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{\title [COURT HEADING FOR LABASA HIGH COURT CASE 20/07]}{\author sosefo.inoke}{\operator freriks_k}{\creatim\yr2010\mo1\dy26\hr8\min30}{\revtim\yr2010\mo2\dy1\hr17\min25}{\printim\yr2010\mo1\dy12\hr17\min37}{\version8}{\edmins9}{\nofpages10}
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\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\lang2057\langfe1033\langnp2057\insrsid4996862\charrsid9400102 IN THE HIGH COURT OF FIJI
\par AT }{\b\lang2057\langfe1033\langnp2057\insrsid5126143\charrsid9400102 LAUTOKA}{\b\lang2057\langfe1033\langnp2057\insrsid4996862\charrsid9400102 
\par CIVIL JURISDICTION
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\par }\pard \qc \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 {\b\lang2057\langfe1033\langnp2057\insrsid11339823\charrsid9400102 KANIAPPA NAICKER }{\lang2057\langfe1033\langnp2057\insrsid11339823\charrsid9400102 
by his executrix and trustee}{\b\lang2057\langfe1033\langnp2057\insrsid11339823\charrsid9400102  JANKI NAICKER}{\lang2057\langfe1033\langnp2057\insrsid13776521\charrsid9400102 
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\b\lang2057\langfe1033\langnp2057\insrsid13776521\charrsid9400102 
\par }{\lang2057\langfe1033\langnp2057\insrsid13776521\charrsid9400102 2nd Defendant
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\par }\pard \qc \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 {\b\lang2057\langfe1033\langnp2057\insrsid3607187\charrsid9400102 FINAL JUDGMENT
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\par 
\par }{\lang2057\langfe1033\langnp2057\insrsid13179772\charrsid9400102 Counsel Appearing:}{\lang2057\langfe1033\langnp2057\insrsid9400102\charrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid3284766\charrsid9400102 Mr A Patel}{
\lang2057\langfe1033\langnp2057\insrsid13179772\charrsid9400102  for the Plaintiff
\par }{\lang2057\langfe1033\langnp2057\insrsid3284766\charrsid9400102 Mr R Green for the Defendants}{\lang2057\langfe1033\langnp2057\insrsid13179772\charrsid9400102 
\par 
\par Solicitors:}{\lang2057\langfe1033\langnp2057\insrsid9400102\charrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid3284766\charrsid9400102 S B Patel & Co}{\lang2057\langfe1033\langnp2057\insrsid13179772\charrsid9400102  for the Plaintiff
\par }{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid3284766\charrsid9400102 Solicitor General\rquote s Office}{\lang2057\langfe1033\langnp2057\insrsid13179772\charrsid9400102  for the Defendant}{
\lang2057\langfe1033\langnp2057\insrsid3284766\charrsid9400102 s}{\lang2057\langfe1033\langnp2057\insrsid13179772\charrsid9400102 
\par }{\lang2057\langfe1033\langnp2057\insrsid3607187\charrsid9400102 
\par }{\lang2057\langfe1033\langnp2057\insrsid9400102 Date of Hearing: }{\lang2057\langfe1033\langnp2057\insrsid3284766\charrsid9400102 5 October 2009}{\lang2057\langfe1033\langnp2057\insrsid3607187\charrsid9400102 
\par }{\lang2057\langfe1033\langnp2057\insrsid9400102 Date of Judgment: }{\lang2057\langfe1033\langnp2057\insrsid3284766\charrsid9400102 12 January 2010 delivered on 18 January 2010}{\lang2057\langfe1033\langnp2057\insrsid3607187\charrsid9400102 
\par 
\par }{\b\ul\lang2057\langfe1033\langnp2057\insrsid1400832\charrsid9400102 INTRODUCTION
\par }{\lang2057\langfe1033\langnp2057\insrsid12200584\charrsid9400102 
\par {\listtext\pard\plain\lang2057\langfe1033\langnp2057\insrsid8196406\charrsid9400102 \hich\af0\dbch\af0\loch\f0 [1]\tab}}\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin0\itap0\pararsid9400102 {
\lang2057\langfe1033\langnp2057\insrsid8196406\charrsid9400102 This is a medical negligence case.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid8196406\charrsid9400102 
The Plaintiff, Kaniappa Naicker, who is now deceased, had his right eye operated on }{\lang2057\langfe1033\langnp2057\insrsid6847902\charrsid9400102 by the First Defendant, Dr Louise William, at the Lautoka Hospital }{
\lang2057\langfe1033\langnp2057\insrsid8196406\charrsid9400102 to remove a cataract}{\lang2057\langfe1033\langnp2057\insrsid5927035\charrsid9400102  on 17 January 2000}{\lang2057\langfe1033\langnp2057\insrsid7084096\charrsid9400102 .}{
\lang2057\langfe1033\langnp2057\insrsid12255408\charrsid9400102 
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 {\lang2057\langfe1033\langnp2057\insrsid3491967\charrsid9400102 
\par {\listtext\pard\plain\lang2057\langfe1033\langnp2057\insrsid5927035\charrsid9400102 \hich\af0\dbch\af0\loch\f0 [2]\tab}}\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin0\itap0\pararsid9400102 {
\lang2057\langfe1033\langnp2057\insrsid5927035\charrsid9400102 Mr Naicker}{\lang2057\langfe1033\langnp2057\insrsid6847902\charrsid9400102  allege}{\lang2057\langfe1033\langnp2057\insrsid5927035\charrsid9400102 s}{
\lang2057\langfe1033\langnp2057\insrsid6847902\charrsid9400102  that Dr William }{\lang2057\langfe1033\langnp2057\insrsid5927035\charrsid9400102 was }{\lang2057\langfe1033\langnp2057\insrsid6847902\charrsid9400102 negligen}{
\lang2057\langfe1033\langnp2057\insrsid5927035\charrsid9400102 t and as a result}{\lang2057\langfe1033\langnp2057\insrsid6847902\charrsid9400102  his eye had to be completely removed}{\lang2057\langfe1033\langnp2057\insrsid5927035\charrsid9400102 
 two weeks later}{\lang2057\langfe1033\langnp2057\insrsid6847902\charrsid9400102 .}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid6847902\charrsid9400102 This is his claim for compensation.}{
\lang2057\langfe1033\langnp2057\insrsid3491967\charrsid9400102 
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 {\lang2057\langfe1033\langnp2057\insrsid3491967\charrsid9400102 
\par }{\b\ul\lang2057\langfe1033\langnp2057\insrsid10557833\charrsid9400102 THE }{\b\ul\lang2057\langfe1033\langnp2057\insrsid1059604\charrsid9400102 STATEMENT OF }{\b\ul\lang2057\langfe1033\langnp2057\insrsid10557833\charrsid9400102 CLAIM AND DEFENCE
\par 
\par {\listtext\pard\plain\lang2057\langfe1033\langnp2057\insrsid6847902\charrsid9400102 \hich\af0\dbch\af0\loch\f0 [3]\tab}}\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin0\itap0\pararsid9400102 {
\lang2057\langfe1033\langnp2057\insrsid6847902\charrsid9400102 The Statement of Claim pleads the particulars of negligence as follows:}{\lang2057\langfe1033\langnp2057\insrsid3491967\charrsid9400102 
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 {\b\lang2057\langfe1033\langnp2057\insrsid3491967\charrsid9400102 
\par {\listtext\pard\plain\b\lang2057\langfe1033\langnp2057\insrsid6847902\charrsid9400102 \hich\af0\dbch\af0\loch\f0 i.\tab}}\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls4\adjustright\rin0\lin720\itap0\pararsid9400102 {
\b\lang2057\langfe1033\langnp2057\insrsid6847902\charrsid9400102 In the month of April 1999 the first defendant failed to properly diagnose the medical condition suffered by the plaintiff;
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 {\b\lang2057\langfe1033\langnp2057\insrsid1187561\charrsid9400102 
\par {\listtext\pard\plain\b\lang2057\langfe1033\langnp2057\insrsid7864733\charrsid9400102 \hich\af0\dbch\af0\loch\f0 ii.\tab}}\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls4\adjustright\rin0\lin720\itap0\pararsid9400102 {
\b\lang2057\langfe1033\langnp2057\insrsid7864733\charrsid9400102 Failed to sterili}{\b\lang2057\langfe1033\langnp2057\insrsid10557833\charrsid9400102 s}{\b\lang2057\langfe1033\langnp2057\insrsid7864733\charrsid9400102 e the apparatus used in the opera
tion;}{\b\lang2057\langfe1033\langnp2057\insrsid6847902\charrsid9400102 
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 {\b\lang2057\langfe1033\langnp2057\insrsid1187561\charrsid9400102 
\par {\listtext\pard\plain\b\lang2057\langfe1033\langnp2057\insrsid7864733\charrsid9400102 \hich\af0\dbch\af0\loch\f0 iii.\tab}}\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls4\adjustright\rin0\lin720\itap0\pararsid9400102 {
\b\lang2057\langfe1033\langnp2057\insrsid7864733\charrsid9400102 Failed to check whether there was clear running water in the theatre on the day of the operation.
