Field v Nominal Defendant (Queensland) [1992] QSC 28 [1992] 2 Qd R 288
IN THE SUPREME COURT
OF QUEENSLAND
No. 1011
of
1991
Before
Mr.
Justice
G.N.
Williams
BETWEEN:
DAVID FIELD
First Plaintiff
SHIRLEY
ANN
FIELD
' )
Second
Plaintiff
THE
NOMINAL DEFENDANT (QUEENSLAND)
Defendant
JUDGMENT
-
G.N.
WILLIAMS
J.
Delivered the
21
day
of
February,
1992.
CATCHWORDS:
/ '\
~
Damages
-
male
51
at
accident
-
head
injury
with mild
diffuse
brain
damage
-
reactive psychiatric
illness
superimposed
-
minor
orthopaedic
injuries
-
total
award
$206,467.50.
Counsel:
Mr.
Myers
for
Plaintiff.
Mr.
J.
Barbeler
for
Defendant.
Solicitors:
Mcinnes
Wilson
&
Jensen
for
Plaintiff.
Phillips
Fox
for
Defendant.
Hearing
date:
6th, 7th
and
10th February,
1992
-- 1 of 24 --
IN THE SUPREME COURT
OF QUEENSLAND
No. 1011
of
1991
BETWEEN:
DAVID FIELD
First Plaintiff
SHIRLEY
ANN
FIELD
Second
Plaintiff
THE NOMINAL DEFENDANT (QUEENSLAND)
Defendant
I )
JUDGMENT
-
G.N.
WILLIAMS
J.
Delivered
the
day
of
February,
1992.
At
the
outset of the
trial
I
was
informed
that
the action
brought
by
the
second
plaintiff
had been
compromised
and
that
there
was
no need
for
me
to
make
any
orders
relating to
that
matter
save with
respect to costs.
So
far
as
the claim
of the
first
plaintiff is
concerned
the
defendant admitted
liability
and
only
the question
of
quantum
of
damages
falls
for
determination. Further,
counsel
for the
defendant
informed
me
that
he
would
not
argue
that in
the
circumstances
of
this
case
s.
20
of
the
Motor
Vehicles Insurance
Act
1936
(as
amended)
operated
so
as
to
reduce
the
quantum
of
damages
to
which
the
first
plaintiff
might
otherwise
be
entitled.
Some
further
concessions
were
made
by
the
defendant
during
the
trial
and
it
is
convenient
to
note
them
here.
It
was
admitted
that
the
first
plaintiff
had
incurred
special
damages
-- 2 of 24 --
2
totalling $2,300.00.
It
was
further admitted that the
Gold Coast
Hospital
was
claiming that the
first plaintiff
was
liable to
pay
to
it
the
sum
of $2,700.00.
The
defendant conceded
that
if
that
claim
was
validated
by
the Public Hospitals (Third Party
Patients) Validation of
Fees and Charges Act
1991
then
it
was
liable to the
first
plaintiff
in that
sum;
but counsel for the
defendant submitted
that
the
Act
did not
in the circumstances of
this
case
validate that
charge.
Finally
it
should
be
recorded
that
it
was
agreed
that
if
I
should allow
the
first
plaintiff
damages
under
the
Griffiths
v.
Kerkemeyer
principle
with
respect to services
rendered
by
his
wife then
such assessment should
be on
the basis of
$9.00
per
hour
for
such
services.
There
is
no
doubt
that
the
plaintiff
received
some
personal
injuries
when
he
was
knocked
down
whilst
on
a
pedestrian crossing
at
Southport
on
the
evening
of
16th
May,
1989.
He
was
conveyed
from
that
scene
to
the
Southport Hospital
where he remained an
in-patient
until
25th
May,
1989.
The
plaintiff
was
born
in
the
United
Kingdom
on
15th
August,
1938
and
emigrated
to Australia
in
1965.
He
had
served
an
apprenticeship as
a
toolmaker
and worked
for
a
number
of
companies
in
various
parts
of Australia primarily
as
a
toolmaker
or
as
a
fitter
and
turner.
He
seems
to
have had
regular
employment from 1965
to
the
end
of
1987;
indeed
for
the
last
13
years of
that
period
he
had been
employed
as
a
fitter
by
Hammersley
Iron.
He
left
that
firm
in
December 1987
when
he
voluntarily
accepted
a
redundancy
package
offered
to
employees.
Because
of
his
years
of service
he
received
approximately
0
0
0
0
~---~
~--~~------~--~-~
~~~~~~~~--~-
-- 3 of 24 --
3
$90,000.00 on termination. He and his wife then toured
Australia, travell·ing slowly from the north-west of Western
Australia until they reached the northern rivers area of New
South Wales. They decided to settle in Alstonville; the
plaintiffs bought a house there in about July 1988. The first
plaintiff looked for work in that area but was unable to find
anything suitable. He said in evidence that it was "destroying
me not having a job" and in consequence he responded to an
advertisement he saw in the Commonwealth Employment Service
office at Mermaid Beach with John Wilson Engineering on the Gold
Coast. He started work with that firm in about November 1988.
