Kimberly Clark 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 provides direct nursing care for people who are sick, injured, convalescent, or disabled. In the United States, LPNs work under the direction of physicia ...
and a
convicted In law, a conviction is the determination by a court of law that a defendant is guilty of a crime. A conviction may follow a guilty plea that is accepted by the court, a jury trial in which a verdict of guilty is delivered, or a trial by jud ...
serial killer A serial killer (also called a serial murderer) is a person who murders three or more people,An offender can be anyone: * * * * * (This source only requires two people) with the killings taking place over a significant period of time in separat ...
. 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 po ...
center by injecting
bleach Bleach is the generic name for any chemical product that is used industrially or domestically to remove color from (i.e. to whiten) fabric or fiber (in a process called bleaching) or to disinfect after cleaning. It often refers specifically t ...
into their dialysis lines.


Background

Saenz was born in
Fall River, Massachusetts Fall River is a city in Bristol County, Massachusetts, United States. Fall River's population was 94,000 at the 2020 United States census, making it the List of municipalities in Massachusetts, tenth-largest city in the state, and the second- ...
as Kimberly Fowler. Kim attended Central ISD in
Pollok, Texas Pollok is an unincorporated community in Angelina County, Texas, United States. According to the Handbook of Texas, the community had a population of 300 in 2000. It is located within the Lufkin, Texas micropolitan area. The ZIP Code is 75969. ...
(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 boyfriend and gave birth to her son that same year. 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 Angelina College is a public community college with its main campus in Lufkin, Texas. It has nine off-campus centers in Crockett, Hemphill, Jasper, Livingston (Polk County Center), Nacogdoches, Pineland (Sabine Center), San Augustine, T ...
in Lufkin, Texas to earn her 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 fully synthetic opioid pain medication of the phenylpiperidine class. Synthesized in 1938 as a potential anticholinergic agent by the German chemist Ot ...
(which was found in her
handbag A handbag, commonly known as a purse in North American English, is a handled medium-to-large bag used to carry personal items. It has also been called a pocketbook in parts of the U.S. Terminology The term "purse" originally referred to a smal ...
) 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 A prescription drug (also prescription medication, prescription medicine or prescription-only medication) is a pharmaceutical drug that is permitted to be dispensed only to those with a medical prescription. In contrast, over-the-counter drugs ca ...
. She had been arrested for
public intoxication Public intoxication, also known as "drunk and disorderly" and "drunk in public", is a summary offense in certain countries related to public cases or displays of drunkenness. Public intoxication laws vary widely by jurisdiction, but usually requ ...
and criminal
trespass Trespass is an area of tort law broadly divided into three groups: trespass to the person (see below), trespass to chattels, and trespass to land. Trespass to the person historically involved six separate trespasses: threats, assault, battery ...
after a 2007 domestic disturbance with her husband, though the two later reconciled.


