IN COUNry Revised Suitable Publication · 2013. 11. 20. · manufacturer of caravans. The majority...
Transcript of IN COUNry Revised Suitable Publication · 2013. 11. 20. · manufacturer of caravans. The majority...
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V
IN THE COUNry COURT OF VICTORIAAT MELBOURNECIVIL DIVISIONDAMAGES AND COMPENSATION LISTSERIOU S INJURY DIVISION
VICTOR TSAFKAS
TRENDE CARAVANS PTY LTD
JUDGE:
WHERE HELD:
RevisedNot Restricted
Suitable for Publication
Case No. Cl-12-00316
Plaintiff
Defendant
Solicitors
Maurice Blackburn Lawyers
Minter Ellison Lawyers
HIS HONOUR JUDGE CARMODY
Melbourne
20,21 and25 March 2013
18 November 2013
Tsafkas v Trende Caravans Pty Ltd
I2013IVCC 1708
OF HEARIN
DATE OF JUDGMENT:
CASE MAY BE CITED AS
MEDIUM NEUTRAL CITATION:
Subject:Catchwords
Legislation Cited:Cases Cited:
Judgment:
APPEARANCES
For the Plaintiff
For the Defendant
Counsel
MrPGAMontgomery
Ms R L Kaye
REASONS FOR JUDGMENT
ACCIDENT COMPENSATIONSerious injury - psychiatric injury - pain and suffering damages - lossof earning capacity damages - whether physical injury and incídenthave resulted in the psychiatric injury - whether injury satisfied thethreshold test for leave to seek damages - causationAccident Compensation Act 1985, s134ABBa¡won Sprnners Pty Ltd & Ors v Podolak (2005) 14 VR 622Humphries v Poljak [1992] 2 VR 129; Petkovski v Galletti[19941 1 VR436Application d ismissed.
CoUNTY COURT OF VICTORIA250 William Street, Melbourne
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HIS HONOUR
Introduction
1 This application is brought by Originating Motion dated 20 January 2012, by
which the plaintiff applies for leave pursuant to s134AB(16Xb) of the Accident
Compensation Act 1985 ("the Act") to bring proceedings to recover damages
for an injury suffered by him arising out of or in the course of his employment
with the defendant and, more particularlY, on 17 September 2007.
ln the course of the opening, Mr Montgomery, for the plaintiff, submitted that
the injury arose from an incident which occurred on 17 September 2007, when
the plaintiff was struck in the back of the head by a large ball of putty.l
The plaintiff seeks leave to bring such proceedings for pain and suffering and
loss of earning capacity.
At the commencement of the hearing, the plaintiff conceded that this
application was not a claim for physical injury. The application proceeded on
the basis that only the psychiatric injury and consequences in this application
were relevant to whether or not the plaintiff be granted leave to recover
damages for pain and suffering and loss of earning capacity.
The plaintiff alleged that whilst he was in the course of his employment on
17 September 2007, he was struck in the back of the head by a large ball of
putty. As a result of that incident and injury to him, the plaintiff alleges that he
has suffered a psychiatric injury and is now diagnosed with an adjustment
disorder with depression and anxiety.
6 The following evidence was adduced or tendered during the hearing:
The plaintiff gave evidence and was cross-examined
2
3
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a
o Mrs Soula Tsafkas gave evidence and was cross-examined
Transcript ("T') 12-13
1 JUDGMENTTsaftas v Trende Caravans Pty LtdVCC:AS/LP/DC
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a Dr MichaelWong, psychiatrist, gave evidence and was cross-examined
o The plaintiff tendered the following documents:
Exhibit A, the Plaintiff's Court Book ("PCB"), pages 13-93, page gg,
page 103, page 111aandpage112.
o
a
I
¡
The defendant tendered the following documents:
Exhibit 1, the Defendant's Court Book ("DCB"), pages 1-3, pages
6-8, pages 11-13, pages 26-64 and pages 71-168.
Exhibit 2, the clinical notes of Physical Healthcare Physiotherapy of
1A Rochdale Square, Lalor.
Dr Michael Duke, psychiatrist, gave evidence and was cross-examined
7 The plaintiffs application is brought under the definition of "serious injury"
contained in ss(37) of the Act, which requires the plaintiff to prove that he
suffered a "permanent severe mental or permanent severe behavíoural
disturbance or disorder". ln this case, the diagnosis of the plaintiff is an
adjustment disorder with depressíon and anxiety.
Ms Kaye, on behalf of the defendant, identified the issues in this application.
The first issue is whether the psychiatric injury claimed by the plaintiff and the
ongoing consequences are caused by the original work-related injury said to
have occurred on 17 September 2007. The second issue is whether the
migraines and headaches that the plaintiff complains of are caused by
physical or psychiatric injuries. In short, this case relates to disentangling the
consequences between physical and psychiatric-based injury. The third issue
is whether the consequences as set out in the plaintiff's application meet the
statutory test. These issues relate to the application for serious injury
certification in respect of pain and suffering damages and loss of earning
capacity damages.
rsarkas v rrende ""r"1:ro.n#ff,l
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2VCC:AS/LPIDC
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The statutory scheme
g The application is brought under the definition of "serious injury" contained in
ss(37Xa) of s134AB of the Act which requires the plaintiff to prove that he has
suffered a "permanent serious impairment or loss of a body function".
10 The relevant considerations which apply to such an application are as follows:
(a) The plaintiff must prove that he has suffered a compensable injury; that
is, an injury which he suffered arising out of the course of his
employment on or after 20 October 1999;2
(b) The injury and the impairment must be permanent; that is, permanent
in the sense that it is "likely to last for the foreseeable future";3
(c) The plaintiff bears the burden of proof to be determined upon the
balance of probabilities;
(d) Sub-section (38Xc) provides that the impairment must have
consequences in relation to pain and suffering and loss of earning
capacity which, when judged by comparison with other cases in the
range of possible impairments or losses of a body function, may fairly
be deScribed as being more than "signifiCant" Or "marked", and aS
being at least "very considerable";
(e) Sub-section (38Xh) provides that the psychological or psychiatric
consequences of a physical injury are to be taken into account only for
the purpose of paragraph (c) of the definition of "serious injury" and not
othenryise;
Sub-section (38Xe) provides that in a claim for loss of earning capacity,
such loss must be to the extent of 40 per cent or more, both at the date
of hearing and permanently;
Section 134A8(1), and Barwon Sprnners Pty Ltd & Ors v Podolak (2005) 14 VR 622, at paragraph 11
Barwon Sprnners, at paragraPh 33
JUDGMENTTsafkas v Trende Caravans Pty Ltd
(f)
2
3VCC:AS/LP/DC
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(g) ln conformity with Barwon Spinners, I must identify the injury and the
impairment said to be produced in consequence of the injury; whether
the impairment is permanent - that is, likely to last for the foreseeable
future; and whether the consequences for the plaintiff are such as to
satisfy the "very considerable" test contained in ss(38).
