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|    sci.med.psychobiology    |    Dialog and news in psychiatry and psycho    |    4,734 messages    |
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|    29 Jun 17 07:40:59    |
      From: logici23x@gmail.com              The Washington Post               A doctor prescribed so many painkillers, she’s been charged with murdering       her patients, authorities say        By Cleve R. Wootson Jr.        June 24                Regan Nichols is charged with five counts of second-degree murder after       investigators say she overprescribed powerful opioids to her patients.       (Oklahoma County Jail).        On Nov. 21, 2012, Sheila Bartels walked out of the Sunshine Medical Center in       Oklahoma with a prescription for a "horrifyingly excessive" cocktail of drugs       capable of killing her several times over.               A short time later, she was at a pharmacy, receiving what drug addicts call       “the holy trinity” of prescription drugs: the powerful painkiller       Hydrocodone, the anti-anxiety medication Xanax and a muscle relaxant known as       Soma.              In total, pharmacists handed her 510 pills that day — all legal, because she       had a prescription with the signature of her doctor, Regan Ganoung Nichols,       scrawled at the bottom, according to a probable cause affidavit.               Bartels's lifeless body was found later that day, court documents say. A       medical examiner concluded that she died of multiple drug toxicity, another       victim of the America's opioid epidemic.               But investigators say the 55-year-old Bartels was also a victim of Nichols, a       pain management doctor who investigators concluded “either didn't know or       didn't care what she was doing.”               Nichols is charged with second-degree murder in the death of Bartels and four       other patients, some of whom died just days after receiving large       prescriptions from the doctor. She was arrested Friday and released from       Oklahoma County Jail on $50,000 bail.               She couldn't be reached for comment on Saturday. A number listed for Sunshine       Medical Center was disconnected. Jail officials didn't know whether she had       hired an attorney.               The doctor's arrest is part of a new and growing offensive in America's battle       against the abusive use of opioids, which kill an average of 91 people a day,       according to the Centers for Disease Control and Prevention.                Play Video 5:27        Users of opioid painkillers often grapple with risking addiction or living       with pain                       0:00        / 0:00                      Respondents who took part in The Washington Post-Kaiser Family Foundation       survey on long-term, opioid painkiller use share their experiences of living       with pain (Monica Akhtar, Erin Patrick O'Connor/The Washington Post)        Law enforcement agents aren't just going after drug dealers and Mexican       cartels — they're also targeting pharmaceutical companies and doctors, who       they say are irresponsibly flooding the nation with potent painkillers, and       holding them responsible for        overdose deaths.               “Nichols prescribed patients, who entrusted their well-being to her, a       horrifyingly excessive amount of opioid medications,” Oklahoma Attorney       General Mike Hunter told the Associated Press on Friday as his office       announced the doctor's arrest. “       Nichols’s blatant disregard for the lives of her patients is u       conscionable.”               [‘Drug tourists’ keep overdosing at this library. Here’s how employees       are saving their lives.]               Opioids killed more than 33,000 Americans in 2015, according to the CDC. Since       1991, the number of opioid overdose deaths has quadrupled. In 2014, according       to the Agency for Healthcare Research and Quality, 1.3 million Americans were       hospitalized for        opioid-related issues.               And prescription opioids are a primary driver, and prosecutors increasingly       have gone to the source to stop abuse. In February 2016, another doctor,       Hsiu-Ying “Lisa” Tseng, was sentenced to 30 years to life in prison after       three of her patients        fatally overdosed, according to the Los Angeles Times.               Prosecutors said Tseng made millions from overprescribing opioids to       drug-addicted patients.               And lawyers for the Cherokee Nation in Oklahoma have sued the nation's top six       drug distributors, according to The Washington Post's Scott Higham and Lenny       Bernstein. The suit says the pharmaceutical companies are profiting from the       epidemic and “       decimating communities across the nation's 14 counties in the state.”              Last month, seven counties in West Virginia, a state that has the highest       prescription drug overdose rate in the nation, filed suits against many of the       same corporations, according to Higham and Bernstein.               A lawsuit by the state of Missouri against pharmaceutical giants strikes a       similar tone.               Missouri Attorney General Josh Hawley said the companies have used bogus       science to mislead patients about just how addictive opioids are, according to       The Post's Katie Mettler. As a result, the companies have “profited from the       suffering of        Missourians.”               The lawsuits have different aims, although attorneys in the Missouri case say       they want state legislatures to more closely monitor prescription drug use.               Oklahoma's attorney general has been trying to paint Nichols in the same       light.               Nichols prescribed more than 3 million doses of controlled dangerous drugs       from 2010 through 2014, according to court documents, including        irrational” and dangerous combinations of drugs that led to five deaths.               To Your Health newsletter        Health news and research, in your inbox weekly.        Sign up        On March 24, 2010, for example, Debra Messner received a prescription for 450       pills — the same cocktail of Hydrocodone, Xanax and Soma and died six days       later of acute drug toxicity, according to court documents. A doctor       contracted by the Drug        Enforcement Administration to review her case file found that there was "no       need for the quantity or combination" of those drugs.               Lynette Nelson was evaluated by Nichols once, a few days before Christmas in       2008. Still, over the next four years, Nelson was prescribed so many potent       drugs from Nichols's clinic that investigators were baffled that she didn't       die sooner.               She was found dead on March 1, 2012, five days after getting her final       prescription of Xanax filled.               In the probable cause affidavit, the doctor contracted by the DEA to examine       the dead patients' files concluded that because of Nichols's “lack of the       use of the basic fundamental safeguards, patients suffer and very well may end       up paying the ultimate        price as all ten of these patients did.”                      [continued in next message]              --- SoupGate-Win32 v1.05        * Origin: you cannot sedate... all the things you hate (1:229/2)    |
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