Doctors Who Do Harm – Beware the Ghost of Anna Nicole

by Diane Dimond on November 8, 2010

Anna Nicole At Her Peak

You may not give a darn about the late buxom sex-pot Anna Nicole Smith but the recent verdict in a Los Angeles criminal case stemming from her drug-overdose death has certainly captured the attention of doctors nationwide. I’ll bet insurance companies specializing in malpractice medical coverage have snapped to attention as well.

After Anna Nicole Smith died in February 2007 three of the people closest to her – her attorney and lover Howard K. Stern, her psychiatrist, Dr. Khristine Eroshevich and her personal physician, Dr. Sandeep Kapoor were criminally charged. Among the most serious of the original 23 charges was “providing controlled substances to a known addict.”

Interestingly, the trio was never accused of actually causing Smith’s death and along the way some of the other charges were dismissed. It came down to a trial about whether they’d engaged in a conspiracy to help the 39 year old former Playboy cover girl and TV personality obtain prescription drugs through the use of false names and misrepresentation.

During nine weeks the jury testimony boiled down to this:

Stern, Eroshevich, Kapoor with Smith in Circle

Stern, Eroshevich and Kapoor finagled prescriptions using both real and fictitious names to get mountains of drugs for Smith. She had recently given birth to a baby girl and a few days later she suffered through the overdose death at her hospital bedside of her 20 year old son, Daniel. So, as the defense team presented it at trial, no wonder the poor woman needed drugs to get her through the ordeal! The prosecution argued this threesome of so-called professionals – an attorney and two doctors – acted not only unethically but that they each also crossed the line sexually with Anna Nicole Smith.

The 11 drugs found in Smith’s systems ranged from methadone, (10 pills a day as prescribed by Dr. Kapoor and taken even while Smith was pregnant) to powerful sleep aids like chloral hydrate and a long list of narcotic painkillers like Vicodin (prescribed by Dr. Eroshevich.) The name found most often on her prescription bottles was Howard K. Stern but the doctors also used Jane Brown, Susie Wong and Vickie Lynn Marshall which just happens to be Anna Nicole’s real name. Dr. Eroshevich was warned by two different pharmacists that the type and amount of prescriptions she was writing for her patient amounted to “pharmaceutical suicide.” Still, the state said, Eroshevich personally transported massive amounts of prescription drugs to Smith in both Florida and the Bahamas.

Anna, son Daniel & daughter Danielynn

The jury ultimately acquitted Dr. Kapoor but found Stern and Dr. Eroshevich guilty of the false name conspiracy. While the dead starlet’s supporters moaned that it wasn’t enough of a conviction the verdict still sent an earthquake sized shock through Hollywood’s celebrity, medical and legal communities.

California defense lawyer Harlan Braun told the Associated Press that writing bogus prescriptions in today’s paparazzi inspired media atmosphere is routine. “It’s absolutely necessary for survival in Hollywood. If…keeping these people anonymous is a criminal act, a lot of doctors will have to refuse to take celebrity patients.”

Do famous people deserve privacy about their medical conditions? You bet. Do their doctors get to break the law while attempting to facilitate their privacy? No way. I, for one, hope we’re witnessing the beginning of a trend where over-prescribing doctors are charged with serious crimes and lose their medical licenses permanently if convicted.

Prescription drug abuse is at epidemic levels. We spend millions on campaigns against street drugs like cocaine, methamphetamine and heroin but we say little about the scourge of desperation and crime left behind by those drugs that come via a prescription pad or an illicit internet “pharmacy.” I quoted studies in this space last year saying a total of 34 million Americans are currently taking painkillers or anti-depressants. Our kids watch us do it and many mimic the behavior.

Kavinoky of www.NoCuffs.com

L.A. based attorney and addiction intervention specialist Darren Kavinoky agrees. “The fact is that we, as a nation, love our drugs. Pharmaceuticals appeal to a broader (and sadly, younger) audience, because they don’t have the stigma associated with street drugs, and are readily available … pills are now number two behind marijuana for young people, and we are seeing more addiction and more overdose deaths because of it.”

