“Heart attacks don’t make you “sleepy” and most other body failures have outstanding symptoms.....one of which is not “sleepy”.”
UNLESS, there were drugs (such as methadone) given that would mask, preceed, potentiate or coverup the unfolding lethal body symptoms. For example, methadone and GHB. Both readily available to HKS - one via street contacts and the other by prescription.
Both would be relatively tasteless in beverages. Lots about them as lethal together on the net. Identified in fatal party ODs in nightclubs, in gay literature cautioning that “party doses” become lethal when combined with HIV antiviral drugs. Some sites point out that GHB is practically undetectable at death and not at all after a few hours at room temperature.
http://www.medscape.com/viewarticle/418321_3
GHB Gamma Hydroxybutyrate (10)
Names: Liquid Ecstasy, Easy lay, grievous bodily harm, cherry meth, gook, gamma 10, liquid X, liquid G, liquid E.
Desired effects: Used to produce euphoria, disinhibition, sexual enhancing effects without an appreciable hangover
Made a Schedule 1 drug in 2000.
Presentation: orally as a capsule or as a powder which may be dissolved in liquid. Usually sold as a slightly salty, clear liquid in small bottles and taken by the capful. The concentration may vary and the amount taken at one time also, therefore reaction is unpredictable.
Absorption and metabolism: When taken orally the onset of action is within 15 minutes to an hour and lasts from one to three hours. The elimination half-life is 27 minutes and the primary route of elimination is expired breath as carbon dioxide. (59) While the patient is intoxicated with GHB and apneic he or she may have episodes of violent agitation so physical stimulation must be kept at minimum. (THIS WOULD BE NOT SEEN IF GIVEN WITH METHADONE)
Psychological/physical effects: delusions, depression, altered mental status.(57) Physical effects include mydriasis, or miosis, inconsistent pupil response, visual disturbances, myoclonus, agitation, BRADYCARDIA, HYPOTENSION, NAUSEA, VOMITING, VERTIGO, RESPIRATORY DISTRESS, TRANSIENT METABOLIC ACIDOSIS, LOSS OF AIRWAY REFLEXES, LOSS OF CONSCIOUSNESS, AMNESIA, COMA (3).
Potentiation: by alcohol, ketamine, benzodiazepines, major tranquilizers, OPIATES AND DERIVATIVES, anticonvulsants and over-the-counter cold medicine and sleep medication. ALL THESE CAN POTENTIATE THE EFFECTS AND LEAD TO FURTHER RESPIRATORY DEPRESSION. Methamphetamines can increase chance of seizures.
“While the patient is intoxicated with GHB and apneic he or she may have episodes of violent agitation so physical stimulation must be kept at minimum. (THIS WOULD BE NOT SEEN IF GIVEN WITH METHADONE)”
Could you correct your comment? Would be seen or would not be seen?
Do you remember that Daniel was found with bruises on his body? That has mystified me. What took place? Did he and Howard leave together as Anna said to the nannies? We haven’t been privy to the hospital records yet, so it’s quite possible. Did they have a fight? Or was Daniel given that lethal mixture which made him physically agitated?
In both deaths, Howard was not physically examined by police right afterwards. Hmmm.