{"id":126907,"date":"2008-09-25T00:00:00","date_gmt":"2008-09-24T18:30:00","guid":{"rendered":"https:\/\/www.legalindia.com\/judgments\/dr-saroj-sethi-anr-vs-state-of-punjab-anr-on-25-september-2008"},"modified":"2016-10-19T13:50:05","modified_gmt":"2016-10-19T08:20:05","slug":"dr-saroj-sethi-anr-vs-state-of-punjab-anr-on-25-september-2008","status":"publish","type":"post","link":"https:\/\/www.legalindia.com\/judgments\/dr-saroj-sethi-anr-vs-state-of-punjab-anr-on-25-september-2008","title":{"rendered":"Dr. Saroj Sethi &amp; Anr vs State Of Punjab &amp; Anr on 25 September, 2008"},"content":{"rendered":"<div class=\"docsource_main\">Punjab-Haryana High Court<\/div>\n<div class=\"doc_title\">Dr. Saroj Sethi &amp; Anr vs State Of Punjab &amp; Anr on 25 September, 2008<\/div>\n<pre>       IN THE HIGH COURT OF PUNJAB AND HARYANA AT\n\n                           CHANDIGARH.\n\n\n\n\n                                          Criminal Misc.6017-M of 2005\n\n                          DATE OF DECISION : SEPTEMBER 25, 2008\n\n\n\nDR. SAROJ SETHI &amp; ANR.                             ....... PETITIONER(S)\n\n                               VERSUS\n\nSTATE OF PUNJAB &amp; ANR.                             .... RESPONDENT(S)\n\n\n\nCORAM : HON'BLE MR. JUSTICE AJAI LAMBA\n\n\n\nPRESENT: Mr. Gautam Dutt, Advocate, for the petitioner(s).\n         Mr. HS Brar, DAG, Punjab.\n         Mr. SS Gill, Advocate, for respondent No.2.\n\n\nAJAI LAMBA, J. (Oral)\n<\/pre>\n<p>            This petition under Section 482, Code of Criminal Procedure,<\/p>\n<p>has been filed with a prayer for quashing FIR No.177 dated 21.7.2002<\/p>\n<p>under Sections 304-A, 201, 34, Indian Penal Code, Police Station, Sirhind<\/p>\n<p>(Annexure P-1) and subsequent proceedings, including the final report<\/p>\n<p>submitted under Section 173, Code of Criminal Procedure.<\/p>\n<p>            The FIR was lodged at the instance of Naresh Kumar<\/p>\n<p>(respondent No.2) with the allegations that his wife-Veena Rani had<\/p>\n<p>complaint of tonsils on account of which she had fever from time to time.<\/p>\n<p>Veena Rani was medically checked up at Government Hospital, Fatehgarh<\/p>\n<p>Sahib, where Dr.Saroj Sethi (petitioner No.1) advised surgery. Necessary<br \/>\n<span class=\"hidden_text\"> Criminal Misc.6017-M of 2005                                   2<\/span><\/p>\n<p>medical check up was conducted on the person of Veena Rani and she<\/p>\n<p>was, accordingly, admitted on 17.7.2002. The surgery was scheduled for<\/p>\n<p>18.7.2002, as per the instructions of the doctor. At about 8.30 a.m., Veena<\/p>\n<p>Rani was taken to the Operation Theater. At about 11.45 a.m., a Class-IV<\/p>\n<p>official came and stated that the surgery had been conducted successfully.<\/p>\n<p>Soon thereafter, however, the complainant found an Ambulance parked<\/p>\n<p>outside the Emergency and the driver informed the complainant that the<\/p>\n<p>patient had become serious and was being sent to the P.G.I., Chandigarh.<\/p>\n<p>The Ambulance had been called by Dr.Saroj Sethi (petitioner No.1).<\/p>\n<p>Veena Rani was, accordingly, shifted in the Ambulance. On the way,<\/p>\n<p>artificial respiration was given by the accompanying doctors. On reaching<\/p>\n<p>P.G.I., Chandigarh, the doctor posted in the Emergency Ward informed<\/p>\n<p>that Veena Rani had expired.\n<\/p>\n<p>            Initially, respondent No.2-complainant had stated that he did<\/p>\n<p>not want to take any action. Respondent No.2, at that point in time, was<\/p>\n<p>perplexed due to shock on account of death of his wife. After having<\/p>\n<p>become conscious of the fact, respondent No.2 wanted to see the record of<\/p>\n<p>treatment. Dr.Saroj Sethi did not, however, show any document regarding<\/p>\n<p>surgery. After receipt of report of post-mortem, all the papers had been<\/p>\n<p>seen whereupon respondent No.2 became confident that the death had<\/p>\n<p>occurred during the course of treatment given by the petitioners on<\/p>\n<p>account of their negligence and, therefore, action be taken.