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2019 Supreme(Online)(Mad) 14819

TAMIL NADU STATE CONSUMER DISPUTES REDRESSAL COMMISSION, CHENNAI
N. Rajasekar (Presiding Judicial Member), S. M. Murugesshan (Member)
Ramesh Babu S. v. Kanyakumari District Co-Operative Society Hospital Ltd.
Consumer Complaint



Medical negligence is established when healthcare providers fail to adhere to the standard of care expected, leading to severe patient harm; such negligence allows for compensation under consumer protection laws.

Headnote:(A) Consumer Protection Act, 1986 - Section 17(1)(a) - Medical negligence - Compensation awarded for deficiency in service and resultant vegetative state - Complainants sought Rs. 3,00,000 for medical expenses, Rs. 5,00,000 for deficiency in service, Rs. 10,00,000 for mental agony, and Rs. 25,000 as costs - Hospital and attending doctor’s negligence in administering anaesthesia leading to severe consequences for the patient. (Paras 1, 32, 34)

(B) Negligence - The hospital's responsibility regarding the standard of care in treatment and post-operative follow-up noted; the principle of Res Ipsa Loquitur applied where the circumstances of the case indicated negligence by the healthcare providers. (Para 21)

(C) Jurisdiction - Hospital's liability confirmed despite claims of service at no cost; it was established they charged for the service provided, thus falling within the jurisdiction of the Consumer Protection Act. (Para 30)

Facts of the case:
The complainants, a husband and mother, alleged medical negligence led to the wife's vegetative state post-Caesarean delivery - Defendants argued adherence to medical standards.

Findings of Court:
It was determined that there was gross negligence in monitoring and managing the patient's care resulting in irreversible harm.

Issues: Whether there was negligence in the performance of the surgery and postoperative treatment; and under what circumstances the hospital is liable.

Ratio Decidendi: The court identified lapses in medical treatment protocols and the importance of accurate record-keeping as significant factors contributing to the patient's enduring medical condition.

Result: Complaint allowed, with concerned doctors and hospital ordered to pay compensation totaling Rs. 18,00,000 plus costs.

Table of Content
1. medical negligence resulting in severe consequences. (Para 1 , 2)
2. arguments on the standard of care provided by doctors. (Para 3 , 4 , 5 , 6)
3. court's observation on the application of res ipsa loquitur. (Para 10 , 11 , 12 , 15 , 17)
4. finding of negligence and responsibility of medical staff. (Para 18 , 19 , 20 , 23)
5. directives for compensation awarded to complainants. (Para 34)

1. This complaint has been filed by the complainants under S.17(1)(a) of the Consumer Protection Act, 1986 praying this Commission to direct the opposite parties 1 to 3 jointly and severally to pay a sum of Rs. 3,00,000 being the medical expenses incurred by the complainant, Rs. 5,00,000 as compensation for deficiency in service and medical negligence committed by the opposite parties during the performance of Caesarian delivery, Rs. 10,00,000 as compensation for mental agony, pain and suffering caused due to the deficiency in service of the opposite parties and Rs. 25,000 as costs of the complaint.

1. The gist of the complaint allegations is as follows”The 1st complainant consulted the 2nd opposite party regularly for the pregnancy of his wife Mrs. Shoba for delivery of their first child. As per medical advice given by the 2nd opposite party, the 1st complainant had taken his wife Mrs. Shoba for regular medical check - up in the 1st opposite party hospital. The 1st complainant on 3.3.2000 at around 10.00 a.m. admitted his wife Mrs. Shoba in the 1st opposite party hospital for delivery as she developed labour pain. The 2nd opposite party who checked the 1st complainant's wife, Mrs. Shoba and gave her injection and started I.V. informing the normal delivery. The 2nd opposite party informed the complainant that available symptoms of Mrs. Shoba showed the normalcy and that she would deliver the child at about 11.30 a.m. The 2nd opposite party upon her return to the hospital only at 9.00 p.m. informed the 1st complainant the birth of a healthy female child at 9.50. a.m. The 1st complainant only saw his child by 10.00 p.m. but he was not permitted to see his wife. After much pursuance and compulsions, the complainant saw his wife at 2.30 a.m. on 4.3.2000 in an unconscious state. The 1st complainant having seen his wife with suffering from fits and being unconscious questioned the 2nd opposite party who did not give any proper reply. The 1st complainant to avoid further difficulties requested the 2nd opposite party to refer the matter to Dr. Jeya Sekaran Hospital in Nagarcoi to save his wife life. With such references, the wife of the 1st complainant, Mrs. Shoba was admitted at Dr. Jeyasekaran's Hospital in Nagarcoil at 4.50 a.m. on 4.3.2000. The 1st complainant's wife was treated as an in - patient in MCU at Dr. Jeyasekaran's Hospital, Nagarcoil from 4.3.2000 to 17.4.2000. The 1st complainant came to know that due to excess anaesthesia given by the 3rd opposite party during the caesarian performed for delivering the female child had grossly affected the brain causing unconsciousness and fits to Mrs. Shoba. The 1st complainant's wife Mrs. Shoba was kept on ventilator support for nearly a month. Mrs. Shoba was wincing to painful and stimulus and remained absolutely immobile and bed - ridden without any meaningful limb movements or spontaneous eye opening.

2. Subsequently, Mrs. Shoba was admitted and treated at Sree Chithirai Tirunal Institute of Medical Sciences and Technology, Trivandrum wherein she was treated from 17.4.2000 to 5.5.2000 and from 20.6.2000 to 27.6.2000 Mrs. Shoba was on ventilator support and she made mild improvement in her cognitive and motor status in the past month. She also developed spontaneous eye movements, word output was nil and started taking oral fluids and feeds. Upon discharge it had been stated that this lady is a case of vegetative state secondary to Hypoxic, Ischemic, Encephalopathy which she probably developed because of status of epilepticus. She needs nursing care and prognosis and is discharged on

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