Zakaria v Dr Noyce
[2012] NSWSC 981
At a glance
Source factsCourt
Supreme Court of NSW
Decision date
2012-08-23
Before
Davies J, Harrison J
Catchwords
- (2010) 78 NDWLR 20 H R Turner & Son Pty Ltd v Rhodes [1970] 1 NSWR 305 Kendell v Carnegie [2006] NSWCA 302
- (2006) 68 NSWLR 193 Makita v Sprowles [2001] NSWCA 305
Source
Original judgment source is linked above.
Catchwords
Judgment (8 paragraphs)
Judgment 1This is a Notice of Motion to set aside an order made by Harrison J on the basis that it is said to be invalid and of no effect on the grounds of a denial of natural justice. The Motion also sought leave to continue the proceedings which his Honour dismissed. 2The proceedings commenced on 14 October 2008 with the Plaintiff acting for herself. The Statement of Claim alleges negligence on the part of the Defendant, an ear, nose and throat surgeon who removed the Plaintiff's tonsils in October 2005. 3It is not clear if the Plaintiff prepared the Statement of Claim with legal assistance but two things suggest that she did. First, the Statement of Claim, although not an exemplar of pleading, contains legal phraseology that would not ordinarily be used by a non-legally qualified person. Secondly, evidence was given at the hearing of the Motion that the Plaintiff received legal assistance from three firms of solicitors at various times during the proceedings as well as assistance from her counsel, Mr Ryan. This matter is not without some significance for the issues raised. 4As the claim made was a professional negligence claim against a medical practitioner, the Plaintiff was obliged to comply with r 31.36 UCPR to file and serve with the Statement of Claim an expert's report that included an opinion supporting a breach of duty of care against Dr Noyce, the general nature and extent of the damage alleged and the causal relationship between the breach of duty and the damage. 5By a Motion filed 26 June 2009 the Defendant sought an order that the proceedings be dismissed for want of compliance with that rule. The Defendant's Motion was heard by Harrison J who delivered judgment on 7 August 2009. At the hearing of that Notice of Motion the Plaintiff was represented by Mr Ryan of counsel. 6His Honour held that the material upon which the Plaintiff relied for the application did not conform to the requirements of r 31.36. It appears from his Honour's judgment that Mr Ryan accepted that this was so because his Honour said: Mr Ryan, of counsel, who appears for the plaintiff, urges upon me that some further time should be permitted within which the plaintiff may be able to marshal professional medical expert opinion in her favour containing material which, if filed, will comply with the rule. It seems uncontroversial from the plaintiff's point of view that the rule has not yet been complied with, even having regard to the material contained in the bundle of medical reports upon which the plaintiff relies. In that regard, Mr Ryan sought a three month period. 7His Honour then said this: I indicated in the course of argument that it is my practice in an appropriate case in this list to make orders dismissing the proceedings for want of compliance but staying the operation of the order for an appropriate period, during which a plaintiff can, if he or she is able, to file evidence complying with the rule. It seems to me that this is such a case, although I am not inclined to grant a period of three months for that purpose. In my opinion, having regard to the nature and extent of the plaintiff's injuries and disabilities, howsoever they exist, it is in the interests of justice and in the interests of the quick and cheap disposition of these proceedings to permit her some short further period to obtain such evidence as she can that complies with the rule but under threat of the proceedings being automatically dismissed if she fails to do so. (emphasis added) 8His Honour then made these orders (inter alia): (1) The proceedings are dismissed. (2) I stay the operation of Order (1) for a period of six weeks from today's date. (3) I direct the plaintiff to file and serve any such expert report as she may be advised to rely upon in purported compliance with UCPR 31.36 within six weeks of today's date. (4) In the event the plaintiff complies with Order (3), Order (1) will be automatically discharged. 9Thereafter, the Plaintiff obtained a report from Dr Sacks of 28 August 2009 which, the Plaintiff acknowledged, did not deal with the issues required by r 31.36. 10Solicitors who had been acting for the Plaintiff, Symons Cottee Lawyers, (although they were never on the record) wrote to the solicitors for the Defendant on 18 September 2009 enclosing a further report of Professor Sacks of 15 September 2009. That report said in its entirety: RE: MRS ELIZABETH ZAKARIA DOB: 13/05/88 312 LEWERS CLOSE, ABBOTSBURY NSW 2176 This is to confirm that Elizabeth has had a modified barium swallow performed in the past and the video swallow was viewed by myself and Dr Lloyd Riddley, the Head of the Department of Radiology at Concord Hospital, at the end of last week. There certainly appears to be nasal regurgitation on the swallow and most certainly nasopharyngeal regurgitation. It must however be considered likely that the regurgitation is as a direct result of the surgical extensive tonsillectomy procedure. It would be considered highly unlikely that this regurgitation would have occurred had she not had the initial surgery performed. I consider that this complication would be uncommon in standard medical practice however circumstances at the time of the surgery which may have demanded a more extensive resection are unknown to me. 11Correspondence then ensued with a view to having the proceedings re-listed before Harrison J. That culminated in a letter from the Judge's Associate to the parties of 28 September 2009 which said this: I refer to your correspondence to me of 25 September 2009 concerning the defendant's request to re-list this matter before Harrison J for further directions. Having reviewed both parties' correspondence his Honour's preference is to list this matter for mention on Thursday 1 October 2009 at 10.00am. (emphasis added) On the present application the Plaintiff relied particularly on the emphasised words "for mention" in that letter. 12The matter then came before Harrison J on 1 October 2009 with Mr Ryan of counsel appearing for the Plaintiff and Mr Bradley of counsel for the Defendant. 