‘Indian Medical Council (Professional Conduct,
Etiquette and Ethics) Regulations, 2002’-A Report
Relevant Topics
:
Allegations not Established
Cardiac Arrest cannot be
Predicted
Conventional
Treatment
Deficiency in Service : Delay
in Operation
Deficiency not Proved
Excessive Dialysis Given : Deficiency in Service :
Compensation
Failed to Prove
Negligence:Deficiency in Service
Care - Deficiency in Service
Died:Compensation Family Planning
Operation:Patient
Heart Block : No Deficiency in
service
Government Hospital:Case not
Maintainable
Inadequacy of Diagnostic
Procedures in Pre-operative
Measles:No Evidence to prove
Negligence or Deficiency
Negligence in Choice and
Manner of Surgery
Negligence and Deficiency
Established
No evidence to prove
Negligence
No Evidence to Prove Wrong
Treatment
No reliable evidence to prove
blood contained HIV
Operation:Lived
for more than two years after Operation:No
Surgeries Done in Negligent
Manner:No evidence to prove
Deficiency in Service
Ultra-Sound Report, Erroneous:Deficiency
in Service:Fees Refunded
Vision Lost:Appropriate
Treatment given:No Deficiency in Service
Wrong Blood Transfusion:No
Evidence with Resultant
Complications:No
Negligence/Deficiency in Service
Wrong
Diagnosis, Wrong Treatment:Deficiency in Service
Allegations
not Established Top
-Consumer
Protection Act, 1986 - Sections 17/12-Complaint-Negligence-Doctor-Complaint
operated upon for family planning-Gave birth to child after it-Complaint
-Failed to prove negligence-Operation cannot guarantee 100% success-Always 5 to
6% failures-Allegations of negligence not established.
Rajbai
v. Madhya Pradesh Shasan Sachiv, Lok Swasthya Avam Pariwar Kalyan Vibhag &
Ors.
Madhya
Pradesh S.C.D.R.C 578
-Breach
of any duties gives right of action for negligence to patient
-Negligence
in Tort-Person ready to give medical -Possess skill and knowledge-Consulted by
patient, ownes him certain duties - Breach of any duties gives right of action
for negligence to patient.
Prasanth
S. Dhanaka v.Nizam's Institute of Medical Sciences National S.C.D.R.C. 43
-Caesarean
Operation cannot be performed without qualified Anaesthetist
Minority
View :
-
Caesarean operation cannot be performed without qualified Anaesthetist-Indications
suggest foetus dead-Risk factor all the more -Opposite party justified in
waiting for arrival of any qualified Anaesthetist-Complaint fully aware,
immediate operation not possible, could have taken patient to any other
hospital -No complaint regarding treatment given-No material to hold opposite
party negligent or deficient in service-Complaint dismissed.
K.Murugesan
& Anr. v. Dr.S. Sarala Devi Tamil Nadu S.C.D.R.C. 542
-Caesarean
Operation : No evidence to prove the allegations : No Deficiency is Service
-Consumer
Protection Act, 1986-Section 2(1)(g)-Medical Negligence - Deficiency in
Service-Deceased admitted for delivery-Child delivered by caesarean
operation-Died subsequently-Deficiency alleged in post operative period-Proper
treatment not given to stop bleeding -Blood not pre-arranged-District Forum
held, no deficiency proved, dismissed complaint -Hence appeal - No evidence to
prove the allegations - Complaint rightly dismissed by District Forum.
M.
Subramani & Ors. v. Christu Jothi Hospital & Anr. Tamil Nadu S.C.D.R.C.387
Cardiac
Arrest cannot be Predicted : No Negligence/Deficiency Proved Top
-Consumer Protection Act, 1986 - Sections2(1)(c)(iii), 14(1)(d)-Medical
Negligence-Operation-Cardiac Arrest - Patient, A Boy of 13 Years
Died-Deficiency in Service-Compensation-Hole in ear drum-Slight discharge of
watery liquid-Operation advised -Patient entered coma stage before commencement
of surgery-Heart beat stopped-Resuscitation done-Neuro specialists contacted
immediately-Patient died - All necessary amenities provided in hospital -
Cardiac arrest cannot be predicted - No negligence / deficiency proved.
A.
Sambi Reddy v. K.K.R. Ent Hospital & Research Institute Tamil Nadu
S.C.D.R.C 165
Conventional Treatment : No
Deficiency in Service Top
-Consumer
Protection Act, 1986- Section 2(1)(g) - Deficiency in Service - Medical
Negligence - Patient admitted with hernia - Operated upon by opposite parties -
Expired -Complaint-Opposite parties adhered to conventional treatment-Doctors
cannot be accused of deficiency in service.
Sawan
Kumar & Five Ors. v. Dr. Surinder Katyal Haryana S.C.D.R.C. 226
Deficiency in Service :
Delay in Operation
: Compensation with
Interest Top
Majority
view :
-Consumer
Protection Act, 1986 - Sections 2(1)(g), 14(1)(d) - Medical
Negligence-Deficiency in Service-Delay in Operation-Compensation-Advanced stage
of pregnancy- Acute labour pain-Opposite party found immediate operation
necessary-Delay of four long hours-Opposite party waited for her Anaesthetist
husband - No attempt to get assistance to local Anaesthetist -Delay in opposite
party's husband-No attempt to get assistance of local Anaesthetist-Delay in
opposite party's husband coming from Madras-Operation conducted with the help
of local Anaesthetist -Child in womb died, removed during operation-Delay in
doing operation reason of death-Operation conducted without having blood for
transfusion-Patient lost about 300 c.c. blood-No blood available -Patient taken
to Madras in ambulance-Died on the way - Opposite party guilty of callous
negligence- Complaint
entitled to compensation alongwith interest.
K.
Murugesan & Anr. v. Dr. Sarala Devi Tamil Nadu S.C.D.R.C. 542
Deficiency not Proved Top
-Consumer
Protection Act, 1986 - Section 14(1)(d) - Medical Negligence - Compensation -
Complaint pregnant - Admitted in hospital - Gave birth to a male child by
normal delivery on 17.12.1995-Pain an swelling in stomach-No proper treatment
given-discharged on 19.12.1995-Taken to another hospital-Treated till
26.12.1995 - Compensation claimed-Complaint failed to show how opposite party
negligent in service - No one from other hospital examined - No deficiency
proved on part of opposite party.
Rajeswari
v. Antony Hospital & Anr. Tamil Nadu S.C.D.R.C. 255
-Consumer
Protection Act, 1986 - Sections 2(1)(g), 14(1)(d) - Medical Negligence-Proper
Treatment not Given-Deficiency in Service-Compensation-Complainant's daughter
admitted for fever-Only one dialysis for 1½ hours given - Blood urea and
creatinine increased-No more dialysis given -Opposite party failed to give
proper treatment to bring down blood urea and creatinine-patient
died-Compensation claimed-Serious condition of patient not allowed more than
one haemodialysis - All other necessary treatment given to bring down urea and
creatinine- no deficiency in service on part of opposite party proved.
C.
Sankara Narayanan v. Meenakshi Mission H$R Centre Tamil Nadu S.C.D.R.C. 683
Excessive Dialysis Given : Deficiency
in Service : Compensation Top
Consumer
Protection Act, 1986 - Sections 2(1)(g), 14(1)(d) - Medical
Negligence-Excessive Dialysis Given Which Caused Convulsions - Deficiency in
Service - Compensation-Complainant's son admitted in opposite party's Hospital
for treatment of renal failure - More dialysis given than actually
needed-Developed fits, died-Compensation claimed for gross negligence-Patient
previously treated for convulsions with Epsobin and Eptoin 100 mg. daily-Tablet
given specifically for treatment of epilepsy-Patient had epilepsy previously
not disclosed not disclosed to opposite party-Convulsions not caused by
excessive dialysis by opposite party-No deficiency in service on part of
opposite party.
A.J.
