Complaint 1 - respondent was guilty of professional misconduct and that he:
1.1 Between August 1983 and about 25 June 1994 the practitioner treated Patient A whilst at the same time having a personal and sexual relationship with that Patient.
1.2 Between August 1983 and about 25 June 1994, while treating Patient A, obtained financial advantages from the Patient (he testified at the hearing that he received over $1 million in cash, property and benefits from Patient A).
1.3 Between August 1983 and about June 1994 the practitioner, while treating Patient A, undertook a course of conduct to obtain financial benefits from his Patient on her death, including:
1. Destroyed or suppressed the 1989 will of Patient A.
2. Took videos and photographs of Patient A during her life.
3. Acquired financial interest in and with and from Patient A.
1.4 On or about June 1994 the practitioner administered 30 milligrams of morphine to Patient A (Patient A became unconscious 4 minutes after the injection and died 6 minutes after the injection).
1.5 On or about 25 June 1995 the practitioner inappropriately signed a medical certificate of cause of death for Patient A in circumstances where the practitioner:
- was treating the Patient; and
- considered himself to be a potential beneficiary from the estate of Patient A; and
- was at that time engaged in a personal relationship with the Patient.
(He testified that as at 25 June 1994 he was treating Patient A, he considered himself to be a potential beneficiary from her estate, and he was her defacto husband.)
1.6 The practitioner lied on oath in written or oral testimony in proceedings in the Supreme Court of NSW 12009 of 1994. (He falsely alleged that Patient A had died without leaving a will and that he had been her defacto spouse, and therefore entitled to the totality of her estate, as she left no issue. The Medical Tribunal was satisfied of this ground from evidence that he gave at the hearing before the Tribunal.)
1.7 The practitioner failed to keep a drug register in June 1994 for drugs of addiction contrary to Regulation 58 of the Regulations to the Poisons Act 1966 (the applicant conceded that he did not comply with Regulation 58 and said that he generated a drug register on his computer. When it was put to him that that was not as required in the Poisons Act, he said "…that is my drug register. Whether it is in the Poisons Act or not, it is my drug register that is what I use and that is what I tender here as evidence…". He was asked whether he considered himself obliged to keep a drug register as that term is used in the Poisons Act, and said "…no I didn't". then the following exchange occurred:
Question: "Do you consider yourself obliged to comply with the letter of the Law?"
Answer: "No, Mr Joseph, I do not. I think if we have technology and the Law has not caught up with that technology, then the technology should be accepted".
He conceded that at times he altered his "drug register", but the fact of such alteration was not recorded in his "drug register".