Wurzel, Joseph v Commonwealth of Australia
[1977] FCA 95
•12 Dec 1977
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| CATCIXORDS | ' |
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| Employees' Compensation | - Injury out | of and i n the |
Course of employment - Chronic paranoid hypochondria aggravated by injury - Appeal from the Commonvrealth
| Employees' Compensation | Tribunal - Coilcession by Counsel - |
| , Commonwealth Employees 9.Compensation | Compensation | Act | 1930 | ss. 4,8 and |
| (Australian Government Employees) Act | 1971 |
ss. 27,29¶30,95 and 104.
| Joseph Wurzel v. The | Commonwealth | of | Austral ia |
| No. VG 54 of 1977 |
| Coram: | Smithers | J. |
| Place : | Melbourne |
| Date : | 12th December 1977. |
| ,I - | CObTT40€fiEALTH OF | AUSTWIA |
| r | L |
| 'IN THE E'EDERAL COURT | I | |
| ||
| :GENERAL DIVISION |
| ON APPEAL from the Commonwealth | ! | |
| ||
| Between - |
JOSEPH WRZEL
Appellant
And -
| THE COMMONI'EALTH | OF | AUSTRALIA |
| Respondent |
bEMBER OF
| THE BENCH: | SMITH3 RS , J . |
| ORDER OF |
| THE COURT: | 1. | That | the | appeal | be | allowed. |
| 2. | (a) | That | the | question | of quantum |
| o f | compensation be adjourned |
| and | the matter be remit ted to |
| the Delegate of the | Commissioner |
| f o r Employees' Compensation | f o r |
| determinat ion, l iber ty being r e se rved to the appe l l an t t o |
| apply i n respect of | that |
| determination; |
| ( b ) t h a t the determination | it | i s d i rec ted | tha t before |
is f i n a l l y
| made the appel ian t | be informed |
of the basis of calculat ion
| proposed | t o be | adopted and the |
sum payable i n accordance there-
| with and | the appel lant afforded |
| an opportuni ty to | make | sub- |
| missions | i n r e l a t i o n t h e r e t o . |
| 3. | That | he | Delegate | of | the | Commissioner |
| f o r | Employees' Compensation proceed |
| upon | the | basis | tha t the condl t ion of |
| chronic paranoid hypochondria exlsting | I . |
| before 20th February | 1968 was | ! |
aggravated and accelerated by injury
| suf fered by | the appe l l an t t o the |
| thenar por t ion | of | his | hand on 20th |
| February 1968 and t h a t | h a t | i n j u r y | I |
| arose by | acc ident a r i s ing out | of | and |
| i n the course | of | the appel lan t ' s |
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| employment and t h a t it was | t h a t |
| i n ju ry | which aggravated and |
acce lera ted the said condition of chronic paranoid hypochondria and
| tha t thereby the | appel lant was |
| incapac i ta ted I o r employment | and |
| t h a t t h e a p p e l l a n t | is | e n t l t l e d t o |
| compensation | accordingly. |
| 4. | That | he | respondent | pay | to | the |
| appel lan t h i s | cos ts | o f | and |
| i n c i d e n t i a l t o t h e a p p e a l t o | and |
| hearing before the | Commonvealth |
| Employees' | Compensation | Tribunal. |
| - | DATE : | 12th December 1977. |
| __ . . ._ | . |
I '
COiYI~TONWEALTH OF AUSTRALIA
I
I N THE FEDERAL COURT
| OF AUSTRALIA | No. VG 54 of 1977 |
| GENERAL DIVISION |
ON APPEAL from the Commonwealth Employees'
Compensation Tribunal
Between -
JOSEPH I'KJFXEL
Appellant
And -
I
| I | TllZ COIMMOIWEALTH OF AUSTRALIA |
| Reppondent | l |
| - | DATE : |
| 12th December 1977. |
| Smithe rs , | J . |
| REASONS | FOR | JUDGMENT |
| For some eleven years | p r i o r t o 20th Nay 1969 the |
| appellant was employed by the Postmaster-General | s Department |
| i n r e l a t i o n t o the handling | o f mail. | On | 20th | February | 1968 |
| he | suffered injury | by | accident in the course | o f h i s employment |
| with | the | Commonwealth of Australia. | He took | steps | t o claim |
| compensation pursuant | t o the Commonwealth Employees' Compensation | ||||||||
| Act 1930. |
|
| he | declared that the nature | of | h i s i n j u r y | was | " injury t o my |
l e f t hand. It
| On | 13th January 1969 the Delegate | o f t he Commissioner |
| I | f o r Employees! Compensation | made a determination | i n respect of |
| that | claim. | The determination was in | the | following | terms | - |
2.
| "1 | hereby determine the said Joseph | T'RJRZEI, |
| sus ta ined personal in jury | by | acc ident a r i s ing |
| out of | o r i n the course of | h i s employment by |
| the Commonwealth on | 20.2.68 namely | - in jured |
| l e f t l i t t l e f i n g e r . |
| In accordance with the provisions | of | paragraph |
| (1) (b ) o f t h e F i r s t compensation of $25-35 pe r rreek from 15.3.68 | Schedule | t o the said Act, |
| he | is t h e r e b y e n t i t l e d t o t h e | payment | of |
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| un t i l 18 .3 .68 | both dates inclusive. |
| In accordance with | the provisions of Section | l1 |
| of t he said Act, amounting t o $8-50 | t h e c o s t i n respec t o f | o f medical treatment |
t he in ju ry
| shall | be paid." |
On 20th May 1969 the Senior Commonwealth Nedical
| Officer | advised the relevant Director of the Department of |
Posts and Telegraphs that -
| I tMr . J. Wurzel has been medically | examilled. |
| 2. | He | is depression. | s u f f e r i n g f r o m a n x i e t y s t a t e w t h g r o s s |
| 3. | The | condi t ions are not | due to causes within his |
cont ro l .
| 4. | He | i s considered permanent ly unfi t for fur ther |
service.
| 5. | I | would | recommend h i s re t i rement . I1 |
| As | a | r e s u l t of | t h l s recommendation the appel lan t |
| was | r e t i r e d f o r t h w i t h from h i s employment | with | the | CommonweaLth. |
| H i s employment s t a t u s had been that of | a temporary employee. |
| It | appears | that | a t some | s t a g e p r i o r t o A p r i l | 1971 |
| ~ | there was | correspondence between | the | Solicitors | for | the | appellant |
and the Postmaster-Generalis Department i n which the appel lant
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| claimed compensation | i n r e s p e c t of | l o s s of | c a p a c i t y t o work |
| due t o an acc identa l in jur ies sus ta ined | anx ie ty s t a t e s a id to be caused | by | a number | of |
| by | the appel lant during | his |
| employment with the | department. | I am informed by the |
| I | respondent that | the na ture of | this claim appears from | a |
| I | l e t t e r | from of the Postmaster-General’s Department dated | the appe l l an t ’ s so l i c i to r t o the Ac t ing Di rec to r |
| 15th | Apri l | 1971 |
| i n which | the appe l l an t ’ s So l i c i to r s | said, | i n t e r a l i a , | Itand |
| it i s cor rec t tha t ou r c l i en t | i s claimlng tha t as | a | r e s u l t |
| of a he sustained | s e r i e s of | acc iden t ( s i c ) | whilst | employed by | the Commonwealth |
| a | wide | range | o f | i n j u r i e s g i v i n g r i s e t o | an |
| anxiety condition rendering | him | t o t a l l y and permanently |
| incapac i t a t ed | fo r | work. | In t h e | a l t e r n a t i v e , | it | is | al leged |
| that i n any event he | is permanently disabled because of | the |
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| i n j u r y t o t h e | hand | sustained Jvhilst | i n t h e | employment | of | the |
| Commonwealth. | We await the Commissioner s ru l ing . It |
| It would appear that the | was | made | i n a |
| determination by the Delegate | o f | the | Commissioner | f o r Employees’ |
| Compensation dated 9th February 1972. | It was made, as I am |
| informed, | by | the respondent without further reference to the |
| appel lant . |
| The | determination was made on | 9th | February 1972 |
| i n the following | terms - |
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| “(I | 1 | Specialist | medical | evidence | indicates | that the |
| condition of | chrnnic paranoid hypochondria |
| suf fered by t h e said Joseph Wurzel | d i d not |
| r e s u l t from | a | par t lcu lar event | a t a | p a r t i c u l a r |
4.
| I | i |
| time which employment by the Commonwealth. Consequently, I am unable t o f ind that the | arose out of | o r i n the course of , |
| ' : | o r while he | was | t r a v e l l i n g t o | o r from, | h i s |
| i | condition of | chrnnic paranoid hypochondria |
| suf fered bg7 the said Joseph Wurz&l | cons t i tu ted |
| an in ju ry , o r recurrence of | o r an | aggravat ion, accelerat ion, |
|
a personal inJury by accident -
| (a ) | arising out of | o r i n the cour se | of his |
| employment by t h e Commonwealth, within | ! |
| t h e meaning of | sec t ion 9 | of the |
| Commonwealth | Employeees' Compensation |
Act 1930, as amended;
| w h i l e t r a v e l l i n g t o | o r from his |
employment by the Commonwealth, within
| i | the meaning o€ | sec t ion 9 A of the |
| Commonwealth Employees' | Compensation |
| Act 1930, as amended. |
| NOW THEREFORT,, | i n pursuance of the provis ions |
of the Compensatlon (Commonwealth Employees)
| Acts 1971, | I hereby determine:- |
| (a ) | The condition of chronic paranoid hypochondria suffered by the said | |||
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personal injury i n circumstances under
which the Commonwealth would have been
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1930, as amended.
| (b) | Having regard to the provis ions of sec t ions 4 and 104 of the Compensatlon (Commonwealth | ||||
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under the Compensation (Commonwealth
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| Early | i n | 1972 p r i o r t o t h i s d e t e r m i n a t i o n | the | appel lan t |
| had commenced an ac t ion f o r damages | aga ins t the | Commonwealth |
| i n the Supreme Court of Victoria alleging | that | he had suf fered |
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| a crushed l e f t hand with psychological | consequences | of anxiety | I |
| and depression and the l i k e i n the accident | o f 20th February |
| 1968 and t h a t t h e i n j u r y | was | suffered by | reason of | the |
| negligence of the | Commonwealth. |
| The | ac t ion came | on | for h e a r i n g i n September 1974 |
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| and on 16th September 1974 | judgment was entered f o r the |
| defendant | (respondent). | Against | this judgment | the | p1 | i n t i f f | L |
| I |
| (appellant) | appealed | t o the Full Court of Victoria. That |
| Court s e t a s ide the | judgment and ordered a new t r i a l of the |
| action. |
| The | new | t r i a l did not proceedbecause, as | I aminformed |
| by | the respondent, "the action | was | f i n a l l y compromised on | the |
| bas i s which allowed | Mr. | Wurzel | t o make an additional claim | f o r |
| compensation under the then | Commonwealth | Employees' Compensation |
| Ac t . . . . . . . . . I n e f f ec t | it was | to a l low | him | t o lodge a claim | i n |
| respect | of | a mental condition following the injury in February |
| 1968. | He would have | been | out | of | time | t o p u t i n | that claim. |
| A determination was made | on 9th February | 1972 and it is tha t |
| determination which is a t p resent before | Your | Honour...... In |
| fac t the se t t lement | of | the other proceedings | was | on the basis |
| t h a t | Mr. | I ' lurzel could either appeal against the determination |
| o f | 9th February 1972 | or | seek judicial review, | o r whatever, out |
| o f time." | . | The appel lant d id appeal. |
| That appeal against the determination | was | heard |
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| ‘before the | Compensation Tr ibuna l a t | Melbourne | i n June 1977. |
| I |
| The appel lant was represented by Mr. | S t o t t of Counsel | and |
| l | the | respondent | by Nr. Wheeler o f Counsel. | On 27th | June |
| 1977 | the Tl\ibunal affirmed the determination | of | the Delegate |
| Written reasons | f o r t ha t dec i s ion | were | published. |
Against that decision the appellant has appealed
| t o th i s Cour t . | H i s appeal | is | brought | pursuant | t o S . 95 of the |
| I | Compensai;ion (Australian Government Employees) Act 1971, | |||||||
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| Provislons) Act 1976. | ||||||||
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the Compensation Tribunal o r the judgment o r
| order | o f | the prescribed Court; |
| (b) | may give | such i n a l l t he c i r cums tances | judgment, | o r make | such | order, | as |
| it | thinks | f i t ; and |
| ( C ) | may | remit determinat ion ei ther with | the | case | for | re-hearing | and re- |
o r without the hearing
| of fur ther evidence, | by the Compensation Tribunal | ||
| o r prescr lbed C o u r t , |
|
| the Commissioner o f the Federal | i n accordance with the directions |
Court of Australia.lI
| A | t | the t ime | of the determination | o f 9th February |
| 1972 and the re levant Act was the Compensation (Australian Government | hearing of the | appeal | t o the | Tribunal | the |
| Employees) Act of 1971 | by | which | the | Commonwealth Employees’ |
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7.
