Overview of injuries and disabilities
- After the incident, Ms Bekdache was taken to hospital. Although her claim form referred to the involvement of an ambulance, she was not so transported. [62] She remained in hospital from 18 June 2016 until discharged on 24 June 2016.
- Ms Bekdache suffered a comminuted displaced fracture to the navicular bone, with some bone fragments, and extensive soft tissue swelling. This right foot injury caused her significant pain after the incident. Dr George Konidaris operated to repair the fracture, by internal reduction and external fixation. She was given and used crutches for two months, and subsequently wore a moonboot for three weeks after the removal of the external fixation, as part of her rehabilitation.
- Ms Bekdache gave evidence of back and neck pain whilst she was in hospital. Her accident claim form signed by her on 29 June 2016 claimed:
"Closed head injury
Injury to the neck
Injury to the middle back
Injury to the lower back
Injury to the right foot
Fracture to the right foot
Psychological injury". [63]
A diagram for marking the affected areas of the body was left blank, and the accompanying medical report made no mention of neck or back pain.
- There are some details in the claim form that indicate that it was prepared with an absence of care or may contain inaccuracies. The street of the accident was repeatedly incorrect, [64] there was no drawing of the positions of the vehicles, [65] the description of the accident omits any mention of vehicles stopping, and other relevant details, [66] it refers to the presence of police [67] and ambulance [68] at the scene when neither attended, it refers to no witnesses, not even to Ms Bekdache's grandmother who was in her car, [69] it gave no hospital discharge date, [70] and the medical report did not reflect the injuries claimed. [71]
- Ms Bekdache gave evidence that she started having lower back pain and neck pain [72] when she commenced to walk a few months after the accident, [73] and some months after her claim form referring to this pain was prepared. [74] She also said that her back and neck pain became significant issues whilst she was in hospital. [75] She said her neck pain and her back pain "comes and goes". [76] She noticed her left knee pain in about late 2017 or early 2018. [77]
- Ms Bekdache indicated that she was not able to drive herself in the first nine months after her foot was injured. [78] Ms Bekdache did however fail driving tests within five months of the injury on 31 October and 7 November 2016 before passing a driving test on 14 November 2016. [79]
- The medical certificate accompanying the motor accident claim form referred to the foot injury and to "PTSD". The foundation for the PTSD diagnosis was not revealed in the certificate. Ms Bekdache did not particularise or claim any psychological damage, and no psychiatric or psychologist's reports were tendered.
- Ms Bekdache has had problems with polyarthralgia in 2019, manifesting itself in swollen fingers and ankle. [80] She has recurring abdominal pain, [81] an ovarian cyst, [82] pelvic pain [83] and has twice, including before the accident, attempted suicide, [84] each of which has involved repeated admissions to Bankstown Hospital, and has left her with lethargy and malaise. [85]
- On the other hand, Ms Bekdache drives to TAFE twice a week where she is doing a beauty therapist's course. [86] This involves, for the days she attends, several hours of lectures and practical learning each morning and afternoon.