This document summarizes a case of alleged medical negligence in India that resulted in the death of a patient. It describes inconsistencies in the patient's reported symptoms, inappropriate treatment with antibiotics and sedatives, failure to properly monitor or treat an apparent allergic reaction, and attempts by involved doctors, experts, and investigators to cover up what happened and avoid accountability. The case was sabotaged and delayed for many years through these actions. Ultimately, the high court intervened to order a proper investigation and trial after 10 years.

1. Regarding the occurrence of fits even if it's presence is accepted for argument sake it will not cause death.
Hence in this case the UNIQUENESS is that the patient came without any disease (this is clear from the
different sites of pain when elicited by the duty M.O.,Surgeon and gynecologist) was done to death by a shot of
antibiotics which was not indicated and that too for a renal colic by a gynecologist who did not do a per vaginal
examination which is the sheet anchor of a gynecological consultation and at the same time writing in the case
sheet, final diagnosis as ABDOMINAL COLICPROBABLY DUE TO PELVIC INFLAMMATORY DISEASE. This
shows that there was MEETING OF MINDS of the director of the hospital and the gynecologist.
Thus you can come to the conclusion that this is a TYPICAL case of medical negligence in which both the
EXPERTS and the INVESTIGATORS tried to SABOTAGE from the very beginning.
This message is meant to bring to your notice how the so called EXPERT BODIES and the INVESTIGATORS
try to camouflage a case of medical negligence to save the culpable doctors and thereby subverting the
delivery of JUSTICE.
This is a typical case of medical negligence in India. It is sabotaged from the beginning itself. The culpable
doctors,experts and the investigators make the process a sham. In this case the High Court of Kerala
intervened at the behest of the mother of the deceased and hence the trial is going to start after ten years. The
exact date is not known. Most probably in August 2015.
The patient came to Parabrahma Hospital, Oachira, Kollam District of Kerala at 8.02 A.M. as per the case
sheet.She was seen by the duty M.O. whose name is not known even now.He did not do any harm.Her
complaint was pain on the left UPPER side of the umbilicus otherwise called left epigastrium in medical
terminology as per the case sheet. The duty doctor gave antacids and Inj.Cyclopam a pain killer and she was
relieved as per the case sheet. The duty doctor as per the protocol of the hospital(please see the order by
Justice Kemal Pasha, the TWIST occurred here page 1) advised her to see the surgeon before leaving
the hospital. The surgeon who is also the director of the hospital noted pain belowthe umbilicus and noted as
provisional diagnosis PELVIC INFLAMMATORY DISEASE. Then she was refereed to the gynecologist. She
was admitted(at 10 A.M.) by the gynecologist with a provisional diagnosis of LEFT RENAL COLIC since she
has noted pain in the left side of the umbilicus. I hope you have noticed the SITE of the pain is NOT consistent.
From this it is clear that patient was NOT suffering from any disease or suffering from a very serious condition
called PERITONITIS. If that is so the surgeon would not have referred her to the gynecologist. The patient
would have fever and vomiting. NO VOMITING or FEVER as per the record. That also shows the pain
abdomen was NOT severe to be ADMITTED. Thus the patient was admitted only to increase the in-patient
tally The gynecologist advised Inj.Ampicillin 500 mg after test dose. There is no rhyme or reason for an
antibiotic at that juncture since fever or pain during urination(gynecologist has noted no DYSURIA) was not a
complaint. The gynecologist herself has written in the out patient record that there is no dysuria meaning no
pain while passing urine. At 10.05 A.M. test dose was given as per the nurses record. The full dose was given
at 11.A.M.and by that time the WHEAL like reaction of the test dose would have subsided. The full dose should
have been given after checking for local reaction at 10.20 A.M. that is after 15-20 minutes of the test dose.
Then the sister would have picked up the WHEAL and skipped the full dose. Please type The Washington
Manuel of Medical Therapeutics(34'th editions) Adverse Drug Reactions and there you can come across the
statement that anaphylactic reaction will not occur if the skin test is negative(page no: 381).