| Compensation | Act | o f | 1930 had been | repealed. | See sub-section 4 |
| (l) | . | It i s provided | by | sub-section | 4 | ( 2 ) of | the | 1971 Act |
| that | - |
| I'Notvithstanding | sec t ion 8 o f | the Acts | In te rpre ta t ion |
| Act 1901-1966 | the Commonwealth is not l i a b l e , on o r |
| a f te r the proc la imed da te , to | make | any payments |
under the Commonwealth Workmen's Compensation Act 1912 o r the Commonwealth Employees I Compensation
| Act 1930-1971 | bu-c sec t ion 8 of the Acts Interpretation |
| Act | 1901-1966 | otherrrise applies | i n r e l a t i o n t o t h e |
| repea ls | e f fec ted | by | the l as t preceding sub-sectlon | I | - |
| t o t h e e x t e n t t o | which | i t s | appl ica t ion woul~$ not be |
| incons is ten t with the operation of | any provisior. of |
| t h ik | Act. |
Sub-section 104 (1) of the Compensation (Commonirealth
| Employees) Act | 1971 provides tha t s u b j e c t t o P a r t | VI1 | of | t h a t |
| Act, that disease contracted | Act | appl ies o r an aggravat ion accelerat ion | i n r e l a t ion to an in ju ry sus t a ined , | a |
o r recurrence
| of | a | d i sease suf fered | by an | employee before the proclaimed date, |
| as it appl ies i n r e l a t i o n t o contracted o r an aggravation acceleration | an | in jury sus ta ined | o r a | disease |
| o r a recurrence of | a |
| ! | d i sease suf fered | by an | employee | on o r a f t e r tha t date. |
| The | provis ions o f | t h l s | sub-section are, | s o f a r as |
| they speak, effect ive to render the | Commonwealth | l i a b l e t o | pay |
| compensation f o r an in ju ry pursuant t o sub-section | 27 (1) of the |
| 1971 Act whether the injury | were | sustained before | o r a f t e r t h e |
| 1971 Act | came into operat ion. |
| But sub-section | 104 ( 2 ) provides tha t sub-section |
| 104 | (1) does not en t i t l e | a | person | t o r e c e i v e | compensation | i n |
| respec t of | an injury sustained before | the proclaimed date, | o r |
| . | i n respec t of | a | d i sease , | o r an aggravation acceleration | o r |
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| recurrence of a disease synptoms of which | first became |
| apparent before that date | i f | compensation | was | not payable in |
| I |
| /respect | of | t h a t i n j u r y t h a t d i s e a s e , | o r that aggravat ion |
| accelerat lon | o r recurrence under the | Commonwealth Employees' |
| Compensation Act 1930 | or that Act | a s amended, | a s i n f o r c e a t |
the time when the in ju ry was sustained o r symptoms of the
| disease o r of the aggravation acceleration | o r recurrence first |
| became apparent. |
| According t o s.5(l)of | the Act of 1971 inJury means |
| any physical o r mental injury | and includes the aggravation |
| accelerat ion | o r recurrence | of any | physical injury but subject |
| t o S. | 29 of the Act does not include | a disease o r the aggravation |
| accelerat ion | o r recurrence | of a | disease. |
| Section 29 provides that | where the employee contracts |
| a disease o r su f f e r s an aggravation acceleration | o r recurrence |
| I of a disease and any | employment of the employee was a |
| cont r ibu t ing fac tor to the cont rac t ion | of | the | disease | o r t o the |
| aggravation acceleration | o r recurrence whether | or not the |
| disease was | contracted o r the aggravation acceleration | o r |
| recurrence was | s u f f e r e d i n | the course of | t h a t employment, | then |
| i f | t h e p a r t i a l | o r t o t a l i n c a p a c i t y f o r | work | r e s u l t s | from | the |
| disease | o r f rom the aggravation acceleration | o r recurrence | of |
| the disease, for the purposes | of | the | Act, | unless the contrary |
| intention appears the contraction | o f | the disease | o r the |
| aggravation acceleration | o r recurrence as the case | may | be | s h a l l |
| be deemed t o be a | personal injury | t o the employee a r i s ing out | of |
| the employment of the employee by the Commonwealth | and | the date |
.
0.
| of the incapacity | shall be deemed t o be the date | of the |
| i n | j u r y . |
The determination of 1972 appears t o have proceeded
| on the view condition | that aggravat ion | of | the appel lant ' s a l leged |
| o f | chronic paranoid hypochondria could properly | be |
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| regarded | as | an | inJury | as | defined | in | S . 9 o f | the Commonwealth |
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| Employees' Compensation Act | 1930 and compensible provided | it |
| ! | I |
| was | caused by, accident, and nonetheless | s o i f it was | a |
| condition supervening | upon a | physical injury. |
| It | does not appear whether the Delegate regarded the |
| condition o f | chronic paranoid hypochondria as an injury in |
| i t s e l f o r a s a conditicn supervening | upon a | physical injury. |
| A s was sa id by Windeyer, J. in Federa l Broom Co. | Pty. |
| Ltd . v. Semlitch | (1964) | 110 | C.L.R. | 626 a t 642 - |
| "It has, o f course, been | common i n workers |
compensation cases to treat as an incapacity
| r e su l t i ng | from | a | phys ica l i n ju ry the to t a l |
| d i s a b i l i t y t h a t | fo l lows | f r o m . | it whether | it |
| be a t t r ibu tab le only o r t o associated psychological | t o the anatomical | damage |
and neurasthenic
| f ac to r s . | The | applicant's | case | might | therefore |
| have been in jury suf fered | put | as follows. | A minor | bodlly |
| by | the appl icant , | a person o f |
| unstable mentali ty, | had serious psychological |
| consequences; | and | thus | it | resu l ted in incapac i ty |
| f o r work. | So put, | the case vould not | depend | upon |
the statutory provisions concerning disease but
| on the general | word | i n j u r y | ' I . |
| Before the Tribunal the case | made | fo r t he | appellan-c |
| was that | the | condltion | complained | of was a conditior? | supervening | , |
| l | 10. |
| I | r | . |
| l |
| upon a | physical injury. |
| l |
| I t is | apparent that the Delegate proceeded | oil | the |
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| ylew t h z t t h e e f f e c t | of | S. | 104 of | the Act | o f | 1971 | was | t h a t |
| I |
compensation was only payable if the conditions of Commonwealth
| l i a b i l i t y p r e s c r i b e d | by | the | 1930 Act were | establ lshed | by | the |
| appel lant . | In o ther words , the provisions | of S. | 27 and S, 29 |
| of the Act of be by accident, and expanding the definition | 1971 eliminatlng the requirement that | the of disease were | injury |
| i r r e l evzn t | and | the appel lan t car r ied the | onus | of | proving | a |
| mental injury | by accident. |
| Whether t h i s be | s o o r not must be | a t l e a s t a |
| matter of doubt. | The circumstances do seem t o have | required |
| a t t e n t i o n t o t h e p o s s i b i l i t y t h a t t h e a p p e l l a n t ' s c a s e | was |
| r ea l ly r e fe rab le | t o S. | 27 of the 1971 Act | i n which event the |
| appellant 's case should | have been considered according to the |
| pr inc ip les expressed in the | High | Court | in Federa l | BroGm | Co. | Pty. |
| L td . | v. | Semlitch | (supra). | In | that | event | proof | of | accident would |
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| no t have been | required as a condition of | Commonwealth l i z b i l i t y |
| and it would have been | f o r the Commonwealth t o prove that under |
| the Act would have | o f | 1930 compensation | would | not have been payable. | This |
| been | o f | impostance because neither the Delegate nor tbe |
| Tribunal made | a f inding that aggravat ion | of the appel lant ' s |
| mental disorder was not caused by accident on 20th February | 1968. |
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| However, when >'h-. | S t o t t opened the appeal | t o the |
| . | Tribunal | referr ing | t o the | condition | o f | chronic | paranoid |
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| hypochondria he | said - |
| I | |
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!'The only ground o f appeal i s on the basis
| l | that the Delegate ought t o have found tha+ | ||||
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| The appeal was fought on t h i s basis and was s o |
understood by the Tribunal whose reasons for judgment commence
| with the statement | - "He | (the appellant) claims compensation |
| f o r a condition o f chronic paranoid hypochondria | which he |
| claims results from | a n i n j u r y t o | his hand | a t work | on | 20th |
| February 1968. |
| The Tribunal proceeded | on the basis that aggravation |
| o r acce le ra t ion | of | the appel lan t ' s p re-ex is t ing condi t ion | o f |
| hypochondria | came within the de f in i t i on | of | injury contained |
| i n S. 4 of the Act and accident ar is ing out of | t h a t i f t h a t i n j u r y | was | caused by |
| o r i n the | course of | h i s employment | by |
the Commonwealth it vas cornpensible i n accordance with S. 9
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| of | tha t Act. |
| The | Tribunal addressed hxmself | t o | two | i s s u e s s t a t e d |
as follows -
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| ( i i ) |
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( i ) whether
| The | first i ssue was | considered on | the bas i s t ha t |
| on 20th February 1968 o n l y t h e l i t t l e f i n g e r | the appel lan t ' s in jury a f fec ted not |
| but | a l so the ba l l | of | the | thumb, | the |
| thellar | region. | On | t h a t b a s i s | a number of witnesses gave |
| evidence | of the probable effect | o f such an in ju ry and its |
| sequelae, | namely | supervening pain and | two | surgical operat ions |
| upon the appel lan t ' s a l ready ex is t ing anxiety and depression. | morbid | condition | of |
| On | th i s i s sue the Tr ibuna l ' s f i nd ing | was | as | fo l lows | - |
| "1 am | no t s a t i s f i e d on the evidence | of the |
| claimant 's mental condition prior | t o the |
| accident in February | 1968 tha t t h i s acc iden t |
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| made | any | s ign i f l can t change | o r accelerated |
| o | r | aggravated his long standing mental cond1tion.I' |
| The | appel lant contends that this decls ion | is | against |
| the evidence contended that the only f inding | which | he | says was | a l l | t h e o t h e r | way. | It is |
| open on the evidence | was | t h a t |
| the Tribunal | was | s o s a t i s f i e d . |
| The witnesses who gave special is t | psychiatr ic | evidence | , |
| on | the poin t a t the hear ing | were | Dr. | Kornan, | Dr. | Barnes, |
| Dr. | McCloskey and Dr. Sinc la i r . |
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| Dr. Kornan had examined | the appel lan t in | November 1972. |
_ .
| He s t a t e d appe l l an t ' s cond i t ion a t t ha t s t age | t h a t | he considered | there | was a re la t ionship between the | ' |
| and | the in jury | t o h i s | hand |
| i n February 1968. | H i s evidence | contained | the | following | passages | - |
13.
| I7Doctor, d id | the in Ju ry to the | hand | came | or | prec ip i t a t e |
| any mental condltion? | -- Yes, I th ink we have here | a man |
| who was | vulnerable but | who would have | i n t h e absence of |
| the hand it is t r u e t o s a y | Injury been able | to continue working. | I | think |
| that I am not sure | that he would have |
| g o t t o | 65, because | wi th h i s | s o r t o f | bas ic personal i ty |
| problems you | of ten don ' t ge t | through the | whole working |
| career , bu t | I think he would have kept going certainly |
| f o r a few years . | I th ink what the hand inJury did, and |
| ce r t a in ly the | hand operst ion, was | convince him tha t he | was |
| r i g h t and that secondly that what | ever doc tors to ld | him, |
| there was a considerable doubt | about. | The | hand | ef fec t lve ly |
| stopped him from | working | a t | l ea s t | t hose ex t r a yea r s . |
| Doctor you | say tha t the inc ldent | i n February 1968 cauied |
| some, perhaps I am using my | own | words - but dramatic ehange |
| fo r t he vo r se | i n this | man's mental condition. | Is | tha? | the |
way you put it, o r am I mis-stating you? -- Yes, I th lnk that
| is so . | I saw him some t h r e e y e a r s | l a t e r | and | I | am not |
| cer ta in as to -whether | that | dramatic change occurred quickly |
| o r whether it occurred over a period of | a few months; | but I |
| th ink what it did do | was | start off this brooding | and t h i s |
| cancer phobia | i n a | s i g n i f i c a n t way. |
Would it surpr i se you t o h e a r that this man had had a cancer phobia even before t h i s inc ident? Or say - perhaps I should
| put it i n another term- | that he had been worried about cancer |
| even before | th i s inc ident? -- No, | it wouldn7t | surprise me. I |
| t h i n k t h i s | man | - and the h i s to ry | is suggestive of | this - t h a t |
| he vas emotionally easily dlsturbed | rea l ly s ignif icant personal i ty problems for | a | very | vulnerable | person. | That he was |
| and eas i ly upse t | and had | h is |
| many | years . |
| You | say the incident of February | 1968 i n fac t acce lera ted |
| a cont inuing mental i l lness; | would that be a fa i r way of | ||
| pu t t ing it? -- You could put |
|
| ce r t a in ly aggravated whatever | was the re . | It accelerated |
| the onse t | of probably | what was | an inevi table | t o t a l | d e c l i n e . | I |
think the worrying aspec-c was that he was subsequently proved
| r ight . Evident ly | some | s o r t | of | neuro-vascular | bundle | was |
removed and obviously that was causing hlm some pain of some descr ipt ion. Now, maybe i n a normal person they would have
| been able to shrug that off , a l though he | was | i n a | job | as | a |
| mail o f f i c e r where they may have probably been | more use of | his |
| hands than perhaps I would have had. There probably | was | some |
| cont inuing pa in ; in | a vulnerable person | that was | enough | t o |
| r e a l l y worsen him, | p l u s t h e f a c t | that | with | th i s | cancer fear |
| he was now probably convinced | tha t wel l , i f something could |
| grow perhaps a cancer could | grow, and | t h i s i n a vulnerable |
| person i s enough t o make them much worse. | I think it i s |
| a k i n t o | - i f you | l i k e - a woman | who | bumps | her ches t | and | then |
| afterwards says, | 'You | know, | I ' m | sure that | is going t o g i v e | me |
| cancer ' , then has | a | breas t opera t ion for | a | lump | which | is |
| perhaps non-malignant, but | I | think | afterwards, | i s still going |
| t o be | very | worried | and | anxious. | Now | i f | she has been already |
14.
