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Ayub Yusufbhai Kharawala And Another v. Prabhudas Hiralal Prajapati And Others
Judgment Summary — M.K. Shah, J.
Factual and Procedural Background
These two appeals arise out of the same motor-vehicle accident that occurred on 23 July 1972 at about 9:30 p.m. on Highway No. 8 between Kaira and Nadiad (near village Ratanpur). The appellants were the claimants in M.A.C. Petition Nos. 95 of 1972 and 96 of 1972 before the Motor Accident Claims Tribunal, Kaira at Nadiad.
The claimant in M.A.C. Petition No. 95 (Ayub Yusufbhai Kharawala, referred to as “Kharawala”) was driving a scooter with the claimant in M.A.C. Petition No. 96 (Ismail Gafarbhai Rangwala, “Rangwala”) on the pillion seat. A truck (registration G.T.D 4884) driven by respondent No. 2 (Bavaji Galaji) and belonging to respondent No. 1 (Prabhudas Hiralai Prajapati), insured with respondent No. 3 (South India Insurance Company Limited, unit of New India Assurance Company Limited), came from the opposite direction and -- according to the claimants -- was travelling at excessive speed on the wrong side of the road and collided with the scooter, throwing both claimants onto the road.
The claimants suffered serious injuries, were treated at Civil Hospital, Kaira and subsequently at Civil Hospital, Ahmedabad, and were left with permanent disabilities despite prolonged treatment.
Original awards by the Tribunal (District Judge) dated 29 June 1974: Kharawala awarded Rs. 12,500; Rangwala awarded Rs. 15,800. No appeal or cross-objection was filed by the opponents; the finding of negligence against opponent No. 2 was not challenged. Both claimants filed separate appeals challenging the quantum of compensation and sought increased awards (Kharawala reduced his additional claim during hearing; Rangwala restricted his original claim).
Legal Issues Presented
- Whether the claimants (Kharawala and Rangwala) are entitled to additional compensation beyond the amounts awarded by the Tribunal, and if so, in what amounts.
- Whether the Tribunal erred in its assessment of compensation on specific heads, namely:
- pain, shock and suffering (including loss of amenities and enjoyment of life);
- medical and treatment expenses (special damages); and
- pecuniary/economic loss, including future loss of earning capacity arising from permanent disability.
- Whether the Tribunal was correct in treating septic complication/prolonged treatment as attributable to negligence of the treating doctor or the patient, thereby excluding liability for certain medical consequences of the injury.
Arguments of the Parties
Appellants' (Claimants') Arguments
- Kharawala claimed total compensation of Rs. 63,500 (later reduced in part during hearing) and contended that the Tribunal's award of Rs. 12,500 was inadequate. He sought additional sums for pain/shock and loss of amenities, higher medical expenses, and a substantially larger sum for pecuniary loss including future loss of earning capacity due to permanent disability (he estimated future loss at Rs. 22,500).
- Rangwala claimed Rs. 92,400 (later restricted) and argued that the Tribunal's award of Rs. 15,800 was insufficient. He sought higher awards for pain/shock and loss of amenities (claimed Rs. 15,000), medical expenses (claimed Rs. 12,000), and a large sum for economic loss (claimed Rs. 33,000) because of assessed permanent disability (55%).
- Both claimants relied on medical evidence describing the nature, extent and permanence of injuries (including percentages of disability assessed by Dr. M.T. Mehta and other treating practitioners) to support claims for higher awards on the respective heads.
Opponents' (Respondents') Arguments
- The opponents denied liability on various grounds, including that the truck had accidentally slipped on the road and thereby went into the wrong side, that the scooter's driver could have stopped and alighted but could not due to uncontrollable speed, and on that basis sought to avoid or limit liability. (The Tribunal, however, found negligence on the part of opponent No. 2 and that finding was not challenged.)
- In Rangwala's case the Tribunal posited that prolonged private nursing-home treatment (including removal of a nail) might have been caused by negligence of the treating doctor or the claimant; the opponents relied on the Tribunal’s restrictive approach to deny full liability for such prolonged treatment.
Table of Precedents Cited
| Precedent | Rule or Principle Cited For | Application by the Court |
|---|---|---|
| Robinson v. The Post Office, 1974 2 All E.R. 737 | The defendant (tortfeasor) is liable for consequences of the wrongful act, including medical treatment consequences, if it was foreseeable that the wrongful act might require medical treatment; in absence of a novus actus interveniens the tortfeasor remains liable even though the medical consequences or their severity could not reasonably have been foreseen. | The court applied the Robinson principle to reject the Tribunal’s inference that septic complications or prolonged treatment were necessarily due to negligence of the treating doctor or patient. The court held that infection and complications can be foreseeable consequences of traumatic fractures and that the tortfeasor remains liable for such consequences in the absence of a novus actus interveniens. |
Court's Reasoning and Analysis
The court proceeded after noting that the Tribunal’s finding on negligence was unchallenged and thus final. The solitary legal question before the court in both appeals was limited to quantum: whether the claimants were entitled to additional compensation and if so how much, on specific heads.
