In Re: Paul E. Brown

252 So. 3d 468
CourtSupreme Court of Louisiana
DecidedSeptember 18, 2018
DocketNO. 2017-B-1930
StatusPublished

This text of 252 So. 3d 468 (In Re: Paul E. Brown) is published on Counsel Stack Legal Research, covering Supreme Court of Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In Re: Paul E. Brown, 252 So. 3d 468 (La. 2018).

Opinion

PER CURIAM

This disciplinary matter arises from formal charges filed by the Office of Disciplinary Counsel ("ODC") against respondent, Paul E. Brown, an attorney licensed to practice law in Louisiana.

UNDERLYING FACTS

In 2012, respondent was involved in an automobile accident that caused injuries to the driver of the other vehicle. Respondent was under the influence of a prescription drug, butalbital with codeine, at the time of the accident. Respondent was arrested and charged with second offense DWI, 1 careless operation of a motor vehicle, obstruction of justice, and vehicular negligent injuring.

In August 2013, respondent pleaded no contest to DWI, careless operation, and vehicular negligent injuring. For each count, he was sentenced to serve six months in the parish jail, with credit for time served; the sentence was suspended and respondent was placed on unsupervised probation for six months with conditions, including payment of a fine plus costs and completion of community service.

Following his conviction, the ODC referred respondent to the Judges and Lawyers Assistance Program ("JLAP") for an evaluation. In February 2014, respondent was evaluated by a clinical psychologist, Alexandra Casalino, Psy.D. Dr. Casalino expressed concern about respondent's long history of prescribed opioid usage beginning in 1996 for chronic headaches, TMJ, and neck pain, and his use of psychotropic medications (Prozac ) for sleep disturbances and depressive experiences. Respondent denied abusing prescription drugs and indicated to Dr. Casalino that he did not believe he had a problem. Based on the information gathered by Dr. Casalino, she concluded that a definitive diagnosis of substance abuse or dependence could not be made, and she recommended that respondent undergo an inpatient professional assessment at a JLAP-approved facility.

In April 2015, respondent was admitted to Palmetto Addiction Recovery Center for a three-day inpatient evaluation. According to the April 30, 2015 discharge report, respondent "easily met criteria" of the DSM-IV for diagnoses of sedative/hypnotic use disorder, moderate to severe, and opiate use disorder, moderate to severe. He used larger amounts of opiates and sedative/hypnotics over a longer time than intended, and was unable to cut down or stop using over the past several years. He described social and occupational dysfunction related to his drug usage and used while engaged in physically hazardous activities (driving). He also used opiates and sedative/hypnotics with a concurrent diagnosis of hypertension and while on medication for hypertension. Finally, the report indicated that respondent had developed a tolerance and experienced mild withdrawal symptoms from his substance use. Accordingly, Palmetto recommended that respondent complete a long-term inpatient treatment program followed by the execution of a five-year JLAP recovery agreement. Palmetto also recommended that respondent taper off all controlled medications under medical supervision and that he complete inpatient treatment "before consideration for return to the practice of law." Respondent declined to comply with Palmetto's recommendations.

DISCIPLINARY PROCEEDINGS

In September 2014, the ODC filed formal charges against respondent, alleging that his conduct violated Rules 8.4(a) (violation of the Rules of Professional Conduct) and 8.4(b) (commission of a criminal act that reflects adversely on the lawyer's honesty, trustworthiness, or fitness as a lawyer) of the Rules of Professional Conduct. Respondent answered the formal charges and essentially admitted his misconduct, but requested a hearing in mitigation.

Mitigation Hearing

The hearing committee conducted the mitigation hearing over the course of two days in August and November 2016. Respondent introduced documentary evidence at the hearing, including: (1) two letters, dated June 13, 2014 and August 3, 2016, written by Todd Arcement, D.C., a chiropractor who treated respondent for twenty years; (2) two letters, dated May 10, 2014 and August 1, 2016, written by Michael Marcello, M.D., respondent's primary physician who treated him for more than thirty years; (3) the report prepared by Dr. Casalino following her evaluation of respondent in February 2014; and (4) the report prepared by Jay Weiss, M.D., the medical director of Palmetto, following respondent's inpatient evaluation in April 2015.

Respondent testified that he has had a long-standing issue with chronic pain. He has had headaches since he was a child, and in law school he developed TMJ. In 1996 he suffered a serious neck injury after being hit by a drunk driver who had run a stop sign. As a result, respondent had problems with headaches and neck pain.

Respondent testified that ten years prior to that accident, he was rear-ended in another automobile accident, but noted that it "wasn't much of anything." Then, in 2008, respondent was hit by a car while stopped at a red light. Finally, in 2015, respondent was rear-ended while sitting in traffic. According to respondent, these accidents aggravated his condition.

Respondent testified that Dr. Marcello and Dr. Arcement worked together to manage his pain. Along with physical therapy and chiropractic care, respondent tried "just about every kind of medication" to alleviate his problems. Then, in 2012, he was given butalbital with codeine to help relax his muscles and help with the pain. Respondent indicated that he took his medication as prescribed. Respondent testified that the last time he took this medication was the night before the August 2012 accident; however, he also had been experiencing vertigo and high blood pressure, which he felt were more likely causes of the accident than the medication. Respondent testified that he has since discontinued the medication and has received several epidural steroid injections. Respondent testified that since receiving the injections in May, June, and July 2016, he has not taken any pain medication, muscle relaxers, or anything else. Respondent testified that he "got relief from the very first shot and then it got better the second shot and then the third." Due to the success of these shots, respondent testified that he now only takes blood pressure medicine.

Respondent denied that he has a drug problem warranting substance abuse treatment or the requirement that he execute a JLAP agreement. Respondent emphasized that in the past he has taken only pain medication prescribed to him by "a doctor that knew my history for 30 years. And I took the medication as prescribed." Moreover, he reiterated that as of 2016, he is no longer taking any pain medication. Respondent testified that he is sober at this time and does not need any help in staying sober, as recommended by the professionals at Palmetto.

Hearing Committee Report

Following the hearing, the hearing committee determined that for an extended period of time, respondent has been dependent upon, if not addicted to, opiates and sedatives, for which he had developed a high tolerance. His addiction was such that he had developed withdrawal from the medications. While recognizing that respondent has recently made vast improvements in limiting his prescription drug usage, the committee nonetheless recommended that respondent execute a five-year JLAP recovery agreement as a condition of a fully deferred one year and one day suspension.

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Cite This Page — Counsel Stack

Bluebook (online)
252 So. 3d 468, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-paul-e-brown-la-2018.