Charleston Gazette
Vets taking PTSD drugs die in sleep
Hurricane man's death the 4th in West Virginia
By Julie Robinson
May 24, 2008

A Putnam County veteran who was taking medication prescribed for
post-traumatic stress disorder died in his sleep earlier this month,
in circumstances similar to the deaths of three other area veterans
earlier this year.

Derek Johnson, 22, of Hurricane, served in the infantry in the Middle
East in 2005, where he was wounded in combat and diagnosed with
post-traumatic stress disorder while hospitalized.

Military doctors prescribed Paxil, Klonopin and Seroquel for Johnson,
the same combination taken by veterans Andrew White, 23, of Cross
Lanes; Eric Layne, 29, of Kanawha City; and Nicholas Endicott of Logan
County. All were in apparently good physical health when they died in
their sleep.

Johnson was taking Klonopin and Seroquel, as prescribed, at the time
of his death, said his grandmother, Georgeann Underwood of Hurricane.
Both drugs are frequently used in combination to treat post-traumatic
stress disorder. Klonopin causes excessive drowsiness in some
patients.

He also was taking a painkiller for a back injury he sustained in a
car accident about a week before his death, but was no longer taking
Paxil.

On May 1, the night before he died, Johnson called his grandfather,
Duck Underwood, and asked if he could pick up his 5-year-old son and
take him to school the next day. Johnson and his wife, Stacie, have
three children, all under 6 years old. Their car had been totaled in
the accident the previous week.

When Underwood arrived to pick up the boy the next morning, his knocks
were not answered at first. He heard Stacie Johnson screaming. She
opened the door and told him she couldn't wake her husband. They
called paramedics, who could not revive him. Doctors did not declare
an immediate cause of death.

Toxicology and autopsy results could take as long as 60 days,
authorities told the family.

"I want to know the cause of death," said Ray Johnson, Derek's father.
"Stacie said he was fine that night. Everything was normal. He kissed
her goodnight and went to sleep."

Stan White, father of soldier Andrew White, has become an advocate for
families of returning veterans with post-traumatic stress disorder.
During his son's struggle with the disorder and since his death, White
has tracked similar cases. He knows of about eight in the tri-state
area of Kentucky, Ohio and West Virginia.

He and his wife, Shirley, introduced themselves to the Johnsons and
Underwoods at Derek's funeral and offered their help. He is in contact
with the office of Sen. Jay Rockefeller, D-W.Va., who is a member of
the Veterans' Affairs Committee. Rockefeller requested an
investigation into these deaths, which is ongoing, said Steven
Broderick, the senator's press secretary.

"When I talked to his family about Derek, I realized it was the same
old story," said White. "It was all too familiar. He was taking those
same drugs as the others, and, yes, I believe they are still
prescribing that combination."

After speaking with family members, White wonders if the patients are
taking the medicine as prescribed. He said PTSD patients suffer
short-term memory loss and shouldn't be relied upon to track their
medications.

Georgeann Underwood agrees.

"You shouldn't put vulnerable, mentally unstable people on drugs like
that," she said.

An outgoing, personable young man who worked at several jobs to
support his young family, Johnson frequently was offered other jobs by
customers in the stores where he worked, Underwood said.

In 2006, he returned from the Middle East depressed and
short-tempered. Johnson had operated an M249 Squad Automatic Weapon,
or rapid-fire machine gun, and rarely spoke about his experiences
there.

After his military prescriptions ran out, Johnson's medications were
prescribed by private physicians because he refused to go the VA
hospitals where he said he was required to wait long periods of time
for appointments. His grandparents paid for his medications.

"He had a very short fuse," Ray Johnson said. "That was the biggest
difference in his personality after he came back."

Until his death, he worked 12 or 16 hours a day. He was an electrical
apprentice at the John Amos Power Plant until he was let go when his
work hours approached the union limit for apprentices. He was on his
way to apply for another job when the car he drove was rear-ended on
April 24.

Johnson died May 2.

Link to story: http://wvgazette.com/News/200805230640