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 {\lang2057\langfe1033\langnp2057\insrsid1187561\charrsid9400102 
\par {\listtext\pard\plain\lang2057\langfe1033\langnp2057\insrsid10557833\charrsid9400102 \hich\af0\dbch\af0\loch\f0 [4]\tab}}\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin0\itap0\pararsid9400102 {
\lang2057\langfe1033\langnp2057\insrsid10557833\charrsid9400102 The Defendants deny liability and allege that the Mr Naicker\rquote s pre-existing diabetic condition was the cause of the eye infection that eventually led to the removal of his eye.}{
\lang2057\langfe1033\langnp2057\insrsid3491967\charrsid9400102 
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 {\lang2057\langfe1033\langnp2057\insrsid11413792\charrsid9400102 
\par }{\b\ul\lang2057\langfe1033\langnp2057\insrsid5312119\charrsid9400102 SUBMISSIONS}{\b\ul\lang2057\langfe1033\langnp2057\insrsid16663589\charrsid9400102 
\par 
\par {\listtext\pard\plain\lang2057\langfe1033\langnp2057\insrsid11413792\charrsid9400102 \hich\af0\dbch\af0\loch\f0 [5]\tab}}\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin0\itap0\pararsid9400102 {
\lang2057\langfe1033\langnp2057\insrsid11413792\charrsid9400102 After the hearing on 5 October 2009, Counsel were given time to file written submissions and judgment delivered on notice thereafter.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\lang2057\langfe1033\langnp2057\insrsid11413792\charrsid9400102 Counsel for the Defendants filed his submissions on 15 October 2009.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid11413792\charrsid9400102 This }{
\lang2057\langfe1033\langnp2057\insrsid16663589\charrsid9400102 J}{\lang2057\langfe1033\langnp2057\insrsid11413792\charrsid9400102 udgment is being delivered without}{\lang2057\langfe1033\langnp2057\insrsid16663589\charrsid9400102 
 the submissions for the Plaintiff.}{\lang2057\langfe1033\langnp2057\insrsid11413792\charrsid9400102 
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 {\lang2057\langfe1033\langnp2057\insrsid10557833\charrsid9400102 
\par }{\b\ul\lang2057\langfe1033\langnp2057\insrsid5312119\charrsid9400102 THE TRIAL
\par 
\par {\listtext\pard\plain\lang2057\langfe1033\langnp2057\insrsid5312119\charrsid9400102 \hich\af0\dbch\af0\loch\f0 [6]\tab}}\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin0\itap0\pararsid9400102 {
\lang2057\langfe1033\langnp2057\insrsid5312119\charrsid9400102 At the commencement of the hearing Mr Patel informed the Court that he was withdrawing his reservation to the report of Dr T Oo in pages 63 to 65 of the Agreed Bundle of Documents}{
\lang2057\langfe1033\langnp2057\insrsid3735734\charrsid9400102  (}{\lang2057\langfe1033\langnp2057\insrsid9400102 "}{\b\lang2057\langfe1033\langnp2057\insrsid3735734\charrsid9400102 ABOD}{\lang2057\langfe1033\langnp2057\insrsid9400102 "}{
\lang2057\langfe1033\langnp2057\insrsid3735734\charrsid9400102 )}{\lang2057\langfe1033\langnp2057\insrsid5312119\charrsid9400102 .}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid5312119\charrsid9400102 
Dr Oo was the Consultant Ophthalmologist at the Lautoka Hospital at the time but has left Fiji and was not being called as a witness.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid5312119\charrsid9400102 
Mr Patel however objected to several medical articles in pages 69 to 83 of the }{\lang2057\langfe1033\langnp2057\insrsid3735734\charrsid9400102 ABOD}{\lang2057\langfe1033\langnp2057\insrsid5312119\charrsid9400102 .}{
\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid5312119\charrsid9400102 I allowed 
the documents into evidence subject to the expertise of the author being proven and the contents of the documents being open to contradiction by expert witnesses.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\lang2057\langfe1033\langnp2057\insrsid5312119\charrsid9400102 As it turned out, it was not necessary for me to rely on these articles.
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 {\lang2057\langfe1033\langnp2057\insrsid5312119\charrsid9400102 
\par {\listtext\pard\plain\lang2057\langfe1033\langnp2057\insrsid16544856\charrsid9400102 \hich\af0\dbch\af0\loch\f0 [7]\tab}}\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin0\itap0\pararsid9400102 {
\lang2057\langfe1033\langnp2057\insrsid16544856\charrsid9400102 The first witness called for the Plaintiff was Dr }{\lang2057\langfe1033\langnp2057\insrsid11413792\charrsid9400102 Ramswamy }{\lang2057\langfe1033\langnp2057\insrsid14515835\charrsid9400102 
Ponnu }{\lang2057\langfe1033\langnp2057\insrsid11413792\charrsid9400102 Goundar, who is a }{\lang2057\langfe1033\langnp2057\insrsid14515835\charrsid9400102 Consultant }{\lang2057\langfe1033\langnp2057\insrsid11413792\charrsid9400102 Pathologist }{
\lang2057\langfe1033\langnp2057\insrsid14515835\charrsid9400102 and}{\lang2057\langfe1033\langnp2057\insrsid11413792\charrsid9400102  is the Director of the Fiji Police Forensic Sciences.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\lang2057\langfe1033\langnp2057\insrsid14515835\charrsid9400102 His evidence is based on examination of the Plaintiff }{\lang2057\langfe1033\langnp2057\insrsid3735734\charrsid9400102 and the inpatient medical reports}{
\lang2057\langfe1033\langnp2057\insrsid5706172\charrsid9400102  and two reports by Dr Oo}{\lang2057\langfe1033\langnp2057\insrsid14515835\charrsid9400102 .}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\lang2057\langfe1033\langnp2057\insrsid5706172\charrsid9400102 Dr Goundar produced}{\lang2057\langfe1033\langnp2057\insrsid3735734\charrsid9400102  a report}{\cs19\lang2057\langfe1033\langnp2057\insrsid3735734\charrsid9400102 \chftn {\footnote 
\pard\plain \s18\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\cs19\super\insrsid1917228 \chftn }{\insrsid1917228  Page 3 ABOD}}}{
\lang2057\langfe1033\langnp2057\insrsid3735734\charrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid13396373\charrsid9400102 dated 13 November 2000 }{\lang2057\langfe1033\langnp2057\insrsid3735734\charrsid9400102 which concluded:}{
\lang2057\langfe1033\langnp2057\insrsid10557833\charrsid9400102 
\par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 {\b\lang2057\langfe1033\langnp2057\insrsid3735734\charrsid9400102 
\par }\pard \ql \li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid9400102 {\b\lang2057\langfe1033\langnp2057\insrsid13454717\charrsid9400102 This is a good case for medical negligence.}{
\b\lang2057\langfe1033\langnp2057\insrsid9400102\charrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid13454717\charrsid9400102 Dr Oo admits in his report prei-operative (sic) infection more likely a
nd this is due to one improper sterilisation procedures and two \endash  there was not running water in the theatre the morning of the surgery, and could in subsequent dirty water in the system.}{
\b\lang2057\langfe1033\langnp2057\insrsid9400102\charrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid13454717\charrsid9400102 This dirty water could have been used in washing of surgical equipment, preparation for surgery and washing of hands.

\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 {\lang2057\langfe1033\langnp2057\insrsid3491967\charrsid9400102 
\par {\listtext\pard\plain\lang2057\langfe1033\langnp2057\insrsid12025050\charrsid9400102 \hich\af0\dbch\af0\loch\f0 [8]\tab}}\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin0\itap0\pararsid9400102 {
\lang2057\langfe1033\langnp2057\insrsid12025050\charrsid9400102 Dr Goundar explained the meaning of }{\lang2057\langfe1033\langnp2057\insrsid9400102 "}{\lang2057\langfe1033\langnp2057\insrsid12025050\charrsid9400102 peri-operative}{
\lang2057\langfe1033\langnp2057\insrsid9400102 "}{\lang2057\langfe1033\langnp2057\insrsid12025050\charrsid9400102  as }{\lang2057\langfe1033\langnp2057\insrsid9400102 "}{\lang2057\langfe1033\langnp2057\insrsid12025050\charrsid9400102 during the operation}
{\lang2057\langfe1033\langnp2057\insrsid9400102 "}{\lang2057\langfe1033\langnp2057\insrsid12025050\charrsid9400102 .}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid4807451\charrsid9400102 
Dr Goundar was referred to }{\lang2057\langfe1033\langnp2057\insrsid5706172\charrsid9400102 the }{\lang2057\langfe1033\langnp2057\insrsid4807451\charrsid9400102 two medical reports by Dr Oo, }{
\lang2057\langfe1033\langnp2057\insrsid5706172\charrsid9400102 the first}{\lang2057\langfe1033\langnp2057\insrsid4807451\charrsid9400102  dated }{\b\lang2057\langfe1033\langnp2057\insrsid5706172\charrsid9400102 26 January 2000}{
\cs19\lang2057\langfe1033\langnp2057\insrsid5706172\charrsid9400102 \chftn {\footnote \pard\plain \s18\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5706172 \fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {
\cs19\super\insrsid1917228 \chftn }{\insrsid1917228  Pages 66-8 ABOD}}}{\lang2057\langfe1033\langnp2057\insrsid5706172\charrsid9400102  and the second dated }{\b\lang2057\langfe1033\langnp2057\insrsid4807451\charrsid9400102 29 March 2000}{
\cs19\lang2057\langfe1033\langnp2057\insrsid4807451\charrsid9400102 \chftn {\footnote \pard\plain \s18\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {
\cs19\super\insrsid1917228 \chftn }{\insrsid1917228  Pages 63-5 ABOD}}}{\lang2057\langfe1033\langnp2057\insrsid4807451\charrsid9400102 .}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid5706172\charrsid9400102 
The first of Dr Oo\rquote s report stated:}{\lang2057\langfe1033\langnp2057\insrsid3491967\charrsid9400102 
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 {\b\lang2057\langfe1033\langnp2057\insrsid14680140\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid6443835 {\b\ul\lang2057\langfe1033\langnp2057\insrsid2688412\charrsid9400102 SUMMARY OF THE CASE
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6443835 {\b\ul\lang2057\langfe1033\langnp2057\insrsid2688412\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid6443835 {\b\lang2057\langfe1033\langnp2057\insrsid14680140\charrsid9400102 Patient\rquote s name:}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\b\lang2057\langfe1033\langnp2057\insrsid14680140\charrsid9400102 KANIAPPA NAICKER}{\b\lang2057\langfe1033\langnp2057\insrsid5706172\charrsid9400102 
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6443835 {\b\lang2057\langfe1033\langnp2057\insrsid14680140\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid6443835 {\b\lang2057\langfe1033\langnp2057\insrsid14680140\charrsid9400102 Date of Admission:}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\b\lang2057\langfe1033\langnp2057\insrsid14680140\charrsid9400102 16th January 2000
\par Date of Discharge:}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid14680140\charrsid9400102 8th February 2000
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6443835 {\b\lang2057\langfe1033\langnp2057\insrsid14680140\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid6443835 {\b\ul\lang2057\langfe1033\langnp2057\insrsid14680140\charrsid9400102 Medical History}{
\b\lang2057\langfe1033\langnp2057\insrsid14680140\charrsid9400102 :}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid14680140\charrsid9400102 Patient was a know}{
\b\lang2057\langfe1033\langnp2057\insrsid12406027\charrsid9400102 n}{\b\lang2057\langfe1033\langnp2057\insrsid14680140\charrsid9400102  NIDDM for two years duration and taking Tablet Daonil 7.5mg Bid.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\b\lang2057\langfe1033\langnp2057\insrsid14680140\charrsid9400102 No know history of Hypertension, chest pain.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid14680140\charrsid9400102 
History of taking yagona and occasional smoker.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid14680140\charrsid9400102 History of allergic to penicillin was detected.
