Doctor Laércio de Oliveira César, responsible for the Civil Police report that certified the cause of death of fighter Ryan Gracie, stated this Thursday afternoon (21) that he died because of the interaction between medications, some of which were administered by the psychiatrist Sabino de Farias Neto. According to delegate Roberto Calaça Vieira, responsible for the investigation, the doctor should be charged with manslaughter
However, the doctor avoided stating that there was an excess dose of medication: “there was a drug interaction, which can occur even when the doses are not high. One drug interacted with others and there was depression of the central nervous system,” he said.
The report concludes that the fighter died of hypoxemia, which is an acute decrease in oxygen in red blood cells, caused by acute pulmonary edema. This was caused by the collapse of the respiratory and cardiac system, according to the report. The heart and lungs stopped working as well due to the depression of the central nervous system, which controls these organs.
According to the doctor at the Legal Medical Institute (IML), the fighter had been treated because he had a psychiatric problem. The fighter's psychiatrist administered medication with the aim of sedating the patient and eliminating his paranoid condition. “If he had only taken the drugs [cocaine, marijuana] I believe he would not have died,” he said.
Influence of cocaine
But, according to the doctor, cocaine also influenced the drug interaction, which contributed to central nervous system depression. He says the drug initially excites the nervous system, but then is potentially depressant. She explains that cocaine produces extremely serious changes in the heart. According to him, the fighter's heart showed cardiac changes compatible with prolonged cocaine use.
The doctor says that there are medications that can cause depression in the central nervous system, such as anxiolytics – tranquilizers – that act on the brain. Even though they are given in therapeutic doses.
In the case of Ryan Gracie, explains the doctor, “these drugs had an effect called 'addictive'. The effect of one combined with the depressant effect of the other, there were six medications that could potentially depress the central nervous system,” he said.
Indictment
According to delegate Roberto Calaça Vieira, responsible for the investigation, the doctor should be charged under article 121, which classifies the incident as manslaughter. “If he hadn’t ingested all these legal drugs he wouldn’t have died. [Sabino] will be released because the penalty is imprisonment for 1 to 3 years,” he said. He stated that the doctor did not ask for the fighter to be transferred to the hospital. “If he had asked, we would have taken him to an emergency room,” he said, citing the law on criminal executions.
Defender
After the report was released, the doctor's lawyer, Pedro Lazarini Neto, again denied his client's guilt and stated that he still does not know the content of the report. “We haven’t been notified yet. As for the indictment [for manslaughter], Doctor Sabino attended to Ryan to save a life and not to take it,” he said.
This Thursday, G1 tried to contact the psychiatrist by phone. A person who answered his cell phone and identified himself as Sabino's son said he was incommunicado. In an interview with Fantástico, shown on Sunday, the psychiatrist defended the publication of preliminary data from the report. “For 31 years I have been treating patients who use marijuana, cocaine, alcohol. And I use medications exactly at that level,” said Ryan’s doctor.
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