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No Forced "Consent" When Attending Court Ordered Medical Examination

Written by admin on . Posted in Uncategorized.

Update January 30, 2017 – the below case, in reasons for judgement released today, was largely overturned on appeal
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Although there are conflicting authorities on the subject in British Columbia, reasons for judgement were released this week by the BC Supreme Court, Vancouver Registry, finding it is not appropriate for a Court to order a Plaintiff to sign a ‘consent’ form when attending a court ordered independent medical exam.
In today’s case (Gill v. Wal-Mart Canada Corporation) the Plaintiff sued the Defendant for personal injuries after a slip and fall incident.  In the course of the lawsuit the Plaintiff agreed to be examined by a physician of the Defendant’s choosing but refused to sign a ‘consent’ form the physician required.  The Defendant asked the Court to order the Plaintiff to sign the consent form but the application was dismissed.  In finding judicially ordered ‘consent’ to be inappropriate Master Harper provided the following reasons:

[31]         In my view, because an order compelling an IME is discretionary, I am not bound by Kalaora or Nikolic to order that the plaintiff sign the consent form. I prefer to follow the reasoning of Peel. In addition, although Dr. Travlos and the College have a legitimate interest in ensuring that a person attending for an IME is properly informed about all aspects of the IME, there are alternative methods to compelled consent to convey the information. I conclude that the plaintiff in this case should not be compelled to sign the consent form required by Dr. Travlos.

[32]         Even if I were of the view that Ms. Gill should be compelled to sign a reasonable consent form, Dr. Travlos’s consent form contains clauses that are not reasonable.

i)       First, Ms. Gill should not be expected to have to agree in writing as to the definition of physiatrist: Slobodzian v. Mitchell and Hameiri (unreported, February 2, 2015, Courtenay Supreme Court Action S085376);

ii)     Second, the last paragraph of the consent form contains this statement: “I am signing this document voluntarily …”. Ms. Gill would not be signing the document voluntarily if compelled to do so by court order;

iii)    Third, the consent form says:

I hereby release Dr. Travlos, his employees and agents, from any and all claims whatsoever, which may arise as a result of the release of the above information.

The clause is difficult to interpret. Dr. Travlos might mean that he is released from liability for releasing the report to the referring source. Or, he might mean that he is released from liability for releasing the report to someone other than the referring source. In either case, a release of liability goes beyond the bounds of a reasonable consent form.

[33]         In Mund v. Braun, 2010 BCSC 1714, the IME doctor required the execution of a jurisdiction agreement. The plaintiff declined to sign it and the court declined to order the plaintiff to sign it on the basis that the court did not have jurisdiction to order the plaintiff to sign a jurisdiction agreement. The release of liability in Dr. Travlos’s consent form is in the same category and is therefore objectionable.

[34]         Both Dr. Travlos and the College have a legitimate interest in ensuring that persons attending IMEs understand the nature and purpose of the IME. Clarity is always better than confusion.

[35]         The options presented on this application were limited to the court ordering the consent form be signed, or not. In my view, there are other options. The desired outcome of a party attending an IME fully informed about the IME could be met if the court were asked to incorporate reasonable terms into the order granting the IME. Those terms would meet the reasonable and legitimate interests of the plaintiff, the defendant, the examining doctor and the College.

[36]         Of course, the terms would have to be acceptable to the doctor or the exercise is meaningless. A drawback to this option is the unnecessary increase in court applications. Both Dr. Travlos and the doctor in Kalaora said that most people seeing them for IMEs consent. It would not be proportionate to require all applications for IMEs to result in a court order.

[37]         The concerns about “improved communication by physicians” and “enhanced understanding by patients” expressed in the guideline could also be met by the doctor providing written information about the IME to the party in advance of the examination. This option would be simpler and less expensive than a court order incorporating the information the doctor seeks to convey to the person being examined.

[38]         An even better option might be for the College to amend its guideline to provide recommendations for physicians conducting IMEs that are court-ordered and not by consent. 

