Rescue squad member Ralph Mullins says she was on the wrong side of the road from Virginia all the way to the crash site in Pike County. He says she wouldn't stop.
Now people are looking for answers to why.
Authorities say it's a mystery how 61 year old Betty Joe Randolph ended up here in Pike County - 300 miles from her home in North Carolina.
Police say she was driving on the wrong side of the road on US-23.
Ralph Mullins saw her, and tried to stop her in his rescue truck.
“She slowed down at one time. She never came to a complete stop, just slowed down, and then pulled back out and stayed in the wrong lane,” Mullins said.
He estimates she was driving 65 miles an hour.
“When we would meet cars, and we met a bunch of cars, she would actually hit her brake and swerve to miss them, and then pull right back out,” Mullin said.
Her ride ended about 15 miles later when Mullins says she hit a car head on. She was dead at the scene.
No one knows how she got to this point.
Lincoln County, North Carolina Deputies say her family told them she was going to the grocery store at one o'clock and never came home.
Kentucky State Police say she had no drugs or alcohol.
North Carolina authorities don't know if she had any medical conditions.
Investigators say she has no known connections to Eastern Kentucky.
“She had left for the store early afternoon and then later that night she turned up here in Kentucky. We don't have any other information at this time,” Trooper Scott Hopkins said.
Investigators say we may never know why she was here.
The two people in the other car were airlifted to West Virginia and Tennessee hospitals with injuries.
Despite Randolph's death, Kentucky State Police are still investigating what she was doing here.