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A New York doctor has been charged with manslaughter for allegedly prescribing powerful opioids to three patients who died of an overdose - one of whom was ordered to take 24 pills per day.

Dr. Lawrence Choy, 65, was scheduled to appear in Manhattan Supreme Court on Thursday for an arraignment.

He was extradited to New York from Wisconsin by Drug Enforcement Agency officers last week. 

Choy moved from New York to Sheboygan, Wisconsin last year after investigators raided his medical practice in Flushing, Queens.




Dr. Lawrence Choy is being led into Manhattan Criminal Court in New York by law enforcement officials on Thursday





Choy was arrested in March in his hometown of Sheboygan, Wisconsin





Choy moved to Wisconsin after authorities raided his Flushing, Queens medical practice last year





Choy was extradited to New York from Wisconsin last week

Authorities say that Choy illegally prescribed painkillers and other potent substances to some 14 patients.

Three of the patients died of prescription overdoses.




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Two of the deaths - Eliot Castillo, 35 and Michael Ries, 30 - suffered fatal overdoses within three days of receiving their prescriptions from Choy, the government alleges.

Authorities say Castillo and Ries were prescribed high doses of oxycodone, which is a potent and addictive opioid painkiller, and Xanax, an anti-anxiety medication.

When these drugs are taken together, they are believed to increase the risk of overdose.




Authorities say that Choy illegally prescribed painkillers and other potent substances, including morphine (seen in the above stock image), to some 14 patients









Choy is being charged with second degree manslaughter in connection with their deaths.

A third patient, Daniel Barry, 43 also died of an overdose, according to authorities.

Castillo, a clothing store operator and father of two, was found dead on a couch at his mother's home in Jamaica, Queens on February 23, 2013.

He died 11 months after he was first treated by Choy, according to authorities.

The cause of death was determined to be acute intoxication by the combined effects of oxycodone and alprazolam.

Choy is also alleged to have prescribed Castillo Percocet in addition to his other regimen.

Investigators learned that in June 2012 alone, Castillo was prescribed 680 oxycodone pills.




One of Choy's patients who died was determined by the medical examiners to have overdosed on _the holy trinity' of medications - oxycodone (seen in the above stock image), alprazolam, and carisoprodol









Ries, who worked in car dealerships, died on March 23, 2014 at his family's home in Hauppauge, Long Island.

He was determined by the medical examiners to have overdosed on _the holy trinity' of medications - oxycodone, alprazolam, and carisoprodol.

Carisoprodol is a muscle relaxant which is also known as Soma.

This _holy trinity' is becoming particularly popular as it is known to create a very addictive _high' alongside other extremely dangerous side effects, including depression of both the central nervous system and respiratory system.

Investigators said that Choy gave Ries four prescriptions of the _holy trinity', totaling 720 pills, three days before his death.

That amounts to 24 pills per day for an entire month - as was prescribed.

Barry was found dead in his home in Suffolk County, Long Island in January of last year.

Investigators said Barry was treated by Choy, who prescribed him three opioid painkillers simultaneously - Oxycodone, morphine, and fentanyl patches. 

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Delilah Hamlin reunited with boyfriend Eyal Booker on Thursday following her accidental overdose and health struggles. 

The couple had spent three months apart, but 26-year-old Eyal, who lives in London flew to Los Angeles to be with the American model, 23, following her health scares. 

Delilah documented the occasion with a sweet photo on her Instagram Story. 




Loved-up: Delilah Hamlin, 23, and boyfriend Eyal Booker, 26, reunited after a three month stint  apart on Thursday following her accidental overdose and recent health struggles

The loved-up pair could be seen embracing and Delilah looked teary eyed in the emotional snap that she captioned: 'Haven't seen each other in 3 months this was the best feeling ever.' 




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Elsewhere, Love Islander Eyal teased his 800,000 followers as he posted an in-flight selfie and asked fans to take a guess at where they thought he was headed. 

The news comes after Delilah opened up about her recent health struggle with prescription drugs on Tuesday. 




Transatlantic: Eyal, who lives in London flew to Los Angeles to be with American model Delilah as he teased his followers on Instagram with an inflight selfie 





Health battle: It comes after Delilah claimed that she OVERDOSED on Benadryl and beta blockers and got hooked on Xanax after getting the COVID vaccine









The daughter of actors Lisa Rinna, 58, and Harry Hamlin, 70, revealed that she had recently sought treatment after getting hooked on the anti-anxiety drug Xanax and believes it is connected to her getting the COVID vaccine.

