Case Law[2023] ZAGPPHC 155South Africa
Stestenko v Road Accident Fund [2023] ZAGPPHC 155; 78479/2017 (3 March 2023)
Judgment
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# South Africa: North Gauteng High Court, Pretoria
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## Stestenko v Road Accident Fund [2023] ZAGPPHC 155; 78479/2017 (3 March 2023)
Stestenko v Road Accident Fund [2023] ZAGPPHC 155; 78479/2017 (3 March 2023)
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sino date 3 March 2023
FLYNOTES:
LOSS OF INCOME – SYMPATHETIC EMPLOYMENT
ACTUARIAL
– Loss of income – Sympathetic employment –
Employed as bookkeeper in company run by daughter
– Pain
causing reduced working hours – Salary not reduced –
Not receiving annual increases and expected
to retire earlier due
to injuries – Injuries impacting earning capacity and
actuary using lower post-accident income
– 5% contingency
for past loss and 12,5% contingency for future loss.
##
## IN
THE HIGH COURT OF SOUTH AFRICA
IN
THE HIGH COURT OF SOUTH AFRICA
## (GAUTENG
DIVISION, PRETORIA)
(GAUTENG
DIVISION, PRETORIA)
Case
number: 78479/2017
REPORTABLE:
NO
OF
INTERESTTO OTHERS JUDGES: NO
REVISED
3/03/2023
## S
STESTENKO Plaintiff
S
STESTENKO Plaintiff
And
ROAD
ACCIDENT
FUND
Defendant
JUDGMENT
## TOLMAY,
J:
TOLMAY,
J:
##
[1]
In this
matter plaintiff was a passenger in a motor vehicle
,
which was
involved in an accident that occurred on 20 April 2017
.
The defendant
conceded merits
,
but all the
heads of
quantum
remained
in dispute
,
and despite
not filing any expert reports
,
a
representative of the state attorney presented argument on behalf of
the defendant. The plaintiff filed reports from experts
,
from which the
nature
,
severity of
the injuries and their effect on the plaintiff's life can be
ascertained
.
No evidence
was led and the court was merely referred to the expert reports
.
[2]
According to
the documentation and the heads of argument filed on behalf of the
plaintiff
,
the
plaintiff sustained the following injuries
:
a.
Fracture of
the mid-body of the sternum
.
b.
Fractures
of the
anterior
right 4"'
and
lateral right
6'"
ribs
with
hemopneumothorax
.
c.
Spinal fractures
involving superior end plate of
T12
,
compression
fracture of L1, superior end
plate fracture
of L2 and burst fracture of LS
.
d.
Blunt
abdominal trauma with small bowel perforation.
[3]
The plaintiff
did not lose consciousness
.
She underwent
an
ex
ploratory
laparotomy with repair of the perforated small bowel and an
intercostal drain was inserted into the right side of the
chest. The
plaintiff was in the Intensive Care Unit for eight days and in a
General Ward for four days thereafter.
[4]
The plaintiff
developed wound infection in the laparotomy wound and vacuum
dressings were used to treat the wound. She
received
physiotherapy
after she was
discharged.
[5]
The plaintiff
also
suffered
some
scaring
as a result of the injuries including
,
a.
A
pale
cruciate
scar
measuring
25
mm
in diameter
on
the
lateral
aspect
of
the
right
hemithorax.
This
scar
is
the
result
of
the placement
of an intercostal drain
.
b.
A markedly
hypertropic left paramedian laparotomy scar measuring 195 mm x 8 mm
.
c.
A fine scar measuring
30 mm x 2 mm lying obliquely in the right iliac fossa
,
this scar is
the result of the placement of a drain.
[6]
At the time of
the collision
,
the plaintiff
worked as a bookkeeper in a transport company which is a family-owned
business
,
run
by her
daughter and she is still employed, but works fewer hours due to the
sequelae of the accident.