Initially he was employed on a casual basis because, as Wilson
put it, he had not worked with small engines. But he adapted
well; Wilson could not fault his work and prior to the accident
had made the position permanent. The plaintiff's commencing
salary was $335.00 per week net.
As a result of the accident the plaintiff sustained
orthopaedic injuries and a head injury to at least some extent.
The major issue at the trial was whether or not the plaintiff had
sustained as a result of the head injury brain damage which was
causing ongoing problems, or whether the underlying cause of his
present condition was depression or other psychological illness
precipitated by the accident. The plaintiff has been unable to
resume full-time employment since the accident and his case was
that he was now, and would remain, totally unemployable. If
brain damage was a cause of the plaintiff's inability to resume
employment then it was not seriously contested that his future
employment prospects were bleak; however, if his problems were
-- 4 of 24 --
4
mainly psychological
it
was
submitted that after appropriate
treatment he would be
able to return to the workforce. Those
are
the
critical
matters for
my
decision, but
it
is
convenient to
deal
firstly
with the orthopaedic injuries
because they
were
not
the subject of as
much
dispute.
Not
surprisingly the
plaintiff
received
numerous
soft tissue
injuries, particularly to his
neck and
left
leg.
Relevantly,
when examined
at
the
hospital
on
admission,
he complained
of
pain
in the
left
shoulder, the
neck, and
in the
left
leg.
X-rays
of
those areas revealed
no
fractures;
degenerative
changes
were
noted
at
the
AC
joint
of the
left
shoulder.
On a
C.T.
scan
of
the cervical
spine degenerative
changes
were
noted with
prominent
osteophyte formation
at
CS-6.
The
hospital records reveal
that
the pain
in
those areas
continued throughout
his stay in
hospital,
and he
received various treatments with
a
view
to
alleviating that
pain.
It
should
also
be
noted
that
an
x-ray
of the
plaintiff's
right
foot taken
whilst in hospital
showed
"no
definite
fracture
line"
in the
phalanges
of
the
big toe,
however
there
were
0
0
0
"degenerative
changes
in
the interphalangeal
joint".
Q
At
the request of the
plaintiff's
solicitors
Dr.
D. Morgan,
an
orthopaedic surgeon,
examined
the
plaintiff
on
12th
September,
1990
for
medico-legal purposes.
Dr.
Morgan' s
report
was
tendered
by
consent
and he
was
not
called
to
give
oral
evidence.
It
seems
clear that
he
did
not
have
the
advantage
of
perusing the
hospital
records,
and
he
appears
to
have
substantially
accepted the
plaintiff's
statement as
to
the
injuries
he
sustained
in
the
accident.
For
example, Dr.
Morgan
records
that,
inter alia,
the
-- 5 of 24 --
( \
\
( )
5
plaintiff sustained a fracture of his right hallux. Dr. Morgan
had x-rays taken which appear to be substantially consistent with
those taken at the Southport Hospital.
Dr. Morgan concluded that the symptoms referrable to the
cervical spine were typical of degenerative arthrosis which was
longstanding and would "most certainly have pre-dated the road
traffic accident". But in his opinion there had been some
exacerbation of that pre-existent disease which would be
"temporary". In his view the plaintiff 1 s long term prognosis was
not affected by the accident. Again the doctor expressed the
view that the plaintiff 1 s symptoms referrable to his lower lumbar
spine were typical of a discogenic anomaly which pre-dated the
accident; he expressed the opinion that there was some temporary
exacerbation of that pre-existing condition which would be of no
significance in the long term.
The doctor then went on: "The radiographs of the left knee
confirm some early minor degenerative disease which may also have
pre-dated this accident. He has no currently measurable
functional disability, and is unlikely to develop any disability
~ which could be causally related to this incident."
On the assumption that the plaintiff sustained a fracture
of the right hallux in the accident the doctor considered that
such could be responsible for the degenerative changes to that
area noted on the x-rays. Based on that the doctor assessed that
there was a two per cent loss of normal function in the left
lower limb. Given the degenerative changes in that area noted
on admission to hospital, I do not accept Dr. Morgan 1 s view;
indeed it must be said that in all probability the doctor would
-- 6 of 24 --
6
have
also reached that conclusion
if
he had the benefit of
considering the
earlier x-ray.
So
far
as the
left
ankle
is
concerned Dr. Morgan
concluded
that the
plaintiff
had no
functional
disability,
and was
unlikely
to
develop
any which could be
causally related to the accident.
He
was
also
unable
to explain the infrequent
symptoms
complained
of in the region of the
right wrist joint.
With
the
qualifications
I
have
made I
accept
and
rely
on
the
opinion
of
Dr. Morgan.
In
my
view
there
is
no
real
inconsistency
between what
he
said
and
the
opinion
of
Dr. Anderson,
the
orthopaedic
specialist
who
examined
the
plaintiff at
the
defendant's request.
Dr. Anderson assumed
some
specific injury
to the big toe
in
the accident, but
concl~ded
that
it
did not
basically interfere
with
normal
activities.
However,
he
is
of
the
view
that
there
may
well
be
some
ligamentous
strain
still
persisting in the
region
of the
neck which
is
exacerbating the
pre-existing
degenerative condition.
