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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) — One person was killed and several people were injured in a multi-vehicle crash late Wednesday in the Bay Park area.CHP received a report of the multi-car crash just before 10 p.m. on southbound Interstate 5 near the SeaWorld Dr. off-ramp. Some passengers involved in the crash pulled themselves from the wreckage before CHP officers arrived.San Diego Fire-Rescue said eight people total were taken to a nearby hospital. At least one person died.It wasn't clear what led to the crash. CHP officers closed the off-ramp for several hours overnight to investigate. 587

SAN DIEGO (KGTV) — President Trump's pardon of former Congressman Duncan Hunter came as no shock to the man who successfully prosecuted the case.“While I am appalled as a citizen, I am not surprised given the prior conduct of the president,” said Phil Halpern, who left the Justice Department after the case concluded.Halpern was one of the Assistant U.S. Attorneys who prosecuted Duncan Hunter and his wife Margaret in 2019. They were accused of misusing 0,000 of campaign contributions on everything from basic living expenses to lavish vacations, then falsifying reports.RELATED: President Trump grants full pardon to former Congressman Duncan HunterHunter called the charges a political hit job, but in December 2019 pleaded guilty to one felony count, ultimately resigning. His 11-month prison term was set to start in January, but President Trump pardoned him Tuesday.Halpern said seeing the case through was still worth it to demonstrate that the people who write the laws are not above them.“It was important not only that he be convicted, but he admit his wrongdoing. He spent too much time claiming that his prosecution was political,” Halpern said.RELATED: Margaret Hunter granted full pardon by White House, one day after former CongressmanOn Wednesday, Hunter's father, former Congressman Duncan Lee Hunter, maintained the charges were political and that the issue should have been handled civilly by the Federal Election Commission, as spelled out in a letter of support from former FEC commissioner Bradley Smith.“At the end of the line you've got one last receptacle of justice, and that's the President of the United States,” Duncan Lee Hunter said. “And he looked at this, a Marine Corps marathon, First Lady’s luncheon. They’re going to try to put this guy in jail for that? (President Trump) saw the injustice of that.”Duncan Hunter is now working for a construction company, his father said.RELATED: President Trump issues more pardons of alliesHalpern said the case was not politically motivated, noting that the Justice Department was run by a Republican in William Barr. He said he never felt pressure to ease off, and that the dollar amounts were well beyond anything that could be handled by the commission.On Wednesday, Trump also pardoned Margaret Hunter, who was sentenced to eight months of home confinement. Speaking before that announcement, Halpern said Margaret should be pardoned if Duncan is as well. 2447

SAN DIEGO (KGTV) — One person died and two others were injured, and Coast Guard crews rescued 17 others after a mega yacht collided with a fishing vessel off the coast of Imperial Beach Friday night. The 332-foot yacht, Attessa IV, crashed into the 65-foot sportfisher vessel, Prowler, just before 8 p.m. about nine miles off the shore of Imperial Beach, according to the Coast Guard.The collision caused extensive damage to the right side of the Prowler.One man was airlifted to UCSD Hillcrest and died at the hospital, the Coast Guard confirmed. Two others were injured in the accident.RELATED: Fishing boat catches fire off coast of San Diego; 15 rescuedCoast Guard crews transferred 17 passengers from the damaged fishing boat back to San Diego. The Prowler's 10 remaining passengers were transferred onto the Attessa IV, set to return to San Diego.The Coast Guard is investigating the cause of the accident. 950

SAN DIEGO (KGTV) - Only 92.5 percent of San Diego County’s kindergartners were up to date on all of their vaccinations during the 2018-2019 school year, below the recommended rate.It was a slight .7 decrease from the previous year’s 93.2 percent, according to a report released by the California Department of Public Health. California as a whole also slightly fell below the 95 percent vaccination rate recommended by health experts. “We know that there are individuals that don’t believe in vaccinations and people that homeschool their kids, that’s a population,” said Dr. Wilma Wooten with the San Diego County Health and Human Services Agency. Wooten says the drop shouldn’t cause panic, but should make families more aware of the importance of vaccinating their children. She said the county is doing its part by responding in three different ways: policies, practices and programs. That includes legislation like the state ban on personal belief exemptions and also CDC recommendations. Wooten says the most important thing is to make sure all parents are aware of the age appropriate vaccines that not only their children, but all family members should have. Wooten says education is key to avoid the risk of contracting and spreading serious illnesses, like the highly contagious measles outbreak across the United States. She said the county has been doing community outreach about the importance of being vaccinated, especially as more people travel overseas during the summer months.“If an individual with measles is put into a room with ten other individuals, 9 out of 10 individuals will contract the illness, it is that contagious,” said Wooten. “It’s very important that all individuals, children, adults, as well as our seniors get the age appropriate vaccinations.” 1791

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