| L | - |
| an unstable person beforehand, that | is | enough | t o r e a l l y make |
| her very dis turbed. I' |
| Dr. | Barnes | a psyc5 ia t r i s t | examined the appel lant |
| i n August | 1970 | and i n Narch 1972 and i n June 1977. | Speaking |
| with reference to | August 1970 he | said tha t the appel lan t | - |
| ' ' explained his posi t ion to | me | i n g rea t | detai l and | it v?ould |
| be imposs ib le to record a l l | his | remarks | as | the re was | a | grea t |
| deal of content | i n hls conversat ion. | I regarded hlm &S a |
person whose prognosls o r outlook as f a r as a depressive
| i l l n e s s was | concerned, | as being | poor. | Be | is , i n my | y e w , | I |
| s t i l l suffering from | a depressive condition | which 1s r e l a t ed |
| to | hys te r ica l ' convers ion | reac t ion . | I | couldn't | account |
| pos i t ive ly for the phys ica l | findings | but the bas ic s i tua t ion |
i s as I have said one of a conversion state.
| This condition | i s usually | manifested, | i n h i s ca se , man i fe s t ed |
| by | symptoms | af fec t ing the in jured a rea | and | a l s o -the | a rea which |
| of course probl.ems | has | been | subjected | to operation. | But | bas i ca l ly his |
| a r i s e f r o m the underlying depression | o f hls condition. |
| I formed a view that h i s cond i t ion , | as I did before , was still |
| bas ica l ly | o r s ign i f i ca l ly , a rose | on | the | bas i s | of aggravation |
| and/or acceleration m a person who | may | wel l | a t l e a s t on | the |
| balance, be quite predisposed for reasons already stated | i n |
| other reports , a personal i ty which was | to | develop | a prone t o develop t h i s s o r t of problem | nervous | condition. | In | other | words, |
| with | t h i s t y p e | of | s t r e s s and | in ju ry , | o r any | i n j u r y f o r t h a t |
matter.
His evidence continued as follows -
| tlDoctor, given that predisposing personal i ty , | what | i s your |
| view of | the par t played | by the in ju ry to the | hand on 20 February |
| 1968 and the subsequent treatment | of | t ha t i n ju ry? | -- Well, | I |
| wou ld r ega rd the in i t i a l l n ju ry to the | hand | as | being | what | one |
| might | ca l l t he p rec ip i t a t ing | o r aggravat ing factor . | I think that |
| t h e background t o develop | t h i s s o r t | of condition of course | was | s e t |
| and | t h a t i n j u r y | which | was | unusual and | I | bel ieve unusual ly painful , |
| d id start a | t r a m of events leading to | a more | frank | depressive |
| condition o r conversion | s ta te | as I have | outlined. | The | f a c t | t h a t |
| he had operations, | I think, | f u r t h e r compounded the | fe lony | so |
| t o speak, | that | he expected relief following surgery, | which | d idn ' t |
| come. | Although, | as I have s t a t e d , a f t e r | t h e | last operation, | he |
| d id obta in | some | r e l i e f . |
| m r t h e r , a l s o , h e | was | extremely disturbed | and anxious by the |
| suggestion a t one s tage when he was operated on by | Mr. Hooper I |
| t h ink , t ha t | t h i s cond i t ion | may | have | been | malignant. | Therefore, |
| I | t h i n k t h i s s e r i e s | of | trauma, the original trauma | i s added | t o |
| by the subsequent trauma And i f he is a man | of | the operation. |
| who | has had a nunber | of | injuries | over | a |
| peL-iod of | t en | o r eleven years, each individual injury | o r |
| incident | o r what have you, | would | each contribute | t o t h e f i n a l |
| s t a t e i n which | you | saw hlm? | -- | Yes, one | can' t divorce those |
| cont r ibu tory fac tors | from the p lc ture as | I | saw it. |
| You | are no t ab le to say | how much | o f t h i s man's | i n a b i l i t y t o |
work, when you saw him, was due t o the incident in February 1968? -- How much was due t o o t h e r f a c t o r s , e i t h e r f a c t o r s
| p r i o r | t o then | o r f ac to r s a f t e r | t hen? | -- I think i t - I s | impossible |
| t o p u t | t h a t | i n | t e r m s | of | a | quantit ive percentage. | A l l I | could |
| say was | tha t | i n Ju ry | was | h ighly | s igndf lcant | for | him, | p a r t i c u l a r l y | , |
| as | it was | subject | t o l a t e r su rge ry . | From | a | psycho log ica l pon t |
| of | view. |
I
Two repor t s by Dr. McCloskey,one dated 12th November
| 1969 and another dated 4th | May 1977 were admitted by consent. |
| On 12th November | 1969 D r . | McCloskey s t a t e d - |
| "This pat ient has suffzred | a | number | o f | acc iden t s i n the | P.M.G. |
| and | a s a | r e su l t , he | is | suf fer ing from a | gross anxie ty s ta te . | I |
| Because | o f t h i s a n x i e t y s t a t e | he | i s no | longer f i t f o r work. |
| I c o n s i d e r t h i s t o t ha t t he pa t i en t | be a | permanent | d i s a b i l i t y and | I | consider |
| is | suf fer ing | from | a | considerable disabi l i ty . |
| The p a t i e n t ' s i n t e n s e p a i n i n h i s l e f t | most | pressing complaint a t the | moment | is of |
| hand which | has been described as |
I
| chordalgia pain, | however | I have never seen chordalgia apart |
| from an amputation | stump, | and I see no evidence of t h i s p a t i e n t |
| having had | h i s hand amputated. | Therefore, | In my opinion he |
| i s not suf fe r ing | from | chordalgia, but | a | s o f t t i s s u e i n j u r y t o |
| h i s l e f t hand and an u n f i t €o r work, | acute anxie ty s ta te . | This pat ient | is |
| and I would agree | tha-c he | is not f i t f o r work |
| due t o h i s a n x i e t y s t a t e , has been precipitated | and | I | th ink tha t t h i s anx ie ty s t a t e |
by the numerous accidents he has had
| during the course | of | h i s | employment." |
| I n May | 1977 he | s t a t e d - |
| "Therefore ....... | the pat ient has | had a | number of accic7e.nts |
| including one | t o h i s l e f t | hand | and | a s a | r e s u l t o f | a l l h i - |
| accidents and the | one | t o t h e l e f t | hand | i n p a r t i c u l a r , | he | is |
| permanently unfit | f o r work. ' 1 |
I
| f | I |
| I | 16. |
| < | . |
I
| Dr. | S i n c l a i r vas | ca l led | for | the | respondent . | A | ' / |
| report of | Dr. | Sinclair dated 29th October | 1971 was admitted. |
| I |
| The burden of | its content is tha t t he appe l l an t | was | a paranoid |
| I |
| ;individual more | in te res ted in the acceptance | by | others of |
I
| h i s d i s a b i l i t y t h a n | e v e n t h e d i s a b i l i t y i t s e l f . A f t e r n o t i n g |
| tha t the appel lan t had had | numerous | in jur ies each | o f which vas |
| probably super f ic ia l ly | non | s e r l o u s , t h e r e p o r t s t a t e s t h a t t h e |
| appel lant - |
| !'has a gross phobic s ta te | ........ ........ ..... |
| I | ..... | has no | in s igh t and | is preoccupied with the |
| wish t o have | these | injur ies | s ingly | and | in |
| to t a l i t y | r ecogn i sed | as compensible i n j u r i e s . | With |
| , | the exception of the meniscus | I | be l i eve tha t no t |
| one of | t h e | i n j u r i e s | r e f e r r e d | t o , p h y s i c a l l y | o r |
| psychologica l ly has | le f t | a | compensible | s t a t e of |
| incapaci ty . | The | other | conclusion | that | I | ar r lved |
| a t is tha t t he pe r sona l l ty | of | this man | is such that |
| he | will | continue | i n h i s e f f o r t s t o | have | h i s i l l n e s s |
| recognised and accepted as being the | f au l t of |
| someone | e l se r a the r t han | as | I | be l ieve a r i s ing | from |
| h i s own | personal i ty . It |
The report concludes -
| "Paranoid | ind iv idua ls have the i r | malady | f i rmly |
| imbedded I n | t h e i r p e r s o n a l i t y . | They | a re | usua l ly |
| self | centred, | meticulous, | r igid, humourless | and |
| g iven | to | p ro jec t ion . | This | form | of | projec-cion |
| is used | i n any | s i t u a t i o n where | there has been an |
instance about which the sw-ferer can feel
| r ighteously indignant . | With | the present | Worker ' S |
| Compensation L e g i s l a t i o n t h i s o f f e r s | a | very | good |
| avenue f o r pursuing a | sense of inJury | and f o r |
expressing righteous indignation."
| Dr. | Sinc la i r ' s spec i f ic d iagnos is of the appel lan t ' s |
condition vas that he was a chronlc paranoid hypochondriac.
| In his evidence | to | the Tribunal | Dr. | Sinc la i r s a id |
| t h a t t h e a p p e l l a n t | was | not a | good | candidate for | trauma | and |
| Would | b e l i k e l y t o o v e r r e a c t t o | it. | He | said | t h a t with | a |
| true hypochondriac there | was | frequently insomnia | due t o t h e |
17.
| I | -... |
| pat ient mil l ing over | h i s symptoms | md t ha t t he re | i s l i k e l y t o |
| be a complaint re ta ined wi th in the pa t ien t | o f pain as being present | a t a l l times | and |
| ' S | consciousness | a t a l l times | and |
| t h a t when | descr ibing those pains | the i r language | i s extreme, | of |
| a | t hea t r i ca l | t ype . | He | s a i d | t h a t | he | considered | the | zppellant |
| u n f i t | f o r vork | that involves the use | o f | his | body. |
I .
| Dr. S i n c l a i r was asked by the Trlbunal whether | he |
| agreed with | Dr. Barnes tha t t he in ju ry | of February 1968 | 'Iwas |
| the aggravat ing factor | which operated on his underlying |
| condition1'. | There | was | an | in t e r rup t ion , and | the Tribunal |
| sa id , "1 just asked | you whether you think that the in jury | in |
| 1968 was | such an aggravating factor | and whether it had t h a t |
| e f f e c t o f | developmg the psycholcgical state | t o where | i t ' s |
| gone - Y?ould you agree with t h a t a s | a proposition?Il After |
| fur ther in te r rupt ion the Tr ibunal sa id , | "The | pa r t i cu la r po in t |
| I am | t ry ing t o ask you is whether you would agree with | Dr. |
| Barnesl description of | the e f f e c t of | the incident | of | 1968 |
| had on h is mental | condition?". | Dr. S i n c l a i r | s a i d , | '!Yes, |
| although I believe with | a personal i ty of t h i s type any dramatic |
| event would aggravate it. | It 's a b i t l i k e adding one more |
| br ick | t o a pyramid and any | l i f e s i t u a t i o n t h a t ' s | an | unhappy | one, |
| p a r t i c u l a r l y | a | d r m a t i c | one | would | aggravate it. | I don' t |
| be l ieve tha t | what | was | a | fa i r ly s imple acc ident | was | i n i t s e l f |
| a | sole | aggravat ing | factor ." | The | Trlbunal | said | "1 think |
,
| Dr. Kornan d i d n ' t seem t o think the accident | was | so much | a s |
| the two operations that followed | from i-i; | and | t h e f a c t t h a t a f t e r |
| t he first operation the pain | d id not go away." | Dr. | S i n c l a i r |
| s a id , "1 think an operation | is a dramatic, tangible | Thing and |
| any operation leaves | a s ca r and i s sure t o elaborate the |
| . | . | _--_, |
18.
| L | - |
| psychological d isorder i n the p a t i e n t ' s mind. | The | operation |
| i t s e l f was | relat ively minor* | I 1 |
| In the reasons for | judgment | it is said | that | t h l s |
| evidence of Dr. | S i n c l a i r is accepted and it was | t r ea t ed by 'he |
| Tribunal as be ing | In conf l ic t | with | t h e | view | t h a t | t h e | hand in ju ry | : |
| and | the operat ions | d id | mater ia l ly aggravate the appel lant ' s |
i
| personal i ty | d i sorder . | But | whatever | were | t h e v i e w | of | Dr. |
!
| S i n c l a i r | as | to the appel lan t ' s paranoia , | on | the i ssue | of | the |
| aggravat ing affect | o f | trauma | which | was | the c r l ' t i ca l po in t there |
| was | no | c o n f l i c t between | Dr. | S i n c l a i r and | the other witnesses. |
| Dr. Sinc la i r confirmed the evidence | of Dr. Barnes and expressed |
I
| c l e a r v i e w | as | t o t h e l i k e l y e f f e c t | o i a | dramatic event along |
| similar | l i n e s . |
| So | f a r as | D r . | Sinclair questioned the evidence | of |
| ' | _ |
| Dr. Barnes, on the matter of the appel lant ' s aepression, | it is |
| t o be observed | t h a t on this | - matter there | is strong support |
| for the observa t ions | of | Dr. Barnes from Commonwealth sources. |
| It is my | view t o misunderstand the evidence of |
| Dr. | S i n c l a i r t o ga ther from | it | as | the Tribunal appears to | have |
| done, tha t it supports the contention May 1968 and its sequelae including the operat ions | that the accident | of 20th |
made no
| s ign i f i can t | change | and | was | no t l i ke ly to aggrava te | o r acce le ra te | I |
his long standing mental condition.
| If, i n connection with | a l l t h i s , | one | r e f e r s t o t h e |
| words of Dr. Sul l ivan , the | Cornnonwealth Medical Officer | r ~ ~ n t t e n |
| i n May 1969 when he decided the appcllarlL | must be dismissed, |
| there i s presented | a most | convincing picture | o f t h e s t a t e | of |
| the appel lan t , r igh t ly | o r | wrongly, but actually, obsessed | and |
depressed by h i s hand Injury.
| He | sa id - |
!
| I1This m a n is | i n a | t ragx psychologica l condi t ion , |
| is in t rospec t ive and has | a | f i x a t i o n on | various |
| a f f l i c t ions , i nc lud ing | an unreasoning fear | of |
| cancer. | He has some idea that doctors | are | keeplng |
| from h i m some | d i r e a i l m e n t t h a t a f f l l c t s | him | and |
| they will | n o t t e l l | him. | He | is mainly preoccupied |
| with a burning sensation of the thenar | eminence of |
| t h e l e f t hand. ....... | and is wearing a glove on this |
| hand, | he | ac tua l ly r e c o i l s when | one | endeavours | t o |
| palpate | it, as i f it i s exquis i te ly tender and ye t |
it is observed t h a t when he arose from the couch,
he put his f u l l weight on thls region t o l i f t
himself.
