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Doctor Suspended After IC Patient Dies From Pain Medication Overdose

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  • pookashell21
    replied
    Doc Not Charged!

    Wow, see this article.
    http://www.tulsaworld.com/news/artic...8_VINITA703792

    VINITA - Craig County District Attorney Gene Haynes said Tuesday he won't charge a Vinita doctor who was accused of prescribing more than 1,000 painkillers to a nursing instructor who later died from an overdose.


    Dr. Mickey Ray Tyrrell was accused of prescribing excessive amounts of narcotics to Tammy Dawn Daniels, 35, of Vinita, who died Sept. 5, 2009. Tyrrell will have a hearing Jan. 13 before the state Board of Medical Licensure and Supervision.

    "In my opinion there is no evidence of criminal violations by Dr. Tyrrell," Haynes said in an e-mail. "A criminal charge would require proof that the actions of Dr. Tyrrell were the direct cause of death."

    Daniels died from acute combined drug toxicity from forms of the painkiller Demerol, according to an autopsy report by the state Medical Examiner's Office.

    A complaint filed by the state Attorney General's Office states that Daniels' body "had multiple visible injection sites," but the complaint did not elaborate on how Daniels might have injected Demerol when it was prescribed to her in pill form.

    Haynes said he could not comment about the evidence, citing confidential medical information.

    "In my opinion the actions of Dr. Tyrrell were not the direct cause of the death," he said.

    Tyrrell, who worked for Green Country Family Medicine in Vinita, would not comment on the allegations.

    According to the complaint, pharmacy records from June 2 through Sept. 2, 2009, show that Tyrrell prescribed 990 50-milligram Demerol pills and 120 20-milligram OxyContin pills to Daniels. Records show that Tyrrell noted only two prescriptions for Demerol in Daniels' chart, when he had written nine prescriptions, the complaint states.

    Tyrrell told investigators he authorized the prescriptions but had no explanation as to why he documented only two of the nine.

    In the last 35 days of Daniels' life, she received 630 Demerol pills and 60 OxyContin pills, an average of 18.5 dosage units per day of Demerol, the complaint states.

    Read more from this Tulsa World article at http://www.tulsaworld.com/news/artic...8_VINITA703792

    Leave a comment:


  • pookashell21
    replied
    All the facts?? Unsure...

    Wow, this is a sad article, and sad on many levels. It is sad that this woman met with an untimely death as a result of a probable drug overdose and/or drug interaction. Does anybody know if she took her medications as prescribed? Or whether she had more that one month worth of a medication?

    There are so many unanswered questions here it is easy to jump to conclusions and say that the doctor is ultimately to blame. Yes he prescribed, in my opinion, a ton of medication....yet we don't know what other medications she was taking at the time, whether she took the medication as prescribed (and not injecting or snorting her meds), whether she was suffering from depression or was possible suicidal. These are all unknowns, and judgment should be reserved until one looks at all the factors. This article does not provide that information. Perhaps there are reasons why he "got off light", so to speak, that we are not privy too?

    What worries me more is the fact that pain, especially for IC patients is largely under-treated and articles like this may not shed enough light on the circumstances surrounding an incident and may in fact chill the prescription of sometimes what amounts to life saving medication for so many people. Indeed, I suffered to the point of contemplating suicide prior to having proper (although sometimes inadequate still!) treatment for my pain.While I am okay now, going through that experience made me deeply aware of the importance of adequate pain control, compassionate and understanding doctors, and the powerful link between mind and body.

    If only people would make a bigger deal about all the IC patients who commit suicide every year due to under-treatment and the general poor attitude towards patients suffering from the medical community.

    My prayers are with both the patient's family and with the doctor during their grief.

    Leave a comment:


  • pookashell21
    replied
    All the facts?? Unsure...

    Wow, this is a sad article, and sad on many levels. It is sad that this woman met with an untimely death as a result of a probable drug overdose and/or drug interaction. Does anybody know if she took her medications as prescribed? Or whether she had more that one month worth of a medication?

    There are so many unanswered questions here it is easy to jump to conclusions and say that the doctor is ultimately to blame. Yes he prescribed, in my opinion, a ton of medication....yet we don't know what other medications she was taking at the time, whether she took the medication as prescribed (and not injecting or snorting her meds), whether she was suffering from depression or was possible suicidal. These are all unknowns, and judgment should be reserved until one looks at all the factors. This article does not provide that information. Perhaps there are reasons why he "got off light", so to speak, that we are not privy to?

    What worries me more is the fact that pain, especially for IC patients is largely under-treated and articles like this may not shed enough light on the circumstances surrounding an incident and may in fact chill the prescription of sometimes what amounts to life saving medication for so many people. Indeed, I suffered to the point of contemplating suicide prior to having proper (although sometimes inadequate still!) treatment for my pain.While I am okay now, going through that experience made me deeply aware of the importance of adequate pain control, compassionate and understanding doctors, and the powerful link between mind and body.

