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14 Year Old O/D's on "Ecstasy" (Minor updates 3/23/05)

if her liver was deficient in a CYP2D6, or other MDMA metabolizing enzyme, could this also possibly result in brain damage?

An impaired ability to break down the drug could increase the risk of MDMA neurotoxicity, but such damage shouldn't cause anything approaching brain death (as appears to have happened here.) Brain damage can also occur during severe heatstroke, but I would think that organ failure would prove fatal before the brain could degenerate to the point where they would remove her from life support. Strange things happen in medicine. The odds seem to favor hyponatremia, but it could be something more exotic (massive stroke, burst blood vessels in the brain from other causes, etc.) Unfortunately, we'll probably never know.
 
^^^
Given that, it does sound like hyponatremia is the most likely cause.

Thanks for following up on my question. :)
 
that is very sad. It trips me out cuz i useto live in Belmont and I was her age when I was introduced to e. The dealers fuckin deserved it though! But not just them what about the girl's friend's parents??? Just goes to show how blind parents can really be especially in their own home. I think more parents need to be open with their children about drugs n sex.
 
Painful Ecstasy

'It's as dangerous as any drug out there,' cop says.

By Matt Elliser | Staff Writer
Published on Thursday, May 6, 2004

BELMONT -- In a few short weeks, the word "Ecstasy" has gone from a description of pleasure to a painful reminder of the hazards of drug abuse.

The death of 14-year-old Irma Perez after ingesting the drug April 23 has raised questions about the prevalence of Ecstasy in San Mateo County, and its potency.

Ecstasy, or MDMA, is a stimulant and a hallucinogen. It is said to cause a euphoric feeling among users, and it decreases inhibitions. Negative side-effects include extreme dehydration, depression, anxiety and paranoia, although the dangers extend beyond those concerns. The drug has been illegal since 1985, and according to experts, Ecstasy can be laced with other illicit substances, like speed or poison.

"It's not like people can buy the drug from Rite Aid," said Ken Pesso, the director of adult probation at BRIDGES, a Redwood City group working to help adults beat drug addiction. "They're buying it from a dealer who has no motivation other than to make money."

Capt. Trisha Sanchez, commander of San Mateo County's Narcotics Task Force, said that because of the various forms of the drug, a negative reaction could happen at any time.

"There are so many variables, including what's in the drug and body types," Sanchez said. "Ecstasy is just as dangerous as any drug out there."

According to Pesso, Ecstasy also depletes the dopamine and serotonin levels in the brain, which "are both factors in our emotional well-being and balance." He said overdose deaths are typically a result of dehydration, increased heart rate and heightened blood pressure.

Ecstasy has a street value of between $20 and $30 per tablet, and is typically distributed in brightly colored pills. The price and aesthetic, Sanchez says, shows the drug is "marketed toward children."

According to the University of Michigan's Monitoring the Future Survey, more than 10 percent of high school seniors have tried MDMA at least once, and more than 2 percent have used the drug in the past month. The survey also concluded that the majority of Ecstasy users come from middle- and upper-class homes.

Anthony Rivera Jr., 20, of Belmont, and a 17-year-old Carlmont student have been arrested for allegedly furnishing Perez and two friends with the drug. Perez and the two girls, also 14, took the drug at a slumber party, and Perez, found unconscious the next morning, lay in a coma until she was taken off life support April 28.

The two girls, whose names have not been released due to their juvenile status, appeared in San Mateo County Juvenile Court on Monday facing charges of felony child endangerment, possession and furnishing of a controlled substance.

Link
 
That's true, in the sense that any pharmacy is a business. But the difference is that for them to continue in business they must apply very strict regulations put in place by the FDA. Drug dealers and quality control is only as good as the ethics of the specific people involved.

I'd gladly buy MDMA from Rite Aid if it were available, because I'd be absolutely certain that it only contained MDMA.
 
