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[2003] VSCA 183
Court of Appeal (Vic)
2003-11-20
BUCHANAN and CHERNOV, JJ.A. and ASHLEY, A.J.A.
Original judgment source is linked above.
[ 2003] VSCA 183
Accident Compensation - Application for leave to bring common law proceedings - Reliance on aggravation or acceleration by employment of pre-existing degenerative spinal condition - Appeal against dismissal of application - Whether approach in Petkovski v. Galletti [1994] VicRp 32; [1994] 1 V.R. 436 must always be adopted - No material errors in reasons of trial judge - Decision not plainly wrong.
* A specific episode of employment - caused disc prolapse, albeit in the context of a man with a degenerate lumbar spine;
* A general aggravation or acceleration by work strains of pre-existing lumbar spinal degeneration.
* First, almost all the doctors considered that the appellant's employment stresses and strains over the whole period of his work as a scaffolder had contributed to his lumbar spinal degeneration and ultimate impairment; and expressly or impliedly, that the contribution had been material or significant.
* Second, no doctor whose report was tendered for the appellant addressed the question whether the appellant suffered [serious] injury to his lumbar spine which arose out of or in the course of his employment by the respondent.
* Third, with the exception of Mr Strangward, no doctor whose report was tendered for the appellant addressed the question when the disc prolapse had occurred, the further question whether the prolapse was causally related to the appellant's employment by the respondent, and the further question again whether the prolapse - as distinct from the spinal degeneration - constituted serious injury. Mr Strangward's opinion concerning the L4/5 disc prolapse was that almost certainly it happened when the appellant was working in his garden; but that "disc problems have arisen consequent upon heavy work over the years at least aggravating a probable underlying tendency to degenerative change."[2]
* Fourth, three doctors who examined the appellant on the respondent's behalf expressed opinion when disc prolapse occurred, and its relationship with employment. Mr Doig, who examined the appellant on 27 April 2000, opined and that "from [the] history the prolapse[3] probably started in 1996 when [the appellant] started to develop severe pain in his left leg". He considered that the employment had aggravated the appellant's condition, giving the appellant the actual prolapse. But that opinion was founded on a history of onset of back and leg pain at work in 1996; and a history that made no mention at all of the gardening episode. Doctor Symington, who examined the appellant on 17 April 1997, diagnosed the problem as disc protrusion at the L4-5 level. He expressed uncertainty when the prolapse had occurred. Mr Shannon, who examined the appellant on 16 October 2000, considered that the problem was one of L4-5 disc prolapse. On the basis of a history that "for some time prior to 1996 [the appellant] was getting some pain down the left leg", and "in 1996 he developed low back pain at home" when gardening, the doctor said there could be a "fair argument" that the initial disc prolapse occurred in the course of the employment and was subsequently aggravated by gardening at home.[4]
* Fifth, in summary, some doctors opined that the disabling problem was disc prolapse. Two, each of whom had examined the appellant on the respondent's behalf, related the prolapse to the appellant's employment by the respondent. One expressed uncertainty about the matter. One of the two doctors whose opinion was favourable to the appellant, Mr Doig, plainly acted on a wrong history. The other doctor, Mr Shannon, founded his opinion on a history which did not sit quite comfortably with the appellant's attendance on his general practitioner in May 1996; a history which, as will be seen, the judge rejected.
The appellant's evidence about symptoms in April 1994, May 1996 and thereafter
"I first developed pains in my lower back during 1996 whilst working on scaffolding on Spencer Street railway offices..."
"[Whilst laid off work] I was out digging and pruning in the garden one day and the level of my lower back pains became more severe again. The pain also radiated down my left leg and I could hardly walk."
"By early 1998 I had also developed muscle spasms in my left calf and pins and needles in my left foot."
The affidavit made no mention of the 1994 episode of sciatica.
"In my leg again and - mainly - my back but in my leg."
"... my feet were tingling, and my back - mostly the back of my legs."
He said that it was the left leg and just occasionally pain in the other leg.
"When I was on Spencer Street railway station that is when I got the pain in my leg and I went to the doctors."