I have applied the principles set fo¡th therein in reaching my conclusions in
this application.
11 I am required to give detailed reasons which are as extensive and complete
as the Court would give on the trial of an action and, in doing so, to disclose
my pathway of reasoning in dealing with the evidence and the issues raised
by the application.
The Plaintiffs background
12 The plaintiff was born in 1954. He is now fifty-eight years otd.a ln 1968, when
the plaintiff was approximately fourteen years old, he migrated from
Macedonia with his family to Australia.s The plaintiff is a married man with
three adult children.
13 The plaintiff was educated to Form 4 level at Preston Technical School. ln the
time since then he has been predominantly employed as a factory hand. He
commenced his work with the defendant in July 2O02.6
lnjury with the Defendant
14 The plaintiff, in the course of his employment with the defendant, worked as a
manufacturer of caravans. The majority of his work was performed at a
workbench. ln his affidavit dated 15 July 2011, the plaintiff described the
injury occurring in the following circumstances:
PCB 14PCB 14PCB 14
Tsafkas v Trende ""r"i:rorn#ff,I
4VCC:AS/LPIDC
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"On or about 17 September 20Q7, when working at my work bench, I was
struck at the back of the head behind the right ear by a large, heavy ball
of putty.
I continued working, finishing my shift."7
l5 The plaintiff attended at the Northern lndustrial Medical Clinic on the day
following the incident. On 13 October 2OO7 the plaintiff attended on his usual
general practitioner, Dr Jim Romas. Dr Romas pract¡ses at Rochdale Medical
Centre.s
16 The plaintiff was referred to Dr John Merory, neurologist, on 23 October
2oo7.e
17 The plaintiff was made redundant by the defendant on 11 December 2007.10
It was not until after that time that he was referred to Professor Michael Wong,
psychiatrist, whom he first attended on 11 February 2008.11 The plaintiff has
been regularly attending Professor Wong since that time. The plaintiff has
also been treated by a psychologist, Ms Shalika Ranaweera, since 2010.
18 The plaintiff has also received injections for headaches from Dr Clayton
Thomas, consultant in rehabilitation and pain medicine, in August and October
2011.12
Medical treatment
On the day following the incident at work, the plaintiff attended at the Northern
lndustrial Medical Centre.13 There was no report tendered in this case from
that medical centre.
20 On 13 October 2007, the plaintiff attended his own general practitioner,
Dr Romas, at the Rochdale Medical Centre.la At that time, the plaintiff
PCB 15PCB 30PCB 39PCB 99PCB 42PCB 35PCB 15
JUDGMENTTsafkas v Trende Caravans Pty Ltd
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complained about poor mentation, forgetfulness, dizziness and headaches.
Dr Romas was originally treating the plaíntiff for physical injuries. He referred
the plaintiff to Dr John Merory, neurologist, on 23 October 2007.
21 Dr Merory noted that on examination of the plaintiff, he could not find any
definite neurological signs. Examination revealed fairly full neck movement
but with complaints of crepitus. The plaintíff was complaining of being tender
over the right occiput. Dr Merory noted that the CT scan of the brain was
normal, incidentally showing pansinusitis.
22 Dr Merory's diagnosis was as follows
"He appears to have suffered some concusion [sic] and cervical injuries.I would expect a gradual but definite recovery. There are somefunctional features and I suspect some psychosocial issues but I havenot probed for this."15
I note that Dr Romas refers to these as "functional features".16
The plaintiff continued to complain of vertigo.lT
The plaintiff was made redundant on 11 December 2007.18
Dr Romas referred the plaintiff to Professor Michael Wong, psychiatrist, who
first saw the plaintiff on 19 February 2008.1e
27 On the plaintiff's first attendance on Professor Wong, 11 February 2008, the
plaintiff gave a history of being shot at with a staple gun over a period of
2 years. Professor Wong also took a history of the impact to the back of the
pfaintiff's head in September 2007, leaving the plaintiff feeling dizzy and
anxious. Professor Wong's history of the pre-illness personality of the plaintiff
was that the plaintiff described himself as "easygoing" and "happy-go-lucky".
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PCB 30PCB 39PCB 31
PCB 16PCB 99PCB 31
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This description is consistent with the evidence he gave during the course of
this application.
28 ln early 2008, Professor Wong diagnosed the plaintiff as suffering from an
adjustment disorder with anxiety and depressed mood. Professor Wong
stated that this condition was a direct result of "the stress" the plaintiff
experienced at work.2o
29 Since that time, Professor Wong has been treating the plaintiff on a monthly
basis with some longer breaks during the 2009 year. Professor Wong
continues to treat the plaintiff and he prescribes the medications of Epilim,
Lexapro and lmovane.
30 Professor Wong continues to certify the plaintiff as unfit for work.
31 The plaintiff has also been referred to Dr Richard Gerraty, neurologist. ln a
report dated 12 March 2009, Dr Gerraty took a history of the plaintiff being hit
with a lump of putty. He also took a history of the plaintiff being shot at with a
staple gun whilst at work and an earlier history of migrane. Dr Gerraty opined
as follows:
"Neurological examination is normal.
It is conceivable that some of his current symptomatology could be post-traumatic migraine related despite the absence of prominent headacheand he may well respond to Sandomigran and I have prescribed thistoday."21
32 It is to be noted that Dr Gerraty was aware that at the time he prescribed
Sandomigran, the plaintiff was also being prescribed Valium and Lexapro by
his then treating psychiatrist.
33 The plaintiff has also been seen by Dr Clayton Thomas, consultant in
rehabilitation and pain medicine. The plaintiff saw Dr Thomas on 5 March
PCB 44PCB 40
JUDGMENTTsafkas v Trende Caravans Pty Ltd
7VCC:AS/LP/DC
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2010. On that day, the plaintiff complained of a constant headache. The
tenderness to the back of his right skull was noted by Dr Thomas, who
thought, from a physical point of view, it might be as a result of an injury to the
great occipital nerve, accounting for such sensitivity to the right side of the
skull.22
34 Dr Thomas noted that he was of the view that the plaintiff's emotional
problems certainly appeared to be overwhelming him.
35 On 23 August 2011 and 12 October 2011 , Dr Thomas performed injections to
assist with the plaintiff's headaches.23
36 Dr Thomas's treatment of the plaintiff is all related to physical-based pain and
injury. Those physical-based injuries are not the subject of this application.
37 The plaintiff has also received treatment from Ms Shalika Ranaweera,
psychologist. ln her final report dated 16 March 2013, Ms Ranaweera states
that the plaintiff is unable to work due to the severity of his depression and
general psychological state. Moreover, his physical capacity, due to his
injuries, has caused major physical restrictions.2a The opinion expressed by
the treating psychologist mixes up the causation of the plaintiff's difficulties
between a psychological state and his physical incapacity due to his injuries.