I
| Accordingly on this i ssue I am | of opinion that the |
| evidence is a l l one the operations materially aggravated the appellant | way | t o t he e f f ec t t ha t t he | hand | in jury | and |
| 's | long |
| standing condition. That | was | the only finding | open | on | the | f i rs t |
| i | i ssue . |
| I come now t o the second issue as postulated | by the |
Tribunal, namely whether an in ju ry and operations t o t he ba l l
| of t h e a p p e l l a n t ' s l e f t accelerated the mental problem, arose out | hand, | which | it is said caused | o r |
| of | the accident. |
| If, then,some injury | t o the appel lan t ' s hand and |
| supervening pain | and | operat ions aggravated the appel lant ' s |
| personal i ty disorder the quest ion | i s whether | t h a t i n j u r y | was |
| i n i t i a t e d | by | what | occur red in the inc ident in | which | some | p a r t | o r |
20.
| c | - |
| p a r t s of | the appel lan t ' s | hand were | in jured on | 20th February |
| 1968. |
| TWO questions are | wrapped | up | i n t h l s i s s u e a s s t a t e d . |
| F i r s t , waj the bal l | of | the hand | in jured on | 20th February 1968 |
| and second, i f it was, were | pain and operative treatment | a |
| consequence | thereof . | There | i s no | r e a l d i s p u t e | t h a t | t h i s |
1
| second question should | be | resolved | i n the aff i rmat ive. |
| The f ind ing of the Tribunal | on the first o f t hes s |
| questions | was | . that he | was | n o t s a t i s f i e d t h a t t h e b a l l | of | the |
| hand | d i d s u f f e r i n j u r y | on | 20th | February 1968. |
| The evidence of the appel lant | was very | relevant. | He |
| vas the person | who | r e a l l y knew | what | p a r t | o f | h i s hand had been |
| squashed lr, a mater ia l way | in the acc iden t | o f 20th February |
| 1968. | This was | a | c r i t i ca l | ques t ion . | If | the | only | injury | t o |
| the | hand vas | t o t h e l i t t l e f i n g e r t h e n t h e | ttlinktl | between the |
| accident | o f | 20th February 1968 | and | the subsequent troubles in |
| the thenar region could not | be | establ ished. |
| It was | necessary that the value | o f | the appel lant ' S |
| evidence should | be | carefully assessed with respect | t o the |
| a p p e l l a n t ' s c r e d i b i l i t y | and | hls | capacity | t o remember | the events |
| of 20th February | 1968. | In | this | connect ion | the Tribunal | s ta ted | - |
| "In | t h i s | present unfor tuna te condi t ion l i t t l e |
| weight can | be | at tached t o vhat the claimant |
| said in expected some explanation from him a s t o how h i s complaint i n December 1967 of a h o t burning Fensation i n t h e palm of the l e f t hand did, o r | evidence. | Nevertheless, | I | should have |
. .
21.
| d id n o t , r e l a t e | t o the pain | which he | subsequently |
claimed flowed from the accidanL in FebIuary, There i s no doubt t h a t he had a serious mental
| sickness be€ore the | m j u r y there | i s no | doubt | t h a t |
| he | had | a | cancer | phobla | before | the | injury. | I do |
| no t | accept the claimant's denial | of | very frequent |
| minor | i n p r i e s b e f o r e t h e a c c i d e n t i n t h e f a c e | of |
| a l l t h e | other | evidence. | A s Dr, Sullivan put | in |
| r e l a t i o n | to the c la imant ' s | record | o f | i n j u r i e s | - |
| 'You see | there are | many | many. | I | would |
| have t o go throw-gh These. | There | I s | the |
| r i g h t | hand | the re , hee l , r i gh t l eg , | t he |
| knees, | the rlght | mld | f inger , | r ight eye, |
| there | i s | a | f inger here (not specif ied |
| whlch one) | - f inge r improving, painful |
| back, | bruised | muscles, | bruised | chest |
| ........ .. | 1 | I 1 |
| In the conduct | of the case the respondent | made no |
| challenge to the evidence | of | the appel lant that the thenar |
| o r b a l l o f | the | thumb | had been | squashed | in the accident. | Indeed |
| it was | af ter the appel lant had | been re-examined | t h a t Counsel |
| f o r | the respondent sought leave | t o | ask about the details | of |
| the accident, | and @en | tlbe appellant described | it he s a i d - |
| "That s a l l I wanted 20 know Mr. | Wurzel. I t | It was a f t e r t h i s , |
| i n the opening | o f | the case for the respondent , that the |
| following passage ensued | - |
| Mr. | Way I say i t ' s conceded tha t | t he re | was | a hand | in jury . |
| Wheeler: | Perhaps | i t ' s | not | formally | conceded t h a t any other |
| p a r t | o f | h is | hand , o ther than the l i t t l e f inger , | was |
| injured | on | that occasion, but | it seems p r e t t y c l e a r |
| that the evidence | i s t h a t some | o the r pa r t | of | the hand |
| was | injured. |
| The | You | say | tha t | i t ' s p r e t t y | c l e a r | t h a t | some | o ther | par t s |
Tribunal: of the hand were Injured?
| Mr. | Yes. | I have no evjdence | that | by and large | could | in |
| Wheeler: any way impinge upon the | evidence | given. | It may be |
| t h a t it would be | convenient i f the Tribunal | made a |
| formal f ind lng in respec t | of | vhether there | was | a g a r t |
| of the hand | inJUred | other | than | the | l i t t l e f i n g e r . | But |
| t h a t ' s n o t s t r i c t l y p a r t | of | the Tribunal 's present |
| func t ions in my | submission. | Even assuming the hand |
| in ju ry | a s | i s claimed by the | appl icant , | which | for | the | , _ |
22.
| purposes of the | main | argument, | I wish | t o p u t t o |
| the Tribunal , | can be | assumed, | t he re | i s no |
| causative llnk i n my submission between | that and |
| his | present mental condition. 'I |
| Counsel for the respondent informed | me | that i n h i s |
| f l na l addres s | he | withdrew | the | concession | he had made. | The |
| matter proceeded | as f o l l o w - |
| Mr. | "That concession | was | s p e c i f i c a l l y withdravrn. I | It |
| Wheeler: | does not appear | i n t ranscr ipt because | it waa | a t |
| a time | of | f i na l addres ses , | which | were | not | 1 |
| reported, | I think it p rope r | to | mention that , |
| i n case your | Honour draws some conclusion | from |
tha t , that Mr. Ballard had accepted a concession
| and then not re l ied | upon a concession. |
| H i s | He | did n o t r e l y | upon it, anyway, | d id he? |
| Honour : |
| Mr. | No, | he did n o t r e l y | upon it. |
| Wheeler: |
| H i s | What happens i f you make a concession l ike that? | |||||
| Honour : |
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| Mr. |
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| Wheeler: | ||||||
| His |
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| Honour : |
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| go, I suppose? | ||||||
| M r . |
| |||||
| Wheeler: | occurred. I remember discussing it with my learned | |||||
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| His |
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| Honour : | ||||||
| M??, |
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| Wheeler: | I had made. | |||||
| H i s |
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| Honour : |
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| Mr. |
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| Wheeler: |
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|
!
| His | Crnss-examination | might have been d i f f e ren t . | It |
| Honour : | j u s t shows you, everybody says: | I do not want |
| counsel 's address; | you nearly always | do. |
| Mr. | The | ||||
| |||||
| Wheeler: |
|
--
| H i s | 'I have no evidence | t h a t by | and | la rge ......( | reads) |
| Honour : | ........ and I emphasise | the word illness.' |
| Mr. | Might | I | say | in r e l a t i o n t o the question you |
| Wheeler: | raised about | that concession, a l l I can say | i s |
| it was withdravm. | I am unsure vhether it vas |
| i n f ina l addres ses , | where I thought it vas and |
| I assumed not taken | that because the f inal addresses | were |
| and the o-cher comnents | of Mr. S t o t t |
| and myself do recol lec t tha t a l though | do | not | appear on the | t r ansc r ip t . | I |
| I am | not sure | it was |
not tha t a f te rnoon.
| H i s | It | ||||||
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| Honour : |
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| Mr. |
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| Wheeler: |
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| H i s |
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| Honour : |
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I
he no t ask Dr. Sullivan a whole l o t o f questions
he did not ask him?
| Mr. | A l l I can say i s t o tha t is there was no such | |||||
| Wheeler: |
| |||||
| H i s |
| |||||
| Honour : |
| |||||
| Mr. |
| |||||
| Wheeler: |
|
made a concession,
| sought t o wthdraw | it and | I | th ink the t r ibunal then |
| sa id : That do you | say, Mr. | S t o t t . | M r . | S t o t t said: | I |
| seek t o r e l y | on any | concessions | tha t a r e made. | A s |
f a r a s I remember t h a t was what happened and I bel ieve
| I | am | a c c u r a t e t h a t | t h a t | is a s far as the dicussion | went. | . |
| H i s | He did not accept | it then on that basis. | He says: |
| Honour : | All r ight , the concession | was made; | I seek to r e ly | on it. |
| A | cur ious | s i tuat ion. Well . | that | i s your | recollection |
| of | it, is it, that it proceeded along those lines? |
| Mr. | The | |||
| ||||
| Wheeler: |
| |||
| H i s | Not recorded? | |||
| Honour : | ||||
| H i s |
|
. Honour:
| M r . | I will have enqui r ies made but I have a |
| ' Wheeler: | recol lec t ion | of | the tape being | switched off ; |
| t h a t i s why | I d id not th ink | It was | recorded. |
| H i s | If the tape | comes t o ligh-c, you will | let 'me |
| Honour : | know? | ||
| Mr. | Certainly. |
| I | Wheeler: |
| I | - |
| , | , |
| In the absence | of | fur ther information | I assme |
| the tape | i s not avai lable . |
| This concession | is n o t r e f e r r e d t o | i n the reasons |
| f o r judgment of the Tribunal. | This | concession | could | not |
| properly be withdrawn | when it was, without the consent of |
| the | appellanx, | or a t l e a s t on appropriate condi t ions. | The |
| conduct | o f | the appellant 's case might have been different |
l
| had it not | been | made. | It was | a t the ve ry l ea s t | an admission |
| made | de l ibe ra t e ly wi th fu l l | knowledge and | as such of | much |
importance.
| 7t is t o be observe | d tha | .t although there | was | p len ty |
l
| of | evidence that the appellant had | a | long s tandlng personal i ty |
| disorder of anxiety, depression, probably hypochondria | and |
| paranoia , there | is | no th ing to ind ica t e tha t t he appe l l an t | was |
a conscious l i a r o r that he was incapable of remembering events
| of | s ignif icance. | Certainly | i n evaluating'evidence | of | the |
| se rve r l ty of pain and | syrlp-l;vus, the statements of the appellant |
| would require | careful | scrutiny | because | of h i s paranoia. | PS |
| Dr. | Sinc la i r s a id , r eac t ion | t o trauma would probably be | over- |
I
| react ion. | But I find | nothing | in | the | evidence | t o j u s t i f y | a |
| f ind ing tha t | on the question | of what p a r t of h i s hand was |
| squashed on 20th February | 1968 the evidence | of the appellant |
| was t o be depreciated on the b a s i s t h a t | however ra'tlonal o r |
| s a t i s f a c t o r y o r credible it might otherwise appear, | it was |
| necessar i ly | t o be | t r ea t ed a s | of | l i t t l e weight because | of |
| his present | unfortunate | condition. | The | t a s k of | the | Tribunal |
| was t o consider it without | classifying | it as necessar i ly |
I
| o f l i t t l e welght, not, personal i ty | o f | course, ignoring the appel lant ' s |
| and | i l lness but valuing the evidence | by | reference |
| t o a l l appropr ia te cons ldera t ions | of | demeanour, | r a t i o n a l i t y , |
| s i n c e r i t y , | memory | and | the l i ke . |
| I n t h i s | appeal the appellant conducted | his | own | case |
| and h i s personality | necessarily | obtruded. | But | he | ce r t a in ly |
| exhibited a good memory. | If his present | condition | is anything |
| l i k e t h a t | of | June | 1977 I would cer ta in ly not | think that | his |
| evidence | of | pas t events | was | necessar i ly | o f | l i t t l e v a l u e . |
| Having ind ica ted tha t | the evidence of the appellant |
| must | necessar i ly | be | o f | l i t t l e weight, the Tribunal attached |
| importance | t o t he f ac t t ha t t he appe l l an t f a i l ed | t o | explain |
| how a complaint | by him i n December 1967 of a | hot burning |
| sensat ion in the | palm | of | the | l e f t hand | did, | o r d i d n o t , r e l a t e |
26.
