State Consumer Disputes Redressal Commission
Navodaya Oncology Centre vs Smt. Archana Agarwal on 1 November, 2022
1 e/;izns'k jkT; miHkksDrk fookn izfrrks"k.k vk;ksx] 76] vjsjk fgYl] Hkksiky-
¼izLrqr vihy ftyk vk;ksx] Hkksiky }kjk izdj.k Øekad 464@2006 esa ikfjr vkns'k fnuakd 03&02&2011 ls mn~Hkwr½ izFke vihy Øekad % 468@2011 1& uoksn; vkWudksykWth lsUVj 41] tksu&2 ,e-ih-uxj Hkksiky ¼e-iz-½ 2& MkW- ';ke vxzoky uoksn; vkWudksykWth lsUVj 41] tks&2 ,e-ih-uxj Hkksiky ¼e-iz-½ 3& MkW- euh"k jkBkSj] 10 uEcj cl LVkWi ds ikl NIiu Hkksx Hkksiky ¼m-iz-½ &&&&&&& vihykFkhZx.k fo:) 1& Jherh vpZuk vxzoky ifRu Jh fouksn vxzoky fuoklh 25&,@41 ukFkZ Vh-Vh-uxj u;k n'kgjk eSnk U;w ekdsZV Hkksiky ¼e-iz-½ 2& Jherh gseyrk ikaMs ifRu Jh fouksn ikaMs fuoklh 7@16] ukFkZ Vh-Vh-uxj u;k n'kgjk eSnk U;w ekdsZV Hkksiky ¼e-iz-½ 3& Jherh vuqjk/kk xxZ ifRu Jh euh"k xxZ fuoklh ,y-vkbZ-th- 2@3 fo|k uxj Hkksiky ¼e-iz-½ 4& dq- fLerk vxzoky iq=h Lo- Jh jes'kpanz vxzoky fuoklh 1064@45@232 izseuxj] u;k n'kgjk eSnku] ck.kxaxk Hkksiky ¼e-iz-½ &&&&&& izfrvihykFkhZx.k 2 %% le{k %% ekuuh; U;k;ewfrZ Jh 'kkaruq dsedj % v/;{k ekuuh; Jh ,l-,l- clay % lnL;
ekuuh; MkW- eksfudk efyd % lnL;
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vihykFkhZx.k dh vksj ls Jh fnis'k tks'kh] vf/koDrk mifLFkrA izfrvihykFkhZx.k dh vksj ls Jh vt; nqcs] vf/koDrk mifLFkrA vkns'k ¼fnuakd 01&11&2022 dks ikfjr½ ekuuh; lnL; Jh ,l-,l- caly vuqlkj %& 1& izLrqr vihy miHkksDrk laj{k.k vf/kfu;e] 1986 dh /kkjk 15 ds varxZr ftyk miHkksDrk fookn izfrrks"k.k vk;ksx] Hkksiky ¼la{ksi esaßftyk vk;ksxÞ½ ds izdj.k Øekad 464@2006 esa ikfjr vkns'k fnuakd 03&02&2011 ls vlarq"V gksdj izLrqr dh xbZ gaSA 2& ifjokn vuqlkj izdj.k dk laf{kIr fooj.k ;g gS fd ifjoknhx.k dh ekrk Jherh mek nsoh dks fnukad 15@02@2006 dks cszLV esa xBku dh f'kdk;r gksus ij MkW - ';ke vxzoky dks uoksn; vkWudksykWth lsUVj ,e-ih-uxj Hkksiky ds vLirky esa fn[kk;kA MkWDVj }kjk VsLV djkus dh lykg nsus ij VsLV djkus ds ckn fjiksVZ izkIr gksus ij MkW- ';ke vxzoky us czsLV dsUlj gksuk crkdj cszLV fudyokus dh lykg nhA MkW - ';ke vxzoky dh lykg ij Jherh mek nsoh dks fnukad 22@02@2006 dks vLirky esa HkrhZ fd;k rFkk MkW- jfo xqIrk }kjk Jherh mek nsoh dk vkWijs'ku fd;kA fnukad 01@03@2006 dks iw.kZ LoLF; gksuk crkdj is'ksaV dks fMLpktZ fd;kA fMLpktZ gksus ds 7&8 fnu ckn gh Jherh mek nsoh dks cq[kkj] isVnnZ] vkSj nLr dh f'kdk;r gksus ij uoksn; vkWudksykWth lsUVj vLirky esa iqu% fn[kk;kA vLirky esa MkW- Jherh dksyVdj ds }kjk ns[kk x;kA fnukad 09@03@2006 dks vLirky esa iqu% fn[kk;kA MkWDVj dh lykg ij vLirky esa HkrhZ fd;k x;kA eysfj;k] Vk;QkbZM ,oa vU; VsLV lksuksxzkQh bR;kfn djk, x,A bZykt ls Qk;nk ugha gksus ij fnukad 11@03@2006 dks isV ds fo'ks"kK MkW- lat; dqekj dks cqykdj fn[kk;k] baMksLdksih djokbZ 3 xbZA fnukad 11@03@2006 dks MkW- fuyksQj }kjk iqu% lksuksxzkQh