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IN THE SUPREME COURT OF THE AUSTRALIAN CAPITAL TERRITORY MASTER T. CONNOLLY Damages - Personal Injuries - Motor Vehicle Accident - Knees Striking Steering wheel - Back Pain - Neck Pain - Physical Disabilities - Psychological Trauma - Post Traumatic Stress - Anxiety - Panic Attacks when Driving - Re skilling - Physical Incapacity - Ability to Work - Economic Loss - No Issue of Principle Nominal Defendant v Gardikiotis [1995] HCA 56; (1996) 186 CLR 49 CANBERRA, 18-20 May 1998 (hearing), 12 June 1998 (decision) #DATE 12:6:1998 Counsel for the Plaintiff: Mr. G. A Stretton Instructing Solicitors: Messrs Barker Gosling, Lawyers Counsel for the Defendant: Mr. R. F. Livingston Instructing Solicitors: Hunt and Hunt THE COURT ORDERS THAT: There be judgment for the plaintiff in the sum of $279,581.48 The defendant to pay the plaintiff's costs. MASTER T. CONNOLLY 2. This is a claim for damages for personal injuries arising from a motor vehicle accident which occurred on 5 May 1993 at the intersection of Coughlan Street and Baker Street in Subiaco in Western Australia. The plaintiff was then a resident of Western Australia, but she moved to Canberra in August 1993 and brought this action as a resident of the Australian Capital Territory. Liability was admitted, and the issue proceeded before me by way of an assessment only. 3. The plaintiff was born in Bristol in the United Kingdom in August 1944, and migrated to Australia with her family after completing three years of secondary schooling in England. She worked in a range of jobs, including a year as a trainee nurse, before working for three years as a technician assisting in photographing the missile tests at Woomera Rocket Range in outback South Australia in the mid sixties. She married her first husband at this time, and in 1967 left the workforce when her daughter was born. 4. The plaintiff re entered the workforce when her daughter commenced school, working in a secretarial capacity for a locum service in Perth, and then for the Senior Medical Officer with the Royal Australian Air Force. In 1972 she commenced what was to become 15 years of employment with a Perth pharmaceutical wholesaler and operator of retail pharmacies. She eventually rose to be company secretary of this company, and began working with computers. 5. The plaintiff married her present husband in 1986. He is a consultant in computing services, with a degree in computer science. 6. In 1980 the plaintiff was involved in a motor vehicle accident, which involved back pain and bladder shock, and required the plaintiff to take about three weeks off work. The back pain resolved after about two years, and the incident is of no relevance to her present claim. 7. In 1987 the plaintiff developed a repetition strain injury involving her neck right arm and hand. This was a work-related injury, and the plaintiff ceased work in August 1987. She received ongoing treatment for this condition, including treatment from a clinical psychologist for depression. The plaintiff briefly re entered the workforce as a trainee programmer in around 1988. 8. In 1989 the plaintiff and her husband traveled to the United Kingdom. The initial intention was to have a holiday for about six months, but Mr. Alps applied for consulting work in England, and was successful, so they stayed for about two years. During this time the plaintiff did not engage in paid work, but she did assist a family friend in developing a software system for use in a real estate agents office, and she undertook training courses in a computer language known as "Clipper". 9. In February 1991 the plaintiff and her husband returned to Perth, and the plaintiff's husband continued in the computing consultancy field, operating through a family company. The plaintiff, her husband and her husband's brother also started work at this time to develop a software package for use in the insurance industry. The plaintiff's brother in law was involved in this industry, and together they identified a market opportunity for a computer application, which would be of benefit to insurance agents. For the next two years the three of them worked together to produce an application known as "controller", which was released on to the market in February 1993. 10. During this period the plaintiff had successfully completed some units in an associate diploma in computer studies course at the Mount Lawley College of Technical and Further Education, and had designed and presented a course at the college in the "Clipper "language. 11. The plaintiff developed a serious eye condition in May 1991, which required intensive treatment. At one stage the condition was wrongly diagnosed, and the plaintiff was told that she could have a life threatening condition and only weeks to live. This resulted in depression, and the plaintiff was prescribed Prosac for depression. She stopped working on the Controller project for a period, but was able to return by late 1991. 