BARBADOS

IN THE SUPREME COURT OF JUDICATURE

HIGH COURT

CIVIL DIVISION

Civil Suit No: 1090 of 2007

TIMOTHY GIBSON                                                                                                                                    APPLICANT

AND

MILTON KING                                                                                                                                            

ADALINE KING

RYAN JEAN-BAPTISTE                                                                                                                          DEFENDANTS

 

Before The Honourable Mr. Justice William J. Chandler, Judge of the
High Court

Date of Decision: 2020: May 19th


Mr. Rudolph Greenidge with Ms. Eleanor Clarke, Attorney-at-Law for the Claimant

Mr. Elliot Mottley, Q.C. of Mottley & Co, with Finisterre Attorneys, Attorney-at-Law for the Defendants 

DECISION

Introduction

[1] This decision arises from an application filed 20 April 2011 by the  Claimant for an assessment of damages for personal injuries, loss and  damage allegedly sustained as a result of a motor vehicle accident on  23 July 2004 involving the Claimant and the First and Second  Defendants. 

    Background

    [2] On 23 July 2004, the Claimant was driving motorcar registration  number P-2017 along Brereton Road in the parish of St. Philip when  motorcar P-2422, driven by the Third Defendants, the servant and/or  agent of the First and Second Defendants collided with the Claimant’s  vehicle. It was raining and, as a result, the road was wet and slippery.  The motorcar P-2422 was also travelling along the same road in the  opposite direction and veered into the path of the Claimant’s vehicle  causing damage to the Claimant’s motor vehicle. The Claimant  sustained personal injuries and his vehicle was written off. 

    [3] The Defendants’ liability for the accident is not in dispute.  

    The Pleadings

    [4] On 24 August 2007 the Claimant commenced proceedings against the  Defendants claiming damages for personal injuries, loss and damage in  respect of the accident, claiming: 

     “1. General damages for pain, suffering and loss of amenities.   

      2. Special damages in the sum of $28,664.04 and continuing.   

      3. Interest pursuant to s 35(1) of the Supreme Court of  Judicature Act Cap 117 of the Laws of Barbados.   

      4. Costs; and   

      5. Any mother relief which this Honourable Court deems just.” 

    The particulars of negligence alleged are as follows: 

      1. “Failing to keep the said motor vehicle P-2422 under  control. 

      2. Driving the said motor vehicle P-2422 at a speed, which  was too fast in the circumstances. 

      3. Failing to keep any or any proper lookout for traffic on  the road particularly on-coming traffic. 

      4. Failing to apply brakes in time or at all.”  

    The Amended Defence

    [5] An amended Defence was filed 14 October 2016 in which the  Defendants admitted that the accident was caused by the negligence of  the      Third Defendant. With respect to the personal injuries, loss and  damage allegedly suffered by the Claimant, the Defendants admitted  that the Claimant suffered some injury, loss or damage but disputed the  injuries sustained by the Claimant and the items of loss for which the  Claimant claimed and the causation or continuation thereof. The  following matters were contained in the particulars: 

    “Particulars     

    The claimant suffered from back pain prior to the  accident and the back pain complained of in the  statement of claim is a [sic] pre-existing condition;

    (i) The claimant's back pain was as a result of  degenerative changes in the Claimant's spine; 

    (ii) The claimant was at all material times an over- weight man; 

    (iii) Any symptoms of pain in the claimant's right  shoulder had resolved by October 5, 2004, less  than 3 months post-accident; 

    (iv) The claimant failed to lose weight and/or exercise  as advised to do by a medical practitioner; 

    (v) The claimant failed to consistently attend  physical therapy sessions; 

    (vi) The claimant's lower back pain responded well to    physical therapy and after 16 sessions, by  November 15, 2004, less than 4 months post- accident, the claimant only experienced  occasional low back pain after long period of  activity; 

    (vii) The claimant's job predisposed him to suffering  low back pain. 

    (viii) On or about October 31, 2006 the Claimant  informed Dr. Browne that on the previous day  (October 30, 2006) he was moving a very large  and/or heavy object on his own and injured his  back. 

    (ix) On January 30, 2007 the Claimant complained of  pain radiating to the buttocks and into his leg. This  was the first time he complained to the doctor of  pain radiating down the leg. He never complained  of pain radiation down his leg in relation to the index accident.” 

    The Reply

    [6] The Claimant filed a reply on 20 October 2016 in which he: 

    1. Joined issue with the Defendants on their Amended Defence. 

    2. Denied that he or any other witness had ever attributed the  reason for his long-lasting or residual back pain to the  lifting of an object on 31st October 2016. 

    3. Maintained that the pain and suffering which he continued  to endure was the result of the motor vehicle accident on  23rd July 2004. 

    4. Further stated that no evidence was ever presented to the  court sufficient to justify a finding that he sustained a serious back injury as a result of lifting an object on 31st  October 2016. 

    The Claimant’s Evidence

    [7] The Claimant was 44 years old at the time of the accident and was an  Operator IV (Driver) with the Ministry of Transport and Works. His  work entailed driving heavy-duty vehicles. The Claimant alleges that  as a result of the Third Defendant’s negligent conduct of the vehicle  registration number P-2422 as servant and/or agent of the First and  Second Defendants which caused the accident, he sustained soft tissue  injury to his back, right side and right shoulder. He suffered intense and  excruciating pain as a result of these injuries. Over time the pain  intensified and his condition deteriorated and became chronic. He  underwent physiotherapy and later surgery in an attempt to alleviate his  pain. The Claimant was retired from the Public Service as a result of  his injuries on 01 July 2010. 

    [8] In his witness statement, the Claimant stated that he was first attended  to by Dr. Ramhendar and then by Dr. Browne. He attended  physiotherapy with Ms. King and was later advised by Mr. Gill to have  surgery on his back, which he did in 2009. He stated that the operation  helped but did not alleviate all of the pain.   

    [9] The Claimant stated that, at times he screams out loud due to the pain,  which is mostly felt in his back and leg. Pain is felt in his left hip and  “behind” (buttocks) especially when he sits for extended periods of  time. Due to the pain, which he still felt after surgery, the Claimant  returned to Dr. Gill who advised that he should take medication. 

    [10] The Claimant, who is married, claimed that back pains which he suffers  as a result of the injury have significantly limited his sex life. Having  ceased work, he would like to earn his own money again. He is unable  to sit for prolonged periods of time which limits his ability to engage in  activities such as playing dominoes, one of his past-times. 

    [11] The Claimant also stated that driving was one of his hobbies and that,  since 2007, he has not driven any vehicle. As a result of his inability to  drive, the Claimant said that he has had to rely on other persons to take  him around at a cost. Since the accident, he is unable to leave the house  often and seldom socializes. 

    [12] It is his evidence that he also reared rabbits for sale but has had to  discontinue this activity due to his inability to provide regular care for  them as a result of his injuries.   

    [13] The Claimant stated that he is now unable to assist with the domestic  chores around the home and his wife now has to do everything for him,  as a result, he feels like less than a man. 

    [14] The Claimant further claims that he continues to suffer pain and  financial loss as a result of the accident.

    Evidence of Phyllis Browne-Gibson

    [15] Ms. Browne-Gibson, in a witness statement filed 03 December 2013,  gave evidence that she was 49 years old and is the wife of the Claimant.  She is the mother of their three children, one of whom is deceased. The  witness stated that, prior to the accident, the Claimant never complained  of back pain, but since the accident his pain has been severe and  persistent. For the first nine months after the accident she had to bathe  him, help him dress and feed him, as he was unable to do these tasks on  his own. The pain impacts his sleep. He has suffered many sleepless  nights and, at times, he cries out in pain during the night. Over the years  his condition worsened. 

    [16] She also stated that the Claimant had undergone surgery in 2009, which  gave him some relief but he continued to experience pain in his back.  He was still unable to bend and stretch and required considerable    assistance with everyday life. His legs were often numb and the witness  had to rub them. He was afraid to lift anything heavy or to do anything  strenuous to aggravate his back injury. Prior to the accident, the  Claimant was a very active independent man who looked after his  family well, assisting with cooking, washing and other household  chores. Since the accident, the Claimant has not been able to have fun  with his children as he did previously. Their grandson, who was born  in 2005, lives at their home; the Claimant was unable to play with him  as he did with his own children. 

    [17] Mrs. Browne-Gibson stated that the Claimant loved driving and used to  take her to visit friends, to town (Bridgetown) and the supermarket but  was now unable to do so. 

    [18] Prior to the accident Mrs. Browne-Gibson stated that she and her  husband had an active sex life but, as a result of the pain he now  experiences, they are now hardly able to have sexual intercourse. They  had attempted to have sexual intercourse but had to abandon it due to  his back pain. He is now unable to take care of her physical needs. The  Claimant’s social activities have also been impacted, as he does not  socialize any longer. The Claimant, she opined, has also become  withdrawn and sad.

    The Medical Report of Dr. Sonia Browne MB, BS

    [19] Dr. Sonia Browne submitted a medical report dated 20 February, 2005  in which she stated that she became involved in the treatment of the  Claimant on the 8th of September 2004 as a consequence of his regular  physician going on vacation. The Claimant reported that he had been  treated by Dr. Ramhendar for injuries sustained in a motor vehicle  accident on 23 July 2004. 

    [20] The Claimant complained of right flank pain, which was radiating to  his lower back as well as pain in the right shoulder. On examination,  she observed that the Claimant was an over-weight gentleman who was  in obvious pain, finding difficulty even to walk into the office. Dr.  Browne found mild tenderness of the lower back with some degree of  muscle spasm, moderate tenderness on palpation of his right side just  above the hip. He was able to move his right shoulder but this caused  much pain. 

    [21] Dr. Browne diagnosed the Claimant as having soft tissue injury with  muscle spasm and prescribed oral medication for pain and spasm. One- month sick leave was recommended. The Claimant was reviewed one  month later on 5 October 2004 and he reported that he was feeling better  since the pain in the right shoulder was no longer present. He was,    however, experiencing severe burning across his lower back when he  stood for long periods. It was advised that his sick leave be extended by  another month and his medication was continued. 

    [22] Dr. Browne reviewed the Claimant on three occasions during a two- month period and observed slow progress. The Claimant attempted to  return to work. He returned to Dr. Browne in severe pain. Two weeks  sick leave was recommended, to be reviewed. Dr. Browne informed the  Claimant that this back problems may become chronic, waxing and  waning for what could be years. He was advised to keep up his  exercises, lose weight and seek medical attention for needed pain relief. 