Kharawala (First Appeal No. 98 of 1975)
- The court analyzed the Tribunal's award breakdown and claimants' contentions under three primary heads: (i) pain, shock and suffering (including loss of amenities); (ii) medical and incidental treatment expenses; and (iii) pecuniary loss (including future loss of earning capacity).
- On pain, shock and loss of amenities: The court reviewed medical evidence (treatment records, neurosurgical and orthopaedic opinions) showing head injury with probable increased liability to epilepsy, hemiplegia (weakness of left side), fracture of shaft of femur (right), and a 45% permanent disability assessment by the orthopaedic surgeon. The court found that the award of Rs. 10,000 was inadequate given the nature, duration and permanence of injuries and prolonged physiotherapy and treatment, and raised this head to Rs. 15,000 (an additional Rs. 5,000).
- On medical expenses: The Tribunal had awarded Rs. 1,000. The court, after reviewing the prolonged and varied treatment (hospitalization, operations, prolonged physiotherapy, private nursing-home treatment), found this inadequate and granted an additional Rs. 4,000 on this head (text indicates the claimant "would thus be entitled to an additional amount of Rs. 4,000/- on this count").
- On pecuniary loss and future loss of earning capacity: The Tribunal had awarded Rs. 1,500 (loss for six months at Rs. 250 per month). The court held that the Tribunal failed to consider future loss despite medical evidence of 45% permanent disability. The court set out reasoning for assessing future loss: consider claimant's age (24), nature of his business (he ran a business attended exclusively by him), his inability to ride scooter or perform prior tasks, and the increased susceptibility to epilepsy. Although precise quantification evidence was imperfect, the court adopted a conservative approach: take income at Rs. 500 per month (as found by the Tribunal), assess a 25% reduction in earning capacity, and apply a multiplier of 15 (appropriate for age 24). This calculation produced Rs. 22,500 as loss of earning capacity; since Rs. 1,500 had been awarded by Tribunal for past loss, the court treated the claimant as entitled to an additional Rs. 21,000 on this count.
- Summation for Kharawala: the court concluded the total additional sum to which he was entitled amounted to Rs. 30,000 (Rs. 5,000 for pain/amenities + Rs. 4,000 medical + Rs. 21,000 economic).
Rangwala (Appeal No. 145 of 1975)
- The court reviewed medical evidence (Dr. M.T. Mehta) showing multiple fractures, prolonged hospital and surgical treatment, and a permanent disability assessment of 55% (including equinus deformity, shortening of leg, stiffness of knee and hip, weakness of grip).
- Pain, shock and suffering: The Tribunal awarded Rs. 12,000; claimant claimed Rs. 15,000. The Tribunal had reduced part of treatment liability on an unsubstantiated inference that septic complications or prolonged treatment were due to negligence of the treating doctor or the patient. The court rejected that approach: it found no material to justify imputing negligence to the doctor or patient and relied on the foreseeability principle (citing Robinson) and medical literature to hold that infection and consequent prolonged care are foreseeable consequences of fractures and surgical treatment. The court therefore allowed the claimant the Rs. 15,000 figure for pain/shock and granted an additional Rs. 3,000 on this head.
- Medical expenses: The Tribunal awarded Rs. 2,000; the claimant sought Rs. 12,000. The court found Rs. 2,000 inadequate and, on a conservative estimate, assessed medical expenses at Rs. 9,000, awarding an additional Rs. 7,000 on this head.
- Economic loss / future loss of earning capacity: The Tribunal had awarded Rs. 1,800 (six months at Rs. 300/month). The claimant offered no corroborating account books of claimed income of Rs. 1,100/month; the Tribunal instead fixed past earnings at Rs. 300/month. The court noted the settled method for assessing future loss (identify disability, percentage, expected yearly earnings had accident not occurred, effect on future earning capacity, percentage reduction, and proper multiplier). Applying that methodology: take expected yearly earnings at Rs. 3,600 (i.e., Rs. 300/month as used by Tribunal), adopt a percentage reduction of 33⅓% (based on 55% disability and impact on functioning), and apply multiplier 15 (claimant age 32). This yielded Rs. 18,000 as loss of future earnings. The Tribunal's Rs. 1,800 for past loss was left in place; therefore the claimant was entitled to an additional Rs. 18,000 on the future-loss head.
