A 50-year-old dentist and oral surgeon in Maryland will spend more than four decades behind bars for killing his 25-year-old girlfriend who fatally overdosed on addictive anesthesia medications administered through an at-home IV station the doctor had set up for her in the rental house they shared. State Circuit Court Judge Cheryl A. McCally on Wednesday ordered James Michael Ryan to serve a sentence of 45 years in a state correctional facility, authorities announced.

As previously reported by Law&Crime, a Montgomery County jury in August deliberated for less than three hours before finding Ryan guilty of one count of second-degree depraved heart murder and one count of involuntary manslaughter in the death of Sarah Harris. He was also convicted on charges of possession with the intent to distribute midazolam and distribution of ketamine and diazepam.

Ryan had been facing a maximum sentence of 55 years in prison before Wednesday’s sentencing hearing, however, the state sentencing guidelines had been calculated at between 10 to 25 years, the Washington Post reported. McCally reportedly said she decided to far exceed those guidelines due to Ryan’s significant contribution to Harris’ death — providing her with the drugs stolen from his practice — as well as his exploitation of a position of power over the former beauty queen who began working for him for several years before her death. Prosecutors said that he “often administered” the drugs to Harris himself.

During the sentencing hearing, McCally reportedly recounted “the march to Sarah’s death,” emphasizing text messages showed Ryan on at least one occasion administered ketamine to Harris while she was asleep.

Federal prosecutors have asked a judge to increase the pending prison sentence for a Florida man who fled ahead of his sentencing hearing for felony convictions stemming from the Jan. 6 attack on the U.S. Capitol.

As Law&Crime previously reported, Christopher Worrell went missing in August days before he was supposed to report to court in Washington, D.C., for sentencing before U.S. District Judge Royce Lamberth. Lamberth, a Ronald Reagan appointee, had convicted Worrell in May of seven felonies, including obstructing an official proceeding of Congress, civil disorder, and assaulting officers using a dangerous weapon.

Worrell was finally caught weeks later, in late September — and according to a memo filed by federal prosecutors on Tuesday, he pretended to overdose on drugs in an attempt to further delay facing his fate.

“He apparently had no intention of ever turning himself in,” the DOJ’s supplemental sentencing memorandum says. “Worrell was recaptured, however, when he attempted to covertly return to his residence. Worrell then faked a drug overdose prior to his arrest, and maintained that lie during a five-day hospital stay, wasting the time and money of both medical staff and the Collier County Sheriff’s Office, which provided deputies to watch Worrell 24/7 in a non-secure hospital location and was left to foot the bill for Worrell’s unnecessary medical care.”