38 The treatment of the plaintiff by his medical practitioners has been a
combination of physical and psychological treatment.
The Plaintiffs evidence
3e ln this proceeding the plaintiff relied upon two affidavits sworn on 1 July 2011
and 11 January 2013 respectively. The plaintiff gave evidence and was
cross-examined.
40 ln his first affidavit, the plaintiff deposed
PCB 61
PCB 35PCB 74C
JUDGMENTTsafkas v Trende Caravans Pty Ltd
IVCC:AS/LPIDC
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"Further, on or about 17 September 2OO7,l suffered multiple injuries as aresult of being struck on the head by a large, heavy ball of putty. As aresult, I haveéuffered physical, psycñologicãl and emotional injuries."25
The plaintiff in this application relied upon the single incident which occurred
on 17 Septembe12007, to establish his serious injury.
ln his affidavit he stated that he was working at his work bench when he was
struck in the back of the head behind the right ear by a large heavy ball of
putty. The plaintiff deposed that he had been knocked forward and the blow
from the putty had dislodged his earmuffs. He stated that he felt immediate
soreness and pain. He continued working on that day and finished his shift.
He subsequently went home. He stated that overnight he had experienced
headaches and dizziness and he was upset at what had occurred to him.26
The plaintiff stated that he attended work the following day but was sent to a
doctor at the Northern Industrial Medical Centre. He stated that he later
attended his own general practitioner at Rochdale Medical Centre in Lalor.
He was referred for a CT scan and prescribed medications of an anti-
inflammatory nature. The plaintiff deposed that he continued to experience
throbbing pain in the head. He experienced difficulty with lying down, and his
sleep was very disturbed. He re-attended his general practitioner, Dr Jim
Romas, complaining of having headache, dtzziness and an unsteadiness like
vertigo, as a continuing problem for him.
The plaintiff stated that he was referred to Dr John Merory and Mr Richard
Gerraty, specialist neurologists. The plaintiff stated that his symptoms of
sleep disturbance, including having nightmares about the incident involving
the putty ball, continued to concern him.
The plaintiff stated that he had been teased by co-workers and that they
would fire staple guns and the like at him, causing him to be feadul of injury to
his eyes. The plaintiff stated that he found these episodes of teasing very
25
26PCB 14PCB 15 paragraph 10
9 JUDGMENTTsafkas v Trende Caravans Pty LtdVCC:AS/LP/DC
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upsett¡ng. I note that the course of conduct, as it may be described, by the
co-workers was not pursued by the plaintiff in this case to establish his serious
ínjury certificate.
The plaintiff continued to be seen by his general practitioner, Dr Ramos. ln
February of 2008, due to his ongoing and persisting symptoms, he was then
referred to Associate Professor Michael Wong, a psychiatrist, who prescribed
Lexapro, Epilim and Valium.27 He was also referred to psychologist Shalika
Ranaweera for treatment.
The plaintiff deposed that he continued to experience head pain and
headaches. He described the pain in the head as always being there. He
also stated that he experienced neck pain. This part of the plaintiff's deposed
evidence is repeated on a number of occasions throughout the affidavits and
his viva yoce evidence. The symptoms that he is describing are physical
symptoms of pain to the head and neck area.28 The plaintiff stated as follows:
"Because of the injuries, my capacity for physical work has beenmarkedly affected. I am no longer capable of full{ime, physical workbecause of the persisting symptoms and problems I experience.I believe my experiences in the course of my employment with theDefendant have had a marked effect on my emotional health andwellbeing."2e
ln this part of his affidavit, the plaintiff is combining both the physical injuries
he received as a result of the impact from the putty ball together with his
experience of teasing by co-workers referred to earlier in these reasons. This
raises the very real difficulty of disentangling the psychological and psychiatric
consequences of the putty ball incident from the physical injuries received in
the putty ball incident. lt also raises the difficulty of psychiatric or
psychological injuries as a result of a course of conduct alleged against the
co-workers in teasing the plaintiff.
49 ln his second affidavit sworn on 11 January 2013, the plaintiff deposed
PCB 17
PCB 18
PCB 18
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VCC:AS/LPIDC10
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"l have not returned to work. Because of my injuries, I am unable towork. I believe I am no longer capable of working because of myinjuries. My injuries continue to affect me badly, especially theemotional and mental injuries."30
The plaintiff goes on to depose that he never recovered from his physical
injuries which he received in the incident of September 2OO7 -31
The plaintiff deposed that since he was struck on the back of the head, he has
continued to have pain and headaches. The plaintiff deposed that he had
injections to try and improve his headaches and head pain. He stated that
those injections were performed in August 2011, and repeated again in
October 2011. He stated the symptoms did not improve and remained the
same.32 The plaintiff again is complaining of physical injuries and treatment
for his physical symptoms when referring to the injections.
The plaintiff then deposes to the consequences as a result of the injuries that
he received in the incident of September 2007. He stated that he struggled to
keep his emotions under control and was emotionally aggravated. He stated
his sleep patterns were poor as a result of the injuries. He noted that he did
not take any medication to assist him in his sleep. He said he was now
unable to continue with his fishing or shooting trips, due to the symptoms he
suffers as a result of his injuries. When the plaintiff is describing his
symptoms, he used the phrase "before the injuries" or "before my injuries",
when describing a difference between how he was prior to the incidents
referred to in his application and how he is now.33
The plaintiff was cross-examined at length about his prior medical complaints.
ln his affidavit, the plaintiff had described the period before the injuries as "life
was good, I was a happy relaxed person".34 The medical history put to the
plaintiff, and part of the notes in Exhibit 2, reveal a different picture.
30
3l
32
u
PCB 20PCB 21 paragraph 5PCB 21 paragraph 7PCB 21
PCB22
JUDGMENTTsafkas v Trende Caravans Pty LtdVCC:AS/LP/DC
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In cross-examination, the plaintiff was asked about his attendance at his
general practitioner, Dr Ramos on 15 October 1997. The general
practitioner's notes appeared at DCB 101. The plaintiff was asked about the
history of dizziness and feeling stressed given to his general practitioner on
that occasion. ln evidence, he denied that he had given that history and then
subsequently said that he was not sure.35
The plaintiff was then asked about an attendance on his general practitioner
on 20 July 1998. The history of that attendance appeared at DCB 104. The
plaintiff stated in his evidence that he had no recollection of attending the
doctor for dizziness and chest pains on that occasion. He also had no
recollection of the diagnosis of anxiety and hyperventilation. The plaintiff also
had no recollection that he was prescribed Lovan, an antidepressant
medication, at that time.36
The plaintiff was asked about his visit to his general practitioner on
7 September 1998. The history of that attendance appears on DCB 104.
At that time, the plaintiff was still taking Lovan medication. He complained
of dizziness to his general practitioner. ln his evidence, he stated that he had
no recollection of attending the doctor lor dizziness at that time. The plaintiff
was asked about two attendances on his general practitioner in 2000. The
first attendance was 22 June 2000, where the plaintiff attended upon his
general practitioner complaining of headache. The second attendance was
2 November 2000, where the plaintiff complained of a throbbing headache
and was prescribed Sandomigran. These attendances appear at DCB 108.
