IBRAHIM v GOVERNMENT INSURANCE OFFICE OF NEW SOUTH WALES [1995] NSWCA 202
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IBRAHIM v GOVERNMENT INSURANCE OFFICE OF NEW SOUTH
WALES
SUPREME COURT OF NEW SOUTH WALES COURT OF APPEAL
KIRBY P and POWELL JA
14 March 1995, 28 March 1995
[1995] NSWCA 202
DAMAGES — inadequacy — out-of-pockets agreed at $1485 and $2255 —
judgments entered for $2500 each — references by judge to alleged medical
over-servicing not put at trial references to dependence on social security not
relevant to claim — held: Appeals upheld retrials ordered.
DAMAGES — motor vehicle claims — husband and wife injured in motor vehicle
accident — sue for damages for personal injuries — liability found in their favour —
trial judge (Mahoney DCJ) enters small judgments of $2,500 in each case — agreed
out-of-pockets are, in case of husband $1,485 and in case of wife $2,255.68 —
plaintiffs' appeal against inadequacy of judgments — held: (Powell JA; Kirby P
concurring): Appeals allowed. Retrial ordered — references in judge's reasoning to
alleged excessive over-servicing by medical practitioners not put to them or raised at
trial and references to male plaintiff's dependence on social security which was
irrelevant to his claim as advanced at the trial criticised as irrelevant to the
assessment of damages.
Kirby P I agree with Powell JA.
Powell JA In each of these matters, the Appellant, who was the Plaintiff in the
proceedings at first instance, appealed against the Judgment delivered, and the
verdict entered, in favour of the Appellant on 1 May 1992 by Mahoney DCJ.
Although the grounds of appeal taken by each Appellant have varied from time
to time, the substantial ground of appeal in each case was that the award of
damages made in favour of the Appellant by Mahoney DCJ was manifestly
inadequate. Although, in the Second Amended Notice of Appeal filed, by leave,
on the hearing of these matters, each Appellant, in addition to seeking an order
that the Judgment of Mahoney DCJ be set aside, sought an order that this Court
reassess damages, it was accepted, during the course of argument on the hearing
of these matters, that, as the award of damages made, in each case, by Mahoney
DCJ was significantly affected by the view which His Honour took as to the
credibility of each of the Appellants, the appropriate order to be made, in the
event of the appeals, or either of them, being allowed, was that there by a new
trial of the action or the relevant action such new trial being limited as to
damages.
Before I turn to record the circumstances which led to the commencement of
each action, it is convenient here to record a little detail as to each of the
Appellants.
Each of the Appellants, Mr and Mrs Ibrahim, is a native of Lebanon, Mr
Ibrahim having been born in February 1942 and Mrs Ibrahim having been born
in July 1946. Mr and Mrs Ibrahim appear to have been married in Lebanon at
some time before immigrating to this country in about 1970. Mr and Mrs Ibrahim
appear to have had some 6 children of their marriage, of whom 5 appear to have
2 UNREPORTED JUDGMENTS
been born - but whether in Lebanon prior to their immigrating to this country or
after they had immigrating to this country is not clear - prior to the occurrence
of the accident which gave rise to these proceedings, while the sixth appears to
have been born in late 1987,or early 1988. that is, some time after the occurrence
of that accident.
Although, as will appear from what I have earlier written, each of the
Appellants had, prior to the actions coming on for hearing before Mahoney DCJ,
resided in this country for something in excess of 20 years, and although each
appears as if he, or she must, have acquired sufficient command of the English
language to enable him or her to deal with the ordinary routine affairs of man, the
fact that, on the hearing of the action, each gave his, or her, evidence through an
interpreter would tend to indicate that neither had attained a command of the
English language which rose above that rudimentary level. That fact, coupled
with the fact that neither of the Appellants appears to have attained, or acquired,
any significant skills which would fit him, or her, for other than labouring
positions, or positions as a process worker, in industry would suggest that, even
when the Appellants were, or one of them, was, in employment, the family
income never rose above the level of a modest competence.
Such material as is contained in the evidence would suggest that the only
positions which were held by Mr Ibrahim after he arrived in this country were,
in fact, labouring positions. Whether or not prior to November 1986 Mr Ibrahim
had been in regular employment is not entirely clear. However, in about
November 1986, Mr Ibrahim was retrenched from his then position with
"Sunbeam", and thereafter, and up to and including the date of the hearing before
Mahoney DCJ, Mr Ibrahim - even if, which may be doubted, he had sought
employment - had not secured another position, and his income was dependent
entirely on payments made by the Department of Social Services.
The reason for the doubt as to Mr Ibrahim's employment history is in part due
to the fact that the evidence reveals that, in June 1984, he was involved in what
has been described variously as "an industrial accident" and "a motor vehicle
accident", his claim for damages arising out of which accident is said
subsequently to have been compromised in a sum of about $30,000.00.
