Kerala

Kollam

CC/05/66

Sadanandan Pillai,Parappadiyil Veedu - Complainant(s)

Versus

The Managing Director,Parabrahma Speciality Hosp. - Opp.Party(s)

C.Gopalakrishna Pillai

30 Nov 2009

ORDER


C.D.R.F. KOLLAM : CIVIL STATION - 691013
CONSUMER DISPUTES REDRESSAL FORUM ::: KOLLAM
consumer case(CC) No. CC/05/66

Sadanandan Pillai,Parappadiyil Veedu
...........Appellant(s)

Vs.

The Managing Director,Parabrahma Speciality Hosp.
Dr.Ravikumar,Physician,Parabrahma Speciality Hospital and Research Centre
...........Respondent(s)


BEFORE:


Complainant(s)/Appellant(s):


OppositeParty/Respondent(s):


OppositeParty/Respondent(s):


OppositeParty/Respondent(s):




ORDER

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SRI.K. VIJAYAKUMARAN, PRESIDENT.

 

            This is a complaint for seeking compensation and costs etc.

 

          The averments in the complaint can be briefly summarized as follows:

 

          On 8.12.2004 at about 6.45a.m. the complainant went to Parabhraahma Specialty Hospital and Research Centre, Oachira for consultation  as he was suffering from stomach pain. The 2nd opp.party  was the consultant physician  and the complainant approached him and after examination the 2nd opp.party directed the complainant to take ECG.  After seeing the ECG the 2nd opp.party prescribed certain medicine  and suggested to be admitted  as an impatient in the ICU for  3-4 days.  But instead  of admitting  him in the ICU  he was  admitted  at room No.321 saying that he will be shifted to ICU after a while..  One of the friend of the complainant who visited him  at the hospital on the same day hearing the news asked  about the illness and the 2nd opp.party told him that the complainant requires 4 to 5days admission in the ICU for curing his illness.  When the nurse came  the complainant asked  her about the admission in the ICU   and she  said that the 2nd opp.party directed her to  admit the complainant in the ICU at 4 pm.   At 6.45 PM  on that day,  the complainant was shifted to  the ICU.  On 10.12.2004 at 1 PM the stomach pain of the complainant   considerably increased and the complainant asked the nurse  to call the doctor and immediately the surgeon on duty Dr. Suiresh  rushed to the complainant and examination  advise to take X-ray and scanning.   He removed the tubes fitted in the body of the complainant and gave  an injunction for pain.  At  4 p.m.  the complainant met Dr. Suresh along with the X-ray  and result of scanning and after perusing them he told that he is suffering from the complaint of Kidney stone  and  Dr. Suresh discharged the complainant from ICU and directed to continue  inpatient treatment till the Urologist  come and examine him on the next day.  But ehe 2nd opp.party prescribed the same  medicines which were prescribed earlier on 10.12.2004 also.   The complainant purchased them and  on 12.12.2004 also the 2nd opp.party forced  the complainant to continue the same medicine.   The complainant refused  as he could realize  that it is  harmful.   Dr. Suresh  advised the complainant  not to take that medicine since  it is  not useful for the decease of the complainant.  On 14.12.2004  the Urologist came and examined the complainant and after  verifying the X-ray and scan report and conformed  that the complainant was suffering  from Kidney stone and he prescribed the medicine for that and discharged the complainant.   Thereafter the complainant consulted  Dr. V. Rajan,  working in the District Hospital, Kollam who after  verifying the records and medicines said that the complainant was not suffering  from any disease which necessitated the medicine  prescribed by  the 2nd opp.party .  Hearing about the admission  of the complainant in the ICU the  daughter of the complainant  residing at  Coimbatore  rushed  to the hospital.  The news caused much mental agony and fear to the complainant,  his wife  and children.  The complainant was unnecessarily admitted in the ICU  after taking the ECG  fully   knowing that  he does not require admission  and treatment in the ICU  .  There is deficiency in service on the part of the opp.parties.  Hence the complaint.

