This case involves the treatment of a 66-year-old female for injuries she sustained from a fall in her home. The woman fell down ten stairs and suffered chronic back pain as a result of the incident. Because the woman was unable to return to work, she also developed severe depression. The patient saw specialists in neurology, psychiatry, and pain medicine for symptom management. Over the course of her treatment, the patient was maintained continuously on 22 drugs. In spite of the volume of medications the patient had been prescribed, she received very little monitoring from any of her specialists. The woman suffered incidents of altered mental status but was never admitted to the hospital for evaluation. The patient was later found unresponsive and expired. It was determined that the cause of death was intoxication due to the combined effects of her antidepressants and her pain reliever.