Byline: DANA TREEN
When Clay County Sheriff's Deputy Donald Sutherland arrived at the car crash on Florida 16 near Camp Blanding, one of the drivers involved had the telltale slurred speech and bloodshot eyes of someone who had been drinking.
But there was something more, something unusual.
"You could tell there was more there than alcohol," Sutherland said. "Her ankle was severely deformed from the crash and I asked her and she said it was always that way. She was acting as if it was nothing."
Her ankle was broken.
"The normal person would have been screaming," Sutherland said.
The driver, Frances McCauley-Melcolm, was convicted in August of DUI manslaughter and reckless driving in that 2005 wreck that took the life of an 80-year-old woman in the other vehicle.
McCauley-Melcolm's blood-alcohol level four hours after the crash was slightly below the level at which a driver is presumed impaired, but an expert testified at the trial it had been above the limit at the time of the accident.
There was more.
In an interview at the hospital after the crash, McCauley-Melcolm told Sutherland she had been drinking and had taken Xanax as well as Tylenol with codeine. Blood tests showed she had Xanax and evidence of other drugs in her system, said Assistant State Attorney Rebecca Zima, who prosecuted the case.
Law enforcement officers increasingly are seeing cases in which drivers are impaired by more than drink.
Of 45 Northeast Florida drivers who died with alcohol in their systems in 2000, nine also had drugs such as codeine and cocaine in their systems, according to traffic death statistics from medical examiners. In 2006, of 54 who had been drinking before they died, 20 tested positive for the same kinds of drugs.
Whether alone or in combination with alcohol, drugs - often legitimately prescribed - are involved in more and more driving arrests.
One of the drugs accounted for in the 2006 statistics by medical examiners in Duval and St. Johns counties was alprazolam, the generic name for Xanax.
Drugs such as Xanax and OxyContin increase the impact of alcohol, said professor Paul Doering of the College of Pharmacy at the University of Florida.
Some estimates say 25 percent of all drug abuse involves prescription medications.
"That's all the rage today is abuse of prescription drugs," Doering said. Combining some prescription drugs with alcohol multiplies the impact. Washing down a Xanax with a few beers can put the abuser "up there with the other drunks," he said.
"I call it the new math," Doering said. "One plus one equals three. Despite the labels put on prescriptions, people don't seem to get the message. …