[7]
According to Dr
Kelly, a neurosurgeon, who saw the plaintiff approximately three
years after the accident
,
the plaintiff
was involved in a motor vehicle accident and sustained a mild
traumatic brain injury
.
However there
seems to be no evidence available to support this conclusion
.
It seems that
he based this diagnosis on the hospital records which merely reported
that
she
was
fully
conscious upon
arrival. No
skull
X-ray
or
CT
Scan
was performed. He also apparently based
this
diagnosis on
the fact that
she told him
that she suffers
from
headaches and
memory problems
.
She however
has not
consulted
any health
care facility for this problem, nor is there any indication of such
problems relating to her employment. His
report
i
s
very
cryptic
and did not really assist the court in determining the
seriousness
of this
alleged traumatic brain injury
.
Furthermore a
head
injury
was not
recorded anywhere else
,
even in the
heads of argument where the injuries are listed
,
no mention is
made of a mild traumatic brain injury.
Dr
Kelly relies
on the report by Ms Hovsha
,
whom he
described as a neuropsychologist
,
who did
neurocognitive testing and who confirmed the presence
of
verbal and
visual memory loss
.
However, Ms
Hovsha
'
s
report indicates that she is a clinical psychologist
,
"
with
an interest
in
neuropsychology
"
.
As such a
question may legitimately be p
l
aced
on her ability to
make
expert
neuropsychological
findings
.
[8]
Ms Hovsha
opined that based on the
h
istory
of the
accident in which plaintiff sustained a pneumothorax, there is a
possibility of her having sustained some brain injury due
to
hypoxia
.
However
,
there is no
expert medical evidence to substantiate this finding, neither
is
Ms Hovsha
qualified to make such
a
diagnosis
.
I
therefore
reject the
evidence that attempts to prove a mild traumatic brain injury
.
[9]
Ms Hovsha
,
furthermore
says that the plaintiff is mildly
to
moderately
depressed
which
may
have
had
some
negative
influence
on
her
performance of the
assessment. She stated that
the
plaintiff also
suffers from chronic pain and fatigue, which could be exacerbating
her depression and thereby contributing to her
poor performance on
some areas of the assessment.
[10]
According the Ms
Greeff
,
an
occupational therapist
,
she noted a
tendency by the plaintiff to decide whether she will be able to
participate in a task even before attempting it, with
adjusted task
execution related to fear of re-injury and causing pain noted
throughout the assessment.
According
to her the
plaintiff
is
unable to
maintain work endurance for more than 3 hours at a time and leaves
work early and goes to her daughter's or her own residence
to rest.
She
experiences pain in
the
back after
sitting for approximately 30 minutes and requires
change
of postures
frequently
.
She is unable
to participate
in
social
activities that she previously enjoyed
.
She states
that the plaintiff experiences loss of amenity enjoyment as a result
of mostly pain and discomfort as well as altered
task
approach
.
[11]
According
to
Ms
Rossouw
,
an
industrial
psychologist,
the
plaintiff
completed and passed her pre-school, primary school
,
and high
school education in Russia, without any failures
or
repeats
.
From 1983
until 1987, the
plaintiff
pursued a Master
'
s
Degree
in
Chartered
Accountancy and Auditing, which she obtained at the University of
Russia
.
After
obtaining
her
master
'
s
degree,
the
plaintiff
was
employed
as
a
Chartered
Accountant for about 13 years in Russia
.
When she moved
to South Africa during or about 2012 she resigned
.
[12]
She stated
that the plaintiff reported no significant pre-existing physical
,
cognitive or
psychological obstacles that would have prevented her from
maintaining her capacity to work at her pre-accident
l
evels
of productivity
.
Thus
,
but for the
accident
,
it
is likely that she would have maintained her pre-accident levels of
productivity with respect to efficiency
,
endurance
,
and stamina
.
She opined
that with intact productivity
,
the plaintiff
would likely have been able to cont
i
nue
in her pre-accident occupational capac
i
ty
.
