Damages
117 Mrs Choi was born in Korea on 24 August 1978. She decided when young that she would try to become a professor in the English language. There is no evidence that English was spoken in her home. Between the ages of twelve and fourteen years she studied English at a junior high school in Seoul. In 1994 her parents arranged for her to complete her schooling in Australia and she obtained a student visa. Her intention was to study music, I suppose principally as a performer of piano, which she played well. She came to Sydney and lived with her brother and grandmother. She was accepted as a student at Tyndale Christian High School, Blacktown, where she completed part of year ten and the first part of year eleven. Although she did well in Japanese and satisfactorily in music and science, she was graded as "elementary" in the English language. She was dissatisfied and moved to a high school at Bondi. No records from that school have been put before the Court. She was unhappy at that school and moved to a third high school, where she completed her Higher School Certificate, including two-unit English. The only subject report from that school records her progress in Korean language studies, in which she scored 85/100 and was ranked 7/21 in the two unit course and 41/50 and 12/21 in the three unit course.
118 Unfortunately, she failed to gain entry to the New South Wales Conservatorium of Music, so she applied to the University of Sydney to enter a Bachelor of Arts course specialising in Japanese language studies. She had some familiarity with the Japanese language. She was accepted and began studies in 1998. She lived in a flat at Parramatta with her brother. Her parents supported her financially. By the terms of her student visa she could work for a wage for up to twenty hours per week and she took advantage of this by working for a period of three months at a duty free shop at Circular Quay.
119 If she had progressed at normal pace Mrs Choi would have completed her studies towards the Bachelor of Arts degree by December 2000. For the most part she chose subjects with which she had some familiarity. However, she had difficulty. In 1998 she scored bare passes in Beginning Chinese (1) and Beginning Chinese (2) and Japanese Introductory Level 3. She discontinued Junior Introductory German 1 and Japanese Intermediate Level 3. She failed Sociology 101, Introduction to Chinese Civilisation, Modern Asian History and Culture 1 and Japanese Introductory Level 4.
120 In 1999 she passed Gender and Popular Culture, Thinking Gender, Second Year Chinese (1), Beginning Classical Chinese, Japanese Introductory Level 4 and Korean Introductory Level 6. She gained a credit in Korean Introductory Level 5. She failed Music in Society 1 by discontinuation. She failed Concepts of Music Language 1B, Second Year Chinese (2) and Readings in Classical Chinese.
121 In 2000 she passed Contemporary Japanese Fiction, Introduction to Korean Grammar and Contemporary Drama - J. She gained credits in Mass Media in Korea, Japanese Communication Intermediate 3, Japanese Communication Intermediate 4 and Intro: Japanese Society and Culture - J. She failed Japan and World War II, Bodies Sexualities, Identities and Modern Korea.
122 To the end of 2000 Mrs Choi's pattern of results suggests a number of things. First, the longer she studied the better she was applying herself (she herself conceded in evidence that she had taken on too many subjects in first year). Secondly, she preferred the subjects with which she was familiar, those concerning the languages and societies of the part of Asia from which she hailed. Thirdly, she was not fortunate enough to have the kind of flare for languages that would be expected of a university professor or an interpreter, or, perhaps, even a teacher of English as a Second Language. Finally, although Mrs Choi's claim is that she was keen to make a career in the use of the English language, and although instruction in the classes she attended was in the English language, she never undertook any formal university study in that language. Neither does it appear that she undertook any formal external courses or took any other step to familiarise herself with the English language or to become fluent in spoken or written English.
123 After she was struck by the tree branch Mrs Choi was taken to the Emergency Department at St Vincent's Hospital. Her Glasgow coma score was 8 at the scene and 10 at hospital. By 23 December is was 12, indicating that post-traumatic amnesia had existed for nine days. Post-traumatic amnesia testing commenced on 2 January, when full scores indicated that she had emerged from that condition. Later reports stated that she had emerged from post-traumatic amnesia "by 2 January", a day twenty days after the accident. There was a six-centimetre laceration of the left fronto-temporal region of the skull. There was an extracerebral collection and ventricular compression. A craniotomy revealed a linear fracture of the temporal bone and extradural and subdural collections. They were evacuated. The brain was swollen and reddened. The bone flap which was removed for the purpose was stored.
124 Mrs Choi was transferred on 11 January 2001 to the Royal Rehabilitation Centre at Ryde where she began a comprehensive rehabilitation program. On admission she was suffering diplopia consequent upon traumatic nerve palsy, though that resolved itself during her stay. She was suffering from acute stress reaction, being particularly anxious that fans or lights might fall from the ceiling. She revealed a premorbid history of anxiety about instances like proximity to animals, noisy trucks rushing past, crossing roads, getting on and off trains and working in a garden. She was noted to have higher language difficulties in Korean and English, particularly in auditory memory of passages and word finding.
125 She discharged herself from the centre on 24 January, and a home-based rehabilitation team was to attend to her. However, her fear and anxiety continued and she was readmitted to the Royal Rehabilitation Centre on 5 February 2001. An intensive therapy program began on 7 February, targeting high-level language and linguistic deficits. A homework program was provided for completion in English and Korean. Mrs Choi demonstrated improved ability in English word-finding tasks at conversational level and the therapists noted a resulting improvement in fluency. However, some word finding difficulties within inferential tasks remained apparent.