Before passing from that accident, it is, perhaps, as well, to record that it
appears that following that accident, Mr Ibrahim complained of pain in his left
shoulder which pain originated in the area of the cervical spine; that he,
complained of constant pain in his lumbar spine with radiation pain down his
right thigh; and that he complained of pain in the thoracic region on coughing.
X-rays which were taken at the time appear to have revealed no abnormality in
the left shoulder, but revealed evidence of degenerative disease in the area of the
lumbar spine.
However, to return to the background insofar as it relates to Mrs Ibrahim.
So far as one can judge from the evidence, Mrs Ibrahim did not engage in any
form of employment when in Lebanon nor did she engage in any form of
employment after coming to this country and prior to December 1975.
Thereafter, and between | December 1975 and 2 February 1987, Mrs Ibrahim
was employed by the "Streets Ice Cream Division" of Unilever Australia Ltd,
which appears to have had premises at Turrella, not far from the home in which,
both at the time of the accident the subject of the proceedings before Mahoney
DCJ and on the hearing of the actions, Mr and Mrs Ibrahim lived with their
family. In that period of a little over 11 years, Mrs Ibrahim was employed on 7
occasions, at times for as little as 2 months and, in 1978 and 1979 for a period
UWBHJAHIM v GOVERNMENT INSURANCE OFFICE OF NEW SOUTH WALES (Powell JAB
of a little over 13 months continuously, the last such period being from 17
September 1986 until 2 February 1987. Although Mrs Ibrahim's wages during
this time varied, because of overtime and other additional payments, her normal
gross weekly earnings would seem to have been of the order of $320.00, that sum
being made up of ordinary pay of about $280.00 and a shift allowance of about
$44.00, and her nett weekly earnings after tax being of the order of $260.00. On
occasions, however, Mrs Ibrahim's gross weekly pay approached, or even
exceeded, $500.00, and her nett earnings after tax on such occasions were in the
range of $350.00 to $400.00.
The accident which gave rise to the proceedings appears to have occurred in
the late evening of New Years Day 1987. At the time, Mr Ibrahim, accompanied
by Mrs Ibrahim, who was seated in the passenger seat, was driving his motor car
North in Turella Street, Turella - not far from Turella Station - and was about to
enter the intersection of Turella Street and Reede Street, his intention being to
make a right hand turn into Reede Street, which led to Victoria Street, in which
latter street so it would seem, the family home was located. As Mr Ibrahim's
vehicle entered the intersection, a taxi, Registered No T916, of which taxi, the
Defendant in each of these actions was the authorised insurer, and which taxi was
proceeding in a Westerly direction in Reede Street, entered the intersection from
the East, and in disobedience to a "Give-Way" sign erected at the intersection,
and collided with the front off-side of Mr Ibrahim's vehicle. At the time of
impact, so Mr Ibrahim says, his speed was only about 10 kph. As the result of the
collision, so Mr Ibrahim says, his vehicle was forced about 1/2 metre to the West.
In the oral evidence which he was to give on the hearing, Mr Ibrahim indicated
that, although, at the time of the collision he was wearing a seat belt - which
appears to have been a lap-sash seat-belt - his body was projected forward so that
his chest, in the region of the sternum, hit the steering wheel, and his head jerked
sharply to the left, the latter movement causing an immediate,and sharp, pain.
It is difficult to determine what it was that Mrs Ibrahim claimed occurred to her
as the result of the collision, for, although, at various times prior to, and on the
occasion of, the hearing before Mahoney DCJ, she claimed to have had no
recollection of what had occurred, save that she was rendered dizzy or
unconscious, on other occasions she asserted that, although her body had been
projected forward in such a manner that she struck her head on the dashboard, she
was not rendered unconscious. If more be thought necessary further to obfuscate
the already obscure, it is to be noted, on occasion, what could be observed on
examination was difficult to reconcile with what was said to have occurred in the
collision. Thus, the records of the St. George Hospital, to the Casualty
Department of which Mrs Ibrahim was taken by ambulance in the early hours of
2 January 1987, record (inter alia) the following:
"Presentation 37 year old female.
Front seat passenger in motor vehicle accident
Now complaining of pain in neck and thoracic
spine
No loss of conscious (sic)
No other injuries
On examination Alert orientated (sic)
Skull - no abnormality detected
4 UNREPORTED JUDGMENTS
Cervical spine: Tender over C1 and C3 range
of movements slightly decreased but good
movements all directions.
Tender over thoracic vertebrae T10, T12
Chest - normal
Abdomen - normal
Pelvis - normal
X-ray of cervical spine, and thoracic spine
Provisional diagnosis: Soft tissue injury to
neck and
thoracic spine
FOR: Panadol
Soft collar
Local heat
Home.