$80,000 Non-Pecuniary Assessment for Permanent, Partially Disabling Shoulder Injury

Written by admin on . Posted in ICBC Shoulder Injury Cases, Uncategorized.

Adding to this site’s archives of pain and suffering awards for shoulder injuries, reasons for judgement were released this week by the BC Supreme Court, Vancouver Registry, assessing non-pecuniary damages at $80,000 for a permanent, partially disabling, shoulder injury.
In today’s case (Mocharski v. Ngo) the Plaintiff was involved in a 2011 collision that the Defendant motorist was found fully at fault for.  The Plaintiff suffered a left shoulder injury which, despite surgical intervention, remained problematic and resulted in a permanent partial disability.  In assessing non-pecuniary damages at $80,000 Mr. Justice Abrioux made the following findings:

[105]     When I apply the principles to which I have referred to the evidence in this case, I make the following findings of fact and reach certain conclusions. As a result of the Accident, the plaintiff sustained the following injuries:

(a) a left shoulder glenohumeral Iabral tear and acromioclavicular joint pain,

(b) left shoulder impingement syndrome,

(c) myofascial pain syndrome affecting the neck,

(d) cervicogenic headaches,

(e) myofascial pain syndrome affecting the back.

[106]     I also find that:

(a) the plaintiff sustained moderately severe soft tissue injuries in the Accident as well as an injury to the left shoulder that ultimately required surgical intervention;

(b) he is left with a permanent partial disability to his left shoulder and will continue to suffer from that condition;

(c) while the symptoms arising from the non-shoulder injuries have lessened considerably over time, the plaintiff was essentially totally incapacitated from a physical perspective for a period of approximately one year due to the injuries sustained in the Accident. These symptoms have and will continue to provide him with occasional discomfort in the future depending on the activities he performs…

[115]     Each case turns on its own facts. Taking into account the Stapley v. Hejslet factors, I award the plaintiff $80,000 under this head of damages.

$265,000 Non-Pecuniary Assessment for PTSD and Major Depressive Disorder

Written by admin on . Posted in ICBC Psychological Injury Cases, ICBC PTSD Cases.

In what is one of the highest non-pecuniary awards in Canadian history for psychiatric injuries, reasons for judgement were released last week by the BC Supreme Court, Vancouver Registry, assessing non-pecuniary damages of $265,000 for psychological injuries stemming from a collision.
In last week’s case (Hans v. Volvo Trucks North America Inc) the Plaintiff was operating a fully-loaded tractor trailer when, without warning, all electrical power failed and the vehicle started to jack-knife.  The trailer struck the cab of the truck and forced the vehicle off the road.
The Court found that the vehicle manufacturer was responsible for the collision because “Volvo was negligent in the installation of the hardware that was supplied by Norgren on the cab positive terminal of the Truck, and that the total loss of electrical power resulted from that negligent installation.”
The Plaintiff, while not suffering significant physical injuries, sustained profound psychological consequences including PTSD and a major depressive disorder secondary to this.  In assessing non-pecuniary damages at $265,000 Mr. Justice Davies provided the following reasons:

[479]     Mr. Hans’ injuries were life altering in every respect.

[480]     The evidence of not only Mrs. Hans but also that of Mr. Hans’ daughter and his many friends who testified establishes that before the collision Mr. Hans was a gregarious, fun-loving, competitive, hard-working, ambitious and financially driven young man with boundless energy.

[481]     Although he had gained weight as a truck driver he was still a man with great strength and athletic ability resulting in a prodigious capacity for hard labour which he immensely enjoyed. His one-time employer Ron Collick described Mr. Hans as “a jolly giant”.

[482]     Mr. Hans lived a socially and emotionally rewarding life often centered on work but also often involving his family, his friends of many years and his love of travel which he shared with Mrs. Hans and their children both in North America and in India.