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6443835 {\b\lang2057\langfe1033\langnp2057\insrsid12406027\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid6443835 {\b\lang2057\langfe1033\langnp2057\insrsid12406027\charrsid9400102 
Patient present himself to the eye department on the 14th April 1999 for blurring of vision for more than five months duration.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid12406027\charrsid9400102 
Lens opacities were detected.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid12406027\charrsid9400102 Right lens opacity was more than the left.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\b\lang2057\langfe1033\langnp2057\insrsid12406027\charrsid9400102 Right lenses opacity gradually increase in size and could see fingers counting one meter on the 8th July 1999.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\b\lang2057\langfe1033\langnp2057\insrsid12406027\charrsid9400102 Patient was seen again on the 30th November 1999 and decided to do cataract operation because of the hypermature in nature and to prevent complications to the eyes.
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6443835 {\b\lang2057\langfe1033\langnp2057\insrsid12406027\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid6443835 {\b\ul\lang2057\langfe1033\langnp2057\insrsid12406027\charrsid9400102 Pre-operative preparation}{
\b\lang2057\langfe1033\langnp2057\insrsid12406027\charrsid9400102 :}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid12406027\charrsid9400102 Patient
 was put on pre-operative (preventative) antibiotic eye drops (chloramphenicol E/D).}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid12406027\charrsid9400102 
General examination revealed within the normal limits.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid12406027\charrsid9400102 
Health education for the personal hygiene and the precaution for the control of the diabetes were made.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid12406027\charrsid9400102 RB\rquote s on the 
admission was 14.3m.mole and the early pre-operative Blood sugar level was 6.4m mole.
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6443835 {\b\lang2057\langfe1033\langnp2057\insrsid12406027\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid6443835 {\b\ul\lang2057\langfe1033\langnp2057\insrsid12406027\charrsid9400102 Operative procedure}{
\b\lang2057\langfe1033\langnp2057\insrsid12406027\charrsid9400102 :}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid12406027\charrsid9400102 Dr Louise William and the Assisting Nurse:}{
\b\lang2057\langfe1033\langnp2057\insrsid12406027 
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6443835 {\b\lang2057\langfe1033\langnp2057\insrsid15365595\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid6443835 {\b\lang2057\langfe1033\langnp2057\insrsid12406027\charrsid9400102 No peri-operative complications were noted.}{
\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid12406027\charrsid9400102 Routine}{\b\lang2057\langfe1033\langnp2057\insrsid6424591\charrsid9400102  preventive antibiotic (S/C Gen}{
\b\lang2057\langfe1033\langnp2057\insrsid12406027\charrsid9400102 tamycin 20 mg}{\b\lang2057\langfe1033\langnp2057\insrsid6424591\charrsid9400102 ) was given.}{\b\lang2057\langfe1033\langnp2057\insrsid12406027\charrsid9400102 
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6443835 {\b\lang2057\langfe1033\langnp2057\insrsid6424591\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid6443835 {\b\ul\lang2057\langfe1033\langnp2057\insrsid6035130\charrsid9400102 Post\endash operative finding}{
\b\lang2057\langfe1033\langnp2057\insrsid6035130\charrsid9400102 :}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid6035130\charrsid9400102 
No abnormal discharge suggestive of eye infection was detected on the eye patch on the first post-operative day.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid6035130\charrsid9400102 
But there was evidence of intra-ocular infection was detected on the second post-operative day.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid8864390\charrsid9400102 Urgent intensive m
edical treatment including intra-vitreal vancomycin and later erythromycin (according to culture and sensitivity result) was given.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid393925\charrsid9400102 
Intensities of the intra-ocular infection were remarkably reduced but the hypopyon still remain and the whole ocular media\rquote s were opaque.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\b\lang2057\langfe1033\langnp2057\insrsid393925\charrsid9400102 Patient was under the care of the physician at the hospital and the control of diabetes was also monitored intensively.}{\b\lang2057\langfe1033\langnp2057\insrsid6035130\charrsid9400102 

\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6443835 {\b\lang2057\langfe1033\langnp2057\insrsid393925\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid6443835 {\b\lang2057\langfe1033\langnp2057\insrsid393925\charrsid9400102 
Evisceration of the right eye was done on the 31st January 2000 with the due consent given by the patient.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid393925\charrsid9400102 Indication of
 the operation were:}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid393925\charrsid9400102 secondary glaucomas, opaque ocular media\rquote s, high risks to the patient\rquote 
s life due to unstable diabetes and to prevent further infection to the other eye.
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6443835 {\b\lang2057\langfe1033\langnp2057\insrsid393925\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid6443835 {\b\ul\lang2057\langfe1033\langnp2057\insrsid11819267\charrsid9400102 Highlights to the important issues.}{
\b\ul\lang2057\langfe1033\langnp2057\insrsid393925 
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6443835 {\b\ul\lang2057\langfe1033\langnp2057\insrsid9400102\charrsid9400102 
\par {\listtext\pard\plain\b\lang2057\langfe1033\langnp2057\insrsid11819267\charrsid9400102 \hich\af0\dbch\af0\loch\f0 1.\tab}}\pard \ql \li1440\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls5\adjustright\rin0\lin1440\itap0\pararsid6443835 {
\b\lang2057\langfe1033\langnp2057\insrsid11819267\charrsid9400102 No running water supplies at the hospital during the early hours of the operation day.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\b\lang2057\langfe1033\langnp2057\insrsid11819267\charrsid9400102 But the operation theatre sister informed to us at about 8.30am that we could start the operation because of the return of the water supply.}{
\b\lang2057\langfe1033\langnp2057\insrsid11819267 
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6443835 {\b\lang2057\langfe1033\langnp2057\insrsid9400102\charrsid9400102 
\par {\listtext\pard\plain\b\lang2057\langfe1033\langnp2057\insrsid11819267\charrsid9400102 \hich\af0\dbch\af0\loch\f0 2.\tab}}\pard \ql \li1440\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls5\adjustright\rin0\lin1440\itap0\pararsid6443835 {
\b\lang2057\langfe1033\langnp2057\insrsid11819267\charrsid9400102 There are question about the }{\b\lang2057\langfe1033\langnp2057\insrsid9400102 proper sterilization procedures}{\b\lang2057\langfe1033\langnp2057\insrsid11819267 
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6443835 {\b\lang2057\langfe1033\langnp2057\insrsid9400102\charrsid9400102 
\par {\listtext\pard\plain\b\lang2057\langfe1033\langnp2057\insrsid11819267\charrsid9400102 \hich\af0\dbch\af0\loch\f0 3.\tab}}\pard \ql \li1440\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls5\adjustright\rin0\lin1440\itap0\pararsid6443835 {
\b\lang2057\langfe1033\langnp2057\insrsid11819267\charrsid9400102 Infection happened to only one case that is the first case of the operation day.}{\b\lang2057\langfe1033\langnp2057\insrsid11819267 
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6443835 {\b\lang2057\langfe1033\langnp2057\insrsid9400102\charrsid9400102 
\par {\listtext\pard\plain\b\lang2057\langfe1033\langnp2057\insrsid11819267\charrsid9400102 \hich\af0\dbch\af0\loch\f0 4.\tab}}\pard \ql \li1440\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls5\adjustright\rin0\lin1440\itap0\pararsid6443835 {
\b\lang2057\langfe1033\langnp2057\insrsid11819267\charrsid9400102 Other eye cases done on the same day were perfect post-operative results.}{\b\lang2057\langfe1033\langnp2057\insrsid11819267 
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6443835 {\b\lang2057\langfe1033\langnp2057\insrsid9400102\charrsid9400102 
\par {\listtext\pard\plain\b\lang2057\langfe1033\langnp2057\insrsid11819267\charrsid9400102 \hich\af0\dbch\af0\loch\f0 5.\tab}}\pard \ql \li1440\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls5\adjustright\rin0\lin1440\itap0\pararsid6443835 {
\b\lang2057\langfe1033\langnp2057\insrsid11819267\charrsid9400102 Peri-operative eye infection is the likely cause???
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6443835 {\b\lang2057\langfe1033\langnp2057\insrsid11819267\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid6443835 {\b\ul\lang2057\langfe1033\langnp2057\insrsid11819267\charrsid9400102 SUMMARY}{\b\ul\lang2057\langfe1033\langnp2057\insrsid11819267 
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6443835 {\b\ul\lang2057\langfe1033\langnp2057\insrsid9400102\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid6443835 {\b\lang2057\langfe1033\langnp2057\insrsid11819267\charrsid9400102 
First operative case of the first day of the new millennium received post-operative infection.
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 {\lang2057\langfe1033\langnp2057\insrsid13396373\charrsid9400102 
\par {\listtext\pard\plain\lang2057\langfe1033\langnp2057\insrsid8545369\charrsid9400102 \hich\af0\dbch\af0\loch\f0 [9]\tab}}\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin0\itap0\pararsid9400102 {
\lang2057\langfe1033\langnp2057\insrsid8545369\charrsid9400102 Dr Oo\rquote s second report of 29 March 2000 was as follows:}{\lang2057\langfe1033\langnp2057\insrsid13396373\charrsid9400102 
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 {\b\lang2057\langfe1033\langnp2057\insrsid8545369\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid15365595 {\b\ul\lang2057\langfe1033\langnp2057\insrsid7893641\charrsid9400102 TO WHOM IT MAY CONCERN}{\b\ul\lang2057\langfe1033\langnp2057\insrsid8545369 

\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15365595 {\b\ul\lang2057\langfe1033\langnp2057\insrsid9400102\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid15365595 {\b\ul\lang2057\langfe1033\langnp2057\insrsid7893641\charrsid9400102 MEDICAL REPORT}{\b\lang2057\langfe1033\langnp2057\insrsid7893641\charrsid9400102 

\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid7893641\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid7893641\charrsid9400102 RE: Kaniappa Naicker f/n Sadian
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid7893641\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid15365595 {\b\ul\lang2057\langfe1033\langnp2057\insrsid7893641\charrsid9400102 Medical History}{\b\lang2057\langfe1033\langnp2057\insrsid7893641\charrsid9400102 
:
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid7893641\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid7893641\charrsid9400102 
Patient is a known case of type II Diabetes for more than 2 years duration since 1999.