Devarajan v. Management of the Guest Hospital Tamil Nadu S.C.D.R.C. 691
-Expert
Evidence not Produced about Inferior Quality of Plates -Consumer Protection
Act, 1986 - Section 15-Appeal -Medical Negligence-Legs of complaint fractured
in accident-Opposite party operated complaint filed alleging
negligence-Dismissed-Appeal-No expert evidence produced about inferior quality
of plates - Medical negligence is proved.
Sardool
Singh v. Muni Lal Chopra & Anr. Punjab S.C.D.R.C. 64
Failed to Prove Negligence:Deficiency in Service Top
-Consumer
Protection Act, 1986 - Section 2(1)(c)(iii) - Medical Negligence - Post
Operational
Care - Deficiency in Service - Complaint's husband treated for Hydrocele problem - Operated -
No Doctor to attend patient during post operative period - Injection given by
Duty Nurse without test - Patient collapsed - Defence plea, patient suffered
Miocardial Infraction or Cerebro Vascular accident - No evidence to show
alleged negligence - complaint failed to satisfactorily prove alleged
negligence/deficiency in service.
Packia
Retnam @ A.P.Ratna Singh v.Dr.N.C. Thanu, M.S. Tamil Nadu S.C.D.R.C. 314-
Died:Compensation Family Planning Operation:Patient Top
-Consumer
Protection Act, 1986 - Section 14(1)(d) - Medical Negligence - Family Planning
Operation - Patient Died - compensation - Patent taken to the operation theatre
in good condition - Surgeon engaged to do the operation - Patient developed
pain during operation - Local anaesthesia given had not necessary effect -
Patient died due to negligence of surgeon - complaint lost consortium of wide
and mother his children - Entitled
to compensation of Rs.4,00,000/- alongwith 18% interest.
A.Ravi
v. Dr.(Mrs.) Usha Rani & Ors. Tamil Nadu S.C.D.R.C. 581
Heart Block : No Deficiency in service Top
-Consumer
Protection Act, 1986 - Section 2(1)(c)(iii) - Medical Negligence - Deficiency
in Service - Complaint suffered heart block - Regained consciousness -
Pacemaker implanted in November, 1995 - Started working regularly - Erosion
commenced around pacemaker in February, 1996 - Instead reporting to PGI
Complaint entered the Command Hospital - Complaint went to London and treated
there - Pacemaker infected - Part of screw driver left behind - Screw driver
not brought by Complaint alongwith pacemaker - Non production of material piece
of evidence goes against complaint - Mere allegation or suspicion, however
strong may be cannot take shape of proof - complaint discharged from PGI in
satisfactory condition - Post implantation injection a well known risk of
pacemaker implantation - No deficiency on part of doctor established.
Commander
Sohan Singh Sandhu v.Dr.H.K.Bali & Anr. Chandigarh S.C.D.R.C. 392
Government Hospital:Case not Maintainable Top
-Consumer
Protection Act, 1986 - Section 2(1)(d) - Medical Negligence - Consumer -
Government Hospital - Patient discharged before fully cured, died - treatment
free of charge - No service rendered for consideration - Person not become
consumer by making payment for patient - Case not maintainable.
Fakir
Mohan Bhuyan v. Dr.G.C. Pothal & Ors. Orissa S.C.D.R.C. 206
Inadequacy
of Diagnostic Procedures in Pre-operative Stage:Deficiency in service: Compensation Top
-
Consumer Protection Act, 1986 - Sections 2(1)(g), 14(1)(d) - Medical Negligence
- Inadequacy of Diagnostic procedures in Pre-operative Stage - Deficiency in
Service - compensation - Complaint 20 years old Engineering student - Admitted
for treatment of benign tumour - after undergoing surgery for excision biobsy
became paraplegic, confined to wheel chair - Pre-operative tests not carried -
Extension of tumour into intervertebral foramen came into opposite parties
knowledge only while removing tumour - Opposite parties not able to explain why
removal of benign tumour in chest wall resulted in spinal cord injury and
paraplegia - surgery performed without complete involvement of neurosurgeon -
Serious lapse on part of opposite parties amounted to deficiency in service - Opposite parties liable to
pay Rs.14 lakhs towards compensation.
