Conrad Murray trial week 2. MICHAEL JACKSON’S LAST MESSAGE TO US
The fact that the message was taken on May 10, 2009 when Conrad Murray was routinely giving him propofol or something else to sleep – and was recording him at that – does not change anything.
Michael was falling asleep and that is why his voice sounds like he is passing away from us.
At moments like that people are unable to lie. They tell the truth only and speak of things which are most essential to them.
And in his dying hour Michael Jackson was speaking of the pain he was feeling for the world – for you, me, all of us – and our children who should be able to change it all.
His last thoughts were not about making millions, they were about giving them away for the biggest in the world hospital for children – which would have a game room and a movie theatre so that children don’t feel sick and depressed there.
He knew that joy for the children is their best remedy.
Before stepping into eternity he was still thinking of children’s well-being as his biggest dream. He understood them so well.
He was pure as a child. And he was talking about God.
I AM GONNA DO THAT FOR THEM!
Though I am asleep…
* * * * *
Half a day has passed since the shattering tape was played in the courtroom and its full text was uncovered to the world, but it is still not receiving even a fraction of the attention it deserves.
The media quotes only tiny pieces of the text accompanied by a heavily slanted comment or prefers to silence it altogether. No more gleeful CNN repetition of the tape every 5 minutes, no more Piers Morgan savoring his primitive and distasteful story four times a day, no more happy pundits popping up on the screen every half an hour to dirty Michael – no, everything is extremely modest, cold and meaning to imply that “it is is no longer the news”.
What is news to them is Steve Jobs’s death which serves as a pretext for forgetting about Michael Jackson’s tape. But this way they are showing us that their desire to bury Michael is so big that they are even ready to give up the golden opportunity of reporting an absolutely smashing link between these two pieces of news – I mean the iphone which was invented by Steve Jobs and the fact that it was exactly an iphone which allowed to extract Michael’s priceless recording and Murray’s correspondence with insurers and AEG on the day of Michael’s death.
The recording was retrieved at the end of July as a complete miracle – it was almost three months after the event (as it was recorded on May 10 but analyzed at the end of July) and restoring its data became possible only due to iphone’s unique possibilities of a small computer. One would think that Michael’s recording would be a perfect way to show Steve Jobs’s legacy at its best, but the media thinks different – they totally ignore this point though it is the most logical thing to speak of under the circumstances!
When Jane Velez-Mitchell couldn’t resist expressing her natural emotion upon hearing Michael’s tape and saying what she really thought about it ( that “maybe MJ fans were right all along and this man could never hurt a child and he was never a p-le”), she was immediately restrained by Stacy Brown who tweeted her that “she didn’t do their profession a service” – which literally means that telling the truth about Michael Jackson is doing a disservice to the media.
In other words they are now openly telling us that the only right thing for the media to do about Michael Jackson is to cover him with dirt, while everything else will be a “disservice” to their profession. This is no news to Michael’s supporters and it is only the openness with which it is being revealed now to the general public which is so surprising.
At least no one will be able to say now that the media has no agenda against Michael – it has become so obvious and even glaring that it is simply impossible not to notice it.
Michael’s tape is the biggest possible news ever. He is talking to us from behind the grave and is expressing his innermost thoughts which are revealed to us at a moment when people cannot lie in principle. The media twists and cuts it, misinterprets and gives all sorts of crazy explanations to it, speculates or squeezes out only drops of information from it – in short they are doing everything which is in their power, except the simplest and easiest thing to do which is providing the full text of it.
The reason for that is because Michael’s tape is so eye-opening an experience that it is capable to shatter within seconds the wall of lies mounted around Michael Jackson by generations of the tabloid media.
Here is the full text of it:
MJ: Elvis didn’t do it. Beatles didn’t do it. We have to be phenomenal. When people leave the show, when people leave the show, I want them to say, “I’ve never seen nothing like this in my life. Go. Go. I’ve never seen nothing like this. Go. It’s amazing. He’s the greatest entertainer in the world”. I’m taking that money, a million children, children’s hospital, the biggest in the world, Michael Jackson’s Children’s Hospital. Gonna have a movie theatre, game room. Children are depressed. The – in those hospital, no game room, no movie theatre. They’re sick because they’re depressed. Their mind is depressing them. I want to give them that. I care about them, them angels. God wants me to do it. God wants me to do it. I’m gonna do it, Conrad.
CM: I know you would.
MJ: Don’t have enough hope, no more hope. That’s the next generation that’s gonna save our planet, starting with – we’ll talk about it. United States, Europe, Prague, my babies. They walk around with no mother. They drop them off, they leave – a psychological degradation of that. They reach out to me – please take me with you.
MJ: I want to do that for them.
MJ: I’m gonna do that for them. They will be remembered more than my performances. My performances will be up there helping my children and always be my dream. I love them. I love them because I didn’t have a childhood. I had no childhood. I feel their pain. I feel their hurt. I can deal with it. Heal the World, We are the World, Will You Be There, The Lost Children. These are the songs I’ve written because I hurt, you know, I hurt.
(13 seconds: silence)
CM: You okay?
(8 seconds: silence)
MJ: I am asleep.
Despite the fact that Michael’s message came to us in fragments it is still so deep and powerful that I don’t even venture to give my interpretation of it as any comment will fall short of the original.
All I can say is that those who were still in doubt as to his innocence can now safely come down on his side of the fence as under a deep sedation like that it is impossible to pretend or lie. Michael’s words were coming from the very deep of his subconscious mind and therefore expressed the very essence of his soul.
And Michael was talking about the world in general and not of his children only – he was talking about millions of children who will probably be able to save us from the state of total degradation we currently find ourselves in.
The world terribly let Michael down and he had no more hope in it, except the children and the next generation of people. He placed his last hopes in the hands of a doctor whom he evidently trusted as he shared his thoughts with him in the final moments of his conscious life. And this is what this doctor did to him.
Are we indeed hopeless?
* * *
Day 5. September 3, 2009
This is a place to collect all information about week 2 in Conrad Murray’s trial. There is not much to write at the moment as we are still watching the testimonies. Please don’t support the tabloid media and go here for live stream of the trial: http://www.ontheredcarpet.com/livevideo?id=8361777
Since there is a small break now let me first post a piece about the testimony of paramedic Martin Blount, given on day 4 of the first week which we didn’t cover earlier (now this information has been added to the first post too).
It turns out that Martin Blount not only saw some vials scattered on the floor and saw Murray putting them into a bag, but he also saw that those three vials of lidocaine were open which can mean only one thing – that Murray used them!
Lidocaine goes together with propofol as it eases its burning sensation, so if he used three vials of lidocaine how much propofol did he use then?
The quote from http://www.anesthesia-analgesia.org/content/97/2/461.full shows that the ratio in which Lidocaine is mixed with Propofol is 10:1. And this means that if three vials of lidocaine were found open, the amount of propofol used should be ten times as much!
- Lidocaine is used to reduce pain associated with propofol injection, either mixed with propofol or preceding it as a separate injection. Mixing 20 mg of lidocaine with 200 mg of propofol is unlikely to affect the dose of propofol required for the induction of anesthesia.
“Los Angeles paramedic Martin Blount — who was among the responders to the 9/11 call on the day of Michael Jackson’s death — testified at the involuntary manslaughter of Dr. Conrad Murray on Friday that there were three open vials of the anesthetic lidocaine in Michael Jackson’s bedroom when they arrived at the scene.
Blount described how the vials were scattered on the floor of the room. He also testified that, when asked by fellow paramedic Richard Senneff about drugs that he administered to Jackson, he made mo mention of lidocaine.