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid7893641\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid15365595 {\b\ul\lang2057\langfe1033\langnp2057\insrsid7893641\charrsid9400102 Ocular History}{\b\lang2057\langfe1033\langnp2057\insrsid7893641\charrsid9400102 :

\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid7893641\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid7893641\charrsid9400102 
Patient was seen at the eye department Lautoka Hospital on the 14th April 1999 for blurring of vision for five month duration.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid7893641\charrsid9400102 
Visual acuity on the right eye was 6/18 and left 6/12.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid7893641\charrsid9400102 Dense lens opacity was detected on the right eye.
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid1798841\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid1798841\charrsid9400102 Patient was seen again on the 8th July 1999.}{
\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid1798841\charrsid9400102 Visual acuity on the right eye is finger counting one meter and the left 6/12.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\b\lang2057\langfe1033\langnp2057\insrsid1798841\charrsid9400102 Patient was given date for right cataract operation due to the severity and nature of cataract on his right eye.
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid1798841\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid1798841\charrsid9400102 Patient was seen again on the 19th November 1999.}{
\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid1798841\charrsid9400102 Visual acuity on the right eye is hand movement and the left 6/18.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\b\lang2057\langfe1033\langnp2057\insrsid1798841\charrsid9400102 Due to the severity and nature of the cataract, cataract operation was organised.
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid1798841\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid15365595 {\b\ul\lang2057\langfe1033\langnp2057\insrsid1798841\charrsid9400102 Diabetes History}{
\b\lang2057\langfe1033\langnp2057\insrsid1798841\charrsid9400102 :
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid1798841\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid1798841\charrsid9400102 On the 19th November 1999, random blood sugar level on routine medical check-up r}{
\b\lang2057\langfe1033\langnp2057\insrsid13704055\charrsid9400102 evealed 28.5 mmoL (very high) pa}{\b\lang2057\langfe1033\langnp2057\insrsid1798841\charrsid9400102 tient was referred to the medical department to control the diabetes.
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid1798841\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid13704055\charrsid9400102 Patient was reviewed again on the 30th November 1999.}{
\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid13704055\charrsid9400102 Blood sugar level went down to 13 mmoL.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\b\lang2057\langfe1033\langnp2057\insrsid13704055\charrsid9400102 Patent was admitted on the 16th January 2000.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid13704055\charrsid9400102 
With the satisfactory blood sugar control.}{\b\lang2057\langfe1033\langnp2057\insrsid1798841\charrsid9400102 
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid3680347\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid15365595 {\b\ul\lang2057\langfe1033\langnp2057\insrsid3680347\charrsid9400102 Indication for Surgery}{
\b\lang2057\langfe1033\langnp2057\insrsid3680347\charrsid9400102 :
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid3680347\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid9176896\charrsid9400102 Hyper}{\b\lang2057\langfe1033\langnp2057\insrsid3680347\charrsid9400102 
mature cataract (with history of rapid maturity rate of cataract) and to prevent complication.
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid1798841\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid15365595 {\b\ul\lang2057\langfe1033\langnp2057\insrsid9176896\charrsid9400102 Pre-operative preparation}{
\b\lang2057\langfe1033\langnp2057\insrsid9176896\charrsid9400102 :}{\b\lang2057\langfe1033\langnp2057\insrsid1798841\charrsid9400102 
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid9176896\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid9176896\charrsid9400102 Patient\rquote s blood sugar level was 6.4 mmoL before the operation.}{
\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid9176896\charrsid9400102 General physical condition were satisfactory.}{\b\lang2057\langfe1033\langnp2057\insrsid9176896 
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid15365595\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid9176896\charrsid9400102 Detail explanation abo
ut the risks and benefit and nature of the cataract operation was given to the patient by the medical doctor and Indian Nurse by Hindi language.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\b\lang2057\langfe1033\langnp2057\insrsid9176896\charrsid9400102 Patient understand the explanation given by the d}{\b\lang2057\langfe1033\langnp2057\insrsid270625\charrsid9400102 octors and nurse and give his d}{
\b\lang2057\langfe1033\langnp2057\insrsid9176896\charrsid9400102 ue consent.
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid9176896\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid15365595 {\b\ul\lang2057\langfe1033\langnp2057\insrsid13177774\charrsid9400102 Operative History}{
\b\lang2057\langfe1033\langnp2057\insrsid13177774\charrsid9400102 :}{\b\lang2057\langfe1033\langnp2057\insrsid9176896\charrsid9400102 
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid13177774\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid13177774\charrsid9400102 
Extracapsular cataract operation with intra oculars lens implant was done under local anaesthesia on the 17th January 200}{\b\lang2057\langfe1033\langnp2057\insrsid11034571\charrsid9400102 0.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\b\lang2057\langfe1033\langnp2057\insrsid11034571\charrsid9400102 Prophylatic antibiot}{\b\lang2057\langfe1033\langnp2057\insrsid13177774\charrsid9400102 ic were given.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\b\lang2057\langfe1033\langnp2057\insrsid13177774\charrsid9400102 No surgical complication during or after the operation.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid13177774\charrsid9400102 
Operation was successful.
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid13177774\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid15365595 {\b\ul\lang2057\langfe1033\langnp2057\insrsid9966736\charrsid9400102 Post\endash operative History}{
\b\lang2057\langfe1033\langnp2057\insrsid9966736\charrsid9400102 :}{\b\lang2057\langfe1033\langnp2057\insrsid13177774\charrsid9400102 
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid9966736\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid9966736\charrsid9400102 Evidence of intra-ocular infection was detected on the second post-operative}{
\b\lang2057\langfe1033\langnp2057\insrsid15152782\charrsid9400102  day.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid15152782\charrsid9400102 
Urgent intensive medical treatment including intra-vitreal vancomycin and later erythromycin (according to the culture and sensitivity result) were given.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\b\lang2057\langfe1033\langnp2057\insrsid16658918\charrsid9400102 Intra-ocular infection were remarkable controlled, but hypopyon (pus in the eye) remained persistent and ocular media were opaque (visual out-come unfavourable).}{
\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid16658918\charrsid9400102 Patient was under the care of physician to control the diabetes.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\b\lang2057\langfe1033\langnp2057\insrsid16658918\charrsid9400102 Inspite of the intensive medical treatment for 10 days, hypopyon (pus in the eyes) and opaque ocular media did not improve.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\b\lang2057\langfe1033\langnp2057\insrsid16658918\charrsid9400102 Evidence of secondary glaucoma, risk of infection to the patient\rquote s other eye and underlying diabetes threatened the patient general condition as well as his life.}{
\b\lang2057\langfe1033\langnp2057\insrsid9966736\charrsid9400102 
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid16658918\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid16658918\charrsid9400102 
Patient was given thorough explanation about the risk and benefit of the further operation (eviseration) by medical doctor and nurses.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid16658918\charrsid9400102 
Patient understand and gave the due consent to perform the }{\b\lang2057\langfe1033\langnp2057\insrsid15017028\charrsid9400102 evis}{\b\lang2057\langfe1033\langnp2057\insrsid16658918\charrsid9400102 eration }{
\b\lang2057\langfe1033\langnp2057\insrsid15017028\charrsid9400102 o}{\b\lang2057\langfe1033\langnp2057\insrsid16658918\charrsid9400102 f his right eye.
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid1837734\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid1837734\charrsid9400102 Eviseration of the right eye
 was done on the 31st January 2000 under local anaesthesia.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid1837734\charrsid9400102 
Post operative periods were satisfactory and patient was discharged from the hospital on the 8th February 2000.
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid7893641\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid15365595 {\b\ul\lang2057\langfe1033\langnp2057\insrsid7354325\charrsid9400102 Summary}{\b\lang2057\langfe1033\langnp2057\insrsid7354325\charrsid9400102 :
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid7354325\charrsid9400102 
\par }\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid7354325\charrsid9400102 Right cataract operation with lens implant was done successfully.}{
\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid7354325\charrsid9400102 Patient received post operative eye infection on the 2nd post operative day.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\b\lang2057\langfe1033\langnp2057\insrsid7354325\charrsid9400102 Intensive treatment were given and post-operative infection controlled well.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\b\lang2057\langfe1033\langnp2057\insrsid7354325\charrsid9400102 Due to the underlying disease diabetes and not to take unnecessary risk to his life, eviseration of right eye was done.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\b\lang2057\langfe1033\langnp2057\insrsid7354325\charrsid9400102 Patient\rquote s recovered completely and his life style is normal.
