From Bad To Worse, Part Two

From Bad To Worse, Part Two

By James Tsacoyeanes 05/13/15

The tragic ending to Chris Tsacoyeanes' battle with synthetic drugs.

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Chris Tsacoyeanes
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Read Part One of From Bad To Worse.

Later that night, Chris was moved upstairs to the intensive care unit. We sat in the waiting room with Jen until we could see him. The first thing that struck me was that it was a very strange waiting room—divided in two. One half was for children, with bookcases and shelves lined with toys and boardgames, the other side was adult-oriented. The décor was dark and somber, a very depressing environment. Jen was visibly distraught.

“I don’t know what happened! He was standing at the door of the truck and just passed out. He started having convulsions. When the police and the paramedics came they had to put something in his mouth so that he wouldn’t bite his tongue.”  

She became very animated when she got nervous, like someone on the verge of a breakdown. Chris had told her that he had seizures before. She even told the doctors that Chris had seizures back in August, something we had no knowledge of and were somewhat disbelieving. This time we weren’t so sure, having forgotten the seizure incident that an ex–girlfriend claimed was drug induced. We desperately wanted to see him, but were not allowed. After waiting for an hour, a female resident came out, sat down on the couch next to us and informed us of what was transpiring.

“Your son’s condition is stabilizing. He’s on a respirator and we have him in the intensive care unit,” she said.

 “Doctor, what’s going on?” I asked. "All we know right now is that he was having seizures and was brought here.”

 “We ran a quick blood test on him and he has PCP in his system. We’re going to run some more tests on him,” was her only reply.

Once again, it became clear that this was another drug issue. For us, this was old hat as we had been down this road so many times before.

“He’s a drug addict so it’s not surprising,” Cathy explained. “However, he was perfectly fine when he left our house. It was only 15 minutes or so after he left that this happened.” This was the only time in years that Cathy was fooled.

“All I can tell you is that he tested positive for PCPs. He’s unconscious right now.”

Jen seemed confused. After the doctor left, we discussed the situation with her.

“Chris doesn’t do drugs and as far as I know has never taken any PCPs,” she claimed.

“Come on, surely you know he must be using PCPs,” I replied. The seeming naiveté of this girl was bizarre to say the least.

“No, I can’t believe that’s what is going on. There must be some type of mistake. Chris told me he has had seizures in the past and has been treated for them. It has something to do with his narcolepsy.”

She was very nervous and animated. When she talked this way, her fingers were moving all about seemingly separating from the rest of her hands. She was also shaking uncontrollably and jumping up and down, as she sat in the seat next to us.

“I can’t believe this is happening” were about the only words she could get out.  

We talked to her about Chris’s past issues, that as far as we knew he had never been diagnosed with narcolepsy and all the times he had been in the hospital were for drug issues. She seemed genuinely surprised. I began to think maybe Chris had changed and was no longer using drugs but I doubted that the doctors could be wrong. Cathy certainly didn’t buy that he had changed; there was no doubt in her mind that the doctors were right. We were led into the intensive care unit where Chris was the only patient, still unconscious and hooked up to a respirator. It was striking to see that he was also strapped down. This was the first time that he had been strapped down since his suicide attempt years before which had been devastating for us. The same numbness that had become our predominant reaction to all his drug issues was all we felt. I asked the resident, why the straps?

“When he was brought in, he came to and was violent. The straps are to hold him down when he comes around again. Right now, we’re keeping him sedated until the PCPs leave his system.”

“Why would he become violent?” Cathy asked.

“It’s a typical response for someone who has OD’d on PCPs.”

“Will he be ok?  When do you expect him to come to?”

The resident replied: “Most likely not until tomorrow morning.”

We stayed a bit longer before finally leaving. We were tired of playing this game—Chris doing drugs, ending up in the emergency room, not getting the help he needed; our inability to force him to get help and leaving the hospital to continue doing what he always would do—use! Jen stayed with him through the night.

The next day, Cathy left school early and visited. When she went to this room, he whispered to her:

“Ma, come over here—come closer.”

“Ok, Chris.”

“Ma, this fucking place has me confused with the person next to me. Can you believe how fucked up this place is,” he whispered.

Meanwhile, the only two people in the rooms next to him were two old ladies.

“Chris, you took drugs. They found PCPs in your system.”

“I haven’t done that in years, Mom. I don’t do drugs.”

The social worker came in and told Cathy that she had to leave so she could talk to him. Chris didn’t want Cathy to stay. This was the first time that Chris didn’t want either of us around, which from our standpoint was a very bad sign.  

