Jackson V AEGlive - Transcripts - June 24th - Gordon Mathesonsports med-conflict of interest testimony

th

JACKSON V AEG June 24 2013

Gordon Matheson

Dr. Gordon Matheson

(Director of Sports Medicine, Stanford University and Conflict of Interest Expert) Plaintiff's Expert Witness.

(Hearing held in open court prior to jury entering):

Judge: Did yo !ant to tal" to #e$

%es, yor &onor. W&at t&e intentions today !ere !as to co#plete aot a Mr. Panish: %es, &alf an &or of Dr. Earley. Earley. &ere !as one estion !&ere !e stopped. Ms. Ca&an !old li"e to ar*e, and t&en !e'll finis& after t&at. I "no! +d*e finis&ed Mr. ei!e"e. I "no! t&at too" so#e ti#e, so t&an" yo. -t I t&in" ri*&t no! !e +st &ave to &ave ar*#ent fro# Ms. Ca&an. S&e !anted to ar*e a specific portion. Do yo &ave t&e transcript$ Judge: &e transcript$ I'# sre I do. Mr. Boyle: nd also, yor &onor, if yo &ave yor order on earley.

The world’s largest digital library

Try Scribd FREE for 30 days to access over 125 million titles without ads or interruptions! Start Free Trial Cancel Anytime.













Judge: I'# sre I do so#e!&ere. Mr. Boyle: I &ave an extra copy. Judge: Well, do yo &ave a copy of t&e order$ Mr. Boyle: %o %o "no! !&at$ I can *ive yo t&e one pa*e (indicatin*). Mr. Panish: It's s+ect to t&is. Judge: /"ay. /"ay. nd yo can read #e t&e relevant portions$

%es, yor &onor. So t&e testi#ony in estion is at pa*e 001, lines 2 to 023 Ms. Cahan: %es, Question: "As you sit here today, do you have an opinion with regard to Mr. Jackson's life expectancy" expectancy" Answer: "! do." do." Question: "And what is that opinion" Answer: "hat "hat opinion opinion is that the the ## there are $ultiple $ultiple reasons reasons why he could could die pre$aturely or have catastroph catastrophic ic conse%uences conse%uences for for his su&stance su&stance use and a&use. a&use. And And specifically, the use of propofol, the addiction to opioids, and the synergy &etween $ultiple drugs that he took." and the o&ection was sustained as outside the scope. (ut there are several portions of testi$ony that were designated &y )laintiffs that address specifics of his opinion a&out life expectancy and whether he considered certain things. Judge: &ere #ay e. W&y don't yo point t&e# ot$ Ms. Cahan: So at pa*e 041, for exa#ple 55 and t&ere are n#eros 55 at lines 01, to

pa*e 046, line 73 Question: "And, sir, what data has &een taken with regard to su&oxone treat$ent and life expectancy with regard to opiate addicts" and he already expressed an opinion that Mr. Jackson was addicted, to date. Answer: "*o "*o outco$e, outco$e, treat$ent treat$ent definitely definitely saves lives lives if you can can get an individual individual to only take the su&oxone, to fully disclose all of their sources of other drugs, to agree to rando$ urine drug screens and +ero &en+odia+epines, &ecause there's a synergistic effect of &en+odia+epine and su&oxone which also causes pre$ature death. *o all of those things, if you have all of those conditions, that can definitely save lives." Question: "And could it have saved Mr. Jackson's life" Answer: "!t could have." have." so that's that's ust one one exa$ple. exa$ple. (ut there, there, if you're you're allowing in the