[483]     Mr. Hans shared a loving partnership with his wife as her husband, business partner, and as a father to their children.  He was a full participant with Mrs. Hans in all aspects of their children’s lives and in household responsibilities.

[484]     Mr. Hans was a proud man with a taste for good clothing who cared for his appearance. Socially he was often the center of attention – while dancing or even while playing with children.

[485]     Over the seven years since the collision all of that has changed drastically because of PTSD accompanied by Mr. Hans’ suffering from a Major Depressive Disorder that arose as a consequence of PTSD.

[486]     Mr. Hans is now emotionally and socially a shell of his former self.

[487]     His gregariousness has been replaced by isolation and withdrawal from contact with friends and family.

[488]     His love of fun has been replaced by depression, agitation and volatile bursts of anger. 

[489]     Competitiveness has been replaced by lethargy.

[490]     Ambition has turned to resentment and the blaming of those he believes have ruined his life.

[491]     Where he once ran and played sports he now walks aimlessly. Dr. Thinda reported that Mr. Hans has a slow gait due to psychomotor retardation or the effects of the medication he is prescribed for his psychiatric symptoms.

[492]     Mr. Hans’ capacity for and love of hard work have been replaced by indolence and despair.

[493]     He neglects his personal hygiene and cares little for his appearance. He is irritable and has significant problems with concentration and memory. He suffers from nightmares, sleeplessness and bad eating habits.

[494]     He has little interest in his children and must be coaxed to attend their activities. When he does, he is often uncomfortable, disinterested or both.

[495]     Mr. Hans is no longer active in the partnership that he and Mrs. Hans forged during the years of their marriage before the collision. He does not share in responsibility or workload but rather requires supervision and care.

[496]     He has attempted suicide three times each of which has seen him hospitalized for extended periods.

[497]     His life is now ruled by pharmaceutical intervention to attempt to overcome the symptoms of PTSD and Major Depression which dominate his existence. Without that medication his existence is further threatened.

[498]     Mr. Hans faces a future of continued pharmaceutical and psychiatric intervention as well as close supervision as his treating medical professionals, family and friends attempt to preclude the active manifestation of his suicidal ideation.

[499]     While it is a positive sign that Mr. Hans has not attempted suicide for more than 5 years since his last attempt, that must be measured against the medical intervention and supervision that has been necessary to attain that modest success.

[500]     Mr. Hans’ self-loathing and despair were starkly evidenced by his testimony at trial as well as by his anger and resentment at those whom he holds responsible for the loss of his capacity to care and provide for his family and enjoy life as he once did.

[501]     The totality of the medical evidence establishes that there is little prospect that Mr. Hans will ever recover socially, emotionally or mentally from the effects of the collision.

[502]     The prognosis for real progress after almost seven years of the debilitating effects of PTSD and Major Depressive Disorder from which Mr. Hans suffers is guarded at best and bleak at worst…

[528]     Considering that factor together with all of the other factors enumerated in Stapley to which I have alluded I have concluded that the appropriate award for Mr. Hans’ past and future pain and suffering and loss of enjoyment of life is $265,000.

 

$90,000 Non-Pecuniary Assessment for Chronic Neck and Back Injuries

Written by admin on . Posted in ICBC Back Injury (soft tissue) Cases, ICBC Chronic Pain Cases, ICBC Psychological Injury Cases, ICBC Soft Tissue Injury Cases.

Reasons for judgment were released today by the BC Supreme Court, New Westminster Registry, assessing non-pecuniary damages of $90,000 for chronic injuries sustained in a vehicle collision.
In today’s case (Lu v. Huang) the Plaintiff was injured in a 2011 rear-end collision.  The Defendant admitted fault.  The Plaintiff’s injuries included chronic back and neck pain, headaches with psychological consequences.  The prognosis was poor with symptoms expected to continue into the future and remain partially disabling.
In assessing non-pecuniary damages at $90,000 Mr. Justice Blok provided the following reasons:

[156]     I found Ms. Lu to be a credible witness who did not exaggerate her symptoms.  The symptoms she reported in her testimony were consistent with the findings and observations of her physicians as well as the observations of her co-workers and husband.