12. The Controller project was released on to the Perth market in early 1993. It was priced from $99, and about a dozen sales were made. The plaintiff and her husband nevertheless hoped that it would prove very successful. They acknowledged that there was an immediate problem in that the system was written in a non standard language, and came on to the market just at the time that the Microsoft Windows operating system was becoming the industry standard because of its ease of use. The plan in early 1993 was to develop a version of Controller in the Windows format. 13. The plaintiff and her husband said that enquiries from the industry were encouraging, but that it would be necessary to develop an Eastern States presence, and her husband came to Canberra in early 1993. I note that there are references in the medical reports to her husband taking up a contract in Canberra, and he acknowledged that he was doing consultancy work in addition to development of the project. In any event, he came to Canberra, and the plaintiff continued with some sales in Perth, as well as development of the project. 14. The accident involved a collision of some force to the driver's side door. Some $1700 worth of damage was done to the plaintiff's vehicle, but it could be driven away. The plaintiff felt her hips twist at the impact, but was not initially aware that her knees had struck the steering wheel. She was at the time on her way to a presentation of the Controller package, and she completed this task, and then attended her local general practitioner. 15. Dr Denz, her general practitioner, reported in August 1993 that he saw the plaintiff on the day of the accident, and that both her knees were badly bruised above the patella. He recommended rest and ice to the knees. He saw her again on 7 May, where she reported pain in both knees, and he referred her to a physiotherapist. On 12 May she complained of back pain and continuing knee pain. He continued to see the plaintiff until mid July, when she was reporting continuing, but improved discomfort and pain in the knees and neck and back discomfort. 16. Dr Denz's opinion was that the plaintiff would have been totally incapacitated for about a week, with ongoing partial incapacity, but gave a prognosis for a gradual recovery, with some ongoing knee pain. 17. The plaintiff says that she decided that she could no longer continue to work on the project alone in Perth, and that she would come to Canberra. to be with her husband Dr Denz's report states that the plaintiff was: "moving to Canberra to be with her husband who was now working there". 18. Mr. Alps acknowledged that he was involved in consulting work in Canberra, as well as the Controller project. 19. The plaintiff continued with chiropractic treatment in Canberra, and continued to experience pain and discomfort. The plaintiff says that in September 1993 she and her husband decided that the Controller project could not go ahead because of the plaintiff's injuries, as the plaintiff and her husband could not go ahead with the development of the Windows version of the project due to her condition. At this stage the plaintiff's condition involved pain and discomfort of the neck, back, and knees, but no psychological component had been detected. While I accept that this condition would have precluded the plaintiff from getting out and demonstrating and selling the then existing controller package. I am not satisfied that this condition would itself have precluded the plaintiff from continuing with her husband, to work at home and with great time flexibility, on a windows based version of the product. 20. The plaintiff saw Dr Reid in Canberra from early 1994. He confirmed in a report of April 1994 that she continued to complain of pain to her knees, and upper back and neck pain. He expected a good prognosis, but stated "Mrs. Alps cannot work effectively at present because of the problems that she is undergoing, and because her work is as a consultant, this will be limited to at least some degree by her injuries." 21. Dr Reid referred the plaintiff in February 1995 to a clinical psychologist, Marshall O'Brien, initially for chronic pain. In July 1995 the plaintiff and her husband moved, at very short notice, to Darwin, when his consultancy contract in Canberra was not renewed, and an opportunity for further work arose in the Northern Territory. She continued with physiotherapy in Darwin, and continued to complain of knee and back pain. 22. Dr Hopkins, a consultant orthopedic surgeon, examined the plaintiff for medico legal purposes in Darwin. He concluded that by the time of his report in May 1996 her neck and back pain and discomfort had largely settled, and her major ongoing problem was her right knee. He noted that she would likely be left with some mild permanent disability with particular regard to her right knee, but said that it was too early to make a definitive assessment, and recommended rehabilitation services. In relation to her employment capacity, he said: "At the present time Mrs. Alps does not appear to be capable of undertaking the type of work she was doing previously and it may be some time before this is the case. I would suspect that there has been some fairly significant psychological trauma to her over the last three years and this in itself would be an impediment at the moment to returning to gainful employment." 