Prasanth
s.Dhanaka v.Nizam's Institute of Medical Sciences National C.D.R.C 43.
Inflated claim Top
-Consumer
Protection Act, 1986 - Section 14(1)(d) - Medical Negligence - Death of 2
years' child - compensation - District Forum awarded Rs.10,00,000/- towards
compensation - Absurdly exorbitant - Compensation for death of 2 years' child
would be much below Rs.5,00,000/- - Claim reduced - Complaint returned to
District forum having pecuniary jurisdiction.
D.Venkateshwarlu
v. Dr. P. Sudarshan Reddy Andhra Pradesh S.C.D.R.C. 472
Measles:No Evidence to prove Negligence or Deficiency Top
Consumer
Protection Act, 1986 - Section 2(1)(g) - Medical Negligence - Deficiency in
Service - Complaint suffering from measles - Admitted Escorts Hospital -
Developed gangrene on left hand - Referred to All India Institute of Medical
Sciences - Arm amputated - Compensation claimed for negligence - No evidence to
prove negligence or deficiency - Conventional method and manner of treatment
adopted, doctor not negligent or deficient if patient does not respond and die.
Miss
Maya Devi v. Escorts Medical Centre & Anr. Haryana S.C.D.R.C. 449
-Medical
Terms : "Ischemic Myelopathy", "Paraplegia",
"Schwannomas" (Nurilemmomas) & "Neurofirbroma",
"Vertebral Foramen", "Cauda Equina", Meaning of
-Medical
Terms - "Ischemic Myelopathy", Paraplegia",
"Schwannomas" (Neurilemmomas) & "Neurofirbroma,
"Vertebral Foramen", "Cauda Equina", - Meaning of.
Prasanth
S.Dhanaka v. Nizam's Institute of Medical Sciences National C.D.R.C.43
Negligence
in Choice and Manner of Surgery : No Proof : No Deficiency in Service Top
-Consumer
Protection Act, 1986 - Sections 2(1)(g), 14(1)(d) - Medical Negligence -
Deficiency in Service - Negligence in Choice and manner of Surgery - Compensation
- Complaint hit by motor cycle - sustained hairline fracture at neck of right
femur - Rough handling while taking him for second X-ray caused widening of
fracture - - Negligent treatment and selection of wrong mode of operation -
Compensation claimed - Opposite party denied any negligence - Conservative line
of treatment with skin traction given - Derotation boot given for 9 days -
Hemiarthroplasty done for early ambulation of patient - Inspite of best
treatment, injection, loosening of prosthesis and erosion of bones, documented
complications- widening of fracture due to mis-handling not proved - Opposite
party not negligent or deficient or deficient in service.
S.
Ramanujam v. Dr.C.P. Sreekumar Tamil Nadu S.C.D.R.C. 666
Negligence and Deficiency Established:Compensation Granted Top
-Consumer
Protection Act, 1986 - Sections 2(1)(c)(iii), 14(1)(d) - Medical Negligence -
Deficiency in service - Compensation - Deceased suffering from lung disease -
Decortication operation performed - Pain recurred after two months - Tumor in
advanced stage - Condition incurable - Sample for histapathology report not
sent - Hospital has all necessary equipments to handle it - No reason to ignore
such a routine matter - Negligence and deficiency on part of doctor established
- Liable to pay
Rs,2,25,000/- towards compensation.
S.V.
Panchori & Ors. v. Dr.Kaushal Pandey & Anr. Maharashtra S.C.D.R.C. 332
Nerve Injury:Deficiency proved:Compensation with Interest Top
-Consumer
Protection Act, 1986 - Sections 2(1)(c)(iii), 14(1)(d) - Medical Negligence -
Deficiency in Service - Compensation - Nerve injury - Doctor agreed to close
the wound - Only skin sutured without suturing nerve - doctor knew no facility to
join cut nerve at his Hospital - Continued treating him - Disability caused to
leg because of negligence - Second operation suggested - Deficiency proved -
Rs.24,717/- awarded towards compensation alongwith 12% interest.
