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COMPLAINANT
-Vs-
OPPOSITE PARTIES
(b)
(c)
Contd.,
2.
complainant died leaving two minor children and they became orphan. The
complainant requested to opposite party No.1 to pay the compensation but
the opposite party No.1 takled adamantly. The complainant got issued legal
Contd.,
received the notice but they did not take any steps to pay the compensation.
Opposite parties 1 to 3 are negligent and it is clear deficiency of service on
the part of opposite parties and caused mental agony to the complainant.
Hence this complaint.
3.
Opposite party No.1 filed written version stating that the complaint is
neither just nor maintainable either in law or on facts of the case and denied
the allegations levelled against him. It is submitted that the patient by name
Smt.Y.Adilakshmi was admitted in opposite party No.1 hospital with G2 PILI
with 9.00 M.A with anemia with mild PIH. At the time of admission all the
necessary investigations were done and opposite party No.1 requested her
attendant to arrange two bottles of A+Ve (Positive) compatible blood and it
was arranged from outside and one bottle was transfused pre operatively on
20.09.2011.
21.09.2011 evening, she got labor pain on 22.09.2011 morning, because this
was a case of post Cesarean.
Contd.,
23.09.2011 due to DIC complication but not due to blood transfusion. The
opposite party No.1 is a M.D., in Obstetrics and Gynecology worked as a
Medical Officer and Assistant Professor of Gynecology in Kurnool Medical
College from 1987 to 2004. During the said period he got best Doctor award
for two times for conducting nearly 40,000 sterilization operation in the
District. The opposite party No.1 not responsible in any way for the death of
the complainant wife as this opposite party was not negligent in performing
the surgery and taking subsequent care. The alleged problem (DIC) of the
complainant cannot be attributed to any negligence on the part of opposite
party No.1. There was no postmortem done over the dead body of his wife.
There are no merits in the complaint it is filed only to make an unlawful
gain. Hence the complaint is liable to be dismissed.
4.
5.
6.
ii.
iii.
To what relief?
Contd.,
7.
was done with the Assistance of Anesthesist opposite party No.2. On the
same day at 1.10 P.M., opposite party No.1 done hysterectomy with the
Assistance of opposite party No.2.
pertaining to Adilakshmi.
Contd.,
years.
compensation for their negligence. The office copy of legal notice is marked
as Ex.A10 dated 17.02.2011. Ex.A11 is the photo copy of reply notice given
by opposite party No.1 dated 14.04.2012.
leaving two minor children due to negligent of opposite parties. Though the
complainant requested and issued legal notice to opposite part to pay the
compensation.
anesthetist was Dr.Hari Kiran at around 11.30 A.M., bleeding P.V.,, (Per
Vagina) is noticed and treated by the Hospital Doctors, in spite of treatment
there is no let up of bleeding P.V., and it was noted as atonic Post Partum
Hemorrhage (PPH) in the case sheet.
abdomen
opened under General Anesthesia and abdomen was closed after keeping a
drain patient condition did not improve it was thought to be a case D.I.C.,
(disseminated Intravascular Co-coagulation) and refer to higher centre for
Intensive Care Unit i.e., Viswa Bharathi Super Speciality Hospital, Gayathri
Estate, Kurnool at about 4.30 P.M. On 22.09.2011 at 6.45 P.M., patient was
admitted in Viswa Bharathi Super Speciality Hospital, Gayathri Estate,
Kurnool with Hospital No.4533-11/CCU.
E.T., (Endo Tracheal) Tube.
Contd.,
committee is examined as PW2 she deposed that she has not visited C.N.
Hospital and Viswabharathi Hospital personally. Generally data recording
blood transfusion details will be recorded and pasted in case sheet. Such
details are available in Ex.X1 whereas those details are not available in
Ex.A1. This fact is also mentioned in enquiry report. She also deposed for
generally DIC is develops due to multiple transmission of blood due to
mismatch of blood is one other reason. Opposite party No.1 is attended the
patient as Gynecologist at Viswabharathi Hospital also.
To avoid a transfusion reaction donated blood must be compatible
with the blood of the patient who is receiving the transfusion. Before a blood
transfusion two blood tests known as a type and cross match are done, DIC
Disseminated intravascular coagulation is serious disorder in which the
proteins that control blood clotting became abnormally active.
The risk
Contd.,
8.
Admittedly the patient by name Adilakshmi got admitted with full term
As the
patient was anemic opposite party No.1 advised for transfusion of blood two
bottles of blood arranged by the attendants of patient and one bottle was
transfused on 20.09.2011 before conducting the surgery. On 22.09.2011 at
9.40nA.M., opposite party No.1 performed Caesarean Operation, at 11.30
A.M., she developed heavy bleeding from Vagina, opposite party No.1
transfused one bottle of blood and suggested four bottles of blood. Then the
Contd.,
negligent he has to observe the physical condition of patient and to make the
patient fit for anesthesia and operation and to determine the operative risk if
any, without observation of any he has administered spinal anesthesia at the
time of Caesarean 9.40 A.M., and on the same day at 12.45 P.M., general
anesthesia was administered for conducting hystectomy. The patient, who is
already anemic with HB of 6.4 before surgery.
times (i.e.,) cesarean at 9.40 A.M., and about 1.10 P.M., hystectomy was
Contd.,
10
9.
