Canada Judgment

Supreme Court of British Columbia

Chahal v. Sandhu

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Professional case brief

Research organized from the available case record

Source document

01

Holding and result

Given the distinct nature of alleged head/neurological injuries and separate musculoskeletal injuries, and the accepted principle that multiple IMEs may be necessary, the court exercised its discretion to allow the second IME as not unduly duplicative or premature and permitted objections to overlap to be addressed at trial.

Court disposition

Application granted

Orders

  • Plaintiff ordered to attend an independent medical examination with Dr. Khan on July 24, 2020.
  • Plaintiff ordered to pay defendants' costs of the application in any event of the cause on Scale B.

02

Material facts

Parties

Anchaljit Kaur Chahal

Plaintiff Counsel: B. Yu

Jagdeep Singh Sandhu

Defendant Counsel: H.S. Rehlan

Newton-Whalley Hi Way Taxi Ltd.

Defendant Counsel: H.S. Rehlan

Amounts and remedies

  • Trial Length Days: 5
  • Exchange Deadline Days Before Trial: 84

03

Procedural history

  1. Posture

    Motor Vehicle Personal Injury / Pre Trial Interlocutory Application for Independent Medical Examination (ime)

04

Questions and positions

Legal issues

Party arguments

Applicant
Defendants argued the physiatrist (Dr. Khan) is better positioned to opine on musculoskeletal injuries, rehabilitation and disability distinct from neurological issues, that multiple IMEs are permissible and the appointment was scheduled April 30, 2020.
Respondent
Plaintiff argued the IME is premature and duplicative because defendants previously retained a neurologist (Dr. Kemble) whose forthcoming IME/report could address the same physical complaints; without that report Dr. Khan's IME is unnecessary.

05

Court’s reasoning

  1. 01

    Tran v. Abbott, 2018 BCCA 365

    The purpose of an IME is to place parties on an equal footing with respect to medical evidence and more than one IME may be appropriate where multiple injuries are alleged

  2. 02

    Tran v. Abbott, 2018 BCCA 365; Wright v. Sun Life Assurance Company of Canada, 2014 BCCA 309

    In exercising discretion under the civil rules, the court must consider the effect of refusing the IME order on trial conduct; objections to opinions outside an expert's expertise can be raised at trial and relate to admissibility and weight

06

Ratio, limits and disposition

Ratio decidendi

Given the distinct nature of alleged head/neurological injuries and separate musculoskeletal injuries, and the accepted principle that multiple IMEs may be necessary, the court exercised its discretion to allow the second IME as not unduly duplicative or premature and permitted objections to overlap to be addressed at trial.

Obiter and limits

  • Overlap in potential commentary by different specialists does not by itself bar separate IMEs; admissibility and weight can be dealt with at trial
  • Scheduling and exchange deadlines (84 days before trial for expert reports) are relevant to timing but do not preclude ordering an IME

Court disposition

Application granted

  • Plaintiff ordered to attend an independent medical examination with Dr. Khan on July 24, 2020.
  • Plaintiff ordered to pay defendants' costs of the application in any event of the cause on Scale B.

Source and reliance status

Supreme Court of British Columbia · 12 June 2020

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Judgment reading view

Judgment text

The complete available source text.

Source document

Supreme Court of British Columbia

Judgment· 12 June 2020

2020 BCSC 879

2020 BCSC 879 Chahal v. Sandhu

IN THE SUPREME COURT OF BRITISH COLUMBIA Citation: Chahal v. Sandhu, 2020 BCSC 879 Date: 20200612 Docket: M210928 Registry: New Westminster Between: Anchaljit Kaur Chahal Plaintiff And Jagdeep Singh Sandhu and Newton-Whalley Hi Way Taxi Ltd. Defendants Before: The Honourable Mr. Justice Jenkins Reasons for Judgment Defence Application for Further Independent Medical Examination Counsel for the Plaintiff: B. Yu Counsel for the Defendants: H.S. Rehlan Date of Plaintiff's Written Submissions: June 1, 2020 Date of Defendant's Written Submissions: May 28, 2020 Place and Date of Judgment: New Westminster, B.C. June 12, 2020 [1] The defendant in this motor vehicle action seeks an order that the plaintiff attend before Dr. Khan, a physiatrist, on July 24, 2020, for the purposes of an independent medical examination (an "IME"). Defence counsel secured the July 24, 2020 appointment on April 30, 2020. [2] In the Notice of Civil Claim, the plaintiff claims the following injuries: a) Concussion; b) Injury to the head; c) Injury to the right shoulder; d) Injury to the right leg; e) Injury to the right foot; f) The effect of such injuries upon the plaintiff, including but not limited to headaches, fatigue, dizziness, sleeplessness, nausea and other physiological, psychological and emotional injuries . . [3] Previously, in February 2020, the defendant had secured an IME for the plaintiff with

