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County Court of Victoria |
Last Updated: 20 June 2012
AT
MELBOURNE
CIVIL
DIVISION
DAMAGES AND COMPENSATION
SERIOUS INJURY
DIVISION
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JUDGE:
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WHERE HELD:
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DATE OF HEARING:
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CASE MAY BE CITED AS:
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Catchwords: ACCIDENT COMPENSATION – Accident Compensation Act 1985, s.134AB – serious injury application – injury to the lumbar spine – pain and suffering only – leave granted
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APPEARANCES:
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Counsel
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Solicitors
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For the Plaintiff
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Shine Lawyers Pty Ltd
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For the Defendant
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Hall & Wilcox
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1 This is an application brought by the plaintiff for leave pursuant to
s.134AB(16)(b) of the Accident Compensation Act (1985) (as amended) (“the
Act”) for injury suffered by him in the course of his employment with the
defendant on 22 July
2004.
2 The plaintiff seeks leave to bring proceedings
for damages in relation to pain and suffering only.
3 The plaintiff brings
this application pursuant to clause (a) of the definition of “serious
injury” to be found in s.134AB(37) of the Act.
4 There,
“serious” is defined as meaning:
“(a) permanent serious impairment or loss of a body function.”
5 The body function relied upon in this application is injury to the lumbar
spine.
6 The plaintiff relied upon four affidavits, two sworn by the
plaintiff on 17 September 2010 and 21 May 2012, and two sworn by the
plaintiff’s wife, Amanda Allan, on 1 March 2012 and 21 May 2012. The
plaintiff and Mrs Allan were cross-examined. In addition,
both parties relied
on medical reports and other material which was tendered in evidence. I have
read all the tendered material.
7 The Court must not give leave unless it is satisfied, on the balance of
probabilities, that “the injury” is a “serious
injury”
within the meaning of the definition of “serious injury” contained
in s.134AB(37) of the Act.[1]
8 In order to
succeed, the plaintiff must prove, on the balance of probabilities that:
(a) “the injury” suffered by him arose out of, or in the course of, or due to the nature of, his employment with the defendant.[2]
(b) “the injury” with its resulting impairment must be permanent, in the sense that it is likely to continue into the foreseeable future.[3]
(c) “the consequences” to the plaintiff of his impairments to the lumbar spine in relation to “pain and suffering” must be “serious” – that is, when judged by comparison with other cases in the range of possible impairments be fairly described as being more than significant or marked and as being at least very considerable.[4]
9 Consequently, the Court must consider the impairment of body function suffered
by the particular plaintiff, but the test also requires
an objective comparison
between the impairment suffered by the plaintiff and the range of possible
impairments.
10 As Ashley JA and Beach AJA said in Stijepic v One Force
Group Aust Pty Ltd:[5]
“The emphasis in s 134AB(37)(c) and (d) is upon seeing where the facts of a particular case sit in the broad spectrum of cases, remembering that this includes cases which do not end up in litigation – because, it may be supposed, the consequences are glaringly apparent one way or the other. ... .”[6]
11 In assessing the consequences:
“... the significance of what has been lost may be informed, to an extent, by what has been retained.”[7]
12 The test for “serious”, as set out in paragraphs (b) and (c) of
s.134AB(38) of the Act, is sometimes referred to as the “narrative
test”.
13 In determining the application, the Court:
(a) must make
the assessment of “serious injury” at the time the application is
heard.[8]
(b) notes that it has been observed
that the question of whether any injury satisfies the narrative test is largely
a question of
impression and value
judgment.[9]
14 Counsel for the defendant submitted that, firstly, the bulk of the medical
evidence indicates that the injury suffered by the
plaintiff was a strain or a
sprain involving aggravation of a degenerative change in his lumbar spine.
15 Secondly, that the plaintiff’s injury has resolved and the
work-related aggravation has passed and the plaintiff is left
with age-related
symptoms and symptoms which relate to a pre-existing degenerative change.
16 Thirdly, that this is a “range case”, namely that the
consequences of the plaintiff’s injury do not meet the
test of seriousness
for pain and suffering.
17 In his affidavits sworn on 10 September 2010 and 21 May 2012, the plaintiff
deposes that:
• He worked for the defendant from 1982 until
approximately 1995. In 2003, he returned to work for the defendant as a sales
manager.
