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Newsletter Archive

Deciphering PTSD

5 December, 2019

Deciphering PTSD

With the recent disastrous fires spreading through NSW, Mr Simon Andrews, a volunteer from the Rural Fire service, is seeking millions of dollars in compensation as he claims to suffer from PTSD and alcohol abuse after attending over 700 critical incidents and is now unable to work. The NSW Rural Fire Service “failed in the duty of care, was negligent and failed to take any or any adequate care for the safety of the plaintiff”, yet he continued to be deployed. (please find other lawsuits related to PTSD at the end of the article).

So, what is happening to Mr Andrews? What is PTSD? At times of catastrophic accidents, exposure to natural disasters, attendance to emergency calls and dramatic changes of life circumstances people undergo unusually profound levels of stress, which in around 10% of individuals will trigger a mental health condition named post-traumatic stress disorder or PTSD.
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Humeral shaft fracture

20 November, 2019

Humeral shaft fracture

The humerus is the long bone of the upper arm, which connects our two major joints of the upper extremities, the shoulder and the elbow. Between the humeral head, connecting with the glenoid and scapula, and the distal humeral head joining with the radius and ulna bones at the elbow, is the long humerus shaft.
A fracture of the humeral shaft can occur at any level of the bone and represents 3% to 5% of all fractures. The classification of these fractures relies on the shape of the bone break, whether the fracture is displaced or not, as well as the degree of comminution (formation of numerous bone fragments).
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E-cigarettes

8 November, 2019

E-cigarettes: are we being stormed by another epidemic call?

Is the alarm surrounding the epidemic of lung disease caused by e-cigarettes justified or are we being influenced by the negative press coming from the US ?
In this article I will provide insightful evidence on the growing global market of e-cigarettes and the possible impact in Australia.  
Vaping, so called when smoking e-cigarettes, was conceived to quit tobacco smoking and reduce harm. However, there are rising concerns on the health risks associated with e-cigarettes, their rapid consumption by the youth, and the conflicting debates on how to address the legislation regulating their production and sale.
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Rotator cuff tear

23 October, 2019

Rotator cuff tear of the shoulder

A rotator cuff tear consists in the rupture of one or more tendons forming the rotator cuff of the shoulder.

The rotator cuff is an assembly of tendons originating from three muscles, the supraspinatus, infraspinatus and subscapularis joined together to form a cuff around the humeral head. Together the muscles and tendons of the shoulder stabilise the humerus within the joint and are essential to allow the wide range of movement of the shoulder. Due to its particular structure and function, the rotator cuff is often subjected to injury and overuse.
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Examination of the hand and wrist

September 25, 2019

Understanding the examination of the hand and wrist

The examination of the hand and wrist allows a medical practitioner to identify a pathology that may impair the functionality of the upper extremities. Any impairment in the function of the hand and wrist will severely affect our daily living activities, professions requiring manual work as well as a simple office desk occupations. When severe, any pathology of the hand and wrist can become quite debilitating, affecting both the capacity to return to work and our independence in the home.
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Sharing patient information online

September 11, 2019

When sharing patient information online becomes a doctor’s trap!

In medicine, online platforms have become a popular medium to share patients’ cases with the purpose to either seek a colleague’s opinion on complex diseases and reach an exact diagnosis, or to share knowledge on medical forums. Such online activities presume doctors’ obligations of privacy and confidentiality and require a profound knowledge of the legal implications.

Both confidentiality and privacy are cornerstones of the medical profession and need to be respected, particularly when working with online platforms, to ensure the correct use of the data acquired throughout the process of patient care. As advised in a recent article, it is paramount for practitioners to have a working knowledge of medical law.
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Trochanteric or hip bursitis

9 September, 2019

Trochanteric hip bursitis

The hip joint is protected by articular cartilage, which is a layer of glassy yet tough connective tissue surrounding both the femoral head and the acetabulum. The cartilage facilitates the movement of the joint by reducing the friction of the femoral head rotating inside the socket and importantly it absorbs shock impacts. Overuse of the cartilage often leads to osteoarthritis of the hip due to the excessive, frequent load to the hip joint with physical activity.
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Spine-hip and hip-spine syndromes

August 28, 2019

Spine-hip and hip-spine syndromes

It seems intuitive that a problem in one area of our ambulatory system will detrimentally affect the others. But what is the evidence, and what are the biomechanical alterations underlying these complex relationships?

If a patient has a spine condition, what is the likelihood of their hips to become arthritic over time? Conversely, is hip osteoarthritis accountable for lower back degeneration as a result of asymmetric pelvic positioning and altered gait?

A correct gait requires a healthy spine, pelvis, hips and lower extremities. When one of these elements is deleteriously affected by structural alterations, a person will adopt compensatory postures and functions that in turn will cause degenerative changes in other body regions.
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Anatomy of the leg and knee

July 24, 2019

Anatomy of the leg

The anatomy of the leg and knee is under the scope today. Any problems to the lower limbs are detrimental to ambulation and whatever region is affected can compromise the integrity of other structures of the lower limb, hip and even the spine.

For this reason, injuries and degenerative conditions of the leg and knee should be addressed quickly to prevent a chain reaction to other body parts. This is particularly true with ageing and in fact most elderly people will have some sort of gait changes, often requiring a support device, or undergo joint/knee replacement surgery.
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RoundUp case: We've done the research for you..

July 3, 2019

Roundup Case We've done the research for you...

In response to the high interest stimulated by our latest newsletter on Roundup: Association vs causation: RoundUp and its role in cancer we have performed an extensive research and collated important resources that will help our clients in understanding the conflicting reports on the link between RoundUp and its main substance Glyphosate and non-Hodgkin lymphoma with an international perspective.....
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RoundUp and its role in cancer

June 12, 2019

Association vs causation: RoundUp and its role in cancer

The echoes of successful lawsuits against Monsanto, producers of the pesticide glyphosate sold as RoundUp, have reached the Australian shores. The manufacturer has been accused of not disclosing the potential cancer risk of glyphosate. In their defence, Monsanto claimed that RoundUp is safe citing several studies in support of this.

