The case where a Senior Pediatrician was accused of not suspecting meningitis and not advising CSF analysis at initial stage of Fever, dismissed- Adv. ROHiT ERANDE. ©


The case  where a Senior Pediatrician was accused of not suspecting meningitis and not advising CSF analysis at initial stage of Fever, dismissed

Adv. ROHiT ERANDE. ©

Case Details : 
Before : NATIONAL CONSUMER DISPUTES REDRESSAL COMMISSION

NEW DELHI

 

 

REVISION PETITION NO. 720 OF 2017

 

(Against the Order dated 13/01/2017 in Appeal No. 761/2013 of the State Commission Uttar Pradesh)


 

 PRINCE (MINOR) THROUGH ITS NATURAL GUARDIAN V/s.  DR. R.C. GUPTA

Judgment Link :

http://cms.nic.in/ncdrcusersWeb/GetJudgement.do?method=GetJudgement&caseidin=0%2F0%2FRP%2F721%2F2017&dtofhearing=2023-03-29.

 

Facts in short :

1.          Brief facts to dispose of both the Revision Petitions are that the Complainant’s son was suffering from fever in December, 2001 and he approached Dr. R. C. Gupta – Pediatrician -Opponent  at Kanpur (OP) on 14.01.2002, few medicines were prescribed and he was called after 7 days.

2.          It was alleged that the OP failed to advice pathological tests and failed to diagnose the serious disease. It was further alleged  that, another child specialist at Etawah informed him about wrong treatment given by the OP and the child was suffering from Meningitis. The Complainant again approached OP on 29.01.2002 but he referred him to Madhuraj Nursing Home, and diagnosed as TB Meningitis.

3.          The main grouse of the Complainant was that the Doctor didn’t advice CSF analysis to diagnose meningitis. Being aggrieved by the alleged wrong treatment his child became handicapped, therefore, filed a Consumer Complaint before the District Forum, Kanpur.

 

4.          The District Forum allowed the Complaint and directed the OP to pay Rs. 2 lakh as compensation within 30 days.Being aggrieved, the OP and the Complainant filed cross-Appeals before the State Commission.  The Appeal – F.A. No. 761 of 2013 filed by the OP was allowed and F.A. No.1081 of 2013 filed by the Complainant was dismissed. Hence, the Complainant filed the instant two Revision Petitions.

 

Held :

 

a.    The commission observed that Opponent Pediatrician is practicing physician having experience of 45 years. Initially the child was presented with fever and he was treated with antibiotics and antimalarial drugs.

b.     The various prescriptions on record show that the treatment given by OP was correct as per the reasonable standard of practice.  To start with, for fever, the doctor usually initially prescribes antibiotics and antipyretics. No reasonable doctor will suspect as meningitis directly unless the patient shows clinical signs of meningitis.  Therefore, it does not constitute medical negligence. 

c.    As the fever didn’t subside, the investigations revealed high total WBC count and Neutrophilia. The commission, on the allegations of the Complainant that the OP didn’t advice CSF (CerebroSpinal Fluid) analysis to diagnose meningitis, held that the CSF analysis is not an OPD procedure & thus the Doctor, on the suspicion of meningitis, referred the patient to Madhuraj Hospital on 29.01.2002 and where The CT Scan showed normal findings and the CSF analysis was done and it revealed TB meningitis. The Court observed, therefore,  it was not a dereliction of duty of care from the OP doctor. The patient was investigated, diagnosed properly and at appropriate time, referred to higher center.

d.    The Disability Certificate filed by the Complainant shows that the child suffered 40% disability, which the Court observed as   the sequel of TB meningitis and no way concerned with the treatment given by OP. The Order of the State Commission is well reasoned and I do not find any need to interfere in it and thus dismissed both the Revision Petitions.

 

The NCDRC has given important verdict and has recognized the importance of experience of a Doctor in his filed. No doubt, all shall have sympathy for the poor child and his parents, but that does not mean the Doctors should face the gallows. In these days the Doctors are caught in catch 22 situation. If they prescribe a test, if tests reveal nothing then the allegations are that the Tests are uncalled for and it’s a cut practice, on the contrary if they don’t advise tests, then the case of medical negligence is made.

 

Thanks and Regards

 

Adv. ROHiT ERANDE ©.

Pune

 

 

 





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