Blount also testified that he saw Murray scoop up three of the bottles and put them into a black bag as they prepared to transport to the hospital.
According to Blount’s testimony, Murray was in a hectic state as emergency responders arrived in the bedroom.
“He was a little flustered; he was sweating profusely and he was agitated,” Blount told the court.
Blount described Jackson’s eyes as “fixed and dilated” when paramedics arrived.
“I felt he was dead, ma’am,” Blount told the prosecutor.
According to Blount, Murray made a phone call in the ambulance as they transported Jackson to the hospital at UCLA.
“It’s about Michael, and it doesn’t look good,” Blount recalled Murray saying.
* * * * *
Another piece of news which we totally overlooked last week is a statement made by a former Deputy DA Hamid Towfigh who had an absolutely killing argument against the Defense theory – that MJ supposedly self-administered propofol.
Please watch the video of Jane Velez-Mitchell talking to Hamid Towfigh: http://www.examiner.com/jackson-family-in-national/former-la-deputy-da-hamid-towfigh-on-conrad-murray-michael-jackson-propofol-video
It is also interesting that what Hamid Towfigh says is very much in line with Martin Blount’s testimony about the three open vials of lidocaine. Here is my transcript of Hamid Towfigh’s words (please correct the mistakes if any):
Towfigh: In their opening statement of the defense they are telling us if their theory was based on self-injection or self-ingestion by swallowing the propofol. That’s very interesting. But under both reasons they’ll fail.
First of all propofol or deprivan is only vial available [ ] .. if you swallow propofol it will not cause the reaction of death. That’s in the medical literature, you can ask Dr. Sanjay Gupta about this.
Velez-Mitchell: What about Michael Jackson somehow making an injection or opening the drug?
Towhigh: This is not possible, because according to the Coroner’s report Michael Jackson had a general anesthesia level of propofol in his blood. If you ask anesthesiologists they’ll tell you it is about 200mg or higher of propofol. The syringes that were in the room of Michael Jackson were 10cc syringes which is the equivalent of 100mg. That means that he would have had to inject himself twice — 200 mg of propofol to get the levels that the coroners said he had.
That is not possible, because after the first dose that Michael Jackson supposedly gave himself, he would have passed out.
And besides propofol is a very painful drug. That’s why they mix it with lidocaine. Michael Jackson had lidocaine in his system. They mix propofol with it because when it goes into your body it’s very painful. So had Michael Jackson self-administered this (which he didn’t) he would have screamed [ ] and Conrad Murray would have heard him in the other room.
Velez-Mitchell: I think that what you are saying is brilliant. [ ] He had so much propofol in his system according to the autopsy report that it was enough for major surgery. He would have had to use two bottles [in a shot, drip or whatever]. And at the time of administering the first one he would have been knocked out so that he couldn’t have been awake to administer the second one. Is that what you are saying?
Wow indeed! What a killing argument!
* * * * *
Now it is time to go on with the trial. For anyone who couldn’t watch the testimonies on line here is an excellent blog called JustMeSTKK’s Channel (recommended to us by Deborah Ffrench, thank you) which makes daily recordings of the trial proceedings: http://www.youtube.com/user/JustMeSTKK. The channel is doing a great job and has been added to our blogroll for easier access.
Dr. Richelle Cooper‘s testimony started on day 4 and proceeded on day 5 of the trial. Here are the first reviews:
Posted by: Laura Vess
The Dr. Conrad Murray trial continued on Monday with testimony from ER doctor Richelle Cooper about pop superstar Michael Jackson‘s death. Cooper testified in court on Friday that Dr. Conrad Murray never told hospital staff he had given Michael Jackson a dose of the surgical anesthetic propofol before the singer went into cardiac arrest.
Dr. Richelle Cooper, who was part of the team that attempted to resuscitate Michael Jackson at the Ronald Reagon UCLA Medical Center, said Murray only told her he had given Jackson two small doses of the sedative lorazepam. She said that Murray made no mention that he had been dosing Michael Jackson with propofol for several months to help him sleep.
According to her testimony, Dr. Cooper claims she gave paramedics permission to declare Michael Jackson dead at his mansion, but Dr. Conrad Murray insisted the singer be taken to the hospital for additional resuscitation efforts. A paramedic at the scene previously testified they believed Jackson was dead for at least 20 minutes before emergency personnel arrived on scene.
When Michael Jackson arrived at UCLA Medical Center, Dr. Cooper said her “assesment when he arrived was that he was clinically dead.”
The Death of Michael Jackson: Conrad Murray Trial Week 2
Dr. Conrad Murray’s manslaughter trial moves into its second week this morning as prosecutors continue questioning of emergency room doctor Richelle Cooper who who pronounced Michael Jackson dead on June 25th2009. “He was clinically dead,” said Cooper during Friday’s session, “He did not have a pulse.”
Cooper was the first physician to see Jackson in the UCLA trauma room. She testified that Dr. Conrad Murray never revealed that the pop star had been treated with propofol. Her colleague, Dr. Thao Nguyen is scheduled to testify today. At a preliminary hearing in the case, Nguyen remembered how a “devastated” Conrad Murray looked in the E-R, urging her, “not to give up easily and try my best to save the patient.”
Also on today’s witness schedule: cell phone company representatives from AT&T and Sprint who will present phone records documenting Murray’s calls the day Jackson died – including one Conrad Murray made to his friend, Sade Anding in Houston. She’s expected to testify this week that on that fateful day Murray “sounded like something was wrong. He didn’t sound like himself, to me, at all.” Earlier this year, she told GMA about the doctor’s mysterious phone call. “I heard, like, coughing like (imitates coughing) and, like, mumbling of voices. He never got back on the phone and then I hung up.”
On Friday Dr. Cooper revealed that Conrad Murray told her that he was treating the singer for dehydration and that Jackson had no history of health problems. “I asked what happened,” said Cooper of the moment when a clinically dead Jackson was wheeled into the UCLA emergency room on June 25, 2009.
“I was told that Mr. Jackson had been working very long hours and Dr. Murray thought he had been dehydrated and that he had given the patient an IV and administered 2 mg of lorazepam and later gave him [another] 2 mg and observed the patient to [cardiac] arrest,” she said.
Murray’s defense team now admits that Murray gave Jackson 25 mg of the creamy anesthetic propofol but argues that Jackson himself took an additional dose of propofol and a sedative without his doctor’s knowledge, leading to his death. Propofol is typically administered in a hospital setting.
Murray told Cooper that the only medications that Jackson took regularly were valium, an anti-anxiety medication, and Flomax, which is used to treat an enlarged prostate or someone suffering from a kidney stone.
By the time Jackson reached the emergency room, he had been in cardiac arrest for at least 40 minutes and Cooper could find no pulse, all signs of a “dying heart,” she said. Paramedics testified that Jackson appeared dead when they reached the home, indicating he could have been in cardiac arrest for a period of time before the 911 call was made by a Jackson bodyguard.
According to Cooper, Murray told her that Jackson had no history of cardiac trouble, blood clots or drug use, and hadn’t complained of chest pain or exhibited seizure activity. Cooper further told the court that she witnessed no signs of physical trauma on Jackson’s body.
Murray told Cooper he had been treating Jackson for dehydration, as he had been working long hours, according to the physician’s testimony.
Asked by prosecutors what Jackson’s condition was when he arrived at the hospital, Cooper concurred with what emergency responders had testified earlier in the day — that Jackson was already gone.
“His condition was as described by the paramedics — he was clinically dead,” Cooper testified. “He did not have a pulse … his eyes were fixed and dilated.”