<\/p>\n<p>            The main contention of the learned counsel for the petitioners<\/p>\n<p>is that the Hon&#8217;ble Supreme Court of India in <a href=\"\/doc\/871062\/\">Jacob Mathew v. State of<\/p>\n<p>Punjab and<\/a> another, AIR 2005 Supreme Court 3180, has summed up the<br \/>\n<span class=\"hidden_text\"> Criminal Misc.6017-M of 2005                                      3<\/span><\/p>\n<p>cases of the present nature and has held that negligence in the context of<\/p>\n<p>medical profession necessarily calls for a treatment with difference.<\/p>\n<p>Reliance has been placed on sub-paras (2), (5) and (7) of para 49, which<\/p>\n<p>read as under:-\n<\/p>\n<blockquote><p>            &#8220;(2) Negligence in the context of medical profession<br \/>\n            necessarily calls for a treatment with a difference. To infer<br \/>\n            rashness or negligence on the part of a professional, in<br \/>\n            particular a doctor, additional considerations apply. A case<br \/>\n            of occupational negligence is different from one of<br \/>\n            professional negligence. A simple lack of care, an error of<br \/>\n            judgment or an accident, is not proof of negligence on the<br \/>\n            part of a medical professional. So long as a doctor follows a<br \/>\n            practice acceptable to the medical profession of that day, he<br \/>\n            cannot be held liable for negligence merely because a better<br \/>\n            alternative course or method of treatment was also available<br \/>\n            or simply because a more skilled doctor would not have<br \/>\n            chosen to follow or resort to that practice or procedure which<br \/>\n            the accused followed. When it comes to the failure of taking<br \/>\n            precautions what has to be seen is whether those precautions<br \/>\n            were taken which the ordinary experience of men has found<br \/>\n            to be sufficient; a failure to use special or extraordinary<br \/>\n            precautions which might have prevented the particular<br \/>\n            happening cannot be the standard for judging the alleged<br \/>\n            negligence. So also, the standard of care, while assessing the<br \/>\n            practice as adopted, is judged in the light of        knowledge<br \/>\n            available at the time of the incident, and not at the date of<br \/>\n            trial. Similarly, when the charge of negligence arises out of<br \/>\n            failure to use some particular equipment, the charge would<br \/>\n            fail if the equipment was not generally available at that<br \/>\n            particular time (that is, the time of the incident) at which it is<br \/>\n            suggested it should have been used.&#8221;\n<\/p><\/blockquote>\n<blockquote><p>            &#8220;(5) The jurisprudential concept of negligence differs in<br \/>\n<span class=\"hidden_text\"> Criminal Misc.6017-M of 2005                                    4<\/span><\/p>\n<p>             civil and criminal law. What may be negligence in civil law<br \/>\n             may not necessarily be negligence in criminal law.          For<br \/>\n             negligence to amount to an offence, the element of mens rea<br \/>\n             must be shown to exist. For an act to amount to criminal<br \/>\n             negligence, the degree of negligence should be much higher<br \/>\n             i.e. gross or of a very high degree. Negligence which is<br \/>\n             neither gross nor of a higher degree may provide a ground for<br \/>\n             action in civil law but cannot form the basis for prosecution.&#8221;<br \/>\n             &#8220;(7) To prosecute a medical professional for negligence<br \/>\n             under criminal law it must be shown that the accused did<br \/>\n             something or failed to do something which in the given facts<br \/>\n             and circumstances no medical professional in his ordinary<br \/>\n             senses and prudence would have done or failed to do. The<br \/>\n             hazard taken by the accused doctor should be of such a nature<br \/>\n             that the injury which resulted was most likely imminent.