More
significantly
Dr. Anderson
expressed the
view
in oral
evidence
that
the
pre-existing
degeneration
in
the
plaintiff's
cervical
spine
was
such
that
his
ability
to
work
would
be
diminished
by
age
60.
I
accept
and
act
upon
Dr.
Anderson'
s
opinion
that,
disregarding the
accident
and
its
consequences,
the
plaintiff's
ability
to
work
would be
reduced
by
age
60;
but
that
he
nevertheless
would
have
some
residual
working
capacity
until
at least
age 65.
I now
turn to
the
more
controversial
question,
namely
whether
or
not
the
plaintiff
suffered
brain
damage
as
a
result
of
the accident.
0
0
0
0
-- 7 of 24 --
7
Before considering the medical opinions
it is desirable that
I
refer to
some
of the evidence relevant to this issue
and make
findings thereon.
I am
satisfied that there
was
quite
a
distinct
and dramatic change
in the
plaintiff
brought about
by
the
accident
and
his period of hospitalisation.
He
returned to
work
in
about July
1989,
but
was
virtually
dismissed
after
being back
for
only
a
few
weeks. Wilson
said that
when
the
plaintiff
returned to
work he
was
"very slow
compared
with
what he
wa~
)
before the accident".
He
explained the position as follows:
__
)
"Well,
a
job
that
would
take
an
hour, he would
take
two
to five
hours
quite easily.
If
his concentration
was
broken,
like
if
we
had morning
tea or
he
went
to
the
toilet,
he would
quite often
come
back
and he
didn't
know
what
his
job
was, he
would
have
to
come
and
ask
somebody
to sort
of put
him
back on what he
was
doing.
In
the
last
week
he
was
there
I
gave
him
a
job
which
normally took
two
hours
and he
took
ten
hours
to
do
the
same
job.
So,
we
sat
down
that
night
and had
a
talk
and
realised that
he
just-
he
couldn't
stay,
I
couldn't afford to
keep
him, and he
came
-
he
came
to
me
with
the
same
sort
of
solution."
Wilson
also
stated
that
on
his return
the
plaintiff
was
put
on
\
( )
"light
duties";
he
was
not
given
any
"large
jobs
to
do".
Under
cross-examination
Wilson used
the
term
"definitely" to
describe
the
plaintiff's
"memory
problems".
\
The
plaintiff's
wife
gave
evidence as
to
changes
in his
personality since the accident.
In
my
assessment
of
her
Mrs.
Field did
not exaggerate
in
describing
the
plaintiff's.
condition,
and
I
generally
accept her
evidence.
The
plaintiff
himself
also
touched
on
such
matters
during
his
evidence
and
I
formed
the
view
that
he
was
aware
of
his defective
memory
but
could
do
nothing about
it;
his insight into his
disability
made
him
angry
and
depressed.
Generally
I
regarded
the
plaintiff
as
an
honest witness
when
dealing
with
such
matters.
-- 8 of 24 --
8
It
follows'that
I
accept that
from
the time of the accident
there
has been a marked change
in the
plaintiff's
personality;
there
have been
significant behavioural changes present since
that
time.
He
is
generally slower
in
all
that
he does, and he
has
significant difficulties
with
his
memory. He
forgets things
easily
and becomes
angry and
frustrated
when
he
becomes aware
of
memory
loss.
He
is
much more
irritable
now,
and he has
a
decreased
frustration
tolerance.
Those
matters are putting
a
grave
strain
on
the marriage
and,
as
Mrs.
Field in particular
conceded,
the future of the
marriage
is
extremely
doubtful.
I
accept
that
those
changes were
manifest very
shortly
after
the accident.
There
was a
strong suggestion
in
the case
for
the
defendant
at
trial
that
such changes
in personality
only
became
manifest
after
the
plaintiff
had
lost
his
job
and begun
to
experience
economic
difficulties.
It
was
also
suggested
that
his
depression
was a
significant
cause
of the behavioural
changes
being,
at least
in
part,
the
result
of
his
becoming aware
of
the
opinion
of
certain
persons
that
he had
suffered brain
damage
in
the accident.
0
0
0
Essentially
I
reject
those
suggestions
raised
by
the
Q
defence.
They
are,
in
my
view,
inconsistent
with
the
evidence
that
the
plaintiff
voluntarily
returned
to
work
in
July
1989 and
Wilson's
evidence
as
to
the
plaintiff's
then
total inability
to
perform
to his
pre-accident standard.
There
may
be
some
truth
in
the
suggestion
of
counsel
for the
defendant
that
the
plaintiff
returned
to
work
too
soon,
but
that
does
not
alter
the
overall
picture
created
by
the
evidence.
It
is
significant that
it
was
only
after
the
plaintiff
experienced
great
difficulty
at
work
-- 9 of 24 --
9
(indeed it may well have been after his employment was
terminated) that he first consulted Mrs. Gordon, the
neuro-psychologist (on 14th August, 1989); she was the first (on
the evidence) to express the view that the plaintiff was brain
damaged.
The defence made much of the fact that fairly regularly
until the time of trial the plaintiff flew ultra-light aircraft.
