Dialogue Volume 14 Issue 4 2018 - Page 50

DISCIPLINE SUMMARIES • D  r. Cameron had a tendency to prescribe narcotics at doses well in excess of those recommended in the relevant clinical guidelines, for chronic pain, over many years, with few physical exams or other evalu- ations of the patient’s pain or function; • D  r. Cameron demonstrated questionable and at times very poor judgment in continuing to pre- scribe large doses of narcotics to patients who had repeatedly demonstrated aberrant behaviour, often at appointments over a period of years, and was too accepting of patients’ often questionable explana- tions for lost, stolen or damaged narcotics; • D  r. Cameron failed to regularly conduct opioid risk assessments, implement narcotics contracts and/or conduct urine drug screening to address repeated aberrant behaviour; • I  n respect of at least six patients, Dr. Cameron failed to refer patients to specialists, including pain and/or addiction specialists, where indicated; • I  n respect of at least seven patients, Dr. Cameron failed to react to information from third parties about potential opioid abuse or to follow the advice of consultants who suggested decreasing or discon- tinuing opioid medications; • D  r. Cameron continued to prescribe high doses of narcotics to patients who may have sustained ac- cidents or injuries due to these prescriptions; • D  r. Cameron prescribed benzodiazepines to pa- tients to whom he was also prescribing high doses of narcotics; • I  n respect of at least four patients, Dr. Cameron regularly prescribed narcotics to patients also pre- scribed methadone for addiction without appropri- ate consultation with the methadone prescriber. UNDERTAKING On March 9, 2018, Dr. Cameron entered into an un- dertaking with the College, whereby he undertook to resign from the College, effective April 30, 2018 and not to apply or re-apply for registration to practise medicine in Ontario or any other jurisdiction after the effective date. 50 DIALOGUE ISSUE 4, 2018 ORDER In light of the undertaking, the Discipline Commit- tee ordered a reprimand and payment for costs to the College in the amount of $10,180.00 For complete details, please see the full decision at www.cpso.on.ca. Select Find a Doctor and enter the doctor’s name. At the conclusion of the hearing, Dr. Cameron waived his right to an appeal and the Committee administered the public reprimand. DR. RICHARD KOK TIONG CHAN PRACTICE LOCATION: London AREA OF PRACTICE: Neurology HEARING INFORMATION: Admission; Agreed Statement of Facts; Joint Submission on Penalty On April 23, 2018, the Discipline Committee found that Dr. Chan committed an act of professional misconduct, in that he engaged in conduct or an act or omission relevant to the practice of medicine that, having regard to all of the circumstances, would rea- sonably be regarded by members as unprofessional. Dr. Chan is a neurologist with the Department of Clinical Neurological Sciences, London Health Sci- ences Centre. Between 2011 and 2015, Dr. Chan, on numerous occasions, prescribed Fentanyl patches to his rela- tive (Relative 1) who lives abroad. On each of these prescriptions, the ID of the relative was her pass- port number and the address was Dr. Chan’s home address. Dr. Chan prescribed to another relative (Relative 2) who also lives abroad. In July 18, 2014, this relative filled a prescription, which was written by Dr. Chan, for 150 tabs of hydromorphone. The prescription bore this relative’s passport number, and indicated her address to be Dr. Chan’s home address. Dr. Chan went personally to the drug store himself to have each of the prescriptions he wrote for both of his relatives filled. The Fentanyl patches he prescribed to Relative 1 and the hydromorphone tabs he prescribed to Relative 2 were provided to him by the pharmacy.