- Posted July 5, 2013 by
Virginia Beach, Virginia
Deadly Prescription Cocktails
From an above average sailor, to prescription drug addict, to madness, to suicide: That's the horrifying tale (see Fox News video here) of Kelli Grese, as told by her twin sister, Darla Grese, and court records of the civil lawsuit Darla filed against the VA on her sister's behalf. Darla - a fierce and passionate advocate for her sister - was a diligent scrivener, a tireless crusader on her sister's behalf, a woman who was torn apart watching her high-functioning twin sister become addicted to prescription drugs, drugs by the handful, prescribed by the VA to treat what began for Kelli as a mild case of PTSD. "I felt like I was watching my sister die in front of me," said Darla. "And I was."
For six years, from 1991 to 1997, Kelli and Darla served side by side in the U.S. Navy. In 1995, while serving in Naples, Italy, Darla and Kelli were the victims of a home invasion by three men. Although they were physically unharmed, a PTSD diagnosis was in place - the diagnosis that would trigger the VA to prescribe more and more addictive psych drugs, the diagnosis that would lead to Kelli's ultimate drug addiction, and, finally, her suicide. Following the break-in, and the PTSD diagnosis, Kelli continued to be a highly functioning, exceptional sailor: Her evaluations were superb; she was nominated for Junior Sailor of the Quarter at the end of her career; she managed and participated on the command color guard team; she had outstanding scores on her physical readiness test.
And then, following Kelli's discharge from the Navy (due to the PTSD and migraine headaches, she was found to have an 80 percent service-connected disability), she fell into the hands of the VA, where the drugs she was prescribed for PTSD and headaches mushroomed into a toxic mix of deadly medication: Ativan, Clonazapam (Klonopin), Lorazapam; Serzone, Neurontin, Percocet, Tylenol with Codeine, Demerol and Vicodin; Serzone, Doxepin, Valium; Seroquel, Celexa, Topamax, Neurontin, Zoloft Geodon, and Celexanarcotics; Zoloft, Lithium, Buspar, and Imipramine; Dexadrine, Ritalin, and Fioricet, and Phenobarbital; barbiturates and tricyclic antidepressants. Uppers, downers - she was sedated with countless narcotics, suffering physical pain, depression, hopelessness, frequent crying spells, sleeplessness and flashbacks. In 1999 alone, according to Darla, who kept meticulous records of Kelli's medication, 5,370 Klonopin were prescribed. She was ultimately admitted, in March 1999, into the in-patient psychiatric unit for detox due to an addiction to Ativan and Klonopin. According to Kelli's sister, Darla, in the same year following that admission, 4,950 Klonopin were prescribed; that drug ambush continued through 2000, 2001, 2008, 2009 and 2010. Following her detox, in 1999, Kelli wasn't experiencing any psychotic symptoms: She wasn't manic, wasn't hallucinating, and expressed a desire to taper off the medication. And yet, in response, she was prescribed 450 Klonopin by the VA, the very same medication that had caused her in-patient admission.
Kelli began to suffer from multiple conditions, all of which were documented as possible side effects of the medication, including irritability, aggressive behavior, agitation, muscle pain, and hopelessness. So the VA - spring-boarding wildly from what should have been treated as a mild case of PTSD and migraines - diagnosed Kelli with Personality Disorder with Borderline Features. But despite the fact that it was clear that Kelli was addicted to the Klonopin, they failed to limit her means and instead dispensed even more of the addictive medication. One doctor noted in Kelli's chart, "Would avoid narcotics if possible for the treatment of chronic pain. I also note a history of benzodiazepine dependency in the past and would use these medications with care." The chronic pain is a classic and well-documented possible side effect of Klonopin; in response, the VA continued its Klonopin regimen.
In 2001, the VA changed their diagnosis of Kelli to Polysubstance Dependence - a dependence they created and encouraged with their continued prescriptions of highly addictive, mind-altering, psych drugs. As the drugs wore Kelli down, as she became less and less able to function, she began missing appointments, which the VA documented as further evidence of mental illness, instead of considering her lack of functionality was likely side effects of the medication. And in 2002, the VA began Kelli on a "trial" of Seroquel - highly addictive, a common drug in the toxic cocktails of soldier horror stories. In addition to other drugs - Topamax, Neurontin, Zoloft and Geodon - she continued to take Seroquel. Her condition continued to decline; she became paranoid, delusional, had hallucinations. She had numerous psychiatric admissions. She attempted suicide. And still, her medication list ballooned - maintained on the old, started on the new.
As documented by Plaintiff Darla Grese's expert witness, in the beginning Kelli began conservative treatment, a couple of dozen psychological sessions total, one every few months. The expert noted, "It is clear that Ms. Kelli Grese at the start of her treatment in 1999 suffered with PTSD and depression and . . . would not have met the test for the presence of an unsound mind as she was non-delusional and without hallucinations." But as the years went by, the expert wrote, ". . . The tipping point of Ms. Grese's moving from soundness of mind to that of an unsound state occurs . . . when her VA psychiatrist . . . diagnoses her as suffering from ADD/ADHD and starts her on an aggressive course of stimulant medication . . . ."
According to Plaintiff's expert, the VA failed to coordinate care, failed to order psychological tests to document any disorder Kelli may have had, made diagnoses without any history to back them up, failed to limit Kelli's access to prescription drugs to which she was addicted - and, in the end, created the psychotic mess that she had become, continued to enable her addiction and psychosis, blamed her for her own addiction, applied varying pejorative labels, and completely failed to take steps to cure her. Multiple suicide attempts by prescription medication did nothing to dissuade the VA from dispensing drugs by the hundreds. As the expert noted, "Ultimately, the treating physicians and nurses . . . witnessed Ms. Grese's steady, malignant descent into psychosis, a psychosis that in effect they created . . . she would have, and could have, been saved with good treatment . . . ."
Over the course of Kelli's treatment with the VA, she was diagnosed with major depression, bipolar disorder, PTSD, ADD/ADHD, Polysubstance Dependence, and Borderline Personality Disorder. She was on dozens of medications, in increasing numbers and increasing dosages. She was treated by multiple doctors - both civilian and through the VA - all making diagnoses and prescribing medications. The VA, the arbiter of her medications and treatment, was content to label and pigeonhole Kelli as a psych case, and was content to administer hundreds and hundreds - thousands, even - of toxic medications to "cure" her.
The cure never came. On November 12, 2010, Kelli Grese killed herself.
Months before Kelli died, her sister Darla had reached out to attorney Robert Haddad in desperation, trying to find a way to intervene and halt the continuing prescriptions of Seroquel Kelli was being prescribed. Although Attorney Haddad graciously explained to Darla why he couldn't make that happen, once Kelli died he literally, as Darla said, came to her rescue. He "hit the floor running," as Darla described it, and gave her the breathing space she needed, as he took her place as Kelli's posthumous advocate. His litigation was successful; the government ultimately settled, although it admitted no liability. "He's my hero," said Darla.