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Defendant Charged with a DUI
By Sanjay Adhia, M.D.
The DUI case
The defense asserted the driver was given a date rape drug which lead her to drink excessively.
The standard drug testing was negative for all drugs except for alcohol.
Defense asserted a rape drug had diminished defendant’s ability to control her intake of alcohol and appraise her level of intoxication.
She was arrested with a DUI charge.
Defendant was evaluated at an ER and admitted after a physician determined that alcohol alone was not responsible for her intoxication and there were concerns for her medical condition due to this unknown substance.
Defendant asserted her clinical presentation at the ER, consistent with the medical record by the ER doctor, could not be accounted for by alcohol alone.
Drug Testing Takes the Stand
I testified about drug testing and my findings that drug testing was incomplete and omitted several common drugs used in DFSA.
Expert witness testimony was also given by a toxicologist.
Toxicologist Non-Physician Testimony
The prosecutor called a non-physician toxicologist to the stand.[1] The prosecutor alleged the toxicologist had the greater expertise in discussing the clinical effects of substances.
I explained that as a psychiatrist, I am a physician experienced, by qualifications, training, and clinical practice, in the psychopharmacology of substances, the effects of combining intoxicants, and how alcohol and drugs cause intoxication. I have evaluated and treated patients who were intoxicated with complications in diagnosis and assessment.
Verdict
Drug Testing Specialization
After this case, I was interested in drug testing and chose to pursue Medical Review Officer certification. As an MRO, I have additional training and expertise in drug testing and toxicology above and beyond medical training, which is extensive.
Dr. Adhia writes about Drug Facilitated Sexual Assault (DFSA) in the article “Date Rape Drugs: Weaponized Chemistry.” He describes the drugs that are used by perpetrators and how victims can defend themselves.
[1] Toxicologists are scientists with chemistry and/or biology education, but they do not hold a medical degree. In fact, a person who has completed a BS in Toxicology can call themselves a ‘Toxicologist.’ In reality, most toxicologists who serve as expert witnesses hold an advanced degree. Needless to say, the impact of toxins on the body is best addressed by an expert with a medical degree.
Emergency Medicine physicians may specialize by attaining Board-Certification in Medical Toxicology, a subspecialty of Emergency Medicine. American Board of Medical Specialties.