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 {\lang2057\langfe1033\langnp2057\insrsid8545369\charrsid9400102 
\par {\listtext\pard\plain\lang2057\langfe1033\langnp2057\insrsid9727522\charrsid9400102 \hich\af0\dbch\af0\loch\f0 [10]\tab}}\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin0\itap0\pararsid9400102 {
\lang2057\langfe1033\langnp2057\insrsid9727522\charrsid9400102 In cross examination, Dr Goundar admitted that he had never conducted any cataract operation.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\lang2057\langfe1033\langnp2057\insrsid13138006\charrsid9400102 He was merely asked to provide a report by looking at the hospital records.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid9727522\charrsid9400102 
He relied on Dr Oo\rquote s opinion, who was the then eye specialist.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid9727522\charrsid9400102 He agreed that the comment by Dr Oo in paragraph 5 under the heading:}{
\lang2057\langfe1033\langnp2057\insrsid9400102  "}{\lang2057\langfe1033\langnp2057\insrsid9727522\charrsid9400102 Highlights to the important issues}{\lang2057\langfe1033\langnp2057\insrsid9400102 "}{
\lang2057\langfe1033\langnp2057\insrsid9727522\charrsid9400102  in the first report was more likely that Dr Oo was still questioning the cause }{\lang2057\langfe1033\langnp2057\insrsid13138006\charrsid9400102 rather than the doctor forming his opinion.}{
\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid16520561\charrsid9400102 However, Dr Goundar did not agree that it was Mr Naicker\rquote s diabetes that lead to the second operation to remove Mr Naicker\rquote 
s right eye; it was the infection after the first operation that did.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid16520561\charrsid9400102 The infection was caused by bacteria and not a virus.}{
\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid16520561\charrsid9400102 Bacteria are always present in the body and if one\rquote s immune system is not strong, one can get infection.}{
\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid16520561\charrsid9400102 Diabetes can affect the immune system depending on how it is managed.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\lang2057\langfe1033\langnp2057\insrsid16520561\charrsid9400102 Dr Goundar did not agree that}{\lang2057\langfe1033\langnp2057\insrsid2846748\charrsid9400102  Mr Naicker\rquote s immune sys
tem was down at the time of the operation because the blood count done 2 days after the operation was within the normal range.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid2846748\charrsid9400102 
He agreed however that the infection could lead to endangerment of life and conceded that he did not conduct independent tests to
 prove that lack of water or dirty water caused the infection and that he did not know whether proper sterilisation was done before the cataract operation.}{\lang2057\langfe1033\langnp2057\insrsid16520561\charrsid9400102  }{
\lang2057\langfe1033\langnp2057\insrsid8545369\charrsid9400102 
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 {\lang2057\langfe1033\langnp2057\insrsid13138006\charrsid9400102 
\par {\listtext\pard\plain\lang2057\langfe1033\langnp2057\insrsid2846748\charrsid9400102 \hich\af0\dbch\af0\loch\f0 [11]\tab}}\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin0\itap0\pararsid9400102 {
\lang2057\langfe1033\langnp2057\insrsid2846748\charrsid9400102 In re-examination he said he would accept Dr Oo\rquote s opinion on sterilisation.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\lang2057\langfe1033\langnp2057\insrsid2846748\charrsid9400102 He gave his evidence and report based on his general experience and he has given evidence in Court before on eye cases.}{\lang2057\langfe1033\langnp2057\insrsid13138006\charrsid9400102 
\par }\pard\plain \s23\ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\lang2057\langfe1033\langnp2057\insrsid2846748\charrsid9400102 
\par {\listtext\pard\plain\lang2057\langfe1033\langnp2057\insrsid2846748\charrsid9400102 \hich\af0\dbch\af0\loch\f0 [12]\tab}}\pard\plain \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin0\itap0\pararsid9400102 
\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\lang2057\langfe1033\langnp2057\insrsid2846748\charrsid9400102 The second witness for the Plaintiff was Mr Naicker\rquote s widow.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\lang2057\langfe1033\langnp2057\insrsid14639210\charrsid9400102 She has obtained probate for her late husband\rquote s estate.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid14639210\charrsid9400102 
She recalls admitting her husband to the Lautoka Hospital at 4.00pm on 16 January 2000 for a cataract operation.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid14639210\charrsid9400102 
She saw him after the operation.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid14639210\charrsid9400102 He had a bandage over his eye.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\lang2057\langfe1033\langnp2057\insrsid14639210\charrsid9400102 He complained of headaches and eye pain.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid14639210\charrsid9400102 
She said she saw him one morning and her husband\rquote s }{\lang2057\langfe1033\langnp2057\insrsid9400102 "}{\lang2057\langfe1033\langnp2057\insrsid14639210\charrsid9400102 eye had melted, gone white}{\lang2057\langfe1033\langnp2057\insrsid9400102 "}{
\lang2057\langfe1033\langnp2057\insrsid14639210\charrsid9400102 .}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid14639210\charrsid9400102 She also saw }{\lang2057\langfe1033\langnp2057\insrsid9400102 "}{
\lang2057\langfe1033\langnp2057\insrsid14639210\charrsid9400102 water}{\lang2057\langfe1033\langnp2057\insrsid9400102 "}{\lang2057\langfe1033\langnp2057\insrsid14639210\charrsid9400102  coming out of his eye.}{
\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid14639210\charrsid9400102 She said when the bandage was removed, }{\lang2057\langfe1033\langnp2057\insrsid9400102 "}{
\lang2057\langfe1033\langnp2057\insrsid14639210\charrsid9400102 his eye was not like an eye; something white and round in his eye; the main part had gone white}{\lang2057\langfe1033\langnp2057\insrsid9400102 "}{
\lang2057\langfe1033\langnp2057\insrsid14639210\charrsid9400102 .}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid490849\charrsid9400102 When they removed her husband\rquote s eye, all she could see was th
e red flesh.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid358562\charrsid9400102 Her husband said to her that after his eye was removed his headaches were less.}{
\lang2057\langfe1033\langnp2057\insrsid2846748\charrsid9400102 
\par }\pard\plain \s23\ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\lang2057\langfe1033\langnp2057\insrsid490849\charrsid9400102 
\par {\listtext\pard\plain\lang2057\langfe1033\langnp2057\insrsid358562\charrsid9400102 \hich\af0\dbch\af0\loch\f0 [13]\tab}}\pard\plain \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin0\itap0\pararsid9400102 
\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\lang2057\langfe1033\langnp2057\insrsid358562\charrsid9400102 The first witness for the Defendants was the First Defendant herself, Dr Louise William.}{
\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid358562\charrsid9400102 She graduated from medical school with an MBBS in December 1994 and spent }{\lang2057\langfe1033\langnp2057\insrsid16085672\charrsid9400102 a }
{\lang2057\langfe1033\langnp2057\insrsid358562\charrsid9400102 1 year internship at the Lautoka Hospital and later got transferred to the eye department.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\lang2057\langfe1033\langnp2057\insrsid358562\charrsid9400102 She worked till 1996 before taking up a WHO scholarship in Auckland University.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid358562\charrsid9400102 
She was the medical officer, ophthalmology, in 1996 under Dr Oo.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid358562\charrsid9400102 She diagnosed Mr Naicker with cataract }{
\lang2057\langfe1033\langnp2057\insrsid3564596\charrsid9400102 i}{\lang2057\langfe1033\langnp2057\insrsid358562\charrsid9400102 n his right eye in April 1999.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\lang2057\langfe1033\langnp2057\insrsid3564596\charrsid9400102 She confirmed the chain of events contained in Dr Oo\rquote s reports}{\lang2057\langfe1033\langnp2057\insrsid16085672\charrsid9400102 , the inpatient reports}{
\lang2057\langfe1033\langnp2057\insrsid3564596\charrsid9400102  and the report of the Consultant Ophthalmologist, Dr Luisa Cikamatana Rauto.}{\cs19\lang2057\langfe1033\langnp2057\insrsid3564596\charrsid9400102 \chftn {\footnote \pard\plain 
\s18\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\cs19\super\insrsid1917228 \chftn }{\insrsid1917228  Pages 85-9 ABOD}}}{\lang2057\langfe1033\langnp2057\insrsid9400102  
}{\lang2057\langfe1033\langnp2057\insrsid15673569\charrsid9400102 On Mr Naicker\rquote s first visit, his diabetes was a bit high but he agreed to comply with the set diet.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\lang2057\langfe1033\langnp2057\insrsid11420542\charrsid9400102 He gave his consent to the operation and was given eye drops for use over the weekend to stop infections.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\lang2057\langfe1033\langnp2057\insrsid11420542\charrsid9400102 He was admitted to control his diabetes.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid11420542\charrsid9400102 
Mr Naicker returned on Sunday 16 January 2000 at 4.00pm for admission.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid11420542\charrsid9400102 
He was given tablets, an injection on the morning of the operation as well as eye drops.}{\lang2057\langfe1033\langnp2057\insrsid490849\charrsid9400102 
\par }\pard\plain \s23\ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\lang2057\langfe1033\langnp2057\insrsid1132276\charrsid9400102 
\par {\listtext\pard\plain\lang2057\langfe1033\langnp2057\insrsid1132276\charrsid9400102 \hich\af0\dbch\af0\loch\f0 [14]\tab}}\pard\plain \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin0\itap0\pararsid9400102 
\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\lang2057\langfe1033\langnp2057\insrsid1132276\charrsid9400102 On the issue of sterilisation, Dr William said that the theatre instruments were sent for 
sterilisation on the Friday before the operation.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid1132276\charrsid9400102 
When Mr Naicker was brought into the theatre he was made comfortable, eye drops were put in his eye, anaesthetised and reassured.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid1132276\charrsid9400102 
She followed a strict protocol in washing her hands and gloving up for the operation before actually conducting the operation.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid1132276\charrsid9400102 
After the operation, the patient was checked the next day in grand rounds with the Consultant.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid1132276\charrsid9400102 
She noticed swelling of the right eyelid but the wound was intact.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid1132276\charrsid9400102 Dr Oo said to continue with antibiotics.}{
\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid16267634\charrsid9400102 She also saw the patient i}{\lang2057\langfe1033\langnp2057\insrsid1132276\charrsid9400102 
n the grand rounds of 19 January 2000 with Dr Oo and two other doctors and the nurse}{\lang2057\langfe1033\langnp2057\insrsid16267634\charrsid9400102 .}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\lang2057\langfe1033\langnp2057\insrsid3437565\charrsid9400102 The intra vitreal drug administered to Mr Naicker is a very strong antibiotic and is only done by the Consultant.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\lang2057\langfe1033\langnp2057\insrsid8590051\charrsid9400102 It was changed on the next day.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid16267634\charrsid9400102 
On 20 January 2000, Mr Naicker was still suffering headaches but slept well.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid16267634\charrsid9400102 
But his diabetes was high (13.3 mmoL), well outside the normal high range (9.9 mmoL).}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid8590051\charrsid9400102 By the 22 January 2000 puss was still in Mr Naicker
\rquote s eye.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid8590051\charrsid9400102 Treatment was to change the pads and continue with the diabetes treatment.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\lang2057\langfe1033\langnp2057\insrsid8590051\charrsid9400102 On day 14 after the operation Mr Naicker\rquote s diabetes was still on the high side and eye removal was recommended.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\lang2057\langfe1033\langnp2057\insrsid8590051\charrsid9400102 On 30 January 200 Mr Naicker was prepared for operation.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid8590051\charrsid9400102 