After the full dose she started having difficulty in breathing (hall mark of allergic reaction)as per the case sheet
and the then duty M.O. one Dr.Ajit(who had the FIRST OPPORTUNITY to give inj.Adrenaline the antidote for
allergic reactions) aged 50/14 came into the picture and gave Injections Dexona,Efcorlin and Injection
Diazepam. This COCKTAIL of drugs is not used for any disease for what so ever.
She stopped breathing with Inj.Diazepam(since it is a respiratory depressant) and so the
anesthetist(Dr.Mathews third accused) came and intubated her. After putting the tube he simply ABANDONED
the patient WITHOUT writing a single word in the case sheet. He had the SECOND OPPORTUNITY to
administer the antidote Inj.Adrenaline. This ostrich like proclivity of the anesthetist (THIS
WAS THE TURNING POINT)started a deep seated conspiracy to hide the incompetence(INTENTION) at the
cost of her life. Role of the third accused is very crucial. If he can be given PARDON under Cr.P.C. 306 it will
through light why he absconded and whether he made any adverse comments regarding treatment to any of
the accused or any other person. This is because the patient is dead since he got the correct drug history.
Then he must have startled and made the first accused panicky (just like in the case of ADAMKO
1994)regarding administering Diazepam for the allergic reaction of Ampicillin.
Then I was called in by Dr.Ajit and I went to see her. She was lying motionless with only cardiac activity in the
monitor. When I asked the Dr.Ajit he told me that she came with FITS and was given Inj.Diazepam. Even if it
was fits inj.Diazepam is not the drug but Dilantin Sodium. My provisional diagnosis was INTRACRANIAL
BLEED causing fits and the lack of respiration due to Inj.Diazepam.

2. Regarding the occurrence of fits even if it's presence is accepted for argument sake it will not cause death.
Hence in this case the UNIQUENESS is that the patient came without any disease (this is clear from the
different sites of pain when elicited by the duty M.O.,Surgeon and gynecologist) was done to death by a shot of
antibiotics which was not indicated and that too for a renal colic by a gynecologist who did not do a per vaginal
examination which is the sheet anchor of a gynecological consultation and at the same time writing in the case
sheet, final diagnosis as ABDOMINAL COLICPROBABLY DUE TO PELVIC INFLAMMATORY DISEASE. This
shows that there was MEETING OF MINDS of the director of the hospital and the gynecologist.
Thus you can come to the conclusion that this is a TYPICAL case of medical negligence in which both the
EXPERTS and the INVESTIGATORS tried to SABOTAGE from the very beginning.
He kept quiet regarding the Inj.Ampicillin administered by the gynecologist. The reference letter(TRUMP
CARD)(relevant part of the case sheet and nurses record is attached) written by him is the DOCUMENTARY
EVIDENCE of his CULPABLE SILENCE and the STATE OF MIND OF CONCEALMENT of
both Drs. Ajit and Girija who administered Diazepam and Ampicillin respectively. This letter is silent about both
Injections Ampicillin and Diazepam. I got this letter while being presented in the district forum by the
cardiologist on 26/3/2010. This malicious and despicable act was done by Dr.Ajit because in all
PROBABILITY(COURT may evoke evidence act 114 because of circumstantial and presumptive reasons ) he
was alerted by the anesthetist that Inj.Diazepam is anABSOLUTE contraindication for the allergic reaction of
Inj.Ampicillin. This assumption(Evidence act 114) is based on the Indian Evidence Act 106(burden of proof of
explaining why two injections are not mentioned).(vide:Arushi & Hemaraj murder case). The burden of proof
why Dr.Ajit kept silent about Ampicillin and Diazepam in the reference letter is known only to him. The
gynecologist under whom the patient was at that time also cannot absolve herself from the paternity of this
reference letter.