ln his evidence, the plaintiff denied any recollection of attending his doctor for
the complaints of headache or being prescribed Sandomigran.3T
The plaintiff was asked about his attendance on his general practitioner on
21 May 2001. The entry for this attendance appears at DCB 109. On that
JUDGMENTTsafkas v Trende Caravans pty Ltd
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T41T 41-42T49
VCC:AS/LPIDC12
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occasion it was recorded that the plaintiff complained of headache and neck
pain. The plaintiff in evidence in this application stated that he might have
attended the doctor on that occasion but he was not sure.3u
On 31 May 2002, it was recorded by the general practitioner that the plaintiff
attended complaining of a right-sided headache and migraine symptoms.3n
This visit to the doctor was at a time immediately before he commenced
employment with the defendant, Trende Caravans, in July 2002. I note that
this attendance records the headache as being right-sided. This headache is
in the exact area of the injury that the plaintiff now complains of. The plaintiff
stated in his evidence that he had no recollection of attending the doctor on
that occasion.ao
The plaintiff was asked about his history of medications which are listed at
DCB 1 15. The two separate occasions when the plaintiff had been prescribed
Sandomigran, of 2 November 2000 and 31 May 2002, were shown to the
plaintiff. The plaintiff stated that he had no recollection of taking the
medication Sandomig ran.o1 On 17 October 2005, the plaintiff attended
Dr Jim Romas complaining of neck pain radiculopathy.a2 The plaintiff was
referred for a CT scan of his neck. ln his evidence, the plaintiff stated that he
had no memory of this attendance or testing.a3
On 5 June 2006, the plaintiff returned to his doctor with complaints of
throbbing headache and right-sided headache. lt was noted in that entry that
the plaintiff had no left-sided symptoms despite an indication from the
CT scan that there was pathology of nerve root impingement on the C7 left
side.aa
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T49DCB 110T50T50DCB 117T52DCB 117
JUDGMENTTsafkas v Trende Caravans Pty LtdVCC:AS/LP/DC
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The plaintiff attended the same general practitioner the next day on 6 June
2006. He was prescribed Voltaren tablets on that occasion. The diagnosis of
his condition was osteoarthritis to the neck.as The plaintiff had no recollection
of attending his general practitioner on two successive days.a6 He said that
he thought he may have tripped and lost his balance and hurt hís back.aT
The plaintiff then returned to his general practitioner on 20 June 2006,
complaining of numbness over the right side of the head.aB The plaintiff in his
evidence stated that he may have attended Dr Nassios for that complaint on
this occasion.ae
The plaintiff then attended at his general practitioner on 30 October 2006
complaining of episodic dizziness with paraesthesia in the legs. He also
complained of being stressed with his work situation.so ln his evidence, the
plaintiff conceded that he may have complained of dizziness and had no
recollection of the paraesthesia down the legs. However, he was clear that he
had complained about the stress at work situation.sl The plaintiff in this case
complains about dizziness and symptoms relating to headaches and in
particular to his right-sided headache. He has given evidence that he has
effectively no recollection of prior attendances on his general practitioner for
those symptoms. At the same time he gives evidence as a recollection of
complaining of stress at work. In this application, the ongoing stress at work
is not the subject of his application for serious injury as it related to the
incident arising from the impact of the putty ball on 17 September 2007.
The plaintiff in his evidence exhibited examples of selective memory and
convenient recollections. As the medical opinions rely upon an accurate
rsarkas v rrende ""."i:Rn#Íl.I
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51
DCB 117T54T53DCB 117T56DcB 118T58
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history being given by the plaintiff, it raises a difficulty in this case about a
proper assessment of the medical opinions.
On 1 May 2007, the plaintiff attended his general practitioner complaining of
neck pain and headache for about two weeks.s2 ln his evidence the plaintiff
had no recollection of this consultation with his general practitioner.s3
The plaintiff was asked about his attendance at his general practitioner on
27 June 2007. On that occasion he reported that the headache in the
morning was now better. He was reassured by his general practitioner that
the dizziness was coming from his neck.sa ln his evidence the plaintiff stated
that he did not have a memory of attending his general practitioner on that
occasion, and added:
"No, no. I don't know why my memory is - it's very bad at the moment."ss
The attendance by the plaintiff on his general practitioner on 27 June 2007 is
the last attendance on his general practitioner prior to the incident bringing
this matter to Court.
The plaintiff was cross-examined about prior claims made in respect of a low
back injury in the 1980s and also a transport accident claim in the year 2000.
These claims related to physical injuries which also carried with them the
symptoms declared by the plaintiff ol dizztness and referred pain up into his
neck area.
The plaintiff attended on his general practitioner on 5 Novembe¡ 2010. The
history given to his general practitioner at that time was that he had fallen
through the plaster roof at his home and fractured ribs and needed medication
for that pain.56 In his evidence, the plaintiff stated:
"Q: What were you doing up on the roof?--
52
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DCB 119T59DCB 120T 70, L13-14DCB 125
JUDGMENTTsafkas v Trende Caravans Pty LtdVCC:AS/LP/DC
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A: l've had the insulation in the roof from I don't know how many yearsand it was blow insulation. This time to lndians came and knock onthe door asking me to put the insulation and I told them, "No." Andthey went up the roof and put the insulation in. But they threw it allover the place and a lot of the insulation was on top of the down-lights.
Q: So you went up to move it, did you?--
A: So I went to move them because in case it catch fire.
Q: You did not call your brother to go up and move it for you?--
A: No.
Q: Dr Nassios has recorded that you fractured your ribs when you fell,is that right?--
A: Yes.
Q: You needed some medication and "due to see a specialist nextweek," is that right? Did you go to see a specialist?--
A: For the ribs?
Q: After the fall?---
A: No, the medication was given to me by the hospital.
Q: You went to the Northern Hospital, is that right?--
A: No, Austin.
Q: How long were you at the Austin for?--
A: Four days, I think.
Q: You were in the Austin as an in-patient for four days?--
A: Yeah.
Q: What did they say was wrong with you?--
A: Fractured ribs.
Q: You saw a specialist there?--
A: No - | can't remember.
Q: Do you know what medication they gave you?---
A: One of them was a very strong one, it was the morphine and therest of them I don't remember. All together there were about six,seven tablets.