Apparently about once a month he takes such an aircraft up for
) a few circuits and then lands it. Generally he is not in the air
( )
I
\
for more than a few minutes at a time. It may well be, as
Dr. Toakley suggested, that the plaintiff is "mad" to do so given
his overall condition - whether there be actual brain damage or
merely psychiatric illness. But the fact that the plaintiff has
been able to do that does not, in my view, disprove his claim
that there is some brain damage present. I do not find that Dr.
Cameron's evidence goes so far as to say that a person with some
mild diffuse brain damage could not physically fly an ultra-light
aircraft; that it may be unwise or unsafe for him to do so given
his condition (whatever the real cause be) is beside the point.
I turn now to the medical evidence. One of the matters
which produced a conflict in the medical evidence was the
question whether or not the plaintiff sustained a fracture to the
base of his skull. There is reference throughout the hospital
records to "probable base of skull fracture" and it is clear that
for much of the time he was an in-patient the plaintiff was under
neurological observation for head injury. The x-ray taken at the
hospital on 16th May was reported on as follows: "The lateral
film was taken brow up and demonstrated a [thenoid] sinus fluid
-- 10 of 24 --
10
level.
This indicates
a
base of skull fracture.
No
vault
fracture
shown. "
In the
typewr·i
tten x-ray report
which forms
part of the hospital records the
word
"thenoid" appears to
be
crossed out and
a
word,
probably "sphenoid",
written in.
Indeed
to the best of
my
researches there
is
no such
thing as
a
"thenoid
sinus" but
there
is
a
"sphenoid
sinus".
The
probability of the
latter
being
correct
is
confirmed
by
the doctor's notation
on
the
"Brief In-patient
Admission
Summary"
which
says
of
the
skull
x-ray:
"Probable base
of skull fracture
with sphenoid
sinus
fluid level."
In his
oral
evidence,
and
in his
recounting
his history to
various doctors, the
plaintiff
referred to the
fact that
whilst
in hospital
he
had
some
"bleeding"
from
his
nose;
one
such
instance
was when
he
was
in
the
shower
with
warm
water
flowing
over
his
head.
Based on
all
the
available
evidence
Dr.
Toakley,
a
very
experienced neuro-surgeon, expressed
the opinion
that
the
plaintiff
had
in fact
sustained
a
fracture
of the
base
of the
skull.
He
stated
quite categorically
in oral
evidence
that fluid
(presumably
cerebral fluid)
only
gets
into
the
sphenoid
sinus
if
there
is
a
fracture
of
the base
of the
skull.
He
conceded
that
with
many
fractures to that
area
the sense
of
smell
is
lost
but
in
his
view
there
could
be
such
a
fracture resulting
in fluid
collecting in
the
sphenoid
sinus
without
of necessity
the
sense
of
smell
being
lost.
The
plaintiff's
sense
of
smell
is
in
fact
intact.
Or.
Toakley
considered
that
the
"nose
bleed"
whilst
under
the
shower
was
of
some
significance.
There
was
no
direct
0
0
0
0
~~-~-
---
-- 11 of 24 --
1 1
injury to the nose which would explain that occurrence. Under
cross-examination he said this:
"Q. Earlier you said that it was significant that
there had been what was described as a nose bleed
while in the shower?- A. Yes.
Q. What is the significance of that in relation to
the fluid in the sinus?- A. If they have a crack at
the base of the skull it bleeds down into the nose.
If after a period of time the clotting of the vessels
there break and the fluid, they then bleed and blood
comes out of the blue as it did in his case in the
wheelchair.
Q. The warm water from the shower could have
precipitated it?- A. Suddenly bleed. If he had a
damage to his nose he would have had a bleeding nose
at the start not later on. Tend to make me feel
he has a fracture in the floor of his skull in the
front somewhere."
There was some evidence that after moving to Alstonville,
but before the accident, the plaintiff had suffered an allergic
reaction to pollen in the region and had experienced what could
broadly be described as some sinus problems. Dr. Toakley was
asked under cross-examination whether that could provide an
/ )
\ / explanation for the fluid evident on the x-ray and he conceded
\
that it was a "remote possibility". In the doctor's opinion if
such was the cause of the presence of the fluid there would have
been fluid showing up in other sinuses as well - that is, the
fluid would not have been limited to the sphenoid sinus.
It was submitted on behalf of the defendant that
Dr. Toakley's evidence was inconsistent with that given by
Dr. Weidmann, a neuro-surgeon, and Dr. Cameron, a neurologist.
It is therefore necessary to refer to their evidence.
Dr. Weidmann spoke of the hospital records indicating there
was no definite diagnosis of skull fracture. He referred to the
fact that x-rays showed "there was some fluid within one of the
-- 12 of 24 --
12
nasal sinuses" and went on
to state that
such could occur
after
a
skull fracture.
He
then said that
such a
condition could occur
for
many
other reasons, such as nasal allergies.
In
my
view
it
is significant that
Dr.
Weidmann
did not specifically advert to
the fact that
the Southport Hospital records, including the
x-ray, indicated that there
was
fluid in the
sphenoid
sinus
and
in that sinus only.
