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2023 MarsdenLR 2858

HIGH COURT MALAYA KUALA LUMPUR
DAYALAN SATHIAMUTTY – Appellant
Versus
GLENEAGLES HOSPITAL (KUALA LUMPUR) SDN BHD & ORS – Respondent
[Civil Suit No: WA-22NCVC-128-03-2021]



Petitioner Advocates:M S Dhillon,Aaika Zulaika ,Respondent Advocate: Felix Raj,Joseph Lum

A medical practitioner must adhere to accepted standards of care and adequately inform patients of risks; negligence must be proven to have caused the injury.

Headnote:(A) Law of Negligence - Duty of Care - Medical Practitioners - The Plaintiff alleged negligence in treatment for Achilles tendinitis by the Defendants, particularly in post-surgical care. The court emphasized that a medical practitioner must act according to accepted practices and inform patients of material risks (Paras 4.1, 4.3, 4.5).

(B) Causation - The Plaintiff must prove that the Defendants' negligence caused the injury, which requires demonstrating that the negligence materially contributed to the injury (Paras 90, 92).

(C) Vicarious Liability - The hospital is not liable for independent contractors unless a non-delegable duty is established (Paras 145-152).

Facts of the case:
The Plaintiff, a diabetic, sustained an Achilles injury and underwent surgery but experienced complications post-surgery. He alleged inadequate advice and care from the Defendants, particularly Dr Benjamin (Paras 13-50).

Findings of Court:
The court found Dr Benjamin negligent for failing to provide adequate post-surgical care and advice, while Dr Chan was not found liable as he acted according to accepted medical practices (Paras 52-56, 126).

Issues: The main issues were whether the Defendants acted negligently and whether the hospital could be held vicariously liable (Paras 98, 145).

Ratio Decidendi: The court held that Dr Benjamin's failure to ensure proper care for the Plaintiff's wound constituted negligence, while Dr Chan's actions were deemed appropriate (Paras 55, 126).

Result: The Plaintiff's claim against Dr Benjamin was successful, awarding damages of RM122,866.70, while claims against Dr Chan and the hospital were dismissed (Paras 179).

Table of Content
1. duty of care in medical negligence. (Para 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9)
2. burden of proof in negligence claims. (Para 10 , 11 , 12)
3. factual background of the plaintiff's treatment. (Para 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50)
4. summary of the plaintiff's claims. (Para 51)
5. court's decision on liability. (Para 52 , 53 , 54 , 55 , 56)
6. analysis of dr benjamin's negligence. (Para 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72)
7. assessment of expert opinions. (Para 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82)
8. causation and foreseeability of damage. (Para 83 , 84 , 85 , 86 , 87 , 88 , 89)
9. liability despite pre-existing conditions. (Para 90 , 91 , 92 , 93 , 94)
10. conclusion on damages. (Para 95 , 96 , 97)
11. court's analysis and decision on claims. (Para 98 , 99 , 100 , 101 , 102 , 103 , 104 , 105 , 106 , 107 , 108 , 109 , 110 , 111 , 112 , 113 , 114 , 115 , 116 , 117 , 118 , 119 , 120 , 121 , 122 , 123 , 124 , 125 , 126 , 127 , 128 , 129 , 130 , 131 , 132 , 133 , 134 , 135 , 136 , 137 , 138 , 139 , 140 , 141 , 142 , 143 , 144 , 145 , 146 , 147 , 148 , 149 , 150 , 151 , 152 , 153 , 154 , 155 , 156 , 157 , 158 , 159 , 160 , 161 , 162 , 163 , 164 , 165 , 166 , 167 , 168 , 169 , 170 , 171 , 172 , 173 , 174 , 175 , 176 , 177 , 178)
12. final orders and costs. (Para 179 , 180)
Mohd Arief Emran Arifin J:

Introduction

[1] The Plaintiff alleges that the Defendants were negligent when they had provided treatment to the Achilles tendinitis suffered by him sometime in July 2019, the operation and the related post-treatment.

Summary Of The Applicable Law

[2] I will now deal with the applicable legal principles.

[3] The applicable law when dealing with allegations of negligence against hospitals and doctors is trite. I will attempt to summarize the applicable law in the following paragraphs before I deal with the present claim pleaded by the Plaintiff against the Defendants.

[4] I summarize the current legal position as follows:

4.1 A doctor or any medical practitioner owes a duty of care to his or her patient that must be discharged in "accordance with a practice accepted by a responsible body of medical men skilled in that particular art."

4.2 A doctor or any medical practitioner is not guilty of negligence if he or she has acted in accordance with such a practice even if there exists a body of opinion that takes a contrary view.

4.3 The said doctor or any medical practitioner also owes a duty of care to his or her patient to warn his patient of the material risk inherent in the treatment that is being proposed. This duty has been described as "the right of self-determination". The "Court will decide whether a patient has been properly advised of the risks associated with the treatment and no longer look at what a body of respectable members of the medical profession would do as a yardstick".

4.4 What a material risk will depend on the circumstances of the case and "whether a reasonable person in the patient's position would be likely to attach significance to the risk."

4.5 The medical practitioner is "duty bound by law to inform his or her patient, who is capable of understanding and appreciating such information of the risks involved in any proposed treatment" to enable the patient to make an election of whether to proceed with the proposed treatment with knowledge of the risks involved or decline to be subjected to such treatment."

4.6 This does not however mean that this Court is bound by the opinion, or the practice accepted by the medical profession. If the "body of medical opinion does not withstand logical analysis, the Court may hold that it is not reasonable or responsible and may then depart from it."

[5] These principles of law have been gleaned from the following authorities:

5.1 Foo Fio Na v. Dr Soo FookMun & Anor 2006 MarsdenLR

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