Judge: /"ay. Mr. Boyle: %or %or &onor, !&en !e did t&ese desi*nations, !e intended to stay a!ay fro#

all t&in*s life expectancy for a cople of reasons. /ne, t&at !e don't t&in" Dr. Earley is a lifeexpectancy expert. &ey also &ave an actary !&o !as t&e s+ect of a #otion in li#ine, and +d*e rled t&e actary cold co#e testify aot life expectancy. -t t&at's really a separate isse. We elieve t&at yor &onor !as correct, t&at t&at !as otside t&e scope, ecase I focsed #y desi*nations of Dr. Earley on addiction isses, not life5 expectancy isses. 8o!, if t&ey're *oin* to rin* ot Dr. Earley &ere, any!ay, any!ay, &e can rin* ot all t&ese life5expectancy isses. nd I t&in" t&e soxone clip s&e +st read is really aot soxone, !&ic& is a treat#ent for opioids. It !as not intended to e a life5 expectancy clip. If yor &onor does t&in" t&at #a"es it related to t&at, I !ill !it&dra! !&at s&e +st read, also, and t&en t&at !old ta"e it ot co#pletely otside t&e scope. Ms. Cahan: &ere are several ot&er exa#ples of !&at !as in t&e ori*inal desi*nations.

nd, yor &onor, to e clear, clear, !e are *oin* to call Dr. Dr. Earley. Earley. We do intend to call call Dr. Dr. Earley to testify in or case, !&ic& is !&y !e conter5 desi*nated +st t&is one, very s#all 55 &e *oes on at len*t& in &is deposition aot life expectancy. We contered +st t&is one very s#all piece +st to *et t&e aseline ecase t&ere are so #any estions 55 Judge: Can I as" yo, did yo call &i# for t&e prpose of estalis&in* life expectancy$ Ms. Cahan: %es. %es. 9e !as desi*nated as an expert on life expectancy as it relates to se

and ase of dr*s, and t&ey did not #ove to exclde &i# on t&at asis. Mr. Boyle: We, of corse, reserve t&e ri*&t 55 t&ey &ave t!o ot&er people t&ey

desi*nated, also, on life expectancy. So at t&e ri*&t ti#e, !e !ill #a"e or #otion on c#lative, if t&ey try to rin* in t&ree experts to tal" aot it. expectancy, Ms. Cahan: nd, yor &onor, !e &ave an actary !&o can tal" aot life expectancy, and tales and &o! &o ! t&ose !or". Dr. Earley's specialty is addiction, a #edicine doctor. 9e's t&e only !itness !e &ave !&o is *oin* to e testifyin* aot t&e effect of Mr. :ac"son's dr* se on &is life expectancy. expectancy. nd I'd e &appy to *ive yo additional exa#ples of !&at !as desi*nated. Judge: Did yo s&o! 55 I'# sorry. Mr. -oyle$ Mr. Boyle: -oyle. 8o prole#. It's #y irt&day today, today, too. Judge: on* !ee"end. Mr. Boyle: &e ot&er references 55 &e's only een &ere for #ont&s. Mr. Panish: &at's all ri*&t.















Answer: "that "that ## you're you're assu$ing lots of different different varia&les, varia&les, and and ! think there there are other varia&les, too, for his progress long ter$, like his love for his children. /is dedication to his children would certainly help." this is ust a couple of a nu$&er of exa$ples. he life# expectancy issue ca$e out throughout and wasn't designated, and ust these - lines, and they can cross hi$ on it when he co$es to testify live. ! do think it's necessary to set the stage for the ## and get the proper context for the testi$ony designated. Mr. Boyle: Well, yor &onor, a*ain, !&at s&e +st read, I t&in", !as a estion aot

addiction, cold &e *et over &is addiction. %o %o "no!, t&at !as not intended to elicit any life5expectancy testi#ony. testi#ony. 8o!, all of t&is said, if t&ey are representin* to t&is cort t&at t&ey are rin*in* &i# so !e can properly cross5exa#ine &i# on &is opinion, t&en #y concern aot t&is ein* played p layed *oes a!ay. a!ay. -t I need a representation fro# t&e#. Judge: Well, I t&in" I'll overrle it nless yo !ant to !it&dra! t&e estion. nd if &e

s&o!s p, s&e can rin* it p, and yo can cross5exa#ine. Mr. Boyle: I'# confsed. So yo'll contine !it& yor overrlin* of t&eir o+ection$ Ms. Cahan: S&e sstained yor o+ection. Mr. Boyle: =i*&t. I'# sorry. sorry. So yo'll overrle it nless !e !ant to !it&dra! t&e estion$ I'# sorry. Judge: 8o. I'# sstainin* t&e o+ection 55 !ait a #inte.

