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2014 Supreme(Kar) 287

High Court of Karnataka
ANAND BYRAREDDY, J.
Dr. Ramcharan Thiagarajan
Versus
Medical Council of India & Others
Writ Petition No. 11207 of 2013 (GM-RES)
Decided on : 03-04-2014

Advocates appeared:
For the Petitioner:C.V. Nagesh, Senior Advocate for M.R. Aneel, Advocate.
For the Respondents: R1, Zulfikir Kumar Shafi, R2, D.S. Hosmath, Major Pankaj Rai, In Person.

Headnote:MEDICAL COUNCIL ACT, 1956 - Sections 20-A & 33(m) & Indian Medical Council (Professional Conduct, Etiquette and Ethics) Regulations, 2002, Regulation 7: [Anand Byrareddy, J] Imposition of punishment on doctor - Two misconducts, firstly performance of organ transplant in hospital having no statutory permission for said procedure and not obtaining appropriate informed consent from patient - Held, MCI has power and jurisdiction to impose punishment on doctor

       MEDICAL COUNCIL ACT, 1956 - Section 24 & Indian Medical Council (Professional Conduct, Etiquette and Ethics) Regulations, 2002, Regulation 7: [Anand Byrareddy, J] Removal of name from medical register - Held, Remedy of appeal against is not provided.

       MEDICAL COUNCIL ACT, 1956 - Section 24 - Indian Medical Council (Professional Conduct, Etiquette and Ethics) Regulations (2002), Regulation 7: [Anand Byrareddy, J] Removal of name from medical register - Concurrent findings by lower authorities that treatment given to patient was appropriate and no fault can be found with hospital, doctors or its staff - Reversal of said findings by MCI - No reasons recorded - Held, Order imposing punishment of removal of name of doctor from Register is liable to be set aside.

Judgment :

1. The facts of the case are as follows:

2. The petitioner is a Medical Practitioner and is a Consultant in Surgical Gastroenterology and Laparoscopic Surgery. He is also said to be a Multi-organ Transplant Surgeon and was working as a consultant with M/s Fortis Hospital, Bangalore.

The petitioner is said to be conferred with innumerable honours both in India and abroad, over the years in recognition of his expertise and advanced knowledge in the field of organ transplantation.

During the year 2010, Smt. Seema Rai, the wife of the third respondent was said to have been diagnosed with severe diabetes and end-stage renal failure, was undergoing dialysis treatment at M/s Fortis Hospital. She was also said to have been registered with the Zonal Co-ordination Committee of Karnataka (Hereinafter referred to as the "ZCCK", for brevity) for cadaver kidney transplantation. ZCCK is a body co-ordinating and regulating the harvesting of cadaver organs in the State of Karnataka. It is stated that this body ensures that whenever a cadaver organ becomes available, atleast five expectant recipient patients, on a waiting list, are intimated so as to ensure that atleast one recipient can be identified with a blood group cross match and other compatibility criteria, so that the cadaver organ is successfully grafted and to ensure that the organ is not lost or wasted.

It is said that M/s Fortis Hospital had received a call from ZCCK on 1.5.2010, intimating them of the availability of a kidney for transplantation with reference to Smt.Rai; The hospital is said to have, in turn, intimated her and her family and she was immediately admitted to the Emergency Transplant surgery on the night of 1.5.2010. It transpires that she had waited for a year to be the recipient of the available organ. It is claimed that Smt.Rai and her family had been adequately counselled during this waiting period of the procedures and protocols involved.

It is claimed that ZCCK had intimated that pancreas was also available from the same cadaver donor and that there was no other prospective recipient registered for the same at that point of time with ZCCK. It is stated that on account of Smt.Rai being a severe diabetic, she was to benefit by a pancreatic transplant as well and hence it is claimed that she and her family were informed. It is said that after due deliberation, consent was given for the dual transplantation of kidney and pancreas.

It is stated that on the early morning of 2.5.2010, kidney transplant surgery was successfully carried out on Smt.Rai. It is thereafter that the pancreas transplantation had been carried out. It transpires that the patient developed a rare, but serious complication called - disseminated intravascular coagulation-(abnormal bleeding). Over the next three days, it is stated, the patient required multiple units of blood, plasma, platelets etc., to control the bleeding and she did appear to recover - but on the third day after surgery, she is said to have developed high fever and died the following day on account of sepsis.

It is stated that the third respondent who, it is claimed, had not raised any complaint or grievance during the treatment and surgery, is said to have lodged a complaint before the J.P.Nagar Police Station, as on 2.6.2010, accusing the petitioner and a Nephrologist, who had treated the deceased for her renal failure, of acts of negligence. This is said to have been followed by a complaint against them before the Karnataka Medical Council (Hereinafter referred to as the 'KMC', for brevity). On the basis of the criminal complaint, the police are said to have registered a case for offences punishable under the provisions of the Indian Penal Code, 1860. It is claimed that the investigation in the criminal case was incomplete as on the date of this petition.

The KMC had held an enquiry against the petitioner and another in respect of the complaint and after a full fledged enquiry, had held that there was no case m










































































































































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