1.This is a motor accident case. Liability has been admitted, and the only matter to be determined is the amount of damages. The accident in question occurred on 20 February 1999. Although the plaintiff is a comparatively young man who is still only in his thirties, he claims to have suffered a very significant loss of earning capacity as a result of the accident. It is desirable, therefore, to begin by tracing his early life in some detail.
2.The plaintiff was born on 23 September 1964. He told a clinical psychologist, to whom he was referred by his solicitor, that he was the fourth of five siblings in a family, who “used to move all the time” because the father was in the air force until they came to settle in Canberra in his last year of primary school. The plaintiff attended Melba High School which he left when he was 15 years of age. He then did a four year apprenticeship at a service station in Hall whilst attending courses at the TAFE Institute in Reid. In 1984 the plaintiff got his trade certificate as a motor mechanic and married his wife Yvonne.
3.The plaintiff moved with his wife to her home town, Corowa, and from 1984 to 1989 he worked there as a mechanic with an authorised dealer for several marques of motor vehicles. During this period their two children were born, a girl in 1985 and a boy in 1987.
4.In 1989 the plaintiff and his family moved to Queensland, where he went into business on his own account and ran the mechanical workshop attached to the Mobil service station at Currimundi until 1992. When his lease on the workshop ended, the plaintiff got a job as manager of the Bridgestone tyre outlet in Caloundra.
5.The family relocated to the Canberra area in 1993. The plaintiff worked for a short time with a fencing contractor where one cold morning he strained his back whilst lifting a drill. In his evidence in chief, the plaintiff said that he took time off work for “the remainder of that day”, and that he “didn’t have any recurrence of the problem”. In cross-examination, however, he agreed that he had had “trouble” with his lower back following that incident about which he consulted a doctor. The plaintiff’s general practitioner is Dr Jacob Foo, and some of the patient notes in respect of the plaintiff’s attendances at his practice in Hawker are in evidence. These notes record the plaintiff’s attendance on 8 May 1996 complaining of persistent lumbar back pain for over two years since an injury whilst “lifting heavy weight at work”. The plaintiff was certified as unfit for work for three days and was evidently asked to bring in film of an X-ray of his lumbar spine taken at the time of the lifting incident. A note of the plaintiff’s subsequent attendance on 17 May 1996 records that X-ray as showing no abnormality.
6.On 19 September 1994 the plaintiff commenced employment as a road service patrolman with NRMA Limited in Canberra. He says he enjoyed the work and found it satisfying. In particular, the shift arrangements meant that he regularly had three or four day weekends to spend with his family. It was, he says, “the best job I’ve ever had”.
7.In 1997 the plaintiff strained his left shoulder at work whilst lifting a tyre out of a boot. Dr Foo later took the following history of this injury:
“Left shoulder strain early 97 – while lifting tyre from boot of car – saw Dr at Florey sometime after in May because of no improvement. Scans suggested but not done because of refusal by NRMA. Intermittent symptoms since - ‘discomfort’.”
NRMA’s records show that the plaintiff was absent on sick leave for one day in February, for three days in May and for half a day in June during 1997. He then took three and a half months accumulated annual leave. The plaintiff and his wife took their children out of school during this period, and the whole family went off to the Northern Territory in a bus which he had converted into a mobile home. In cross-examination, the plaintiff agreed that he relaxed and pursued recreational activities while on holidays.
8.In any event, the plaintiff says that when he came back to work in October 1997 he still had trouble with his shoulder. Again, NRMA’s records show very little time off on sick leave until July 1998 when he first consulted Dr Foo (at the time he gave the history set out above) to report pain in his left arm suffered when reaching up to manipulate an electrical connection. Dr Foo’s notes then record an active management and investigation of the plaintiff’s left shoulder resulting in weeks away from work and treatment coordinated in liaison with the rehabilitation service provider for NRMA’s workers compensation insurer. This culminated in Dr Kevin Woods performing an arthroscopic subacromial decompression of the left shoulder on 23 September 1998. The plaintiff returned to work in early December 1998. However, he continued to complain of pain and stiffness in his shoulder, and in January 1999 Dr Foo referred him to Dr John Corry for evaluation and treatment of this injury. The plaintiff attended an appointment with Dr Corry on 16 February 1999.