- Summation for Rangwala: the court found the claimant entitled to an aggregate additional amount of Rs. 28,000 (Rs. 3,000 pain/amenities + Rs. 7,000 medical + Rs. 18,000 future economic loss).
Holding and Implications
Holding: BOTH APPEALS ALLOWED.
Direct effect on the parties:
- Kharawala: the court held he is entitled to additional compensation in the aggregate amount of Rs. 30,000/- (comprising additional amounts on pain/amenities, medical expenses and future pecuniary loss as specified in the judgment).
- Rangwala: the court held he is entitled to additional compensation in the aggregate amount of Rs. 28,000/- (comprising additional amounts on pain/amenities, medical expenses and future pecuniary loss as specified in the judgment).
Broader implications: The court applied and reiterated the principle (as explained in Robinson v. The Post Office) that a tortfeasor remains liable for foreseeable medical consequences of the wrongful act, including infection or complications arising from fractures and surgical treatment, in the absence of a novus actus interveniens. The court criticized the Tribunal for the unsupported inference that septic complications necessarily resulted from negligence of treating doctors or patients, and it reaffirmed the appropriate method for assessing future loss of earning capacity (identify disability, quantify percentage, determine expected earnings, assess percentage reduction, and apply an age-appropriate multiplier).
The opinion does not indicate that it establishes a new legal precedent; it applies existing principles (including Robinson) to the facts and adjusts quantum accordingly. The direct consequence is increased monetary awards to the two claimants as stated above.
Note: All statements in this summary are drawn exclusively from the provided opinion text of M.K. Shah, J. No information beyond that text has been added.
M.K Shah, J.:— These two appeals arise out of the same accident, viz., the accident which happened on 23rd July, 1972 at about 9-30 p.m on Highway No. 8 between Kaira and Nadiad near village Ratanpur. The appellants of both the appeals who are original claimants in M.A.C petition Nos. 95 of 1972 and 96 of 1972 before the M.A.C Tribunal of Kaira at Nadiad, were returning from Baroda to Ahmedabad on a scooter bearing no, G.J.M ???. The claimant of petition No. 95 of 1972 that is Ayub Yusufbhai Kbarawala (hereinafter referred to as Kharawala) was driving the said scooter while the claimant of pelition No. 96 of 1972, viz., Ismail Gafarbhai Rangwala (hereinafter referred to as ‘Rangwala’) was on the pillion seat. The truck bearing No. G.T.D 4884 driven by respondent No. 2 Bavaji Galaji, original opponent No. 2 and belonging to respondent No. 1 Prabhudas Hiralai Prajapati, original opponent No. 1 and insured with respondent No. 3 (original opponent No. 3) insurance company that is the South India Insurance Company Limited which is the unit of New India Assurance Company Limited, came from the opposite direction that is from the Kaira side and as was the case of the claimants, it was driven with an excessive speed and on the wrong side of the road at that time and it dashed against the scooter throwing the scooter and the two claimants on the road. The claimants received serious injuries. They were first removed to the Civil Hospital at Kaira and thereafter to the Civil Hospital at Ahmedabad. Even after prolonged treatment, they were saddled with permanent disabilities.
2. Kharawaia claimed Rs. 63,500/- as compensation while Rangwala claimed Rs. 92,400/-. The opponents denied their liability on various grounds including the ground that the truck accidentally slipped away on the road and that, therefore, it went towards the wrong side resulting in the accident and that it was possible for the driver of the scooter to stop the scooter and to get down immediately, but as it was driven at uncontrollable speed, it could not be checked and hence the accident. On the evidence led before him, the learned District Judge constituting the Tribunal came to the conclusion that the claimants had proved that the accident happened because of a rash and negligent act of driving on the part of opponent No. 2. But so for as the quantum of compensation is concerned, he awarded a sum of Rs. 12,500/- only to Kharawaia and a sum of Rs. 15,800/- to Rangwala by his award dated 29th June, 1974 and it is this award which is challenged in the two separate appeals filed by the two claimants and the challenge is with regard to the quantum of compensation awarded and the claimants claim additional compensation of Rs. 51,000/- which is reduced to Rs. 30,000/- at the time when the hearing started so far as Kharawaia is concerned and Rs. 44,200/- after restricting the original claim to Rs. 60,000/- so far as Rangwala is concerned.
3. There is no appeal or cross-objection filed on behalf of the opponents and the finding on the issue with regard to negligence, therefore, is concluded and the question which requires to be considered in both the appeals is as to whether the claimants of the respective appeals are entitled to any additional compensation.
