Damages
38 The plaintiff was born on 20 December 1967. He is right hand dominant. He left school in year 9, at age 13 or thereabouts. Thereafter he worked initially as a bricklayer's labourer, then as a concreter for a short time, and thereafter as a bricklayer, sometimes self-employed, sometimes as an employee. He did not obtain a trade or any other formal qualification, completing only 2 years of the 4 year bricklayer's apprenticeship course at TAFE.
39 The plaintiff married on 10 October 1996. He has two young children. Subsequent to the accident, the marriage broke down, the plaintiff says in large part as a consequence of his injury, though other factors were involved as well. The plaintiff and his wife now live apart, and the plaintiff has access to his children 35% of the time. The plaintiff at all relevant times has lived on the Central Coast.
40 Prior to the accident, the plaintiff enjoyed various pastimes, particularly fishing.
41 Post-injury radiography revealed the plaintiff had pre-existing degenerative changes at many levels of his cervical, thoracic and lumbar spine. He conceded that, pre-injury, he had from time to time suffered pain and stiffness at all levels of his spine and, on three or four occasions, had sought assistance from a chiropractor in respect thereof.
42 The plaintiff was able to walk from the scene. He complained of increasing stiffness in the back, and that it was starting to ache. He was taken to see a GP, Dr Kapel, on the day of the injury. Dr Kapel noted a history of bricks of block wall on neck and torso. She referred the plaintiff for X-rays of the cervical, thoracic and lumbar spines and issued a medical certificate for two days absence from work, stating in that certificate that the plaintiff was suffering from musculoskeletal damage of thoracic spine. On 14 February 2001, the plaintiff attended his usual GP, Dr Patterson. The doctor's records note, "multiple soft tissue injury". A note on 19 February 2001 in the doctor's records states the plaintiff still had pain, and made specific reference to the right lower lumbar spine.
43 Neither the examination by Dr Kapel, or the first two examinations by Dr Patterson was suggestive of any significant injury. The X-ray ordered by Dr Kapel stated, "there appears to be a fracture left transverse process of C7". This fracture could not be identified on subsequent CT and MRI scanning. There is conflict in the medical evidence as to whether such fracture existed or was related to the subject incident. In my opinion, it is not established there was any fracture of the transverse process of C7 or, if there was, that it was occasioned in the subject incident.
44 Thereafter the plaintiff continued to complain of pain in and about the spine. Treatment was conservative and included medication, physiotherapy and attendance at a spinal clinic. There was some exacerbation of pain on occasions and the plaintiff commenced to complain of paresthesia in the left arm, extending to the thumb and index finger. On 16 April 2002, he underwent a foramenotomy and decompression procedure of the C6 nerve root. The operation was unremarkable and the symptoms were mostly resolved. The plaintiff subsequently complained of a partially frozen left shoulder, for which physiotherapy was prescribed, and some paresthesia. Nerve conduction studies revealed no abnormalities.
45 The plaintiff has continued to complain to the present time principally of pain in the back, neck and shoulders, some paresthesia in the upper limbs, some extension of back pain into the legs, headaches, and that he is depressed. He takes medication. He complains of difficulty due to back pain in sitting for more than 30 to 40 minutes at a time and in standing, impairment of neck movements, limited capacity to lift and carry objects, and increased pain in the shoulders, neck, arms and back on activity. He gave evidence he has done no work since the date of injury, save for two attempts at bricklaying which, he says, lasted only a matter of minutes.
46 The plaintiff has been paid workers compensation since the date of injury.
47 The consensus of medical opinion (Dr Innes-Brown apart) supports the conclusion that as a result of the injuries sustained in the subject accident the plaintiff is, and will continue to be, precluded from returning to work as a bricklayer. I so find.
48 A number of the doctors who have examined the plaintiff have concluded his symptoms are exaggerated. Dr Hessian, an injury management consultant qualified for the defendant, considered the plaintiff embellished his symptoms on clinical presentation. Dr Innes-Brown, an orthopaedic surgeon qualified for the defendant, found inconsistency in relation to clinical testing which he considered was the result of exaggeration, and an endeavour to exaggerate by the plaintiff. Mr Dorling, a clinical psychologist qualified for the plaintiff, noted a suggestion of exaggeration of symptoms demonstrated in a test administered by him. Dr Lee, a psychiatrist qualified for the defendant, considered it was difficult to know how genuine the plaintiff's symptoms of pain were. Dr Smith, a treating rehabilitation specialist, stated, "clinically, he has terrible neck posture for which there is no physical basis. He appears to be quite happy to present with numerous negative complaints, and I suspect he will only improve once there has been settlement of his compensation claim". Dr Pillemer, an orthopaedic surgeon qualified for the plaintiff, took the unusual course on 24 October 2002 of informing the plaintiff's solicitors by letter, separate to his main report, that the condition of the plaintiff's hands, "indicates a very reasonable amount of manual activity is being carried out at the present time…it does indicate his disability is not as marked as he claims, and that he is capable of doing more than he suggested to me today".
49 Those opinions were corroborated, in my opinion, by the plaintiff's demeanour in the witness box, and by the evidence of Mr Uzelac, a friend of the plaintiff, who said that since the accident the plaintiff had engaged in rock fishing with him on 3 occasions, and had been deep sea fishing with him in Mr Uzelac's boat on 10 to 15 occasions. These expeditions were in the waters off the coast, and lasted for 6 to 8 hours at a time. The plaintiff had also gone charter boat fishing with Mr Uzelac on 3 occasions. This evidence contrasted with the plaintiff's evidence that sitting in a boat on rocky water caused the whole of the body to hurt.
50 I find that though the plaintiff does have a degree of pain and some impairment of his physical capacity, his symptoms are exaggerated to a considerable degree.
51 Dr Innes-Brown gave evidence the plaintiff had significant degenerative changes which were quite advanced for his years; it was inevitable the pre-existing changes would progress over the years and that the pre-existing condition may have caused the plaintiff to give bricklaying away at age 50, irrespective of the subject injury, though he conceded the possibility the plaintiff might have got to the normal retiring age of 65.
52 Dr Pillemer was called to give evidence for the plaintiff, though his evidence was taken after that of Dr Innes-Brown. Dr Pillemer considered the plaintiff had widespread degenerative changes in the whole spine. In his opinion, the probabilities were against the plaintiff being able to continue his career as a bricklayer past the age of 50 by reason of those changes, though it was possible he could have gone well beyond 50, working with some degree of pain. I accept this evidence.