NATIONAL CONSUMER DISPUTES REDRESSAL COMMISSION
J.M. Malik, P.M and Dr. S.M. Kantikar, Member
MUKHTHYAR SINGH - Appellant
Versus
KASTURI DEVI MUNSHI LAL MAHILA EVAM SHISHU CHARTTABLE HOSPITAL - Respondent
Revision Petition No. 208-209 of 2015 (Against the Order dated 07.11.2014 in Appeal No. 1474 of 2011 & 1526 of 2011 of the State Commission Uttar Pradesh).
Decided on : 10-08-2015
Islam Khan, Advocate, for the Appellant; Madhurendra Kumar, Advocate, for the Respondent
A medical practitioner is liable only if their conduct falls below the standards of a reasonably competent practitioner in the field.
Headnote:
Medical Negligence - Diagnosis and Treatment - Cr.P.C. 165(3), Martin F.D'Souza v. Mohd. Ishfaq, AIR 2009 SC 2049, Achutrao Haribhau Khodwa & others v. State of Maharashtra & others, AIR 1996 SC 2377
Fact of the Case:
The complainant's son was diagnosed with viral fever and later Dengue fever, leading to his death. The complainant alleged medical negligence and sought compensation.
Finding of the Court:
The court found that the doctor adopted the correct mode of treatment and did not act negligently. The complainant's claim for compensation was dismissed.
Issues: Alleged medical negligence in diagnosis and treatment, validity of the complaint, compensation claim
Ratio Decidendi: A medical practitioner is liable only if their conduct falls below the standards of a reasonably competent practitioner in the field. The court considered the mode of diagnostic and clinical approach of the doctor and the medical literature on dengue to determine the absence of negligence.
Final Decision: The revision petition was dismissed, and the complainant was requested not to recover the money already withdrawn.
ORDER
Dr. S.M. Kantikar, Member. - The complainant, Mukhthyar Singh's son (since deceased referred herein as a "patient"), was suffering from fever and vomiting. He was taken to Kasturi Devi Munshi Lal Mahila Evam Shishu Charitable Hospital (OP, in short referred to as "Kasturi Hospital") on 27.9.2010. After several pathology tests, Dr. S.K. Ravi, diagnosed it as viral fever, advised medicines. There was no cure, hence he got admitted in OP hospital on 30.09.2010 Again, few pathological tests were done, except Dengue test. As the OP hospital did not have MD doctor, the patient was taken to Gurunanak Hospital, Palwal, Haryana, in the late night of 30.09.2010. The patient became critical; hence, from there he was shifted to Fortis Escorts Hospital. On 01.10.2010, at 2.15 am, he was diagnosed as Dengue fever but the patient subsequently died in the morning at 11.15 am. Hence, alleging medical negligence, the complainant filed a complaint before the District Consumer Disputes Redressal Forum, Gautam Budh Nagar, (hereinafter referred to as "District Forum") for a compensation of Rs. 19,50,000/-.
2. The District Forum allowed the complaint and directed the OP to pay Rs. 5 lacs as compensation, Rs. 25,000/- for mental agony and Rs. 5,000/- as costs.
3. Against the order of the District Forum, both the parties preferred first appeal before the State Consumer Disputes Redressal Commission, Uttar Pradesh, Lucknow (hereinafter referred to as "State Commission"), i.e. F.A. No. 1474/2011 was filed by the OP, whereas F.A. No. 1526/2011 was filed by the complainant for enhancement of compensation. The State Commission dismissed the appeal filed by the complainant, whereas allowed the appeal filed by the OP.
4. Aggrieved by the order of State Commission, the complainant has filed this revision petition.
5. We have heard the counsel for both the parties. Learned counsel for complainant argued that in the pathology reports done on 27.09.2010 and 30.09.2010, no malarial parasites (MP) were found. OP performed only, Hemoglobin, TC, DC etc. Platelet count and Dengue test were not performed, not taken expert opinion. He further argued that the OP doctor adopted faulty practise, failed in the duty of care and not advised proper investigations to diagnose dengue. The doctor is not qualified and his enrolment in the Medical Council is doubtful.
6. The learned Counsel for the OP submitted that, the patient was brought to him in OPD for fever and vomiting on 27.09.2010. As the report was MP negative, viral fever was suspected. The tests were repeated after admission, which showed Malaria, to be negative, hence viral fever was suspected. Counsel submitted that, the complainant also filed an application under section 165(3) of the Cr.P.C. for allegation of medical negligence. Hence on the orders of Chief Judicial Magistrate, Gautam Budh Nagar, a Medical Board was constituted. The Medical Board opined that there was no negligence. Therefore, the complaint was frivolous. The complainant already took amount deposited before the District Forum by filing a forged affidavit stating reason of his daughter's marriage, however; that was already solemnized, long back.
7. After our thoughtful consideration, in this instant case, it is vital to observe the mode of diagnostic and clinical approach of the doctor. We have perused the literature on dengue from the medical text books. In our opinion, the OP adopted the correct mode of treatment. The basic investigations for fever were performed and the malarial fever was ruled out, on 27.9.2010, hence patient was diagnosed as viral fever and started symptomatic treatment for fever. Clinically, it was not suspected as Dengue. The OP started treatment with IV fluids, injection Stemetil and anti-piratic drugs also. Even as per medical literature, dengue at the initial stage, is not in a diagnosable condition. Thereafter, the patient was admitted in the OP hospital, on 30.9.2010, but due to serious condition, patient was refer