23. In July 1996 a Darwin neurosurgeon, Dr Yaksich, reported to the plaintiff's solicitors. He confirmed an ongoing knee injury and resolving soft tissue injury to the back, but noted that the plaintiff was anxious and distressed at the lost opportunity to successfully market the computer programme which she had developed with her husband, and noted that: "a major problem when I saw her appeared to be the stress and anxiety that had been generated by her change in work circumstances and it is likely that she will need some continuing or ongoing help in that area." He felt that she was a suitable candidate for a pain management programme." 24. The Director of the Rehabilitation Service at Royal Darwin Hospital, Dr Flavell, reported to the plaintiff's solicitors on 3 July 1996. He again noted the disability to her knee, and neck pain, and said: "She has symptoms compatible with a significant post traumatic stress disorder and the physical disabilities and subsequent social changes have served to disempower her with a consequent depression and severe lowering of her self esteem and disturbance of her body image." 25. He recommended a rehabilitation programme, and said: "with an appropriate programme I do however believe that she may well improve to be able to return to work in a productive capacity." 26. The plaintiff returned to Canberra with her husband in August 1996. Dr Scott, an occupational physician, examined her in November 1996. He recommended psychological counseling to deal with her chronic pain syndrome. He said: "during the assessment, time and time again, the message was received that she felt that the MVA, and its sequel, were the cause of the failure of what was described as an expanding business venture, with great potential." 27. Dr O'Brien has continued to provide counseling to the plaintiff since her return to Canberra. He reported in January 1997 that the plaintiff was experiencing post traumatic stress disorder, and that she would continue to need treatment. In a report in May 1998 he confirmed this diagnosis, and reported on instances where the plaintiff has become highly agitated and distressed due to panic attacks which come on when driving. The plaintiff says that these have only emerged in recent years. 28. Dr Veness, a consultant psychiatrist, examined the plaintiff for medico legal purposes in February 1998, and confirmed a diagnosis of post traumatic stress disorder. He said: "She is quite unfit for gainful employment. The fact that the condition has lasted this long, despite intensive psychological treatment, indicates a poor prognosis. I cannot foresee any recovery back to a state of health where she would be able to work again. She continues to need this regular psychological therapy and will probably need it for three or four more years. Treatment is more likely to be of benefit if it is directed at her overcoming her grief at her losses and adjusting to a life of partial disability. Rehabilitation, retraining and reskilling are impossible tasks in a patient with these levels of anxiety." 29. Dr Wearne, a consultant orthopedic surgeon, examined the plaintiff for medico legal purposes in September 1997. He found ongoing knee pain, particularly in the right knee, which continued to limit her physical activities. He found mild and diminishing form of pain in her neck and back. He said that there was no physical reason why the plaintiff could not return to performing semi sedentary work, but said that her pain would limit this to 20 hours per week. 30. This opinion is broadly consistent with the opinion provided by the orthopedic surgeon who reported for the defendant, Dr Cairns. He found evidence of ongoing soft tissue injury to the neck and back, and impact injuries to the knees, which involves ongoing disability. He said that the plaintiff should, however, be capable of part time employment. 31. There is no real contest that the plaintiff has, as a result of this accident, suffered the physical injuries as broadly agreed upon by Drs Cairns and Wearne. 32. The real contest in the case is the extent of the ongoing psychological disability. Both orthopedic surgeons noted that, in their view, her primary disability was more emotional than physical. Dr Venness presented a bleak outlook, indeed rather more so than Mr. Marshall, who has been the treating psychologist. The defendant tendered a report from Dr Revai, a psychologist who saw the plaintiff on 4 May 1988. 