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Michael Jackson Autopsy Photo Shown in Conrad Murray Manslaughter Trial
By JIM AVILA (@JimAvilaABC) , KAITLYN FOLMER (@ABCKaitlyn) and JESSICA HOPPER (@jesshop23)
LOS ANGELES Oct. 11, 2011
Michael Jackson arrives for his child molestation trial at the Santa Barbara County Courthouse in Santa Maria, Calif., in this June 1, 2005 file photo. (Aaron Lambert/Pool/AP Photo)
A photo of a dead Michael Jackson was shown in court today while the doctor who performed an autopsy on the singer told jurors that it would have been nearly impossible for Jackson to have given himself a lethal dose of drugs.
"The circumstances from my point of view do not support self administration of propfol," said Los Angeles Deputy Medical Examiner Christopher Rogers.
Warning: Graphic Death Photo of Michael Jackson
Jackson died of a drug overdose of the powerful anesthetic propofol on June 25, 2009 after rehearsing for his comeback tour. Dr. Conrad Murray, Jackson's personal physician, could face four years of prison if convicted of involuntary manslaughter in the singer's death.
Rogers appeared to challenge the defense's theory that Jackson gave himself a lethal dose of drugs in the two minute time period that Murray claims he was away from Jackson in a nearby bathroom.
"In order for Mr. Jackson to administer the propofol to himself, you have to believe that he... woke up, although he was at least to some extent under the influence of other sedatives, he was able to administer propofol to himself," Rogers said.
Even if a drowsy, drugged Jackson was able to self-administer the propofol, Rogers said it still takes time for the drug to circulate throughout the body and for that all to happen in a two minute period would be difficult.
Jackson's propofol was being administered by IV drip into his leg. Rogers said that there was no white fluid resembling propofol in Jackson's throat, esophagus or stomach, debunking the possibility that the singer could have taken the propofol orally without Murray's knowledge.
During opening statements, Murray's defense attorney Ed Chernoff told jurors that Jackson gave himself a dose of propofol and the sedative lorazepam creating a "perfect storm" that killed the singer instantly.
"When Dr. Murray came into the room and found Michael Jackson, there was no CPR, there was no doctor, no paramedic, no machine that was going to revive Michael Jackson. He died so rapidly, so instantly, he didn't even have time to close his eyes," Chernoff said on Sept. 27.
Rogers said that Jackson's death is a homicide and that he died of acute propofol intoxication with a contributing effect from two sedatives also found in Jackson's system: lorazepam and midazolam.
In rejecting the defense argument that Jackson took the drug without his doctor's knowledge, Rogers indicated that it was more likely that Murray accidentally overdosed Jackson.
"The ultimate scenario would be in order to keep Mr. Jackson asleep, the doctor has to give a little bit [of propofol] from time to time, which in this case is going to add up to two or three tablespoons per hour to keep him asleep," Rogers said. "Now we did not find any precision dosing device which means that essentially the doctor would be estimating how much propofol he was giving to come up with two to three tablespoons per hour, and I think it would be easy to estimate wrong and give too much propfol."
Murray told police in a taped interview that he had given Jackson sedatives and propofol to help him sleep, something that the medical examiner criticized on the witness stand.
"The problem Michael Jackson was having was that he couldn't sleep and it's not appropriate to give propofol in that situation," he said.
Propofol is typically administered in a hospital setting through an IV and is sometimes called "milk" by addicts. Murray claims that he was trying to wean Jackson off the drug, but that Jackson begged for his "milk" on the day he died.
In addition to the potentially damning testimony about Jackson's mode of death, Rogers revealed details about the pop icon's health issues at the time he died. Rogers said that Jackson's overall health was good. While he was extremely thin at only 136 pounds, his Body Mass Index was still in the normal range and his heart was in good shape.
The 50-year-old singer was suffering from an enlarged prostate and vitiligo, Rogers said. Jackson had some chronic inflammation and swelling in his lungs as well as arthritis and a polyp on his colon. The king of pop also had an extra rib, the medical examiner noted.
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Zeugenaussagen belasten *****s Leibarzt schwer
Es sieht nicht gut aus für Michael Jacksons Leibarzt Conrad Murray: Im Prozess wegen fahrlässiger Tötung des Popstars wird der Herzspezialist als Arzt dargestellt, dem es nur ums Geld ging.
Der Prozess gegen den Herzspezialisten Conrad Murray in Los Angeles wegen fahrlässiger Tötung wurde am Dienstag fortgesetzt. Das Gericht verhandelt, ob der Leibarzt den Popstar Michael Jackson falsch medikamentierte, wie es die Staatsanwaltschaft behauptet, oder ob Jackson eigenmächtig eine zu starke Dosis Propofol nahm, um endlich einschlafen zu können, was Murrays Anwälte glauben machen wollen.
Fahrlässige Tötung oder selbst verschuldetes Ableben? Um Licht in diese Streitfrage zu bringen, wurde der Jury die Aufzeichnung einer Vernehmung Murrays durch die Polizei von Los Angeles vorgespielt, aufgenommen 48 Stunden nach dem Tod Jacksons. Am Freitag voriger Woche war bereits der Anfang dieses zweistündigen Gesprächs im Gerichtssaal eingespielt worden, das am 27. Juni 2009 in einem Hotel in Los Angeles in Anwesenheit von Ed Chernof, dem Chefverteidiger des Mediziners, durchgeführt wurde. Murray sagte darin, er habe Jackson vor dessen Tod von dem starken Propofol zu entwöhnen versucht. Am 25. Juni habe er ihm aber dann doch auf dessen intensive Bitte („Er war nicht fähig, normal zu schlafen“) eine geringe Menge des Sedativs, 25 Milligramm, verabreicht. Er, Murray, habe „für ungefähr zwei Minuten“ das Zimmer verlassen. „Ich kam zurück an sein Bett und war entsetzt, dass er nicht mehr atmete“, so der Arzt.
MURRAY HABE PFLICHT VERNACHLÄSSIGT
Doch Zeugenaussagen legen einen anderen Zeitablauf nahe. Danach hielt sich Murray bedeutend länger außerhalb des Schlafzimmers von Jackson auf, um mit zwei Geliebten zu telefonieren und Textnachrichten zu versenden. Zudem habe er eine E-Mail an den Veranstalter der bevorstehenden Michael-Jackson-Tournee geschickt.
Murray habe seine Pflichten als Arzt grob vernachlässigt, lautet denn auch der zentrale Vorwurf von Chefankläger David Walgren. Das Bild, das er zeichnet, ist das eines Arztes, dem es ums Geld ging. Vier Millionen Dollar habe er zunächst verlangt, als Jackson den Mediziner, der zuvor gelegentlich die drei Kinder des Weltstars bei leichten Erkrankungen behandelt hatte, für die Dauer seiner Tournee anheuern wollte. Murray wurde heruntergehandelt auf ein immer noch großzügiges Gehalt von 150.000 Dollar im Monat. Wäre die Tournee geplatzt, hätte Murray darauf verzichten müssen. Darum habe er in der Folge alle Hinweise auf die angegriffene Gesundheit des erschöpften Jackson als gegenstandslos abgetan.
MEHR ZUM THEMA
MORGENPOST ONLINE
Großformatgalerie: Der Prozess gegen Jacksons Leibarzt Conrad Murray
Michael Jackson bettelte vor seinem Tod um "Milch"
Zeugen werfen Jackson-Arzt Murray schwere Fehler vor
Der Arzt selbst habe dem Sänger und Tänzer, der am Tag vor seinem Tod eine strapaziöse Probe für die geplanten Auftritte absolvierte, die tödliche Dosis Propofol verabreicht. Danach habe er auf die bei einem derart starken Narkosemittel notwendige akribische Überwachung seines Patienten verzichtet.
Belastend für Murray, dem im Fall eines Schuldspruchs vier Jahre Haft drohen, sind etliche Aussagen. Jacksons Leibwächter Alberto Alvarez gab im Zeugenstand an, Murray habe ihn zunächst Medikamente und Ampullen rund um Jacksons Bett in Taschen packen lassen und danach erst aufgefordert, den Notruf 911 zu tätigen. Dieser Anruf erfolgte erst 22 Minuten, nachdem Murray den persönlichen Assistenten von Jackson angerufen und dringlich gebeten hatte, sofort in die Villa zu kommen.
ARZT VERSCHWIEG PROPOFOL-EINNAHME
Murray selbst sagte in seiner Vernehmung durch die LAPD-Polizisten aus, er habe den Notruf nicht selbst durchgeführt, weil er den „Zip-Code“, die zum Jackson-Anwesen gehörende US-Postleitzahl, nicht gekannt habe.
Im Krankenhaus bat Murray die Ärzte inständig, „nicht früh aufzugeben und hart zu kämpfen“ für die Reanimation seines „Freundes“ Michael Jackson. Doch er verschwieg den Kollegen, dass der Künstler Propofol, in welcher Menge auch immer, genommen hatte.
All das wirft kein gutes Licht auf den Mediziner, der vor den Polizisten angab, Paris, die Tochter von Michael Jackson, habe an sein Bemühen um das Überleben des Vaters geglaubt. Er habe sein Bestes gegeben, habe er ihr gesagt. Die damals Elfjährige habe ihm weinend geantwortet: „Ich weiß, Sie haben alles versucht, aber ich bin wirklich traurig. Wissen Sie, morgen werde ich aufwachen und ich werde meinen Vater nicht mehr sehen können.“
Kommentar
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Warum verschwieg Michael Jacksons Arzt Murray die Gabe eines Narkotikums? Im Prozess um den Tod des "King of Pop" wurde eine Vernehmung Murrays vom Band eingespielt.
Murray verschwieg Notärzten Jacksons Propofol-Dosis
Warum verschwieg Michael Jacksons Arzt Murray die Gabe eines Narkotikums? Im Prozess um den Tod des "King of Pop" wurde eine Vernehmung Murrays vom Band eingespielt.
Michael Jackson lebt, er lebt nicht nur in seiner Musik, sondern als reale Person in dieser Welt – davon ist zumindest Sharon Sidney überzeugt, die als eingeschworener Fan des „King of Pop“ den Prozess gegen dessen Leibarzt Conrad Murray in Los Angeles verfolgt.
1 von 36
Der Prozess gegen Jacksons Leibarzt Conrad Murray
FOTO: DAPD/DAPD
Der Prozess um die Schuld am Tod Michael Jacksons geht in die dritte Woche. Die Miene des ehemaligen Leibarztes von Jackson, Conrad Murray, war in den zurückliegenden Prozesstagen oft wie versteinert.
Michael Jackson, den sie 2004 bei einer Ehrung in Indiana kennen lernte, bei der sie eröffnende Worte sprechen durfte, sei keineswegs an einer Überdosis des Narkosemittels Propofol gestorben, erzählt Sidney außerhalb des Gerichtsgebäudes Journalisten. Er sei vielmehr entführt worden, werde an unbekanntem Ort gefangen gehalten und gezwungen, weitere Hits zu produzieren.
Die Ankläger und Verteidiger von Murray halten sich mit derartigen Theorien auch in der am Dienstag begonnenen dritten Prozesswoche nicht auf.
Ihnen geht es um die Frage, ob der Leibarzt den Künstler falsch medikamentierte, wie es die Staatsanwaltschaft behauptet, oder ob Jackson eigenmächtig eine zu starke Dosis Propofol nahm, um nach einer durchwachten Nacht endlich einschlafen zu können, was Murrays Anwälte glauben machen wollen.
Fahrlässige Tötung oder selbst verschuldetes Ableben? Um Licht in diese Streitfrage zu bringen, wurde der Jury die Aufzeichnung einer Vernehmung Murrays durch die Polizei von Los Angeles vorgespielt, aufgenommen 48 Stunden nach dem Tod Jacksons.
"Ich war entsetzt, dass er nicht mehr atmete“
Am Freitag voriger Woche war bereits der Anfang dieses zweistündigen Gesprächs im Gerichtssaal eingespielt worden, das am 27. Juni 2009 in einem Hotel in Los Angeles in Anwesenheit von Ed Chernof, dem Chefverteidiger des Mediziners, durchgeführt wurde.
VIDEO
Toxikologe belastet Jackson-Arzt Murray
Murray sagte darin, er habe Jackson vor dessen Tod von dem starken Propofol zu entwöhnen versucht. Am 25. Juni habe er ihm aber dann doch auf dessen intensive Bitte eine geringe Menge des Sedativs, 25 Milligramm, verabreicht. Er, Murray, habe „für ungefähr zwei Minuten“ das Zimmer verlassen. „Ich kam zurück an sein Bett und war entsetzt, dass er nicht mehr atmete“, so der Arzt.
Doch Zeugenaussagen legen einen anderen Zeitablauf nahe. Danach hielt sich Murray bedeutend länger außerhalb des Schlafzimmers von Jackson auf, um mit zwei Geliebten zu telefonieren und Textnachrichten zu versenden.
Zudem habe er eine E-Mail an den Veranstalter der bevorstehenden Michael-Jackson-Tournee geschickt. Murray habe seine Pflichten als Arzt grob vernachlässigt, lautet denn auch der zentrale Vorwurf von Chefankläger David Walgren. Das Bild, das er zeichnet, ist das eines Arztes, dem es ums Geld ging.
Wäre die Tournee geplatzt, hätte Murray kein Gehalt bekommen
Vier Millionen Dollar habe er zunächst verlangt, als Jackson den Mediziner, der zuvor gelegentlich die drei Kinder des Weltstars bei leichten Erkrankungen behandelt hatte, für die Dauer seiner Tournee anheuern wollte. Murray wurde heruntergehandelt auf ein immer noch großzügiges Gehalt von 150.000 Dollar im Monat.
Wäre die Tournee geplatzt, hätte Murray darauf verzichten müssen. Darum habe er in der Folge alle Hinweise auf die angegriffene Gesundheit des erschöpften Jackson als gegenstandslos abgetan.
VIDEO
Ist Jacksons Leibarzt schuld am Tod des "King of Pop"?
Der Arzt selbst habe dem Sänger und Tänzer, der am Tag vor seinem Tod eine strapaziöse Probe für die geplanten Auftritte absolvierte, die tödliche Dosis Propofol verabreicht. Danach habe er auf die bei einem derart starken Narkosemittel notwendige akribische Überwachung seines Patienten verzichtet.
Belastend für Murray, dem im Fall eines Schuldspruchs vier Jahre Haft drohen, sind etliche Aussagen. Jacksons Leibwächter Alberto Alvarez gab im Zeugenstand an, Murray habe ihn zunächst Medikamente und Ampullen rund um Jacksons Bett in Taschen verpacken lassen und danach erst aufgefordert, den Notruf 911 zu tätigen.
Dieser Anruf erfolgte erst 22 Minuten, nachdem Murray den persönlichen Assistenten von Jackson angerufen und dringlich gebeten hatte, sofort in die Villa zu kommen.
Im Krankenhaus bat Murray die Ärzte inständig, „nicht früh aufzugeben und hart zu kämpfen“ für die Reanimation seines „Freundes“ Michael Jackson.
Doch er verschwieg den Kollegen, dass der Künstler Propofol, in welcher Menge auch immer, genommen hatte.
Kommentar
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Michael Jackson-Prozess: Dr. Conrad Murray weist Schuld von sich
Dr. Conrad Murray gibt Michael Jacksons Hautarzt, Dr. Arnold Klein, Mitschuld an den Gesundheitsproblemen des Stars, die letztendlich zu dessen Tod geführt haben sollen. Die Geschworenen im Gerichtsprozess um den Leibarzt des Sängers fanden sich heute, 11. Oktober, zum zehnten Mal zusammen, um sich ein Urteil in dem Fall zu bilden. Murray wird der fahrlässigen Tötung beschuldigt, da er Jackson die tödliche Überdosis Propofol gesetzt haben soll, die ihn im Sommer 2009 das Leben kostete.
In der heutigen Sitzung wurden Teile aus dem mehrstündigen Polizeiverhör abgespielt, das Murray kurz nach dem Tod der Pop-Ikone durchlief. In diesem behauptet er, dass Jackson vor seinem tragischen Ableben regelmäßig Dr. Klein besuchte und durch diesen von dem starken Schmerzmittel Demerol abhängig wurde.
“Ich war mir keiner anderen Medikamente, die er nahm, bewusst, aber hatte gehört, dass er drei Mal die Woche zu Dr. Klein in Beverly Hills ging”, sagte Murray in der Vernehmung aus, erklärte jedoch, dass man Jackson nach jedem Besuch bei dem Dermatologen die Auswirkungen des Demerols angemerkt hätte. So hätte der Sänger jedes Mal “total neben sich” gestanden und “mindestens 24 Stunden” gebraucht, um sich zu erholen.
Obwohl bei der Autopsie kein Demerol im Körper des King of Pop nachgewiesen werden konnte, glaubt Murray, dass das Mittel zu den starken Schlafproblemen seines Patienten geführt hatte – und somit die Wurzel des Übels war. Denn er selbst habe Jackson das Propofol nur deshalb immer wieder verabreicht, um diese Schlafstörungen zu bekämpfen, die durch den Demerol-Entzug entstanden waren.
Die tödliche Dosis soll Jackson sich laut Dr. Murrays Verteidigung übrigens während der Abwesenheit des Arztes selbst gesetzt haben. Sollte dieser schuldig gesprochen werden, drohen ihm vier Jahre Haft.
Kommentar
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Quelle
Murray Trial Day 10 October 11, 2011
Morning Session
Detective Smith LAPD Testimony continued
Walgren Resumption Direct
They finish playing the Murray interview tape.
Smith states that the first time propofol was mentioned was in his interview with LAPD two days after MJ died, and that prior to that Murray had only mentioned he administered a sedative.
Smith states that he responded to UCLA and also attended the autopsy but that his knowledge was limited.
Smith states that very little of the questioning of Murray was limited, but that they allowed Murray to speak freely. Smith states that Murray did not mention the phone calls he placed or received on June 25, and was unaware of Sade Anding at that time.
Smith states that Chernoff was surprised by the fact that LAPD had not recovered Murray's medical bags at the time of the interview, dated June 27, 2009.
Smith states that on June 26, 2009, there were some business cards belonging to Conrad Murray and David J. Adams found in the Carolwood home. Smith states that the business cards were recovered from MJ's master bathroom by a LAPD detective. Smith states that also recovered were Latanoprost, a skin cream, and three vials of eye medication from the master bedroom, prescribed by Arnold Klein. Smith states that a large plastic bag with Applied Pharmacy on it, inside with benoquine to Dr. Murray was recovered the bathroom area of MJ's bedroom.
Smith states that there were a series of search warrants issued, the first being on June 29, 2009, to 100 North Carolwood Drive and the tow yard where Murray's BMW was. Smith states that a contract recovered from the pocket of the door, and a few business cards. Smith states no propofol bottles were recovered from the car.
Smith states the next search warrant issued on July 22, 2009 to Murray's cardiology practice and a storage unit in Houston, but that no propofol bottles were found.
Smith states that next search warrant issues on July 28, to Murray's Las Vegas office, home or storage unit were done, no propofol bottles found.
Smith states that the next search warrant was issued on August 11 to Applied Pharmacy at Las Vegas, owner Tim Lopez. Smith states that this is when LAPD discovered that propofol was being sent to an apartment in Santa Monica, CA belonging to Nicole Alvarez. Smith states that then a search warrant was issued for Alvarez Santa Monica home, on August 13, 2009. Smith states that there were no propofol bottles recovered from Alvarez' home.
Chernoff Cross Examination
Smith states that attempts had been made to contact Murray by the LAPD by phone, but that he did not personally make those calls, and that the detective who had made those calls, states that the calls went to voicemail.
Smith states he was aware that the press release for MJ's death was done by Jermaine Jackson, but not aware whether the press conference was actually done.
Smith states that he and Detective Orlando Martinez were initially assigned to MJ's death case, but that Detective Porsche was the original detective who tried to contact Conrad Murray.
Smith states that on June 27, 2009, the initial meeting between Murray and LAPD was set up for 2 pm, but it was rescheduled for 4 pm.
Smith states the he spoke with Michael Amir, Faheem Muhammad, Alberto Alvarez, Larry Tolbert, Nanny Roslyn Muhammad, Kai Chase, MJ's family members, some housekeepers, Larry Muhammad had all spoken to LAPD on June 25, 2009. Smith states that Chernoff/Murray never made any limitations as to what he did not want to talk about or time limits, during the initial meeting with LAPD.
Smith states that he did meet with Michael Amir Williams on August 31, 2009 and that he vaguely remembers that Williams had to leave the room briefly at one point to speak to his attorney. Smith states that Murray did not leave the room, nor did he put time limitations on the interview with LAPD on 6/25/09.
Smith states that he had been with robbery/homicide for 1 and half years, before that he worked in another division for 10 years, 24 years as a police department, 14 in homicide. Smith states that he is an avid note taker, and that he took notes for various individuals and evidence collected regarding MJ' death, because he understands the importance of those notes. Smith states that he was in and out of the room while Elyssa Fleak was investigating on June 29, 2009. Smith states that while Fleak was removing items, he did not make notes about what she was removing them, but after that when all items had been laid out for display purposes for photographs.
Smith states that on June 29, 2009, he never mentioned that he never mentioned that a propofol bottle was found in an IV bag. Smith states that he was very specific with miligrams, lot numbers, etc., empty IV bags, empty pill bottles. Smith states that on June 29, in the search, he found Murray's medical bags exactly where Murray said they were.
Smith states that there were Lorazepam bottles found in the master bathroom of MJ's bedroom, but that he was not the person who found them. Smith states that the business cards were found in the vanity of the master bathroom, and that Detective Sanchez told him where they were found.
Smith states that he interviewed Dr. David Adams in Las Vegas.
Smith states that while he was at UCLA, he spoke to Alberto Alvarez. Smith states that Alvarez said he was called into the bedroom, and that Alvarez was told that MJ was having a bad reaction. Smith states that Alvarez never mentioned CPR, or that the propofol bottle was inside the IV bag was on August 31, 2009. Smith states that Faheem Muhammad made a statement on June 25, but that he said nothing about Murray wanting to go back to the Carolwood home on that date, nor did Michael Amir Williams until 8/31/09.
Smith states that there was another interview with Alberto Alvarez after August 31, 2009, and but he can't remember when. Smith states that he requested fingerprints from Alvarez, and he did turn them in, and they were analyzed.
Smith states that SID came in and downloaded surveillance video, that there were video cameras were not pointed toward the front door of the home door, but there was one on the front gate, on the keypad at the front gate, and one in the back of the house. Smith states that the video that was selected to download was made collectively, but Detective Martinez did the actual downloading. Smith states that they never requested any more video surveillance after June 25, 2009. Smith states that although the Carolwood home was locked and guards were there, that there were people allowed in the home for the 26th, 27th, 28th of June, 2009. Smith states that he does not know if a log had been kept regarding visitors at Carolwood after MJ died through June 29, 2009.
Smith states that he never talked to the new security at Carolwood to get a list of the people who had been in the house on the 27th, 28th, 29th. Smith states that marijuana was found by family members in MJ's closet in a suitcase.
Smith states that he asked upon leaving Carolwood if he the home would be sealed, he stated that he was told no.
Smith states that Conrad Murray told Detective Porsche that he would not sign a death certificate because an autopsy needed to be performed.
Smith states that he interviewed other doctors besides Dr. Adams and Dr. Murray.
Smith states that Murray gave him the keys to his car in order to search it.
Smith states that he did not go personally to search Murray's property in Houston. Smith states that in Las Vegas, Smith recovered Murray's cell phone from his home, computer hard drives from his office, paperwork involving his practice from his offices in Las Vegas.
Smith states that he can't recall if he interviewed a Patrick Muhammad was interviewed, Isaac Muhammad was interviewed, and a Derek Cleveland was interviewed by Smith, all of whom were security at Carolwood.
Smith states that MJ's death was deemed a homicide case on August 27, 2009. Smith states that there was some discussion and that the lieutenant from LAPD told Ed Winter from the coroner's office to stop looking into other doctors besides Murray.
Walgren Redirect
Smith states that a lieutenant from LAPD contacted Ed Winter, who had already contacted Arnold Klein, which caused some friction between the two. Smith states that the DEA was assigned to look into specific doctors ultimately and that LAPD was to focus on the homicide investigation.
Smith states that when Conrad Murray stated he gave MJ milk, Smith asked whether the milk was hot or cold. Smith stated he had no idea that milk meant propofol.
Smith states that only one IV bag was recovered on June 25, 2009. Smith states he was not present when the propofol bottle inside the IV bag was discovered, but was present when it was all laid out on a table.
Smith states regarding video cameras, first pointed at gate area on the outside of gates, second on an entrance underneath the residence but inoperative, third and fourth were on either side of the back side of the entrance facing pool and backyard, fifth pointed at right portion on exterior of house, one pointed facing at the inside of the gate. Smith states no camera showed any door entrances, primarily for exterior perimeter video surveillance.
Chernoff Recross
Smith states that when he found an empty Lorazepam bottle inside an empty IV bag, he starred it and underlined it, marking the lot number. Smith states that he did not note that the propofol bottle was inside an IV bag in his notes, as he did with the Lorazepam bottle.
Re-redirect Walgren
Smith again states he did not see the propofol bottle inside the IV bag, and that is why he did not document it.
Re-recross Chernoff
Smith states that the DEA was going to investigate Mickey Fine Pharmacy, and that Conrad Murray was linked to the pharmacy.
Dr. Christopher Rogers LA County Coroner's Office Testimony
[ATTACH=CONFIG]48934[/ATTACH]
Walgren Direct
Rogers states that he is a deputy medical examiner for LA county, and that he does autopsies to find cause of death, and that he has done this since 1988. Rogers' current position the Chief of Forensic Medicine.
Rogers states he has been present for several thousand autopsies over his career. Rogers states that he did the autopsy report for Michael Jackson on June 26, 2009. On that specific day, Rogers states he was not able to specify a cause of death, there was nothing anatomically obvious to state cause of death.
Rogers states that MJ was healthier than the average person of his age. Rogers states that there were incidental findings, that MJ had an enlargement of the prostate gland which meant that it was difficult to urinate so he was retaining urine, he had vitiligo, and he also had a polyp in the colon. Rogers states that the nervous system showed mild diffuse swelling, lung exam showed chronic inflammation and scarring, radiology showed an extra rib and also some arthritis. The dental examination showed root canals and implants were done. Rogers states that an anesthesiology consultation was also done.
Rogers states that a previous scalp injury caused an area of pigmentation at the top of the scalp which was scarred, Rogers was aware of the scalp injury. Rogers states that MJ was 5'9" and that he weighed 136 pounds, BMI index was within the normal range, however a thin individual.
MJ's autopsy photo is shown in court. Rogers states that is, indeed Michael Jackson. Rogers states that also the autopsy photo shows 8-25-09, the date is incorrect.
Rogers states that MJ did not have heart disease and no abnormalities were detected in the heart. Rogers states that coronary arteries were clear, and that almost everybody has some athrosclerosis in their coronary arteries, but that MJ had none, meaning no fat or cholesterol in MJ's arteries.
Rogers states that initially he felt there was no natural disease that caused his death. Rogers states that MJ's esophagus was intact, and that there was no white, milky substance in the esophagus.
Rogers states that the stomach content was examined, and that Rogers found 70 grams of drug fluid but did not show pills or capsules. Rogers states that he looked for that specifically to determine cause of death.
Rogers states that he checked the mouth and upper airway (meaning the entrance to the breathing passages, mouth down the throat into the windpipe or trachea) and found no foreign material.
Rogers states that he requested toxicology reports to assist him to report cause of death. Rogers states that he sought out other doctors in specialties to help him with cause of death. Rogers states he read Conrad Murray's interview with LAPD to help him and asked for medical records from Murray, but was never able to obtain any records from Murray.
Rogers states that he was at some point, able to determine cause of death, and the manner was homicide. Rogers states that he based his homicide report on 1) Murray's statement to the police he administered the propofol and benzodiazepines 2) it's not appropriate to give propofol for insomnia, that the risk outweighs the benefit, and in addition, the setting in the home did not provide for the use of an EKG monitor, a precision dosing monitor, equipment available to revive MJ adequately, not an endotracheal tube, no meds to improve circulatory function and 3) and that the circumstances do not support self-administration of propofol, because Murray stated that he only gave MJ 25 mgs, went to the bathroom, returned from the bathroom to find MJ not breathing. Rogers states that you would have to assume that even though MJ was under the influence under the influence of propofol and other sedatives, injects himself with propofol, seems less reasonable than Murray giving MJ propofol from time to time.
Rogers states that since they did not find a precision dosing device, and that he feels that it would be easy for the doctor to give too much propofol, rather than MJ self injecting propofol himself.
Rogers states that the cause of death was acute propofol intoxication, and the contributing condition was the benzodiazepine effect. Rogers states that Lorazepam and Midazolam, both sedatives were a smaller contribution to MJ's death, and could exacerbate respiratory depression, causing someone to stop breathing. Rogers states that it could have also stopped the heart from beating.
Rogers states that a diagram was made of MJ's body during the autopsy, noting various IV puncture marks during revival efforts. Rogers states that on MJ's right arm, left arm, neck, just below the left knee (where Murray had administered the IV, not revival puncture mark). Rogers states that he observed the empty propofol bottle that was found in MJ's bedroom, noting that it was unusual as the stopper had a center which had a linear opening, showing that it did not show any needle punctures. Rogers states that the linear opening is an opening from side to side in the center of the rubber stopper of the empty bottle of propofol, indicating it was not made by a syringe needle. Rogers states that the linear opening could have been made by a spike.
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Murray Trial Day 10 October 11, 2011
Afternoon Session
Dr. Rogers Testimony Continued
Walgren Direct continued
Walgren asks if Roger checked the autospy picture during the lunch break and if the picture was corrrectly dated as June 25th. Rogers says yes.
Walgren reminds that when they went to break they were talking of a spike. Walgren shows a spike and asks Rogers to identify it.
[ATTACH=CONFIG]48936[/ATTACH]
On March 2011 Rogers reviewed some evidence. Rogers identified what Fleak called a needle as IV catheter with a needle still present. It appeared unused. Rogers also examined the syringe from the nightstand. According to Rogers it did not appear to fit.
Flanagan cross
Defense asks if Rogers reviewed his preliminary testimony, the coroner's report,his notes, expert reports to refresh his memory before today's hearing. Rogers says he reviewed those items as well as another autopsy report and reviewed toxicology results. Flanagan asks if he reviewed a report from Dr. Shafer who is an anesthesiologist in Columbia University. Rogers reviewd that as well. Flanagan asks if he has reviewed toxicology results from outside labs about stomach and urine. Rogers did not see those.
Flanagan asks if Midazolam, Diazapem and Lidocaine toxicology results are consisted with what Murray told the cops. Rogers answers yes.
Flanagan asks if it's correct that what Murray said about Lorazepam in his interview doesn't match with the toxicology results and also mentions that Propofol is hard to determine as it metabolizes fast. Rogers says it's true and they also don't know how much and how fast Murray gave MJ Propofol.
Flanagan asks if they can't be sure who gave it. Rogers says yes.
Flanagan asks why would IV bottle be spiked. Rogers says it's done for giving it continuosly to maintain sedation. Flanagan asks if spiking would also help to emptyPropofol bottle quickly than getting it out with syringe. Flanagan asks if you wanted to mix Propofol with saline spiking it would make it faster to pour it into the saline bag.
Flanagan mentions a way of doing Propofol drip by mixing with saline solution. Flanagan again mentions that emptying the Propofol bottle with a spike would be more efficient than using a syringe to get it out.
Flanagan asks if propofol - saline mix was done, you would expect to see an IV bag with Propofol in it. Rogers says there was no Propofol found in the bag. Flanagan asks if any evidence of propofol was in the y connector, syringe and the tubing below the y connector. Rogers answers yes. The portion above the y connecter was negative for Propofol.
Flanagan mentions Propofol's shelf life of 6 hours. If it's not used it has to be thrown out. Flanagan says that it doesn't make sense if one will only use 5ml of Propofol to get it from a 100 ml propofol bottle as they will need to throw away the 95 ml.
Flanagan asks about lidocaine and Rogers explains why it's used.
Flanagan asks about if Propofol needs to be slowly infused and not rapidly. Flanagan asks what the blood levels will show if a person is given 25mg of propofol. Rogers doesn't know. Flanagan asks how much sleep would such dose of Propofol would bring. Rogers says 5 minutes and Propofol would have no effect after 5 -10 minutes.
Flanagan asks what happens if 25 mg is injected rapidly. Rogers say that you'll have a locally high concentration and it would mean a higher risk of cardiao respitory arrest. Flanagan goes over the information that propofol needs to be slowly administered. Flanagan asks if someone is slowly administering Propofol if they would see any negative effects such as breathing stopping. Rogers answers yes.
Flanagan asks if a slow injection is given and the patient is watched for 15-20 minutes and if after that time period if something goes bad if it wouldn't be due to Propofol. Walgren objects because it's not considering other benzos. Flanagan changes his hypothetical to ask if a person is sleeping more than 5 minutes that wouldn't be due to Propofol and if he could be sleeping due to being tired / fatigue. Rogers agree.
Therapeutic level of Propofol. Rogers says it's dependent on intended use. MJ had 2.6 mg Propofol in his femoral blood. Flanagan asks if due to post mortem redistribution if that numbers could be problematic. Flanagan goes over articles to say that Lorazepam does not redistribute and ask Rogers about the Lorazepam amounts. Rogers say that they are very close and it might or might not show that there was no redistribution.
Pills in stomach. They wouldn't distribute to the body until they are disolved. Flanagan switches to stomach contents. It was a dark liquid. Flanagan asks if there could be fruit juice in the stomach and asks if they ever identified the content of the stomach. Rogers say they didn't. Flanagan asks if they saw any tablets or capsules. Rogers says they didn't. Flanagan says they could get dissolved and they can't tell if a person has taken tablets by looking to stomach contents. Toxicology would be needed to determine it. Flanagan asks if toxicology results show that Lorazepam , would it mean consumption of Lorazepam. Flanagan shows the Lorazepam in stomach toxicology results. Flanagan mentions Lorazepam concentration being 4 times higher than the femoral blood levels. Flanagan mentions the amount equals to 1/43 of a tablet but it doesn't show how many tablets are actually taken as the pills dissolve over time.
Lorazepam levels in the blood didn't cause any red flags because it wasn't too much. Flanagan shows 2 Lorazepam pill bottles found in MJ's house. Both had 30 pills (60 total), one bottle is empty the other one has 9.5 pills left in it.
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Flanagan mentions that Rogers thought benzodiazepines had an effect on the death. Midazolam and Diazepam found in the blood was low and insignificant. Flanagan asks what level one Lorazepam pill would cause. Rogers says it should be at therapeutic level. Flanagan brings out the Baselt book that says for 1 pill .018 in 2 hours. Flanagan tries to ask if 1.69 blood level would mean it would require 9-10 pills. Objection.
By judge's order Flanagan goes into hypothetical scenarios. Rogers can't understand questions. A lot of objections and judge sustains them one after another very quickly.
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Mid afternoon break
Flanagan mentions half life of Lorazepam (9 to 16 hours) and bioavailability. It's beyond expertise of Rogers.
Flanagan asks if what level of Propofol would be lethal. Rogers says 1 to 17 mg per ml. Flanagan asks if a person with 2.6 level of Propofol would feel pain. Rogers says yes.
Flanagan again asks Lorazepam levels of 1.69 and how many pills it would mean. Overruled due to improper hypothetical. After several hypotheticals Flanagan gets Rogers to say it would equal to 9 pills.
Flanagan mentions that stomach and urine wasn't tested for Lorazepam. Flanagan talks about urine samples. If urine sample in autopsy has higher levels of Lorazepam then the scene urine, would the blood would have higher level of Lorazepam then the blood at 7:30 AM as well. Rogers says he can't answer because there are too many variables. Flanagan gives the scenario of 2 mg Lorazepam at 2AM and 5 AM and then 8 pills being taken around 10 AM , if the urine level of Lorazepam would be higher at autopsy urine then the scene urine. Rogers answers yes.
Flanagan goes over the homicide conclusion. Rogers mention 4 factors contributed to that conclusion.
1st factor propofol and benzodiazepines is administered by another. Flanagan again asks questions about Lorazepam which is beyond expertise of Rogers.
2nd factor non hospital setting. Flanagan asks if chronic insomnia cannot be treated by Propofol. Rogers says that it's not general way to treat it. Flanagan mentions insomnia has different levels and if Propofol might be used. It's beyond Rogers expertise.
3rd factor standard of care. Rogers made that determination with the help of the anesthologist.
4th factor Circumstances do not support self administeration. Rogers says that he thought what was reasonable. To Rogers it's reasonable to believe that Murray miscalculated and gave too much Propofol. He finds it less reasonable for Michael to wake up and while still under influence of sedatives and manage give himself Propofol and it killed him and all these happened within 2 minutes.
Flanagan talks about the positioning of the IV line. IV was beyond left knee and it was 6 inches long till the y connector. Flanagan asks if a person can touch an area around their knee. Rogers agree. Flanagan asks about if anyone can do a bolus injection and if it can stop the heart.
Flanagan asks if someone else was giving the injection other than MJ would they see if there's a problem. Rogers say you hope that they do.
Walgren redirect
Walgren brings up what was mentioned earlier and asks is it true if a person found with eyes open it would mean they died quickly. Rogers says it's not true. People can die slowly and still have eyes open.
Oxygen tank was analyzed at july 13, 2009. It was empty.
Walgren says that most of the defense questions pharmacology - what happens to drugs when they enter into the body. It's not Rogers area of expertise. Rogers is an expert in determining cause of death. He's not an expert in propofol or lorazepam.
Walgren mentions the lethal levels of 1 to 17 mg Propofol and asks if smaller numbers than we have seen in MJ can cause death. Rogers answer yes.
Walgren goes over Lorazepam bottles. They are both prescribed by Murray. One is filled April 28, 2009. It was for 30 pills - 9.5 remaining. Second one is filled April,2.2009. It was for 30 pills and it's now empty.
Walgren mentions the hypotheticals Flanagan asked. Tells Rogers to assume Murray was telling the truth in his interview and gave MJ Valium and then 2 injections of midozolam and lorazepam and then propofol. In that scenario if he left the patient alone to swallow lorazepam pills, and there's no monitoring equipment, no airway management equipment and no resusitive equipment. Rogers says it's still homicide. Walgren gives the same sets of events but the scenario self administration of Propofol instead of Lorazepam. Rogers would still classify it as homicide.
Flanagan cross
Flanagan asks about the oxygen and asks if the valve was open or closed. Rogers doesn't know. Flanagan asks how long would it take it to become empty. Rogers say it depends on how open the valve is. Flanagan asks if it's in therapeutic levelswould it empty in 2 weeks. Rogers say probably.
Flanagan mentions Rogers answers about how he's not knowledgeable about Lorazepam and asks doesn't he need to be knowlegeable about that to make determination in this case in regards to the cause of death. Rogers says he doesn't know how these levels are achieved but they are the cause of death.
Flanagan talks about Lorazepam levels being close to the levels required to be unresponsive to painful stimuli and Propofol levels are half the required to be unresponsive to painful stimuli.
Flanagan asks Rogers to assume that Murray was telling the truth in his interview. Flanagan mentions the midazolam and diazapam numbers match but Propofol and Lorazepam levels are a lot higher.
Walgren redirect
Walgren asks why he do an consult with an anesthologist. Rogers says because it was a comples problem. The doctor he consulted told him that the levels was consisted with general anesthesia.
Flanagan recross
Flanagan mentions rapid injection again and asks if rapid injection would have negative effects of respitory and cardiovasculary depression
With L.O.V.E. and respect
Lg rip.michael
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Toxicology In The Michael Jackson Manslaughter Trial
October 08, 2011
Witness testimony concerning the autopsy and toxicology results has begun in the trial of Dr. Conrad Murray for voluntary manslaughter in the death of Michael Jackson. This is likely the make or break area of testimony for the defense, who has claimed that Jackson caused his own death by self administering both oral lorazepam and oral and/or IV propofol. It is highly technical testimony, with large amounts of medical and scientific jargon and principles which cannot help but confuse the jury at times.
Law Med will go through the evidence and testimony in order to simplify and clarify what is becoming. in our view, intentionally muddled by the defense. We don’t blame them, since it may be their only hope of getting Murray off. The facts are certainly of little use towards that end. Even though we are ‘simplifying’ the information, it is still intensive to digest. Read some, take a break, come back to it. If you have any questions ask them using the comment form at the bottom of the article and we will answer them. Or contact us HERE. The lawyers on both sides have done their homework and appear to have a working knowledge of the pharmacology and toxicology of the drugs at issue in this case. If they can do it so can you…believe me. Smarter than us? Its not hard…so if you find an error let us know. Law Med has expertise in all of the drugs named and their administration, as well as interpretation of toxicology reports, but forensic toxicology is not our forte. If you are a juror of course, you should not be reading this so shame on you and stop now.
During the autopsy, blood samples were obtained from various areas in the body (more on the significance of these multiple samples later), as well as samples from the stomach (gastric) contents, the fluid in the eye (vitreous) and urine. All were tested for various drugs and reported in the final autopsy documents.
Drugs found in Jackson’s system were lorazepam (Ativan), midazolam (Versed), diazepam (Valium), nordiazepam (metabolite of diazepam). ephedrine, lidocaine and propofol (Diprivan). Significant to the case are the lorazepam and propofol results, and to a lesser extent the midazolam and lidocaine. Here they are:
Diazepam, lorazepam and midazolam are all in the family of drugs known as benzodiazepines, which are sedative hypnotics. Each differs in it’s time to onset of action, duration of action, and metabolization time. Diazepam and lorazepam are common prescriptions in tablet form administered for anxiety and sometimes as a sleep aid. Both were found in pill form in Jackson’s house. Both also are available in IV form for hospital use, and IV lorazepam is sometimes used in surgery. Murray was ordering IV lorazepam in huge amounts, likely administering it IV on a near daily basis. IV administration of any benzodiazepine results in a much faster onset of action and a much more pronounced effect compared to oral administration.
Bezodiazepines have a low toxicity, despite their pronounced depressant effect on the central nervous system. In other words, while they make an individual very sleepy, even unconscious in large amounts, they rarely cause someone to stop breathing. Even in overdose they almost never cause death. In 2008, a total of 78,443 benzodiazepine single-substance exposures were reported to US poison control centers, of which 332 (0.004%) resulted in major toxicity and only 8 (0.0001%) resulted in death. These drugs do however potentiate the effects of propofol, which means when administered together it takes much less propofol to reach a desired (or undesired) effect. This includes respiratory depression or apnea (breathing stops). All benzodiazepines are addictive and prolonged administration can result in tolerance requiring higher and higher amounts to cause the same effect.
Nordiazepam is a metabolite of diazepam, meaning it is formed in the body as diazepam is metabolized (broken down). Ephedrine is a common over the counter sinus medication. Aside from the fact that Murray told police that Jackson was administered a 10 mg valium tablet (relatively small dose) at 1:30 am on the morning of his death the drug plays no part in his death and the amount found in his system was just a trace. Ephedrine, was present in the urine. We will make no mention of either beyond this as they are simply not important.
The midazolam detected in the blood, as well as in the urine, was of a very small amount. Therapeutic blood levels of midazolam is 0.08-0.25 mcg/ml. Here, a plasma concentration of 0.0046 mcg/ml was found. This is a VERY small amount. It was also found in small amounts in the urine. From these results was can conclude that while Jackson received an administration of midazolam sometime in the previous 24-48 hours, he did not receive it the morning of his death and it played no part in his death. The amounts found are just too small. But Murray has claimed that he administered 2 mg IV midazolam at 3:00 am and again at 7:30 am. This appears to be false. Why he would claim this begs understanding, but there is no way it happened according to the blood and urine levels. Midazolam is metabolized and excreted in the urine fairly rapidly, but not THAT rapidly. The elimination ‘half life’, meaning the time it takes to excrete 50% of the drug, is 2-6 hrs. The most significant role midazolam plays, aside from Murray’s falsehood, is that Murray was ordering it in huge amounts, so it clearly was being administered frequently, just not on the morning in question.
Lidocaine is a common local anesthetic which is added to propofol prior to injection in order to minimize the burning sensation which propofol can cause. If you have ever had stitches or a root canal it is likely that you were injected with lidocaine first to numb the area. Lidocaine did not contribute to Jackson’s death. Its only significance is that wherever it is found in Jackson’s system, we also find propofol, as expected.
Lorazepam, a benzodiazepine as we have stated, was available in the Jackson home in both tablet and IV form. It bears pointing out that no patient, regardless of setting, should have access to pill forms of any medications they are also receiving IV. Jackson’s bedroom was littered with bottles of various bezodiazepines including in addition to diazepam and lorazepam, clonazepam (Klonipin) and temazepam (Restoril). A patient can potentially self administer any of these drugs causing dangerous potentiation of other medications, or cause an overdose when the care giver administers an IV medication not knowing about the oral dose.
This is one of the scenarios which the defense is claiming. It has become their position that Jackson took up to 8 lorazepam 2 mg tablets while Murray was out of the room. This is supposedly during the same 2 minutes Murray said he left the room prior to finding Jackson not breathing. Apparently they are inferring that this contributed to Jackson’s death. We can state that this is simply impossible. First, there were no pill fragments found in the stomach on autopsy. Second, absorption of lorazepam from the stomach takes far longer. Jackson would not have had ANY effect from an oral medication in the time frame specified. Third, IF Jackson had taken oral lorazepam in this quantity, one of two things would be seen: either no pills are in the stomach and there is a high blood level, or pills are found in the stomach and there is a low or no blood level. Instead we have no pills and a therapeutic blood level (neither high nor low, but rather the expected level from an appropriate dose). A therapeutic level of lorazepam in the blood is o.o1-0.2 mcg/ml. The blood level of lorazepam in this case is 0.169 mcg/ml, consistent with the IV administration by Dr. Murray (below), and is an expected, non-toxic, therapeutic level.
The coroner’s office did not test the gastric contents for an actual level of lorazepam, since the blood results which showed a low amount of lorazepam, any amount in the stomach would be irrelevant to the cause of death. The defense claims that the amount of lorazepam in the stomach was 4x the amount found in the blood according to subsequent testing they had done. This would not have affected Jackson however, since it is the amount in the bloodstream which affects the patient. Rather they are using this to claim that Jackson took oral lorazepam without Murray’s knowledge, apparently trying to bolster the claim that Jackson swallowed propofol without his knowledge. It seems a far stretch that even IF Jackson took oral lorazepam without Murray knowing (a medication he takes is prescribed and has taken orally many times before), that he would drink propofol (a medication never given to him orally before). Especially when he has someone willing to inject it into him every single night.
Murray has told the police that he administered 2 mg IV lorazepam at 2:00 am and then again at 5:00 am. This is consistent with the toxicology results and is likely the truth. In an average patient, the level of lorazepam in Jackson’s blood would produce noticeable central nervous system depression (very sleepy or sleeping) and would potentiate the effects of any propofol that was given. In Jackson however, who had been receiving benzodiazepines in significant amounts on a daily basis for some time, tolerance may be an issue. A “therapeutic” blood level in such patients is not therapeutic at all and higher blood levels are required to obtain a therapeutic effect. For all of these reasons, lorazepam played little if any role in the death of Michael Jackson.
Now we get down to it. Propofol is our killer here. To learn everything you need to know about the drug propofol, read Law Med’s posting “Propofol Explained: Factual Expert Answers On Jackson Case“.
Evaluation of post mortem blood levels of propofol is fraught with difficulties. This is primarily because of a lack of research into the subject as well as what can only be described as the strange behavior of propofol after a fatal dose. What we do know is gleaned from the handful of published cases of death from either self administered propofol during abuse, or in one case propofol used as a weapon in a homicide. These published cases had post mortem propofol levels which ranged from those lower than would be required to anesthetize a patient to levels which were much higher. It appears that a low post mortem blood level of propofol does not rule out propofol as a cause of death. At the same time there is no evidence of false high levels of propofol post mortem. In other words, levels may be found to be deceptively low even though propofol killed the individual, but they are predictive of propofol ingestion when high, though they can never be said to be indicative of the exact amount of propofol administered.
Baselt’s textbook The Disposition of Toxic Drugs and Chemicals in Man (7th edition) mentions that in 5 fatal cases of acute propofol poisoning, postmortem blood propofol levels ranged from 0.5 – 5.3 mcg/ml. The accepted therapeutic blood levels after a typical 2.5 mg/kg anesthesia induction dose of propofol are 1.3– 6.8 mcg/ml. As you can see, the are cases of fatal propofol administration where the blood levels were below those expected to anesthetize a patient and cause breathing to cease. Levels below 1.0 mcg/ml are considered sedation levels.
In this case, the following blood levels were found: Heart blood – 3.2 mcg/ml; Hospital blood – 4.1 mcg/ml; Femoral blood – 2.6 mcg/ml. This puts the propofol blood concentration in Jackson in the ‘therapeutic’ range for someone having a general anesthetic. For an individual who is not intended to be anesthetized to the point of cessation of breathing, the levels found in Jackson are FATAL. There is no doubt, JACKSON DIED FROM PROPOFOL INTOXICATION.
The total amount of propfol found in the stomach was 0.13 mg. Compare this to the amount of propofol necessary to be swallowed if the high blood levels seen are to be reached. If given IV, the dose would have to be an anesthetizing dose in the range of at least 150-200mg, since that is what the high blood levels indicate. That means that IF swallowing the same amount of propofol gave the same effect as injecting it then the amount swallowed would also have to be 150-200 mg. However, it takes MUCH more propofol when swallowed to reach the same blood levels as when given IV due to the manner in which propofol is absorbed in the stomach according to the limited information available in this area. Not a lot of research has been done regarding oral administration of propofol since it was never intended that it be swallowed.
What does this mean? The 0.13 mg of propofol found in the stomach is MINISCULE. Assuming, conservatively, that 200 mg would need to be swallowed to reach the blood levels seen, the 0.13 mg found is 0.00065% of the amount swallowed. The amount which would have to be swallowed in order to reach the blood levels found, even when considering Dr. Murray’s admitted injection of 25 mg IV would be many times the 200mg amount however. This refutes the defense claim that Jackson swallowed propofol causing his own death, as much more propofol would be expected to be found in the gastric contents.
In addition, absorption into the blood stream when a medication is taken orally is MUCH slower than when given IV. Dr. Murray says he was out of the room for only 2 minutes and that when he returned Jackson was not breathing. It is IMPOSSIBLE for any amount of swallowed propofol to cause this in the time frame alleged. It is also impossible that all but 0.13 mg would have been absorbed into the blood stream in this period.
There is another far more plausible explanation for the small amount of propofol being found in the gastric contents. Postmortem redistribution (PMR) refers to the changes that occur in drug concentrations after death. It involves the redistribution of drugs into blood from solid organs such as the lungs, liver, and heart muscle. Postmortem drug concentrations do not necessarily reflect concentrations at the time of death, as drug levels may vary according to the sampling site and the interval between death and specimen collection. The recommended sample site for post mortem toxicology is the femoral vein due to its relative remoteness from solid organs. Vessels and locations closer to solid organs would be expected to have higher concentrations than the femoral vein. PMR can also take place into the stomach. This is the most likely cause of the small amount of propofol found in Jackson’s gastric contents.
Some drugs are more predisposed to PMR than others due to their particular makeup. We know that propofol does undergo some amount of PMR since blood taken from the heart (one of the organs which is know to leak drugs into the blood under PMR) contains more propofol than the femoral vein sample (3.2 vs 2.6 mcg/ml).
FINAL CONCLUSIONS: The evidence does not support the premise that Jackson drank propofol. Could Jackson have self injected propofol in the short time Murray claims he was out of the room? Yes. However, Jackson would not have been dead by the time Murray says he returned. He should easily have been resuscitated. If Jackson self administered propofol in his IV, the Murray remained out of the room for at least 8-10 minutes we estimate. The most likely scenario is that Murray started a propofol infusion after giving Jackson a bolus of propfol and after some amount of time passed Murray believed that Jackson was stable. Murray then left the room to chat on the phone and Jackson stopped breathing. Murray was gone for more than 5 minutes after breathing stopped, and likely much longer. Upon his return he immediately knew he had screwed up and that Jackson was dead. He removed the propofol infusion, hiding it for disposal later, which he did. This explains the delay in calling 911 as Murray panicked and thought about exactly what to do next. The only conclusions we can draw from the toxicology report are that Jackson did receive a dose of propofol sufficient to stop his breathing, and that it was given IV.
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10. Tag ............. part 1 - 6
Zeugen Tag 10:
Scott Smith, Detective LAPD
Christopher Rogers, Gerichtsmediziner
Zuletzt geändert von Eisfee; 12.10.2011, 13:53.
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October 12, 2011 10:06 AM
Conrad Murray defense bolstered by L.A. coroner?
(CBS News)
Could Michael Jackson have given himself the drugs that led to his death? That's the heart of the defense of the pop star's doctor, Conrad Murray, in his involuntary manslaughter trial.
And Tuesday in court, according to Jean Casarez, correspondent for truTV's "In Session," the defense made "a lot of good points" while cross-examining prosecution witness Dr. Christopher Rogers, the Los Angeles County Deputy Medical Examiner, who ruled that Jackson died of "propofol intoxication."
Rogers testified that he thinks Murray is to blame because he didn't have the tools to adequately monitor the Propofol he was giving Jackson. However, Casarez said, the defense brought out the importance of Michael Jackson's stomach contents at the time of his death.
"The defense on the cross-examination really brought out (that) the L.A. coroner didn't test the stomach contents," Casarez said. "They looked at it, they saw it, they didn't test it, so the defense tested it. What did they find? They found Lorazepam in the stomach - four times the concentration of the stomach as in the other areas of the body. And so that denotes that someone orally took at least five to six Lorazepam tablets, maybe more, because some was in (Jackson's) blood. So the defense is saying, 'Wait a minute -- Propofol didn't cause the death, Lorazepam did.' And Michael Jackson took the Lorazepam, but you couldn't put that as the cause of death, because you didn't test the stomach contents."
Murray's own words were also back on trial Tuesday, CBS News national correspondent Ben Tracy reported. Prosecutors played the second half of Murray's interview with police that took place just two days after Jackson's death.
Murray can be heard saying in the tape, "I gave Mr. Jackson love. I was his friend. I cared about him. I tried to help him."
The audio tape is two-and-a-half hours long, and police admit Murray was very cooperative. The doctor details the scene at the hospital when Jackson's children learned their father was dead and eventually saw his body.
Murray said, "After they cried and cried and cried, then his daughter uttered a lot of words of unhappiness, and you know, she will live alone without her dad and she didn't want to be an orphan. Real sad. Real sad. She's like my daughter. And I told her, you know, we will take care of her."
Casarez said Katherine Jackson, Jackson's mother, was openly weeping in court when she heard her grandchildren's response to their father's death.
Casarez said, "She was so close to the jury. They would look at her a little bit. The Jackson family is so predominant in that courtroom in the second row, so close to the jury, you just can't ignore them."
In the tape, Murray also says members of the Jackson family were frantically trying to figure out what had happened.
"They asked me...'Do you know why he died?' My answer was 'no.' And that's the reason why I recommended to the family to have an autopsy because I also wanted to know," Murray said.
Prosecutors also showed a graphic photo from Jackson's autopsy on Tuesday. They say Murray told no one at the hospital that he had been giving Jackson Propofol to help him sleep.
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"As the morbid image of a lifeless Jackson laying on a hospital gurney and labeled "Homicide," spread virally around the world, it became burned into the public's consciousness and will never be forgotten. Understandably sickening to many, the dreary image also serves as an extremely powerful symbol and stark reminder that in Michael Jackson's valiant attempt to save the lives of others, this wounded messenger unnecessarily lost his own bright future. Finally, the voices of justice are saying that this should have never happened to such a man."
-Matt Semino-
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Murray Prozess, Tag 10, 11. Oktober 2011
Morgens
Detective Smith LAPD Aussage - Fortsetzung
Direktverhoer durch Walgren - Fortsetzung
Smith sagt, das erste Mal, dass Propofol erwaehnt wurde, war in der Befragung des LAPD
2 Tage nach MJ's Tod, und davor hatte Murray nur erwaehnt, dass er ein Beruhigungs-
mittel gegeben hatte.
Smith sagt, er war im UCLA und war auch bei der Autopsie, aber sein Wissen zu der Zeit
war eingeschraenkt.
Smith sagt, dass es bei der Befragung Murray's in Bezug auf welche Fragen gestellt wurden,
kaum Einschraenkungen gab, und dass sie Murray erlaubten, frei zu sprechen. Smith sagt,
dass Murray die Telefonate, die er am 25. Juni getaetigt oder erhalten hatte, nicht er-
waehnt hat, Smith wusste zu dem Zeitpunkt auch nicht von Sade Anding.
Smith sagt, dass Murray ueberrascht darauf reagierte, dass das LAPD zum Zeitpunkt der
Befragung Murray's Taschen noch nicht gefunden hatte.
Smith sagt, am 26. Juni 2009 wurden Visitenkarten von Murray und David J. Adams im
Carolwood-Haus gefunden. Smith sagt, die Visitenkarten wurden von LAPD-Detectives in
MJ's Master-Badezimmer gefunden. Smith sagt, sie fanden ausserdem Latanoprost, eine
Hautsalbe, und 3 Flaeschchen mit Augentropfen im Master-Schlafzimmer, verschrieben
von Arnold Klein. Smith sagt, sie haben eine grosse Plastiktasche mit dem Aufdruck
"Applied Pharmacy" im Badezimmer gefunden, darin befand sich Benoquin, verschrieben
von Dr. Murray.
Smith sagt, dass einige Durchsuchungsbefehle ausgestellt wurden, der erste am 29. Juni
2009 fuer das Carolwood-Haus und dem Abschlepp-Platz, wo sich Murray's BMW befand.
Smith sagt, es wurde ein Vertrag in der Tuerablage des Autos gefunden, und ein paar
Visitenkarten. Smith sagt, es wurden keine Propofol-Ampullen im Auto gefunden.
Smith sagt, der naechste Durchsuchungsbefehl ist vom 22. Juli 2009 fuer Murray's Ordi-
nation und einem Lager in Houston, aber sie haben keine Propofol-Ampullen gefunden.
Smith sagt, der naechste Durchsuchungsbefehl wurde am 28. Juli 2009 ausgestellt, er
war fuer Murray's Ordination in Las Vegas, Haus und Lager wurden durchsucht, aber
keine Propofol-Ampullen gefunden.
Smith sagt, der naechste Durchsuchungsbefehl ist vom 11. August fuer Applied Pharmacy
in Las Vegas, Besitzer Tim Lopez. Smith sagt, dabei fand das LAPD heraus, dass Propofol
an eine Wohnung in Santa Monica, Kalifornien, die Nicole Alvarez gehoert, geschickt
worden war. Smith sagt, dass dann ein Durchsuchungsbefehl fuer Nicole Alvarez' Wohnung
ausgestellt wurde, und zwar am 13. August 2009. Smith sagt, dort wurden keine Propofol-
Ampullen gefunden.
Kreuzverhoer durch Chernoff
Smith sagt, dass es Versuche des LAPD gegeben hat, Murray telefonisch zu kontaktieren,
aber dass er persoenlich diese Anrufe nicht getaetigt hat, und dass die Detectives,
die die Anrufe gemacht hatten, sagten, sie landeten direkt auf der Mobilbox.
Smith sagt, er wusste, dass Jermaine Jackson eine Pressekonferenz zu Michael's Tod
geben wollte, aber er wusste nicht, ob diese tatsaechlich stattgefunden hat.
Smith sagt, dass anfangs er und Detective Orlando Martinez an dem Fall arbeiteten,
aber dass Detective Porsche derjenige war, der versucht hat, Murray zu kontaktieren.
Smith sagt, am 27. Juni 2009 sollte das Treffen zwischen Murray und dem LAPD um 14:00 Uhr
stattfinden, aber es wurde von den Detectives auf 16:00 Uhr verschoben.
Smith sagt, er hat mit Michael Amir, Faheem Muhammad, Alberto Alvarez, Larry Tolbert,
Nanny Roslyn Muhammad, Kai Chase, MJ's Familienmitgliedern, ein paar Haushaelterinnen
und Larry Muhammad am 25. Juni 2009 gesprochen. Smith sagt, dass Chernoff/Murray keine
Einschraenkungen gegeben haetten, worueber sie nicht sprechen wollten und dass es keine
zeitliche Beschraenkung gab waehrend dem ersten Treffen mit dem LAPD.
Smith sagt, er hat sich am 31. August 2009 mit Michael Amir Williams getroffen, und
dass er sich vage daran erinnert, dass er kurz den Raum verlassen hatte, um mit
seinem Anwalt zu sprechen. Smith sagt, weder hat Murray den Raum verlassen, noch gab
es Einschraenkungen in der Befragung durch das LAPD am 27. Juni 2009.
Smith beschreibt seinen Werdegang (1 1/2 Jahre in der Abteilung fuer Kapitalverbrechen,
davor 10 Jahre in einer anderen Abteilung, 24 Jahre fuer die Polizei, 14 Jahre fuer
Homicide). Smith sagt, dass er eifrig Notizen macht, und dass er Notizen gemacht hat
ueber etliche Personen und Beweisstuecke in MJ's Fall, weil er ueber die Wichtigkeit
dieser Notizen Bescheid weiss. Smith sagt, dass er immer wieder hinein- und hinausging
aus dem Zimmer, waehrend Fleak am 29. Juni 2009 dort durchsucht hat. Smith sagt, waehrend
Fleak Dinge ausgeraeumt hat, hat er keine Notizen darueber gemacht, was sie woher hatte,
sondern erst, als alle Dinge ausgebreitet worden waren, um sie zu fotografieren.
Smith sagt, am 29. Juni 2009 hat er nicht erwaehnt, dass eine Propofol-Ampulle in
einem IV-Beutel gefunden worden war. Smith sagt, dass er sehr genau war mit Milligramm,
Chargennummern, etc., leeren IV-Beuteln, leeren Pillenflaeschchen. Smith sagt, am 29.
Juni fand er Murray's Taschen genau dort, wo Murray gesagt hatte.
Smith sagt, es wurden Lorazepam-Flaeschchen im Master-Badezimmer gefunden, aber er war
nicht derjenige, der sie gefunden hat. Smith sagt, die Visitenkarten wurden im Bereich mit
den Waschbecken gefunden wurden, und dass ihm Detective Sanchez gesagt hatte, wo sie ge-
funden wurden.
Smith sagt, er hat mit Dr. David Adams in Las Vegas gesprochen.
Smith sagt, dass er im UCLA mit Alberto Alvarez gesprochen hat. Smith sagt, dass
Alvarez ihm erzaehlt hat, er wurde ins Schlafzimmer gerufen und dass Alvarez gesagt
worden war, MJ haette eine negative Reaktion gehabt. Smith sagt, dass Alvarez nie CPR
erwaehnt hat am 31. August, oder dass die Propofol-Flasche im IV-Beutel war. Smith sagt,
dass Faheem Muhammad am 25. Juni mit der Polizei gesprochen hat, aber dass er nichts
darueber gesagt hatte, dass Murray zum Carolwood-Haus zurueck wollte an dem Tag, noch
hat Michael Amir Williams das gesagt vor dem 31. August 2009.
Smith sagt, es gab noch ein Interview mit Alberto Alvarez nach dem 31. August, aber er
kann sich nicht erinnern, wann. Smith sagt, dass er Fingerabdruecke von Alvarez ver-
langt hat, er bekam sie, und sie wurden analysiert.
Smith sagt, das SID kam und hat Ueberwachungsvideos heruntergeladen, es gab keine Kameras
bei der Eingangstuer, aber eine war am Eingangstor, und eine auf der Rueckseite des
Hauses. Smith sagt, die Entscheidung darueber, was heruntergeladen wurde, war gemeinsam
getroffen worden, aber Detective Martinez machte den Download. Smith sagt, dass sie
nach dem 25. Juni 2009 keine weiteren Downloads gemacht haben. Smith sagt, obwohl das
Carolwood-Haus geschlossen war und Sicherheitsleute dort waren, war Leuten erlaubt, in
das Haus zu gehen am 26., 27. und 28. Juni 2009. Smith sagt, er weiss nicht, ob darueber
Buch gefuehrt worden ist, wer zwischen dem 25. und 29. Juni 2009 im Haus war.
Smith hat nie mit der neuen Security im Carolwood-Haus gesprochen, um eine Liste der
Leute zu bekommen, die vom 27. bis 29. Juni im Haus waren. Smith sagt, Marihuana wurde
von Familienmitgliedern in MJ's Kabinett in einem Koffer gefunden.
Smith hat bei Verlassen des Hauses gefragt, ob das Haus versiegelt werden wuerde, ihm
wurde gesagt "nein".
Smith sagt, dass Murray Detective Porsche gesagt hatte, er wollte die Todesurkunde
nicht unterschreiben, weil eine Autopsie gemacht werden muesste.
Smith sagt, er hat mit anderen Aerzten ausser Adams und Murray gesprochen.
Smith sagt, Murray hat ihm seine Autoschluessel gegeben, damit sie das Auto durch-
suchen konnten.
Smith sagt, dass er nicht persoenlich bei der Durchsuchung von Murray's Ordination in
Houston dabei war. Smith sagt, in Las Vegas hat er bei Murray zu Hause sein Handy ge-
funden, Computerfestplatten und Papiere in seiner Ordination.
Smith sagt, er kann sich nicht erinnern, ob er Patrick Muhammad befragt hat. Issac
Muhammad hat er befragt, auch einen Derek Cleveland, das waren alles Sicherheitsleute
vom Carolwood-Haus.
Smith sagt, MJ's Tod wurde am 27. August 2009 zum Totschlag erklaert. Smith sagt,
dass es eine Diskussion darueber gab und ein Lieutenant vom LAPD sagte zu Ed Winter
von der Gerichtsmedizin, er solle aufhoeren, andere Aerzte ausser Murray zu ueber-
pruefen.
Nochmaliges Direktverhoer durch Walgren
Smith sagt, ein Lieutenant vom LAPD kontaktierte Winter, der bereits Arnold Klein
kontaktiert hatte, was zu einer Unstimmigkeit zwischen den beiden fuehrte. Smith sagt,
dass die DEA die Aufgabe hatte, andere Aerzte zu untersuchen, und dass das LAPD sich
auf die Untersuchung des Totschlags konzentrieren sollte.
Smith sagt, als Murray ihm sagte, er gab MJ Milch, fragte Smith, warme oder kalte
Milch. Smith sagt, er hatte keine Ahnung, dass "Milch" Propofol bedeutet.
Smith sagt, dass am 25. Juni 2009 nur ein IV-Beutel gefunden worden war. Smith sagt,
er war nicht anwesend, als die Propofol-Ampulle in dem IV-Beutel gefunden wurde, aber
er war anwesend, als alles auf einem Tisch ausgelegt wurde.
Smith sagt ueber die Videokameras, die erste zeigte den Bereich des Tores von draussen,
die zweite auf eine Garage unter dem Haus, aber die funktionierte nicht, eine dritte und
vierte waren hinten am Haus und zeigten Richtung Pool und Hinterhof, die fuenfte zeigte
auf die rechte Haelfte ausserhalb des Hauses, und eine zeigte auf das Tor von innen.
Smith sagt, dass keine Kamera irgendwelche anderen Eingaenge zeigte, sie waren haupt-
saechlich fuer die Ueberwachung ausserhalb des Hauses.
Nochmaliges Kreuzverhoer durch Chernoff
Smith sagt, als er ein leeres Lorazepam-Flaeschchen in einem leeren IV-Beutel fand,
hat er darauf die Chargennummer unterstrichen. Smith sagt, dass er nicht notiert hatte,
dass die Propofol-Ampulle im IV-Beutel war, ebenso hat er das nicht ueber das Lorazepam-
Flaeschchen notiert.
Nochmaliges Direktverhoer durch Walgren
Smith sagt nochmals, dass er die Propofol-Ampulle nicht in dem IV-Beutel gesehen hat,
und das ist der Grund, warum er das nicht dokumentiert hat.
Nochmaliges Kreuzverhoer durch Chernoff
Smith sagt, dass die DEA Mickey Fine Pharmacy pruefen wollte und dass Arnold Klein
in Zusammenhang steht mit Mickey Fine Pharmacy.
Dr. Christopher Rogers Aussage (LA County Coroner's Office - Gerichtsmedizin)
Direktverhoer durch Walgren
Rogers sagt, dass er ein stellvertretender Leichenbeschauer fuer das LA County ist,
er macht Autopsien, um die Todesursache festzustellen, er macht das sein 1988. Seine
derzeitige Position ist Leiter der Forensischen Medizin.
Rogers sagt, er war bei mehreren Tausend Autopsien in seiner Karriere dabei. Rogers
sagt, er hat den Autopsie-Bericht fuer Michael Jackson am 26. Juni 2009 gemacht. An
dem Tag konnte er keine bestimmte Todesursache feststellen, anatomisch war nichts
offensichtlich als Todesursache.
Rogers sagt, MJ war gesuender als die Durchschnittsperson seines Alters. Rogers sagt,
es gab nebensaechliche Ergebnisse, MJ hatte eine vergroesserte Prostata, was das Urinieren
erschwerte, deshalb hat er Urin aufgestaut, er hatte Vitiligo, er hatte ausserdem
einen Polyp im Darm. Rogers sagt, das Nervensystem zeigte eine milde, diffuse Schwellung,
die Untersuchung der Lunge zeigte eine chronische Entzuendung und Narben, Roentgenauf-
nahmen zeigten eine zusaetzliche Rippe und ein bisschen Arthritis. Die Untersuchung
des Gebisses zeigte, dass Wurzelbehandlungen und Implantate gemacht worden waren.
Rogers sagt, dass sie auch einen Narkosefacharzt konsultiert hatten.
Rogers sagt, dass die Verbrennung oben am Kopf einen Bereich mit Depigmentierung
zeigte und vernarbt war, Rogers wusste von der Verletzung. Rogers sagt, MJ war 5'9"
(175 cm) und hat 136 Pfund (ca. 62 kg) gewogen, der BMI war im normalen Bereich, er
war jedoch duenn.
MJ's Autopsie-Foto wird im Gericht gezeigt. Rogers sagt, das ist Michael Jackson.
Rogers sagt, dass das Autopsie-Foto das Datum 25. 8. 2009 zeigt, und das Datum ist falsch.
Rogers sagt, MJ hatte keine Herzkrankheit und es wurden keine Abnormalitaeten in seinem
Herzen gefunden. Rogers sagt, die Herzkranzgefaesse waren frei, es ist normal fuer die
meisten Leute, zumindest etwas Atherosklerose in den Herzkranzgefaessen zu haben, aber
MJ hatte das nicht, was bedeutet, er hatte kein Fett oder Cholesterin in seinen
Arterien.
Rogers sagt, er meinte, es gab keine natuerliche Krankheit, die den Tod verursacht
hatte. Rogers sagt, das MJ's Speiseroehre intakt war und es war keine weisse milchige
Substanz in seiner Speiseroehre.
Rogers sagt, dass der Mageninhalt untersucht wurde, er fand 70 Gramm dunkler Fluessig-
keit, aber es waren keine Tabletten oder Pillen enthalten. Rogers sagt, dass er da-
nach speziell gesucht hatte, um die Todesursache fest zu stellen.
Rogers sagt, er hat den Mund und die oberen Atemwege untersucht (Mund hinunter in
die Luftroehre) und kein koerperfremdes Material gefunden.
Rogers sagt, dass er eine toxikologische Untersuchung erbeten hatte, um ihm beim
Finden er Todesursache zu helfen. Rogers sagt, dass er andere Fachaerzte kontaktiert
hatte, um ihm beim Finden der Todesursache zu helfen. Rogers sagt, er hat Murray's
Befragung durch das LAPD gelesen, um ihm beim Finden der Todesursache zu helfen und
fragte nach den Behandlungsunterlagen von Murray, aber war nicht in der Lage, jemals
diese Unterlagen zu bekommen.
Rogers sagt, er war dann in der Lage, die Todesursache zu bestimmen, und die Art war
Totschlag. Rogers sagt, das basierte auf:
1) Murray's Aussage bei der Polizei, dass er Propofol und Benzodiazepine gegeben
hatte.
2) Es ist nicht angebracht, Propofol fuer Schlafstoerungen zu geben, das Risiko ueber-
steigt den Nutzen, und zusaetzlich gab es in der Umgebung im Haus, in der es gegeben
wurde, keinen EKG-Monitor, keinen Monitor fuer die genaue Dosierung, kein Equipment, um
MJ entsprechend wiederzubeleben, keinen Endotrachealtubus, keine Medikamente, um die
Durchblutung zu verbessern.
3) Die Umstaende sprechen nicht fuer eine Selbst-Administration von Propofol, weil
Murray sagte, er gab MJ nur 25 mg, ging ins Badezimmer, kam von dort zurueck und fand
Michael, der nicht mehr atmete. Rogers sagt, man muesste annehmen, MJ haette sich,
obwohl er unter Einfluss von Propofol und anderen Beruhigungsmitteln stand, selbst
Propofol injizieren muessen, das scheint weniger annehmbar als dass Murray ihm von Zeit
zu Zeit Propofol gegeben hatte.
Rogers sagt, da sie kein Equipment fuer genaue Dosierung gefunden hatten, meint er, es
waere einfach fuer den Arzt gewesen, ihm zuviel Propofol zu geben, anstatt anzunehmen,
MJ haette sich das Propofol selbst injiziert.
Rogers sagt, die Todesursache war akute Propofol-Vergiftung in Verbindung mit der
Wirkung von Benzodiazepinen. Rogers sagt, dass Lorazepam und Midazolam hatten Einfluss
auf MJ's Tod hatten, diese koennten die Atemdepression verschlimmert haben und verursachen,
dass man zu atmen aufhoert. Rogers sagt, dadurch kann dann das Herz aufhoeren zu
schlagen.
Rogers sagt, dass ein Diagramm von MJ's Koerper waehrend der Autopsie gezeichnet wurde,
darauf wurden diverse Einstichstellen markiert, die waehrend der Wiederbelebungsversuche
gemacht wurden. Rogers sagt, sie waren an MJ's rechtem Arm, linkem Arm, Hals und direkt
unter dem linken Knie (wo Murray den IV platziert hatte, kein Einstich, der waehrend der
Wiederbelebungsversuche entstanden ist). Rogers sagt, dass er die leere Propofol-Ampulle,
die in MJ's Schlafzimmer gefunden worden war, untersuchte. Er stellte fest, dass es
ungewoehlich war, dass der Stopper in der Mitte eine geradlinige Oeffnung hatte, es
waren keine Einstiche mit einer Nadel zu sehen. Rogers sagt, die geradlinige Oeffnung
geht von Seite zu Seite in der Mitte des Gummi-Stoppers der leeren Propofol-Ampulle,
was bedeutet, sie ist nicht durch eine Spritzennadel entstanden. Rogers sagt, diese
geradlinige Oeffnung koennte mit einem Spike gemacht worden sein.
Kommentar
-
Conrad Murray-Trial - Day 10-October 11, 2011:
"Day 10, Session 1 1/2 (TMZ-stream)"
+ YouTube Video
"Day 10, Session 2 2/2 (TMZ-stream)"
+ YouTube Video
"Day 10, Session 3 (KABC-stream)"
"Day 10, Session 4 (KABC-stream)"Zuletzt geändert von mjchris; 21.10.2011, 19:16.
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