NATIONAL CONSUMER DISPUTES REDRESSAL COMMISSION, NEW DELHI
R.K. Agrawal, President and Dr. S.M. Kantikar, Member
E. Syamala and Ors. – Petitioners
versus
Dr. Alexander Abraham and Ors. – Respondents
Revision Petition No.283 of 2015
(Against the Order dated 20/02/2013 in Appeal No.104/2011 of the State Commission Kerala)
Decided on 13.5.2022
Consumer Protection Act, 1986 – S.21[Consumer Protection Act, 2019 – S.58] – Service – Medical Negligence – Orthopedic - laminectomy operation at L-4 and L-5 – no nexus between no nexus or relation between the two sites (D5 and L4-5) - lesions were entirely different. - Revision again order of State Commission - Whether the treatment of opposite parties was negligent and improper - In the instant case the cyst at D-5 level was noted after 8 months. The D-5 level is above the level of L-4 and L-5 the area of laminectomy operation and the spinal cord was not touched or operated. There is no nexus or relation between the two sites (D5 and L4-5) and the lesions were entirely different. The MRI dated 9.1.2001 did show any Cyst at D5 level – Therefore, it was a reasonable standard of practice adopted by the Opposite Party No.1 & there was no role of Opposite Party No.2 in performing laminectomy. There was neither negligence nor any deficiency /any lapses during the laminectomy operation at L-4 and L-5 - Thus, Commission does not find any material irregularity and jurisdictional error in the Order passed by the Fora below warranting its interference u/s 21(b) of the Act – Revision petition is dismissed. [Para 8 to 11]
Result: Petition dismissed.
ORDER
Dr. S.M. Kantikar, Member.—The instant Revision Petition was filed under Section 21 of the Consumer Protection Act, 1986 against the Order dated 20.02.2013 passed by the Kerala State Consumer Dispute Redressal Commission, Thiruvananthapuram (hereinafter referred to as ‘State Commission’) in First Appeal No. 104/11 whereby the Appeal filed by the Complainant was dismissed.
2. The main grievance of the Complainant that she had problem at D-5 level, however the opposite parties wrongly performed operation at L-4 and L-5 level and removed portions of the vertebra causing injury to nerves which resulted paralysis below the hip. It was alleged that the Opposite Parties Nos. 1 & 2 were not qualified to do neurosurgery. Thereafter, the prolonged Physiotherapy was not fruitful. She consulted a Neurosurgeon at the Medical College, Thiruvananthapuram, who diagnosed a cyst at D5 level and removed the cyst by operation. Being aggrieved by the negligent treatment by the Opposite Parties Nos.1 & 2, the Complainant filed a Complaint before the District Forum, Pathanamthitta.
3. The District Forum dismissed the Complaint. The Complainant challenged the dismissal by filing first Appeal before the State Commission. The Appeal was also dismissed. Hence, this Revision Petition.
4. We have heard the learned Counsel for both the sides. Perused the entire material on record inter-alia Orders of both the fora.
5. The District Forum passed the following Order. The relevant paragraphs are reproduced as below:
13. On the basis of the contentions of the parties, we have perused the entire materials on records. There is no dispute regarding the treatment of the complainant at the 3rd opposite party hospital by the opposite parties. The only point to be considered is whether the treatment of opposite parties was negligent and improper. According to the complainant, all complications including the paralysis of the complainant was due to the improper diagnosis and improper surgery and the treatment by unqualified doctors at hospital having no facilities to do a surgery like the surgery performed to the 1st complainant. From the available evidence, Ext. B2 to B5, it can be seen that the 1st opposite party is a qualified surgeon in orthopedics. So the allegation that the doctor who had performed the surgery is not a qualified person is not sustainable. It is also seen that the surgery was done by the opposite party on the diagnosis based on Ext. A2 scanning report brought by the complainant. Ext.A2 scanning report shows that degeneration of L34 and L4-5 in the vertibral disks and mild bulging annulus of L3-4 and L4-5 intervertibral disks causing compression over the existing nerve root bilateral and indentation over the thecal sac. According to the opposite parties, they have performed the surgery on the basis of the above scanning report and the surgery was successful. But there is no evidence to prove that the diagnosis and the surgery was wrong and improper. The main allegation of the complainant is that all the complications of the complainant including the paralysis was due to the negligent and improper Surgery by the opposite parties and the 2nd surgery was necessitated due to the 1st surgery. The available evidence shows that the two surgeries were done at different portions of the vertibra of the complainant based on two separate MRI scanning reports obtained at a gap of 7 months. The two scanning reports discloses different diseases at different portions of the vertibra. So it cannot be said that the 2nd disease revealed from Ext. A3 scanning report is an after effect or the consequence of the 1st surgery.
14. In this case, from the side of the complainant an expert witness was examined as PW2. PW2 is a Professor of Neuro Surgery. But the complainant failed to brought any evidence for supporting his case through PW2. The complainant had even failed to establish his case even by using the treatment records of the complainant brought from the 3rd
SupremeToday
The court upheld that medical negligence claims must be substantiated with expert evidence, and standard surgical practices cannot be deemed negligent without such proof.
As long as doctor acts with due care, skill and diligence even if the patient does not survive or suffers permanent ailment, difficult to hold doctor guilty of negligence
(1) Revision – A revision under Section 21(b) of the Act, 1986 confers very limited jurisdiction on this Commission. In the present case there are concurrent findings of the facts and scope for revis....
Revision Petition - there are concurrent findings of fact and the revisional jurisdiction of National Commission is limited. Within the meaning and scope of section 21(b).
(1) Duty of care – The duty of care implies that the doctor must exercise reasonable skill and care, adhering to the standards expected of a medical professional in similar circumstances.(2) Breach –....
Negligence - The mere fact that Complainant has again got his second operation done from the same OP does not absolve the OP from his negligence at the time of first operation.
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