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It would make clinical help for anxiety more accessible and force patients to jump through less hoops to get help, the doctors claim. 

But experts told DailyMail.com it could spur a surge in prescriptions for anti-anxiety medication - which are already feared to be at the center of a budding addiction crisis in the US. 

The most common anxiety medications fall into the class of benzodiazepines, with fast acting drugs like Xanax, Klomopin, Valium and Ativan being among the group.

Dr Anna Lembke, chief of the Addiction Medicine Dual Diagnosis Clinic at Stanford University, told this website she feared the new guidance had echoes of the opioid epidemic.

Dr Jonathan Shedler, a psychiatry professor at the University of California, San Francisco, told Fox News that following the recommendation would be 'terrible'.

The Centers for Disease Control and Prevention reports that 107,000 Americans died of a drug overdose in 2021 - with nearly 80 per cent caused by opioids.








Some experts fear that new anxiety screening guidance for all American adults under-65, even if they don't suffer symptoms, could lead to over-medicalization and even fuel a potential opioid-like addiction crisis (file photo)





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The task force published draft guidance issuing the recommendation on September 20.

It is open to public comment until October 17, but it is rare that draft guidance is not affirmed into official guidelines.

It previously made similar recommendation for children aged eight to 17 years old as well.

Around one-in-five Americans adults - or around 40 million people - are estimated to suffer from anxiety to some degree.

The group cites growing prevalence of anxiety during the pandemic as part of the reason for the change, but say the issue had been mulled over even before the rise of Covid.

'It's the wrong solution at the wrong time,' Dr Shedler said.

'You can't just carve the world into disorders and think you're doing an adequate job of determining someone's mental health needs.' 

He notes that under these guidelines, a primary care physician will be screening patients for anxiety using a quick seven question survey - before any evaluation from a psychologist.

'Primary care is not the place to get mental health care,' he continued. 

'The physicians don't have the time. They don't have the resources. They don't have the training.' 

These quick screenings will make it easy for a person to walk out of the doctor's office with a prescription to an anti-anxiety drug.











Dr Anna Lembke (left), chief of the Addiction Medicine Dual Diagnosis Clinic at Stanford University, compared the guidance to prescription pain pill recommendations blamed for sparking the opioid crisis in the US. Dr Jonathan Shedler (right), a psychiatry professor at the University of California, San Francisco, said that primary care physicians are not equipped to screen for anxiety

A simple survey is inadequate, Dr Shedler said, as everyone's circumstances are different and answers to a few questions can not tell the entire story.

'This kind of screening is going to diagnose huge numbers of people with a disorder and a good number of them are going to end up on a lifelong path of one medication and one treatment after another,' he went on. 

'When, in fact, they're responding to realistic circumstances in the world.' 

Dr Lembke fears that this will spur yet another addiction crisis in the US.

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Ricardo 'Rick' Barbaro, 33, made the admission while being questioned by magistrate John Lesser at the Melbourne Magistrates Court.

He is accused of murdering is on-off girlfriend Ellie Price, 26, who was found dead in their south Melbourne townhouse on May 4.

Barbaro was arrested in a Sydney unit on Thursday and faced the Melbourne Magistrates Court this weekend. 

He faced court dressed in a grey jumper with a cut near his left eye, was mostly silent during the hearing in front of Mr Lesser. 











Ricardo 'Rick' Barbaro (left), 33, is accused of murdering is on-off girlfriend Ellie Price (right), 26, who was found dead in their south Melbourne townhouse on May 4

Mr Lesser asked Barbaro whether he was withdrawing from drugs. 

'Valiums and Xanax,' the 33-year-old replied while nodding his head. 

Xanax and Valium are prescription drugs from the benzodiazepine family, which are commonly used to treat anxiety.   

Barbaro, from Southport in Queensland, was asked whether he needed a nurse.

'Yeah I'm seeing a doctor,' he told the magistrate.

Barbaro's lawyer Campbell MacCallum dialled into the hearing from Queensland but no application for bail made. His next court date is in September.

It is alleged that Barbaro murdered Ms Price between April 29 and May 4, court documents show. Ms Price's body was in her apartment for days before it was discovered on May 4. 

After a 10-day interstate manhunt, Barbaro was arrested in a Sydney apartment that belonged to a glamorous blonde woman named Crystal Shihada, 27, on May 14.   