Over the past few years, three major lawsuits have been won in the US, one of US$289 million, one of US$80 million and more recently one for US$2.8 billion involving professional gardeners as well as people employing the agent for their residence.

The form of cancer found associated with the pesticide is a non-Hodgkin lymphoma (NHL). A few Australian law firms are now confronted with similar cases and are seeking evidence to demonstrate that using glyphosate is indeed unsafe.
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Radial head fracture

May 29, 2019

Radial head fracture of the elbow

The radial head fracture occurs at the proximal end of the radius, one of the forearm bones that articulates with the distal humerus and ulna to form the elbow joint.

In the adult population, a fracture to the radial head is seen in 20% of all elbow injuries, in 33% of cases with elbow dislocations and less frequently, 8% in children.
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Breast implants linked to lymphoma

May 15, 2019

Textured breast implants linked to T-cell lymphoma

Recently, breast implants have been linked to a type of T-cell lymphoma calledBreast Implant Associated Anaplastic Large Cell Lymphoma (BIA-ALCL). This is not a form of breast cancer, but rather an uncommon type of immune cell malignance similar to Hodgkin’s lymphoma, a solid cancer of white blood cells.

The cancerous tissue developing in breast implant recipients is mostly found around the scar, concomitant with the accumulation of fluid causing a sensation of discomfort. This lymphoma can be treated with surgical removal, if caught early, however some women have died from this disease.
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Dupuytren's disease

May 1, 2019

Blame the Vikings for Dupuytren’s disease

Dupuytren’s disease or contracture consists of the shortening, thickening and fibrosis of the fascia on the palmar side of the hand resulting in an abnormal deformity of the finger during flexion. While no descriptions have been recorded in ancient European populations, it seems that the appearance of the Dupuytren’s contracture in more modern times can be ascribed to the Vikings’ invasion.
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Longevity of knee replacement

April 10, 2019

The longevity of total and partial knee replacements: A sequel article

The article reviewed today is the sequel to the newsletter article we published a few weeks ago on the duration of total hip replacement in osteoarthritic individuals. Today’s topic refers to the publication in the medical journal, The Lancet from February 2019 by the same group reporting on total hip replacement from Bristol in the UK.

The question investigated by these musculoskeletal specialists was: how long will a total knee replacement or the alternative surgery, the unicondylar (partial) knee replacement last?
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Cervical radiculopathy

March 29, 2019

Cervical radiculopathy

Cervical radiculopathy is the disturbance or impairment of cervical nerve function(s) caused by the compression of cervical nerve roots. These nerve roots branch out from the spinal cord through openings of the vertebrae called foramina.
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Sacroiliac joint inflammation

March 14, 2019

No, its not back pain but inflammation of the sacroiliac joint

The inflammation of the sacroiliac joint also named sacroiliitis, can often be mistaken for low back pain. The sacroiliac joints connect the iliac bones of the pelvis to the lower spine, the sacrum, which is formed by five fused vertebrae. The bones of the sacroiliac joint are held together by the strongest ligaments of the body and robust muscles (glutei).

Although this joint couple is not as mobile compared to other major articulations, subtle movements and stresses of the body can put pressure on this areas; especially abnormal walking, or running and twisting movement of the lower spine, can cause or exacerbate the inflammation of the sacroiliac joint.
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Total hip replacement longevity

February 27, 2019

Long live the total hip replacement

A surgeon cannot provide a firm answer to a patient’s question, how long a total hip replacement is going to last. There is no criterion based on age, general health, bone density or implant type that can predict the implant durability and risk of revision surgery.

The consensus is that a total hip replacement may last approximately 10 to 15 years. But today I will present an important study: “How long does a hip replacement last? A systematic review and meta-analysis of case series and national registry reports with more than 15 years of follow-up”, that provides a positive outlook for the duration of total hip replacements, exceeding the expected lifespan of 25 years in over the half of patients, if not more.
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The frozen shoulder

February 2, 2019

The frozen shoulder is still poorly understood

The aetiology of the frozen shoulder, also named adhesive capsulitis, remains mysterious, yet the condition can be quite painful and debilitating. In some patients the cause of a frozen shoulder cannot be established at all. There are arguments on whether or not a tear to the rotator cuff is associated with the disease. Certainly, shoulder injury and surgery as well as age, female gender and medical diseases such as diabetes type 2 may predispose to a frozen shoulder.
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The good samaritan in mid-flight emergency

January 30, 2019

The tale of the good Samaritan in mid-flight emergency and its medico legal consequences

Finding a medical practitioner willing to assist in mid-flight emergencies is not an easy task. In fact, the prospect of legal implications dissuades many doctors from intervening if a fellow passenger has had a heart attack, a severe asthmatic episode or another medical issue. An illustrative article by Markus Wong (published in Medical Law International) elaborates brilliantly on this complex topic describing current discrepancies in how different jurisdictions tackle the problem. In concluding, Mr Wong provides insightful suggestions on how international aviation laws should be reformed to finally resolve existing legal conflicts.
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Thomas Kossmann wraps up 2018

December 19, 2018

Lex Medicus' Director sends his best wishes for the end of 2018

Another great year has come to the end for Lex Medicus. While our office is preparing for the festive break, we reflect on the phenomenal milestones Lex Medicus has achieved in 2018. We experienced extraordinary growth, such that in only 9 months we doubled the number of health specialists to 130 and increased the specialities for medico-legal consulting to 37. This goes along with an increased intensity of activities aimed at meeting the needs of our clients and dedicated consultants, and elevating the quality of our reports even higher.
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Dr Burdon writes on Silicosis 

December 5, 2018

Silicosis – a new epidemic of an old occupational lung disease?