His evidence
is
therefore not as precise as
Dr.
Toakley's
on
the point
and
I
do
not regard
it
as necessarily
inconsistent
with the
more
detailed
opinion expressed
by
c=)
Dr. Toakley.
In
his written report
Dr.
Cameron
observes
that
the
Gold
Coast
Hospital records
"state
his
head
injury
was
minor and
there
was a
query
base
of
skull fracture".
He
went on
to
express the
opinion
that
there
was
"only
a
possibility
he
suffered
a
skull
fracture".
In
oral
evidence
his attention
was
directed to
the
hospital
records
and
he
stated "there
was
mention
there
he had
some
blood
in his
ethmoid
sinus
on
his skull
x-ray
on
admission
to hospital".
He
then
went on
to
say:
"People
are
implying
from
that that
he
may
have had
a
fractured
skull.
He
may
have.
The
sense
of
smell
-
the
olfactory
nerve
sits
very
close
to that
region
and
is
usually
damaged
in
a
fracture to
that
site.
The
sense
of
smell
was
normal.
Taste
was
normal,
which
also
can
be
impaired
in
a
fracture to
the
base
of the
skull.
Also
the hearing
can
be
impaired
in
one
ear
through
a
fracture to
the base
of
the
skull."
It
is difficult
if
not impossible
to
evaluate
that
evidence
because
of
Dr.
Cameron' s
reference
to
the
"ethmoid
sinus".
There
is
such
a
sinus
but
it
is
not
the sinus
referred
to
in
the
hospital
records.
Perhaps
the
doctor's
confusion
arose
from
the
use
of the
word
"thenoid"
in
the typewritten x-ray
report;
but
I
have
already
dealt
with
that.
It
may
be
that
a
fracture to
the
0
0
0
-- 13 of 24 --
13
base of the skull admitting fluid to the sphenoid sinus
would be
less likely to affect the vi
tal
nerves referred to
by Dr. Cameron
than
a
fracture so located as to permit
fluid to enter only the
ethmoid
sinus.
Such
issues
were
not canvassed with the doctors
and
therefore
it
is
extremely
difficult
to evaluate the
respective opinions.
But
it
can be
said that
Dr.
Toakley'
s
evidence
is
more
specific
and
accurately
based
on
the contents
of the
hospital report.
Further,
it
is
true that
Dr.
Cameron
did not place
any
significance
at
all
on
the
"nose bleed"
incident.
He
correctly
pointed out
that
the hospital
records did not
refer to
the
incident; but
in
the
circumstances
I
accept the
plaintiff's
evidence
that
such
did
occur.
It
is
in
those circumstances
that
I
must
make
a
finding as
to
whether
or
not the
plaintiff
suffered
a
fracture of the
base
of his skull in
the accident.
I
have
carefully
considered
all
, \
of the
evidence given
by
the various doctors
on
this
point,
and
l )
I
have
taken
into
consideration the matters
to
which
I
have
specifically referred in
these reasons.
But
at
the
end
of
the
\
day
I
have
come
to
the conclusion
that
the
evidence
of
Dr.
Toakley
is
preferable
and
I
accept
and
act
on
it.
I
therefore find
that
the
plaintiff
did
suffer
a
fracture to
the
base
of
his skull
in
the accident.
It
therefore
follows,
to
use
the
medical terminology,
that
the
plaintiff
suffered
"an
open head
injury".
As
Dr.
Toakley
pointed
out,
with
an open head
injury the
period
of
amnesia
may
be
short
and
the
level
of
unconsciousness only
slight,
yet
the
person
will suffer
brain
damage.
I
take
him
to
be
saying
that
-- 14 of 24 --
14
the duration of amnesia and
level of consciousness are
more
relevant in considering the extent of
a
closed head
injury than
an open head
injury
such as
was
sustained
by
the
plaintiff
here.
Much
of the time
at
the
trial
was
taken
up
with the question
.
whether
or not the testing
by
the neuro-psychologists
( Gordon and
Field) independently
established
the existence of brain
damage,
particularly frontal
lobe
or
temporal lobe dysfunction.
It
seems
to
me
that
Drs. Toakley,
Cameron, and Weidmann
are in
agreement
that, in
the absence
of other
evidence, such
testing
could not
establish
the existence of brain
damage. But
I
accept the
evidence
of
Dr. Toakley
that
such
testing
may
tend
to
confirm
a
provisional diagnosis of brain
damage
based
on
clinical
observations. In the
circumstances the opinions
of the witnesses
Gordon and
Field
do
not
carry
any
independent weight;
my
findings
are
not
based
in
any
way
on
the
opinions
each has
expressed save
to
the extent
that
Dr.
Toakley found
that testing to
be
confirmatory
of his
diagnosis.
Therefore
I
have
come
to
the
conclusion,
primarily
based
on
the
evidence
of
Dr.
Toakley,
that
the
plaintiff
suffered
a
fracture
of
the
base
of his skull
with
some
concussion
which
has,
on
the
balance
of probability,
occasioned
some
relatively
minor
bFain
damage
which
is
still
interfering
with
the
plaintiff's
ability
to concentrate
and
think properly.