RESIDENT MEDICAL OFFICER
2.1.87
X-RAY Report
Cervical Spine: No abnormality seen
Thoracic Spine: No abnormality seen"
Mrs Ibrahim was taken to, and treated, in the Casualty Department of St
George Hospital before being discharged to home, Mr Ibrahim does not appear
himself to have been taken to hospital unless it was to accompany his wife.
It is difficult to ascertain, and even more difficult to state with confidence, what
occurred in the period following the accident, those difficulties arising partly
because of some of the features of the evidence - both oral and documentary -
tendered on the hearing, partly because of inconsistencies - both internal and with
the documentary evidence - in the oral evidence tendered at the trial and partly
because Mahoney DCJ, clearly enough, formed a very poor view of the
credibility of each of Mr and Mrs Ibrahim as witnesses. Some indication of the
difficulties to which I have just referred will be revealed by the examples - which
are but a few of the many - which I set out below:
1. Mrs Ibrahim would appear to claim that, although she sought to return to her
employment on the day following the accident - or the day following that day -
she was unable to work for more than an hour or so, and returned home, since
which time she has been unable to undertake any form of gainful employment.
Although Mrs Ibrahim's work records (AB 116-117) would appear to indicate
that Mrs Ibrahim received sick pay in respect of 1 or more days in each of the
weeks ended 7 January, and 14 January, 1987, and that she received no pay in
respect of either of the weeks ended 21 January, and 28 January, 1987, they
appear also to record that she received a week's pay for the week ended 4
February 1987, at the conclusion of which week she also received 2 week's
severance pay;
2. although the records of Dr Ghannoum, Mr and Mrs Ibrahim's general
medical practitioner, record that he first saw Mr Ibrahim on 12 January 1987, and
that he first saw Mrs Ibrahim on 19 January 1987, the fact that the evidence
tendered on the hearing includes reports by a radiologist, Dr Hooper, as to the
result of X-rays taken by him of Mr Ibrahim's cervical spine, chest and ribs and
UWBHJAHIM v GOVERNMENT INSURANCE OFFICE OF NEW SOUTH WALES (Powell JAB
Mrs Ibrahim's cervical spine and lumbo sacral spine on 6 January 1987, which
reports are addressed to Dr Ghannoum, would tend to indicate that Mr and Mrs
Ibrahim had attended on Dr Ghannoum by no later than 6 January 1987. Dr
Hooper's report as to Mr Ibrahim records:
"Chest
No abnormality is visible in the left ribs
No abnormality is visible in the lungs or heart.
Cervical spine
No fracture is visible in the cervical spine
The disc C5-6 is narrowed and is probably degenerated.
The transverse processes of C7 are longer than usual but no true cervical rib
is present."
while the report relating to Mrs Ibrahim records:
"Cervical spine
No abnormality is visible in the cervical spine.
Lumbo-sacral spine
There is a localised deformity of the upper anterior part of the body of L5
consisting of a kink in the anterior surface of the vertebra.
This appearance strongly suggests a recent fracture of this vertebra with mild
compression."
3. although it is not entirely clear that this was so, the fact that the first reports
submitted by Dr Maniam - who appears to be an orthopaedic surgeon - and by
Dr Higginbotham - who appears as if he may be a specialist physician - were
addressed, not, to Dr Ghannoum, but, to Mr and Mrs Ibrahim's then solicitors,
would tend to indicate that by no later than early February 1987, Mr and Mrs
Ibrahim had retained their then solicitors who had referred them to Dr Maniam
- who saw them both on 9 February 1987 - and Dr Higginbotham who saw them
both on 16 February 1987. Dr Maniam appears to have referred Mr and Mrs
Ibrahim to the Imaging Centre, Bankstown for CT scans, in the case of Mr
Ibrahim of the cervical spine, and in the case of Mrs Ibrahim of the lumbar spine.
The report relating to the CT scan of Mr Ibrahim records:
"Stacked axial slices were performed through the lower three disc spaces. The
C4/S level is essentially clear, with no evidence of disc protrusion. At the C5/6
level there are small marginal osteophytes on the periphery of the vertebral body,
resulting in some minor narrowing of the intervertebral foramina, mainly on the
left side. There is also a small central disc protrusion at this level, on Image
number 9.
The C6/7 level is essentially clear with no significant disc herniation.
Comment
There is evidence of degenerative disc disease at the C5/6 level with disc space
narrowing and marginal osteophyte formation. There is some associated posterior
disc protrusion and some minor narrowing of the intervertebral foramina. The
remaining levels are satisfactory."
while the report relating to Mrs Ibrahim records:
"Stacked axial slices were performed through the lower 3 disc spaces. The
L3/4 level is clear with no evidence of disc protrusion and no significant bony
changes. The L4/5 disc space is normal in appearance with no evidence of disc
herniation. There is some irregularity osteophyte formation on the anterior aspect
of the superior margin of the LS vertebral body. This is probably on a
degenerative basis, but I cannot exclude the possibility of trauma if there is an
appropriate history. There is a partial vacuum disc phenomenon in the anterior
6 UNREPORTED JUDGMENTS
aspect of the adjacent disc, and a minor circumferential bulge on the annulus at
this level. However there is no evidence of Posterior disc protrusion.