The drug dealer isn't being portrayed as the greedy capitolist, he is being portrayed as some one who doesn't give a fuck about your personal safety and as a result mixes dangerous combinations of drugs into what you think is "E." Rite aid atleast cares enough to cover their own ass. Some day I'm going to become a chemist and make pure E for all the party kids
( =, and my pills will be called pure loves! *fantasy*
 
This is so sad. I live in the community adjacent to Belmont. :(

Please everyone, be safe. :(
 
Girl still jailed for Ecstasy death

By Dana Yates, San Mateo Daily Journal
May 15, 2004

The 14-year-old girl being charged for crimes related to the death of her friend Irma Perez after taking Ecstasy will remain in juvenile hall for another week.

The girl, whose name is not being released because she is a minor, was arrested April 30 and has since been in custody at Hillcrest Juvenile Center. She was granted a new judge Friday, but won’t know until May 20 whether or not she will be allowed to go home while awaiting a June 1 trial.

During initial court hearings, Judge Marta Diaz refused the girl’s request. Since then, Diaz has been removed from the case and replaced with Margaret Kemp by request of the girl’s lawyer.

The girl is one of two 14-year-olds charged with child endangerment and illegal drug possession in the death of fellow eighth-grader Perez. The trio took the Ecstasy pills at a slumber party on Friday, April 23 but only Perez had a severe reaction. The two friends did not alert an adult until early the next morning. By the time 911 was called, Perez was already unconscious. She was considered brain dead Sunday but was not taken off life support until the following Wednesday evening.

Perez’s death sparked the arrest of five people, including three minors.

A 17-year-old boy accused of giving the pills directly to the girls was arrested a day after the incident for child endangerment and furnishing an illegal substance to a minor. Later that day, 20-year-old Antonio Rivera of Belmont was arrested and charged with similar charges. Angelique Malabey, 18, was arrested at the same time on a felony charge of helping Rivera elude police.

Days later, the two girls were also arrested as Perez was laid to rest and the students and staff at Ralston Intermediate School coped with the loss.

Prosecutors are still awaiting toxicology reports from Perez’s autopsy to learn whether her death is directly related to the drug and to the time that lapsed before she received medical care.

The other girl returns to court May 21 to enter pleas. The 17-year-old, also in custody at Hillcrest Juvenile Center, enters a plea June 3.

Malabey returns to court June 7 while Rivera remains in custody in lieu of $1 million bail at San Mateo County Jail. He enters a plea May 18.

Link
 
For one, Irma Perez herself never called an Ambulance, so how can anyone else be blamed for her death? If she didn't feel right, she should have called for help, whether it was poison control or a ride to the emergency room. Obviously she was awake and coherent before she went "to sleep", so why is anyone else being held responsible for her death.

Even better, a law should be enacted that protects drug users who overdose from even being approached by the police, as well as their friends who bring them in. I mean, imagine if you could bring your friend to the hospital, sick from too much heroin, cocaine, or ecstasy, and know that you have the protection of the laws that guarantees you won't get searched, investigated, or arrested when all you wanted to do was save your friends life. I can tell you, many more people would just go ahead and call 911 for an ambulance.

Rite-Aid doesn't exactly have our best interests in mind. Yes, there are strict guidelines set by the FDA when it comes to the drugs manufactured for and distributed by Pharmacies, but a lot of those drugs have ended up quite harmful, as well. Whether it is improperly prescribed Accutane or SSRI's causing suicide, Neurontin causing various disorders, or anti-psychotics for insomnia causing movement disorders, the drug companies certainly aren't infallible. That on top of the fact that drug store pharmacies as well as hospital ones frequently screw up, giving patients the wrong meds which leads to death or disease. I don't know how much better they really are than your local drug dealer.
 
Not Guilty Plea In Belmont Ecstasy Death

REDWOOD CITY -- A man who allegedly supplied Ecstasy pills that led to a 14-year-old Belmont girl's fatal overdose pleaded not guilty Tuesday to felony drug charges in San Mateo County Superior Court.

Antonio Rivera, 20, appeared calm and composed in a red jail jumpsuit and entered the plea on counts related to possession of Ecstasy, cocaine, marijuana and furnishing narcotics to minors.

A preliminary hearing was scheduled for June 11 during today's hearing in Judge Barbara Mallach's courtroom.

An alleged 17-year-old accomplice is also facing charges related to the incident last month, when three 14-year-old girls allegedly bought the drugs and tried them at a slumber party in the xxxx block of Lincoln Avenue.

