LOS ANGELES (AP) — Five people including his personal assistant and two doctors have been charged in connection with Matthew Perry's death in what prosecutors called a “broad underground criminal network” dedicated to getting the “Friends” star the powerful surgical anesthetic that killed him.
The doctors preyed on Perry's history of addiction in the final months of his life last year to provide him with ketamine in amounts they knew were dangerous, U.S. Attorney Martin Estrada said as he announced the charges Thursday.
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LOS ANGELES (AP) — Five people including his personal assistant and two doctors have been charged in connection with Matthew Perry's death in what prosecutors called a “broad underground criminal network” dedicated to getting the “Friends” star the powerful surgical anesthetic that killed him.
United States Attorney Martin Estrada announces five people have been charged in connection with actor Matthew Perry's death, including the actor's assistant and two doctors, doing a news conference in Los Angeles on Thursday, Aug. 15, 2024. (AP Photo/Damian Dovarganes)
FILE - Flowers appear outside the home of actor Matthew Perry in Los Angeles on Oct. 29, 2023, a day after his death. A prosecutor says five people have been charged in connection with Perry’s death, including the actor’s assistant and two doctors. (AP Photo/Eugene Garcia, File)
United States Attorney Martin Estrada, at podium, is joined by Los Angeles Police Chief Dominic Choi, far left, and other officials to announce court filings related to the death of actor Matthew Perry in Los Angeles on Thursday, Aug. 15, 2024. (AP Photo/Damian Dovarganes)
United States Attorney Martin Estrada, at podium, is joined by officials from left: Acting Inspector in Charge of the U.S. Postal Inspection Service's Los Angeles Division, Matthew Shields, Los Angeles Police Chief Dominic Choi, DEA Administrator Anne Milgram, and other officials to announce court filings related to the death of actor Matthew Perry in Los Angeles on Thursday, Aug. 15, 2024. (AP Photo/Damian Dovarganes)
United States Attorney Martin Estrada announces court filings related to the death of actor Matthew Perry in Los Angeles on Thursday, Aug. 15, 2024. (AP Photo/Damian Dovarganes)
FILE -Matthew Perry appears at the premiere of "Ride" in Los Angeles on April 28, 2015. (Photo by Rich Fury/Invision/AP, File)
“They knew what they were doing was wrong,” Estrada said. "They knew what they were doing was risking great danger to Mr. Perry. But they did it anyway.”
One doctor even wrote in a text message, “I wonder how much this moron will pay” and “Lets find out," according to an indictment unsealed Thursday.
Perry died in October due to a ketamine overdose and prosecutors said he received several injections on the day he died from his live-in personal assistant, Kenneth Iwamasa, who found Perry dead later that day and was the first to talk to investigators.
Ketamine has seen a huge surge in use in recent years as a treatment for depression, anxiety and pain. While the drug isn’t approved for those conditions, doctors are free to prescribe drugs for so-called off-label uses.
Perry had been receiving regular ketamine infusion treatments for depression — in amounts not nearly enough to account for his death — from his regular doctors, who were not among those charged, authorities said.
When those doctors refused to give him more, he went in desperation to others.
“We are not talking about legitimate ketamine treatment," Estrada said. “We’re talking about two doctors who abused the trust they had, abused their licenses to put another person’s life at risk.”
DEA Administrator Anne Milgram said in one instance the actor paid $2,000 for a vial of ketamine that cost one of the physicians about $12. Perry paid the doctors about $55,000 in cash in the two months before his death, Estrada said.
Two of the people, including one of the doctors charged, were arrested Thursday, Estrada said. Two of the defendants, including Iwamasa, have pleaded guilty to charges already, and a third person has agreed to plead guilty.
Among those arrested Thursday are Dr. Salvador Plasencia, who is charged with seven counts of distribution of ketamine and also two charges related to allegations he falsified records after Perry's death.
Plasencia appeared in court briefly Thursday afternoon and pleaded not guilty. He can be released after posting a $100,000 bond.