I
further
find
that
the brain
damage
is
of
relatively
minor
extent,
and
that
it
is
not possible
to localise
it
to
any
particular part
of the
brain.
To
the extent
that
the
brain
damage
affects
memory
and
concentration
there
may
be
some
slight
improvement
in
the
future,
()
0
0
0
-- 15 of 24 --
'\ ' ,, /
\
15
but the probability is that the present condition will remain
permanent.
So that there is no confusion as to my findings I will
expressly state that I am not satisfied on the evidence that the
plaintiff is suffering from either frontal lobe or temporal lobe
dysfunction. I accept the medical evidence which is to the
effect that the plaintiff does not present with the usual indicia
of a person with frontal lobe damage.
But equally I am satisfied that superimposed on that injury
to the brain is a marked psychiatric illness. As time has gone
by the plaintiff has become anxious, angry, frustrated and
depressed and he now has a significant psychiatric illness. His
claim for damages has been brought to trial very quickly (it is
still less than three years from the date of the accident), yet
the pending litigation has been an aggravating factor. In my
view the psychiatrists, particularly Dr. James and Dr. Petroff,
have observed the symptoms of psychiatric illness and have not
fully appreciated the extent to which there has been some
underlying brain damage. But I accept the view of the
psychiatrists that with the resolution of the litigation, and
with appropriate psychiatric treatment and management, the
plaintiff's condition will improve to considerable overall
extent. However the plaintiff will, in consequence of the brain
damage, suffer from impaired concentration and impaired memory,
at least to some extent, for the rest of his life.
Given the findings I have made to date I am of the view that
the plaintiff has been totally unemployable from the accident to
the date of trial. The critical question becomes whether or not,
-- 16 of 24 --
16
with appropriate psychiatric treatment, he has any
residual
earning capacity.
I
accept
Dr. Anderson's evidence as to the probable
consequence
of the natural progression of the degenerative
disease to the
plaintiff's
cervical
.
spine,
namely
that his
ability to
work would
thereby
be
significantly
reduced
by age 60.
But
that
condition alone
would
not
have
made
the
plaintiff
totally
unemployable by
that
age.
It
seems
to
me
that
even
now
the
plaintiff
has
a
limited
I
()
residual
earning capacity,
though
it
is difficult
for
him
to
find
a
sui table
job given
the current
economic
climate.
He
is
working
on
a
voluntary
basis
at
the present
time and
that in
itself
Q
demonstrates
a
capacity
to
work.
That
position will,
on
the
balance of
probabilities,
improve
to
some
extent
with the
resolution of the
litigation
and
successful
psychiatric
treatment
for his
depression.
Some
discounting
must
also
be
made
for the
fact that
the
0
plaintiff
was
in
what
could
be
described as
"pre-retirement
mode"
at
the
time
of
the accident.
He
had
accepted
the
redundancy
package
and
moved
east
with
a
view
to
retirement.
At
age
51
he
c=>
was
neither
mentally nor
economically
motivated
to
cease
work
entirely,
but
he
was
certainly
looking
toward
a
more
leisurely
lifestyle
then
he had been accustomed
to in
the
past.
Particularly
bearing
in
mind
Dr.
Anderson's
evidence,
there
was
a
real
probability
he
would
have been
looking
for retirement,
at
least
substantially,
by
age
60.
In
any
event
he
will
on
the
balance
of
probability
not
be
employable
until
his
depression
has responded
to
some
extent to
-- 17 of 24 --
17
treatment and then (assuming he can find
a
job) his earning
capacity will
be
less
than
it
was
prior to the accident.
It is difficult to quantify the extent of the reduction in
the
plaintiff's
future earning capacity insofar as
that
may
be
productive of
economic
loss, but doing
the best
I
can
on
the
evidence (and
taking into
account
all
relevant discounting
factors)
I
find
that
the proper
measure
of
that loss
is
two-thirds of his pre-accident earning capacity for the next ten
years.
I
mentioned above
that
counsel
for the
defendant argued
that
the
plaintiff
was
not
liable to
pay
the
$2,700.00
demanded by
the
Gold
Coast
Hospital.
It
can be
assumed
that
but
for the passing
of
the Public Hospitals
(Third Party
Patients)
Validation of
Fees
and
Charges Act
1991
the
plaintiff
would
not
have
been caught
by
the
definition of "third
party
patient" in the relevant
Regulations
and
that
the Hospital
would
not
have been
legally
v
entitled to
recover the
sum
in
question.
The
Act
operates
from
\
18th
July,
1991
and
by
s.
4(1)
it
is
declared
that
a
Hospital's
Board
"always
had
the
power
to
impose
fees
and
charges
. . .
in
~
respect of
third
party
patients"
as defined
in
the
1991
Regulations notwithstanding the
earlier
definitions.
It
is
clear
that
the
plaintiff is
a
"third
party patient"
within the
definition in
the
1991
Regulations;
indeed
the contrary
was
not
argued.
The
only
argument
addressed
to
me
was
based
on
s.