4. Taking up Kharawala's case first that is first appeal No. 98 of 1975 arising from M.A.C petition No. 95 of 1972, the breakup of the compensation awarded is:
5. Pain, shock and suffering: Rs. 10,000/- with nothing awarded towards loss of amenities etc. arising out of the permanent disability. The claimant submits that Rs. 15,000/- should have been awarded on the count of pain, shock and suffering and loss of amenities and enjoyment of life and thus, he claims an additional compensation of Rs. 5,000/- on this count. With regard to special damages for medical expenses and expenses incidental to the treatment, the Tribunal has awarded Rs. 1,000/- while, it is submitted by the claimant that he should have been awarded Rs. 5,000/-; thus claiming an additional amount of Rs. 4,000/-. With regard to the pecuniary loss, the Tribunal has awarded only Rs. 1,500/- on the basis that there was loss of income for six months taking the Joss suffered at the rate of Rs. 250/- per month. The claimant submits that he is entitled to economic loss not only for the loss of earning suffered by him before the trial but also for future loss of earning by virtue of the loss of earning capacity resulting from the permanent disability and he estimates the same at Rs. 22,500/- and thus, the claimant claims an additional amount of Rs. 21,000/- on this count.
6. The claimant was unmarried and 24 years of age at the time of the accident. As the evidence shows, he was a businessman engaged in cloth printing business. As he says, there was a family firm viz. Kharawala Brothers in which he was a partner and they were doing business of hand printing. He started a new firm in the name of Kharawala Screen Textile Printers in S.Y 2027. He was personally attending to the business and he had to drive a scooter to bring cloth and other materials for printing purpose and for delivering the ready goods to the customers. It is his say that he had to stop this business because he was not able to move on the scooter and the stock-in-trade as well as the machineries of the said business were disposed of. So far as the family firm of Kharawala and Brothers is concerned, he was attending to the writing of the accounts and he is not in a position to write the same now. He did admit that Kharawala and Brothers was a registered partnership firm and Kharawala Screen Textile Printers was the sister concern of the said Kharawala and Brothers.
7. (With regard to the injuries, from the evidence of two Doctors viz. Dr. P.R Thakore, Neuro Surgeon, attached to the Civil Hospital, Ahmedabad Ex. 36 (part) and Dr. M.T Mehta, Orthopaedic Surgeon, Civil Hospital, Ahmedabad Ex. 36 (part) it emerges that he was treated at the Civil Hospital from 24.7.1972 to 5.10.1972, that is for two months and 11 days. He was unconscious when Dr. Thakore examined him on 24.7.1972 and was bleeding from left nostril and had swelling on the left eye. Apart from putting him on anti-biotics, he was put on anti-epileptic treatment till he was discharged and he was advised physiotherapy and also to continue anti-epileptic treatment. In the opinion of the doctor, because of the head injury, there was possibility of increased liability to epilepsy. He had the weakness of left side of body (Hemiplegia) and though it had improved to some extent, yet clumsiness of finger movements was likely to persist. He was unconscious for three days.
8. As per the evidence of Dr. Mehta, when he examined him on 24.7.1972, he found that there was fracture of shaft of femur, right side, a head injury and there was probably callers fracture. He had a black discolouration of eye. As per the certificate issued by this witness which is at Ex. 37, the patient had injury with hemiplegia on left side, colics fracture on right side and a fracture of shaft of femur on the right side. On the basis of these three ailments, he assessed the permanent disability at 45%. He was operated and nailing of shaft of femur was done. He could not say whether there was any shortening of the leg, but he added that probably he had shortening by half an inch and the patient will have probably some difficulty in riding vehicles and difficulty in walking, climbing a stair-case and running.
9. As Kharawala says, after the accident he was taken to the Kaira Civil Hospital but as the injuries were very serious, he was removed to the Civil Hospital at Ahmedabad where he was admitted in a special room. His right arm was put in plaster. His right leg was operated and nail was inserted therein and his injuries on the head were dressed. He was kept in the air-conditioned room because of the head injury. Even after the discharge, he was required to undergo exercise and electric shock treatment and he had to attend everyday the physio therapy department of the Civil Hospital upto 5.2.1974 He also took treatment in the private nursing home of Dr. K.G Mehta for about three months and as he says, his right leg has been shortened by half an inch and he gets pain in winter. He gets pain in walking and he cannot run. He has got prepared special shoes for his legs and because of the fracture to his right arm, he gets pain. His left hand cannot hold anything therein. He cannot even button his shirt by his left hand and he cannot drive the scooter. He often gets head-ache because of his head injury and he is unable to read and write because while reading, he gets head-ache.
