We first documented this trend in May 2002 with a series called "Rx for Death," in which senior writer Nancy McVicar and 1 used autopsy and police records to expose more than 400 pill deaths in South Florida over two years. We traced dozens of deaths to abuse of the controversial painkiller OxyContin, as well as other narcotic medications, such as fentanyl pain patches, methadone and morphine pills.

Since then, I've hand searched more than 2,000 other drug overdose case files from two dozen morgues across the state, tracking both the drugs that kill and the doctors who supply them.

State officials lack a system to do this, even though they admit that a pattern of deaths may warrant disciplinary action against a doctor. Investigators don't always write down the name of doctors who prescribed pills found at death scenes. Sometimes there are no pills, especially when people die outside their homes. And even medical examiners' offices that keep good records can't search their files electronically to identify doctors with multiple deaths.

I did it by wading through each drug death file to find the names of doctors and drugs, which I later typed into an Access database. Some morgues filled out "medication logs" listing the pills, dosage, pharmacy that dispensed them, date filled and the doctor's name. In other cases, the investigator talked to the doctor and verified the victim was a patient and the medications prescribed.

In each community, a few doctors stood out for the sheer number of patient deaths, the quantities and variety of pills they gave out, or for the fact that the person died just a day or two after filling the prescriptions.

The Miami doctor fit the pattern. Parkinson was one of six patients under his care who overdosed in a two-year period. The files on a Broward County pain doctor showed pills he prescribed were implicated in 16 overdose deaths in a little more than three years, according to morgue records.

Florida officials barred both doctors from prescribing narcotics after we exposed the death tolls in their medical practices.

 

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