April 12, 2015

The Deadliest Month of Prescription Overdoses

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Dannah Krone, seen at top left and bottom right in pictures with her older sister, Tina Orr, and Orr’s daughter Zoey, now 9 — says Orr changed in the final years of her life before she died after a prescription drug overdose.

Photo Illustration by Chris Landsberger/The Oklahoman

Dannah Krone, seen at top left and bottom right in pictures with her older sister, Tina Orr, and Orr’s daughter Zoey, now 9 — says Orr changed in the final years of her life before she died after a prescription drug overdose.


TX - Addicted Oklahoma bug closerTina Orr always feared she’d follow her father to an early grave.

Orr, who lived in northwest Oklahoma City, withered in the last years of her life before succumbing to a prescription drug overdose at the age of 35, her sister, Dannah Krone, said.

Orr’s passing, on March 2, 2014, came in what appears destined to become the deadliest month for prescription drug overdoses in Oklahoma since authorities began tracking such deaths in 2001. During the month, 61 Oklahomans died of confirmed prescription drug overdoses, an average of almost two per day.

The dead included business owners, nurses and truck drivers. There were carpenters, lawn care workers and electricians. There was a casino worker, a welder and a brick mason. There were moms and dads, brothers and sisters, grandparents and a toddler.

One loved the New York Jets, another was a horror movie fanatic and at least one was a big-hearted outdoorsman who loved helping people. There was a classic car restorer, an avid arrowhead hunter and a tornado chaser. Two were high school valedictorians.

They were people like Orr, a one-time small business owner bursting with creativity, ambition and kindness who struggled with mental health and substance abuse issues before succumbing to an overdose, just as her father had a decade earlier.

“It’s like I have to describe her as two different people,” said Krone, 25, of Oklahoma City. “Before … she was the most amazing mother I’d ever met, incredibly kind and patient. She was the most creative person I knew, she loved to sing and paint, always cooking. Her daughter was her whole world … she was so happy.”

Things changed, though, and Orr spent the final years of her life struggling with her weight, a seemingly never-ending series of doctor’s appointments and a growing prescription drug dependence.

“We saw her shift to a whole different person,” Krone said. “At one point, she was taking, like, five different medications, but none of them seem to fix what was wrong with her.

“I never knew which version of my sister I was going to get when I called her.”

The deaths came in the midst of an epidemic of prescription drug abuse that now kills more Oklahomans annually than die in car crashes. In recent years, Oklahoma has led the nation in not only unintentional overdose deaths, but also the number of painkiller prescriptions per capita. The Legislature recently approved new laws designed to strengthen the state’s prescription drug monitoring program in a bid to cut improper use. In signing the bill last month, Gov. Mary Fallin predicted it would save lives.

Lives like Cody Cookson’s.

Telling Their Stories

Cookson, 23, of Muskogee, served a tour with the Oklahoma National Guard’s 45th Infantry Brigade Combat Team in Afghanistan, beginning in 2011. His obituary said his hobbies included baseball, basketball, collecting coins and Pokemon cards. He also played the guitar and had a passion for skateboarding that resulted in numerous injuries to him, and numerous anxiety attacks for his mom.

The obituary said Cookson had a kind, generous heart, was giving with all he had, that he loved animals, especially dogs and that “he often expressed his desire to help others in their struggles, having a long-term goal to become a psychiatrist.”

He died March 8, 2014, surrounded by friends and family.

The Oklahoman reached out to several family members and friends of those who died, many of whom declined to comment, saying it was too soon or too hard to talk about their loved one.

Tessa Simmons enjoyed dance, swimming and trips to Walt Disney World with her family while growing up in Kansas, according to her obituary. In 2006, she moved to Oklahoma and graduated from Edmond North High School before following in her grandmother’s footsteps as a hairstylist. Simmons, known for her carefree spirit, creative personality and “the ability to put together a wardrobe ensemble in record time and look like a million bucks,” died March 16, 2014.

She was 21.

When reached by telephone, her mother broke into sobs.

During a brief conversation with The Oklahoman, Simmons’ mother said her daughter was far more than an overdose victim. “She was an aunt … She had two little nieces,” the mother said, her voice trailing off as she began to cry again. She declined to talk further.

Even so, many family members said they wanted the story to be told. “I hate that what’s supposed to make you better can kill you,” said one mother, who asked that her name not be used.

Sandra O’Hara said two months before he died, her stepson, Ryan Adam O’Hara, invited his family to his baptism. He was working hard to get his life back on track after a long struggle with alcohol.

He suffered from depression and anxiety, and he had prescriptions for two antidepressants, nortriptyline and amitriptyline.

Sandra O’Hara has worked as a pharmacist for the past 35 years and said she doesn’t understand why anyone would prescribe her stepson both of the drugs.

Ryan, who lived in Oklahoma City, likely didn’t know to not take the drugs together, something either his doctor or pharmacist should have told him, she said.

“That’s my own profession – that really bothers me,” Sandra O’Hara said.

Shortly before his death, Ryan O’Hara had completed two years in a court-mandated treatment program. He had a few run-ins with law enforcement, but the program had helped him get treatment and avoid prison.