9.On the morning of 20 February 1999 the subject accident occurred. The plaintiff was driving an NRMA road service vehicle which was stationary and facing south at the intersection of Coulter Drive and Southern Cross Drive in Belconnen when it was struck from behind by the defendant’s vehicle. He has no clear recollection of what happened to the vehicle or to him immediately following the collision. The plaintiff recalls another NRMA patrolman attending the scene and assisting him to get to hospital. At hospital he felt nauseous and disoriented and had a “tremendous amount of pain” in his neck. A report from Calvary Hospital confirms that the plaintiff was seen in the Emergency Department at approximately 11am on the day of the accident; that he complained of pain in his neck and a tingling sensation in his left leg and gave a history of low back pain in the past; that on examination he was alert and oriented, his neurological examination was normal, his cervical spine demonstrated no mid-line tenderness but some tenderness on the right side and muscle power was intact; that a diagnosis of strain injury to the cervical spine was made and he was put into an intermittent soft cervical collar and given analgesics with a medical certificate for two days and a recommendation for physiotherapy; and that an X-ray of his cervical spine confirmed that there was no fracture or serious bony/joint injury.
10.The plaintiff saw Dr Foo two days after the accident. At this stage the neck pain was persisting, but he now complained of headaches, dizziness and lower back pain. On 25 February 1999 the plaintiff told Dr Foo that the neck pain had improved but the low back pain was still severe. He was also referred for these problems to Dr Corry, whom he saw again on 3 March 1999.
11.Dr Corry reported on his treatment of the plaintiff as follows:
“At this visit [3 March 1999] he informed me that he had been involved in a motor vehicle accident on 20 February 1999. He was apparently working in a NRMA truck when the [sic] it was struck in the rear at moderate speed. He felt immediate dizziness and nausea and there was neck pain. He has been off work since that event and he was requiring to take two to four Panadeine Forte each day in order to control symptoms. At the time of this examination he was noted to be wearing a cervical collar and that neck movement was obviously painful and limited. I prescribed analgesics and recommended that he start on a gentle neck mobilising exercise program to maintain the capacity. He was also instructed in some shoulder exercises to perform. I arranged for a CT of the cervical spine and this was performed on 11 March 1999, and this was within normal limits. Assessment of cervical function was performed with dynamometry on 21 April 1999 and showed a mild level of deficit.
At review on 25 March 1999, it was clear that he was gradually improving, but I certified him as remaining unfit for work for a further month. He was keen to proceed with some further treatment and had physiotherapy with Jenny Kellett, including massage and exercises. By 15 April 1999 there was significant improvement and [he] had a near full range of cervical movements.
I last reviewed him on 4 May 1999, at which time pain levels had decreased to only low grade symptoms, and he was looking forward to returning to work the following Monday.”
The physiotherapy with Ms Kellett was arranged by Dr Foo. She treated the plaintiff for neck and back pain between 4 March and 15 April 1999. At the end of March 1999 Dr Foo noted that the plaintiff was “anxious when driving especially on busy roads” and referred him for counselling to a clinical psychologist, Margaret Groube. (Dr Foo appears to have been of the view that at this time the plaintiff “was suffering from a post traumatic stress disorder”.) The plaintiff saw Ms Groube in April 1999. She thought that his presenting condition was “consistent with a diagnosis of Adjustment Disorder with mixed anxiety and depressed mood.”