 

          The first opp.party filed version contending as follows:  The  first opp.party hospital is owned by the Temple Administration Board, Oachira a Charitable Society registered under TC, Library, Scientific and Charitable Societies Act  XII  of 1955.  The main source of income isderived from the contributions from the thousands of devotees of the Oachira Parabrahma Temple.  There is no profit  motive in running the hospital.    As per the hosp-ital records  the complainant  is under the treatment of Dr. Ravikumar, Physician  since 14.9.04.  He is a known case of Diabetic Mellitus.  He was admitted  by  the duty doctor  on 8.12.2004  from the casualty with Gastro enteritis with Ischaemic  heart disease and referred  to the physician Dr. Ravikumar.  The ECG showed changes of unstable Argina and inferior wall Ischaemic.  The whole thing was explained to the patient and since there was no vacancy in the ICU  he was temporaily admitted in Room No.321  and the patient agreed the same and subsequently  he was transferred to ICU at 6.30 pm on the same day.  On 9.12.04 in the morning the patient was seen byDr. AC. Rao  Consultant Intervention Cardiologist SUT hospital, Thiruvananthapuram and he did not ordered to discontinue the cardiac drugs.  On 10.12.04 since the patient was having abdominal pain he was referred to the Surgeon by Dr. Ravikumar.   The patient was seen by Dr. Suresh  at 11.15 am  and he advised X-ray  abdomen and Ultra Sound Scan.  Subsequently the patient was shifted to room and the surgeon also advised to continue the medicines prescribed by Dr. Ravikumar for the cardiac problems and Diabetics.  It is not true that Dr. Suresh,  has advised the complainant to discontinue the medicines prescribed by the physician.   The X-ray and Scanning report showed  that the patient  was also having Renal Calculus.  Hence the surgeon prescribed the medicines for  the same.  Myocardial infarction may sometime present with abdominal pain.  The Surgeon only advise to start the medicines for the treatment of Renal complaints but never advised to discontinue the cardiac medicines.   This was confirmed  by the duty nurse.  He was also advised urology consultation and the diagnosis was confirmed by the Urologist.   The patient was on cardiac medicines till the date of discharge along with the medicines for the treatment of Renal complaint.  The complainant was admitted in the ICU for the bonafide purpose of treading the cardiac problem.  The contention of the complainant that he had no cardiac problems is quite unfounded and against the facts.   The physician, Dr. Ravikumar  is a very senior physician who attended the complainant and now Dr. Ravikumar was not working in this institution   Both the cardiac and renal problems  were subsided at the time of discharge  the complainant remained  in the ICU for about  only  1.5 day as against 6 days of total period.    The allegation   that the patient is unnecessarily retained in the ICU is false.  There is  no violation  of medical ethics or deficiency  in service on the part of the  1st opp.party.  Hence  the first opp.party prays to dismiss the complaint.

 

          Opp.party 2 remained absent.

 

Points that would arise for consideration are:

1.     Whether there is deficiency in service on the part of the opp.party.

2.     Reliefs and casts.

For the complainant PW.1 and 2 are examined.   Ext. P1 toP5 are marked

For the opp.party DW.1 is examined.  Ext. D1[a] and b are marked.

 

 

Points:

 

          The case of the complainant is that he has approached opp.party 1 hospital  at about 6.45 a.m.on 8.12.2004 with complaint of abdominal  pain  and he was examined by the 2nd  opp.party who directed him to take ECG and  to do  other tests and after that he was prescribed certain medicines and  told that he  has cardiac problem and so he has to be admitted in the ICU.  But instead of admitting him in ICU he was admitted in room No.321 and  shifted to the IC unit  in the evening where he remained under treatment for 5 days.  The contention of the complainant is that there was no proper diagnoses of illness by the 2nd opp.party and had he been suffering any cardiac problem,  he would  have been   admitted  in  the  IC unit rather than in Room No.321.  Further case of the complainant is that on 10.12.2004  at about 1 pm his abdominal pain increased considerably and one Dr. Suresh examined him and under his direction  ECG was taken and  scanning was also done and after perusing the same Dr. Suresh has directed  for the removal of the fittings in his body  Dr. Suresh further stated  that he is having stone in the kidney and discharged  the complainant in IC unit with direction to continue treatment  as inpatient till the urologist examined him on 14.12.2004.  Urologist examined him and after verifying the scan report and X-ray confirmed  the finding of  kidney stone and prescribed medicines and discharged him.   It is the case of the complainant that he was given unnecessary medicines without proper diagnosis  and that the  diagnosis by opp.party 2 that he was having cardiac problem created mental agony to him  as well as his relatives.

