@ Tajobs you turn the Tables and can churn the wheel in any direction
This legal portal site is for interaction purposes and yes many cases go flat if actual usage of medico-legal law are applied and yet the person behind query one should feel as being layperson and Law as an art form to be used and minute legalintricacies comes with paid legal consultations is also my addendum view and such application should not be given for free bze what is free is under-valued J
Finally one should always remember action suit be it civil / criminal both spouse delay in social remedial scenarios but too much delay also leads the action just brought go flat in majority of cases which we have seen in floor of the Courts.
Now here is the essence of medico-legal action suit;
1. The general belief that only the doctors working in the government hospitals would be involved with such cases has now been dispelled by the recent decisions of the Hon’ble courts, particularly by the Hon'ble Supreme Court.
2. What is a Medico-Legal Case for Court purposes in reference to matrimonial offence (context) let us understand them
· It can be defined as a case of injury or ailment etc., in which investigations by the law-enforcing agencies are essential to fix the responsibility regarding the causation of the said injury or ailment.
· In simple language it is a medical case with legal implications for the attending doctor where the attending doctor, after eliciting history and examining the patient, thinks that some investigation by law enforcement agencies is essential.
·
· Or a legal case requiring medical expertise when brought by the police for examination
3. Now understand the ethics from Doctors point of view just at the time of receiving a MLC
A doctor can receive a medico-legal case in any of the four situations:–
A. A case is brought by the police for examination and reporting, or order of the court for medical examination
Okay meaning to say that the case can be reopened by the court once again for re-examination by a third party medical practioner to get their report .
B. The person in question was already attended to by a doctor and a medico-legal case was registered in the previous hospital, and the person is now referred for expert management / advice.
The querist would have to mention this facts .
C. When patient himself express in his intention to register a case against the alleged accused.
This has not happened
D. After eliciting history and examining the patient, the attending doctor feels that some investigation by law enforcement agencies is essential to establish and fix responsibility for the case in accordance with the law of the land.
In the case of last situation pointed to above as "D", it is the attending doctor who has to utilize his medical knowledge and judgment to decide whether the case should be treated as MLC or not, specially when the history is not completelyrevealed, either by the patient or his relatives / friends, due to some motive.
4. Now see the procedures of registering the MLC which you call in lay persons view FIR…..FIR…….FIR where is it / why it is not there etc. ???
· The responsibility to label any case as an MLC rests solely with the attending medical practitioner.
· So everything rests on the Medical practioner if he has labeled the case as a MLC .
· In the casualty, while attending to an emergency, the doctor should understand that his first priority is to save the life of the patient.
· He should do every thing possible to resuscitate the patient and ensure that he is out of danger.
· All legal formalities to be suspended till the patient is resuscitated.
· Agreed
This has been clearly ordered by the Hon’ble Supreme Court of India in the judgment of case ref.: Parmananda Katara Vs. Union of India [1989 AIR 2039, 1989 SCR (3) 997] it was held:
“Every doctor is bound to provide medical aid to the victims irrespective of the cause of injury; he cannot take any excuse of allowing law to take its course”.
The next important duty is to identify whether the said case falls under the category of an MLC or not, after carefully analyzing the injuries on the person of the patient, the history given, and the other circumstances of the case.
If it does fall in this category, then he must register the case as an MLC and / or intimate the same to the nearest police station, either by telephone or in writing.
An acknowledgement of receipt of such a message should be taken for future reference.
The doctor has not carried out the above procedure and hence would be in the dock at the time of cross examination as to why intimation has not been given to the nearest police station or would try to wash away his hands on some pretex or the other . Hence a third party examination by doctors doctor’s would have to verify the claims of the MLC submitted and give in their report .
A medico-legal register should be maintained in the casualty of every hospital and details of all medico-legal cases should be entered in this register in duplicate / triplicate.
The MLC would help in authenticity of the claim where I presume the date of admission and discharge along with the details of depth of the injury and markings would be present .
This would be of immense help for future reference, when the patient through the court / the police, requests for a copy of the medico-legal report.
No fresh MLC to be made if MLC has already been made in other hospital to avoid duplication.
5. Also note there is a time limit for registering a MLC and same can be in generic way understood to be as follows;
· A medico-legal case should be registered as soon as a doctor suspects foul play or feels it necessary to inform the police at arrival of person,
· At any time after admission.
· There should not be any unnecessary delay in doing so.
· A case may be registered as an MLC even if it is brought several days after the incident if suspected..
6. Now generic people may ask on whose decision?
· The casualty doctor (emergency physician) attending the case has the independent authority to label the case as medico-legal or not.
· Patients’ or their relatives’ request or any external pressure to label a case medico-legal, should not influence the doctor’s decision.
· When the patient is admitted in the ward, indoor treating doctors can also make a case medico-legal if they think after obtaining additional information, that it should have been made MLC but it was not made at the time of admission.
7. Lastly there is major bar called Consent also in medico-legal cases which plays an important role and same can be said for lay persons understanding to be as follows;
· Under medical ethics all cases should be examined after obtaining a consent.
· Consent to be taken for a particular purpose or procedure in writing.
· Consent to be taken before starting the procedure and after clearly explaining the patient / relative what exactly to be done.
· If the patient is a minor or less than 18 yrs of age consent of the guardian be obtained for private part examination.
· Consent of relative required for unconscious patient requiring surgery
· If an unconscious patient brought by police from road and operation essential to save life 2 or 3 doctors to give consent by signing on consent form.
· A conscious adult has the right to refuse
An informed consent includes information such as;
· the examination to be conducted would be a medico-legal one and would culminate in the preparation of a medico-legal injury report,
·
· Meaning to say that the hospital would have the medico legal report due to the surgery carried out on the patient and as a matter of fact, the facts would be mentioned as to how the injury has happened and also the patients history would be mentioned in this report or what caused the injury
· So based on the findings of the MLC the the case would make its way
· all relevant investigations needed for the said purpose would be done,
· the findings of the report may go against the patient if they donot tally with the history given. (this is the most important legal point)
Hence sum total in my earlier reply is as to what I feel in the enquiry that was asked and the only question that caught my attention of the author was doubt on"medical certificate of one of her sensory organ' marital assault which her lawyer said are in-admissible. It was nobody's case to enquire her in so many words all such ifs and buts. Well if she pays me I am open to offer further otherwise above smallest piece will do well for generic PIP point of understanding and if not then @ Lord is always omnipresent amongst us J
Lastly to keep the public interactions even in these thread postings I suggest you to read thoroughly the bullet points and may you now re-phrase your earlier vague cross examination questions with fresh once and place them here to know how much you understood such moot interactions!
You havent left any space to repharse wherein everything lies and depends on the MLC
I know you can do it in public space, hence re-phrase your vague examination questions and print it in ink here!.
Now based on the MLC only can the re- examinations questions be rephrased as everything rotates around the MLC which we haven’t seen and as a matter of fact should the patient be re-examined by a third party of doctors and based upon their report and the cross examination never know which way the case would take its turn .
Now guess, how was above for a luncheon wriggly wit for a change!
Excellent ,A very good brief and a good eye opener
In My case there is nothing related to MLC just wanted to gain some knowledge .