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The Rx Defense | Post Mortem

February 14, 2026 / 17:57

This episode discusses the case of Connor Hilton, who shot friends Ethan Riley and Benjamin Bleke in Texas on December 23, 2023. The episode features CBS News correspondent Tracy Smith, who provides insights into the defense strategy claiming that Accutane altered Hilton's behavior. Key discussions include the effects of Accutane, the defense's expert testimony, and the prosecution's counterarguments.

Tracy Smith explains that Connor's defense team argued that his prescription medication caused him to have uncontrollable homicidal thoughts. Dr. Doug Brener, a psychiatry expert, presented brain scans to support this claim, indicating reduced emotional regulation while on the medication. However, the prosecution countered with studies showing no increased risk of violent behavior from Accutane.

The episode highlights the tragic impact of the shooting, particularly on Ethan's family, as he died from his injuries, while Benjamin survived. Benjamin's recovery and his reflections on the incident are shared, emphasizing his strong character and humor despite the trauma.

Connor's plea deal and the implications of his actions are discussed, including the victim impact statement from Benjamin, who expressed his ongoing pain and desire for justice. The episode concludes with a reflection on parental awareness regarding children's online behavior and the importance of communication.

TLDR

Connor Hilton shot his friends; defense claims Accutane altered his behavior, while the prosecution argues otherwise.

