The case of James Ryan, a Maryland oral surgeon, has gained significant attention as he faces serious allegations related to the overdose death of his girlfriend, beauty queen Sarah Harris. Prosecutors claim that Ryan administered anesthesia drugs to Harris in a controlling manner, leading to her tragic demise. The incident has sparked discussions about the ethics and conduct of medical professionals, particularly in intimate relationships. CBS's '48 Hours' has aired an episode investigating the details surrounding Harris's death and Ryan's subsequent conviction for what has been described as 'depraved heart' murder. The program highlights chilling text messages sent by Ryan to Harris, raising questions about the true circumstances behind her death and whether Ryan's actions constituted murder or were simply a tragic outcome of substance use.