    [23] Dr. Browne gave evidence that she saw the Claimant on eleven other  occasions after her medical report of the 20th of February 2005 and that,  during that time, the Claimant’s injury became more severe. In relation  to the pain suffered as a result of attempting to lift an object on the 31st  of October 2006, Dr. Browne was of the opinion that the pain suffered  from that event was of a different kind and that the Claimant was  forthcoming about the origin of that pain. She believed it was an  isolated event, for which he took medication and the pain from that  event was resolved. Dr. Browne concluded that there was no impact on  the Claimant’s injuries under investigation.   

    [24] This evidence is relevant to the issue of Novus Actus Interveniens  raised by Mr. Mottley QC and will be dealt with later in this decision.

    Medical Report of Ms. Jacqueline King (Ms. King) Dip. P.T. Physiotherapist

    [25] Ms. King submitted a report on 7 December 2005. It stated that the  Claimant first came to her clinic on 17 August 2004 having been  referred by Dr. Ramhendar. On initial assessment, he complained of  pain in the lower back with radiation into the muscles on both sides of  the spine and increased pain on sitting, standing or driving for long  periods. 

    [26] On examination Ms. King found that the Claimant was an overweight  man in moderate painful distress. There was: 

    1. Decreased active forward flexion of the Claimant’s lumbar spine. 

    2. Tenderness on palpation of L4, 5 and the lumbar paravertebral  muscles. 

    3. A negative slump test. 

    4. Decreased straight leg raising 60/90 bilaterally, (normal 90/90). 

    5. Tightness of both hamstring muscles and 

    6. Weakness of the abdominal muscles.   

    [27] The Claimant was started on a twice-weekly physical therapy  programme of moist hot packs to the lumbar region, ultrasound and  back and abdominal strengthening exercises. Ms. King noted that, due  to financial considerations, the Claimant was unable to attend physical  therapy as regularly as he should have. His symptoms improved but as  his rate of progress was slow. He was last seen on 15 November 2004,  after receiving sixteen sessions (of therapy). At that time he reported  only experiencing occasional low back pain after long periods of  activity. 

    [28] Ms. King summarized that the Claimant suffered low back pain  secondary to a motor vehicle accident. While he has recovered  reasonably well, she opined that he “still experiences occasional pain.  The nature of his job, which requires sitting and driving for long periods  can be a predisposing factor to low back pain. Mr. Gibson will therefore  need to maintain his back and abdominal muscle strength to help  prevent further exacerbations of his symptoms.”

    Medical Report of Mr. John Gill FRCS (Ed) SN FCCS, Consultant Neurosurgeon

    [29] Mr. Gill is a consultant neurosurgeon. In his report dated 19 June 2008,  Mr. Gill stated that the Claimant had suffered a side impact collision  and, since that time, experienced severe lower back pain. The pain had  radiated into the right lower limb and is exacerbated by standing,  walking and bending. The lower back pain and right sided leg pain have  prevented the Claimant from pursuing his vocation as a heavy-duty  truck driver at the Ministry of Transport and Works. The Claimant was  examined on 29 June 2017. At that time there was limitation of bending  and there was tenderness over the lower limb of the lumbar spine. The  straight leg raising of the lower limbs were 60 degree on the right and  90 degree on the left. Extension of the spine led to severe discomfort of  the lumbar region of the spine and pain in the right buttock. 

    [30] Neurological examination elicited blunting of pinprick sensation of the  right L4 and L5 dermatomes. MRI imaging of the lumbar spine showed  herniation of the L4/5 disc. 

    [31] The Claimant was advised that Lumbar Laminectomy and Discectomy  at L4/5 were required in order to achieve amelioration of his pain. Prior  to his accident, the Claimant had experienced only transient episodes  of back pain. The protracted lower back pain with the radiculopathic  component that radiated into the right lower limb commenced after the    accident. Mr. Gill opined that the likely cause of the Claimant’s current  back and leg pain was the trauma of 23 July, 2004 accident. 

    [32] Mr. Gill also submitted a post-operative medical report on the  1 October 2009. Lumbar Discectomy Surgery had been performed on  10 June 2009. Dr. Gill noted that the indications for surgery were “back  pain, radicular pain of the right lower limb, and sensory symptoms that  were distributed in the dermatomal territory of the right L5 root.” On  being reviewed on 24 July and 1 October 2009, the Claimant reported  improvement of the lower back pain, resolution of the numbness and  sensory symptoms of the right L5 radicular pain. 

    [33] On examination his ability to bend remained restricted and twisting  caused discomfort of the lower back. 

    [34] With respect to clinical assessment, Mr. Gill noted that there was full  resolution of the right L5 radiculopathy following L4/5 Discectomy,  however, Mr. Gill noted, that any sudden or extended excursion of the  lumbar spine might precipitate discomfort. 

    [35] In relation to the Claimant’s ability to work, Mr. Gill rendered the  opinion that the duties of the Claimant’s “vocation” which required  climbing into a very tall cabin; operating the truck’s dumping  mechanism and its ancillary operations would re-initiate severe lower    back pain and the Claimant would be well advised not to return to this  type of work. Mr. Gill found that he would be fit for work that would  not require heavy lifting, bending frequently or climbing. 

    [36] On 15 June 2012, Mr. Gill submitted a letter, which referenced  questions posed by the Claimant’s attorney. In that letter he stated that  the Claimant was unable to attend his office for follow-up because he  was not financially able to do so. He also stated that when the Claimant  presented to his office on 29 June 2007, almost three years after the  accident with symptoms and signs of lower back pain and right sided  lumbar radiculopathy due to irritation of the right 5th lumbar nerve root.  These symptoms began within 24 hours of the accident and were  “unrelenting despite the employment of conservative methods such as  physiotherapy.” 

    [37] Mr. Gill requested an MRI of the lumbar spine, which confirmed L4/5  disc protrusion that “would be consistent with right L5 radiculopathy.”  The doctor said that it was therefore his opinion that the Claimant  “would experience relief of the right L5 radiculopathy.” On reviewing  the Claimant on 24 May 2012, the Claimant stated that the right-sided  leg pain had completely resolved. However, the Claimant had  numbness of the left thigh and lower back pain. It was therefore Mr.    Gill’s opinion that surgical intervention would have benefitted the  Claimant and according to the Claimant’s testimony, the presenting  symptom of right L5 radiculopathy resolved after the lumbar disc  surgery. 

    [38] Mr. Gill noted that the Claimant had chronic back pain and numbness  of the left thigh. He made reference to the imaging findings on the  27 July 2007 and noted that the Claimant’s lumbar spine also  manifested osteoarthritic changes on the facet joints at L4/5 and L/S1,  with mild foraminal stenosis. He opined “The interaction of trauma and  lumbar degenerative disease can give rise to chronic symptoms such as  lower back and various neurological symptoms of the lower  extremities. Mr. Gibson will have chronic back pain and this can be  associated with numbness or radicular symptoms.” He continued,  “Hence it would not be frank to say that Mr. Gibson has no risk or  vulnerability to back problems for the remainder of his life. In fact this  cannot be said with certainty regarding any individual; as all human  beings are subject to the effects of skeletal aging.” (Emphasis added)

    The Defendant’s Submissions Novus Actus Interveniens

    [39] Having outlined the history of this matter and the medical testimony  associated with the Claimant’s treatment, I now turn to Mr. Mottley  QC’s submission that the Defendants are not liable for the totality of  the injuries sustained by the Claimant. 

    [40] Mr. Mottley QC, Attorney-at-law for the Defendants, submitted that the  Defendants admitted liability in relation to the motor vehicle accident  on 23 July 2004 but denied liability for all the alleged loss and damage  suffered by the Claimant. He averred that the Claimant had a pre- existing condition, which was exacerbated by the July accident. It is  also the Defendants’ contention that the injury to the Claimant’s right  leg, right buttock and right big toe were not attributable to the July  accident but to an event on 31October 2006 (the October incident) when  the Claimant lifted or moved a heavy object by himself. 

    [41] Mr. Mottley QC summarized the evidence of the Claimant, Mr. Gill,  Dr. Ramhendar, Dr. Browne and Ms. King in support of his  submissions. He also made reference to the MRI reports. Counsel noted  that on the day of the accident or the day after the Claimant felt pain  radiating down his legs. Dr. Browne said he presented with back pain  after moving a heavy object on his own which counsel characterised as  an admission against his own interest.   

    [42] With respect to Dr. Browne’s report, the doctor said the Claimant was  an overweight man, he complained of lower flank pain radiating to his  lower back. There was, in Mr. Mottley QC’s opinion, no complaint of  pain radiating down his leg. 

    [43] Counsel referred to Dr. DeCaires’ report of 26 July 2004 which  revealed that the vertebral heights and disc spaces were normal. Mild  degenerative changes were noted. This was three days after the  accident. His view was that, this report showed that the Claimant’s  condition existed, prior to the accident and could not have occurred  within three days. 

    [44] The Claimant attended Dr. Browne in January 2007 at this time pain  was radiating down his leg. Dr. Browne requested another x-ray which  was done in 02-06 2007 (February). The resulting report on the  “SPINE-LUMBOSACRAL” revealed that the LS angle was wide “with  moderate to severe degenerative spondylosis involving mainly L4-S1  facet joints OA, disc space narrowing of L4 and L5/S1 with osteophytes  noted.” Mr. Mottley stated that this condition was not noted in the  earlier report. Secondary spinal stenosis due to degenerative changes  were seen. Mr. Mottley QC suggested that degenerative changes do not  occur as a result of trauma but rather aging. The Claimant’s clinical    history, according to Mr. Mottley QC, was not only of lower back pain,  but of lower back pain and right side L5 radiculopathy or pain radiating  to the leg, for this to occur, counsel opined that, there must have been  interference with the spinal nerve. 

    [45] The MRI report (of 2007-07-27), which counsel also made reference  to, noted that there was “mild bilateral foraminal stenosis” and that  there is a right central disk protruding which would be consistent with  right L5 radiculopathy which Mr. Mottley QC opined, meant that the  jelly between the disk vertebrae had become desiccated. It was  Mr. Mottley QC’s view that this meant and could only mean that it did  not exist prior to the Claimant moving the heavy object. 

    [46] In light the medical evidence, as analysed by Mr. Mottley QC, the  desiccation of the disc and its protrusion on the nerve caused the  Claimant to have the operation performed by Mr. Gill and not the  original accident. This was caused on his own admission by moving  the heavy object two and half years after the accident. If that is so then  everything after this is outside of the ambit of the accident. Counsel  conceded that the desiccation of the disc is part of the aging process as  given in evidence by Mr. Gill.   

