91 He had another bad attack of cellulitis in July 1999. For a period of 1-2 weeks, he was not feeling well with symptoms of being nauseous and at times feeling dizzy. Then on 27 July, he woke to find he was aching all over including his back and legs. On his way to work he started shivering, his left leg was swollen, red, hot and itchy and he had raised red lines up the inner thigh to his groin. He was seen by Dr Armstrong and was off work until 8 August.
92 Then in late 1999, he developed an ulcer on the plantar region of the left foot for which Dr Armstrong referred him to Dr Ackroyd, Vascular Surgeon, who described it as another bout of cellulitis. On December 1999, he injured his left shoulder in the course of his work. He had some chiropractic treatment and later physiotherapy but took no time off work. During this time, he was continuing to experience the intermittent symptoms of fatigue, dizziness and nausea, his leg ached if he stood on it for long periods, and at times it would get itchy with a burning sensation on the outside. He continued to see Dr Armstrong, who prescribed antibiotics and if the symptoms flared up, rest and elevation.
93 He had a further bad attack of cellulitis at the end of July 2000, which resulted in his admission to Manly Hospital from 28 July to 1 August 2000, and he was off work from 27 July to 21 August 2000, after which he continued feeling fatigued, ill and dizzy, and had the odd day off. Up until this time, he felt his employer was unsympathic to his position and in November 2000 and again early 2001, he was told by Warren Lloyd, the Environmental Health and Safety Manager of Waratah, that the company was considering dismissing him on account of the amount of time he had off, although there was talk also of retraining.
94 On 10 March 2001, he injured his left shoulder whilst working overhead. He was put on light duties in the office and came under the care of Dr Graeme Macdougall, Orthopaedic Surgeon. Dr Macdougall diagnosed a symptomatic partial rotator cuff tear with impingement. He underwent surgery on 17 August 2001 and resumed work on light duties on 28 September. At review on 1 May 2002, Dr Macdougall considered that he was still not fit to return to normal duties as a Marine Engineer, and would be likely to require work which did not involve much heavy lifting overhead; but at final review on 21 August 2002, certified him fit to resume normal pre-injury duties so far as his shoulder was concerned.
95 He continued meanwhile to have ulcers in his left leg and continued on antibiotic treatment. He first saw Professor Boughton, Infectious Diseases Consultant on 27 February 2001. He was depressed about the continuing cellulitis and his employer's attitude, and in November 2001, Dr Armstrong referred him to a psychiatrist, Dr Anderson for treatment.
96 On 7 December 2001, he was seen by Dr Light for the purpose of renewing his Australian Maritime Safety Authority Certificate of Fitness for work at sea, but Dr Light refused the certification on account of his ongoing cellulitis, and did so again on 23 April 2003.
97 On 28 April 2002, Waratah terminated his employment on account of the condition of his left leg and his failure to obtain the Certificate of Fitness for work at sea. This left him very confused and depressed.
98 The plaintiff said that since the termination of his employment, his leg has continued to flare up from time to time, but not as often as previously, and when it starts to get itchy and hot, he takes it easy for a few days and elevates his leg, and it tends to settle down. On the other hand, if he knocks it, he can become ill within 10 to 15 minutes and be out of action for 3 to 5 days. These flare ups come every 3-5 months.
99 He is still unable to walk long distances without his leg getting sore and cramping up. In addition, his stamina to do things is low and he is easily fatigued. The family were in the habit of going to the beach a fair bit, but for a number of years he did not join them, although he has now returned to attending the local Nippers Club with his children, and has joined a winter swimming club. He has also returned to snorkelling. He used to be active around the house and garden but no longer mows the lawn or does landscaping because such work aggravates the condition of his leg. He has had to employ others to lop trees and complete building a deck on their house, and because of his reduced activity, he has put on weight.
100 After his dismissal, he enrolled in a Real Estate course at the local TAFE in July 2002, and subsequently a Real Estate Diploma course which he completed in June 2003. On 21 October 2003, he commenced work as a Property Officer with Australian Real Estate at Balgowlah, working 22 hours a week, and is now earning $258 per week before tax plus a car allowance of $130 per week. He continues to be under the care of Dr Armstrong and is taking the anti-depressant Zoloft daily.
101 Reference was made in cross-examination and in some medical reports to the fact that when younger, the plaintiff suffered from migraines, that he had a back injury with 5 weeks off work in 1990, and nasal surgery in 1992 and sleep problems in 1994; but I am satisfied that none of these were disabling him in 1996 to any significant degree, and that all his disabilities and restrictions since the accident (except the left shoulder injury from which has now recovered) are due to his accident on the "Careening Cove" on 7 August 1996.