Plasencia’s attorney Stefan Sacks asked that his client be allowed to keep seeing patients at his practice when he’s released, saying he had already turned over his DEA license to prescribe dangerous drugs and that the Perry case was “isolated.”
Assistant U.S. Attorney Ian V. Yanniello objected, saying Plasencia had “essentially acted as a street corner drug dealer.”
Magistrate Judge Alka Sagar ruled that Plasencia could treat patients only if they sign a document saying they had been informed of the charges against him.
“Ultimately, Dr. Plasencia was operating with what he thought were the best of medical intentions,” and his actions “certainly didn’t rise to the level of criminal misconduct,” Sacks said outside the courthouse. “His only concern was to give the best medical treatment and to do no harm,” Sacks said. “Unfortunately harm was done. But it was after his involvement.”
The other person arraigned in the case Thursday was Jasveen Sangha, who prosecutors described as a drug dealer known to customers as the “Ketamine Queen” — a moniker her attorney derided as made-for-media consumption during her court hearing. Ketamine supplied by Sangha caused Perry's death, authorities said.
Sangha pleaded not guilty and was denied bond. She had first been arrested in the case, charged with possession of ketamine with intent to distribute and released on bond in March, with authorities keeping Perry's involvement quiet. But a new indictment unsealed Thursday alleges a direct connection to the actor's death, and the judge ruled she should remain in custody due to her concern over prosecutors’ contentions that she destroyed evidence and has used money from drug sales to fund a lavish lifestyle.
Plasencia could get up to 120 years in prison if convicted, prosecutors said, and Sangha could get life in prison.
Records show Plasencia's medical license has been in good standing with no records of complaints, though it is set to expire in October.
A San Diego physician, Dr. Mark Chavez, has agreed to plead guilty to conspiracy to distribute ketamine. Prosecutors allege Chavez funneled ketamine to Plasencia, securing some of the drug from a wholesale distributor through a fraudulent prescription.
The prosecutor said the defendants exchanged messages soon after Perry's death referencing ketamine as the cause of death. Estrada said they deleted messages and falsified medical records in an attempt to cover up their involvement.
Los Angeles police said in May that they were working with the U.S. Drug Enforcement Administration and the U.S. Postal Inspection Service with a probe into why the 54-year-old had so much of the surgical anesthetic in his system.
Iwamasa found the actor face down in his hot tub on Oct. 28, and paramedics who were called immediately declared him dead.
The assistant received the ketamine from Erik Fleming, who has pleaded guilty to obtaining the drug from Sangha and delivering them to Iwamasa. In all, he delivered 50 vials of ketamine for Perry's use, including 25 handed over four days before the actor's death.
Perry's autopsy, released in December, found that the amount of ketamine in his blood was in the range used for general anesthesia during surgery.
But it had been 1 1/2 weeks since his previous legitimate treatment, the medical examiner said, and the drug is typically metabolized in a matter of hours.
Estrada said that Plasencia had witnessed Perry freeze up and saw his blood pressure spike after injecting him with the drug, but still left several vials with Iwamura for the actor to inject later.
Multiple requests for comment from lawyers for Chavez, Iwamasa and Fleming were not returned Thursday.
The medical examiner listed ketamine as the primary cause of death, which was ruled an accident with no foul play suspected, the report said. Drowning and other medical issues were contributing factors, the coroner said.
Perry had years of struggles with addiction dating back to his time on “Friends,” when he became one of the biggest television stars of his generation as Chandler Bing alongside Jennifer Aniston, Courteney Cox, Lisa Kudrow, Matt LeBlanc and David Schwimmer for 10 seasons from 1994 to 2004 on NBC’s megahit sitcom.
Drug-related celebrity deaths have in other cases led authorities to prosecute the people who supplied them.
After rapper Mac Millerdied from an overdose of cocaine, alcohol and counterfeit oxycodone that contained fentanyl, two of the men who provided him the fentanyl were convicted of distributing the drug. One was sentenced to more than 17 years in federal prison, the other to 10 years.
And after Michael Jackson died in 2009 from a lethal dose of propofol, a drug intended for use only during surgery and other medical procedures, not for the insomnia the singer sought it for, his doctor, Conrad Murray, was convicted of involuntary manslaughter in 2011. Murray has maintained his innocence.