According to Cooper, Jackson’s heart rhythm was “was slow and wide with no palpable pulses” — what Cooper called the “sign of a dying heart.”
Murray contends only 10 minutes elapsed between the time he found Jackson unresponsive and the time 911 was called, but prosecutors insist Murray waited at least 25 minutes before instructing another Jackson employee, Alberto Alvarez, to call 911.
Unfortunately the media does not report the testimony in detail so I will have to use my notes trying to focus on the most striking points.
Dr. Richelle Cooper says that despite all medication given to the patient and continuous CPR effort from technicians on a rotating basis – all of which lasted for an hour and 13 minutes – she had to pronounce Michael Jackson dead at 2.26 pm. It was the second time she pronounced him dead, the first being at 12.57 when the paramedics reported to her on the phone about their futile attempts to revive the patient.
Though Murray claimed he had found a pulse Dr. Cooper could never feel a spontaneous one. Spontaneous pulse is different from the one induced by compression (which they could hear) as it is the natural heartbeat, and it was this spontaneous pulse which she could never palpate.
Upon arrival at the hospital each patient is given a unique number label which marks all blood samples and specimen taken (so there is absolutely no chance that the specimen of one patient are mistaken with someone else’s).
Walgren asked Dr. Cooper if she was surprised to a see a condom catheter on the patient and she said that it seemed unusual for a 50year old male who was reportedly healthy and was coming from a home setting. However it is absolutely common to attach a collection bag for urine to a catheter during hospital procedures and surgery.
She specifically mentioned that the collection device used on MJ was empty. This is a fact which should be stuck onto Nancy Grace’s forehead as I hear she keeps saying that “he was lying in his urine”. Well, this is what Nancy Grace is all about and this is her sick fantasy which she reports as news to some gullible people – while we prefer to listen to Dr. Cooper and the exact words of Dr. Cooper are: “There was no urine in the collection bag”, which means that the patient was dry.
Dr. Cooper did not request Murray to sign a death certificate because Michael Jackson was her patient at that moment. But since she couldn’t determine the cause of death she realized it was a coroner’s case which would be referenced to a coroner’s office for autopsy and investigation.
When asked who recommended a social worker to talk to the children she said that a social worker’s involvement is a standard protocol. She personally checked on the children and found them crying. They were fairly hysterical, she said (poor kids).
Defense lawyer John Flanagan tried to imply that the doctor did not do her best because she had already pronounced the patient dead at 12.57 and knew in advance that the efforts would be futile. She disagreed saying that there was a doctor on site who said he had felt a pulse and this conflicted with the paramedics’ information, so she realized it should be her decision and her determination. Despite the fact that she pronounced Michael Jackson dead twice the actual time of his death is unknown to her.
After the paramedics reported to her the patient’s clinical death she said she allowed Dr. Murray to assume control over the patient while he was taken to the hospital (and we all know how Murray exercised that control – he was talking on the phone in the ambulance car!). When the patient arrived he was in a state of clinical death.
Definition of clinical death from Wiki:
- “Clinical death is the medical term for cessation of blood circulation and breathing, the two necessary criteria to sustain life. When the heartbeat stops, a person is suffering clinical death – by definition. But consciousness is not lost until 15-20 seconds later. Most tissues and organs of the body can survive clinical death for considerable periods. Blood circulation can be stopped in the entire body below the heart for at least 30 minutes, with injury to the spinal cord being a limiting factor. Detached limbs may be successfully reattached after 6 hours of no blood circulation at warm temperatures. Bone, tendon, and skin can survive as long as 8 to 12 hours.
- The brain, however, appears to accumulate ischemic injury faster than any other organ. Without special treatment after circulation is restarted, full recovery of the brain after more than 3 minutes of clinical death at normal body temperature is rare. Usually brain damage or later brain death results after longer intervals of clinical death even if the heart is restarted and blood circulation is successfully restored. Brain injury is therefore the limiting factor for recovery from clinical death”
Dr. Cooper said that during the one hour 13 minutes resuscitation efforts she didn’t see any signs of life. “Mr. Jackson died long before he became a patient,” the doctor said.
She said she was trained to administer propofol but she uses it only as procedural anesthesia (to relieve the pain during certain procedures to make the patient comfortable) but not for general anesthesia. The amount of 25mg Murray reportedly gave to Michael Jackson was too small a dosage to achieve any level of sedation. Various factors are taken into account when deciding on the dosage – whether there were no other medications, the weight of the patient, etc.
For a 60kg man like Michael Jackson the 25mg dosage was totally insufficient. The most it would last would be 7-10 minutes. The standard dose of propofol is 1mg per 1 kg, so a 60kg patient should have 60mg as a starting dose and this would wear off in 10 minutes.
For procedural purposes propofol is given to patients to the point when they are not aware of the pain, but their breathing has not stopped yet as under general anesthesia. Additional medication like Lorazepam is a factor which should be also taken into account.
John Flanagan of the Defense introduced the idea that Dr. Cooper should have asked at what time Lorazepam had been administered by Murray. She said she made an assumption from Murray’s words that he had given Michael Jackson Lorazepam and then witnessed the heart arrest and then called 911 (so that everything happened within minutes).
When asked whether she remembered what Murray’s demeanor was she said she didn’t focus on that. When Murray arrived she asked him “What happened?” and Murray answered that Michael Jackson was working very hard and was dehydrated. “Dr Murray reported the patient had been in his usual state of health, not ill, but had been working very hard, and he thought he may be dehydrated,” she said.
The only medication he mentioned to her was 4mg of Lorazepam (given in two portions as 2mg and 2mg) after which the patient reportedly went into arrest. This was Murray’s answer and she based her treatment on that.
Dr. Cooper asked Murray questions about prior treatment because she was interested in the best medical history – at that moment she didn’t know the reason for the cardiac arrest (which may have many causes). That is why Murray’s demeanor was not a priority for her – she was focusing on what he said. Prosecutor Walgren asked Dr. Cooper if she would have preferred to have medical records from Dr.Murray. She would, but she was also assuming that Murray was not lying to her.
She said that according to standard protocol if within 20 minutes of resuscitation effort there is no change, the patient is pronounced dead. “Would you do the same procedures for any person in the street?” asked Flanagan and she said yes.
When Flanagan asked her a dozen questions whether it was possible for the doctor to determine the condition of the patient by eye, she said that the common danger of administering propofol is a stop in breathing – and under sedation patients breathe slower, so doctors can easily miss the first signs of the problem. That is why proper equipment is required as even using a pulse oxymeter to register the problem would be too late.
This was a damning testimony.
Please watch part 1 for Dr. Cooper’s testimony:
* * * * *
The representatives of two telecommunications companies commented on the calls made from and to Conrad Murray’s two cell phones. They said they could tell the time and duration of the incoming and outgoing calls but couldn’t say whether it was a conversation or a voice mail or what the contents of text messages was. When a call is more than 35 sec. it is rounded to a minute. Moreover if the records say that the call lasted for 7 sec. (for example) it can mean that the call just rang for 7 seconds.
It is also impossible to identify the caller or to whom the call is being placed. However the subscriber for both cell phones is Conrad Murray.
* * * * *
The second doctor who attended to Michael Jackson at the ULCA hospital was Dr. Thao Nguyen. She is a cardiologist, who was at the time a cardiology fellow at the hospital taking care of patients who were critically ill. She went to the emergency room where Dr. Cooper introduced her to Dr. Murray.
