Pubdate: Thu, 09 Mar 2006
Source: Stuart News, The (FL)
Copyright: 2006 E.W. Scripps Co.
Contact:  http://www.tcpalm.com/tcp/stuart-news/
Details: http://www.mapinc.org/media/612
Author: Derek Simmonsen

JURORS: DECIDING DR. LUYAO'S FATE WAS 'DIFFICULT, EMOTIONAL'

FORT PIERCE - It wasn't easy being a Luyao juror.

Complex medical testimony, dueling experts, emotional stories of loss 
and addiction - the Port St. Lucie physician's retrial had it all, 
not to mention more than 50 witnesses and hundreds of pieces of 
evidence to ponder. Plus, they couldn't take notes.

"The whole experience was probably one of the most difficult things 
I've had to endure, to be honest with you," said juror George Dietz, 
54. "Sometimes it got pretty emotional in there between the six of us."

Despite the obstacles, the jury of four men and two women came to a 
unanimous agreement Monday that Dr. Asuncion Luyao, 64, was guilty of 
manslaughter, racketeering and five counts of trafficking in 
oxycodone after 3 1/2 days of deliberating.

In the days after the verdict, jurors began to talk about their experiences.

Early on, the jury decided to take the charges in order, beginning 
with racketeering and ending with the six manslaughter counts, 
talking things out on each individual charge before moving on to the 
next one, said juror Alexandra Sanders, 34.

The manslaughter counts took up a large part of their time, though 
neither Sanders nor Dietz could recall exactly how much time they 
spent on each patient's death or what order they discussed them.

"We took each one and just tore them apart," Sanders said. "We were 
like six college students researching a paper."

Sanders recalls counting pills in bottles at one point and passing 
around autopsy records, medical charts and pharmacy notes so each 
could read the evidence and give their opinions. Voices sometimes 
were raised and arguments did occur, but they worked through their 
differences, Dietz said.

In the end, the death of Julia Hartsfield, 52, was the only 
manslaughter charge they felt Luyao was responsible for causing and 
Dietz said it probably was the one they spent the most time discussing.

Luyao saw Hartsfield longer than any other patient, beginning in 
December 1996 through her death in March 2001. According to testimony 
from a prosecution expert who reviewed her files, the doctor gave her 
ever-increasing doses of painkillers without legitimate reasons noted 
in the files.

"All the evidence they put before us, it just added up," Sanders 
said. "On the other five, it wasn't 100 percent. We could only go on 
the evidence they gave us."

Jurors rejected the defense claim that a heart condition unrelated to 
Luyao's care killed Hartsfield, but they felt there was reasonable 
doubt for other patients' deaths.

Dietz specifically recalled that the combination of drugs found in 
the system of Janice Byers and her history of recreational drug use 
raised questions about the doctor's culpability. In the case of 
Bradley Towse, who was released from a Palm Beach Gardens hospital on 
the morning of his death, Dietz noted the failure of doctors to take 
blood after he died created doubt in the jury's mind about what killed him.

The drug trafficking counts - based on the work of an undercover 
agent who visited Luyao's office with phony pain complaints - took 
less time to reach an agreement on because there was less paperwork 
and fewer exhibits to sort through. Jurors gave Luyao the benefit of 
the doubt on the agent's first visit, noting the doctor only gave the 
man a limited prescription and asked him to come back in two weeks 
with records, Dietz said.

When the agent brought in irrelevant medical files and the doctor 
continued to increase prescriptions, jurors felt Luyao crossed the 
line into drug trafficking, Dietz said.

Prosecutors also introduced Luyao's legal gambling trips to a casino 
boat in Palm Beach County as a potential motive for her criminal 
actions, something that did not come in during the first trial. 
Sanders said it didn't seem like Luyao was losing enough money in 
gambling for that to matter and both she and Dietz agreed it had 
little impact in the jury room.

Jurors are not told about the potential penalties a defendant could 
face - Luyao could spend the rest of her life in prison when she is 
sentenced in April - and both jurors said they felt sympathy 
afterward for the families of the deceased patients and for the Luyao family.

Ultimately, they said they couldn't let sympathy play a role in their 
final decision. By methodically reviewing all the evidence and 
combing through the files, Sanders said jurors came out of the 
process feeling that they did as thorough a job as possible.

"The main thing is we wanted to be able to come out of there and 
sleep at night," she said.
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MAP posted-by: Beth Wehrman