ds Hkkx ij lUnsg mRiUu djrh gSA blds vykok Hkh ifjoknh us fyf[kr cgl ds iSjk ua- 30 esa dgk gS fd fnukad 29&5&2005 dks 11-30 ,-,e- ij ,aft;ksxzkQh dh xbZ rFkk nks lh-Mh- ,aft;ksxzkQh dh fnukad 30&6&2005 o 17&1&2006 dks nh xbZA mDr fyf[kr cgl esa mDr nksuks lh-Mh- esa vUrj dks Li"V fd;k x;k gS ftlds vuqlkj igyh lh-Mh- esa dSisflVh 63-3 ,e-ch- crkbZ xbZ gS tcfd nwljh lh-Mh- esa 65-5 ,e-ch- crkbZ xbZ gSA igyh lh-Mh- esa Used space 63.3 MB crk;k x;k gS tcfd nwljh lh- Mh- esa Used space 65.5 MB crk;k x;k gSA ;fn nksuksa lh-Mh- esa lkSQ~V eSfVfj;y leku gS rks Used space esa vUrj ugha vk ldrk gSA igyh lh-Mh- esa CD creation date 30.9.04 gS rks nwljh esa 14.10.03 gSA igyh lh-Mh- esa Time 6.56 PM crk jgk gS rks nwljh esa 2.59 PM crk jgk gSA blh izdkj Recording size igyh lh-Mh- esa 584 MB crk jgk gS rks nwljh lh-Mh- esa ek= 82 MB crk jgk gSA bl izdkj ds vUrj dk dksbZ lUrks"ktud] ;qfDrlaxr o rdZlx a r dkj.k vizkFkhZx.k us ugha crk;k gSA 14 vizkFkhZx.k ds vuqlkj ;fn os ekLVj lh-Mh- esa ls nwljh lh-Mh- cukrs gSa rc Hkh Used space vkSj Recording size esa vUrj ugha vkuk pkfg;s D;ksfa d nks ,d leku Soft data ,d leku gh Space dks Use djsaxsa vkSj mudh Recording size Hkh leku gh gksxhA ;g ,d cgqr gh ekewyh xf.krh; lkekU; izKk dh ckr gS] ftls dksbZ Hkh le> ldrk gSA blds vykok ;g fLFkfr Li"V gS fd e`rd ,l- ds- jtd dk nsgkUr fnukad 1&6&2005 dks gqvk tcfd mldh Death Summary Report fnukad 30&6&2005 dks cukbZ xbZ gSA blds fy;s ;g dgk x;k gS fd miyC/k uflZax fjdkMZ ds vk/kkj ij ;g ckn esa cukbZ tk ldrh gSA gekjs fouez er esa tc e`R;q izek.k i= ns fn;k vkSj mlesa e`R;q dk dkj.k ugha fy[kk x;k rks fQj Death Summary Report Hkh rRdky cukbZ tkuh pkfg;s Fkh vkSj rRdky gh nh tkuh pkfg;s Fkh] tks fd u rks rRdky cukbZ xbZ vkSj u gh rRdky nh xbZ cfYd dbZ ckj ekax djus ij nh xbZA ;g fLFkfr Hkh vizkFkhZx.k ds Hkkx ij lUnsg mRiUu djrh gSA blds vykok Hkh ,l- ds- jtd dh e`R;q gksus ds ckn e`rd ds ifjtuksa dks rRdky nLrkost miyC/k ugha djokuk] ckj ckj ekax djus ij Hkh nLrkost miyC/k ugha djokuk vkSj ftyk miHkksDrk laj{k.k eap ds le{k blds fy;s ifjoknh dks f'kdk;r izLrqr djus ds fy;s etcwj djuk vkSj mlds i'pkr~ dqN nLrkost miyC/k djokuk Hkh vizkFkhZ ds Hkkx ij lUnsg mRiUu djrk gSA nLrkost ;Fkkle; e`rd ds ifjtuksa dks D;ksa miyC/k ugha djok;s x;s] bldk dksbZ lUrks"ktud Li"Vhdj.k vizkFkhZx.k izLrqr ugha dj ik;s gSaA Death Summary Report le; ij D;ksa ugha rS;kj dh xbZ vkSj rRdky e`rd ds ifjtuksa dks D;ksa ugha nh xbZ] bldk Hkh dksbZ Li"Vhdj.k vizkFkhZ ugha ns ik;s gSaA ;s reke ifjfLFkfr;ka vizkFkhZx.k ds Hkkx ij lUnsg mRiUu djrh gSaA mijksDr reke ifjfLFkfr;ka vizkFkhZx.k ds Hkkx lUnsg mRiUu djrh gSaA ysfdu lUnsg lcwr dk LFkku ugha ys ldrk gS vkSj ;g Hkh lqLFkkfir fof/k gS fd ifjoknh dks vius dFkuksa dks vius iSjksa ij [kM+s jg dj lkfcr djuk vko';d gS rFkk blds fy;s og foi{kh dh detksjh dk ykHk ugha ys ldrk gSA ,slh fLFkfr esa iz'u ;g mRiUu gksrk gS fd ;fn fdlh fpfdRld us dksbZ ykijokgh dh gS ;k vius vkfFkZd