%or &onor, if yo !ere to allo! t&e testi#ony 55 Ms. Cahan: %or Mr. Panish: Mst &ave een a *ood !ee"end.

%or &onor, t&is !as a conter5desi*nation t&at defendants #ade. Plaintiffs Ms. Cahan: %or o+ected, and t&e o+ection !as sstained. So as of no!, t&at s#all piece of testi#ony is not *oin* to e played. /"ay. I'# *oin* to overrle it, t&en, nless t&ey !ant to !it&dra!. !it&dra!. Judge: /"ay. Mr. Panish: Well, !e !it&dra! t&at ot&er portion. Mr. Boyle: %ea&. %ea&. We !ill !it&dra! t&at ot&er portion.

/"ay. So t&ey t&e y !it&dra! it, so 55 Judge: /"ay. Ms. Cahan: /"ay. /"ay. So yo !ant all t&e varios pa*es and lines 55 55

%o've only #entioned t!o. Mr. Boyle: %o've















*oin* to rin* Dr. Earley. Ms. Cahan: It's or present intention to rin* r in* &i#. /viosly, /viosly, it !ill depend on !&at

&appens !it& t&e rest of t&e case. Mr. Panish: We !ant &i# to co#e, so 55 Ms. Cahan: Well, yo spoenaed &i#. nd yo &ad a c&oice to call &i# live or to se

t&is deposition. &is is !&ere !e all started six !ee"s a*o. Mr. Panish: We didn't, ecase yo represented yo !ere *oin* to rin* &i# to testify. testify.

8o! yo're tellin* s it's only yor intention. So if yo #a"e a representation t&at &e !ill asoltely e &ere, t&en yo can play t&at. -t if yo're not !illin* to #a"e t&at representation for s to cross5exa#ine &i#, t&en !e'll pll ot t&e part aot soxone, and it !on't co#e in ecase &e !oldn't e ale to e cross5exa#ined on t&ose opinions. Ms. Cahan: nd, yor &onor, t&ere !old e five desi*nations t&at !e t&in" !old need

to e re#oved. Mr. Boyle: /"ay. We !ill *o t&ro*& t&e#. Mr. Panish: &e ot&er one doesn't &ave anyt&in* to do !it& it. &at &as not&in* to do

!it& life expectancy. expectancy. &e first one, soxone, yes> t t&e second one s&e +st read, pa*e 077 55 recovery. Judge: I t&in" t&at one +st said &e !old #a"e a speedy recovery. Mr. Boyle: =i*&t. Mr. Panish: =i*&t. Judge: So I don't t&in" t&at necessarily tal"s 55 Ms. Cahan: So t&e first one is at pa*e 0?6, line














Mr. Panish: 040, line 6. /"ay. Ms. Cahan: nd t&e next is t&e soxone one !e already discssed. Pa*e 041, line 01. Mr. Panish: =i*&t. Ms. Cahan: nd t&at desi*nation ends 046@7. Mr. Panish: /"ay. Mr. Boyle: We'll ta"e t&at one ot, too. Ms. Cahan: /"ay. nd t&en pa*e 07?, line 01. Mr. Panish: 9old on. Ms. Cahan: Aestion is3 "*ir, ! want to talk a&out prognosis. And is it a fair state$ent that in order to give a full prognosis of so$ething like so$eone's life expectancy, it's helpful if you were a&le to actually $eet the person" Mr. Panish: W&ere does t&at end$ Ms. Cahan: nd t&at *oes 55 !ell, I t&in" t&ere's +st a portion of t&e desi*nation, so t&at