Q: lt is fair to say, isn't it, that that was fairly stressful falling through aroof and having to be in the Austin for four days?--
A: Not really. I was in pain. lwas in pain
Tsafkas v Trende ""r"j:r?.n#ffrl
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58
Q: So it did not cause you any stress or concern, that situation?--
A: Concerning what waY You mean?
Q: Worry. Were you worried?---
A: I was in pain. How can I say? I was in pain."s7
70 I find that it is clear from this evidence that the plaintiff did not feel physically
constrained by any injuries he received as a result of the putty incident when it
came to doing work around the house. ln his other evidence he had referred
to doing the gardening work and other tasks in keeping the house' The
general level of activity by the plaintiff around his home, including getting up
into the roof space to deal with the insulation, is indicative that he is more
physically active and feels as if he can achieve these tasks than the way in
which he presents to Professor Wong. I find that there is an inconsistency
between the presentation of the plaintiff to Professor Wong and the level of
activity he is prepared to engage in, in his day-to-day life.
Medical opinions
71 ln respect of the psychiatric and psychological impairment suffered by the
plaintiff as a result of the incident on 17 September 2007, the following
medical practitioners have given opinions.
72
Dr Jim Romas, general practitioner
Dr Ramos prepared a number of medical reports in respect of the plaintiff's
condition. The reports are dated 20 April 2010,21 October 2010, 26 June
2012 and the final report on 15 February 2013. Dr Ramos referred the plaintiff
to Professor Michael Wong, psychiatrist, on 19 February 2008.58 The
predominant issues addressed in his first three reports relate to matters of
physical injury to the plaintiff as a result of the incident the subject of this
application. ln his last report he stated as follows:
T 81,L17 - T 82, 119PCB 31
JUDGMENTTsafkas v Trende Caravans PtY LtdVCC:AS/LP/DC
17
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73
"He still remains very markedly impaired gentleman with significantmental and Psychiatric problems. Physically he still has the samecomplaints of vertigo, headaches, right hand weakness.
ln conclusion remains [sic] a man with significant impairment withespecially regard [sic] to his mental state. His headaches are stillpersistent and are related I feel to mainly to his [sic] Psychological andmental state."5s
Dr N R Rose, psychiatrist
The plaintiff was sent by the defendant for examination and assessment by
Dr N R Rose, psychiatrist, on 25 August 2008. Dr Rose prepared a report
dated the same day. The purpose of the independent medical examination
was to determine if the plaintiff suffered from stress or a psychological injury.60
At this time the plaintiff was being treated by Professor Wong.
The plaintiff gave Dr Rose a history of having no motivation and not doing any
gardening.6l He also gave a history of no prior psychiatric illness.62 At the
time of the assessment Dr Rose diagnosed the plaintiff as having no work
capacity due to psychiatric injury. Dr Rose recommended a further
assessment in three to six months'time. This did not occur.
Dr Rose's assessment is now nearly five years old. Professor Wong and
Dr Duke have had more recent treatments and assessments of the plaintiff.
Dr Rose's assessment of the plaintiff in August 2008 does not assist me in the
assessment of the plaintiff's condition at the time of the hearing.
Dr Michael Piperoglou
The plaintiff was referred to Dr Piperoglou for medico-legal reporting
purposes. Dr Piperoglou examined the plaintiff on 11 December 2012.
Dr Piperoglou's report is dated 11 January 2013. The plaintiff stated to
Dr Piperoglou that he had been persistently the subject of jokes and hav¡ng
rsaftas v rrende "",."i:Rn#fl,I
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75
76
59
60
61
62
PCB 37DCB 19DCB20DCB 21
VCC:AS/LPlDC18
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staples fired at him from a staple gun at his place of work. The final incident
was the putty ball incident. The plaintiff gave a history to Dr Piperoglou that
he experienced anxiety and depression after being hit by the putty ball.63
Dr Piperoglou noted that the plaintiff had lost interest in life in general. The
plaintiff was no longer interested in gardening or fishing, which were activities
he used to enjoy.6a
ln the discussion section of Dr Piperoglou's report he stated:
"The injury is consistent with the stated cause i.e. chronic stress,harassment and fear of his physical safety over at least a two-yearperiod."65
Dr Piperoglou then went on to outline his diagnosis as a major depressive
disorder and an anxiety disorder. lt is at least of moderate severity.66
Dr Piperoglou has a different cause for the conditions suffered by the plaintiff
compared to the cause of the injury pursued in this application. Whilst
Dr Piperoglou takes note of the putty ball incident, he attributes the injury to
the longer period of time that the plaintiff had been employed and harassed at
his place of employment. Dr Piperoglou describes the condition as of
moderate severity. ln cases of mental or behavioural disturbance or disorder,
the statutory test is that the consequences to the plaintiff have to be to the
extent of being severe.
Shalika Ranaweera, psychologist
The plaintiff had been referred to Ms Ranaweera, psychologist, by his general
practitioner, Dr Ramos. Ms Ranaweera prepared two reports for the purposes
of this application dated 18 May 2012 and 16 March 2013.
ln the first report Ms Ranaweera gave the following opinion:
"l my opinion (sic), due to his work place injury, Victor is limited bothpsychologically and physically. Emotionally he feels that he cannot work
JUDGMENTTsafkas v Trende Caravans Pty Ltd
ÞJ
64
65
bb
PCB 85PCB 86PCB 89PCB 89
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at his previous place of employment as he does not feel safe. Thisseems to bring on an anxiety attack. He is finding it difficult to come toterms with his loss and feels depressed most of the time.
Victor appears to be continuing to re-live the accident trauma in apsychological form and is still battling with sustained physical injuriesfrom the accident. This seems to be debilitating his current lifecircumstances."6T
The psychologist at that stage expressed some optimism as to the therapeutic
outcome for the plaintiff as a result of the psychological treatment.
82
85
83 ln her later report, Ms Ranaweera gave the following opinion:
"ln my opinion Victor remains unable to work due to the severity of hisdepression, and general psychological state. Moreover his physicalcapacity, due to his injuries, has caused major physical restrictions."6s
84 ln the same report, the psychologist notes:
"Victor is not able to return to pre-injury duties as he is physically andpsychologically unfit to conduct any lifting and presents with a prolongedunhealthy state of mind. ln addition, he may experience somepsychological retraumatisation if he enters the previous workenvironment as he does not feel supported in his workplace."un
The reports by the psychologist Ms Ranaweera squarely raise the problem of
the inter-relationship between the physical injuries suffered by the plaintiff and
the psychological state of the plaintiff. The psychologist has not separated out
the respective symptoms and/or consequences between the physical injuries
and the psychological impact on the plaintiff.
86
Professor Michael Wong
Professor Michael Wong is the treating psychiatrist for the plaintiff. Professor
Wong prepared five medical reports in respect of this application. The reports
are dated 26 February 2008, 26 February 2010, 29 March 2012,6 December
2012 and the final report dated 14 March 2013. ln this hearing Professor
Wong was cross-examined by the defendant's counsel.