Silicosis is caused by the inhalation of crystalline silicon dioxide (silica) and, it is fair to say, that over the years the prevalence of silicosis in Australia has been low as a result of the use of appropriate occupational health and safety measures.  However, in the early 2000s silica containing artificial stones became available in Australia and are becoming increasing popular in the manufacture of kitchen and bathroom bench tops.
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Introducing the gut, our second brain

November 21, 2018

Introducing the gut, our second brain

Decades of research has conclusively established a role for the gut microbiota in regulating immunity but also affecting brain function from behaviour to mental wellbeing. Microbiota is a general term indicating the family of microbes residing in the gut including bacteria, viruses and fungi. The microbiota is differentiated from the microbiome, which is the name given to the genes of all these microorganisms.

Because the microbiota is intimately dependent on nutrition, our diet can indeed modulate the host resilience to diseases but also our mental health. This complex interplay of the gut microbiota with the brain has received ample attention in medical research with surprising, and at times less appealing consequences (see faecal transplantation below).
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TRICK or TREAT... Elbow bursitis

October 31, 2018

TRICK or TREAT... Elbow bursitis

We couldn’t resist providing our clients with a Halloween treat, the pathology Elbow bursitis. The inflammation of the elbow bursa, also called olecranon bursitis, is quite disturbing as it makes it difficult to lean on our elbows during daily activities at the desk or at home. 

The olecranon is the proximal protruding, portion of the ulna, the forearm bone connecting to the humerus to form the elbow joint. Funnily enough, olecranon bursitis is also called “Popeye’s elbow” for those old enough to remember the infamous sailor man devouring spinach to acquire herculean strength …
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Too many diabetic foot amputations in Australia

October 17, 2018

Too many diabetic foot amputations in Australia

Amputations are 15 times more common in people with diabetes and belong to an array of complications arising over the years in people with diabetes type 2. The Australian Doctor published: Amputation rates in Australia are among the highest in the OECD (Organisation for Economic Co-operation and Development), so that diabetes specialists are calling for urgent improvement to diabetic foot care, given Australia’s startlingly high amputation rate.

Over 8,000 limbs amputations are performed every year in Australia meaning that every two hours, a limb — typically a foot — is amputated from a patient with diabetes, according to the Medical Journal of Australia. Foot disease accounts for up to one-third of all diabetes-related clinical costs, with an estimated financial burden on the Australian healthcare system of $1.6 billion a year.
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Anatomy of the spine and spinal cord

October 3, 2018

Anatomy of the spine and spinal cord

One of our most complex anatomical body parts, the spine, plays many important roles such as holding the body upright and connecting the head with the torso and pelvis. Functionally, the spine allows the body to bend forward and backward, rotate, and to a limited extent, bend laterally. 

24 vertebrae form the spine. Each vertebra is made of distinct structures known as the vertebral body, laminae, pedicles, spinous and transverse/articular processes. The vertebrae are separated by discs that absorb the impact posed on the spine.
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Distal humerus fracture

September 19, 2018

Distal humerus fracture

Also named supracondylar fracture, a distal humerus fracture is a type fracture of the elbow involving the lower (distal) part of the arm bone. A distal humerus fracture can impair or block completely the movements of the elbow. It is a very common fracture in children and predominantly caused by a traumatic injury. It often occurs concomitantly to an elbow dislocation and may cause damage to the vessels (brachial artery) and nerves (radial nerve).
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Carpal bone fractures

September 5, 2018

Carpal bone fractures

Carpal injuries often occur due to sports trauma, work repetitive movements or overload. These fractures are most common in children (6-10 years of age) and people over 60 years of age. 

Injuries to the carpal bones including distortions and fractures are mostly the consequence of falls onto an outstretched hand, a spontaneous reaction of people to protect the body from major injuries. However, they can also be caused by overuse in racquet sports, golfing as well as professions requiring intensive manual work.
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Dr Gallogly writes: Differences in Psychiatry and Psychology

August 23, 2018

Psychiatry and psychology: differences in training, clinical practice and medico-legal consulting

Many clients of Lex Medicus don’t know the difference between a Psychiatrist and a Psychologist. Nor do many know about our different sub-specialties and what Psychiatrists do.

The purpose of this article is very simply to outline to Legal Practitioners a breakdown of these different groups of mental health professionals, what the similarities are, what the differences are and hopefully provide guidance on what Mental Health Specialist to choose when litigating a particular case.
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Labral tear of the hip

August 8, 2018

Labral tear of the hip

A year ago, in the afternoon following a morning yoga class, I injured the labrum of my left hip. A simple movement whilst repositioning myself in the car seat caused friction between my femoral head and hip socket resulting in a lesion of the labrum. The labrum is a thick cartilaginous tissue covering the hip socket or ‘acetabulum’, which helps to consolidate the hip joint by attaching to the pelvic capsule and the ligaments of the femoral head.
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Learning SIGMD for Spinal Assessment Part 2

July 11, 2018

Learning SIGMD for Spinal Assessment Part 2

Have you read the Spinal Impairment Guides Modification Document (SIGMD)? If not, this is a must!

In preparation for the upcoming breakfast seminar presented by Mr Thomas Kossmann on the SIGMD legislation, Lex Medicus is proud to release a second article to whet your appetite. This article will provide a more detailed description of the SIGMD methodology of spinal assessment.
The SIGMD was published in the Victorian Government Gazette on 6 October 2016 (Special Gazette, No. S 305) Spinal Impairment Guides Modification Document (SIGMD) for TAC clients who suffered injuries to their spine after 14 December 2016.
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Impairment Assessment of the Shoulder

June 27, 2018

Case Studies Of Impairment Assessment Of The Shoulder

There is no better way to understand how medical examiners achieve an impairment assessment of their clients than by providing practical examples. Today, Mr Thomas Kossmann, Orthopaedic Surgeon, will demonstrate a few case studies for the impairment assessment of clients with various shoulder pathologies. 
In Victoria, an impairment assessment must be performed according to the specific steps defined in the American Medical Association (AMA) Guidelines (4th Edition).
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Disk herniation of the spine

Jun 13, 2018

Lex Medicus Publishing: Disk herniation of the spine

Injuries and degenerative pathologies of the spine represent a major health burden to our societies. Back pain is the second leading condition that requires medical attention. Up to 80% of adults will experience at least one episode of low back pain during their lifetime, and 5% will have recurrent problems some of which remain chronic. Back pain is the most common reason for work absence and loss of income and productivity, thus representing a significant epidemiological problem.
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SIGMD for spinal impairment assessment

May 16, 2018

The mystery of SIGMD for spinal impairment assessment revealed!