    If only people would make a bigger deal about all the IC patients who commit suicide every year due to under-treatment and the general poor attitude towards patients suffering from the medical community.

    My prayers are with both the patient's family and with the doctor during their grief.

    Leave a comment:


  • waterflow
    replied
    Good, glad you did that. Sometimes it helps to just give them a piece of your mind. Even if they still believe what they say at least you got it off your chest. Unbelivable how some people are. Thinking they know so much about an illness when they don't have it or done any reading on it.

    Leave a comment:


  • bubbe1
    replied
    wow

    Originally posted by waterflow View Post
    (Yes, I saw the last comment in the article Jill linked. (For those of you who didnt see it, basically someone wrote on there that the reason we all have IC is b/c we drank too much coffee or too many sodas a day and that it ate up the lining to our bladders. )

    Well, they are out of their mind on that one!! I never drank coffee and what little bit of root beer I drank the companies would go under because they could not have made enough money off of me to keep the company going. Where do these people come up with their thoughts on things??? I bet she does not even know what true IC even is. ..Sigh....
    That was an aggravting comment that lady made. So much so that I had to answer her. I wasn't going to,but I couldn't stand it. I told her and whoever else reads that forum, that I never drank coffee and almost never drank soda.
    It probably wasn't worth my time, but sometimes I just have to shoot my big mouth off!

    Leave a comment:


  • waterflow
    replied
    (Yes, I saw the last comment in the article Jill linked. (For those of you who didnt see it, basically someone wrote on there that the reason we all have IC is b/c we drank too much coffee or too many sodas a day and that it ate up the lining to our bladders. )

    Well, they are out of their mind on that one!! I never drank coffee and what little bit of root beer I drank the companies would go under because they could not have made enough money off of me to keep the company going. Where do these people come up with their thoughts on things??? I bet she does not even know what true IC even is. ..Sigh....

    Leave a comment:


  • aleet7
    replied
    OMG! Those are some extensive repairs done on your spine....I am so sorry you had to go through all of that! Right now I'm taking Cymbalta for the back pain and vicoden as needed. I also have osteo arthritis in several joints in my spine. The rain and cold puts me in the bed! I know this sounds weird but I'm glad that I can at least get pain meds for the spine issues because I can use it when I'm flaring like I am right now! I've been flaring for almost a week now and my back is in pain also.

    I promise not to neglect my spine health...my dad was on a cane at my age(47) and in severe pain from his spine problems! I'm doing everything possible to stay healthy but I can't ignore the horrible flares and spine problems sometimes(I have to learn how to live with it I guess).

    I pray that no one has to go through IC without any medical help(pain meds)! It's just not humane!

    Best Wishes!
    Aleet7

    Leave a comment:


  • zyphia
    replied
    Pain control for IC

    It is bad enough to have IC but it is even a bigger bother for me with spinal problems. I have IC and have had lumbar spinal problems since I was in my late 20s. I hope you don't suffer like I did (stubborness on my part) with the back problem and ignore it like I did for so long. I finally had to have what is called a pedicle screw fixation done to my lumbar spine because of severe lumbar stenosis. One of the doctors I worked with who was also a good friend made me sit down at his desk at his PC and apply for SS disability online because he knew I would not be able to return to work after the drastic surgery. He was right too. I applied and within 90 days it was approved. Please do NOT ignore your back. I have stainless steel rods and screws in my lumbar spine from L-1 to L-5, having had them all replaced with which are all artificial disk replacements. In addition I have had my cervical spine replaced too, with titanium and the Neurostimulator that is in my right buttock sure makes for a lovely sight when I go thru airport security with the new scanners. I keep waiting to see myself on YouTube. I do feel bad for anyone tho, who suffers from any type pain. When I was suffering from such pain prior to my spinal surgery my doctor would try me on all kinds of pain medications but because of my intolerance to so many and my inability to metabolize them because of my compromised liver, he would ask me to download information off the net to add to my medical records about different medications that were tried to help ease the pain for IC sufferers because he was worried that by chance my records may be pulled for inspection and the inspectors may see the large amount of controlled substances he had written Rx's for me but a closer check would have also eased their minds by talking to me and the local pharmacist and having him tell them that I turned the drugs back in to him for him to destroy them because I could not take them. Also we would put the downloaded infromation in my chart about the different drugs I was using for control of the pain. The duragesic patches I tried were unfortunately not beneficial at all and I had so hoped the would be for the medication did not have to be metabolized thru the liver but was absorbed thru the skin and went into the blood stream but I was unable to handle it. I have tried every drug known, controlled and otherwise and was lucky to have a doctor who cared enough to want to work with me for pain relief. I just wish there were more like him around for the rest of you.

