Medication and Addiction Issues in Personal Injury Litigation 2017


Course Date: April 20, 2017

Total: 5h 46min

Introduction

Pain Relief Pharmacology: The Facts of Life

  • painkillers mostly affect the brain, not the injury
  • real experimental data show analgesics much less effective than we believe
  • this includes drugs for depression, NSAIDS, and "muscle relaxants"
  • we were misled systematically to unwarranted enthusiasm
  • in clinical experience, some drugs, including opioids, help some people

Dr. Thomas L. Perry Department of Anesthesiology, University of BC, Vancouver

2017 Canadian Guideline On Opioids For Chronic Pain

  • reason for guideline
  • process
  • major findings
  • implications for medical practice in Canada

Jason Busse, DC, PhD — Associate Professor, Faculty of Medicine, McMaster University, Hamilton

Networking Break

Cannabis Marijuana

  • medical uses
  • how it works
  • current status and issues
  • advantages and risks

Dr. Launette Rieb — Department of Family Practice, University of BC, Vancouver

Addiction Issues In Personal Injury Litigation

  • addressing addiction issues with the appropriate expert
  • compelling an IME with an addiction medicine specialist
  • importance of addressing addiction isues from the plaintiff's perspective

Marc Kazimirski — KazLaw Injury Lawyers, Vancouver
Alison L. Murray, QC 
— Murray Jamieson, Vancouver
Dr. Paul W. Sobey — Clinical Professor, Faculty of Medicine, University of BC, Vancouver

Networking Lunch

Drug Screening and Testing

  • what it is as a clinical tool
  • where is it done?
    • MMT clinic/CPSBC/CNCP/occupational
    • part of IME/hospital/workplace
  • is patient report accurate?
  • high quality medical monitoring: what it looks like
  • advantages and limitations: FP and FN
  • type of biological samples: how long lab keeps it
  • type of biological testing
    • immunoassay and LCMS
  • types of labs and qualifications: what to expect from each
  • current legislation
  • evidence
  • cases

Dr. Paul W. Sobey — Clinical Professor, Faculty of Medicine, University of BC, Vancouver

IMEs: Medical Ethics and Legal Practicalities

  • how the IME physician is not in a standard physician-patient relationship
  • the IME physician and the duty to Do No Harm
  • how reliable are IMEs?
  • access to the IME and Medical Records generally in the context of litigation

Robert C. Brun, QC — Harris & Brun, Vancouver
Jason Busse, DC, PhD
Associate Professor, Faculty of Medicine, McMaster University, Hamilton

Networking Break

Medical Legal Panel

  • double doctoring, diversion, and drug abuse
  • the GP in the trenches
  • college complaints and investigations
  • cannabis marijuana—proof as a special damage

Jennifer J.L. Brun — Harris & Brun, Vancouver
Dr. Garry Feinstadt
Physician and Surgeon, Vancouver
James A. HansonHanson and Company, North Vancouver
Dr. Thomas L. Perry Department of Anesthesiology, University of BC, Vancouver

Concluding Remarks