Spinal Impairment Guides Modification Document (SIGMD) for TAC clients who suffered injuries to their spine after 14 December 2016.

As a preamble for the upcoming breakfast seminar presented by Mr Thomas Kossmann on the new SIGMD legislation (20 July 2018 in Melbourne; see seminar details below), Lex Medicus is releasing a few articles to provide you with a comprehensive description of this new method of spine assessment.
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DNA Testing to capture the guilty and free the innocent

May 2, 2018

DNA testing in the crime scene to capture the guilty and free the innocent

On 18th March, we celebrated World DNA day. DNA, scientifically known as deoxyribonucleic acid, is the individual code that determines who we are. Its pairs of molecules, called nucleotide bases, form a double helix that was first described by Watson and Crick in 1953, a discovery acknowledged by a Nobel prize award in 1962. The pool of genes, each unit controlling the synthesis of single proteins, forms the human genome (totalling circa 20,500 genes) that was successfully deciphered 50 years later in 2003.
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Golfer's elbow - Medial epicondylitis

April 11, 2018

Golfer's elbow - Medial epicondylitis

According to the site Top100 golf courses, ”Golf is Australia's number one participant sport and more than 460,000 Aussies belong to a golf club. 1.3 million people or approximately 10% of the adult Australian population play golf. With more than 1,800 golf courses to choose from, the variety is staggering”. Although Victoria is the smallest State of the Country, it is the most densely populated, thus reflecting the national highest number of golf participants enjoying almost 400 clubs merging the Victorian Golf Association and the Victorian Ladies Golf Union, founded in 1902 and 1906, respectively.
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Subacromial bursitis - Shoulder bursistis

March 7, 2018

Subacromial bursitis of the shoulder

The shoulder is our most mobile joint. With an almost 360 degree rotation the shoulder joint, or better said, the three shoulder joints that form this complex articulation, are subject to a large spectrum of pathologies. In addition to the bony and cartilage structures, numerous components such as ligaments, muscles and tendons meet at the point of friction of the joints, thus an injury or a symptomatic manifestation around the shoulder may be difficult to interpret in forming the exact diagnosis of underlying issues as so many elements could be involved.
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Painless death, the Euthanasia taboo

February 21, 2018

Painless Death, The Euthanasia Taboo

The subject of euthanasia and physician-assisted suicide is polarising, sensitive and complex. The end-of-life decision process involves multiple individuals, each one with the authority to affect the ultimate verdict of whether or not a terminally ill person can rule when to terminate his or her own life. At the core is the patient increasingly empowered to self-determination. Then come the next-of-kin and the treating doctors with their ultimate prognosis on the individuals’ terminal illness.
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Pelvic fractures

February 7, 2018

The Seriousness of Pelvic Fractures

The Lex Medicus Team is delighted to welcome you back to the Newsletter series of 2018. We trust you had a joyful festive season and returned safely to work. The pathology we present today, pelvic fractures, is a complex one that we hope you will find of interest. The link below has the newest anatomical images that our medical illustrator has generated to depict the classification of pelvic fractures. However, be reminded that all images published by Lex Medicus are strictly protected by Copyright.
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Why Rudolph's nose is glowing red

December 12, 2017

Rudolph's Nose is Glowing Red and That's Not Shiraz

Santa is a clever man!
 
Why he chose reindeer as his best team-mates is not that simple, but quite reasonable. Arctic reindeer (scientific name Rangifer tarandus tarandus) can resist below freezing temperatures like no others. They maintain their energetic action and run through the tundra like gazelles in the savanna.
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Book appointments with
Lex Medicus Online

November 29, 2017

Time is Money - Don't Waste It

Time is money and very precious. The benefits of modern information technology have found their way in the medico-legal field.
Lex Medicus followed this trend and has developed a portal called Lex Medicus Online (LMO).
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De Quervain's tenosynovitis

October 11, 2017

De Quervain’s Tenosynovitis: Challenges in Diagnosis, Treatment and Causation for Medico-Legal Assessment

I came across a captivating article published in the Journal of Hand Surgery by Mr Kay in 2000: “de Quervain’s disease: Changing pathology or changing perception?”. The article provides a historical view on de Quervain’s tenosynovitis and how it was initially perceived in the 1900’s.
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Compartment syndrome

November 15, 2017

Case Reports of Compartment Syndrome - Time is King

The compartments of the body refer to anatomical units that are enclosed by thick connective membranes called fascia. These compartments contain groups of muscles, nerves and vessels.
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Antibiotic resistance

November 1, 2017

Antibiotic Resistance: Strategy to Combat the Problem

There is a saying that with or without antibiotics, a flu lasts 7 days. How often are antibiotics prescribed at the first flu symptoms because of the pressure patients put on GPs not to take time off work or family commitments?
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Dr Poppenbeek,
Occupational Physician writes...

September 27, 2017

The Importance of Being Right (with Apologies to Oscar Wilde)

In medical practice, being right has two meanings: ethically right and clinically right. Ethically right is easy to define. Being clinically right is a far more complex issue, which calls for great skill and expertise.
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Shoulder Examination

September 13, 2017

Examination of the Shoulder

Consistent with the wide range of movement of the shoulder joint almost reaching a 360 degree spectrum, the shoulder is indeed one of our body parts most prone to injuries and degenerative conditions.
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3D Gait Analysis

August 30, 2017

3D Gait Analysis: A revolutionary tool in medico legal reporting

Following the success of our Wine & Gait seminar held at Lex Medicus rooms in South Yarra on 17 August, we thought it would be valuable to share the messages delivered by our speakers through our Lex Medicus Publishing Newsletter.
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Osteoporosis & Hip Fracture

August 2, 2017

Osteoporosis - A silent burden to the Australian community Pathology: Hip fracture

What is osteoporosis? In Osteoporosis Australia, it is stated that the condition affects one million Australians. The loss of calcium leads to reduction in bone density, making bones brittle and prone to fractures even with minor injuries.
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Opioids

July 19, 2017

Opioids - A public epidemic

What are Opioids?

