blood pressure medication), divalproex (brand name Depakote, used to treat mania, depression and epileptic seizures and approved for migraines), and finally clonazepam (brand name Klonopin, a type of drug known as a benzodiazepine, which can decrease abnormal electrical activity in the brain that can lead to seizures or panic attacks).
After his death, when the agents inspected the room they found bottles for the medications Wold had been prescribed, but also something else.
From county medical examinerâs investigative report, submitted December 19, 2006:
They also located a small plastic baggie with several pills inside. The baggie was labeled Seroquel but the pills were later properly identified as methadone. Agents counted the medications and spoke with the decedentâs psychiatrist. The doctor confirmed the medications that were prescribed included Prozac, Seroquel, Clonidine, Divalproex, and Klonopin. He confirmed that based on the medications remaining in the bottles found in the room, it appeared the decedent had been using them as prescribed but added that he had not been prescribed methadone and he was probably obtaining them from an outside source. Agents found no signs of a struggle, evidence of foul play, suicide notes, or illicit drugs in the room.
Seven days after Woldâs death, an NCIS agent telephoned the medical examinerâs office to provide this additional information, which was included in the investigative report.
From county medical examinerâs investigative report, submitted December 19, 2006:
During interviews with the decedentâs friends, Nathaniel Leoncio and Joshua Frey, they learned that following the tattoos, the decedent reportedly reached into his pocket and offered his friends a pill to help with the soreness. The friends declined and they noted that the decedent took at least one pill before lying down. Before they left the room, they noticed that the pill had âbegun to kick inâ and they saw him place tobacco into his mouth and lay down. When they returned the following morning the decedent was in the same position he was in when they left his room the previous night.
In his opinion concerning the cause of death, the San Diego County deputy medical examiner wrote the following.
Autopsy Report, November 11, 2006; 0911 Hours
Toxicological studies were positive for methadone (0.32 mg/L), fluoxetine (0.20 mg/L), norfluoxetine (0.33 mg/L), 7-aminoclonazepam (0.07 mg/L), and nordiazepam (trace). The concentration of methadone in his blood is within a range that has been associated with death; and while the other medicines are in low or therapeutic ranges, they can have similar, additive sedating effects, especially in combination with the methadone.
Based on these findings and the history and circumstances of the death as currently known, the cause of death is best listed as âmethadone, clonazepam, diazepam, and fluoxetine toxicityâ and the manner of death as âaccident.â
Steven C. Campman, MD, Deputy Medical Examiner
William Christopher Wold, in the opinion of the deputy medical examiner, had been supplementing his prescription medication drug regimen with methadone, a drug best known for treating heroin and other opiate addicts by preventing withdrawal symptoms, reducing the cravings, but not providing the euphoric rush associated with heroin use. But the U.S. Department of Justiceâs National Drug Intelligence Center says abuse of methadone is on the upswing, especially by heroin and OxyContin users, because of methadoneâs increasing availability. Because of its effects on the body, which can include slowed breathing and irregular heartbeat, methadone overdoses can be extremely dangerous, leading to ârespiratory depression, decreases in heart rate and blood pressure, coma and death.â
In Woldâs case, as the deputy medical examiner wrote, his prescription drugs were at a therapeutic level in his body but may