P.N. Gupta vs Rajinder Singh Dogra
Background
The respondent's wife underwent gallbladder-stone surgery performed by the appellant, a doctor, based on an ultrasonography report. After the surgery she developed complications (stomach ache, constipation, and vomiting) and a follow-up scan showed fluid buildup in her abdomen, prompting a second procedure to drain it. The patient's condition did not improve and the referral to a liver specialist was delayed. The National Consumer Disputes Redressal Commission found the doctor negligent and awarded the family Rs. 7,00,000 in compensation with 12% interest, overturning a State Commission order that had gone the other way. The doctor appealed to the Supreme Court.
Decision Breakdown
The Supreme Court reviewed the medical facts and found the doctor had not offered any convincing explanation for the delay in referring the patient to a liver specialist despite being aware of her worsening condition. Relying on the standard for medical negligence set out in its earlier decision in Jacob Mathew, the Court agreed that the doctor's conduct fell short of the "reasonable care" expected of a medical professional and upheld the National Commission's finding of negligence. However, it modified the compensation order by reducing the interest rate payable from 12% to 6% per annum, considering it more appropriate in the facts of the case, and otherwise dismissed the appeal.
Lesson Learnt
A doctor can be held liable for negligence not just for how a procedure is performed, but for unreasonable delay in escalating a deteriorating case to a specialist, but even when negligence is upheld, courts can still moderate ancillary terms like the interest rate on compensation based on the circumstances.