DR. (MRS.) CHANDA RANI AKHOURI & ORS. versus DR. M.A. METHUSETHUPATHI & ORS.
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A B C D E F G H 812 SUPREME COURT REPORTS [2022] 5 S.C.R. [2022] 5 S.C.R. 812 812 DR. (MRS.) CHANDA RANI AKHOURI & ORS. v. DR. M.A. METHUSETHUPATHI & ORS. (Civil Appeal No. 6507 of 2009) APRIL 20, 2022 [AJAY RASTOGI AND ABHAY S. OKA, JJ.] Medical Negligence β Consumer Protection β Liability of doctors β Demise of husband of appellant no.1 pursuant to kidney transplantation β Allegation that the cause of death was post- operative medical negligence β Complaint before National Consumer Commission dismissed β Held: A medical practitioner is not to be held liable simply because things went wrong from mischance or misadventure or through an error of judgment in choosing one reasonable course of treatment in preference to another β In practice of medicine, there could be varying approaches of treatment β At the given time, medical practitioner would be liable only where his conduct fell below that of the standards of a reasonably competent practitioner in his field β On facts, no evidence given by appellants to show that it was a case of post-operative medical negligence β All post operative medical care protocol available at the command of the respondents was administered to the patient β Still his physical condition deteriorated and finally he could not be saved β Merely because the patient could not be saved, it cannot be considered to be a case of post operative medical Negligence β Transplantation of Human Organs and Tissues Act, 1994. Words and Phrases β Word βnegligenceβ β Meaning of. Dismissing the appeal, the Court HELD: 1. The doctors can provide their best medical assistance available at their command but merely because they could not save the patient, that could not be considered to be a case of post operative medical negligence despite the fact that in the present case, medical protocol administered by them was duly supported by the two medical experts of the field who appeared on behalf of the respondents, and nothing elicits A B C D E F G H 813 from the cross-examination made by the appellants. [Para 21] [823-F-H] 2. It clearly emerges from the exposition of law that a medical practitioner is not to be held liable simply because things went wrong from mischance or misadventure or through an error of judgment in choosing one reasonable course of treatment in preference to another. In the practice of medicine, there could be varying approaches of treatment. There could be a genuine difference of opinion. However, while adopting a course of treatment, the duty cast upon the medical practitioner is that he must ensure that the medical protocol being followed by him is to the best of his skill and with competence at his command. At the given time, medical practitioner would be liable only where his conduct fell below that of the standards of a reasonably competent practitioner in his field. [Para 27][828-D-F] 3. The term βnegligenceβ has no defined boundaries and if any medical negligence is there, whether it is pre or post-operative medical care or in the follow-up care, at any point of time by the treating doctors or anyone else, it is always open to be considered by the Courts/Commission taking note of the exposition of law laid down by this Court and each case has to be examined on its own merits in accordance with law. [Para 28][828-G] 4. Complaints have been made with regard to the post- operative assistance / follow up care, but from the deposition of two witnesses which has come on record, there was a complaint made by the patient of pain in his left forearm while he was being discharged on 24.11.1995 after remaining in ICU for 12 days, but he was called upon to continue as outdoor patient and on all the later occasions, even as per the case sheet of the patient, doctors have treated the patient to the best of their medical knowledge and administered the best medical care which was possible. Although the complaint of the patient which remained persistent could not be ruled out despite medically approved drugs being administered to him and if the patient could not be finally saved, that in itself could not be considered to be a case of post operative DR. (MRS.) CHANDA RANI AKHOURI & ORS. v. DR. M.A. METHUSETHUPATHI & ORS. A B C D E F G H 814 SUPREME COURT REPORTS [2022] 5 S.C.R. medical negligence, as is being tried to be projected by the appellants on the basis of the material placed on record. [Para 30][829-C-E] 5. The doctors are expected to take reasonable care, but no professional can assure that the
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