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When court can issue process against doctor for medical negligence?

Dr.Pramod Jadhav ENT MBBS MS court can issue process against doctor for medical negligence Court of Sessions Judge, Aurangabad

 

When court can issue process against doctor for medical negligence?


Dr. Pramod Jadhav, who was Examined by the complainant even before the issuance of process.   His evidence is recorded on 16/11/2002.   Dr.Pramod Jadhav is having qualification as M.B.B.B., M.S., though his specialization is in E.N.T.   His evidence   would   reveal   that   after   examining   the   discharge card, which contains the treatment given to Vijay at M.G.M. 

Hospital, he has stated on oath as under : 

“     Due   to   such   treatment   [discharge  card   treatment],   patient   can   die,   such treatment was wrongly given ”.

While considering the above, one need not go by the words used by the deponent in strict manner.   The same is   having   the   element   of   negligence.       Now   the   degree   of negligence   has   to   be   proved   by   complainant   at   later   stage 


when he will be required to adduce evidence to prove charge. 

The   learned   Magistrate   and   the   learned revisional Court, therefore, were right in issuing the process against the present applicants for the offence punishable u/s 304­A of the Indian Penal Code, which is confirmed by the learned revisional Court.  

Ultimately,   it   will   be   for   the   complainant   to prove the charge by adducing required evidence.   A private complainant   can   not   always   have   the   knowledge   of   the medical   science,   however,   in   the   present   case,   there   is evidence  on  record to show that Dr. Jamil  Deshmukh  who was   not   expected   to   prescribe   and   administer   alopathic medicine, has done it and in order to save him, Dr. Sarode has stepped in on the case papers.  Coupled with Dr. Jadhav's evidence, I see no reason to take other view than taken by the Courts   below   in   respect   of   the   issuance   of   process   against these 2 applicants.   Hence, both these Criminal Applications are dismissed. 

   IN THE HIGH COURT OF JUDICATURE AT BOMBAY   

                                BENCH AT AURANGABAD                                                                                      

      

CRIMINAL APPLICATION NO. 1729 OF 2003

Vijay   S/o   Balkrishna Sarode

Age : 35  Yrs.,  Occ.  : Medical

Practitioner, R/o :  Shri 

          ..... APPLICANT/

          [ORIGINAL ACCUSED NO. 4]



      V E R S U S


The   State  of  Maharashtra


                      


CORAM : V.M.DESHPANDE, J.

                                

DATE OF JUDGMENT : 13th FEBRUARY, 2015

 Citation;2015 ALLMR(CRI)1889


These two Criminal Applications filed u/s 482 of the   Code   of   Criminal   Procedure   can   be   decided   by   this common   Judgment,   since   both   arises   out   of   the   Judgment and   order   passed   by   the   learned   4th  Additional   Sessions Judge, Aurangabad dated 27/07/2003 in Criminal Revision No. 15/2003, whereby the learned revisional Court dismissed the   Revision   filed   by   them   and   confirmed   the   order   of issuance of process against them for the offence punishable 

u/s 304­A of the Indian Penal Code by the learned Judicial Magistrate   First   Class,   16th  Court  in   R.C.C.   No.  1285/2002 

2.

dated 27/12/2002.  

The   brief     facts   leading   to   the   present proceedings u/s 482 of the Code of Criminal Procedure can be narrated as under  :

 Respondent No. 2 Laxman Shamrao Ingle is the complainant.   He filed Private Complaint in the Court of the learned Magistrate.   In the said Complaint, the applicant in Criminal Application No. 1730/2003, Dr. Jamil Deshmukh is shown as accused No. 1, whereas the applicant in Criminal Application   No.   1729/2003,   Dr.   Vijay   Balkrishna   Sarode   is shown as accused No. 5.   Besides these applicants, 4 others were also shown as accused persons in the said criminal case. 

For the sake of convenience, the parties will be 

3.

referred to as per their original position in the Complaint.  

4.

Undisputedly,   accused   No.   1   possesses qualification of B.H.M.S. and is registered under the Bombay Homeopathic Medical Council Act, 1954 [hereinafter referred to as the 'Act' for the sake of brevity], whereas accused No. 5 is duly qualified Doctor.     

