2010(2) CPR 92 (NC)
NATIONAL CONSUMER DISPUTES REDRESSAL COMMISSION, NEW DELHI
R.C, Jain, Presiding Member and Dr. P.D. Shenoy, Member
Shri Joginder Singh and Others —Complainants
versus
Dr. Rajeev Kumar Majumdar and Others —Respondents
Original Petition No. 289 of 1997
Decided on 13.8.2009
(ii) Consumer Protection Act, 1986—Section 2(1)(g) —Deficient service—Medical negligence—Surgical operation to remove stone from kidney—First operation performed on 9.12.1986 on left kidney—Second operation to remove stone from right kidney on 16.12.96—Should not have been taken in hurry as there was no imminent threat to life of patient—Doctors failed the celebrated Bolam Test and were negligent in the performance of their duties. (Para 82)
(iii) Consumer Protection Act, 1986—Section 2(1)(g) —Deficient service—Medical negligence—Patient found to have poor tolerance of anaesthesia—Anaesthesiologist should have insisted hospital authorities to buy an automatic ventilator and advised recruitment of trained Technician/nurse to operate Boyle’s apparatus—No evidence of doing this—Specialist required to know latest technics for management of patient else could be considered to be negligent in following his profession. (Paras 84, 85)
(iv) Consumer Protection Act, 1986—Section 2(1)(g) —Deficient service—Medical negligence—Patient went into coma after administering anaesthesia—Neuro Surgeon not called to examine and treat the patient—Non-association of Neuro-surgeon amount to medical negligence. (Paras 86, 87)
(v) Consumer Protection Act, 1986—Section 2(1)(g) —Deficiency in service—Medical negligence—Patient having poor tolerance to anaesthesia—Subjected to second surgery by general anaesthesia before fully recovering after first surgery—A Cardiologist should have been asked to be present as a stand by before start of the critical surgery—Patient suffered cardio respiratory arrest—Cardiologist did not reach in time. (Paras 88 to 90)
(vi) Consumer Protection Act, 1986—Section 2(1)(g) —Deficiency in service—Medical negligence—Cardio arrest of patient in operation theatre—None amongst the nurses and Technicians did take any measure to revive the heart except operating Boyles Machine manually—Being a case of emergency doctor was allowed to change clothes and come to operation theatre—Doctor on duty did not take any action to serve the heart of the patient. (Para 93)
(vii) Consumer Protection Act, 1986—Section 2(1)(g) —Deficiency in service—Medical negligence—Critical operation of patient involving high risk surgery—Hospital not equipped with necessary medical equipments such as automatic respirator, defibrillators complete pathology lab—This amounted to medical negligence. (Para 95)
(viii) Consumer Protection Act, 1986—Section 2(1)(g) —Deficiency in service—Medical negligence—Cardiac arrest of patient in operation theatre—Relatives not given proper information and briefing till she died—It should have been done. (Para 96)
(ix) Consumer Protection Act, 1986—Section 2(1)(g) —Deficiency in service—Medical negligence—Claim by anaesthesiologist that he himself operated the Boyles machine continuously for more than 9 hours by both hands to pump oxygen—Not appearing to be humanly possible—Could have asked for services of another anaesthesiologist. (Para 101)
(x) Legal Maxim— Res ipsa loquitor—Means facts speak for themselves—Effect of res ipsa loquitor is to reverse the burden of proof. (Paras 102, 103)
(xi) Consumer Protection Act, 1986—Section 2(1)(g) —Deficiency in service—Medical negligence—Death of patient in operation theatre on account of medical negligence—Compensation—Complainant No.1 husband of the deceased and complainants Nos. 2 and 3 her sons aged 13 and 7 years—Deceased a home maker managing household —Her age 35 years at the time of death—Her income cannot be less than 3,000/- per month—Compensation awarded Rs. 5 lakhs in addition to Rs. 1 lakh for loss of love and affection to husband and Rs. 5 lakh each to his sons and
Rs. 25,000/- as miscellaneous expenses—Interest allowed @ 9% p.a.—All respondents liable jointly and severally. (Paras 110 to 117)
Dr. P.D. Shenoy, Member—This is a case of alleged medical negligence against M/s Sun Flag Hospital and Research Centre, Faridabad, the treating doctors and the staff of this hospital (opposite parties). The important issues to be decided in this case, inter alia, are as follows:-
1. Whether the opposite parties are negligent in performing surgery on the patient on 16.12.1996 without obtaining the valid consent of the patient in writing, though the deceased patient was an adult and was in a condition to give consent or otherwise for the second surgery to be performed on her?