Episode

17:57
00:00:06
Welcome back to Postmortem. I'm your host, Ann Marie Green, and today we are discussing the case of 17-year-old
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Connor Hilton, who shot two of his friends, Ethan Riley and Benjamin Bleke, after they arrived at his home in Texas
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for scheduled hangout on December 23rd, 2023. Ben miraculously survived. But when
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Ethan died in the hospital, Connor was charged with murder and aggravated assault with a deadly weapon. And his
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defense that he was on a prescription acne medication called Accutane that completely altered his thoughts and
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behavior. So joining me today to talk about this fascinating case is CBS News correspondent Tracy Smith. Tracy, thank
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you so much for joining us. >> Hi Amarie, thanks for having me. Um, I want to remind the listeners if you
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haven't uh listened to this 48 hours episode, the audio version, head on over to your podcast feed. You can find the
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full audio version um just below this episode in the feed. Go take a listen and then come on back for this
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conversation. All right, Tracy, let us get into this very unique uh defense strategy.
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Connor's defense team found an expert in isot retinoid, which is the generic version of Accutane. And through this
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expert, Connor's defense team argued that Connor was driven to kill due to the side effects of Accutane,
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which the expert says caused Connor to have a recurrent homicidal ideiation that he simply wasn't able to control.
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Now, I know that Accutane comes with side effects and and sometimes those side effects can be, you know, quite
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powerful, but I never heard of anyone being driven to kill because of it. Yeah, I hadn't heard of it either. If
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you look at the label, the label does warn of risk of depression, psychosis, suicide, and aggressive or violent
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behaviors. And there have been other homicide cases that uh people have tried to use Accutane as a defense, but none
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of those have been successful. As a mom, I know kids who've been on Accutane, and
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it's a wonder drug for a lot of teenagers uh who struggle with acne and uh a lot of people are on this drug and
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don't suffer any severe adverse reactions. Um, and we did reach out to JG Pharma about this case and they did
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not respond to our requests for comment. They are the folks who uh distribute the
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Accutane that Connor Hilton was on at the time of the shooting. >> So then let's talk about the science
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that the defense's expert presented. What do we know about it? >> The defense's expert is Dr. Doug Brener
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and he's a professor of psychiatry and radiology at Emory University School of Medicine. And Dr. Brener says he's done
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extensive research on the drug isotenino which is the generic version of Accutane. He showed these brain scans
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where he says you can see the difference between the brain without isotenino and
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then the brain when someone is on isot retino. The scans show that there's less activity in part of the brain that
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regulates emotions when a person is on isotenino. And according to Dr. Brener. He believes that in Connor's case, he
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was suffering from a medication psychotic disorder at the time of the shooting. And it's important to note
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that Connor told Dr. Brenner that on the day of the shooting, he took double the
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prescribed dose of his acne medication. Okay. So, here's the thing, though. He had been taking this medication for a
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while. You spoke to his parents and you asked them whether or not they had seen any red flags in terms of his behavior.
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They didn't see any. Did anyone else see red flags? >> Yeah, they said they didn't, but uh the
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police spoke to his friends. I spoke to Ben and his friends said that that gun was out at the house all the time. It
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was not locked up where it was supposed to be. Um and he also said concerning things. Um, there's one story that
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Detective McCandless and also Ben's mom, Shannon, told me that a week before the
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shooting, the 15-year-old who was hiding in the bathroom on the night of the shooting, a week before the shooting,
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Connor had invited all of his friends over for to watch a movie, and the kids didn't want to watch a movie. And this
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15-year-old uh was sitting with Connor, and Connor turned to him, and according to the 15-year-old, Connor said, "Have
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you ever thought about killing one of your friends? Um, there are also social media posts
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that Connor had made that showed a fascination with murder. And in fact, his school uh received two anonymous
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reports from the same person about 8 months before the shooting um about these social media posts about murder.
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And they called in Connor's mother. They talked to Connor. They investigated and they determined that there was no
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threat. Um, we dug in to the timeline a little bit just to try to figure out if this fascination with murder happened
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after Connor went on Accutane and he did struggle with anxiety prior to going on
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Accutane. He didn't want to go to school, but Connor said this fascination with murder happened after he was on
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Accutane. Now, does that mean that there's a cause and effect here? The prosecution says absolutely not. acne
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medication has nothing to do with this horrific act that Connor committed. >> You know, Tracy, as I was watching the
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hour, that's kind of like one of the things that I was going back and and forth with, right? Um I I know that that
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there can be experts to argue almost anything, but I believe this expert that, you know, perhaps Accutane could
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have had these dire side effects. What I wasn't sure of was whether or not that could be a defense. And the prosecution
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sort of basically argued that, too. In fact, they argued against the science in in court. The prosecution um introduced
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a more recent study that found that I saw retinoid generic Accutane uh that that those users actually do not have