PCB 73PCB 74cPCB74c
rsafkas v rrende "",^"i:^o.o#FlJ
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Professor Wong first saw the plaintiff on 11 February 2OO8.7o Since that time,
Professor Wong has consistently and persistently treated the plaintiff on a
fortnightly or monthly basis except for a period between 3 June 2009 and
10 November 2009.71 Professor Wong in his report dated 6 December 2012
sets out the background that he was told by the plaintiff as to his condition.
It reads as follows:
"When he was hit at the back of head by a clay ball in September 2007and no one claimed responsibility he started to become unwell feelingdizzy and anxious. Over the subsequent 5 months and before his firstpsychiatric consultation in 2008 he said he had been feeling increasinglyanxious and depressed experiencing nightmares and becoming fearfulwhen going to public places such as shopping mall. He said he had losthis interest, motivation, energy, attention and concentration. He said he
was repeatedly bothered by dizziness and other non-specific somaticsymptoms. He said he had not been able to return to work and as amatter of fact he was dismissed by his employer soon after the incident.That caused much emotional stress and financial hardship."72
ln that same report, Professor Wong states that the plaintiff's past health was
unremarkable. This statement is at odds with the extensive medical treatment
and complaints of symptomatology in particular in relation to dizziness that is
in the evidence of this case. Professor Wong also has taken a history of
employment which does not set out the previous injury and period of time that
the plaintiff was out of work as a result of his back injury.
ln that report, Professor Wong diagnoses the plaintiff with an adjustment
disorder with anxiety and depressive mood.73 Professor Wong sets out that
the plaintiff had no previous history of mental illness and there are no other
causes for his adjustment disorder, apart from his work-related physical and
mental injuries.Ta Professor Wong's op¡nion at that time was that the plaintiff
was psychiatrically unfit to return to his pre-injury level of work. He found that
condition was likely to persist into the foreseeable future.
JUDGMENTTsafkas v Trende Caravans Pty Ltd
70
71
72
73
74
PCB 42PCB 55PCB 56PCB 57PCB 58
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The most recent report of Professor Wong, dated 14 March 2013, sets out the
current medication prescribed to the plaintiff in the form of Lexapro
20 milligrams per day, and Epilim 500 milligram twice per day. Professor
Wong in that report confirms his previous diagnosis of chronic adjustment
disorder with mixed anxiety and depressive features. ln reference to reports
prepared by Professor Michael Duke, psychiatrist, Professor Wong stated that
the symptoms experienced by the plaintiff do not warrant a separate diagnosis
of undifferentiated somatoform disorder as proposed by Dr Michael Duke.
On 20 March 2013, Professor Wong gave evidence in this case. ln his
evidence, Professor Wong confirmed that he still regularly sees the plaintiff on
a monthly basis. He confirmed that the medication the plaintiff was prescribed
was Epilim and Lexapro. The plaintiff sometimes uses Valium to control his
emotional distress. Professor Wong has certified the plaintiff as unfit for work
from the first time he saw him in 2008 until the current time.
Under cross-examination, it became clear that Professor Wong had not been
given a full history of the relevant symptoms suffered by the plaintiff prior to
his attendance on Professor Wong in 2008. Professor Wong's evidence was
as follows:
"Q: He did not make you aware of any pre-existing anxiety issues hemay have had?--
A: No, he did not.
Q: Or of any depressive difficulties he may have had in the past?--
A: No, he did not.
Q: So your impression is basically this was a man who was very wellpsychiatrical ly and psycholog ical ly u p until approximately 2006? ---
A: Yes, that's correct."7s
93 Professor Wong was cross-examined and it became clear that:
75 T 91,L11-17
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o
o
a
O
a
o
He had not been told of the anxiety reported in 1990 in respect of the
plaintiff.T6
He was not aware of the anxiety and stress problems reported to
Dr Ramos by the plaintiff in 1997.77
He was not aware of the anxiety and hyperventilation repoiled by the
plaintiff in July 1998.78
He had been told that the headaches suffered by the plaintiff had
commenced as a result of the incident in Septembe¡ 2OO7 '7s
He had not been told about the headaches and dizziness reported in
October 1996.80
He had not been told about the treatment for dizztness in September
1ggg.81
He had not been told the headaches and/or throbbing headaches
reported in June 2OOO.82
He was not aware that the plaintiff had been prescribed Sandomigran in
the past.83
He had not been told that the plaintiff had suffered right-sided headache
and migraine in May 2000.8a
He had not been told that the plaintiff had complained of dizziness at
work on 7 September 2006.85
JUDGMENTTsafkas v Trende Caravans Pty Ltd
o
a
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T92T92T93T94T95T95T95T96T96T96
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o He did not know that the plaintiff had complained on 13 october 2006
about episodic dizziness with paraesthesia in the legs and stress with the
work situation.s6
rsarkas v rrende "'."i:Ro#Fl,l
94
95
After all of these pieces of medical history had been pointed out to Professor
Wong, his evidence on those issues was:
"Q: All of this tends to indicate, doesn't it, that this is a plaintiff who hasgot some - including the psychiatric elements I took you to earlierfrom the 1990s, this is a plaintiff who has got some predisposition tothese sorts of problems, being dizziness, headaches and also thepsych iatric difficulties?--
A: That is correct."87
ln his evidence, Professor Wong disagreed that the diagnosis of adjustment
disorder was no longer applicable. And he also disagreed that the
maintenance of the condition now is due to internal factors rather than the
original work injury.88 Professor Wong disagrees with Dr Duke's diagnosis of
an undifferentiated somatoform disorder.se Professor Wong was unable to
distinguish the symptoms relating to the physical injuries and the psychiatric
condition of the plaintiff. The evidence in this regard was:
"Q: Are you linking that to the physical injury or the psychiatric injury?--
A: I think he has sustained both physical and psychiatric injuries asevidenced in the history of his current WorkCover claims.
Q: When you say what he has suffered is not in excess of what wouldbe expected, are you there referring to the physical or thepsychiatric part of it?--
A: I think it is academic but I think we should not - or we - or at least I
am not in the position to be able to tease out the interactionbetween his bodily symptoms and his psychiatric symptoms on thisoccasion.
HIS HONOUR:
O You can't separate them, is what you mean?---
A: Yes, I think it seems that he suffers both psychological and physicalinjuries at this work place and it seems to happen at the same time
86
a7
88
89
T97T 97, L21-26T98T99
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97
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and teasing them out I think is not a task that I am able to do so,
Your Honour."so
ln his evidence, Professor Wong put forward a number of causes for the
plaintiff's current psychiatric and psychological condition. One of the causes,
according to Professor Wong, was that the plaintiff is distressed by the
outstanding nature of the investigation of his WorkCover claim.el Another one
of the causes of the stress to the plaintiff is that the investigation into what
actually happened to the plaintiff has not been completed'e2
Professor Wong stated:
"A: Yes I think the patient continues to fail to understand why he hasbeen victimised and lthink the understanding of the nature of hisinjury is important. He continued to feel that he has been injured,physically and psychologicalfor a no end, probably no good reason.