Irma Perez, an eighth-grader at Ralston Middle School in Belmont, overdosed and was taken to Lucile Packard Children's Hospital, where she was taken off life support on April 28.

An official cause of death has not been determined and prosecutors are waiting for coroner's test results before deciding whether to file additional charges, according to Deputy District Attorney Elizabeth Raffaelli.

Two other girls at the sleepover were arrested after the incident and are facing charges in Juvenile Court, prosecutors said.

All three consumed one pill each but only Perez suffered the fatal reaction, according to the Belmont Police Department.

Link
 
Impact of ecstasy death of Irma Perez, 14, begins to sink in

May 20/2004

Belmont parents gathered Wednesday, nearly a month after a 14-year- old girl died from ingesting ecstasy, to hear public safety officials talk about the realities of drug and alcohol abuse.

They heard about how some local youths had broken into homes to steal prescription drugs, which were blended into intoxicating cocktails.

They heard stories about children raiding their parent's medicine cabinets and selling old painkillers to raise cash for drug purchases.

About 200 parents attended the sobering presentation at Carlmont High School. It was organized by officials from the Belmont-Redwood Shores School District and the Belmont Police Department in response to the ecstasy death of Ralston Middle School student eighth-grader Irma Perez.

Irma overdosed on ecstasy, also known as MDMA, during a sleepover at a friend's Belmont house on April 23. She was discovered in a coma the next morning and died on April 28 after she was taken off of life support at Lucile Packard Children's Hospital in Palo Alto.

"It's very unfortunate we had a tragedy like this,'' said Trisha Sanchez, commander of the San Mateo County narcotics task force. "But maybe we can look back and learn from this.''

The parents heard from members of the task force who talked about new drug trends, paraphernalia, risks and ways of talking about drug use with their children. Police brought photographs of overdose victims.

School district officials hoped the message would help parents find an opportunity to talk to their children about drugs and alcohol.

Belmont Safe Schools, a cooperative effort between the Police Department and local schools, organized two similar education meetings last month but both attracted no more than 50 parents.

"Use this as a teaching moment, a learning opportunity for all of us," said Superintendent John McIntosh on Wednesday night. "This is a community problem. It's a community issue. We need to work together to solve it."

Parents at the meeting appeared eager to do their part. The community's anti-drug efforts took on a new significance in light of Irma's death, they said.

"If you said an eighth-grader would take drugs and die in a Belmont house, there would have been a lot of skepticism before,'' said Liz Schultz, a 32- year-old Belmont mother. "But now we realize it can happen to our kids. Our family decided that we had to be here to get as much information as possible.''

Marcy Burrell, 40, a mother of three, said Irma's death exposed some naivete among Belmont school officials and parents who didn't realize how much needed to be done to combat local drug use.

"This was definitely a wake-up call,'' she said. "I don't think Belmont was prepared for this to this extent. The officials at the schools knew there was some usage, but in hindsight, there wasn't enough programs for the children.''

Kim Nixon, a 45-year-old father of 11-year-old triplets, said parents need to focus on communicating effectively with their children.

"We need to create an atmosphere where they feel open to talk to us,'' he said. "As kids get older, they want their independence, but you need to create an environment where you can still talk."

The San Mateo County coroner's office has charged 20-year-old Antonio Rivera of Belmont with furnishing drugs to minors and being in possession of drugs for sale in connection with Irma Perez's death. Rivera pleaded not guilty Tuesday.

Two of Irma's 14-year-old friends at the sleepover -- and a 17-year-old Belmont boy who allegedly helped supply the drugs -- have been charged with felony child endangerment, possession and furnishing of a controlled substance.

Linky Dink
 
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Update.. this will be going on for a while

Ecstasy case continues today
By FROM STAFF REPORTS

One of two teenage girls arrested after their friend died following use of the drug Ecstasy will find out today whether she will await trial at home or in juvenile hall.

The girl, who is from Belmont and whose name is being withheld by the Times because she is a minor, was arrested with another teen from Redwood City when 14-year-old Irma Perez died after the three allegedly took drugs at an April 23 sleepover.

Prosecutors say Perez died slowly, and her friends did not call an ambulance.

Both teens, who have been held in juvenile hall since the death, have been charged with furnishing drugs, possession of a controlled substance and allowing a child to suffer.