    [47] Counsel did not deny that the Claimant suffered pain but denied that  the pain radiating to his right buttock and the operation to relieve that  pain were caused by the accident. 

    [48] Mr. Mottley QC sought to buttress his argument by looking at the  Claimant’s history of sick leave. He submitted that the Claimant was  granted sick leave for 29 days from 8 August 2004 to 3 September  2004, 80 days as at 26 November 2004, no sick leave in 2005 and from  23 March 2006 to 15 April he had 22 days. Counsel submitted that the  court ought to look to what occurred immediately after the October  incident and made the supposition that, if the Claimant had pain  radiating down his back, one would expect sick leave in 2005 whereas  the Claimant returned to work in 2005 doing the same thing that made  him sick. 

    [49] It was Mr. Mottley QC’s further submission that it was unreasonable  for a person who was attending physiotherapy and who had been home  for 109 days to try to move a heavy object on his own. 

    [50] Counsel for the Defendant further submitted that in January 2007 the  Claimant attended the doctor and complained of pain radiating from his  right buttock into his leg. The doctor said, counsel argued, that was the  first complaint of pain radiating down his leg. Mr. Mottley QC opined    that it was significant that the motor vehicle accident in 2004 never  resulted in pain radiating down the leg. 

    [51] There was, in Mr. Mottley QC’s submission, no pain radiating down  the leg in 2004, 2005 and 2006. The Claimant said in late October 2006,  he was moving a very large object on his own and that the day after he  had the pain down his leg, which became worse in January. 

    [52] This was caused, on his own admission, by moving the heavy object  two and half years after the accident. If that is so then everything after  this is outside of the ambit of the accident. Counsel conceded that the  desiccation of the disc is part of the aging process as given in evidence  by Mr. Gill. 

    [53] Counsel did not deny that the Claimant suffered pain but denied that  the pain radiating to his right buttock and the operation to relieve that  pain were caused by the accident. 

    [54] He further opined that what caused the operation that Mr. Gill  performed was the pain radiating down the leg. 

    [55] He relied upon McKew v Holland & Hannen Cubitts (Scotland) Ltd  [1969] 3 All E.R. 1621 and Allan v Barclay (1863) 2 Macph of Sess)  873.   

    [56] Counsel also argued that Mr. Gill’s analysis of the need for surgery  resulting from the July accident was on the basis that the Claimant had  suffered from pain in his leg directly after the accident. Mr. Mottley QC  further noted that Mr. Gill, under cross-examination that, if the pain in  the Claimant’s leg began after the lifting of the object in October 2006,  this would have affected his conclusions and contributed to the symptoms, which he observed. 

    [57] Counsel further argued, that Mr. Gill, in cross-examination stated that  the symptoms were as a result of degenerative changes in the lumbar  spine. 

    [58] Mr. Mottley QC submitted that the October incident was a voluntary  and unreasonable act to be undertaken by the Claimant who was  undergoing physiotherapy. It therefore represented an intervening event  (novus actus interveniens) which caused the pain and suffering and  consequential loss and damage after the October event. Consequently,  the pain felt by the Claimant after this date was as a clear result of the  Claimant’s voluntary act. Counsel contends that any injury or pain after  this point is not the fault of the Defendants but resulted from the novus actus interveniens.   

    [59] The Defendants, therefore, submitted that the loss suffered by the  Claimant, for which the Defendants is liable would be reflected in the total damages claimed and would be limited to those losses which  occurred prior to the October incident.

    The Claimant’s Submissions in Reply

    [60] In relation to the October event, Mr. Greenidge, counsel for the  Claimant, disagreed with the submission that the October event created  a Novus Actus Interveniens which would break the chain of causation.  He submitted that the Claimant attended Dr. Browne in relation to pain  he felt after the October event, took the medication prescribed and the  pain caused went away. 

    [61] In addressing the arguments made by the Defendants Mr. Greenidge  submitted that the Claimant had suffered a back pain prior to the  accident but stated that it was of a ‘transient’ nature. The Claimant had  never been treated for or required medical attention or sick leave for  this back pain. Prior to the accident the Claimant was pain free and  without symptoms of degenerative changes. X-rays taken on 26 July  2004 confirmed that there was evidence of degenerative changes but  these were found to be mild.   

    [62] Counsel for the Claimant submitted that the Defendants must take his  victim as he found him and could not limit liability for personal injury,  loss and damage on the basis that the Claimant was likely to suffer  injury anyway. The Claimant relied upon Brewster v Davis (1992) 42  WIR 59. 

    [63] In addressing the Defendant’s contention that the Claimant’s pain had  ceased three months after the accident, Mr. Greenidge submitted that,  though pain in some areas had ceased or been reduced, the more serious  injuries were still causing pain. These pains waxed and waned as  described by Dr. Browne, over a period of years. Further the Claimant  submitted that Dr. Browne gave evidence that the Claimant’s injuries  could become chronic and more severe. 

    [64] The Claimant’s attorney-at-law also disputed the assertion that the  Claimant’s injuries were as a result of his occupation as there was no  scientifically proven causal link between occupational driving and  lumbar degeneration. 

    [65] Mr. Greenidge contended that Ms. King’s report from a physical  examination on 17 August 2004, was in accord with the report of  Mr. Gill in June 2007, except that the pain had increased and the matter  was therefore more serious than expected. Mr. Gill, at that time,    recommended surgery, which he performed, resulting in the reduction  of pain, though the injuries were not fully resolved as some motions  resulted in pain. Mr. Gill, counsel submitted, advised that the Claimant  should not return to heavy duty driving, as this could exacerbate the  injury. He also relied upon the fact that the Claimant was found by the  Medical Board to be medically unfit. 

    [66] Based on the evidence of Dr. King and Dr. Gill, Mr. Greenidge finally  submitted that there was no novus actus interveniens breaking the chain  of causation.

    The Claimant’s Overweight Condition 

    [67] Mr. Mottley QC further argued that the Claimant’s personal injuries  and consequential loss and damage resulted from the Claimant’s  overweight condition for which the Defendants bore no responsibility. 

    [68] Mr. Greenidge, also disagreed with the submissions that the Claimant’s  weight contributed to his injury as any weight gain was as a result of  the Claimant’s lack of activity due to the pain caused by the accident.  The Claimant’s counsel also submitted that the Claimant could not  continue to attend physiotherapy due to a lack of funds though he  continued to do exercises at home.   

    [69] Counsel also submitted that the Claimant was unable to perform  physical exercise because of the injuries suffered and the consequential  weight gain. The Defendants, counsel argued, had to take their victim,  the Claimant, as they found him. 

    [70] It was therefore Mr. Greenidge’s submission that the Defendants are  liable for all the pain and suffering caused to the Claimant by the  accident.

    The Issues

    [71] There are two issues, which arise on these submissions. They are: 

    1. Whether the Defendants are fully liable for the injuries suffered by  the Claimant or whether that liability ceased on 31 October 2006,  as a result of a new intervening act or Novus Actus Interveniens;  and 

    2. What effect, if any, does the Claimant’s weight have upon the  Defendant’s liability for the Claimant’s consequential loss and damage. 

    [72] Once these issues are resolved, we then have to determine the appropriate quantum of damages to be awarded to the Claimant. 

    The Law on Novus Actus Interveniens

    [73] The concept of a Novus Actus Interveniens or a new intervening act is used to describe an event, which interposes itself between the original tort of the tortfeasor and the injuries suffered by the victim of the tort.  Such an act may result from the actions of a third party or from the  actions of the victim himself. It has been described in various ways in  the case law. Suffice to say that in The Oropesa [1943] page 32 it was  stated that: 

    “Certain well-known formulae are invoked, such as, that the chain of  causation was broken and that there was a novus actus interveniens.  These phrases, sanctified as they are by standing authority, only mean  that there was not such a direct relationship between the act of  negligence and the injury that the one can be treated as flowing directly  from the other.”   

    [74] In M'Kew v. Holland & Hannen & Cubitts (Scotland) Ltd 1969 SC  14 Lord Justice-Clerk (Grant) said, in relation to a matter where the  pursuer (Claimant) had sustained two successive injuries for which he  sought to hold the defendant liable: 

    “For practical reasons, however, there must come some stage in the  sequence of events where damages cease to be exigible from the  wrongdoer. There may be some intervening act which interrupts the  chain of causation or the stage may come when the ultimate result is  too remote or too indirect to found a claim for damages.”

    Novus Actus Interveniens - Analysis and Discussion

    [75] The Defendants have raised the issue of Novus Actus Interveniens and  they bear the burden of establishing that there was a new intervening  act breaking the chain of causation. The standard of proof is the civil  standard of a balance of probabilities. Mr. Mottley QC, in cross- examination, put to Mr. Gill, Dr. Browne’s evidence that, on  30 January 2007, the Claimant presented with radiating pain down his  leg and that was the first time he complained of radiating pain down the  right buttock into his leg. Mr. Gill was asked whether he wanted to  change his evidence in relation to what he previously said in light of the  doctor’s evidence that the Claimant only complained of pain radiating  down his leg three years later. Mr. Gill stated that that information cast  a different light on the matter. He said that  Dr. Browne had pinpointed a cause and that it seemed that whatever the  object was played a significant part in the symptoms, namely the pain  that he, Mr. Gill, saw. 

    [76] Under re-examination by Mr. Greenidge, Mr. Gill said that you could  not discount that there was a clear temporal connection between the  symptoms and moving the heavy object. He was asked how long the  pain would have lasted and replied that by the time he saw the Claimant  the symptoms were there. The symptoms, he opined, could have gone   on for years. Sciatica, he opined, could manifest itself for years as a  result of disc problems. In some instances, Mr. Gill, further opined, it  could last for days. 

    [77] I am faced with apparently conflicting testimony of two clinicians. Mr.  Gill is a specialist neurosurgeon and Dr. Browne who is the Claimant’s  primary clinician. Mr. Gill saw the Claimant upon referral by Dr.  Browne. Dr. Browne’s opinion is that the lifting of the object caused  pain of a different nature which was resolved and had no impact on the  persistent pain suffered by the Claimant as a result of the accident. 

    [78] The evidence of Mr. Gill is the only medical evidence that suggests any  material impact of the lifting of the object upon the Claimant’s  symptoms. Mr. Gill stated under cross-examination, that the act of  lifting would have played a substantial part in the symptoms he  observed. He never explained what was meant by “a substantial part.”  The Claimant was never requested to submit to any further medical  examination by Mr. Gill to determine the impact, if any, of the lifting  of the object on the Claimant’s complaints of pain or whether or not  any pain attributable to the lifting had resolved as Dr. Browne had  opined.   