10. On the basis of the nature and extent of the injuries, the prolonged treatment as also the nature of the treatment, the pain and suffering undergone by the claimant after the accident for quite a long time as also looking to the nature and extent of the permanent disability which the orthopaedic surgeon assesses at 45%, in our opinion, the amount of Rs. 10,000/- awarded as compensation is inadequate and requires to be raised. One can imagine the pain and suffering this patient must have undergone with fracture of shaft femur on right side as also colies fracture and with hemiplegia. His mental condition also can be visualised from the fact that right from the beginning till he was discharged, he was put under anti-epileptic treatment and he was asked to continue that treatment even after discharge. He was operated for his injuries. His treatment of physiotherapy continued for about 15 months and he has still handicaps and disabilities as are referred to by him in his evidence as also by doctor Mr. Mehta in his evidence. In our opinion, Rs. 15,000/- would be reasonable amount awardable on the count of pain, shock and suffering and loss of amenities and enjoyment of life. He will, therefore, be entitled to an additional amount of Rs. 5,000/- on the first count.
11. That will take us to the claim for medical expenses………. He would thus be entitled to an additional amount of Rs. 4,000/- on this count.
12. That would take us to the last item. Mr. Oza, the learned Advocate appearing for the claimant has not seriously challenged the figure of income fixed by the Tribunal at Rs. 500/-. But the Tribunal only awarded loss of six months' income on the ground that in the business, his three uncles and father were also partners and the business might not have suffered a substantial loss because the claimant could not attend to the same for some period that he was under the treatment. The Tribunal, therefore, assessed the loss at Rs. 250/- per month for six months. In our opinion, the Tribunal was patently in error in estimating the economic loss. The Tribunal has not taken into consideration the future economic loss at all inspite of the fact that as the medical evidence showed, the claimant has 45% disability of a permanent nature. As the evidence showed, because of the after-effect of hemiplegia and the fractures, he would not be able to drive the scooter. The new business which was started was exclusively attended by him and he could attend to the business because he himself was going on the scooter to get the cloth for printing purpose and to deliver the same to the customers after getting the same printed. With the disability which he has, he cannot attend to this business and the business had to be closed. It is true, in a systematic and scientific manner, precise evidence needed in such a case showing as to what was the business or avocation which the claimant was pursuing at the time of the accident; what was the nature of business or avocation or profession and what was the nature and extent of disability and what was the extent of the impact of that disability in the future earning capacity of the claimant, has not been properly brought on record. But the evidence does show that physical integrity of the claimant is broken. He has got increased chances of epilepsy. Not only anti-epileptic treatment was given to him while he was in the hospital, but he was advised to continue this treatment even after his discharge. He had hemiplegia and he is still suffering from the after-effect of the hemiplegia. He had also a fracture. Now hemiplegia and increased susceptibility to epilepsy are the direct result of the head injury. It is evident from the fact that at the time when he was admitted in the Civil Hospital, he was bleeding from the left nostril. He had a fracture of shaft of femur of the left kg as also colies fracture. Because of the head injury, he had to be kept in an air-conditioned room for one month. It is difficult to follow as to how a person carrying such handicaps and disabilities would not be handicapped in the labour market or in the business world. He would not be the same man as he was before, after the accident. His efficiency to run the business, to take decisions and to act on the spur of moment is bound to be affected and that in turn is bound to be reflected in his earning capacity. It is true, this may not necessarily be co-extensive with the percentage of disability as assessed by the expert viz. 45%. But this is bound to reflect on his capacity to attend to any business or avocation. It would be interesting to note that the orthopaedic surgeon while assessing the percentage has not taken into consideration, a very important factor, viz., increased susceptibility to epilepsy as also the fact that he was put under the anti-epileptic treatment right from the very beginning and that he was advised to continue the said treatment when he was discharged on 5.10.1972 from the Civil Hospital, An epileptic suffers from many disabilities as are enumerated by Arnold Mann in The Medical Assessment of Injuries for Legal Purposes, 1966 Edition. They are:
“(1) As the epileptic fits occur suddenly, often without any preceding aura, the epileptic is very prone to sustaining injuries. He may fall over and sustain lacerations, or even fractures; he cannot engage in hazardous occupations such as building constructional he may fall into a fire; and he cannot hold a motor car driver's licence;
(2) He suffers from many social and psychological disadvantages as the condition is still viewed by the majority of the public with a certain degree of horror. An epileptic is at a distinct disadvantage when it comes to matrimony and the securing of responsible jobs. The fact that he has epilepsy frequently undermines his confidence and he may suffer from psychological disturbances as the result of this. The precise disability suffered by an individual patient depends largely on the frequency of the attacks and whether they are controlable by medical means. Where control is perfect, disability is very slight, but none the less hazardous occupations and motor car driving are denied to him. This may very seriously affect his ability to earn a livelihood.”