[157]     The car accident was one of considerable force.  The damage to the defendants’ vehicle, as shown in the photographs, was considerable.  Although the evidence was that the defendants’ vehicle was subsequently written off, as I have observed before in other cases this in itself does not really convey much in the way of helpful information without also knowing the value of the car or the estimated value of the repairs.  Having said that, however, I am satisfied that the crumpled front end and hood of the defendants’ car, as shown in the photographs, is strongly suggestive of an impact of considerable force.

[158]     The plaintiff’s injuries were not really disputed.  I find them to be as follows:

a)    injuries to the cervical, thoracic and lumbar areas of her spine;

b)    a disc protrusion in her lumbar spine; and

c)     bruising to her upper chest.

[159]     I find that those injuries were caused by the accident.

[160]     I also find that as a result of those injuries the plaintiff has suffered:

a)    debilitating neck and back pain, nausea and dizziness for the first two weeks after the accident;

b)    ongoing constant cervical and lumbar pain from the time of the accident to the present;

c)     occasional numbness in her fingers and legs;

d)    constant or near-constant headaches; and

e)    problems with mood, including depression, irritability and shortness of temper.

[161]     Ms. Lu’s injuries left her unable to work for about two weeks, and after that limited her to part-time work (three days a week) for over a year.  They have also left her unable to sit for longer than about 45 minutes.  She is less productive at work and feels exhausted after a work day.  Her injuries have also affected other areas of her life in that her sleep is less restful, she cannot do household work, her relationship with her husband has been adversely affected and she cannot participate in family or social activities that involve any amount of physical activity.

[162]     I accept the evidence of Dr. Robinson that Ms. Lu will probably continue to suffer from headaches indefinitely.  As for her cervical and lumbar spine pain, I note that it has already continued years beyond the time Dr. Murray felt Ms. Lu would start to see some improvement.  Even the defence specialist, Dr. Lapp, said the Ms. Lu’s prognosis was guarded, though he felt she would experience “very slow further improvement”.  Dr. Frobb was less positive; he felt her present condition likely “represents a status of maximal medical improvement”.  From all of the medical evidence I conclude that Ms. Lu’s symptoms are likely to continue in the long term and there is only a small prospect that her symptoms will improve to any substantial degree.

[163]     Finally, I accept the opinion of Dr. Murray that Ms. Lu’s lumbar disc protrusion puts her at risk for further episodes of back pain, and that she should avoid activities involving heavy lifting, carrying or forward bending…

[171]     I assess non-pecuniary damages in the amount of $90,000.

Defendant Ordered to Pay $7,500 After "Body-Checking" Plaintiff During Debt Collection

Written by admin on . Posted in Uncategorized.

Reasons for judgement were released today by the BC Supreme Court, New Westminster Registry, ordering a Defendant to pay a Plaintiff $5,000 in non-pecuniary damages and a further $2,500 in punitive damages following an assault during a debt collection.
In today’s case (Ross v. Dhillon) the Plaintiff attended the Defendant’s business to collect an outstanding business account with respect to some industrial equipment purchased by the Defendant.  The Defendant made partial payment and the Plaintiff,  unsatisfied with this, removed a part from the equipment.  As he attempted to leave the Defendant “body‑checked him into the door frame and held him against it for several seconds.”.
The Court found this incident caused a minor aggravation of pre-existing injuries the Plaintiff suffered in a collision.  In assessing damages at $7,500 Mr. Justice Smith provided the following reasons:
[20]         I therefore find that the plaintiff experienced a minor and short‑lived aggravation of his neck and back symptoms, accompanied by an equally minor and short‑lived condition that produced some numbness in his hand…

[23]         Considering the minor nature of the plaintiff’s injuries, including the brief aggravation of his previous symptoms and including a component for aggravated damages, I award the plaintiff non‑pecuniary damages of $5,000.