    Leave a comment:


  • aleet7
    replied
    I have to agree with you...no one knows how depressed the patient was to have taken so much(not to put blame on her...clearly the doc shouldn't have written scripts for that many meds)! I hate what the results do for us! Right now I hoard my meds because none of my docs think I should have pain meds for IC! I'm thankful to have two bulging discs in my back with tears in them because it allows me to have pain meds for something that the docs at least thinks requires it! I've never had a script for anything stonger than vicoden and my pain level supercedes 10 a lot of the time! I don't wish IC on my worse enemy and to think that many docs feel like pain meds is out of the question for IC patients. I hope no one has to suffer because of this(my prayers are with this patients family)!

    Aleet7

    Leave a comment:


  • Linda May
    replied
    I feel for her family God Bless Them.

    Leave a comment:


  • zyphia
    replied
    Re: injections

    I know it means she had injections of some kind. My point I was trying to make is there are too many holes in the story. I think it is time to put it to bed anyway. It is not going to bring her back, nor is it going to change how many feel about the doctor or the quality of care she was given or even how she handled herself.

    Leave a comment:


  • suzannes
    replied
    Multiple Injection Sites

    This means that on her body they found multiple places where Intramuscular injections were given. No one knows if she gave them to herself or in a doctors office. I believe the majority of MDs are good and caring people. Remember there are two sides to every story.

    Suzanne

    Leave a comment:


  • Zygala87
    replied
    Due to insurance rules I am only allowed enough percocet to last a month. I rarely need them but when I do (major flare) I need them badly. The way he writes the script I end up getting enough for three months. He knows me & my Husband well. I would never overdose and I tell my Husband when I take one. So he knows not to let me drive in case I forget. Usually one a day is enough to bring me down and put me in enough comfort to sleep. In my State one has to go to his office and receive the perscription in person. That can be a problem for some people. Maybe this Doctor was trying to help her in the same way. I sure do not know. Any medical person knows what an over-dose is. It's a very sad story. So young. OMG it is hard to find a Doctor who will help with pain meds. I hope this story does not stop good helpful Doctors from giving help, being responsible, giving pain meds to those who need relief. Hugs, Ziggy

    Leave a comment:


  • zyphia
    replied
    Re: Doctor suspended

    I have been doing some research about the death of the lady and there are so many unanswered questions. One thing I did find was that she went to Dr. Tyrrell (who apparently practices OB/Gyn) for pain management (?) and he
    was suspended for an additional 30 days but allowed to continue to practice obstetrics. I go to a pain management specialist for my pain management, but that is just me. I also ask the urologist to work with me in pain management and he does but my pain management specialist helps a great deal more. Anyway, in one of the articles it also mentioned that:

    “At the time of her death, the patient’s body had multiple visible injection sites,”

    and I have no idea why or where that tidbit of information came from. What does that mean? Why was that brought up in the article? It seems to me,, as someone said earlier, that there is so much more to the story and there may be something fishy about it. I am not condoning what the doctor did, not at all. It just seems to me there are too many holes and someone needs to *fill in the blanks* in this story and I would like some answers. Also, a statement in the criminal complaint says:

    "Daniels (the deceased) a Northeast Technology Center nursing instructor, was being treated by a Tulsa urologist when she started seeing Tyrrell for pain management. She asked Tyrrell for Demerol, which she told him she was taking already. Pharmacy records from June 2, 2009, through Sept. 2, 2009, show Tyrrell prescribed 990 Demerol pills and 120 OxyContin pills.
    In the last 35 days of Daniels’ life, she received 630 Demerol pills and 60 OxyContin pills, an average of 18.5 dosage units per day of Demerol."

    Well I am just too curious I guess. Always have been. Anyone else have a curious bone? OK I am finished. The End. Byeeee

    Leave a comment:


  • skbird
    replied
    Horrible sad story

    I can only speak for myself and my opinion, which is it's horrible that this woman was in so much pain and not being regulated or helped in some other way. I don't think doctors should be afraid to prescribe opiates and other pain meds for this condition, but it seems like this is throwing a lot of medication at one person.

    I know that when I am having a flare, sometimes with the meds I take it's hard to keep track of what I took when. About half the month I take half a 5/500 vicodin and spilt a 5mg valium for morning/evening. But during flares, that can triple or quadruple. I also get two preventative instills a month, the week before my period, which are made of Elmiron, heparin, lidocaine, and bicarb. I'm not pain free at all, and I definitely have a lot of urgency issues, but I haven't ever been even offered oxycontin.

    In fact, when I asked my doctor about going to a pain specialist, I was told that around my area, the only pain specialists are focused on treating back pain. That seems really useful.

    Maybe this woman didn't have access to a pain specialist. Maybe this doctor was doing the only thing he thought would help - though it's pretty horrible and sad. I really hope more information about IC gets out and doctors are more able to help/treat people because this condition really stinks, frustrates, and takes up too much of the lives of those with it, myself included.



    Let's hope for more education!

    Leave a comment:

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