ANDREAS GOEBEL MSc (Pain Medicine) PhD FRCA FFPMRCA

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MEDICOLEGAL CURRICULUM VITAE ANDREAS GOEBEL MSc (Pain Medicine) PhD FRCA FFPMRCA 2017 Contact Details Dr. Andreas Goebel Director Pain Research Institute, University of Liverpool Reader in Pain Medicine and Honorary Consultant in Pain Medicine University of Liverpool and The Walton Centre for Neurology and Neurosurgery NHS Trust Lower Lane, Fazakerley Liverpool L9 7LJ www.agmedicolegal.co.uk

CONTENTS Page No. Summary of professional experience 3 Qualifications 3 Prizes, Awards and Distinctions 4 Clinical Appointments 5 Postgraduate Training 5 National Clinical Guidelines Group 5 Selected Publications 5 Esteem 6 2

SUMMARY OF PROFESSIONAL AND MEDICOLEGAL EXPERIENCE I have been a practicing Anaesthetist and Pain Doctor since 1995, and was appointed as a Consultant in the Specialty of Pain Medicine in 2006. Since my academic appointment as Senior Lecturer in 2008 (50% of my time), I have been seeing with my team approximately 350 patients/year. I have been promoted to Reader (Associate Professor) in 2016. Within my practice, I am responsible for providing secondary, tertiary and quaternary services; the tertiary services are for a capture area of 3.2 million population. I lead the tertiary/quaternary CRPS service at the Walton Centre, with regional, national and international referrals. As part of my work, I perform interventional trials with spinal cord simulators for patients with CRPS, and other conditions. I am also performing assessments of patients as the medical doctor within a tertiary Pain Management Program Team. My academic work is largely concerned with understanding the pathophysiology of CRPS and fibromyalgia, and establishing novel treatments. I have first proposed the Autoimmune Hypothesis for CRPS. I have been reporting in mediolegal cases since 2011. I specialize in cases where clients develop chronic pain, having sustained an injury. I am acting as expert for Claimant / Defendant / Joint instruction, includig in medical negligence cases, and occasionally in criminal cases. I was scheduled to appear in court first in 2014. I have been invited speaker at the 2014 and 2016 Peterhouse Medicolegal Conferences, and at APIL conferences throughout the UK. I have published on the medicolegal implications of newest scientific findings in CRPS, and have initiated a working group to formulate brief patient guidance for those who may wish to pursue litigation for post-traumatic chronic pain. QUALIFICATIONS 2011 Fellow of the Faculty of Pain Medicine of the Royal College of Anaesthetists: FFPMRCA 2009 MsC in Pain Medicine, University of Edinburgh and Sydney 2006 Facharzt, Certificate of Completion of Specialist Training in Anaesthesiology/Pain Medicine, Munich 2005 F.R.C.A. (England) 1997 Post-Trauma Immunology, Harvard Medical School, Boston, US 3

1998 Ph.D., University of Wuerzburg 1994 M.D., University of Wuerzburg (Hons) 1983 Abitur Honours, Applied Mathematics, Physics, Classical Greek PRIZES, AWARDS AND DISTINCTIONS 2013 First Price, International CRPS Conference, Bath 2012 CSL-Behring Leadership Awards 2007 Talecris Talents International competition 2004 Travelling Fellowship, American Neurological Association 2002 Michell Goat Prize, Oxford School of Anaesthesia 2001 British Pain Congress, 1 st Prize, Poster and Oral Presentation 1999 German Ministry of Research Award 1998 Trauma Prize, Harvard Medical School 4