proaly *oes to pa*e 074, line <. Mr. Panish: /"ay. Wait a #inte. &at's 0 55 Ms. Cahan: 07?@01 to 074@<. Mr. Panish: /"ay. Botc&a. Ms. Cahan: nd t&e last one is 077@<0. Mr. Boyle: We already did t&at one. nd t&is is t&e one, yor &onor, did not t&in" !as

related. &is is t&e one aot appropriate treat#ent for addiction. Cold &e &ave *otten on t&e road to recovery. So I t&in" t&at can stay. /"a y. Ms. Cahan: /"ay Mr. Panish: So !e &ave 0?6@ 041@00 55 Ms. Cahan: 01. Mr. Panish: 55 01. Coldn't read #y o!n !ritin*. o o 046 55 Ms. Cahan: 7.

















Mr. Panish: We're *oin* to do t&at ri*&t t&is second. nd ot&er t&an t&at 55 oviosly,

!as t&at one of #y red ones t&at initially started t&is !&ole t&in*$ Ms. Cahan: &at !as not inclded in #y # y crrent edit. nd, yor &onor, *oin* for!ard,

!e !ill e 55 Mr. Boyle: nd I a*reed earlier today to sit do!n and sort of tal" t&ro*& a lot of t&ese

ot&er isses !it& ot&er desi*nations, ecase !e don't !ant to ta"e p too #c& of +d*e's ti#e. Judge: I !as t&in"in* yo !old, ecase I &ave so#e estion #ar"s, any!ay. I

fi*red yo tal"ed to eac& ot&er. ot&er. Mr. Boyle: /n t&e ne!, yes.

oviosly, Ms. Steins: /n t&e nde cons#ption of +d*e's ti#e, yor &onor, oviosly, Plaintiffs &ave a n#er of experts, and pretrial a n#er of #otions in li#ine !ere directed at certain opinions of t&e expert. &e case la! is fy aot !&et&er !e &ave to rene! t&ose o+ections a*ain at trial. So for t&e sa"e of t&e record, yor &onor, I'd li"e to rene! #y o+ections to Dr. Mat&eson's testi#ony and say !e do not elieve &e possesses t&e scope and expertise necessary to *ive t&e opinions !&ic& &e offered. If yor &onor intends not to revisit any of t&ose #otions in li#ine, !e'd li"e yo to say so !e can stop ta"in* p ti#e. -t ot&er!ise, I !anted to riefly reraise t&e isse to #a"e sre yor &onor did not !ant to entertain any additional ar*#ent on t&at. Judge: If yo feel it necessary to say it a*ain on t&e record, feel free to do t&at. -t I

don't !ant to add ar*#ent to it nless t&ere's so#et&in* ne! yo're addin*. Ms. Steins: &e one piece t&at is ne! t&at I !old add, yor &onor, is t&at Dr. Dr.

Mat&eson's testi#ony relates pri#arily to t&e area of conflict of interest. Plaintiffs &ave elicited a sstantial a#ont of testi#ony on t&at s+ect already. already. We &eard fro# t&eir #sic expert, Mr. -er#an, last !ee". I elieve t&is is *ettin* a it c#lative !it& Mat&eson's testi#ony. testi#ony. So t&at !old e additional *ronds for o+ectin* to it. Judge: If I re#e#er, if *ordon Mat&eson is t&e person I'# t&in"in* of, &e's a Stanford

















Mr. Panish: /"ay. I t&in" !e're o"ay, +d*e, to *o for!ard. Judge: Did yo #a"e t&e edits$ Mr. Panish: %ea&. %ea&. I *ave it to &i#. If t&ere's a prole#, Ms. Ca&an !ill certainly let s

"no!. Ms. Cahan: I certainly !ill. Judge: Still !aitin* for t!o +rors.