ykHk ds fy;s vtsZUV ckbZikl ltZjh ds fy;s ejht dks foo'k fd;k gS] rks ,slh ykijokgh ;k nqjk'k; dks U;k;ky; esa dSls lkfcr fd;k tk ldrk gSA [kkl dj ml fLFkfr esa tcfd fpfdRld mlds }kjk rS;kj fd;s tkus okys reke nLrkostksa ij ejht ;k mlds ifjokjtuksa ds gLrk{kj ugha djokrk gS] u gh og 15 gLrk{kj djokus ds fy;s foo'k gS ¼flok; ml nLrkost ds ftlesa vkijs'ku ;k ,sls gh fdlh dk;Z dks ejht ds 'kjhj ij djus ds fy;s lgefr mikIr fd;k tkuk vko';d gks½A gekjs fouez er esa bls ifjfLFkfr;ksa ls gh ;k ifjfLFkfr;ksa ls Hkh lkfcr fd;k tk ldrk gSA euq"; >wB cksy ldrk gS ysfdu ifjfLFkfr;ka >wB ugha cksyrh gSaA bl lUnHkZ esa ge ifjoknh dh fyf[kr cgl esa res ipsa loquitur ls lEcfU/kr rdZ ls lger gwa ftlesa ;g rdZ fn;k x;k gS fd The principle of 'res ipsa loquitur' (meaning thereby 'the thing speaks for itself') might come into play. The following are the necessary conditions of this principle :
1. Complete control rests with the doctor,
2. It is the general experience of mankind that the accident in question does not happen without negligence. This principle is often misunderstood as a rule of evidence, which it is not. It is a principle in the law of torts. When this principle is applied, the burden is on the doctor/defendant to explain how the incident could have occurred without negligence. In the absence of any such explanation, liability of the doctor arises.
gekjs fouez er esa tc lEiw.kZ vkijs'ku] fpfdRlk] tkap bR;kfn dk dk;Z fpfdRld ds gh dUVªksy esa gS rFkk ejht ;k mlds ifjokjtu ds u rks dUVªksy esa gS vkSj u gh os bldh ckjhfd;ksa ds ,DliVZ gSa rc ;g lkfcr djus dk Hkkj vizkFkhZ ;k fpfdRld ij gh tkrk gS fd og ;g Li"V djs fd how the incident could have occurred without negligence. ;gka iz'u ;g Hkh mRiUu gksrk gS fd D;k Negligence dks lkfcr djus dk Hkkj ifjoknh ij ugha gks ldrk gS] gekjs fouez er esa vo'; gks ldrk gS ysfdu ;fn lc dqN fpfdRld ds gh dUVªksy esa gks rks ;g Hkkj fpfdRld ij tkrk gS fd og ;g Li"V djs fd how the incident could have occurred without negligence. vU;Fkk tc fpfdRld ds dUVªksy esa lc dqN gS rks ejht ;k mlds vVs.MsUV }kjk Negligence dks lkfcr djuk yxHkx nq"dj gks tk;sxkA vc ns[kuk ;g gS fd D;k ,slh dksbZ ifjfLFkfr;ka bl izdj.k esa ekStwn gSa tks ;g Li"V djrh gSa fd ;k rks fpfdRldksa dh Negligentce dh otg ls ,l- ds- jtd dh e`R;q gqbZ ;k mUgksua s vkfFkZd ykHk izkIr djus ds fy;s vtsZUV ckbZikl ltZjh dh lykg nh tks oLrqr% vtsZUV ugha FkhA gekjs fouez er esa tc vizkFkhZx.k mDr of.kZr reke ifjfLFkfr;ksa dk dksbZ ;qfDr;qDr o lUrks"ktud mRrj ugha ns ik;s gSa vkSj mUgksua s u rks ;Fkkle; ifjoknh dks nLrkost miyC/k djok;s vkSj u gh CD of bypass surgery tSlk vR;Ur egRoiw.kZ nLrkost gh miyC/k djok;k rc fuf'pr :i ls ;g dgk tk ldrk gS fd vizkFkhZx.k ;k rks Negligent Fks ;k fQj 16 mUgksua s vkfFkZd ykHk ds fy;s vtsZUV ckbZikl ltZjh dh lykg nh tks fd oLrqr% vtsZUV ugha FkhA Li"V gS fd bldk [kkfe;ktk mUgsa Hkqxruk iM+sxk vFkkZr~ blds izfrdj ds fy;s os nk;h gSaA flfoy ekeyksa