State Consumer Disputes Redressal Commission
Ratnendra Hirawat Hospital And ... vs Narayan S/O Devilal Ji Gurjar on 16 June, 2020
1 jkT; miHkksDrk fookn izfrrks"k vk;ksx] cSap la[;k 1] jktLFkku] t;iqj vihy la[;k %& 1183@2019 Ratnendra Hirawat Hospital and Research Centre vihykFkhZ cuke Narayan & ors.
izR;FkhZx.k le{k % ekuuh; Jh dey dqekj ckxMh] lnL; ¼U;kf;d½ ekuuh; Jh jkeQwy xqtZj] lnL;
mifLFkr %& vihykFkhZ dh vkSj ls tfj;s ohfM;ksdzkQsflax Jh jkts'k eaFw kk vf/koDrk vkns'k fnukad 16 twu] 2020 jkT; vk;ksx jktLFkku t;iqj ¼}kjk Jh dey dqekj ckxM+h] lnL; ¼U;kf;d½ ;g vihy Ratnendra Hirawat Hospital and Research Centre dh vksj ls Narayan & ors. ds fo:) ftyk miHkksDrk fookn izfrrks"k eap] fpRrkSM+x<+ ds vkns'k fnukad 04-04-2018 ls O;fFkr gksdj is'k dh xbZ gSA izdj.k ds rF; bl izdkj gS fd ifjoknh us jRusUnz fgjkor eseksfj;y gkWfLiVy }kjk izpkj izlkj dj dSEiksa esa fu'kqYd vkijs'ku fd;s tkrs gSA xkao tksxf.k;k ekrk esa dSEi fnukad 18-01-2014 ls 21-01-2014 rd j[kk ftlesa ifjoknh us dSEi esa ekStwn ltZu dks fn[kk;k o tkap djus ij MkDVj us iFkjh dh chekjh 2 gksuk crk;k o vkWijs'ku dj Bhd djus dh fgnk;r nhA bl ij ifjoknh us foi{kh la[;k 1 o 2 }kjk yxk;s x;s dSEi esa ifjoknh dks 18-01-2014 dks HkrhZ fd;k o 20-01-2014 dks ifjoknh dh iFkjh dk vkWijs'ku fd;k] ijUrq ltZu MkDVj us Lo;a dh xQyr o ykijokgh o vlko/kkuh cjrrs gq, ifjoknh dh fdMuh dh ul dks dkV fn;k ftlls ifjoknh ds is'kkc ls [kwu cgus yxkA blds ckn Hkh ifjoknh dk foi{kh la[;k 1 o 2 ds v/khuLFk dk;Zjr ltZu MkDVj dks 20-01- 2014 dks fMLpktZ dj fn;k] ifjoknh dks egkRek xka/kh gkWfLiVy HkhyokM+k esa HkrhZ djk;k x;k MkW- Hkalkyh us ifjoknh dks pSd fd;k o tkap dj crk;k fd iFkjh dk vkWijs'ku djrs le; fdMuh dh ul ltZu MkDVj dh xyrh o ykijokgh ls dkV nh tkus ls is'kkc esa [kwu ugh :d jgk gSA bl ij fnukad 05-03-2014 dks vkWijs'ku fd;k o vkWijs'ku ds nkSjku ifjoknh ds 24 cksry [kwu dh p<+kbZ ysfdu vkWijs'ku ds ckn Hkh ifjoknh dks jkgr ugha feyh] blds ckn ifjoknh dks ,l-,e-,l- gkWfLiVy] t;iqj o flfoy gkWfLiVy vgenkckn esa Hkh fn[kk;k] ysfdu vkjke ugha gqvk vr% ifjoknh us ifjokn izLrqr dj 15]65]000@&:- dk vokMZ la;qDr ,oa i`Fkd i`Fkd :i ls tkjh djus o ekufld larki vkfn ds 5000@&:0 o ifjokn O;; ds 5000 fnykus dk fuosnu fd;kA foi{kh la[;k 1 dk tokc esa dFku gS fd foi{kh la[;k 1 dUgS;k yky fgjkor psfjVscy VªLV }kjk lapkfyr jRusUnz fgjkor gkWfLiVy ,d eseksfj;y gkWfLiVy gS tgkWa ij fu'kqYd bykt ,oa jktdh; Hkze.k'khy 'kY; fpfdRlk bdkbZ jktLFkku ds }kjk fd;s tkus okys vkWijs'ku ds fy, dsoy ek= jgus [kkus ihus ,oa jksxh dks HkrhZ djus gsrq txg dh O;oLFkk dh