(c) The judge heard from Dr Bleasel and accepted his evidence, particularly where it was in conflict with that of Dr Pierides. That is, notwithstanding the fact that, as the judge observed, Dr Pierides was not in any way seeking to deceive the Court about anything.
(d) According to the judge, Dr Pierides' views were based on his assessment and interpretation of the material placed before him which at the time was incomplete, and also the view he (Dr Pierides) formed of the reliability of the respondent. "In the result" the judge disagreed with Dr Pierides as to the assessment to be made of the respondent's reliability.
19 There are many difficulties with the reasons so expressed.
20 The first point to notice is that the judge made no express findings as to what I have described as critical factual issues. These concerned the date when the respondent first experienced lower back pain, the degree and extent of the back pain she first experienced and the progress of the pain, and the date when the respondent first reported to a medical practitioner that she was experiencing lower back pain. It is not possible to determine whether the judge addressed these issues in an informed and appropriate way (or at all). It is also not possible to comprehend how, without making findings on these issues, the judge could properly resolve the medical dispute between Dr Bleasel on the one hand and Dr Pierides (supported by Dr Harvey-Sutton) on the other.
21 Secondly, Mrs Milinkovic gave no relevant evidence as to the critical question concerning the time when the respondent first began to suffer from low back pain and the extent of that pain. Her evidence adds nothing to the fundamental dispute in the case.
22 Thirdly, Mr Kostic said merely that in the "days and weeks following her discharge from hospital" the respondent complained of "her arms, sometimes it would be her back, her legs, her neck". His evidence, falls into the same category as that of Mrs Milinkovic.
23 The fourth difficulty concerns the degree to which the judge was assisted by the evidence of Mr Cormack.
24 Mr Cormack, a physiotherapist, testified (in evidence that was challenged by the appellant) that, from notes and markings he made on a body chart at a consultation he had with the respondent on 5 December 2000, he inferred (in effect) that she had told him then that she was suffering from pain in the right side of the lower back. Mr Cormack was also able to infer from his notes that the respondent had told him that she felt pain in her lower back two days after the "initial injury".
25 Mr Cormack did not treat the respondent for pain in her lower back. He explained:
"I would have probably ascertained from the patient that the priority area as far as they were concerned was the neck and so I would have commenced treatment on the neck and the shoulder and I probably intended eventually to examine the lower back in due course but it was probably just due to time constraints. The initial examination takes some time and sometimes we don't get through a full examination."
26 Mr Cormack had earlier, by letter dated 19 April 2001, advised the respondent's general practitioner that when he saw the respondent on 5 December 2000 she complained of "neck pain and headaches sustained in a motor vehicle accident on 10 November". He did not then refer to any pain to the lower back. When this was put to Mr Cormack in cross-examination he explained that he "had never examined or even directed any subjective examination towards that particular problem". He said that he "focused on the neck and the shoulder pain and headache". He was asked whether the areas that he had treated "would have been prioritised in accordance with the level of symptomatology complained of by the patient" and he replied "that's right and also the request of the doctor".
27 Undoubtedly, his Honour was entitled to accept Mr Cormack's evidence that the respondent had told him that the lower back pain had come on two days after the accident and that she had told him about lower back pain at the consultation of 5 December 2000.
28 The acceptance of that evidence, however, does not assist greatly in resolving the causation dispute concerning the respondent's lower back pain.
29 Dr Pierides expressed the opinion that, had her lower back pain been caused in the accident, the respondent would have complained of that pain to her doctor within the first day or so after the accident, she would have required some treatment and she would have been "somewhat disabled" by the back pain. On this evidence, the mere statement by the respondent to Mr Cormack (recorded in his notes but not in his first letter to the respondent's general practitioner), that she had told him on 5 December 2000 that she had felt back pain two days after the accident may not be of any moment.
30 No other medical practitioner recorded or recalled the respondent making such an assertion. On the contrary, the respondent told Dr Pierides that she had first suffered lower back pain six weeks after the accident and she had confirmed this to Dr Harvey-Sutton. This gives rise to the possible inference that the lower back pain about which the respondent told Mr Cormack was trivial and not pain of the kind that Drs Pierides and Harvey- Sutton regarded as relevant. Such an inference could also be made about Mr Cormack's note of the pain she told him about on 5 December 2000, as he neither treated the respondent for such pain nor told her general practitioner about it. The tenor of Dr Pierides' evidence is that had the pain been caused by the accident it would have come on within a day or so and would have been regarded as significant by the respondent. That was not the case with the pain reported to Mr Cormack.
31 The respondent did not say that she had complained of lower back pain to her doctor within the first two days after the accident, she was not treated for that pain (not even on 5 December 2000), and she did not assert that she was disabled by lower back pain within the time period in question. These are matters that Dr Pierides regarded as critical to the causative link between the accident and the respondent's condition.
32 The judge did not refer to the matters I have recounted above and the inference is that he did not bear them in mind.
33 Fifthly, as to "hearing from Dr Bleasel", it is by no means clear how that fact assisted the judge in determining whether the respondent was a truthful and reliable witness. Dr Bleasel's evidence, in regard to the critical issue, went to the question whether, despite the delay in experiencing pain and reporting pain to a doctor, the lower back condition was caused by the accident. While Dr Bleasel's evidence might support the causation issue, it cast little light on the respondent's credibility.
34 The sixth difficulty concerns the rejection of Dr Pierides' opinion.
35 The explanation given by the judge for stating that he "accepted Dr Bleasel's evidence particularly where it conflicted with that of Dr Pierides" was that the views of Dr Pierides "were based on his assessment and interpretation of the material placed before him which at the time was incomplete" and also because of "the view he formed of the reliability of the plaintiff". This explanation, however, is not sound.
36 The judge provided no detail as to the respects and extent in which Dr Pierides's assessment and interpretation of the material placed before him was incomplete.
37 If the judge was referring to the evidence of Mr Cormack, Dr Pierides - as I have indicated - stated in clear terms that, accepting the truth of what the respondent told Mr Cormack, the pain described was not sufficient to establish a causative link between the accident and the condition of which the respondent complained. Accordingly, Mr Cormack's evidence does not, on its face, detract significantly from Dr Pierides' opinion. Dr Pierides testified that Mr Cormack's testimony did not cause him to alter his opinion as to causation.
38 Dr Pierides's view of the reliability of the respondent was based on his observations as to the respondent's behaviour at his rooms and on examination as well as his medical knowledge and experience. It was not based on "demeanour", as a judicial officer uses that term to explain his or her credibility findings.
39 In his report dated 22 March 2002, Dr Pierides expressed the opinion that, with reference to the respondent's cervical and lumbar spine, she belonged to "Diagnostic Related Estimates, category 1" which he equated to "0% whole person permanent impairment". He said:
"The reason for my opinion is there was no muscle spasm or guarding. There were no radicular signs. There were no significant clinical abnormalities. There was no evidence on investigation of any serious derangement of the cervical or lumbar spine".