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Shortly after his arrest, Barbaro was charged with Ms Price's murder and extradited from NSW to Victoria to face court. 

Barbaro's admission to taking drugs comes after Ms Shihada was questioned by police about why the Barbaro was found in her Wentworth Park unit just after midnight on Thursday.

Ms Shihada spoke to police on Friday and police said that 'inquiries remain ongoing', according to The Daily Telegraph. 

The blonde woman bears a striking resemblance to Barbaro's ex Ms Price who was found dead in her south Melbourne townhouse on May 4.   

It is not known how, or if, Barbaro knows her. Daily Mail Australia does not suggest Ms Shihada is involved in any wrongdoing. 











Crystal Shihada (left), 27, was questioned by police on Friday after accused fugitive killer Ricardo 'Rick' Barbaro was arrested over the alleged murder of Ellie Price (right)









Ms Price's four-year-old son only just learned about his mother's death for the first time on Friday. 

Ms Price's mother Tracey Gangell has revealed that she was forced to finally tell her grandson, Mostafa, that his mum was in heaven and never coming home.

'He walked up to her photo on the fridge and kissed it and said "I love you mum",' she told the Herald Sun.    

Ms Gangell is looking after Mostafa at her home in Tasmania but says she will travel to Melbourne to see that 'justice is served'. 

Following Barbaro's arrest on Thursday she said: 'I am relieved. The police have done an amazing job.  

'I hope justice prevails.'   

During a brief court hearing at Parramatta on Thursday morning, Barbaro had Gold Coast solicitor Campbell MacCallum in his corner, representing him over the phone.  











Ms Gangell said she told Mostafa a few days ago that his mum was in 'heaven' and never coming home





Ricardo Barbaro (pictured) is led from the cells at Burwood Local Court on Thursday afternoon. He will be taken to a nearby jail to spend the night, before returning to Melbourne on Friday






Sporting a cut to his head and wearing bright red runners, Barbaro was led away in handcuffs ahead of a return to Melbourne to face charges of murdering his girlfriend





Veteran Gold Coast criminal defence lawyer Campbell MacCallum in a light-hearted pandemic isolation photo last month

The colourful legal heavyweight is himself draped in tattoos and is known for his 'gangsta' fashion sense, and the high-profile names he regularly represents.

MacCallum told Daily Mail Australia he has only had the opportunity to speak with Barbaro on the phone on Thursday. 

Mr MacCallum confirmed Barbaro suffered 'lacerations and some bruising' in a standoff with officers on Thursday night.  




MacCallum with Harley Barbaro - Ricardo's brother and a long-time client



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Noah Cyrus 'lost all hope, strength and faith' when she was in the grips of an addiction to 'downers, prescription pills, painkillers and Xanax'.

The singer and actress, 22, who is the younger sister of Miley Cyrus, told how she was 'completely wrapped inside of that drug [Xanax], before suffering a 'breakdown' which led to her seeking help with her addiction and mental health issues.

The musician explained her new album, The Hardest Part, was inspired by her struggles and 'exhausting' battle with addiction, which came to a head in late 2020.




Insightful: Noah Cyrus 'lost all hope, strength and faith' when she was in the grips of an addiction to 'downers, prescription pills, painkillers and Xanax'

Speaking in an interview with Zane Lowe on Apple Music 1, she said: 'This album came about at a time where I had a lot of change in my life. 




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'At the end of December 2020 is when I decided to try and kick my addiction to downers, prescription pills, painkillers, Xanax. That was kind of my drug of choice. And I was completely wrapped inside of that drug. 

'And when I had just lost all hope and all faith and all strength to keep going is when I just broke down and asked for help. Where for so long, I had been denying, denying, denying, and pushing away, where I finally just said, "I cannot lie to you anymore".'

Noah explained her road to recovery started with a phone call to her therapist who helped her realise that she needed help with her struggles.




Tough time: The singer and actress who is the younger sister of Miley Cyrus, told how she was 'completely wrapped inside of that drug [Xanax], before suffering a 'breakdown'

She explained: 'I called my therapist. I called my psychiatrist. And I think there was a lot of confusion that a lot of things clicked for them where a lot of stories hadn't made sense in the past. 

'A lot of things were clicking and I got the help that I needed and also that I deserve and that every person with addiction or mental health deserves. And then around that time, I met a new manager. 

'He's a huge component in me and my happiness today, genuinely. And you don't get to say that a lot. I genuinely mean that. 