¡93
Professor Wong later in his evidence states that the failure to locate any
former colleagues to support his claim and the lack of progress of his claim
continues to put a lot of stress and strain on the plaintiff's daily life.ea
Almost in frustration, Professor Wong gave this answer in his evidence:
"A: Your Honour, aS I have already repeated myself, that the stressesand the consequences perpetuate as a result of the lack ofcompletion of the assessment of his work related injuries.I continue to insist that it's a better way to represent my view ratherthan the wordings as;iust mentioned by the counsel."
Professor Wong's final position in relation to diagnosis was that:
"A: I think I have got necessary and sufficient information from whatlgather and I think from his work related injuries, physical andpsychological, to substantiate that to his current experience,anxiety, depression, and non-specific somatic symptoms areadequately and completely addressed and explained by adjustmentdisorder with mixed anxiety and depressive symptoms without anyneed for any additional diagnosis."e5
90
91
92
93
94
95
T 101, 118 -T 102,L2T 104T 104T 106,125-30T 108T 114,125-T 115, L1
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101 Professor Wong has given that diagnosis in a situation where he was not in
possession of the full diagnostic history from the plaintiff, nor what he referred
to as the other external factors.
102 ln relation to the work capacity of the plaintiff, Professor Wong stated that the
plaintiff was unable to return to work. Professor Wong did not say that the
plaintiff was unable to work in the general sense, just that he was unable to
return to his pre-injury work.e6
103 ln summary, Professor Wong was continuing to consult with and treat the
plaintiff on a monthly basis. He also continued to prescribe the medications of
Epilim, which is a mood stabiliser, and Lexapro, which is an antidepressant
medication. On occasions the plaintiff was also prescribed Valium to control
his emotional distress and Temazepam to assist in sleeping. Professor Wong
completely disagreed with the opinion of Dr Michael Duke, psychiatrist.
Defendant's medical evidence
Dr Paul Kornan
104 Dr Paul Kornan, psychiatrist, prepared a report dated 26 July 2010. The
plaintiff gave a history to Dr Kornan that he had not had any previous stress
problems in his life príor to the injury relating to this application.eT The plaintiff
had informed Dr Kornan that he was someone who had previously liked to go
out a lot with his wife and children and to have a laugh with them. Dr Kornan
assessed the plaintiff as having an adjustment disorder with mixed anxiety
and depressed mood.eB ln Dr Kornan's opinion, the plaintiff d¡d not suffer from
any limitation in respect of his daily activities of living from a psychiatríc
viewpoint.se Dr Kornan assessed the plaintiff's impairment in a psychiatric
sense as being caused by his injury with the ongoing pain and discomfort that
has led him to be depressed, angry, irritable and tense. Dr Kornan was of the
T 119DCB 55DCB 58DCB 60
JUDGMENTTsafkas v Trende Caravans pty LtdVCC:AS/LPlDC
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view that the psychiatric impairment is a secondary impairment to the physical
injuries. ln that regard, if Dr Kornan's assessment is accurate, it does not
assist the plaintiffs claim for serious injury based on a psychiatric or
psychological impairment.
105
Dr Michael Duke, psychiatrist
ln this matter Dr Michael Duke prepared reports dated 19 August 2009,
6 October 2009, 17 November 2009, 28 May 2012, 26 February 2013,
7 March 2013 and two reports dated 14 March 2013. The contest and conflict
between the treating psychiatrist, Professor Wong, and the medico-legal
assessment psychiatrist, Dr Michael Duke, was a significant matter in this
particular hearing. I ordered that in this case it was appropriate for Dr Duke to
attend to give evidence and be cross-examined so that I was in a position to
properly assess the psychological and psychiatric condition of the plaintiff.
106 Dr Duke first assessed the plaintiff on 19 August 2009. This assessment
occurred approximately in the middle of the period between 3 June 2009 and
10 November 2009 when the plaintiff did not see Professor Wong. ln his
evidence, Dr Duke described the symptoms of the plaintiff as follows:
"A: Mrs (sic) Tsafkas complained of a range of symptoms which in my
view were not adequate in number or severity to qualify him for thediagnosis of adjustment disorder any longer. He had receivedtreatment from not only his general practitioner but Professor Wongsince November 2007 which in my estimation had proved sufficientto diminish his depressive symptoms."10o
107 The diagnosis made by Dr Duke was an undifferentiated somatoform disorder
108 When Dr Duke examined the plaintiff in May 2012, he answered as follows
"A: Mr Tsafkas, when I saw him in May 2012 had ongoing physical
symptoms which I consider to be the undifferentiated somatoformdisorder. As a result of the continuation, the lack of amelioration ofthose symptoms he had once again acquired a depressive illnesswhich I consider to be a secondary adjustment disorder. So despitehaving recuperated to a degree in 2009, by the time I saw him again
three years later ongoing symptoms of a physical nature and
1oo T 1ø.g,123-30
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presumably these have worn him down and made him depressedagain."1o1
It was clear from Dr Duke's evidence that by May of 2012 the plaintiff's
psychiatric condition was a secondary condition to the physical complaints
that the plaintiff was experiencing.
Dr Duke was cross-examined about this differentiation in diagnosis. The
following exchange occurred during the course of evidence:
"Q: Are you saying that Mr Tsafkas did have an adjustment disorder atthe time and it was one that had continued from shortly after theevents of September 2OO7?--
A: ln my first report of August 2009 I formed a conclusion that theinitial adjustment disorder had been ameliorated hopefully bytreatment from Professor Wong but that he had ongoing physicalsymptoms congruent with undifferentiated somatoform disorderwhich by 2010 according to Dr Kornan and 2012 on my directobservation had a new disorder, a new adjustment disorder hadoccurred and I felt this was secondary to his ongoing unremittingsymptoms."l02
Dr Duke was then asked about the treatment given to the plaintiff by Professor
Wong. Dr Duke very carefully distinguished between his role as an
independent medical assessor and the position that Professor Wong was in in
relation to a patient and treating practitioner's therapeutic alliance.103
There is a clear clash or difference between the two psychiatric assessments
that are contemporary with the time of this application given by Professor
Wong and Dr Duke. The plaintiff has the onus of proof in this case. lt is clear
that the plaintiff is continuing to complain of physical related injuries as a
result of the incident on 17 September 2007. The complaints of pain are in
the back of the head, buzzing in the ears, and referred pain from, as he
described it, his back up to his neck up to his head. The anxiety and
depressive nature of his symptoms arise from a reaction to his physical
injuries. The complication for the plaintiff is compounded when the evidence
101
102
103
T 149,L26-T 150, L4T 161, L5-16T 162- T 165
rsaftas v rrende ""r"l!Ro#rtl,I
VCC:AS/LPlDC28
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of Professor Wong is taken into account, particularly to do with the complaints
