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2023 Supreme(Online)(Del) 18198

NATIONAL CONSUMER DISPUTES REDRESSAL COMMISSION, NEW DELHI
unknown, unknown
Smt. Barnali Chowdhury – Appellant
Versus
Woodlands Medical Centre, Kolkata – Respondent
Complaint under S.21 of the Consumer Protection Act, 1986



Advocates:
For the Appellants/Petitioners: unknown
For the Respondents: unknown

The principle of Res ipsa loquitur establishes medical negligence when wrong drug administration occurs, shifting the burden of proof to the healthcare providers regarding adherence to protocols.

Headnote:(A) Consumer Protection Act, 1986 - Section 21 - Medical negligence - Principle of Res ipsa loquitur applicable as wrong administration of Vincristine led to the patient's death, showing standard of care was breached - Complainants awarded Rs.60 lakh as compensation, with payment structure delineated among all parties. (Paras 1, 9.1, 10.1, 11.1)

(B) Medical negligence and vicarious liability - Hospital and treating physicians found liable due to lack of adherence to established protocols and inadequate oversight during treatment - Acknowledgment of hospital's responsibility in ensuring proper care and standards. (Paras 6.3, 9.3.1)

Facts of the case:
The complaint emerged from the administration of Vincristine instead of Cytarabine during chemotherapy at Woodlands Medical Centre, leading to the untimely demise of the patient. The complainants sought compensation for the negligence that resulted in death. (Paras 2.1-2.3)

Findings of Court:
The court found clear medical negligence in the wrong administration of medication, concluding that both the doctors and the hospital shared liability. Adequate compensation was mandated for the grievous loss suffered by the complainants. (Paras 9.4.4, 11.1)

Issues: The court addressed the extent of responsibility for the negligence between the hospital and the treating physicians, alongside the appropriateness of compensation sought. (Paras 10.5, 11.1)

Ratio Decidendi: The judgment emphasized that medical negligence constituted a breach of duty, and the principle of Res ipsa loquitur applied, affirming the accountability of the medical practitioners and the hospital for failing to meet care standards. (Paras 9.1, 9.4.3)

Result: The Complaint is partly allowed with awarded compensation. (Paras 11.2)

1Res ipsa loquitur is not a cause of action but a rule of evidence. It eliminates the need for expert testimony on the standard of care and if the standard of care was breached, but it does not eliminate the complainant's need to establish the causation.
1a. The present Complaint has been filed under S.21 of the Consumer Protection Act, 1986 by Smt. Barnali Chowdhury (Complainant No. 1) and her son - Master Samanway Chowdhury (Complainant No. 2) against the Woodlands Medical Centre, Kolkata (for short 'Woodland Hospital - OP - 1), Dr. Rajesh Jindel, Oncologist In - charge (OP - 2) and Dr. Sanjay Patwari, Anesthetist (OP - 3) for alleged medical negligence causing death of Kuntal Chowdhury due to administration of Vincristine intrathecally.

2. The Complaint :
2.1 In Feb - March 2008, Mr. Kuntal Chowdhury (since deceased, hereinafter referred to as the 'patient') was diagnosed as Stage IIB Non - Hodgkin's Diffuse large B - cell lymphoma (NHL - DLBCL) at Tata Memorial Hospital (TMH), Mumbai. He was under treatment of Dr. Purvish M. Parikh Professor and Head of Department of Medical Oncology. The Chemotherapy by MCP 842 protocol was advised. At the end of March, the patient was airlifted to Kolkata and for chemotherapy (chemo) under consultation of Dr. Rajesh Jindel, the Medical Oncologist (OP - 2). He advised the patient to get admitted in Woodlands Medical Centre, Kolkata (OP - 1). The Chemo port insertion was done on 1.4.2008 and thereafter, till 11.6.2008 the patient completed three Chemo cycles uneventfully. All 3 cycles were tolerated, no adverse reaction and the patient was comfortable. He gained around 10 to 12 kgs of weight.
2.2 On 17.2.2008, for B2 cycle the patient consulted OP - 2 in his private clinic and as he advised, the patient got admitted to OP - 1 in morning on 18.6.2008. It was alleged that at about 10.30 a.m. Dr. Sanjay Patwari (OP - 3) administered Chemo. He Intrathecally (IT) injected Vincristine instead of it was to be given Intravenously (IV). Thus, due to wrong administration of Vincristine intrathecally, the patient's condition alarmingly deteriorated. On 20.6.2008, realizing the precarious condition of the patient and in order to wash off their hands form willful negligence the patient was discharged by OP - 1 and 2 and referred him to TMH, Mumbai for emergency management. The patient was airlifted to Mumbai and admitted in TMH. He was admitted under Dr. Reena Nair, Additional Professor, Department of Medical Oncology with symptoms of fever, weakness of lower limb and urinary retention. Neurology reference was also taken. Dr. Reena Nair Counseled the family members of the patient about very slim chances of survival because of progressive deteriorating condition. Therefore on 24.6.2008 the patient was shifted at Belle Vue Clinic, Kolkata. In the meantime, on 7.7.2008 a complaint was filed before West Bengal Medical Council (WBMC) by the family of patient against the OPs for willful negligence. The patient unfortunately passed away on 9.7.2008.
2.3 Being aggrieved, by the untimely death of the patient at the age of 37 years, who was working as a Software Engineer and sole earning member of the family, the patient's wife and minor son have filed the instant Consumer Complaint before this Commission and prayed Rs.3.10 Crore as compensation.



3. Defense :
All the OPs have filed their respective Written Versions.
3.1 Reply of Woodland Medical Centre (OP - 1)
The Director - Mr. Probir K. Bose filed reply on behalf of OP - 1. He submitted that the Complaint is not maintainable against the OP - 1. It involves complicated question of facts, which cannot be adjudicated in summary proceedings under the Consumer Protection Act, 1986 and the Civil Court is appropriate to decide such matter. The death of the patient was admittedly an act of negligence alleged to have been committed by the OP - 2 and OP - 3. Both the doctors were not associated directly with Woodland Hospital - OP - 1, therefore, the management of the ho































































































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