12.The plaintiff returned to work on 10 May 1999, and on 3 June 1999 Dr Foo certified him fit to return to full-time work “on the roads” with a restriction on heavy lifting. In July 1999 the plaintiff sought medical attention at the Florey Medical Centre and also from Dr Foo, to whom he complained of pain in his mid-back which had increased since returning to work and which had been aggravated by a particular lifting incident on 6 July. Dr Foo ordered a bone scan of his lumbar region, the results of which were negative. According to NRMA’s records, the plaintiff was away from work for a total of six days’ sick leave in July 1999. On 11 August 1999 he saw Dr Foo complaining of more severe headaches and neck pain. The plaintiff was again referred to Ms Kellett for physiotherapy which was provided between 12 and 26 August, at the end of which period his cervical range of movement was “very close to normal”. This treatment did not occasion any days off work. When reviewed by Dr Foo on 13 December 1999, however, the plaintiff complained of “fairly constant” pain interfering with his work and of requiring regular analgesics. He saw Dr Foo again on 16 December 1999 and was evidently provided with a certificate for two days off work before Christmas.
13.On 7 February 2000 the plaintiff saw Dr Foo complaining of episodes of “overwhelming anxiety” for which, he says, he “attended” Calvary Hospital. Dr Foo certified him unfit for work and he missed a total of nine days off work in February 2000. NRMA arranged to have the plaintiff assessed by Dr Philippa Harvey-Sutton, a consultant occupational physician, on 22 March 2000. However, the day before that consultation, Dr Foo wrote to NRMA that he had advised the plaintiff “to avoid doing any overtime for the time being”. In May 2000 the plaintiff had three days sick leave and in June 2000 another three days off. At the end of June 2000 he took two weeks annual leave as his wife was having surgery. The plaintiff was reassessed by Dr Harvey-Sutton on 30 June 2000. He complained to her that he found the afternoon shifts which he had commenced to perform that month “more difficult because of the length of the day and the pain in his neck and the headaches would be building up even before he began the shift”. Dr Harvey-Sutton suggested that the plaintiff temporarily cease roadwork and do inspections or office work, but she thought that in the long-term future he would be able to continue working as a road service patrol officer. Dr Foo also wrote to NRMA on 19 July 2000 expressing the view that it would be best if the plaintiff only worked morning shifts “for the next 3 months”.
14.On 3 October 2000 Dr Foo wrote indicating of the plaintiff:
“…that he is unlikely to be able to return to rotating shifts without an aggravation of his condition.
His condition has remained static over the last several months and is unlikely to improve significantly in the near future. It is unlikely that he will be able to work through afternoon and evening shifts on a regular basis without having to cut short his shift due to aggravation of his pain.”
15.NRMA then asked the plaintiff to attend a meeting on 11 October 2000 to discuss his rehabilitation and ongoing employment. Following that meeting Ross Stephenson, NRMA’s Regional manager (Motoring Assistance) for the ACT, wrote to the plaintiff confirming that NRMA was “unable to accommodate your current work restrictions on a permanent basis” and that he had three months to find another job within the NRMA or elsewhere. Mr Stephenson further informed the plaintiff that, if he was unable to secure “a suitable position” by 11 January 2001 and he was still “restricted in resuming the normal rotating roster within your current position”, NRMA would consider terminating his employment.
16.On 8 December 2000 the plaintiff completed a termination advice resigning from NRMA, notifying 22 December 2000 as his last day of work, and giving ill health as his reason for leaving. On 2 January 2001 he applied for a job as service adviser with Gerald Slaven, a car dealership in Belconnen, and was accepted to start work straightaway on probation. On 5 February 2001 that employment was terminated because the service manager of the business found him to be unsuitable for the position “for which he was employed”.
17.On 7 February 2001 the plaintiff applied for a job as “mechanic/registration inspector” with Discount Tyre Service’s branch at Fyshwick. In his application he indicated he was not physically capable of performing “occasional heavy lifting” required by the job on account of “back & neck & shoulder injuries”. Nonetheless, he was offered the job and commenced work on 12 February 2001 on a probationary basis as a weekly employee after the first week. The plaintiff resigned from this job on Friday, 11 May 2001 giving his health as the reason. On Monday, 14 May 2001, he commenced a casual job with Keir’s Coaches driving handicapped children to and from school. Later, on 22 May 2001, the plaintiff commenced employment as a registration inspector at the Phillip branch of Discount Tyre Service for five hours a day. At time of trial he was continuing in both these jobs.