made by the plaintiff about the failure to fully investigate the incident giving
rise to this claim by the employer. This disappointment on the part of the
plaintiff or the depressive reaction to it as described by Professor Wong is not
causative of his psychiatric symptoms which are said to have arisen on the
17 September 2007.
113 I accept that both Professor Wong and Dr Duke have earnestly and honestly
attempted to properly assess and give an opinion in respect of the condition
suffered by the plaintiff. I am not satisfied that the plaintiff has proved that his
psychiatric and psychological condition for which he is being treated by
Professor Wong is caused by the incident in September 2007. I am also not
satisfied that the psychiatric or psychological impairment suffered by the
plaintiff is sufficient to satisfy the test under the Act of being "severe".
Consequences of the alleged psychiatric condition to the plaintiff
Sleep
114 The plaintiff claims that his sleep is disturbed by the psychiatric and
psychological reaction to the incident in September 2007. lt is clear from his
evidence and the evidence of his wife that the plaintiffs sleep is disrupted by
both the continuing pain from his old back injury and also from the head injury
as a result of the impact from the putty ball. In particular, Mrs Tsafkas gave
evidence as follows:
"Q: So that is what affects his sleep, is it, the fact that it hurts when heputs his head down on the Pillow?---
A: I said to you that when he puts his head on the right side, it hurtshim. That is what I said."loa
115 The evidence of Mrs Tsafkas indicates that the cause of the sleep disruption
is the physical injury she describes to the right rear side of the plaintiffs head.
That was the point of impact of the putty ball in September 2007. I am not
1o4 T 139, L12-1s
JUDGMENTTsafkas v Trende Caravans Pty LtdVCC:AS/LP/DC
29
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117
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satisfied that the interruption to the plaintiff's sleep is a result of any
psychological or psychiatric reaction by him.
Pain
The plaintiff has given evidence that he suffers pain as a result of his injuries
in September 2007. The overwhelming force of the plaintiff's evidence is that
the pain he suffers is as a result of his unresolved physical injuries. These
injuries are in combination: his lower back, which is an old injury; his neck
injury, which he says occurred in September 2007; and the impact point to the
right side of his head at the back. The pain consequences the plaintiff
complains about are not related to any psychiatric or psychological condition.
Sport
The plaintiff states that he has sporting consequences as a result of the
injuries received in September 2007. The first consequence he says is that
his general practitioner, Dr Ramos, had refused to fill in the appropriate forms
for him to continue with a gun licence. He stated the reason for this is that he
is angry and upset. lt is for this reason that he has had to give up shooting.
The fact that the plaintiff now suffers from anger and mood swings, I find, is a
secondary condition resulting from the physical injuries. I do not accept that it
is a psychiatric reaction to the incident on 17 September 2007.
The second sporting activity the plaintiff complains has been taken from him
as a result of the incident on 17 September 2007 is that he no longer goes
fishing. ln his evidence, the plaintiff conceded that he had gone fishing on a
number of occasions but just dropped a line over the side. Whilst I accept the
plaintiff may have reduced the amount of fishing that he engages in at the
current time, compared to those times prior to September 2007, I do not
accept that this is a significant consequence for him. The position is that he
can still do it, but elects not to.
rsarkas v rrende ""."i:.o.o#fltl
VCC:AS/LPIDC30
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120
Activities of daily living
Mrs Tsafkas gave evidence that the plaintiff did the odd jobs around the house
including household stuff, as she described it, doing the dishes, hanging out
the clothes and the gardening. In short, she stated, if anything is needed, yes
he does it.105 Mrs Tsafkas confirmed that the plaintiff had fallen through the
roof whilst attempting some maintenance job at the house. I do not accept
that the plaintiff's activities of daily living have been limited in any way by his
psychiatric or psychological condition arising from the September 2OO7
incident. lndeed, it appears as if his physical injuries have not limited him in
this regard.
Medication and ongoing treatment
The plaintiff is continuing to receive treatment from Professor Wong and his
general practitioner. He continues to be prescribed and take medication of
Epilim and Lexapro. Whilst the necessity to take medication and continue to
receive therapeutic treatment from Professor Wong and Ms Ranaweera, the
psychologist, is a significant impost upon the plaintiff and indicative of
something of some consequence, I do not accept that this treatment is for a
psychiatric or psychological condition per se. The psychological and
psychiatric condition is secondary to his physical injuries which remain
unresolved despite extensive medical examinations by neurologists and
occupational therapists to diagnose and attend to those physical injuries. I am
not satisfied on the balance of probabilities that this treatment is directly
related to anything to do with his injury on 17 September 2OO7. The plaintiff
had a long history of anxiety and depressive-type symptoms leading up to his
employment with the defendant. He has never at any time told his treating
psychiatrist or psychologist about this history. The evidence they give in
regard to the cause of his current position is compromised by that lack of
psychiatric and psychological history.
JUDGMENTTsafkas v Trende Caravans Pty Ltd
105 T M2
VCC:AS/LP/DC31
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Loss of earning capacity
ln this application there is no dispute that the plaintiff has not worked since the
termination of his employment with the defendant. The issue in respect of the
loss of earning capacity certification is whether or not the injuries described as
psychological and psychiatric are the cause of the plaintiff's inability to work.
As I have previously outlined in these reasons, there is an inter-relationship of
physical injury and psychological/psychiatric response by the plaintiff. The
plaintiff has presented a case which is said to be productive of consequences
in relation to his incapacity for work and also an impact on his loss of
enjoyment of life. The plaintiff bears the onus of disentangling the injuries
relied upon, both physical and psychological or psychiatric, and proving the
consequences of that impairment to those separate body functions or
consequences. In this case, the plaintiff is required to satisfy the Court that
the pain and suffering consequences or loss of earning capacity
consequences, when judged by comparison with other cases in the range of
possible mental or behavioural disturbances or disorders, can be fairly
described as being more than serious to the extent of being severe. I do not
accept that the consequences outlíned by the plaintiff in his application reach
this standard.
ln conclusion, the plaintiff has the onus of proof. The plaintiff has failed to
disentangle the physical injuries from the psychological and psychiatric
consequences. The plaintiff has failed to establish that the consequences for
him are of the standard required under the Act.
For these reasons, the plaintiff's application for serious injury in respect of
pain and suffering damages and loss of earning capacity is dismissed.
124 | will hear the parties on costs
¡UOCrr¡ENTTsafkas v Trende Caravans pty LtdVCC:AS/LP/DC
32
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