• On 22 July 2004, he injured his back when he was lowering a
box of coins onto a hand trolley.
• He was unable to work the next
day and attended his local clinic. He was prescribed painkillers and advised to
see a physiotherapist
or chiropractor.
• He had a short time off work,
then returned. His wife helped him and did the heavy work such as lifting the
coin box and
doing the banking. He stopped work in September 2005 because he
had prostate surgery. He would have stopped work anyway due to
his back injury.
In November 2005, while he was off work, his job became
unavailable.
• He commenced work as a teacher in January 2006 and
currently works full-time as a teacher.
• In 2004 he had chiropractic
treatment once a month. In 2005 he increased treatment to twice a month because
of increased
back pain. He stopped chiropractic treatment because it was not
helping. He returned to chiropractic treatment and currently receives
treatment
every three weeks, which provides temporary improvement.
• He uses heat
and massage to try to relieve his symptoms. He takes Nurofen four or five times
a week and Tramadol or Mersyndol
twice per week. He has had hydrotherapy in the
past and goes swimming occasionally. He finds it relieves the pain
temporarily.
• He experiences frequent and regular discomfort and pain
in his lower back. The severity of the pain fluctuates, but he is
always in
pain. When the pain is bad, he feels it through his right buttock and down his
right leg.
• Sleeping is difficult and the pain wakes him up at night.
• He was in the Army Reserves for thirty-seven years and was very fit:
he was able to do “half-Ironman” competitions
which involved
swimming, riding and running. He can now only walk for 30 minutes, he cannot
lift much and could not ride a bike
very far.
• He can only sit in
one position for about 30 minutes. He can drive but if he drives long distances
he had to take regular
breaks.
• He used to participate in endurance
distance horse riding, but cannot do that now because of the strain on his back.
He finds
his balance has been affected. He is no longer able to participate in
marathon running, bushwalking, camping and hiking. He has
lost fitness and
conditioning and has put on weight. He feels very lethargic.
• His
wife has to do the heavy things around the house, such as cutting firewood and
mowing. Rebuilding their property after
the Black Saturday bushfires has been
difficult as he has been unable to help as much as he used to. He finds this
frustrating.
He has difficulty with tasks which involve bending, flexing,
twisting and stretching his back because of the pain. He sometimes
does things
around the house, but it takes him a long time to recover.
• He has
previously injured his right knee and right ankle. He recovered from these
injuries.
• He has previously suffered episodes of back pain. He
consulted Dr Emerson for back pain on a number of occasions between
June 1994
and December 2002.
18 In her affidavits sworn on 1 March 2012 and 21 May
2012, Mrs Amanda Allan deposes that:
• She is the wife of the
plaintiff.
• Prior to his injury the plaintiff was very fit and they
enjoyed going running together and competed in cross-country horse
riding. The
plaintiff can no longer go running or horse riding.
• They no longer
go camping and hiking together because he cannot carry a hike pack nor sleep on
the ground. When they go walking
now he is slow and cannot keep up with
her.
• They do not go out as much and the plaintiff is a lot grumpier.
The plaintiff also often gets up in the night to take
painkillers.
• She has to do the majority of the housework and nearly
everything on the farm. The plaintiff helps with minor tasks such
as washing,
putting the goats out and feeding the animals. Occasionally he drives the
tractor. Prior to the injury he was able
to help with all the tasks on the
farm.
The Plaintiff’s Evidence in Cross-examination
19 The plaintiff was cross-examined and gave the following pertinent
evidence.
• He agreed that prior to 2004 he had minor back pain which
when treated by the chiropractor resolved.
• In 2002, he retired from
the Army Reserves after thirty seven years due to age. He was the fifth fittest
in the unit.
• In 2000 he did not think his knee injury affected his
physical activity.
• His previous back pain was something he could cope
with, it was different to his current pain, which radiates down the buttock
and
at times moves down into both buttocks, but mostly down the right.
• He
described his previous back pain as minor, not severe. He only took
off-the-shelf medication.
• Between December 2002 and July 2004, he had
no problems with his back.