Murray introduced himself as a personal physician for Mr. Jackson. (I like all these people calling Michael Jackson Mr. Jackson. It is such a welcome change from the past, though it’d better be done it when he was alive).
Murray said to her that Mr. Jackson was very tired and asked for medication to go to sleep. He gave him intravenously 4mg of Ativan (another name for Lorazepam).
She asked him if any other narcotics or sedatives were also given. He said to her, “Nothing. Nothing else.“
She wondered when Lorazepam was given and he said he didn’t know. When she asked what happened next he said he left and when he returned Mr. Jackson was not breathing. He didn’t know the time of when this happened.
She asked how much time passed since the patient was down until the call was made to to 911. He did not remember that either. He said he didn’t have a concept of time. He didn’t have a watch.
Murray never mentioned propofol to Dr. Nguyen though she specifically asked him about other sedatives.
She called Dr. Cruise and discussed the situation with him. He came down and Murray told him that he found a pulse. Neither of them could confirm it. Murray repeated to him what he was also saying to Dr. Nguyen, that “they should not give up easily and try to save Mr. Jackson’s life“. However from the brief conversation with Dr.Murray she had her concerns over the situation – she saw what Dr. Cooper’s team was doing and the initial code (a set code of actions taken by doctors) should have already been able to resuscitate the patient, but it was not.
It wasn’t Murray who raised a request for the balloon pump to be used – it was just the next step to proceed. But she realized that their case was not that of “too little, too late”- no, it was the case of just being too late. Since Murray was not able to give her the time interval what she feared was that they were running too late.
Dr Nguyen explained what a balloon pump is. In case of a drug- induced cardiovascular collapse (when some drug caused the heart to stop) the balloon pump can be inserted into an aorta and serve as a kind of a ventilator. However they were very doubtful it would be successful at that point because it didn’t look like time was on Mr. Jackson’s side. He looked lifeless.
They did move forward with the balloon pump to show good faith even though they suspected that it was futile. The procedure of inserting the balloon went very smoothly – but as they suspected they didn’t achieve anything, it didn’t bring back life.
Before applying the balloon pump the doctors made an agreement with Murray that it would be the last attempted procedure on Mr. Jackson. Shortly thereafter Michael Jackson was pronounced dead.
John Flanagan of the Defense asked at what time she had gone down to the emergency room. It was 1.35 and she already knew that the patient was Michael Jackson as Dr. Cooper had paged her about it. Dr. Nguyen addressed Murray because he was the primary source of information. Murray said Mr. Jackson asked him for a sleeping aid to help him sleep and Murray’s exact words to Dr. Nguyen were that he had given him “Ativan, 4 mgs IV” .
He neither told her that it was given as two separate dozes nor did he mention Valium. To all her questions about sedatives he answered negatively. From his replies to her questions she had some concerns. Number one concern was that time was not on their side, number two was that it was quite uncommon to use IV for treating insomnia and the Ativan administered was not a very large doze (so it was strange that it would provoke such a reaction).
Typically 4mg of Ativan would be enough to put the patient to sleep, especially if administered IV, she said. The usual indications for treating insomnia would be 2mg to 4 mg taken as a pill (by mouth). If 2mg were given by IV the effect would be pretty quick, working on the patient in 5 – 7 minutes. But those who are habitual users of the drug have a higher drug tolerance and it will take them longer. That is why doctors start it low and then go up until reaching the desired effect.
Generally if the patient is able to fall asleep after 2 mg of Ativan he will sleep for hours after that as the half-life of Ativan is 14 hours plus-minus 5 hours. “They won’t wake up at 1 in the morning and ask for a little bit more”, she said. People who have developed very high drug tolerance would require a higher doze with time to reach the desired effect. Unfortunately the toxicity threshold that can be tolerated by the brain, heart and lungs does not increase with the tolerance threshold, Dr. Nguyen said.
Suddenly Flanagan began taking about the 20mg doze of Ativan (which is an insinuation that MJ could take it himself). She said that 20 mg of Ativan administered by IV would be a very large doze. Ativan does not cause directly respiratory depression – it does not stop you from breathing and make your heart collapse and not pumping. What it does is working on the brain and making the brain sleepy. And that brain would be so sleepy that it would not tell the diaphragm to breathe and therefore the patient’s respiration will stop.
When Ativan is administered by IV they typically put a patient on a cardiac monitor and have a nurse watch the whole procedure.
I didn’t like Flanagan’s questions “When you do Ativan by IV the effect is very quick and when you do it orally it the effect takes longer?” which is an obvious shot against Jackson again. He also focused on things like “during that interval the patient’s speech will become slurred, won’t it”. After making sure that Ativan does have an effect on the patient’s speech Flanagan raises propofol.
Dr. Nguyen is certified to use propofol too. The sign by which she would tell that propofol took effect is when the patient would not respond to verbal stimuli (doesn’t talk any more). “So when the patient is sedated on the propofol he is not talking?” asks Flanagan. “And you never hear slurred speech from a patient under propofol, do you?” he insists.
Dr. Nguyen: “Before the success of induction you can still hear the patient talking, but after the induction you will not hear him any more”.
Flanagan: “And when he wakes up you don’t hear any slurred speech, do you?”
Dr. Nguyen: “No. Patients wake up totally refreshed and with no slurred speech as in the case of other sedatives like Ativan”.
Flanagan: “So the induction of Propofol is quick, isn’t it?”
Dr. Nguyen: “Yes, quick on-set, quick off-set.”
But then she adds a statement which Flanagan didn’t want to hear. She says: “It really depends on the dosage. Patient’s protocol is start slow every ten seconds and within minutes the patient will be ready for the procedure”.
Let me say the following here.
“Within minutes” is a very long period in these circumstances and it means that when propofol is being administered it is possible for the patient to still talk – in a slow manner and slurred voice which we heard in Murray’s record of Michael’s speech. The Defense is trying to show that MJ could talk like that only under the influence of another drug, Ativan or whatever, but Dr. Nguyen firmly says that it might be propofol and everything just depends on its dosage.
In fact Dr. Cooper also spoke about the use of Propofol for lesser procedures and not general anesthesia. For minor procedures propofol will not put a patient under sleep but will make him “just comfortable” – and this means that he will still be able to talk!
So in the first stages of administering propofol patients do talk and talk like Michael Jackson did in that recording made by Murray! Dr. Gershon, chief anesthesiologist of Grady Memorial Hospital, said on CNN that he hears patients talk like that every day!
This is something Flanagan didn’t want to hear so he immediately diverted everyone’s attention from that point to Murray’s demeanor and him being “devastated”.
To avoid numerous repetitions which occurred after that let me state only the main points of the remaining of Dr. Nguen’s testimony:
- Murray said to Dr. Cruise that he found a pulse but didn’t say when. Dr.Nguyen thinks that Dr. Cruise didn’t ask him about the time (because everyone assumed it was “just now”)
- it wasn’t Murray who asked for the balloon pump procedure but Dr. Cruise who initiated it. The balloon pump was used 5-7 min. after Dr. Nguyen had gone downstairs.
- after the balloon pump failed Murray agreed to pronounce Michael Jackson dead
- besides Propofol, Atrivan can also cause depression of breathing because it depresses the brain. Ativan, however, has an antidote (flumazenil)
- this antidote should be close at hand. For it to be successful it should be used within 2-3 minutes. After that the window of opportunity closes. It isn’t fatal yet but is losing valuable time in terms of preparing for the next step
- if the antidote did not arrive in time, they will have to do intubation
- however 4mg of Ativan (Lorazepam) will not require an antidote as this dosage is not the one to make trouble.
When answering David Walgren Dr. Nguyen said that during administering propofol at least three people should be present. It should be the hospital setting and not just anywhere in the hospital but in a designated place with designated personnel and a crash cart of equipment available there.
Walgren returned to the point raised by Flanagan and asked her what she meant when she said that in these types of procedures anything can happen. He reminded her of mentioning over-sedation with Ativan. In reply she talked about both Ativan and Propofol:
- “When we think of using a sedative or a narcotic we think of the desired effect to achieve, but before that we always have to think of what’s the worst-case scenario. So we always have to prepare for the worst-case scenario before we even gave the drug. Whatever the indication is – be it for procedure, be it for insomnia – before even giving drug to the patient we prepare for the worst scenario.
- What is the worst scenario? Propofol can cause severe lung collapse, respiratory, breathing collapse, they could cause cardiovascular collapse, and propofol does not have an antidote, so we have to prepare for the worst before we even administer it. And that is why we take great care to get all the personnel, all the equipment ready inside the room before we even start administering it.
- Walgren: So that you are prepared for any consequences?
- Dr. Nguyen: Yes, it is a must.
Dr. Nguyen’s very enlightening testimony is found in part 5 and the part preceding it:
* * * * *
The last doctor to testify that day was Dr. Joanne Prashad, whose testimony was actually a tribute to Murray’s very good memory. On June 25 she consulted Murray over the telephone about one of his patients and even without any medical records available to him Murray was able to recall what course of treatment the patient was undergoing and when it was to be over. She sounded impressed. Her call came at 10:22 and lasted for 2 minutes or so.
The reason why the Prosecution called her as a witness is to show that at 10:22 Murray was quietly talking on the phone and that his memory was excellent – so all that crap he told to Dr. Nguyen about not remembering anything is just a very big and intentional LIE.
* * * * *
Day 6. September 4, 2011
The day started with a very short and very important testimony of Murray’s employee whose name is Stacey Ruggles. She was shown a print-out of Murray’s telephone conversations on June 25 and asked whether she spoke to him that morning. She did.
“Is the call made on 10.34 was to your telephone…?” — “Yes”.
“And your conversation with Dr. Murray lasted for approximately 8 and a half minutes?” — “Yes”.
“And at 11:07 Dr.Murray called you back?” — – “Yes”.
“Did you speak with him?” —“I believe so”.
“I have no more questions”, said Ms. Deborah Brazil.
The reason why the prosecutor had no more questions will become clear at the end of this post which brings us to the testimony of Detective Scott on Day 9 of the trial.
On that date a tape of Murray’s interview with two detectives was played in court in which Murray gave a detailed timeline for his actions on June 25. Over there he claimed that in the period between 10.30 and 11.00 he was closely monitoring Michael . At 10.40 he began administering propofol, it took him 3 to 5 minutes to make the injection, the 25mg he gave him were enough for 15 minutes of sleep only, so at 11.00 he noticed that Michael was not breathing.
This is his version of the story which will still need to be analyzed. However whatever his motives for telling the above were, the real timeline is as follows:
- she called him at 10.34 Los Angeles time and spoke to him for 8 1/2 minutes – which takes us to 10.43
- and at 11:07 he called her back and it wasn’t an email or voice mail – no, they did talk to each other
- and this despite that fact that according to Murray’s own timeline his patient has been lifeless already for 7 minutes or so!
* * * * *
After such a discovery it is hard to proceed but I will try to.
Day 6 brought us a stream of Murray’s girlfriends – all of them young and attractive. Most of them got acquainted with him in bars and night clubs which made me wonder when this so-called doctor was working and whether he ever attended to his family and children. All the girls had some kind of communication with Murray on the night of Michael’s death either by email or phone.
The girls were marvelously reported by the ABC news, so this is where I will take most of the information.
The first was Bridgette Morgan who looked very sullen and said she had called Murray on June 25 but “he didn’t answer his telephone.” She was non-cooperative and they let her go very quickly. During the preliminary hearings it was found out that she placed a call to Murray at 11.26 but he didn’t answer.
Although Conrad Murray’s ex-girlfriend Michelle Bella is reportedly a stripper, pre-trial rulings dictated that information couldn’t be shared with the jury. In court it was said that Bella met Murray at a “social-type club” in Las Vegas where they exchanged phone numbers. On the day of Jackson’s death Murray sent her a text, and she testified that he left her a voicemail message on June 16, nine days before Jackson’s death, telling her he was Jackson’s doctor.
Her testimony was very interesting as she was the one who really talked to Murray when he suddenly stopped responding. Their conversation was a very intellectual one – she was telling him of her day and some 5-6 minutes into the conversation she realized he was not there. She then stayed on the phone for another 3-4 minutes listening to the background noises. She says she heard a cough and mumbling of voices. She supposed that Murray had put the telephone into his pocket.
Today Houston cocktail waitress Sade Anding, who met Murray in February of 2009, took the stand. Prosecutors asked her about the odd phone call she had with Murray on the day of Jackson’s death, during the moment when prosecutors believe Murray discovered Jackson had stopped breathing. Anding told GMA during the call Murray “sounded like something was wrong.””He was like, ‘Well.’ And it seemed like he wanted to say something. And I wish I would have just shut up and let him finish. Because he just said, ‘Well.’ And then he took forever,” she said. “He didn’t sound like himself to me at all.”
Then, she says, Murray became distracted.
At today’s hearing she testified, “I said, ‘Well let me tell you about my day and I started telling him about my day…that’s when I realized he was no longer on the phone … I was just talking and the next thing you know I said, ‘Hello? Hello?’ and I didn’t hear anything. That’s when I pressed the phone on my ear and I heard mumbling of voices … I heard coughing and nobody answered.”
Anding also told the court today that after she told Murray she had been questioned by police he allegedly told her not to speak to them again without his lawyer.
He said, “I’m going to give you my lawyer’s number and make sure before you speak to LAPD you have my lawyer present,” she recalled.
During her interview with GMA, Anding said Murray had lied to her, saying he was divorced with two children when he really had seven kids.
The information that Sade Alding heard a cough and mumbling of voices is extremely disturbing. First and foremost it suggests that Murray was not alone when Michael died. Alding said that she didn’t recognize any voices at all.
Another theory is that it was TV and she could could hear its muffled noise through the pocket into which he had put his cell phone (as she supposed). On the other hand if it was TV she would have heard it much clearer while Murray was still talking to her, so if the same noise continued it wouldn’t have particularly surprised her. And how often do people cough on TV?
Michael was listening to music that night and some musical device must have been on, but whether it was a TV set or something else only the Prosecution can tell us. Or the Defense. Chernoff asked Sade Alding interesting questions – for example, if the voice she heard could be anyone’s voice? She agreed. “So it could be Dr. Murray’s voice?” She agreed again. And when he asked her how long she had been listening before she hang up, she said “Three or four minutes”.
Now a question: When did Murray call Sade Alding?
According to the preliminary hearings the call was placed at 11:51. But in his June 27, 2009 interview with Detectives Martinez and Scott Murray said he realized Michael had stopped breathing an hour before that, or at 11.00 . Though one of these is an obvious lie I ask you to refrain from jumping at conclusions yet.
Sade Alding says that during the conversation Murray “didn’t sound himself at all” – though he supposedly noticed that something was wrong with Michael several minutes after placing a call. Why did he sound like that from the very beginning? And why did he specify to the police the time of Michael’s clinical death as 11 o’clock and not 12 o’clock as he would present the case later?
Probably because he knew that that time of death was 11 o’clock, and not 12? And it was much later that realized that going on with his original story was not in his interests?
