“(1) Proceedings for contempt of court may be brought against a person if he makes, or causes to be made, a false statement in a document verified in a statement of truth without an honest belief in its truth. (Part 22 makes provision for a statement of truth) (2) Proceedings under this rule may be brought only- a) By the Attorney General; or b) With the permission of the court.”
“… the exaggeration which I have described falls within the bounds of familiar and understandable attempts to make sure that doctors and lawyers do not underestimate a genuine condition, rather than indicating an outright attempt to mislead in order to increase the value of her claim beyond its true worth.”
“I do not think that the plaintiff was deliberately lying. I think there is a failure on her part to recognise that there are times when she can do much more than she does, and in fact to recognise that on occasions she does do more for herself. I think there is force in the submission that once the plaintiff was regarded as limited in her capabilities, it was easy for her to regard that as the norm, whereas in fact it may reflect the situation when she is at her worst. It is the nature of the illness that it fluctuates.”
“I could no longer go fell-walking or do a lot of the outdoor activities that I used to do. I could not do any heavy domestic chores. Other than light propagating I could not do any more gardening. I had to adjust to a limited lifestyle.”
“Chronic fatigue, exhaustion, chronic pain, stiffness, swollen and inflamed joints, non-restorative sleep and sleep deprivation, irritable bowel, alternating diarrhoea and constipation, frequent and severe headaches, muscle weakness, dizziness, numbness, tingling and pins and needles, ear aches, tinnitus, middle ear dysfunction awaiting newly prescribed hearing aids, balance problems, hand grip weak problem with writing due to thumb inflammation. Severe sweating at night and periods throughout the day.”
“Standing in one position without having to move severely increases pain in ankles, knees, pelvis, hips, lower back, neck, shoulders, elbows and hands due to elbow crutches required. The effort causes chronic fatigue and the effort can cause sweating, muscle spasms. I need to lie down to reduce the pain, muscle spasms and recover from the exhaustion. I use walking sticks around the house when needed and two moulded handled elbow crutches when going out. Walking is very slow and increases pain levels considerably as detailed in “standing section” above but the extra effort of walking with crutches results in a longer period of rest being required to recover and reduce pain, muscle spasms, sweats and chronic exhaustion.”
“I have memory loss and say words which I did not mean to say but am unaware that I have said the incorrect word or phrase. This causes confusion for me and who I am speaking to because I cannot understand why they cannot understand me.”
“I do not have ‘normal daily living’. Each hour of each day is different. My sleep disturbance and deprivation together with chronic pain from head to toe, limb stiffness, and joint swelling, sweats, memory impairment and loss of concentration, numbness, tingling and pins and needles, loss of hearing, multiple tender points over body and chronic exhaustion all result in my quality of life is so low I sometimes feel like I cannot endure any more.”
“Mrs Kirk currently appears to be significantly disabled. I feel that her perception of her disability is greater than her physical capability but this is a feature common to patients with fibromyalgia. However it is now three years since the road traffic accident and despite treatment she remains disabled without any significant improvement. Although she does not appear to have any previous significant psychological illness that would indicate a poor prognosis, persistent disability at this stage indicates a poor prognosis. In my opinion it is unlikely that she will be able to return to part-time employment within a five year period.”
“I would say that on the whole since returning to work in October 1998 my general health pre-accident was very stable… prior to this accident I have had no symptoms that would be connected with fibromyalgia. I was very well prior to this RTA.”
“Since the accident I have been unable to sew any curtains as I cannot sit at the machine and handle the weight of the fabric-let alone cut out. This is a great loss to me as I miss this creative aspect of my life greatly. I also used to play squash, badminton, yoga, step-aerobics, fell-walking, cycling, swimming, weekly Tai Chi…. I have always been a keen gardener and in 1999 when we moved to our current house we have a large greenhouse and vegetable garden where I grow from seed all hanging basket plants, potatoes, tomatoes… we moved to our present address in 1999 and had to refurbish the whole house doing all the internal demolition and installation and decoration ourselves with the exception of central heating system.”
