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SAN DIEGO (KGTV) - Psychiatrist Clark Smith, MD, shed light on the San Diego County Medical Examiner’s findings in Trevor Heitmann’s autopsy that revealed the 18-year old suffered from mania.Heitmann caused the fiery 805 crash on August 23 that ended not only his own life but the lives of Aileen, 43, and Aryana Pizarro, 12.The Medical Examiner’s report showed Heitmann died of blunt force injuries. Toxicology reports indicated there were no signs of drugs or alcohol in Heitmann’s system. So what led an otherwise healthy 18-year-old man to drive the wrong way at 100 mph? The Medical Examiner believed there was a long build-up to the crash. The reports stated, five days before the crash, Heitmann began showing signs of mania."The manic mood swing could be so powerful, that people lose contact with reality,” Dr. Smith said.Dr. Smith reviewed the autopsy reports with 10News. Although Heitmann had no history of depression or mental illness, Dr. Smith believed he might have been bipolar with manic tendencies. "The mood swing can change like that from being king of the world, on top of everything, to crashing, and being horribly depressed and suicidal,” Dr. Smith said. “My guess is he was feeling badly because of the setbacks that he had, losing his business and source of income. And that would be a time when he would be reactive and become more depressed.”Heitmann was a popular YouTube gamer with a successful business selling game pieces online. That was how he said he bought his high-end sports car. But earlier this year, his business was suddenly banned and shut down. The Medical Examiner said his parents noticed his mood changes and tried to get him help. They physically blocked his McLaren from leaving the driveway, and called authorities to report his behavior. But Dr. Smith believes at that point, Heitmann’s symptoms had progressed too far. “Most people who are suicidal, just take their own life, but some people are also homicidal,” Dr. Smith said. “And in this case, it's a murder-suicide. I think he had lethal intention. He didn't know who he was going to kill. But he knew he was going to kill someone."Dr. Smith said this was a true tragedy that was preventable. “This was treatable, and it’s just a heartbreak that he didn’t get treatment,” Dr. Smith said. He added bipolar manic depression is nothing to be ashamed of. If detected early, it is treatable. 2452

SAN DIEGO (KGTV) -- Police have identified the man who died following a stabbing in the Midway District in late November. According to police, 55-year-old Robert Frank Erbe, who police say was a transient, died after suffering trauma to his neck. Officers were called to the 3100 block of Sports Arena Boulevard around 8 a.m. on November 28 after receiving reports of a man with serious injuries. RELATED: Man stabbed to death in Midway District shopping centerErbe was taken to the hospital but died from his injuries. The suspected attacker is described as white man between 20-40 years old. He was last seen wearing a dark hooded sweatshirt, blue digital camouflage pants and a blue hospital surgical mask. Police also noted he was wearing a backpack at the time.Anyone with information is asked to call police at 619-531-2293 or Crime Stoppers at 888-580-8477. 873

SAN DIEGO (KGTV) - Nearly four thousand kids in San Diego County have tested positive for lead poisoning over the past decade, and more than 130,000 have missed crucial tests, according to a new report from the California State Auditor.State law requires all 1-and-2 year old children on Medi-Cal to get lead testing. The auditor's office says that's not happening.According to the study, 61% of the tests that should have happened since 2009 were missed. In San Diego, that number is 59%. Specifically, kids in San Diego missed 130,657 of the 220,782 tests that should have been administered.Meanwhile, 44,418 kids across the state tested positive for elevated lead levels. In San Diego, 3,395 tested positive.Local doctors say it's problematic because lead poisoning is nearly impossible to detect without proper testing."Unless you screen kids, they are almost always asymptomatic," says Dr. Kenneth Morris, the Medical Director of the Children's Primary Care Medical Group. "You have no idea until you do the routine screening."Dr. Morris says infants are especially prone to ingesting lead, which can cause developmental problems throughout life."They're crawling on the floors, and they're putting their hands in their mouth. It's just that much easier for the lead to get into their system," he says.Morris says access is a problem for many families on Medi-Cal. They go to their doctor's office for routine check-ups and appointments, but can't get to the follow up lab visits for testing."If you have to refer a child out to a laboratory, it becomes that much more challenging. Because then it falls on the family to be able to get to a lab or hospital to get their blood drawn and get the test completed," he says. "That can be a real challenge for under-served families. To get to us, they have to get a friend to drive them or take the bus."Morris says many offices are now getting basic testing abilities, but as long as families have to go to multiple locations, this will remain an issue.See the full report from the State Auditor's Office here. 2069

SAN DIEGO (KGTV) — New numbers show the trash continues to pile up at San Diego landfills.San Diego County's daily waste disposal per person increased from 5.5 pounds in 2016 to 5.6 pounds in 2017, according to the research group, Equinox Project, the nonprofit institute at University of San Diego."When the economy's booming and there's more disposable income, people tend to buy more stuff. That means more packaging, and it tends to come with more waste," said Nilmini Silva-Send, a researcher with the Equinox Project.San Diego County's disposal rate is among the highest in the state.More trash means more greenhouse gasses released and less landfill space. As for the biggest trash makers, Del Mar comes in at more than 17 pounds per person, followed by Coronado and Carlsbad. The Del Mar Fairgrounds and Naval Base Coronado are among several possible factors. "The higher the socioeconomic level, the more waste they will tend to produce," said Silva-Send. The cities tossing the least amount of trash per person are Oceanside, Chula Vista, and Imperial beach. The biggest increase for trash disposal happened in Santee, while the biggest year-to-year decreases were in Imperial Beach and National City. The waste report is part of the Equinox Project's annual Quality of Life Dashboard report, which provides a snapshot of economic and environmental trends in the region. 1389

SAN DIEGO (KGTV) - People across the country are crossing the border to Mexico, hoping an alternative form of therapy will cure their addiction to opioids. One former addict shared his story with 10News. He asked that we only refer to him as Bob."I had been to traditional rehabs throughout my life, mostly against my will," said Bob.He said he got hooked on painkillers after multiple injuries due to skateboarding and snowboarding. His addiction quickly escalated. He started using heroin when he was fourteen."One day, I only had or , and a friend told me, why you gonna waste your money on half of a pill? It's not going to do anything for you. You're going to be sick. Why don't you just get heroin? Just that "H-word" has a stigma attached to it, and I was like, I shouldn't, but financially, it made sense, cause when I did a bag of heroin, it did the exact same thing as 0 worth of "Oxy's", so it was kind of a no-brainer to make the switch," said Bob.He bounced in and out of rehabs, but always caved to the withdrawals."It's just like the flu times 1,000. It's a really miserable experience, and a lot of times, you feel like you're doing to die," said Bob.He was 23 years old and living out of his car when he agreed to try an alternative treatment.He heard about a clinic in Rosarito, Mexico that was treating addicts with Ibogaine. Ibogaine is described as a psychoactive alkaloid that comes from the shrub, Iboga, in West Africa.Ibogaine is illegal in the United States; classified as a Schedule I drug, or a drug with a "high potential for abuse" and "no currently accepted medical use."In Mexico, Ibogaine is unregulated. There are a handful of clinics providing the treatment just across the border from San Diego."When the medicine kicked in, it was very different than let's say, eating LSD or magical mushrooms," said Bob.Ibogaine is given in capsule form. Patients can hallucinate for more than 24 hours."My experience was tough. It wasn't easy, but it needed to be that way. It wasn't an enjoyable experience," said Bob.He described seeing a snapshot of his life while under the influence of the drug. "It pulled me out of my body and brought up these high definition bubbles that would just pop up and disappear, pop up and disappear, with images with motion video inside of them."He said he was forced to look at his life from a different perspective."They were focused on all the negative things I had done in my life. I had really hurt my family, my friends, did awful things to people and myself," said Bob.During the treatment, he was hooked up to a heart monitor and under the care of a medical staff.That was eight years ago. Bob says he's been clean ever since. He said the physical cravings for drugs were gone almost immediately, but mentally, he still had work to do."You're never going to forget how good a high feels like, you're stuck with that curse for life, but what Ibogaine does, it gives you the option of whether you have to react on that urge or not."He said Ibogaine is not a cure. Aftercare is critical to long-term recovery."It's never going to make you forget your go-to easy coping mechanism of "Oh, I can make this problem temporarily go away by getting high, but it gives you a window of opportunity."Thomas Kingsley Brown, Ph.D., runs an undergraduate program at the University of California at San Diego. Unrelated to his work at the school, he's been researching Ibogaine for a decade. In 2010, he conducted a study with the Multidisciplinary Association for Psychedelic Studies (MAPS) on the outcomes of people who received Ibogaine for the treatment of opioid addiction. "Ibogaine is really helpful for taking away the withdrawal symptoms that you would ordinarily get when you stop using the opioids," said Kingsley Brown.According to Kingsley Brown, Ibogaine can reduce drug use after just one treatment, unlike the years it can take to be weaned off of Methadone or another replacement drug."It doesn't act in the same way that the standard treatments do; those are replacing the opioid at the receptor site and letting your brain continue trying to receive that type of action. Ibogaine doesn't do that," said Kingsley Brown.Patients report experiencing a "wake up call" of sorts while undergoing treatment."They realize all the harm they've been doing with their addiction. Sometimes they'll have insight into the roots of their addiction, and they come out of that with this sense that they can stop using and they change their lives. I think that makes a really big difference," said Kingsley Brown.The drug doesn't come without risks. It can be fatal for people with heart problems and other pre-existing conditions. There are also dangerous drug interactions.According to MAPS, "over 30 fatalities temporally associated with the ingestion of Ibogaine have been reported in the published peer-reviewed scientific literature."Nancy Knott is a Carlsbad based Licensed Marriage and Family Therapist. She specializes in addiction. She does not recommend Ibogaine."It creates a psychosis, which can be so absolutely life-threatening and mentally threatening to a developing brain, or any brain, for that matter," said Knott.She is skeptical about claims that one treatment of Ibogaine will end years of addiction."The belief is that the person will have less of a withdrawal and an early start in recovery. None of that is anything I, or most professionals, would subscribe to because treating addiction involves many, many, things on every spectrum," said Knott.Treatment costs usually start around ,000. It is only legal in New Zealand, Brazil, and South Africa."I think it should be made available as a legal treatment. I don't think it should be widely made available like a dispensary, because people won't really know how to use it safely. It should really be administered by someone who knows what they're doing, but it should be made available," said Kingsley Brown. According to the County Health and Human Services Agency, one out of every eight San Diegans has a substance use disorder, but about 90 percent of those suffering from addiction do not access treatment. Bob and other former addicts say any risk associated with Ibogaine is worth it."Every time you stick a needle in your arm, it's just as dangerous as traveling to a foreign country or doing a drug that could potentially be dangerous. Heroin is far more dangerous than Ibogaine." 6439

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