lksuksxzkQh dh lykg ij lksuksxzkQh djkbZ ftlesa NksVh vkar esa lwtu gksuk crk;kA fnukad 11@03@2006 dks gh ekW dh Ropk ij yky jax ds /kCcs vkuk izkjaHk gks x;s FksA foi{kh Øekad&1 us MkW - euh"k jkBkSj Ropk fo'ks"kK dks fnukad 11@03@2006 dks jkr 09 ctdj 30 feuV ij fn[kk;kA MkW - dh lykg ,oa e'kojk ij nokbZ;kW o batsD'ku fn;s ftlls Jherh mek nsoh dh rfc;r vR;f/kd [kjkc gks xbZ] fdlh dks igpku ugha ik jgh FkhA fnukad 12@03@2006 dks Jherh mek nsoh dh gkyr vkSj Hkh T;knk [kjkc gksuk crk;kA vLirky esa dksbZ VsLV ugha djk,A fo'ks"kK dks ugha cqyk;kA fnukad 13@03@2006 dks Ropk fo'ks"kK MkW - ,u-,l-vxzoky dks fn[kk;kA MkW- ,u-,l-vxzoky us MkW- ';ke vxzoky dks cqykus ds fy;s dgkA MkW- ';ke vxzoky vukosnd Øekad&2 us MkW- ,u-,l-vxzoky ds fu"d"kZ dks tkudkj ejht dh fLFkfr HkkWi dj rRdky vU; vLirky esa Hkstus dh lykg nh vkSj Hkksiky eseksfj;y vLirky ys tkus ds fy, ,d i= Hkh fy[kkA ifjoknhx.k dk dguk gS fd os Jherh meknsoh dks Hkksiky eseksfj;y vLirky ys x;sA vLirky esa bZykt djus ls euk fd;kA vr% ifjoknhx.k Jherh meknsoh dks fpjk;w vLirky ys x;sA fpjk;w vLirky esa fnukad 20@03@2006 dks Jherh meknsoh dh e`R;q gqbZA vukosnd ds vLirky esa vukosnd }kjk Jherh meknsoh ds bZykt esa ?kksj ykijokgh fd;k tkuk crkdj ftyk vk;ksx esa ifjokn izLrqr fd;kA ftyk vk;ksx us ifjokn esa lquokbZ dj vkns'k ds iSjk 23] 24] 25] 26] 27 ,oa 28 esa fu"d"kZ fudky dj ifjokn Lohdkj dj iSjk 32 esa fuEukuqlkj vkns'k ikfjr fd;k %& ^^ Qyr% ifjokn Lohdkj dj ifjoknhx.k ds fgr esa rFkk foi{khx.k ds fo:) fuEufyf[kr vkns'k ikfjr fd;k tkrk gS& 1- foi{khx.k la;qDr% vFkok i`Fkd&i`Fkd ifjoknhx.k dks bykt esa fd;s x;s O;; dh jkf'k 15]000@& :i;s ¼iUnzg gtkj :i;s½ vnk djsAa 2- foi{khx.k la;qDr% vFkok i`Fkd&i`Fkd ifjoknhx.k dks ekufld =kl] ijs'kkuh o ekr`Ro lq[k ls oafpr gksus gsrq {kfriwfrZ ds :i esa 3]00]000@& :i;s ¼rhu yk[k :-½ vnk djsAa 3- foi{khx.k la;qDr% vFkok i`Fkd&i`Fkd ifjoknhx.k dks ifjokn O;; Lo:i 5]000@& :i;s ¼ikap gtkj :-½ vnk djsaA 4 mijksDr vkns'k dk ikyu vkns'k fnukad ls 1 ekg esa fd;k tk,A tks u fd;s tkus ij vknsf'kr lelr jkf'k;ksa ij foi{kh ifjoknh dks vkns'k fnukad ls vnk;xh fnukad rd 9 izfr'kr izfro"kZ dh nj ls C;kt djsaÞ mijksDr vkns'k ls vlarq"V gksdj ;g vihy vukosndx.k }kjk izLrqr dh xbZ gSA 3& mHk;i{kksa dks lqukA 4& vihykFkhZ ds fo}ku vf/koDrk us fyf[kr ,oa ekSf[kd ls viuk i{k izLrqr dj rdZ esa ;g crk;k fd foi{kh Øekad&1 ds vLirky esa ifjoknhx.k us viuh eka dks fnukad 15-02-06 dks HkrhZ fd;k vkSj vYVªk lksuksxzkQh rFkk ,Q-,u-,- VsLV djokus ij irk pyk fd mldh eka dks czsLV dsUlj gS vkSj fnukad 21-02-06 dks ifjoknhx.k dh eka dks HkrhZ djrs gq, fnukad 22-02-06 dks ifjoknhx.k dh eka dk vLirky esa vkijs'ku fd;k x;kA vkijs'ku djus ds iwoZ fu;ekuqlkj vkijs'ku gsrq lgefr izkIr dh xbZ FkhA ifjoknhx.k dh eka iwoZ esa rEckdw [kkrh Fkh vkSj fiNys 25 lkyksa ls rEckdw [kkrh vk jgh gS vkSj mUgsa