Kimberly Saenz
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Kimberly Clark Saenz (born November 3, 1973), also known as Kimberly Clark Fowler, is a former
licensed practical nurse A licensed practical nurse (LPN), in much of the United States and Canada, is a nurse who cares for people who are sick, injured, convalescent, or disabled. In the United States, LPNs work under the direction of physicians, mid-level practitio ...
and a convicted serial killer. She was convicted of killing several patients at a Texas
dialysis Dialysis may refer to: *Dialysis (chemistry), a process of separating molecules in solution **Electrodialysis, used to transport salt ions from one solution to another through an ion-exchange membrane under the influence of an applied electric pote ...
center by injecting
bleach Bleach is the generic name for any chemical product that is used industrially or domestically to remove color (whitening) from a fabric or fiber or to clean or to remove stains in a process called bleaching. It often refers specifically, to ...
into their dialysis lines.


Background

Saenz was born in Fall River, Massachusetts was born as Kimberly Fowler. Kim attended Central ISD in Pollok, Texas (suburb of Lufkin Texas) for at least her junior high and high school years. She was a cheerleader in junior high and part of high school. Her junior year of high school, she learned she was pregnant by her high school boy friend and gave birth to her son her junior year of high school. This ended Kim’s high school career as she left Central High School after the birth of her son. Kimberly eventually earned her high school diploma or equivalency of and went to Angelina College in Lufkin, Texas and earned her licensed vocational nursing license. She was hired as a nurse at a DaVita dialysis clinic. She was hired despite a checkered employment history: at the time, she had been fired at least four times from healthcare jobs. One such firing came when her bosses at Woodland Heights Hospital caught her stealing
Demerol Pethidine, also known as meperidine and sold under the brand name Demerol among others, is a synthetic opioid pain medication of the phenylpiperidine class. Synthesized in 1938 as a potential anticholinergic agent by the German chemist Otto Eisl ...
(which was found in her handbag) and cheating on a urine test. Saenz was married with two young children. She suffered from
drug dependence Substance dependence, also known as drug dependence, is a biopsychological situation whereby an individual's functionality is dependent on the necessitated re-consumption of a psychoactive substance because of an adaptive state that has develope ...
and used stolen prescription medication. She had been arrested for
public intoxication Public intoxication, also known as "drunk and disorderly" and "drunk in public", is a summary offense in some countries rated to public cases or displays of drunkenness. Public intoxication laws vary widely by jurisdiction, but usually require an ...
and criminal trespass after a 2007 domestic disturbance with her husband, though the two later reconciled.


Suspicion mounts

In the spring of 2008, DaVita's Lufkin clinic had an unusual spike in patients falling seriously ill during treatment. Paramedics were called to the clinic 30 times in April – double the number of calls in the past year. One patient, Thelma Metcalf, had to go to the emergency room several times due to getting too much
heparin Heparin, also known as unfractionated heparin (UFH), is a medication and naturally occurring glycosaminoglycan. Since heparins depend on the activity of antithrombin, they are considered anticoagulants. Specifically it is also used in the treatm ...
blood thinner; other patients were going into cardiac arrest. The spike in EMS calls was especially unusual, since under normal conditions, dialysis patients rarely
code In communications and information processing, code is a system of rules to convert information—such as a letter, word, sound, image, or gesture—into another form, sometimes shortened or secret, for communication through a communication ...
. After two patients, Thelma Metcalf and Clara Strange, died of cardiac arrest on April 1, DaVita sent clinical coordinator Amy Clinton to the Lufkin clinic. Despite Clinton's presence, the problems continued. Paramedics, unnerved by the situation, passed their concerns on to their superiors at the Lufkin fire department. A department official secretly wrote state health inspectors and asked them to investigate.


