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News (Media Awareness Project) - US FL: Graves Gets 63 Years
Title:US FL: Graves Gets 63 Years
Published On:2002-03-23
Source:Pensacola News Journal (FL)
Fetched On:2008-08-30 22:16:56
GRAVES GETS 63 YEARS

Pain Doctor Maintains Innocence In Deaths

Dr. James Graves likely will die behind bars, serving a sentence for
manslaughter and illegally prescribing narcotics.

Circuit Judge Kenneth Bell told Graves, 55, he did not "take lightly" the
63-year prison sentence the judge handed down Friday. Under state law,
Graves must serve at least 85 percent, or almost 54 years.

"He will never walk free again," Bell said to a hushed courtroom in Milton.

The Pace doctor faced 38 to 138 years in prison under Florida sentencing
guidelines.

Graves, refusing to take responsibility for the deaths of four patients who
overdosed and died, showed no reaction. His wife, Alicia, son Jimmy and
daughter Jordan sat stone-faced behind him in the first row.

Earlier, they pleaded for leniency.

"I want to be able to see him outside prison walls again," Jimmy Graves
said. "I just want to be able to hug his neck."

On Feb. 19, his father became the first doctor in the nation to be
convicted of manslaughter for overprescribing a powerful combination of
drugs, including OxyContin. Four of his patients overdosed and died.

Graves also faces Medicaid fraud charges stemming from his medical practice.

Graves fiercely maintains his innocence and, in court, showed no remorse.

In a short statement to Bell before the sentence was meted out, Graves
recited Bible verses, criticized Assistant State Attorney Russ Edgar and
verbally attacked the family of Jeffrey Daniels, one of his patients who
overdosed.

"I know I'm going to have to stand before God one day, and he's going to
have to stand before God one day," Graves said of Edgar. "And I pray to God
something will change, and somehow he will come to know Christ."

Edgar asked Bell to impose a life sentence, calling Graves "morally bankrupt."

"He's not upset about what happened to these people; he's upset he got
caught," Edgar said during the hearing that lasted nearly three hours.
"These sentiments are dangerous in a human being, and these sentiments are
dangerous in the community."

Graves' family disagreed. They called him a good man and a compassionate
doctor.

"He's about caring," said Debbie Steiner, Graves' sister, who traveled to
Milton for the sentencing. "He's about seeing good in other people."

Linda Franklin, another family member, said Graves' son and daughter are
fine people.

"We are here to stand up for Jim," she said as she implored Bell to give
the children "proper, decent and dignified access to their father."

Two Dr. Graves

Edgar said the portraits of the same man were so different, there seems to
be two Dr. Graves.

As a physician, Graves was irresponsible and dangerous, Edgar said.

"I know when somebody's selling drugs, and that's what he was basically
doing," Edgar said. "He wasn't practicing medicine."

The prosecutor pointed to Graves' lack of remorse when he learned of
patients' deaths in 1999 and 2000 and after his conviction.

Testimony at trial showed Graves dismissed some patients' deaths as "just
another addict."

"He doesn't seem to have a moral gyroscope in him that (his actions were)
wrong," Edgar said.

Along with four counts of manslaughter, Graves was convicted on one count
of racketeering and on five counts of unlawful delivery of a controlled
substance.

But defense attorney Ed Ellis countered, as Graves insisted during the
six-week trial, that the doctor was properly treating patients' pain.

"He believed what he was doing was for legitimate medical purposes," Ellis
said.

Ellis pointed out to Bell that Graves is overweight and suffers from high
blood pressure. A 10- year sentence would be a death sentence, Ellis said.

Tension rises

Graves, dressed in a light-blue Santa Rosa County Jail prison outfit, spoke
to Bell for about 10 minutes. His feet were shackled.

"We are people of faith and God," Graves said of himself and his family.

After quoting from the book of Hebrews in the New Testament, he added:
"Everything I ever did, judge, I did according to these tenets."

Graves implied some of the patients who overdosed and died, including
Daniels, might have committed suicide.

While Graves spoke, Raymond Lester Daniels, Jeffrey's father, grew visibly
angry.

Later, as Alicia Graves addressed Bell, Daniels started to get up from his
seat after the doctor swiveled around, looked at Daniels and smiled.

Daniels' wife, Jane, restrained him, and Santa Rosa County sheriff's
deputies rushed to Raymond Daniels and ordered him to sit or leave the
courtroom.

Alicia Graves echoed her husband's contention that authorities should have
done more to shut down the pain-management practice in Milton.

Testimony at trial showed Graves' office on U.S. 90 was always full of
people who waited hours to see the doctor. Sometimes, fights broke out in
the parking lot.

Dozens of pharmacists testified they stopped filling the doctor's
prescriptions, dubbed the "Graves cocktail," because they were concerned
about the mixture of medication. Graves generally prescribed OxyContin in
two doses as well as Lortab, Xanax and Soma.

Four of his patients overdosed and died.

"These people would have still been alive if the regulatory agencies had
done their jobs," Alicia Graves said.

But Bell said he's disturbed by the couple's attitude that "it's not us,
it's the world that's wrong."

Graves 'an enigma'

The judge said even if state agencies had not taken any action, Graves
should have known something was wrong.

"You knew because family members were calling," Bell said. "You knew
because pharmacies were calling."

Bell said his father, noted pediatrician Dr. Reed Bell, who is retired,
considered pharmacists his friends. However, Graves considered pharmacists
as enemies.

The judge added: "There was a clarion call placed out there that Dr. Graves
should have heard but didn't listen to."

After hearing the testimony Friday, Bell said he felt like he was presented
with "a riddle wrapped in a mystery inside an enigma," quoting Winston
Churchill.

"Fortunately, it is not necessary for this court to solve the underlying
riddle," Bell said.

At the end of the sentencing, Graves' family and supporters were directed
out one exit. Other spectators and witnesses for the prosecution were taken
out another.

Graves' attorneys promised to appeal the sentence.

What's next?

Dr. James Graves is scheduled to be arraigned at 9 a.m. April 22 on two
counts of Medicaid fraud, a felony.

Dispensing OxyContin

According to testimony Friday, four pharmacies in Escambia and Santa Rosa
counties were among the top 100 pharmacies nationwide that dispensed
OxyContin in the first half of 2000. There are 58,000 pharmacies in the nation.

Those top pharmacies were Montecino's Drugs, Century Pharmacy, Fireside
Pharmacy and The Prescription Shop.

Timeline Significant dates in the case against Dr. James Graves:

September 1998: Graves opens office on U.S. 90 in Milton.

March 14, 1999: Patient Anne Carroll, 34, dies of drug overdose.

Aug. 25, 1999: Florida Department of Law Enforcement opens investigation.

September 1999: Patient Paul Mylock agrees to cooperate with FDLE.

Nov. 10, 1999: Jeffrey Daniels, 30, dies of drug overdose.

Dec. 21, 1999: Gwen Carpenter, 37, dies of drug overdose.

April 12, 2000: Howard Rice, 41, dies of drug overdose.

April 13, 2000: Authorities search Graves' office as doctor continues to
see patients.

June 28, 2000: William Morris, 48, dies of drug overdose.

June 29, 2000: Graves indicted by Santa Rosa County grand jury.

July 9, 2001: Alabama Medical Licensure Commission revokes Graves' Alabama
medical license.

Jan. 15, 2002: Graves' trial begins.

Jan. 29, 2002: Florida Department of Health issues emergency suspension of
Graves' Florida medical license.

Feb. 19, 2002: Jury convicts Graves of four counts of manslaughter, five
counts of unlawful delivery of a controlled substance and one count of
racketeering.

March 7, 2002: Graves talks to ABC television program "Good Morning
America" and the Pensacola News Journal. He vows to practice medicine again.

March 15, 2002: Graves charged with two counts of Medicaid fraud.

March, 21, 2002: Circuit Judge Kenneth Bell denies a defense motion for a
new trial.

March 22, 2002: Graves sentenced to 63 years in prison.
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