Lumpectomy dh f'kdk;r jgh gS vkSj 20&25 lky igys ifjoknhx.k dh eka dk bykt dkVtw gkWfLiVy] Hkksiky esa bykt pykA foi{kh Øekad 2 o 3 MkWDVj ;ksX;rk izkIr MkWDVj gSA mudh ;ksX;rk esa dksbZ deh ugha gSA fnukad 09-03-06 ls fnuka 13-03-06 ds chp ifjoknhx.k dh eka ds bykt esa dksbZ ykijokgh ugha cjrh xbZ gSA bykt ds nkSjku dksbZ vlkekU; fLFkfr ugha ns[kh xbZ gSA fnukad 11-03-06 dks bl ckr dk irk pyk fd ifjoknhx.k dh eka dh Ropk esa yky /kCcs gk jgs gS ftl ij foi{kh Øekad 3 MkW- euh"k jkBkSj Ropk jksx fo'ks"kK dks fn[kk;k x;k vkSj foi{kh Øekad 3 us viuh ;ksX;rk vuqlkj nokbZ;kW nh vkSj mUgksaus ik;k fd nokbZ;ksa ls ,ythZ gksus ds dkj.k 'kjhj ij yky /kCcs gks jgs gSA ifjoknhx.k dh eka dks vPNs vkSj mPp fdLe ds ,aVhck;ksfVd Hkh fn;s x;s gSA ifjoknhx.k Hkksiky eseksfj;y gkWfLiVy ds fMLpktZ djus ds ckn] iqu% muds vLirky esa viuh eka dks bykt gsrq ugha vk;s gSA foi{khx.k }kjk bykt esa dksbZ ykijokgh ugha cjrh xbZ gS vkSj muds }kjk lsok esa dksbZ deh ugha dh xbZ gS vkSj vihy Lohdkj dj ifjokn [kkfjt djus dk fuosnu fd;k gSA rdZ ds nkSjku mVhZdfj;k ¼URTICARIA½ gkbZDl rFkk LVfoal tkUlu flaMªkse ¼,lts,l½ chekjh dk lkfgR; izLrqr dj crk;k fd ;g chekjh fdlh Hkh nokbZ ds fj;sD'ku ls ;k rkieku] ,ythZ bR;kfn dbZ 5 dkj.k ls gks ldrh gSA vukosnd ds bykt esa ykijokgh ls ;g chekjh dh fLFkfr gqbZ gks] ,slk izek.k is'k ugha gqvkA gj ckj nokbZ;ka nsrs le; ,ythZ dk VsLV djkdj nokbZ nh tk,] t:jh ugha jgrk gSA vukosnd dk vLirky dsalj ds jksx ds bykt ds fy;s gSA dsalj ds jksx ds bykt ds nkSjku ;fn dksbZ vU; f'kdk;r gksus ij fo'ks"kK dks cqykdj bykt fd;k x;k Fkk] bl rF; ij fo}ku ftyk vk;ksx us /;ku ugha fn;kA 5& izfrvihykFkhZ ds fo}ku vf/koDrk us rdZ esa crk;k fd ifjoknhx.k dh eka Jherh meknsoh dk vkWijs'ku MkW- jfo xqIrk us fd;k tcfd lqnhi vxzoky ls vkWijs'ku djokus gsrq crk;k FkkA MkW- ';ke vxzoky o MkW- lqnhi vxzoky us vkWijs'ku ugha fd;kA ifjoknhx.k dks MkW- jfo dqekj xqIrk ls vkWijs'ku djk;s tkus dh dksbZ tkudkjh ugha nh xbZA MkW jfo dqekj xqIrk ls vkijs'ku dh ifjoknhx.kksa ls dksbZ lgefr ugha yh xbZA ftl MkW- lqnhi vxzoky }kjk vkWijs'ku djok;k tkuk Fkk mldh txg MkW - jfo dqekj xqIrk ls fcuk lgefr ds gh vkWijs'ku djk;k] ;g fpfdRldh; ykijokgh gSA rdZ esa ;g Hkh crk;k fd Jherh mek nsoh ds vkWijs'ku ds le; xokg ds :i esa iq= ds gLrk{kj gksuk crk;s gS tcfd is'ksUV ds dksbZ iq= gh ugha Fkk lHkh iqf=;kW gSA vr% QthZ :i ls lgefr esa iq= ds uke ls gLrk{kj fdlh vU; O;fDr ls djk, ;k Lo;a vLirky okyksa us gLrk{kj fd;s] ;g Hkh fpfdRldh; ykijokgh gSA MkW- jfo dqekj xqIrk ls vkWijs'ku djk;s tkus ds ckn 7&8 fnu esa gh Jherh meknsoh dks ifjokn esa mYys[kkuqlkj cq[kkj] isVnnZ] nLr bR;kfn dh f'kdk;r gqbZ FkhA vukosndx.k }kjk bl f'kdk;r ds bykt ds fy, dksbZ CyM VsLV ugha djk,A is'ksUV dks eysfj;k ;k Vk;QkbZM dh dksbZ f'kdk;r ugha Fkh fQj Hkh eysfj;k ,oa Vk;QkbZM dk bykt fd;kA ;fn le; ij