Which words come to your mind when you hear the term “opioids”? Pain relief, prescription drug, abuse, addiction, death, public health, epidemic…
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ISO Certification

June 21, 2017

How Lex Medicus Became an ISO Certified Medico-legal Company

Two weeks into a new role at Lex Medicus, our Director, Mr Thomas Kossmann came to Heidi Zec with a “small project”, to have our company certified for three ISO Standards. Eager to make a good impression, Heidi accepted the challenge, teamed up with our General Manager, Giulia Kossmann and began the work.
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Hip Dysplasia

June 7, 2017

Hip Dysplasia Late Diagnosis: Invasive Surgery and Compensation

Those growing up in the 60s and 70s will remember the infamous sailor man, Popeye, who devoured spinach out of the tin that gave him an immediate monstrous force to punch the bad guys around in defence of his eternal girlfriend Olive.
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Knee Arthroscopy

May 24, 2017

The Knee Arthroscopy: Dilemma - is it Unnecessary Surgery?

Surgeons love to operate. This is what they have been trained for in lengthy, arduous careers. But how much of the surgery done is truly necessary? Is surgical treatment always demonstrated to provide benefit when compared to conservative treatment?
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Crack the Doctor's Code

April 26, 2017

How to Crack the Doctor's Code?

Inspired by the seminar given by Lex Medicus Director Thomas Kossmann on medical terminology at Maurice Blackburn in Melbourne last Wednesday, we thought that this topic would be interesting for our larger audience.
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Carpal Tunnel Syndrome

April 5, 2017

Is Carpal Tunnel Syndrome a Work-related Disease?

Carpal Tunnel Syndrome is a frequent pathology affecting individuals over 35 years of age and mostly women. It is often thought to be caused by manual labour and computer work. The aetiology of this condition remains controversial and it is unclear to what extent anatomical and predisposing factors or professional activities lead to the disease.
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Medical Negligence

March 16, 2017

When is Medical Negligence a Crime?

Medicine is not an exact science. A wealth of factors determine the quality of care provided to patients, which strictly depend on level of experience of the health professional, the speciality in which he/she operates, the uniqueness of each case and the condition that patient is suffering from.
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Sacrum Fracture

March 1, 2017

Sacrum Fracture

A sacral fracture is a break in the low portion of the spine located in the posterior side of the pelvic ring between the two hipbones. A fracture to the sacrum mostly occurs via trauma or as a stress fracture.
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Sport Concussion

February 15, 2017

Sports-related Concussion, More than a Legal Matter

The Australian Institute of Sport and the Australian Medical Association published a paper in January 2017 to define sport-related concussions and provide recommendations to be implemented in sport settings to reduce the incidence of a concussion.
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Spine Examination

February 1, 2017

The ABC of the Examination of the Spine

The examination of the spine for either clinical or medico-legal assessment is delicate. Forming a diagnosis and determining any impairments that may have been caused by an injury or degenerative condition is challenging due to the highly sophisticated structural anatomy of the spine.
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Tattoos

January 18, 2017

Do you want a tattoo? Think again

The popularity of body tattoos is on the rise. While having a tattoo goes back to ancient traditions of ethnic identity, and membership to organisations with at times dubious practices, nowadays having a tattoo is a meaningful distinctive hallmark that defines who we are and our relationship to others.
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Spondylolysis & Spondylolistesis

December 21, 2016

Santa Syndrome - Spondylolysis and Spondylolistesis

This pathology is a also named Santa syndrome... Ho Ho!The terms referring to these pathologies derive from ancient Greek. Spondylolysis sphondylos + lysis (vertebrae + rupture) and Spondylolisthesis sphondylos + olisthanein (vertebrae + falling) mean respectively, the fracture and the forward displacement of one vertebra relative the vertebra below.
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Thumb Fracture

November 23, 2016

Thumb Fracture - Introduction and Case Report

The thumb is indeed our most important finger, the one that distinguishes us (and primates) from other species by conferring our superiority in a multitude of manual functions including pinch, grasp and fine movement.
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Compartment Syndrome

November 9, 2016

Thomas Kossmann presented at the Australian Lawyers Alliance National Conference

This year, Lex Medicus has continued not only as a key sponsoring partner but also an active participant of the National Conference of the Australian Lawyers Alliance (ALA).
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Compensation in Spinal Cord Injury: Diagnosis vs treatment

April 10, 2017

Compensation in Spinal Cord Injury: Diagnosis vs treatment

Compensation in spinal cord injured ptients is a complex topic with many variables that can influence the outcome. 
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The enormous impact of spinal pathologies in client compensation

April 10, 2017

The enormous impact of spinal pathologies in client compensation

In this issue of our newsletter, Lex Medicus Publishing is presenting a pathology: Disk Herniation of the Spine. 
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Shoulder Dislocation Luxation

April 10, 2017

Shoulder Dislocation Luxation

Shoulder Dislocation Luxation Shoulder Dislocation Luxation
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Long Biceps Tendonitis

April 10, 2017

Long Biceps Tendonitis

Long biceps tendonitis can be caused by repetitive overhead activities, or sudden injury caused by excessive force to the biceps tendons when lifting.
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Proximal Humerus Fracture

April 10, 2017

Proximal Humerus Fracture

A common fracture caused by a fall or through impact from sports or motor vehicle accidents. It is the third most common fracture in the elderly.
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Wine and Negligence Seminar

April 10, 2017

Wine and Negligence Seminar

Lex Medicus recently hosted the inaugural Wine and Negligence seminar, with Director Mr Thomas Kossmann presenting on Compartment Syndrome.
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Osteoarthritis of the hip

April 10, 2017

Osteoarthritis of the hip

Osteoarthritis is the most frequent form of arthritis concerning millions of individuals worldwide.
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Tennis Elbow