He gave his consent and the operation was done on 31 January 2000.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid8590051\charrsid9400102 The second operation was necessary }{
\lang2057\langfe1033\langnp2057\insrsid9400102 "}{\lang2057\langfe1033\langnp2057\insrsid8590051\charrsid9400102 
to prevent the patient from developing further conditions dangerous to his other eye which could spread back to his brain and eventually to his whole body.}{\lang2057\langfe1033\langnp2057\insrsid9400102 " }{
\lang2057\langfe1033\langnp2057\insrsid9659\charrsid9400102 Mr Naicker\rquote s diabetes remained uncontrolled and further treatment was undertaken until 7 February 2000 when it became normal and his general condition was good so he was discharged.}{
\lang2057\langfe1033\langnp2057\insrsid1132276\charrsid9400102 
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 {\lang2057\langfe1033\langnp2057\insrsid9659\charrsid9400102 
\par {\listtext\pard\plain\lang2057\langfe1033\langnp2057\insrsid14883137\charrsid9400102 \hich\af0\dbch\af0\loch\f0 [15]\tab}}\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin0\itap0\pararsid9400102 {
\lang2057\langfe1033\langnp2057\insrsid14883137\charrsid9400102 Swabs on Mr Naicker\rquote s right eye infection were sent to the pathology laboratory on 19 January 2000.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\lang2057\langfe1033\langnp2057\insrsid14883137\charrsid9400102 The report}{\cs19\lang2057\langfe1033\langnp2057\insrsid14883137\charrsid9400102 \chftn {\footnote \pard\plain \s18\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\cs19\super\insrsid1917228 \chftn }{\insrsid1917228  Page 49 ABOD}}}{\lang2057\langfe1033\langnp2057\insrsid14883137\charrsid9400102  showed}{
\lang2057\langfe1033\langnp2057\insrsid9659\charrsid9400102  the bacteria that caused Mr Naicker\rquote s infection was Group B Beta hemolytic streptoco}{\lang2057\langfe1033\langnp2057\insrsid1054672\charrsid9400102 cci}{
\lang2057\langfe1033\langnp2057\insrsid9860315\charrsid9400102 .}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid14883137\charrsid9400102 Samples were also sent on 19 January 200 to the Biochemistry Department}{
\lang2057\langfe1033\langnp2057\insrsid15995118\charrsid9400102  for analysis.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid15995118\charrsid9400102 Dr William did blood tests, kidney checks and a full bloo
d count on Mr Naicker.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid15995118\charrsid9400102 She said these tests were for her to see if the patient was reacting normally to the infection.}{
\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid8138333\charrsid9400102 The test of 19 January 2000 showed that all but one indicator was outside}{\lang2057\langfe1033\langnp2057\insrsid7736011\charrsid9400102 
 the normal range.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid15431456\charrsid9400102 According to Dr William, t}{\lang2057\langfe1033\langnp2057\insrsid7736011\charrsid9400102 he antibiotic drug }{
\lang2057\langfe1033\langnp2057\insrsid15431456\charrsid9400102 Vancomycin injected}{\lang2057\langfe1033\langnp2057\insrsid7736011\charrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid15431456\charrsid9400102 into}{
\lang2057\langfe1033\langnp2057\insrsid7736011\charrsid9400102  Mr Naicker}{\lang2057\langfe1033\langnp2057\insrsid15431456\charrsid9400102 \rquote s eye}{\lang2057\langfe1033\langnp2057\insrsid7736011\charrsid9400102  killed most bacteria.}{
\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid7736011\charrsid9400102 Its use is restricted to}{\lang2057\langfe1033\langnp2057\insrsid15431456\charrsid9400102  serious}{
\lang2057\langfe1033\langnp2057\insrsid7736011\charrsid9400102  cases }{\lang2057\langfe1033\langnp2057\insrsid15431456\charrsid9400102 of infection }{\lang2057\langfe1033\langnp2057\insrsid7736011\charrsid9400102 such as Mr Naicker\rquote s.}{
\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid7736011\charrsid9400102 When asked why Mr Naicker }{\lang2057\langfe1033\langnp2057\insrsid13794703\charrsid9400102 did }{
\lang2057\langfe1033\langnp2057\insrsid7736011\charrsid9400102 not respond to the treatment}{\lang2057\langfe1033\langnp2057\insrsid15431456\charrsid9400102 , she answered that meant that something or some condition w
as stopping his body from responding to }{\lang2057\langfe1033\langnp2057\insrsid13794703\charrsid9400102 it}{\lang2057\langfe1033\langnp2057\insrsid15431456\charrsid9400102 .}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\lang2057\langfe1033\langnp2057\insrsid15431456\charrsid9400102 She could only identify Mr Naicker\rquote s diabetes as stopping him from responding appropriately.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\lang2057\langfe1033\langnp2057\insrsid14172947\charrsid9400102 She confirmed Dr Oo\rquote s summary that the first operation was successful, Mr Naicker was given intensive treatment for his }{
\lang2057\langfe1033\langnp2057\insrsid5989758\charrsid9400102 eye }{\lang2057\langfe1033\langnp2057\insrsid14172947\charrsid9400102 infection without success and it was his diabetes that necessitated the second operation.}{
\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid14172947\charrsid9400102 He recovered after the second operation.}{\lang2057\langfe1033\langnp2057\insrsid9659\charrsid9400102 
\par }\pard\plain \s23\ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\lang2057\langfe1033\langnp2057\insrsid6686992\charrsid9400102 
\par {\listtext\pard\plain\lang2057\langfe1033\langnp2057\insrsid13794703\charrsid9400102 \hich\af0\dbch\af0\loch\f0 [16]\tab}}\pard\plain \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin0\itap0\pararsid9400102 
\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\lang2057\langfe1033\langnp2057\insrsid13794703\charrsid9400102 As to the allegation that there was no water in the theatre she said that she could not operate without }{
\lang2057\langfe1033\langnp2057\insrsid14172947\charrsid9400102 running }{\lang2057\langfe1033\langnp2057\insrsid13794703\charrsid9400102 water}{\lang2057\langfe1033\langnp2057\insrsid14172947\charrsid9400102 .}{
\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid14172947\charrsid9400102 As to the issue of sterilisation, Dr William said in cross examination that she did not know about it because }{
\lang2057\langfe1033\langnp2057\insrsid5989758\charrsid9400102 it was }{\lang2057\langfe1033\langnp2057\insrsid14172947\charrsid9400102 the nurses }{\lang2057\langfe1033\langnp2057\insrsid5989758\charrsid9400102 that }{
\lang2057\langfe1033\langnp2057\insrsid14172947\charrsid9400102 t}{\lang2057\langfe1033\langnp2057\insrsid5989758\charrsid9400102 ook}{\lang2057\langfe1033\langnp2057\insrsid14172947\charrsid9400102  the instruments away for sterilisation.}{
\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid5989758\charrsid9400102 She said that people with diabetes were susceptible to infection.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\lang2057\langfe1033\langnp2057\insrsid5989758\charrsid9400102 When asked:}{\lang2057\langfe1033\langnp2057\insrsid9400102  "}{\lang2057\langfe1033\langnp2057\insrsid5989758\charrsid9400102 
If the Plaintiff did not have the operation, would he be infected?}{\lang2057\langfe1033\langnp2057\insrsid9400102 " }{\lang2057\langfe1033\langnp2057\insrsid5989758\charrsid9400102 Dr William answered:}{\lang2057\langfe1033\langnp2057\insrsid9400102  "}{
\lang2057\langfe1033\langnp2057\insrsid5989758\charrsid9400102 We will never know in this case}{\lang2057\langfe1033\langnp2057\insrsid9400102 "}{\lang2057\langfe1033\langnp2057\insrsid5989758\charrsid9400102 .}{
\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid11731442\charrsid9400102 She confirmed that Mr Naicker visited the hospital for his operation on 19 November 1999 but was sent back because his blood sugar level }{
\lang2057\langfe1033\langnp2057\insrsid13116471\charrsid9400102 (}{\lang2057\langfe1033\langnp2057\insrsid9400102 "}{\lang2057\langfe1033\langnp2057\insrsid13116471\charrsid9400102 bsl}{\lang2057\langfe1033\langnp2057\insrsid9400102 "}{
\lang2057\langfe1033\langnp2057\insrsid13116471\charrsid9400102 ) }{\lang2057\langfe1033\langnp2057\insrsid11731442\charrsid9400102 was too high \endash  28.5 mmoL}{\lang2057\langfe1033\langnp2057\insrsid13116471\charrsid9400102 .}{
\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid13116471\charrsid9400102 Protocol required that bsl be done before an operation}{\lang2057\langfe1033\langnp2057\insrsid16334303\charrsid9400102 .}{
\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid13116471\charrsid9400102 On 16 January 2000, Mr Naicker\rquote s bsl was 23.4 but given tablets and being in hospital with a restricted diet, his bsl went down to 6.3
}{\lang2057\langfe1033\langnp2057\insrsid3356569\charrsid9400102  within the normal range so he was able to be operated on}{\lang2057\langfe1033\langnp2057\insrsid13116471\charrsid9400102 .}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\lang2057\langfe1033\langnp2057\insrsid9768059\charrsid9400102 It was put to Dr William that the infection was caused by the operation to remove the cataract.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\lang2057\langfe1033\langnp2057\insrsid9768059\charrsid9400102 She said she could not say for sure.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid9768059\charrsid9400102 
She did not agree that sterilisation procedures were not followed or that the operation should not have been commenced because the water did not come on stream till 8.30am.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\lang2057\langfe1033\langnp2057\insrsid9768059\charrsid9400102 The go ahead for the operation was given by the sister in charge.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid8323513\charrsid9400102 
If she did not operate, the cataract would }{\lang2057\langfe1033\langnp2057\insrsid9400102 "}{\lang2057\langfe1033\langnp2057\insrsid8323513\charrsid9400102 over mature}{\lang2057\langfe1033\langnp2057\insrsid9400102 "}{
\lang2057\langfe1033\langnp2057\insrsid8323513\charrsid9400102  which would lead to severe inflammation then puss in the eye and poor vision.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\lang2057\langfe1033\langnp2057\insrsid9768059\charrsid9400102 Water used in the operation was sealed in a container and not tap water.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid9768059\charrsid9400102 
Tap water is not used except to wash the doctor\rquote s hands }{\lang2057\langfe1033\langnp2057\insrsid10040973\charrsid9400102 before the operation}{\lang2057\langfe1033\langnp2057\insrsid9768059\charrsid9400102 .}{
\lang2057\langfe1033\langnp2057\insrsid6686992\charrsid9400102 
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 {\lang2057\langfe1033\langnp2057\insrsid9768059\charrsid9400102 
\par {\listtext\pard\plain\lang2057\langfe1033\langnp2057\insrsid9768059\charrsid9400102 \hich\af0\dbch\af0\loch\f0 [17]\tab}}\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin0\itap0\pararsid9400102 {
\lang2057\langfe1033\langnp2057\insrsid9768059\charrsid9400102 The second witness for the Defendants was Dr Luisa }{\lang2057\langfe1033\langnp2057\insrsid10161786\charrsid9400102 C}{\lang2057\langfe1033\langnp2057\insrsid9768059\charrsid9400102 
ikamatana,}{\lang2057\langfe1033\langnp2057\insrsid2386585\charrsid9400102  who is now}{\lang2057\langfe1033\langnp2057\insrsid9768059\charrsid9400102  the Consultant }{\lang2057\langfe1033\langnp2057\insrsid2386585\charrsid9400102 O}{
\lang2057\langfe1033\langnp2057\insrsid9768059\charrsid9400102 phthalmologist at the Lautoka Hospital.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid8323513\charrsid9400102 
She oversees all services of eye clinic for the whole of the Western Division.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid10040973\charrsid9400102 She was asked to review Mr Naicker\rquote 
s medical folders and prepared a report dated 26 May 2008.}{\cs19\lang2057\langfe1033\langnp2057\insrsid10040973\charrsid9400102 \chftn {\footnote \pard\plain \s18\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\cs19\super\insrsid1917228 \chftn }{\insrsid1917228  Page 85-89 ABOD}}}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid10040973\charrsid9400102 
Dr Cikamatana reported:}{\lang2057\langfe1033\langnp2057\insrsid9768059\charrsid9400102 
\par }\pard\plain \s23\ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\lang2057\langfe1033\langnp2057\insrsid10040973\charrsid9400102 
\par }\pard\plain \ql \li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid9400102 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\lang2057\langfe1033\langnp2057\insrsid10040973\charrsid9400102 
Despite having antibiotic cover before surgery, during surgery and after surgery, Mr Kaniappa developed infection 2 days after cataract surgery that even intense antibiotic cover did not control the infection and as a result the eye contents were exposed 
that they had to be removed surgically on 31/01/00.