The Complaint proceeds that the complainant   was   required   to   admit   his   son   Vijay   on 09/03/2001   for   giving   alopathic   treatment   in   M.G.M. Medical College and hospital at Aurangabad.     According to the   Complaint,   accused   No.   1   though   a   Homeopath, prescribed   alopathic   medicines   and   administered   various injections intravenous to Vijay.     It is further alleged in the Complaint   that   in   spite   of   administering   heavy   doses   of injection,   such as voveron, ciprofloxacilline  and others,  the condition  of his son Vijay was deteriorating and, therefore, when  the  complainant enquired  about the  prognosis  of  his son, accused No. 1 abused him and forcefully discharged his son Vijay.   That time, his son went in 'coma'.  The Complaint further proceeds that thereafter he was required to take his son to the Govt. Medical College, Aurangabad where he was told   that   the   condition   of   his   son   is   critical   and   his   both kidneys   are  failed.       The  Complaint   further   states  that   the Doctors of Govt. Medical College, Aurangabad remarked as to 

how at such critical stage,   the   patient   was   discharged. Vijay,   who   was   admitted   in   the   Govt.   Medical   College, 



18/03/2001.  

Aurangabad   in   unconscious   stage,   ultimately   died   on The   Complaint   further   proceeds   that   after   the 

5.

death   of   his   son,   when   he   made   inquiry   with   the   original accused Nos. 2, 3 viz. trustees, Dean of the M.G.M. College, he was informed that  accused No. 1 Jamil Deshmukh, being a Homeopathic Doctor, he is not supposed to give alopathic he has not given treatment, he in collusion with accused No. 1 represented that he had given treatment to the deceased son of the complainant. treatment.  The Complaint states that accused No. 5, though 

6.

The verification statement of complainant was recorded before the learned Magistrate.   Even before the issuance   of   process,   2   witnesses   Bhimrao   Ganpat   Gadekar and   Dr.Parmod Eknathrao Jadhav   were   examined   by   the complainant.   

The learned Magistrate, on 27/12/2002, passed 

7.

order and thereby issued process against all accused for the offence punishable u/s 304­A of the Indian Penal Code read with section 15 (3) of the Medical Council Act, 1956.  

All   accused   persons   filed   Revision   in   the 


8.

Court   of   Sessions   Judge,   Aurangabad   challenging   the correctness of the order of issuance of process by the learned Magistrate.     The   said   Revision   was   registered   as   Criminal Revision No. 15/2003.  The said Revision was allotted on the file of 4th Additional Sessions Judge, Aurangabad.  

The learned Revisional Court, after hearing the parties   to   the  Revision,  partly  allowed  the   Revision.       The revisional Court maintained the order of issuance of process against accused No. 1 Dr. Jamil Deshmukh and accused No. 5 Vijay Balkrishna Sarode for the offence punishable u/s 304­A 

of the Indian Penal Code.  The learned revisional Court set aside the order of issuance of process against all the accused u/s 15 (3) of the Medical Council Act, 1956.   


The   learned   revisional   Court   dropped   the proceedings against original accused Nos. 2, 3, 4 and 6.  

9.

It   is   against   this   order   passed   by   the   learned revisional Court, the original accused Nos. 1 and 5 are before this Court through these two Criminal Applications filed u/s 482 of the Code of Criminal Procedure.  

Heard Mr. A.P.Bhandari, the learned counsel for 

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the   Applicants,   Mr.V.H.Dighe,   the   learned   A.P.P.   for Respondent No. 1 – State and  Mr.   B.V.Dhage,,   the   learned counsel in both the Applications for the original complainant With the assistance of the learned counsel, I have gone through the record and proceedings placed before this Court,     which   was   called   at   the   time   of   admission   of   the present Criminal Applications.  

in extensor.

11.

Mr.   Bhandari,   the   learned   counsel   for   the applicants   submitted   that   the   order   passed   by   the   Courts below issuing process u/s 304­A of the Indian Penal Code is required to be set aside in as much as there is nothing on record to show that the accused persons were responsible for the   death   of   Vijay.       He   submitted   that,   even   the   entire complaint and the documents are taken in its face value, it does not show that there was any negligence on the part of these two Doctors.     He further submitted that, in fact, the observations made by the learned revisional Court shows that against the medical advise, the complainant took discharge of his son and thereafter he was admitted in the Govt. Medical College, Aurangabad and, therefore, there is every possibility that   at   Govt.   Medical   College,   Aurangabad   there   was   no proper treatment given to his son, resulting to his death.  He relied upon the authoritative pronouncement of Hon'ble Apex Court reported in Jacob Mathew  Vs.  State of Punjab and another AIR 2005 Supreme Court 3180.  

12.

Per   contra,   the   learned   counsel   for   the complainant   submitted   that   the   negligence   on   the   part   of these 2 Doctors is writ large.   According to him, though Dr. Jamil  Deshmukh was a Homeopath,  he  has prescribed and administered various alopathic injections and Dr. Sarode is in collusion with him.  