In the district consumer forum kollam, state consumer forum trivandrum and before Justice Umaid in the High
Court and Sessions court kollam they are SILENT about DIAZEPAM. This is because of GUILTY MIND and
attracts evidence act 8 ie
SUBSEQUENT CONDUCT.
When I saw the patient Dr.Ajit told me the case sheet was only being processed. It is a common practice in all
hospitals. So I believed him and did not suspect anything fishy. But it was a subterfuge. It is his fiduciary duty
and strict liability to brief me about the case. The district consumer forum Kollam absolved me.Both Drs Girija
and Ajit were ordered to pay 15 lakhs.The order is attached.
Since there is no ventilator in the hospital she was transferred to one V.S.M.Hospital Mavelikara about 10 kms
away in our ambulance with sisters giving ambu bag ventilation. Since no doctor was accompanying the patient
I went to the other hospital in my car to expedite the formalities. The anesthetist should have accompanied but
he absconded. Hence the duty M.O. should have accompanied. But I saw him standing in the casualty after the
ambulance left the hospital.
In that hospital the cardiologist attended on her and he told me that Inj.Ampicillin was given prior to the
Inj.Diazepam. He got this information from the husband of the deceased who knows him. The husband showed
the cardiologist the bill of Inj.Ampicillin. She was put on ventilator and Inj.Adrenaline(the antidote for
Inj.ampicillin allergy) was given.
But she succumbed and the dead body was handed over by the cardiologist with out informing the
police.Incidentally Dr.Ajit who administered Inj.Diazepam was working under this cardiologist prior to joining
this hospital at Oachira.
On 17/12/2004 they came and took a death certificate from me under duress. I
reported this matter to the Oachira police station at around 4. P.M. The complaint number is 638/Rptn/04. The
police did not act on my complaint. If they had promptly acted the duty doctor who first saw the patient, The
theater register which will throw light on the identities of the doctors present there could have been ascertained.
The theater complex is the venue of the criminal conspiracy. It is to be noted that at 11.30.A.M. on 14/12/2004
the director,anesthetist and the gynecologist were present in the theater complex.
On 21/12/2004 the mother of the deceased gave a complaint to Oachira Police Station. Based on this 378/2004
was registered under Cr.P.C.174. The police seized the case sheet on 22/12/2004.
First it was investigated by the S.I. Oachira and later by the Dy.S.P. Karunagapally up-to 21/12/2007(4 years
from the date of death) as per the letter no D1/3506/08/Q of district police office kollam dated 18/4/2008.This
letter is attached.
This is a clear case of dereliction of duty by the Dy.S.P. who is a close friend of the director of the hospital.
The first District Medical Officer( D.M.O.) report(attached) came on 23/6/2008 which said they are waiting for
forensic report. Incidentally Post Morten was done 1 month later.
Second report(attached) came on 2/2/2009. Both these reports were not signed by
the public prosecutor as mandated.
This aspect and the ludicrous claim that there is no negligence because the statements given by
Dr.Ajit,Gynecologist(Dr.Girija) and the Director(Dr.Sivarama Krishna Pillai) cannot be read since it is in

3. Regarding the occurrence of fits even if it's presence is accepted for argument sake it will not cause death.
Hence in this case the UNIQUENESS is that the patient came without any disease (this is clear from the
different sites of pain when elicited by the duty M.O.,Surgeon and gynecologist) was done to death by a shot of
antibiotics which was not indicated and that too for a renal colic by a gynecologist who did not do a per vaginal
examination which is the sheet anchor of a gynecological consultation and at the same time writing in the case
sheet, final diagnosis as ABDOMINAL COLICPROBABLY DUE TO PELVIC INFLAMMATORY DISEASE. This
shows that there was MEETING OF MINDS of the director of the hospital and the gynecologist.
Thus you can come to the conclusion that this is a TYPICAL case of medical negligence in which both the
EXPERTS and the INVESTIGATORS tried to SABOTAGE from the very beginning.