Murders and investigation

In the spring of 2008, DaVita's Lufkin clinic had an unusual spike in patients falling seriously ill during treatment. Emergency Medical Services had been called to the clinic 30 times in April, during the previous 15 months there had only been two such calls. 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. Heparin is a blood anticoagulant that increases the activity of antithrombin. It is used in the treatment of myocardial infarction, ...
blood thinner An anticoagulant, commonly known as a blood thinner, is a chemical substance that prevents or reduces the coagulation of blood, prolonging the clotting time. Some occur naturally in blood-eating animals, such as leeches and mosquitoes, which he ...
; other patients were going into
cardiac arrest Cardiac arrest (also known as sudden cardiac arrest CA is when the heart suddenly and unexpectedly stops beating. When the heart stops beating, blood cannot properly Circulatory system, circulate around the body and the blood flow to the ...
. The spike in Emergency Medical Service 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 communicati ...
. 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. 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 Epidemiology is the study and analysis of the distribution (who, when, and where), patterns and determinants of health and disease conditions in a defined population, and application of this knowledge to prevent diseases. It is a cornerstone ...
at the
Centers for Disease Control and Prevention The Centers for Disease Control and Prevention (CDC) is the National public health institutes, national public health agency of the United States. It is a Federal agencies of the United States, United States federal agency under the United S ...
revealed that Saenz had been present at every incident in April at which someone died. A search of Saenz' hard drive revealed
Google Google LLC (, ) is an American multinational corporation and technology company focusing on online advertising, search engine technology, cloud computing, computer software, quantum computing, e-commerce, consumer electronics, and artificial ...
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 refers to a category of murder in some parts of the US for which the perpetrator is eligible for the death penalty. In its original sense, capital murder was a statutory offence of aggravated murder in Great Britain, Northern Irela ...
and five counts of
aggravated assault In the terminology of law, an assault is the act of causing physical harm or unwanted physical contact to another person, or, in some legal definitions, the threat or attempt to do so. It is both a crime and a tort and, therefore, may result ...
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 Chlorine is a chemical element; it has Symbol (chemistry), symbol Cl and atomic number 17. The second-lightest of the halogens, it appears between fluorine and bromine in the periodic table and its properties are mostly intermediate between ...
exposure by measuring the presence of chlorotyrosine, an
amino acid Amino acids are organic compounds that contain both amino and carboxylic acid functional groups. Although over 500 amino acids exist in nature, by far the most important are the 22 α-amino acids incorporated into proteins. Only these 22 a ...
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 Hemolysis or haemolysis (), also known by #Nomenclature, several other names, is the rupturing (lysis) of red blood cells (erythrocytes) and the release of their contents (cytoplasm) into surrounding fluid (e.g. blood plasma). Hemolysis may ...
, a process in which the
red blood cell Red blood cells (RBCs), referred to as erythrocytes (, with -''cyte'' translated as 'cell' in modern usage) in academia and medical publishing, also known as red cells, erythroid cells, and rarely haematids, are the most common type of blood cel ...
s 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
life imprisonment Life imprisonment is any sentence (law), sentence of imprisonment under which the convicted individual is to remain incarcerated for the rest of their natural life (or until pardoned or commuted to a fixed term). Crimes that result in life impr ...
without the possibility of
parole Parole, also known as provisional release, supervised release, or being on paper, is a form of early release of a prisoner, prison inmate where the prisoner agrees to abide by behavioral conditions, including checking-in with their designated ...
for the five murders, plus three consecutive 20-year sentences, totalling sixty years, 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 generated during the treatment of humans or animals as well as during research involving biologics. It may also include waste ass ...
from two weeks prior to April 28, 2008, so the evidence was inadequate to raise further
indictment An indictment ( ) is a formal accusation that a person has committed a crime. In jurisdictions that use the concept of felonies, the most serious criminal offense is a felony; jurisdictions that do not use that concept often use that of an ind ...
s against Saenz. At the
victim impact statement A victim impact statement is a written or oral statement made as part of the judicial legal process, which allows crime victims the opportunity to speak during the sentencing of the convicted person or at subsequent parole hearings. Overview One ...
portion of the trial, the daughter of victim Thelma Metcalf told Saenz, "You are nothing more than a
psychopathic Psychopathy, or psychopathic personality, is a personality construct characterized by impaired empathy and remorse, along with bold, disinhibited, and egocentric traits. These traits are often masked by superficial charm and immunity to s ...
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 The Texas Department of Criminal Justice (TDCJ) is a department of the government of the U.S. state of Texas. The TDCJ is responsible for statewide criminal justice for adult offenders, including managing offenders in state prisons, state jails ...
#01775033, is serving her sentence at
Patrick O'Daniel Unit Patrick L. O'Daniel Unit (formerly the Mountain View Unit) is a Texas Department of Criminal Justice prison housing female offenders in Gatesville, Texas. The unit, with about of land, is located north of central Gatesville on Farm to Marke ...
(formerly Mountain View Unit) in
Gatesville, Texas Gatesville is a city in and the county seat of Coryell County, Texas, United States. Its population was 16,135 at the 2020 census. The city has five of the nine prisons and state jails for women operated by the Texas Department of Criminal Justice ...
.


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 murdering patients People convicted of murder by Texas People from Lufkin, Texas Poisoners Prisoners sentenced to life imprisonment by Texas Serial killers from Texas American people convicted of murder