33. He said that she did not display any outward signs of anxiety or depression, but he accepted that "it is quite possible for Mrs. Alsps still to be anxious in a motor vehicle.". Dr Revai expressed criticism of the lack of coordinated rehabilitation in the management of the plaintiff's condition, but did not offer a specific diagnosis himself, or indeed disputes expressly Dr Venness's diagnosis. 34. I find that the plaintiff suffered physical injuries in the motor vehicle accident as described by Drs Wearne and Cairns, and as a consequence has an ongoing disability in the knees, and resolving soft tissue injuries to her neck and back. This limits her ability to engage in employment, and further limits her recreational activities. The plaintiff and her husband engaged in a range of active pursuits before the accident, including scuba diving and much walking and bush walking that are now denied her. 35. I find that the plaintiff has developed in the years since the accident a genuine psychological injury, originally diagnosed as a chronic pain syndrome but now more accurately described as a post traumatic stress disorder. This condition has got worse in recent years, with the onset from early 1997 of panic attacks when driving. 36. The difficult issue on the evidence before me is the likely prognosis for this condition. Taking into account all of the evidence I am satisfied that there is a reasonable prognosis for improvement, provided a co-ordinated rehabilitation programme along the lines suggested by Dr Flavell in Darwin and Dr Scott in Canberra is put in place. This seems consistent with Mr. Mashall's views. I am not greatly assisted by the two reports from psychiatrists here, as Dr Venness says this is in effect a permanent totally disabling condition, and Dr Revai says he sees no signs of anxiety or depression, and makes no diagnosis. 37. The principles to be applied in determining compensation in personal injuries cases where liability is established have been summarised by Mc Hugh J in Nominal Defendant v Gardikiotis [1995] HCA 56; (1996) 186 CLR 49 where His Honour said: at (54) "When a defendant has negligently injured a plaintiff, the common law requires the defendant to pay a money sum to the plaintiff to compensate that person for any damage that is causally connected to the defendant's negligence and that ought to have been reasonably foreseen by the defendant when the negligence occurred. The sum of money to be paid to the plaintiff is that sum which will put the plaintiff, so far as is possible, in the same position as he would have been if he had not sustained the wrong for which he is now getting his compensation." 38. In relation to general damages the plaintiff is to be assessed on the basis of a genuine trauma injury to her knees leading to an ongoing moderate disability, a resolving soft tissue injury to her neck and back, and a post traumatic stress disorder which has emerged in the years since the accident, and reached a peak in the period since early 1997. This is a condition which, with appropriate rehabilitation and treatment, I find will subside, leaving the plaintiff eventually with her physical disability as her main ongoing problem. 39. Taking all of this into account, as well as the significant impact this has had on the plaintiff's recreational and social activities, I would assess general damages in the sum of $85,000. I would attribute $55,000 of this to the past in recognition that the psychological condition has emerged and peaked in the period since 1995, but should now resolve with adequate treatment. This generates interest of $5,800.00, leading to a total award of $90,800.00 which I consider to be appropriate in all of the circumstances. At the hearing the parties indicated that they would be in a position to agree on a sum for out of pocket expenses. 40. Out of pocket expenses were agreed, by letter of the 26 th May 1998 in the sum of $18,781.48 which I award. 41. A claim for future out of pocket expenses was particularised with a weekly claim for physiotherapy at $45 per week. This aspect of the claim was abandoned, but I am satisfied that the general amount claimed, of $20,000, is appropriate in all of the circumstances. In finding that the plaintiff's emotional and psychological condition is likely to improve, I have assumed that the plaintiff will be required to incur significant expenses by way of rehabilitation and pain management programms, as well as some ongoing psychological treatment. In the absence of a significant buffer for such treatment, the more pessimistic prognosis of Dr Venness would be more appropriate, which would sound both in greater general damages and economic loss compensation. If the defendant is to succeed in its argument that there is a reasonable prognosis for recovery, it seems to me that it must accept a substantial award for future out of pocket expenses which will be necessary to achieve that improvement. 