Actress and former cocktail waitress Nicole Alvarez, the mother of one of Murray’s children, also testifed today, telling the court she spends her time going to rehearsals, “refining her instrument,” which she defined as her “being.”
She found out Murray was Jackson’s doctor in 2008, and eventually met Jackson, saying she was “star struck” during the brief visit to Jackson’s home.
“I can remember because Michael was very interested in the baby…he wanted to schedule visits so that he could see my son,” she said today.
During Jackson’s death she lived with Murray, and received his packages in the mail, but claimed she didn’t know the contents.
He said “that he was going to be receiving something, that if there was knock on the door, it was going to be a delivery that I could retrieve it for him,” Alvarez said.
In January, during the preliminary hearing, Alvarez made the same claim. Prosecutors believe those packages were shipments of propofol.
Phone records show Murray called Alvarez from the ambulance that transported Jackson to the hospital. Prosecutors asked her about their two-minute conversation.
“I remember him telling me that he was on the way to the hospital in the ambulance with Mr. Jackson and for me not to be alarmed … because he knew I would learn this through the news,” she said today.
“This is a different witness entirely than the other women…This is a witness who was receiving the propofol shipments at her house,” said Los Angeles County Deputy District Attorney David Walgren during the preliminary hearing in January. “This is an uncooperative witness who has refused to cooperate with the police, has refused to open the door for the police, has reached out to Dr. Murray’s attorney. Whenever we tried to reach her… And it’s not simply a phone call…”
Murray met Alvarez at a Las Vegas club a few years ago. He still stays in her Santa Monica apartment when he is in Los Angeles.
Her biggest acting role was in a 2008 movie called “Days of Wrath,” produced by Foxy Films, where she played the role of “Hot Chick.”
The packages Nicole Alvarez received had the following dates – April 8 and 29, May 1, 13 and 15, June 11, 16 and 25.
The Defense lawyers did not ask her any questions at all.
* * * * *
The next witness was Tim Lopez, the owner of Applied Pharmacy which supplied Murray with most of the medications. He closed his business in 2010. The Pharmacy worked more with physicians than with patients because its specialty was in creating medications tailored to patients’ particular needs, using formulations which are not otherwise available.
Murray first contacted him in 2008. He was looking for a specific dermatological Benoquin cream used by vitiligo patients. Lopez called some of his suppliers of raw materials but none of them had what was needed and he never followed Murray’s request.
In March 2009 Murray called him again and this time Tim Lopez was able to help him with a trial lot of Benoquin (a lot of 40 tubes 30gr each). The company’s check was for $1200. When asked whether he required any medical registration papers from Murray Tim Lopez said yes, he asked for his registration with The Drug Enforcement Agency. Benoquin is not a controlled drug but it is “their habit to ask for that number”, so Murray’s number was verified and found active.
Murray placed his first order for Propofol on April 6, 2009. Propofol is not a controlled substance and there were no red flags, Lopez said. Murray was authorized to make those orders.
They agreed that the first delivery would be made by a carrier to Conrad Murray’s office but when the package arrived Murray took a couple of vials from the package and asked to mail the rest to an address in Santa Monica. The first order was mostly for small vials of Propofol – it included 10 pcs of 100ml vials and 25 pcs of 20ml vials, 40 tubes of Benoquin cream and 9 bags of 1000ml saline solutions.
The next order came on April 28, 2009 and included 65 vials of Propofol, out of which 40 pcs came as big 100ml vials.
The testimony contained many numbers and frankly I didn’t put down most of them, but I got the overall number of the vials ordered – Murray was delivered 255 vials of Propofol, 20 vials of Lorazepam (Ativan) and 60 vials of Midozolam (Versed).
Here is an excellent article analysing these mammoth quantities (let me correct the number of Midazolam though – it was 60 vials and not 40 as the article says):
STUNNING Propofol Evidence In Jackson Physician Manslaughter Trial
September 27, 2011
In the prosecution’s opening statement on the first day of Dr. Conrad Murray’s Involuntary Manslaughter trial, the jury was led through a basic pharmacology course of the hypnotic sedative anesthesia agent propofol. He promises that the jury will be hearing a lot about the “science of propofol”, as well as Dr. Murray’s lies told to a supplying pharmacy that he had a California clinic in need of the drug, when no such clinic existed and the shipments were being sent to his girlfriends house.
Most shocking is the amount of medication Murray ordered from April – May of 2009.
In divided monthly shipments over just these three months, Dr. Murray ordered and had delivered, a total of 155,000 mg of propofol, 40 vials of midazolam (Versed)[correction: 60 vials], and 20 vials of lorazepam (Ativan). To put this in perspective, this equates to a total of nearly 5 gallons of propofol, or 1,937 mg per day of propofol. This is enough medication to run a medium sized operating room for the same period of time.
A quick lesson on propofol: It is the most commonly used induction agent for general anesthesia in the country. If you go into a hospital or outpatient surgery center and have a general anesthetic chances are you will be put to sleep with an injection of propofol. Depending on body weight and other factors, an average dose for this purpose is 150-200mg for an adult. Such doses are expected to render the patient without consciousness, reaction to pain, and significant respiratory depression or even commonly a cessation of breathing.
Only highly trained anesthesia professionals like Certified Registered Nurse Anesthetists or Anesthesiologists administer propofol for general anesthesia. Whenever and wherever propofol is given to a patient. emergency airway equipment and a crash cart must be present, and a cardiac monitor, blood pressure monitor and pulse oximetry monitor to measure the amount of oxygen in the blood.
Of these, only a tiny, cheap, battery powered, worn around the neck of a physician pulse oximeter was present, which had no alarm to warn of dangerous readings.
Propofol can also be used in far smaller doses for sedation (a typical dose would be 20 mg IV) , and as a continuous IV infusion for sedation or general anesthesia. A typical patient receiving such an infusion would be one who is in a medically induced coma in an ICU. Conrad Murray was administering such continuous IV infusions on a daily basis, based on his own admission to investigators. After all, Murray was administering nearly 2,000 mg per day….enough for 10 general anesthetics per day.
But it is worse than that. Midazolam and lorazepam, both given IV, have a tremendous potentiating effect when given with propofol, meaning it takes less propofol to attain the desired effect. When you add the incredible amount of these drugs that were being used, it boggles the mind that Jackson was not dead long before he was.
According to the opening statement, prosecutors say Murray claims minor amounts of medications administered that early morning beginning at 130 am. Murray is claiming he administered only 10 mg of valium by tablet, 4mg of lorazepam IV and 4mg of midazolam IV over the next 8 1/2 hours culminating in a 25 mg IV dose of propofol. He says he then left the room for 2 minutes to ‘empty urine’ and when he returned Jackson was not breathing.
On autopsy, instead of the small amount of propofol one would have expected to be found in Jackson’s system on toxicology examination, they instead found a very large amount expected from a high dose which would have produced general anesthesia for a number of adults and cessation of breathing. Further, this level was in the BLOOD, indicating that Jackson died immediately after being bolused with what would have been a ~100 ml vial (1000 mg).When someone dies, their metabolism of any drugs in their system ceases, so whatever is found in the blood at autopsy is what was in the blood at time of death.
Propofol is metabolized out of the blood very quickly, in less than 10 minutes. Jackson was shot full of a mega dose of propofol and immediately stopped breathing and died. Murray kept no medical records and when paramedics arrived as asked him point blank if he had administered any medications to Jackson, he said “lorazepam”. When medics contacted their medical command and related their findings of an obviously dead and non salvageable Michael Jackson, their EMS medical director pronounced Jackson dead at his home.
