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[1997] ZASCA 93
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Sibanyoni v Mutual and Federal Insurance Company Ltd. (390/95) [1997] ZASCA 93 (14 November 1997)
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Case no: 390/95
In the matter between:JOHN PHIKI SIBANYONI Appellant
and
MUTUAL & FEDERAL INSURANCE
COMPANY LIMITED Respondent
Coram: Mahomed CJ, Van Heerden DCJ, Vivier, F H Grosskopf et Harms JJA
Heard: 9 September 1997 Delivered: 14 November 1997
2 JUDGMENT
F H GROSSKOPF JA:
On 19 June 1990 the appellant was a passenger in a taxi which collided with another vehicle at an intersection in Johannesburg. The
appellant, who was 53 years old at the time, suffered certain bodily injuries as a result of the collision. He claimed damages from
the respondent which was the appointed agent within the meaning of the provisions of the Multilateral Motor Vehicle Accidents Fund
Act 93 of 1989. The respondent conceded liability, but disputed the quantum of damages claimed by the appellant.
It is common cause that the appellant sustained a head injury in the collision. The main point in dispute was whether such head injury
caused the disabilities which eventually led to the appellant being medically boarded in April 1992 by his employer, Sasol Oil ("Sasol").
The respondent does not dispute that the appellant also suffered certain other bodily injuries as a result of the collision, namely
a dislocated left shoulder, compound fractures of the fourth and fifth metacarpals of the
3
left hand, as well as minor abrasions.
The collision occurred at approximately 18:30 and it would appear that the appellant only regained consciousness at about 20:00 in
the Hillbrow Hospital. He was admitted for neurological observation and treatment of the other conditions. The appellant was discharged
the following morning. He subsequently received treatment as an outpatient for the fractured metacarpals.
The matter was heard by BHeden J in the Witwatersrand Local Division.
Dr Zwonnikoff is a specialist neurosurgeon who testified for the appellant. He examined the appellant in November 1991 and found that
he had a residual left-sided hemiparesis or weakness as a result of the head injury sustained in the collision. He examined the appellant
again in September 1992 and concluded that the head injury was the most likely cause of the appellant's subsequent disabilities,
which included one or more epileptic seizures during early October 1991.
4
Dr Du Plessis is a specialist neurologist who examined the appellant in August 1993 at the request of the respondent. Dr Du Plessis
testified for the respondent at the trial. He was of the view that the appellant had probably suffered one or more strokes as a result
of his pre-existing hypertension, and that the hypertension was the real cause of the appellant's problems. He agreed with Dr Zwonnikoff
that the appellant probably suffered an epileptic seizure in October 1991 but said that it was not uncommon for a patient to have
a seizure as the first sign of a stroke. He further concluded that at the time of his examination in August 1993 there was no evidence
of a neurophysical abnormality.
Three other medical practitioners testified at the trial. Dr Grobler, who was the medical adviser to Sasol, agreed with Dr Zwonnikoffs
conclusion of a left-sided hemiparesis. Dr Botha testified to an incident described as a mild stroke suffered by the appellant in
1985. The third medical practitioner was Dr Keikelame who gave evidence for the
6
other beverages to the senior managers of Sasol. Duursema and three other Sasol staff members told the court a quo that the appellant's
work performance had deteriorated after the collision.
Having considered all the evidence the learned trial judge concluded that it was not possible for him to decide on a balance of probabilities
which of the medical theories regarding the aetiology of the appellant's condition was the correct one. The court a quo further found
that the appellant was not an honest witness, that Duursema's evidence was largely of a hearsay nature, and that the evidence of
the three staff members at best was equivocal. The court a quo accordingly found that the appellant failed to prove that the disabilities
which led to his early retirement had been caused by his head injury. This decision affected the extent of the appellant's claim
for general damages and brought about the dismissal of his claim for future loss of earnings.