13. It is true, when the accident happened, he was engaged in the business where his family members were partners and that way, inspite of the handicaps, he may not necessarily suffer, so far as earnings are concerned for sometime. But that would be till his relations with the other members of the family remain cordial which may deteriorate at any time in future. There is no guarantee that he would remain in the same business. Again, we also have to look to the future prospects of this young man on the threshold of his career. Here is a man who started the new business though as a sister concern of the joint family business, on his own responsibility to attend to the business exclusively and was in fact attending to the same. He was, therefore, a man with initiative, ideas and push and was bound to progress in life. But because of the handicaps, he will be at a disadvantage and is, therefore, bound to suffer so far as his earning capacity is concerned. In our opinion, it would be reasonable to assess the economic loss on the basis of 25% adopting the finding that his income was Rs. 500/- as found by the learned Judge of the Tribunal. He was a young man of 24 years and therefore the proper multiplier would be 15. Working out on that basis taking the economic loss on the footing of 25%, the loss of earning capacity will come to Rs. 125/- × 12 = 1500 × 15 = 22,500/- while what is awarded to him is Rs. 1,500/-. He would thus be entitled to an additional amount of Rs. 21,000/- on this count. The total amount to which he will be entitled additionally would, therefore, come to Rs. 30,000/-.
14. That will take us to the next appeal, viz., appeal No. 145 of 1975 of Rangwala. As deposed by Dr. M.T Mehta in his evidence, he had examined Rangwala on 24.7.1972 at the Civil Hospital and he found (1) fracture, midshaft right femur; (2) compound comminuted fracture of tibia and fibula on right side; (3) fracture of shaft humerus on left side and (4) fracture collies left side. Apart from the treatment given by drugs and intravenous fluid, his lower limb was put in traction. Upper limb fractures were reduced and were also put in plaster. He was discharged from the hospital on 10.10.1972 In August, 1972, he was operated and nailing was done on the shaft femur and the rest of the lower limb was put under plaster. After his discharge from the hospital, he took treatment for about three months in the private nursing home of Dr. Mehta where he was operated twice and at the time when he was discharged from the nursing home, his limb was put in plaster. On 15.10.1972, an operation was performed by which removal of loose piece of bone and cleaning up was done. On October 29, 1972, intramedullary nailing of tibia was done and even after discharge from the nursing home, he used to come for regular treatment and was still under the treatment of the doctor when he gave evidence which was on 12.3.1974 As the certificate exhibit 39 issued by Dr. Mehta shows, his permanent disability is assessed at 55%. As deposed to by the witness, he has equinus deformity of the ankle, shortening of the leg, stiffness of the knee and some stiffenss of the hip. He has also weakness of grip and slight stiffness of the shoulder and he will limp while walking. Climbing stair-case would be difficult and in the opinion of the doctor, he would not be able to drive scooter nor will he be able to run.
15. The Tribunal has awarded an amount of Rs. 12,000/- on account of pain, shock and suffering; while the claimant claims Rs. 15,000/-. Thus, the additional amount on this count claimed by the claimant is Rs. 3,000/-. For medical expenses, etc., Rs. 2,000/- were awarded. The claimant submits that he is entitled to Rs. 12,000/- and the additional amount claimed is Rs. 10,000/-. For economic loss, Rs. 1,800/- are awarded. The claimant submits that he is entitled to Rs. 33,000/- and the additional claim is, therefore, for Rs. 31,200/-. The claimant is married and is aged about 32 years. As he says, he was a partner in International Dye-tuff upto the year 1966 and that firm was doing business in colours and chemicals. The claimant, thereafter, started his own business in the name of I.G Dye-chem and he had to move on scooter for taking orders and for collection of dues. He also says that besides selling colour-chem, he was doing the business of commission agent for selling the very commodity and he then says that as he is not able to drive the scooter, he has closed the business.
16. In the light of this material on record, we will have to consider whether he is entitled to any additional amount on any of the three counts.