A Juvenile Court judge two weeks ago refused to let the girls await trial at home, and said it was partly because they had received death threats.

Court proceedings in the case hinge on toxicology results from Perez's body, which could take a month to be completed.

May 21 Update
 
Finally ...

Fallback strategy for teens who say yes to drugs
by Marsha Rosenbaum, San Francisco Chronicle
Friday, May 21, 2004

The recent death of a 14-year-old girl from Belmont who had taken the drug ecstasy has shocked and surprised the Bay Area. Especially disturbing is that, in the opinion of San Mateo County coroner Robert Foucrault, Irma Perez's life could have been saved with professional intervention.

According to the paramedic's report, Perez had taken an excessive dose -- three "Valentine ecstasy" pills -- and possibly alcohol and/or other drugs as well. While her two friends suffered no ill effects, Perez had an extremely rare reaction. She experienced what emergency physician Dr. Karl Sporer calls "serotonin syndrome": rapid heart rate, high blood pressure, high fever and agitation.

Because adverse reactions are so rare with ecstasy, what caused Perez's idiosyncratic response? Did the pills contain adulterants? Did Perez have a pre-existing condition that made her especially vulnerable, such as a cardiac arrhythmia? Was she dehydrated or did she drink too much water, causing dramatic drops in sodium levels? We don't know the answers to these questions yet, but it is hoped the coroner will issue his report soon and make it public.

As a drug educator, I agree with Belmont-Redwood Shores Superintendent John McIntosh that in this "teachable moment" we must provide information to both parents and teenagers. At this critical juncture we need to be very careful about what we say so we can win back the confidence of young people. After more than two decades of exaggerations about drugs in general, and a recent scandal leading to the retraction of "brain damage" claims about ecstasy, adults have lost a great deal of credibility with teens.

Our task is to replace exaggeration and scare tactics with balanced, science-based information. In a perfect world, teenagers would "just say no" to alcohol and other drugs. But after abstinence-only messages, reinforced by increasing zero-tolerance policies (such as expulsion from school and arrest), the National Institute on Drug Abuse survey, "Monitoring the Future," found that in 2003, more than 45 percent of eighth-graders had tried alcohol, 17 percent had tried marijuana and 3 percent had tried ecstasy. Missing from our educational efforts is a fallback strategy of harm reduction for those teens who, like Perez and her friends, say "yes" despite our efforts.

In addition to providing sound information about alcohol and other drugs, young people should learn to recognize signs of distress and know that they can and must get help. This was not what happened in Perez's case. For five hours her friends tried on their own to help, using makeshift methods, such as giving her a bath. Perez finally lapsed into the coma from which she never recovered.

Sadly, the experience of Perez's friends is not uncommon. They realized something was wrong and got scared, knowing they would "get into trouble" if the police came. In their naiveté, they hoped she would simply come out of it. This scenario is played out all too often, because it's possible to overdose on almost any substance, especially alcohol, the most popular drug among young people.

Many in law enforcement, such as Commander Trisha Sanchez of the San Mateo County Narcotics Task Force, agree that the message we send our teens should be clear. The use of alcohol and other drugs is a poor choice, but if you do experiment and there is a problem, you will not be punished by calling for help.

As a parent, I understand that providing "harm reduction" information can be uncomfortable. We worry that acknowledging the possibility that teenagers might experiment will send the message that we condone the use of alcohol and other drugs and that this message will, in fact, open the door.

The reality, however, is that as a society we regularly medicate and imbibe with a variety of legal and illegal substances, so the door is already open. Our job is to keep our kids alive, even if they're not completely drug free.

Marsha Rosenbaum directs the Safety First drug education project (www.safety1st.org) of the Drug Policy Alliance (www.drugpolicy.org) in San Francisco. She is the author (with Jerome Beck) of "Pursuit of Ecstasy: The MDMA Experience" (State University of New York Press, 1994) and "Safety First: A Reality-Based Approach to Teens, Drugs, and Drug Education" (Drug Policy Alliance, 2002).

Link
 
Ecstasy girl remains jailed
By Dana Yates, San Mateo Daily Journal
Saturday, May 22 2004

The friend who was with a Belmont teen the night she took a fatal dose of Ecstasy will remain in custody while she awaits trial, a San Mateo County Superior Court judge ruled Friday.