CyM VsLV djk;k tkrk rks is'ksUV dks tks bUQsD'ku gqvk Fkk mldh tkudkjh izkIr gks ldrh FkhA is'ksUV dk le; ij bykt gksrk rks mldh fLFkfr [kjkc ugha gksrhA ftyk vk;ksx us lHkh rF;ksa ij fopkj dj vkns'k ikfjr fd;k gS mlesa gLr{ksi dk dksbZ vk/kkj ugha gSA 6& rdksZa dk voyksdu fd;kA vfHkys[k dk voyksdu fd;kA 7& vfHkys[k vuqlkj ;g fufoZokfnr gS fd Jherh meknsoh dks czsLV dsalj gksus ls fnukad 22-02-06 dks MkW- jfo dqekj us czsLV dsUlj dk bykt dj cszLV fudkyk FkkA Jherh meknsoh dks fnukad 01-03-06 dks fMLpktZ Hkh dj fn;k FkkA fnukad 09-03-06 dks is'ksUV 6 Jherh meknsoh dks cq[kkj] isVnnZ] nLr dh f'kdk;r gksus ij mUgsa MkW - Jherh dksyVdj dks fn[kk;kA mlds ckn fnukad 09-03-06 dks vukosnd Øekad&1 ds vLirky esa HkrhZ fd;k ;gkW ij isVnnZ dk dkj.k irk yxkus ds fy, eysfj;k Vk;QkbZM ,oa vU; VsLV lksuksxzkQh djok,A fnukad 11-03-06 dks 'kke 5-30 cts isV ds fo'ks"kK MkW- lat; vxzoky dks fn[kk;kA is'ksUV dh baMksLdksih Hkh dh xbZA fnukad 11-03-06 dks iqu% lksuksxzkQh Hkh dh xbZA fnukad 11-03- 06 dks lksuksxzkQh esa NksVh vkar esa lwtu gksuk crk;kA MkW -lat; vxzoky dh lykg ij baMksLdksih djkus ij baMksLdksih esa Hkh vkarks esa lwtu gksuk crk;kA fnukad 11-03-06 dks is'ksUV Jherh meknsoh dh Ropk ij yky jax ds /kCcs fn[kkbZ nsuk izkjaHk gks x;s FksA fnukad 11-03- 06 dks gh jkf= 09-30 cts Ropk fo'ks"k MkW- euh"k jkBkSj dks fn[kk;k mudh lykg ij nokbZ;kW] batsD'ku fn;sA ifjoknhx.k ds dFku vuqlkj eka dh rfc;r vR;f/kd [kjkc gks xbZ og fdlh dks igpku ugha ik jgh FkhA 8& ifjoknhx.k ds vuqlkj fnukad 12-03-06 dks eka dh gkyr [kjkc gks xbZ dksbZ VsLV ugha djok;s] fo'ks"kK ugha cqyk;s rFkk fnukad 10-03-06 dks Ropk fo'ks"kK MkW- ,u-,l- vxzoky dks fn[kk;kA ifjoknhx.k ds vuqlkj fnukad 09-03-06 ls 13-03-06 ds e/; Jherh meknsoh dk bykt vukosnd ds vLirky esa vukosndx.k }kjk fd;k x;k blesa dksbZ VsLV ugha djk, tkus ls is'ksUV dh gkyr [kjkc gksus ds vkjksi gSA 9& ftyk vk;ksx dk fu"d"kZ bl izdkj gS fd& ^^ ifjoknhx.k ds vuqlkj os viuh ekW dks Hkksiky eseksfj;y gkWfLiVy ds LFkku ij fpjk;q gkWfLiVy Hkksiky esa ys x;s vkSj tgkW ij fnukad 13@03@2006 ls fnukad 20@03@2006 rd mudh eka dk bykt pyk vkSj ifjoknhx.k dh eka dh e`R;q fnukad 20@03@2006 dks gks xbZAÞ ^^ tSlk fd Åij mYysf[kr dj fn;kx;k gS fd ifjoknhx.k dh eka ds fnukad 09@03@2006 ls fnukad 13@03@2006 ds bykt ds ipsZ tks vusDpj ih&6 ls ih&12 gS ftlesa foi{khx.k }kjk dsoy vYVªk lksuksxzkQh ,oa eysfj;k VsLV djok;k x;k gS vU; dksbZ VsLV ugha djok;s x;s gS tcfd fpjk;q gkWfLiVy Hkksiky esa Jherh meknsoh ds HkrhZ jgus ds nkSjku fnukad 13@03@2006 ls fnukad 17@03@2006 rd ;wfju] CyM VsLV vkfn djok;s gS vkSj ftlds voyksdu ls ik;k tkrk gS fd fnukad 13@03@2006 dks WBC Count1100 gks x;k Fkk tks efgykvksa esa lkekU;r osY;w 4500 ls 11000/Cu mm gksuh pkfg, 7 vkSj VksVy izksVhu 4-7 xzke ik;k x;k tcfd lkeU; osY;w 6 ls 8 xzke gksuh pkfg,A fnukad 