Judgment was granted in favour of the appellant in the sum of R3 097,00 (R3 000,00 in respect of general damages and R97,00 for the
7
agreed hospital fee) together with costs on the relevant magistrates' court scale. The parties were given ten days to make representations
with regard to the costs order. It does not appear from the record that any such representations were made.
Leave to appeal to this court was granted by the court a quo.
The appellant started working for Sasol in February 1969. For many years he was responsible for making tea and serving it to the senior
managers on the fourth floor at Sasol's head office in Rosebank. He also served tea at board meetings held in the boardroom on the
fourth floor. He knew what each manager preferred to drink and when he had to serve it. The appellant was illiterate and therefore
had to rely entirely on his memory in order to perform these duties properly. Duursema described the appellant as a "very -very
reliable and diligent" worker who had no problem with his memory before the collision in June 1990.
It is common cause that the appellant suffered from chronic and
8
sometimes uncontrolled hypertension for some time prior to the collision.
There is evidence of an incident which occurred on 5 November 1985
for which the appellant received treatment at the Natalspruit Hospital.
Dr Botha testified that when he examined the appellant on 18 November
1985 somebody (probably the appellant himself) told him that he had
suffered a mild stroke. By that time the symptoms had cleared up, but
the appellant was found to be hypertensive and he prescribed treatment
for that condition. The record shows that during the period before the
collision the appellant often suffered from hypertension and then usually
stayed away from work for one or more days on the strength of a
medical certificate. One should, however, distinguish between his
absenteeism on the one hand and his fitness and ability to work on the
other. There is no evidence to show that his hypertensive condition
affected his performance or quality of work prior to the collision.
When comparing the appellant's work performance before and after the collision it can be accepted that prior to the collision he was
a
9
competent worker who carried out his task to the satisfaction of his employer. This conclusion is borne out by the evidence of Duursema
and that of Mrs Cornelius, a secretary who joined Sasol in 1982. The appellant often assisted her in serving tea at board meetings.
Mrs Cornelius described the appellant as "'n puik werker en goeie werker" . She got to know him well and always found him
to be friendly, polite and helpful. He told her that he was hypertensive but according to her this caused no problem as far as the
quality of his work was concerned. Her evidence regarding the appellant's work performance prior to the collision was supported by
the testimony of Mrs Taedi and Mr Mabuyangwe, two other co-employees of the appellant.
The appellant was involved in the collision on 19 June 1990 but he only returned to work on 8 August 1990. He consulted Dr Keikelame
on three occasions during this interim period of seven weeks before he returned to work. It was Dr Keikelame's practice to record
briefly what happened at each consultation and his notes form part of the
10
documentary evidence. The appellant's blood pressure was high when he consulted Dr Keikelame for the first time on 25 June 1990, six
days after the collision. He was treated for hypertension and his blood pressure was normal when he was subsequently examined by
Dr Keikelame on 28 June and 13 July 1990. Dr Keikelame accordingly
concluded that it was easy to control the appellant's blood pressure.
There is in any event no evidence to suggest that the appellant suffered a stroke or any other trauma unrelated to the collision during
this interim period.
It is important to determine whether the appellant could effectively deal with the work situation after his return on 8 August 1990.
Duursema testified that during the second serving of tea on the very first morning the appellant had to be relieved of his task because
he was unable to cope with the work. Duursema received numerous complaints in connection with the appellant's poor performance that
morning, and it is accordingly uncertain to what extent Duursema relied on hearsay.
11
He testified that the appellant's memory had failed him and that he was continuously making mistakes in serving the tea. Duursema
further testified that the appellant complained that he had difficulty in carrying the tea trays because his arm was not strong enough.
He was spilling tea over people and some of them even thought he was intoxicated. This too may be hearsay. What is clear however
is that Duursema personally spoke to the appellant who complained that he was not feeling well since the accident and that his arm
was not strong. It is highly unlikely that Duursema would not at the same time have discussed the appellant's poor performance with
him.