“The difficulty at present however is in resolving the difference between Mrs Kirk’s verbal and written evidence and that of the covert video surveillance. The most extensive video evidence is on the7th December 2005 . She had been examined however by Dr Bernstein in October 2005 and had completed an application for disability in January 2006 and both the comments she gave to Dr Bernstein and the comments on the application in 2006 are not consistent with her abilities on the video surveillance. The explanation for this is either that on each occasion she was videoed and particularly on 7th December these occasions happened to be a very good day, or that she has either consciously or sub-consciously exaggerating her disability. In my opinion her ability on the video both in terms of upper limb movements and lower limb movements from the evidence of the 7th December is not consistent with her history of significant disability and although it could be argued that this would have been a better day than most, in my experience her ability is beyond that of the range that I would anticipate someone with the description of disabilities Mrs Kirk has described. It is therefore my conclusion that Mrs Kirk has exaggerated her disability during the course of her recent examination for the purpose of this Report and possibly also in the earlier Report when I examined her only six months before the first video evidence. It is difficult to be confident whether her exaggeration is wilful or subconscious. It is my opinion that the perception of disability in many patients with fibromyalgia is different than the reality. Therefore it is possible that the exaggeration in Mrs Kirk’s symptoms and disabilities is subconscious. Nevertheless there is no doubt that there are significant inconsistencies between the amount of disability expressed by Mrs Kirk and the reality and although it remains likely that she had developed fibromyalgia following the road traffic accident, the degree of inconsistency between her Report and her ability on video evidence is such that it is difficult to be confident about her diagnosis.”
‘What is the maximum distance you can walk without stopping, severe discomfort, or help from another person?’
"3) Please look at page 6 where the box next to the statement '1 cannot sit comfortably for more than 10 minutes, without having to move from the chair' has been ticked. Was this true? Reply:- Yes, I ticked the box based on the first part of the question about not being able to sit comfortably for more than 10 minutes. I do not always have to get up, but often have to move or adjust my position. 4) Please look at page 8 where the box next to the statement 'I cannot walk more than a few steps without stopping or feeling severe discomfort' has been ticked. Was this true? Reply:- Yes. 5) Please look at page 9 where, in the box headed 'walking', is handwritten: 'I use walking sticks around the house when needed and two moulded elbow crutches when going out. Walking is very slow and increases pain levels considerably as detailed in "standing section" above but the extra effort of walking with crutches results in a longer period of rest being required to recover and reduce pain, muscle spasms, sweats and chronic exhaustion'. (i) Whose handwriting is this? Reply:- My husband's handwriting - see page 19 (ii) Was this true? Reply:- Yes, I used walking aids when needed, both at home and outdoors. 6) Please look at page 17 where, in the box headed 'You may be asked to attend a medical examination by a doctor. Please use the space below to tell us about any special needs you would have if you were asked to attend an examination. Tell us about things like ... if you have difficulties walking up and down stairs; if you must have someone to attend with you because of your medical condition', is handwritten: 'I would have difficulty walking up and down stairs. I would also have difficulty driving to the venue and I would need someone to bring me'. Was this true? Reply:- Yes. 7) Please look at page 18 where, in the box headed 'Please use this space to tell us anything else you think we might need to know about' is handwritten: '... the occupational doctor at my employers... has noticed a deterioration in my health. ... My family used to enjoy ... shopping ... [which is] no longer possible for me with the exception of the occasional shopping trip when I am in my wheelchair'. 8) Had your health deteriorated during the period there described? Reply:- Yes. (ii) Were these statements true? Reply:- Yes." b). In relation to Dr Bernstein's examination of the Claimant, the Claimant was asked: "
"(d) Please look at page 3 where in the box headed '2. What is the maximum distance you can walk without stopping, severe discomfort, or help from another person?' is handwritten '10 STEPS ON A GOOD DAY; BED RIDDEN ON BAD DAY[S?]' Was this true? Reply:- Yes, after ten steps I would be in severe discomfort. (e) Please look at page 3 where in the box headed '3. Do you regularly use a walking aid?' is handwritten "
“[Mrs Kirk] suffered neck pain which radiated out into her shoulders… Her symptoms settled down, only to flare up severely in January 2002…. Her symptoms deteriorated causing her lower back to flare up during the summer of 2002 resulting in her being signed off work on7 October 2002 ”
“(1) The Respondent’s complaints about “difficulties getting in and out of bed - need assistance”, “problems climbing stairs”, “balance problems”, “require elbow crutches and/or wheelchair” and “unable to go shopping unaided”. (ii) The Respondent’s statement that “walking around the house is sometimes not possible, but other days I can walk around my house at a slower pace. I have been provided with moulder grip elbow crutches and a wheelchair, which are used as required….Since June 2004 I have been less able to walk….”