tkrh gS] ftldk dksbZ 'kqYd ugha fy;k tkrk gSA ifjoknh dk fu'kqYd bZykt fd;k x;k gS blfy, og dksbZ vuqrks"k izkIr ugha dj ldrk gS vr% muds fo:) ifjokn fujLr fd;k tk;saA foi{kh la[;k 2 o 4 dh vksj ls tokc esa dFku gS fd ifjoknh xqnsZ dh iFkjh ls xzflr Fkk ftls fnukad 18-01-2014 dks HkrhZ fd;k x;k o vkWijs'ku ls iwoZ tkaps dh x;h ,oa fnukad 20-01-2014 dks ifjoknh dk vkWijs'ku Hkze.k'khy 'kYp fpfdRld bZdkbZ t;iqj ds 'kY; fo'ks"kK MkDVj jkds'k xqIrk }kjk fd;k x;kA ifjoknh dh fLFkfr Bhd gksus ls fnukad 23-01-2014 dks leLr tkaps djus ds i'pkr~ fMLpktZ fd;k x;kA ifjoknh ds vkWijs'ku esa ykijokgh ugha dh x;h gSA blfy, ifjokn fujLr fd;k tk;saA foi{kh la[;k 3 dk tokc esa dFku gS fd foi{kh la[;k 3 us ,d izksQs'ku bUMsfEuVh ba';ksjsal ikfylh nh U;w bf.M;k ,';ksjsal daiuh ls ys j[kh gS tks 23- 3 10-2013 ls 22-10-2014 rd izHkkoh gSA foi{kh la[;k 3 dHkh Hkh egkRek xka/kh gkWfLiVy HkhyokM+k esa crkSj fpfdRld fu;qDr ugha jgk uk dHkh egkRek xka/kh gkWfLiVy] HkhyokM+k esa tokcnkj us dHkh lsok,a nh] tgkWa rd ,lvkj,y MkbXuksfLVd ysc dh tkapksa esa foi{kh la[;k 3 dk uke vafdr gksus ek= ls foi{kh la[;k 3 }kjk bZykt o tkWapas djkuk izekf.kr ugha gksrk gSA tc rd fd mDr tkapksa ds dksbZ fizlfdzI'ku fLyi ;k foi{kh la[;k 3 ds ;gkW dk dksbZ fMLpktZ fVfdV miyC/k ugha gksA vr% mlds fo:) ifjokn fujLr fd;k tk;saA cgl tfj;s fofM;ksdzksUQsflax lquh ,oa i=koyh dk voyksdu fd;kA ifjoknh ds fdMuh esas iFkjh Fkh bl laca/k esa Healthline esa fuEu crk;k x;k gS%& Kidney stones Kidney stones, or renal calculi, are solid masses made of crystals. Kidney stones usually originate in your kidneys. However, they can develop anywhere along your urinary tract, which consists of these parts:
kidneys ureters bladder urethra Kidney stones are one of the most painful medical conditions. The causes of kidney stones vary according to the type of stone.
Types of kidney stones Not all kidney stones are made up of the same crystals. The different types of kidney stones include:
Calcium Calcium stones are the most common. They're often made of calcium oxalate (though they can consist of calcium phosphate or maleate). Eating fewer oxalate-rich foods can reduce your risk of developing this type of stone. High-oxalate foods include:4
potato chips peanuts chocolate beets spinach However, even though some kidney stones are made of calcium, getting enough calcium in your diet can prevent stones from forming.
Uric acid This type of kidney stone is more common in men than in women. They can occur in people with gout or those going through chemotherapy.
