Matthew Perry drug death: ‘Remorseful’ doctor released on bail

A doctor charged in the drug-related death of actor Matthew Perry last year has appeared in a US court.

Marc Chavez was released on bail at a hearing in Los Angeles on Friday, during which he agreed to stop practicing medicine. His lawyer said he was “extremely remorseful”.

Dr. Chavez, one of five people charged in Perry’s death, has reached a plea agreement with prosecutors but did not formally sign it during the hearing.

Perry, 54, died at his home in Los Angeles last October. An autopsy found high levels of ketamine in his blood and determined the “acute effects” of the controlled substance contributed to his death.

Police released the results of their investigation two weeks ago.

They said they uncovered an “extensive underground criminal network” of drug suppliers distributing large quantities of ketamine.

Three of those charged – including Perry’s aide – have pleaded guilty to drug charges.

Dr. Chavez pleaded guilty to one count of conspiring to distribute ketamine.

At a court hearing on Friday, Mr Chavez’s bail was set at $50,000 (£38,000) and he was ordered to surrender his passport and agree not to continue practicing medicine.

“My client is taking responsibility. He is doing everything he can to cooperate and help in this situation,” defense attorney Matt Binninger said.

Ketamine is a powerful anesthetic used to treat depression, anxiety and pain.

People close to Perry, who starred in NBC’s Friends, told the coroner’s inquest after his death that he was receiving ketamine infusions.

But his last treatment came just over a week before his death. The medical examiner said the ketamine in Perry’s system could not have come from the infusion treatment because of the drug’s short half-life.

According to the medical examiner, the levels of ketamine in his system were as high as those under general anesthesia.

An indictment filed in federal court details an elaborate drug procurement scheme that prosecutors say ultimately led to Perry’s death.

Prosecutors say Perry’s assistant Kenneth Rock was working with two doctors to provide him with more than $50,000 (£38,000) of ketamine in the weeks before his death.

Officials argued that those involved in the scheme sought to profit from Perry’s well-known substance abuse problems. One of the doctors, Salvador Plasencia, allegedly wrote in a text message: “I wonder how much this idiot will pay.”

The indictment alleges that Dr. Plasencia, 42, provided ketamine to Perry “outside the ordinary course of professional practice and without a legitimate medical purpose.”

He allegedly taught Yanzheng how to inject Perry with ketamine without proper safety procedures and surveillance, the indictment states.

Prosecutors said Yanzheng gave Perry at least 27 injections of ketamine in the four days before his death.

Prosecutors said he did so even after taking a large dose of ketamine earlier that month that caused Perry to “freeze,” leading Mr. Plasencia to recommend against taking similar doses of ketamine in the future. The doctor still left several bottles of the medication with the actor and his assistant after the incident, according to the indictment.

Others charged in the case include so-called “ketamine queen” Jasveen Sangha, who prosecutors accuse of co-defendants Erik Fleming and Chavez. The drug was provided to Plasencia with the help of Dr Chavez.

Prosecutors say the defendants tried to cover up their alleged crimes after Perry’s death.

Ms Sanga allegedly texted another suspect, telling him to “delete all our messages”. Dr. Placencia also falsified medical records, according to the indictment.

Drowning was also cited as a factor in Perry’s death, which was ruled an accident. Other contributing factors include coronary artery disease and the effects of buprenorphine, which is used to treat opioid use disorder.

At the height of his fame, Perry struggled with addiction to painkillers and alcohol and checked into rehab multiple times. He detailed his battle with substance abuse in his memoir, “Friends, Lovers, and Big Scary Things.”

In 2016, he told BBC Radio 2 that he had no memory of filming Friends for three years due to alcohol and drug abuse.

After trying treatment, he wrote in his memoir that he had remained mostly sober since 2001 — “except for about 60 or 70 accidents.”