I accept that prior to 2006, the plaintiff's condition was, and the plaintiff knew it to be, a fluctuating condition with highs and lows, though generally progressively worsening.
The plaintiff suffered neck pain which continually declined in the period 1995 to 1997, resulting in him consulting with Mr S Doig, orthopaedic surgeon, for treatment of his neck.
In March 1997, the plaintiff was referred to Mr Mitchell, manipulative therapist, for treatment over a number of years. April 1997 was the date of injury for a WorkCover claim submitted by the plaintiff. The plaintiff underwent an MRI scan of his cervical spine in November 1999 which revealed a prolapse at the level of C5-6. The plaintiff said that he understood that there was a correlation between his symptoms and the MRI findings.
In 2001, he was referred to Mr Dohrmann, who said that surgery was an option but he expected the plaintiff would not need surgery. At that stage the plaintiff said he would have had a few days off work here and there, he would not have lost income at that point as he did not use up all his sick days. The plaintiff continued to work, and in 2003, enrolled at RMIT to complete is honours psychology degree whilst working as an optometrist. He was playing tennis and exercising fairly regularly at that time, albeit with some difficulties.
The plaintiff described paresthesia affecting his right arm in late 2005. In re-examination, the plaintiff agreed that until the escalation of pain in late 2005, he had the capacity to work full-time as a clinical optometrist if he chose. The medical reports of 2006 put the paresthesia as in December 2005 or January 2006.
I accept that the plaintiff did have treatment from a chiropractor and physiotherapist well before 2005 but the evidence is the treatment helped him to continue functioning for work and for his recreational activities. The fact was, until late 2005, he had the capacity to work full-time as a clinical optometrist if he chose. I accept that the plaintiff became aware of the serious injury incapacity, namely the likely long-term incapacity for employment and restrictions in activities of daily living around February 2006.
Up until that time, February 2006, the plaintiff was able to work, albeit reduced hours, and was able to manage his symptoms with minimal conservative treatment. From February 2006, he ceased work and became aware of the second disc prolapse.
The plaintiff's evidence between 2001 until the end of 2005 was that he was having intermittent treatment but there was no intense quest to deal with the issue. The plaintiff appreciated that whilst the problem was undulating, he was managing it and coping with it.
The plaintiff's medical evidence supports the plaintiff's lack of knowledge until February 2006. His general practitioner forwarded a letter to Mr David de la Harpe, orthopaedic surgeon, dated 30 January 2006, where he said:
He has actually had this as an issue for several years, although has found it an exacerbation in the last few months, and particularly so in the last week or two wherein he is experiencing increasing constant right arm to hand paresthesia and pain that is interfering with his occupation as an optometrist and in his general life.
In a report dated 19 May 2006, his general practitioner said he presented in January 2006 to Blackburn Clinic with a description of further right arm pain and weakness of certain functions of his hand. He said:
These symptoms have certainly re-flared since December 2005.
...
In a history to Mr Brownbill, the plaintiff reportedly said:
In late 2005, there was a gradual further increase in right arm and hand pain with pain between the shoulders and he reduced his working hours. He has not worked since January 2006 because of the pain.
...
Having undertaken an assessment of the plaintiff's knowledge as at 22 December 2005, I am of the view that the plaintiff did not have the necessary subjective knowledge of the serious consequences imposed by the injury to his neck, particularly in relation to his work capacity. I take the view that the plaintiff's actual knowledge of matters which, viewed objectively, constituted a serious injury incapacity in terms of pain and suffering or economic loss, or both, occurred in February 2006.
Accordingly, the plaintiff's application for determination was issued within the expiration of three years after the date that he became aware of the serious injury incapacity arising from the injury. Thus, his application for leave to bring proceedings for damages pursuant to s.135A(4)(b) is granted.[12]