After checking himself out of the hospital against his doctor’s orders, he headed back to Vermont. He told us he was going to get insurance and go to a neurologist. He could perhaps pull this bullshit on Jen but we knew better. At the time, we felt that this stuff was never going to end!

After he was discharged, Cathy broached the subject of his hospital stay in a Facebook message:

“I really don’t think you should have checked yourself out of the hospital. Something isn’t right. PCPs in blood? Seizures? Not sleep? Perhaps, you “overdosed?” Hospitals don’t mix up patient records. Besides, you were the only male in ICU. Chris, we know you too well. Perhaps Jen is “new” at this, and doesn’t see the writing on the wall, but we have been through this with you for 10 years. It’s clear. I hope Jen isn’t just an “enabler.” Again, a drug addict selling “chemicals” and not being tempted to use is unheard of. Go to NA. Go to the doctor and be checked out. Monday, you could have killed yourself and innocent people. On top of this…if you had been picked up or stopped by the police, you would be arrested and this time sent to jail for breaking the accelerated rehab program. The saying goes, you can lead a horse to water, but you can’t make him drink. Please get help. We love you too much to lose you. Take care. Love, mom”

He continued to deny that he had overdosed on PCPs:

“Thank you for not believing me. Thank you for not believing your own eyes (DID I LOOK LIKE I WAS ON FUCKING PCP AT YOUR HOUSE? MY SEIZURES STARTED TEN FUCKING MINUTES LATER) – go watch some youtube videos on PCP, and tell me if that was how I looked when I got into the truck…use your head.”

We never really figured out what was the cause of these seizures. Although claiming that he was afraid because he wasn’t sure, he tried to convince us that it was due to his attempt to reduce his addiction medication dependence. No matter how much we pleaded, he was hellbent on self–destruction.

As I found out later, the PCPs in his system may not actually have been PCPs. Some of the “chemicals” that he was selling when ingested test positive for PCPs. The hospital probably didn’t have particularly accurate toxicology screening tools at their disposal. Few, if any, hospitals had the capability of testing for most of the chemicals he was selling as there was and still is a lack of awareness of their existence.

April marked the last Facebook correspondence we had with Chris. At that time, I was quite despondent and upset with Chris. My father had died somewhat unexpectedly only a few weeks before and Chris didn’t show up until after the funeral, which upset both Cathy and me. I was seething at the lack of respect he was showing me and his grandfather who always was concerned, continuously asking about him. For the longest time, I thought it was a race between my elderly father and Chris as to who would die first, a race that my father eventually won by only a few months.

In late May, Chris ended up in the Rutland Memorial Hospital for another drug overdose. Jen had sent a Facebook message to Cathy that Chris had been acting very strangely and accusing her of having an affair with another woman. This sounded eerily similar to the situation with a previous girlfriend a few years before. She was also becoming fearful of him because of his behavior:

“Something is seriously wrong with Christopher…please do not tell him I am contacting you. He seems to be having some sort of psychotic episode. He is extremely paranoid and is making outlandish accusations about me (leaving him for a teenage girl who drove past the house; selling/purchasing ‘OC 80’s etc.). He has not slept for nearly a week, nor has he showered. He forcefully held me down while he went through my pockets, then accused me of “swallowing the evidence.” He also attempted to keep me from leaving to go to the dump by standing in front of the car, and continued to call me to convince me to come home, that he did not care whether I had a girlfriend or not. His eyes look void. He is scaring me very badly. I am afraid he will hurt himself or me. I do not know what to do…please message me ASAP.”

“He is probably high on something that causes paranoia—like PCP. I believe in my heart that he was on something when he had a “seizure” here. When he becomes like that—it is a sign that he is on something (at least that is how it has been in the past). If you have to, call the police—it could be a matter of life or death. You may have to “trick” him or call behind his back—like while you are in the bathroom. The tests in the hospital were clear—he was on drugs—he convinced you at the time that he wasn’t. I don’t know what to say…Chris claims he has insurance—does he? I would definitely call the police—if he drives and kills someone none of us could live with ourselves.”

A recovering addict who claimed to be clean for 20 years told us, he was lucky he only ended up in jail. We didn’t fully understand this, or what hitting rock bottom meant, but in time, with what was going on, we began to pray that Chris would be blessed enough to end up behind bars.

“Anything better?”

“I am sorry, I just received your message. No, not better. He is in ICU on a respirator and under sedation. I am not sure as to what exactly happened, and am still trying to piece together the events of Sunday night/Monday morning through neighbors and nurses. I didn’t know he was in the hospital until last night. They said he was stable but I could not see him because they were still running tests. I spoke with his 2nd & 3rd shift nurses, they said he was conscious but not lucid when he arrived at the ER and that he was extremely fatigued with shortness of breath. The nurse this morning said she doesn’t think they are going to take him off the respirator/sedation today. They told me to call again around 9am after the doctor assesses him and then I can see him. No, he does not have insurance. He is at Rutland Memorial Hospital…this is a nightmare…I didn’t recognize the house when I went home, AT ALL.  I guess his “friend” that was there to “help” with work got arrested…I am going to be sick…”

Chris was banged up and unconscious when they took him in. The next day, Cathy called the hospital trying to figure out the situation but with the HEPA laws, nothing could be divulged without Chris’s consent. This was the first time that he hadn’t signed the paperwork allowing us to question the hospital staff, which from our standpoint was another bad sign. A day later she was able to talk to him directly and when she implied that his stay was drug induced, he told her “Fuck off” and hung up on her. The police report went into more detail and was bizarre to say the least.  

Early on the morning of the twenty-first of May, the police received several calls beginning with a 911 call from a man named Carlos who claimed that he was being held hostage, had jumped out of a second story window and believed he had dislocated his shoulder. Carlos went to an elderly female neighbor’s home banging and damaging her door looking for help. Suspecting drugs were involved, as he was a known drug dealer, she called her landlord who then called the police. His story was that he had come up by Amtrak that night to set up a computer system for Chris’s Internet company.

During the evening, they had all been drinking and admitted that he ingested something that Chris had slipped him. An argument erupted between Chris and Jen and she took off. Chris then argued with Carlos, accusing him of being involved with her. Trying to flee from Chris, he was unable to leave the apartment, ended up locking himself in the bathroom and jumped out the window. When the police arrived, they called for an ambulance as Carlos appeared to be under the influence of an unknown substance. When they found Chris, he was initially unstable on his feet, confused in his speech and not making any sense. After staggering around on the porch, he fell down and was totally unintelligible. Chris was immediately taken to the Rutland hospital by the police and became unconscious in the back of the police cruiser that was equipped with a cage. Searching the apartment, they discovered the same makeshift lab that they found during the motel incident.

The hospital records went into excruciating detail about his initial condition. The diagnosis was an overdose with a ketamine-like drug, possible bath salt ingestion, but the details were unclear. Unable to protect his airway, he was intubated. He was seen by a social worker and was not interested in any drug counseling. Chris denied purposely ingesting to some physicians and to others claimed he was accidentally exposed to something. It appeared that he was unclear as to what happened. What caught my eye was that his prognosis was poor given his lack of insight and ongoing drug use. He was eventually released. Cathy was also able to get the final police report when they went to Chris’s apartment and found him deceased.  

The 23rd of June, the day that Jen called and told us that Chris died, was the worst day of our lives.

No parent wants to hear this news, even though in our situation, we had expected it for years. Jen kept changing her story as the police probed her about what had happened. First, she woke up late at night and found him on the bathroom floor, thought he passed out, and then tried to drag him to the bed but he was too heavy. Then she supposedly left, stayed with her stepfather and came back the next morning when she called Cathy.

Afterwards the story morphed into: she didn’t know when he died because she wasn’t there. Believing that people were in the house trying to get him, he was walking around the apartment with a syringe filled with muriatic acid, ready for them. Jen claimed that he wasn’t making any sense and hadn’t eaten for days. We never considered her a reliable or trustworthy person and apparently neither did the police.  

Finally, her story became: she found him hunched over the toilet dressed in only his underwear with a white substance that he had vomited in his mouth. She then laid him down on his back with his hands folded over his stomach and fled. This seemed to match the evidence that the police had gathered. Fleeing seemed to be her primary method of handling difficult situations. Her behavior all along solidified our view that she was a mistake for our son and it increased our animosity towards her.

In the end, the toxicology report said that MDPV, Alpha PVP, and Pentylone were found in his system and presumed to be the cause of death. It isn’t clear if legal synthetic drugs break down into illegal “bath salts” such as MDPV. The drugs are so new and constantly evolving, that nobody knows what they are and how dangerous they are.

When I came home the day the autopsy report arrived, Cathy was sitting at the table.

“The autopsy came in the mail,” she said without even looking up at me. I found it on the counter in the envelope from the “Office of the Chief Medical Examiner, Burlington, Vermont."