 

          As a matter of fact the 2nd opp.party who is alleged to have treated  the complainant  finding that he had cardiac problem did not appear.   DW.1 is the medical Officer who has given evidence for  and on behalf of the opp.party 1.  On a perusal of  the evidence of DW.1 it can be seen that he has no idea  as to the period during  which opp.party 2 worked in opp.party 1 hospital or the date on which  the complainant was admitted in the opp.party 1 hospital.  He  would not remember  whether he has examined the complainant at the time of his admission or the date of admission  opp.party  1 has stated in the affidavit that the complainant was under treatment in opp.party 1 hospital from 14.9.04.   DW.1 does not know from where such an information has been received.  To a pointed question by the learned counsel for the complainant in cross examination that the complainant was admitted on 8.12.2004  he would say that it is on 14.9.2004 .   According to him  the complainant was referred to the 2nd opp.party as it was noticed that he was diabetic  and  considering the  age of the complainant on the apprehension that  such a person is likely to develop cardiac problems.  In further cross examination DW.1 has stated that the complainant was referred to opp.party 2 as he was a physician and on taking ECG it was noticed  that there was variation in the ECG.  In further  examination DW.1 has stated that he is unable to  state the time it which the complainant was referred to the ICU  examined.  To another pointed question if a person  is having cardiac problem  will he be not  immediately admitted in the ICU he would say that  it is  the discretion of the  physician and that the reason for keeping the complainant in the room from the morning till the evening  can be stated by the physician only.

 

          Ext. D1 I is the case sheet produced by DW.1 in respect of the treatment of the complainant.   The ECG alleged to have been taken is not produced before the Forum.   According to the opp.party the ECG was  handed over to the complainant where as the contention of the complainant is that the ECG was never handed over to him.   Whether the complainant is having any cardiac problem or not can be confirmed only if the ECG is produced and the burden to establish that the complainant was having cardiac problem requiring admission in the ICU is on the 2nd opp.party.   DW.1 has no idea on whose direction the complainant was discharged from the IC Unit.  Had it been as per the direction of the opp.party 2 it would have been  there is in  Ext. D1.  Absence such details leads  to an inference   that the case put forward by the complainant is probable.   According to the complainant the medicines prescribed by opp.party 2 have been changed by  another Doctor who also  directed to remove the  tuber etc. fitted  on his body as per the direction of  opp.party 2. The medicines prescribe ed by opp.party 2 have also been discontinued.  It is also  come in   evidence that a urologist examined the complainant and confirmed the version of Dr. Suresh,  surgeon who has also told the complainant that he was having stone in his kidney which is a reason for the abdominal pain.  It  is obvious from the evidence now before us that the diagnosis made by opp.party 2 after examining the complainant is not proper.  The  conduct of opp.party2 in  admitting a patient who is alleged to  have  cardiac problem and diabetic complaints in   a room rather than in the ICU also shows  that there is negligence on the part of opp.party 2.  Every prudent doctor who finds cardiac problem coupled with diabetic complaint and pain in the abdomin would admit the patient immediately in the ICU rather than asking him to wait  in a room which also establishes negligence on the side of the  opp.party.2

 

          As a matter of fact  no expert opinion was adduced  by either side.   The burden to establish that the complainant was having cardiac problem coupled with diabetic complaints necessitating admission in the ICU is on the 2nd opp.party who failed to appear before the Forum.   The definite contention of the complainant is that he  who approached the opp.party 1 hospital with abdominal pain was admitted in the ICU alleging  falsely  that he has cardiac complaint by the 2nd opp.party with a view to  extract  money from him.   DW.1 has stated that he cannot say anything regarding the illness of PW.1 but  only an expert can say whether the complainant was having such problems and an expert opinion is lacking in this case.  As pointed out earlier the burden to establish that the complainant had  cardiac problem coupled with diabetic complaint  necessitating admission in the ICU is on opp.party 2.  There is force in the  contention that opp.party 2 is reexamining absent evenafter paper publication with a view to escape from liability .  From the evidence adduced in this case we are of the view that the diagnosis made by the 2nd opp.party cannot be said to be proper and that there is negligence on the side of the 2nd opp.party.  Point found accordingly.

          In the result  the complaint is allowed in part, directing the 2nd opp.party to pay the complainant a sum of  Rs.12,000/-  as compensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      and Rs.1,000/- towards  cost.

 

            Dated this the    30th day of November, 2009.

 

                                                                                   .

I N D E X

List of  witnesses for the complainant

PW.1. – Sadanandan Pillai

PW.2. –Shahudeen Kutty

List of documents for the complainant

P1. – Medical Bills

P2,. –Notice copy

P3. – Postal receipt

P4. -  Notice of opp.party returned unserved

P5. – Acknowledgement card.

List of witnesses for the opp.party

DW.1. – Dr. Ajith

List of documents for the opp.party

D1[a] and[b] – Case sheet.