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Showing contexts for: Bruises in Ajay Gupta vs Pradeep Aggarwal (Dr.) And Ors. on 7 September, 2007Matching Fragments
16. Firstly, Dr. Parminder Singh, who is the first doctor to examine the complainant immediately after the accident, clearly stated that the complainant's x-rays taken by him clearly revealed a badly comminuted fracture and clinical examination revealed radial nerve palsy and wrist drop. He suggested to the complainant that in view of the badly bruised radial nerve, an urgent operation is required. Dr. Parminder Singh further stated that the standard treatment as per medical literature is immediate surgery and exploration of radial nerve and that he had told the complainant that he could perform the surgery. However, the complainant wanted to have a second opinion and also to consult with his family members before he accepts surgery.
17. Dr. Pradeep Aggarwal in his statement mentioned that the complainant had told him that before approaching Dr. Aggarwal, the complainant consulted another Orthopaedic Surgeon, Dr. Lalit Kaushal. The above clearly shows that the radial nerve was already involved in the accident and got bruised which led to the development of radial nerve palsy and wrist drop even before the complainant visited Dr. Pradeep Aggarwal.
18. Opposite party No. 1, Dr. Pradeep Aggarwal has explained why he has to readmit the complainant in his hospital during the period 24th May to 30th May, 1998 and why it was necessary to change the plaster. It appears that after being discharged on 22nd May, 1998, the complainant came on 24th May for a check up, he stated that he lives alone and do not have any blood relations there and wanted to be readmitted for the purpose of better care and medication since the expenditure in any case would be reimbursed by his employer. Dr. Aggarwal also mentioned that tinel's sign was positive and progressing towards fore arm indicating that the nerve was showing recovery. Re-plaster was necessary since the previous casting had become loose after the tissue swelling subsided gradually.
26. Dr. Vijay Sehgal has clearly deposed that whenever a nerve is bruised, (in this case it is clear from Dr. Parminder Singh's evidence that it was bruised because of the accident), the nerve may recover and this can take about 4 to 6 months for the nerve to regenerate. In case, the nerve is severed, a nueroma at the proximal and thickening at the distal end of the nerve is formed. Dr. Sehgal has stated that sufficient time was not given for the union of bone and regeneration of the radial nerve, particularly in a situation of axontamesis lesion, which is a recoverable injury. The tinel's sign being positive, in this case which means that nerve recovery had already started.