Pittsburgh (AP) -- The pain clinic tucked into the corner of alow-slung suburban strip mall was an open secret.

Patients would travel hundreds of miles to see Dr. AndrzejZielke, eager for what authorities described as a steady flow ofprescriptions for the kinds of powerful painkillers that ushered the nation into itsworst drug crisis in history.

At least one of Zielke's patients died of an overdose, andprosecutors say others became so dependent on oxycodone and otheropioids they would crowd his office, sometimes sleeping in thewaiting room. Some peddled their pills near tumble-down storefrontsand on blighted street corners in addiction-plagued parts ofAllegheny County, where deaths by drug overdose reached recordlevels last year.

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