17. Taking up the first count, viz., pain, shock and suffering, the learned Judge of the Tribunal, it seems, when he awarded a sum of Rs. 12,000/- on this count, was guided by the fact that the nail which was inserted when the said operation was done, had to be removed because the fractured injury had become septic and, in the opinion of the Tribunal, the prolonged treatment in the private nursing home of Dr. Mehta was due to either negligence of the doctor treating him or of himself and if any injury had become septic, tortfeasor cannot be saddled with the extra cost of such treatment. In our opinion, the learned Judge of the Tribunal was clearly in error in this approach. In the first instance, the inference of the learned Judge is not based on any material on record and the Tribunal has indulged in the process of imagination and assumption without any data in this conclusion. The view of the Tribunal that when a wound at the seat of the fracture becomes septic, it must be the result of negligence of the medical treatment or negligence of the patient, is without any foundation in such a case, it is not open to the tortfeasor to say that prolonged treatment was unnecessary, that in a normal course, it would not have been resorted to if the injury had not become septic and that the injury must have become septic, either because of the negligence of the doctor or because of the negligence of the patient and, therefore, the tortfeasor is not liable for any expenses incurred for such prolonged treatment. The settled law is that tortfeasor will be liable for the consequence of his act if it was foreseeable that as a result of the wrongful act, given consequence would follow. Now, in the instant case, when such fractures and injuries are caused in a motor accident, likelihood of infection is one of the probabilities and it cannot be said that it is not the direct result of the tortfeasor's wrongful act. In the absence of novus actus interveniens, tortfeasor must always continue to be liable for all the consequences which result from an injuiy wrongfully caused by him.
18. Mr. Oza, the learned Advocate appearing for the appellants drew our attention to the case of Robinson v. The Post Office . 1974 2 All E.R 737.. This was a case in which the plaintiff, who slipped while descending the ladder from one of the post-office's tower wagon and sustained a wound to his left shin, visited his doctor who gave him injection of anti-tetanus serum (‘ATS’) on 21.2.1968 that is, the day on which the accident happened. He got reaction on 24.2.1968 and was admitted to the hospital when he was found to be suffering from encephalitis and suffered brain damage in consequence of encephalitis. He brought action, both against the post office as well as against the doctor and it was held that the post office was exclusively liable and not the doctor. The facts of the case disclose that the plaintiff had, to the knowledge of the doctor, been given a dose of ATS following an accident in 1955. Where a patient had a previous dose of ATS, it was essential, because of the risk of reaction, to give a test dose before administering a full dose. The recognised test procedure in 1968 entailed waiting half an hour after injecting a small quantity of ATS to see whether the patient showed any reaction. The doctor did not follow that procedure but followed one of his own, wailing only a minute for a reaction before administering the balance of the full dose and the result was as aforesaid. Following the well recognised principle applicable in such cases, the appeal court held that:
“The post office was bound to take the plaintiff as they found him, i.e, with an allergy to a second dose of ATS and if it was foreseeable that as a result of the wrongful act he might have required medical treatment, they were, in the absence of a novus actus interveniens, liable for the consequences of the treatment applied even though they could not have reasonably foreseen those consequences or that they could be serious.”
19. The ratio of this case applies to the case at hand a fortiori particularly when, in the instant case, no attempt has been made by the opponents, to show that infection developed on account of any negligence or want of care by the said doctor who was treating the claimant and the observations would, therefore, apply with fuller force in the instant case. As Dr. Arnold Mann observes in his aforesaid book on Medical Assessment of Injuries at page 172:
“Infection of a fracture can occur if the fracture is open (compound) or if surgical treatment is undertaken for its treatment. In either case, the fracture site is opened to invasion by microorganisms. Any organisms normally found in the atmosphere or in road dust may gain entrance to the body in this way, common ones being streptococci and Staphylococci. Contamination of the wound in compound fractures is of course almost inevitable, but infection of the fracture site is not deemed to have taken place until there is some clinical evidence of it. When this occurs, the wound edges become red and pus sooner or later discharges from the would which then remains open, after revealing the fracture. When this state of affairs has arisen, great delay in union is frequently seen with the destruction of areas of bone due to osteomyelitis. Operations such as bone grafting to stimulate union cannot usually be undertaken under these circumstances and frequently lead to further delays in treatment.”
20. This, therefore, shows that the learned Judge constituting the Tribunal was patently in error in assuming that prolonged treatment in the private nursing home of Dr. Mehta was necessitated due to either negligence of the doctor or of the claimant himself. Taking this aspect into consideration, in our opinion, on the count of pain, shock and suffering as also loss of amenities and enjoyment of life, the claimant would be entitled to the amount of Rs. 15,000/- as claimed and the additional sum, therefore Rs. 3,000/- will have to be awarded on this count.