&#8221;<\/p><\/blockquote>\n<p>             In the context of the judgment, relevant portion of which has<\/p>\n<p>been reproduced above, learned counsel for the petitioners has drawn the<\/p>\n<p>attention of the court towards three reports received at various points in<\/p>\n<p>time, in regard to the quality of treatment given to Veena Rani. In para-9<\/p>\n<p>of the petition, the opinion given by the Board of Doctors of the<\/p>\n<p>Department of Forensic Medicine, Government Medical College and<\/p>\n<p>Hospital, Patiala, on 8.10.2002, has been reproduced and the same reads<\/p>\n<p>as under:-\n<\/p>\n<blockquote><p>             &#8220;From PMR and report of HPE of viscera, the cause of death<br \/>\n             in our opinion in the case noted above is Asphyxia due to<br \/>\n             chocking as a result of Aspiration of blood in the Respiratory<br \/>\n             Passage.&#8221;<\/p><\/blockquote>\n<p>             Thereafter, it seems that a specific query was put by the<\/p>\n<p>police, during the course of investigation, to the Board of Doctors of<\/p>\n<p>Government Medical College and Hospital, Patiala, as to whether there<br \/>\n<span class=\"hidden_text\"> Criminal Misc.6017-M of 2005                                    5<\/span><\/p>\n<p>was any negligence on the part of the doctors or not. The following report<\/p>\n<p>was submitted by the Board of Doctors on 13.1.2003:-<\/p>\n<blockquote><p>            &#8220;After going through the available record of the above<br \/>\n            mentioned case, it is not possible to opine about the query<br \/>\n            asked for.&#8221;<\/p><\/blockquote>\n<p>            Since no conclusion was drawn by the Board of Doctors, the<\/p>\n<p>authorities in the P.G.I., Chandigarh, were requested to give an opinion.<\/p>\n<p>A letter dated 2.6.2003 was received from the P.G.I., Chandigarh,<\/p>\n<p>addressed to the Senior Superintendent of Police, Fatehgarh Sahib,<\/p>\n<p>relevant portion of which has been reproduced in para-11 of the petition.<\/p>\n<p>The same reads as under:-\n<\/p>\n<blockquote><p>            &#8220;Early and delayed haemorrhage is a known complication of<br \/>\n            tonsillectomy. Based on the available facts the members of<br \/>\n            the board are unable to comment on the specific question of<br \/>\n            negligence of concerned doctors as it depends on many<br \/>\n            factors including facilities available in hospital and technical<br \/>\n            assistance available at the time of operation. This can best be<br \/>\n            judged by medical experts working under similar conditions.&#8221;<\/p><\/blockquote>\n<p>            In the context of what had been stated in letter dated 2.6.2003<\/p>\n<p>viz. the facts can be best judged by medical experts working under similar<\/p>\n<p>conditions, it seems that a report from the panel of doctors of Civil<\/p>\n<p>Hospital, Fatehgarh Sahib, was sought. The report was submitted on<\/p>\n<p>23.3.2004, which reads as under:-\n<\/p>\n<blockquote><p>            &#8220;On reviewing the abovesaid record the board is of the<br \/>\n            opinion that the probable sequence of events leading to death<br \/>\n            were secondary or reactionary haemorrhage after operation<br \/>\n            leading to asphyxia due to chocking as result of aspiration of<br \/>\n            blood in the respiratory passage and then cardiac arrest.\n<\/p><\/blockquote>\n<blockquote><p>                          Therefore, the board is of the opinion that there<br \/>\n<span class=\"hidden_text\"> Criminal Misc.6017-M of 2005                                    6<\/span><\/p>\n<p>             may have been negligence on the part of both the doctors in<br \/>\n             the abovesaid case.&#8221;<\/p><\/blockquote>\n<p>             The contention of the learned counsel for the petitioners is<\/p>\n<p>that in the context of the judgment rendered by the the Hon&#8217;ble Supreme<\/p>\n<p>Court of India in Jacob Mathew&#8217;s case (supra), the case does not spell out<\/p>\n<p>negligence on the part of the petitioners.\n<\/p>\n<p>             Learned counsel for the respondent-State has argued that<\/p>\n<p>there is material available on the record to indicate that death of Veena<\/p>\n<p>Rani was a result of negligence. Veena Rani was a young lady of 38 years<\/p>\n<p>and had gone for a minor surgery, such as removal of tonsils. Report<\/p>\n<p>dated 23.3.2004, reproduced above, indicates negligence and, therefore, it<\/p>\n<p>would be a question of evidence to be determined by the trial Court. The<\/p>\n<p>earlier reports were inconclusive in regard to the opinion whether there<\/p>\n<p>was negligence on the part of the petitioners or not. A perusal of report<\/p>\n<p>dated 23.3.2004 does not leave any measure of doubt that the petitioners<\/p>\n<p>were negligent.