Since suffering that back injury in 2003, you have undergone intensive medical treatment, as I have just mentioned, including spinal-fusion surgery in 2004 which was unsuccessful. You have remained on a heavy regime of medication, including multiple narcotic-based analgesics, anti-muscle-spasm medication, simple analgesia, and medication to combat the side effects of these medications, such as nausea and gastric irritation.
During the course of this trial you spent most of the time in a wheelchair, as you are today. I accept that that is genuinely necessary, as a result of the level of pain and discomfort that you suffer chronically. That situation has been borne out by the fact that since your incarceration, a little over two months ago, at the conclusion of a trial, you have been accommodated in St John's Hospital ward at the Port Phillip Prison in order that your serious back complaint and related depression may be adequately managed. During the course of evidence given by Dr Walton, he expressed the opinion that he expects that this situation will continue indefinitely; that is, the need to manage you within the hospital ward as opposed to the general prison population, and I will come back to that later.
As I have mentioned, I accept without reservation that you have for many years suffered depression. I accept the expert opinion of the respected forensic psychiatrist, Dr Lester Walton, that this depression was probably originally referrable to your childhood trauma involving the sexual abuse; to other difficulties that you suffered as a result of that over the years, including difficulties in forming appropriate relationships until recent times. I accept Dr Walton's opinion that it seems highly likely that pre-existing underlying depression was significantly aggravated by the back injury that you suffered and the ongoing pain and discomfort that you have endured in the years since 2003.
That opinion of Dr Lester Walton is entirely consistent with the opinion of your general practitioner, Dr Eastaugh, who has been treating you for several years. He says that at the time of your offending you were being managed with Aropax daily for depression and Xanax for associated anxiety. He said this psychiatric condition has been fluctuating over the past decade and you have remained on anti-depressant medication for the majority of that decade. Again, I note Dr Walton's evidence that having examined your medical file at Port Phillip Prison, he has confirmed that, apart from the management of your serious physical ailments, you are being seen by the prison psychiatrist, Dr Senadipathy, and are receiving regular attention from the psychiatric nurses.[39]