(rie! pause in the proceedings)

(the jury enters the courtroo")

Judge: Plaintiffs' consel #ay call t&eir next !itness, or are yo finis&in* !it& a !itness$

Mr. Panish: We're finis&in* !it& t&e videotape of Dr. Earley t&at !e started so#eti#e

last !ee". Judge: /"ay. &an" yo.

(a #ideo clip o! Dr. $arly%s deposition is played)

%or &onor, at t&is ti#e Plaintiffs !old li"e to #ove into evidence defense Mr. Boyle: %or ex&iit 02,0<. nd t&is is t&e 55 t&is !as ex&iit 4 fro# Dr. Earley's deposition. nd it is t&e stdy t&at &e is referrin* to ri*&t no! called, ddiction to propofol, a stdy of << treat#ent cases. Defense ex&iit 02,0<, and t&e stdy !as fnded y EB ive. Judge: /"ay. /"ay. &an" yo. 02,0< is in evidence.

















Mr. Panish: Stop. Ms. Cahan: &at !as a conter t&at !as allo!ed allo !ed in. 0?6 is !&ere !e're stoppin*. Mr. Panish: /"ay. Bo a&ead. Ms. Cahan: Can !e re!ind ac" to t&e e*innin* of t&at estion$

yor &onor$ Mr. Boyle: Can !e &ave a sidear, yor Judge: /"ay.

(Sidear):

Ms. Cahan: &ere !ere a cople of conters t&at !ere allo!ed in, so !e !ere dealin*

!it& t&e desi*nation inconsistency. inconsistency. -t t&at !as a conter5desi*nation t&at !as allo!ed in and yo *ys !ere fine !it&. Mr. Panish: -t t&is is 55 t&is is pa*e 0<2@04 55 Ms. Cahan: U&5&&. Mr. Panish: 55 to 0
!e &ad t&e ot&er isse !it&. Mr. Boyle: We !old !it&dra! t&at. Mr. Panish: &at s&oldn't e in t&ere. It's t&e sa#e isse. It says 55 I #ean, I don't !ant

to read t&e !&ole t&in*, t t&e ans!er is 55 or t&e estion !as 55 Ms. Cahan: &at !as a conter t&at !asn't o+ected to. Mr. Panish: -t t&at's efore !e too" t&e ot&ers ot.

















Mr. Putna": %o %o #ay !ant to loo" to see if t&ere are ot&ers. Judge: &at's t&e prole# !&en yo "ind of 55 Mr. Panish: I "no!. /n t&e fly. Judge: /n t&e fly. Mr. Panish: So t&at's 0<2@04 to 0
expectancy t&ere. Mr. Boyle: /"ay. /"ay. In t&e context of t&e aove, it !old e a prole#, t if t&e aove is

ot, I a*ree. It appears to e +st on addiction. Mr. Panish: /"ay.

%o didn't ar*e t&at 0<2@<0 to 0
8o!, is t&ere any ot&er ones as !e loo" t&ro*& it &ere$ Mr. Panish: /"ay. 8o!, Ms. Cahan: &ere !eren't any ot&ers fro# or conters t&at I felt *et dealt !it& t&e

















Mr. Boyle: /"ay. &an" yo. Mr. Panish: ll ri*&t. So yo etter *o tell &i#, t&en. I don't see anyt&in* else. Ms. Cahan: So &e +st needs to s"ip t&at. Mr. Panish: /"ay. ll ri*&t. Ms. Steins: /ne #ore video edit, and t&en !e're *ood to *o$ Mr. Panish: Well, !e'll see. I t&o*&t !e !ere *ood to *o as it !as. Mr. Boyle: /"ay. I don't see anyt&in* else. &an" yo.

