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2009 Supreme(Mad) 4188

High Court of Judicature at Madras
THE HONOURABLE MR. JUSTICE M. VENUGOPAL
V. Ganesh alias Azhagu (died), by LRS
Versus
Dr. K.S. Shanmuga Sundaram
A.S.No.147 of 2002
Decided on : 13-10-2009

Advocates appeared:
For the Petitioners:S. Sethuraman, Advocate. For the Respondents:RR2, K. Surya Narayanan, Advocate.

A doctor is liable for the negligence of his or her employees, including anesthetists, who are acting as the doctor's agents.

Headnote:

The first respondent/first defendant (doctor) performed an abdominal surgery on the first appellant/first plaintiff (child) on 04.04.1989. After the surgery, the child developed respiratory depression, fever, and seizures. The child did not keep its neck steady and lost vision in both eyes. The appellants/plaintiffs (child's parents) filed a suit against the doctor and the second respondent/second defendant (insurance company) claiming compensation for the child's injuries. The trial court awarded an ex gratia compensation of Rs.1 lakh to the child. The appellants appealed the trial court's decision.

Fact of the Case:

The first appellant/first plaintiff (child) was admitted to the first respondent/first defendant's (doctor) nursing home on 04.04.1989 with complaints of loose motion and vomiting. The doctor diagnosed the child with intussusception and referred the child to a pediatrician. The pediatrician recommended surgery, which the doctor performed on the child on 04.04.1989. After the surgery, the child developed respiratory depression, fever, and seizures. The child did not keep its neck steady and lost vision in both eyes. The appellants/plaintiffs (child's parents) filed a suit against the doctor and the second respondent/second defendant (insurance company) claiming compensation for the child's injuries. The trial court awarded an ex gratia compensation of Rs.1 lakh to the child. The appellants appealed the trial court's decision.

Finding of the Court:

The court found that the doctor was negligent in performing the surgery on the child. The court also found that the doctor was liable for the negligence of the anesthetist who administered anesthesia to the child. The court further found that the insurance company was liable to pay compensation to the appellants/plaintiffs for the doctor's negligence.

Issues: 1. Whether the doctor was negligent in performing the surgery on the child? 2. Whether the doctor was liable for the negligence of the anesthetist who administered anesthesia to the child? 3. Whether the insurance company was liable to pay compensation to the appellants/plaintiffs for the doctor's negligence?

Ratio Decidendi: 1. The court found that the doctor was negligent in performing the surgery on the child because: * The doctor failed to obtain the child's informed consent before performing the surgery. * The doctor failed to properly assess the child's risk of complications before performing the surgery. * The doctor failed to take adequate precautions to prevent complications during the surgery. 2. The court found that the doctor was liable for the negligence of the anesthetist who administered anesthesia to the child because the anesthetist was acting as the doctor's agent. 3. The court found that the insurance company was liable to pay compensation to the appellants/plaintiffs for the doctor's negligence because the doctor was covered by an insurance policy issued by the insurance company.

Final Decision: The court allowed the appeal and modified the trial court's judgment. The court awarded the appellants/plaintiffs a total of Rs.5 lakhs in compensation. The court also directed the insurance company to pay the compensation to the appellants/plaintiffs.

Judgment :-

The appellants have preferred this appeal as against the Judgment and Decree dated 09.03.2001 made in O.S.No.1452 of 1992 on the file of the learned II Additional Subordinate Judge, Coimbatore.

2.The trial Court, in its judgment, has directed the respondents 1 and 2/defendants jointly to pay a sum of Rs.1,00,000/- as a compensation to the first appellant/first plaintiff (since deceased) and further directed the said sum of Rs.1,00,000/-should be deposited in a Nationalised Bank in the name of the first appellant/first plaintiff and the second appellant/second plaintiff, being the father and guardian of the first appellant/first plaintiff, has been directed to receive interest once in six months for the maintenance expense of the first appellant/first plaintiff and the said deposited amount should not be withdrawn without the permission of the Court and accordingly, rendered a judgment by directing the respondents/defendants to pay the Court fee taking into account of the condition of the first appellant/first plaintiff.

3.The necessary plaint averments of the appellants/plaintiffs are as follows:

The first appellant/first plaintiff was suffering from passing loose motion and vomiting during the last week of February 1989 and he was taken to the first respondent/first defendants Nursing Home in R.S. Puram, Coimbatore, on 22. 1989 for treatment with a medical complaint of loose motion and vomiting. The first respondent/first defendant examined the first appellant/first plaintiff medically in the presence of second appellant/second plaintiff and prescribed certain drugs. The second appellant/second plaintiff was asked by the first respondent/first defendant to bring the child again to his nursing home on 33. 1989. As advised by the first respondent/first defendant, the second appellant/second plaintiff took the first appellant/first plaintiff to the nursing home for consultation and treatment. On 33. 1989 the first appellant/first plaintiff was medically examined by the first respondent/first defendant surgeon, and certain drugs were prescribed and medical advices were given to the second appellant/second plaintiff in regard to the first appellant/ second plaintiff (viz., the child). The second appellant/second plaintiff was asked to bring the first appellant/first plaintiff to the said nursing home again on 03.04.1989 for medical consultation.

The second appellant/second plaintiff took the first appellant/ first plaintiff to the nursing home on 03.04.1989 and the first respondent/first defendant referred the first appellant/first plaintiff to the Paediatrician Dr. K. Manonmani, in cowley brown road, R.S. Puram, Coimbatore-2. The first appellant/first plaintiff was examined by the said Dr. K. Manonmani, who diagnosed the complaint as "Intussusception" with bronchitis and referred the first appellant/first plaintiff back to the first respondent/first defendant surgeon for necessary treatment. Dr. K. Manonmani, gave Ampicillin plus Aminophylline intra-venous injection to the first appellant/first plaintiff for wheezy bronchitis. The first appellant/first plaintiff was admitted in the Sengaliappan Nursing Home on 03.04.1989 when the first appellant/first plaintiff was only 6 months old for treatment of medival complaints of (i)loose motion and voimiting, (ii)motion with blood stains, and (iii) fever and cough. The first appellant/first plaintiff was put on intra-venous fluids and Ampicillin injection was administered to the first respondent/first defendant surgeon.

The first respondent/first defendant advised surgical operation on 04.04.1989. On 04.04.1989, the first respondent /first defendant performed the surgical operation assisted by Dr. Velumani at the surgical Theatre of his nursing home. After the Appendicectomy done by the first respondent/first defendant, the first appellant/first plaintiff child developed respiratory depression, fever and seizures and the first appellant/first plaintiff-child did not keep its n

















































































































































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