This type of stone develops when urine is too acidic. A diet rich in purines can increase urine's acidic level. Purine is a colorless substance in animal proteins, such as fish, shellfish, and meats.
Struvite This type of stone is found mostly in women with urinary tract infections (UTIs). These stones can be large and cause urinary obstruction. They result from a kidney infection. Treating an underlying infection can prevent the development of struvite stones.
Cystine Cystine stones are rare. They occur in both men and women who have the genetic disorder cystinuria. With this type of stone, cystine -- an acid that occurs naturally in the body -- leaks from the kidneys into the urine.
foi{kh la[;k 1 dss lkStU; ls foi{kh la[;k 2 o 4 us tks tksxfu;kWa ekrk esa dSEi yxk;k tgkWa izkFkhZ dh tkWap djok;h] ckn tkWap ;g crk;k x;k fd ifjoknh ds fdMuh esa iFkjh gS tks vkWijs'ku djds fudkyuh iM+sxh ifjoknh ds Percutaneous nephrolithotomy uke dk vkWijs'ku fd;k x;kA 5 Percutaneous nephrolithotomy fuEu fLFkfr esa fd;k tkrk gS%& Percutaneous nephrolithotomy is typically recommended in the following situations:
Large kidney stones are blocking more than one branch of the collecting system of the kidney (known as staghorn kidney stones) Kidney stones are larger than 0.8 inch (2 centimeters) in diameter Large stones are in the ureter Other therapies have failed Before you undergo percutaneous nephrolithotomy, your doctor will perform several tests. Urine and blood tests check for signs of infection or other problems, and a computerized tomography (CT) scan determines where the stones are in your kidney.
bldh fuEu fjLd gS%&
Risks
The most common risks from percutaneous
nephrolithotomy include the following:
Bleeding Infection Injuries to the kidney or other organs Incomplete stone removal blds fuEu dkEiyhds'kUl gS%& Complications of Percutaneous Nephrolithotomy Of 582 patients who underwent percutaneous nephrolithotomy, 4% had complications. The most common complications were fever (23%) and bleeding necessitating transfusion (12%). Extravasation was seen in 7% of patients and transient ureteral obstruction in 6%. Other complications included pneumothorax or hydrothorax, pneumonia/atelectasis, paralytic ileus, nephrostomy-tube dislodgment or urine drainage from the flank lasting more than 1 week, significant infection, urinoma formation, renal pelvic laceration, ureteral avulsion, ureteropelvic or ureteral stricture, bowel injury, or escape of stone fragments into the retroperitoneum. Seven patients (1%) required immediate surgery: four to repair renal 6 pelvic lacerations, one to repair a ureteral avulsion, and two to control bleeding after nephrostomy-tube removal when embolization failed. Four patients required delayed surgery for ureteral or ureteropelvic junction strictures, which may have been caused by a tissue reaction to the stones rather than by the procedure itself. There were two deaths--one from respiratory failure in a patient with severe interstitial pulmonary fibrosis and chronic renal failure and the other from myocardial infarction in an obese diabetic patient with hypertension.
nwljh i)fr;kWa Lithotripsy tks fuEu izdkj gS %& What is lithotripsy?
Lithotripsy is a medical procedure used to treat certain types of kidney stones and stones in other organs, such as your gallbladder or liver.
Kidney stones occur when minerals and other substances in your urine crystallize in your kidneys, forming solid masses, or stones. These may consist of small, sharp- edged crystals or smoother, heavier formations that resemble polished river rocks. They usually exit your body naturally during urination.
However, sometimes your body can't pass larger formations through urination. This can lead to kidney damage. People with kidney stones may experience bleeding, severe pain, or urinary tract infections. When stones begin to cause these types of problems, your doctor may suggest lithotripsy.
How does lithotripsy work?
Lithotripsy uses sound waves to break up large kidney stones into smaller pieces. These sound waves are also called high-energy shock waves. The most common form of lithotripsy is extracorporeal shock wave lithotripsy (ESWL).
