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Tag: moderate whiplash

Defense Expert Witness Receives Judicial Drubbing

It seems there has been a lot of judicial scrutiny as of late of expert witnesses crossing the line into client advocacy.   Reasons for judgement were released last week by the BC Supreme Court, Victoria Registry, providing the latest example of this.
In last week’s case (Thibeault v. MacGregor) the Plaintiff was injured in a 2010 collision.  It was a so-called ‘low velocity impact’ but the Court rejected this defence and found the Plaintiff did sustain a moderate whiplash injury.  Non-pecuniary damage were assessed at $35,000.  In the course of the lawsuit the Defendant arranged for an independent medical exam of the Plaintiff.  This physician provided opinion evidence which the Court largely rejected.  In doing so Mr. Justice Weatherill provided the following criticism:
[95]         Counsel provided detailed written submissions on the issue of the Vondette Report’s admissibility.  I agree generally with the submissions of plaintiff’s counsel.  Dr. Vondette’s report is prolix in the extreme.  Dr. Vondette’s review of the plaintiff’s background was beyond thorough and comprehensive – it reported the minutia of the plaintiff’s social, family, psychological and medical history.  He opines on matters that have no relevance to the plaintiff’s claim in this proceeding: He overreaches into the areas reserved for the trier of fact.  He makes remarks that go solely to the plaintiff’s credibility.  His report in many places is argument in the guise of opinion.  Much of the report purports to be opinion when what is written is not an opinion at all but rather a regurgitation of the plaintiff’s complaints. ..
97]         After hearing counsel’s submissions, I concluded that Dr. Vondette was probably an expert whose opinions, properly articulated, could be of benefit to the Court.  Although I found the vast majority of the Vondette Report to be inadmissible, I decided that it was in the interest of justice to grant leave allowing Dr. Vondette, with counsel’s assistance, to produce a summary of those portions of the Vondette Report that are properly admissible.
[98]         Dr. Vondette did so.  His summary (“Summary”) is two pages in length and captures succinctly and helpfully the opinions he was attempting to express in his report.  The Summary, together with counsel’s letter of instruction and appendices “A” and “E” from the Vondette Report were collectively marked as Exhibit 7.
[99]         Unfortunately, Dr. Vondette’s oral testimony was not as helpful as was the Summary.  He returned to the prolix method of communicating that he suffered from when writing his report.  He sought to justify this communication method on the basis that “I am a competent and thorough physician” and that any review of the plaintiff’s circumstances that was less than comprehensive and itemized is “rubbish”.
[100]     Dr. Vondette pontificated throughout his testimony regarding the virtues of his specialty and his experience within it.  In addition to the field of physiatry, he apparently views himself as having bountiful knowledge in other specialties in which he has no formal training, including psychiatry, psychology gynecology, physiotherapy, family medicine, social work and occupational therapy.  He testified that his expertise is such that he tells physiotherapists “exactly what I want done”…
[103]     Dr. Vondette was argumentative and condescending throughout his cross-examination.  Virtually all of his answers were lengthy monologues.  He was critical of Dr. MacKean’s March 5, 2012 report because it was only two pages in length.  He was critical of her December 5, 2012 report because, in forming her opinion, she reviewed and relied upon only her March 5, 2012 report and Dr. Salmaniw’s two July 2012 reports. 
[104]     Dr. Vondette refused to agree that Dr. Salmaniw, as the plaintiff’s family doctor for more than 20 years, knew more about the plaintiff and what was best medically for her than he did after a three hour consultation.  In Dr. Vondette’s words: “I think I can reasonably size up what’s going on here”.
[105]     Finally, Dr. Vondette described Mr. Harvie’s physiotherapy methods as “strange off-shore theories followed by a bunch of over-excited disciples”.  In his view, the plaintiff needed to be taken out of the hands of Mr. Harvie and sent to a physiotherapist who is more orthodox and who performs scientifically validated forms of treatment.
[106]     Needless to say, the approach to the role of an expert witness in the context of court proceedings that Dr. Vondette followed is unhelpful, counterproductive and is to be discouraged.  It is not within the purview of an expert witness to determine facts or issues of credibility and reliability: Brough v. Richmond, 2003 BCSC 512 at paras. 14 – 17.  Unfortunately, Dr. Vondette allowed his subjective views of the plaintiff formed from his review of her medical and personal history to overwhelm whatever impartiality he may initially have had.  I have been unable to take meaningful guidance from his opinions and testimony.  To the extent that his opinions conflict with those of Drs. Salmaniw, MacKean and Reeves, I accept the opinions of the latter experts and reject those of Dr. Vondette.

