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2021 Supreme(Online)(Cal) 6

CALCUTTA HIGH COURT
, J
Subhash Chandra Tiwari v. West Bengal Medical Council and Others
W.P No.21498(W) of 2019



Advocates:
For the Appellants/Petitioners: Learned senior counsel
For the Respondents: Learned counsel

Medical practitioners are entitled to fair procedures and natural justice, particularly concerning allegations of infamous conduct, which must align with specific misconduct definitions.

Headnote:(A) Bengal Medical Act, 1914 - Sections 17 and 25 - Fundamental Rights under Article 19(1)(g) of the Constitution - The petitioner, a qualified medical practitioner, challenged his removal from the Register of Registered Practitioners on the grounds of procedural violations and lack of notice regarding specific charges. The court emphasized adherence to natural justice and held that the term 'infamous conduct' must align with serious misconduct defined within the medical ethics. The petitioner was not afforded a fair hearing regarding the actual charge he faced. Therefore, the petitioner's right to practice was upheld, and his removal from the register was revoked. (Paras 6, 27, 58, 84, 85)

(B) Natural Justice - The principles of natural justice mandate that individuals must have the opportunity to defend themselves against charges placed on them. The case demonstrated that the inquiry conducted was flawed due to failure in confronting the petitioner with all applicable charges.

(C) Medical Ethics - The standard of 'infamous conduct' must be interpreted in light of ethical standards within the medical community. The actions of the respondent in failing to properly define and substantiate charges were deemed inappropriate, warranting intervention from the court. (Paras 18, 56)

Table of Content
1. factual account of the petitioner and case context. (Para 1 , 4 , 5 , 6)
2. arguments regarding the petitioner's rights and procedural violations. (Para 7 , 10 , 12 , 16 , 20 , 23 , 36 , 41)
3. definition of infamous conduct and violation of natural justice. (Para 9 , 17 , 19 , 58 , 60 , 78)
4. observations on the nature of the charges and the required standard of care. (Para 14 , 22 , 24 , 29 , 34 , 56)
5. court's ruling in favor of the petitioner and revocation of sanctions. (Para 84 , 85 , 86)

1. The petitioner is a doctor who completed his MBBS in the year 2004 and did Diploma in Tuberculosis and Chest Diseases (DTCD) in 2009 from the Medical College and Hospital, Kolkata. Thereafter, the petitioner did his MD in Tropical Medicine in 2013 from the School of Tropical Medicine at Kolkata. The petitioner has been working as an associate consultant in the critical care unit of the Gastroenterology Department of the Apollo Gleneagles Hospital, Kolkata. On April 15, 2017, a minor child named Kuheli Chakroborty was admitted in the emergency room of the Apollo Gleneagles Hospital after being referred by the ESI Hospital, Joka as a case of passage of blood in stool since four days. The child was admitted under Dr. V.R. Srivastava (consultant pediatric surgeon) at bed no. P - 20 of the pediatric ward of the hospital. The situation of the child was assessed by the on - duty pediatric doctor, who discussed with Dr. VR. Srivastava, and, as per her advice the patient was referred to Dr. Vjay Rai (Gastroenterologist). On April 16, 2017, the child was seen by Dr. VR. Srivastava and certain examinations were done as per her advice. Thereafter, later on the same day, the child was seen by Dr. S.C. Tiwari. The on - call Doctor from Gastroenterology Department, as asked by his Department, merely suggested Sigmoidoscopy to be done on April 17, 2017, Nil - per - mouth (NPM) for four hours with proper hydration, Enema (once) and certain blood and stool examinations.

2. In the evening of April 16, 2017 itself, Dr. VR. Srivastava was informed regarding Sigmoidoscopy Her advice was taken in that regard.

3. On April 17, 2017, Dr. V.R. Srivastava again saw the child and planned for Sigmoidoscopy, kept NPM from 11 a.m., and directed neotomic enema and the patient was started being administered IV fluid at 11 a.m. Thereafter, at 2.45 p.m. the same day, the Dr. S.C. Tiwari, after discussion with the HOD, informed the pediatric ward doctor and also Dr. V.R. Srivastava that in view of no definite polyp having been found in the rectal examination, a decision was taken to do full length Colonoscopy on the next day after proper preparation.

4. At 4 p.m. on April 17, 2017, a phone call went from a pediatric ward doctor to Dr. S.C. Tiwari regarding Colonoscopy preparation, when he suggested proceeding as per protocol. The baby was subsequently assessed by the on - duty pediatric doctor and was found clinically stable. The baby was kept on NPM and maintenance IV fluid was started at 10 a.m. on April 18, 2017. Thereafter, Dr. V.R. Srivastava examined the baby, followed by the patient being sent to the Gastroenterology Department for endoscopic procedure, evaluated by Dr. Sanjay Mahawar (consultant anesthetist) and Dr. M.K. Goenka (consultant Gastroenterologist). Colonoscopy was then done by Dr. M.K. Goenka under close anesthetic monitoring by Dr. Sanjay Mahawar. Subsequently, medical procedure was adopted for the child and the child was in observation under Dr. Mahawar and by the Pediatric Intensive Care Unit (PICU) team led by Dr. P.S. Bhattacharya, Dr. D. Ghosh (Cardiologist) and also seen by Dr. M.K. Goenka and Dr. V R. Srivastava. After successful resuscitation, the patient was shifted to PICU and the parents were counselled and updated about the entire events. In PICU, the child was put on mechanical ventilation and medication and other supportive measures were administered as required, continuously assessed and treated by the PICU team as indica







































































































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