Dr. Joshua Perper, the Broward County medical examiner, left; and Charlie Tiger, chief of the Seminole Police Department, discuss the death of Anna Nicole Smith in Dania Beach, Fla., Monday. Perper said she died of an accidential overdose of drugs.
AP Photo
DANIA BEACH, Fla. - Throughout her life, Anna Nicole Smith relished the breathless comparisons to Marilyn Monroe. Both were famous for their bombshell curves, their come-hither poses, their outrageous behavior.
Now, with the release Monday of the former Playboy model's full autopsy report, Smith has one more thing in common with her idol - a fatal overdose that included the powerful sleeping drug chloral hydrate.
Smith's death was ruled an accident. Like Monroe - whom she adored so much she tattooed her image on her body and sought to be buried near her - she was found unresponsive in bed, with a toxic mix of medications to blame.
Dr. Joshua Perper, the Broward County medical examiner, noted the similarity.
But while rumors have swirled since Smith's death followed her young son's by just five months, authorities said they saw no correlation there, no criminal activity responsible and no reason to charge anyone with wrongdoing.
The release of the report marked the end of the Seminole Police investigation and halted - at least temporarily - widespread murmurs that Smith may have been murdered.
Police Chief Charlie Tiger said authorities examined laptop computers belonging to Smith and her lawyer-turned-companion, Howard K. Stern, and found nothing unusual related to her death. Tiger also said nothing came up during an exhaustive review of tapes from hotel security cameras and from interviews with numerous witnesses.
In the drawn-out court battle for control of Smith's body, Stern was accused of playing a role in the starlet's death, but the report vindicated him.
“This is not a not-guilty,” said Krista Barth, one of Stern's attorneys. “This is a never was.”
Perper said chloral hydrate and at least eight other prescription drugs which formed a lethal combination along with a case of the flu and a bacterial infection from injecting drugs into Smith's buttocks.
His report described Smith's tattoos (at least a half dozen, including one with Monroe's face), revealed her weight (178 pounds) and described body parts in blush-inducing detail. But at its core was its look at the drugs Smith took and their role in her death.
Smith had been taking a lengthy list of medications, including methadone for pain and valium, but those drugs were at therapeutic levels, Perper said. Smith also had been on several antidepressant and antianxiety drugs and had recently taken longevity medications, vitamin B12 and growth hormone, the medical examiner said.
Smith, 39, was found unresponsive by a private nurse at about 1 p.m. on Feb. 8 in her room at the Seminole Hard Rock Hotel and Casino in Hollywood on one of the tribe's reservations. The nurse called her husband, a bodyguard for Smith, soon after, and began CPR.
A call to 911 was placed about 1:40 p.m.; paramedics arrived six minutes later. The ambulance reached the hospital at 2:43 p.m., and Smith was pronounced dead shortly afterward.
Authorities provided no explanation for the delay in getting Smith to the hospital, but Perper said it likely didn't matter.
“The earlier you come to a hospital the more you have a chance, but there's not a guarantee,” he told The Associated Press. “Those are not things with a mathematic precision, but within a reasonable degree of medical certainty, I don't think she had really a realistic chance.”
Perper said atropine, a drug used to aid in resuscitation, was found in Smith's bloodstream, and her body was still warm at the hospital, both signs that she had died not long before receiving emergency care.
The medical examiner said he believed Smith had been given Narcan, a drug to counter the effects of an overdose. But that drug is not effective against chloral hydrate.
Perper said that Smith could have been saved had she been hospitalized earlier in the week - when she fell ill and eventually developed a fever of 105 degrees - simply because her drug intake could have been controlled.
“If she would have gone to the hospital she wouldn't have died because she wouldn't have had the opportunity to take the excessive amount of chloral hydrate,” he said.
A news release issued by lawyers for Stern said that both he and Smith's physician urged her to get emergency treatment for her fever but she refused because “she did not want the media frenzy that follows her.”
“She refused to go to the hospital because she wanted to avoid media,” attorney Lilly Ann Sanchez said. “Anna called the shots in Anna's life and everyone close to her knows that.”
Chloral hydrate is a sedative used to treat insomnia and alcohol withdrawal, relieve anxiety and ease post-surgery pain. But it is rarely prescribed and is known to be fatal if combined with certain other drugs - including the sedative Lorazepam, which the autopsy showed she was taking, said Dr. Chip Walls, a forensic toxicologist for the Miller School of Medicine at the University of Miami.
“It's very toxic if you mix it with any other central nervous system depressant drugs,” Walls said. “You could get profound sedation leading up to coma and respiratory arrest.”
Smith had been distraught over her 20-year-old son Daniel's suspicious death five months earlier in the Bahamas. She also was under stress from a long-running court fight over her late husband's fortune and had recently given birth to a girl. She had arrived at the Hard Rock on Feb. 5 and planned to leave four days later aboard a new yacht that Stern was arranging to buy. She was seldom seen outside her room during her stay.
An inquest into Daniel's death is to start Tuesday in the Bahamas. Smith's death was investigated by Seminole police because the casino is on tribal land.
A high school dropout in Texas, Smith went from topless dancer to Playboy Playmate of the Year, Guess jeans model and bride of 89-year-old oilman J. Howard Marshall II. She took her fight for Marshall's estimated $500 million fortune as far as the Supreme Court, and the ongoing battle could make her infant daughter, Dannielynn, very wealthy. Stern and two other men have claimed to be the baby's father.
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