2. Whether the second surgery should have been taken up when it was clearly written in the case records by the treating doctor that the patient has poor tolerance to anaesthesia?
3. Whether the opposite parties should have taken up the surgery of the second kidney within eight days of the surgery of first kidney though it was an elective surgery and not an emergency one?
4. Whether the opposite parties should have kept the automatic ventilator ready in the operation theatre at the time of the starting of the second surgery when it was well known that the patient has poor tolerance to Anaesthesia ?
5. Whether the patient should have been examined and treated by Neurologist/Neuro surgeon who was available in the hospital when the patient went into Coma and remained in that stage for a few days and if they did not have full confidence in their own Neurologist, whether the opposite parties should have utilized the services of an expert Neurologist from another hospital?
6. Whether the opposite parties should have kept a Cardiologist as a standby at the time of starting the surgery in view of the abovestated conditions of the patient?
7. Whether a team of Cardiologists, available in the hospital reached in time to revive the patient who had suffered cardio respiratory arrest soon after administering of anaesthesia by the Anaesthesiologist?
8. Whether the report of the enquiry conducted by the Additional Deputy Commissioner and Magistrate can be taken into consideration for deciding the case of medical negligence?
9. Whether the treating surgeon/Anaesthesiologist can pass on the blame on each other when they are part of the same team of specialists/incharge of treating the patient?
10. Whether it was humanly possible for the Anaesthesiologist to have continuously operated the Boyle’s Apparatus for ten hours as claimed by him to ensure proper breathing by the patient without delegating this task to another Anaesthesiologist or a technician?
11. Whether the principle of res-ipsa loquitur can be applied in this case?
12. If medical negligence is established, what is the relief if any, the complainants are entitled to?
2. A detailed analysis of the case will provide answers to these issues.
Case of the complainant in brief:
3. The complainant No.1 Sh. Joginder Singh is the husband of the patient Smt. Jasbir Kaur (now deceased) and complainants No. 2 and 3 Jasprit Singh and Balwinder Singh are the sons of the deceased. Smt. Jasbir Kaur was got checked in the OPD of the respondent No.6 hospital, viz., M/s Sun Flag. Hospital and Research Centre, Faridabad (in short, ‘the Hospital’) and it was opined on 8.10.96 by respondent No.1 Dr. Rajiv Kumar Majumdar (in short, Dr. Majumdar), the surgeon that she had a stone in her right kidney. On 3.12.96, she was checked again and it was found that her right kidney stone has enlarged and resulted in the kidney getting damaged and further the left kidney also had a stone.
4. Therefore, the surgeon Dr. Majumdar advised Smt. Jasbir Kaur to get herself admitted for the purposes of taking treatment and also for the surgery of her kidney. He assured her and the complainant that she would get the best facilities and services in the hospital and since he was the surgeon in charge of the surgery, the operation would be done under his control, there will be no problem. After admission, she was advised to go through several tests and fou
Login now and unlock free premium legal research
Login to SupremeToday AI and access free legal analysis, AI highlights, and smart tools.
Login
now!
India’s Legal research and Law Firm App, Download now!
Copyright © 2023 Vikas Info Solution Pvt Ltd. All Rights Reserved.