14-03-2006 dks Haematoloty djk;s tkus ij WBC Count 600 rRi'pkr~ fnukad 15-03-2006 dks WBC Count400 rRi'pkr~ 300 gks x;k tks ;g n'kkZrk gS fd WBC Count de gksrs x;kA foi{khx.k us fnukad 09- 03-06 ls fnukad 13-03-06 rd u rks dEIyhV CyM VsLV] u gh dYpj VsLV djok;k gSA foi{khx.k dk dguk gS fd bykt esa dksbz ykijokgh ugha cjrh xbZ gS vkSj ifjoknhx.k dh eka dks vk/kqfud ls vk/kqfud ,aVhck;ksfVd nh xbZ gSA ;fn foi{khx.k us ifjoknh dh eka dk dEIyhV CyM VsLV] dYpj VsLV djk;k gksrk rks ,aVhck;ksfVd nsuk vklku gksrk vkSj ;g Hkh irk py tkrk fd dkSu lh ,aVhck;ksfVd lwV dj jgh gS vFkok ughaA foi{khx.k us ifjoknhx.k dh eka dk dEIyhV CyM VsLV] dYpj VsLV u djokus dk dksbZ dkj.k Hkh ugha crk;k gSAÞ ^^ ekuuh; jk"Vªh; }kjk izfrikfnr U;k; n`"Vkar Dinesh Jaiswal (deceased) through L Rs. and Others Vs. Bombay Hospital and Medical Research Center and another 2010 CTJ 392 (CP) (NCDRC)okys ekeysa esa ;g dgk x;k gS fd ,d MkWDVj nwljs MkWDVj ds fo:) de cksyrk gSA ysfdu orZeku ekeysa esa izdj.k voyksdu ij ik;k tkrk gS fd cgl ds nkSjku MkW- ';ke vxzoky] MkW- jfo xqIrk ds lkFk&lkFk MkW- xks;udk fpjk;q vLirky dks cqyk;k x;kA MkW- xks;udk fpjk;q vLirky Hkksiky us fnukad 18@01@2010 dks ;g crk;k fd uoksn; vLirky Hkksiky }kjk tks VªhVesaV izLrqr fd;k x;k gS mlesa fnukad 09-03-06 ls fnukad 13-03-06 ds chp dksbZ dEIyhV CyM VsLV] dYpj VsLV djk;k tkuk bafxr ugha gksrk gS vkSj foi{kh Øekad&1 o 2 ds vf/koDrk ls iwNk x;k rks mUgksaus crk;k fd mDr vof/k esa mDr VslV ugha djok;s gSA fpjk;q vLirky Hkksiky }kjk fn;k x;k fMLpktZ fVfdV ,&8 ds voyksdu ls Li"V gS fd ifjoknhx.k dh eka dh e`R;q lsIVhlhfe;k] gkVZvVsd o dsUlj ls gqbZ gSA lsIVhlhfe;k;g n'kkZrk gS fd ifjoknhx.k dh eka dks vR;f/kd bUQsD'ku Fkk vkSj ;fn foi{khx.k }kjk mDr VsLV djok;s tkrs rks mUgsa enn feyrh vkSj bUQsD'ku ij fu;a=.k gks ldrk Fkk vkSj csgrj bykt gks ldrk FkkA ysfdu foi{khx.k }kjk ,slk ugha fd;k x;kA foi{khx.k }kjk ifjoknhx.k dh eka dk mDr VsLV u djokus ls ,slk izrhr gksrk gS fd foi{khx.k dsoy laHkkoukvksa ij gh bykt djrs jgs gSA foi{khx.k us ifjoknhx.k dh eka dk dksbZ dEIyhV CyM VsLV] dYpj VsLV ugha djok;k vkSj ;g Hkh ugha crk;k gS fd dkSu lh nokbZ;k fdl fy, nh xbZ Fkh vkSj fdl nokbZ ls fj,D'ku gqvk gSA vr% ,slh fLFkfr esa foi{khx.k }kjk fuf'pr rkSj ij =qfV dh xbZ gSAÞ 8 ^^ ekuuh; mPpre U;k;ky; }kjk izfrikfnr mDr U;k; n`"Vkar ds izd'k esa orZeku ekeysa dks rksys rks mDr foospuk ls ;g izrhr gksrk gS fd foi{khx.k us fuEufyf[kr =qfV dh gS %& 1- foi{khx.k }kjk ifjoknhx.k dh eka dk fnukad 09-03-2006 ls 13- 03-06 ds chp bykt izkjaHk djus ds iwoZ vFkok bykt ds nkSjku dEiyhV CyM VsLV ,oa dYpj VsLV ugha djok;k x;kA 2- foi{khx.k }kjk vkns'k ds iSjk&15 esa of.kZr U;k; n`"Vkar esa fn;s x;s fl)kar ds vuqlkj fu;ekuqlkj dUlsaV ugha yh xbZ gS] vkWijs'ku dk izHkko] thou dks [krjk rFkk vkWijs'ku djus okys ltZu dk uke ugha crk;k gSAÞ ^^ bl izdkj foi{khx.k }kjk Jherh meknsoh ds bykt esa ?kksj ykijokgh cjrdj fuf'pr rkSj ij lsok esa deh dh xbZ gS ftlls ifjoknhx.k foi{khx.k ls {kfriwfrZ izkIr djus dk vf/kdkj j[krh gSAÞ 10& vfHkys[k ds vuqlkj Jherh meknsoh dks fnukad 13-03-06 dks eseksfj;y gkWfLiVy esa ys tkus dh lykg nh xbZ vkSj vLirky }kjk bykt ugha djus ij Jherh meknsoh dks fpjk;w vLirky ys x;s ogkW fnukad 20-03-06 dks Jherh meknsoh dh e`R;q gqbZA vfHkys[k ij fpjk;w vLirky ds bykt ds tks ipsZ izLrqr gq, mudk voyksdu fd;k x;kA 11& fpjk;w vLirky esa is'ksUV fnukad 13-03-06 dks tc ,MfeV gqvk mldh History Sheet esa fuEukuqlkj rF; vafdr fd;s gS %& Presenting Complaints :
H/O <a breast (Infilrat ductal carcinoma) Operated last month Admission-complaint with Fever H/C with CIR, Loose motion, Abdominal Pain 10 days back H/O Present Illness :
taken I/V scud/falcigo/tiniba -not responded. Later devlops skin reaction mucosal erosions ased as a case on Toxic clrid mecrosis (S/B Dr. N.S. Agrawal today morning (as per telephohe talk).
Past History :
Operat c/o on CA breast 12& fpjk;w vLirky esa tc fnukad 13-03-06 ls 20-03-06 rd is'ksUV HkrhZ jgk rFkk vLirky us tks CyM VsLV djk, ;k vU; dksbZ VsLV djk;k gks] ftlls ;g fu"d"kZ fudyrk 9 gks fd is'ksUV dk fnukad 09-03-06 ls 13-03-06 ds e/; tks bykt fd;k x;k og bykt lgh ugha Fkk rFkk tks VsLV fpjk;w vLirky us djk, og VsLV ;fn igys gks tkrs rks is'ksUV dh gkyr bruh xaHkhj ugha gksrh] ,slh dksbZ izek.k] vfHker] fo'ks"kK fjiksVZ ftyk vk;ksx esa izLrqr ugha gqbZ gSA 13& fpjk;w vLirky us ;k fdlh fo'ks"kK us ,slk dksbZ er ugha fn;k ftlls ;g ekuk tk lds fd fnukad 09-03-06 ls 13-03-06 ds e/; tks bykt gqvk og bykt lgh ugha Fkk rFkk tks VsLV djk, mlds vykok vU; VsLV djk, tkus t:jh Fks vkSj mu VsLV dks ugha djkus ls is'ksUV Jherh meknsoh dh gkyr xaHkhj gqbZ gSA 14& fpjk;w vLirky esa e`R;q dk dkj.k History Sheet esa fuEukuqlkj crk;k gS%& Septicemia, heart attack, cancer, ;g chekjh vukosnd ds bykt ds dkj.k gksus ckcn Hkh fo'ks"kK dh fjiksVZ ugha gSA 15& ftyk vk;ksx us vius vkns'k esa ykijokgh ds vk/kkj esa is'ksUV dks MkWDVj ds vykok vU; MkWDVj ls vkWijs'ku djkuk] is'ksUV ,oa ifjokj ds lnL;kas dh fof/kor~ lgefr ugha ysuk rFkk bykt ds nkSjku vko';d CyM VsLV ugha djk;s tkus dk vk/kkj ekudj ykijokgh ekuh gSA 16& vfHkys[k ds vuqlkj MkW- jfo dqekj xqIrk us bykt esa dksbZ ykijokgh dh gks ,slk dksbZ dFku ifjoknhx.k dk ugha gS rFkk ykijokgh fd;s tkus dk vkjksi Hkh ugha yxk;k gSA dksbZ ,sls rF; Hkh izLrqr ugha gq, fd MkW- jfo dqekj xqIrk us tks vkWijs'ku fd;k og ykijokghiw.kZ fd;k FkkA 17& eq[; vkjksi gS fd fnukad 09-03-06 ls 13-03-06 ds chp tks bykt fd;k ml bykt esa dEIyhV CyM VsLV] dYpj VsLV ugha djok;k tkuk ekudj ykijokgh gksuk crkbZ xbZA ftyk vk;ksx us bls ykijokgh ekuk gSA 18& vfHkys[k vuqlkj ;g Li"V gS fd ifjoknhx.kkas ,oa is'ksUV us tkWp djkbZ FkhA tkWp esa