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GUJARAT STATE CONSUMER DISPUTES
REDRESSAL COMMISSION, AHMEDABAD
Hon’ble Mr. Justice R.C. Mankad, President &
Dr. Jatin P. Vaidya, Member
ARUNABEN D. KOTHARI & ORS.—Complainants
versus
NAVDEEP CLINIC & ORS.—Non-complainants
Complaint Nos. 77 & 252 of 1993—Decided on 5.8.1996

Counsel for the Parties :
For the Complainants in Complaint No. 77 of 1993 :Mr. P.K. Pancholi, Mr. S.S. Sirazi, Advocates.
For the Non-complainant in Complaint No. 77 of 1993 :Mr. C.A. Shah & Mr. A.O. Chudgar, Advocates.
For the Complainants in Complaint No. 252/ 1993:Mr. H.J. Thakkar and Mr. A.O. Chudgar, Advocates.

Headnote:Consumer Protection Act, 1986 Section 17 - Medical negligence - Deceased sustained injury m his right arm about six months prior to seeing opponents - Went Orthopaedic surgery of insertion of plate and screws in his right forearm - Saw opponent for pain, deformity etc. - Opponent examined him Took cardiogram - Declared fit for surgery - Deceased taken for surgery after obtaining consent for anaesthesia and operation - Deceased anaesthetised When operation half way through deceased developed cardio respiratory arrest - From which he did not survive Declared dead - Death Certificate issued - Certificate only mentioned mode of death and not cause of death - Post mortem not done - Complaint filed by widow and children of deceased - Doctor duty bound to assess patients condition for anaesthesia fitness - Moreso in view of blood pressure - Duty of surgeon to provide defibrilator in operation theatre Could have refused to give anaesthesia without said machine - Opponent No.6 stated that she was just helping - Deceased did not hire her or her services Opponent No.3 involvement in management of case non-significant - Deceased was seen by opponent No.2 as private consultant by charging fee - Nothing to prove that deceased was patient of hospital - Deceased did not have any medical reasons to be prone to cardiac arrest as per cardiologist and anaesthetist - Opponent Nos. 2, 4 and 5 not able to prove that they are not responsible for said death - Liable for their acts of omission and commission - Income of deceased estimated at Rs. 3,000/- one third deducted for personal expenses - Multiplier fifteen applied - Total compensation assessed at Rs. 4,15,000/- - Opponent Nos. 2, 4 and 5 held jointly and severally liable to pay to complainants Rs. 4,15,000/-. (Paras 7 to 13)

       Result: Complaint partly allowed.

ORDER

Dr. Jatin P. Vaidya, Member—Complaint No. 252 of 93 is filed by opponent No. 6 in Complaint No. 77 of 93 and she has filed this complaint for indemnification from the New India Assurance Company Limited in case she is held liable to pay compensation to the complainants of Complaint No. 77 of 1993. Thus, the two complaints being interconnected, they are disposed of by this common judgment. The complainants and opponents of Complaint No. 77 of 1993 are hereinafter referred to as complainants and opponents for the sake of convenience.

2. Complainants in this case are the widow and children of late Dineshchandra Kothari who died during operation. The complainants claim that late Mr. Kothari died due to negligence and deficiency in service by opponents-Navdeep Clinic & Hospital and doctors named in the complaint and compensation of Rs. 8,20,000 /- be paid.

3. Brief observations of case are that Shri Dineshchandra had sustained injury to his right arm about six months prior to seeing the opponents. Patient initially took treatment at Surendranagar where he underwent Orthopaedic surgery of insertion of plate and screws in his right forearm and was later on sent home. He saw opponent Dr. Rashmi Vora for pain, deformity etc. at operation site and for operation on 23.9.90. Dr. Vora examined him, got his x-rays done and referred him to Dr. Shailesh DesaiPhysician-Cardiologist for fitness for operation. Dr. Desai examined patient, took cadiogram and declared him fit for surgey. Patient was scheduled for surgery on 24.3.90. On the day of operation (24.3.90) around 9 a.m. patient was taken for surgery after obtaining consent for anaesthesia and operation. Patient was anaesthetised by Dr. Minaxiben, assisted by Dr. Pinaben and operation was started by Dr. Vora. Dr. Gajjar was assisting Dr. Vora. When the operation was half way through patient developed cardio respiratory arrest from which he did not revive and was declared dead around 10.10 a.m. by Dr. Desai. Incidentally Dr. Desai came to scene only after sometime of cardio respiratory arrest and his findings suggested that patient was practically dead when he saw the patient. It is not possible to understand why and how without first hand knowledge, Dr. Desai issued the death certificate. Certificate only mentions mode of death and not the cause of death. Opponents say that they were not negligent. That they took all possible care, that they were qualified and experienced in the subject. Opponents further say that they are no responsible for the death of patient and that they are not liable to pay any compensation as claimed.

4. Complainants have claimed that amount of drugs used for the anaesthesia were more than maximum and death was direct result of such use of drugs. Complainants have given reference of book (Lee’s Synopsis of Anaesthesia Page 163 etc.)

5. Complainants further state that proper monitoring of the patient was not done. It is also further claimed that patient underwent major surgery than the present one in a relatively underdeveloped centre successfully and died because of negligence of opponents in minor surgery. Dr. Vora in his deposition has said that surgery was relatively a minor one and that death could not have been caused because of surgical procedure. He does not rule out anaesthetic procedure as cause of death in present case. Dr. Minaben was anaesthetist in charge of patient and Dr. Pinaben just came to help her. As per statement of Dr. Pinaben, she even did not involve herself in observing monitoring the patient. Dr. Pinaben is more qualified than Dr. Minaxiben. That she was free. Therefore, she came to the theatre where Dr. Minaxiben was to anaesthetise the patient. That Dr. Minaxiben and Dr. Pinaben are visiting Anaesthetists at Navdeep Hospital and attend the hospital on call. In present case the choice of Anaesthetist was that of Dr. Rashmi Vora and patient had no say in it. It therefore can be assumed that relation of anaesthetist Dr. Minaxihen to patien














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