Writer Michael Balsamo contributed from New York.
DEA Administrator Anne Milgram says five people have been charged in connection with Matthew Perry's death at a news conference in Los Angeles on Thursday, Aug. 15, 2024. (AP Photo/Damian Dovarganes)
United States Attorney Martin Estrada announces five people have been charged in connection with actor Matthew Perry's death, including the actor's assistant and two doctors, doing a news conference in Los Angeles on Thursday, Aug. 15, 2024. (AP Photo/Damian Dovarganes)
FILE - Flowers appear outside the home of actor Matthew Perry in Los Angeles on Oct. 29, 2023, a day after his death. A prosecutor says five people have been charged in connection with Perry’s death, including the actor’s assistant and two doctors. (AP Photo/Eugene Garcia, File)
United States Attorney Martin Estrada, at podium, is joined by Los Angeles Police Chief Dominic Choi, far left, and other officials to announce court filings related to the death of actor Matthew Perry in Los Angeles on Thursday, Aug. 15, 2024. (AP Photo/Damian Dovarganes)
United States Attorney Martin Estrada, at podium, is joined by officials from left: Acting Inspector in Charge of the U.S. Postal Inspection Service's Los Angeles Division, Matthew Shields, Los Angeles Police Chief Dominic Choi, DEA Administrator Anne Milgram, and other officials to announce court filings related to the death of actor Matthew Perry in Los Angeles on Thursday, Aug. 15, 2024. (AP Photo/Damian Dovarganes)
United States Attorney Martin Estrada announces court filings related to the death of actor Matthew Perry in Los Angeles on Thursday, Aug. 15, 2024. (AP Photo/Damian Dovarganes)
FILE -Matthew Perry appears at the premiere of "Ride" in Los Angeles on April 28, 2015. (Photo by Rich Fury/Invision/AP, File)
Billionaire tech executive Elon Musk cast the upcoming presidential election in dire terms during an appearance with Donald Trump, calling the Republican presidential nominee the only candidate “to preserve democracy in America.”
The CEO of SpaceX and Tesla who also purchased X, Musk joined Trump in Butler, Pennsylvania, on Saturday at the site where the former president survived an assassination attempt in July. Musk said “this will be the last election” if Trump doesn’t win. Wearing a cap with the “Make America Great Again” slogan of Trump’s campaign, Musk appeared to acknowledge the foreboding nature of his remarks.
“As you can see I am not just MAGA — I am Dark MAGA,” he said.
It was the first time that Musk joined one of Trump's rallies and was evidence of their growing alliance in the final stretch of the presidential election. Musk created a super political action committee supporting the Republican nominee and it has been spending heavily on get-out-the-vote efforts. Trump has said he would tap Musk to lead a government efficiency commission if he regains the White House.
Trump joined Musk in August for a rare public conversation on X, a friendly chat that spanned more than two hours. In it, the former president largely focused on the July assassination attempt, illegal immigration and his plans to cut government regulations.
Before a large crowd Saturday, Musk sought to portray Trump as a champion of free speech, arguing that Democrats want “to take away your freedom of speech, they want to take away your right to bear arms, they want to take away your fight to vote, effectively." Musk went on to criticize a California effort to ban voter ID requirements.
The event took place at the same property where a gunman’s bullets grazed Trump’s right ear and killed a Trump supporter, Corey Comperatore. The shooting left multiple others injured.
Several members of Comperatore’s family, as well as other attendees and first responders from the July rally, returned to the site on Saturday. Also appearing with the former president were his running mate Republican Ohio Sen. JD Vance, son Eric Trump, daughter-in-law and RNC co-chair Lara Trump, along with Pennsylvania lawmakers and sheriffs.
Kinnard reported from Chapin, South Carolina, and can be reached at http://x.com/MegKinnardAP.