CLINICAL APPOINTMENTS November 2008 present Senior Lecturer-, from 2016 Reader in Pain Medicine, University of Liverpool, and Honorary Consultant in Pain Medicine, The Walton Centre NHS Foundation Trust, Liverpool. POSTGRADUATE TRAINING University of Wuerzburg, Germany, Harvard Medical School, Boston, USA, University of Oxford and Oxford Rotation, University College London NATIONAL CRPS GUIDELINES GROUP 2008 ongoing UK CRPS Guidelines. Initiation, and Lead under the umbrella of the Royal College of Physicians, London. Publication of short and long Guidance in 2011/2012. Lead for Guidance revision group preparing the first Guidance revision scheduled 2017 SELECTED PUBLICATIONS 2010-17 Goebel A. Autoantibody Pain. Autoimmunity Reviews 2016; 15(6): 552-7 Barbalinado S., Loer SA, Goebel A*, Perez R*. The treatment of longstanding Complex Regional Pain Syndrome with oral steroids. Pain Medicine 2015; 17(2): 337-43 (*joint) Benson J., Spencer M., Goebel A., Munglani R.. Compensation Claims Relating to Chronic Pain Parts 1-5. Journal of Observational Pain Medicine 2014; 1(4). Goebel A. Immune activation and autoimmunity in chronic pain conditions and response to immunoglobulin G. Clinical and Experimental Immunology 2014; 178(S1): 39-41. Johnson S., Ayling H., Sharma M., Goebel A. External Non Invasive Peripheral Nerve Stimulation Treatment of Neuropathic Pain, a Prospective Audit. Neuromodulation 2015; 18(5): 384-91. Haynes L, Goebel A, Flynn M. The Impact of Spinal Cord Stimulation for Upper Extremity Complex Regional Pain Syndrome on Level of Function. International Journal of Therapy and Rehabilitation 2014; 21(2): 77-83 Goebel A. Current Understanding of the Causes of Complex Regional Pain Syndrome with its Medico-Legal Implications. Journal of Observational Pain Medicine 2014; 3(1) Goebel A. The Management of Adult Patients with Longstanding Complex Regional Pain Syndrome. Pain Management 2013; 3(2): 1-10. 5

Cossins L, Okell RW, Cameron H, Simpson B, Poole HM, Goebel A. Treatment of Complex Regional Pain Syndrome in adults: A systematic review of randomised controlled trials published June 2000 to April 2012. EuJPain 2013; 17(2):158-73. Turner-Stokes L., Goebel A. Complex Regional Pain Syndrome in Adults: Concise Guidance for the UK. Clinical Medicine 2011; 11(6): 596-600. Long Guidance published 2012, available at : http://www.rcplondon.ac.uk/resources/complex-regional-pain-syndromeguidelines Goebel A. Complex Regional Pain Syndrome in Adults. Rheumatology, 2011; 50(10): 1739-50. ESTEEM (Selected Presentations and Workshops 2014-2017) Keynote Lecture: McGill Frontiers in Pain Medicine Lecture Series (Montreal) (2016) Workshop Speaker: International Association for the Study of Pain (IASP), Yokohama (2016) Workshop Speaker: World Institute of Pain (WIP), New York (2016) 2016 Peterhouse Conference (Cambridge) Managing Neuropathic Pain Following Peripheral Nerve Injury The Pain Management Consultant s Perspective 2016 APIL London, Belfast Complex Regional Pain Syndrome an Introduction 2015 Jersey Personal Injury Medicolegal Society: Complex Regional Pain Syndrome Modern understanding of an important limb-pain condition in high value injury and medical-negligence cases Plenary: British/German/Irish/Austrian joint Neuromodulation Societies Meeting (2015) Plenary: British Society for Clinical Neurophysiology (2015) Workshop Convenor: European Federation of IASP Chapters (2015) CRPS Study Day Convenor: Royal College Of Anaesthetists Faculty of Pain Medicine (2015) Plenary: Irish Faculty of Pain Medicine (2015) 2014 Peterhouse Conference (Cambridge): Complex Regional Pain Syndrome The Latest Concepts on Causation Webinar Lead: Harvard Medical School Neuro-Discovery Centre (2014) Plenary and Workshop: British Pain Congress (2014) International CRPS Research Consortium Foundation Member, Chicago (2014) Plenary and Workshop, Interlaken International Immunoglobulin Congress (2014) Workshop Speaker: British Society for Rheumatology (2014) 6