wife of the applicant was advised for total knee
replacement. It is further averred that the Railway Hospital, Jodhpur is
not well equipped for undertaking ... been admitted in the hospital as an emergency
and knee pain which requires complete knee replacement is not a
disease, if not treated immediately
states
that she came with excessive infection in her right knee due to knee
replacement surgery and the infection along with abscess was
flushed ... infection of the knee plant. Therefore, the decision to remove
the right knee implant was taken. A revision knee replacement in the
setting of infection
Annexure A-2 (Colly)). for grant of medical advance for total knee
replacement of his wife (Mrs. Vimlesh), who was diagnosed of
suffering from osteoarthritis ... Delhi and on
16.11.2015, she was operated upon for bilateral total knee
replacement and remained hospitalized till 21.11.2015 on which
date she was discharged after
railway department on the
ground that the treatment availed for knee replacement was not under any
emergency condition.
2. Heard learned counsel for the parties ... today. Admittedly, the applicant
has undergone knee replacement surgery at Primus Super Speciality
Hospital, New Delhi, on which he has incurred an amount
same problem of B/L O.A. of Knee and advised him for knee
replacement. He intimated the hospital authorities that he has been
covered ... complainant took cashless policy from OP and doctors
recommended him for knee replacement and preauthorization has
been denied to him by OP vide
both knees and
was unable to walk freely. On medical advice, she was required to
undergo total knee replacement of both legs. Therefore ... member of
ECHS, facility was availed of for knee replacement surgery as wife of
complainant admitted in Dr.L.H. Hiranandani Hospital, which is
recognised
operated in railway hospitals which had the requisite
facilities to conduct knee replacement surgery.
2.2 The Tribunal failed to appreciate that the original
applicant/respondent
complaint of pain in
both knee joints. He was diagnosed with Osteoarthiritis in both the
knees and was advised replacement of knees. Surgery was performed ... upon the complainant, wherein both the knee joints were replaced and
he was satisfactorily discharged on 31.03.2017. During hospitalization
have the replacement of
Knee surgery for which a reference to JRH Hospital, Mumbai
was necessary and the knee replacement was indeed
required, to alleviate
replace her knee as she was suffering from knee problem. She was diagnosed to have osteoarthritis from left knee and total knee replacement was required ... diagnosing her as osteoarthritis of left knee requiring total knee replacement for the left side. OP no.1 repudiated the claim of the complainant