Malayalam is noted by one S.P. crime branch Mr.Bhuvanachandran. The letter is dated 21/10/2010 no:
D1/CR/KLM/09 of the office of the S.P. EOW I Kollam. This letter is also attached.
D.M.O. came out with the third report(attached) with the signature of the public prosecutor on 12/1/2010.This
report exonerated all doctors.Based on this 12/1/2010 report local police closed the case as a case of mistaken
of fact. The mother of the deceased met the D.G.P. of Kerala police. He ordered an inquiry by the crime
branch. But the crime branch dillydallied with the case.
So the mother of the deceased moved the H.C.of Kerala(no:21402/09) for investigation by the crime branch. In
this writ petition she was of the opinion that I should be questioned(para eleven) to get the truth. This writ
petition is attached. But I was not questioned. The H.C. ordered the crime branch to charge the case. The
crime branch in turn asked for a appellate committee report by the Director of Health Services of Kerala.
That report was of the opinion that there is cumulative negligence without going into the specifics. No date was
mentioned in the report. The meeting of the appellate
committee meeting was on 27/2/2010. This report is attached. This report is not signed by the Director General
of Prosecutions as mandated since he died 2 months after the committee meet. In the consumer forum Kollam
on 10/12/2010 the convener of the appellate committee Dr.Jeevan gave a statement that he had a telephonic
talk with the Director of Prosecutions. In the file Dr.Jeevan has noted the telephonic conversation was on
1/6/10. At that time the Director General of Prosecutions was on ventilator(with malignancy) as per his wife
whom I contacted since she with her daughter is staying at Trivandrum. The Director General of Prosecutions
died on 14/6/2010. Dr. Jeevan himself has written in the file that the report is being processed on 8/3/2010. He
has also noted in his own hand writing that the apex committee report was issued on 8/9/2010. The report does
not bear the office seal. This is admitted by Dr.Jeevan in the consumer forum.Based on this report(incidentally
this report is mum regarding inj.Diazepam). This is pointedout by the HighCourt of Kerala
order 1394/13 page no:15) the crime branch made me the fourth accused(under I.P.C.304) to
PREJUDICE the trial court. I moved the H.C. and got the charge sheet quashed. The H.C. order is also
attached. This appellate committee report was criticized by the High Court of Kerala as birds of the same
feather syndrome in page 14. The High Court also points out that injection Diazepam is not mentioned in the
appellate committee report in page number 15.
That report was of the opinion that there is cumulative negligence without going into the specifics. No date was
mentioned in the report. The meeting of the appellate committee meeting was on 27/2/2010. This report is
attached. This report is not signed by the Director General of Prosecutions as mandated since he died 2
months after the committee meet. In the consumer forum Kollam on 10/12/2010 the convener of the appellate
committee Dr.Jeevan gave a statement that he had a telephonic talk with the Director of Prosecutions. In the
file Dr.Jeevan has noted the telephonic conversation was on 1/6/10. At that time the Director General of
Prosecutions was on ventilator(with malignancy) as per his wife whom I contacted since she with her daughter
is staying at Trivandrum. The Director died on 14/6/2010. Dr. Jeevan himself has written in the file that the
report is being processed on 8/3/2010. He has also noted in his own hand writing that the apex committee
report was issued on 8/9/2010. The report does not bear the office seal. This is admitted by Dr.Jeevan in the
consumer forum.Based on this report(incidentally this report is mum regarding inj.Diazepam). This is pointed
out by the High Court of Kerala order 1394/13 page no:15) the crime branch made me the fourth
accused(under I.P.C.304) to PREJUDICE the trial court. I moved the H.C. and got the charge sheet quashed.
The H.C. order is also attached. This appellate committee report was criticized by the High Court of Kerala as
birds of the same feather syndrome in page 14. The High Court also points out that injection Diazepam is not
mentioned in the appellate committee report in page number 15. The H.C. made me a COURT WITNESS.(last
sentence of the judgment).