The LS/S1 level is essentially clear with no significant disc herniation. There
is also some marginal osteophyte formation on the anterior inferior margin of the
LS vertebral body.
Comment:
There is some irregularity and marginal osteophyte formation on the superior
and inferior margins of the LS vertebral body anteriorly. Most likely this is on a
degenerative basis although one could not entirely exclude minor compression
due to trauma. There is a minor bulge of the disc at L4/5 but no significant disc
herniation and the remaining bony structures are normal."
Both Dr Maniam and Dr Higginbotham appear at the time to have been of the
view that the primary cause of the symptoms of which each of Mr and Mrs
Ibrahim complained was musculo-ligamentous injury with the possible addition,
in the case of Mrs Ibrahim, of minor bony injury in the lumbar area;
4. notwithstanding what I have just recorded, it would appear that Mr and Mrs
Ibrahim continued to complain of recurrent headaches, and pain radiating from
the neck, and, in the case of Mrs Ibrahim, pain in the lumbar area as well. As the
result of these continuing complaints, Dr Maniam in June 1987 performed a
cervical spine manipulation under general anaesthetic upon each of Mr and Mrs
Ibrahim;
5. it seems fairly clear that, by this time, Mr and Mrs Ibrahim had instructed
their then solicitors to commence proceedings for the recovery of damages for
the injuries which they claimed to have sustained in the collision for they appear
then to have been referred by their then solicitors for yet further examinations, on
this occasion by a Dr Rivett - who is said to be an orthopaedic physician - who
examined each of them on 16 July 1987. In his first reports - which were
addressed to Mr and Mrs Ibrahim's then solicitors - Dr Rivett recorded as to Mr
Ibrahim (inter alia) the following:
"Opinion: Mr Ibrahim is suffering from cervical spinal strain and possibly
from aggravation of pre-existing spondylosis at C54. There is some suggestion of
cervical disc injury, but there are not obvious neurological effects. His headaches
are probably myogenic, arising in the sub occipital muscles.
The findings the consistent with the accident described. This man is currently
unfit for heavy or repetitive jobs and for postural spinal strains. It is too early to
offer a firm prognosis, but his symptoms are likely to persist for at least six to
twelve months further.
"
while in the case of Mrs Ibrahim, he recorded (inter alia): "Opinion: This lady
is suffering from some cervical spinal strain with resulting myogenic headaches.
She also has some lumbar spinal strain. There are no obvious neurological effects
in either region."
The findings are consistent with the accident described. This lady is unfit for
heavy work, bending, repetitive jobs and postural strains of the spine. It is too
early to offer a prognosis, but she is likely to continue to have symptoms for a
further six to twelve months.
"
6. the opinions expressed by Drs Ghannoum, Maniam, Higginbotham and
Rivett may be contrasted by those expressed by Dr Bornstein, one of the two
doctors who examined each of Mr and Mrs Ibrahim on behalf of the Respondent.
UWBHJAHIM v GOVERNMENT INSURANCE OFFICE OF NEW SOUTH WALES (Powell JAY
In the reports which he provided shortly after the commencement of these
proceedings, Dr Bornstein recorded, in relation to Mr Ibrahim (inter alia):
"Opinion:
This patient complains of discomfort in the cervical spine which he dates from
a motor vehicle accident earlier this year and a CT scan is alleged to show
degenerative change plus a disc protrusion at the C,5,6 level.
It is possible that he could have stirred the area up but it is extremely common
that patients would have pain from this level on the basis of degenerative change
only. I advise that this is the commonest level to become degenerate in the
general population.
There is no other significant problem in this patient's neck and I believe his
disability to be very much less than he claims on the basis of my clinical
examination today."
while, in relation to Mrs Ibrahim, he recorded (inter alia):
"Opinion (sic)
This patient complains of problems in the neck and back dating from a motor
vehicle accident on 1.1.87. She was apparently working up until that accident and
has not worked since; she was a machine operator at Streets factory.
Opinion
I can find no objective evidence of disability in this patient. There is no
evidence that there has been any damage to the discs in her neck or back. At the
most she would have suffered soft tissue injuries only and these could be related
to the pregnancy and there is no objective evidence of on-going discomfort
related to that motor vehicle accident."
(the reference to "the pregnancy" being a reference to the fact that, as will have
appeared from what I have earlier recorded, Mrs Ibrahim was, at the time of her
examination by Dr Bornstein, "heavily pregnant".)
In the report which he was to provide following further examinations of Mr
and Mrs Ibrahim, the former in July 1989, and the latter in November 1988, Dr
Bornstein recorded, as to Mr Ibrahim, (inter alia): "Opinion This man's
complaints are unreasonable in terms of their relationship to a motor vehicle
accident.