[13]
She
furthermore opined that in light of all of the available info
r
mation
,
along with
plaintiff
'
s
relatively advanced age (50 years o
l
d
),
limited
working experience
,
she only
having worked for about three companies
,
mainly in
Russia
,
and
her limited command of the English language
,
it is evident
that the plaintiff would probably have been restr
i
cted
to working for her daughter's co-owned company regardless of the
accident. Therefore
,
she would
probably have had difficulty in securing alternative employment on
the open labour market even pre-acci
d
ent.
[14]
Her basic monthly
salary at the time of the accident was R
7
,
500
.
00
(
in
201?'s monetary value
)
.
As an uninjure
d
employee
,
she would
probably have continued to work from Monday to Friday from 08
:
00
to 17
:
00
.
The
plaintiff
'
s
commencement
earnings
had
been
low
,
especially
considering
her level
of
education.
Therefore
,
she
would have received annual increases of
10%
per annum
(as
confirmed by
Ms Sofia Stestsenko
,
the plaintiffs
daughter
,
until
retirement.
[15]
The plaintiff
was reportedly healthy and fit prior to the accident. As she had been
employed by her daughter
,
she would not
have been
restricted
to an official
retirement age
(as
confirmed by
her
daughter)
.
However
,
the plaintiffs
daughter estimated that she would probably have worked until the
retirement age of between 65 and 68 years
.
However she
will now probably retire at age 60.
[16]
Ms Rossouw
reported
that
plaintiff has remained employed in the same position to date.
However
,
her
working hours had been reduced
(
without
a reduction in her earnings)
she is
currently only working from 08
:
00
until 14:00from Monday to Friday
.
Her daughter
also
reported
that she
frequently allows her mothe
r
to leave work
earlier
,
as
she is unable to cope with her work demands
,
because
of
her
accident-related difficulties. The plaintiff
is
occasionally
requ
i
red
to perform some
work
from home
(estimated
at
around two hours
,
about three
times per week)
.
Nonetheless
,
her duties
have remained unchanged at the
company.
[17]
In 2018
,
as per the
salary advice
(dated
from
2018
.
01
.
20
until
2018
.
06
.
20),
the plaintiffs basic monthly salary increased to RB
,
250
.
00
per month. With reference to the salary advice
in 2019 and
2020
,
her
basic monthly salary continued to be RB 250-00
.
Her daughter
reported
that
her mother has not received an annual increase since her last
increase
,
which was at
the end of 2017
,
as she is
currently accommodating
her mother by
allowing her to work half-day
.
For
the
same reason
,
her daughter
noted that plaintiff will most probably not be eligible for an annual
increase.
LOSS
OF EARNINGS
[18]
At the date of
accident the plaintiff was working for DSC Transfers as a Chartered
Accountant/Bookkeeper
.
She commenced
service in 2012. At that stage she was earning R7
,
500
pm
(R90,000
pa
).
She was off
work for 8 months and was paid in full. She then returned to work but
her working hours were
reduced.
Her salary was
not affected and In 2018 her salary
increased
to R8
,
250
pm
(R99
,
000
pa)
.
The
loss of income has been calculated by the actuary
from
January
2018
.
He states
that
,
but
for the accident
,
the plaintiff
would have continued to receive
i
ncreases
of 10% pa until retirement
(taken
to mean real
increases of 4% pa). She would have retired at about age 66
.
5
.
It was assumed
that her income would have increased between January 2018 and the
valuation date at the
inflation
rate
applicable over
this
period plus an
additional 4
%
per annum
.
Her income at
the
valuation
date would therefore have been R154 597-00 pa
.
It was assumed
that her income would have increased after the valuat
i
on
date at 4
%
pa
in real terms
until retirement. Thus she would have been earning R 231 029
-
00 pa in
current money value by age 66
.
5
.
[19]
The claimant has not
received any increases since 2018
.
The
Industr
i
al
Psychologist states that she will
r
emain
in the same pos
i
tion
in future
.
Thus assuming
she still
earns
R99
,
000
-
00
pa
.
