Medical Tribunal #1

2022 CanLII 119909 (ON HPARB) | Aurich v Stefanovich | CanLII

I will now aim to explain the first medical tribunal, hopefully bringing out points which will help to also explain why what happened did. In this manner, it is my final objective to show my complete vindication. I believe, and have for some time now, that this will happen. I will make a number of posts to explain. This will be the first one. 

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To start, some 10 years after I was erroneously placed on Androgel, and four years since coming off the prescription, my testosterone levels are completely normal. This alone proves there was no need for the prescription. 

I will now delve into the tribunal. 

First Concern:

• (the doctor) did not take the time to follow the Endocrinologist’s recommendations to determine if the Applicant indeed had hypogonadism before prescribing AndroGel again in 2013, given the Applicant had been off the medication for four years and had returned to normal testosterone levels.

This was indeed the case as an endocrine report from 2009 stated I did not need Androgel, as follows:

So what were the circumstances? Previous to me being placed on Androgel, I had fallen sick to mono in 2013, and was sick in bed at my parents home. I did not connect to the doctor in question about mono or anything else as my own family doctor had ALREADY confirmed I had mono. This doctor was my mother-in-law's and it was either herself or my ex-wife who made the contact. I DID NOT.

I was then told over the phone that the endocrine report of 2009 stated Androgel was needed. THIS WAS FALSE. I also did not visit this doctor to pick-up the prescription, instead the prescription was delivered to me at my parent's home. I began the prescription under false information. 

Second Concern:

• prescribed AndroGel at a high dose (17.5-5 mg per day), yet did not appropriately monitor testosterone levels via blood work to support higher than recommended doses of AndroGel (in 2013)

Some may think this prescription was given to me out of some concern for my health. This seems dubious at best. To start, the standard dose of Androgel is 5 mg/day, and so, why was 17.5 mg/day given? As far as anyone can tell me, there can have been no medical justification for such a high dose.

I should also add that the tribunal repeatably makes mention of depression; this is not valid as the reason I felt terrible was due to a sinus issue and vertigo. Here is what the criminal forensics' report disclosed:

The doctor was well aware of my issue with vertigo (aka Meniere's Syndrome) in 2009. It was not depression, and this fact was not included in the tribunal's findings. In any event, my testosterone levels were then raised to a level that exceeded the laboratories ability to test for the actual value, thus " >170". 

In a response dated August 19th 2021, the January 3rd reading was described as, "In January 2014, a laboratory report showed the free testosterone level greater than 170 (31-94 range). The Respondent (doctor) suspected that this could have been an error, as the accuracy of this number was highly questionable." So perhaps the lab instrumentation was broken? Regardless, on February of that same year, the level was measured at 166.5. It was then lower in March, but then... as the prescription was rather oddly managed,

Does this seem to reflect normal medical practice?

I never suffered from depression. And so, the issue of vertigo was corrected with surgery in 2010, and I was rather okay afterward. 

No blood test was done previous to me being placed on it in 2013. Any claim of this is false.  

So, why the Androgel in 2013? 

And again, in case it has been forgotten, my testosterone levels today, are fine. That is proof beyond all else, as people with low testosterone at the age of 38 do not suddenly recover at the age of 49.