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2021 Supreme(Online)(Del) 4452

NATIONAL CONSUMER DISPUTES REDRESSAL COMMISSION, NEW DELHI
S. M. Kantikar, MEMBER, Dinesh Singh (Member)
K. M. Shrishti Puri v. All India Institute of Medical Sciences
Complaint under S.21(a)(i) of the Consumer Protection Act, 1986



Advocates:
For the Appellants/Petitioners: Not stated
For the Respondents: Not stated

Medical negligence not established as the surgical procedures adhered to accepted standards of care and informed consent was secured.

Headnote:(A) Consumer Protection Act, 1986 - Section 21(a)(i) - Medical negligence - Claim filed for gross carelessness resulting in paralysis after surgery - Allegation of inadequacies during surgery and absence of a neurosurgeon - Court found no negligence, as standard procedure was followed and informed consent was obtained - Responsible surgical practice was maintained by treating doctors. (Paras 19, 22, 25)

(B) Medical Negligence - Duty of Care - The court reiterated the necessity for medical practitioners to perform with a standard of care that is acceptable in the medical community and noted that proving negligence requires clear evidence of a breach of duty. (Para 24)

Facts of the case:
The complainants alleged negligence against AIIMS and its doctors for paralysis due to complications from spinal surgery. It was argued that the treating doctor failed to inform about the need for a neurosurgeon despite complications arising.

Findings of Court:
The court found that the treating doctors adhered to accepted standards during the surgery and addressed any arising complications expediently, and that consent was adequately informed.

Issues: The main issues included the adequacy of care during surgery and whether the surgical team acted with negligence given the patient’s condition.

Ratio Decidendi: The court held that the actions of the surgical team were consistent with the standards expected in spinal surgeries and that complications inherent to such procedures do not imply negligence.

Result: The Complaint fails. It is dismissed.

Table of Content
1. introduction of complaint parties and procedures. (Para 1 , 2 , 3)
2. details on alleged medical negligence related to the patient's surgery. (Para 4 , 5 , 6 , 7 , 8)
3. defense arguments regarding surgical actions and patient consent. (Para 9 , 10 , 11)
4. discussion on medical practices and expected standards in surgery. (Para 12 , 14 , 18)
5. court's rationale for dismissing the complaint based on evidence. (Para 19 , 22 , 25)
6. conclusion and outcome of the case. (Para 26 , 27 , 28)

1. This Complaint was filed by the Complainants against four Opposite Parties: Opposite Party No. 1 - AIIMS, New Delhi; Opposite Party No. 2 - Professor Dr. Arvind Jaiswal; Opposite Party No. 3 - Dr. Shashank Shekhar Kale; Opposite Party No. 4 - Dr. B.D. Chaudhary Arguments were heard in part on 12.12.2019. vide the Order dated 12.12.2019, for reasons recorded, the Opposite Party No. 4 - Dr. B.D. Chaudhary was deleted from the array of the parties. This was in accordance with the submissions made by the learned Counsel for the Complainants, confirmed by the Complainant No. 2 in person.
The said Order of 12.12.2019 was not put to review or challenge.

2. Arguments were then heard and concluded on 13.12.2019.
Learned Counsel for the Complainants and for the Opposite Parties No. 1 to No. 3 were also afforded opportunity to file their respective written synopsis (which they filed).

3. The entire material on record has been perused.

4. COMPLAINT:
The Complainant No. 1, Kum. Shrishti Puri (hereinafter referred to as 'the patient') was suffering from congenital spinal deformity. On 20.5.2003 her father Dr. Someshwar Puri (Complainant No. 2) consulted Dr. Rajendra Prasad at Apollo Hospital, New Delhi and advised Complainant No. 2 to contact Dr. Arvind Jaiswal (hereinafter referred to as the Opposite Party No. 2), the Head of Congenital Kyphosis Department at All India Institute of Medical Sciences (AIIMS) (hereinafter referred to as the Opposite Party No. 1). The patient was taken to the Opposite Party No. 1 who examined the patient and advised urgent surgery and the delay, otherwise, will aggravate the disease.

5. Accordingly, on 3.5.2004, the patient was admitted in AIIMS under the unit head Dr. Arvind Jaiswal and on 5.5.2004 she was operated. It was alleged that operation took long time, the patient was taken to operation theatre (OT) at 9 a.m. and operation completed at 5 p.m. After the operation one junior doctor came from OT and informed the complainant No. 2 that operation was successful. The patient's father went to see his daughter in the recovery room, but she was in semi - conscious state & crying. At 5.30 p.m., he noticed no movements in her legs and same was informed the duty doctors. The CT scan of the operated area was done and after examining CT report, the Opposite Party No. 2 expressed with sorry figure to the Complainant No. 2 and his elder brother, Dr. Sarveshwar Puri that one screw was pressing the spinal cord and as a result thereof the reoperation was necessary for removal of the said screw. It was further alleged that the C - arm was not used during the operation as it was not functioning properly and it was not disclosed by the Opposite Party No. 2. It was further alleged that during any spinal surgery, presence of Neurosurgeon was must, but in the present case, the operation was performed under the supervision of the Opposite Party No. 2 only, who was just an orthopaedic surgeon. After the operation on the insistence of the Complainant No. 2, then only from Neurosurgery Department Dr. S.S. Kale the Neurosurgeon (the Opposite Party No. 3) was called. Thereafter 2nd operation was conducted at 7.30 p.m. in the presence of the Neurosurgeon Dr. S.S. Kale. The operation ended at 9.00 p.m. The patient remained in ICU for 10 days, but no recovery in movements of the lower part of the body.

6. The patient was discharged from AIIMS on 19.5.2004 and as per the discharge summary one screw penetrated vertebral canal and caused Grade -




























































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