April 10, 2017

Tennis Elbow

Tennis elbow refers to pathology of the extensor tendon located on the outer side of the elbow causing significant pain.
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Tennis Elbow

April 10, 2017

Tennis Elbow

Lateral epicondylitis, also called tennis elbow, is a very painful and debilitating condition occurring in people with upper extremities work load.
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Class Action Settlement against DePuy in Australia

April 10, 2017

Class Action Settlement against DePuy in Australia

The class action proceedings by Shine Lawyers and Maurice Blackburn against DePuy and Johnson & Johnson, have reached a settlement agreement.
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Dr Peter Blombery on pain

April 10, 2017

Dr Peter Blombery on pain

Chronic pain is a recurrent medical problem with major implications in the medico legal sector.
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Lex Medicus sponsors ALA

April 10, 2017

Lex Medicus sponsors ALA

Visit our booth on 13-14 May at the Australian Lawyer Alliance VIC State Conference, in Torquay, Peppers the Sands Resort
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New ISCRR Report on Work Related Injury

April 10, 2017

New ISCRR Report on Work Related Injury

Musculoskeletal injuries are the most common injury claim type in work-related injury, according to the recent ISCRR report.
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Dr Peter Blombery, Consultant Physician

April 10, 2017

Dr Peter Blombery, Consultant Physician

A highly regarded Consultant Physician (Vascular Disease and Pain Management) with extensive experience in providing quality medico- legal reports.
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Osteoarthritis of the hip: a growing health problem

April 10, 2017

Osteoarthritis of the hip: a growing health problem

Classified as one of the major chronic diseases in Australia, osteoarthritis touches 1.8 million individuals (8%).
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Introducing A/Prof Cristina Morganti-Kossmann

April 10, 2017

Introducing A/Prof Cristina Morganti-Kossmann

Lex Medicus Publishing provides invaluable educational resources to give an edge of medical understanding in interactions with clients.
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Mr Thomas Kossmann to speak at ALA Breakfast Seminar

April 10, 2017

Mr Thomas Kossmann to speak at ALA Breakfast Seminar

Mr Thomas Kossmann will present at the ALA Breakfast Seminar on Thursday, 11 August on "Inside the Spine: From Injury to Impairment Assessment".
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Impairment Assessment Case Study: Shoulder rotator cuff pathology

April 10, 2017

Impairment Assessment Case Study: Shoulder rotator cuff pathology

To facilitate the comprehension of the process of impairment assessment, Lex Medicus will regularly present actual case studies of patients.
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Natalie Stansen, Quality Assurance Consultant

April 10, 2017

Natalie Stansen, Quality Assurance Consultant

Natalie Stansen has been promoted to the role of Quality Assurance Consultant and Paralegal.
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Perinatal Death at Bankstown-Lidcombe Hospital

April 10, 2017

Perinatal Death at Bankstown-Lidcombe Hospital

Comment by A/Prof Ian Pettigrew, Obstetrician and Gynaecologist
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Lex Medicus presentation at the National Conference of the ALA

April 10, 2017

Lex Medicus presentation at the National Conference of the ALA

This year, Lex Medicus was a key sponsoring partner and an active participant to the National Conference of the Australian Lawyers Alliance. Our Director, Mr Thomas Kossmann, was an invited speaker. The conference was held on 20-22 October 2016 in tropical Port Douglas at the Sheraton Mirage Resort.
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Lex Medicus’ 12 rules to write a winning Medico Legal Report

April 10, 2017

Lex Medicus’ 12 rules to write a winning Medico Legal Report

Lex Medicus’ success relies on a unique model of medico legal report writing that is standardised, comprehensive, simple and unequivocal. 
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Director of Lex Medicus to speak at ALA National Conference

April 10, 2017

Director of Lex Medicus to speak at ALA National Conference

Thomas Kossmann will speak at the National Conference of the Australian Lawyer Alliance
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Introducing Associate Professor Ian Pettigrew

April 10, 2017

Introducing Associate Professor Ian Pettigrew

Associate Professor Ian Pettigrew is a senior consultant Obstetrician and Gynecologist at Lex Medicus.
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Introducing A/Prof Abdul Khalid, Psychiatrist

April 10, 2017

Introducing A/Prof Abdul Khalid, Psychiatrist

A/Prof Abdul Khalid will co-host our next seminar, "Wine and Psychiatry", on 10 November.
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Introducing Professor David Barton, Psychiatrist

April 10, 2017

Introducing Professor David Barton, Psychiatrist

Professor David Barton will co-host our next seminar, "Wine and Psychiatry", on 10 November.
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Lex Medicus becomes a multisciplinary medico legal practice

April 10, 2017

Lex Medicus becomes a multisciplinary medico legal practice

Lex Medicus is pleased to introduce a number of new consultants joining our team of medical examiners in 2016. 
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News

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Medico Legal News

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Events

NATIONAL CONFERENCES

Informa’s Annual Medico Legal Congress

Venue: Swissotel

Sydney, NSW

9 March – 10 March 2017

https://www.informa.com.au/event/medico-legal-congress/

20th Commonwealth Law Conference

20 March 2017– 24 March 2017

Melbourne

The Commonwealth Lawyers Association is delighted to be returning to the southern hemisphere where the vibrant city of Melbourne will host the 20th Commonwealth Law Conference, in association with the Law Institute of Victoria. The theme of the 2017 conference, “Thriving in a global world: building on the rule of law” presents a unique canvass to consider legal issues in our globalised world that both innovate and challenge lawyers practising today.  

http://commonwealthlawconference.org/?utm_source=Google&utm_medium=CPC&utm_campaign=search&gclid=CJG60cXiuNECFYGbvAodDlYI4Q

3rd Annual Personal Injury Law Conference

Seminar Detail

Session ID: 173Q26

Date: Friday, 24 March 2017

Time: 09:00am - 05:15pm

Venue: Mercure Hotel Brisbane, Level 2, 85-87 North Quay, Brisbane

http://www.legalwiseseminars.com.au/search/SeminarDetail?SessionId=173Q26

Australian Orthopaedic Association Medico-Legal Society

Medico-Legal Meeting 2017 1–2 September 2017 Sydney

CONTACTS

Chair Drew Dixon Suite 2, Rear Building, 41 Palmerston Road Hornsby NSW 2077 T 02 9477 5838 E drewdix@people.net.au

https://www.aoa.org.au/subspecialties/medico-legal

Australian Lawyers Alliance Meetings:

·       QLD State  Conference 17-18 FEB, RACV Royal Pines Resort, Gold Coast

·       NSW State  Conference 17 MAR, Dockside Convention Centre, Cockle Bay, Darling Harbour

·       VIC State  Conference 12-13 MAY, Ulumbarra Theatre, Bendigo 

·       Medical Law  Conference 21 JULY, Dockside Convention Centre, Cockle Bay, Darling Harbour 

·       ACT Branch  Conference 25 AUG, ANU Commons, Acton

·       WA State Conference  - SEPT (Date & venue to be confirmed)

·       National Conference  19-21 OCT, Darwin Convention Centre

·       SA State Conference  10 NOV, St Mark's College, North Adelaide    

Find updates here:

https://www.lawyersalliance.com.au/events/event/vic-Upper-extremities-part1

INTERNATIONAL CONFERENCES

American College Of Legal Medicine 57th Annual Meeting 2017

February 23, 2017 - February 26, 2017

Venue: Bally’s Las Vegas

Las Vegas , United States

http://www.medical.theconferencewebsite.com/conference-info/american-college-of-legal-medicine-57th-annual-meeting-2017

 

2nd Annual International Congress of the International Association of Law and Forensic Science 2017

March 17, 2017 - March 19, 2017

Venue: Intercontinental City Stars

Cairo , Egypt

n Collaboration With Islamic Countries Organization of Forensic Medicine (ICOFM) The 2nd Korean Forensic Medicine Authority Middle East Congress The 8th Arab Union of Forensic Physicians Congress The Turkish Society of Forensic and Clinical Toxicology The Eurasian Academy of Forensic Medicine & Sciences

http://www.medical.theconferencewebsite.com/conference-info/2nd-annual-international-congress-of-the-international-association-of-law-and-forensic-science-2017

 

12th World Conference on Bioethics, Medical Ethics and Health Law 2017

Venue: Saint Raphael Hotel,

Limassol, Cyprus

March 21, 2017 - March 23, 2017

The UNESCO Chair in Bioethics is pleased to invite you to become an active participant at the 12th World Conference. The Conference is designed to offer a platform for the exchange of information and knowledge and to hold discussions, lectures, workshops and exhibition of programs and databases. If you wish to take part in the scientific program, submit your abstract to: confer@isas.co.il See here for abstract submission details Deadline for abstract submission: November 30, 2016

http://www.medical.theconferencewebsite.com/conference-info/12th-world-conference-on-bioethics-medical-ethics-and-health-law-2017

North American Brain Injury Society 30th Annual Conference on Legal Issues in Brain Injury 2017

Venue: Sheraton New Orleans Hotel

New Orleans, USA

March 29, 2017 - April 1, 2017

http://www.medical.theconferencewebsite.com/conference-info/north-american-brain-injury-society-30th-annual-conference-on-legal-issues-in-brain-injury-2017

12th Annual Medical-Legal Partnership Summit 2017

Venue: Gaylord National Resort & Convention Center

National Harbor, USA

April 5, 2017 - April 7, 2017

http://www.medical.theconferencewebsite.com/conference-info/12th-annual-medicallegal-partnership-summit-2017

North South Oceanic Legal & medical Conference

Cruise on Silver Galapagos & Quito JW Marriott

20 April 2017 – 29 April 2017

Galapagos, Chile

The academic program has always been the centrepiece of our conferences, but an equally important element is the networking activities we organise outside the professional program. The interaction facilitated by CPE Conferences’ social programs have established an increased camaraderie between professionals of all backgrounds and specialties, a mutual referring of clients and access to professional resources which previously would have been either inaccessible or unknown.

http://www.cpeconferences.com/medical-legal-conferences/2017-medical-legal-conferences/

 

South West Legal & Medical Conference

Venue: The singular

Santiago, Chile

8 May 2017 – 15 May 2017

The Santiago Legal Conference runs in conjunction with the Galapagos Expedition Conference to be held 20 - 29 April 2017. The multiple registration rate applies if delegates simultaneously register for more than one conference.  We are an endorsed provider of Continuing Medical Education for the Royal Australian College of General Practitioners. This conference attracts points at rate of 2 points per hour of participation (although not every session attracts points).

The Santiago Conference is also combinable with the Macchu Picchu and Inca Trail private tour, 30 April - 7 May, 2017.

http://www.cpeconferences.com/medical-legal-conferences/2017-medical-legal-conferences/

 

29th Annual Clinical Negligence Conference 2017 (AVMA 2017)

Venue: Royal Armouries Museum

Leeds, UK

June 23, 2017 - June 24, 2017

http://www.medical.theconferencewebsite.com/conference-info/29th-annual-clinical-negligence-conference-2017

 

Europe Asia Legal & Medical Conference

Venue: Grand Hotel Tritone

Positano, Italy

25 June 2017 – 2 July 2017

CPE Conferences is an endorsed QI & CPD provider of Continuing Medical Education (CME) for the Royal Australian College of General Practitioners (RACGP).

http://www.cpeconferences.com/medical-legal-conferences/2017-medical-legal-conferences/

 

Pan Europe Pacific Legal & Medical Conference

Venue: Hotel Royal Saint Honore

Paris, France

5 July 2017 – 5 July 2017

CPE Conferences is an endorsed QI & CPD provider of Continuing Medical Education (CME) for the Royal Australian College of General Practitioners (RACGP).

http://www.cpeconferences.com/medical-legal-conferences/2017-medical-legal-conferences/

 

23rd World Association for Medical Law (WAML) Annual Congress- 50th Golden Anniversary Meeting

July 10, 2017 – July 13, 2017

Baku, Azerbaijan

The World Association for Medical Law (WAML) was established and the first Congress was held in Ghent, Belgium in 1967.