13During the course of that hearing the following was said: RYAN: Your Honour, it is true that the plaintiff has gone to a number of doctors, but none of those doctors have denied her claim at this point to be involved (sic) except for two, that was Dr Pham and the present one, Professor Sacks. Professor Sacks has given her some encouragement. I would agree that it doesn't satisfy rule 31.36 at the moment, but she at this very moment is still talking with Dr Sacks or Professor Sacks and we are hopeful --- ... HIS HONOUR: The problem, Mr Ryan, in this case is that undoubtedly Ms Zakaria has suffered what the medical profession often euphemistically refers to as a "less than optimum outcome", but these outcomes are not necessarily or at all times the result of a breach of duty or a failure to conform to proper standards. If Professor Sacks whose report of 15 September this year had been prepared by reference to the terms of rule 31.36 it would have been a simple matter for him to say that there has been a failure to conform to a proper standard, or I don't have enough information to say so, or whatever the position is. But he just doesn't turn his mind to those things, does he? RYAN: True, your Honour, but at that stage I don't think he was fully aware of the implications of the rule. Since then, since that report, the rule has been set out for him and the implications of it, and at this moment I understand he is considering a further report in respect of 31.36. ... HIS HONOUR: ... Mr Ryan, it's said that the orders that I made on the previous occasion should have effect, the report hasn't been produced in compliance with the rule. If you have solicitors, who should file a notice of appearance by the way, then they would have drawn these matters to the attention of those who examined the plaintiff --- RYAN: Your Honour, we have written, as I say, to the doctor. We've also informed the solicitor for the defendant that we are presently at this moment awaiting a further report from him and --- HIS HONOUR: From whom? RYAN: This is Professor Sacks, your Honour, and --- HIS HONOUR: Well, I don't mean to be rude, but when you say "awaiting a report", when will that be available? ; RYAN: Well, I understand that he has been away and that today he will be looking at the submission from the solicitors and will be considering this very issue today, your Honour, and we are hopeful - not, you know, extremely confident - but hopeful that within the next day or two, certainly by the beginning of next week, that we should have something in writing from him. ... HIS HONOUR: Mr Ryan, it's suggested - well, we know it's suggested that the order I made hasn't been complied with, and that's it. RYAN: Well, your Honour, as your Honour mentioned the guillotine effect of 31.36, but I think in the circumstances, your Honour, that it would be fair to give us this further opportunity, because it has been described as doctor-shopping, it could be more aptly described as non-availability of doctors in the ENT circle, your Honour, if I can put it that way, and that's why it's so difficult. This plaintiff hasn't got the resources to go outside New South Wales, let alone Australia. HIS HONOUR: Well, I think that's a self defeating submission, with respect, isn't it, Mr Ryan? The proposition is that if local practitioners don't consider this to be a failure of proper practice in this jurisdiction, then the plaintiff doesn't have a case. RYAN: Well, they haven't actually said that, your Honour. HIS HONOUR: No. RYAN: They've refrained from saying anything, except for those two I mentioned. HIS HONOUR: All right. RYAN: And those two are encouraging. Dr Pham, your Honour saw him last time, he's getting into the area of this is very uncommon, very unusual, but he hasn't taken a further step, and at this stage neither has Dr Sacks, but I'm confident that it may happen in the next day or two. HIS HONOUR: But this isn't a matter of advocacy. This is a matter of professional medical expertise. That's the issue, isn't it? RYAN: Mm. It's not that they've said no, your Honour, it's just that they've refrained from saying anything on this critical point. HIS HONOUR: Well, silence is as deafening as --- RYAN: I don't think it's acquiescence in this case, your Honour, it's more to do with refraining from saying anything at all. HIS HONOUR: All right. Well, I have another matter in the list, listed for hearing. The defendant says that the order takes effect and you ask for more time for more medical evidence of a different sort. RYAN: Yes, your Honour. HIS HONOUR: All right. I will reserve my final determination and I will give my reasons in this tomorrow at ten o'clock. 14On 2 October 2009 his Honour published further short reasons. His Honour noted the orders that he had made on 7 August 2009, he noted that the orders were made to enable the Plaintiff a final opportunity to obtain the requisite expert support that r 31.36 contemplated, he noted the report of Professor Sacks of 15 September 2009, he noted that the Plaintiff sought a further indulgence to obtain a more detailed report from Professor Sacks or possibly from some other specialist overseas and his Honour noted that Mr Ryan had not ultimately contested the proposition that the latest report from Professor Sacks was inadequate or insufficient for the purpose. His Honour said that even if there were debate about the Plaintiffs final position he thought that Mr Ryan's concession was properly made. 15His Honour then concluded by saying: [6] The difficulty for present purposes is that none of the medical opinions upon which the plaintiff has sought to rely has been expressed in terms that actually address or advert to the things that the rule emphasises. There is so far no real flavour in any of the reports obtained from any suitably qualified expert that the rule has been confronted and understood or that any apparent attempt has been made to comply with it. This is both curious and troublesome. On the other hand it may simply be that all experts that have been asked to provide an opinion with the rule in mind have done their best and that nothing more favourable to or supportive of the plaintiff's case can be said. I am inclined to think, having regard to the fact that the plaintiff is legally represented, and the fact that she has been searching for expert support for some years without success, that no support is available and none is now likely to emerge. The plaintiff has not even sought to utilise the opinion of a current treating specialist whose views one might reasonably have thought could have identified the critical matters. Instead the plaintiff has chosen to conduct an endless and unproductive search for support from others. There is also no certificate under s 347(2) of the Legal Profession Act 2004, which tends to align with the current state of medical opinion about the plaintiffs condition and its cause. [7] In these circumstances I see no reason to prolong the matter. The defendant seeks an order that the stay be lifted so that the order that I made dismissing the proceedings can take effect according to its terms. I consider that that should occur and I so order.