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醫療專欄

高雄律師-楊岡儒律師【醫療法專欄(24)】醫療訴訟與整形美容(7):整形美容之民事損害賠償責任(1) Mrs Penny Johnson VS Mr Le Roux Fourie之案例分析(2)


 

2011.8.1 高雄律師-楊岡儒律師

 

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相關新聞與文章請參閱:

 

【兔寶寶醫療新聞(12)換臉失敗國婦女獲賠近千萬美元

 

【醫療法專欄(23)醫療訴訟與整形美容(6):整形美容之民事損害賠償責任(1) Mrs Penny Johnson VS Mr Le Roux Fourie之案例分析(1)

 

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上次談到『Mrs Penny Johnson VS Mr Le Roux Fourie之案例』,本件美容醫療糾紛,就英國倫敦高等法院於2011523所做成之判決以觀,其賠償金額為『英鎊£6,190,884.92』。(6190884.92 英鎊 = 289,640,000 新台幣,匯率計算基準日:2011.6.13

 

 

 

壹、案例基礎事實與初步醫療責任分析

 

一、首先,宜注意本件並『非傳統基於疾病治療之必要性醫療行為』,

 

性質上屬於『醫療美容行為』(整形手術

 

且其手術前,亦先經『諮詢及告知(評估)風險等程序』。

 

with a view to seeking his advice as to minor plastic surgery to her nose and dark circles under her eyes

 

 

 

依案例之判決,其基礎事實如下:

 

On 26 August 2003 the claimant, who was then 42 years of age, consulted the defendant, a plastic surgeon, with a view to seeking his advice as to minor plastic surgery to her nose and dark circles under her eyes. In the event the defendant proposed more radical plastic surgery involving a replacement of pre-existing breast implants, and a minimal access cranial suspension (MACS) facelift with further surgery to the forehead and eyes. The surgery was carried out 3 days later at BUPA Methley Park Hospital in Leeds .

 

 

 

二、初步醫療責任分析

 

(一)初步醫療責任分析1

 

1.原告係於2007129提出醫療過失之民事索賠請求。

 

2.就初步之醫療責任判定,被告具有自認疏失或過失

 

然本件爭議之爭點,仍在於『醫療責任』與『(原告)損失之判定』。

 

The issue of LiabilityDamages to be Assessed

 

 

 

判決原文略載:

 

On 29 January 2007 the claimant issued a claim for damages for personal injury and consequential loss alleging that the surgery had been carried out negligently. Shortly before the date fixed for trial of the issue of liability, liability was admitted; and on 22 May 2009 judgment was entered for damages to be assessed.

 

 

 

(二)初步醫療責任分析2

 

1.原告因本件醫療行為所造成之損失或失能判定

 

2.損害及失能初步判定內涵:

 

該過失之醫療手術行為,造成原告於『生理與心理上』之重大障害

 

其影響及於原告之身體和心理層面

 

3.失能與損害評估:

 

其生理與身體上產生或造成『永久性損壞It caused Permanent Damage)』,

 

並且致使原告產生『自發性異常之面部活動(Resulting in an Abnormal Spontaneous Facial Movement)』(註:顏面神經失調症狀)。

 

4.原告產生心因性焦慮與抑鬱症狀

 

導因於此種手術失敗之物理上缺陷,原告並產生『長時間之適應障礙症狀,以及心因性之功能上焦慮與抑鬱症狀』。

 

The physical injuries have resulted in a prolonged adjustment disorder with features of anxiety and depression.

 

 

 

判決原文略載:(後述具有失能及生理損害狀況之整體記載與評估)

 

The negligent surgery has had serious consequences both physical and psychological. It caused permanent damage to the claimant’s right facial nerve, resulting in an abnormal spontaneous facial movement, known as jactitation, which presents as an abnormal grimace, and is exacerbated by fatigue or stress. As a result of the surgery to her breasts, her left breast is now higher than the right, and is an odd shape with unsightly lumpy scarring. The physical injuries have resulted in a prolonged adjustment disorder with features of anxiety and depression.

 

 

 

◎兔寶寶律師簡評:

 

由以上之資料顯示,本件醫療之整形手術,縱然經事前之諮詢、評估與風險告知等程序,然而,仍得以茲判定本件醫療過失或疏失,所造成原告生理上之永久性損害(包含失能),並造成原告心理上產生焦慮與抑鬱症狀

 

(待續)

 

 

帝謙法律事務所官方網站   :http://www.dclaw.tw
高雄律師-楊岡儒律師網站1:http://www.lawfirm.com.tw
高雄律師-楊岡儒律師網站2:http://www.lawoffice.com.tw




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