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Molyneux v Guy [2007] ACTSC 99 (17 December 2007)

Last Updated: 24 October 2008

CHRISTEL BONNIE MOLYNEUX v SAMANTHA ANN GUY
[2007] ACTSC 99 (17 December 2007)


DAMAGES – personal injury – motor vehicle accident – compound fracture to tibia and fibula of right leg – injury to neck, upper back, right shoulder scapula region – post-traumatic stress disorder – depression – no issue of principle


Van Gervan v Fenton [1992] HCA 54; (1992) 175 CLR 327
Griffiths v Kerkemeyer [1977] HCA 45; (1977) 139 CLR 161
Grincelis v House (1998) 156 ALR 443


No. SC 296 of 2005


Judge: Higgins CJ
Supreme Court of the ACT
Date: 17 December 2007

IN THE SUPREME COURT OF THE )
) No. SC 296 of 2005
AUSTRALIAN CAPITAL TERRITORY )


BETWEEN: CHRISTEL BONNIE MOLYNEUX


Plaintiff


AND: SAMANTHA ANN GUY


Defendant


ORDER


Judge: Higgins CJ
Date: 17 December 2007
Place: Canberra


THE COURT ORDERS THAT:


1. Judgment be entered for the plaintiff in the sum of $486,769.39.


1. In this matter the plaintiff claims damages for injuries sustained by her in a motor vehicle accident which occurred on 27 September 2004. Liability is admitted, though damages are in dispute.
2. The plaintiff was a motorcycle rider. The defendant was a motor vehicle driver who made an unsafe right hand turn. In the accident the plaintiff suffered:

3. As a result, the plaintiff contended, she suffered a range of ongoing disabilities:

Particulars of Disabilities
  1. Necessity to undergo internal fixation surgery to repair fractured right tibia and fibula;
  2. Necessity to undergo bone graft;
  1. Pain, loss of strength and limitation of movement of right leg (including squatting and kneeling) that is aggravated by movement such as walking, running, and attempted squatting;
  1. Pain, loss of strength and limitation of movement of right ankle;
  2. Pain and limitation of movement of right shoulder;
  3. Pain and limitation of movement of upper back;
  4. Pain and limitation of movement of neck;
  5. Post Traumatic Stress Disorder and nightmares;
  6. Depression;
  7. Scarring on lower right leg particularly a red-coloured scar measuring 10 centimetres long and 2 centimetres wide and a white-coloured scar on back of shin;
  8. Scarring on right hip at site of bone graft donation;
  1. Scarring on right knee;
  1. Loss of sensation and numbness at right knee at site of intramedullary nail insertion;
  2. Loss of sensation and numbness on top of right foot;
  3. Hypersensitivity and pain around scarring on leg;
  4. ‘Locking’ at right knee;
  5. Necessity to take medication particularly;
    1. Norspan patch;
    2. Zoloft;
    3. Panadeine Forte;
  6. Necessity to undergo a physiotherapy program;
  7. Intermittent necessity to ‘strap’ right ankle;
  8. General feelings of frustration and anger;
  9. Severe depressive episodes including a nervous breakdown and suicide attempt;
  1. Psychological distress and embarrassment as a result of scarring;
  1. Interference with capacity to return to pre-injury employment;
  1. Interference with capacity to care for her children;
  1. Interference with capacity to undertake household and personal care tasks;
  2. Discomfort when shaving legs, wearing stockings and wearing some types of footwear;
  3. Interference with capacity to participate in leisure pursuits such as snow skiing and bushwalking;
  4. Interference with capacity to participate in physical activities;
  1. Interference with intimate relations with partner;
  1. Disturbed sleep.