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increased risk of suicide or psychiatric conditions. And then the lead prosecutor
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told you that this case is simple. What she believes is that it's not a side effect from medication, that some people
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are just evil. You sat down with Connor um for an interview. I'm curious. I mean, how did he come across to you?
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>> You know, we talked to him right before he took the plea. At that point, when we
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spoke to him, um, he thought he was going to trial. So, he at the advice of his attorneys didn't talk a lot about
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what happened that night, but I feel like we really did get a sense of who he was. And one of the things that stuck
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out to me was he was almost unnervingly polite. um he would say yes ma'am and no
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ma'am. At one point he actually kind of stopped the interview to ask if I was feeling okay. I actually have a a clip
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of that. I had asked him um about his friends who he shot and this is what he said.
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>> Can you tell me anything about your friends about Ethan and Ben? [snorts] [snorts]
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>> I'm sorry. >> [snorts] >> All I'm going to say is that they were very good friends to me. [snorts] That's
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all I'm going to say. >> And you didn't have any disagreements with them? >> No, I never hated them. I never hated
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him. >> There was no argument. >> No, ma'am. >> How do you explain what happened?
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I don't know. Um I mean I just need a water break. Just a water break. >> Of course.
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>> I'm I'm sorry. >> It's okay. >> Yeah. Like are you okay? Am I not like freak out or anything?
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>> No, of course not. And it's understandable why you would get emotional. I >> I'm just worried about you. Like are you
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okay? I'm fine. [snorts] >> He's worried about you. >> Yeah, I'm just worried about you. Like,
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I don't know about you, Amarie, but I've never had someone say that to me in an interview before.
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>> Absolutely not. Clearly, you're asking him a very uncomfortable question, a question that he's struggling to answer.
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Um, and so I'm I'm trying to figure out if that response is, you know, kind of a
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authentic interest in what's going on with you or if it is a kind of a stalling tactic. But it reminds me a
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little bit of him in the police cruiser when he asks like the officer about how his Christmas is going.
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>> Yeah. Are you having a good Christmas? I mean, every time I see that, it I I gasp. It's just it's so unusual. And the
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detectives said when they brought [music] him down to the station right after that, it was the same sort of
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thing. This yes, sir, no, sir. um this remarkable politeness. Welcome back. Let's talk about the victims. After
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entering Connor's home, police find 18-year-old Ethan Riley and 19-year-old Benjamin Bleke. They're lying on the
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floor. Each of them have gunshot wounds to the head. Both miraculously still alive when first responders arrive at
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the scene. But Ethan later dies in the hospital. It is Christmas Eve. >> Yeah. I mean, the timing of this is just
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heartbreaking. Connor was released on bond for the first time the same day that Ethan died. So, it's hard to fathom
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what's going on here at Christmas time with these families. You have one family who has their son at home, the son who
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shot these two boys, and those two boys families are in the hospital. I want to talk about Ethan just a little bit. Um
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his parents described him as handsome, athletic, bold, good-hearted. Um they said he could carry a conversation with
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anyone. And it was interesting, it struck me that both his father and Ben in describing him used the word light.
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Um his dad said in court that he was full of love and light. And uh Ben when he was talking about Ethan to me, he
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said that this is the kind of guy who always looked at things in a positive light that he was just this outstanding
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guy. >> Um and we learn actually this is sort of like almost the highlight in the hour is
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that Ben survives and the way he's revealed as he sort of walks around the corner. Um it was shocking and thrilling
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and I mean if you've got to have like something kind of positive to hang on to there he was.
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>> Yeah. I mean walking miracle, right? And just um >> I feel so lucky to be able to sit with
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Ben and his mom and to see his remarkable recovery and also his sense of humor as I'm sure you got watching
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this hour. He has this astonishing sense of humor. um a quick story that his mom
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shared with me. Um when Ben couldn't talk, she had his friends put together a playlist of his favorite songs. Uh and
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she would listen to that when she was with Ben and a song from Toto. You know, I guess it rains down in Africa, Toto,
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comes on and Shannon, his mom, just bursts out laughing like this is ridiculous. And she looks over at Ben
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and he has a smile on his face and she just knows like my son is back. Like that sense of humor is intact. Um, you
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know, he has no memory of what happened that night. Um, but Ben is very crystal clear about why it happened and he says
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it has nothing to do with the acne medication. >> In fact, he called it he called the
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defense horsesh. >> Yeah. Yeah. Well, that's Yeah. He doesn't mince words. That's a little bit
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of his humor, too, there. >> I you know, I wonder if it's a blessing that she that he actually can't remember
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the details of that night. I wonder if it's actually helped him in terms of his recovery. Was Ben close to Connor?
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>> Ben wasn't super close to Connor, but he was friends with Connor through Ethan
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cuz Ben was super close to Ethan and Connor's house was kind of the hangout house. Um, so they would hang out as a
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group at Connor's house. Ben was a little bit older than the other guys. He was already taking college classes. Um,
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and that's another part of this tragedy is that he was so independent, uh, you know, really starting his life