    [79] When asked whether there was a level of certainty that the injuries were  caused by anything other than the accident, Mr. Gill replied that before  hearing of the lifting on October 2006, “no”, but that the information  could not be discounted. 

    [80] In analyzing the weight to be placed on Mr. Gill’s testimony, we must  compare it with the testimony of Dr. Browne. Dr. Browne, as the  Claimant’s primary clinician, was primarily responsible for the  management of his pain and other symptoms. She was aware of his  early complaints and was able to clinically assess the progression of his  symptoms. Her opinion is based upon her first-hand clinical experience  of managing the Claimant’s injuries including those occasioned by the  October incident. In contrast, Mr. Gill, though a specialist, had no first- hand knowledge of the lifting of the object and had not managed the  Claimant’s pain, which arose from that incident. Had he done so, he  would have been able to opine definitively upon the impact, if any, of  the lifting on the Claimant’s pain. 

    [81] In order to determine whether, and the extent to which if any, the  October event contributed to the injury of the Claimant, the Defendants  must give evidence of such a nature, quality and kind as to satisfy the  evidential burden which rests upon them. Mr. Gill was unable to state    with certainty that none of the pain suffered by the Claimant when he  examined him was not as a result of the accident. His testimony is that  sciatica could manifest itself for years as a result of disc problems and,  in some instances, it could last for days. This is a general opinion  expressed by the specialist. He was not asked to re-examine the  Claimant or to review his MRI’s and X-Rays in order to determine  whether there was a proper clinical foundation for his opinion. 

    [82] I therefore feel compelled to refer to Mr. Gill’s prior opinion, expressed  in his report of 19 June 2006, based upon his clinical examination of  the Claimant and the MRI imaging of the Claimant’s lumbar spine  received on 2 August 2007, that the likely cause of the Claimant’s back  pain and leg pain was the trauma of the 23 July 2004 accident. Where  an expert changes his opinion, he must adduce the facts upon which  that change is posited so that the court can feel satisfied that the change  of opinion is warranted. In this regard,  Mr. Gill was unable to adduce into evidence the facts upon which his  changed opinion was based. 

    [83] This is no shortcoming on the part of Mr. Gill. He was never asked to  reassess the Claimant in light of the October event.   

    [84] This failure must also be addressed in light of the MRI reports upon  which Mr. Mottley QC so heavily relied. The report of 7/26/2004 states  that “The vertebral heights and the disc spaces remain normal” but also  reveals “Mild degenerative changes of vertebrae with facet joint OA  noted.” The MRI report of 2007/07/27 is now reproduced fairly  extensively, it states that: 

    “At L4/5 the disc space is narrowed. The disc is dessicated. There is a right  para-central disc protrusion, which extends slightly below the disc space as  well as deforms the thecal sac on this right side. It would be consistent with  a right L5 radiculopathy. The facet joints at this level are also hypertrophied  and there is mild foraminal stenosis.  At L5/S1 the disc is dessicated. There is a small broad-based posterior  central disc protrusion. It does not appear to displace the S1 roots. There is  mild facet joint hypertrophy at this level as well and the foramina appear  mildly narrowed.”   

    The impression of Dr. DeCaires, who authored this report is: 

    “1. Right para-central L4/5 disc protrusion which would be  consistent with right L5 radiculopathy. 

    2. Small broad-based posterior central L5/S1 disc protrusion. 

    3. Facet joint OA at L4/5 and L5/S1 with mild foraminal  stenosis.” 

    [85] This report was not commissioned to determine the effect, if any, of the  October incident on the Claimant’s state and condition. Mr. Gill was  not asked to interpret these reports in light of any clinical examination  of the Claimant in light of the October event. Mr. Gill and Dr. Browne  utilised these reports in coming to their clinical opinions on the    Claimant’s medical condition in light of the injuries he sustained as a  result of the accident. They appear not to have seen any inconsistencies  between the MRI and X-Ray results and the Claimant’s subsequent  presenting complaints to support Mr. Mottley QC’s submissions. 

    [86] In consequence, I find that the opinion of Mr. Gill is theoretical,  speculative and hypothetical. I am therefore unable to place such weight  upon Mr. Gill’s testimony that would displace the findings of Dr.  Browne who examined and treated the Claimant and his own prior  opinion that the likely cause of the Claimant’s injuries was trauma of  the 2004 accident. 

    [87] I therefore find that the Defendants have not proven, on a balance of  probabilities, that the Claimant’s personal injuries, loss and damage  after the October incident are attributable to the October incident. 

    [88] In consequence I hold that there was no break in the chain of causation.

    The Claimant’s Weight and its Alleged Contribution to his Degenerative Condition- The Thin Skull Rule

    [89] The Defendants also argued that the Claimant’s weight and job of  driving contributed to his degenerative condition, which caused or contributed to his lower back pain. Mr. Greenidge submitted that the Defendants must take their victim as they found him under the thin skull  rule. 

    The Law

    [90] In Smith v. Leech Brain & Co. Ltd. and Another. [1962] 2 Q.B.  405, Lord Parker C.J. defined the principle thus: 

    "It has always been the law of this country that a tortfeasor takes his  victim as he finds him. It is unnecessary to do more than refer to the  short passage in the decision of Kennedy J. in Dulieu v. White & Sons,  where he said: "If a man is negligently run over or otherwise  negligently injured in his body, it is no answer to the sufferer's claim  for damages that he would have suffered less injury, or no injury at all,  if he had not had an unusually thin skull or an unusually weak heart."   

    [91] In Barker v Saint-Gobain Pipelines plc [2005] 3 All ER 661 the court  noted that: 

     “…the eggshell skull, and (in the case of multiple torts) the concept  of concurrent tortfeasors are all no more and no less than tools or  mechanisms which the law has developed to articulate in practice the  extent of any liable defendant's responsibility for the loss and damage  which the Claimant has suffered.” 

    [92] The principle has been succinctly stated in Charlesworth and Percy on  Negligence 12 Edn. (2010) Sweet & Maxwell, London, UK, as  follows: 

    “… a defendant has to take the victim of his or her tort as he or she  finds that victim, so the defendant is liable for the whole damage even  though its severity or extent has been increased because of the victim’s  pre-existing weakness or susceptibility to harm. Provided some  personal injury was foreseeable, it is no answer that a “normal” person  would not have suffered to the same extent.” 

    Analysis and Discussion

    [93] It is not disputed that the Claimant is an overweight man who suffers  from a degenerative condition. Dr. Browne’s findings on presentation  was that the Claimant was an overweight man. The medical evidence  in relation to the desiccation of the fluid between the discs (foramical  fluid) is that this occurs with ageing. Mr. Gill’s evidence is that those degenerative changes were present in the Claimant prior to the  July accident. Prior to the accident, the Claimant had only experienced  transient episodes of back pain. Mr. Gill found that “The protracted  lower back pain with the radiculopathic component that radiated into  the right lower limb commenced after the injury of the lower back in  the aforementioned accident.” He further found that: 

    “The radiculopathy symptoms are consistent with L4/5 disc herniation  and L5 nerve root irritation and compression” and opined that “the  likely cause of this man’s current back and leg pain is the trauma of  23rd July, 2004 accident.” 

    Findings

    [94] The Defendant’s must take the Claimant as they found him, namely an  overweight driver of heavy-duty vehicles. It is no defence that drivers  of heavy-duty vehicles are more disposed to suffering low back pain. I  therefore am unable to accept Mr. Mottley QC’s submissions that the  Claimant’s overweight condition and his occupation were pre- disposing factors, which provide reasons why the Claimant ought not    to receive full compensation for his injuries. On the basis of the medical  evidence elicited in this trial I find that the harm caused to the Claimant  was as a result of the negligent acts of the Defendants, consequently, I  find no merit in the Defendants’ submissions. 

    [95] I find, therefore, that the Defendants are liable for all of the Claimant’s  personal injuries, loss and damage.

    The Assessment of Damages

    [96] I now turn to the assessment of damages for the Claimant’s personal  injuries, loss and damage. The Claimant has claimed the amount of  $814, 812.85 from the Defendants, on the basis that they are liable for  the full extent of his injuries due to the Defendants’ negligence. The  claim is under the following heads of damage. 

    Pain and Suffering

    [97] Under this head, the Claimant has claimed $200,000.00.  Mr. Greenidge’s submission is that the Claimant was a happily married  44 year old at the time of the accident who was permanently employed  in the Government service. He was a proud husband, father and breadwinner of his family and an avid domino player. The  compensation he seeks is for:   

    1. Severe and constant physical pain and discomfort for the past 12  years and continuing, 

    2. Physical impairment including impaired agility, 

    3. Having to walk with a cane for stability and support, 

    4. Psychological pain, anguish and depression, 

    5. Inability to meet the physical demands of marriage, 

    6. Loss of manhood and ego, 

    7. Inability to financially provide for his family, 

    8. Permanent interruption of recreational activities and disruption  of social life. 

    [98] Mr. Greenidge submitted that the Claimant’s present circumstances fall  under the Judicial Studies Board Guideline 7 B (a) iii, which states:  “cases of disc lesions or fractures of discs or of vertebral bodies or soft  tissue leading to chronic conditions where, despite treatment (usually  involving surgery), there remain disabilities such as continuing severe  pain and discomfort, impaired sexual function, depression, personality  change, alcoholism, unemployability and the risk of arthritis.” and  would attract an award ranging from $113, 016.75 to $203,231.88. 

    [99] The Claimant submitted two cases in support namely Eardley v North  Anglia Health Care NHS Trust (1997) (Eardley) and Stone v Commissioner of Police of the Metropolis (1999) (Stone). The  Defendants have submitted that the Claimant’s injury was a previously symptomatic one, which was aggravated by the accident. The  Defendants have calculated the Claimant’s pain and suffering for a two  year period, immediately preceding the incident in October and has  suggested a payment of $20,000.00 under this head. 

    [100] Mr. Mottley QC, submitted that the court ought to “divide or cut off the  point where it considers, based usually on medical evidence, that the  claimant would have stopped suffering due to the accident and  thereafter treat continuing symptoms as being constitutional in nature,  arising from the degenerative disease.” He relied upon Lobley v Patel  (Lobley) (2010) and Hodkinson v Wedllington (Hodkinson) (2009)  found in the Personal Injuries Quantum Database.

    Discussion and Analysis

    [101] I refer to my previous acceptance of Dr. Browne’s evidence that the  Claimant will continue to suffer pain in the future and that of Mr. Gill  who opined that future pain could not be ruled out. Having regard to my  ruling on the issue of Novus Actus Interveniens, I am unable to accept  Mr. Mottley QC’s submission that his pain and suffering should be  subject to a cut-off point.   

