General damages: Ground 5
23 The defendant's submissions were as follows (written submissions paragraphs 9-12):
"9. As a result of the fall the respondent sustained injuries to her jaw, neck and upper thoracic spine. These were undeniably serious. The injury to her jaw in particular has required three operations. She may require another operation. In addition the injury sparked the onset of an eating disorder and severe depression. For the three years and four months between the accident and the trial the accident has had, as the trial judge put it, 'a devastating effect on her life generally' (Red Book, 105W-X).
10. However, her prognosis is good. By the trial she had substantially recovered from her physical injuries (Red Book, 109E-G). She has some ongoing pain and headaches, and these are treated with pain killers (Black Book, 30H-31T, 41V-X). According to the respondent's neurosurgeon, she was physically fit to return to work in December 1996 (Dr Tan, 18.12.96, Blue Book Vol 2, 272H).
11. Psychologically, her treatment has been successful to the extent that both psychiatrists appear generally in agreement that she should be able to return to her old career over the next year or so, commencing part-time (Nothling, 12.2.99, Blue Book vol 1, 60Q-X; Brown, 26.2.99, Blue Book vol 2, 268R-T).
12. The appellant submits that, in these circumstances, general damages should not have exceeded $70,000. Interest should be adjusted from $3,960 to $2,640, being $40,000 at 2% for 3.3 years (compare Red Book, 113M-114E)."
24 The trial judge's findings were (Red 105H-106X):
"As a result of falling forward the plaintiff struck her chin on part of a cement ledge and jarred her neck. She had four sutures inserted under her chin. She also felt that the right side of her jaw was very painful and she could not chew properly. She stated in evidence, and medical evidence supports her in her claim, that she complained also of pain in the neck and restriction of movement of the neck.
The medical evidence would indicate that her main problems from the injuries, for which treatment has been provided, was for damage to her neck and upper thoracic spine (right side primarily) with referred pain in her right shoulder; headaches stemming from her neck; bilateral temporomandibular joint pain and stiffness; and depression as a result of such injuries.
The plaintiff has undergone surgery on three occasions for the pain and restricted movement in the jaw and has had a splint applied for that injury. This has caused her considerable distress. She has also suffered acute depression as a result of her injuries, which has resulted in sleep and eating disturbance, and has had a devastating effect on her life generally. In evidence she stated she had put on a large amount of weight and has received hospital treatment for a bulimia condition. The plaintiff continues to take medication for depression and the other symptoms of her injuries.
Dr Tan, consultant neurosurgeon, in a report dated 18 December 1996 has stated that the continuation of her symptoms with her neck pain and down the right arm for some eleven months after the injury indicates to him that it is more than likely that the neck condition is permanent in nature. I prefer the view of Dr Tan in this regard to Dr Reid.
Dr Soden, her general practitioner, in a report dated 20 October 1998 has stated that the plaintiff has had a long protracted illness with a combination of significant physical impairments and associated psychological disorders, and that she will continue to have intermittent neck and arm pain as well as significant jaw problems. Dr Soden further stated that the plaintiff is forever mindful of the tendency towards bulimia and will remain on antidepressant medication for some time to come.
The physiotherapist, Ann Warner, has stated that the plaintiff will require periodic physiotherapy treatment for her pain [see Blue 1/225-226].
Also a need has been demonstrated for continuing psychological counselling. Such counselling has been clearly demonstrated by an attempt made by the plaintiff to take her own life. That attempt was in the form of placing scissors against her stomach but she did not proceed to push the scissors into her stomach. It does indicate, however, that the psychological effects of the injury have been very real."
25 The defendant's distinction between an unhappy past and a hopeful future is too sharp. First, a person who has suffered from acute depression and sleep and eating disturbances, and who continues to take medication for depression and the other effects of her injuries, is likely to continue to have those conditions to some degree. Her neck injury, which causes pain, is "permanent". She will continue to have intermittent neck and arm pain and significant jaw problems. She has continuing needs for psychotherapy and psychological counselling. Underpinning these findings and supplementing them to some extent is evidence of a rise in weight from 67-70 kilos of about 30 kilos (Black 20L-P) followed by a fall of 10 kilos; a change from an "active" (Black 10L-V) and "healthy, satisfying, loving life" (Black 32B) to one which was inactive, troubled by irritability and beset with sexual difficulties (Black 22T-23G, 34B-E and 81E-82S); the need for ongoing medication (Prozac, Panadeine Forte, Naprosan and Panadol) (Black 35N-36E) to control pain, described in detail at Blue 1/225-226 by her physiotherapist; inability to chew certain types of solid food (Black 29Q-S); restricted capacity to open the mouth (Black 29U) with consequential difficulties in dental treatment (Black 37D-J); and the need to wear a splint at night (Black 29V). The trial judge said (Red 108D-H):
" … there is the psychological damage which, in relation to the accident, might seem extreme but is, I consider, real. I accept the plaintiff as to her symptoms and from my own observations of her in the Witness Box she is obviously still distressed and can easily become tearful."
26 It is not easy to disturb an assessment of general damages which rests on questions of impression, judgment and degree, where that assessment does not appear to be attended by any error of fact or principle and where the assessment was arrived at by a trial judge having very great experience in the field. In my opinion the award was not so high as to justify appellate intervention.