Extracorporeal means "outside the body." In this case, it refers to the source of the shock waves. During ESWL, a special machine called a lithotripter generates the shock waves. The waves travel into your body and break apart the stones.
ESWL has been around since the early 1980s. It quickly replaced surgery as the treatment of choice for larger kidney stones. ESWL is a noninvasive procedure, which means it doesn't require surgery. Noninvasive procedures are generally safer and easier to recover from than invasive procedures.
Lithotripsy takes about 45 minutes to an hour to perform. You'll likely be given some form of anesthesia (local, regional, or general) so you don't experience any pain.7
After the procedure, stone debris is removed from your kidneys or ureter, the tube leading from your kidney to your bladder, through urination.
nwljh Lithotripsy fuEu izdkj gS %& Lithotripsy for stones: What to expect Lithotripsy is a medical procedure that uses shock waves or a laser to break down stones in the kidney, gallbladder, or ureter.
The remaining particles of small stone will exit the body when a person urinates.
In this article, learn more about how the procedure works, the success rate, and how to prepare.
What is lithotripsy?
An extracorporeal shock wave lithotripsy machine uses shockwaves to break down stones.
It is common to develop stones in the kidneys, gallbladder, or ureter. Sometimes stones are small enough to leave the body during urination without a person noticing. Large stones, however, can cause pain and block the flow of urine.
If stones do not pass, they can damage the kidneys and urinary tract. When medications do not help, a lithotripsy procedure can break the stones down into small pieces so they can pass out in the urine.
The two types of lithotripsy are extracorporeal shock wave lithotripsy (ESWL) and laser lithotripsy.
Laser lithotripsy is sometimes abbreviated as FURSL (flexible ureteroscopy and laser lithotripsy) because doctors use a tool called a ureteroscope.
Both procedures can help eliminate bothersome stones quickly and effectively. The type of treatment a doctor recommends will depend on a range of factors, such as the type of stones and the individual's overall health.
ESWL ESWL uses shock waves to break down stones. During this procedure, a surgeon will use a machine called a lithotripter to aim sound waves directly at the stones through the body.8
The sound waves break down the stones into small pieces. The waves only affect stones and will not harm muscle, bone, or skin.
The procedure takes about 1 hour and usually takes place in a hospital. In most cases, a person can go home the same day.
After the treatment, a person should pass the stone particles over several days or weeks through urination.
FURSL This procedure involves using an endoscope to treat stones in the ureter. An endoscope is a flexible tube with a light and camera that helps a doctor see inside an organ or body cavity.
The doctor can see the stones using the endoscope and uses a laser to break them down. The procedure takes about 30 minutes, and most people can go home the same day.
The broken stone fragments should pass easily through urine in the days and weeks following the procedure.
vU; izkslhtj Ureteroscopy gS tks fuEu izdkj gS%& What is a ureteroscopy?
A ureteroscopy is an outpatient procedure most commonly done to treat stones in the ureters (the tubes that connect the bladder to the kidneys) or kidney. It may also be used to evaluate and treat other causes of kidney blockage or blood in the urine.
A ureteroscopy is done with a ureteroscope, a long, thin tube that has an eyepiece on one end and a tiny lens and a light on the other end. In general, there are two ways to perform ureteroscopy for stones:
If the stone is small, your doctor will insert a scope into the ureter to remove the stone. The type of scope used in this procedure will have a small basket at the end of a wire that is run through an extra channel in the ureteroscope. The basket is used to collect the stone. In cases when the stone is larger, your doctor will extend a flexible fiber through the scope up to the stone. With a laser beam shining through the scope, the doctor will break the stone into pieces small enough to be passed out of the body with urine.9
Based on the location, size, and what the stone is made of, your doctor will determine the best ureteroscopy treatment option for you.
