Jeffrey Scott Carrowiano v. Commonwealth of Virginia

Court of Appeals of Virginia·Decided December 8, 2009·No. 1884082·Unpublished

Opinion

COURT OF APPEALS OF VIRGINIA

Present: Judges Elder, Humphreys and Alston Argued at Richmond, Virginia

JEFFREY SCOTT CARROWIANO MEMORANDUM OPINION * BY

v. Record No. 1884-08-2 JUDGE ROSSIE D. ALSTON, JR.

DECEMBER 8, 2009

COMMONWEALTH OF VIRGINIA

FROM THE CIRCUIT COURT OF HENRICO COUNTY Burnett Miller, III, Judge

Brian S. Foreman (Cary B. Bowen; Bowen, Champlin, Carr, Foreman & Rockecharlie, on brief), for appellant.

Karen Misbach, Assistant Attorney General II (William C. Mims, Attorney General, on brief), for appellee.

Jeffrey Scott Carrowiano (appellant) appeals his conviction for the second-degree felony murder of Larry Wayne Smith (Smith), in violation of Code § 18.2-33. On appeal, appellant contends that the evidence was insufficient to sustain his conviction. Appellant argues that the causal connection between the predicate felony of distribution of a controlled substance and Smith’s death was broken by Smith’s ingestion of Xanax, an act of which appellant was not aware. For the reasons that follow, we disagree with appellant, and affirm his conviction.

BACKGROUND 1

On appeal, we view the evidence in the “light most favorable” to the Commonwealth.

Commonwealth v. Hudson, 265 Va. 505, 514, 578 S.E.2d 781, 786 (2003). That principle compels

*

Pursuant to Code § 17.1-413, this opinion is not designated for publication.

1 As the parties are fully conversant with the record in this case, and because this memorandum opinion carries no precedential value, we recite only those facts and incidents of the proceedings as are necessary to the parties’ understanding of this appeal.

us to “discard the evidence of the accused in conflict with that of the Commonwealth, and regard as true all the credible evidence favorable to the Commonwealth and all fair inferences to be drawn therefrom.” Parks v. Commonwealth, 221 Va. 492, 498, 270 S.E.2d 755, 759 (1980) (emphasis omitted). So viewed, the evidence was as follows.

Late in the afternoon of March 9, 2007, appellant visited Smith at Smith’s home. Smith’s sister-in-law saw appellant show Smith a “prescription bottle” with a “screw-on top that would be on a drink.” Appellant poured some of the liquid into the cap and gave it to Smith, who drank the liquid. The liquid was methadone, a synthetic narcotic used to treat heroin or other opiate addictions and for the treatment of chronic pain. Appellant and Smith left Smith’s home shortly thereafter.

Around 10:45 p.m. that evening, Smith and two friends, Tia and Tabatha, drove to appellant’s house where they bought a “pill bottle” of liquid methadone from appellant. Smith, Tia, and Tabatha went to the bathroom, and Smith distributed the entirety of the bottle’s contents among them. Smith drank two capfuls, Tia ingested one capful, and Tabatha ingested one half of a capful.

When the three friends left the bathroom, appellant asked if they consumed all of the methadone in the bottle. When they responded in the affirmative, appellant said, “[O]h my God, y’all are gonna f--king O.D.” Appellant was worried because they did not dilute the methadone with water. Appellant told them to leave and walked the three friends out of the house. Outside, he showed them the prescription bottle that bore his name and informed them that they consumed two hundred and forty milligrams between the three of them.

Smith, Tabatha, and Tia returned to Smith’s home around midnight, and Smith cooked them dinner. Smith also played video games with his son after returning home. Tia testified at trial that she did not recall seeing Smith take any other methadone that evening. Tia stated that she knew

Smith sometimes took pain medication and Xanax, but did not believe he was a regular user of methadone. Tabatha and Tia left the home around 1:00 a.m.

Natasha Smith, Smith’s wife, awoke around 3:30 a.m. and saw Smith sleeping on the floor in front of the television, snoring loudly. When she got up at approximately 7:30 a.m., Smith was in the same position, not breathing. Natasha called 911, and Smith was pronounced dead by the paramedics who arrived at the home shortly thereafter.

Dr. Deborah Kay, the Assistant Chief Medical Examiner for the Commonwealth of Virginia, conducted an autopsy on Smith. She found methadone, alprazolam, and a small amount of hydrocodone in Smith’s system and concluded that methadone and alprazolam poisoning caused Smith’s death. Alprazolam is an anti-anxiety drug with the trade name Xanax. Dr. Kay testified that “in this particular case, the methadone by itself could be lethal, the alprazolam would not [be lethal].” She stated that she listed the combination of the drugs as the cause of death because both drugs were present, and some medical studies had concluded that the combination of the drugs could be deadly, even when similar amounts of the respective drugs in isolation would not be fatal.

Dr. Julia Pearson, a forensic toxicologist employed by the Department of Forensic Science, performed a toxicological examination of the evidence submitted in the instant case. Dr. Pearson stated methadone causes respiratory depression, by acting on the opiate receptors, suppressing the ability of the brain to recognize changes in oxygen levels and carbon dioxide levels. At trial, one of the investigating officers had described the condition of Smith’s body upon arriving at the scene. He stated, “There was foam within the victim’s mouth, a large amount of grayish foam.” Dr. Pearson stated that the gray foam around Smith’s mouth was fluid that built up in Smith’s lungs and then exuded from his mouth as a result of methadone poisoning. Dr. Pearson testified that the symptoms of a methadone overdose consist of a deep sleep accompanied by heavy, loud snoring,

followed by death. She stated that death could occur somewhere between four to six hours after ingestion.

The Commonwealth questioned Dr. Pearson about the interaction between the alprazolam and methadone found in appellant’s body. Dr. Pearson stated that both drugs act as central nervous system depressants. She was unable to determine whether or not the alprazolam had a significant interaction with the methadone, because the level of alprazolam in Smith’s system was consistent with a high therapeutic dose of Xanax and in an amount that Dr. Pearson did not consider to be “subtantial.”

Dr. Pearson opined that the methadone concentration of .25 milligrams per liter in Smith’s blood was “well above therapeutic,” and the concentration of methadone in his liver was “consistent with toxic lethal concentrations” of the drug. She did note that chronic methadone patients, those who receive the drug regularly as part of a treatment plan, receive higher doses of the drug, and may have concentrations of the medication approaching approximately 0.2 to 0.3 milligrams per liter, but “[n]ot much higher than that.” Dr. Pearson testified that when drivers are arrested for driving under the influence of methadone, the concentration of methadone in their blood is typically “between . . . 0.05 and 0.1 [milligrams per liter].” The highest concentrations of methadone are typically around 0.2 milligrams per liter. Dr. Pearson added that she did not know Smith’s tolerance to the drug, which could have been a variable in determining what concentration would prove toxic to him.

Dr. Pearson concluded,

In my opinion, this surely is a lethal concentration of methadone, [which] contributed to the cause of death. What I don’t know is whether the Xanax, in addition to that, also may have played a role in contributing to the cause of death. There’s no doubt in my mind that methadone is the key factor here. . . . Without methadone, this individual would still be alive.

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Jeffrey Scott Carrowiano v. Commonwealth of Virginia, (Va. Ct. App. 2009).

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