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Nov03

IF PATIENT NOT CURED OR RELIEVED BY MEDICAL TREATMENT,CAN "MEDICAL NEGLIGENCE" BE CHARGED? 

Prof.Dr.Dram,profdrram@gmail.com,Gastro Intestinal,Liver Hiv,Hepatitis and sex diseases expert 7838059592,9434143550


Most of the litigations against Doctors or Hospitals beside those of grave blunders as leaving instruments inside body during surgery,operating other operations or organs as desired or not doing basic as attending patients soon in emergency, providing oxygen or other life saving medicines etc,most cases against Doctors are lodged as either patient dies or some complication develop or patient is not cured completely in different courts dealing  consumer,civil or criminal cases.

                No doctor can give 100% guarantee about the treatment or surgery. The only assurance which a doctor can give or can be understood to have given by implication is that he is possessed of the requisite skill in that branch of profession which he is practising and while undertaking the performance of the task entrusted to him he would be exercising his skill with reasonable competence.

           But still Doctors are tried in every court,although our different courts and apex court recognise the above notions but still provide no immunity to Doctors at any stage as provided to Judges who always provide judgments in lower or session court or higher or supreme court where many judgements  are stayed or overruled by higher court or bench but no punishment to first or judge of previuos judgement for which accused suffer hugh some times for years for such wrong judgement.And in our country many cannot afford to appeal in higher court due to poverty as file a case in high court and supreme court needs hugh money in lacs or crores,although to have a judgement is fundamental right should be gurantted free of cost but in practice almost impossible,our Court drag Doctors in consumer court if founding charging high but silent for their own deed.Why no consumer relationship between a client and a Lawyer or even a Court accepted as every body seeking a justice has to pay either exorbiant lawyer fee or even reasonable court fee or fine if imposed by court.

          The Hon’ble Apex Court in various judgments has duly held that no guarantee is given by any doctor or surgeon that the patient would be cured.

1.In the matter titled as “P. B. Desai versus State of Maharashtra, AIR 2014 SC 795, the Hon’ble Apex Court has held that:
“39. It is not necessary for us to divulge this theoretical approach to the doctor-patient relationship, as that may be based on model foundation. Fact remains that when a physician agrees to attend a patient, there is an unwritten contract between the two. The patient entrusts himself to the doctor and that doctor agrees to do his best, at all times, for the patient. Such doctor-patient contract is almost always an implied contract, except when written informed consent is obtained. While a doctor cannot be forced to treat any person, he/she has certain responsibilities for those whom he/she accepts as patients. Some of these responsibilities may be recapitulated, in brief:to continue to treat, except under certain circumstances when doctor can abandon his patient;to take reasonable care of his patient;to exhibit reasonable skill:

        The degree of skill a doctor undertakes is the average degree of skill possessed by his professional brethren of the same standing as himself. The best form of treatment may differ when different choices are available. There is an implied contract between the doctor and patient where the patient is told, in effect, “Medicine is not an exact science. I shall use my experience and best judgment and you take the risk that I may be wrong. I guarantee nothing.” Not to undertake any procedure beyond his control: This depends on his qualifications, special training and experience. The doctor must always ensure that he is reasonably skilled before undertaking any special procedure/treating a complicated case.
Professional secrets: A doctor is under a moral and legal obligation not to divulge the information/knowledge which he comes to learn in confidence from his patient and such a communication is privileged communication.”
2.  In the matter Malay Kumar Ganguly vs Sukumar Mukherjee & Ors. AIR 2010 SC 1162, the Hon’ble Supreme Court of India has held that:“INDIVIDUAL LIABILITY OF THE DOCTORS There cannot be, however, by any doubt or dispute that for establishing medical negligence or deficiency in service, the courts would determine the following:

No guarantee is given by any doctor or surgeon that the patient would be cured.
The doctor, however, must undertake a fair, reasonable and competent degree of skill, which may not be the highest skill.
Adoption of one of the modes of treatment, if there are many, and treating the patient with due care and caution would not constitute any negligence.Failure to act in accordance with the standard, reasonable, competent medical means at the time would not constitute a negligence. However, a medical practitioner must exercise the reasonable degree of care and skill and knowledge which he possesses. Failure to use due skill in diagnosis with the result that wrong treatment is given would be negligence.In a complicated case, the court would be slow in contributing negligence on the part of the doctor, if he is performing his duties to be best of his ability.Bearing in mind the aforementioned principles, the individual liability of the doctors and hospital must be judged.”

3. In the landmark judgement of Jacob Mathew Petitioner v. State of Punjab & Anr. 2005 (3) CPR 70 (SC) the Hon’ble Supreme Court has held that:

“Para 28: No sensible professional would intentionally commit an act or omission which would result in loss or injury to the patient as the professional reputation of the person is at stake. A single failure may cost him dear in his career. Even in civil jurisdiction, the rule of res ipsa loquitur is not of universal application and has to be applied with extreme care and caution to the cases of professional negligence and in particular that of the doctors. Else it would be counterproductive. Simply because a patient has not favourably responded to a treatment given by a physician or a surgery has failed, the doctor cannot be held liable per se by applying the doctrine of res ipsa loquitur.”

4. In the matter titled as “Martin F. D’Souza versus Mohd. Ishfaq, 2009(3) SCC 1” the Hon’ble Supreme Court has held that:

“Para 124: “It must be remembered that sometimes despite their best efforts the treatment of a doctor fails. For instance, sometimes despite the best effort of a surgeon, the patient dies. That does not mean that the doctor or the surgeon must be held to be guilty of medical negligence, unless there is some strong evidence to suggest that he is.”

5. In the matter titled as “Lok Nayak Hospital versus Prema, RFA No. 56/2006” the Hon’ble High Court of Delhi vide judgment dated 06.08.2018 has held that

“8. Firstly, it is to be noted that the only allegation of negligence alleged by the respondent/plaintiff against the appellant/defendant is that the tubectomy/sterilization operation failed. Since medically there is never a 100% chance of success in sterilization operations, the mere fact that the operation was not successful, that by itself cannot be a reason to hold the appellant/defendant and its doctors guilty of negligence. This aspect is no longer res integra and is so held by a Division Bench of this Court in the case of Smt. Madhubala Vs. Govt. of NCT of Delhi, 118 (2005) DLT 515 (DB).

               So if we see such judgements we find that Doctors should not be booked for any medical negligence if any patient not cured or relieved or complication happens or patient dies after treatment but still any body can drag Doctors to court and vibrant Media either electronic,print and now social media highlight such reporting of simple filling complains against Doctors in headlines knowing fully that most of the time and in many places Doctors are popular and they earn by serving peoples in mass not running business from a corner of house with limited individuals so news against Doctor are used to increase Readers,Viewers as TRP or Likes in social media and many times on these platforms Doctors are judged by many so called experts knowing nothing and judments are passed while FIR has not been initiated leading to hugh loss to Doctors as dishonouring and ruining his name,fame,reputation and practice completely.

                            Will our court introspect to consider Doctor as professional as they treat Lawyers and Judges,will any time come when no Medical negligence cases against Doctors will be allowed to be filed? or any action or ban on  media who trials and damage Doctors before judgement pronounced in such medical negligence cases atleaset .Please write your opinion as doctor in this regard.Please extend this article to Doctors against whom complain has been filled in any court so that they are less stressed and to communicate their cases here for an expert discussion.



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