Elon Musk walks onto stage as Republican presidential nominee former President Donald Trump speaks at a campaign rally at the Butler Farm Show, Saturday, Oct. 5, 2024, in Butler, Pa. (AP Photo/Evan Vucci)
Elon Musk jumps on the stage as Republican presidential nominee former President Donald Trump speaks at a campaign rally at the Butler Farm Show, Saturday, Oct. 5, 2024, in Butler, Pa. (AP Photo/Evan Vucci)
Elon Musk arrives on the stage as Republican presidential nominee former President Donald Trump speaks at a campaign rally at the Butler Farm Show, Saturday, Oct. 5, 2024, in Butler, Pa. (AP Photo/Evan Vucci)
Republican presidential nominee former President Donald Trump shakes hands with Elon Musk at a campaign rally at the Butler Farm Show, Saturday, Oct. 5, 2024, in Butler, Pa. (AP Photo/Evan Vucci)
Republican presidential nominee former President Donald Trump shakes hands with Elon Musk at a campaign rally at the Butler Farm Show, Saturday, Oct. 5, 2024, in Butler, Pa. (AP Photo/Evan Vucci)
Elon Musk jumps on the stage behind Republican presidential nominee former President Donald Trump during a campaign rally at the Butler Farm Show, Saturday, Oct. 5, 2024, in Butler, Pa. (AP Photo/Julia Demaree Nikhinson)
Tesla and SpaceX CEO Elon Musk speaks as Republican presidential nominee former President Donald Trump listens at a campaign event at the Butler Farm Show, Saturday, Oct. 5, 2024, in Butler, Pa. (AP Photo/Alex Brandon)
Republican presidential nominee former President Donald Trump, left, and Tesla and SpaceX CEO Elon Musk appear on stage at a campaign event at the Butler Farm Show, Saturday, Oct. 5, 2024, in Butler, Pa. (AP Photo/Alex Brandon)
Elon Musk jumps on the stage as Republican presidential nominee former President Donald Trump speaks at a campaign rally at the Butler Farm Show, Saturday, Oct. 5, 2024, in Butler, Pa. (AP Photo/Evan Vucci)
Elon Musk jumps on the stage behind Republican presidential nominee former President Donald Trump during a campaign rally at the Butler Farm Show, Saturday, Oct. 5, 2024, in Butler, Pa. (AP Photo/Julia Demaree Nikhinson)
Elon Musk jumps on the stage behind Republican presidential nominee former President Donald Trump during a campaign rally at the Butler Farm Show, Saturday, Oct. 5, 2024, in Butler, Pa. (AP Photo/Julia Demaree Nikhinson)
Tesla and SpaceX CEO Elon Musk listens as Republican presidential nominee former President Donald Trump speaks at a campaign event at the Butler Farm Show, Saturday, Oct. 5, 2024, in Butler, Pa. (AP Photo/Alex Brandon)
Elon Musk jumps on the stage as Republican presidential nominee former President Donald Trump speaks at a campaign rally at the Butler Farm Show, Saturday, Oct. 5, 2024, in Butler, Pa. (AP Photo/Evan Vucci)
Tesla and SpaceX CEO Elon Musk walks to the stage to speak alongside Republican presidential nominee former President Donald Trump at a campaign event at the Butler Farm Show, Saturday, Oct. 5, 2024, in Butler, Pa. (AP Photo/Alex Brandon)
Tesla and SpaceX CEO Elon Musk attends a campaign event with Republican presidential nominee former President Donald Trump at the Butler Farm Show, Saturday, Oct. 5, 2024, in Butler, Pa. (AP Photo/Alex Brandon)
Tesla and SpaceX CEO Elon Musk, from left, Republican presidential nominee former President Donald Trump and Republican vice presidential nominee Sen. JD Vance, R-Ohio, attend a campaign event at the Butler Farm Show, Saturday, Oct. 5, 2024, in Butler, Pa. (AP Photo/Alex Brandon)
Tesla and SpaceX CEO Elon Musk, from left, Republican presidential nominee former President Donald Trump and Republican vice presidential nominee Sen. JD Vance, R-Ohio, attend a campaign event at the Butler Farm Show, Saturday, Oct. 5, 2024, in Butler, Pa. (AP Photo/Alex Brandon)