Driver who struck and killed Valley doctor had prescription drugs in system; gets traffic ticket

PREVENT PRESCRIPTION DRUG ABUSE.


Photographer: KNXV

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Posted: 02/21/2012

PHOENIX - Department of Public Safety toxicology records reveal prescription drugs are appearing more often in the blood and urine tests of individuals who have been pulled over or arrested in Arizona and suspected of DUI.

During the year 2011, Alprazolam (Xanax), Oxycodone (Percocet/Oxycontin), Morphine, and Meprobomate (Soma/Miltown) turned up the most often, according to Department of Public Safety toxicology results

The other most prevalent drugs include: Hydrocodone (Vicodin), Clonazepam (Klonopin), Diazepam (Valium), Zolpidem (Ambien), Lorazepam (Ativan), and Methadone.  Between 2010 and 2011, occurrences of Clonazepam increased by 154 percent, the largest increase of any of the top 10 drugs.

CLICK HERE TO SEE THE FULL LIST OF PRESCRIPTION DRUGS

Determining whether the drugs have caused the driver to be impaired, however, is a difficult issue to prove, according to law enforcement and pharmacy experts.

In Arizona, someone is considered to be impaired when they have a Blood Alcohol Content of 0.08.  Nationally, there is no similar impairment standard for prescription drugs.

A DEADLY CRASH

Kim Saks knows how difficult proving impairment can be. For years, the Chandler mother of two young children has been questioning whether the driver who struck and killed her bicyclist husband in 2008 was impaired due to the Zolpidem (Ambien) and Sertraline (Zoloft) he had consumed.

Zolpidem is a sleeping medication, and Sertraline is an antidepressant.  Both can affect a person’s mood and alertness, according to Dr. Melinda Burnworth, an Associate Pharmacy Professor at Midwestern University in Glendale, Ariz.

“I needed an explanation for this. There was no explanation that made any sense to me,” Kim Saks said. 

Her husband, Brett Saks, a Chandler doctor who practiced holistic medicine, had been training for a charity bicycle ride, for which he raised $10,000, when he was struck from behind and killed on State Route 87 in Pinal County. 

“He was very special, and I miss him every day,” Kim Saks said. “It doesn’t seem possible that he’s not going to walk through that door and pick up his kids.”

The driver received a traffic ticket for “overtaking bicycles – death to another”, according to the citation, and paid more than $1,000 in fines.

According to the official police report from the Department of Public Safety, the police officers who handled the investigation indicated they did not see any signs of physical impairment at the scene or during the interview with the driver.

“(The driver) stated he did take prescription medications for high blood pressure, and anti-inflammatory,” the report said. “A vehicle search revealed an empty bottle of Diovan 320m.  There were no other prescription medications or illegal drugs found in the vehicle,” the report continued. 

The ABC15 Investigators have learned none of the officers who handled the case had specialized training to detect prescription drug impairment. 

The training is now required of all DPS patrol officers.

DPS is also considering a policy that would require Drug Recognition Experts – officers who’ve undergone an intense, two-week training – to evaluate the driver at the scene of any traffic fatality or serious injury wreck.

THE BLOOD TEST

In February 2009, blood tests revealed the driver had Zolpidem (Ambien), and Sertraline (Zoloft) in his system, but the Pinal County Attorney’s Office requested additional testing at a private laboratory. 

Months later, the results revealed the quantities of prescription drugs in the driver’s system: 50ng/ml of Zolpidem and 85ng/ml of Sertraline. 

For an entire year after the results were made available, nothing happened with the case.

Ultimately, the Pinal County Attorney declined to prosecute the felony manslaughter case.

The Pinal County Attorney refused to speak to the ABC15 Investigators about the case on camera.

“It is my understanding that we did not have enough evidence to charge a DUI,” said Kostas Kalaitzidis, the public information officer for the Pinal County Attorney. 

“(The driver) did not appear impaired,” he said. “I need to make it very clear that the presence of legal drugs does not constitute a DUI, whereas the presence of illegal drugs does,” he said.

“To not be held accountable for it is just another slap in the case,” Kim Saks said.

She is now pursuing a civil case against the driver. 

After the ABC15 Investigators started asking questions, Kalaitzidis indicated someone at the attorney’s office requested more details about the case. 

“We requested additional information from the private lab and looked at deposition testimony from the civil proceedings initiated by the Saks family against (the driver).  We concluded that there was insufficient evidence to support criminal prosecution,” he said. 

He did not explain what additional information the office requested.

PRESCRIPTION DRUG EFFECTS

The ABC15 Investigators asked two pharmacy experts at Midwestern University in Glendale  to evaluate the blood tests

from the deadly crash.

According to Dr. Oliver Grundmann, an Adjunct Assistant Professor of pharmacy, there is no easy way to detect whether someone was impaired by simply looking at the blood work.  Grundmann is also a Clinical Assistant Professor in the Department of Medicinal Chemistry at the College of Pharmacy at the University of Florida.

“Everybody reacts differently to how a drug affects them,” he said, explaining how several variables can affect whether a drug causes a person to be impaired. 

Grundmann discusses the gray area determining prescription drug impairment

 

When the drug entered the bloodstream, how the drug has been prescribed, how long the patient has been taking the drug, whether they’re taking it according to prescription, and whether they’re taking it with other drugs or food can all affect whether the drug has caused impairment.

It is too late to ask these questions of the driver.

“I would think it would be really hard to go back and determine whether the individual would be impaired,” Burnworth said.

“With any medication, there can be impairment,” said Burnworth. “There could be drowsiness. There could be upset stomach.  It comes back to the patient taking the medication and determining how their body is reacting how that medication is affecting their body.”

“Knowing that both Sertraline and Ambien have similar effects – the drowsiness – maybe I would think the driver could be more impaired but I would want to question what other drugs they were taking,” she said.

Burnworth stressed the importance of filling one’s prescriptions with the same pharmacist to help avoid dangerous drug interactions that could affect a person’s ability to drive safely.

Burnworth discusses importance of communication with the same pharmacist

NATIONAL STUDY

According to the National Highway Traffic and Safety Administration, an ongoing research project will help determine how drugged driving affects crash risks in the United States.

The three-year project, intended to wrap up in March 2012, will examine the risks of over-the-counter drugs, prescription drugs and illegal drugs.

Meanwhile, NHTSA revealed the results of its first ever analysis of drugged driving and its effect on fatal crashes in 2010. 

The analysis discovered an increase in the level of drug involvement among fatally injured drivers over a five-year period from 2005 to 2009.

“Drug involvement does not mean the driver was impaired or that drug use was the cause of the crash,” the report said.

Copyright 2012 Scripps Media, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.

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