[24]         I also find this to be an appropriate case for punitive damages. The defendant’s conduct was willful, reckless and dangerous. While his conduct was at the low end of any scale that would measure violent conduct, no amount of violence was an acceptable response to this dispute about a relatively small debt.

[25]         In Van Hartevelt v. Grewal, 2012 BCSC 658, the court awarded $10,000 in punitive damages to a plaintiff who was beaten about the head and kicked in the ribs. The violence in this case was much less severe, and I award punitive damages of $2,500.

Adverse Inference Drawn For "Absence of Evidence From Any Treating Doctor"

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Reasons for judgement were released this week by the BC Supreme Court, Vancouver Registry, drawing an adverse inference for a Plaintiff in a personal injury lawsuit who failed to lead evidence from any treating physician.
In this week’s case (Mohamud v. Yu) the Plaintiff was involved in two collisions and sued for damages.  The Defendants admitted fault for both crashes.  At trial the Plaintiff sought over $260,000 in damages.
The Plaintiff led expert evidence in support of her case but none of these witnesses were treating physicians.  Madam Justice Fisher rejected much of the Plaintiff’s claim awarding of $61,532.  Influential in this decisions was the absence of expert evidence from treating physicians.  In drawing an adverse inference Madam Justice Fisher reasoned as follows:

[33]        The plaintiff was a poor historian. Important parts of her evidence were inconsistent with statements she made (or did not make) to others, such as her family doctor and the experts who testified on her behalf. Some of these inconsistencies may be quite normal, but the extent of the inconsistencies here are of concern, particularly in the absence of any objective confirmatory evidence from a treating doctor or other medical professional. Most notably, the plaintiff’s family doctor, who saw her throughout these years, did not testify or provide an expert report. It is especially troubling that this is a doctor whom the plaintiff said was her long-time, trusted family physician.

[34]        In these circumstances, the defendants urge me to draw an adverse inference from the plaintiff’s failure to call evidence from her family doctor…

[39] The plaintiff’s explanation for her failure to call her family doctor was that she called the witnesses she considered the most necessary, she did not have the means to obtain “every possible medical report”, the family doctor is not always the best able to give an opinion “given the era of walk-in clinics and five minute appointments” and it was open to the defendant to call the doctor, especially since the clinical notes indicate that the doctor prepared a CL19 report. On this last matter, counsel for the defendants advised the court that he not aware of such a report and had never received a copy.
[40] I certainly accept that a plaintiff is entitled to call the witnesses she considers necessary but I do not agree that the family doctor in the circumstances here would not be the best able to give an opinion. While it does appear in the clinical records that the plaintiff saw other physicians from time to time, her primary care physician is the only person who could have given the court an opinion about the plaintiff’s condition, informed by a long standing relationship and observations throughout the relevant periods of time (following not only the two accidents but also the Skytrain fall). This takes on more importance in light of the plaintiff’s evidence that she would have described all of her symptoms and complaints to her doctor and that whatever was recorded in the clinical notes reflected what she told the doctor at the time. I do not consider the fact that the defendant could have called the doctor as a witness to adequately explain this plaintiff’s failure to do so.
[41] The circumstances here are very different from those in Buksh, where the absent witnesses were not long-standing family doctors and the issue arose in the context of a trial where all clinical records had been admitted into evidence and had been before the jury. They are, however, quite similar to the circumstances in Andrews v. Mainster, 2014 BCSC 541, where the plaintiff failed to call any health care professionals who treated her before or after the accident. In that case, the court drew an adverse inference.
[42] Accordingly, I consider it appropriate in these circumstances to draw an adverse inference from the plaintiff’s failure to call her family doctor to give evidence, at least as a treating physician if not also as an expert witness.

BC Supreme Court – No "Joint and Several Liability" For Stanley Cup Rioters

Written by admin on . Posted in Uncategorized.