However Murray insisted Jackson’s care continue and that he be transported to the emergency room, and agreed to take responsibility for his medical care, a request which the EMS physician granted. on arrival to the ER, Murray again lied to the medical staff saying Jackson only received a small dose of lorazepam. no mention of midazolam or propofol was made.
Other highlights so far:
Murray was being paid $150,000 per month.
On May 10, 2009, Murray recorded Jackson in a very obvious impaired state slurring his words and talking gibberish. This stunning recording was played in part today. It did seem to indicate, in his own words, that Jackson planned to use the proceeds from his tour to build The Michael Jackson Children’s Hospital, which he planned to be the ‘best’ in the world.
Jackson was connected to a urinary catheter when security staff arrived to his bedside. Murray directed the staff to quickly collect the medical equipment and medications in the room prior to EMS arrival.
Prosecutors presented a powerful case that Murray acted as a drug dealer and not a physician, granting his patient’s requests no matter how medically absurd, inappropriate, contraindicated or dangerous they were…all for the big bucks.
The defense is making their opening statement now and as expected are painting Murray as a competent physician trying to get Jackson off drugs and claiming Jackson self administered the medication that killed him. They are claiming it killed him instantly and that no one could have saved him.
Only one problem with that statement: you do not die from propofol and benzodiazepine over administration, absent contributing underlying medical issues, even at relatively high doses, unless no specially trained medical provider is present who takes action to support your breathing.
Clearly they will be relying on the lack of medical knowledge of the jury to try and win this case.
* * * * *
Day 7. September 5, 2011
The first witness was Sally Hirschberg from a pharmaceutical company. I haven’t had a chance to listen to her, so here is an account from OTRC:
Sally Hirschberg from Sea Coast Medical, a pharmaceutical company, testifies at Conrad Murray’s involuntary manslaughter trial. She said Murray first opened an account with her firm in December 2006 and that on Apr 13, 2009, a medical volunteer who worked at the doctor’s Las Vegas office, Consuelo Ng, spoke to her on the phone.
A ‘red flag’ was raised: Ng, Hirschberg said, requested that an order be shipped to a residential address in California. Hirschberg said she declined the request, adding that all previous orders had been shipped to Murray’s Las Vegas office. She said she continued to have orders shipped there.
Prosecutors say Murray shipped propofol and other medical supplies to his girlfriend’s apartment in Santa Monica, California in the months before Michael Jackson died on June 25, 2009.
Invoices presented to the jury show that between April and June 2009, Murray’s office ordered supplies such as infusion and IV administration kits, syringes, an Ambu bag, catheters – including condom catheters, and Lidocaine an anesthetic and antiarrhythmic drug often used to numb an injection area.
Murray’s attorney pointed out that the doctor had ordered IV administration sets as far back as October 2007. ‘Was it unusual for company to order Lidocaine?’ Hirschberg was asked, to which she responded: ‘Not unusual, just not a lot.’
Receipts from a Las Vegas pharmacy, presented to the jury on Oct. 4, 2009, showed Murray had ordered Lidocaine cream, as well as some 255 vials of propofol, containers of the injectable anti-anxiety drugs Lorazepam and Midazolam”
* * * * *
This information looked like a sensation but only until Michael’s tape was played that day when everything suddenly grew terribly shallow and unimportant. It once again reminded us whom we had lost and brought home to us how petty, artificial and cynical the world we are living in is.
Yes, cynical because Murray was not only administering Michael some agent to induce sleep but he was also recording him in the process of it, which is a grave violation of all medical laws and human ethics. He was recording Michael when he was falling asleep and least expected it, and this immediately makes us wonder why he was doing it at all.
The iphone enabled Steven Marx to determine the date of the recording – it was May 10, 2009 which sets it as the time when Murray was already administering Michael something to make him sleep.
The other records Steven Marx managed to extract from Murray’s iphone is a whole package of correspondence made back and forth between Murray, the insurance brokers and Shawn Trell of AEG with copies sent to Kathy Jorrie (lawyer employed by AEG), Timm Woolley, Randy Phillips and Paul Gongaware of AEG.
I’ve tried to place them in the chronological order to get ready for a later study.
The first was a letter from Justin Burns, sent on June 22, 2009 concerning Mark Jones (the name given to MJ for confidentiality purposes), which says that the additional evaluation of the insured person’s health will have to be made by two more doctors.
A follow-up to this letter dated June 24, 2009 (again from Justin Burns) says that the 5-year medical record had not been provided and that the assured – who were AEG and Michael Jackson’s company – did not confirm or deny press speculation regarding the artist’s health:
“As you know there have been several occasions we have asked the assured to confirm or deny press speculation, always with no response”.
On June 24, 2009 Paul Gongware of AEG writes an email to the insurer’s broker Bob Taylor (with copies sent to the whole AEG gang) that they “need to do it at MJ’s house”.
However Bob Taylor replies that they (the Lloyds) will not accept it.
He says that everything is ready for a medical examination to take place in Harley Street , London in a special suite where all the equipment has been installed.
The copy is naturally sent to all those involved on the part of AEG.
Let me make the following note here.
Formally it was AEG who insisted on Michael Jackson obtaining the insurance, but if it was not confirmed in London they could trigger off their stand-by variant of terminating the deal, demanding the advances back and in case of a default in payment obtaining MJ’s precious collateral.
Conversely, Michael Jackson did not insist on the insurance but was interested in having it in order to go on with the deal. But this again only in case he thought that all their contract conditions were carved in stone and couldn’t be revised.
However we have reasons to believe that the final contract was never signed, so its conditions could be changed or considered null – which is a way MJ could have also regarded the situation (see the numerous posts about the AEG contract being null). And this is why Michael was not very much worried whether it was obtained or not. It was AEG who wanted it, not him.
In short all this is a rather complex logical riddle, which will need to be looked into at another time.
Prosecutor David Walgren read out the email sent to Conrad Murray from Bob Taylor, London on June 25, 2009. The time stamped on it is 5.54 am Los Angeles time, which is the morning of the day Michael died.
“I have advised the insurers that your records go back from the present time to 2006 when you first met with MJ in Nevada. You confirmed that as far as you are aware you are the only doctor consulted during that 3 year period.”
Well, we know for sure that Murray wasn’t the only doctor whom Michael Jackson consulted during that period – Dr. Klein, for example. Another doctor was Dr. Patrick Treacy who performed some cosmetic procedures on Michael while he was in Ireland. Why Murray wanted to limit Michael’s medical ties to himself only will still need to be studied, but let us just register at this point that he is a telling a lie here.
On June 25 at 11.17 am Los Angeles time Conrad Murray sent to Bob Taylor an answer to his letter.
Among other things it said that Michael denied releasing his medical records to the brokers for assisting them to procure an insurance policy as it was already secured in the US (which again shows that Michael was not terribly interested in confirming the insurance and was not terribly worried if it wasn’t).
This situation will have to be analyzed later – at the moment let us just make a very important note that at the time when Murray was supposedly monitoring his patient he was actually sending out emails which, by the way, required typing first !
Steven Marx was also able to retrieve a voice mail which came early in the morning of June 20, 2009 or the day the so-called “riot act” was read out to Michael following the day when Kenny Ortega let him leave the rehearsal ( June 19).
The voice mail was from Frank Dileo.
I didn’t get the whole of it, but what I did showed that when it came to treating Michael his manager was no better than the AEG people.