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and his mom said it was like having a baby again that she just had to redo everything with him. He had to learn to
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walk, talk, swallow again, just starting it all over. So, you know, we learn about the defense
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that's coming, right? This the side effect of this very common medication. But then two weeks before Connor Hilton
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is set to stand trial, he ends up taking a plea deal. Uh prosecutors offered him
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50 years in prison if he pleaded guilty to murder and aggravated assault with a deadly weapon. Can you talk a little bit
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about that? Cuz when I heard 50 years, I I actually thought that didn't seem like
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much of a negotiation. That's, you know, it's a pretty hefty sentence. I I suppose it could have been worse. It
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could have been life. >> Here's the thing. When we were talking with Connor, they the attorneys had
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gotten had just gotten the plea deal and uh so as we're as I was leaving, they went into a conference room to talk
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about this plea deal. And uh yeah, it's it's a little surprising. In Texas, a defendant gets to choose if they want
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the jury to sentence them. And the sentencing guidelines for murder are pretty broad. They're between five and
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99 years or life. So you figure if he rolled the dice, he could and he came off as this polite, sympathetic kid,
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maybe he could have gotten a lighter sentence. So in this plea deal, he's eligible for parole in 25 years. If he
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would have rolled the dice and gotten a life sentence, he would have been eligible for parole in 30 years. So it's
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a difference of five years. So it is kind of surprising that he took the deal. And his parents told us that after
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sentencing that he called them and said he regretted taking it, but he agreed to
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this. He signed something saying he understood what he was doing. He waved his right to a trial. He waved his right
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to an appeal. >> Um Ben gave a victim impact statement at the plea hearing and he told Connor that
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he was never going to forgive him for the grief that he caused his own family and for the Riley's. He came across as
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very very strong, but it's it's clear that this has had quite an impact on Ben. Um I know you asked him how he was
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doing and I want to play some of that sound. >> Through this all, you've managed to so
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show such perseverance. You've been so strong through all of this. What has kept you going?
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>> I want to get back to where I was. >> What do you mean by that? What do you want to be able to do?
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>> I know it sounds dumb, >> but I want to dunk a basketball. >> That doesn't sound dumb. That basketball
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was so important to you. You want to be able to dunk. You were You could dunk before.
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>> Yeah. >> So, you want to be able to dunk again. >> You know, Tracy, sometimes we can be
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distracted by a person's presentation, right? His speech is a little slower. It's a little tougher for him to move
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his body. We can see in the hour, but when he speaks, I and I obviously never knew Ben until, you know, watching this,
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but you can almost see who he was before this when he speaks, you know. >> Oh, yeah. I so agree. I so agree. And
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and getting out and playing pickle ball with him really gave me a chance to see who he was, that strength. I mean, he he
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absolutely kicked my rear end um in pickle ball. And it's funny like that of all sports for this young guy to be
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into, but he started it in rehab. They had this group of other people who had suffered spinal injuries, brain
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injuries, and they would all get together to play and he really took to it. Um, so he's kept playing and he and
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his mom have actually joined a group of older people playing pickle ball and they joke that the older people beat
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them all the time, but my guess is that's not going to be for long. >> No, definitely not. um you know that I
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have a teenager at home and in watching this hour it really made me think you have to be on your teenagers all the
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time and I certainly have been guilty of I don't know everything that my kid looks up online. I'm constantly
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surprised by her awareness of things in the world. When I ask her where she got it from, she says social media or
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YouTube. Um but I just hope when parents watch this they realize like it is okay
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to be nosy. you know, get up in that get up in that computer and see what your kid is looking up and what they are
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writing on social media. >> That rings for me. I have teenagers, too. And that idea that we need to be on
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them and we need to sometimes be the parent and not the friend and say no has stayed with me.
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>> Yeah. Um well, I hope that this is one of the messages that people get when they watch the hours. I I'm glad that
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the victim's families and Ben did not have to go through a trial, but I would have been very interested in hearing the
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argument and counterargument and whether or not it would hold up as a defense. It's a very unique case. Tracy, thank
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you so much. >> Oh, my pleasure. Thanks for having me. >> If you like this episode, please rate
00:17:46
and review on Apple Podcast or Spotify.

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Episode Highlights

  • The Case of Connor Hilton
    A 17-year-old shot two friends during a hangout, leading to a controversial defense involving Accutane.
    “Connor's defense team argued he was driven to kill due to the side effects of Accutane.”
    @ 01m 17s
    February 14, 2026
  • Ben's Remarkable Recovery
    Ben, one of the victims, survives and showcases his sense of humor during recovery.
    “Ben called the defense horseshit, emphasizing it had nothing to do with medication.”
    @ 12m 02s
    February 14, 2026
  • The Impact of Social Media
    The case highlights the importance of monitoring teenagers' online behavior.
    “Parents need to be on their teenagers and check what they're looking up online.”
    @ 17m 20s
    February 14, 2026

Episode Quotes

  • I never heard of anyone being driven to kill because of it.
    The Rx Defense | Post Mortem
  • I want to dunk a basketball.
    The Rx Defense | Post Mortem
  • It's okay to be nosy.
    The Rx Defense | Post Mortem

Key Moments

  • Unique Defense Strategy01:17
  • Ben's Determination15:20
  • Parental Awareness17:20

Words per Minute Over Time

Vibes Breakdown