| 70 the pain accident i n February. | which he subsequently claimed folloved the |
| A s t o t h i s the Tribunal | said - |
| j"Nevertheless, I would have expected | some explanatiori on |
| th i s mat te r ?despite | from | him." | "NeverthelessI1 | apparently | means |
| his | evidence | being | of | l i t t l e weight. Ir | This | seems |
| t o be put t o the | appel lan t ' s | c red i t . | If | so , it is inapt and |
| operates | unfalrly | because | the | omission | to | give | an explanation, | p |
| i f there were one, | would r e su l t no t | from any i n i t i a t i v e of | the |
| appellant but | depended on the questions | he was asked by h i s ovm |
| counsel, | counsel | for | the | respondent | and the | Tribunal. | In | any |
| event the matter | was not one for explznation but f o r evidence |
| of the observed that | re levant | fac ts . | On | the point | of | substance it is t o be |
the appellant I s case was t h a t h i s thenar was
| injured on 20th | February | 1968. | The | thenar | is | q u i t e d i s t i n c t |
I
| from the palm area of the hand and i f it was des i r ed to | argue |
| t h a t | some | o l d i n j u r y i n t h e | palm | caused the pains | i n t h e t h e n a r |
| then it was | f o r the par ty | making | tha t case | t o c a l l t h e |
| evidence t o support it. | This aspect of the | matter | i s discussed |
| hereaf te r . |
| There is no support | in | he | vidence | for the | t |
| suggest ion that the hot burning sensat ion in the | palm | reported | ,. |
| by | the appe l l an t i n | December | 1967 and which had apparently not |
| recurred, | was | l i k e l y t o | have caused the pains | and | d i s a b i l l t y |
| in the thenar reg ion | which | came | on a f t e r 20th February 1968. |
| It would seem a l s o c red ib i l i ty the Tr ibunal a t tached impor tance to h is denia l | t h a t | i n | r e l a t i o n | t o the | appel lan t ' s | I |
| t ha t t he re | had been very frequent ninor injuries before the |
| accident. | But | t h e f a c t | i s tha t | t he appe l l an t | made | no | such | ! |
| I |
27.
| denia l . | He | c e r t a i n l y said t h a t he | thought E30 | visits t o |
| first aid was | a gross exaggeration, | but t h a t i s qu i t e a |
| d i f fe ren t | th ing . | He | gave | evidence | i n c h i e f | that he | has | had |
| many inJu r i e s , | some ser ious and others of | a trivial na ture , |
| and i n cross-examination | he | agreed he had suffered | "many many'' |
| i n | j u r i e | S . |
.
| It | i s | c l e a r , t h e r e f o r e , t h a t t h e c r e d i b i l i t y | of | the |
| appel lant | was | discounted | on grounds which cannot be supported. |
| If | those grounds are ignored | and t h e r e s t | of | the evidence | is |
| regarded there | 1s much | suppor t for the | view that the a2pel lan t |
I
| must have | hurt his hand in the thena r r eg ion | on 20th February |
| 1968. | Really | the only matter of consequence whch | may | be | sa id |
| t o c o n f l i c t with | the appellant 's evidence | on t h i s poin t i s that |
| it i s said i n the reasons for | judgment of | the Tribm-al that |
| when | the appel lan t repor ted to | Dr. | Sul l ivan on | 20th February |
| 1968 he d id not mention | that the thenar region | was involved. | It |
| is t o be observed, however, | t h a t Dr. | Sul l ivan did nor say | thls |
| spec i f i ca l ly . | It | i s perhaps | reasonable | to | infer | it but it |
| I | was not said. |
| The | respondent | did not lead such evidence from |
| Dr. | Sull ivan. | The respondent d id not | cross-examine | the | appel lant |
| on that po in t , | and the | appellant 's | counsel | d id not | cross-examine | I |
| Dr. Sul l ivan on it. | The inference, i f it was | involved i n what |
| the doctor | had wr i t t en dovm | i n 1968, vas, | a t that s tage of the |
i
| case, unimportant | i n view | of | the respondent 's concession as | to | I |
| the | injury | to | ther | pqrts | of | the | hand. | Had it been | otherwise | ! |
28.
I
| the appellant should have been given | an | opportunity | t o |
| explain. | And of course | whether | the | inference | from | what |
| the doctor had writ ten | down | i s sound o r not it has t o be |
| considered | i n t h e l i g h t | of | the inherent probabi l i t i es | and |
| I | other | |||||||
|
| giving the appellant | most | worry, |
| and | the appellant 's over-reaction | t o h i s | l i t t l e f i n g e r | was |
I
| there in evidence. | It is q u i t e l i k e l y | from what | appears | t o |
| have been | the nature | o f | the actual injury suffered by, the |
| appe l l an t t o t he r e s t | of | the | hand | t h a t i t s e f f e c t s a t I that t ime |
| were minor l i k e l y t h a t | compared | with | t h e | l i t t l e | f i n g e r . | It was | qu i t e |
| what was | engrossing Dr. | Sullivan on t h a t day rvas |
| i r r i t a t i o n a t ~II | x-ray | o f tha t in jury be ing | demanded, | and what |
| was | engrossing the appellant | on | t h a t | day | was | h i s f ea r t ha t t he re |
| was | a | bone | in jury | t o h i s l i t t l e f i n g e r . |
| I look therefore evidence it is a proper inference | a | t | the | other | evidence. | On | the |
| that the appel lant ' s | hand rvas |
| I | i |
| i n good condition on 20th February 1968 | and t h a t on t h a t day he |
| squashed | the | l i t t l e f i n g e r . | Whether | he | d id some in ju ry t o the |
| thenar | region | is the | issue. | H i s evidence is t h a t he | reported |
| the incident evidence as called | t o f lrst a i d and t o h i s overseer | forthwith. | No |
| from first | a i d o r the overseer | t o ind ica te |
L
| what were t o t he appe l l an t t ha t | the | precise | terms | o f | the | report . | No | suggestion was put | I |
| t h i s | repor t | t o first | a i d | o r the overseer |
| was | in | r e spec t | of | i n ju ry t o t h e | l i t t l e | f i n g e r o n l y . | The | 27th |
| . | February | 1968 | was the day on which the | appellant | sought | x-ray |
| from Dr. | Sullivan. | Whatever was | s a j d t h a t | day it | i s c l e a r t h a t |
| I | 29. |
| ! | - |
| I | - |
| ! |
| on 15th Narch 1968 s t a t ed he had | the | appellarit consulted | D r . Muschin and |
| hur t the | whole | of the knuckle area | of the hand |
| and t h e b a l l do with the moverilelit o€ the thumb, he sa ld tha t there vas | o f | the | hand. | D r . | Muscnin | s a i d t h a t | it had | t o |
| pain and | tenderness | in | that region r ight across the | back of |
| the hand March D r . | a | |||||
|
| referred the appel lant | t o Dr. | Rowlands who |
| conducted an X-r2y | f irst of | a l l of | t h e l i t t l e f i n g e r | and | shor t ly |
| a f t e r of the urhole hand. Nothing | was | revealed but tha appellant |
I
| s t i l l continued t o consult W. | Muschin who | c e r t i f i e d on 9th |
| September 1968 | t h a t he was having "pains | m t h e l e f t hand which |
| he | i n j u r e d a t work i n February | l a s t and t h a t he needed | d | complete |
| r e s t and | general | t reatment | for | three | months from now. 'I | I n |
| September 1968 | Dr. Matthews | of the department reported | tha-t the |
| appel lant had many | complaints and says the worst one | a t p r e s e n t | i |
| "is pain | and s~ve l l ing | o f | the | l e f t hand." | Swelling | was |
| something Dr. Matthew | could | see. | In | December 1968 the same | i |
| off icer reported that the appel lant had | his | l e f t arm | p u t i n |
!
| plaster about | a | month | before | and | tha t opera t ion for carpe l |
| tunnel was | recommended | but | h i s mental condition | d i d n ' t | permit |
| it. |
| In April | 1969 Dr. | T h r i f t found t h a t the | appel lan t ' s |
| principal complaint | was | t h a t i n t h e l e f t | hand | and wrists which |
| the appel lant s ta ted he | had squashed | i n a door just over | a year |
| previously. | He | thought | there | had | been | a | contusion | In the muscle |
| o f t h e l e f t | thumb where there was tenderness. | He | considered | the |
| appellant | as one having a ~ O W | threshhold of pain. | He sa id |
i
I
| however, | t h a t a | crush injury | be twean | ob j e c ts o f considerable |
| mass can a l l proportion t o the | r e s u l t i n | a very painful condition frequently out | of |
| o r ig ina l | in jury | vtnere | there | are | nerves | ' I |
| I |
| that | are | contused. | Any | inc rease | in mass such | as | these | small | ! |
| lumps can April 1969 the appellant | r e s u l t | i n | a compression o f the median nerve. | In |
| t o l d him that he had | a burning pain, |
| no t cons t an t , f e l t t ha t t he compla in t s t ha t t he appe l l an t | pa r t i cu la r ly | a t | n igh t . | D r . | Th r i f t | s a i d | t h a t | he | , ' |
| i |
| made | o f | pain | and |
| d i s a b i l i t y were | genuim. | In | May | 1969 D r . | Thrif t accepted | that |
| the appel lant | was | still having canstant pain in | h i s l e f t |
| thumb. | In May | 1969 D r . | Sullivan | found | the | appellant | complaining | L |
| o f | a burning sensation In the thenar | eminence | of | t h e l e f t | hand. |
| In | September | 1969 | D r . | Pluschin referred | the | appel lant | t o | I | ' |
Mr. Hooper.
!
| So f a r a s | Nr. | Hooper | is concerned it is we l l t o t ake |
i
| into | account | the | comments of D r . | Aberdeen. | He | s a i d - |
| ll\erell I think Hr. Hooper is a very wise | and learned |
| man | and | I | am | quite sure he wouldn't need the records |
| of | the Postmaster-General's Department | t o sum Mr. |
| ' | t h r z e l up." | |||
|
| ser iously. | He | examined the | appel lan t ' s | hand | and | found | tenderness |
| in the r eg ion | of t he ba l l | of the thumb and a | s l igh t sugges t ion | of |
| a small the thumb. | lump | i n t h a t r e g i o n | and | s l i g h t s w e l l i n g a t -the b a l l | of |
| In December 1969 | an | electro-myogram | was | carr ied out |
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I
| I | I l | 31. |
r
| l | disc los ing what IW. Hooper thought was a glomus tumour. | A t |
| l |
| I the opera t ion in | 1971 t h e l m p | thcughT t o be | a | glomus | tumour was |
| not | found. | However, Mr. Hooper dlvid-ed a nerve t o reduce |
| I | . |
| ;pain In | the a rea . |
| A t the second operation in January 1973 | Mr. | Hooper |
| found what he had thought | i n December | ‘1969 | t o be the | glomus |
| tumour. | It was not a glomus | tumour | b u t was | s c a r t i s s u e | which |
| had become a painful | nodule. | Sczr t x s u e is t h e r e s u l t | of |
| haemorrhqyandMr. Hooper’s opinion | 1s | that the appe1lar;t had |
| had ahaemorrhageinto the bal l | of | t h e t h m b | and | t h a t t h i s |
| formed t h e s c a r | and | involved nerve ends | and became | a pa infu l |
| nodule. | The evidence | of | Mr. | Hooper t h a t | t h e | s c a r | tissue |
| was there said i n cross-exaimmation | before | the | operat ion | of | 1971 | i s qu i t e | c l ea r . | As | he |
- “He d id not have a glomus tumour, but
| he did have something | ........ . | namely | the s ca r | tissue.Il |
| The | reasons for | judgment of | the Tribunal d isc lose |
| tha t cons iderable a t ten t ion | was | given to the question whether |
!
| there was | a | link | between t h e i n p r y t o t h e l i t t l e f i n g e r | and | the |
| pains subsequently suffered | by | the appe l l an t i n the thena r a rea . |
| The | question appears to have been posed | on | the bas i s | that | the |
| only par t | of the hand involved | i n the Incident | of 20th February |
| 1968 was t h e | l i t t l e f i n g e r . | The | Tribunal | decided | that | there |
| was no | evidence | of | any | such | link. | In t h i s he was undoubtedly |
| r igh t . | A s t o such | a p o s s i b i l i t y , | Dr. | Aberdeen | sa id | ‘I | I n no |
| way . | The appel lant’s | case | depended therefore on h i s |
| es tab l i sh ing that the thena r pa r t | of | the hand was | in jured when |
| the hand was | caught between | the door | and t h e t r o l l e y | 01: 20th |
| Fcbruary | 1368. |
| If point the evldence is t h a t on 15th March 1968 the hand was | one | forgets the appel lant ' s evidence | on | this |
I
| found t o be in ju red in the | manner dzscribed by Dr. Nuuschin. | ||
| What he found was not only |
|
| i n ju ry of | the thenar region | on | 20th | February 1968 but residual |
| bruis ing which he | would | see apparent ly r ight across the | back |
| of the hand, thar; the | symptoms observed on 18th March were |
| consistent with contlnuing pain | and tenderness in the thenar |
| a rea | in | l a te r | examinat ions . | In | September | 1968 | D r . | Matthews |
| observed | swel l ing | in | the | lef t | hand. | In | September | 1968 Dr. |
| Muschin | c e r t i f i e d p a i n s i n t h e l e f t | hand. | In Apri l | 1969 | Dr. |
| T h r i f t formed | the | opinion | there | had | been | a | contusion | in | the |
| area which | would | be | consistent | with | a crushing | injury. | In |
| September 1969 M r . Hooper detected the small | lump which turned |
| out | t o be | s c a r t i s s u e . | |
|
| probable cause | of | the cont lnuing pains in the thenar region. |
| There was the incident | of 20th February 1968 | which might have |
| caused it. | There was | in the appel lan t ' s case | no | evidence of | any |
| other | probable | cause. | Hmever | ,the | Tribunal | was of oplnion | that |
| I | the pains | might have been | r e l a t ed t o and apparently a |
| development | of | an | in ju ry t o the middle r inger in respect | of | which |
| it appeared that in | December | 1967 the appel lant had suffered | a |
| burning sensat ion in | some m-specified portion | o f the palm of the |
| l e f t hand. | As | t o th i s | the | Tr | ibunal | sa id | - |
33.