Duursema came to the conclusion, be it partly on hearsay, that the appellant was not capable of serving the tea properly and he arranged
for the appellant to go down to the second floor where the work was less demanding. Duursema must have regarded the appellant's performance
that morning in a very serious light in order to have taken such drastic action against an otherwise competent old employee. The
appellant's
12
task on the second floor was to fill the large water bottles and the vending machine with water and to put the powders of the various
beverages into the vending machine.
Duursema intended to give the appellant time to recover, but his condition did not improve. The position actually got worse, but Duursema
was unaware of it. It subsequently transpired that the appellant sometimes forgot to fill the vending machine and that he was incapable
of lifting heavy objects such as the large water bottles. It was only in September 1991 at a disciplinary hearing that it came to
light that the appellant's co-employees had in fact been covering for him all the time. That would explain why management was unaware
of the appellant's inadequate performance and why he was employed for such a long time after the collision.
Certain aspects of Duursema's evidence are unsatisfactory and call for adverse comment. There is, for instance, the merit appraisal
form of 27 April 1991 in which Duursema assessed the appellant's work
13performance as "normal". The following comment appears in this form:
"Mnr Sibanyoni se deeglikheid om take uit te voer asook sy positiewe houding laat hom in alle sleutel prestasie areas volgens
vereiste presteer."
Duursema's explanation was that this report was correct, consideringwhat had happened to the appellant, and based on his previous work
record. Duursema did eventually concede that the report was not a true
reflection of the appellant's ability or capability at the time.
The court a quo did not find Duursema to be a dishonest or
unreliable witness and I have no reason to come to a different
conclusion. The court a quo did, however, consider his evidence to be
"largely of a hearsay nature". Duursema's evidence regarding the
appellant's performance prior to the collision is clearly based on his own
knowledge and observations. In describing the appellant's poor
performance on his return to work after the collision Duursema did not
14
rely only on the complaints of others, but also on his personal
observations, his knowledge of the appellant and his discussion with the
appellant that morning. As far as Duursema was concerned
"it was two different Johns. Prior to the accident very very little if any interference and/or supervision necessary. Subsequent
to that completely unreliable."
Duursema's evidence that the appellant was not capable of performing his task as tea server when he returned to work after the collision
was corroborated by Mrs Cornelius. As will appear from the evidence of Mrs Taedi and Mr Mabuyangwe they also concluded that the appellant
was a changed person after the collision.
Counsel for the respondent submitted that the appellant's absence after the collision for seven weeks caused him to forget how to
serve tea to the managers. I have difficulty in accepting that argument, particularly in view of Duursema's evidence that the appellant's
memory
15
had never failed him before. I further cannot agree with counsel's submission that the appellant's physical inability to cope with
the work on the fourth and later on the second floor can simply be attributed to his orthopaedic constraints after the accident.
There is no evidence to justify the submission. The evidence in fact shows that the left-sided weakness got worse instead of better
after his return to work.
I agree with the learned trial judge that no reliance can be placed on the appellant's testimony, but I respectfully disagree with
his conclusion that the three co-employees "[did] not take the matter much further as their evidence at best [was] equivocal"
and, with the possible exception of Mabuyangwe, "[did] not go anywhere to show that the [appellant] was a different person after
the accident to what he was before".
When considering the evidence of the appellant's three co-16
employees it should be borne in mind that they were lay witnesses who
described the appellant's physical and mental condition and his work
performance in lay terms.
I have already referred to the evidence of Mrs Cornelius insofar
as it relates to the appellant's performance at work before he was
involved in the collision. She gave the following further evidence
regarding the difference in his performance after the collision as she
observed it:
"Na die ongeluk was daar definitief 'n verandering in John te
bespeur
Ek het opgemerk ... sy reaksies is baie stadiger en hy het gou moeg geword en heelwat gesit. Dit was nie vir my aanvaarbaar nie, veral
nie in my werk nie."
