NATIONAL CONSUMER DISPUTES REDRESSAL COMMISSION, NEW DELHI
Dr. S.M. Kantikar, Presiding Member and Binoy Kumar, Member
G. Radha – Petitioner
versus
Dr. Janaki and Ors. – Respondent
Revision Petition No.458 of 2021
Decided on 25.7.2022
Consumer Protection Act, 1986 – S.21(b)[Consumer Protection Act, 2019 – S.58(1)(b)] - Services – Medical Negligence – Revision against order of State Commission – Performance of hysterectomy operation without informed consent – If can be termed as Negligence – Extent of interference by National Commission in “Revision application” “Concurrent Finding” - On 30.06.2009, the medical record also revealed that Dr. V performed the surgery at Chaitanya Hospital. Post-operatively, during the intervening night of 30.06.2009 and 01.07.2009, the patient complained of pain in right chest and shortness of breath. She immediately attended the patient and confirmed as clear symptoms of air embolism i.e. rare complication during post-operative period. The patient was immediately shifted to Gandhi Hospital and the OP-1 herself accompanied in the ambulance -Thus it was correct decision and a proper duty of care, thus not negligence – Further, In the instant case, there are concurrent findings of fact and the revisional jurisdiction of National Commission is limited. Within the meaning and scope of section 21(b), Commission finds no jurisdictional error, or a legal principle ignored, or miscarriage of justice, as may necessitate interference in the exercise of the revisional jurisdiction from this Commission – Therefore petition is dismissed. [Paras 6 to 8].
Result: Petition dismissed.
ORDER
Dr. S.M. Kantikar, Presiding Member—The present Revision Petition has been filed by the Petitioner/Complainant under Section 21 (b) of the Consumer Protection Act, 1986 (hereinafter referred to as the “Act”) against the impugned Order dated 23.03.2021, passed by the Telangana State Consumer Disputes Redressal Commission (hereinafter referred to as the “State Commission”) in First Appeal No. 84/2015 filed by the Complainant was dismissed.
2. The facts in brief are that the Complainant, a house wife, Ms. G. Radha, about 47 years of age, underwent hysterectomy operation at Chaitanya Hospital (hereinafter referred to as the ‘OP-2’). It was performed by Dr. Janaki (hereinafter referred to as the ‘OP-1’) on 30.06.2009. It was alleged that the OP-1 performed hysterectomy operation without informed consent. The consent was pre-printed and it amounts to unfair trade practice as held in the judgment of this Commission in C.C.428/2018—Vinod Khanna Vs. R.G. Stone Urology, decided on 06.07.2020. In the midnight of the operated day, the patient was suddenly taken to Gandhi Hospital without explaining the condition of the patient. Thus, it was a case of res ipsa loquitur. The Complainant further alleged that the expert opinion was also not as per standard guidelines of the Hon’ble Supreme Court. Being aggrieved, she filed a complaint before the District Forum, Ranga Reddy.
3. The District Forum, on hearing the parties and considering the averments, dismissed the Complaint.
4. Being aggrieved, the Complainant filed First Appeal before the State Commission, which was dismissed with the following observations:—
“(19) We have carefully perused the impugned order and the entire material on record including the opinion given by Dr.Prabhavathi from where the opinion was sought by the District Forum before registering the complaint as was a mandate at the relevant point of time. The independent medical officer has examined the entire record and submitted her report stating that there was no medical negligence.
(20) The patient was operated for fibroid uterus trans abdominal hysterectomy at Opposite Party No.2 hospital following which she developed right side chest pain and shortness of breath. She was immediately shifted to Gandhi Hospital. A perusal of the records submitted from Gandhi Hospital reveals that all necessary investigations were advised and the suspicion that she was suffering from pulmonary embolism or any other catastrophic event needed to be confirmed. In Ex.B1-Doctor’s notes - Page-10, 11, 13, 21 have the same urgent physician opinion requirement as there was confusion regarding the patient’s condition-post hysterectomy. The fact that the doctors at Gandhi Hospital suspected pulmonary embolism is not in doubt. The treatment consists of blood thinners or anti-coagulants to prevent new clots from forming. There is, however, no reference to state that the surgery conducted by Opposite party No. I doctor was negligent or wrongly performed. Surgery is one of the major causes of Deep Vein Thrombosis (DVT). Clots happen when blood thickens and sticks together. Sometimes the clots can travel to the lungs and this is called P.E and it can be life threatening it if blocks blood flow. Clot can form after any procedure particularly on the abdomen, pelvis or hips or legs. Obviously the opposite party no.1 doctor shifted her to Gandhi Hospital and early treatment was initiated. DVT is not always the result of negligence. A doctor can do everything right and a patient may still develop DVT. The critical issue is whether negligence actually caused the harm. This has not been established.
(21) The Opposite party No.1 doctor would only be liable if the pulmonary embolism or the resulting damage was not prevented. She shifted the patient to Gandhi Hospital post haste for further treatment. In Jacob Mathews vs. State of Punjab, reported in III (2005) CPJ 9 (SC), the Court has rightly observed that “when a patient dies or suffers some mishap, the
Rubi (Chandra) Dutta vs. M/s United India Insurance Co. Ltd.
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).
The revisional jurisdiction under the Consumer Protection Act is limited and does not allow interference in concurrent findings of facts unless clear jurisdictional errors are demonstrated.
(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 - Negligence cannot be attributed to the treating doctors. The complainant has not filed any cogent evidence or expert opinion to prove his case.
(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....
The revisional jurisdiction is limited, and findings of fact from lower courts hold unless legal error is evident.
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