\par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 {\b\lang2057\langfe1033\langnp2057\insrsid287823\charrsid9400102 
\par }\pard \ql \li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid9400102 {\b\lang2057\langfe1033\langnp2057\insrsid287823\charrsid9400102 For any infection to occur there are many contributing factors.}{
\b\lang2057\langfe1033\langnp2057\insrsid9400102\charrsid9400102  }{\b\lang2057\langfe1033\langnp2057\insrsid287823\charrsid9400102 
To name a few, the causes could be from the host (the patient), the environment, procedures including equipment and instruments, type of organism and the providers, mainly the medical personal (sic).
\par }\pard\plain \s23\ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\lang2057\langfe1033\langnp2057\insrsid10040973\charrsid9400102 
\par {\listtext\pard\plain\lang2057\langfe1033\langnp2057\insrsid12196907\charrsid9400102 \hich\af0\dbch\af0\loch\f0 [18]\tab}}\pard\plain \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin0\itap0\pararsid9400102 
\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\lang2057\langfe1033\langnp2057\insrsid12196907\charrsid9400102 Dr Cikamatana also provided additional notes in a letter dated 27 May 2008 that:}{
\lang2057\langfe1033\langnp2057\insrsid10040973\charrsid9400102 
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 {\b\lang2057\langfe1033\langnp2057\insrsid12196907\charrsid9400102 
\par }\pard \ql \li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid9400102 {\b\lang2057\langfe1033\langnp2057\insrsid12196907\charrsid9400102 
Adults can carry Group B, beta Hemolytic Streptococci in their bodies but are not infected and do not become sick ie they are colonized with the bacteria or microorganism.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102\charrsid9400102  }{
\b\lang2057\langfe1033\langnp2057\insrsid12196907\charrsid9400102 The bacteria can be carried in the gastrointestinal tract including the mouth, genital tract or urinary tract.}{\b\lang2057\langfe1033\langnp2057\insrsid9400102\charrsid9400102  }{
\b\lang2057\langfe1033\langnp2057\insrsid12196907\charrsid9400102 However, it can lead to serious infections if it invades the blood stream in }{\b\lang2057\langfe1033\langnp2057\insrsid1574234\charrsid9400102 peop
le with weakened immune systems for example in patients receiving cancer treatment or have chronic illness especially diabetes.}{\b\lang2057\langfe1033\langnp2057\insrsid12196907\charrsid9400102 
\par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 {\b\lang2057\langfe1033\langnp2057\insrsid1574234\charrsid9400102 
\par }\pard \ql \li720\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid9400102 {\b\lang2057\langfe1033\langnp2057\insrsid1574234\charrsid9400102 The most likely attributing factor to Mr Kaniappa\rquote 
s post operative infection would be that the microorganism was virulent or it was from endogenous spread taking into consideration that he has diabetes.
\par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 {\b\lang2057\langfe1033\langnp2057\insrsid1384176\charrsid9400102 
\par {\listtext\pard\plain\lang2057\langfe1033\langnp2057\insrsid10711811\charrsid9400102 \hich\af0\dbch\af0\loch\f0 [19]\tab}}\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin0\itap0\pararsid9400102 {
\lang2057\langfe1033\langnp2057\insrsid10711811\charrsid9400102 In cross examination Dr Cikamatana confirmed that if the patient took his tablets then his diabetes could be controlled.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\lang2057\langfe1033\langnp2057\insrsid10711811\charrsid9400102 And if the diabetes is not controlled or there is infection then the doctor does not operate.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\lang2057\langfe1033\langnp2057\insrsid5792358\charrsid9400102 All pre-op checks were done on Mr Naicker on 14 January 2000 as per the notes.}{\lang2057\langfe1033\langnp2057\insrsid10040973\charrsid9400102 
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 {\lang2057\langfe1033\langnp2057\insrsid5792358\charrsid9400102 
\par {\listtext\pard\plain\lang2057\langfe1033\langnp2057\insrsid4203250\charrsid9400102 \hich\af0\dbch\af0\loch\f0 [20]\tab}}\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin0\itap0\pararsid9400102 {
\lang2057\langfe1033\langnp2057\insrsid4203250\charrsid9400102 The third witness for the Defendants was the nurse that was in the operating theatre at the time of Mr Naicker\rquote 
s cataract operation. She said the equipment and instruments were sterilised on the day before the operation although she did not take part in the actual sterilisation.}{\lang2057\langfe1033\langnp2057\insrsid5792358\charrsid9400102 
\par }\pard\plain \s23\ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\lang2057\langfe1033\langnp2057\insrsid1917228\charrsid9400102 
\par {\listtext\pard\plain\lang2057\langfe1033\langnp2057\insrsid1917228\charrsid9400102 \hich\af0\dbch\af0\loch\f0 [21]\tab}}\pard\plain \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin0\itap0\pararsid9400102 
\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\lang2057\langfe1033\langnp2057\insrsid1917228\charrsid9400102 The fourth witness was the Acting Supervisor of Mechanical Services for the Lautoka Hospital.}{
\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid1917228\charrsid9400102 He has held that position for the last 9 years since 19 May 2000.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\lang2057\langfe1033\langnp2057\insrsid1917228\charrsid9400102 He explained that the Hospital had two tanks supplied by the normal water supply.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\lang2057\langfe1033\langnp2057\insrsid1917228\charrsid9400102 When the normal supply gets cut}{\lang2057\langfe1033\langnp2057\insrsid1120878\charrsid9400102  off}{\lang2057\langfe1033\langnp2057\insrsid1917228\charrsid9400102 , the }{
\lang2057\langfe1033\langnp2057\insrsid9400102 "}{\lang2057\langfe1033\langnp2057\insrsid1917228\charrsid9400102 quick fill}{\lang2057\langfe1033\langnp2057\insrsid9400102 "}{\lang2057\langfe1033\langnp2057\insrsid1917228\charrsid9400102 
 system from these tanks supplies water to the Hospital.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid1917228\charrsid9400102 
The water main line always has water and there is no chance of dirty water being supplied.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid1917228\charrsid9400102 
A boiler supplies steam to the theatre for sterilisation of instruments by a }{\lang2057\langfe1033\langnp2057\insrsid9400102 "}{\lang2057\langfe1033\langnp2057\insrsid1917228\charrsid9400102 Steam Sterilizer}{
\lang2057\langfe1033\langnp2057\insrsid9400102 "}{\lang2057\langfe1033\langnp2057\insrsid1917228\charrsid9400102 .}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid1917228\charrsid9400102 
It is an auto-clean system that operates at 132 degrees centigrade and is not affected by water cuts.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid1917228\charrsid9400102 
It is the same system that is being used in Suva.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid1917228\charrsid9400102 It was in place when he started work at the Lautoka Hospital.
