Did the trial judge's reasons comply with the approach in Soulemezis , Flannery and Moylan ?
69 The present is not a case such as that described by Mahoney JA in the Public Trustee v The Commonwealth. Here, there were several bases upon which it was open to the trial judge to determine, on a rational basis, which body of expert evidence should be preferred.
70 One possible basis was that the physical signs apparent from the MRI scan, coupled with the evidence of wasting of the muscles in the appellant's leg, justified a finding in the appellant's favour.
71 On the other hand, the effect of the myelogram and the concessions made by Dr Evans in cross-examination were capable of leading the judge to the opposite conclusion.
72 The leg wasting was plainly regarded by some of the expert witnesses as a significant matter. Dr Dan made no reference to this matter in his evidence in chief. He was asked no questions about it in cross-examination. It might have been open to his Honour to apply the principle expressed by Handley JA in Commercial Union Assurance Company of Australia Ltd v Ferrcom Pty Ltd (1991) 22 NSWLR 389 at 418, namely, that inferences should not be drawn in favour of a party that called a witness who could have given direct evidence when that party refrained from asking the crucial questions.
73 I mention these matters merely as examples of the kinds of reasoning that were open to the judge. There was nothing in the nature of the dispute that precluded a decision being made substantially through examination of the material, and rational analysis. Indeed, the absence of any adverse credibility finding concerning the appellant's experts and lay witnesses who testified as to her condition called for such an examination and analysis. But, the judge did not undertake such an exercise. Instead, his Honour merely relied on the "eminence" of Dr Dan, his view that Dr Dan was "the most impressive witness whether lay or expert called in the case" and the "persuasive" quality of Dr Dan's evidence. In my view, his Honour erred in this respect.
74 In addition, there is a serious question as to how his Honour determined that Dr Dan was "the most eminent of the medical practitioners called (or whose reports were tendered)". In particular, it is not clear whether his Honour was relying on his personal knowledge of the practitioners who testified (that is, outside the evidence that was led at the trial) or whether he was relying solely on the testimony before him.
75 It was pointed out on behalf of the appellant that the question of whether Dr Dan was more "eminent" than any of the other doctors was not a matter that was in issue at the trial. There appears to have been no investigation as to the respective degrees of "eminence" of the doctors in question. On that ground alone, it seems to me, it was inappropriate for any finding as to which of the witnesses was the "most eminent" to be made.
76 According to the written submissions filed on behalf of the respondent:
"Knowledge of a medical practitioner's reputation so far as lawyers are concerned is a matter of experience or at least involves a degree of experience. Anybody practising regularly in personal injury work is well aware of the eminence of Dr Dan as a neurosurgeon and of the fact that spinal disorders are within the province of neurosurgery as well as orthopaedics. Dr Dan is widely known to be still in busy practice treating patients as well as doing medico-legal work and his evidence in this case established that he remained in active practice and was a clinical Associate Professor at the University of Sydney and had a continuing association with Concord Hospital … The trial judge was vastly experienced and could bring to account his knowledge as well as that specific evidence as to Dr Dan's eminence. In relation to a comparison of Dr Dan's standing with the standing of the other doctors involved in this case, again his Honour could bring to account his experience".
77 These submissions indicate an acceptance that the judge was relying on his personal knowledge of the witness, rather than on evidence led at the trial. If his Honour relied on facts known to him outside the evidence led at the trial, it was incumbent on him to inform the parties of the material to which he intended to have regard and to give them an opportunity to deal with it. This he did not do. In my view, this was a further error.
78 I now turn to the judge's rejection of the appellant's contention that she was suffering from depression caused by the respondent's breach of duty.
79 The judge found that Dr Roxanas' evidence that the appellant was suffering from depression "was dependent upon an acceptance that she was suffering pain of the type she complained of because of her physical disabilities". His Honour found that because the appellant had not established that "she suffered the disc injuries at T11/12 and L5/S1 as claimed" and that she had not established that "she has suffered the pain and disability of which she complains," she had not "established that she suffers from the depression which [Dr Roxanas] diagnosed."
80 As I have already said, however, his Honour found that the appellant "did suffer a significant injury on 15 February 1998 and the effects of that injury were aggravated by her continuing to work as a packer". While the judge did not accept that the appellant suffered the disc injuries which she alleged, he did find that "she suffered a back strain, the effects of which are still causing her some incapacity which probably prevent her carrying out manual work of the type she was performing when she suffered injury". His Honour also found that this incapacity was permanent.
81 In other words, the judge accepted that the injury of 15 February 1998 resulted in the appellant suffering from a back strain that, indeed, caused her to sustain permanent incapacity and pain. His Honour's finding that the appellant did not suffer from pain "of the type she complained of because of her physical disabilities" must be seen, therefore, as a finding that the appellant did not suffer pain from "disc injuries at T11/12 and L5/S1"; that being so because, on his Honour's finding, no such injuries were sustained.
82 Be that as it may, however, once it is accepted that the injury caused the appellant to suffer from pain and that pain was permanent, Dr Roxanas' opinion that the appellant was "suffering from a depressive illness consequent upon the pain and disability she was suffering as a result of her physical injuries" remains valid. As I have mentioned, the judge said:
"In essence it was Dr Roxanas' view that so long as the [appellant] was suffering from pain and disability from her physical injuries so consequently her depressive illness would continue."
83 In the light of the finding by his Honour that the appellant continued to suffer, permanently, from incapacity and pain (brought about by the back strain caused by the accident), it must be accepted that, according to Dr Roxanas' opinion, she will continue, permanently, to be depressed.
84 Accordingly, the fact that the appellant might not have suffered permanent disc injuries is not a complete answer to the appellant's claim for loss caused by the psychological effects of the respondent's breach of duty.
85 I therefore conclude that his Honour erred in treating his finding that no disc injuries were proved as having the effect that the appellant had failed to prove that the back strain (and permanent incapacity and pain caused thereby) resulted in her suffering from psychological trauma.