4. The plaintiff gave the following evidence.
5. She was born on 27 March 1975 at Canberra. She attended St Clare’s College to year 10. She did part of year 11 at Phillip College. At school she played netball, volleyball and tennis. She participated in athletics and swimming. She suffered an injury from burning oil in 1993 but attended a secretarial course at TAFE. She worked for her father in a secretarial capacity and for a Mr Dyson for about 12 months.
6. In 1994 she met Michael Billingham. They became de facto partners. Her first child, Jacob, was born 14 May 1996. Her second son, Nicholas, 17 January 1999. She worked at the Hanging Rock Motel on the South Coast for three months as a housemaid.
7. She returned to Canberra in 2001 and in 2002 commenced work as a cleaner at the Deakin offices of a Mr Reno Sinsoc for six hours weekly.
8. During January or February 2003, she did a venepuncture course and commenced worked at Jindalee Nursing Home, Narrabundah in March 2003. She was attracted to nursing work, believing she was suited to it and would enjoy caring for the elderly.
9. Her work at Jindalee was combined with practical training leading to qualification as an Enrolled Nurse.
10. However, before that course of training could be completed, she had a dispute with her manager over the restraint of a patient. She took offence at what she considered an unjustified accusation and quit. She felt she could get similar employment elsewhere. However, it was more difficult than she had anticipated. She had young children and initial offers of appointment entailed a start early in the morning, that is 7.00 am starts. That was unrealistic. Certainly, after some time in the job, she had prospects of more flexible hours as had occurred at Jindalee but it was a clear “chicken and egg” situation. There was, towards the end of the year a tragic death in the family. She was treated for depression.
11. On 17 January 2004 she suffered a fall and injured her heels. She was virtually immobilised for about six weeks and was for some time thereafter on crutches. At about this time she and her partner separated. She applied for further nursing home positions. She obtained a positive response from two of them but the early starts offered were not acceptable.
12. She was in the process of making a further application in September 2004 when the accident the subject of these proceedings happened.
13. There is no dispute about the liability of the defendant for the collision nor is there any room for any accusation that the plaintiff was guilty of contributory negligence. The defendant turned into the plaintiff’s motorcycle smashing into her right leg and hurling her to the roadway.
14. She felt severe pain and panic being on the roadway and unable to get herself off it. She was, after about 30 minutes, attended to by ambulance officers and taken to hospital at Woden.
15. On her mother’s advice, she kept a diary recording her experiences then and the following day. She was subjected to an operation on 28 September 2004.
16. The injury required further treatment including plaster cast over the next eight months. It continued up until March 2005. Considerable scarring remains.
17. The plaintiff’s pain and discomfort was not confined to her leg. She had severe pain, as at October 2004, in her right shoulder blade, shooting pain down her arm to the thumb. She was referred to physiotherapy. It gave occasional relief.
18. The plaintiff was granted a disability pension in November 2004.
19. She has also been plagued by nightmares since the accident. Zoloft was prescribed for her but she took herself off it about April 2007. She felt improved.
20. Painkilling drugs, Panadeine Forte and Norspan, were prescribed but since April 2007 she has not used Norspan. She still takes Panadeine Forte, particularly on occasions when she had engaged in three hours of doing a “little gardening”.
21. The bone graft to assist her leg fractures became a further source of pain in her hip. That operation occurred on 3 February 2005. It left another scar. During the period shortly after she got out of hospital she lost her rental accommodation and was housed, with her children, in a refuge.
22. In May 2005 her lower right leg was reported as wasted, with pain in the knee and ankle aggravated by walking. Her gait was badly affected. It has improved but she is left with a limp. She was, after April 2005, housed in a unit at Reid. Her depression had deepened to the point where she contemplated suicide and attempted an overdose of heroin. I should add that that was a one-off purchase for the express purpose of suicide. She is not, and never was, an illicit drug user. She was then admitted to a psychiatric unit, not being discharged till 8 December 2005.
23. By 19 December 2005 her physical rehabilitation had resulted in a considerable physical improvement, though considerable disability continued and has done so since.
24. The children were returned to her about Christmas 2005. A court order was subsequently made. She engaged in further rehabilitative treatment with Dr Speldewinde. By the end of November 2006 she was able to continue with a home exercise program.
25. In December 2006 she applied for a job at a Kippax Nursing Home. She was rejected because of her history of injury. She was perceived as being at risk of further injury. Subsequent applications at other nursing homes were similarly unsuccessful.
26. On 26 June 2007, the plaintiff had a further motor vehicle accident. She suffered a whiplash injury. She experienced pain from that for about five weeks.
27. Her leg is a continuous problem. The knee or ankle will give way without warning. It requires strapping which eases the pain to an extent as well as adding to stability. Needless to say, sporting activities, martial arts and snow skiing are no longer possible. She has limited capacity for swimming. Her disability, as described, is clearly such as to preclude or limit most physical activities.
28. She did state that the right shoulder injury, though less painful, still limits her reaching up for things. Her upper back injury is the source of a nagging pain across her shoulder blades. She takes Panadeine Forte three or four times weekly, two at a time.
29. Her neck had been, “on and off,” the source of a nagging pain.
30. The scarring referred to above is not only a source of embarrassment but remains sensitive even to stockings. The area of her knee where a nail was inserted remains numbed. There is some problem underneath it. A tendon seems to catch whilst she is sleeping, waking her “with a scream” three or four times a night. Keeping the leg straight will avoid it.