bu lc esa phjk ugha yxkuk iM+rk gS rFkk ;g lsQ gSA orZeku esMhdy foKku ds vuqlkj ifjoknh dk tks bZykt fd;k og lgh ugha gS] [krjukd gS blds ifj.kkeLo:i gh ifjoknh dh Renal artery dV x;h rFkk ftlls Hkkjh CyhfMax gqbZ ifjoknh ds 24 cksry [kwu p<+kuk iM+kA ifjoknh ds Renal artery dV x;h] ftlds ifj.kkeLo:i [kwu vkus yxk bl ds laca/k esa Brazilian Journal of Nephrology esa fuEu crk;k x;k gS %& Renal artery pseudoaneurysm The renal artery pseudoaneurysm embody a rare vascular complication coming of percutaneous procedures, renal biopsy, nephrectomy, penetrating traumas and more rarely blunt traumas. The clinical can be vary according the patient, the haematuria is the symptom more commom. Is necessary a high level of clinical suspicion for your diagnosis, this can be elucidated by through complementary exams as the eco-color Doppler and the computed tomography scan (CT). This report is a case of a patient submitted a right percutaneous renal biopsy and that, after the procedure started with macroscopic haematuria, urinary tenesmus and hypogastric pain. The diagnosis of pseudoaneurysm was given after one week of evolution when the patient was hospitalized because gross haematuria, tachycardia, hypotension and hypochondrium pain. In the angiotomography revealed a focal dilation of the accessory right renal inferior polar artery, dilation of renal pelvis and all the ureteral course with presence hyperdenso material (clots) inside the middle third of the ureter. The treatment for the majority of this cases are conservative, through arterial embolization, indicated for thouse of smaller dimensions in patients who are hemodynamically stable. However, it was decided by clinical treatment with aminocaproic acid 1 g, according to previous studies for therapy of haematuria. The patient received discharge without evidence of macroscopic haematuria and with normal renal ultrasound, following ambulatory care.
Aneurysms are abnormal dilations of a blood vessel lumen, secondary to diseases or aggressions of the vascular wall. Depending on the involvement of the vascular layers, they can be classified into two types: true aneurysms and pseudoaneurysms. True aneurysms are dilatations with preservation of the three layers of the arterial wall - intima, medium and adventitia. Pseudoaneurysms are related to the lesion of one or more of the vascular layers.1 10 The renal artery pseudoaneurysm (RAP) is a rare vascular complication, which is etiologically associated with partial nephrectomy, percutaneous procedures, renal biopsy, penetrating trauma and, more rarely, blunt trauma.1-3 Among the causes, traumatic or iatrogenic are the most frequent.4 There are several complementary tests available for the diagnosis of this vascular lesion, such as Doppler ultrasonography, arteriography, angio-CT, renal scintigraphy and magnetic resonance imaging.2,3 Despite RAP being a rare complication stemming from factors such as renal biopsy, it bears unusual clinical detection and usually requires a high degree of clinical suspicion, since it is difficult to diagnose.3 Thus, this study is justified in order to better understand this rare vascular complication.
bl izdkj ifjoknh ds ihNs dej esa dV yxkdj fdMuh dk vkWijs'ku fd;k x;k rFkk iFkjh fudkyh x;hA ;gkWa ;g mYys[k djuk mfpr gksxk fd ;g i)fr lcls iqjkuh gSA fdMuh 'kjhj dk egRoiw.kZ vax gksrk gS ml ij dV yxuk dkQh [krjukd gksrk gSA orZeku esa bl VkbZi ds vkWijs'ku lekIr gks pqds gS] blds LFkku ij isful ls dsejk o bZulkbZMj Mkydj vYVªklkm.M ds tfj;s iFkjh dzs'k dj nh tkrh gS rFkk DJ Stent yxkus ds ckn mlds VqdM+s is'kkc ds tfj;s vk tkrs gSA blls Hkh vkxs tks i)fr pyh gS mlesa dSejk e; ystj fdj.k ds Mkyk tkrk gS tks isful ds tfj;s ;wjsFkj] ;wjsFkj ls ;wfju CysM] ;wfju CysM j ls ;wjsVj o ;wjsVj ls fdMuh rd igqWaprk gS] ystj fdj.k ds tfj;s iFkjh dzs'k dj nh tkrh gS rFkk mlds ckn bULVªqesVa fudkydj DJ Stent yxk fn;k tkrk gS rFkk ;wfju ds tfj;s iFkjh dk pwjk ckgj tk tkrk gSA nksuksa gh i)fr esa fdMuh ij dV yxkus dh vko';drk ugha gksrh gSA bl izdkj ftl i)fr ls ifjoknh dk vkWijs'ku fd;k x;k og cgqr iqjkuk gS rFkk cgqr [krjukd gS] ifjoknh ds vkWijs'ku ds ckn DJ Stent yxk;k x;k tks ;wfju ikl djus ds fy, yxk;k x;k Double J Stent ds ckjs esa fuEu izdkj crk;k x;k gS%& What is a stent?