She
will not rece
i
ve
any inc
r
eases
(inflationary or otherwise) in future
.
She has
suffered from a decrease in productivity and is now employed
sympathet
i
cally
and will probably retire at age 60
.
[20]
The actuary states that she is now more vulnerable and an unequa
l
competitor on
the open labour market. If she were to lose
h
e
r
j
ob she would
likely remain unemployed
,
th
i
s
assumption
loses s
i
ght
of the fact that she would in any event have been limited to working
for her daughter
,
for the
reasons set out above
.
The above
factors and all other r
i
sks
affecting her income should be taken
i
nto
account in the general contingency dedu
c
tion
.
[
21]
I
n
Ph
a
l
a
n
e
v
Road
Accide
nt
Fund (
48
112/2014)
(2017] ZA
G
PPH
C
7
59
(
7
No
v
e
m
be
r
2
0
1
7)
it was
ru
l
ed
that:
Contingencies
are the hazards of
l
ife
that normally beset the lives and circumstances of ordinary people
(AA Mutual Ins
Co
v Van
Jaars
v
eld
reported in Corbett
&
B
u
cha
na
n
,
The
Quantum of Damages
,
Vol II
360 at 367) an
d
shoul
d
the
r
efore
,
by its
very nature
,
be
a
process o
f
subjective
impression or estimation rather than objective ca
l
culation
(Shie
l
d
Ins
Co
Ltd
v
Booysen
1979
(3)
SA
953
(
A
)
at
965G
-
H)
.
Contingencies
for
which
allowance
should
be
made
,
would
usually
include the following:
a.
the
possibility of illness which
would
have
occurred in any e
ve
nt
;
b.
inflation
or deflation of the value of money in future
;
and
c.
other
risks of life such as accidents or even death
,
w
hich
w
ould
have become
a
reality,
sooner or later, in any event
(Corbett
,
The
Quantum of Damages
,
Vol I
,
p 51)
.
[22]
It
was
argued that 0
%
contingency
should be
applied to the past loss of income.
I
do not agree
with that
,
and
5
%
is
both realistic
and
fair
and
take into consideration the
hazards
of
l
ife
[23]
The following
calculation was made by the actuary and
12.5%
contingency
was applied to the future loss of income and 5%
to
past loss. I
consider this reasonable under the circumstances
.
PAST
BUT FOR THE
ACCIDENT
HAVING REGARD TO HE
ACCIDENT
GROSS ACCRUED VALUE OF
INCOME
R 604 941,00
R 489 049,00
LESS CONTINGENCY
5%
R 30 248,00
R24 452,45
TOTAL VALUE OF
LOSSOF INCOME
R 574 693,00
R 464 596,55
R 110 096,45
FUTURE
GROSS ACCRUED VALUE OF
INCOME
R 1 473 496,00
R 313 289,00
LESS CONTINGENCY
12.5%
R184 187,00
R 117 483,00
TOTAL VALUE OF LOSSOF
INCOME
R 1 289 309,00
R 195 806,00
R 1 093 503,00
TOTAL VALUE OF LOSS
OF INCOME
R 1 864 002,00
R 660 402,55
R 1 203 599,45
[24]
The defendant
argued
that
plaintiff
'
s
pre and post morbid future earnings should be the same as she is
still employed by
her
daughter. This
however loses sight of the impact the injuries had on her earning
capacity
.
The
defendant argued that the plaintiff suffered no loss of income due to
the fact that
she
was paid in
full for the period of eight months that she did not work. However
,
the past loss
of income was not calculated from date of accident
,
this much is
clear from the calculation by the actuary. The loss of income has
been calculated from January 2018 (ie the last date
upon which she
received an increase)
.
## PAST
MEDICAL EXPENSES
PAST
MEDICAL EXPENSES
[25]
The plaintiff
incurred medical and hospital expenses as a result of the accident
and provided vouchers in the amount of R438 199
-
91
.