\n<\/p>\n<p>             What is required to be considered in these proceedings is<\/p>\n<p>whether the petitioners have been able to make out a case for quashing<\/p>\n<p>under Section 482, Code of Criminal Procedure.\n<\/p>\n<p>             Reports dated 8.10.2002 and 23.3.2004 are consistent in<\/p>\n<p>regard to the cause of death viz. Asphyxia due to chocking as a result of<\/p>\n<p>aspiration of blood in the respiratory tract. Report dated 23.3.2004 has<\/p>\n<p>clarified, on consideration of the entire record, that the probable sequence<\/p>\n<p>of events leading to death were secondary or reactionary haemorrhage<\/p>\n<p>(escape of blood from the vessels which naturally contain it) after<\/p>\n<p>operation leading to asphyxia (a condition arising when body is deprived<br \/>\n<span class=\"hidden_text\"> Criminal Misc.6017-M of 2005                                   7<\/span><\/p>\n<p>of oxygen) due to chocking as a result of aspiration of blood in the<\/p>\n<p>respiratory passage and then cardiac arrest. The Board of Doctors have<\/p>\n<p>further clarified that the cause of death may have been due to negligence<\/p>\n<p>on the part of both the doctors (petitioners).\n<\/p>\n<p>             So, what is to be considered is as to whether this court can<\/p>\n<p>take affidavits and counter affidavits and conclude that the petitioners<\/p>\n<p>were not negligent.\n<\/p>\n<p>             Surely, in proceedings under Section 482, Code of Criminal<\/p>\n<p>Procedure, this Court cannot record a finding that the petitioners were not<\/p>\n<p>negligent or that there was simple lack of care, an error of judgment or an<\/p>\n<p>accident. It would only be after leading evidence that the trial court<\/p>\n<p>would be in a position to record that the petitioners had followed a<\/p>\n<p>practice acceptable to medical profession on that day and, therefore,<\/p>\n<p>cannot be held liable for negligence. In these proceedings, it cannot be<\/p>\n<p>held that the hazard taken by the accused-doctors was of such a nature that<\/p>\n<p>the injury which resulted was most likely imminent.<\/p>\n<p>             I have taken into account the fact that the surgery on the<\/p>\n<p>person of Veena Rani was elective surgery and not under emergency<\/p>\n<p>conditions. The petitioners claim themselves to be competent doctors.<\/p>\n<p>The facilities required for such surgery were available at the hospital<\/p>\n<p>where Veena Rani was operated upon. Post surgery, the bleeding was<\/p>\n<p>required to be arrested or controlled. After operation, blood was allowed<\/p>\n<p>to flow causing asphyxia and the body was deprived of oxygen as is<\/p>\n<p>indicated by report dated 23.3.2004, reproduced above.        Whether the<\/p>\n<p>doctors had taken proper preventive measures to avoid the situation, or the<br \/>\n<span class=\"hidden_text\"> Criminal Misc.6017-M of 2005                                   8<\/span><\/p>\n<p>condition was not attended to during post-operative period, resulting in<\/p>\n<p>gross negligence, is an issue that can only be addressed by the trial court<\/p>\n<p>after taking evidence.\n<\/p>\n<p>            Notice is required to be taken of para-53 of the judgment in<\/p>\n<p>Jacob Mathew&#8217;s case (supra), which reads as under:-<\/p>\n<blockquote><p>            &#8220;53. Statutory Rules or Executive Instructions incorporating<br \/>\n            certain guidelines need to be framed and issued by the<br \/>\n            Government of India and\/or the State Governments in<br \/>\n            consultation with the Medical Council of India. So long as it<br \/>\n            is not done, we propose to lay down certain guidelines for the<br \/>\n            future which should govern the prosecution of doctors for<br \/>\n            offences of which criminal rashness or criminal negligence is<br \/>\n            an ingredient. A private complaint may not be entertained<br \/>\n            unless the complainant has produced prima facie evidence<br \/>\n            before the Court in the form of a credible opinion given by<br \/>\n            another competent doctor to support the charge of rashness or<br \/>\n            negligence on the part of the accused doctor.               