NM - Alexee Trevizo, 19, Charged with murder of newborn in trash can, Artesia, Jan 2023

[RickshawFan]

I still find it hard to believe the hospital gave Alexee a shot of morphine just like that, without any diagnosis, without having the result tests... As far as I know the hospitals do not give the opiates left and right like candy, more like the ooposite. We know though that Alexee was in pain for a couple of days before she went to the hospital. Did she have access to opiate painkillers anywhere at home?

Yes, I’ve found this stunning, too. Everything about the standard of care from that doc and the male nurse with the light blue scrubs looks nuts even to a layperson like myself from the get go.

They did n’t even use a stethoscope before giving Alexee morphine? They’d have heard the baby.

Apparently, they already had the test that said Alexee was pregnant. I mean, you can do that with a home pregnancy test, so easy for a hospital. They didn’t have the test that said how far along. When Alexee disappeared into the bathroom, they were concerned about self-harm or miscarriage. This means they knew and Alexee knew. IMO they should have got the mom out of the room ASAP so they could get the real story from Alexee.

***
Ya know, no one has said they heard the baby cry. I wonder how soundproof those bathrooms are.

 

[RickshawFan]

I still find it hard to believe the hospital gave Alexee a shot of morphine just like that, without any diagnosis, without having the result tests... As far as I know the hospitals do not give the opiates left and right like candy, more like the ooposite. We know though that Alexee was in pain for a couple of days before she went to the hospital. Did she have access to opiate painkillers anywhere at home?

You’re thinking Alexee got the morphine herself? I assumed she got it at the hospital. The doctor in the toxicology piece ^^^^ assumes she got it at the hospital. But I’m thinking this is super unlikely. We also know Alexee had to have been the source of the phentarmine, because there was no need for the hospital to give her diet pills.

Would the amount of morphine in the baby reflect a hospital dose or a private supply? I guess Alexee’s chart will tell.

That doctor is going to be a mess on the witness stand.

 

[Hexe]

You’re thinking Alexee got the morphine herself?

Not necessarily morphine. Free morphine is a primary metabolite of codeine so I find it possible that nobody in the hospital shot Alexee with morphine, she took some codeine, earlier, at home.

 

[RickshawFan]

Not necessarily morphine. Free morphine is a primary metabolite of codeine so I find it possible that nobody in the hospital shot Alexee with morphine, she took some codeine, earlier, at home.

Well, that's a clever thought. She's not gonna want to admit she took any illegal substance, same as she didn't want to admit to sex.

She could also have got hold of hydromorphone?

I just can't imagine the hospital giving her anything without info on the pregnancy. Evidently, she refused examination. But, in that case, you decline to issue painkillers, surely? You want morphine/codeine/hydromorphone/hydrocodone.... you gotta prove you're not an addict. I know, because I overheard someone in the ER begging for it. It was HOURS before they'd give her one. Finally, they gave her one (maybe even a placebo). She was so happy. But they also dumped her on another physician.

Aside to self:
Duh, @RickshawFan , you're just realizing hydrocodone is codeine? Gosh, I'm slow.

Easy to get hydrocodone at a high school.

This case is going to get worse and worse for Alexee if they found she got drugs illegally. And that's probably a good assumption if she's on phentarmine.

 

[MissMalowe]

Is it absolutely clear that the hospital both gave her morphine AND that it was given AFTER the positive pregnancy test result?

 

[Gardenista]

Is it absolutely clear that the hospital both gave her morphine AND that it was given AFTER the positive pregnancy test result?

No, she got the drugs before they had the test results.

 

[RickshawFan]

No, she got the drugs before they had the test results.

This info is on the videos: There were two test results, though. One was pregnancy confirmation. Those are so simple, you can get them as home tests. Evidently, Alexee had been presented with this one. She claimed she was a virgin. The second test was a blood draw. That was to determine how far along Alexee was.

If she had the drugs BEFORE any test results, she must have taken them at home? The phentarmine she must have taken at home; it's a diet drug. If @Hexe is right about codeine being a precursor to morphine, Alexee could very well have taken it at home. From the sister, it sounded like Alexee had been in extreme pain all that day and into the night before. So, she could have taken a very strong drug not-prescribed. Maybe there was even hydrocodone lying around at home for some reason?
If Alexee had any drug AFTER any test result, the hospital must have administered it.

 

[housewife]

Well, that's a clever thought. She's not gonna want to admit she took any illegal substance, same as she didn't want to admit to sex.

Has it been proven the sexual activity was consensual? And is there proof that her boyfriend was actually the father?

 

[RickshawFan]

Has it been proven the sexual activity was consensual? And is there proof that her boyfriend was actually the father?