“He had just finished it, and he was doing very well,” Sandra O’Hara said. “He was sober. He had joined a church. He had just been baptized. He had held a job for the first time for over six months. It had really looked like he had turned around.”

Ryan O’Hara died just 11 days before his 30th birthday.

“Just because stuff is prescribed does not make it safe,” Sandra O’Hara said. “Just because it’s a legal drug doesn’t mean it can’t kill you. A lot of people say, ‘Well, I got it from a doctor’ — all medications have side effects. All medications are dangerous if not taken appropriately.”

Far and Wide

The dead came from all corners of the state, from Guymon in the arid Panhandle to Stigler in the dense, piney forests of southeast Oklahoma. From Perry in the north to Madill nestled a not-too-distant drive from the Red River. The most deaths occurred in Tulsa County — 16. Oklahoma County recorded 11.

Medical examiner records blame the usual suspects for the March 2014 overdoses: Hydrocodone, oxycodone and other painkillers, were involved in many of the deaths. Methadone, an opiate drug used to treat pain and sometimes to help wean addicts off other opiates, contributed to at least 14 of the deaths, the most of any prescription drug. Next in line: hydrocodone, another opiate pain medication marketed under a variety of trade names, including Lortab and Vicodin. It was the principal cause of 12 deaths and contributed to a 13th.

Most of the overdose victims died accidentally, according to the state medical examiner’s office. Only four of the deaths were deemed suicides.

The calls to the state medical examiner’s office streamed in all month. There were three prescription drug deaths on March 1, two on March 31. The deadliest day was March 27, with six prescription drug fatalities.

The dead included 32 women and 29 men.

Most of the 61 casualties were white. Two were listed as black, one as Hispanic and one as “other.”

The average age was 43.

The oldest fatality was 75-year-old Loretta Forbes of Ada, one of the first calls to come in on March 1. She was killed by an overdose of morphine, another opiate pain medication. She was born in Stratford, a small town about 75 miles southeast of Oklahoma City, was a homemaker and left behind a daughter and several grandchildren.

The youngest to die was Blair Helms, 3, of Jenks. She died March 5, 2014, after her mother, 39-year-old Jamie Nicole Helms, gave her big doses of methamphetamine and alprazolam, an anti-anxiety medicine marketed as Xanax. Jamie then herded Blair and her 5-year-old brother into the family car and started the engine inside a closed garage. Mother and daughter both died; the brother was rescued. Blair’s cause of death was listed as toxic levels of carbon monoxide, methamphetamine and alprazolam. The death was ruled a homicide by drugs.

At least half of those who died were parents, and many were grandparents.

Kelly Ray Prather, 62, of Oilton, was a father and grandfather, remembered for his passion for music.

“You rarely found him without a guitar in hand or nearby,” his obituary noted. “He is remembered as a proud and loving father who would never hesitate to help a friend in need.”

More than half died at home. Others died in motels, at friends’ houses or in a vehicle. Fifteen died in hospital emergency rooms. Ross Martin, 47, died in a Tulsa homeless shelter.

The victims found comfort in a number of faiths; Lutheran, Catholic, Baptist and Pentecostal among them.

Julie Thompson, 43, of Tulsa, was remembered in her obituary as a certified public accountant who most recently was a stay-at-home mother, volunteering many hours at a Tulsa-area hospice and at her daughter’s school, Metro Christian Academy.

“Julie was very active in her church and was a former member of First Christian Church in Miami,” her obituary reads.

Painful History

Some who died during March 2014 had a family history of substance abuse.

Amber Bernice Osborn, 21, was found dead at a Moore business on March 7, 2014. Her grandmother, Vivian Osborn, said others in Amber’s family abused prescription drugs.

In a telephone interview with The Oklahoman, Vivian Osborn said that she didn’t get to spend much time with her grandchild during the last years of her life because she didn’t allow drug use in her home.

At the time of her death, Amber Osborn was making her way through the criminal court system in Oklahoma County. She was mentioned in a report filed by a local TV station after she was arrested in October 2013, along with several others who’d stolen an iPad.

Others who died during the month developed a problem with prescription pills following an injury.

Kelly Groves, of Kremlin, ran in the 2012 Oklahoma City Memorial Marathon. A week later, a texting teenager slammed into his stopped Jeep at 55 mph.

Doctors determined that Groves needed back surgery, replacing a section of his spine with cadaver bone. But his body rejected the hardware, and he needed more surgery. The doctors had planned to finally remove the cadaver bone in April of last year. Groves, a licensed professional counselor and avid sports fan, died a few weeks before the surgery. He was 28.

Groves frequently talked about how much pain he was in. The 6-foot-2 father of two girls eventually got to the point where he didn’t realize how many pills he was taking, said his brother, Cody Groves.

“Obviously, he was addicted to them, but you can be addicted to them because of the pain,” Cody Groves said. “He wasn’t taking them to get high. … Of course, the doctors were prescribing tons of them, like more than they should have been, and then … they stopped working, and so then you need more, you need more, you need more.”