Manager,
Martin Medical Centre v. E.V.Thomas Kerala S.C.D.R.C. 136
No evidence to prove Negligence Top
-Consumer
Protection Act, 1986 - Section 2(1)(g) - Medical Negligence - Deficiency in Service
- Deceased admitted in Nursing Home for delivery - gave birth to a baby -
Having some complaint - referred to opposite party No.2 - died - Cause of
death, "raised intracranial tension" - No evidence to prove
negligence - Conventional method and manner of treatment adopted, doctor not
accused of any negligence or deficiency in service if patient does not respond
and die.
Master
Subam Kashyap v. Dr. (Mrs.) Sarla Madkan Haryana S.C.D.R.C. 505
No Evidence to Prove Wrong
Treatment:
Deficiency in service Top
-Consumer
Protection Act, 1986 - section 2(1)(c)(iii) - Medical Negligence - Deficiency
in Service - Death due to rabies - Wrong diagnosis, wrong treatment alleged -
Clinical test conducted - Rabies diagnosed - Necessary treatment given - No
evidence to prove wrong treatment - No negligence proved.
M.
Parimanam v. Dr. C.P. Jaganathan & Ors. Tamil Nadu S.C.D.R.C. 243
No reliable evidence to
prove blood contained HIV
- No Deficiency in Service Top
-Consumer
Protection Act, 1986 - Section 2(1)(g), 14(1)(d) - Medical Negligence -
Deficiency in Service - HIV Infected Blood Transfused - Compensation -
Complainant's wide admitted for treatment of abdominal pain - Advised to
undergo hysterectomy - Transfused 2 units of blood in post operative period -
Blood contained HIV antibodies - Complainant's wife infected with AIDS virus -
Died - Gross and patent negligence in transfusing infected blood - compensation
claimed - No receipt for payment for blood supplied by 2nd opposite party filed
- No reliable evidence to prove blood contained HIV - Blood transfused in
December, 1992 - HIV detected after lapse of about 1½ years - HIV transmitted
from blood transfused not proved - No deficiency on part of opposite parties.
M.Chinnaiyan
v. Sri Gokulam Hospital & Anr. Tamil Nadu S.C.D.R.C. 243
Operation:Lived for more
than two years after Operation:No Deficiency in Service Top
-Consumer
Protection Act, 1986 - Section 2(1)(g) - Deficiency in Service - Medical
Negligence - Complaint's wife operated upon by opposite party for removal of
cancerous growth - Died - Complaint - Complaint's wife lived for more than two
years after operation - No ground for holding deficiency in service.
R.N.Sethi
& Anr. v. Hardial Singh Punjab S.C.D.R.C. 33
Operation Minor
Complications:No
Deficiency Top
-Consumer
Protection Act, 1986 - Section 2(1)(c)(iii) - Deficiency in Service - Medical
Negligence - Operation - Removal of Prostate gland - Complainant a retired
colonel, aged 57 years - Difficulty in passing urine for several hours - Baby
feeding tube used by Urologist - Urine drained out by catherterisation - Minor
complications inherent despite reasonable care - No deficiency on part of
doctors.
Col.
R.S. Ratra (Retd) v. Dr. Ashit Syngle Chandigarh S.C.D.R.C. 56
Pregnancy Test Top
-Consumer
Protection Act, 1986 - Section 15 - Appeal - Medical - Pregnancy Test - Delay
of 5 days in the mensturation period - Complaint contacted opposite party -
Opposite party opined pregnancy after urine test - Complaint contacted another
doctor - Opined no pregnancy - Complaint field - District Forum granted
Rs.500/- as compensation and recorded warning - Appeal by Complaint for
enhancement - Pregnancy test may not be accurate beyond 98% - No interference
is called for.