    [102] In Eardley the Claimant was a 44-year-old female nurse who sustained  a back injury, namely a prolapse of the L4/5 intervertebral disc with  damage to tissues and nerve roots while lifting a patient in the course of  her work. She also suffered injury to her back, losing sensitivity in her  lower leg, severe back pain and loss of function. Though extensive varied  treatment had been undergone, the Claimant continued to have a constant  gnawing pain across her lower back and was unable to sit or stand in the  same position for long periods of time. She could not walk briskly and  sometimes required assistance to get out of bed on mornings. She was  unable to undertake heavy shopping, housework or gardening. She lost  the pleasure of cooking. Prior to the accident she was a keen and  accomplished swimmer but after the accident could only swim  breaststroke at a “plodding pace”, she also had to give up cycling. With  the exception of part-time work at home for about 4 months she had not  worked since the accident. 

    [103] The Claimant was unemployed as a result and lost the intimate  relationship with her partner. She was unable to contemplate any future  intimate relationships. Her condition was expected to be permanent. The  judge found that she faced a lonely future. She was awarded the  equivalent of GBP 72,220.35 as at 2016 for pain and suffering and loss of amenity not the equivalent of Bds $252, 771.23 as suggested by Mr.  Greenidge.

    [104] In Stone the Claimant a female was 23 years of age at the time of the  accident and 28 at trial. She suffered soft tissue injury to the lower back,  which gave rise to persistent and severe backache as a result of repetitive  and awkward handling of heavy loads at work. She was unable to lift  heavy objects and travel any distance without discomfort and walking  was limited to a mile. Her husband had to undertake many of the routine  household chores. She was unable to resume any of the sporting or  leisure activities she previously enjoyed. The facet joint injections,  physiotherapy, hydrotherapy, acupuncture, epidural and steroid  injections she underwent made no significant improvement to her  condition. She was considered to have substantial residual disability. She  was unable to return to work. Her injury severely restricted her ability to  enjoy motherhood and family life. She was awarded 25,000.00 GBP in  1999 for general damages. Her future loss of earnings were calculated  with a multiplier of 17.68 allowing for 5 years off work to raise a family,  the equivalent of Bds $152, 941. 36. 

    [105] I consider Lobley and Hodkinson to be inapplicable to the case at bar  for the following reasons. In Lobley the facts were that the Claimant    was unable to pursue her hobby of fishing for about 12 months after the  accident and needed help with heavier housework. In Hodkinson there  was medical expert evidence attributing the claimant’s symptoms to 24  months post-accident. In the case at bar there is no conclusive evidence  limiting the period for which the Claimant will suffer pain. Mr. Gill, in  his report of 15 June 2012 noted:   

    “Mr. Gibson has chronic back pain and numbness of the left thigh.  Referring again to the imaging findings of 27/07/2007, it was noted  that Mr. Gibson's lumbar spine also manifested osteoarthritic changes  of the facet joints at L4/5 and LlS1, with mild foraminal stenosis. The  interaction of trauma and lumbar degenerative disease can give rise to  chronic symptoms such as lower back and various neurological  symptoms of the lower extremities. Mr. Gibson will have chronic back  pain and this can be associated with numbness or radicular symptoms.  Hence it would not be frank to say that Mr. Gibson has no risk or  vulnerability to back problems for the remainder of his life. In fact this  cannot be said with certainty regarding any individual; as all human  beings are subject to the effects of skeletal aging.”   

    [106] I am of the opinion that Eardley and Stone are more applicable,  however the injuries in Stone rendered her unfit for employment  whereas in the instant case, the Claimant is not totally incapable of  work. I consider that the pain and suffering over the period and the loss  of amenity, inability to play with his son or the joy of gardening, the  impairment of his ability to play dominoes and the impairment of his  sex life to be considerable for a man who has lead an active life. I also  consider the possibility of spontaneous recurrence of his pain and    suffering after the expected period of recovery in making this award,  and I award the sum of $175,000.00 for pain and suffering and loss of  amenity.

    Past Loss of Earnings

    [107] Under this head, the Claimant is seeking compensation comprising (1)  loss of earnings from his employment with the Ministry of Transport and  Works as an Operator 1V and (2) loss of earnings from rearing rabbits  for sale which he classifies as loss of earnings from other sources. 

    [108] There has been no dispute as to the factual basis upon which this claim  is made. With respect to the first item of loss, the Claimant was employed  at a salary of $2,221.20 per month or $1,110.00 bi-monthly or $512.56  weekly a total of $148, 817.65 for the period 21 August 2008- 19  February 2010. During this time he was on half-pay and on no-pay leave  for the period of 20 February 2010 to 30 June 2010 when he was declared  medically unfit to work. He was paid an invalidity pension by the  National Insurance Department of $248.85 per week commencing 01  July 2010, $260.89 from 03 January 2011 and $271.35 from 02  January 2012. 

    [109] With respect to the second item of loss or losses from other sources,  Mr. Greenidge submits that the Claimant was unable to rear his rabbits    and other animals and suffered a loss therefrom which is modestly  estimated to be $80 per week from the date of his injury and continuing  to present. In consequence, he suffered a loss of income from other  sources of $80 X 52 X 11.5 years ($47,840.00). 

    [110] The total loss of $148,817.65 which the Claimant is seeking  compensation for is neatly set out in the following table provided by  Mr. Greenidge:

    PERIOD

    MONTHS

    WAGES

    PENSION

    LOSS

    1st July to 31st Dec, 2010

    5

    11,106.00

    5,391.75

    5,714.25

    2011

    12

    26,654.40

    13,566.28

    13,088.12

    2012

    12

    26,654.40

    14,110.20

    12,544.20

    2013

    12

    26,654.40

    14,537.63

    12,116.77

    2014

    12

    26,654.40

    14,851.72

    11,802.68

    2015

    12

    26,654.40

    14,851.72

    11,802.68

    1st Jan to 30th April, 2016

    4

    8,884.80

    4,950.56

    3,934.24

    153,262.80
    82,259.86
    71,002.94

    2008-08-21 to 2010-02-19

    Half pay

    20,409.09

    2010-02-20 to 2010-06-30

    No Pay

    9,565.62

    2010-07-01 to 2016-04-31

    Disability Pension

    71,002.94

    2004-07-24 to 2016-04-31

    Other Sources

    47,840.00

    $148,817.65

    [111] With respect to past loss of earnings, Mr. Mottley QC submitted that a  sum of $9,598.76 would be adequate compensation calculated upon a  bi-monthly salary of $1,110.60 and the periods of sick leave as follows: 

    2004

    24 July 24- 17 August

    4 September -26 November

    15 days- $1,189.93

    60 days- $6,663.60

    2005

    20 February

    14 days

    2006

    23 March 13 April

    31 October – 10 November

    22 days $1,745.23

    11 days -

    2007

    21 23 February

    30 May 13 July

    17-31 August

    3 days -

    45 days -

    11 days -

    2008

    22 January 20 August

    211 days

    Total

    336 days - $9,598.76

    [112] Mr. Mottley further submitted an offer of compensation for the period  24 July to 17 August 2004 and 23 March to 13 April 2006. He also  submitted that no compensation was payable for the two week period    commencing 20 February 2005 because the Claimant admitted that he  did not take these days off. 

    [113] It was counsel’s further submission that the periods of sick leave from  31 October 2006 coincided with the intervening incident or Novus  Actus Interveniens of October 2006 and accordingly any compensation  for lost earnings ought to be restricted to the Claimant’s last period of  sick leave prior to that event. 

    Analysis and Discussion

    Loss of Earnings from Employment

    [114] I will deal with Mr. Mottley QC’s last submission first. Having regard  to my findings on his submission that there was a Novus Actus  Interveniens, I find no merit in counsel’s submission, which is  accordingly dismissed. Accordingly, damages are payable in respect of  past loss of earnings up to the date of trial. 

    [115] With reference to the submission that no past loss of earnings are  payable for the two week period commencing 20 February 2005, the  onus is on the Claimant to establish his loss. He must establish by  evidence that he was not paid for this period. The periods for which the  Claimant was granted sick leave are contained in a letter dated    27 October 2010 from the Chief Personnel Officer of the Personnel and  Administration Division (PAD) to counsel for the Claimant. This was  unchallenged and is an extract from the records of the PAD. The sick  leave granted to the Claimant is recorded as follows: 

    Extension on sick leave on full pay 

    2004-08-08 to 2004-09-03 = 29 days 

    2004-09-08 to 2004-11-26 = 80 days 

    2006-03-23 to 2006-04-13 = 22 days 

    2006-10-31 to 2006-11-10 = 11 days 

    2007-02-21 to 2007-02-23 = 3 days 

    2007-05-30 to 2007-07-13 = 45 days 

    2007-09-17 to 2007-12-31 = 106 days 

    2000-01-22 to 2008-08-20 = 211 days     

    Extension on sick leave on half pay 

    2008-02-20 to 2010-02-19 = 548 days   

    Extension on sick leave on no pay

    2008-02-20 to 2010-06-30 = 131 days”   

    [116] This letter also confirmed the Claimant’s appointment to his post of  Operator 1V and his retirement on medical grounds with effect from  2010-07-01 and his wages of $1,110.61 bi-monthly. It appears to me  that the date 2008-2-08 in respect of extensions on sick leave without  pay ought to be 2010-02-20 and is adopted by Mr. Greenidge in his  calculations. The letter of 14 May 2012 to the Claimant from the  National Insurance Office reveals that the Claimant was awarded    pension at $248.85 per week from 1 July, 2010 which increased to  $260.80 from 3 January 2011 and $271.35 with effect from 2 January  2012. Mr. Greenidge, in his submissions, indicated that pensions  increased to $297.57 from 2013 and $285.61 from 2014 and has  remained unchanged since then. There was no challenge to this from  Mr. Mottley.     

    [117] This Whilst Mr. Greenidge’s submissions are not evidence, they are,  however, of assistance to me in calculating the loss in a manner which  is fair to both parties since the increase in pensions would result in a  reduction in the damages which the Defendants would have to pay. In  consequence, the Claimant’s loss under this head while on half-pay is  up to the date of trial, computed as follows: 

    Bi-monthly salary of $1,110.61 x 2 = $2,221.22 x 12 =  $26,654.64 = $73.03 daily. Half pay = $36.52.   