21. With regard to the claim for medical expenses, we find that the Tribunal has also erred in awarding only Rs. 2,000/-…. In our opinion, even on a conservative estimate, he should be awarded a sum of at least Rs. 9,000/- on this count. He will, therefore, get an additional amount of Rs. 7,000/- on this count. That will take us to the last item with regard to the economic loss. As the claimant deposes, after 1966, he started his own business in the name of I.G Dye-chem and fie was earning Rs. 1,100/- per month. But he has not produced any books of account or any documentary evidence in support of his say that his earnings were Rs. 1,100/- per month. The Tribunal, therefore, assessed his earning at Rs. 300/- per month. We will, therefore, proceed on the basis that he was earning Rs. 300/- per month and in this background, we have to assess the extent of the loss of earning capacity by virtue of his disability. The Tribunal has awarded a sum of Rs. 1,800/- on the basis of loss of income for six months at the rate of Rs. 300/- per month as aforesaid. Curiously enough, the Tribunal has lost sight of the settled law that in such cases, the Tribunal has to assess the extent of loss of earning capacity and then evaluate the economic loss so far as future earnings are concerned; while, in the instant case, the Tribunal only applied its mind to the question with regard to the special damages to which the claimant would be entitled by virtue of his disability to attend to the business and follow his avocation and the Tribunal fixed this loss of income at Rs. 1,800/- on the basis that the claimant was entitled to such loss on the basis of his earnings at the rate of Rs. 300/- per month for a period of six months. The evidence on record establishes that the claimant had a permanent disability which was assessed at 55% as per the evidence of Mr. Mehta supported by his medical certificate, exhibit 39. The evidence also shows that there was shortening of left leg by 2 and he had additional permanent defect of equinus deformity of the ankle, stiffness of the knee, stiffness of the hip and weakness of grip and slight stiffness of the shoulder. As the doctor says, the patient will limp while walking and will experience difficulty in climbing stair-case and would not be able to drive scooter nor will he be able to run. These are all permanent defects. As the claimant himself says in his evidence, he has still pain in his left arm and is not able to lift anything by it. He is not able to do any work properly by that arm. While walking, his right leg gets swelling. He has got special shoes prepared. He cannot sit bending his legs and he finds difficulty in sitting while answering call of nature. Consequently he had to close down his business which involved the work of moving on a scooter for taking orders and collecting dues. Now, these disabilities have to be evaluated to find out the reduction in his earning capacity in terms of money. It is true, future loss of income is not necessarily coextensive with the extent of permanent disability and on the basis of the evidence as to the permanent disability, whether complete or partial, assessment has to be made with regard to the fact that such disability would be affecting the entire functioning of the body to a certain extent and it has to be ascertained how it would consequently affect his earning capacity. The process of reasoning to be followed while assessing the same is: (I) Has the accident saddled the claimant with any defects, disabilities or handicaps, temporary or permanent total or partial? (2) What is the nature and the extent (including precise percentage, if ascertained) of such disablement? (3) What would have been the expected yearly earnings of the deceased, had he not met with the accident? (4) Will the said disablement affect the earning capacity of the claimant, in future? (5) If so, what is the extent, that is percentage of reduction in the said earning capacity of the claimant, as reflected by the said disablement? (6) What is the multiplier to be adopted to assess the said expected loss of earning? Adopting this process of reasoning, in our opinion, the claimant in this case has been saddled with the defects, disabilities and handicaps as earlier enumerated, the percentage whereof is assessed by the orthopaedic surgeon at 55%. In view of the finding of the Tribunal, which is not challenged in this appeal, we have to take the expected yearly earnings of the claimant, had he not met with the accident, at Rs. 3,600/-. His bodily integrity has been affected and consequently, he will not be able to work with the same efficiency and concentration and will not be able to put in the same efforts which he was putting in to attending to his business or whatever avocation he might pursue in future; and in our opinion, taking into consideration all these factors, the percentage of reduction in earning capacity as impacted by the said disabilities should be taken at 33⅓% and taking into consideration his age which was 32 and other relevant factors, proper multiplier in the case to be adopted to assess the expected loss of future earnings, should be taken at 15. Calculating on that basis, the loss of future earnings will come to Rs. 3,600 × ⅓ = 1,200 × 15 = Rs. 18,000/-. He would be entitled to this amount as and by way of loss of future earnings by virtue of reduction in the earning capacity, over and above the amount of Rs. 1,800/- already awarded as special damages, for the loss of past earnings. The additional amount which he will be entitled on this count will thus be Rs. 18,000/-. So far as the amount of Rs. 1,800/-, which is awarded on account of loss of earnings as special damages is concerned, though the claimant would have been entitled for damages for a larger period, the Tribunal has restricted the period to six months on the assumption that the injury became septic on account of negligence either of the doctor treating the claimant or the claimant himself. There is no warrant for such an assumption, as earlier observed. However, we do not enter into the question whether the claimant will be entitled to additional amount on this count in view of the error committed by the Tribunal in this assumption, because the claimant does not claim more on this count. The claimant will thus be entitled to an aggregate amount of Rs. 28,000/- as additional compensation.
22. Both the appeals allowed.
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