The way in which the Trial Judge resolved the application
"This is not a case where the plaintiff can point to any particular work incident as a cause of the serious injury. The history which the plaintiff related to Dr Stobart, when he saw him in August 1996, contains no reference at all to any back injury sustained at work. He was seen by Dr Stobart in May 1996 complaining of pains in his leg when Dr Stobart gave him a pair of orthotics to insert into his shoes. No complaint was made to Dr Stobart of back pain at that time and no diagnosis was made of any back injury by Dr Stobart. Apart from one incident in 1994 which, in any event, cleared up quickly and was said not to have been work related according to the history given to Mr Wilson Carter, there is no support for the view that the plaintiff had been suffering from any back problems until he injured himself in July 1996 "[10]
"... there is no challenge to the fact that the plaintiff is now incapable of working in his former occupation as a scaffolder. It might be said that his incapacity arises from a number of factors apart from the condition of his back, including his age and the fact that he has suffered from a heart condition. However, accepting that his back injury has at least brought his career as a scaffolder to an earlier close that (sic) might otherwise have been the case, if there were no other factors I would accept that his back injury should regarded as a serious injury."[11]
"In my view, the major problem facing the plaintiff is one of causation. It cannot, in my opinion, be said that the injury was suffered or substantially caused to the plaintiff by the work that the plaintiff performed whilst in the defendant's employ."[12]
"The plaintiff's case is put on the basis that the injury sustained by him when digging in the garden was `the straw that broke the camel's back' however, the plaintiff had been working as a scaffolder for some 35 years prior to working for the defendant. The plaintiff had provided me with no basis whereby I can conclude, even if I accept `the straw that broke the camel's back' type analysis, that the back injury was substantially caused or contributed to by the work the plaintiff performed whilst in the employment of the defendant. If there was any contribution it could not have been other than to a very minor degree."[13]
Section 135A(4)(b) applications: the correct approach
The appellant's primary submission; Petkovski v Galletti
"In substance, it is common ground that the appellant suffered an exacerbation of the pre-existing degenerative condition of the spine, probably involving some prolapse of the disc at L5/S1, which in turn produced sciatic pain."[19]
"... it has for long been the law that the injured person is to be compensated for, but only for, such disabilities as are proved to have resulted from the relevant accident. While the wrongdoer must take the victim as he finds him, he must compensate only for the damage he was wrought. The Act does not affect that long-established principle. And so it is that when a person is given leave to sue, the principle applies; and the court in assessing damages, where the case is one of the aggravation of a pre-existing condition, must consider what the evidence discloses as to the prior condition of the claimant."[20]
"It is necessary now again to examine the language of s. 93. `(2) A person who is injured as a result of a transport accident may recover damages in respect of the injury if - (a) the Commission has determined the degree of impairment of the person under section 46A, 47(7) or 47(7A); and (b) the injury is a serious injury.' That must mean that the injury which has been caused by or is the result of the relevant accident is a `serious injury'. And so it is that upon application to the court for leave to bring proceedings under s. 93(4)(d), sub-s. (6), provides (to repeat, with emphasis added, part of the sub-section): `A court must not give leave...unless it is satisfied that the injury is a serious injury.' The accident did not cause the pre-existing condition; at this stage of the process the applicant must establish what injury was caused by the accident; where there is a pre-existing condition, it necessarily follows that an analysis must be made of the extent of impairment of a body function before and after the relevant injury. But, next, `the injury' - that is, the injury which resulted from the accident - `must involve serious long-term impairment.... of a body function.' That must follow, as we believe, both as a matter of ordinary construction, and from the statement of the majority in Humphries where it is said at p. 140, in a passage already quoted: `To qualify for such a description [that is, "serious injury"] there must be an impairment or loss of a body function which as a result of the infliction of the injury complained of is both serious and long-term." (Emphasis added.)[21]
(1) Erroneous.
(2) Contrary to the facts found.
(3) Based on wrong findings of fact.
(4) Based on the premise, unknown to the Act, that it must be determined that serious injury was suffered or substantially caused to the appellant by his work.
and
(5) Assumed, wrongly, that work must be the sole significant contributing factor.
[3] The doctor did not say whether he was speaking of the L4/5 or L5/S1 area.
[4] Report 18 October 2000, CB, C122; see also C123 at para numbered 2
[8] For example, Reasons, [20], [25]
[16] Citing Mobilio v Balliotis [1998] 3 VR 833 and House v The King [1936] HCA 40; (1936) 55 CLR 499
[18] [2003] VSCA 182 at [35] - [55]
[22] [2000] VSCA 51 per Winneke P at [2] and Chernov JA at [40]
Dalton
Dandenong Scaffolding Hire Co Pty Ltd [2003] VSCA 183
(1936) 55 CLR 499