126 Mrs Choi was transferred to St Vincent's Private Hospital for further surgery on 1 March 2001. Upon her departure from the Royal Rehabilitation Centre the opinion of her speech pathologists was that her higher-level language skills and complex problem solving capacity had shown a presumed decline relative to premorbid levels. However, gradual recovery in basic cognitive functioning, in conjunction with ongoing therapy and home practice, had resulted in improved performance. It was expected that she would continue to improve with time and continued practice and generalisation of language tasks at home. It was strongly recommended that she delay any return to study so as to have more time to recover. The therapists noted that Mrs Choi was highly motivated and would continue to improve her linguistic ability, "based on the communicative demands of her natural settings".
127 On 6 March 2001 Mrs Choi underwent cranioplasty with insertion of a titanium prosthesis over the skull defect. She was discharged from hospital on 17 March 2001.
128 Mrs Choi had been complaining about pain in the right shoulder, but by June 2001 the pain had improved. An ultrasound showed that there was no rotator cuff tear.
129 Those reporting on Mrs Choi have noted that there was pressure upon her to complete her degree, and notwithstanding the professional advice she was being offered, she desired to take up her studies again as soon as possible. On 6 June 2001 she wrote to the University asking for permission to recommence. She spent the month of July in Korea and from there wrote a further letter requesting special permission to exceed the maximum allowed credit points for the second semester of 2001. She said that that year was her last and that she was planning to graduate at the end of it so that she could go back to Korea. She said that she had got into financial difficulties and that she had been working in a part-time job for two years (in fact she had worked for only three months). In the letter she proposed a plan of subjects to be taken during the second semester of 2001 and in the succeeding summer school, successful completion of which would qualify her for her degree. The letter, exhibit 2.3, is written in clear and fluent English, notwithstanding minor spelling and grammatical errors. Upon resumption of her studies in 2001 Mrs Choi recorded passes in Modern Korea, Japanese Communication Intermediate 6, Introduction to Japanese Society, Korean Intermediate Level 6 and Histories, Narratives and Images. She did not fail any subject.
130 Mrs Choi's results for 2002, which I think must have been achieved at the summer school about which she wrote in her letter, recorded a pass in Introduction to Korean Phonology and a failure in History of the United States Since 1865.
131 As before, communication in class was given in the English language. The notable features of the subjects and results are that Mrs Choi took no subject in the English language, that she failed to gain a credit, notwithstanding the increasingly impressive results in that regard before her injury, that she had no failure at all in 2001 and that she failed one subject out of two in 2002.
132 In June 2002 Mrs Choi graduated Bachelor of Arts and in July returned to Seoul and moved into her parents' home. In September she obtained employment as a clerk with a company called DAS. Her employer terminated her employment in July 2003. In August or September of 2003 Mrs Choi obtained employment with a company called Korex and that employment was terminated in December 2003. On 11 September 2004 Mrs Choi married and moved into her and her husband's home. At some unascertainable time she unsuccessfully applied for employment as a teacher in the Japanese language.
133 In March 2005 the titanium plate broke through the scalp. Mrs Choi returned to Australia for review by her surgeon, Dr Pell. On 17 March Dr Pell placed a skin flap over the titanium prosthesis. The revision was successful. Dr Pell reviewed Mrs Choi again in April and November 2005. His present opinion is that no further surgery will be needed.
134 On 24 March 2003 an MRI revealed a 3x2x2 centimetre area of CSF signal in the left temporal lobe, showing either a trophic change or resection of portion of the temporal lobe. There were signal changes in the frontal and remaining left temporal lobes and in the right temporal lobe anteriorly. The changes were consistent with previous head injury.
135 For the purposes of her case, Mrs Choi was seen by six specialists, namely Mr Taylor, clinical forensic psychologist, Dr Fitzsimons, neurologist and Dr Buckley, physician in rehabilitation medicine, all at the request of her solicitor, and Dr Roberts, psychological consultant, Dr Fearnside, neurological surgeon and Dr Bowers, rehabilitation physician, all at the request of the solicitor for Prestige. All wrote reports which came into evidence. Counsel for Prestige did not wish to cross-examine the experts qualified by Mrs Choi's solicitor. Those relied on by Prestige were cross-examined.
136 Dr Roberts first saw Mrs Choi in February 2002 and wrote a report on 27 July 2002. She had available to her records of the treating specialists and institutions. She interviewed Mrs Choi twice, first with her uncle and then with her mother. All interviewing and testing were done through an interpreter in the Korean language. Dr Roberts thereby obtained a detailed history of Mrs Choi's upbringing and education in Korea and more latterly in Sydney, her progress during treatment and rehabilitation and the complaints she was then making, particularly of difficulty in remembering things, headaches, a painful shoulder, numbness in the left arm and a change in personality, having become sensitive and easily angered and having developed a dislike for some foods that she previously enjoyed.
137 Dr Roberts administered a range of standard psychological tests including, notably, those designed to test verbal skills in English. Dr Roberts said in her report -
6.2 Communication : She spoke clearly and fluently in Korean, with the interpreter (who attended on the second occasion) indicating that there were no hesitations or problems. She showed some language problems in English. The assessment took place in a mixture of English and Korean.