A stent is a soft, hollow, plastic tube. Ureteral stents are placed temporarily into the ureter which is the tube that drains urine from the kidney into your bladder. The stent allows drainage around a stone or can speed up healing after stone surgery.
What is a Double-J stent?11
A double-J stent is a ureteral stent with curving ends that prevent the stent slipping into the bladder or the kidney.
Fig. 3: A Double-J stent is inserted to make sure urine can flow through the urinary tract.
Why is a stent needed?
Stents are used for various reasons in patients with kidney stones. They can be placed to help reduce sharp pain from a stone (renal colic) or to allow drainage when infection is present or when a stone prevents a kidney from working adequately. Stents are commonly placed after surgery for stones (for example, ureteroscopy) to allow healing and to ensure that swelling does not block the drainage of urine after the procedure.
How is the procedure performed?
The procedure is usually performed with the patient asleep (under general anaesthesia). Sometimes a local anaesthetic, with or without sedation, is administered.
During this procedure, a tube with a tiny optic camera is inserted through the urethra into your bladder. The bladder is inspected, and the ureteric opening is located. The urologist may use x-ray images taken with a contrast agent (dye) in the ureters to assess the urinary tract and to locate the obstruction.
The stent is placed during surgery by sliding it over a guidewire placed in the ureter (the tube that drains urine from the kidney into your bladder).12
ifjoknh ds vkWijs'ku ds ckn is'kkc esa [kwu vkus yxk tks xyrh ls dgha dV yxus ds dkj.k gqvk bldks Hematuria dgrs gS es;ks fDyfud esa bl laca/k esa fuEu crk;k x;k gS %& Blood in urine (hematuria) Overview Seeing blood in your urine can be alarming. While in many instances the cause is harmless, blood in urine (hematuria) can indicate a serious disorder.
Blood that you can see is called gross hematuria. Urinary blood that's visible only under a microscope (microscopic hematuria) is found when your doctor tests your urine. Either way, it's important to determine the reason for the bleeding.
Treatment depends on the cause.
Symptoms Gross hematuria produces pink, red or cola- colored urine due to the presence of red blood cells. It takes little blood to produce red urine, and the bleeding usually isn't painful. Passing blood clots in your urine, however, can be painful.
Bloody urine often occurs without other signs or symptoms.
bl izdkj ifjoknh ds dgh xyrh ls dV yx tkus ds dkj.k CyhfMax 'kq: gqbZ ;wfju esa CyM vkus yx x;k tks fuf'pr :i ls vkWijs'ku djus okys dh vlko/kkuh gSA vihy esa eq[; :i ls ;g dgk x;k gS fd foi{kh la[;k 1 VªLV gS mlus ljdkjh py fpfdRld tks dSEi yxkrs gS mudks LFkku lqfo/kk vkfn miyC/k djok;h Fkh dksbZ 'kqYd ugha fy;k Fkk blfy, mudk nkf;Ro gh ugh gSA bl laca/k esa (1996) 2 SCC 634 ACHUTRAO HARIBHAU KHODWA AND OTHERS V/S STATE OF MAHARASHTRA AND OTHRES esa ekuuh; loksZPp 13 U;k;ky; us fuEu fu/kkZfjr fd;k gS %& B. Tort Law - Negligence -Damages - vicarious liability of Govt. for negligent acts of its employees -Doctrine of sovereign immunity - Applicability - Negligence of doctors of govt. hospital resulting in death of a patient--Held, once that fact is established, which doctor was particularly responsible for the tortious act and for which of the acts not relevant to attract vicarious liability of the Govt. - Running of hospitals, being not an exclusive function of Govt., maintaining a hospital by Govt. not an exercise of sovereign power so as to enable it to claim immunity from its liability for the tortious acts of its hospital employees - Doctrines - Sovereign power - Constitution of India. Art. 299 - Consumer Protection Act, 1986, S. 2 (c), (d),
(g) - Medical practitioner.
