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2002 Supreme(J&K) 209

IN THE HIGH COURT OF JAMMU AND KASHMIR
S.K. Gupta,T.S. Doabia, JJ.
Satya Atri (Dr.) - Appellant
Versus
Shashi Sharma - Respondent
CIMA No. 46-A And 55/2001
Decided On : 14 June, 2002

Advocates Appeared:
Advocate For Appellant: L.K. Sharma
Advocate For Appellant: V.B. Gupta
Advocate For Respondent: Abhinav Sharma

The central legal point established in the judgment is the duty of care and skill required of a medical practitioner, the liability for negligence in diagnosis and treatment, and the significance of fulfilling this duty even in the presence of a body of professional opinion approving the conduct.

Headnote:

Medical Negligence - Caesarean Operation - Halsburys Laws of England, Vol. 30, Fourth Edition, page 31 paragraph 34, paragraph 35 - Duty of care of a medical practitioner - Liability for negligence - Degree of skill and care required - Defence to a practitioner - Failure to use due skill in diagnosis - Liability of a doctor for negligence in diagnosis and treatment - Liability of a doctor for negligence in respect of diagnosis and treatment inspite of a body of professional opinion approving his conduct

Fact of the Case:

The respondent underwent a caesarean operation and later complained of pain in the lower abdominal region. It was found that a foreign body was lodged in her system, which was subsequently removed. The respondent claimed damages, which were allowed by the State Commission. The appellants sought reversal of the order.

Finding of the Court:

The State Commission found that a foreign body was left in the respondent's lower abdominal region, leading to mental distress and necessitating a second operation. The court held that the doctor had a duty to act with a reasonable degree of care and skill, which was not fulfilled.

Issues: Medical negligence, liability for negligence, duty of care of a medical practitioner, failure to use due skill in diagnosis, liability of a doctor for negligence in diagnosis and treatment

Ratio Decidendi: The court found that the doctor failed to fulfill the duty of care and skill required of a medical practitioner, leading to the presence of a foreign body in the respondent's system and necessitating a second operation. The court also emphasized the liability of a doctor for negligence in diagnosis and treatment, even in the presence of a body of professional opinion approving the conduct.

Final Decision: The appeals were dismissed, affirming the State Commission's decision to allow damages to the respondent.

Tejinder Singh Doabia, J.-The proverbial "needle of suspicion" in this case ultimately turned out to be a curbed foreign body which stood lodged in the system of the respondent. She had undergone a caesarean operation on 1st October, 1998. Thereafter she complained of pain. She was examined by the appellant-doctor. It was noticed that respondent was complaining of pain and irritation in the lower abdominal region which was described as vague. The respondent got herself X-rayed, Ultra-Sound and CT Scanning was also got done. It was found that a foreign body stood lodged in her system. This foreign body stands removed. It is for this, the damages were claimed. The damages have been allowed. Appellants in these appeals seek reversal of the order passed by the State Commission.

"A person who holds himself out as ready to give medical advice or treatment impliedly undertakes that he is possessed of skill and knowledge for the purpose. Whether or not he is a registered medical practitioner, such a person who is consulted by a patient owes him certain duties, namely a duty of care. In deciding whether to undertake the case; a ˜duty of care in deciding what treatment to give, a duty of care in his administration of that treatment and a duty of care in answering a question put to" him by a patient in circumstances in which he knows that the patient intends to rely on his answer. A breach of any of these duties will support an action for negligence by the patient."

The aforementioned statement of law has been quoted from Halsburys Laws of England, Vol. 30, Fourth Edition, page 31 paragraph 34. With regard to the degree of skill and care required from a medical practitioner, what is said in paragraph 35 can also be quoted with advantage. This is being quoted:

"The practitioner must bring to his task a reasonable degree of skill and knowledge, and must exercise a reasonable degree of care. Neither the very highest nor a very low degree of care and competence, judged in the light of the particular circumstances of each case, is what the law requires, and a person is not liable in negligence because someone else of greater skill and knowledge would have prescribed different treatment or operated in a different way; nor is he guilty of negligence if he has acted in accordance with a practice accepted as proper by a responsible body of medical men skilled in that particular art, even though a body of adverse opinion also existed among medical men. .

Deviation from normal practice is not necessarily evidence of negligence. To establish liability on that basis it must be shown, (1) that there is usual and normal practice; (2) that the defendant has not adopted it; and (3) that the course in fact adopted is one no professional man of ordinary skill would have taken had he been acting with ordinary care.

It is a defence to a practitioner that he acted on the specific instructions of a consultant who had taken over responsibility for the case. Failure to use due skill in diagnosis with the result that wrong treatment is given is negligence.

It is in the light of the aforementioned broad principles, what is projected in these appeals is being noticed."

2. Respondent-complainant was admitted in a hospital, namely Bee Enn General Hospital at Jammu. This was on 30th September, 1998..

She was under the care of Doctor Satya Atri. The complainant was operated upon. She gave birth to a female child. This operation was performed on 1st October, 1998. The complainant remained in the hospital till 5th October, 1998. She was discharged on the same day at 9 p.m. For the service rendered to the complainant, she paid a sum of Rs. 8,819/-. The further fact which was projected by the complainant and which stands noticed by the Commission constituted under the Jammu and Kashmir State Consumer Protection Act, before whom the complaint was filed, is that she started having acute pain in the lower abdominal region. She was examined by the lady doctor referred to above. The















































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