The first accused is Dr.Ajit, second is Dr.Girija(gynecologist) and third is Dr.Mathew(anesthetist). They moved a
discharge petition in the trial court Kollam (Sessions Court.) This was not granted but the court diluted the
charge to I.P.C.304 A. since there is an apex court order that doctors are immune to I.P.C.304. The said order
of the apex court is Madhav Prasad Kausik vs State of U.P. The order of the Sessions Court is attached.There

4. Regarding the occurrence of fits even if it's presence is accepted for argument sake it will not cause death.
Hence in this case the UNIQUENESS is that the patient came without any disease (this is clear from the
different sites of pain when elicited by the duty M.O.,Surgeon and gynecologist) was done to death by a shot of
antibiotics which was not indicated and that too for a renal colic by a gynecologist who did not do a per vaginal
examination which is the sheet anchor of a gynecological consultation and at the same time writing in the case
sheet, final diagnosis as ABDOMINAL COLICPROBABLY DUE TO PELVIC INFLAMMATORY DISEASE. This
shows that there was MEETING OF MINDS of the director of the hospital and the gynecologist.
Thus you can come to the conclusion that this is a TYPICAL case of medical negligence in which both the
EXPERTS and the INVESTIGATORS tried to SABOTAGE from the very beginning.
is no mention of Diazepam in the order because in the discharge petition DIAZEPAM was not mentioned
because of GUILTY MIND and it attracts evidence act 8. In the order it is mentioned that the Public Prosecutor
did not give his version in writing.
All the three accused namely Drs. Ajit, Girija and Mathew moved the High Court of Kerala to quash the charge
sheet now under I.P.C. 304 A. But the High Court refused. The order by Justice Umaid reverted the charge to
I.P.C. 304 Part(II). The sessions court Kollam ordered the trial to be started on 17/11/14. But this was curtailed
by moving another criminal miscellaneous petition in the High Court. Again the High Court refused and the writ
was dismissed by Justice B. Kemal Pasha. The order by Justice B. Kemal Pasha is attached. Next the accused
moved a transfer petition and asked for stay till 30/6/15. This transfer petition criminal (92/14) is still pending. I t
was last listed on 2/7/15.
There is criminal conspiracy in this case which is NOT mentioned in the charge sheet which is in Malayalam.
The point which smacks of conspiracy being the director's provisional diagnosis is written as the final diagnosis
of the gynecologist whose provisional diagnosis was left renal colic. She has written the final diagnosis as
abdominal colic PROBABLY due to pelvic inflammatory disease. The word probably shows her HESITANT and
GUILTY state of mind.
Coming to corroborative evidences, 1.District level report 2.dereliction of duty by both the local police and crime
branch, 3. state level appellate body trying to rope in the innocent and shield the guilty by creating a smoke
screen.
Regarding the test dose of Inj.Ampicillin if the skin test is negative anaphylactic reaction will not occur. This is
according to the Washington Manual of Medical Therapeutics 34 th edition page no:381.
Regarding the occurrence of fits even if it's presence is accepted for argument sake it will not cause death.
Hence in this case the UNIQUENESS is that the patient came without any disease (this is clear from the
different sites of pain when elicited by the duty M.O.,Surgeon and gynecologist) was done to death by a shot of
antibiotics which was not indicated and that too for a renal colic by a gynecologist who did not do a per vaginal
examination which is the sheet anchor of a gynecological consultation and at the same time writing in the case
sheet, final diagnosis as ABDOMINAL COLICPROBABLY DUE TO PELVIC INFLAMMATORY DISEASE. This
shows that there was MEETING OF MINDS of the director of the hospital and the gynecologist.
Thus you can come to the conclusion that this is a TYPICAL case of medical negligence in which both the
EXPERTS and the INVESTIGATORS tried to SABOTAGE from the very beginning.