(m) Shock.
9 The neurosurgery carried out by Dr Mark Davies consisted of a craniectomy, brain debridement and dural closure. He remained an inpatient as St George Hospital until 24 July 1997 when he was transferred to he Lawrence Hargrave Hospital in the Illawarra region under the care of a Dr Bashford. The program undertaken by Dr Bashford was of a rehabilitative nature. During his time at Lawrence Hargrave Hospital the plaintiff not only received rehabilitative treatment but also therapeutic care. After spending some ten days Lawrence Hargrave Hospital the plaintiff returned home to continue his convalescence.
10 When discharged from St George Hospital it was necessary for a significant time to elapse between his original surgery and the repair of the damage to his skull flowing from the accident. To this end he was readmitted to St George Hospital on 10 February 1998 and on 11 February 1998 Dr Davies performed a procedure known as cranioplasty. This procedure involved the opening of his old skull laceration and extended so that the margins of his skull defects could be exposed with dissection of the scalp away from the underlying dura matter. An acrylic cranioplasty was then fashioned and secured to his surrounding skull. Happily, this procedure was successful.
11 The assessment and management of the plaintiff over a period spanning 12 July 1997 to 6 April 1998 concluded as follows:
"David's longstanding disabilities may remain purely cognitive. At the time I understand David saw Dr Guy Bashford (Specialist Physician in Rehabilitation Medicine) last on 16/4/98. Dr Bashford reports on a neuropsychological assessment which demonstrated good executive and memory function but definite visuo-spacial defect. His visuo-spacial performance was at the 25th percentile at the time whereas on verbal functioning he performed at the 75th percentile. Dr Bashford commented that this was a significant factor in his difficulties at the time completing 2 subjects of his university degree. I have not had any further long term follow up from David or Dr Bashford and am unaware of further neuropsychological assessment. David could expect ongoing recovery, possibly as late as the end of 1998. I am not aware whether David has finished his Engineering Degree. In the absence of any ongoing seizure activity David does not have any restrictions in terms of his work capacity. The injuries have obviously had a significant impact on his studies and it is possible that even if they have not prevented him finishing his degree that ongoing mild cognitive deficits may blunt his premorbid intellectual function and prevent him from performing at his true potential. Follow up neuropsychological assessments may give a clearer picture of his ongoing recovery. Should seizure activity occur in the future (small risk) this will prevent him from working at heights, driving for extended periods of time, operating heavy machinery etc., and require him to take regular anticonvulsant medications. He would be prevented from engaging in activities such as sky diving, scuba diving, abseiling etc. Even though David's cranioplasty is sufficient to withstand the normal rigors of life he has been advised to avoid contact sports."
12 Dr Davies' observation relating to the plaintiff's long-term disabilities being likely to be of a cognitive nature received strong support from the eminent neuropsychologist, Peter Rawling. Having carried out extensive psychometric testing and a clinical neuropsychological assessment Mr Rawling concluded as follows:
"In summary, Mr Noferi suffered a primary or direct injury to the right parietal lobe. There had been a substantial easing of the visuospatial deficits referrable to this damage but he continued to complain of right-sided incoordination, weakness and sensory disturbance. He seemed also likely to have suffered secondary brain damage due either to the hypoxia and/or hypothermia apparent on presentation to hospital immediately following the injury. The deterioration in memory and the slowed rate of information processing was consistent with such damage. He was depressed but depression could not explain the pattern of scores seen on current testing.
As more than two years had now passed since the accident, these deficits could now, sadly, be assumed to be permanent. The brain injury and associated neurological and cognitive deficits have had a very disruptive effect on his life, disrupting his studies, work, recreational and social life and leaving him depressed and lacking in confidence."
13 To like effect are the views of Dr Guy Bashford, a specialist physician in rehabilitation medicine, who supervised the plaintiff's rehabilitation at the Lawrence Hargrave Hospital. Dr Bashford concluded as follows:
"As a result of the boating injury described, Mr Noferi suffered from a right sided compound comminuted fracture of the skull with depression and an underlying laceration and a parieto-occipital contusion and associated subarachnoid haemorrhage. In addition he suffered from a fracture dislocation of the right radius. He suffered from initial left hemiparesis. Mr Noferi had an estimated posttraumatic amnesic period of 10 days, defining him as having had a very severe brain injury.
He is left with deficits in concentration, working memory and specific problems with visual analysis and construction tasks. He noted reduced anger control, as a result of the accident. He complains of chronic low back pain as a result of an L5/S1 annular tear. Mr Noferi is unlikely to show significant future recovery in his current posttraumatic brain injury or low back symptoms. He is unlikely to complete his premorbid studies to gain his Civil Engineering Degree, or if he does, it will be undertaken at a level academically much below his premorbid performance. I think it unlikely that he will complete his professional qualifications as a Civil Engineer. I would consider him fit for eventual return to clerical duties, full time, as long as this work did not entail prominent constructional tasks or visual analysis. His reduced anger management may limit his employability. His high-level balance deficits would limit certain vocational options and his back pain would limit heavy labouring activities. Surgical intervention is not indicated. Currently no anatomically specific treatment is of proven value for pain arising from the disc. Although he is allowed to drive with a 1A license, he is precluded from holding a commercial driver's license."
14 The eminent neurologist, Dr Paul Darveniza, who carried out a neurological assessment of the plaintiff on 16 March 2001 came to a similar diagnosis.