• Prior to his back injury in July 2004, he
ran three times a week, approximately 2.4 kilometres and was capable of running
10 kilometres easily.
• He participated in competitive endurance riding
of 80 kilometres or 160 kilometres. He thought he last participated in 1998.
He won some of the rides. He said it was an expensive sport.
• In
2002, he was horse riding in the country, 5 or 6 kilometres or more
weekly.
• Up until his injury he was riding a bike approximately 20
kilometres.
• He and his wife walked five to ten kilometres and
sometimes went hiking. Now he can only walk for 30 minutes.
• Despite
his age and injury, he fully expected to be able to participate in Ironman
activities.
• His job at Gipps TAFE involves four days of teaching and
one day preparation at a desk at home.
• He accommodates his injury by
regular breaks when he walks around. While teaching he moves around the
classroom.
• He assists his wife on the farm, with netting of the fruit
trees, feeding calves with a bottle and throwing out biscuits of
hay. He does
not work with the horses and has not ridden a horse since the injury. He does
not move hay bales.
• He sees the chiropractor when he can afford it
and has the time.
• He said one day a week he could say he was
“pretty good”. He said the pain varies, some days it
“cripples”:
it depends on the weather – if it’s hot and
sunny and he is able to get exercise, it frees up.
• He said Tramadol
dulls the pain. He takes Tramadol or Mersyndol two to three times a
week.
• He swims.
• He was asked about what Mr Xenos said in
relation to the low-back pain. He said he told the doctor exactly what was
happening
with the pain at the time he was examined. He said he has always had
pain in the left and right side but in recent times it is mainly
on the right
side.
• His sleep is disturbed by the pain: he wakes up every night and
walks around. Sometimes he goes back to sleep and on some
occasions he does
not. He gets approximately four to five hours’ sleep a night.
20 In
re-examination, the plaintiff said:
• Since July 2004, the pain extends
into both buttocks. The main focus these days is on the right
side.
• In June 1994 and 1997, he attended the chiropractor for
treatment as he had lodged WorkCover claims for injury to his back
as a result
of lifting items.
• The family participated in endurance
riding.
• He is unable to assist in building up the farming property as
he did before his injury. His wife now does the heavy work.
• He still
suffers pain.
• He undertakes home exercise using machines and walks
regularly. He exercises five to seven times a week. At work he walks
at
lunchtime and selects a U-shaped classroom which enables him to move around
while teaching.
• Amanda Allan, the plaintiff’s wife, said the plaintiff assists her
on the farm performing some of the easier tasks,
for example, feeding out. He
is able to feed the calves using a plastic milk bottle which would weigh 3 to 4
four kilograms and
the longest distance he would walk is approximately 50
metres. He would do that four times a week.
• Occasionally he will
drive the tractor while she loads and unloads firewood or
mulch.
• Occasionally he drives the ride-on.
• He will
transport the firewood but she does the loading and unloading and the
splitting.
• She agreed that regardless of the state of his health he
would play second fiddle as the farmer.
• She had a memory of the
plaintiff suffering back pain from time to time before July 2004 but she said it
was nothing like
the pain he has since the injury. She said it was similar to
the sort of thing that she gets when she has overdone the farm
work.
• She thought the last time the plaintiff engaged in endurance
horse riding was in 2003 because they performed the activity
as a family and her
daughter did not want to compete when she was in Year 12. Her husband was still
riding up until the injury.
Her husband has not ridden a horse since July
2004.
• She said he walks approximately 3 kilometres. She confirmed he
had interrupted sleep at night. She said that the family
planned to travel to
Nepal and do a walk but he said that he could not cope with the walking, nor
could he cope with staying in a
hotel in Kathmandu while the family did the
walk. She said she and her husband did a hike with her parents at Wilsons
Promontory.
He did not carry a backpack and was extremely slow.
21 On 29 April 2005, a CT scan of the lumbar spine showed mild to moderate
lumbar spondylosis involving vertebral bodies and disc
spaces L5-S1 disc
protrusion.
22 On 19 December 2006, an MRI scan of the lumbar spine showed
disc fragment noted at the L3-4 left foraminal protrusion. Spondylitic
changes
were noted at L4-5 and L5-S1 levels with facet joint changes.