The defendant
only offered R650
-
00
,
the reason
being
,
according to
the defendant, that some of the amounts paid were done by her
daughter and some invoices remained unpaid
.
The
defendant's argument does not have any merits as there is no
requirement that all medical expenses need to be paid or need to
be
paid
,
by
the plaintiff herself
.
Therefore the
pla
i
ntiff
should be compensated for the proven past medical expenses
.
## GENERAL
DAMAGES
GENERAL
DAMAGES
[26]
General
damages falls within the discretion
of the court
,
comparable
cases
often
guide
the court
in
determining a
fair
and
reasonable
amount.
[27]
The defendant
referred me to the following cases
:
1.1
Radebe v
Road Accident Fund, [2019) LNQD 48 GP:
Plaintiff
admitted to hospital
.
Given
medication for the
right
leg
pain and discharged on the same day. Started e
x
periencing
lower back ache
.
Consulted
a general practitioner day after injury
.
Given
analgesics
.
Physiotherapy
treatment
.
Referred
to
orthopaedic
surgeon
8 months after injury. X-rays and MRI done
.
Given
pain medication
.
Admitted
to hospital
.
Non-steroidal
anti-inflammatory drugs administered. MRI showing disc changes at L5/
S1
.
Physiotherapy
continued. Pain due to lumbar disc injury and degeneration at L5/ S1
.
Spondylosis
predicted
.
Prolonged
neurocognitive impairments
.
Suffers
from somatoform pain disorder (form of mental illness that causes one
or more bodily symptoms
,
including
pain)
,
depression
and post-traumatic stress disorder
with
severe
symptoms of anxiety and memory impairment
.
3%
future risk of seizures
.
Severe
lower back pain at the time of injury
.
Acute
pain treated with NSAIDS. Pain becoming chronic
.
Sill
suffering from
an
agonizing
lower back
.
Pain
radiates to legs and right leg is more affected than left leg
.
Improvable
with medical treatment
.
Unable
to resume playing netball and football. Mobility has been seriously
affected. Cramps and weakness in both lower Iimbs
.
Unable
to sit or stand for long periods
.
Unable
to do household
chores
and
other activities of daily living due lower back pain
.
Experiences
depression and post-traumatic stress disorder with
severe
symptoms of anxiety
and
memory impairment
.
The
court awarded R450 000
in
respect
of
general
damages and the
current
value
of the award is R472 600
.
00
1.2
Bester
v AA Mutual Assurance 1972 LNQD 1 (C):
Plaintiff
sustained moderate injuries to the thoracic vertebrae
,
fractures
of TS
,
T6 and
TB, and to the cervical vertebrae
,
injury
of
CS
,
C6 and CB
,
a
fracture of the sternum
,
rib
fractures and a cracked jaw. Youthful age, intensity and duration of
pain and discomfort and stress during treatment period
and
recuperation thereafter
.
Scarring
caused by operation but scars to neck and face minimal. Latter only
warranting
a
minimal
award
.
Neck
and back pain permanent. Future neck and back operations
.
Loss of
activities such as badminton and running which continually exposes
the back to stress
.
Scarring
caused
by
operation
.
Hospitalised
for 15 days
.
Admitted
in unconscious state
.
Regaining
consciousness after
3
days
.
Caved
in chest making breathing difficult
.
Tracheotomy.
On respirator for 5 days
.
lntravenuously
fed
for
5
days.
Unable to eat due to jaw injury
.
Intubated
and fed through stomach tube
.
Also
intravenously and
with
soft
diet for 4
weeks.
Discharged
with bed rest for 1 month
.
Thoracic
vertebral fractures only discovered after discharge from hospital
.
Further
bed rest for 1 month. Noticeable spondylosis of the thoracic spine to
the front causing abnormal mechanical loading
when
engaged
in normal activities
such
as
walking
,
running
,
sitting
,
typing
,
driving
etc
.
resulting
in
pain
and discomfort. Osteo-arthritis in back diagnosed as permanent
.