“So what does it say?”

Cathy responded with a quick: “I don’t really want to talk about it.”

I grabbed it from the counter, went into my office and ripped it open. When we had talked to the examiner the day after Chris died, everything sounded relatively straightforward. His arteries were clean and he looked healthy. I guess I didn’t completely grasp the significance of the statement that his arteries were clean. After reading the report, I understood why Cathy was so upset. Particularly with statements such as “when viewed in the mortuary, the body is clad only in a pair of underwear” and “the 1510 gram brain has transparent leptomeninges and unremarkable cranial nerves” indicating that he had been cut up quite a bit. From my standpoint “the body is in an early state of putrefaction” was particularly disturbing. It was just the final item in a long list of things that were disturbing about Chris. The report also said that he had the number 3 on his right wrist and CIBA on his left wrist. This is the drug Ritalin.

My son clutching the side of a toilet in his underwear and cut up like a piece of meat on a cold metal slab are the final lasting images of him that I’ll take to my grave.

Holidays, birthdays and all the other important dates that families celebrate have come and gone. They will continue to come and go until we die. For this Christmas, like those that have past since Chris died, Cathy, our daughter Erica and I go to the cemetery. Entering Cedar Hill, late that afternoon, we were fortunate that it was still daylight. The snow that had fallen the week prior had melted due to the unusually warm weekend. What would have been a messy trek through the cemetery was now just a balancing act on the uneven partially frozen grass to our child’s grave. The wreath that Cathy had purchased, along with the special holder to keep it in place, was beautiful along with the two potted miniature Christmas trees on both sides of Chris’s stone.  

We stopped there for a minute then continued over to my parents’ graves for a moment of reflection. I tell my parents to take care of their grandchild and make sure that he doesn’t get in trouble. The three of us walked back to Chris’s grave. We get into an argument about the decorations. Cathy and I loved them. Erica thinks they’re tacky. She thinks that we love coming to the cemetery. She hates it and doesn’t want to be there. She truly avoided coming and doesn’t understand our need to be with our son. Both Cathy and I were really upset by her attitude but Cathy thinks it is just to get a rise out of us, but I’m not sure of this. Perhaps, this is an example of how people feel and respond differently to tragic events.  

In my mind, I’m talking to Chris. Sometimes, when I go to the cemetery, I talk out loud to him when nobody else is around as I pace around his grave. I ask him if there is an afterlife, the thought of which has started to consume me. I argue back and forth with him and myself as to the possibilities—what it would mean. I’m sure there were many times before his death that he pondered these issues though he now knows the answers.  

Would I be able to see him again? Deep down in my soul, I don’t believe so but I’m waiting—waiting for an answer, or perhaps a sign of some sort from him. I also tell him that he should have listened to me when I told him not to get involved with manufacturing and selling “research chemicals.” I tell him that he shouldn’t have died, that he didn’t need to die. Then I tell him that maybe he couldn’t help what he was doing because he was an addict. He doesn’t answer me. There is only the sound of a gentle breeze puncturing the silence. I almost drop a tear and then we leave. 

The two years that have past since his death have not eased our pain. I grieve but I also feel relief since I no longer have to deal with his addiction issues, something that I continuously berate myself with. 

He will never see another day; feel the sunlight, or feel the snowflakes on his face like he did as a baby when I recorded the date of his first snow. He will never get married. He will never have children. He is forever 28.

When asked, Cathy still says that we have two children. I don’t know what to say when strangers ask. Usually I tell them, they just say “oh” and walk away.

After his death and the autopsy that indicated bath salts were involved, Governor Shumlin of Vermont signed an emergency state rule designed to ban the sale of 86 chemicals in head shops and convenience stores in the state. This roughly doubled the number of chemicals banned in Vermont to 170. It was also believed that bath salts were a contributing factor in the crash on I-89 in Bolton that occurred just before Chris’s death, which killed Williamstown residents' Jason Potvin, April Otis, and their infant son. Unfortunately, makers of these products often alter only one chemical so they can stay off the banned list. The state hopes that the addition of these 86 chemicals will limit the sale of these products.  They want to stay ahead of the game by banning analogs and derivatives of these drugs as well.

James Tsacoyeanes is a physicist working in the semiconductor industry. He has set up a blog croniondiaries.weebly.com dedicated to his son Chris who died nearly three years ago. James is working on a book about his son's life that will feature information about synthetic drugs. He will add chapters of the book to his blog. James' philosophy: "If I can save even a single life, my efforts will be worthwhile."

 

 

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