In response to a question by the learned trial judge as to whether shehad noticed any change she replied:
"Ek dink in die verandering wat daar plaasgevind het na die
17
ongeluk was hy nie meer geskik vir die pos wat hy op die vierde vloer beklee het nie.
Nou hoekom se u so? — Omdat sy reaksies stadiger was en ons het spoed nodig daar waar ons werk. En ek dink net sy gesondheid het dit nie meer toegelaat
nie."
Mrs Taedi was another staff member who used to work with theappellant at Sasol's head office. The appellant was the person who had
taught her how to make and serve tea, and she regarded him to be "very
good at his work". After he had been involved in the collision, and
while he was still recuperating, she served tea to the managers on the
fourth floor. On the day of the appellant's return she was asked to take
over from him once again because he could not cope with the work.
The appellant was taken to the second floor to attend to the vending
machine. When she saw him some time thereafter on the second floor
he complained to her about his inability to lift the bucket in order to
pour water into the coffee machine, and to pick up the big water bottles
18
to put them onto the stands.Mabuyangwe, who was a clerk in Sasol's administrative
department, knew the appellant well. He regarded the appellant as a
competent worker before the accident. When asked to comment upon
the appellant's performance and health after the accident Mabuyangwe
responded as follows:
"After the accident I saw John as a changed man. He did not perform like he used to perform before the accident. That is, if
I may elaborate, he was slower and then he was weak again, so he could not really perform exactly the same way as he used to perform
before the accident....
In what way had he changed? — He was weak and slow. That is he did not perform his duties as before.
Court: And was there any consequence, was there any result in that? — Yes, the results were that John was changed from his main job and given a lighter job but still he could not perform very well because
he had to carry heavy stuff, that is water. Putting water in the coffee machines, because water is heavy he could not do it so someone
was helping him."
Mabuyangwe's evidence was not challenged at all.19
The evidence of the appellant's three co-employees shows that he was much slower after the accident than before, and always tired.
He also displayed a distinct physical weakness after the accident. This weakness manifested itself not only on the day when he returned
to work, but also subsequently when he was incapable of lifting heavy objects while working on the second floor.
The testimony of the appellant's wife provided further proof of his physical weakness and loss of memory after the accident. She described
the appellant as a different person after the accident and said that he often complained about his health. One of the complaints
which she specifically mentioned was that "his left-hand side [got] tired". She also said that his main complaint was that
"his one side [was] not working". She further testified that whereas his memory had been good before the accident it failed
him thereafter. To illustrate how poor his memory had
20
become she referred, to instances where he had attended township meetings but where he had forgotten what had been discussed or resolved
at the meeting by the time he got home.
The appellant actually started complaining about weakness fairly soon after the accident. Dr Keikelame recorded complaints of weakness
when the appellant consulted him on 22 September 1990 and again on 28 October 1990. According to Dr Keikelame he initially thought
that there might be an element of hypochondria as far as the appellant's complaints of weakness were concerned, seeing that the appellant
had been injured in the collision on the left side of his body. When he became aware in January 1992 that the appellant was definitely
weak on the left side he realised that the appellant's earlier complaints of weakness might have been genuine all along, and that
he might have misunderstood the appellant and therefore omitted to make notes of his
21complaints of weakness at the time.
Dr Keikelame treated the appellant for hypertension. He usually recorded the appellant's blood pressure readings when he examined
him and it is of some significance that those readings were as a rule within normal limits. The appellant consulted Dr Keikelame
fairly regularly over the period June 1990 to January 1994 but Dr Keikelame's medical examinations of the appellant at no stage revealed
any evidence of a stroke, notwithstanding the appellant's allegation in January 1992 that he was told (probably by somebody at work)
"that he had a stroke".