Manpreet
Kaur v. Dr. (Mrs.) A.K.Sawhney Chandigarh S.C.D.R.C. 149
Surgeries Done in Negligent Manner:No evidence to prove Deficiency
in Service Top
-Consumer
Protection Act, 1986 - Section 2(1)(g) - Medical Negligence - Deficiency in
Service - Surgeries Done in Negligent Manner - Complaint fell down from moving
bus - Suffered serious injuries - Non-accommodation in inpatient ward without
treatment soon after admission - Haematoma not properly treated - Surgeries
done in negligent manner - Allegations not established - No evidence to prove
any deficiency in service on part of opposite party.
N.
Venkatachalam v. Christian medical College Hospital Tamil Nadu S.C.D.R.C. 560
Ultra-Sound Report,
Erroneous:Deficiency in Service:Fees Refunded
Top
-Consumer
Protection Act, 1986 - Section 2(1)(c)(iii) - Medical Negligence - Ultra-sound
Report, Erroneous - Deficiency in Service - Complaint's report showed multiple
shadows of stones - Operated - No stones found - Radiologist deficient in
performance - Deficiency in service established - fees charged for examination
to be refunded.
Darshan
Kaur v. Dr. J.S.Sodhi & Ors. Chandigarh S.C.D.R.C. 557
Vision Lost:Appropriate
Treatment given:No Deficiency in Service
Top
-Consumer
Protection Act, 1986 - Sections (2)(1)(g), 14(1)(d) - Medical Negligence -
Wrong Treatment - Vision Lost - compensation - Irritation and redness in eye -
Corneal scraping done - smear negative for fungus - Pain increased - Second
corneal scraping - Fungus positive report - Surgery to clean up infection -
Small tear in anterior capsule resulted total blindness - Compensation claimed
- Infection gone deep involving iris and anterior capsule of lens - Tear in
anterior capsule inevitable while clearing infection - Infection totally cured
after surgery - Fungal ulcer once diagnosed in lab, appropriate treatment given
by opposite parties - No deficiency in service on their part.
M.Sujatha
v. Dr.R.Suryaprakash & Ors. Tamil Nadu S.C.D.R.C. 560
Wrong Blood Transfusion:No
Evidence with Resultant Complications:No Negligence/Deficiency in Service Top
-Consumer
Protection Act, 1986 - Section 2(1)(c)(iii) - Medical Negligence - Wrong Blood
Transfusion - Deficiency in Service - State Commission awarded Rs.2,00,000/-
towards compensation - Hence appeal - Documents lacking essential technical
details - Patient survived 4 years after treatment - No evidence to link blood
transfusion with any resultant complications - Onus of proving negligence on
complainant, not discharged - No negligence/deficiency proved - Order set
aside.
Calcutta
Medical Research Institute v. Bimalesh Chatterjee & Ors. National C.D.R.C
13
Wrong Diagnosis, Wrong
Treatment:Deficiency in Service Top
-Consumer
Protection Act, 1986 - Sections 2(1)(c)(iii), 14(1)(d) - Medial Negligence
Wrong Diagnosis, Wrong Treatment - Deficiency in Service - Compensation -
Treatment of hyper - osmolar-Non Ketotic diabetic acedosis - Patient admitted
in I.C.U. died after two weeks - compensation claimed for wrong treatment -
Evaluation of case must be done in correlation with clinical condition of
patient - Mere date cannot be interpreted without studying patient then and
there - Deceased seen by many specialists - All necessary treatment given - No
deficiency/negligence proved - No compensation.
P.S.
Krishnaswamy v. Apollo Hospital Enterprises Ltd. Tamil Nadu S.C.D.R.C. 119
Medical Treatment Top
-Consumer
Protection Act, 1986 - Section 2(1)(e) - Medical Treatment - Consumer Dispute -
Deceased admitted for treatment f chest infection - Shifted to respiratory care
unit - Died - Complaint regarding rates charged - Dismissed by District Forum -
Hence appeal - charges levied according to notification issued - cost/price
charged for rendering service not a consumer dispute.
Bakshish
Singh v. Post Graduate Institute, Chandigarh Chandigarh S.C.D.R.C. 431