    [118] These are the base figures on which I will make my calculations.  Accordingly, my award is $138,537.22 calculated as follows: 

    Extension on sick leave on half pay   

    2008-08-20 to 2010-02-19 = 548 days 

    548 days at $36.52 daily = $20,012.96

       

    Extension on sick leave on no pay 

    2010-02-20 to 2010-06-30 = 131 days 

    131 days at $73.03 per day = $9,566.93 

    Total                                      $29,579.89 

    Loss of Earnings for the period after 30 June 2010:

    PERIOD

    MONTHS

    WAGES

    PENSION

    LOSS

    1st July to 31st Dec, 2010

    5months 30 days

    13,297.00

    6,261.36

    7, 036.64

    2011

    12

    26,654.40

    13,566.28

    13,088.12

    2012

    12

    26,654.40

    14,110.20

    12,544.20

    2013

    12

    26,654.40

    14,537.63

    12,116.77

    2014

    12

    26,654.40

    14,851.72

    11,802.68

    2015

    12

    26,654.40

    14,851.72

    11,802.68

    1st Jan to 30th April,

    2016

    4

    8,884.80

    4,950.56

    3,934.24

    155,545.80
    832,129.47
    72,325.33

    Loss of Earnings from other Sources

    [119] With reference to the claim of loss of earnings from other sources no  evidence has been led as to the business operation, which the Claimant  had in place with respect to his rearing of rabbits. I have not had the  benefit of seeing any bills or receipts for this farming operation or its  market, profits or loss, neither have I had the benefit of any income tax  returns showing the alleged income derived from this source. 

    [120] Mr. Greenidge has calculated this loss at $47,840.00 estimated at $80.00  per week from the date of injury until 01 June 2016 date of filing of  closing submissions and continuing at that rate until present. 

    [121] The onus in on the Claimant to place sufficient evidence before the court  to prove his loss or enable the court to assess the loss claimed. Sadly  there is a dearth of evidence in this regard. On the other hand, counsel  for the defendants has not seriously challenged the claim that the  Claimant reared rabbits and derived profit therefrom. 

    [122] In assessing the Claimant’s claim under this head, I will err on the side  of caution and discount the sum claimed under the head of loss of income  from other sources by 10% to take into account the uncertainty inherent  in such a claim. The methodology to be employed is the same as set out  above. Thus loss of past earnings from other sources up to trial is: 

    2008-02-20 to 2010-02-19 = 78weeks 

    78 weeks at $80.00 weekly =    $6,240.00   

    2008-02-20 to 2010-06-30 = 19 weeks 

    19 weeks at $80.00 per week = $1,520.00 

    Total                                           $7,760.00 

       

    2010-07-01 to 30 April 2016 = 304 weeks   

    304 weeks at $80.00 weekly = $ 24,320.00   

    Total loss $6,240.00 + $1,520.00 + $ 24,320.00 = $ 32,080.00 

    [123] Thus discounting the sum of $32,080.00 by 10%, I arrive at the sum of  $28,872.00, which I award as loss of earnings from other sources.  When added to the sums of $20,012.96, $9,566.93,  $72,325.33,$6,240.00, $1,520.00 and $28,872.00 this gives an aggregate of $138,537.22 which I award as past loss of earnings.

    Loss of Future Earnings

    [124] Mr. Greenidge submitted, that the Claimant suffers, and will continue  to suffer, an annual loss of earnings which will continue until his  retirement at age 67 in September 2026. This loss counsel calculated at  the difference between his annual wages of $26,654.40 and his annual  disability pension of $16,506.88 or $10,147.52 annually. He urged this  court to employ a multiplier of 10 which represents the number of years  left until retirement and to award the Claimant the sum of $101,475.20  for loss of future earnings.   

    [125] Mr. Mottley QC submitted that this matter does not attract an award  under this head since the Claimant could have mitigated his loss and  sought employment elsewhere that would not require heavy lifting or  bending. He submitted, therefore, that alternative employment was not  ruled out. He also submitted, based on Mr. Gill’s medical report, that  the Claimant was fit for employment that would not require heavy  lifting, bending frequently, or climbing. No suggestions were  forthcoming from Mr. Mottley QC with respect to quantum.

    Discussion and Analysis

    [126] An award under this head compensates the injured party for the future  stream of earnings that would have been available to him but for the  injury. The calculation undertaken employs the multiplier-multiplicand  method.  ]

    [127] The multiplier represents the number of years the Claimant would have  worked between trial and the predicted date of his retirement at age 67. 

    [128] The use of actuarial tables to assist in arriving at the multiplier has been  approved in Phillips v London & S.W. Ry (1879) 5 Q.B.D. 78 (CA)  and Roach v Yates (1938) 1 K.B. 256. 

    [129] The onus is on the Defendants to prove that the Claimant has failed  reasonably to mitigate his loss - Roper v Johnson (1873) L.R.8 C. &    P.167. An analysis of the medical evidence in this matter reveals that  the Claimant was not rendered totally incapable of work. Mr. Gill  opined in his report of 01 October 2009 that the Claimant would be well  advised not to return to “this type of work. He is fit for employment  that would not require heavy lifting, bending frequently, or climbing.” 

    [130] There is no evidence as to his qualifications for any other form of  employment or of any efforts to find alternative employment and at  what wages. Likewise there is no evidence as to the kind of  employment, which would be available to a driver of heavy-duty  vehicles, which would not require bending frequently, or climbing.  There is a paucity of evidence to assist me under this head. The medical  evidence is unhelpful with respect to what alternative employment he  is fit for. This, however, does not end the matter. The court must do its  best to calculate the damages suffered notwithstanding the difficulties  in so doing. In these circumstances, I find it difficult to see how the  Claimant could reasonably have mitigated his losses. 

    [131] The assessment under this head employs the multiplier/multiplicand  methodology. In arriving at the multiplicand for loss arising from his  employment, the evidence is that the Claimant was earning wages of  $26,654.40 annually and now receives a disability pension of    $14,851.73 annually. The difference of $11,802.67 I will employ as the  multiplicand. No explanation is given for the sum of $16,506.88 which  Mr. Greenidge submitted as the Claimant’s annual disability pension in  light of his submission that the disability pension rate of $14,851.72 has  not increased since 2014. 

    [132] With respect to the multiplier, whilst the multiplier of 10 suggested by  Mr. Greenidge flows logically from the difference between the  Claimant’s age at trial and his retirement age from the Government  service, Mr. Greenidge’s suggested multiplier fails to take into account  that the law requires that the multiplier be adjusted or decreased to take  into account certain contingencies, traditionally called the vicissitudes  of life. There is no concrete formula for making such adjustments. The  Claimant does not enjoy good health and is overweight. The medical  evidence does not speak to his future medical prognosis for  employment save as I have previously indicated. 

    [133] In the circumstances, I will apply a multiplier of 7. 

    [134] Applying a multiplier of 7 to the multiplicand of $11,802.67 the award  for loss of future earnings from his employment in the Government  service is therefore $82,618.69

    Past Domestic Assistance

    [135] For domestic assistance the Claimant claims $88,920.00 calculating the  daily worth of such assistance at $40.00 (Clover Barker v Tyrone  Boyce, No. 2534 of 2000) during the periods of his sick leave and  disability computed as follows: 

    PERIODS OF SICK LEAVE

    DETAILS

    AMOUNT

    2004-07-24 to 2004-09-03 (44 days)

    44 X $40.00

    1,760.00

    2004-09-08 to 2004-11-26 (80 days)

    80 X $40.00

    3,200.00

    2006-03-23 to 2006-04-13 (22days)

    22 X $40.00

    880.00

    2006-10-31 to 2006-11-10 (11 days)

    11 X $0.00

    -

    2007-02-21 to 2007-02-23 (3 days)

    3 X $40.00

    120.00

    2007-05-30 to 2007-07-13 (45 days)

    45 X $40.00

    1,800.00

    Sub-total - Sick Leave

    194 X $40.00

    $7,760.00

    DISABILITY

    2007-09-17 to 2007-12-31 (106 days)

    106 X $40

    4,240.00

    2008-01-01 to 2011-12-31 (4 years - 208 weeks)

    208 X 5 days X

    $40

    41,600.00

    2012-01-01 to 2016-12-31 (4 years - 208 weeks)

    209 X 4 days X

    $40

    33,280.00

    2016-01-01 to 2016-04-31 (120 days - 17

    weeks)

    17 x 4 x $40

    2,040.00

    Sub-total - Disability

    81,160.00

    TOTAL ($7,760.00 + $81,160.00)

    $88,920.00

    [136] Mr. Mottley QC conceded that the Claimant’s friends and relatives who  rendered gratuitous assistance would be entitled to compensation for  domestic services gratuitously rendered. Adopting a convalescence  period of 2 years and a rate of $35.00 per day, Mr. Mottley QC offered  assistance twice weekly in doing “his chores and household duties” at  this rate. He therefore suggested an average rate of twice weekly for a  total sum of $6,720.00. 

    [137] Mr. Mottley QC further submitted that past domestic assistance should  be limited to the time that the Claimant was at home from the accident,  “a hundred plus days.” The Defendants’ counsel submitted that an  award of $9,598.76 covering 336 days would be reasonable.

    Analysis and Discussion

    [138] The figures claimed under this head have not been contested as  incorrectly calculated. The contest is to the period for which the claim  is made. Mr. Mottley QC’s response to the claim is posited on his  argument that there must be a cut-off point in relation to the claim based  upon his argument with respect to Novus Actus Interveniens, which I  have rejected.   

    [139] With respect to the claim for past domestic assistance, I am unable to  accept Mr. Mottley QC’s submission that the sum of $35.00 per day is  appropriate. This sum was accepted by Blackman J in Clover Barker  v Tyrone Boyce unreported decision No: 2534 of 2000 (Clover  Barker). This decision was rendered 6 January 2006. That decision  does not take into account the prevailing commercial rates for domestic  assistance at that time. In Clover Barker, Blackman J accepted the  contention that “with the ravages of inflation since the 1992 decision of  Selma Jones v. Urban Holder et al which determined $35 to be the  cost of daily help, a sum of $40 per day as the daily rate for domestic  services, is not unreasonable.” 

    [140] Blackman J did not have the assistance of evidence as to the  commercial rate for domestic assistance. I find myself in a similar  situation. I consider that in matters like these evidence as to the  commercial rate for domestic services ought to be admitted to assist the  trial judge in making an award under this head. 