The appellant's wife accompanied him to Dr Keikelame on 2 October 1991 and she then described an episode which indicated to Dr Keikelame
that the appellant must have had an epileptic seizure the night before. When her description of the episode was later recounted to
Dr Zwonnikoff he agreed that the appellant had suffered an epileptic
22
seizure. The appellant and his wife went to see Dr Keikelame again on 4 October 1991 and it then transpired that the appellant had
probably suffered another epileptic fit since 2 October 1991. The appellant's blood pressure readings were nevertheless within normal
limits on 30 September and again on 4 October 1991, ie immediately before and after the two suspected seizures.
Dr Keikelame did not record any complaints by the appellant on 2 and 4 October 1991 of a left-sided weakness as a result of the seizures,
yet when Dr Grobler and Dr Zwonnikoff examined the appellant shortly thereafter they both found him to suffer from a left-sided hemiparesis.
The fact that no complaints of weakness were recorded therefore does not necessarily mean that the appellant did not complain or
did not have reason to complain of weakness.
The appellant went back to work for a short spell in October 1991.23
He was again booked off work by Dr Keikelame from 22 October 1991
to January 1992, but he never resumed working again until he was
finally boarded on 1 April 1992.
Dr Grobler gave evidence for the appellant. He was the medical
adviser to Sasol at the time when he examined the appellant in October
1991 at the instance of Mrs Goedhals of Sasol's personnel services. In
her letter dated 16 October 1991 to Dr Grobler Mrs Goedhals made no
reference to the appellant's physical inability to perform his duties
properly. She did however mention that he was suffering from high
blood pressure. The problem, according to her letter, was that the
appellant stayed away from work. She explained the situation as follows
in her letter:
"Die probleem egter is dat John die afgelope 2-3 jaar net van die werk af weg bly en altyd met 'n siekte sertifikaat later weer
opdaag. Dit blyk ook altyd te wees net nadat daar 'n bietjie druk
24
op hom geplaas is by die werk. Op Vrydag 27 Sept. was daar 'n dissiplin
re verhoor teen Hom a.g.v. ongemagtigde afwesigheid (sy vrou was siek) vir 4 dae. Daarna was hy nog nie weer terug by die werk nie
- net aangehegte siekte sertifikaat gestuur."
Counsel for the respondent submitted that the problem as statedby Mrs Goedhals was unrelated to the appellant's performance in the
workplace. He further pointed out that her letter to Dr Grobler made no
mention of the appellant's alleged poor memory or physical inability to
perform his duties properly. Mrs Goedhals did not testify at the trial and
counsel for the respondent submitted that an adverse inference should
be drawn against the appellant for not calling her as a witness.
Duursama testified that he actually discussed the appellant's work
performance with Mrs Goedhals at the time and he could not explain
why she had omitted to mention it in her letter to Dr Grobler. It is
indeed strange that Mrs Goedhals's letter made no reference to the
25
appellant's poor working performance, but I do not accept, as wassuggested by counsel for the respondent, that the real reason for her
failure to mention it was because Duursema never told her of the
appellant's poor working performance simply because it was not true.
Counsel's argument loses much of its force when regard is had to the
contents of a subsequent letter which Mrs Goedhals wrote to Dr Grobler
on 22 January 1992. That letter made the followings specific reference
to Duursema's view that the appellant was incapable of doing the work:
"Aangeheg 'n verslag en sertifikaat van dr. Keikelame wat daarop dui dat Sibanyoni nie medies ongeskik is vir sy pos as teebediener
nie. Lynbestuur [ie Duursema] voel egter die teendeel - se die werknemer kan nie skinkborde met tee dra of die waterhouer hanteer
nie."
It should further be borne in mind that there are a number of credibleand reliable witnesses who support Duursema with regard to the
appellant's poor working performance after the accident.
