(a) Dr Foster who saw the plaintiff on 13 June 2006 then opined that he had less than three months to live. Her view was expressed as follows:
I estimate life expectancy to be less than three months. This is arrived at by the following:
· Severe respiratory failure requiring supplemental oxygen for at least 15 hours a day. This is not stable respiratory failure, but it is on a deteriorating path as indicated by the progression of his symptoms and findings and the known clinical behaviour of asbestosis.
· Any respiratory infection could precipitate death by an increased respiratory load and further impair his ability to ventilate sufficiently, even with increased oxygen.
· Respiratory co-morbidity: kyphoscoliosis and ankylosis of vertebrae further limiting his ability [to] maintain ventilation in his severely impaired lungs ;
(b) Dr Foster provided some supplementary reports without further seeing the plaintiff. In a report of 22 August 2006, she then stated that the plaintiff may well have another couple of months now. She expressed her view as follows:
Estimation residual life span of a dying person is a task fraught with inaccuracy and only partially related to medical knowledge, logic and experience. It is therefore not suprising that I have under estimated Mr Todd's survival time from when I saw him on 13 June 2006. He may well have another couple of months now, particularly as winter is turning warmer now and respiratory infections can be expected to reduce.
That view should be read in light of her comment in her supplementary report of 17 June 2006 where she said any trivial respiratory infection could be the precipitating cause of his death ;
(c) Dr Johnson, in his report of 15 August 2006, estimated a life expectancy from then of three to six months, but he did not elaborate on the reasons;
(d) Dr Hart, in a report of 26 July 2006, estimated life expectancy in months only.
84. When I saw the plaintiff, when he gave evidence at his residence on 16 August 2006, he was obviously struggling at times even with oxygen to get his breath. He sometimes struggled to utter one syllable answers. I do not think, however, that I should allow this to influence my assessment of the medical opinions in this case.