| "1 am n o t s a t l s f i e d b a l l of the hand was not the same pain as | t h a t the | pain t o the | ! |
t h a t complained of two months before the
| accident. | I make no f inding | as | t o th l s . |
| It | does not really matter whether | this | i s |
so o r whether it developed a f t e r -the
accident. I t
| The | meaning | of | this i s not c lear , bu t | it ce r t a in ly |
| appears tha t in | his | considerat ion | of | t he poss ib i l i t i e s t he |
| Tribunal took into account | what was r e d l y a f lnding on h i s |
| p a r t t h a t the December 1967 in jury was the | evidence, | while | not | es tabl ishing | that | the | l |
| cause | of | t he | l a t e r | pa ins | i n | t he | i |
| thenar area, nevertheless pointed | with | s igni f icant persuas ive |
1
| force t o the December 1967 injury | as | the | l ikely | source | of the | I |
| troubles. ! | thenar | subsequent |
I
| If o f recurrence o r aggravation of | it | vere tha t the thenar pa ins vere | a development |
the i n j u r y of December 1967
| which produced a hot burning sensation, | a | question would |
| immediately arise as | t o whether the recurrence | o r | aggravation | l |
| was not caused ignoring th i s question, | by the hand inJury o f 20th February | 1968. | But |
| the s i t u a t i o n would be | t h a t if | the |
| evidence concerning the | December | 1967 condition d id point |
| s ign i f i can t ly t o tha t cogdi t ion as | a | reasonable explanation | o f |
| the thenar pains , then in the absence | of | evidence | t o e x p l a i n t h a t |
| hypothesis away, | there would remain a doubt | on the balance | of |
| p robab i l i t i e s a s | t o which | of | two | competing possible czuses | was |
| the r ea l | one. |
| O f course | it was | necessary for the appel lan t to |
| e s t ab l i sh | on | the balance | of | p robabi l i t i es tha t the pa ins | were |
| I | t |
34.
| t h e r e s u l t by reference to the | o f inJury on 20th February 1968, and t o do that | ! |
| whole of the evidence as | it s tood a t the |
| end of | the hearing. |
| A t that s tage there had | t o be | taken into account |
| what Banrick, | C . J . | s a i d | i n | Furkess v. Crit tenden, 114 C.L.R. | i |
| I |
| - | 168 that “evidence .. | D . . . which, | i f | accepted, | would | e s t ab l i sh |
with some reasonable measure o f p rec is lon , what the p e-existing
| condition was | and ?!hat | i t s fu tu re e f f ec t s . . . | . t h e i r f u I, | re develop |
| ment | were l i k e l y t o b e Vhen such evidence has been giv | L | n then |
| the par ty against | whom | it operates will | n e g l e c t t o c a l l |
| explanatory o r contradlctory evidence at | hls per i l . |
| But the burden | of call ing such explanatory | o r |
| contradictory evidence does not arise | when | the | Lnost | than can |
| be s a i d o f exis t ing condi t ion | the existence | and | e f f e c t of | any such alleged pre- |
I
| is t h a t it | is merely a suggestion thereof. |
| And t h a t f a c t t h a t t h e r e | of | course | is more | than can be said in this case. | The |
| was | a burning sensation | i n t h e | palm | of | the hand |
| i n some unspecified place | and of some unspec i f ied in tens i ty | and |
| appa ren t ly r e l a t ing in | some | way | t o | the middle finger suggests |
| nothing about pains in the thenar region | where | there | was | bleeding |
| caus ing sca r t i s sue in tha t a r ea , | even | i f | the pa ins in tha t a rea |
| were a t some was asked i n cross-examination whether | s tage descr ibed as | a | burning sensation. | The | appellant |
I
i n December 1967 he
| attended | f irst | aid complaining about discomfort | i n t h e | middle |
| f inge r of | t h e l e f t | hand | and | i n | t h e | palm of the | hand. | He |
| answered, | “NO, I complained with | regard to the middle finger |
| which | had | been | lanced. | He was asked | nothing | more zbout it. |
c
| In the respullclen t 1s f i l e s there appeared | an entry |
| “December 1967, discomfort | l e f t middle f inge r , a l so | palm of the |
| l e f t hand, | h o t burning sensation. Dressing applied | t o l e f t |
| mid f inger ‘I | Dr. Sull ivan who was giving | evidence when the |
| en t ry was read, was asked nothing about | it and said nothing |
| about it. It does | not | seem t o have | been | re fer red | t o elsewhere |
| in the evidence. the in jury re fer red | A s it stands It i s not | even | suggested | that |
| i n case your | Honour dram some conclusion | from |
that , t h a t Mr. Ballard had accepted a concession
| and then not re l ied | upon | a | concession. |
I
I
| I | His | He | d ld n o t r e l y | upon It, anyway, | d ld he? |
| I | Honour: |
| Mr. | No, | he d id no t r e ly | upon it. |
| Wheeler: |
| H i s | What happens i f you make a concession l ike that? | ||||
| Honour : |
|
I
| ' | IW. | It was | a t a time before | I had ca l l ed any evidence. |
| ! | Wheeler: | |||||
| I |
| |||||
|
| i | go, I suppose? |
| I | Mr. | I | am | t r y i n g t o r e c a l l - a t p r e c i s e l y | what | s tage tha t |
| Wheeler: | occurred. I remember dlscussing it with my learned |
| I | f r i e n d Mr. | S t o t t , i n the presence | of | the t r ibunal . |
I
| H i s | that | d id Mr. | S t o t t have | to say about that? |
| Honour : |
| Mr. | I think he | said he wanted | t o r e l y on any concessions |
| Wheeler: | I had made. |
| H i s | It i s a l l t t l e awkward, | is it no t , withdrawing a |
| Honour : | concession a t the las t moment i n a case? | ||||||||
| |||||||||
| M r . |
| ||||||||
| Wheeler: |
|
| of | the |
fur ther ev idence in the case .
| Mr. | The | t r a n s c r i p t | o f | the | addresses | could | be |
| Wheeler: obtained, but | it vas not taken | dovm | a t a l l ; |
it was not recorded.
| H i s | Not recorded? | |||||||||
| Honour : | ||||||||||
| His |
| |||||||||
| Honour : | ||||||||||
| Mr. |
| |||||||||
| Wheeler: |
| |||||||||
| ||||||||||
| H i s |
| |||||||||
| Honour : | know? | |||||||||
| Mr. | Certainly. | |||||||||
| Wheeler: | ||||||||||
|
| the tape | i s not ava i lab le . |
| This | concession i s no t r e fe r r ed to | i n the reasons |
| for Judgment of the | Tribunal. | This | concession | could | not |
| properly be withdrawn when | it was, without the consent | o f |
| the appel lan t , | o r a t l e a s t | on | appropriate | conditions. | The |
conduct of the appellant's case might have been different
| had it not | been | made. | It was | a t t h e v e r y l e a s t | an admission |
| made | de l ibera te ly with f u l l knowledge and | as such of | much |
importance.
| It i s t o be observed | that although there | was | p len ty |
| of | evidence | that | he | appellant | had | a long | s tanding | personal i ty | L |
| disorder of anxiety, depression, probably hypochondria | and |
| paranoia, there | is noth ing to ind ica te | t ha t the appel lan t | was |
a conscious l i a r o r that he was incapable of remembering events
| o f | s ignif icance. | Certainly | in | evaluat ing 'evidence | of | the |
._
I
| H i s | Cross-examination | might | have | been | difTercnt. | It |
| Honour : | j u s t shows you , everybody says: | I do not want |
| counsel’s address; | you nearly always do. |
| Mr. | The | s i t u a t i o n completely clar i f ied, but | i s c l a r i f i e d by | the sec t ion | a t the |
| Wheeler: | top of the next page. | I do not say | it is |
--
| H i s | ‘I have no evidence that | hy and la rge ......( | reads) |
| Honour : | . . . . .. . . and | I | emphaslse the | word | illness.' |
| Mr. | Might | I | s a y i n r e l a t i o n t o t h e q u e s t i o n | you |
| Wheeler: | raised about that concession, | a l l I | can say | i s |
| It was withdrawn. | I am unsure | whether | It was |
| i n f i n a l a d d r e s s e s , | where | I | thought | it vas and |
I assumed t h a t because the f i n a l addresses were
| not taken | and the o ther | ccmments of Mr. | S t o t t |
| and myself do recol lect that a l though | do | not | appear | on the | t r ansc r ip t . | I |
| I am | not sure | it was |
| I | not that af ternoon. |
| H i s | It | ||||||
| |||||||
| Honour: |
| ||||||
| Mr. |
| ||||||
| Wheeler: |
| ||||||
| H i s |
| ||||||
| Honour : |
| ||||||
| thing. What does Dlr. Wurzel say? He says: That | |||||||
| |||||||
| |||||||
| |||||||
|
| Mr | . | A l l I can say | i s t o t h a t | i s the re was | no such |
| Wheeler: | submisslon | made | to the t r i buna l . |
| His | Yes, I see. | You cannot remember qui te what PIr. S t o t t |
| Honour: | sa ld , bu t | he | d id not say | tha t | o r anyth ing l ike tha t? |
| Mr. | That i s so . | A s f a r as I can remember, | whenever it |
| Wheeler: | vas ra ised | I | think | the t r ibunal ra i sed the ques t lon |
| and I said t h a t I , i n s o fa r a s I had | made | a | concession, |
| sought t o withdraw | it and | I | th ink the t r ibunal then |
| sa id : What do you say, Mr. S t o t t . | Mr. S t o t t said: I |
| seek t o r e l y | on any | concessions | that | are | made. | As |
| f a r as I remember t h a t was what happened | and I bel ieve |
| I | am | accurate that t h a t i s as f a r a s t he d i cuss ion | went. |
| His | He | d i d not accept | it then on | t h a t b a s i s . | He | says: |
| Honour : | A l l | r ight , the concession | was | made; | I seek to r e ly | on it. |
| A | cur ious | s i tua t ion . | Hel l , | t h a t | i s your | recollection |
| of | it, i s it, t h a t it proceeded along those lines? |
| .. | I | i |
I
| I | 25. |
i
| se rve r l ty o f pain and | synptoms, the statemsnxs | of the appellant |
| ;.rould require | careful | scrutiny | because | of | h i s | paranoia. | A s |
| D r . | S l n c l a i r said, | r e a c t i o n t o | trauma | would | probably be over- |
| I |
| *react ion. | But | I f ind no th ing | in | the | ev | idence | to | ju s t i fy | a |
| I |
| f inding th s t 0% the quest ion | of what p a r t of h i s hand was |
| squashed on 20th February | 1968 the evidence of the appellant |
| was | t o be depreciated | on the bas i s | tha t however r a t iona l or |
| sa t i s f ac to ry o r c red ib le it might otherwise appear, | it was |
| necessa r i ly to be t r ea t ed a s | o f | l i t t l e weight because | o f |
| h i s present | unfortunate | condi t ion. | The | task of | the | Tribunal |
| was | to | cons ider | it without | c lass i fying | it as | necessa r i ly |
I
| of l i t t l e weight, not, personal l ty | of course, | ignoring the appel lant ' s |
| and | i l lness but valuing the evidence | by | reference |
| l | t | o | a l l appropr ia te cons idera t ions of | demeanour, | r a t i o n a l i t y , |
| s l n c e r i t y , | memory | and | t h e l i k e . |
!
| In th i s appea l t he appe l l an t | conducted | his | own | case |
| and h i s personal i ty e rh ib i ted a good memory. | necessar i ly | obtruded. | But | he | cer ta in ly |
| If | h is present | condi t ion | i s anything |
| l i k e t h a t | of | June | 1977 | I | IvOUld | c e r t a i n l y n o t t h i n k t h a t h i s |
| evidence | of | pas t events | was | necessa r i ly o f l i t t l e va lue . |
| Having | indicated that the evidence | of | the appel lant |
| must | necessar i ly be of l l t t l e weight , the Tr ibunal a t tached |
| importance | t o | the | f a c t | t ha t | t he appe l l an t f a l l ed to exp la in |
| how a complaint by | h i m i n December 1967 of | a hot burning |
| sensa t ion in the | palm | of | t h e l e f t | hand | did, | or | did n o t , r e l a t e |
26.