czsLV dsUlj crk;k x;k FkkA vukosndx.k us czsLV dsUlj ds bykt gsrq czsLV 10 fudyokus dh lykg nh Fkh] mlh lykg ds vk/kkj ij ifjoknhx.k ds is'ksUs V dks vukosndx.k ds vLirky esa czsLV dks fudyokus ds fy;s HkrhZ djk;k FkkA czsLV fudyokus ds fy;s gh vukosndx.k ds }kjk vLirky esa vko';d tkWpsa dh xbZ ,oa czsLV fudkyus dh dk;Zokgh dh xbZA vukosndx.k dh lykg ij gh vukosndx.k ds ;gkW ij is'ksUV] mlds ifjokj ds lnL; vLirky esa czsLV fudyokus ds fy;s gh HkrhZ gqvk Fkk] blls ;g Li"V gS fd is'ksUV cszLV fudyokus ds fy;s lger Fkk] is'ksUV us bldh lgefr Hkh nh Fkh bls vukosndx.k }kjk Lohdkj Hkh fd;k x;k gS fdUrq ifjokj ds lnL; xokg ds :i esa ftl O;fDr ds gLrk{kj gS og ifjokj ds lnL; ds ugha gksuk crk;k gS blh vk/kkj ij ykijokgh dk vkjksi ifjoknhx.k dk gS] ;g vkjksi mijksDr izdk'k esa lgh ugha ekuk tk ldrk] tc is'ksUV vkWijs'ku ds fy;s Lo;a vk;k gS] og lgefr nsus ds fy;s l{ke Fkk] mlus lgefr nhA ,slh fLFkfr esa lgefr ij ifjokj ds lnL;ksa ds gLrk{kj ugh gksus ;k lgefr i= ij fdlh MkWDVj dk uke ugha gksus ls ;g fu"d"kZ ugha fudkyk tk ldrk fd bykt esa ykijokgh FkhA 19& vihykUV ds fon~oku vfHkoDrk us URTI CARIA ckcn~ fyVjspj izLrqr dj crk;k fd ;g chekjh dbZ dkj.k ls gksrh gSA fdlh Hkh nokbZ ds fj,D'ku ls ;g chekjh gks ldrh gSA gj nok gsrq fj,D'ku dh tkWp djuk t:jh Hkh ugha jgrk gSA is'ksUV }kjk isV] cq[kkj ,oa Ldhu ds lac/a k esa tks f'kdk;r crkbZ Fkh mlds fy;s fo'ks"kKksa dks vukosndx.k }kjk fn[kk;k x;k FkkA fo'ks"kKksa us is'ksUV dks ns[kdj mldh tkWp dj tks nokbZ nh Fkh og nokbZ;kW is'ksUV dks nh xbZA ;fn ,DliVZ isV ds fo'ks"kK rFkk Ropk jksx fo'ks"kK bR;kfn us fdlh Hkh VsLV djkus dh lykg ugha nh] mUgsa VsLV djkus dh vko';drk eglwl ugha gqbZ rks mudh rjQ ls dksbZ ykijokgh muds }kjk dh xbZ ;g ekuk tk, rks mUgsa ifjoknhx.k us i{kdkj ugha cuk;k rFkk mu ij vkjksi Hkh ugha yxk,A ;wfVdsfj;k ¼fiRrh½] rkieku esa cnyko] ,ythZ bR;kfn [kkus dh phtksa bR;kfn ls Hkh gksrh gS] ;g ,d rjg dk peZ jksx gS tks ,ythZ ls gksrk gSA izLrqr fyVjspj vuqlkj isuhflji ukWu LVsjkWbZMy ,UVhckbZfVd] ,fUVdks Cyw ysM baVhdksV vksjy ,aVh ¶;waxy bR;kfn ls gksus dk mYys[k gSA 20& LVsoUl~ tkWulu flUMªkse (Stevens Johnson Syndrome) ;k Ldhu ,ythZ dh chekjh dk bykt fpjk;w vLirky us fd;k gks] ;g fl) ugha gS bl chekjh esa MkWDVj dks rqjar bykt djuk gksrk gSA LVsoUl~ tkWulu flUMªkse (Stevens Johnson Syndrome) ;g 11 ,d js;j rFkk Unpredicatble ¼xaHkhj o nqyZHk½ chekjh gksrh gS] blesa fM&gkbZMªs'ku] CyM bUQsD'ku] vkar dh leL;k] QsQM+s izHkkfor gksuk] Ropk dh [kjkch bR;kfn gks tkrh gSA is'ksUV us isVnnZ] cq[kkj bR;kfn dh f'kdk;r dh ml le; MkWDVj }kjk tkWp esa CyM VsL V dh vko';drk is'ksUV ds fnukad 09&03&06 dks iqu% HkrhZ gksus ij ml le; ugha le>hA vr% muds }kjk bykt dh tks lykg nh ml lykg ij gh vukosnd ds vLirky esa bykt gqvk blls vukosndx.k dh bykt esa ykijokgh ugha ekuk tk ldrkA 21& vihykUV us U;k; n`"Vkar