26
Mrs Goedhals informed Dr Grobler of the appellant's hypertension while the appellant himself told Dr Grobler of his head injury. Dr
Grobler's examination of the appellant showed a left-sided hemiparesis. Although he was aware of the appellant's hypertension and
his head injury he could not determine the exact cause of the appellant's hemiparesis and he accordingly referred the appellant to
Dr Zwonnikoff for further examination. At the same time he advised Dr Zwonnikoff of the appellant's history of hypertension as well
as his head injury.
Dr Zwonnikoff examined the appellant in November 1991 and confirmed Dr Grobler's diagnosis of a left-sided hemiparesis. He also found
a mild but definite intellectual deficiency. It appears from Dr Zwonnikoff's report that the appellant himself told him that he "had
a degree of weakness of the left side" since the time of the collision. Dr Zwonnikoff testified that the appellant told him
"that his problem
27
stemmed from the accident". He concluded that the appellant had a residual left-sided hemiparesis, involving primarily the left
leg, as a result of the head injury he had sustained in the collision on 19 June 1990. He thought the appellant would be fit only
for employment in an environment which did not require anything more than basic intellectual and motor skills.
Reference has been made to the letter which Mrs Goedhals wrote to Dr Grobler on 22 January 1992. Annexed to that letter was Dr Keikelame's
confidential medical report on the appellant in which he expressed the view that the appellant was not totally disabled from following
his occupation. It appears from the letter, as pointed out above, that Sasol's management did not share Dr Keikelame's view. Management
(Duursema) maintained that the appellant was incapable of carrying a tray with tea or handling the water bottles. In her letter of
22
28
January 1992 Mrs Goedhals asked Dr Grobler for his recommendation
in the light of the available medical information. Dr Grobler replied on
30 January 1992 and recommended that a disability pension be paid to
the appellant. Such a disability pension was granted by Sasol and the
appellant was medically boarded on 1 April 1992 at the instance of
Duursema and on the medical advice of Dr Grobler and Dr Zwonnikoff.
Dr Grobler and Dr Zwonnikoff examined the appellant once again
in September 1992 and they both found that the appellant was still
suffering from a left-sided hemiparesis. According to Dr Zwonnikoff the
appellant's condition had deteriorated since he last saw him in November
1991. Dr Zwonnikoff also reaffirmed that there was some intellectual
impairment. Both he and Dr Grobler found the appellant to be totally
and permanently unfit for any form of gainful employment when they
examined him in September 1992.
29
The medical experts agreed that the appellant suffered at least one epileptic seizure during the beginning of October 1991, but the
cause thereof remained in dispute. Dr Zwonnikoff was quite confident on medical grounds that the appellant's epilepsy arose as a
result of the head injury, while he could find no evidence of a stroke which might have been the cause of the appellant's weakness.
Dr Du Plessis on the other hand could not confirm that the appellant had suffered a stroke, but he was convinced that the appellant's
hypertension, and not his head injury, was the real source of all his problems.
The respondent contended that there was documentary evidence forming part of the record which showed that the appellant suffered "a
collapse" and a "syncopal episode" in May 1991. Dr Lengane certified that he examined the appellant on 6 May 1991.
The nature of his illness was described as "hypertension - led to collapse". Dr Lengane referred
30
the appellant to Dr Amanjee, a specialist physician, who recorded that he treated the appellant on 8 May 1991 for "hypertension"
and a "syncopal episode". Both doctors mentioned hypertension as a problem, but since neither of them testified at the
trial it remained uncertain what the true nature of the appellant's "collapse" or "syncopal episode" had been.
Dr Du Plessis regarded the so-called collapse and syncopal episode as symptoms which were compatible with hypertension, but he did
not describe either of them as a stroke.
The appellant underwent two brain scans, an ordinary Cat-scan and a Magnetic Resonance Imaging or MRI-scan. There was no evidence
according to Dr Zwonnikoff of any form of stroke in either of the two scans done on the appellant. He was of the view that if the
appellant had suffered a stroke severe enough to cause weakness the incidence of a positive scan was in excess of 90% on an MRI-scan.