102 His wife confirmed his reduced activity in the house, garden and at the beach since the accident, and how he seems always tired and described changes to his personality, that he has become moody, less tolerant of noise and of the children, angry and at one stage things got so bad between them that she arranged for him to go and see a marriage guidance counsellor, but then he told her he had already been to see a psychiatrist. Since then, his condition has improved since he has been taking the Zoloft. She said that since he started working in Real Estate and the daily doze of Zoloft was increased from 100 to 150 milligrams, he has become more easy going, but less organised.
103 His continuing physical problems are his left knee and the recurring cellulitis in his left lower leg. Professor Boughton described cellulitis as inflammation of the skin due to bacterial infection mainly of the deeper layers of the skin, the fat and muscle underneath, most commonly caused by haemolytic streptococci which in turn is a very active pathogen, which can produce lots of toxins and has the ability to spread widely if a lesion on the leg becomes infected (T 158).
104 It was his opinion, which was not challenged by any comparable medical evidence, that the plaintiff's tendency to recurrent cellulitis developed as a result of the trauma to his left leg in August 1996, and the onset of recurrences of the condition and their severity is unpredictable. He said recurrences can be triggered by things such as prolonged standing, any trauma or knock to the area, any ulcers or blisters on his leg or foot. Feelings of fatigue, nausea and general malaise are characteristic of ongoing cellulitis.
105 In his opinion, the plaintiff was permanently unfit for work in a marine engineering environment because of the need to avoid any knocks or trauma to his left lower leg, a difficulty aggravated by his weak left knee particularly going up and down stairs, and even standing for any length of time could predispose to a recurrence of the infection. In addition, the work environment on a vessel is often affected by fuel oils, grease, grime, solvents, etc which could irritate the tissues and carry infection. He considered the risk of cellulitic reactivation remains indefinitely, and whatever employment the plaintiff undertakes, he will be disabled from time to time. He also needs to continue wearing protective stockings. Dr Adler considered there was a possibility of osteoarthritis developing in the future in his left knee.
106 The plaintiff has also been under the care of Dr Peter Anderson, psychiatrist since November 2001. Dr Anderson diagnosed him as suffering clinical depression of a severe degree reactive to his disability and its implications. Dr Anderson initiated psychotropic medication (Zoloft) and counselling sessions.
107 In his last report (2 February 2004), he noted that he had been seeing the plaintiff about once a month and he had recently increased the daily dose of Zoloft from 100 to 150mg daily. He said the plaintiff has continued to be symptomatic and is left with continuing symptoms of a depressive illness with impairments in the areas of motivation, stamina, mood concentration, memory and ability to handle stress. He recommended continuing consultations every two months for approximately 2 years and continuing anti-depressant drug therapy on an indefinite basis.
108 Dr Robertson, another psychiatrist who saw him in 2002, also diagnosed a Major Depression, probably with melancholic features. He considered the plaintiff was likely to make a full recovery from his depression, but as Dr Anderson has been more involved in his treatment and has seen him more recently, I prefer Dr Anderson's opinion. Dr Shand, psychiatrist consulted on behalf of the third defendant, diagnosed an Adjustment Disorder with Depression and anxiety, secondary to his medical condition. He described the prognosis as "fairly good in the absence of further stressors".
109 The plaintiff was born on 25 June 1955 and is now almost 49 years old. I note that the damages against the second defendant (ADI) are to be assessed on common law principles and those against the third defendant (Waratah) in accordance with Part 5, Division 3 of the Act. The proceedings were commenced on 31 August 2001, i.e. prior to the commencement of the Workers Compensation Legislation Further Amendment Act 2001 (27 November 2001). As at the date of the injury, the amount prescribed under s 151G(3) was $220,100 and under s 151H (2A) was $51,800. I am satisfied that the plaintiff's injury was a serious injury as defined in s 151H, and I assess his damages for non-economic loss at 30 percent of a most extreme case, namely $66,030. I assess his general damages at common law at $90,000 of which I attribute $45,000 to the past; and I allow interest on this amount for 7.8 years at 2 percent p.a., namely $7,020.
110 As to loss of earnings to date, there was no loss until he was dismissed by Waratah on 28 April 2002. As I understand the position between the parties, there is no dispute that the plaintiff's wage loss to date should be calculated in accordance with the schedule provided with the plaintiff's written submission based on the comparable earnings of Mr MacDonald (Ex O) which includes workers compensation payments made (including tax thereon) and allows for his earnings since he commenced employment with Australian Real Estate. These amounts come to $130,815 inclusive of workers compensation or $114,395 without that component. Adding a further 13 weeks at $1,070 ($1,300-$230), namely $13,910, one arrives at $144,725 inclusive of compensation and $128,305 without.
