Anesthesiologist - How Propofol probably killed MJ

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Comments

  • klien said mike was a drug addict

  • Pardon me, i hadn't realised that you made the initial comment before the official autopsy/toxicology reports were out. However, now that they are out, would you say that the evidence in there is valid/invalid? If it is invalid, how so?

    Murray could still win the case if his lawyers do not present the incriminating evidence properly, or if there is not enough evidence to convict him of said charge. Or if the police contaminated evidence. Does not mean he did not do it, particularly as he admitted to being there and administering. In fact, i am so interested in what is going to be his defence now that he pleaded not guilty. There is so much evidence against him involving negligence that I don't see how he can form a defence, but he obviously thinks he can. An eye-opener.

    But the thing is, correct me if I´m wrong, that we don´t KNOW if any real official autopsy/toxicology reports are out at all. The same for CM admitting anything, no direct source, just news agencies stating so. About him being negligent, I cannot see any proof, maybe signs, but not evidences.

    QuirkyDiana, I love to share our opinions, but yours and mine are so far by now. I mean, I still don´t discard Murray being an actor (this is an HOAX site), and I think mass media sources usually lie, or mislead, so understand that to my point of view I can´t see those evidences, which is not the same that I deny him being dead, killed or murdered.

    Time will say, and of course this trial is very important for that.
  • klien saw mike 3 days before he died(?) on 22/06/09

  • @the arabian nights, wrong link, excuse me...
  • RavenRaven Posts: 709
    This article you posted gives one possibility the anesthesiologist could think of. That a patient with a strong heart like Michael would have to be down for a long time for resuscitation not to be able to be succesfull anymore. So EITHER he had a high chance of success of being revived (!) OR he was down for a long time as the anesthesiologist says.

    This is what has been bothering me too, however I do not believe he was already dead in the ambulance. Why? Because the ambulance picture does not seem fake to me. On the picture he is intubated with an ETT, meaning rigor mortis had not set in yet. Rigor mortis starts to set in about 3 hours after death, the jaw will become stiff when that happens so it will be very difficult to intubate. Another thing, there is a huge vein visible on his forehead. That implies bloodpressure is still present to "pump up" that vein.

    Meaning he arrived at UCLA with high chances of getting resuscitated. On top of that, UCLA is specialised in resuscitation. So if there is any place where they could have resuscitated Michael, it would have been there. This is the other explanation than which the anesthesiologist of the article gives: they DID manage to resuscitate him, as it IS unlikely they would not have succeeded reviving him.

    If they DID manage to revive him, it would turn into a murder attempt case, a conspiracy as they had predicted for such a long time. From there on it would be speculating what happened. They could have given him official protection, for instance within a witness protection program (WPP), with a new identity. In that case, it is not custom that many people know about it but only as few as possible, a handful of people, will be involved. That would mean only a very few familymembers and/or inner circle ones and a few officals; NOT the entire coroners office, NOT the entire LAPD department, NOT the entire UCLA, NOT all Michaels friends, NOT all of AEG or NOT all of SONY, NOT whole of Hollywood.

    From there on, there would still be an investigation into an attempted homocide/murder case, which is what has been happening, and prosecution. Not for murder, but attempted murder.

    But as @QuirckyDiana mentioned above, there are some hurdles to this. One is the autopsy report. If he went into a WPP and received a new identity, would they go so far as to forge an autopsy report? They could use his medical files to create a forged AR. If they tested in the hospital if he was poisoned, they could also use the labresults to create it. However the AR is very detailed, many things that simply can not be done on a life body. Would they go that far as to forge an AR for a WPP?
  • I´m trying to read the affidavit now again.

    http://www.aolcdn.com/tmz_documents/0824_murray_search_warrant_2.pdf

    It´s really hard to examine to me, as I´m not a lawyer, and I´m not from the states.
    Even I don´t understand quite well who is this affidavit from or even if I understood well what´s an affidavit there.

    I though we we talking about a Murray´s sworn statement, but I see it´s something like an agent who swears that other agent swears that Murray said to him. Mmm.

    On the other hand, I miss something of continuity in the shape of this document, headers lacking, page numbering disorder... just without getting into the content itself. As for instance, I still don´t understand why a cardiologist would perform a CPR in a person which is not breathing, is not conscious, but has low pulse, low but has.
    Isn´t it counterproductive in a person with pulse?
    Someone knows this for shure here, please?
  • @Raven.. my thoughts now on this are:

    The ambulance picture is a fake. It was photoshopped because they didnt get a clean shot, so they made one up for money.

    I think Michael was down for a long time. Thats why he wasnt revivable, He had a healthy heart so it stands to reason if CPR was applied quickly and properly - he would have been saved.
    I know this because i have had someone have a heart attack in front of me. Ive seen what happens and what the paramedics do. I know there is only 3 minutes from when someone stops breathing before it becomes near impossible to bring them back.

    He was down a long time and CPR was not administered. Murray was either not there.. or he waited until he knew MJ was gone.
    I think Murray wasnt there myself. He found MJ too late.

    Im beginning to get a bit of peace in my heart because i am understanding more of what is going on.

    A small part of me believes in the hoax... a larger part of me now believes Michael died and people are covering their tracks.
  • @Raven.. my thoughts now on this are:

    The ambulance picture is a fake. It was photoshopped because they didnt get a clean shot, so they made one up for money.

    I think Michael was down for a long time. Thats why he wasnt revivable, He had a healthy heart so it stands to reason if CPR was applied quickly and properly - he would have been saved.
    I know this because i have had someone have a heart attack in front of me. Ive seen what happens and what the paramedics do. I know there is only 3 minutes from when someone stops breathing before it becomes near impossible to bring them back.

    He was down a long time and CPR was not administered. Murray was either not there.. or he waited until he knew MJ was gone.
    I think Murray wasnt there myself. He found MJ too late.

    Im beginning to get a bit of peace in my heart because i am understanding more of what is going on.

    A small part of me believes in the hoax... a larger part of me now believes Michael died and people are covering their tracks.

    Oh, please don't say that! The thing is I'm probably feeling the same way as you but I'm scared that I won't admit it to myself... <!-- s:? -->:?<!-- s:? --> I want it so much to be a hoax but of course, I don't let it overshadow my judgement. I know I have to stay objective and the AR has been a very difficult element for me in all of this, it just seems like so much hassle to go through if it was indeed a hoax.

    What makes me abit confused is that Michael would ask Murray (if we were to believe the reports) for propofol probably knowing Murray's not an expert in that field but instead he's a cardiologist. We've also heard that Michael had been given propofol (assuming that this is true) before e.g. while touring, which would probably mean that he knew what kind of monitoring equipment would be needed for it to be safe to use yet such equipment was not found. As we've discussed on this thread, it seemed like Michael had a strong healthy heart so why would he go and hire a cardiologist?! I'm not trying to state what Michael would or would not do but do these things not seem odd to you? Would Michael be so careless/reckless about his life, especially when he has 3 young kids? This will sound horrible but I personally believe that if Michael hadn't been someone who's very strong and concerned about his safety he would have been gone way sooner than 2009... But I'm just speculating and perhaps Michael was very depressed during these later years and depression knows no logic.
  • cm was known to the family - though they are silent on this, and i have read that he assisted mike's children and was also working for mike for 3 years, but i dont know about that - i mean did he go to dubai or ireland (possibly not)

    he was not hired i think because of his specialism but because he was known and trusted

    but mike was supposed to have questioned this with Klein

    @ dancingthdream - i have read that cm had actually left the building
  • @dancing the dream what about the other hoax points - the helipoter, this has not been debunked yet - this one is fundamental to me - unless it was a double - this must be mike (?) moving

    are you beginning to think that there was a murder plot or incompetence?
  • cm was known to the family - though they are silent on this, and i have read that he assisted mike's children and was also working for mike for 3 years, but i dont know about that - i mean did he go to dubai or ireland (possibly not)

    he was not hired i think because of his specialism but because he was known and trusted

    but mike was supposed to have questioned this with Klein

    @ dancingthdream - i have read that cm had actually left the building

    And we've also been told Murray was supposed to go with Michael to London even though he hasn't got a licence to practice there which also seems very strange... Does anyone know the process of getting a medical licence in the UK, is it difficult (assuming you're doctor that is)? I too believe (as Dancingthedream) the most simple answer to all of this might be that Murray accidentally killed Michael and now he's trying to cover his tracks, even though it pains me immensly to actually say it/write it <!-- s:cry: -->:cry:<!-- s:cry: --> I'm not sure what to think about TINI and theories about AEG and SONY involvement... I mean that Samantha girl says Michael wasn't looking healthy and that he spoke to them about his concerns. I still can't understand why Michael would go and tell fans that <!-- s:? -->:?<!-- s:? --> I've also been in contact with fans, that I don't believe are "followers" of TINI and neither know about hoax theories, who met Michael just days before his "death" and they say he looked healthy and seemed excited and happy... Don't know what to believe it's all doing my head in but of course it could also be a matter of difference in perception. I still haven't made up my mind of what to believe, too difficult with so many unanswered questions. All I know is that I MISS YOU AND LOVE YOU MICHAEL and this state of confusion is exhausting my mind and my heart <!-- s:( -->:(<!-- s:( -->
  • sweet heart do your home work - dont get confused - delay that thought til after your exams
  • sweet heart do your home work - dont get confused - delay that thought til after your exams

    HAHAH! You're too sweet and boy are you right! Look here I am again, my 3rd time today! Wish I wasn't such an obsessive person... <!-- s:oops: -->:oops:<!-- s:oops: -->
  • thats okay but say 15minutes for every hour so 45mins on homework /revision - ok

    just worried about you

    this is your time - babe

    your time

    make the most of it - you are the future <!-- s:D -->:D<!-- s:D -->

    i will stop the lectures now
  • How Much Propofol was Jackson Given:
    I just saw an interview posted on CNN. It was with an anesthesiologist and he claims (no surprise) that the amount of propofol in the body's system would have had negative results within 10 seconds after being administered refuting the statements that Dr Murray stayed there right after giving the drug. He also said that it's not likely that Dr Murray gave the propofol by IV - if he gave him the amount he claims. Here's the link to CNN.

    <!-- m -->http://www.cnn.com/video/#/video/crime/ ... =allsearch<!-- m -->
  • virgo75virgo75 Posts: 514
    How Much Propofol was Jackson Given:
    I just saw an interview posted on CNN. It was with an anesthesiologist and he claims (no surprise) that the amount of propofol in the body's system would have had negative results within 10 seconds after being administered refuting the statements that Dr Murray stayed there right after giving the drug. He also said that it's not likely that Dr Murray gave the propofol by IV - if he gave him the amount he claims. Here's the link to CNN.

    <!-- m -->http://www.cnn.com/video/#/video/crime/ ... =allsearch<!-- m -->


    As far as the amount of propofol given - that's debatable.

    Yesterday on TMZ live (either during or after the court hearing) - Harvey was taking questions and one thing he said was that the prosecution DOES NOT believe Murray's account on how much propofol was given.

    There have been other reports posted on here that the amount that was supposed to have been given would barely put a puppy to sleep.
  • QuirkyDianaQuirkyDiana Posts: 386
    Jackson was in asystole the whole time with paramedics. There are 2 non-shockable rhythms that do not respond to defibrillation with someone in cardiac arrest. They are asystole and pulseless electrical activity. Thet are both mentioned in MJ's case. MJ was in asystole for 30 mins approx while the paramedics attended at the house. They arrived at the hospital and his condition was unchanged (at 13.13 they arrived).

    Prognosis - The principal determining factor is the initially documented rhythm. People with ventricular fibrillation or pulseless ventricular tachycardia have 10-15 times greater chance of surviving than those suffering from pulseless electrical activity or asystole.

    The blood pressure issue is also very important. MJ had no blood pressure the whole time paramedics treated him - 30 mins. Epinephrine is a vasoconstrictor that would have helped constrict the vessels to create some pressure within his body. Failing to maintain blood pressure can result in inadequate blood flow to the brain.

    Arrested blood circulation prevents delivery of oxygen to the body. Lack of oxygen to the brain causes loss of consciousness, which then results in abnormal or absent breathing. Brain injury is likely if cardiac arrest goes untreated for more than five minutes. For the best chance of survival and neurological recovery, immediate and decisive treatment is imperative.

    At the hospital at 13.22, with their superior equipment, they got a rhythm. But MJ never regained a spontaneous pulse. Murray never told anyone MJ had propofol in his system.

    Cardiac arrest is a medical emergency that, in certain situations is potentially reversible if treated early. When unexpected cardiac arrest leads to death this is called sudden cardiac death (SCD). The treatment for cardiac arrest is cardiopulmonary resuscitation (CPR) to provide circulatory support, followed by defibrillation if a shockable rhythm is present. If a shockable rhythm is not present after CPR and other interventions, clinical death is inevitable.

    <!-- m -->http://en.wikipedia.org/wiki/Cardiac_arrest<!-- m -->
    <!-- m -->http://www.newsoftheworld.co.uk/news/76 ... -bars.html<!-- m -->
    <!-- m -->http://www.newsoftheworld.co.uk/news/76 ... apsed.html<!-- m -->
    <!-- m -->http://www.nda.ox.ac.uk/wfsa/html/u10/u1006_02.htm<!-- m --> (check out pages 3 and 4 also)
  • QuirkyDianaQuirkyDiana Posts: 386
    Regarding the protruding vein in the forehead - this is not indicative of blood pressure. Blood pressure is the arterial pressure.
  • just re-read the first post - why have we not heard more from anesthesiologists?
  • QuirkyDianaQuirkyDiana Posts: 386
    just re-read the first post - why have we not heard more from anesthesiologists?

    I'm in the UK, and at the time they knew about propofol, anaesthetists were all over the news reports here. In the US i believe the same was happening. It's all on youtube. But propofol is old news. When the trial gets going, you will hear it all again. I don't think anaesthetists would comment on the news unless they were asked. It is such a bizarre thing to use propofol at home, why would any doctor comment further? There is not much to discuss. However, i'm sure the prosecution have their medical witnesses all lined up.

    Here is something else;
    In a hospital or operating room, a Propofol overdose is treated by immediately ceasing the drug's infusion, then beginning respiratory and cardiac support while other drugs are administered to increase blood pressure, helping re-perfuse tissues with blood and oxygen until the drug is eliminated by the body and the patient regains consciousness. The time required to clear Propofol depends mainly on the amount of Propofol given and over what period of time as well as the ability of the patient's liver and kidneys to metabolize and eliminate the drug.

    By the way, did you know that MJ had uneven levels of propofol in his body?
  • Ok so propofol can kill.
    But is there any proof that Mike took that...? <!-- s8-) -->8-)<!-- s8-) -->

    Yes propofol kills. Any anesthetic can kill. That's one of the reasons surgery is risky. Some vets don't even want to use it unless absolutely necessary - like for cleaning teeth really well. And people die from it. You didn't hear about it before. Michael made it famous. People in the medical profession that have easy access to it take - they shoot up and die.

    Yes, that´s pretty obvious. I was just implying that this only proves preciselly JUST that propofol kills, not that Mike "died" from that, nor even that he took that.

    EXACTLY!!! You hit the nail on the head
  • JennieJennie Posts: 514
    just re-read the first post - why have we not heard more from anesthesiologists?

    I'm in the UK, and at the time they knew about propofol, anaesthetists were all over the news reports here. In the US i believe the same was happening. It's all on youtube. But propofol is old news. When the trial gets going, you will hear it all again. I don't think anaesthetists would comment on the news unless they were asked. It is such a bizarre thing to use propofol at home, why would any doctor comment further? There is not much to discuss. However, i'm sure the prosecution have their medical witnesses all lined up.

    Here is something else;
    In a hospital or operating room, a Propofol overdose is treated by immediately ceasing the drug's infusion, then beginning respiratory and cardiac support while other drugs are administered to increase blood pressure, helping re-perfuse tissues with blood and oxygen until the drug is eliminated by the body and the patient regains consciousness. The time required to clear Propofol depends mainly on the amount of Propofol given and over what period of time as well as the ability of the patient's liver and kidneys to metabolize and eliminate the drug.

    By the way, did you know that MJ had uneven levels of propofol in his body?

    <!-- s:? -->:?<!-- s:? --> What does that mean uneven levels of propofol in the body? How is that possible if even possible?
  • paula-cpaula-c Posts: 7,221
    This link posted on the previous forum, I think it is good to read again, this is the link;

    <!-- m -->http://thelastpsychiatrist.com/2009/08/michael.html<!-- m -->
  • QuirkyDianaQuirkyDiana Posts: 386
    This link posted on the previous forum, I think it is good to read again, this is the link;

    <!-- m -->http://thelastpsychiatrist.com/2009/08/michael.html<!-- m -->

    OK I'm going to reply to that, just not at this minute. There are several things wrong with that article and issues that the article fails to address.

    Yes, there were uneven levels of propofol in his body according to Harvey Levin - who said that his source was the coroner. Apparently the side of the body that was used for the propofol IV has LESS than the other side. Much can be read into that. Don't forget, when paramedics arrived there was no pulse, so no circulation. It appears that Murray attached a saline drip through the same point the propofol was administered before paramedics got there. I'm not sure if that has anything to do with the uneven levels of propofol. You would think the drip would have to have been in for some time to have altered any concentrations in the blood stream.

    I think some revelations are on the way. I get a feeling the Jackson's have nailed their medical evidence.
  • I did not read the report (I question the credibility of it) but I am wondering if they are implying a difference in propofol levels in venous blood compared to arterial blood and various body tissues (muscle, brain, adipose tissue)? My logic tells me there would naturally be a difference in all due to the rate of uptake per tissue and the metabolism of it.
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