| t o t he pa in | which he subsequently clalmed followed the |
| accident In Wevertheless , I would have expected | February. | A s | t o | t h i s | t h e T r i b u n a l | said | - |
some explanation on
| this matter | from | him." | 'INeverthclesst1 | apparently | means |
| ' 'despite his evldence | being | o f l i t t l e weight. | This | seems |
| t o be | p u t | t o | t h e a p p e l l a n t ' s c r e d i t . | If | s o , | it | is | inapt | and |
| operates | unfairly | because | the | omlssion | to | glve | an explanation, |
| i f t he re were | one, | would | r e s u l t n o t | from any | i n i t i a t i v e of | the |
| appel lan t bu t | depended on the questions he | was asked by h i s own |
| counsel, | counsel | for | the | respondent | and | the | Tribunal. | I n any |
| event the matter | was not one for explandAon but | f o r evidence |
I
| of | t he | r e l evan t | f ac t s . | On | the poin t | of | substance it is to be |
| observed | tha t the appel lan t ' s case | was | t h a t | h i s | thenar was |
| - i n j u r e d on | 20th | February | 1968. | The | thenar | is | q u i t e d i s t i n c t |
| from the | palm area of the | hand and i f it was | d e s i r e d t o | argue |
| t h a t | some | o ld in ju ry | m | the | palm caused the pains | i n t h e t h e n a r |
| then | it was | f o r t h e p a r t y | making | t h a t c a s e t o c a l l t h e |
| evidence | to | suppor t | it. | This aspect of the | mat ter | i s discussed |
| hereaf te r . |
| There | i s no | suppor t in the ev idence for the |
| suggestion | that | the hot burning sensat ion in the | palm | reported |
| by | the appe l l an t i n | December | 1967 and which had | apparent ly not |
| recurred, | was | l i k e l y t o | have caused the pains | and | d i s a b i l i t y | . |
| i n the thenar region | which came on | a f t e r 20th February 1968. |
| It c red ib i l i ty the Tr ibunal a t tached impor tance to | would | seem | a l so | that | i n r e l a t i o n t o t h e a p p e l l a n t ' s |
| his | denia l | ! |
| t h a t t h e r e | had been very frequent minor injuries before the |
| accldent , | But t he fact i s that | the | appel lant | made no | such |
| - . - . . | . | - . | . . |
. . .
| L | . |
| , | a |
I
27.
| denla l . | He | c e r t a m l y s a l d | t h a t | he | thought 80 v i s l t s t o |
| first a id was a gross exaggeration, but | that is qui te a |
| di f fe ren t | th ing . | He | gave | evidence | i n c h i e f | that he | has | had |
| many | i n j u r i e s , | some | serious and others of | a | t r i v i a l n a t u r e , |
| and | i n | cross-examination he agreed he had suffered | "many many" |
i n j u r i e s .
| It | is | c l e a r , t h e r e f o r e , t h a t t h e c r e d i b i l i t y | of | the |
| appel lan t was | discounted | on | grounds whlch cannot be supported. |
| If those grounds are ignored regarded there | and | the r e s t of the evidence | is |
| i s much | suppor t for the | view that the appel lant |
I
| must have | h u r t h is hand | in the thena r r eg ion | on | 20th February |
| 1968. | Really | the | only | matter | of | consequence | which may be sa id |
| t o c o n f l i c t | with | the appellant 's evidence | on | th i s | poin t | i s t h a t |
| it 1s said i n the r easons fo r | judgment | of the | Tribunal t h a t |
| when | the appel lan t repor ted to | Dr. | Sul l lvan on | 20th February |
| 1968 he | d i d not mention that | the thenar region | was involved. | It |
| i s t o be | observed, | however, | t h a t Dr. | Sul l ivan d i d no t s ay th i s |
| spec i f i ca l ly . | It | is perhaps | reasonable | to | infer | it but it |
| was | not sa id . |
| The | respondent | d id not lead such evidence | from |
| . | S |
| Dr. | Sull ivan. | The respondent d l d not | cross-examine | the | appellant |
| on | t h a t p o l n t , | and | the appellant 's counsel | d i d not cross-examine |
| D r . | Su l l ivan on it. | The inference, i f it was involved i n what |
| the doctor | had wr i t t en down | i n 1968, was, | a t t ha t | s tage of | t he |
| case, unimportant | i n view of | the | respondent's concession | as | t o |
| t h e i n j u r y t o o t h e r p q r t s | o f | the | hand. | Had | it | been | otherwise |
| l | * I | . i . |
| ! | I | c_ |
| 28. |
| the appellant should have been given an opportunlty | t | o |
| explain. | And of | course | whether | the | i?lference | from | what |
| the doctor had writ ten | down | i s sound o r no t | it h a s t o | be |
| considered | i n t h e l i g h t | of tne inherent probabi l i t i es | and |
| other | evidence. | It is c l e a r that m the | ea r ly | s t ages , | t he |
| , | i n j u r y t o t h e l i t t l e f i n g e r | was | givlng the | appel lan t most | worry, |
| and | the appel lan t ' s over - reac t ion to | h i s | l i t t l e f i n g e r | was |
| the re i n evidence. | It | is q u i t e | l i k e l y | from | what | appears | t o |
| have been | the nature of the actual injury suffered | by | the |
| appel lan t t o t h e r e s t | of | the hand | t h a t i t s e f f e c t s | a t | t ha t | time |
| were mmor l i k e l y t h a t what was | compared | w i t h | t h e | l i t t l e | f i n g e r . | It was | qui te |
engrossing Dr. Sull ivan on tha t day was
| i r r i t a t i o n a t | an x-ray of | t h a t i n p r y b e i n g | demanded, | and what |
| was | engrossing the appellant | on that day was | h is f e a r t h a t t h e r e |
| was | a | bone | i n j u r y t o | his | l i t t l e f i n g e r . |
| I look therefore a t the evidence it is a proper inference | other | evidence. | On | the |
| that | the appel lan t ' s | hand was |
| i n good condition on 20th February | 1968 and tha t on that day he |
| squashed | t h e l i t t l e f i n g e r . | Whether | he | d id | some | i n j u r y t o t h e |
| thenar | region | is the | i s sue . | Hls | evidence i s t h a t he | reported |
| t h e | i n c i d e n t | t o | f irst aid and t o h i s overseer | for thwith. | No |
| evidence | as | ca l l ed from first | aid | o r t he ove r see r t o ind lca t e |
| what were the precise | terms | of the | report . | No | suggestion was | put |
| t o t h e a p p e l l a n t t h a t t h i s r e p o r t t o | first | ald | o r | the overseer |
| was i n r e s p e c t February 1968 was the day on which the appellant sought x-ray | of | i n j u r y | t o | t h e | l i t t l e | f i n g e r o n l y . | The | 27th |
| from Dr. Sullivan. | Whatever was | said that day it is c l e a r that |
| - - - I |
29.
| on 15th March | 1968 the appel lant consul ted | D r . | Muschin and |
| s ta ted he had hurt the | wh01.e | of | the knuckle area | of | the hand |
I
| and the ball of do with the movement | the hand. | Dr. Muschin sa id that it had t o |
| of | the thumb, | he s a i d t h a t t h e r e | was |
| pain | and tenderness | in tha t r eg ion r igh t ac ross the | back of |
| the | hand | and | a | c e r t a i n amount | of | res idual | bruis ing. | On | 18th |
| March | D r . | Iiluschin | r e fe r r ed the appe l l an t t o | D r . | ROV7hndS who |
| conducted an x-ray | first of | a l l of the | l i t t l e f i n g e r and | shor t ly |
| a f t e r of | t he whole hand. | Nothing | was | revea ledbut the | appel lan t |
| stlll cont lnued to consul t | Dr. Muschin who | c e r t i f i e d on | 9 th |
| September 1968 | t h a t he was | having "pains | i n t h e l e f t hand whxh |
| he in ju red a t | work | i n February las t and t h a t he needed | a | complete |
| r e s t and general | t reatment | for | three | months from now. | I n |
| September 1968 | D r . | Matthews of the department reported | that | the |
| appellant had | many | complalnts and says the worst | one | a t p r e s e n t |
| "is pain | and swelling of t h e | l e f t | hand. | Swelling | vas |
| somethlng D r . Matthews could | see. | In December 1968 | the same |
| o f f i ce r r epor t ed tha t t he appe l l an t | had | h i s l e f t | arm | put | i n |
| plaster about | a month | before | and | tha t ope ra t ion fo r ca rpe l |
| tunnel | was | recommended | but his mental condi t ion | d i d n ' t | permit |
| it. |
| In Apr i l | 1969 Dr. | Thr i f t | found | tha t t he appe l l an t ' s |
| principal complaint | was | that i n t h e l e f t | hand | and wr i s t s which |
| the appel lan t s ta ted he | had | squashed i n a | door ju s t ove r | a year |
| previously. | He thought | there | had been a contusion i n t h e muscle |
| of t h e l e f t | thumb where the re was tenderness. | He | considered | the |
| appel lan t as | one having a low threshhold of pain. | He | sa id |
| however, | t h a t a | c r u s h i n p r y | between obJects of | considerable |
| mass | can | r e s u l t i n | a | very painful condition frequently out | of |
| a l l | propor t ion to the or ig ina l in jury | where | there are nerves |
| that | are | contused. | Any | i n c r e a s e | i n mass such as these | small |
| lumps | can | r e s u l t i n | a compression of t h e median nerve. | In |
| April 1969 the appel lant | t o l d him t h a t he had | a burning pain, |
| no t cons t an t , pa r t i cu la r ly a t n igh t . | Dr. | Thr i f t said that | he |
| f e l t tha t the complaints | that the appel lan t | made | of ga in and |
| d i s a b i l i t y were | genuim. | In May | 1969 D r . | Thrif t | ac | epted that |
d
| the appel lan t | was | s t i l l having constant pain | i n his l e f t |
| thumb. | I n May | 1969 D r . | Sullivan | found | the | appellant | complaining |
| of | a burning sensation | i n t h e t h e n a r | eminence of | t h e l e f t | hand. |
| I n September 1969 | D r . | Muschin | re fer red | the | appe l l an t t o |
| "I. Hooper. |
| So f a r as Mr. | Hooper | 1s concerned it is w e l l t o t a k e |
| into | account | the | comments of D r . Aberdeen. | He said - |
| W e l l I think Mr. Hooper i s a very wise | and learned |
| man and of the Postmaster-Generalts Department to | I | am | quite sure he wouldn't need the records |
| sum | Mr. |
| Wurzel | up- It |
| Mr. | Hooper took the appellant 's thenar | hand | condition |
| ser ious ly . | He | examined the | appel lan t ' s | hand and found | tenderness |
| i n the region | of | the ba l l of | t he thumb and a s l ight suggest ion of |
| a small t h e thumb. | lump | i n t h a t r e g i o n | and | s l i g h t s w e l l i n g a t t h e | b a l l | of |
| In December 1969 an electro-myogram was | carr ied | out | , |
!
| * .#. | . |
31.
| disc los ing what PP. Hooper LhoughL W.IS d glonlus Luuiour. | At |
| t he ope ra t lon in | 1971 the lump thought t o be a glomus t m o u r was |
| not | found. | However, Mr. Hooper divided a nerve | to | reduce |
| pain | i n the a rea . |
| A t the second operation | i n January 1973 | Mr. | Hooper |
| found what he had | though-c i n December 1969 t o be the glomus |
| tumour. | It was not a glomus | tumour | but was | s c a r | t i s s u e | which |
I
| had become haemorrhageandMr. Hooper's opinion | a | painful nodule. Scar | t issue | i s t h e r e s u l t | of |
l
| is that | the appel lant | h d |
| had ahaemorrhageinto the | ba l l of the thumb and t h a t th i s |
| formed the sca r | and involved nerve ends | and became a pa infu l |
| nodule. | The evldence | of | Mr. | Hooper t h a t | t h e | s c a r | t i s s u e |
| was there said in cross-exaimination | before | the | operat ion | of | 1971 | i s qu i t e | c l ea r . | A s | he |
| - "He d id not have | a glomus tumour, but |
| he d id have somethlng ........ . | namely | the scar t i s sue . I ' |
| The | reasons for | judgment of | t he Tribunal d i sc lose |
| tha t cons iderable a t ten t ion | was | given to the question whether |
I
| there was | a | link | between t h e i n p r y t o t h e l i t t l e f i n g e r | and | the |
| pains subsequently suffered | by | the appe l l an t i n the thena r a rea . |
| The | question appears to have been posed | on | the basis | t h a t the |
| only par t | of | the | hand involved | i n t h e i n c i d e n t | of 20th February |
| 1968 was | t h e | l i t t l e | f i n g e r . | The | Tribunal | decided | that the re |
| was no | evidence | of | any | such | l i n k . I n | t h i s he was | undoubtedly |
| right. | As | t o such a p o s s i b i l i t y , | D r . | Aberdeen said | I n no |
| way | . | '1 | The | appel lant ' s | case | depended therefore on h i s |
| es tab l i sh ing that | the thena r pa r t | of the hand | was | Injured when |
| the hand was | caught between the door | and the t r o l l e y on 20th |
* .