esa lEHkkoukvksa esa vf/klEHkkO;rk ds vk/kkj ij fu.kZ; fd;k tkrk gS rFkk bl ekeys esa vizkFkhZx.k dh mijksDr of.kZr reke lUnsgtud ifjfLFkfr;ka lEHkkoukvksa esa bl vf/klEHkkO;rk dks izdV djrh gS fd vizkFkhZx.k dh lsokvksa esa deh o mis{kkiw.kZ o =qfViw.kZ lsokvksa dh otg ls ,l- ds- jtd dh e`R;q gqbZ gS vFkok lEHkor% vkfFkZd ykHk izkIr djus dh otg ls mUgksua s vtsZUV ckbZikl ltZjh dh lykg nh] tks fd oLrqr% vtsZUV ugha FkhA vr% fuf'pr :i ls vizkFkhZx.k vius bl izdkj ds d`R; ds fy;s la;qDr :i ls vkSj i`Fkd :i ls ifjoknhx.k dks izfrdj vnk djus ds fy;s nk;h gSaA vc iz'u ;g mBrk gS fd izfrdj dk ifjek.k ¼Quantity½ D;k gks vFkkZr~ fdruk izfrdj fnyk;k tk ldrk gSA izFke rks fdlh O;fDr dh e`R;q dk dksbZ ,otkuk ugha gks ldrk gS ysfdu fQj Hkh tgka ,d vksj ifjoknh izfrdj izkIr djus ds vf/kdkjh gSa rks nwljh vksj vizkFkhZx.k izfrdj vnk djus ds fy;s nk;h gSaA e`R;q ds le; ,l- ds- jtd dh vk;q 42 o"kZ crkbZ xbZ gS rFkk og cSad esa ukSdjh djrk Fkk vkSj o"kZ 2005 esa mldk osru 17]974@& :i;s crk;k x;k gS ftlds lEcU/k esa ,usDtj&14 izLrqr fd;k x;k gSA ;fn ;g eku fy;k tk;s fd bldk ,d frgkbZ Hkkx og Lo;a ij [kpZ djrk Fkk rks 'ks"k nks frgkbZ Hkkx ifjokj ds fy;s [kpZ djuk ekuk tk ldrk gSA vFkkZr~ 11982-66 :i;s nks frgkbZ Hkkx gS tks ekfld gS vkSj ;g jkf'k okf"kZd :i ls 1]43]792@& :i;s curh gSA ifjoknh 60 o"kZ dh vk;q esa lsokfuo`r gksrk ;kfu 18 o"kZ rd vk; vftZr djrk blfy;s ;fn mDr jkf'k dks 18 ls xq.kk fd;k tk;s rks ;g jkf'k 25]88]296@& :i;s curh gSA vFkkZr~ ;g jkf'k og vius ifjokj ij [kpZ djrkA blds vykok ifjoknh dh vk; esa o`f) gksrh og vyx gSA ,slh fLFkfr esa gekjs fouez er esa vk; dh gkfu dh en esa tks 36]00]000@& :i;s dh jkf'k ifjoknh us Dyse dh gS] og vuqfpr ugha gS rFkk bl en esa ifjoknh dks ;g jkf'k vizkFkhZx.k ls fnyk;k tkuk U;k;ksfpr gSA tgka rd vLirky ds O;; o nokbZ;ksa ds [kpZ isVs 1]35]000@& :i;s dh vnk;xh dk iz'u gS] bl ckr ij vf/kd fookn ugha gks ldrk gS D;ksafd 9900@& :i;s ,usDtj&2 ds tfj;s tek djok;s Fks rFkk ,usDtj&3 o ,usDtj&3, ds }kjk ifjoknh us 1]10]000@& :i;s vizkFkhZx.k ds ikl vkSj tek djok;s FksA bl jkf'k ds vykok 15]000@& :i;s dk vLirky esa vU; [kpkZ gksuk v;qfDr;qDr ugha gSA blfy;s ifjoknh us bl en esa tks 1]35]000@& :i;s dh 17 jkf'k Dyse dh gS] og Hkh ifjoknhx.k dks vizkFkhZx.k ls fnyk;k tkuk U;k;ksfpr izrhr gksrk gSA blds vykok ifjoknhx.k us e`rd ds cPpksa dk Lusg o lkgp;Z ls oafpr gksus dh en esa 5]00]000@& :i;s] e`rd dh iRuh dk vius ifr ds lkFk jgokl] izse] lkgp;Z bR;kfn ls oafpr gksus dh en esa 2]00]000@& :i;s] rFkk ekrk firk ;kfu ifjoknh la[;k 1 o 2 dk vius iq= ds lkgp;Z ls oafpr gks tkus dh en esa 2]00]000@& :i;s dh jkf'k Dyse dh gSA gekjs fouez er esa ;s lHkh jkf'k;ka ;qfDr;qDr o mfpr gSa rFkk ;s jkf'k;ka ifjoknhx.k dks vizkFkhZx.k ls fnyk;k tkuk mfpr izrhr gksrk gSA I (2017) CPJ 1 (SC) SHEELA HIRBA NAIK GAUNEKAR Vs. APOLLO HOSPITALS LTD. esa ekuuh; loksZPp U;k;ky; us fuEu fu/kkZfjr fd;k gS%& 6."We have heard learned counsel appearing on behalf of the parties of length. Our attention was drawn to the impugned judgment and order as well as the evidence on record, including the cross examination of Dr. Mathews.