'I feel like for the first time in my career, I'm really being thought after and looked after and my wellbeing and who I am. Who I am personally and not as the artist.'

Admitting that she was 'exhausted all the time' in the depths of her addiction, Noah added that it's been 'hard' to find the energy to work on her mental health.




Ordeal: The musician explained her new album, The Hardest Part, was inspired by her struggles and 'exhausting' battle with addiction, which came to a head in late 2020

She told Zane: 'I didn't have the energy to create. I didn't have the energy to put truth or I was always writing. 

'I think that's one thing that's always stayed the same with me is how truthful I've been and honest I've been about what's going on inside and my mental health. 

'I mean with my fans, I'm really straight up about my mental health and growing up, how that's been hard for me in the public eye. 

'But yeah, I mean I don't know. I got to put a lot of it into my music and I've always been really truthful with that and meeting people that brought that out of me.'

Noah went onto say that at her lowest ebb, she 'didn't want to be alive anymore,' because she felt the prospect of living was 'really painful.'

She continued: 'There's a lot of personal things that I had to come to terms with. I've acknowledged it and I'm definitely healing it. But I think also at the time, I did not want to be alive anymore. I didn't. 




Advice: Noah explained her road to recovery started with a phone call to her therapist who helped her realise that she needed help with her struggles

'And I was just waiting for one day that maybe I wouldn't wake up. I don't know where it was heading. There were a lot of scary moments. 

'I just know that I was trying to avoid being alive or maybe feeling the feeling of being alive because sometimes being alive is really painful.

'Looping back to where I'm at right this second is something that if I have experienced this feeling and this life before being not easy, life's not easy for anyone.

'Everybody's life is custom to them and their pain is custom and their heartache is custom, but either it's the first time or the first time in a very freaking long time that I have felt this feeling in myself of just peaceful happiness and just living day by day and going to sleep not hoping that I won't wake up.' 




Tough time: She said that at her lowest ebb, she 'didn't want to be alive anymore,' because she felt the prospect of living was 'really painful'

Noah went onto urge other listeners to seek help if they feel that they are struggling, telling Zane: 'The conversation alone, life saving, the conversation. I know that some people aren't as lucky to get the resources that some of us may have as in psychiatrists and therapy. 

'I understand and it pains me that not every single person has that access, because I think it's extremely important. But there are ways online, numbers you can call, hotlines, conversations, people in your life. 

'If you're a younger child in school, an adult in school, a doctor, somebody that you actually trust. If you don't trust anyone in your family, if you trust somebody else, talk to them. That's okay. 

'It's okay to not trust people close to you if that's just how you feel. How you feel is how you feel. But open up the conversation to anyone just to get those feelings moving and to get somewhere, just to start somewhere. I'm so happy to be here.'




Progress: Having overcome her breakdown and drug addiction, Noah told Zane that she is now focused on moving ahead and releasing her upcoming album

Having overcome her breakdown and drug addiction, Noah told Zane that she is now focused on moving ahead and releasing her upcoming album.

'You know what? I think you met me right before I lost who I was. I was still a kid, but I forgot who I was for a really long time,' she said.

'And I think moving forward is also, for me personally, which I think you were asking that also musically, but for me personally, now I'm making peace with that person that went through everything in the past three, four years. 

'I had to make peace with other things to get to where I am now. And now I have to make peace with who I was back then.

'I want to create music that's on my own terms and art that's on my own terms and whoever's on board with it, I love it. And I love that. 

'They love my music and I love that they love to sing, but I'm not going to conform to anything ever again. I just want to be myself. I just want to write music. I love music. I love writing songs.'




Revelation: Noah previously detailed her Xanax addiction during an interview with Rolling Stone in July, said that she initially tried the drug at the age of 18

Noah previously detailed her Xanax addiction during an interview with Rolling Stone in July,  said that she initially tried the drug at the age of 18, a time she was 'surrounded by people' who provided her with access to the narcotic.

'My boyfriend at the time, when I was 18, was the first person that gave me a Xanax, and it became a way for us to bond,' the Nashville-born vocalist told the outlet. 'I think I wanted to fit in with him.

She continued: 'I wanted to be what he wanted and what he thought was cool and what I thought everybody was doing. Once I felt that it was possible to silence things out for a second and numb your pain, it was over.'




Former flame: Miley did not specifically name her ex who she began using the drug with, but she was in a high-profile relationship with rapper Lil Xan in 2018 (pictured at the time)



Read more:

_The Zane Lowe Show on Apple Music

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