111 I allow interest on this latter amount at common law only that is $128,305 at 4.5% p.a. for 2.3 years, namely $13,280. I also allow past loss of superannuation on $128,305 at 8% for 2.3 years, $23,608 and at common law only, interest on this amount at 4.5% for 2.3 years, namely $2,443.
112 As regards loss of future earning capacity, the plaintiff seeks to rely on the earnings of Mr MacDonald as disclosed by Ex O as a comparable employee. He currently earns approximately $1,300 net per week as a Marine Engineer with Waratah. He is older than the plaintiff and with more seniority in the company, but he said that entitled him to no additional money, but only to choice of the vessels. I accept him as a comparable employee.
113 The plaintiff is presently earning approximately $230 net per week for 22 hours' work. Subject to the vicissitudes of the rental market and as he acquires more experience, those hours will probably increase, but it would be pure speculation to infer that he would in time achieve a promotion to Property Manager or such like. Moreover, according to Professor Boughton, he is likely to have recurrent attacks of cellulitis necessitating time off work, and so long as he is employed (as at present) as a casual, he would not be entitled to sick pay. Balancing these considerations, I assess his residual earning capacity at $300 net per week and his consequent loss as $1,000 per week. He is now 49 years old and I allow this amount capitalised over 16 years at 5 percent under the Act discounted by 15 percent for vicissitudes namely $492,575, and at 3 percent at common law, similarly discounted, $566,525.
114 Mr Crossle gave evidence of other occupations that he said would be suitable for the plaintiff, but admitted he had never placed a disabled worker in a job with a new employer. I found his evidence unhelpful; in particular he did not have sufficient regard to the plaintiff's continuing disabilities or the reluctance of employers to take on injured workers as fresh employees. I am not satisfied that the plaintiff has a greater earning capacity than he is now utilising. Various occupations suggested to him in cross-examination involved extensive standing, walking, climbing on ladders or steps, and he would not be suitable for working on an inner harbour ferry because of the risk of infection from fumes, grime and other germs. Any such job would also involve him being almost continuously on his feet and climbing ladders, etc.
115 As set out in the plaintiff's schedule and, as I understand it, not really in dispute, I allow loss of future superannuation at $73,783 under the Act and $85,350 at common law and also future out of pocket expenses, $35,776 under the Act and $44,820 at common law.
116 Finally, there is a claim for nursing and domestic assistance currently performed by his wife. Apart from the fact that he is no longer able to mow the lawn or landscape the garden, and tradesmen were needed to finish some renovations, there is very little evidence to support the claim. A report (part Ex N) was prepared by Lois Rothwell, Occupational Therapist detailing what she saw as his needs as to personal care, but this was not supported by evidence from his wife who has apparently provided such care.
117 The only evidence from the plaintiff on this issue was (T 56) that he was visited and interviewed in his home by Ms Rothwell, and he cooperated with her in relation to the assessment of his needs. Ms Rothwell prepared a very lengthy report, no doubt at great cost, which said very little that was not otherwise in the plaintiff's evidence or the medical reports. All she said in relation to any need for personal care was (para 3.3) that generally, he is independent in his personal care but that when he has episodes of infection, he has required assistance from his wife with some personal care including showering and dressing, and the preparation of all meals, without indicating whether that was always during episodes of infection or how she converted that into 2 hours a day (paras 4.1.1 and 4.2.1). As I say, there was no evidence from the plaintiff or his wife as to precisely what she did for him, how often, or how long it took.
118 The effect of his wife's evidence was that he no longer does the gardening or helps with the vacuuming or puts the garbage out. She gave no evidence of assisting him in his personal care when the cellulitis flares up, although it may be assumed he would need some assistance at such times, but it would be rather minimal as the treatment is mainly rest and antibiotics. In respect of the past, I allow 1 hour a week for attending to the lawn and garden for 410 weeks, 3 hours a week during the periods of his major cellulitis' attacks as noted in the plaintiff's schedule (i.e. 15 weeks) and $800 for the tradesmen to complete the renovation work. The rate under the Act is $17.00 per hour and at common law $25.00 per hour.
119 The calculations are:
Under the Act
455 weeks at $17.00 per hour = $7,735
plus $800 = $8,535
At common law
455 weeks at $25.00 per hour = $11,375
plus $800 = $12,175
together with interest thereon at 5%
for 7.5 years = $4,566