About seven years before Kelly Groves died, Cody Groves lost his older brother, Casey Groves, to prescription drug abuse. He also died at 28.

Cody Groves’ brothers were his best friends. He and Kelly lived a block apart, and they worked in the same office. Kelly got Cody, a licensed professional counseling candidate, interested in working in the mental health field.

“I think a lot of people see those numbers, and they’re just like ‘Oh yeah, people who do drugs die,’ but Kelly wasn’t a junkie,” Cody Groves said. “He was a professional. He was married. He had kids. He was a good dad … Addiction hits on everybody, not just drug addicts, like the picturesque drug addict they see on TV.”

An Early Grave

Krone, whose sister was among the first to die in March 2014, said Orr began her downward spiral in 2008 when her marriage began to crumble. Orr’s mental health declined. She began exhibiting odd behavior.

Over the years, Krone said doctors and mental health professionals diagnosed Orr with a variety of ailments and at one time she was on five different prescription medicines.

“They didn’t know how to diagnose her,” Krone said of the physicians who treated her sister. “It’s like they could never pin down what was wrong with her so they just took a shot in the dark, at least that’s the way it seemed.”

There were suicide attempts. The medications Orr took caused her to gain weight, which she worried about excessively and plunged her further into depression.

Krone’s and Orr’s father, Tim Orr, died under similar circumstances on April 30, 2002.

“It was like I was reliving the same exact thing with Tina,” Krone said. “My dad would doctor shop, he would double up on his meds. But I never fully understood with my dad because I was young. With Tina, I understood a lot more.”

Despite all of the challenges, Krone said her final conversation with Orr — about two weeks before she died — was full of hope and anticipation. She had no inkling it would be the last time she spoke to her sister.

“So, we were making plans to go shopping, to go to the gym … and she was planning to go back to school,” Krone said. “She was really excited and we had a really good talk. For Tina, at that time, she seemed like she was doing pretty good, just a little bit sad.”

Now, Krone is left to imagine what could’ve been.

“I’ll miss … the possibilities,” she said. “We were getting ready to live near one another. She was going to get to spend time with my kids, to get to know them. So it was the possibility of us getting to live in the same area, at this point in our lives.”

A sad end for a woman who feared she’d follow her father to an early grave.

At a cemetery in Moore, the two are buried “right next to each other,” Krone said.

Contributing: Ruth Serven, staff writer for The Oklahoman.

  • Kathy Crumley

    This is obviously a problem but to be fair these deaths need to be broken down into how many die who obtained them by prescription and how many are people who overdose obtained them by illegal means, purchasing, possibly stealing, whatever. It’s not fair to impose harder and harder laws on those who seriously need these types of medications.

  • Her Friend

    It was more than just medication that killed her. It should have been all out war, when the father wanted to move her daughter 1000 miles away from her mother. But her ex got his way. He manipulated Tina through her religion and she released her grasp on her daughter. I knew she wouldn’t survive that. Anybody who was close to her, knew she wouldn’t survive it.

    Was she an addict? No. Absolutely not. The doctors changed her medication so many times – I started to believe she was becoming their research experiment. She was depressed and had such inner turmoil from her past, that she doubted her own sanity. She wasn’t perfect. Some of her turmoil was that of her own making. But she had her faith. Unfortunately for her, in this case, her religious affiliation hurt her more than they could ever possible help her.

    She died of an overdose. This killed her body. But that’s not what killed her heart and soul.

    I know how Tina could have and would have survived this. She would still be with us here today, with her angelic voice and her natural charms and gestures (unique only to her).

    But our society simply isn’t set-up to help those in need, at the time they need it most. She did have support, but not enough. I know the one that supported her the most. He did not fail…he simply wasn’t aware of how to administer the help she needed.

  • Teresa

    My son just died of a heroin overdose..what people don’t understand is that prescription drug addiction is NOW leading to people looking for illegal drugs because they are cheaper and easier to get a hold of AFTER they get addicted to prescription medication. I always read stories like these and was like oh that’s sad something needs to be done but that’s it, until it was MY child. We had NO CLUE he was using heroin. He was 19 , he was talented, intelligent and sweet, not the psycho addicts they show on tv, even his friends has NO CLUE. This is a nationwide epidemic. The weekend my child died there were 72 people in Chicago alone that overdosed on heroin. They is a stigma that goes along with “my child died of an overdose”, let alone died of a heroin overdose. What people don’t understand is its not the same as when we were growing up , heroin addicts are the jocks, cheerleaders, soccer mom’s, babysitters. These aren’t the bottom of the barrel people that they were portrayed as in the past. Just look at the celebrities dying of heroin overdoses or illegal drugs in general. This issue needs to be brought to the surface and faced head on. No one deserves to bury their child.

  • Kristi

    People know that prescription drugs are additive and if they don’t get them from the doctors then they are going to get them from the streets, it isn’t anyones fault except the person who has the addiction. It is sad that people are dying from these drugs but at the end of the day people need to be more responsible. Because there are people who are in pain and need them to manage there everyday life’s, and do it responsibility!!