Dr. Kemble, a neurologist, for June 11, 2020, seeking opinions on the plaintiff's neurological injuries and treatment. The instructions to Dr. Kemble by counsel for the defendant were "to provide to me your expert opinion concerning diagnosis, prognosis, causation, with respect to neurological injuries". [4] The request by the defendants for an IME with Dr. Khan was delivered to counsel for the plaintiff on May 7, 2020. [5] On May 11, 2020, counsel for the plaintiff replied to counsel for the defendants by email stating: the defence already has an outstanding appointment with Dr. Prout, a neurologist (later corrected to refer to Dr. Kemble). The appointment is scheduled in the future and we do not have the report yet. We do not know if Dr. [Kemble] is going to comment on Ms. Chahal's physical symptoms, which is the same area a physiatrist would comment on. In my view, there is a substantial overlap between the two specialties, and there is a risk of a duplicative opinion . . . In my view, the defence already has an IME that could comment on Ms. Chahal's physical symptoms. (underlining added) [6] On the same day, counsel for the defence responded by email stating Dr. Kemble, a neurologist, would better "be able to comment on head injuries and treatment whereas Dr. Khan, a physiatrist, would be in a better position to comment on other injuries and treatment, as well as

disability". [7] Finally, on May 12, 2020, counsel for the plaintiff responded with an email to defence counsel stating: Thanks for your email. Unfortunately, it did not address my concern that Dr. Kemble's DME may very well address musculoskeletal complaints that Dr. Khan's IME is intended to address. My position is that without Dr. Kemble's report, Dr. Khan's IME is premature. [8] When the Notice of Application for the IME with Dr. Khan was issued on May 25, 2020, Dr. Kemble had not yet conducted an IME on the plaintiff. [9] A five day trial of this action is set to commence on November 6, 2020, and the 84-day time period before trial, by which time expert reports are to be exchanged, is August 24, 2020. [10] Both counsel rely upon the decision of Tran v. Abbott, 2018 BCCA 365, which included the following passages: 32. In my view, it is well-established that the purpose of an IME is to put the parties on an equal footing with respect to the medical evidence, and Rule 7-6 specifically contemplates more than one IME: Wright v. Sun Life Assurance Company of Canada, 2014 BCCA 309 at para. 31.

33. Multiple examinations may be appropriate and necessary where a variety of injuries are alleged, or the etiology of illness is not straightforward. In exercising its discretion on an application pursuant to Rule 7-6, the court must consider the effect of refusing the order sought on the conduct of the trial. [11] The gist of the objection by counsel for the plaintiff is that the defence has already retained and instructed Dr. Kemble to carry out an IME relating to the neurological injuries which the plaintiff has suffered. His concern is that the opinion of Dr. Kemble "could" comment on Ms. Chahal's physical symptoms. That examination has not been carried out and there obviously is no report available from Dr. Kemble. It may be that comments by Dr. Kemble in the future could comment on the plaintiff's physical systems as they may relate to her nervous system. [12] Looking at the plaintiff's injuries alleged in the Notice of Civil Claim, the concussion and injury to the head are distinct from the physical injuries to the plaintiff's right shoulder, leg and foot. A neurologist could comment on the etiology of the head injuries and may comment on the physical injuries claimed by the plaintiff. A physiatrist would be qualified to opine on the soft tissue injuries to the plaintiff's right shoulder, leg and foot and any rehabilitation required for those injuries. [13] If either

Dr. Kemble or Dr. Khan provide written reports commenting on issues which the plaintiff submits are outside the scope of their expertise, it is open to counsel to object and the admissibility of the opinion could be addressed by the trial judge or the trial judge may admit the opinion and assess the same in terms of weight. [14] In these circumstances, I find that with the variety of injuries alleged, it is appropriate to order a further IME and that the plaintiff attend for the purposes of an IME with Dr. Khan on July 24, 2020. [15] As the defendants have been successful on this application, I order the plaintiff pay the defendants' costs of this application in any event of the cause. Costs will be on Scale B. "Jenkins J."

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Authorities

Authorities used by the court

Cases, legislation, regulations, and constitutional provisions identified in the available record.

Tran v. Abbott, 2018 BCCA 365

Case cited

Wright v. Sun Life Assurance Company of Canada, 2014 BCCA 309

Case cited

Rule 7-6, Supreme Court Civil Rules (BC)

Legislation

Legislation referenced in the available case record.

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