\par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 {\lang2057\langfe1033\langnp2057\insrsid1120878\charrsid9400102 
\par }{\b\ul\lang2057\langfe1033\langnp2057\insrsid4679697\charrsid9400102 CONSIDERATION OF THE }{\b\ul\lang2057\langfe1033\langnp2057\insrsid9246558\charrsid9400102 EVIDENCE AND THE }{\b\ul\lang2057\langfe1033\langnp2057\insrsid4679697\charrsid9400102 CLAIM

\par 
\par {\listtext\pard\plain\lang2057\langfe1033\langnp2057\insrsid4679697\charrsid9400102 \hich\af0\dbch\af0\loch\f0 [22]\tab}}\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin0\itap0\pararsid9400102 {
\lang2057\langfe1033\langnp2057\insrsid4679697\charrsid9400102 I do not think that it is necessary for me to }{\lang2057\langfe1033\langnp2057\insrsid1645630\charrsid9400102 consider}{\lang2057\langfe1033\langnp2057\insrsid4679697\charrsid9400102 
 in dept to the law of medical negligence}{\lang2057\langfe1033\langnp2057\insrsid1645630\charrsid9400102  because the outcome of this case depend}{\lang2057\langfe1033\langnp2057\insrsid9246558\charrsid9400102 ed}{
\lang2057\langfe1033\langnp2057\insrsid1645630\charrsid9400102  entirely on one point and that is, that}{\lang2057\langfe1033\langnp2057\insrsid4679697\charrsid9400102  the Plaintiff has the onus of proof.}{\lang2057\langfe1033\langnp2057\insrsid9400102  
}{\lang2057\langfe1033\langnp2057\insrsid7885340\charrsid9400102 It is not in issue that the Hospital owes the Plaintiff a duty of care.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid7885340\charrsid9400102 
The issue here is whether the standard of care has been breached.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid4679697\charrsid9400102 His Statement of Claim alleges }{
\lang2057\langfe1033\langnp2057\insrsid1059604\charrsid9400102 that the First Defendant was }{\lang2057\langfe1033\langnp2057\insrsid4679697\charrsid9400102 negligen}{\lang2057\langfe1033\langnp2057\insrsid1059604\charrsid9400102 t}{
\lang2057\langfe1033\langnp2057\insrsid4679697\charrsid9400102  because:}{\lang2057\langfe1033\langnp2057\insrsid1120878\charrsid9400102 
\par }\pard\plain \s23\ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\lang2057\langfe1033\langnp2057\insrsid4679697\charrsid9400102 
\par {\listtext\pard\plain\b\lang2057\langfe1033\langnp2057\insrsid4679697\charrsid9400102 \hich\af0\dbch\af0\loch\f0 1.\tab}}\pard\plain \ql \li720\ri0\widctlpar\jclisttab\tx840\aspalpha\aspnum\faauto\ls10\adjustright\rin0\lin720\itap0\pararsid15365595 
\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\lang2057\langfe1033\langnp2057\insrsid4679697\charrsid9400102 In the month of April 1999 the first defendant failed to properly diagnose the medical condition suffered by the plaintiff;
\par }\pard \ql \li0\ri0\widctlpar\jclisttab\tx720\jclisttab\tx840\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid4679697\charrsid9400102 
\par {\listtext\pard\plain\b\lang2057\langfe1033\langnp2057\insrsid4679697\charrsid9400102 \hich\af0\dbch\af0\loch\f0 2.\tab}}\pard \ql \li720\ri0\widctlpar\jclisttab\tx840\aspalpha\aspnum\faauto\ls10\adjustright\rin0\lin720\itap0\pararsid15365595 {
\b\lang2057\langfe1033\langnp2057\insrsid4679697\charrsid9400102 Failed to sterilise the apparatus used in the operation;
\par }\pard \ql \li0\ri0\widctlpar\jclisttab\tx720\jclisttab\tx840\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid4679697\charrsid9400102 
\par {\listtext\pard\plain\b\lang2057\langfe1033\langnp2057\insrsid4679697\charrsid9400102 \hich\af0\dbch\af0\loch\f0 3.\tab}}\pard \ql \li720\ri0\widctlpar\jclisttab\tx840\aspalpha\aspnum\faauto\ls10\adjustright\rin0\lin720\itap0\pararsid15365595 {
\b\lang2057\langfe1033\langnp2057\insrsid4679697\charrsid9400102 Failed to check whether there was clear running water in the theatre on the day of the operation.
\par }\pard\plain \s23\ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\lang2057\langfe1033\langnp2057\insrsid4679697\charrsid9400102 
\par {\listtext\pard\plain\lang2057\langfe1033\langnp2057\insrsid1645630\charrsid9400102 \hich\af0\dbch\af0\loch\f0 [23]\tab}}\pard\plain \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin0\itap0\pararsid9400102 
\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\lang2057\langfe1033\langnp2057\insrsid1645630\charrsid9400102 The evidence produced on his behalf fell far short of proving on the balance of probability th}{
\lang2057\langfe1033\langnp2057\insrsid1059604\charrsid9400102 ose}{\lang2057\langfe1033\langnp2057\insrsid1645630\charrsid9400102  particulars of negligence as pleaded.}{\lang2057\langfe1033\langnp2057\insrsid4679697\charrsid9400102 
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 {\lang2057\langfe1033\langnp2057\insrsid9246558\charrsid9400102 
\par {\listtext\pard\plain\lang2057\langfe1033\langnp2057\insrsid16469028\charrsid9400102 \hich\af0\dbch\af0\loch\f0 [24]\tab}}\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin0\itap0\pararsid9400102 {
\lang2057\langfe1033\langnp2057\insrsid16469028\charrsid9400102 I}{\lang2057\langfe1033\langnp2057\insrsid1059604\charrsid9400102 nstead, I}{\lang2057\langfe1033\langnp2057\insrsid16469028\charrsid9400102 
 accept and prefer the evidence of Dr William and Dr Cikamatana to that of Dr Goundar.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{\lang2057\langfe1033\langnp2057\insrsid16469028\charrsid9400102 
I find that it was necessary for Mr Naicker to undergo the cataract operation, that the operation was done }{\lang2057\langfe1033\langnp2057\insrsid1059604\charrsid9400102 according to good medical practice}{
\lang2057\langfe1033\langnp2057\insrsid16469028\charrsid9400102  and successfully and that the risk of infection was heightened by his diabetes.}{\lang2057\langfe1033\langnp2057\insrsid9400102  }{
\lang2057\langfe1033\langnp2057\insrsid12025716\charrsid9400102 I also find that }{\lang2057\langfe1033\langnp2057\insrsid1059604\charrsid9400102 Dr William and Dr Oo}{\lang2057\langfe1033\langnp2057\insrsid12025716\charrsid9400102 
 gave Mr Naicker the best medical care in the circumstances to }{\lang2057\langfe1033\langnp2057\insrsid1059604\charrsid9400102 prevent and }{\lang2057\langfe1033\langnp2057\insrsid12025716\charrsid9400102 stop the post-operative infection.}{
\lang2057\langfe1033\langnp2057\insrsid2490950\charrsid9400102 
\par }\pard\plain \s23\ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\lang2057\langfe1033\langnp2057\insrsid2490950\charrsid9400102 
\par {\listtext\pard\plain\lang2057\langfe1033\langnp2057\insrsid16469028\charrsid9400102 \hich\af0\dbch\af0\loch\f0 [25]\tab}}\pard\plain \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin0\itap0\pararsid9400102 
\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\lang2057\langfe1033\langnp2057\insrsid16469028\charrsid9400102 Having found that there was insufficient or no evidence that the instruments were not properly sterilised or that the
re was no running water or }{\lang2057\langfe1033\langnp2057\insrsid12025716\charrsid9400102 that }{\lang2057\langfe1033\langnp2057\insrsid16469028\charrsid9400102 dirty water was used in the operation}{
\lang2057\langfe1033\langnp2057\insrsid12025716\charrsid9400102  or that the Hospital environment was unhygienic, the inevitable conclusion is that Mr Naicker\rquote s diabetes leading to reduced immunity was the cause of his infection.}{
\lang2057\langfe1033\langnp2057\insrsid9246558\charrsid9400102 
\par }\pard\plain \s23\ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\lang2057\langfe1033\langnp2057\insrsid12025716\charrsid9400102 
\par {\listtext\pard\plain\lang2057\langfe1033\langnp2057\insrsid12025716\charrsid9400102 \hich\af0\dbch\af0\loch\f0 [26]\tab}}\pard\plain \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin0\itap0\pararsid9400102 
\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\lang2057\langfe1033\langnp2057\insrsid12025716\charrsid9400102 The allegation of negligence against the First Defendant is therefore not proven and the Plaintiff\rquote s claim therefore fails.

\par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15365595 {\lang2057\langfe1033\langnp2057\insrsid12025716\charrsid9400102 
\par }{\b\ul\lang2057\langfe1033\langnp2057\insrsid876309\charrsid9400102 COSTS
\par 
\par {\listtext\pard\plain\lang2057\langfe1033\langnp2057\insrsid7885340\charrsid9400102 \hich\af0\dbch\af0\loch\f0 [27]\tab}}\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin0\itap0\pararsid9400102 {
\lang2057\langfe1033\langnp2057\insrsid7885340\charrsid9400102 It is left to Mr Naicker\rquote s widow to fight this case }{\lang2057\langfe1033\langnp2057\insrsid12025716\charrsid9400102 so }{
\lang2057\langfe1033\langnp2057\insrsid7885340\charrsid9400102 in the circumstances }{\lang2057\langfe1033\langnp2057\insrsid12025716\charrsid9400102 I make no order as to costs.
\par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15365595 {\lang2057\langfe1033\langnp2057\insrsid12025716\charrsid9400102 
\par }{\b\ul\lang2057\langfe1033\langnp2057\insrsid876309\charrsid9400102 ORDERS
\par 
\par {\listtext\pard\plain\lang2057\langfe1033\langnp2057\insrsid6044455\charrsid9400102 \hich\af0\dbch\af0\loch\f0 [28]\tab}}\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin0\itap0\pararsid9400102 {
\lang2057\langfe1033\langnp2057\insrsid6044455\charrsid9400102 The Orders are therefore as follows:}{\lang2057\langfe1033\langnp2057\insrsid12025716\charrsid9400102 
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 {\lang2057\langfe1033\langnp2057\insrsid6044455\charrsid9400102 
\par {\listtext\pard\plain\lang2057\langfe1033\langnp2057\insrsid6044455\charrsid9400102 \hich\af0\dbch\af0\loch\f0 1.\tab}}\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls7\adjustright\rin0\lin720\itap0\pararsid9400102 {
\lang2057\langfe1033\langnp2057\insrsid6044455\charrsid9400102 The Plaintiff\rquote s claim is dismissed.
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 {\lang2057\langfe1033\langnp2057\insrsid6044455\charrsid9400102 
\par {\listtext\pard\plain\lang2057\langfe1033\langnp2057\insrsid6044455\charrsid9400102 \hich\af0\dbch\af0\loch\f0 2.\tab}}\pard \ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\ls7\adjustright\rin0\lin720\itap0\pararsid9400102 {
\lang2057\langfe1033\langnp2057\insrsid6044455\charrsid9400102 There is no order as to costs.}{\lang2057\langfe1033\langnp2057\insrsid7885340\charrsid9400102 
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 {\lang2057\langfe1033\langnp2057\insrsid12255408\charrsid9400102 
\par }\pard \qc \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9400102 {\lang2057\langfe1033\langnp2057\insrsid12127772\charrsid9400102 \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
\par }{\b\lang2057\langfe1033\langnp2057\insrsid12127772\charrsid9400102 Sosefo Inoke
\par }\pard \qc \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15365595 {\b\lang2057\langfe1033\langnp2057\insrsid12127772\charrsid9400102 Judge}{\b\lang2057\langfe1033\langnp2057\insrsid10561600\charrsid15365595 
\par }}