15 The cognitive problems and the physical difficulties flowing from the plaintiff's head injury as described by the experts who have seen him coincide with the lay evidence relating to the plaintiff's ability to carry out the type of work he had previously performed and his ability to undertake tertiary studies. I shall deal with this evidence later in these reasons.
16 Fortunately, the orthopaedic injuries suffered by the plaintiff in the accident have recovered in an excellent fashion. The plaintiff's treating orthopaedic surgeon, Dr Som Puri, concluded in a report on 11 October 1999 as follows:
"Mr David Noferi sustained a severe compound head injury causing damage to his brain and soft tissue lacerations of his back and a fracture of his right arm when he was hit by a powerboat while swimming in open sea on 12th July 1997. His fracture of the right arm has united satisfactorily without leaving any significant deformity or disability."
17 I turn to the plaintiff's work and social history both before and after the subject accident. The plaintiff was born on 9 May 1975. He has lived the whole of his life in the Illawarra region. He grew up in a stable and loving family situation. His father with a partner had developed a concrete construction business principally known as Hedden Concrete Constructions Pty Ltd from humble beginnings to a highly successful operation. It was his father's desire that the plaintiff take over management of the business.
18 The plaintiff attended Port Kembla High School which is now known as the Illawarra Senior College and attained his Higher School Certificate in 1993. He then enrolled at TAFE undertaking successfully a two year course leading to an Associate Diploma in Engineering. Having successfully completed his TAFE course the plaintiff enrolled at Wollongong University as an undergraduate in the Engineering faculty with the object of obtaining a Bachelor of Engineering (Civil) degree. Apparently, he was given credit for certain subjects which had been part of his TAFE course and otherwise was successfully undertaking his studies in the engineering faculty prior to the accident. There is no reason to assume other than the plaintiff would have successfully completed his Bachelor of Engineering degree.
19 Living as he did, close to the coast, the plaintiff's major recreational activities were aquatic in nature. They principally involved surfing and diving. In fact the accident occurred when the plaintiff was undertaking diving expedition with the plaintiff, Lokys, and his brother, James. Otherwise the plaintiff's recreational pursuits were normal for a person of his age.
20 As I have already mentioned it was the plaintiff's father's desire that he would take over the company which his father and partner had founded. To this end the plaintiff had started working with his father's company on leaving school. He had continued to work on a variety of construction projects on a part-time basis while studying. While so doing the plaintiff was subject to scrutiny of his father and of his father's partner. His father deposed that his son up to the time of the accident had carried out his duties with the company to not only his father's satisfaction but also his partner's. Accordingly at the time of the accident his father's plans for his son were on course.
21 Following a period of rehabilitation after the surgical procedure of cranioplasty had been carried out the plaintiff returned both to his studies at the University of Wollongong and to part time work with his father's company. The cognitive deficits outlined by the experts which I have set out above were then demonstrated in full effect.
22 First, the plaintiff found he could not cope with his engineering studies and in fact abandoned them at the end of 1998. Second his attempts to perform duties whether administrative or physical with his father's company were totally unsuccessful. For instance, he could not compose the simplest of letters in the business. His clumsiness which is adverted to in the material I have quoted above made him a hazard on job sites. I have no doubt that the plaintiff tried his best both in his academic pursuits and at work following his recuperation from the cranioplasty. Despite this, the upshot has been that he is now not able to pursue his ambition to become an engineer and take over his father's business interests.
23 While he is currently unemployed I do not find that the plaintiff is in fact unemployable. However, what I do find is that his ability in the open workforce is severely restricted and he can only earn at the lowest of levels. Had he not been injured I am of the view that he would have successfully completed his studies at Wollongong University and would now be earning a salary as either as a professional engineer or as an executive of his father's business of $1,500 per week. I assess his present earning capacity in his injured state at $450 per week. Accordingly, I assess his current economic loss as being $1050 per week. It is that figure I shall use in calculating the plaintiff's future economic loss.
24 After his injury when the plaintiff went out of hospital he was essentially cared for by his mother. She is a trained nurse. I accept entirely her evidence that she spent many hours per week over a period two years caring for the plaintiff. I accept the figure of 21 hours per week as being a reasonable estimate of the amount of time she spent.
25 I turn then to the question of general damages. As may be seen from the above the plaintiff's principal flowing from his accident is lack of cognitive function plus clumsiness in movement brought about by his brain injury. I accept that the upshot of both his lack of cognitive function and his clumsiness have caused his great frustration and have, as his mother and brother deposed, made him short tempered. I accept that prior to the accident that the plaintiff was a man of good disposition. He has a long life ahead of him and will suffer frustration throughout the period of his life because of the inhibitions his disabilities bring to him in performing not only work but also recreational pursuits. Taking the usual considerations into account I would assess his general damages in the sum of $200,000.
26 While the plaintiff's mother is still providing him with domestic assistance, I am not satisfied on the evidence that the plaintiff could not care for himself. Accordingly, I am of the view that I should not make any allowance for future domestic assistance.
27 While a claim has been made for the services of a personal trainer, senior counsel for the plaintiff argued only faintly on this aspect of the claim. I am of the view that the plaintiff has not established the need for a personal trainer and accordingly disallow this head of claim.
28 I would make an allowance of $10,000 for future out of pocket expenses. I would, therefore, assess the plaintiff's damages as scheduled below. I have included in the schedule a number of items which are non-controversial and did not require in my view a need to give express reasons.