While he may have some discomfort in the neck on the basis of the
degenerative changes, it is clear that those degenerative changes were present
before the motor vehicle accident and of constitutional origin. I consider that he
is now as fit as he was before the motor vehicle accident to indulge in
employment. I believe he has been fit in this manner for a considerable period of
time and that he should have been employed years ago. I do not see any reason
why this man should remain off work at this time in conseQuence of this motor
vehicle accident."
while, in relation to Mrs Ibrahim, he recorded (inter alia):
"T reviewed the various reports forwarded to me the most significant of which
is the possibility of a fracture of L,5 vertebrae reported some 5 days after the
motor vehicle accident. I must say that on the films that I have seen I was not
totally impressed by this and consider that the features could be consistent with
age related changes only.
Also of significance is the hospital summary which indicates that after the
accident the patient was complaining of pain in the neck and not in the lumbar
spine. One would have expected pain in the lumbar spine almost immediately in
consequence of a fracture and I believe that these two facts together exclude the
presence of a fracture at the time of the accident. The patient has had six children
8 UNREPORTED JUDGMENTS
and with the accumulated pregnancies it is quite possible that her lower back
pain, if at all present, could well be related to after-effects of 6 pregnancies.
I feel that this patient, in any event, is only minimally disabled now. She was
working originally as a process worker and obviously with a family of this size
she would not have the time to cope with employment.
I do not believe at this time that her lower back pain is in any way related to
the motor vehicle accident; her neck pain, which might have been related to the
accident as a soft tissue injury, has since settled down by her own admission.
I believe her to have recovered from the effects of her motor vehicle accident."
As will be apparent, the views of Dr Bornstein, if accepted, would tend to
indicate that any injury which Mr and Mrs Ibrahim may have suffered in the
collision was limited to a soft tissue injury of no great extent and not persisting
for any significant period of time.
These proceedings were commenced on 30 July 1987. The Statement of Claim
filed on behalf of Mr Ibrahim alleged (inter alia):
"Particulars of injuries
7. The Plaintiff sustained the following injuries
(a) Chest injury;
(b) Cervical spine;
(c) Head;
(d) Injury to neck;
(e) injury to back;
(f) Shock;
(g) Anxiety;
(h) Functional overlay.
8. By reason of the matters aforesaid the Plaintiff suffered and will continue to
suffer loss and damage including economic loss.
Particulars of special damage
1. Continuing hospital and medical expenses yet to be ascertained."
while that filed on behalf of Mrs Ibrahim contained the following (inter alia):
"Particulars of injuries
7 The Plaintiff sustained the following injuries
(a) Cervical spine;
(b) Lumbar Spine;
(c) Chest;
(d) Thoracic Spine;
(e) Shock;
(f) Anxiety;
(g) Functional overlay
8. By reason of the matters aforesaid the Plaintiff suffered and will continue to
suffer loss and damage including economic loss.
Particulars of special damage
1. Continuing hospital and medical expenses yet to be ascertained."
In the Particulars under Pt12 R4A which were filed on his behalf on 11 May
1990, Mr Ibrahim claimed out-of-pocket expenses amounting to some $1,965.00.
The Particulars also contained the following:
"Loss of Income:
The Plaintiff was employed by Sunbeam until 28th November 1986 when he
was retrenched. The Plaintiff will say that had the accident not taken place then
he would have returned to this employment. A claim for loss of wages is made.
Particulars (sic) of loss of earning capacity
UWBHJAHIM v GOVERNMENT INSURANCE OFFICE OF NEW SOUTH WALES (Powell JAD
The Plaintiff has presently no capacity for work resulting from the accident.
His inability to work arises from physical and mental disability resulting from the
accident and it is unlikely that the Plaintiff will be able to work in the near future.
Particulars of future economic loss:
The Plaintiff will require continuing hospital and medical treatment for his
injuries.
In the Particulars under Pt12 R4A filed on her behalf in May 1990, Mrs
Ibrahim claimed out-of-pocket expenses of some $2,540.00. The Particulars then
continued:
"Loss of income
The Plaintiff at the date of the accident was employed as a picker (sic) with
Uniliver (sic). The Plaintiff has not worked since the date of the accident. The
Plaintiff claims loss of wage (sic) at $300.00 per week from date of injury to date
and continuing.
105 weeks x $300.00 per week = $31,500.00.
Loss of enjoyment of life
The Plaintiff because of her injuries will not be able to partake of normal social
activities such as dancing, gardening, housework.
Loss of earning capacity
The Plaintiff has no capacity for work resulting from the accident. Her inability
to work arises from physical and mental disability resulting from the accident and
it is unlikely that the Plaintiff will be able to work in the future.
Particulars of future economic loss
The Plaintiff will require continuing hospital and medical treatment for her
injuries.
"
The proceedings came on for hearing before Mahoney DCJ on 25 October
1991, the hearing, so far as I can judge it, occupying the whole day, at the
conclusion of which - seemingly because of difficulties with listing arrangements
in the District Court at the time - His Honour called for written submissions. A
number of aspects of the hearing - some of them quite unsatisfactory - should be
recorded. They are as follows:
1. although liability was in issue, no evidence was tendered on behalf of the
Respondent as to circumstances in which the collision occurred;
2. despite the Particulars under Ptl12A which had been filed on behalf of Mr
Ibrahim, counsel who appeared on the hearing for Mr and Mrs Ibrahim, in the
course of his opening the matters to Mahoney DCJ, informed His Honour that no
claim for economic loss - either past or future was to be made on behalf of Mr
Ibrahim;
3. as I have earlier recorded each of Mr and Mrs Ibrahim gave his and her
evidence through an interpreter;
4. despite the widely differing opinions contained in the reports which had
been obtained, on the one hand, of behalf of Mr and Mrs Ibrahim, and, on the
other, on behalf of the Respondent, none of the doctors concerned was called,
either, to give evidence in chief, or, for the purposes of cross-examination, on the
hearing, the medical evidence being limited to the tender, on each side, of the
medical reports which had been obtained. While I can, I hope, understand the
objectives sought to be achieved by court rules such as R8, R9 of Pt28 of the
District Court Rules, I cannot forebear to say that the fact that the course which
was adopted in the present proceedings appears to have become, at least a
10 UNREPORTED JUDGMENTS
commonplace, if not the usual, practice In cases such as this, is to be regretted
in the extreme as it, in my view, places a quite unreasonable burden on trial
judges. Be that as it may, the necessary consequence of the adoption of that
course is that - because the weight to be accorded to the opinions of medical
experts depends to a great extent upon the accuracy of histories which have been
provided to them and of the symptoms of which complaint has been made to
them - the acceptance or rejection of those opinions will depend, to a great
degree, upon the view which the trial judge takes of the credibility of the person,
or persons, providing the history and making the complaints.
5. the transcript of the hearing before Mahoney DCJ contains the following
note: "(Out of pocket (sic) agreed for the plaintiff Mohamed Ibrahim in the total
amount of 41,485.00 and for Mariam Ibrahim in the total amount of $2,255.68)"
at the conclusion of the case for the Plaintiffs.
The various matters which I have just referred invite the following comments:
1. if - as I have earlier recorded he did - Mahoney DCJ were to form the view
that Mr and Mrs Ibrahim's evidence was lacking in credibility, it would be open
to him to conclude that, although - which does not appear to be disputed - Mr and
Mrs Ibrahim suffer soft tissue or musculo-ligamentous injury in the collision, the
injury which each suffered was not significant in extent and did not persist for
long, in which event any verdict would be modest in amount;
2. but that any verdict ought to include the amount of out-of-pocket expenses
which, in each case, had been agreed.
As I have earlier recorded, Mahoney DCJ delivered his Judgment In each
matter in May 1992, Judgment having been reserved for a little over 6 months.
In the Judgment which he delivered in the proceedings brought by Mr Ibrahim,
Mahoney DCJ, after recording the circumstances which had given rise to the
proceedings and some of the evidence which had been tendered, continued (inter
alia):
"As far as I am concerned the Plaintiffs credibility is at a very low level
indeed. I am not prepared to accept any of his complaints of pain or discomfort
except to the extent to which the same are susceptible of corroboration from a
source over which he is able to exert no control. Dr Bornstein, who examined the
Plaintiff on behalf of the Defendant... accepts that he probably does have some
degenerative condition in his cervical spine but that any effects produced by the
motor vehicle accident on | January 1987 are of a minor order. I accept the views
of Dr Bornstein in their entirety... "
A little later His Honour continued:
"Tt seems to me that there has been an extremely uncritical appraisal devoted
to the plaintiff's presentation by Drs Rivett, Ghannoum and Maniam. I am
satisfied that the amount of treatment expenses incurred by this plaintiff, which
are agreed mathematically at $1,485.00 reflect excessive over-servicing of his
complaints by the medical profession, certainly in the context of the extent to
which such complaints are referable to the motor vehicle accident on | January
1987.
Unfortunately, it is not open to me to dissect out of that agreed total just
exactly how much would have been referable to the motor vehicle accident in
1987 and how much was referable to the earlier accident and/or the degenerative
condition referred to by Dr Bornstein. In any event I tend to the view, on the basis
of the reports by Drs Rivett, Ghannoum and Maniam that almost the whole of the
expenditure was totally unnecessary.