On the verdict in the Anna Nicole case Kavinoky says there’s one upcoming defendant who should be shaking in his boots. He is Dr. Conrad Murray who was tending to Michael Jackson when the entertainer died last June and who is set to go on trial soon on charges of involuntary manslaughter. Kavinoky explains that to reach their guilty finding the Smith jury had to have dismissed the expert medical testimony, “We’re all taught to believe doctors, to trust their judgment as being superior to our own. Those jurors had to disregard this notion in order to get to a conviction. This willingness to disregard the judgment, wisdom and experience of a medical professional should make Dr. Murray righteously nervous.”

Frankly, I hope it makes over-prescribing doctors everywhere mighty nervous.

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{ 9 comments… read them below or add one }

Sarah Richards November 9, 2010 at 9:45 am

It is time that these doctors were made accountable for their actions with their legalised drug pushing to celebrity patients. Dr Conrad Murray may or may not be getting what is coming to him in 2011 but one thing is for sure, he should have company as a defendant for this crime. Michael Jackson was an addict for years, a stubborn addict who refused help from his loved ones on countless occasions. However, Dr Murray was not the first Dr to write a prescription and give MJ what he wanted to medicate away the reality of his vacuous life. Their are countless others named and unamed doctors who acted the same way. Just as an aside, it is very hard to reconcile the drug addled fallen pop star with the image that was portrayed on the Oprah interview with his mother and kids. He would be spinning in his grave by now.

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Diane November 9, 2010 at 2:54 pm

Facebook Friend Patrice Ekland writes:

“Put’s a new spin on enabler–How did she have so much control over these people?”

Reply

Diane November 9, 2010 at 2:54 pm

Facebook Friend Patti Petow writes:

“I would venture to say S-E-X and endless partying.”

Reply

Diane November 9, 2010 at 2:55 pm

Facebook Friend Lynda Pechter Lipski writes:

“By them using fake names to get her the pills in the end she is dead!!! She could be alive today if that didn’t happen!!! I think they should be charged with manslaughter especially Howard Stern and that woman psychiatrist!!”

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solange November 9, 2010 at 5:47 pm

Good article exploring the lines of professionalism that were crossed in facilitating Anna Nicole’s drug habits. Doctors should not be allowed to arbitrarily break the law when it is convenient. Prescription drug abuse is a serious problem and doctors such as Eroshevich deserve to be punished. She was able to prescribe absurd amounts of drugs for Anna Nicole – even the pharmacists recognized there was a problem – and the drugs led to yet another celebrity death, something that has been happening far too often.

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Diane November 9, 2010 at 8:54 pm

Facebook Friend Nan Foster writes:

“Well, isn’t that why it is called an addiction. isn’t that why these medications are only supposed to be prescribed by a doctor?doctors do it for regular people .when u have rich celebrities and all the fame and they want a way to stick around… , some of them forget their ethics and use it as a carrot.
i was not a Anna Nichole smith fan but i would see her show and wonder why the authorities never were checking her out in that state with her son sitting there…”

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Diane November 10, 2010 at 12:19 pm

Facebook Friend Ronald Jeffries Tallman writes:

” This is a sad story all around ‘cept for the little girl of hers – Dannielynn from her and Larry. So cute and adorable I think you will be seeing and hearing good things from her in the future. And they did not get any $ but maybe that does… not matter. Not sure how, when or why Anna Nicole got started with all this, her son too. Those 3 around here enabled her into death; share a lot in and of responsibility. I think Larry Birkhead tried to help her.

Saw something on TV Dr Murray is doing well still practicing and some patients were saying good things about him. I would look for a different cardiologist.”

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Diane November 10, 2010 at 12:20 pm

Facebook Friend Nan Foster writes:

“Ronald, I would start by finding a doctor who doesn’t do CPR on a bed…”

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Doug Mould November 13, 2010 at 3:43 pm

Anyone ever known anybody who went for a consultation with a psychiatrist who did not walkaway without a prescription?

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