18.Against the above background I turn to consider the plaintiff’s evidence. His condition immediately before the subject motor accident is interesting and instructive. After all, it took him just as long to get back to work after the shoulder operation as it did after this accident. In evidence-in-chief the plaintiff said that, when he went back to work after his shoulder operation, he resumed his normal duties without any modification. Although his shoulder would still give him problems and was a “little bit weaker”, he was able to work as a patrolman. However, in cross-examination, a rather more complicated picture emerged. The plaintiff agreed that prior to the operation on his shoulder he could not do his usual work as a patrolman, most of which was “very light”, and that he was restricted to providing technical advice over the telephone. In January 1999, when he complained to Dr Foo of continuing problems with his left shoulder, the plaintiff specifically instanced a lack of strength when working on cylinder heads, even though such tasks were not part of his job as patrolman. The plaintiff recalled seeing Dr Corry shortly before the motor accident. He did not recall telling Dr Corry at that time in relation to his left shoulder that he now felt a pulsing pain spreading down his left arm into the palm of his hand, but he agreed that he possibly told Dr Corry he had lost strength in his left arm. Dr Corry gave evidence about his consultation with the plaintiff on 16 February 1999. Dr Corry said that the plaintiff made significant complaints which warranted further investigation, and he agreed that the pulsing pain described as spreading down the left arm (of which he confirmed the plaintiff did complain) was a worrying development. Dr Corry arranged an ultrasound of the shoulder which did not show any continuing pathology. However, when the plaintiff saw Dr Corry after the motor accident, he never complained again about the injury to his left shoulder and the pulsing pain in the arm. Although Dr Corry said that the symptoms relating to the whiplash trauma may have been dominating the plaintiff’s situation, he agreed that such symptoms were very mild by May 1999 and would not mask the matters relating to the left shoulder and arm about which the plaintiff had complained in mid-February 1999. Dr Corry was unable to explain the cause of any pain pulsing down the plaintiff’s left arm into the palm of his hand. The doctor was unable to identify any structural cause for such pain and agreed that it was possible there was a psychosocial explanation for this complaint.
19.I have earlier summarized the essentially simple account of immediate symptoms given by the plaintiff in his evidence-in-chief, where I have referred to the hospital report for the day of the accident. I note too that the plaintiff also said that at the hospital he had problems with his back whilst being moved during radiography and had a tingling sensation in his toes “while they were doing tests”.
20.The plaintiff has remained under the care of Dr Foo at all times since the accident. The only medical specialist to whom he has been referred for treatment is Dr Corry, who is a well-known rehabilitation and pain consultant in Canberra. I have already set out Dr Corry’s description of his treatment of the plaintiff. Dr Corry confirmed that during that period the plaintiff never complained of back pain.
21.The mental health of the plaintiff is problematic. Ms Groube was the only person to whom Dr Foo referred the plaintiff for psychological treatment. When she saw him in April 1999, she found him impatient, distressed and frustrated with worry about his future at work and his financial status. The plaintiff said in chief that Dr Foo was providing him antidepressant medication at this time, although Dr Foo does not say so in any of his reports. The plaintiff also said that at the time of the referral to Ms Groube he was having problems with his moods and anxiety. He said that the only time he had experienced such symptoms prior to the motor vehicle accident was a single occasion back in Queensland when the pressure was “on” in his own business and he took off to the beach with a “six pack of stubbies” for the rest of the day.
22.The plaintiff said that, when he returned to normal duties on the roads, he had difficulties with headaches and was more abrupt in dealings with members of the public. The plaintiff’s solicitors arranged to have his psychological condition assessed in July 1999 by Dr Bruce Stevens, a clinical psychologist. Dr Stevens prepared a report dated 1 September 1999 saying that the plaintiff did not suffer from post-traumatic stress disorder, but diagnosing a mild pain disorder and an adjustment disorder with symptoms of depression.