    [141] I also consider the sum claimed to be extremely reasonable as it fails to  take into account inflation since 2006 when Clover Barker was  decided. The pain and suffering detailed in the various medical reports  and the Claimant’s evidence of his inability to perform household    functions for himself reinforced by the evidence of his wife, lead me to  conclude that his claim is justified. Mr. Greenidge’s calculations speak  to specific dates and times which I assume are based on his instructions.  In the absence of a challenge to these dates and figures, I will adopt  them and award the Claimant the sum of $88,920.00

    Future Domestic Assistance

    [142] Mr. Greenidge submitted that it is anticipated that the Claimant will  continue to require domestic assistance and care for the foreseeable  future. The Claimant’s ability to lift, bend or participate in physical  activities is severely restricted. He continues to rely upon the gratuitous  care of family and friends. It is counsel’s further submission that he will  continue to require domestic assistance on average 3 times per week for  the rest of his life. He suggests the multiplicand/multiplier method  utilising a multiplicand of $6,240.00($40.00 x 3 x 52) and a multiplier  of 15 for a total sum of $93,600.00. 

    [143] Mr. Mottley QC submitted that, if one accepts that the Claimant’s  symptoms were due to constitutional causes, which had, pre-accident  caused intermittent flare-ups, his post-operative state is no different    from what it was prior to the accident. He therefore submitted that the  Claimant has returned to his pre-accident state. 

    Discussion and Analysis

    [144] I have already addressed Mr. Mottley QC’s submission in my analysis  of the submissions in relation to Novus Actus Interveniens and the  application of the “Thin skull rule” to this matter. Based on my decision  on these matters, I hold that there is no merit in Mr. Mottley QC’s  submissions on this issue. Accordingly, I am of the opinion and hold  that the claim for future domestic assistance is a legitimate head of  damage emanating from the tortious acts of the Defendants, which  caused this accident. 

    [145] I now proceed to assess that loss. Having accepted that the sum of  $6,240.00 per annum ($40.00 x 3 x 52) was a reasonable sum claimed  in respect of past domestic assistance and having awarded the Claimant  past domestic assistance at that rate, I consider that sum to be a  reasonable multiplicand to assist me in this quantification. 

    [146] Mr. Greenidge relied upon the award of $40.00 per day in Clover Barker, however, no account has been taken by Mr. Greenidge of  inflation since 2006 when that case was decided and no evidence has    been led concerning the impact of inflation on a 2006 award. Whilst  there is no evidence as to the prevailing commercial rate, I am of the  opinion that the rate claimed, based as it is upon a 2006 ruling, does not  take into account the rate of inflation since that time, which would make  a modern rate considerably higher. I therefore consider that the sum of  $40.00 per day is extremely reasonable. 

    [147] With respect to the multiplier I propose to use the multiplier of 15  suggested by Mr. Greenidge, which would take the Claimant up to his  normal age of retirement, without any discount for the contingencies of  life. Thomas v Brighton Healthy Authority[1999] 1 A.C. 345 and  Hunt v Severs [1994] 2 A.C. 250, for the simple reason that future  assistance and future medical care will last for the rest of the  Claimant’s natural life unlike future loss of earnings which end on his  attaining the age of retirement. This gives a total of $93,600.00. I  therefore award the Claimant the sum of $93,600.00 for future domestic  assistance. 

    [148] I will briefly address Mr. Mottley QC’s submission that the award for  future domestic assistance should be discounted by 20% to take into  account that the persons rendering assistance in the future will have to    pay income tax and National Insurance contributions. There was no  response to this submission from Mr. Greenidge. 

    [149] I am of the view that those persons who will render assistance in the  future will most likely be self-employed persons who will be  responsible for paying their own income taxes (if applicable) and  national insurance contributions from their gross earnings. They will  have to do so from the sums paid to them by the Claimant out of the  sum awarded to him. To reduce the award by 20% will result in the  Claimant being subjected to impositions which he is not legally  obligated to pay. See Pryce v Elwood (1964) 108 S. J. 583 and  Morahan v Archer and Belfast Corporation [1957] N.I. 61.

    Loss of Congenial Employment

    [150] Mr. Greenidge submitted that the Claimant is unable to work and has  lost the satisfaction not being able to fulfill this activity.  Mr. Greenidge predicated his client’s claim upon the submission that  the Claimant derived great pleasure from his job as a truck driver and  enjoyed the excitement of working outdoors and being constantly on  the move. This passion for driving, counsel argued, was dealt a  devastating and harsh blow by the accident. The Claimant,    Mr. Greenidge submitted, had driven since the accident. The amount  sought for damages for Loss of Congenial Employment of $10,000.00.  He relied upon the dictum of Edmund Davies LJ in Morris v Johnson  Mathey [1967] 112 Sol Jo 32: that “The joy of a craftsman in his craft  is beyond price”. 

    [151] Mr. Mottley QC, while conceding in law that a claim may be made for  loss of congenial employment, submitted that no award ought to be  made since there was no medical evidence that the Claimant could no  longer drive. .

    The Law

    [152] This head of damages compensates a Claimant for his inability to  continue in his former employment. Willbye v Gibbons [2004]  P.I.Q.R. P15CA. It embraces the loss of satisfaction derived from  one’s employment.

    Discussion and Analysis

    [153] The Claimant gave evidence that he loved driving and had lost the  satisfaction from his job as a driver. It was not disputed that the  Claimant enjoyed driving nor was it dispute that compensation is  awardable in law for such loss. The counter to his claim is that (1) the    Claimant can still drive and (2) that his claim is unsupported by the  medical evidence. 

    [154] It is necessary therefore to analyse Mr. Mottley QC’s submissions  under this head in light of firstly the law and secondly the medical  evidence. These relate to (i) the Claimant’s ability to drive and (ii) the  submission that the claim is unsupported by the medical evidence. I  now deal with these submissions seriatim. 

    [155] Mr. Mottley QC’s argument that the Claimant can still drive and is  therefore not entitled to an award is based upon the supposition that  congenial employment relates to driving, on the contrary, it relates to  loss of employment of which driving is but one aspect. It relates to the  loss of one’s job. The Claimant was employed as a driver of a heavy- duty truck. Having heard and seen the Claimant give his evidence, and  having regard to the professional opinion of Mr. Gill relative to the  Claimant’s inability to perform his duties as a heavy duty driver and  not a driver simpliciter, I am of the opinion and find that the Claimant  has not only lost his job as a result of this accident but has also lost the  satisfaction associated with his job as a driver of a heavy duty driver in  the Ministry of Transport and Works.   

    [156] With respect to the submission that the claim is unsupported by the  medical evidence, I now turn to examine the medical evidence.  Mr. Gill, the consultant neurosurgeon, in his report of 19 June 2008  noted that the Claimant experienced “severe lower back pain” and that  that pain and right sided leg pain have “presented [sic] [prevented] Mr.  Gibson from pursuing his vocation as a heavy duty truck driver at the  Ministry of Transport & Works.” 

    [157] In his report dated 1 October 2009, Mr. Gill opined, “With regard to  Mr. Gibson’s ability to work, one is mindful that his vocation by  which he earned his living was as a chauffeur of a Heavy Duty  Truck. This would entail climbing into a tall cabin; and operating  the main dumping mechanism and its ancillary operations on the  truck. It is my opinion that such duties will re-initiate severe lower  back pain, and Mr. Gibson would be well advised not to return to  this type of work (emphasis added). He is fit for employment that  would not require heavy lifting, bending frequently, or climbing.” 

    [158] In this case, the medical evidence supports the proposition that the  claimant will be unable to return to his previous occupation as a driver  of a heavy-duty vehicle. I refer to the opinion of Mr. Gill in paragraph  [116] above that the Claimant would be well advised not to return to    his previous employment. In addition, Mr. Gill, in his letter dated 15  June 2012 to Mr. Greenidge with respect to the Claimant’s injuries  noted that:   

    “Mr. Gibson has chronic back pain and numbness of the left thigh.  Referring again to the imaging findings of 27/07/2007, it was noted  that Mr. Gibson’s lumbar spine also manifested osteoarthritic  changes of the facet joints at L4/5 and L/S1, with mild foraminal  stenosis. The interaction of trauma and lumbar degenerative disease  can give rise to chronic symptoms such as lower back and various  neurological symptoms of the lower extremities. Mr. Gibson will  have chronic back pain and this can be associated with numbness or  radicular symptoms. Hence it would not be frank to say that Mr.  Gibson has no risk or vulnerability to back problems for the  remainder of his life. In fact this cannot be said with certainty  regarding any individual, as all human beings are subject to the  effects of skeletal aging.”   

    [159] I am of the view and hold that the medical evidence of Mr. Gill is  pellucid in establishing that the Claimant is unable to continue in his  occupation as a driver of heavy-duty vehicles and is supportive of the  Claimant’s claim. I therefore reject Mr. Mottley QC’s submissions on  this issue. 

    [160] With reference to the quantum of damages for loss of congenial  employment, two following cases are instructive. In Goodman v  Darby [2001] C.L.Y. 1640 G, female, aged 18 at the date of the injury  and 21 at trial, who had begun a four year undergraduate course in  education, suffered a whiplash injury in a road traffic accident. She had  ambitions of becoming a physical education teacher but the medical    evidence cast doubt upon on her ability to teach PE. Although G might  be able to do a reasonable amount of physical education, she was very  unlikely to be able to engage herself fully G intended to try supply  teaching as opposed to full time teaching, but would lose considerable  job satisfaction in terms of permanency and building a relationship with  pupils. An award of 5.000 GBP was made for loss of congenial  employment. 

    [161] In Willbye, Kennedy LJ noted that the appellant was “being  compensated for being unable to pursue a career as a nursery nurse  which she thought she would have enjoyed. She never actually  embarked on that career, although she probably had the ability to obtain  the qualifications required, and in financial terms she has been fully  reimbursed” Kennedy LJ, continued “so this is really an award for a  particular disappointment, which may or may not be prolonged.” The  appellant was awarded 5,000 GBP for loss of congenial employment.   

    [162] I note that the injuries suffered in Goodman were not as serious as in  the instant case, whereas those suffered in Willbye were more serious  in terms of their impact on loss of congenial employment. No two cases  are alike. Having regard to the sums awarded in the two mentioned  cases I am of the opinion that the sum claimed is reasonable and    accordingly, I award the sum of $10,000.00 for loss of congenial  employment.

    Past Transportation

    [163] The Claimant claims the sum of $6,040.00 under this head in respect of  travelling to and from medical appointments and physiotherapy. 

    [164] On the basis of receipts, the Defendants have submitted a cost of  $3,890.00 for the cost of transportation. 