31. The plaintiff agreed with Mr Purnell SC that she could do part-time secretarial work. More would cause problems, she considered, with “agitation” whilst sitting still. She could not think of other occupations she could do, save childcare, which she nominated.
32. She had, since the accident, received domestic assistance and financial support from her father, Mr Ronald Molyneux. She had received assistance also from her mother, Grace, her former partner, Michael, Deeann Flewellen and Christine Dixon.
33. Ms Flewellen worked two to three hours on three days – basic cleaning and washing, some assistance with cooking meals. That continued until July 2005.
34. Ms Dixon was a school friend. She provided the plaintiff with personal care and assistance with such tasks as showering and dressing. She also provided some assistance with housework, cooking and cleaning generally.
35. Mr Billingham had moved out in April 2004 but after the accident he, nevertheless, provided gardening and cooking assistance until she moved out of the Deakin house in December 2004.
36. After she and the children moved into their current dwelling Mr Billingham offered further assistance, particularly with cooking.
37. Mr Ronzani did elicit from the plaintiff that some, at least, of the assistance Mr Billingham offered after the accident had also been given to her by him before it.
38. Between February and May 2005 she had been at the refuge. She did not receive such assistance there. She also conceded that, of the three days assistance Ms Flewellen provided, one was “for companionship” rather than necessary work.
39. In July 2005 she fell into a “deep depression.” The new house came up in December 2005. That was the time her boys were returned to her. She agreed that after December 2005 her need for domestic assistance had ceased.
40. She had also assessed her work capacity at 20 hours per week.
41. Mr Billingham confirmed the level of the plaintiff’s pain and disability so far as he could observe it. He stated that, after she came out of hospital he did work to assist the plaintiff a couple of hours per day four or five times per week for about three to four months.
42. He resumed assistance to the plaintiff after about four months but thereafter there was the custody dispute terminating on 19 December 2005. Then in February 2006 he assisted by having the children on weekends.
43. I would comment that this would not be a part of the Griffiths v Kerkemeyer claim. He remains, however, willing to help if need be. He does home work that she cannot do. He would spend 10 hours per week moving beds, mowing lawns and the like. He highlighted, in general terms, a person who had changed from being strong and capable to a very fragile person.
44. In cross-examination, he revealed that his impression was that the plaintiff had left Jindalee to attend to their son Nicholas who had a serious eye problem. That is, of course, more favourable to the plaintiff’s case than her own evidence.
45. The plaintiff’s father was the next witness. He, again, in general terms supported the plaintiff’s case. He confirmed his assistance but it seems to have been financial rather than by way of domestic assistance.
46. The plaintiff’s mother, again, confirmed the general contrast between the plaintiff’s pre-accident presentation and that subsequent to it.
47. The plaintiff was recalled, effectively to say that Mr Billingham’s recollection about Nicholas’ eye condition was not correct. That contention was supported by an optometrist’s report. For what it is worth, I accept the plaintiff’s evidence on this point.
48. I do comment, as I alluded to before, that it is less favourable to the plaintiff’s case that she left Jindalee in the circumstances that she deposed to. That is because it suggests that the plaintiff is likely to “throw in” employment impulsively if offended, rather than to perservere.
49. Christine Dixon was the final witness for the plaintiff. She confirmed the plaintiff’s evidence concerning assistance.
50. It is difficult to assess the extent to which the past assistance and current need for assistance is caused by the result of the accident. There is, as was conceded, an element of social or emotional support involved in each of the persons assisting the plaintiff (see Van Gervan v Fenton [1992] HCA 54; (1992) 175 CLR 327, Grincelis v House (1998) 156 ALR 443). That leads to a need to discount the time actually spent for that reason so that it may be compared with the provision of necessary assistance at commercial rates.
51. Ms Dixon, for example, deposed that she spent two to three hours per day with the plaintiff assisting her for the two months following the accident whilst the plaintiff was dependent for mobility on a wheelchair and then crutches. After the plaintiff came from the refuge to a flat she assisted her for about “an hour or so” a day. That has now reduced to three or four hours per week.
52. She also confirmed other observations of the contrast between the plaintiff’s pre and post accident presentations. She had been improving over the period since the accident. Consequently her need for assistance had also reduced.
53. The defendant, in reply, relied only on two medico legal reports.
54. These reports suggested that the plaintiff had no significant disabilities arising from the accident, save, of course, scarring, though Professor Oakeshott did not comment on the psychological injury. He did concede the plaintiff would have needed domestic assistance of two to three hours per day during the recovery period when she was physically disabled. The second report was from Ms Bronwyn Thompson, a rehabilitation psychologist. She assessed the plaintiff after a rehabilitation course. She reported “intermittent discomfort” in the plaintiff’s back, fluctuating with anxiety and exercise levels. She recommended a continuing exercise program.
55. Dr Lin reports complaints of neck and right lower leg pain worsening following cessation of the above physiotherapy and considerable use of Norspan or Panadeine Forte. His notes generally reflect, perhaps, greater stress involvement than her account in the witness box.
56. The plaintiff was also treated by Dr Fatma Lowden, a psychiatrist.
57. On 10 April 2006 Dr Geoffrey Speldewinde reported the plaintiff as suffering “some apprehension and distress at persisting pain”. The spinal examination indicated a mild to moderate tenderness which responded well to appropriate exercise. He considered it necessary to prescribe Norspan.
58. A physical assessment by Mr Trevor Beswick on 15 January 2007 found:

59. Whilst the masseter muscle trigger point is not apparent as relating to the accident, the remainder are clearly right leg injury related.
60. The medical evidence for the plaintiff may be summarised as follows:
61. Dr Bryan Ashman, orthopaedic surgeon, reported on 20 March 2007 a good result for the fracture of the right leg. He noted, however, the sensation changes deposed to by the plaintiff. There were, he found, “residual symptoms of a feeling of instability in the right leg, hypersensitivity over the tibial scar and numbness on the dorsum of the foot”.
62. However, the feeling of instability he considered, agreeing with Professor Oakeshott, was not due to any lack of healing of the right leg.
63. Dr Geoffrey Speldewinde, rehabilitation specialist, reported on 17 April 2007 that the plaintiff suffered distress and anxiety by reason of persisting pain. There was no specific deficit of movement that he noted. The exercise program previously referred to did, despite her unreliable attendance, result in considerable physical improvement. There was, however, “residual aching with sustained weight bearing activities”.
64. Dr Endrey-Walder examined the plaintiff for her solicitors, reporting on April 28, 2007. He found some deficit in movement of the ankle joint and the changes in sensation previously referred to. There was some grating on extension of the right knee but it was stable. He pointed to the likelihood of consequential psychiatric problems contributing to her physical difficulties. He did agree that she would have the ongoing disability with the right knee she described. He hypothesised that the intramedullary nail might contribute to this. He disagreed with Professor Oakeshott’s view that there was no significant abnormality.
65. There were psychiatric reports from Drs Synnott and Knox. Dr Synnott prepared two reports for the defendant’s solicitors. First, on 6 November 2006. Dr Synnott noted the serious physical symptom which, the plaintiff complained, seriously limited her ability to cope or to be employed. He found there had been a reactive psychological effect, including a suicide attempt as a result. He postulated Adjustment Disorder and Major Depressive Disorder, both of which had since settled. In a supplementary report, Dr Synnott addressed the issue of the connection of the suicide attempt of late 2005 with the accident. That question was not directly answered but Dr Synnott’s comments suggest that connection.
66. Dr William Knox reported to the plaintiff’s solicitors on 6 March 2007. He considered that the plaintiff exhibited features of Post-Traumatic Stress Disorder. She was taking medication for anxiety and depression. Dr Knox felt that:

... while Ms Molyneux clearly has had a significant injury to her body I think she does distort the extent of her disability due to psychological factors ...

67. He considered that the accident had caused a chronic Post-Traumatic Stress Disorder. There was also depression warranting a diagnosis of Adjustment Disorder with Depressed Mood. That, in Dr Knox’s opinion, would significantly interfere with her capacity to return to work. The significant injury to her right leg would render it difficult for her to persuade potential employers she was fit for heavier demands of the anticipated workload. She would require ongoing further treatment over 12 months to the value of about $4,500.
68. On balance, I am satisfied that the injury to the plaintiff had, and continues to have, significant effects, both physical and psychological, upon her enjoyment of life and working capacity. I consider her assessment of her working capacity is essentially accurate. To that extent I discount Professor Oakeshott’s assessment.
69. Mr Ronzani did not dispute that general assessment. He did point out that so far as past earning capacity was concerned the plaintiff had not been able to exercise it fully, partly for the reason that her children’s needs conflicted with the available working hours, partly because the plaintiff was, to some extent, a difficult employee not because of lack of diligence, but more for the contrary reason. I consider that the plaintiff’s chances of full-time employment would, however, have improved over time, but for the accident.
70. It is more likely than not that she will cope with clerical work but will find it less satisfactory than her chosen career in nursing.
71. Accordingly, I now turn to the assessment of damages.
72. For general damages, I award the sum of $110,000.00. Interest thereon from 27 September 2004 is $6,600 plus $6 per day from 27 September 2007 to 21 December 2007 totalling $7,110.
73. For past economic loss, I agree with Mr Ronzani to the extent that the loss must be discounted to some extent because of the plaintiff’s decision to leave Jindalee when she did. I would allow as a matter of estimation $40,000 plus $4,000 for superannuation loss plus interest at the commercial rate of 9%, a further sum of $6,395.
74. For future economic loss, I consider the plaintiff, but for the accident, would now be fully employed as an enrolled nurse. I accept that if she was totally disabled her loss would be, as calculated in the plaintiff’s Amended Statement of Particulars, $549,900 reducible for normal vicissitudes to $467,415 plus superannuation loss of 10%. However, I consider that she will, after about 12 months, return to work earning approximately 50% of her past capacity. She would have more difficulty working full-time on a continuing basis because of her disabilities. Accordingly, I award $230,000 plus $23,000 for lost superannuation.
75. For past out of pocket expenses the parties agree on $18,564.39. None of these sums are claimed to have been paid by the plaintiff. Accordingly, no award of interest is required.
76. For future out of pocket expenses, I act on Dr Knox’s prognostication and include $9,000 for future psychiatric care and a buffer of $10,000 for the chance of future operative treatment. I assess that, absent firm proposals, as no worse than 50:50 for the latter. I award $19,000 under this head of damage.
77. As to domestic assistance it is clear that an allowance should be made, at commercial rates, for both actual expenditure and notional expenditure in respect of such assistance so far as the need for it is caused by the tortious injury and is not a mere rearrangement of tasks in the household (Griffiths v Kerkemeyer [1977] HCA 45; (1977) 139 CLR 161; Van Gervan v Fenton [1992] HCA 54; (1992) 175 CLR 327). Need does not arise merely because the domestic tasks are done less efficiently or with discomfort. The latter is compensated for by general damages.
78. The rate of $25.00 per hour is not disputed. Deeann Flewellen was paid that rate and the sum of $5,720 is agreed for her assistance. That represents 228.80 hours and covers the period up to the plaintiff’s move to the refuge. The picture is further complicated by the break-up between the plaintiff and her partner. Had they continued together, he would have, as he did and now does, assist with some domestic tasks. The break-up of their relationship, rather than the accident, has created some of the need for domestic assistance.
79. Nevertheless, after the accident and until she became mobile, I accept that the plaintiff needed approximately, but not less than, 2 hours per day in domestic assistance over and above the paid cleaning work. Up to December 2004 the plaintiff was either in a wheelchair or on crutches. But even thereafter, the fractures were not healing nor was the leg wound. Thus the need for assistance continued during the period the plaintiff was running her own household though less than when she was immobile. For the period February 2005 to May 2005, there is no call for an award. Thereafter, the plaintiff was in a flat until about December 2005. The need for assistance was then much less. Further, the plaintiff’s partner had taken custody of the children until December 2005 for about two and a half months due to the problems the plaintiff was having coping. Again, that reduced the need for assistance of the kind now being considered.
80. From December 2005 to December 2006 the plaintiff required some of the assistance rendered to her because of her injuries. I think that commenced at two hours per day decreasing to December 2006 to one hour per day. As a matter of estimation I would allow $15,000 for the past domestic assistance apart from that which was afforded by Ms Flewellen. For interest thereon I award $2,950.
81. Having regard to the medical reports, I am of the opinion that the plaintiff requires minimal domestic assistance by reason of the accident itself but allowance should be made for a buffer for that purpose.
82. The total award is, therefore:

General damages $110,000.00

Interest thereon $7,110.00

Past loss of earnings including

superannuation $44,000.00

Interest thereon $6,395.00

Future loss of earnings $230,000.00

Superannuation loss $23,000.00

Past out of pockets (as agreed) $18,564.39

Future out of pockets $19,000.00

Griffiths v Kerkemeyer

Past only $20,750.00

Interest thereon $2,950.00

Future (Buffer only) $5,000.00

_________

Total: $486,769.39

_________


83. I consider that to be an appropriate award, viewed globally. I enter judgment accordingly.
84. I will hear the parties as to costs and any errors or omissions.

I certify that the preceding eighty-four (84) numbered paragraphs are a true copy of the Reasons for Judgment herein of his Honour, Chief Justice Higgins.


Associate:


Date: 17 December 2007


Counsel for the plaintiff: Mr F J C Purnell SC with Mr J Sainty
Solicitor for the plaintiff: Blumers Personal Injury Lawyers
Counsel for the defendant: Mr D Ronzani
Solicitor for the defendant: Abbott Tout
Date of hearing: 6 & 7 September 2007
Date of judgment: 17 December 2007


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