42. A Griffiths v Kerkemeyer claim which had been particularised was not pressed at the hearing. 43. The plaintiff's claim in relation to economic loss was presented both as a case of a loss of a chance to succeed with the marketing and promotion of the controller programme, and as an arithmetic claim for past and future loss based on the plaintiff's economic capacity to earn, as an analyst programmer, the sum of $45,000 per annum at the time of the accident. The plaintiff presented an economic loss analysis and particularised a claim, based on this loss and involving two alternative scenarios for the future- one of a total inability to work, and the other of an ability to work for 20 hours per week. 44. The defendant acknowledged that the plaintiff ought to receive an award in relation to past and future economic loss, but argued that the evidence did not support the analysis presented by the plaintiff. The evidence establishes that, apart from two very brief periods of some weeks, the plaintiff last worked for income in 1987 as a company secretary. She then left the workforce due to repetitive strain injury, and eventually received a settlement on an employment claim. She had no formal qualifications in computing, other than the successful completion of about half of the units required for an associate diploma in TAFE. She had never developed a history of successfully bidding for computer consultancy services on the open market, or obtaining employment in that field. She was unable to show a record of earnings in this field. 45. The plaintiff was confident that her skills would make her marketable, and her husband said that she would do well in such a market, but there is no independent evidence to support this, and no record of such employment. I am not satisfied, on the evidence before me, that the plaintiff's loss should be calculated on the basis that at the time of the accident she was capable of finding ongoing employment as a computer analyst programmer with earnings of $45,000 per year. 46. The plaintiff and her husband had developed, to market, a computer application, which had achieved about a dozen sales at about $100 per application, with some add on sales potential. But the plaintiff and her husband acknowledged that the emergence of windows based systems meant that the product would have to undergo substantial redevelopment. They both gave evidence that they nevertheless believed the product to be potentially very lucrative and successful, but no evidence was presented from an independent expert in the field of computing as to the economic potential of this potential application in the early and mid 1990's. It is a matter of common knowledge that the computer industry is both highly competitive, global in its marketplace, and constantly improving and changing. I am not satisfied that the evidence in the matter allows me to proceed to calculate economic loss with any precision for the loss of this opportunity. I am not satisfied that the physical injury sustained by the plaintiff was the sole reason why development of a windows based version of the program was abandoned in late 1993. 47. Nevertheless, I am satisfied that the plaintiff has suffered a genuine past and ongoing loss of economic capacity. The plaintiff had been utilising this economic capacity in the development of the controller application, and had been undertaking studies which could well have been expected to equip her for full time employment in the computer field on the open market in due course. The chance that the controller application may have proved to be as successful as the plaintiff had hoped must be a factor in assessing the plaintiff's economic loss in accordance with well established principles ( generally, Luntz, Assessment of Damages for Personal Injury and Death, third ed, Butterworths,1990 para 1.9.5) 48. The plaintiff suffered as a consequence of the accident physical incapacity, which would have restricted her employment to part time employment. In recent years, a psychological condition has developed as a consequence of the accident which I am satisfied would have prevented the plaintiff from working at all, but which should, after some years of appropriate treatment, subside, leaving the plaintiff with an ability to again engage in part time employment in her chosen field. This must sound in a substantial award by way of a discretionary buffer for both past and future economic loss. I would award the sum of $150,000 in respect of the plaintiff's economic loss both in respect to past and future loss. 49. This amounts to a global award of $279,581.48 which I consider to be appropriate in all of the circumstances.
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