The purpose of the WAML is to encourage the study and discussion of health law, legal medicine and ethics, for the benefit of society and the advancement of human rights. The aim of the WAML is to promote the study of the consequences in jurisprudence, legislation and ethics of developments in medicine, health care and related sciences.

http://wafml.memberlodge.org/

 

Europe Oceania Legal & Medical Conference

Venue: On board SS Antoinette (Cruise)

Rhine River, France

15 July 2017 – 23 July 2017

The conference begins in the medieval town of Basel, Switzerland, before embarking on Uniworld’s SS Antoinette (or River Empress) to explore this stunning part of Europe. CPE Conferences is an endorsed QI & CPD provider of Continuing Medical Education (CME) for the Royal Australian College of General Practitioners (RACGP).

http://www.cpeconferences.com/medical-legal-conferences/2017-medical-legal-conferences/

 

North South Legal & Medical Conference

Venue: Pulitzer Hotel

Amsterdam, The Netherlands

24 July 2017 – 31 July 2017

CPE Conferences is an endorsed QI & CPD provider of Continuing Medical Education (CME) for the Royal Australian College of General Practitioners (RACGP).

http://www.cpeconferences.com/medical-legal-conferences/2017-medical-legal-conferences/

 

Pan Europe Asia Legal & Medical Conference

Venue: Centro Congressi Cavour

Rome, Italy

29 September 2017 – 6 October 2017

CPE Conferences is an endorsed QI & CPD provider of Continuing Medical Education (CME) for the Royal Australian College of General Practitioners (RACGP).

http://www.cpeconferences.com/medical-legal-conferences/2017-medical-legal-conferences/

 

Pan Europe Oceania Legal & Medical Conference @ Sea

On board the Silver Spirit, Pre-cruise: Bernini Bristol Hotel

From Rome to Sicily & Italian Riviera, Italy up to Monte Carlo

Italy and Monte Carlo

6 October 2017 – 16 October 2017

CPE Conferences is an endorsed QI & CPD provider of Continuing Medical Education (CME) for the Royal Australian College of General Practitioners (RACGP).

http://www.cpeconferences.com/medical-legal-conferences/2017-medical-legal-conferences/

 

USA Pacific Legal & Medical Conference

Venue: World-Wide Business Centre

New York, USA

12 December 2012 – 19 December 2012

CPE Conferences is an endorsed QI & CPD provider of Continuing Medical Education (CME) for the Royal Australian College of General Practitioners (RACGP).

http://www.cpeconferences.com/medical-legal-conferences/2017-medical-legal-conferences/

Courses

COURSES & SEMINARS

Seminar series at Lex Medicus Suites

9 February 2017, 6:30 – 8:30 pm

Title: Wine & Pain. Clinical & Medico Legal Aspects of Chronic Pain

Presented by Dr Peter Blombery and followed by Italian wine tasting with Sommelier James Ahearn.

Lex Medicus 9 Yarra street, Suite 1012, South Yarra

For bookings email: reception@lexmedicus.com.au

 

Seminar series at Lex Medicus Suites

18 May 2017, 6:30 – 8:30 pm

Title: Wine & Spine. 

Presented by Orthopaedics Surgeons, Mr Roy Carey & Mr Thomas Kossmann, followed by wine tasting with Sommelier James Ahearn.

Lex Medicus 9 Yarra street, Suite 1012, South Yarra

For bookings email: reception@lexmedicus.com.au

 

Australian Lawyers Alliance QLD State Conference

17 February 2017, 2:15 pm

RACV Royal Pines Resort, Gold Coast

Title of the talk: The fundamentals of Spinal Surgery, by Mr Thomas Kossmann

 

Australian Lawyers Alliance Breakfast seminar series

Melbourne CBD, Venue to be confirmed

Title: Upper extremities Part 1 & Part 2, by Mr Thomas Kossmann

24 August 2017

7:50 am – 10 am

 

Australian Lawyers Alliance Breakfast seminar series

Melbourne CBD, Venue to be confirmed

Title: Lower extremities Part 1 & Part 2, by Mr Thomas Kossmann

15 June 2017

7:50 am – 10 am

Writing Medico Legal Reports (Royal College of Surgeons)

12 September 2017 - Brisbane, QLD, Australia 

Workshop information

This evening workshop helps you to gain greater insight into the issues relating to providing expert opinion and translates the understanding into the preparation of high quality reports. It also explores the lawyer/expert relationship and the role of an advocate. You can learn how to produce objective, well-structured and comprehensive reports that communicate effectively to the reader. This ability is one of the most important roles of an expert adviser.

Key learning outcomes:

  • The legal rules covering admissibility of an expert report
  • How to prepare and set out an expert report to ensure compliance with court     rules
  • The lawyer/expert relationship, advocate perspective and surgical perspective     on form and content.

This course is recommended for surgeons with an interest in medico legal matters. Participants are also encouraged to attend AMA Impairment Guidelines Level 5th Edition: Difficult Cases

Continuing Professional Development (CPD) points

Presenters: Mr Joe Lizzio FRACS and RACS Fellows

http://www.surgeons.org/for-health-professionals/register-courses-events/professional-development/writing-medico-legal-reports/

AMA Impairment Guidelines 5th Edition: Difficult Cases

Seminar information

The American Medical Association (AMA) Impairment Guidelines inform medico legal practitioners as to the level of impairment suffered by patients and assist with their decision as to the suitability of a patient's return to work. While the guidelines are extensive, they sometimes do not account for unusual or difficult cases that arise from time to time. This evening workshop provides surgeons involved in the management of medico legal cases with a forum to discuss their difficult cases, the problems they encountered and the steps they applied to satisfactorily resolve the issues faced. This workshop complements the accredited AMA Guideline Training Courses.

2 September 2017 - Sydney, NSW, Australia 

Presenters: RACS Fellows

Continuing Professional Development (CPD) points

http://www.surgeons.org/for-health-professionals/register-courses-events/professional-development/ama-impairment-guidelines-5th-edition-difficult-cases/