bl lac/a k esa III (2015) CPJ 15 (SC) V. KRISHNAKUMAR V/S STATE OF TAMIL NADU & ORS.
esa ekuuh; loksZPp U;k;ky; us iSjk la[;k 27 esa fuEu fu/kkZfjr fd;k gS %& It is settled law that the hospital is vicariously liable for the acts of its doctors vide Savita Garg v. National Heart Institute, VI (2004) SLT 385 = IV (2004) CPJ 40 (SC)= (2004) 8 SCC 56, also followed in Balram Prasad's case (Supra). Similarly in Achutrao Haribhau Khodwa V. State of Maharashtra, IV (2006) CPJ 8 (SC)= 1996 (SLT Soft ) 1000= I (1996) CLT 532 (SC) = (1996) 2 SCC 634 this court unequivocally held that the sate would be vicariously liable for the damages which may become payable on account of negligence of its doctors or other employees. By the same measure, it is not possible to absolve Respondent No. 1, the State of Tamil Nadu, which establishes and administers such hospitals through its Department of Health, from its liability.
bl laca/k esa II (2016) CPJ 639 (NC) ROYAPETTAH GOVERNMENT HOSPITAL Vs. R. LAKSHMI esa ekuuh; jk"Vªh; vk;ksx us fuEu fu/kkZfjr fd;k gS %& Consumer Protection Act, 1986 - Section 2 (1) (d), 2(1) (g), 14 (1) (d), 21
(a) (ii) - Medical Negligence - Government Hospital - Patient brought with fractured left wrist - Plaster applied - Pain 14 increased - Pus discharged - Referred to higher medical centre, decomposition of left hand amputated - Resipsa loquitur - Gross medical negligence and deficiency in service - Consumer
- Compensation claimed - State Commission allowed complaint - Hence appeal - Contention, services of doctors in Government Hospital are not covered under C.P. Act - Not accepted--Government Hospitals are also liable for medical negligence - Patient is a consumer - OP doctors put a POP without proper care of hole injury to hand -Boy suffered excruciating pain after application of Pop cast, which indicates vascular compromise leading to gangrene - Patient approached OP hospital at 8 p.m. in emergency but was attended at 1 a.m.
- Such acts amount to irresponsible attitude and failure in duty of care - No need to interfere in well--reasoned order passed by State Commission - Impugned order upheld.
ekuuh; loksZPp U;k;ky; rFkk ekuuh; jk"Vªh; vk;ksx }kjk izfrikfnr fl)kUrksa ds vuqlkj ljdkjh gkWfLiVy Hkh fpfdRlh; vlko/kkuh ds fy, mRrjnk;h gSA ifjoknh ds dSEi vk;ksftr djok;k vkSj ml dSEi esa vR;f/kd iqjkuh i)fr viuk;h x;h] foi{kh la[;k 1 dk drZO; Fkk fd og dSEi vk;ksftr djkus ls igys ;g ns[k ysrk fd ejhtksa dk bZykt ftl fpfdRlh; i)fr ls gks jgk gS ;k ugha gks jgk gS] dgha [krjukd fLFkfr rks ugha gS ijUrq mUgksusa ugha ns[kkA fLFkfr esa og Hkh nkf;Rok/khu gSA fo)ku ftyk eap us tks vkns'k ikfjr fd;k gS mlesa fdlh izdkj dh =qfV ugha gSA vr% vihy [kkfjt fd;s tkus ;ksX; gSA [kkfjt dh tkrh gSA ¼ jkeQwy xqtZj ½ ¼ dey dqekj ckxMh ½ lnL; lnL; ¼U;kf;d½ @ikBd@ 15