Her boyfriend says he's the father in the LE interview at the hospital. See video ^^^. The boyfriend was there with his mother. They didn't seem to be shocked at the news there was a pregnancy. In fact, I don't see why the boyfriend and his mom would even be in the waiting room, seeing as Alexee was there for "back pain".

The baby's last name is his father's: Alex Ray Fierro.

 

[kthxbye84]

With her having morphine in her system, would it cause the baby to be drowsy or sluggish at birth?

 

[RickshawFan]

With her having morphine in her system, would it cause the baby to be drowsy or sluggish at birth?

That’s what I was wondering, but the autopsy said he was breathing. It’s also unclear where the morphine came from. @Hexe suggests it was from codeine taken by Alexee before coming to the hospital. She had been in severe pain for hours. We know she sourced the phentarmine because it’s a diet drug.

 

[Seattle1]

Has it been proven the sexual activity was consensual? And is there proof that her boyfriend was actually the father?

As of this date, there's not been anything whatsoever to indicate AT was anything but a consenting adult when she conceived the child. And yes, the boyfriend is on video acknowledging to police that he was the father of the baby. Furthermore, I doubt AT's vocal, media-friendly, attorney would have sat on information since January indicating otherwise. JMO

 

[Seattle1]

With her having morphine in her system, would it cause the baby to be drowsy or sluggish at birth?

"The opioids commonly used in childbirth include morphine and remifentanil. Morphine is usually used in the early stages of labor. If used too close to delivery, it can cause temporary breathing and heart rate problems in your baby after birth. Your baby may need help breathing if this happens."

Making Sense of Childbirth Pain Relief Options

An ob-gyn discusses common pain relief options and how to think about your choices.

www.acog.org

FDA provides the following about Morphine Sulfate injection label Use in Specific Populations:

8.2 Labor and Delivery

Morphine readily passes into the fetal circulation and may result in respiratory depression and psycho-physiologic effects in neonates. Naloxone and resuscitative equipment should be available for reversal of narcotic-induced respiratory depression in the neonate. In addition, parenteral morphine may reduce the strength, duration and frequency of uterine contractions resulting in prolonged labor. However, this effect is not consistent and may be offset by an increased rate of cervical dilatation, which tends to shorten labor. Closely observe neonates whose mothers received opioid analgesics during labor for signs of respiratory depression.

Per the quoted links, the only published known symptom when a mother is administered parenteral morphine close to delivery, as alleged in this case, is not a drowsy or sluggish neonate, but a baby with the potential for respiratory depression (i.e., opioids cross the placenta), and where an opioid antagonist such as Naloxone should be available for reversal of opioid-induce respiratory depression in the neonate.

However, given others suggest Morphine administered in the ER would be a therapeutic dose, I'd be more concerned with reports the mother was taking the diet Rx Phentermine during pregnancy!

Actually, the expert on Court TV discussing the results of the autopsy states the cause of death was entrapment (suffocation) with all evidence pointing to a live birth.

In other words, it seems to me that even a baby born drug-free, breathing at normal capacity when wrapped in a plastic trash bag and placed in the bottom of a rubbish bin-- with additional plastic on top weighted by trash, would most likely succumb to entrapment. MOO

 

[Laughing]

With her having morphine in her system, would it cause the baby to be drowsy or sluggish at birth?

Likely.

I had a C-section, and was able (bound & determined) to nurse the little Laughing. (Wasn't very little, btw, 9 pounds, 14 ounces.)

This was in 1994, I had a morphine pump in the hospital. The anesthesiologists would come by, and tell me, "you can use this, you know."

I explained that when I did, the baby fell asleep while nursing -- too quickly.

So I had a new protocol, when the nurse came to pick up the baby to go back to the nursery, she was to make sure that I pushed the button & had a morphine dose.

I expect that prenatal exposure would be similar?

@LaborDayRN yeah calling you for obvious reasons.

jmho ymmv lrr

 

[LaborDayRN]

Likely.

I had a C-section, and was able (bound & determined) to nurse the little Laughing. (Wasn't very little, btw, 9 pounds, 14 ounces.)

This was in 1994, I had a morphine pump in the hospital. The anesthesiologists would come by, and tell me, "you can use this, you know."

I explained that when I did, the baby fell asleep while nursing -- too quickly.

So I had a new protocol, when the nurse came to pick up the baby to go back to the nursery, she was to make sure that I pushed the button & had a morphine dose.

I expect that prenatal exposure would be similar?

@LaborDayRN yeah calling you for obvious reasons.

jmho ymmv lrr

Please forgive my ignorance on this case. I sometimes find these types of cases to be too upsetting and choose not to follow.

The general understanding is that very little of the medications given to patients for pain following C-section passes through the breast milk.