    Discussion and Analysis

    [165] Past transportation costs flow naturally from the tort for which the  Defendants have been found liable provided that they are required and  are reasonable. These expenses are normally proved by admittance into  evidence of receipts for such costs. In most cases, these expenses are  agreed by counsel. Sadly this has not occurred in this matter. 

    [166] The onus is on the Claimant to prove his loss. Receipts evidencing this  expenditure were not admitted into evidence. The Claimant has  therefore failed to discharge the burden of proof, which rests upon him.  In these circumstances, I can only award the sum of $3,890.00 accepted  by counsel for the Defendants.

    Future Transportation

    [167] Mr. Greenidge submitted that the Claimant will continue to incur  transportation expenses in the foreseeable future related to future visits  to the doctor, physiotherapist and pharmacy. He submitted also that the  Claimant is still unable to travel by public transportation, which makes  his cost of commuting higher. Counsel conceded the difficulty in  quantifying this claim with any degree of specificity and recommends  that this court adopts the broad-brush approach. The sum claimed is  $53,760.00. 

    [168] Once again the submission of counsel for the defendants is that the  Claimant has returned to his pre-accident state and therefore no award  should be made for future transport. 

    Discussion and Analysis

    [169] Having regard to my analysis of the medical evidence of Mr. Gill and  Dr. Browne and my finding that the Claimant has not returned to his  pre-accident state of health, a claim for future transportation is a  legitimate head of damage. The difficulty in quantifying this claim is  no bar to the court’s duty to assess this item of loss.   

    [170] To assist me in this regard, I have looked at the various medical reports  and find some measure of assistance in the report of Mr. John Gill dated  15 April 2010. There, Mr. Gill opines that the Claimant is: 

    likely (emphasis added) to require future medical care for the  lower back pain. This care is likely (emphasis added) to consist  of but not limited to: 

    (1) Physiotherapy- 12 sessions per year at $100.00 per session. 

    (2) Physician visits- 5 visits per year at $200.00 per visit. 

    (3) Pharmacy- $2000.00 per year for analgesics. 

         Provision should be made for the requirement of  interventional pain management; the cost of this procedure is  estimated to be $5,000.00.” 

    [171] An analysis of this prognosis leads me to the view that the Claimant  will need to travel for care and treatment at least 17 times per year.  Applying a conservative rate of $70.00 per trip, the total is $ 1,190.00  per year. His period of partial disability until retirement is 15 years  which gives a total of $17,850.00. Due to the level of uncertainty  inherent in Mr. Gill’s opinion as I have outlined in parenthesis at  paragraph [136] above, I will discount this sum by 10%, which leaves  a total of $16,065.00.   

    [172] I therefore award the Claimant the sum of $16,065.00 for future  transportation.

    Future Medical Care

    [173] Mr. Greenidge submitted that the Claimant is entitled to compensation  for the cost of medical care which he will likely incur in the future as a  result of his injury. He relied upon Dr. Browne’s opinion in her report  that the Claimant’s back problems may wax and wane sometimes for  years, in which case he should seek medical attention for pain relief.  He relied also upon Mr. Gill’s opinion that any sudden or extended  excursion [sic] of the lumbar spine may precipitate discomfort and re- initiate severe lower back pain. 

    [174] The Claimant was advised against continuing in his current job because  of the possibility that he would re-initiate severe lower back pain. The  sum sought as compensation for future medical care is $72,200.00. 

    [175] Mr. Mottley QC did not dispute the submission that the Claimant is  entitled to the cost of his medical care. He contends however that this  case does not attract an award for future medical care. Counsel for the  Defendants submitted that there is no cost for future medical care or   future transport and hence no award ought to be made under these  heads.

    Discussion and Analysis

    [176] I have already found liability in the Defendants for this accident. All  medical expenses reasonably incurred as a result thereof are  recoverable since they flow from the tort. The full particulars of the  claim for future medical care have not been set out. The evidence of  Mr. Gill at paragraph [141] above is instructive in this regard. The cost  of interventional pain management is $5,000.00. The other prospective  expenses amount to $1,000.00 per year for “physician visits” and  $1200.00 per for physiotherapy making an aggregate of $2,200.00 per  annum. With respect to the multiplicand, I will apply a multiplier of 15  for the reasons set out at paragraph [171] of this decision. Using a  multiplicand of $1,000.00 and a multiplier of 15, we arrive at the sum  of $15,000.00 for physician visits. Applying the same multiplier to a  multiplicand of $2,200.00, we arrive at the sum of $33,000.00 for future  physiotherapy. This makes an aggregate of $48,000.00 for future  physician visits and physiotherapy. Having regard again to the  uncertainty in the opinion of Mr. Gill set out in parenthesis above, I will    discount this sum by a similar amount of 10% which leaves a total of  $43,200.00. The added cost of $5,000.00 for interventional pain  management gives us a total of $48,200.00. This sum I award for future  medical care. 

    Smith v Manchester Award

    [177] Mr. Greenidge submitted that the Claimant runs a substantial, rather than a speculative or fanciful, chance of being at a disadvantage on the  labour market. He further submits that the Claimant is at a distinct  disadvantage since any form of employment requiring physical exertion  is out of his reach. His disadvantage on the labour market, counsel  argues, is long-term and ought to be compensated. The amount claimed  as reasonable compensation is $50,000.00. 

    [178] Mr. Mottley QC submitted that since Dr. Gill opined that the Claimant  was fit for employment, which would not require heavy lifting, bending  frequently or climbing, no award ought to be made under this head. 

    Discussion and Analysis

    [179] An award under this head compensates the Claimant for the loss of  earning capacity occasioned by his physical injury. See Smith v  Manchester Corporation (1974) 17 K.I.R. 1. CA. It is not a    prerequisite to an award that the Claimant be in employment at the date  of trial Cook v Consolidated Fisheries [1977] I.C.R. 635

    [180] The evidence of Mr. Gill establishes that the Claimant will be  handicapped on the job market. His inability to return to his previous  employment but to engage in employment not requiring “heavy lifting,  bending frequently or climbing” is clearly indicative of such a  handicap, the extent of which is unknown. The medical evidence of Mr.  Gill suggests that it will last for the duration of his working life. 

    [181] Dr. Browne opined “his back problems may well become chronic,  waxing and waning sometimes for years, as often with these types of  accidents”. This evidence also suggests that his reduced earning  capacity is long-term and I so hold. 

    [182] There is no precise formula for calculating such an award and none has  been suggested by counsel for the Claimant. This was highlighted in  Moeliker v Reyrolle & Co [1977] 1 W.L.R. 132 CA where Browne  LJ noted that: 

    “It is impossible to suggest any formula for solving the extremely  difficult problems involved in…the assessment. A judge must look at  all the factors which are relevant in a particular case and do the best he  can.”   

    [183] In spite of this I must do my best to arrive at a suitable and reasonable  award under this head. I have therefore decided to use the    multiplicand/multiplier method so as to avoid the uncertainty inherent  in the several decisions on this head such as Foster v Tyne and Wear  County Council [1986] 1 All E R 567 and Ronan v Sainsbury’s  Supermarkets Ltd [2006] EWCA Civ 1074

    [184] In the matter at bar, the Claimant has been thrown onto the job market.  It is clear therefore that he must compete with persons more able than  himself. As previously mentioned, there is no evidence as to what work  he is now physically able to perform having regard to his chronic back  pain. I have already made awards for future loss of earnings and am  mindful that there is a risk of overlap between this head and future loss  of earnings. I consider that the sum of $50,000.00 sought by the  Claimant is sufficiently large that it would constitute such an overlap. 

    [185] I am of the opinion that an award representing two years purchase at  the rate representing the difference between his pre-accident earnings  and his current invalidity benefit calculated previously at $12,542.92  annually would adequately meet the justice of this case. The Smith v  Manchester award is therefore the sum of $ 25,085.84.

    Special Damages

    [186] The injured victim is entitled to recover pecuniary damages in respect  of expenses incurred due to the accident. The Claimant therefore seeks    to recover the cost of medical consultancies, physiotherapy, medication  and medical reports of $9,164.06. The claim under this head is  $28,594.00 made up as follows:

      i. Medical costs of Dr. Sonia Browne           $1,270.00 

     ii. Expenses of Ms. Jacqueline King             $1,940.00 

    iii. Mr. John Gill                                            $21,540.00 

    iv. MRI, X-Rays, medication                          $3,844.00   

    Total                                  $28,594.00 

    Discussion and Analysis

    [187] Special damages are distinguishable from general damages. General  damages in tort are such damages as are presumed to flow directly and  naturally as a consequence of the tort whereas special damages are not  so inferred. As a consequence, special damages must be specially  claimed and strictly proved. See Stroms Bruks Atie Bolag v  Hutchison [1905] A.C. 515 per Lord Macnaghten. 

    [188] Counsel for the Defendants has not opposed the special damages sought  by the Claimant save and except to the extent previously mentioned.  There has been no allegation that they were nor reasonably incurred. I  therefore award the Claimant the sum of $28,594.00 as special  damages.   

    [189] Mr. Gill during his testimony, in response to a question from  Mr. Mottley QC, gave the sum of $5,000.00 as his expenses for  attending court. That sum is a legitimate expense and ought to be  factored into the damages awarded to the Claimant. I therefore award  the Claimant the sum of $5,000.00 in respect of Mr. Gill’s costs.

    Summary of Various Awards

    [190] The various sums awarded are as follows: 

    1. Pain and suffering and loss of amenity             $175,000.00 

    2. Past loss of earnings                                        $138,537.22 

    3. Future loss of earnings                                     $82,618.69 

    4. Past domestic assistance                                 $88,920.00 

    5. Future domestic assistance                              $93,600.00 

    6. Loss of congenial employment                         $10,000.00 

    7. Past transportation                                           $3,890.00 

    8. Future transportation                                        $16,065.00 

    9. Future medical care                                          $48,200.00 

    10. Smith v Manchester award                             $25,085.84 

    11. Special damages                                            $28,594.00

    12. Mr. Gill's costs                                                $5,000.00

    Total                                                                     $715,510.75

    [191] Under the head of past domestic assistance, the law requires me to extract an undertaking from the Claimant to pay over the sums awarded to the caregivers who rendered past domestic assistance. For the sake of completeness, I now accept the Claimant's undertaking given through his counsel.

        Disposal

        [192] In the circumstances, the court orders as follows:

        1. The Defendants do jointly and severally pay to the Claimant damages assessed in the sum of $715,510.75

        2. Interest will accrue on the damages at the rate of 6 per cent per annum from today's date until payment.

        3. The defendants do jointly and severally pay to the Claimant his costs to be assessed if not agreed.

        William J. Chandler

        High Court Judge