The<br \/>\n            investigating officer should, before proceeding against the<br \/>\n            doctor accused of rash or negligent act or omission, obtain an<br \/>\n            independent and competent medical opinion preferably from<br \/>\n            a doctor in government service qualified in that branch of<br \/>\n            medical practice who can normally be expected to give an<br \/>\n            impartial and unbiased opinion applying Bolam&#8217;s test to the<br \/>\n            facts collected in the investigation.     A doctor accused of<br \/>\n            rashness or negligence, may not be arrested in a routine<br \/>\n            manner (simply because a charge has been levelled against<br \/>\n            him).    Unless his arrest is necessary for furthering the<br \/>\n            investigation or for collecting evidence or unless the<br \/>\n            investigation officer feels satisfied that the doctor proceeded<br \/>\n            against would not make himself available to face the<br \/>\n            prosecution unless arrested, the arrest may be withheld.&#8221;<\/p><\/blockquote>\n<p>            I have taken note of the fact that the post-mortem<br \/>\n<span class=\"hidden_text\"> Criminal Misc.6017-M of 2005                                     9<\/span><\/p>\n<p>examination was conducted. The entire record has been perused and<\/p>\n<p>considered in the same condition as the patient was treated and, thereafter,<\/p>\n<p>the cause of death, the sequence of events and negligence on the part of<\/p>\n<p>the petitioners has been observed. There is, thus, sufficient evidence,<\/p>\n<p>although prima facie, in view of the stage of the case, to indicate<\/p>\n<p>commission of offence, to allow the trial Court to proceed. The opinion<\/p>\n<p>has been given by the Board of Expert Doctors and, therefore, at this stage<\/p>\n<p>it cannot be ignored. The Board of Doctors is an independent body, who<\/p>\n<p>have given an independent,impartial and unbiased opinion indicating<\/p>\n<p>negligence. The opinion forms the basis for submission of final report<\/p>\n<p>under Section 173, Code of Criminal Procedure. The court is already<\/p>\n<p>seized of the matter.\n<\/p>\n<p>             In view of the above, the petition is dismissed.\n<\/p>\n<p>             In view of the delay already caused, the trial court is required<\/p>\n<p>to proceed with the trial expeditiously.\n<\/p>\n<p>             Learned counsel for the petitioners has prayed for exemption<\/p>\n<p>from personal appearance of the petitioners.\n<\/p>\n<p>             Having regard to the nature of proceedings, the prayer is<\/p>\n<p>allowed.   Personal appearance of the petitioners shall remain exempt,<\/p>\n<p>however, on the conditions to be imposed by the trial Court.<\/p>\n<pre>September 25, 2008                                        ( AJAI LAMBA )\nKang                                                              JUDGE\n <\/pre>\n","protected":false},"excerpt":{"rendered":"<p>Punjab-Haryana High Court Dr. Saroj Sethi &amp; Anr vs State Of Punjab &amp; Anr on 25 September, 2008 IN THE HIGH COURT OF PUNJAB AND HARYANA AT CHANDIGARH. Criminal Misc.6017-M of 2005 DATE OF DECISION : SEPTEMBER 25, 2008 DR. SAROJ SETHI &amp; ANR. &#8230;&#8230;. PETITIONER(S) VERSUS STATE OF PUNJAB &amp; ANR. &#8230;. RESPONDENT(S) CORAM [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[8,28],"tags":[],"class_list":["post-126907","post","type-post","status-publish","format-standard","hentry","category-high-court","category-punjab-haryana-high-court"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Dr. Saroj Sethi &amp; Anr vs State Of Punjab &amp; Anr on 25 September, 2008 - Free Judgements of Supreme Court &amp; High Court | Legal India<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.legalindia.com\/judgments\/dr-saroj-sethi-anr-vs-state-of-punjab-anr-on-25-september-2008\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dr. Saroj Sethi &amp; 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