After a perusal of the evidence on recorded by the commission that there was medical negligence on the part of the hospital in not taking proper post operative care of the deceased, in based o0n legal and substantive evidence on record. The same has been properly appreciated by the Commission in exercise of its orginal jurisdiction, Therefore, we do not find any error, much less any perversity, in the findings recorded by the Commission so as to interfere with the impugne order in exercise of appellate jurisdiction of this court under Article 136 of the Constitution of India. Therefore, Civil Appeal No. 4408 of 2005, filed by the Apollo Hospitals Enterprise Ltd. is liable to be dismissed and is accordingly, dismissed.
7. Having ffirmed the findings recorded by the Commission on the question of medical negligence and deficiency in services rendered by the respondent-Hospital, We are required to examine as to whether the amount of compensation awarded by the commission was just and reasonable. The Commission awarded compensation of Rs. 2 Lakh along with interest at the rate of 6% per annum. The income tax declaration filed by the deceased to the Income Tax department during the financial year in the which death had occurred is on record as evidence on behalf of the 18 complainant in justification of her claim. According to the Income Tax return, the annual income of the deceased was Rs. 5 Lakhs per annum. Deducting one-third amount of the towards the personal expenditure of the deceased comes to Rs. 3,33000/- (approximately). As on the date of the death, the deceased was aged 60 Years. In terms of the Motor Vehicles Act, 1988 and the decision of this court in the case of Sarla Verma (Smt.) and others V. Delhi Transport Corporation and Another, 162 (2009) DLT 278 (SC)=VI (2009) SLT 663=III (2009) ACC 708 (SC)=(2009) 6 SCC 121, the appropriate multiplier in the instant case is 9. Thus, the annual loss of dependency comes to Rs. 29,70000/- Having regard to the fact that the incident in the instant case occurred in the year 1996 and the litigation has been going on for nearly twenty years, it would serve the ends of justice to award Rs. 40 lakh as compensation. Having further regard to suffering of the complainant on account of mental agony, loss of head of the family, loss of consortium and loss of love and affection, we deem if fit to award a further consolidated sum of Rs. 10 lakh under the abovementioned heads, in accordance with the principles laid down by this Court in the case of Balram Prasad V. Kunal Saha and others, IV (2013) ACC 378 (SC)=VIII (2013) SLT 513=IV (2013) CPJ 1 (SC)=(2014)1 SCC 384 Thus, in the interest of justice, We deem it fit to award a total amount of Rs. 50 lakh as compensation in toto.