Investigation

On April 28, 2008, with inspectors on site, two more patients (Marva Rhone and Carolyn Risinger) suffered severe drops in blood pressure. Patients Linda Hall and Lurlene Hamilton subsequently testified that they saw Saenz draw a bleach solution into two syringes, then inject the substance into Rhone and Risinger's dialysis lines. When Clinton confronted Saenz, Saenz said she was cleaning an unused dialysis machine, and used a syringe to get a precise measurement–a method that was contrary to DaVita corporate policy. The bucket Saenz was using, as well as the syringes, tested positive for bleach. Police were called in, and the clinic was shut down for two months. After several other syringes used by Saenz tested positive for bleach, she was fired the following day. Her nursing license was subsequently suspended. Saenz then applied to work as a receptionist in a Lufkin medical office, in violation of her bail. Research by an epidemiologist at the Centers for Disease Control and Prevention revealed that Saenz had been present at every incident in April at which someone died. A search of Saenz' hard drive revealed Google searches for information about whether bleach could kill. When questioned by police, Saenz mentioned her use of bleach to clean lines before detectives mentioned bleach. She claimed that no measuring cups were available, so she had to use a syringe to measure the bleach. She was subsequently arrested on charges of five counts of
capital murder Capital murder was a statutory offence of aggravated murder in Great Britain, and Northern Ireland, and the Republic of Ireland, which was later adopted as a legal provision to define certain forms of aggravated murder in the United States. In som ...
and five counts of
aggravated assault An assault is the act of committing physical harm or unwanted physical contact upon a person or, in some specific legal definitions, a threat or attempt to commit such an action. It is both a crime and a tort and, therefore, may result in crim ...
with a deadly weapon. According to one of Saenz' co-workers, Candace Lackey, Saenz had expressed dislike for a number of patients, all of whom either died or coded. Another coworker, Sharon Dearmon, recalled that Saenz went on a cigarette break after tending to a patient, Opal Few. Soon afterward, Few coded, but Saenz refused to rush over to tend to her. Despite the damning forensic evidence, as well as eyewitness accounts, police and Angelina County prosecutors initially feared they did not have enough for a conviction. At first, they were at a loss to prove that the bleach had indeed gone from the patients' dialysis lines into their bloodstreams. At the time, little research had been done on how to detect bleach in blood. However, Mark Sochaski, an analytical chemist and bioterrorism expert, was developing a test for measuring chlorine exposure by measuring the presence of chlorotyrosine, an amino acid formed from exposure to chlorinating agents such as bleach. Angelina County officials contacted Sochaski, who tested several samples sent to him by investigators. Nine samples contained chlorotyrosine peaks that could only be explained by exposure to bleach. According to Sochaski, when the bleach entered the patients' bloodstream, it caused them to enter hemolysis, a process in which the red blood cells explode and release iron. This led to cardiac arrest and death.


Conviction

On March 31, 2012, an Angelina County jury convicted Saenz of murdering five patients and injuring five others. Prosecutors sought the death penalty, but on April 2, 2012, Saenz was sentenced to five concurrent terms of
life imprisonment Life imprisonment is any sentence of imprisonment for a crime under which convicted people are to remain in prison for the rest of their natural lives or indefinitely until pardoned, paroled, or otherwise commuted to a fixed term. Crimes for ...
without the possibility of parole for the five murders, plus three consecutive 20-year sentences for aggravated assault. The five murder victims were Clara Strange, Thelma Metcalf, Garlin Kelley, Cora Bryant, and Opal Few. District Attorney Clyde Herrington believed more victims existed than just the 10 indicted cases, based on CDC research. The CDC epidemiologist statistically connected Saenz to other adverse health events. Lufkin Police detectives could only obtain
medical waste Biomedical waste or hospital waste is any kind of waste containing infectious (or potentially infectious) materials. It may also include waste associated with the generation of biomedical waste that visually appears to be of medical or laboratory ...
from two weeks prior to April 28, 2008, so the evidence was inadequate to raise further indictments against Saenz. At the victim impact statement portion of the trial, the daughter of victim Thelma Metcalf told Saenz, "You are nothing more than a psychopathic serial killer. I hope you burn in hell". Saenz's defense team appealed to Twelfth Court of Appeal of Texas, but the appeal was denied. Saenz, Texas Department of Criminal Justice #01775033, is serving her sentence at Mountain View Unit in Gatesville, Texas.


See also

*
List of serial killers in the United States A serial killer is typically a person who kills three or more people, with the murders taking place over more than a month and including a significant period of time between them. The Federal Bureau of Investigation (FBI) defines serial murder a ...


References

{{DEFAULTSORT:Saenz, Kimberly Clark 1973 births 2008 murders in the United States 20th-century American women 20th-century American people 21st-century American women American female serial killers American nurses American people convicted of assault American women nurses Angelina College alumni Living people Medical serial killers Nurses convicted of killing patients People convicted of murder by Texas People from Lufkin, Texas Poisoners Prisoners sentenced to life imprisonment by Texas Serial killers from Texas