III 2007 CPJ 106 jk"Vªh; vk;ksx ,e-,y-ikfj[k ¼MkW- ½ fo:) ohjkuw ckbZ fjV ihfV'ku uEcj 123@2007 fnukad 27&2&2007 MkW- ,e-,y- ikfj[k dk izLrqr fd;k Fkk mlesa MkW- ,e-,y- ikfj[k us ifjoknh }kjk >wBh f'kdk;r fd;k tkuk crkdj {kfriwfrZ ds fy;s jk"Vªh; vk;ksx esa fjfotu ihfV'ku nk;j dh Fkh tks jk"Vªh; vk;ksx us fujLr dh gSA vihykUV us U;k; n`"Vkar 2021 lqizhe dksVZ dsl 291 MkW-gjh'k dqekj fo:) tksxsUnjflag flfoy vihy uEcj 7380@2009 dk vkns'k fnukad 7 flrEcj 2021 dk U;k; n`"Vkar izLrqr fd;k blesa ekuuh; mPpre U;k;ky; us ;g fu/kkZfjr fd;k fd fpfdRlk esa ykijokgh ds lac/a k esa izkEIV esfMdy bfoMsl a t:jh gSA flfoy ltZu ;k etsfLVª;y tkWp ds vk/kkj ij fpfdRldh; ykijokgh ugha ekuh tk ldrhA U;k; n`"Vkar IV 2007 CPJ 256 xkSjo fo:) ,LdkVZ fyfeVsM fjfotu ihfV'ku uEcj 660@2002 vkns'k fnukad 7&9&2002 esa nok ds fj,D'ku ls is'ksUV chekj gksuk rFkk ckn esa mldh e`R;q gksus ds rF; gSA MkWDVj }kjk tks nok nh xbZ ;fn mlls dksbZ bUQsD'ku gks tkrk rks mlds fy;s MkWDVj dks nks"kh ugha ekuk x;k gSA 22& vihykUV us U;k; n`"Vkar III 2007 CPJ Page 106 (NC) jk"Vªh; vk;ksx ,e- ,y-ikfj[k ¼MkW-½ fo:) ohjkuw ckbZ fjV ihfV'ku uEcj 123@2007 fnukad 27&2&2007 esa is'ksUV dks Ldhu dh chekjh gqbZA chekjh dk bykt fd;s tkus ds nkSjku Ldhu fj,D'ku gqvkA Ldhu fj,D'ku ds fy;s nok fizLØkbZCM dh xbZA eysfj;k ,oa ,UVh Qhoj fVªVesUV dh nok nh xbZA Ldhu fj,D'ku ds fy;s vkbZUesUV fizLØkbZCM fd;k x;k blh nkSjku is'ksUV dks Stevens Johnson Syndrome gks tkus ls is'ksUV dks vLirky esa HkrhZ fd;kA is'ksUV e`r gqvkA bl izdj.k esa ftyk vk;ksx us fpfdRldh; ykijokgh ugha ekuh] jkT; vk;ksx ,oa 12 jk"Vªh; vk;ksx us Hkh fpfdRldh; ykijokgh ugha ekuh gSA U;k; n`"Vkar lqizhe dksVZ 2010 III Cases 480 dqlqe 'kekZ fo:) crjk gkWfLiVy esa ekuuh; mPpre U;k;ky; us ;g fu/kkZfjr fd;k fd bykt djus okys MkWDVj ds ikl fjtuscy fMxzh vkWQ Ldhy ,oa bykt dk ukWyst gksuk pkfg, mlds vius Kku vuqlkj is'ksUV dks bykt fd;s tkus ij ;fn is'ksUV Bhd ugha gksrk gS rks blds fy;s MkWDVj tokcnkj ugha ekuk x;k gS ;fn MkWDVj us fu/kkZfjr izfØ;k izksfltj ds vuqlkj bykt ugha fd;k rHkh MkWDVj dh fpfdRldh; ykijokgh ekuh tk ldrh gSA bykt esa LVs.MMZ vkWQ ds;j dh xbZ gks rks og ykijokgh ugha gSA 23& vfHkys[k ij ,slk dksbZ izek.k izLrqr ugha gqvk fd fnukad 09-03-06 ls 13&03&2006 ds chp vLirky esa tks bykt gqvk bl laca/k esa vLirky us MkWDVjksa dh lykg ij tks VsLV djk, ml VsLV ds vykok dEIyhV CyM VsLV] dYpj VsLV vLirky ds }kjk djk;k tkuk t:jh Fkk vkSj og VsLV ugha djk, tkus ls gh is'ksUV dh gkyr xaHkhj gqbZA 24& mijksDr foospuk ds izdk'k esa ftyk vk;ksx dk vkns'k fLFkj j[ks tkus ;ksX; ugha gksus ls vihy Lohdkj dj ftyk vk;skx dk vkns'k fujLr fd;k tkrk gSA 25& vihy dk O;; mHk;i{k Lo;a viuk&viuk ogu djsx a sA ¼U;k;ewfrZ 'kkaruq ,l-dsedj½ ¼,l-,l- caly½ ¼MkW- eksfudk efyd½ v/;{k lnL; lnL;
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