23 On 17 May
2010, an x-ray of the lumbar spine showed spondylotic lipping was noted and
osteoarthritic change at the L4-5 and L5-S1
facets.
24 On 17 May 2010, an
x-ray of the thoracic spine showed marginal lipping of the thoracic vertebrae
with thickening and calcification
of the anterior longitudinal ligament.
The Plaintiff’s Medical Evidence
Dr Steven Jedynak
25 On 26 February 2007, Dr Jedynak, general practitioner, reported that the plaintiff sustained a low-back injury whilst performing heavy lifting work over two years ago. Initially the plaintiff attended a chiropractor and then was seen by a general practitioner registrar who arranged a CT scan. An MRI scan was also performed. The plaintiff was referred to Mr Chris Xenos, a neurosurgeon, for assessment of his chronic low-back pain and advice regarding further management.
26 In November 2005, Dr Emmerson, chiropractor, confirmed that the plaintiff was receiving treatment for a work-related low-back injury. Dr Emmerson diagnosed a strain/sprain of the lumbo-pelvic region. In January 2007, Dr Emmerson diagnosed a biomechanical dysfunction of the lumbopelvic region with associated myofascitis based on the CT scan of 29 April 2005. Dr Emmerson said he applied low force technique and soft tissue technique. It was his view the plaintiff could not perform his pre-injury duties.
27 On 8 February 2010, Mr Xenox, neurosurgeon, said he saw the plaintiff on referral from his general practitioner on 20 February 2007. He said the plaintiff was describing constant fluctuating pain across his lower back, which was worse in the morning and relieved temporarily with hydrotherapy. Mr Xenos said the plaintiff had associated muscle spasm extending up from the lower back into the interscapular area, discomfort in the left buttock, but no sciatic pain down either leg. He diagnosed a lumbar spondylosis with focal left L3-4 disc prolapse which was not causing any neurological symptoms or signs. It was his view the plaintiff’s employment, in particular the repetitive heavy lifting and bending, had in part contributed to the development of the injury, although he thought the plaintiff may have some pre-existing lumbar spondylosis which has been aggravated by the repetitive lifting. He said the plaintiff’s activities of daily living will be compromised by the chronic pain in the lower back, as there will be limitations as to how much physical activity he can exert, and there will be limits on his ability to stand, sit and walk because of pain in the back. He was not a candidate for surgery.
28 The plaintiff was seen by Mr Michael Johnson, orthopaedic surgeon, at the
request of his solicitors in March 2010 and August 2011.
In March 2011, the
plaintiff was complaining of intermittent right-sided low-back pain that
occasionally extends into the right
upper thigh. His symptoms were worse with
twisting and bending and relieved by swimming and walking. He said his symptoms
had not
altered in the last two years. Because of the symptoms, his walking,
sitting and driving were limited to 30 minutes.
29 Mr Johnson said the
investigations show lumbar degeneration which is present at multiple levels and
therefore a specific anatomical
diagnosis cannot be made. Based on the
plaintiff’s history, his back symptoms began at the time of a work
incident in 2004.
The plaintiff provided a history of being unable to perform
heavy physical work. Mr Johnson said the plaintiff’s problems
should be
treated conservatively. He recommended a self-managed walking program and other
forms of regular light exercise. Mr Johnson
was aware the plaintiff was
receiving chiropractic treatment which he thought was providing useful
symptomatic benefit. He thought
the plaintiff’s condition would continue
for the foreseeable future.
30 On 15 March 2012, the plaintiff was examined by Mr Miller, orthopaedic
surgeon, at the request of his solicitors. Mr Millar obtained
a history of
low-back pain and discomfort with radiation into both buttocks and occasionally
into both legs, particularly the right
leg, difficulty with repetitive bending
and lifting, prolonged standing and prolonged sitting. On examination there was
marked irritability
during movement of the lumbar spine. Straight leg raising
caused low-back discomfort on the left and right sides at 50 degrees.
31 Mr
Miller said the plaintiff had suffered a musculo-ligamentous strain to the
lumbar spine, aggravation of degenerative disease
in the lumbar spine and
possible disc injury at the L3-4 level. He said the plaintiff had significant
ongoing symptoms, a poor response
to conservative measures and is unlikely to be
assisted by surgery. He said the prognosis for the lumbar spine is fair to
poor.
32 Mr Miller said the plaintiff had pre-existing disease in the lumbar
spine and pre-existing symptoms. Based on the history provided
by the plaintiff
and review of the treating practitioners’ medical records, Mr Millar said
those symptoms were at “quite
a low level” and the plaintiff was
requiring only intermittent assessment and treatment of his condition.
Following the event
in July 2004 there was a marked deterioration in his
clinical status. Mr Miller believed that the July 2004 event aggravated the
pre-existing disease and/or caused further super-imposed injury. He said that
affect persists.
33 Mr Millar said the July 2004 event accounts significantly
for the plaintiff’s current clinical status. He said the plaintiff
will
require ongoing conservative treatment which was significantly work-related. He
said the plaintiff was not fit for pre-injury
duties and that the plaintiff will
have difficulty with work that involves repetitive bending, repetitive lifting,
and lifting of
weights more than 5 kilograms. The plaintiff will need to shift
his posture on a regular basis. Mr Millar accepted that the plaintiff
had a
reduced mobility and a reduced capacity for domestic and gardening tasks. He
said the plaintiff had a marked severe and permanent
reduction in his capacity
for pre-injury leisure and recreational pursuits of a physical kind.
34 In May 2004, the plaintiff was examined by Mr Brearley, orthopaedic surgeon,
at the request of the plaintiff’s solicitor.
The plaintiff complained of
constant pain of variable severity in the lower back. He was currently taking
Nurofen regularly and
Tramadol occasionally, perhaps twice a week, which he
alternates with Mersyndol. He has difficulty helping his wife with the heavier
aspects of the housework and outdoor activities.
35 It was Mr
Brearley’s view that the plaintiff had suffered a mechanical lumbar back
pain secondary to intra-disc damage of
the L3-4 vertebral disc with prolapse of
the disc and nerve root compression as a result of foraminal stenosis. He said
the investigations
showed evidence of longstanding degenerative changes and he
was aware the plaintiff had previous back problems but not of a serious
grade
until the episode in 2004.
36 Mr Brearley said the injury in 2004 was caused
by the nature of his employment which has materially contributed to the
degenerative
change throughout his lumbar spine. He described the employment as
a significant contributing factor.
37 Mr Brearley said the plaintiff would
never return to his previous employment and will always have to do lighter work,
avoiding
heavy and awkward lifting and repeated bending, stooping, twisting,
turning and longstanding and long walking. He said the plaintiff’s
lifestyle has been radically disturbed by his injury.
38 Mr Brearley said
that there was no likelihood of any improvement in the foreseeable
future.
39 In April 2010, the plaintiff was referred to Dr Barton, consultant occupational physician, at the request of the defendant’s insurer. Dr Barton said the investigations confirmed a diagnosis of lower back injury in the setting of lumbar spondylosis without radiculopathy.
Cedar Court, Interdisciplinary Report
40 On 21 April 2006, Cedar Court prepared a discharge report, which recommended that the plaintiff continue his current role as an electrical trades teacher as he did not demonstrate the capacity to return to pre-injury duties. It recommended he use the pain management and pacing techniques he learnt on the program and continue his home-based self-managed stretching and exercise routine prescribed by Cedar Court.
The Defendant’s Medical Evidence
Dr James Rowe
41 The plaintiff was medically examined by Dr Rowe, specialist occupational
physician, at the request of the defendant’s insurer
in February and
November 2006. In February 2006, Dr Rowe said the plaintiff had a derangement
at L4-5 and L5-S1 which was caused
by his work over a period of years and that
work continues to be a material contributing factor. He said the plaintiff had
a capacity
for employment, but not employment which requires lifting. He said
there were no non-related factors contributing to the plaintiff’s
injury.
In November 2006, he noted that the plaintiff continued to have occasional and
intermittent back pain and he was aware that
the plaintiff was receiving
chiropractic treatment as well as engaging in swimming on a regular basis. He
concluded the plaintiff
had a disc derangement from which he thought he had
recovered. He said that the plaintiff’s symptoms were now more related
to
the degenerative process.
42 In January 2007, Dr Rowe said there were no
signs of L4 nerve root irritation although the MRI scan suggested nerve
compression
of L4. He thought the changes on the MRI were constitutional and
not work-related.
