[1]
Natalie Joy Hart was injured on 28 September 2001 while working as a meatpacker at Consolidated Meat Group's (CMG) Lakes Creek meatworks in Rockhampton. Boxes of meat being lifted by a forklift fell onto her head rendering her unconscious. Ms Hart was 25 years old when she was injured. She was born on 23 August 1976.
[2]
Liability was not in issue.
[3]
The medical imaging undertaken subsequently did not disclose any bony injury although Dr White opined that the forms of inquiry undertaken would not necessarily reveal an intradiscal disruption. On balance I accept that Ms Hart suffered a musculo-ligamentous neck injury commonly called a "whiplash".
[4]
Ms Hart was treated conservatively, taking analgesics and anti inflammatory medication (Nurofen) to relieve pain.
[5]
Ms Hart attended Dr Thomas, an orthopaedic surgeon engaged by CMG Self Insurance, during her initial rehabilitation. Three reports were tendered. In the first report dated 24 October 2001, Dr Thomas reported that Ms Hart was in obvious distress and unable to return to work. Three weeks later on 13 December 2001, he reported that she was progressing satisfactorily but that she should be reviewed if there was no further progress within two months. In his final report of 6 February 2002, he recorded that Ms Hart had returned to work and was no longer suffering headaches but still had neck and shoulder soreness. She needed assistance with household chores. She was sleeping but occasionally had trouble lying on her right hand side. Dr Thomas regarded her disability at that time as minimal and recommended that she return to work.
[6]
While no objectively detectable abnormality can be found, Ms Hart still complains of consistent neck pain and headache. Having regard to what I later say about Ms Hart's history since the incident and my impressions of her, I accept that the complaints are genuine. It is well recognised that even soft tissue injury can result in chronic symptoms in some patients.[1] The inconsistency between the symptoms Ms Hart now complains of and Dr Thomas' last report is explicable by reason of the fact that Ms Hart was performing only light duties at the time of the report. The history which follows shows that whenever Ms Hart commences reasonably heavy work she suffers increased symptoms. Conversely, when that activity ceases the symptoms subside.
[7]
Following the incident, Ms Hart was off work for some time following which she returned to the meatworks on light duties. By the time Ms Hart returned to the meatworks, the meatworks had been shut down by industrial trouble. Ultimately, the meatworks were closed for many months. The duties to which Ms Hart returned were of a light maintenance nature.
[8]
Had she not been injured, Ms Hart told the Court that she would have moved to Mackay when the Lakes Creek meatworks closed and obtained work at Borthwick's Bakers Creek meatworks. Ms Hart was an experienced meatworker. I accept that she would have been able to obtain work at Baker's Creek. This view is reinforced by the apparent ease with which she obtained work at other meatworks despite her injury.
[9]
Ms Hart resigned from light duties at CMG on 18 February 2002. She was going through a troubled period in her personal life and returned to her home town of Mackay.
[10]
In April and May 2002, Ms Hart worked for Network Truck and Car Rentals. This was casual work provided by a family friend. The work included some secretarial duties and car cleaning.
[11]
In May 2002, Ms Hart commenced work at the Casino meatworks in New South Wales. She commenced doing clerical work and after a period went into the packing room. Ms Hart's move to the more physical tasks in the meatworks was driven by her desire for better pay.
[12]
Ms Hart found the work in the packing room exacerbated the pain in her neck and her headaches. She relieved the symptoms with chiropractic treatments and massage. She also had some sessions of physiotherapy. Ultimately, Ms Hart left the Casino meatworks in December 2002. One reason for her leaving was that she found the aggravation of her condition intolerable.
[13]
After leaving Casino, Ms Hart returned to Mackay via the Sunshine Coast. Despite some effort to find work on the Sunshine Coast, she was unsuccessful. On her return to Mackay, Ms Hart was employed as a car detailer at Hertz car rentals. Again, Ms Hart found the work difficult. She was required to detail up to 30 cars a day. She found that the awkward positions she was required to adopt in that role aggravated her headaches to the point where she could not continue.
[14]
Ms Hart's mother lived in Moranbah. Ms Hart left Hertz and went to Moranbah to stay with her mother. While there, she assisted her mother with work as a general cleaner with Abi Group Contractors Pty Ltd. Initially this was for a few hours about once a week. The work involved sweeping, mopping and wiping tables. While the mop bucket caused her some pain, the hours were sufficiently short that the pain was tolerable.
[15]
While working as a part time cleaner, Ms Hart approached numerous employers seeking permanent employment. She ultimately succeeded in obtaining a position as a truck driver at the mines.
[16]
Truck driving at the mines causes Ms Hart severe discomfort with neck pain and headaches. The work involves driving the tray of the truck under the digger. The load is then dumped into the truck. Often lumps of clay stick to the bucket of the digger and must be shaken loose from a height. Sometimes large rocks are mixed with the load and dumped into the truck. On these occasions the impact causes severe jarring of Ms Hart's neck. On occasions the roads become badly potholed and rough. This also causes jarring.
[17]
Shifts at the mines last for 12 hours. Ms Hart's neck hurts and she suffers headaches. She attempts to relieve the discomfort by getting out of the cab whenever she can and stretching. After work her boyfriend massages her neck. She also uses ice packs. Apart from her boyfriend, Ms Hart also receives neck massage from her step-father, her sisters and from time to time from professional therapists.
[18]
Three orthopaedic specialists have reviewed Ms Hart since she was last seen by Dr Thomas.
[19]
In June 2003, Dr Shaw expressed the following opinion: