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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) - More than 50 free health classes could come to community centers and libraries across San Diego. It would be part of a sponsorship deal the city is considering with Sharp HealthCare, in which Sharp would pay the city 0,000 a year for the right to market as the city's "Health and Wellness Partner."Sharp currently offers classes, many of them free, but most are at Sharp facilities.This arrangement, going before a city committee Wednesday, and ultimately before the City Council, would call for six free classes a year in each of the nine council districts, from Otay Mesa to Rancho Bernardo. Dr. Eunice Sanchez-Mata, of Sharp Rees-Stealy Medical Group, said patients usually see her once or twice a year."We're here educating them as best as we can, but really that education should be year long," she said. The classes would impart key information on ways to prevent heart disease, quit smoking, live with diabetes, and manage stress. Topics would be geared to different areas of the city. . The three-year deal would be the city's first of its kind. Some of the money Sharp would pay per year would go to a Parks and Recreation Summer program 1196

SAN DIEGO (KGTV) -- Police are investigating a fatal officer-involved shooting in San Diego's Southcrest neighborhood. The shooting happened on 40th Street near National Avenue around 5:13 p.m., according to Captain Tom Underwood with the San Diego Police Department. In an evening update, Underwood confirmed that the suspect of a machete attack died at the hospital. Wednesday night's events started earlier in the afternoon on Boston Avenue, where police responded to several 911 calls for the machete attack. The suspect, identified Thursday as 48-year-old Vaughn Harrison Denham, wielding the machete is said to have known the man he attacked. 10News spoke to a man who lives at the home where the attack happened. He said the attacker is his sister's boyfriend. He said the boyfriend came over to the house and got into an argument with a family friend over a dog chain. The boyfriend then grabbed a machete and began striking the victim over the head, then to the rest of his body. That man was taken to the hospital with non-life-threatening injuries, according to police.Shortly after the machete attack, Denham was pointed out to police by witnesses.Denham had a three to four-foot metal chain in his hands when an officer approached, which he then began to swing at the officer, police said. The officer backed up, according to witnesses, telling Denham to drop the chain. When he failed to comply the officer used a taser, but it was ineffective and Denham continued to approach. At this point the officer fired his weapon at Denham, hitting him at least once. "The suspect then fought police, who tried to take him into custody," Underwood said. "He was ultimately taken into custody (and) immediately transported to the hospital, where unfortunately he did not survive his wounds and was pronounced dead at the hospital."Those who know Denham told 10News he is usually a nice person, but he had been acting up lately. Neighbors said they saw him swinging around a bat a day before the attack. While they knew he had violent tendencies, no one thought it would escalate to this level. Anyone with information is asked to call the Homicide Unit at (619) 531-2293 or Crime Stoppers at (888) 580-8477.10News Reporter Anthony Pura streamed a Facebook Live of the evening conference with the latest information. Watch here:  2430

SAN DIEGO (KGTV) - One driver was arrested after video of a road rage incident in Oceanside made its way into CHP's hands.Two drivers, one in a gray Ford Explorer and the other in a gray BMW convertible, were involved in the February 15 incident on eastbound State Route 78 in Oceanside, according to California Highway Patrol officers.Officers responded to a report of a non-injury, hit-and-run collision just before 4:30 p.m. near the College Blvd. exit. Officers arrived and found the Explorer on its side on the center median while the BMW reportedly fled.RELATED: Road Rage Crisis: Violence on the RiseWhile investigating, officers were made aware of a video recorded by a witness.The video showed the driver of the BMW, identified as 33-year-old Kevin McCall, left his vehicle to berate the driver of the Explorer, identified as 23-year-old Andrew Branch, who was still inside his vehicle, according to CHP.Officers said McCall spit at Branch before returning to his BMW. Branch is then seen driving into the center median and accelerating into the BMW, narrowly missing McCall.Sideswiping the BMW caused the Explorer to overturn onto its side. McCall then drove away, officers said."It was pretty shocking. It was pretty shocking," said CHP Officer Mark Latulippe. "This was an event that obviously they were embroiled in. it got way beyond what I assume either of them wanted to get to but it did." RELATED: Dad, kids nearly run off I-8 in road rage attackThe person who recorded the now-viral video was in disbelief:"First I was recording just because he was swerving into the left lane. But as you can see it did take a crazy turn. I cannot believe I witnessed such a crazy accident. Just because he was mad he wasn’t able to cut someone off. After the incident, the convertible man took off about 15-20 feet, then parked, and decided to walk back. I was so scared and nervous, I drove off as safely as I could." 1965

SAN DIEGO (KGTV) — Police are searching for a hit-and-run suspect who drove into a woman using a motorized chair in Central San Diego.On Dec. 9, just before 4 a.m., San Diego Police say 62-year-old Gloria Williams was riding her motorized mobility device in the left lane of the 100 block of Euclid Avenue, heading northbound. It's not clear why Williams was traveling in the roadway in the Lincoln Park area.The driver of a dark-colored SUV collided into the back of Williams and continued to drive northbound, according to police. Williams died at the scene.Police said they were able to retrieve some details of the suspect's vehicle using optical sensors from nearby Smart Street Lights. The street lights also captured the suspect stopping at a nearby gas station.Gas station surveillance footage showed the suspect, a black man wearing a Pittsburgh Steelers hooded sweatshirt and checkered pants, enter the gas station using a cane.Police are now asking the public for help to identify the suspect. Anyone with information is asked to call San Diego Police at 858-495-7813 or Crime Stoppers at 888-580-8411. 1121