(ac/ to open court)

(a #ideo clip o! Dr. $arly%s deposition is played)

Mr. Boyle: &at is t&e end of t&e video, yor &onor. Judge: /"ay. /"ay. &an" yo. re yo *oin* *o in* to call a !itness live$ Mr. Boyle: %es, yor &onor. Judge: Mr. -oyle$ Mr. Boyle: We are callin* Dr. Dr. Bordon Mat&eson. M5a5t5&5e5s5o5n. Judge: &an" yo. Dr. Bordon Mat&eson, called as a !itness y t&e Plaintiffs, !as

s!orn and testified as follo!s3



















A. nd !&ere do yo !or"$ . Stanford University. University. A. W&at's yor title at Stanford University$ . I a# a professor in t&e Sc&ool Sc&ool of Medicine> I'# t&e director of sports #edicine> I'# I'# t&e &ead tea# p&ysician> I'# t&e professor in t&e &#an iolo*y depart#ent. I &ave a fe!. A. Can yo s##arie for s, please, p lease, yor edcational ac"*rond, startin* !it& yor colle*e nder*radate de*ree$ . I !ent to University in Cal*ary, Cal*ary, lerta, lerta, Canada, !&ere I did a #edical de*ree. nd t&en I sseently did a p&.D. In exercise p&ysiolo*y at t&e University of -ritis& Col#ia in Fancover. A. nd yor P&.D. %o *ot at t&e University of ritis& col#ia. nd I ta"e it, y t&e !ay, t&at yo're Canadian$ . I'# a Canadian. A. -t yo're livin* crrently in t&e United States$ . %es. %es. I've een &ere < years.

















. &at's &o! t&e t&e ody responds to exercise or t&e loads on t&e ody. ody. W&at &appens, for exa#ple, to t&e &eart and ln*s, #scle, t&e one, in response to p&ysical loads on t&e ody. So, for exa#ple, !&en yo exercise, yo increase yor #scle #ass, yor one density, yor &eart fnction, yor ln* capacity. capacity. &ose "inds of adaptations. A. nd, sir, sir, after yo *radated fro# #edical sc&ool, did yo *et a #edical license, certificate$ . %es. %es. I received an M.D., M.D., yes. A. nd !ere yo per#itted to practice #edicine so#e!&ere$ . %es. %es. A. W&ere$ . In canada I practiced initially after I *radated. A. nd can yo s##arie !&at "ind of !or" yo did as a p&ysician, doctor, in Canada$ . Well, I !as !as fairly yon*, so I !ent !ent to t&e arctic, and I !or"ed !or"ed in !&at's no! "no!n as an init settle#ent. ctally ctally,, a series of settle#ents in t&e arctic ocean providin* #edical care. A. Beneral #edical care. nyt&in* in particlar$

















!old e loo"in* after sports tea#s. A. nd t&at !as tre in canada and as !ell in t&e nited states at Stanford$ . %es, %es, t&at's tre. A. Can yo s##arie, Dr. Mat&eson, if yo've &ad occasion to !rite any articles in yor professional capacity$ . %es. %es. I've !ritten articles, !&ic& is really part part of !&at it #eans to e e in t&e acade#ic environ#ent. A. pproxi#ately &o! #any articles$ . lto*et&er, lto*et&er, #aye #aye 04. A. nd do yo serve crrently on any "ind of 55 or in t&e past, since yo've een a doctor, on any oards or co##issions or or*aniations$ . In canada I !as t&e president president of t&e canadian acade#y of sports #edicine. In t&e nited states I'# a fello! of t&e a#erican colle*e of sports #edicine. A. Can yo explain +st !&at t&ose t!o t&in*s are$ . &ose are proaly t&e lar*est sports #edicine odies in t&eir respective respective contries.

















. %es. %es. I've developed a standardied exa#ination exa#ination t&at's *iven efore at&letes are involved in sports. We call t&at a preparticipation pr eparticipation evalation, !&ic& is a co#pre&ensive evalation of ody syste#s prior to sport participation. I crrently c&air a *rop for t&e international oly#pic co##ittee tryin* to ta"e !&at !e "no ! in sports #edicine for t&e co#petitive at&lete and transfer it to t&e *eneral plic to redce c&ronic diseases, li"e &i*& lood pressre, &eart disease, and so fort&. A. nd &ave yo &ad occasion to e an editor or assistant editor of any sc&olarly plications in t&e #edical field$ . I fonded a +ornal called t&e clinical +ornal of sport #edicine, and I also !as !as t&e editor for one called t&e p&ysician and sports#edicine. A. W&at does it #ean to fond a +ornal$ 9o! do yo fond a +ornal$ . It #eans yo start it. %o %o *et all t&e pieces to*et&er, to*et&er, t&e plis&in* co#pany, co#pany, t&e +ornal articles, t&e editorial revie! oard, and create a +ornal, and t&en apply to &ave itit indexed 55 +ornals are ran"ed y t&e national instittes of &ealt&, and t&e ran"in* is called an i#pact factor. So yo try &ard to e t&e very est +ornal so yo can #ove p t&at ran"in*. A. nd are yo also involved in any an y "ind of !or" as a p&ysician or 55 in t&e non5profit co##nity$ . I &ave een. I've een on t&e oard of directors of t&e international international +stice #ission.

















A. nd in s##ary, s##ary, &o! did yo 55 !&at cased yo to *o to Stanford$ . I !asn't loo"in* for a +o, t I *ave a lectre in Cape o!n, o!n, Sot& frica, and a #e#er of t&e selection co##ittee invited #e to apply, apply, and a year later, I !as at Stanford. A. nd !&en yo !ere ro*&t on at Stanford, !as t&ere so#et&in* in particlar yo !ere ein* as"ed to do$ . Well, Stanford didn't &ave a sports #edicine pro*ra#, so so t&e care of t&e at&letes !as !as really provided t&ro*& t&e at&letic depart#ent. nd in settin* p a pro*ra#, !e !anted to create a #edical environ#ent t&at provided care. So !e &ad to estalis& every strctre t&at !as essential to providin* a &i*& ality, ality, co#pre&ensive #edical care environ#ent. A. 8o!, Stanford &as a co#petitive sports pro*ra#> is t&at correct$ . %es. %es. It's a very co#petitive pro*ra#, !&ic& #ay not e ovios at first, ecase ecase it's also a very acade#ic niversity. -t it &as a pro*ra# t&at I e lieve, if I ote t&is correctly, correctly, &as !on t&e director's cp as t&e est division 05a pro*ra# in t&e United States 06 years in a ro!. ro!. A. nd t&at's across #en's and !o#en's at&letics, ta"in* into accont all t&e different sports, all t&e different intercolle*iate sports$



















A. nd can yo *ive s an exa#ple or t!o$ . I *ess #ost recently, recently, andre! lc" *radated fro# or pro*ra# a year a*o and is playin* in t&e national footall lea*e. A. ny oly#pic at&letes$ . :enny &o#pson !on !on 1 #edals. S&e !as a s!i##er s!i##er at Stanford. &ere is a !&ole n#er t&at *oes t&ro*& ti#es, t I !asn't t&ere for all of t&ose. A. 8o!, &ave yo served eit&er 55 drin* t&e ti#e yo !ere at Stanford or efore, &ave yo ever served as . ea# ea# p&ysician for a co#petitive co#petitive sports tea#$

















needed to deal !it& ri*&t at t&e very e*innin* !&en I ca#e to Stanford to set p t&e pro*ra#. nd !e needed to do t&at ecase !e needed to estalis& a policy and a strctre t&at !e !old pt in place t&at !old redce t&e conflict of interest. So I t&in" it's so#et&in* I've spent a si*nificant a#ont of ti#e over t&e last 06 or < years doin*. A. &e 55 !e s&old proaly pr oaly at t&is point #aye define !&at a conflict of interest is. Can yo tell s !it&in t&e #edical co##nity in t&e context of a t&ree5!ay relations&ip, !&at a conflict of interest #ay e$ . Well, a conflict of interest is really a set set of circ#stances t&at t&at creates a ris", t&at professional decisions #ade on e&alf of a pri#ary interest 55 for exa#ple, an at&lete's &ealt& 55 #ay e ndly inflenced y a secondary interest. ;or exa#ple, financial *ain. A. In t&e sports context, specifically, specifically, are t&ere exa#ples !&ere t&ere are ot&er "inds of secondary interests$

