The learned counsel appearing for the complainant argued that as per
the case sheet Ex.A1 of C.N. Hospital (opposite party No.1) transfused the
blood to patient without any proper testing of blood and as per the medical
literature and evidence of PW1, PW2 due to blood transfusion reaction the
DIC can arises and opposite party No.1 not noted the details of blood
transfusion and there is no blood bank registration to opposite party No.1.
Contd.,
11
To escape from his liability shifted the patient to opposite party No.3 hospital
without informing to the complainant. There is no signature of complainant
in case sheet of opposite party No.3 (Ex.X1).
treated the patient in opposite party No.3 hospital also. PW1 deposed that
the patient died due to cardiac arrest. Therefore due to reaction of blood
transfusion only all the reaction arises.
Jacob Mathew case is applicable to this case for the negligence of opposite
parties. Opposite party No.3 knows the negligence done by opposite party
No.1 but to hide from this issue they colluded with opposite party No.1 and
admitted the patient in his hospital, therefore opposite party No.3 is also
jointly responsible for the acts of opposite party No.1. He relied a decisions
reported in the Honourable Supreme Court in the Case of Dr.Lakshman
Balakrisna Hoshi is Dr.Trimbak Badu AIR 1969 SC Page 128 and as mitta
verses State of I.P. AIR 1989 SC Page 1570.
The Honourable State Commission laid down Principle that when a
doctor is consulted by a patient the doctor ones to his patient certain duties
(i.e.,)
A. Duty of care in deciding whether to undertake the case.
B. Duty of care in deciding what treatment to give.
C. Duty of care in the administration of that treatment.
A breach of any of the duties may give a cause of action for negligence and
the patient may on that basis recover damages from his doctor.
He cited a decision reported in (2007) CPJ Page 341 (NC) Kalyani
Nursing Home and others -Vs- P.Chandra Mouli and others.
The
C.C.No.4/2010
the
Honourable
A.P.
State
Commission
Contd.,
12
No.3
hospital
and
Caesarean
Operation
was
done
on
08.08.2008,
admitted to Mary Lott Lyles Hospital where her blood was tested and
diagnosed as being positive for Hepatitis B and she died on 01.08.1997. It
was held that she suffered with Hepatitis B due to blood transfusion there
Contd.,
13
The respondents
10.
the opposite party No.1 hospital and having undergone blood transfusion
prior to Caesarean and after Caesarean in his hospital also are not in
dispute. As per the instructions of opposite party No.1 the blood for
transfusion was brought from outside and opposite party No.1 ought to have
checked the blood sample with cross match test and compatibility test prior
to the transfusion. It is established from medical record filed in evidence
and enquiry report and as per evidence of PW1 and PW2.
The details of
blood is not mentioned in C.N. Hospital case sheet (opposite party No.1)
(Ex.A1), where as it is available in case sheet of Viswabharathi Hospital
(Ex.X1). It is also clear from the case sheet (Ex.A1) that the opposite party
No.1 conducted Caesarean at 9.40 A.M., and again performed hystectomy at
1.10 P.M., on the same day (i.e.,) on 22.09.2011. The opposite party No.2
administered spinal anesthesia before Caesarean and general anesthesia
before hystectomy within duration of 3.30 hours of time without considering
the physical condition of patient, who is anemic opposite party No.1
performed two surgeries without consulting the physician. If the opposite
party No.1 had taken steps to consult physician prior to hystectomy the
physician will try their best to avoid it.
Contd.,
14
might have done negligent act while performing the Cesarean to the patient
and she developed heavy bleeding from vagina after surgery. We persued the
sworn affidavit of complainant coupled with the opinion of expert committee
constituted by the superintendent of Government General Hospital, Kurnool
and evidence of PW1 an dPW2 would established that the opposite party
No.1 had not taken precautionary care to conduct cross matching or
compatibility test prior to transfusion and transfused the blood before
surgery and after surgery in his hospital. As per the standard of practice
opposite party No.1 ought to have conduct the tests to prevent from any
reactions, due to the negligence of opposite party No.1 due to the transfused
blood patient suffered with DIC, because loss of blood from her body, as a
result she died due to cardiac arrest.
literature and evidence of PW1 and PW2 due to wrong blood transfusion, the
DIC complication will cause to the receiptants of blood. Opposite parties 2
and 3 is not responsible for the negligence of opposite party No.1. Opposite
party No.2 administered anesthesia as per the procedure and make notes in
the case sheet (Ex.A1).
treatment to patient and also blood transfusion was undergone with due
process by cross matching and compatibility test and the details are
mentioned in his case sheet (Ex.X1). Therefore opposite party No.3 is not
negligent and there is no deficiency of service on the part of opposite parties
2 and 3.
circumstances of the case and in the light of cited decision. We are of the
opinion that opposite party No.1 is negligent in performing his medical
treatment towards the wife of complainant and found deficiency of service on
the part of opposite party No.1.
Contd.,
15
Therefore the
12.
Sd/PRESIDENT (FAC)
APPENDIX OF EVIDENCE
Witnesses Examined
Ex.A2.
Ex.A3
Ex.A4
Ex.A5
Ex.A6
Ex.A7
Ex.A8
Ex.A9
Contd.,
16
Ex.A10
Ex.A11
Ex.X1
Ex.X1
PW1
PW2
Sd/LADY MEMBER
PRESIDENT (FAC)
Contd.,