DISCIPLINE SUMMARIES
including restricting him from prescribing any controlled substances as defined by the Controlled Drugs and Substances Act , 1996 . On October 5 , 2006 , Dr . Sweet entered into an undertaking with the College , and agreed to cease to practise addiction medicine , chronic pain medicine and psychotherapy .
DISGRACEFUL , DISHONOURABLE AND UNPROFESSIONAL CONDUCT
Breach of 2002 Order Dr . Sweet breached the 2002 Order of the Discipline Committee by prescribing controlled substances on three occasions :
• On October 17 , 2014 , Dr . Sweet prescribed Androgel to Patient B .
• On January 3 , 2015 , Dr . Sweet renewed a prescription of Clonazepam to Patient C .
• On December 14 , 2016 , Dr . Sweet prescribed a hormone replacement therapy containing testosterone to Patient E .
Prescribing Botox to Patient E Dr . Sweet was Patient E ’ s family physician . In 2013 , the College commenced an investigation into whether Patient E , who is not a regulated health professional , was performing rhinoplasties and injecting Botox at a clinic in her home . In 2014 , in the course of its investigation of Patient E , the College interviewed Dr . Sweet . He indicated that Patient E was his patient since approximately 2010 . He noted that about one or two years prior , Patient E informed him that she was performing face lifts and injections and tried to “ lure ” him into her cosmetic work by asking him to order local anesthetics for her . Dr . Sweet indicated that he advised Patient E that these are obtained through a prescription and declined to order them . He stated that he had never purchased Botox or injected Botox in his entire career . Following a temporary injunction order , dated March 6 , 2014 and final injunction order , dated May 22 , 2014 obtained by the College from the Superior Court of Justice , Patient E was ordered to permanently refrain from performing all controlled acts and other acts relating to the practice of medicine , including administering a substance by injection . In 2016 , the College conducted an investigation into whether Patient E was in breach of these Orders . A College investigator learned that Dr . Sweet had prescribed Botox to Patient E since the College ' s initial investigation of Patient E . Dr . Sweet indicated that it did not occur to him that Patient E might be diverting the Botox given the small amount he prescribed .
Breach of October 5 , 2006 Undertaking In February 2015 , a community social worker at a homeless shelter informed the College that a shelter client ( Patient F ), who was a former addict , had received free samples of Ralivia ( also known as tramadol ) from Dr . Sweet for pain management . The College commenced an investigation into whether Dr . Sweet had breached his October 5 , 2006 undertaking to cease practising addiction and chronic pain medicine . The College retained an expert who reviewed 25 patient charts and interviewed Dr . Sweet . Dr . Sweet retained an expert who reviewed the same charts . The College expert , a specialist in family medicine , opined that Dr . Sweet engaged in the practice of chronic pain management and in the practice of addiction management in respect to one of the patients , Patient D , as follows :
• Between September 2012 and October 2014 , 15 of Patient D ’ s appointments with Dr . Sweet involved some level of assessment or treatment of Patient D ’ s chronic pain , and on at least two occasions tramadol prescriptions were provided outside of a clinic visit .
• Dr . Sweet failed to adequately attempt to transfer Patient D to another physician for the treatment of Patient D ’ s pain symptoms .
• Dr . Sweet prescribed clonidine and tramadol to Patient D and utilized tramadol for the treatment of addiction .
Dr . Sweet ’ s expert , also a specialist in family medicine , did not provide an opinion as to whether Dr . Sweet engaged in the practice of chronic pain management and in the practice of addiction management in respect of Patient D .
48
DIALOGUE ISSUE 3 , 2018
DISCIPLINE SUMMARIES
including restricting him from prescribing any con-
trolled substances as defined by the Controlled Drugs
and Substances Act, 1996. On October 5, 2006, Dr.
Sweet entered into an undertaking with the College,
and agreed to cease to practise addiction medicine,
chronic pain medicine and psychotherapy.
DISGRACEFUL, DISHONOURABLE AND
UNPROFESSIONAL CONDUCT
Breach of 2002 Order
Dr. Sweet breached the 2002 Order of the Discipline
Committee by prescribing controlled substances on
three occasions:
• On October 17, 2014, Dr. Sweet prescribed Andro-
gel to Patient B.
• On January 3, 2015, Dr. Sweet renewed a prescrip-
tion of Clonazepam to Patient C.
• On December 14, 2016, Dr. Sweet prescribed a
hormone replacement therapy containing testoster-
one to Patient E.
Prescribing Botox to Patient E
Dr. Sweet was Patient E’s family physician. In 2013,
the College commenced an investigation into wheth-
er Patient E, who is not a regulated health profes-
sional, was performing rhinoplasties and injecting
Botox at a clinic in her home.
In 2014, in the course of its investigation of Patient
E, the College interviewed Dr. Sweet. He indicated
that Patient E was his patient since approximately
2010. He noted that about one or two years prior,
Patient E informed him that she was performing face
lifts and injections and tried to “lure” him into her
cosmetic work by asking him to order local anes-
thetics for her. Dr. Sweet indicated that he advised
Patient E that these are obtained through a prescrip-
tion and declined to order them. He stated that he
had never purchased Botox or injected Botox in his
entire career.
Following a temporary injunction order, dated
March 6, 2014 and final injunction order, dated May
22, 2014 obtained by the College from the Superior
Court of Justice, Patient E was ordered to permanently
refrain from performing all controlled acts and other
48
DIALOGUE ISSUE 3, 2018
acts relating to the practice of medicine, including
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