Fusion
operation of neck
and
back
vertebrae predicted. Scarring caused by operation but scars to neck
and face minimal
.
The
current value of the award granted by the
court
is R543
900
.
00
.
[28]
The plaintiff
referred me to the following cases:
In
the matter of
Dickson v
SA Mutual Fire Insurance 1977 (2) C&B 725 (C)
,
the
Plaintiff was awarded R10 000.00 for general damages for two cervical
fractures
.
In
that matter
,
the Plaintiff
fractured the C7 and C11 vertebrae and the Plaintiff herein fractured
the C2 and C3 vertebrae
.
In that
matter, the Plaintiff also suffered from a stiff neck
.
The current
value of the award in that matter is
R436
502-50
.
[29]
In
Lawson
v RAF[ 2010 (6) QOD C4-I (ECP)
the
Plaintiff suffered a spinal injury as he had sustained fractures of
the L2
,
L3
and L4 on the right side of his spine together with an L4/L5 disc
extrusion with L4 nerve route compression. The Plaintiff was
in
continual discomfort
.
However
,
in that
matter
,
the
Plaintiff was a medical doctor pursuing a career as a surgeon
.
Due to the
accident
,
he
could not pursue that
career
but had to
enter into the field of specialist anaesthetist instead
.
Additionally
,
the Plaintiff
was also a well-accomplished sportsman
.
The Plaintiff
was awarded general damages in the sum of R300 000-00 with a current
value of
R553
117-00
.
[30]
In
M
obo
L
v
Thibedi & Another (7202/2008) [2019] ZAGPPHC 128 (24 April 2019)
the minor
child suffered scars that were cosmetically unsight
l
y
and disfiguring
,
conspicuous
and difficult to conceal and permanent but with some prospects of
revision
.
He
was awarded R450
,
000
-
00
which is
R569,920-00
in today
'
s
values.
[31]
In this instance
there is no question that the plaintiff was seriously injured and the
injuries impacted
in
her life
.
However
,
the reference
to a traumatic brain
injury
is
not
sustained by
the facts
.
It
is concerning
that experts
seem to draw inferences
,
in this case
about a mild
traumatic
brain injury,
without properly explaining to the court in their reports
,
what
this
diagnosis is
based on
.
It
is also concerning that experts venture out of their fields of
expertise. This occurrence has become more prevalent in circumstances
where reliance is placed on expert evidence without leading oral
evidence
.
The
plaintiff carries the
onus
to
prove
the damages
and should
therefore ensure that sufficient
information is
put before the
court
.
Neither
the case law
,
nor the
evidence placed before this court justifies the proposed claim of
R850 000-00 for general damages
,
which the
plaintiff's counsel submitted
is
fair and
reasonable
.
[32]
Taking into
consideration all the circumstances of the case I am
of
the view that
an amount of R550 000-00 in general damages is reasonable
.
[33]
The following
order is made
:
The
defendant is ordered to pay to the plaintiff:
a.
Past
hospital
and
medical
expenses in the
amount
of
R438
199- 91;
b.
In
respect of general damages, R550 000-00;
c.
For
loss of earnings, R1 203 595-45;
d.
To
provide
an
undertaking
in terms of
section 17(4)
of the
Road Accident Fund Act, No 56 of
1996
; and
e.
To pay
the costs of the
action,
including the qualifying fees of the experts who filed reports in
this matter.
R
G TOLMAY
JUDGE
OF THE HIGH COURT PRETORIA
DATE
OF HEARING:
1 FEBRUARY 2023
DATE
OF
JUDGMENT:
ATTORNEY
FOR PLAINTIFF:
DE BROGLIO ATTORNEYS
INC
ADVOCATE
FOR PLAINTIFF:
ADV J ERASMUS
ATTORNEY
FOR RESPONDENT: MKHONTO &
NGWENYA INC
ADVOCATE
FOR RESPONDENT: Me T K
GAOKGWATHE
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