At the  time  of  issuance of process, the  learned 

13.

Magistrate is not expected to deal with each and every aspect. Suffice it to say, the learned Magistrate must be satisfied on the basis of the Complaint, verification statement, available documents   and   the   other   material   that   there   exists  prima  facie case to   proceed   with   against   the   accused   persons. The learned Magistrate is not required to go into the deep probative   value   of   the   material   on   record.       The   learned Magistrate   before   issuing   process,   undisputedly,   has   to exercise   his   judicial   mind.       However,   at   that   stage,   the learned Magistrate  is required to find out whether  there is sufficient ground to proceed against the accused or not.   He is   not   required   to   determine   the   adequacy   of   evidence   of probability of the accused being guilty.     It is not expected from the learned Magistrate, at this stage, to embark upon meticulous examination of evidence or material.  

14.

The   learned   counsel   has   tried   to   submit   that from the observations of the learned revisional Court that on 14/03/2001   in   the   morning   at   7.30   a.m.,   the   complainant himself   has   got   his   son   discharged   from   M.G.M.   Hospital against   medical   advise.       He   submitted   that   the   learned last portion of paragraph 8 of the Judgment.  

revisional  Court gave  clear­cut finding to that  effect in the 

15.

Firstly, there was no occasion for the revisional Court   to   make   such   observation.     The   learned   Magistrate after   scrutinizing   the   complaint,   the   documents   and   the evidence adduced on record before issuance of process, was prima   facie  satisfied   that   there   is   material   against   accused Nos.   1   and   2   and   thereafter   issued   process.     In   fact,   the learned revisional Court has ultimately confirmed   the said order.  

16.

The learned counsel invited my attention to the said consent letter, which according to him, is given by the present complainant.   The perusal of the said letter, reflect that the signature of the  complainant is obtained on blank paper and thereafter the material is written.  This can be seen with   naked   eyes  since   there   is   unusual   space   appearing   in between   the   completion   of   the   material   and   the   signature complainant.  

17.

Further,   the   medical   papers   ultimately   shows that the name of Dr. Sarode is appearing, thereby, prima facie the allegation made by the complainant in the Complaint that name   of   accused  No.   5  Dr.  Sarode  is   used  only  to   protect accused   No.   1   Dr.   Jamil   Deshmukh   and   Dr.   Sarode   is   in collusion with him, get support.   

What is important to note is that the evidence of 

18.

Dr. Pramod Jadhav, who was Examined by the complainant even before the issuance of process.   His evidence is recorded on 16/11/2002.   Dr.Pramod Jadhav is having qualification as M.B.B.B., M.S., though his specialization is in E.N.T.   His evidence   would   reveal   that   after   examining   the   discharge card, which contains the treatment given to Vijay at M.G.M. Hospital, he has stated on oath as under : 

“     Due   to   such   treatment   [discharge  card   treatment],   patient   can   die,   such  treatment was wrongly given ”.

19.

While considering the above, one need not go by the words used by the deponent in strict manner.   The same is   having   the   element   of   negligence.       Now   the   degree   of negligence   has   to   be   proved   by   complainant   at   later   stage when he will be required to adduce evidence to prove charge. 

The   learned   Magistrate   and   the   learned 

20.

revisional Court, therefore, were right in issuing the process against the present applicants for the offence punishable u/s 304­A of the Indian Penal Code, which is confirmed by the learned revisional Court.  

Ultimately,   it   will   be   for   the   complainant   to 

21.

prove the charge by adducing required evidence.   A private complainant   can   not   always   have   the   knowledge   of   the medical   science,   however,   in   the   present   case,   there   is evidence  on  record to show that Dr. Jamil  Deshmukh  who was   not   expected   to   prescribe   and   administer   alopathic medicine, has done it and in order to save him, Dr. Sarode has stepped in on the case papers.  Coupled with Dr. Jadhav's evidence, I see no reason to take other view than taken by the Courts   below   in   respect   of   the   issuance   of   process   against these 2 applicants.   Hence, both these Criminal Applications are dismissed.  Rule discharged.  

22.

At   this   stage,   the   learned   counsel   for   the applicants submitted that interim order was in operation in their   favour   since   2003   and,   therefore,   requested   that   for reasonable period the interim stay operating in their favour be extended.  

23.

Looking   to   the   fact   that   the   interim   order   was operating in favour of the applicants since 2003, the interim stay granted in their favour on 29/09/2004 shall remain in operation for further period of 8 weeks from today.   After the expiry of said 8 weeks,   the interim order shall be vacated automatically without reference to this Court.  

        



     

   [V.M.DESHPANDE, J.]


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