The 14-year-old girl, whose name is being withheld because she's a minor, has been at San Mateo County Juvenile Hall since her April 30 arrest on charges related to the death of her friend Irma Perez. A request filed by her lawyer to allow her to return home was denied Friday by Judge Margaret Kemp. In the same hearing, the girl's trial was also delayed from June 1 to July 6 at the request of her lawyer.

Friday's ruling ended three weeks of legal limbo surrounding the girl's case. The decision on whether to release her from custody was delayed when her lawyer filed a motion to remove the former judge from the case.

The girl is one of two 14-year-old girls charged with child endangerment and illegal drug possession in the death of fellow eighth-grader Perez. The trio took the Ecstasy pills at a slumber party April 23 but only Perez had a severe reaction. The two friends did not alert an adult until early the next morning. By the time 911 was called, Perez was already unconscious. She was considered brain dead April 25 but was not taken off life support until April 28.

Perez's death sparked the arrest of two adults and three minors.

A 17-year-old boy accused of giving the pills directly to the girls was arrested a day after Perez was discovered unconscious for child endangerment and furnishing an illegal substance to a minor. Later that day, 20-year-old Antonio Rivera of Belmont was arrested and charged with similar charges. Angelique Malabey, 18, was arrested at the same time on a felony charge of helping Rivera elude police.

Days later, the two girls present at the slumber party were also arrested as Perez was laid to rest and the students and staff at Ralston Intermediate School mourned.

Prosecutors are still awaiting toxicology reports from Perez's autopsy to learn whether her death is directly related to the drug and to the time that lapsed before she received medical care.

Link
 
Why does this remind me of the witchhunts of Salem?

The girl is one of two 14-year-old girls charged with child endangerment and illegal drug possession in the death of fellow eighth-grader Perez.
And I can't understand how they can charge a child with "child endangerment."

The kids should have called for assistance, but they didn't understand the gravity of the situation. These adults who are keeping these kids in jail sound to me like they need to be brought up on charges of child abuse.

For christ's sake. What purpose does all of this serve to treat 14 year old children this way. :(
 
Like I said earlier, the actual girl who was sick should have called for assistance, whether it was an adult, or more appropriately an ambulance. She fucked up, put her own life at risk, and took the chance of not calling for help in order to avoid being "caught". She paid the price for her fuck up, which was very unfortunately death.

To hold this 14 year old girl in jail as if she was responsible for her friend's death is ridiculous. Here's something to think about:

Two girls get in their separate cars to drive to a party. One of the girls crashes into a wall and dies. Because both were "driving", her friend gets sent to jail for the other girl's death. Ridiculous? Yes.
 
Tests confirm Ecstasy killed eighth-grader

Tests confirm Ecstasy killed eighth-grader

June 04, 2004

By Malaika Fraley, STAFF WRITER

BELMONT -- Toxicology tests confirm Belmont eighth-grader Irma Perez died of MDA -- or Ecstasy -- intoxication, San Mateo County Chief Deputy Coroner Tom Marriscolo said today.
Perez, 14, died days after taking the so-called club drug with two fellow Ralston Intermediate School students during a sleepover party at a Belmont home on April 23.

The friends, two 14-year-old girls whose names are being withheld from the Times because they are minors, were arrested after Perez died and remain jailed in a juvenile facility. They are expected to go to trial next month on charges of furnishing drugs, drug possession and allowing a child to suffer.

The girls are accused of not calling for help while Perez suffered for hours -- shaking and vomiting before becoming unconscious. Instead, authorities said, they sought advice from Antonio Rivera Jr., the man suspected of selling them the Ecstasy.


Rivera, 20, pleaded not guilty last month to numerous charges in connection to Perez's death. A 17-year-old Carlmont High School boy was also charged in the case.

Perez's death sent a rude wake-up call to parents, administrators and staff in the Belmont-Redwood Shores school district about the availability of drugs to students.

About 200 parents last month attended a drug awareness fair at Carlmont High School organized in the wake of the tragedy. Only 50 had attended a similar fair held in the weeks before Perez died.

Here
 
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