Reasons for judgement were released yesterday by the BC Supreme Court,  Vancouver Registry, addressing if an individual causing property damage in a riot can be ‘jointly and severally’ liable for damage caused by others in the riot.
In this week’s case (ICBC v. Stanley Cup Rioters) British Columbia’s government monopoly auto insurer, ICBC paid out numerous claims after vehicles were damaged and destroyed in the 2011 Stanley Cup Riot in downtown Vancouver.
ICBC sued numerous individuals.  As with any lawsuit, collecting damages is a concern and some of the Defendants had deeper pockets than others.  ICBC argued that Defendants should be jointly and severally liable (a legal principle that allows a Plaintiff to collect all the damages from one of many responsible parties, typically the one with the deepest pockets, and leaving it to that Defendant to chase down and collect the fair share from other liable parties.).
Mr. Justice Myers rejected this argument finding that the Defendants were individually responsible for the damages they caused but the principles of joint and several liability were not triggered in this riot.  In reaching this conclusion the Court reasoned as follows:

[31]     In its notice of civil claim, ICBC pleaded:

499.     Each and all of the Defendants, named and unnamed, having participated in the Riot, are joint tortfeasors, along with others who participated in the Riot, and who joined in a common unlawful purpose of rioting contrary to criminal and common law, and thereby caused or contributed to the losses of the Plaintiff, and are liable to the Plaintiff for any or all of the damages caused by the Plaintiff herein.

The proposition is that the unlawful riot was a common design.  Every one who participated in it is a joint tortfeasor and therefore liable for all the damage done in the riot.

[32]     It is to be borne in mind that this was not a planned or deliberate riot.  There was no ringleader; it was not instigated by a person or group of people.  It was spontaneous.  Under these circumstances, it appears to me ICBC’s proposition is too broad.

[33]     First, it is too broad on a geographical level:  every one participating in the riot on Seymour Street would be jointly liable for damage done by participants on Howe Street.

[34]     Second, it is too broad from a conduct point of view.  For example, someone who has refused to leave the riot in order to take photographs would be equally liable for the destruction of a vehicle by someone else even if they never encouraged that destruction, much less laid hands on the vehicle.

[35]     Third, it is too broad because it does not recognise that the assistance rendered to the principal tortfeasor must be substantial.

[36]     Fourth, it begs the difficult factual distinction between whether there was one riot or several.  (Although the riot has been referred to in the singular, and I will continue to use the term, it is imprecise for the purposes of determining joint liability for a tort.)

[44]     As I stated, this was not a directed or coordinated riot.  Nor did it involve gangs spontaneously coalescing and then moving from location to location in unison.  As I set out above, I do not accept that participation in the riot, in itself, establishes joint and several liability for torts committed during the riot.  As noted by Lords Neuberger and Sumption in Sea Shepherd, joint tortious liability must be kept within reasonable bounds.  The analysis must be more fine-tuned than looking at the riot as a whole.  For most of the defendants, the question that must be asked is whether they acted in concert with the common end of destroying a vehicle and whether the destruction occurred as a result (above, para. 27).

[45]     Another way of expressing the question is to ask whether a defendant was part of the group that destroyed the vehicle and was his participation more than trivial.  That has to be examined vehicle by vehicle, defendant by defendant.  A defendant may be liable for damage to more than one vehicle if he took part in damaging those vehicles; that does not make him liable for all of the vehicles.

[46]     Several people spontaneously arriving at a vehicle and some of them cheering when another damages the vehicle does not amount to a common design.  There is no case where the law has gone that far.  Cheering or observing is not sufficient participation upon which to found joint liability.

[47]     People “piling on” a vehicle in order to damage or destroy it may be joint tortfeasors if it is apparent they acted together pursuant to a common design to do the damage.  In a riot context, I do not think it necessary that the plan be explicitly laid in advance between them.  They may also be concurrent tortfeasors if the damage they caused is impossible to apportion.  In that case, each is liable for the full amount of the loss.  They may also both be liable as principal tortfeasors (per Lord Toulson at para. 19 ofSea Shepherd).

