The Rooster on the Step: How Digoxin Turned Care into Murder
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The Rooster on the Step: How Digoxin Turned Care into Murder
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A glass of orange juice, pulp settled, a folded paper towel and a small ceramic rooster left on a back step - then a forty-nine-year-old woman found dead of acute digoxin toxicity with a tissue level of 4.8 ng/mL, more than twice the therapeutic upper limit. Who brought a veterinary-grade bottle of digoxin into this family’s orbit, and why was a dose intended to steady a failing heart used to kill someone with no cardiac history?
In this episode, we walk through the sequence of events and the relationships that connect Norma Padgett’s heart failure diagnosis and elevated digoxin level to Sarah Padgett’s death, and we follow the trail from a handyman’s purchases to the unanswered question of motive: how did concentrated digoxin move from a veterinary supply to a fatal human dose?
Person: Sarah Padgett
Date: June 14, 2019
Location: 412 Decker Lane, Calverton
Cause: Acute digoxin toxicity (4.8 ng/mL in tissue)
Person: Norma Padgett
- Sarah Padgett was found dead at age 49 on June 14, 2019, inside her home at 412 Decker Lane.
- Autopsy recorded digoxin tissue level of 4.8 nanograms per milliliter; therapeutic range is 0.8-2.0 ng/mL.
- Norma Padgett, age 74, was prescribed digoxin 0.125 mg daily for congestive heart failure and had a level of 3.1 ng/mL when hospitalized.
- Clifford Andrews purchased a 50 mL bottle of concentrated digoxin from a veterinary supply on April 3; approximately 11 mL remained when investigators found his storage unit.
- An orange juice glass with settled pulp, a folded paper towel, and a small red-and-white ceramic rooster sat on Sarah’s back step for three days before a meter reader called it in.
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