4(3)
which
is
in
the
following terms:
"Sub-section
(1) does
not
affect-
(a)
a
decision of
a
court
before
the
commencement
of
this
Act
in
relation
to
the
liability
of
a
third
party
patient to
pay
the fees
and
charges
mentioned
in
sub-section (1);
or
-- 18 of 24 --
18
(b) a
decision of
a
court after that
commencement
in
relation to
such a
liability if
the
liability
was
in issue before the court at that
commencement."
Clearly the present situation is
not caught by
para. (a);
my
decision,
which
will
be
the only relevant decision,
comes
after
the
commencement
of the
Act.
But
it
was
submitted
that,
as the
proceedings
were
commenced on 20th
November, 1990 and
the
Statement of
Loss and
Damage
which
referred to these charges
was
delivered in April
1991,
the
liability
of
the
plaintiff
to
pay
the
charges
demanded was
in issue
before
the court as
at
the date
of the
commencement
of the
Act
-
if
only because
the
quantum
of
damages,
including
that
sum, was
then
generally in issue.
The
question
is
really
one
of statutory construction
and,
c=)
in
my
view,
involves
a
consideration
of sub-s.
3
as
a
proviso
to
the
essential
provision of the
legislation,
namely
s.
4(1).
I
have
come
to
the conclusion
that
the defendant's
argument
cannot
be
sustained.
The
"mischief"
to
which
the
Act
was
directed
was
brought
to
light
by Kneipp
J.
in
Smith
v.
Day
(unreported,
0No. 122
of
1989)
and Janke v.
White
& F .A.
I.
(unreported,
No. 299
of
1989,
judgment
delivered
25th
March,
1991) and
some
decisions
of
District
Court Judges
to similar effect.
At
the
time
the
C)
validating legislation
was
introduced
and
passed
there
were
a
number
of
reserved
decisions
in
both
the
Supreme
and
District
Courts
in
which
the point
had been
taken.
If
those reserved
judgments
were
not
excepted
from
the operation
of
the
legislation
it
would have
created
significant
consequences so
far
as
offers
to
settle
made by
either
side
were
concerned. There
was
thus
very
good
reason,
indeed
it
was
manifestly
just,
for
the
legislature
to
exempt from
the
operation
of
the
retrospective
-- 19 of 24 --
19
legislation those cases which had
either
been decided or argued
with
judgment·
reserved prior to the date of
commencement.
Sub-section
(3)
clearly
covers those
situations,
and
the
operation of the exception should not be extended
beyond them;
there
is
nothing in the
wording
of the sub-section
which
necessitates
it
being given
a
wider scope
of operation.
It
is,
in
my
view,
of significance that
the date of
commencement was
some two months
prior to
the date of assent.
Given
the drafting
( 1
of the
whole
of
s.
4
the
legislation
does
not indicate
an
intention that
all
instances
where
litigation
had been formally
commenced
should
be
excepted
from
the
consequences
of the
retrospectivity of
the
legislation;
indeed,
in
my
view, such
a
construction of para.
(b)
would be
contrary to the general
intent
evidenced
by
s.
4(1).
It
follows
that in
my
view
this
case
is
not
caught
by
the
exception
found
ins.
4(3)(b) of the
Act,
and
the
consequence
of
that
is
that
the
plaintiff is
liable
to
pay
the charges
demanded.
Once
that
stage
is
reached
there
is
no
doubt
that
the
plaintiff
is
entitled
to
recover
the
$2,700.00
from
the defendant as
part
\ J
of special
damages.
The
first
head
under
which
damages
must
be
assessed
is
that
for
pain
and
suffering
and
loss
of amenities.
The
plaintiff
was
aged
nearly
51
at
the
date of
the
accident
and
is
now
aged 53.
He
had
reached
the stage in
life
immediately
before the accident
when
he
was commencing
to
"wind
down"
towards
retirement.
He
was
looking
forward
to
spending time
with
his
wife
in
the area of
northern
New
South
Wales
they
had
chosen
for
their
retirement
years.
The
change
in personality
has
been
significant
and
has
-- 20 of 24 --
----- ----
20
caused the plaintiff
a
great deal of distress.
His lack of
memory and
inability to concentrate has to
marked
extent affected
his capacity to
enjoy
life,
though
it
must be remembered
that
he
still
flies ultra-light aircraft for recreation.
There
will
always be some
residual brain
damage
present for the
rest of theplaintiff's life
and
that
cannot be ignored
when
evaluating
damages
under
this
head.
I
also
allow for the orthopaedic
injuries
though,
for the reasons given
above,
they
do
not
call
for
any
great
award.
I was
referred to
a number
of decisions
where an
assessment
had been
made
under
this
head
for
a
brain
damaged
person, but
I do
not find
any
of the decisions
citedstrictly
comparable. Taking
everything
I
have
said in these
reasons
into
account
I
assess
damages
for
pain
and
suffering
and
loss
of amenities
in
the
sum
of
$40,000.00.
It
was
agreed
that
I
should allow
interest at
the
rate of
two
per cent per
annum
for
a
period
of
2.5 years
on
a
portion
of
the
damages
awarded
under
that
head.
I
allow
interest
on
one-half of the
sum
awarded.
I
therefore
include
interest
of
$1,000.00
in the
assessment.