As for prenatal exposure to opiods, it can cause Offspring exposed to morphine abuse during pregnancy increases the risk of miscarriage, prematurity, low birth weight, reduced length of the newborn, decreased head circumference, sudden infant death syndrome (SIDS), growth deficiency postnatal, anxiety, feelings of rejection, as well as delay in cognitive function [11]. Besides, the newborn can undergo neonatal abstinence syndrome (NAS) in the first days after birth. Characterized by negative symptoms related to the central nervous system (CNS), as well as respiratory and digestive systems dysfunction, it was observed in NAS sneezing, lacrimation, impaired sucking, reduced sleep duration, and irritability, which leads to physiological stress, requiring intensive care service, as well as contributing to low weight birth.

Morphine Perinatal Exposure Induces Long-Lasting Negative Emotional States in Adult Offspring Rodents - PMC

Psychoactive substances during pregnancy and lactation is a key problem in contemporary society, causing social, economic, and health disturbance. In 2010, about 30 million people used opioid analgesics for non-therapeutic purposes, and the ...

www.ncbi.nlm.nih.gov

 

[everlearning]

Someone please correct if I am wrong. I want to be wrong. No one. Not one of them asked anything about the baby? Not is the baby a boy or girl? No one asked to see their baby or grandbaby? They probably wouldn't have let them but they didn't even ask.

 

[Ashleym324]

They knew she was lying… and it’s their job to determine if a woman is in labor. It’s not a rare thing for that to be the case when a pregnant woman with back pain shows up at ER.

Yes, Alexee is responsible for a homicide, <modsnip: not victim friendly>

You don’t know someone’s in active labor unless you’ve given a vaginal exam. She 100% could’ve refused that

 

[Ashleym324]

It’s weird. That other girl who was acquitted for killing her newborn? I believe her mother totally knew she was pregnant and was trying to get her daughter to “get rid of it” in some way without revealing she had been pregnant. Her texts showed that, IMO.
It’s like some symbiotic thing where the mother is incapable of acknowledging her daughter is pregnant and/or “impure” for having sex and the daughter is incapable of acknowledging that she defied her mother, had sex and got pregnant.

This is the result.

This doesn’t happen, IMO, in families where the parents have an open relationship with their teens and reasonably talk about sex and birth control.

What case is this?

 

[LadyL]

Her boyfriend says he's the father in the LE interview at the hospital. See video ^^^. The boyfriend was there with his mother. They didn't seem to be shocked at the news there was a pregnancy. In fact, I don't see why the boyfriend and his mom would even be in the waiting room, seeing as Alexee was there for "back pain".

The baby's last name is his father's: Alex Ray Fierro.

I was under the impression the video of them in the waiting room together was after the mother made a few phonecalls because when she was in the hospital room with Alexee she said she was going to call her husband and in the waiting room her husband is there, along with the paternal grandmother and Alexee's b/f.

 

[RickshawFan]

Please forgive my ignorance on this case. I sometimes find these types of cases to be too upsetting and choose not to follow.

The general understanding is that very little of the medications given to patients for pain following C-section passes through the breast milk.

As for prenatal exposure to opiods, it can cause Offspring exposed to morphine abuse during pregnancy increases the risk of miscarriage, prematurity, low birth weight, reduced length of the newborn, decreased head circumference, sudden infant death syndrome (SIDS), growth deficiency postnatal, anxiety, feelings of rejection, as well as delay in cognitive function [11]. Besides, the newborn can undergo neonatal abstinence syndrome (NAS) in the first days after birth. Characterized by negative symptoms related to the central nervous system (CNS), as well as respiratory and digestive systems dysfunction, it was observed in NAS sneezing, lacrimation, impaired sucking, reduced sleep duration, and irritability, which leads to physiological stress, requiring intensive care service, as well as contributing to low weight birth.

Morphine Perinatal Exposure Induces Long-Lasting Negative Emotional States in Adult Offspring Rodents - PMC

Psychoactive substances during pregnancy and lactation is a key problem in contemporary society, causing social, economic, and health disturbance. In 2010, about 30 million people used opioid analgesics for non-therapeutic purposes, and the ...

www.ncbi.nlm.nih.gov

Thanks! So helpful..

I'm looking at this sentence and wondering if the percentage of morphine in the baby's system might be astronomically high from even a moderate dose Alexee might have been taking at home when she developed the back pain (many hours before the ER visit). I am saying the infant's toxicology could reflect a huge dose to the infant, but a small dose to the mom. I'm pointing this out because this means we can't assume the hospital gave a large dose of morphine to Alexee.

Opioids circulating in maternal blood induce withdrawal symptoms or even fetal overdose.