8. Accordingly, the compensation awarded by the Commission is modified as aforementioned. Further, interst has to be awarded as 9% per annum, in stead of 6% per annum, from the date of the institution of the complaint till the date of payment, applying the principle laid down by the Court in the case of Municipal Corporation of Delhi, Delhi V. Uphaar Tragedy Victims Association and Others, VII (2011) SLT 757=IV(2011) ACC 382 (SC)=IV (2011) CPJ 74 (SC)= IV (2011) CLT 204 (SC)=(2011) 14 SCC 481.
9. We also modify the order of the commission to the extent that RW.1-Mr. Mathews, who performed the surgery which ultimately resulted indeath of Mr. Gaunekar, is also held liable to pay compensation along with the Apollo Hospital. Applying the principle laid down in the case of Balram 19 Prasad (Supra), it would be just and proper if we direct RW.1-Dr. Mathews to pay Rs. 10 lakhs with proportionate interest to the complainant, out of total of Rs. 50 lakh which has been awarded by way of this Order.
10. Accordingly, Civil Appeal No. 3625 of 2005 filed by the complainant-wife is allowed and civil Appeal No. 4408 of 2005 filed by the Apollo Hospitals Enterprise Ltd. is dismissed. We modify the order passed by the Commission, awarding the compensation at Rs. 2 lakh along with interest at the rate 6% per annum, to payment of compensation of Rs. 50 lakh along with interest at the rate of 9% perannum as full and final settlement of all claims, to be paid within four weeks froom the date of receipt of the copy of this Order. It is once again clarified that the liability of the Apollo Hospital and Dr. Mathews towards compensation will be Rs. 40 lakh and Rs. 10 lakh respectively with proportionate interest at the rate of 9% per annum. We further make it clear that in case the Doctor, Dr. Mathews does not deposit the amount as ordered against him, the same shall be paid to the appellant complainant by the respondent Hospital and recovered from him. We further direct the respondent-Hospital to comply with this order and submit compliance report to the Registry of this Court within eight weeks from the date of receipt of the copy of this Order."
ekuuh; loksZPp U;k;ky; us vius fu.kZ; esa 50]00]000@&:- ¼ v{kjs ipkl yk[k :-½ viksyks gkWfLiVy ij gkVZ dh ltZjh esa gqbZ ykijokgh ds fy, fnyk;s gS ftlesa e`rd dh mez 57 lky Fkh rFkk mldh okf"kZd vk; 5]00]000@&:- FkhA bl izdj.k esa e`rd dh mez 42 o"kZ Fkh rFkk og cSad esa dk;Zjr Fkk ijUrq ifjoknh dh vksj ls iwjh ekax gh 47]35]000@&:- dh] dh x;h gSA bl fLFkfr esa ifjoknhx.k dks vizkFkhZx.k ls la;qDrr% o i`Fkdr% izfrdj isVs 47]35]000@& :i;s dh jkf'k fnyk;k tkuk U;k;laxr gSA vr% ifjoknhx.k dk mDr ifjokn] vizkFkhZx.k ds fo:) Lohdkj fd;s tkus ;ksX; gSA 20 &% vkns'k %& vr% ifjoknhx.k dk mDr ifjokn] vizkFkhZx.k ds fo:) lO;; Lohdkj fd;k tkrk gSA ifjoknhx.k] vizkFkhZx.k ls la;qDrr% ,oa i`Fkdr% 47]35]000@& ¼v{kjs lSarkyhl yk[k] iSarhl gtkj :i;s½ dh jkf'k izkIr djus ds vf/kdkjh gSaA ifjoknhx.k bl jkf'k ij ifjokn is'k gksus dh fnukad 31&5&2007 ls mDr jkf'k vnk fd;s tkus dh rkjh[k rd 9 izfr'kr okf"kZd dh nj ls C;kt Hkh vizkFkhZx.k ls la;qDrr% ,oa i`Fkdr% izkIr djus ds vf/kdkjh gSaA vizkFkhZx.k mDr leLr jkf'k ifjoknhx.k dks vkt ls 2 ekg dh vof/k ds Hkhrj vnk djsAa ¼ ehuk esgrk ½ ¼dey dqekj ckxM+h½ lnL; lnL; ¼ U;kf;d ½ @ikBd@