UBHJAHIM v GOVERNMENT INSURANCE OFFICE OF NEW SOUTH WALES (Powell JA)I
There is no claim for any loss of wages or impairment of future income earning
capacity and it then becomes necessary to access the general damages in the
context of the one item of specific damage which in my view is excessive. I think
justice is best served if I incorporate in the overall verdict of the totality of the
out of pocket expenses claimed but have regard to that in the assessment of
general damages. (sic)
Part of the plaintiff's claim was for diminution of future income earning
capacity. He claims that although he had been out of work prior to the accident
on 1 November 1987 and had been so for some time, he was at the stage where
he was in the process of looking for work and would have taken work if any had
been available had it not been for the effects of this second accident on 1 January
1987.
I do not accept that any of the consequences of this 1987 accident eroded in
any way whatsoever his capacity to look for work or to accept any work which
might have become available to him. - In fact, on the contrary, n is my view that
this plaintiff is not in the slightest interested in taking work for wages. A
combination of the size of his family and in the beneficence (sic) of the
Commonwealth Government provides him and his wife with $760.00 per
fortnight and I am quite satisfied that the plaintiff is adequately rewarded in his
terms in this fashion and has not actively engaged in any search for work
whatsoever.
In the light of all these matters and in the light of the fact, as I find, that the
plaintiff has mislead (sic) the various doctors and he has consulted in an attempt
to inflate the quantum of this claim and that he has not only exaggerated but
mislead (sic) this court about the consequences of the accident upon his person
I propose to enter a total verdict and judgment in his favour in the sum of
$2,500.00. I should probably also note that during the course of the opening
address counsel for the plaintiff at the commencement of the case specifically
abandoned any claim for economic loss on behalf of Mohamad (sic) Ibrahim. "
In the Judgment which he delivered in the proceedings which had been
brought by Mrs Ibrahim, Mahoney DCJ, after referring briefly to the
circumstances giving rise to the proceeding, the nature of the claim made on
behalf of Mrs Ibrahim and the evidence of Drs. Ghannoum, Maniam and Rivett
continued:
"Tt seems to me that all three doctors have been extremely uncritical in their
consideration of the litany of symptoms with which the plaintiff has presented to
them and that they have been remiss in failing properly to consider and analyse
the question of attributability of the symptoms to the consequences of the motor
car accident. Nothing in the case satisfies me that I should accept the views of Drs
Maniam and Rivett that a disc lesion - accepting for the moment that one exists
- which did not become apparent for something in the order of two years after the
accident should be attributed to the consequences of the collision between the
two vehicles.
The plaintiff claims that she had been working for an ice cream factory up until
the time of the accident but that as a consequence of these injuries she was
certified unfit for anything but light work for a period of some few months after
which she attended for work, attempted to carry out her duties for a couple of
hours, was unable to do so because of the severity of the symptoms she was still
suffering, and has not worked since.
12 UNREPORTED JUDGMENTS
I find that this plaintiff has exaggerated when giving her evidence. I find that
she has mislead (sic) rious doctors as to her symptoms. I find that she has sought
to mislead Dr Power as to her pre-accident industrial history: she told him she
had been working for 16 years, whereas the fact of the matter is that she had
seasonal work over a period of seven years withe the ice cream factory and that
of what could only be described as a relatively light nature, packing ice creams.
I reject the evidence of Drs Ghannoum, Maniam and Rivett as to diagnosis and
as to attributability.
I accept the evidence of Dr Bornstein. Amongst other opinions, Dr Bornstein
expresses the view that the radiological picture does not equivocally demonstrate
the existence of a vertebral fracture. This, linked with the absence of any
complaint of pain whatsoever at the hospital let alone of any severe pain, in the
region of the vertebra in question, leads him to the view that the vertebra was not
fractured. I accept that expression of opinion."
Later, after referring to a number of aspects of the oral evidence which in his
view led him to believe that Mrs Ibrahim was not a credible witness, His Honour
continued:
"All in all, I am quite satisfied that this plaintiff, as was the case with her
husband, has actively sought to mislead medical practitioners and this court with
a view to establishing a right to compensation at a level far in excess of that to
which she is entitled for the relatively minor consequences of the motor vehicle
accident on | January 1987. To the extent to which it remains uncorroborated
from any source over which she has no capacity to exert a control or influence,
I reject the plaintiff's evidence as to damages. I also reject her evidence as to her
having been incapacitated from resuming a position in the workforce. I note that
no one from her former employer has been called in her case and I draw the
obvious conclusion that, if called, such a witness would not have assisted her
case (see: Jones v Dunkel (101 CLR 298).
I find that at every tum of the evidentiary wheel, she set out to exaggerate the
nature of her claim. One of the many examples of that finding was the passage
of evidence that she gave when asked if she knew the names of the various tablets
which she claimed Dr Maniam was prescribing for her. As in the case of her
husband I cannot accept that the need for any manipulations or injections or
tablets or creams which she says Dr Maniam prescribed for her - quite apart from
whether or not any of those prescriptions or treatments, if actually prescribed,
were necessary at all - had anything whatsoever to do with the motor vehicle
accident on | January 1987.
