VINITA — A Craig County judge has ruled there isn't enough evidence for a physician to stand trial in connection with a patient's prescription drug overdose, a prosecutor said Friday.
Dr. Mickey Ray Tyrrell, 40, of Vinita, was charged in Craig County District Court with second-degree manslaughter in the death of Tammy Dawn Daniels, 35, of Vinita.
Special Judge Rebecca Gore made the ruling after a six-hour preliminary hearing Thursday.
“She said she did not find a strong link between the doctor's actions causing the patient's death,” said Marny Hill, assistant district attorney.
Tyrrell is a general practitioner with Green Country Family Medicine in Vinita.
Hill said a decision on whether to appeal the ruling will be made before Tuesday.
Robert Rush, Tyrrell's attorney, did not return telephone calls.
Daniels died Sept. 5, 2009, from acute combined drug toxicity from forms of the painkiller Demerol, according to the state medical examiner. Tyrrell had been treating her for four years for interstitial cystitis for an irritated bladder.
Court records show Tyrrell prescribed more than 630 50-mg Demerol pills to Daniels between July 7 and Sept. 2, 2009.
A state pharmacy database shows Tyrrell prescribed Daniels 60 20-mg OxyContin pills and 810 50-mg Demerol pills from June through August 2009, 360 of the pills in the last 30 days of her life, according to a probable cause affidavit.
Pharmacy records show Tyrrell also prescribed 30 zolpidem, 270 Demerol and 60 OxyContin pills that were not listed on the database, the affidavit states.
A urologist prescribed Daniels 255 hydrocodone pills and 60 OxyContin pills during the same time, the affidavit states.
Tyrrell told investigators with the state Board of Medical Licensure and Supervision that he only documented two of the nine prescriptions of Demerol and could not explain his actions, the affidavit states.
The board suspended him for 30 days in March 2011 and fined him $25,000. He was required to perform 200 hours of community service.
The Bureau of Narcotics and Dangerous Drug Control fined Tyrrell $8,000 and suspended his license for 30 days on June 2, 2011.