43 The plaintiff impressed me as a truthful and impressive witness.
44 The
plaintiff was consistent in reporting the injury and its causes to the doctors
whom he saw. The plaintiff answered all questions
put to him in a direct and
frank manner and made appropriate concessions. If anything, he underplayed the
effects of his injury
upon his life. His evidence was supported by his wife,
Amanda Allan, who again was a most impressive witness. Overall, the plaintiff
impressed me as a credible witness.
45 All doctors accepted the investigations showed evidence of longstanding
degenerative changes. Most doctors accepted that the
plaintiff’s work
injury on 22 July 2004 had contributed to the development of his injury. Mr
Xenos said the plaintiff’s
employment “possibly had partly
contributed to the development of his injury”. He said the event in July
2004 is likely
to have aggravated the pre-existing disease and/or caused further
super-imposed injury.
46 Mr Brearley said the ultimate injury was caused by
the nature of the plaintiff’s employment, which has materially contributed
to the degenerative change throughout his lumbosacral spine.
47 Mr Miller
said the event of July 2004 accounts significantly for the plaintiff’s
current clinical status.
48 Dr Rowe, occupational physician, in February
2006, accepted that work was a cause of the injury, but by November 2006 thought
the
plaintiff had recovered from his work-related injury and his condition was
more constitutionally based. However, in 2010, Dr David
Barton said the
plaintiff’s investigations confirmed a diagnosis of lower back injury in
the setting of lumbar spondylosis
without radiculopathy. As a result of that
report, the insurer accepted liability for the low-back injury and provided an
impairment
benefit.
49 In Ansett Australia Ltd v
Taylor,[10] Ashley JA said that in cases where
liability in relation to a claim was accepted, such an admission should
ordinarily be regarded
as very significant, albeit not conclusive, because a
defendant in a particular case might be able to satisfactorily explain its
conduct. In this case, no explanation was provided to the Court.
50 Given
all the evidence, I accept that the injury to the lumbar spine was work-related
and compensable.
51 Most of the medical witnesses accepted that the plaintiff
had pre-existing degenerative changes.
52 The Court must consider what the
evidence discloses as to the prior condition of the worker and determine whether
the additional
impairment was serious.
53 In Petkovski v
Galletti,[11] the Full Court said that a
comparison must be made of the condition of the applicant immediately before the
accident with his condition
thereafter and an assessment made of the extent of
the additional impairment. I must consider what the evidence discloses as to
the plaintiff’s prior condition and determine whether the additional
impairment resulting after July 2004 was
serious.[12]
54 The only doctors to
disentangle were Mr Miller and Mr Brearley. Mr Miller said, based on the
history provided by the plaintiff
and a review of the treating
practitioners’ medical records, the plaintiff’s symptoms were at
“quite a low level”
and he required only interim assessment and
treatment of his condition prior to July 2004. Mr Brearley relied upon the
investigations
which showed longstanding degenerative changes and the
plaintiff’s history, which was that he had previous back problems but
not
of a serious grade until the work incident on 22 July 2004. This is consistent
with the plaintiff’s evidence, which was
that he had occasional back pain,
not serious, which resolved with the assistance of chiropractic treatment and
the pain was quite
different to the pain he now suffers. The plaintiff’s
evidence was corroborated by his wife, who said she was aware that her
husband
had back pain from time to time before July 2004, but nothing significant. She
said it was similar to the sort of pain she
gets on the farm when she has
overdone things a bit.
55 Mr Brearley said the plaintiff’s employment
had contributed to the degenerative change throughout his lumbar spine. Mr
Miller
described a “marked deterioration” in the plaintiff’s
clinical status following the work injury. It was Mr Miller’s
view that
the work injury aggravated the pre-existing degeneration and/or caused further
super-imposed injury. He said that affect
continued and the work injury
accounts significantly for his current status.
56 I accept the evidence of Mr
Miller and Mr Brearley. Their reports are current. Their opinions are
consistent and Mr Miller considered
the medical records of the treating doctor,
and both considered the plaintiff’s history in providing their opinions.
That
is, they disentangled the pre-existing condition from that caused by the
work injury.