Rule 68, ICBC Claims and Chronic Pain

In one the first ICBC claims to head to trial under Rule 68 that I’m aware of reasons for judgment were released today awarding a Plaintiff over $180,000 in compensation including $75,000 for pain and suffering as a result of 2 motor vehicle accidents.
For those of you not aware of Rule 68, it initially started out as a ‘pilot project’ and has now been adopted Province wide. It applies to many lawsuits including personal injury actions and ICBC claims where the amount sought is under $100,000. It is supposed to be mandatory for such claims but many BC personal injury lawyers avoid the rule due to perceived short-comings.
I am keeping an eye on how the courts treat this rule with respect to ICBC claims and will blog on any judgemetns involving this rule and ICBC that come to my attention in the upcoming months.
The facts of the case briefly are as follows: The Plaintiff was in 2 accidents. She was 24 years old on the date of the first accident. It was a rear-end crash which resulted in significant vehicle damage. Her car was rendered a total-loss.
The Second crash happened in 2006. This time she was a passenger and again her vehicle was involved in a rear-end collision. Her injuries from the first accident were aggravated in this crash.
The Court found that the Plaintiff ‘did indeed suffer a severe flexion-extension injury (whiplash), with acute symptoms lasting approximately one week, but continuing moderate symptoms which have persisted to today’s date, a full 4.5 years post accident. Her symptoms include not only pain and restriction of movement, but an overlap of psychological symptoms (pain disorder) including anxiety, irritability, frustration, anger, and difficulty modulating her behaviour in the face of day-to-day challenges. I accept Dr. Lamius’ evidence that there is some interplay of her physical and psychological symptoms. As he noted the pain activity triggers ongoing anxiety symptoms, while at the same time, the pain activity is worsened by the increased arousal pattern secondary to her anxiety. The pain and anxiety work together to create a vicious cycle.”
The court awarded compensation for both accidents as follows:
1. Non Pecuniary Damages (pain and suffering) $75,000
2. Loss of homemaking capacity: $11,744
3. Past loss of income: $$6,658.44
4. Future loss of earning capacity: $40,000
5. Cost of Future Care: $50,000
6. Special Damages: $6,211.08
What was interesting about this case is the fact that the court did not hesitate to consider a total award above $100,000. Rule 68 has a ‘soft cap’ meaning it is to be used for claims worth less than $100,000. In this case the Plaintiff sought total damages well in excess of this.
The reason why rule 68 has a ‘soft cap’ is because Rule 68(4) says that ‘nothing in this rule (rule 68) prevents a court from awarding damages to a plaintiff in an expedited action for an amount in excess of $100,000.
One thing ICBC is interested in, and ICBC claims lawyers should be interested in this as well, are the ‘precedents’ that will come out of the upcoming rule 68 ICBC claims judgements. In this case the defence lawyer argued that ‘since the Plaintiff elected to use Rule 68…the court ought to infer that this claim, including all heads of damage, does not exceed $100,000, thus resulting in a much reduced award for non-pecuniary damages.”
The court rejected this logic stating that “I am unaware of any authority which suggests the Court may draw such an inference.” The court went on to cite rule 68(4) and then stated that “no defence motion was ever brought to remove the action from the rule 68 procedure. I am unable to draw the inference suggested.”
This case seems to be a positive development for anyone advancing an ICBC injury claim under Rule 68 whose total value may exceed $100,000. I hope the courts continue to adopt a flexible approach in awarding damages above the ‘cap’ in ICBC claims where the evidence justifies such a result.