32.
| r | - |
February 1968.
| If | one | forgets the appel lant ' s evidence | on | this |
| point the evidence | i s that on 15th Piarch 1968 the hand was |
| found t o be i n p r e d i n t h e manner | described by Dr. Muschin. |
| What he found | was not only | what the appel lan t to ld | him about |
| in jury of the thenar reg ion | on | 20th February 1968 | bul; | res idua l |
| bru is lng which he | would | see apparently right across the back |
| of | the | hand, | that | the | symptoms | observed on 18th | March | were |
| and | t ende rness in the | thenar consistent with continuing pain |
| area i n later | examinations. | In September | 1968 Dr. Matthews |
| observed | swelling | i n t h e l e f t | hand. | In September 1968 Dr. |
| Muschin | c e r t i f i e d p a i n s i n t h e l e f t | hand. | In Apr i l | 1969 Dr. |
| T h r i f t | formed | the opinion | there | had been a | contusion i n t h e |
| area which would | be | cons is ten t xith | a | c r u s h i n g | i n p r y . | I n |
September 1969 Mr. Hooper detected the small lump which turned
| o u t t o | be | s c a r t i s s u e . | |
|
!
| probable cause of the continuing pains | i n | the thenar region. |
| There | was | the incident of 20th February 1968 | which | might have |
| caused it. | There was i n the | appel lant ' s | case | no evidence | of | any | ' |
| other | probable | cause. | However , the | Tribunal | was of | opinion | that |
| the pa ins | might have been | r e l a t e d t o | and | apparently a |
| development of | an | in Ju ry to the | middle f inge r i n respec t of which |
| It appeared that in | December 1967 the appel lant had suffered | a |
| burning sensation | i n some unspecif ied port ion of the | palm of the |
| l e f t hand. | As | t o | t h i s | t h e T r i b u n a l | s a l d | - |
| I | . |
. .
33.
| 111 | am | not saLisTied | t h a t the pain t o t h e |
| b a l l of | the hand was | not the same pa in a s |
| t h a t complained of | two | months | before the |
| accldent. | I make no f l n d i n g | a | s | t o | t h i s . |
| It | does not really matter whether | t h i s | i s |
| so or whether | it | developed a f t e r t h e |
| accident . |
| The | meanlng | of | t h i s 1s not c lear , bu t | it ce r t a in ly |
appea r s t ha t i n h i s cons ide ra t ion o f t he poss ib i l i t i e s t he
| Tribunal took into account | what | was | r e a l l y a f lnd ing dn | h i s |
| p a r t | tha t | the evldence, while not es tabl ishing that | t | e |
| December | 1967 in ju ry was | the cause of the | l a t e r p a i n s i | i n t h e |
| thenar a rea , never the less po in ted | with | s lgnif icant persuasive |
| f o r c e t o t h e | December | 1967 | in jury as the l ike ly source | of | the |
subsequent thenar troubles.
| If | it were that the thenar pains | were a development |
| of recurrence | o r aggravatlon of the injury | of December 1967 |
| which produced | a hot burning sensation, | a question would |
| immediately arise as to whether the recurrence | o r | aggravatlon |
| was not caused ignor ing th i s ques t ion , the s i tua t ion | by | the | hand injury of | 20th February | 1968. | But |
| would | be | that | i€ | the |
| evidence concerning the | December 1967 condition | d id poln t |
| s i g n i f i c a n t l y t o t h a t c o n d i t i o n | as | a | reasonable explanation | of |
| the thenar pa lns , | Then | i n t h e | absence | of | evidence | t o e x p l a i n t h a t | ; |
| > |
hypothesis away, t he re would remain a doubt on the balance of
| probabilities as t o which of | two competing possible causes | vas |
| the rea l one . |
| O f | course | it | was | necessary for the appel lan t to |
| e s t ab l i sh | on | the balance of probabi l i t ies | that | the pains | were |
| l | |||||
| I | I | ||||
| I | 34 . |
| I | .- |
| l |
| I | i |
| t h e r e s u l t | of | inJurjr | on 20th February | 1968, and t o do t h a t |
| I |
| ,by re ference to the | whole of | the evidence | as it stood a t t h e |
I
| end of | the hear ing. |
| l | A t that stage there had | TO be taken into account |
| what Banvick, | C . J . | said i n Purkess v. | Crit tenden, 114 C.L.R. |
| - | 168 t h a t Ilevidence | . . | . . | . which, if accepted, would establish |
| with | some reasonable measure of precision, | what the pre-existing |
| condition was | and | what | i t s f u t u r e e f f e c t s . . | . | . t h e i r f u t u r e d e v e l o p | ’ |
| i | ment | were l i k e l y t o b e When the par ty against | such evidence has been given then |
| whom | i t operates will | n e g l e c t t o c a l l |
| explanatory o r contradictory evidence | a t his p e r i l . |
| But the burden | o f call ing such explanatory | o r |
| contradictory evidence does not arise | when | the | most | than can |
| be sa id of exis t ing condl t ion | the ex is tence | and | effect of any such alleged pre- |
is that it is merely a suggestion thereof.
| And t h a t of course | i s more than can be | said i n this case. The |
| f a c t that there was | a burning sensation | i n t h e palm of the | hand |
| i n some unspecif ied | place | and | of | some unspecif ied | intensi ty | and | 1 |
| appa ren t ly r e l a t ing in | some | way | t o t h e | middle | f inger suggests |
| nothing about pains | i n the thenar region | where | the re was | bleeding | , |
| c a u s i n g s c a r t i s s u e i n t h a t a r e a , | even | i f | t h e p a i n s i n t h a t a r e a |
| were a t some was asked i n cross-examination whether | s tage descr ibed as | a burning sensation. | The | appel lant |
i n December 1967 he
| attended | first | a id complaining about discomfort | i n t h e | middle |
| f i n g e r o f | t h e | l e f t | hand | and | i n | t h e | palm of the hand. | He |
| answered, | “NO, I | complained with regard | t o t h e | middle | f inge r |
| which had been | lanced.11 | He was asked nothing | more about it. |
d
| ID - . | l |
. L .
| I | l | - | 35. |
r
| I | l | In the respondent's | f i l e s there zppeared an en t ry |
| '''December | 1967, discomfort | l e f t middle f inge r , a l so | palm of | the |
| l | e | f | t | hand, hot burning sensat ion. Dressing appl ied | to | lef t |
| I |
| Dr. | Sul l ivan who was giving evidenLe | when the |
| ! | \mid f inge r . | ||||||
| |||||||
| |||||||
|
| have developed | in to the in ju ry |
| i n the thenar prec ls ion and there i s | region. | It 1s not | descr lbed | with reasonable |
I
| nothing | to suggest | t ha t | it had | the |
| p o t e n t i a l f o r | any | f u r t h e r | development | l e t alone | t o have caused |
| the bleedlng | which | caused | the sca r t i s sue | i n the thenar . | And |
| of | course as a matter of p robabi l i ty lt i s impossible to think |
I
| tha t one surgeons would not have explained the | of | the large party of competent medical | men | including |
symptom of the 1967
| in ju ry | as re levant i f it had | any | relevance | and one would have |
| thought that the respondent with al l the | knowledge | it | had | about |
I
| the appel lan t ' s | hand would have done something about | it by way |
| o f | evldence. |
| It | was | not | open | for the Tribunal , act ing reasonably, |
| t o f i nd that t h a t i n j u r y | was | t o be reasonably regarded | as an |
| alternative cause of the thenar pains | xvhich | came | on | e a r l y i n |
| 1968 and persisted | through | ensuing years. | In | directing | himself |
| t h a t t h e r e | was | some | burden | on | the appel lan t to ca l l ev idence | on |
| the matter , the | Tribunal was | i n e r r o r a s | a | matter of | law. |
| This i s an important matter | i n this case because | i f the |
I
| Tribunal had not consldered | tha t | It | was | f o r | the appel lan t to |
| I |
| .call evidence about the nature | and | e f f e c t | of | the a l leged |
| re-exis t ing condi t ion | some | d i f f i c u l t y would | have been |
| lexperienced | F | in expla in ing the fac ts o therwise than by | reference |
| to t he a re - | even t s | of | 20th | February | 1968. | The outs tanding | facts |
( i ) that
|
| on | 15th March | 1968 and |
bru is ing was actually observed by Dr. Muschin which indicated that an extensive area of the hand had been involved;
| ( i i ) | t h a t | Dr. Muschin at tended | the | appel lant | on | a |
| number of occasions between | 15th March 1968 |
| un t i l abou t | 1974 | and | was | ab le to say to the |
| Tribunal, | know | that | I 've | go t | a | physical |
| evidence | of | an | Injury | to | his hand." | It is |
| c l e a r he | was | n o t t a l k i n g a b o u t t h e l i t t l e f i n g e r ; |
| (iii) | t h a t | h e r e | is medical | evidence | of | Commonwealth | a |
| doctor | of | swelling | i n | t h e a r e a | i n | September | 1968; |
| ( i v ) | t h a t | i n | A p r i l | 1969 Dr. | T h r i f t found | conditions |
| which | l e d him | t o conlude t h a t t h e r e | had been | a |
| contusion | i n t h e a r e a ; |
| (V) | t ha t i n 1969 Mr. | Hooper found a suggestion | of | a |
| lump | i n t h e a r e a | whxh he | vas | a b l e t o i d e n t i f y | a t |
| h i s | 1973 operat ion as being scar t issue; |
r
| t h a t it was the opinion | o f Mr. Hooper that the |
I
| appel lan t | must have had ahaemorrhage into the ball |
L
| of the | thumb and that t h i s formed a sca r and |
37.
| involved nerve ends | ; | i |
| t h a t when the re i s bruising blood escapes | and |
| may form f ibrous t issue | and the first onset of |
| pain due to b leeding may | not be for | months; |
| Cflere | i s no | suggest ion that the appel lant |
| suf fe red any | other | hand | injury af ter 20th February |
| 1968; |
| the type of event | which occurred on 20th February |
| 1968 was | such | that | an in ju ry to the so f t t i s sue |
| thenar area | would be | qui te wi th in the | bounds of |
| l ikel ihood. |
| It was | fo r t he Tr ibuna l t o | make | a f ind ing on the |
| ba lance c f probabi l i t i es . | If | he | had | approached | the ma t t e r fu l ly |
| appreciat lng | the | e f f e c t s | of | the evidence of the lr i tnesses, |
| e s p e c i a l l y t h a t | of | Dr. | Muschin | and | Mr. | Hooper, untroubled about |
| t he poss ib l e e f f ec t s | of | the December | 1967 injury, without |
| writing down the appellant’s evidence | as necessar i ly of | l i t t l e |
| weight, | and | as s u b j e c t t o | comments | going t o I ts c r e d i b i l i t y |
| as | discussed above, | I | f a i l t o s e e | hov | he could have | f a i l e d t o |
| be | s a t i s f i e d | on | the p robab i l i t i e s t ha t t he re | was | an | in ju ry |
| of | the | thenar | region. | In | my | opinion | that | concluslon | was the |
| only | one open on | the evldence. |
| I | have spoken above | on | the basis that the evidence |
of D r . Muschln and Mr. Hooper and the other medical witnesses
| i s | cred ib le | and I think that this was not | ca l led |
38.
| in to ques t ion | by | the Tribunal. | That | does | not | mean | t h a t t h e i r |
| evidence should | be | ac ted upon | n t h o u t c r l t i c a l exammation. |
| M r . | Hooper's evldence | a t t h e t r i a l i n t h e | Supreme |
| Court was admltted by consent | of | both | parties. | The | mater ia l | I |
| por t ion which | I | have emphasised above | was | t o be understood |
| only on a close | exammation | of his testimony. | But when |
| understood, | it | vas quite unequivocal | on | the c r i t i ca l po in t about |
| t he ex i s t ence | in | 1969 of | what turned out | to | be | scar | t issue. |
| i | D r . | Aberdeen's evidence | a t t h e t r i a l was | also admltted |
| by consent. | I found i n it no th lng | to qua l l fy | any | of | the |
| " fac ts" which | I have | s e t o u t | above. | In | reading | h i s evidence |
| it has | t o be | remembered | t h a t I n p o r t i o n s | o f his evidence | he |
| was speaking on assumptions wrongly | made by Counsel asking the |
| quest ions, and i n ignorance of the | unambiguous | evidence | of | M r . |
| Hooper | t ha t | t h e s c a r | t i s s u e , | which | he | found | i n 1973 was the |
. -
| lump which he had d e t e c t e d i n | 1969. | It is t h i s same item of |
| evidence which i s not mentioned | in the r eaaons fo r | Judgment of |
| the | Tribunal. | Its | s igni f icance 1s | of | course | very | great. |
I
| As appears from the foregoing | it 1s my | opinion that |
| the conclus ion re fer red to | above | flows | from | the evidence without | : |
| I |
| reference | to | the concession | which was made by the | respondent |
| a s t o t h e p a r t s | of | the | hand which were | i n j u r e d i n t h e i n c l d e n t |
| of 20th | February | 1968. | Even if that concession is t o be t r ea t ed |
\
| as no more | than an admission | it mater ia l ly suppor ts the fac tua l |
| conclusion | so | reached. |
| By | reason of the foregoing | I am | s a t i s f i e d t h a t |
| it was chronlc paranoid hypochondria suffered | establ ished before the Trlbunal that the condi t ion | of |
| by | the appel lant | was |
| aggravated and accelerated | by | the in ju ry to the appe l l an t ' s |
I
| hand by | acc ident a r i s ing | ou t of and | In the course of the |
< -
| appel lan t ' s | employment | m t h the respondent | on 20th February |
| 1968 and t h a t as | a resu l t thereof he | was | incapac i ta ted for |
| employment | and | is e n t i t l e d t o | compensation | i n respect of |
such incapacity.
| Accordingly | the | appeal | is allowed and the | ques t ion | of | I |
| quantum of | compensation | remains. | I | t h e r e f o r e g i v e l i b e r t y t o |
| the pa r t i e s t o ca l l ev idence | on | th i s | i ssue | as | they may | be |
| advised and adjourn the matter to | a | da te to be f ixed . |
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