57 I accept the evidence that prior to July 2004 the symptoms
were at a low level and the plaintiff required only intermittent assessment
and
treatment of his condition. The evidence was that there was a marked
deterioration in the plaintiff’s clinical status
following the injury at
work in July 2004. That injury aggravated the pre-existing injury or caused a
further super-imposed injury
which will persist for the foreseeable
future.
58 The evidence of the plaintiff was that prior to July 2004 he was
physically active, participating in a wide range of sporting activities,
including horse riding, competitive endurance riding, long-distance running of
10 kilometres or more, road cycling, walking/hiking
and Ironman competitions.
He has not ridden a horse since the injury. He is no longer capable of
participating in competitive endurance
riding, nor can he participate in
distance running and cycling. He previously participated in marathon runs and
triathlons. He
pursued these activities with his wife, who continues to be fit
and pursues a range of outdoor activities. He has lost fitness and
condition
and has put on weight. He is lethargic and frustrated because of his ongoing
limitations. He is no longer capable of
bushwalking and hiking. Since his
injury, he completed a walk with his wife and other family members at a very
slow pace. He could
not participate in a family walk in Nepal because of his
injury.
59 He copes with his work by altering his position frequently. He
selects a u-shaped classroom which enables him to move around as
required. He
avoids tasks of lifting, carrying and manhandling materials and equipment,
relying upon others, including students.
He walks at lunchtime to free up his
back. At the end of the day his wife said he is too exhausted to
walk.
60 The plaintiff and his wife live on a farming property. He is
limited in the assistance he can provide to his wife because of his
ongoing back
problems. The plaintiff’s physical functions and enjoyment of life are
interfered with on a daily basis. He
says his sleep is affected. His evidence,
supported by his wife, was that he wakes up during the night because of the
pain, has
to get out of bed and walk around before returning to bed. On some
occasions he can return to sleep, otherwise he rests. He said
on average he
sleeps for four to five hours.
61 I am satisfied that the plaintiff can no
longer participate in the physical and sporting activities which were an
important part
of his life. He experiences constant though varied pain in his
lower back. He is required to take regular analgesic medication.
I am
satisfied that he can no longer work in his pre injury employment or any
employment which involves repetitive bending and lifting
or lifting of weights
of more than 5 kilograms. He needs to shift his posture on a regular basis.
These restrictions affect his
ability to assist his wife on the farming property
and all his activities of daily living. In addition, his sleep is
disturbed.
62 I am satisfied that it is fair to describe the consequences of
the pain and suffering as being “more than significant or
marked”
and properly regarded as “considerable” when judged by a comparison
with other cases in the range. The
plaintiff therefore satisfies the narrative
test for pain and suffering. In reaching this conclusion, I have made a
comparison with
other cases in the range of possible
impairments.[13]
63 I am satisfied that the
back injury is permanent, given the evidence from all medical witnesses. No
element of the mental component
is taken into account in this assessment.
Indeed, the mental element is required to be excluded by s.134AB(38)(h) of the
Act.
64 In such circumstances, the plaintiff’s application seeking
leave to bring proceedings for damages for pain and suffering
is
successful.
65 I will hear the parties in relation to the formal
orders.
---
[1] S.134AB(19)(a) of the Act
[2] S.134AB(1) of the Act and Barwon Spinners Pty Ltd & Ors v Podolak (2005) 14 VR 622, at paragraph [11]
[3] Barwon Spinners (op cit) at paragraph [33]
[4] S.134AB(38)(b) and (c)
[6] ibid at [42]
[7] Stijepic v One Force Group Aust Pty Ltd (ibid) at paragraph [44]
[8] S.134AB(38)(j) of the Act
[9] See Kelso v Tatiara Meat Company Pty Ltd [2007] 17 VR 592, at 628; Sabo v George Weston Foods [2009] VSCA 242, at paragraph [67]
[11] [1994] 1 VR 436. Petkovski v Galletti concerned s.93 of the Transport Accident Act. Its application to s.134AB was affirmed in AG Staff Pty Ltd v Filipowicz [2012] VSCA 60 (4 April 2012).
[12] ibid
[13] Stijepic v One Force Group Aust Pty Ltd [2009] VSCA 181 at [44]
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