The x-rays also demonstrated that on flexion and extension there was a general limitation in the range of movement of the neck and back.
23 After his discharge from hospital, his general practitioner, Dr Ann Ellacott, referred the plaintiff to the Illawarra Brain Injury Service. She continued to see him from time to time in 2001 and 2002, including in October, November and December 2002.
24 There is no doubt that the plaintiff suffered a degree of injury and disability from his motor vehicle accident in 2001. There was a dispute between the parties as to the extent of that disability and, particularly, the period during which that disability subsisted. The plaintiff, his wife and daughter all gave evidence which was substantially to the effect that, by about mid 2002, the plaintiff commenced a real improvement from his symptoms and disabilities so that by October or November of 2002 he was "… back to his old self …" and was fully fit for work. It is to the plaintiff's credit that he made attempts in December 2002 to get back to work and had commenced seeking out work by placing advertisements on telegraph poles and the like. That was how the defendant came to know of the plaintiff and how he contacted him.
25 However, the contemporaneous medical records which are to be found in Ex 5 do not bear out the same optimistic picture of his health as was described by the plaintiff, his wife and daughter. Having regard to the fact that eight years or so has passed since the events of 2001 through to late 2002, I regard the contemporaneous records as likely to be the most accurate source of the facts about the state of the plaintiff's health. Where there is divergence between those records and the oral evidence, I prefer their account of events of the time contained in those contemporaneous records.
26 In August 2001, the plaintiff reported to Dr Chan, a specialist in rehabilitation medicine at the Illawarra Brain Injury Service, that he had significant symptoms of constant headache over the vertex and occipital region which was causing him frustration. He reported problems with sleeping, and occasional feelings of nausea.
27 The plaintiff at that stage told Dr Chan that he was wanting to get back to work in the trade with which he was familiar, namely roof restoration and painting. Dr Chan diagnosed him as having symptoms of depression including reduced concentration, dysrhythmia and reduced interest including sexual drive. It was Dr Chan who started him on an antidepressant, Efexor, and pain medication. Dr Chan regarded the plaintiff as unfit for work at that time.
28 The plaintiff was reviewed by Dr Jonathon Wyatt, a rehabilitation specialist at the Illawarra Brain Injury Service, in September 2002. The plaintiff reported to Dr Wyatt that since his August 2001 visit to Dr Chan he had suffered from daily headaches, depression, cognitive deficits, "dizzy spells" and poor impulse control. Dr Wyatt noted some associated neck pain with his daily headaches. He noted that the plaintiff still had a number of symptoms of depression. The plaintiff told Dr Wyatt that he kept notes in order to remember appointments. I observe that this is after a time when the plaintiff and his family say that the plaintiff had significantly improved.
29 On examination, Dr Wyatt noted some physical limitations of movement in the neck and various other degrees of tenderness around the upper part of the body. Dr Wyatt thought that the plaintiff presented with symptoms consistent with a traumatic brain injury. He thought he remained depressed and should continue on antidepressant medication. Dr Wyatt thought that the plaintiff ought have a formal neuropsychological evaluation to clarify the extent of his cognitive deficit, and the lasting effects of the 2001 motor vehicle accident.
30 He concluded that the plaintiff was currently unfit to return to his normal duties and declared him to be unfit for work for the next three months (ie, up to December 2002).
31 Although the material to which I now refer appears in a report of 3 April 2003 from Mr Ross Barnes, a clinical psychological at the Illawarra Health Service, which was at a time after the plaintiff's accident, it usefully captures contemporaneous material of the time before the plaintiff was injured on 9 January 2003.
32 Mr Barnes records that the plaintiff attended at the Rehabilitation Psychology Department of Port Kembla Hospital for initial assessment on 13 November 2002 when he was accompanied by his wife. He also records that the plaintiff was subsequently seen for testing on 29 November 2002 and 17 December 2002.
33 Mr Barnes recorded the following history given by the plaintiff:
"Since the accident, Mr Gaskin complained of having intermittent headaches, which have improved over time due to physiotherapy and rest. He also reported significant problems with memory loss since the accident, particularly in short-term memory. He stated that his attention span had declined, he would often lose things around the caravan, and forget the names of both familiar and unfamiliar people. He said that he reads much less now because of the hassle of having to re-read pages. …… He had noticed some topographical disorientation when driving along unfamiliar routes."
34 Mr Barnes also obtained a history from the plaintiff's wife, Mrs Gaskin. He recorded it in this way:
"His wife of 24 years reported that since the accident he had become less loving, intolerant, flattened in affect, and short-tempered, although the latter had improved somewhat with medication and counselling with the IBIS social worker. She felt that he had struggled with depressed mood since the accident, which had led to poor sleep, reduced libido, fluctuating levels of appetite, social withdrawal, and disinterest in significant others and himself (eg, self care). This is supported by Mr Gaskin's responses to the Depression Anxiety Stress Scales, which indicated severe levels of stress and depressed mood, and anxiety levels within normal limits for the week preceding the initial assessment. Mr Gaskin identified a number of ongoing psychosocial and financial stressors that were affecting him at the time of the assessment. Following the accident, he reported that his consumption of alcohol had increased slightly from minimal to social/moderate levels, and he tended to self-medicate, combining Panadeine Forte and alcohol (as a last resort) to cope with his headaches."
35 Mr Barnes administered a series of tests with which the plaintiff was compliant. Because the tests were not completed due to the plaintiff's accident, the subject of these proceedings, Mr Barnes notes that the findings obtained on tests assessment are somewhat tentative. Nevertheless, Mr Barnes concluded his report with this material:
" Summary and Recommendations