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PENSACOLA -- An Apalachicola doctor's zeal
for prescribing highly addictive painkillers such as OxyContin and hydrocodone
caused six of his patients to overdose and die, a federal prosecutor told jurors
Tuesday.
But Dr. Thomas G. Merrill's attorney, Jim Appleman, said his client's major
mistake was placing too much trust in patients who exaggerated their pain to
obtain prescriptions.
"The evidence will show that this may -- may -- make a good malpractice case but
not a criminal charge," Appleman said.
Merrill, 70, faces a 100-count indictment, including charges of illegally
dispensing controlled substances and distributing controlled substances
resulting in death. He faces life in prison if convicted.
Prosecutor Stephen Kunz said in opening statements that Merrill's practice at
the Magnolia Clinic in Apalachicola became a destination for drug seekers
throughout Florida.
"The defendant was in essence a drug dealer with an osteopathic license," Kunz
said. "He prescribed in quantities and doses that would allow patients to abuse
or misuse and in some cases caused their deaths. His patients came from near and
far. This is about a physician peddling highly addictive substances in exchange
for money."
Merrill, a former military doctor stationed for a time at Tyndall Air Force
Base, had worked at the clinic since 1994. The state suspended his license in
May 2004 after the Florida Department of Law Enforcement began its investigation
in early 2003. A federal grand jury indicted him in August. Merrill wrote 33,000
prescriptions from January 2001 to May 2004, and 81 percent of those were for
controlled substances, Kunz said.
But Appleman said in his opening remarks there was no way Merrill could have
foreseen the deaths of patients who did not follow proper dosing instructions.
"One woman told everyone in her family she was going to commit suicide, and she
did, and the government wants to hold Dr. Merrill responsible for her death,"
Appleman said.
The trial is expected to last a month.
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