As far as the interruption of her industrial working capacity is concerned, at
most she may have been justified in absenting herself from her work place for a
couple of days. The first of those would have been on New Year's day so in all
probability she would not have been rostered to work on that day. There is no
clear evidence from which I am able to quantify any such special damage
accordingly I will take it into account in the award of general damages.
Apart from that short period of a few days at the most, I find that the accident
has not in any way whatsoever interfered with her capacity to earn income in the
future and there will be no inclusion in her verdict of any sum under that heading
of damages.
The mathematical accuracy of her out of pocket expenses is agreed in the sum
of $2,255.68. Whether or not any of the treatment to which that sum refers was
necessary or appropriate is not of present concern to me. I content myself with
UWBHJAHIM v GOVERNMENT INSURANCE OFFICE OF NEW SOUTH WALES (Powell JAB
the finding that none of it was necessitated by any consequences of this motor
vehicle accident on | January 1987 with the exception perhaps of the first
attendance Upon Dr Ghannoum.
In all of the circumstances, and bearing in mind that the total out of pocket
expenses figure has not been dissected, I propose to allow the total sum but to
take that matter to account in the assessment of general damages."
Later again, after referring - in a passage which I find decidedly obscure and
which I regard as having been expressed in language which is, to say the least,
unfortunate - to the approach which he had taken to the question of the credibility
of Mr and Mrs Ibrahim His Honour concluded:
"The plaintiff's symptoms may very well, as she swore in evidence, have
increased over the period of time between the motor car accident and the date of
hearing. Even if that be the fact, she is not referring to any symptom which in my
view has been caused, aggravated, exacerbated or accelerated in any way
whatsoever by this motor car accident.
Taking all these matters into account it seems to me that the plaintiff is entitled
to a verdict and judgment in her favour in the sum of $2,500.00."
It would be sufficient, in my view, to dispose of these appeals by recording
that, even if - as we are obliged to do - one accepts His Honour's view as to the
credibility to be accorded to the evidence of Mr and Mrs Ibrahim and the-
consequence which that necessarily has upon the view to be taken of the medical
evidence - that the injuries which had been sustained were not significant in
extent and did not persist for long - a verdict, in each case, of $2,500.00 - given
the agreed out of pockets in each case - was well below the limits of a sound
discretionary judgment. The passages which I have recorded from each Judgment
however, expose what are to my mind other unsatisfactory features about the way
in which His Honour went about determining each of the proceedings thus:
1. the reference in the first Judgment to "excessive over servicing by the
medical profession" - which phrase I take to mean the provision of services
which were not in fact necessary and not believed to have been so - in my view
ought not to have been made unless - which we were informed it was not - the
issue was raised at the trial and the doctor, or doctors, in question had been given
an opportunity to answer the charge;
2. if - which may be an overly charitable view to be taken of the matter what
His Honour sought to convey was that such treatment as was provided to each of
Mr and Mrs Ibrahim, although proper treatment in the circumstances, was not
treatment called for by reason of any injury, or injuries, sustained by Mr and Mrs
Ibrahim in the collision, then His Honour's inclusion in the amount which he
awarded of the amount of out of pockets which had been agreed was, if I may be
forgiven for saying so, completely illogical;
3. Mr Ibrahim having through his counsel indicated that no claim at all for
economic loss either past or future or by way of impairment on income earning
capacity was to be pressed on the hearing, His Honour's strictures upon Mr
Ibrahim for not being engaged in seeking work and for his reliance on payments
made by the Department of Social Security were of not the slightest relevance to
any issue remaining open in the proceedings brought by him.
In the circumstances, it is, in my view, inevitable that the appeals should be
upheld, and the awards made by Mahoney DCJ set aside. Since, for the reasons
to which I have earlier referred, it would be quite inappropriate for this Court to
assess damages, it will be necessary for the proceedings, in each case, to be
remitted to the District Court for a new trial limited to damages.
14 UNREPORTED JUDGMENTS
For these reasons, the Orders which I would propose are, in each case:
1. ORDER that the Appeal be upheld.
2. ORDER that the Judgment entered pursuant to the verdict found by
Mahoney DCJ be set aside.
3 ORDER that the matter be remitted to the District Court for a new trial
limited to damages.
4 ORDER that the Respondent pay the Appellant's costs of the Appeal.
ORDERS
In each appeal:
1. Order that the appeal be upheld;
2. Order that the judgment entered pursuant to the verdict found by
Mahoney DCJ be set aside;
3. Order that the matter be remitted to the District Court for a new trial
limited to damages; and
4. Order that the respondent pay the appellants' costs of the appeal.
Counsel for the Appellant: BS Robison/MAJ Daley
Counsel for the Respondent: GF Butler
Solicitors for the Appellant: Colin Daley Quinn (Kogarah)
Solicitors for the Respondent: Turner Whelan