. %es, %es, it is. nd particlarly drin* a *a#e !&en a decision needs to e #ade ic"ly. ic"ly. nd concssions, as yo "no!, "no!, do not al!ays &ave really concrete sy#pto#s. So#eti#es t&ey can e so#e!&at va*e, t&in*s li"e diiness, li*&t5&eadedness, !ooiness. So t&at's a very i#portant area !e've !or"ed in over t&e years. A. Does researc& !it&in yor field s&o! t&at !&at yo've identified as secondary interests, li"e financial *ain, does t&at &ave an i#pact on #edical decision5#a"in*$ . %es, %es, it does. It's not actally researc& in t&e field field of sports #edicine, t t&ere t&ere is researc& in t&e #edical literatre t&at indicates t&at !&en so#eone stands to *ain, it affects t&eir decision5#a"in*. It iases t&e# in a !ay !&ere t&ey lose t&eir o+ectivity, o+ectivity, and t&ey #a"e decisions t&ey #ay not nor#ally #a"e. A. -t aren't potential conflicts present in any patient@p&ysician relations&ip$

















. W&en I started, ill !als& !als& !as t&e footall coac&. A. Did yo !or" !it& Mr. Wals&$ . %es, %es, I did. I !as !as t&e &ead tea# p&ysician. A. Was Condoleea =ice a sports 55 !as s&e interested in t&is isse, t&e conflict of interest !it&in t&e sports settin*$ . S&e loved footall. I t&in" &er ote !as, if s&e !as !as a #an, s&e !old &ave played footall. A. &e 55 Dr. Mat&eson, in +anary of <02, !ere yo approac&ed y or office to revie! so#e #aterials relatin* to t&e relations&ip et!een ae* live, Mic&ael :ac"son and Dr.

















!ere at play in t&is case. A. 8o!, do yo, Dr. Dr. Mat&eson, &ave any direct experience !it&in t&e #sic indstry$ . 8o. A. 9ave yo ever een &ired as a p&ysician for a concert tor$ . 8o. A. 9ave yo ever een en*a*ed as a contractor for a concert tor$ . 8o. A. 9ave yo ever !or"ed as an 55 eit&er as or for a pro#oter in t&e #sic indstry$



















A. In ot&er !ords, yo can !ei*& so#eody and find ot &o! #c& t&ey !ei*&, or find ot &o! fast t&ey can rn t&e 05yard das&, t is t&ere any !ay, !ay, a tale !e can loo" at to say, say, t&is is a 6, t&is is an 1, t&is is a 7 on t&e conflict5of5interest scale$

















#ost po!erfl erodin* force in a conflict5of5interest sitation. A. Dr. Mat&eson, ased on yor revie! of t&e #aterials, t&e depositions, t&e ex&iits, t&e e#ails, and ot&er #aterials relatin* to t&e relations&ip et!een ae* live, Dr. Conrad Mrray and Mic&ael :ac"son, and ass#in* t&at ae* live &ired Dr. Mrray, Mrray, do yo &ave

















Mr. Bloss: 2hat%s !ine. Ms. Steins: -re e going to 7:** or 7:* today3

















the, 00 this is a piece o! e#idence though and 1%" just as/ing hi" i! he relied on this in part and hy. Ms. Steins: 4our honor 1%" not !aulting Mr. Bloss%s uestion ut as your honor has already ruled a physician should not e interpreting the contract. 2hat%s !or

















. Well, I t&in" Dr. Mrray needed to e paid a si*nificant a#ont of #oney. #oney. A. W&y$















































































































































































Jackson V AEGlive - Transcripts - June 24th - Gordon Mathesonsports med-conflict of interest testimony

Recommend Documents