[48]     There are several instances where a defendant did something to a vehicle that did not harm it (for example, attempting to remove a gas tank cover) and the vehicle was destroyed at a later point, there being no evidence as to the link between the defendant’s initial action and the ultimate destruction.  In that case, I do not think there can be any liability.  That can be viewed as an instance where, to use Lord Neuberger’s framework (above, para. 25), no assistance was provided to the tortfeasors who are primarily liable; i.e., those who caused the damage.  It can also be viewed as the defendant having only a similarity in design but being an independent actor not causing damage per Scrutton L.J. in The Koursk (above para. 27).

In a Tweet – The Best Argument for Government Legalizing Self Driving Cars

Written by admin on . Posted in Uncategorized.

Last year I discussed how governments could and should put personal injury lawyers such as me out of business by taking human error out of the driving equation and embracing self-driving vehicles.  OK, it would not put me out of business but it would create a huge dent.
Today I read a tweet that sums up the argument in under 140 characters far more persuasively then anything I’ve ever said.  I’ll just leave it here –
Tweet Self Driving Cars

$80,000 Non-Pecuniary Assessment for Chronic but Tolerable Hip Injury

Written by admin on . Posted in ICBC Hip Injury Cases.

Adding to this site’s archived case summaries involving hip injuries, reasons for judgement were released today by the BC Supreme Court, New Westminster Registry, assessing damages of $80,000 for a chronic but tolerable hip injury.
In today’s case (Bramley v. Lee) the Plaintiff was involved in a 2009 T-bone collision.  The Defendant admitted fault.  The Plaintiff  suffered a variety of injuries attributable to the crash, the most serious of which was a hip injury which continued to pose symptoms at the time of trial.
In assessing non-pecuniary damages at $80,000 Madam Justice Warren provided the following reasons:
[95]        In summary, I make the following findings on causation and the current state of Mr. Bramley’s condition:

  • Mr. Bramley sustained an injury to the greater trochanteric area of his right hip in the accident, which developed into trochanteric pain syndrome.  He suffered from persistent, significant right hip pain until 2011, when the pain started to improve after the cortisone injection and the switch in medication to Vimovo.  The hip pain continued to improve after Mr. Bramley began strengthening exercises in 2013, leaving him with lingering symptoms that he has learned to live with.
  • Mr. Bramley suffered a soft tissue injury to his low back in the accident that initially resulted in significant low back pain extending into his right leg for several months, which gradually improved and ultimately resolved by early 2012.
  • Mr. Bramley suffered acid reflux symptoms as a result of medications he took for his hip and low back pain, which plagued him for about a year, in 2010 to 2011, until he switched medications and began taking Vimovo.
  • After the accident, the pain in Mr. Bramley’s hip began to interfere with his sleep.  This became progressively worse and eventually developed into a sleep disturbance that left him fatigued by late 2009.  There was no material improvement in his sleep until after the hip pain began to improve in 2011.  By early 2012, Mr. Bramley’s sleep had returned to normal.  Subsequently, Mr. Bramley suffered again from a significant sleep disturbance, but that was a result of sleep apnea and unrelated to the accident.

…
[113]     Awards of damages in other cases provide a guideline only.  Ultimately, each case turns on its own facts.  However, considering the cases referred to me and, in particularMcKenzie, which was decided three years ago, and Foster, which was decided four years ago, as well as the factors discussed in Stapley, I assess Mr. Bramley’s non-pecuniary damages at $80,000.

$85,000 Non-Pecuniary Assessment for Chronic Persisting Headaches

Written by admin on . Posted in ICBC Headache Cases.

