21st October, 2013 DMC/DC/F.14/Comp.1055/2/2013/ ORDER The Delhi Medical Council through its Disciplinary Committee examined a Shri Ajit Singh Pannu C/o. Shri M.P. Gargi, Flat No. 503, Plot GH – 31, Sidhartha Society, Sector-56, Gurgaon, Haryana – 122003 (referred hereinafter as the complainant), forwarded by Directorate of Health Services, alleging medical negligence on the part of doctors of Kalra Hospital, in the treatment administered to complainant’s wife Nirmal Kaur Pannu (referred hereinafter as the patient) at Kalra Hospital, Kirti Nagar, New Delhi – 110015(referred hereinafter as the said Hospital). The Order of the Disciplinary Committee dated 27th September, 2013 is reproduced hereinbelow :“The Disciplinary Committee of the Delhi Medical Council examined a Shri Ajit Singh Pannu C/o. Shri M.P. Gargi, Flat No. 503, Plot GH – 31, Sidhartha Society, Sector-56, Gurgaon, Haryana – 122003 (referred hereinafter as the complainant), forwarded by Directorate of Health Services, alleging medical negligence on the part of doctors of Kalra Hospital, in the treatment administered to complainant’s wife Nirmal Kaur Pannu (referred hereinafter as the patient) at Kalra Hospital, Kirti Nagar, New Delhi – 110015(referred hereinafter as the said Hospital). The Disciplinary Committee perused the complaint, reply thereto of Dr. R.N. Kalra, Medical Director, Kalra Hospital made to the Directorate of Health Services, Govt. of NCT of Delhi, joint written statement of Dr. Sameer Kalra and Dr. Rajiv Bhatt, Medical Superintendent, Kalra Hospital, copy of medical records of Kalra Hospital and other documents on record. The following were heard in person : 1) 2) Dr. Sameer Kalra Dr. R. Bhatt Neurosurgeon, Kalra Hospital Medical Superintendent, Kalra Hospital Contd/: (2) Neither the complainant Shri Ajit Singh Pannu nor Dr. Jatindar Chowdhary appeared before the Disciplinary Committee. The crux of the allegation of the complainant is that his wife late Nirmal Kaur Pannu who was admitted in Kalra Hospital on 17th December, 2011 with head injury, developed urinary tract infection, as the same was not treated during her admission, due to negligence of dotors of Kalra Hospital, and the same caused her demise. Dr. Samir Kalra and Dr. Rajiv Bhatt, Medical Superintendent, Kalra Hospital in their joint written statement averred that the patient was not having urinary tract infection till the date of her discharge as her urine c/s conducting on 25th December, 2011 was found sterile and her blood c/s report dated 24th December, 2011 were found having no growth. Her TLC was 10500 under limit on 25th December, 2011. was regularly treated with required/necessary medicines. antibiotics alongwith The patient all other It is also clarified further that as antibiotics were being used for the treatment of the ailment of the patient, urine culture would not have yielded any specific positive report as antibiotics would have taken care of any positive development during her hospitalization here. As far as outcome of pus cell of 10-12 of urine R/E on 18th December, 2011, it is clarified that it could have been due to long interval of urine pass which might also have resulted in output of turbid of looking urine and not as a urine infection. The patient was not having any serious urine infection during her treatment here. The CT scan of head, urine examination, blood test, LFT test, hematology, chest x-ray , ECG, electrolytes examination were carried out w.e.f. 17th December, 2011 to 24th December, 2011 which were essential to decide the course of medical attention to the rendered to the patient. It is further averred that there is no cause to prove that the patient went into Contd/: (3) septic shock because of gross negligence of Dr. Sameer Kalra, Dr. Jitender Chaudhary and Kalra Hospital. Both the doctors and Kalra Hospital treated the patient to manage further deterioration of the magnitude of the condition of her diagnosis i.e. acute subdural hematoma left parietal region, SAH along Ant. inter hemispheric fissure and successfully acted in deliverance of the required etiological management of the same to the full satisfaction acted in deliverance of the required etiological management of the same to the full satisfaction of the patient and her attendants proving further not indulgence in any act to deteriorate the magnitude of the management of the medical attention. And, therefore, there is no cause to prove that they inflicted infection to the patient to further deteriorate her condition, therefore, there is no cause to admit that their doctor behaved inhumanly, unethically and betrayed the oath of becoming a professional doctor having concern, care, compassion that fades away the pain, anxiety and helpless of every ailing person to be render medical attention by them. Under such purview, the patient did not pass away due to the medical attention, she got in Kalra Hospital and latter is not responsible, therefore, for her death. There were no unwarranted so called illegal and callous acts committed by both the doctors and Kalra hospital, who successfully managed to stop further deterioration in the condition of the ailments which the patient was suffering from and the patient was discharged from Kalra hospital in stable condition with no complaint either from the patient or her attendants including the complainant. Contd/: (4) In view of the above, the Disciplinary Committee observed that the urine culture did not reveal any organism, and the patient was on antibiotics while on treatment in the hospital and during discharge her total leukocyte counts were normal and the patient was sent on antibiotics. In light of the observations made herein-above, it is the decision of the Disciplinary Committee that no medical negligence can be attributed on the part of doctors of Kalra Hospital, in the treatment administered to complainant’s wife Nirmal Kaur Pannu at Kalra Hospital. Complaint stands disposed.” Sd/: (Dr. O.P. Kalra) Chairman, Disciplinary Committee Sd/: (Dr. Anil Agarwal) Delhi Medical Association, Member Disciplinary Committee Sd/: (Dr. Prem Aggarwal) Eminent Publicman Member, Disciplinary Committee Sd/: (Dr. Daljit Singh) Expert Member Disciplinary Committee Sd/: (Dr. M.K. Daga) Expert Member, Disciplinary Committee The Order of the Disciplinary Committee dated 27th September, 2013 was confirmed by the Delhi Medical Council in its meeting held on 9th October, 2013. By the Order & in the name of Delhi Medical Council (Dr. Girish Tyagi) Secretary Contd/: (5) Copy to : 1) Shri Ajit Singh Pannu, c/o, Shri M.P. Gargi, Flat No. 503, Plot GH-31, Sidhartha Society, Sector-56, Gurgaon Haryana-122003. 2) Dr. Sameer Kalra, Through Medical Superintendent, Kalra Hospital, Kirti Nagar, New Delhi-110015. 3) Dr. Jatindar Chowdhary, Through Medical Superintendent, Kalra Hospital, Kirti Nagar, New Delhi-110015. 4) Medical Superintendent, Kalra Hospital, Kirti Nagar, New Delhi110015. 5) Shri Anuj Kumar, Section Officer, Medical Council of India, Pocket-14, Sector-8, Dwarka, New Delhi-110077-w.r.t. No. MCI-211(2)(238)/2012Ethics./163965 dated 7.3.2013-for information. 6) Dr. R.N. Das, Medical Superintendent, Nursing Home, Directorate of Health Services, Govt. of NCT of Delhi, Swasthya Sewa Nideshalay Bhawan, F-17, Karkardooma, Delhi-110032-w.r.t. File No. 23(22)/WZ/DHS/NH/2012-13/62148 dated 26.10.201-for information. (Dr. Girish Tyagi) Secretary