15 The clinical notes of the plaintiff from Dr Arnaudon's practice provided an insight into the plaintiff's background before the subject accident as to his medical condition from 1 February 2000. Conditions in the past medical history of a tinea infection in November 2000, hypertension in June 2004, chest pain in July 2004, stress in July 2004 and sciatica in November 2004 were noted. The plaintiff, on any view, attended Dr Arnaudon on a quite frequent basis with multiple complaints - there were forty-four consultations in the period of five years before the accident. Diagnoses made by Dr Arnaudon covered persisting frontal headaches, hypertension, neck pain, hip pain, back pain, arthritis, injured left knee from a fall, tinea infection, injured left foreleg from a falling pallet, left leg traumatic ulceration with throbbing and swelling, high blood pressure, pins and needles in hands and arms, right forearm warts, knee pain, right shoulder pain, soreness in right chest, insomnia, general chest pain, impotence, and back and left groin pain. Recurring conditions in the medical history concerned arthritis, headaches, hip pain, high blood pressure and right shoulder and neck pain. The notes showed the treatment given, including extensive medication, creams and ointments. Dr Arnaudon did not give evidence in the plaintiff's case and no report from him was available - in view of the knowledge he must have acquired about the plaintiff since February 2000, I consider that omission to be unfortunate in endeavouring to assess the impact on the plaintiff of the subject injury from the fall on the stairs in April 2005. One needs to have it in mind in viewing the medical evidence which was provided.