Reasons for judgement were released today by the BC Supreme Court, Vancouver Registry, assessing damages for long standing headaches caused by a vehicle collision.
In today’s case (Woelders v. Gaudette) the Plaintiff was involved in a rear end collision that the Defendant admitted fault for.  The Plaintiff suffered a variety of injuries some of which recovered and some of which did not.  By the time of trial, some 8 years following the collision, the Plaintiff continued to suffer with ongoing headaches and associated symptoms which were expected to continue into the future.  In assessing non-pecuniary damages at $85,000 Madam Justice Ballance provided the following reasons:
[150]     Ms. Woelders was 31 years old when the Accident happened.  For more than six years, she has been plagued by headaches and pain in her neck/upper back/right shoulder region and in her face and jaw, together with a simmering muscle tension that can transform into pain.  The intensity and frequency of Ms. Woelders’ chronic symptoms have declined over the years and her overall condition has improved in large measure due to her sheer grit and determination (to her credit) coupled with her diligent rehabilitation efforts and implementation of pain management strategies.  Even so, and while there is a slim chance she may enjoy some marginal improvement going forward, her symptoms are enduring and continue to be problematic and remain susceptible to exacerbation by commonplace tasks and maneuvers at work, at home and recreationally.
[151]     The ill‑effects of the Accident have negatively impacted the quality and enjoyment of Ms. Woelders’ interactions with her children.  She experienced pain and difficulty nursing her youngest and lifting and carrying both her children.  She is reluctant to pick them up for fear she will trigger her symptoms.  She goes through much of her life on-guard, evaluating whether certain movements will activate her symptoms and trying to make the modifications that may be required.
[152]     Ms. Woelders is from a close‑knit family.  Since the Accident, she has curtailed her participation in family gatherings, has all but ceased organizing them, and feels the need to leave get‑togethers early when her symptoms flare.
[153]     I accept the evidence of Ms. Woelders’ twin sister, Ann Pimentel, to the effect that Ms. Woelders was in peak physical condition before the Accident.  Ms. Pimentel spoke with emotion about how her sister’s injuries have visibly aged her and that she had lost her “spark” after the Accident.  Ms. Woelders’ husband and mother gave similar testimony, which I also accept.
[154]     Ms. Woelders’ formerly high-energy and optimistic personality has been overshadowed by a less positive, more serious self with less energy and spark.  I accept her mother’s evidence that she has recently made a point of taking the children after school on Fridays primarily because her daughter is drained at the end of the work week and needs time to rest and rejuvenate.
[155]     The medical evidence indicates that Ms. Woelders will be prone to headaches and periods of aggravation of her unresolved symptoms for years to come, and likely indefinitely to one degree or another.  In prior cases, I have observed that enduring pain, even when it is intermittent, can compel unfavourable adjustments to one’s work life and lifestyle and cloud the pleasures of life, as it clearly has in Ms. Woelders’ case.  Taking care to not aggravate her residual symptoms and trying to manage her pain, even during the times that things seem to be under control, has become part of Ms. Woelders’ everyday life or, as she aptly put it, her “new normal”.  This is an unwelcome new reality for Ms. Woelders and her family.
[156]     Ms. Woelders finds certain kinds of housework difficult.  Although she continues to perform most of her pre‑Accident share of the housekeeping, it is not done to her pre‑Accident standards.  The evidence concerning her compromised housekeeping capacity was under‑developed at trial.  I accept that she has impairments in this regard but am not persuaded that they justify a stand-alone award of damages as Ms. Woelders has urged.  Instead, I have considered it as a factor in the assessment of her non-pecuniary damages.
[157]     I have reviewed the authorities placed before me by counsel.  The cases submitted by the defendant are, for the most part, factually distinguishable in material ways and are less instructive than those relied by Ms. Woelders.  In any event, the case law only provides rough guidelines for what is, at its core, a highly individualized assessment: Karim v. Li, 2015 BCSC 498 at para. 120.  Having regard to the Stapley factors and to the other case authorities in the context of the evidence in the case at hand, in my opinion, a fair and reasonable award for Ms. Woelders’ non-pecuniary damages is $85,000.