The
evidence placed
before
me
(particularly
exs.
24
and
16)
establishes
a
net loss to
date
of
trial
of
$46,190.00,
on
the
assumption
that
the
plaintiff
would
have
continued
working
with
Wilson
throughout
that
period but
for
the accident.
On
the
balance of
probability
I
find
that
he
would have done
so.
He
was
competent
at
the
work,
enjoyed
it,
and
apparently
had
a
good
relationship
with
Wilson
prior
to
the accident.
The
job
would
clearly
have
been
available to
him
throughout
the period
if
he
wished
to
work,
and
I
find
that
he ·would have done
so.
I
0
0
0
-- 21 of 24 --
21
therefore assess
economic
loss to date of trial in the
sum
of
$46,190.00.
During
that period the
plaintiff
has received $29,607.00 by
way
of invalid
pension, and
that
sum must be brought
into
account
in
determining
on what
part of the
award
for post
economic
loss
I
should allow
interest.
In the circumstances
I
allow
interest
on
the balance,
namely
$16,583.00
at
five per cent per
annum
for
a
period
of 2.5 years;
that
is
the
sum
of
$2,072.00.
For
the reasons given
above
I
allow
special
damages
in
the
full
amount
of
$5,000.00.
The
plaintiff
has
paid
$2,300.00
of
that
sum
and
I
allow
interest
on
the
amount
actually
paid
at
the
rate
of five per cent for
a
period of
2.5 years giving
a
total
of
$287.50.
I
have
already
indicated
above
that in
my
view
future
economic
loss
should be
assessed
on
the basis of
a
loss of
two-thirds
of
the
plaintiff's
pre-accident
earning capacity over
a
ten year period.
He
was
earning
$335.
00
net
per
week
immediately
prior
to the accident
and
therefore
his loss
is
measured
by
the present value
of
$223.00
per
week
for
the next
ten
years.
Using
the
five per
cent
discount
table
one
arrives
at
the
present
value
for
that loss
at
the
sum
of
$92,099.00.
Finally
I
must
address
the
plaintiff's
claim
under
the
Griffiths
v.
Kerkemeyer
head.
The
defendant
did not
seriously
challenge
a
claim
for the
first
six
weeks
after
the
plaintiff's
discharge
from
hospital
based
on
two
hours
each day.
Using
the
$9.00
per
hour agreed
rate that
gives the
amount
of
$756.00
for
that
period.
-- 22 of 24 --
--- -~---
22
In the balance of the pre-trial period the extent of the
wife's services has not been·all that great, particularly
when
one
disregards those services
which
are
an ordinary incident of
matrimonial
life.
But
particularly
because of the
plaintiff's
memory
difficulties,
and
his
anger and
frustration associated
therewith, his
wife has
had
to
perform
some
limited services over
and above
the
normal
incidents of
matrimonial
life
throughout
that
period.
It
is difficult
to quantify
what
she has
done
but
on
the
evidence
I
find that
over the
last
two
years such
services
have been
rendered
on an
average
of ten
hours per
week. Again
adopting the agreed
rate of
$9.00
per
hour
that
claim
is
quantified
at
$9,360.00.
There
are
many
uncertainties
so
far
as the future
is
concerned with
respect to the
claim
under
this
head.
As
pointed
out
above
the marriage
is
under
great
strain
and
there
is
clearly
no
certainty that
it
will
continue
for
long
into
the
future.
The
extent to
which
the
marriage
lasts
will to
a
large extent
be
dependent
upon
the
improvement
in the
plaintiff's
overall
condition
c·onsequent
upon
his
receiving treatment
for the
psychiatric
aspect of his
present condition.
If
there
is
marked
improvement
in
that
regard
the
need
for his
wife
to
perform
services
on
such
a
regular basis
will
be
significantly
diminished.
Further,
if
the
improvement
in his
condition
is
such
that
the
plaintiff
can
undertake,
and
can
find,
some
remunerative
employment
then again the
need
for
such
services
will
be
decreased.
So
far
as the
future
is
concerned, doing
the
best
I
can
on
the evidence,
I
allow
a
claim
on
the
basis of
one
hour
per
0
0
C)
0
-- 23 of 24 --
23
day
for the next three years; again using the five per cent
discount table the present value of that loss
is
$9,118.00.
The
plaintiff
claims
interest
on
the
award
for past services
under the Griffiths
v.
Kerkemeyer head
at
the
rate of
two
per
cent per
annum.
In the circumstances
it
is
reasonable
to allow
that
claim,
which
comes
to
$505.00.
My
assessment can
therefore
be summarised
as follows:
Pain
and
suffering·and loss of amenities
Past
economic
loss
Special
damages
Future
economic
loss
Griffiths
v.
Kerkemeyer
claim
Total
interest
The
first
plaintiff is
therefore
entitled
to
$
40,000.00
$
46,190.00
$
5,000.00
$
92,099.50
$
19,314.00
$
3,864.50
$206,467.50
judgment
for
$206,467.50,
and
both
plaintiffs
are
entitled
to
an
order for
costs.
-- 24 of 24 --
Official source: https://www.sclqld.org.au/caselaw/QSC/1992/028