Dr Du Plessis
31agreed that if one postulated multiple strokes they would more likely have shown on a scan than a concussive injury.
The respondent relied on the evidence of Mrs Painter in support
of its contention that the appellant's brain damage was focal and that his
disabilities were therefore probably a consequence of a stroke or strokes.
There was much debate as to whether the appellant's brain damage was
focal (which would be more consistent with a stroke) rather than diffuse
(which would be more consistent with trauma). Both Dr Du Plessis and
Dr Zwonnikoff expressed the view that the appellant's brain damage was
more diffuse. Mr Mallinson's evidence was to the same effect. Neither
of the two neuropsychologists could however indicate with any measure
of certainty whether the appellant's problems were the result of one or
more strokes or a traumatic head injury. The court a quo accordingly
32
found it impossible to decide on a balance of probabilities which of theneuropsychologists's theories was the correct one. I have the same
difficulty in deciding this aspect of the case on the probabilities.
Dr Du Plessis gave the following evidence in chief:
"It must be borne in mind that a stroke can give you cognitive impairment just as much as a head injury can. So I have got no
problem that there is cognitive and/or neurophysical problems that led to his laying off. My problem is that looking through the
records that were made available to me it was my understanding of those records that the problem did not arise as a consequence of
the head injury but as a consequence of the incident in October 1991."
The learned trial judge then pointed out to him that there was evidencefrom the appellant's fellow workers that when he came back to work
after the collision he was not able to function as before, and Dr Du
Plessis thereupon acknowledged that he was not aware of such evidence.
In the course of cross-examination Dr Du Plessis made the
33
following significant concession in this connection:
"....if the weakness was there before this whole thing [the October 1991 incident] started and it was there after the accident,
then obviously the weakness is related to the accident and I have never
denied that if there
is evidence, that there is a weakness from
the day of the accident, that that must then be the cause. But the information that was available to me did not indicate that...."
Dr Du Plessis further conceded that if there was reliable evidence of areal change in performance by the appellant after the collision
"then one must accept that something else - that the head injury must have been more severe than anticipated initially."
I have indicated above that there was indeed credible and reliable evidence of Dr Keikelame, the appellant's wife, Mr Duursema and
other lay witnesses to the effect that the appellant not only complained of weakness shortly after the accident, but also displayed
actual weakness and loss of memory.
Dr Du Plessis did not dispute that there were disabilities. He34
accepted that the appellant's cognitive functions were impaired and that there was evidence of weakness when the appellant was examined
by Dr Zwonnikoff and Dr Grobler in October and November 1991 and by Dr Keikelame in January 1992. Dr Du Plessis also accepted that
there were reasons for Dr Grobler to board the appellant. He made these concessions despite the fact that he was not able to find
a weakness when he examined the appellant in August and November 1993.
The evidence of the appellant's weakness and his inability to cope with his work shortly after the collision no doubt lends support
to his case that his disability was caused by the head injury sustained in the collision. The respondent's expert, Dr Du Plessis,
in effect conceded that such evidence would show that the weakness was related to the accident. I therefore agree with counsel's
submission on behalf of the appellant that the temporal coincidence between the collision on the one hand and
35
the onset of the appellant's inability to cope with his work on the other hand created an inescapable probability of cause and effect.
In view of the aforegoing I am of the opinion that the appellant succeeded in proving that the head injury which he sustained in the
collision was the most likely cause of his disabilities. It follows that the appellant has proved that the consequences of the head
injury were a left-sided hemiparesis, epileptic seizures and cognitive and intellectual impairment. As a result thereof the appellant
was unable to continue with his work at Sasol and he was consequently medically boarded. These findings obviously affect the quantum
of damages.
The appellant claimed that he suffered the following damages asa result of the injuries sustained in the collision:
Agreed hospital fee 97,00
Future medical expenses 20 000,00
Past loss of earnings 1 884,82