How has the law been interpreted in the context of medical malpractice cases?

61 This passage was quoted with approval by Macfarlane J.A. in giving the judgment of this Court in Skelton v. Stewart et al (1994), 93 B.C.L.R. (2d) at 200: Before setting out that quotation Macfarlane J.A. had said: I do not think that the trial judge misdirected himself on the law or misapprehended it. He considered the leading cases. At the heart of those cases is the question whether the symptoms of which a claimant complains are genuine, or whether they are motivated by a desire for financial gain. For there to be such a desire it surely must be a conscious one - one which can be controlled or overcome by the claimant. * * * The difficulties presented by this type of case are best left to the tribunal of fact. This decision I consider binding upon us.