The initial impression was that he was concerned about his friend’s health, however later that impression turned into an understanding that he simply wanted to know “what he was doing” (which most probably means “what drugs he was taking”). The voice mail said:
- “Dr. Murray, this is Frank Dileo, Michael’s manager. Please call me at ……… I’m sure you are aware of the episode last night. He is sick. …… I think you need to take a blood test on him. We’ve got to see what he is doing. Thank you”.
Steven Marx also managed to retrieve the time of that voice mail – it was 7.48 am PT (Pacific Time) of June 20, 2009.
The time shows that after the “June 19th episode” (see Kenny Ortega’s testimony on week 1 of this trial) the same night or early morning Frank Dileo was contacted by the other side – AEG or Kenny Ortega.
He was told about the meeting which was to take place at Michael’s house later that day. So prior to that he called Murray and asked him to make Michael’s blood test so that the result could be reported to Randy Phillips and Ortega.
Frank Dileo didn’t realize that Michael’s horrid condition wasn’t the result of “what he was doing” – it was the direct consequence of the treatment provided to Michael by Murray himself.
And now he is approaching this man for checking up on Michael though he is the one who is directly responsible for Michael’s quickly deteriorating health. Oh God….
It was possibly at the June 20th meeting that a “riot act” was read to Michael where a demand was made that he should not miss a single rehearsal or otherwise AEG would “pull the plug”. Thus instead of rendering him real help they chose to build more pressure on him which mounted his stress to unspeakable heights. This is why he couldn’t sleep at all….
Steve Marx’s testimony together with all messages, voice mails and Michael being recorded by Murray is found in this part of the trial:
* * * * *
Days 7-8. September 5-6.10.11
She found a 20ml empty bottle of propofol lying on the floor. This is the first sign that at least 20ml of propofol were administered to Jackson that night.
Before adding up all empty vials of propofol found and registered by Ms. Fleak during her two visits to the house on June 25 and June 29, we should agree that it is highly unlikely that Murray (or Michael) would keep empty vials lying about the bedroom for days or weeks without throwing them away.
So if an empty vial was there it most probably means that it was used the same day.
Another thing lying on the floor was a 5ml empty vial of flumazenil (the drug used to reverse the effect of Lorazepam/Ativan).
On the night stand there was a syringe without a needle and on the floor there was a catheter which Ms. Fleak initially took for a needle to this syringe. So what looked at first like two parts of one and the same thing turned out to be some odd pieces which did not match.
Since the defense is claiming that Michael self-administered something it is important to see what was beside him on the night stand and what was stored in a box below on the glass table.
On the nightstand there were prescription drugs in pills – Diazepam, Lorazepam and Flomax. In the basket on the glass stand below there were some other prescription pills.
Here is the list of those pills (excluding Flomax which is for a prostate condition) showing who prescribed what and when, and how many pills were originally there and how many left by the time of Michael’s death.
The list is accompanied by information from WIKI about the purpose of these medications:
- Temazepam is an intermediate-acting 3-hydroxy benzodiazepine. It is mostly prescribed for the short-term treatment of sleeplessness in patients who have difficulty maintaining sleep (MURRAY, Dec. 22, 2008). Number issued 30. Number remaining 3. Capsule 30 mg. Directions to use – once at bedtime as needed.
- Clonazepam is a benzodiazepine drug having anticonvulsant, muscle relaxant, and anxiolytic properties (METZGER, April 18, 2009). Number issued 30. Number remaining 6. Tablet 1 mg. Directions to use – 1 at bedtime
- Trazodone is an antidepressant of the serotonin antagonist and reuptake inhibitor (SARI) class. It is a phenylpiperazine compound. Trazodone also has anxiolytic, and hypnotic effects (METZGER, April 18, 2009). Number issued 60. Number remaining 38. Tablet 50 mg. Directions to use – 2 at bedtime as needed
- Lorazepam is a high-potency short-to-intermediate-acting 3-hydroxy benzodiazepine drug that has all five intrinsic benzodiazepine effects: anxiolytic, amnesic, sedative/hypnotic, anticonvulsant and muscle relaxant (MURRAY, April 28, 2009). Number issued 30. Number remaining 9. Tablet 2mg. Directions to use – one at bedtime. Physician MURRAY. Found on the night stand
- Tizanidine (Zanaflex) is a drug that is used as a muscle relaxant. It is a centrally acting α2 adrenergic agonist. It is used to treat the spasms, cramping, and tightness of muscles caused by medical problems such as multiple sclerosis, spastic diplegia, back pain, or certain other injuries to the spine or central nervous system (KLEIN, May 7, 2009). Number issued 10. Number remaining 8. Tablet 4mg. Directions to us – half tablet at bedtime.
- Diazepam, first marketed as Valium is a benzodiazepine drug. It is commonly used for treating anxiety, insomnia, seizures including status epilepticus, muscle spasms, restless legs syndrome, alcohol withdrawal, benzodiazepine withdrawal and Ménière’s disease (MURRAY, June 20, 2009, or the day when AEG’s “riot act” was read out to Michael). Number issued 60. Number remaining 57. Tablet 10mg. Directions to use – 1/2 to 1 every 6 hours. Physician MURRAY. Found on the night stand
Here is a further comment on the pills provided by a reader:
“A pharmacy of drugs” such BS! This is how the media likes to spin everything.
Propofol and Lidocaine are used together. Lidocaine is not medication it is used in conjunction with Propofol because Propofol burns when it’s being injected. So right there you can cross Lidocaine off the list. They’re trying to make it sound like it was something separate when it wasn’t.
Then there’s Lorazepam. The Lorazepam was prescribed on April 28, 2009 and contained 30 pills. On June 25, 2009-two months later- there will still 9 pills remaining. So Michael took 21 pills of this in a two month time span.
Then there’s Diazepam. It was issued on June 20, 2009 (the same day Michael was told he was going to lose everything if he backed out of the concerts) One thing Diazepam treats is anxiety. What person wouldn’t have anxiety after being treated the way Michael was at the meeting. I think for someone to tell you they are going to take your children away would cause anyone to have anxiety. Anyway…there were 60 pills of Diazepam prescribed on June 20, 2009 and on June 25, 2009 there were 57 remaining. That means he only took three within the span of 5-6 days.
Then there’s Temazepam. This was prescribed in December of 2008 and on June 25, 2009 there were still 3 pills left. This was something he had stopped taking a while ago and Temazepam did not show up in the toxicology report.
Then there’s Trazodone. This was issued to him in April of 2009. It was a prescription for 60 pills and on June 25 there were still 38 pills left. This was also something he stopped taking quite some time ago. Trazodone did not show up in the toxicology report.
Then there’s Flomax. Flomax has nothing to do with any of this. I don’t even know why they mentioned it.
Then there’s Clonazepam. This was issued in April with 30 pills and on June 25 there were still 8 remaining. Once again, something he was no longer taking. This was not found in his toxicology report either.
Then there’s Tizanidine. A prescription for ten pills was issued on June 7, 2009 and on June 25, 2009 there were 8 left. So in the span of more than two weeks, he took two of these pills. Tizanidine was also not found in the toxicology report.
Last but not least there’s Hydrocodone and Benoquin. I have no idea why these are even listed. They are not medication. They are creams and lotions that Michael used for his skin.
So, out of all of that BS what they found in Michael was: Propofol, Lorazepam, Diazepam, and Tizanidine. And guess who gave him ALL of that in the early morning of June 25, 2009…Dr. Murray.
I understand the reader’s idea when she says that lidocaine should be crossed off the list, but suggest we keep it for another purpose – the number of empty lidocaine vials will indirectly show to us how much propofol was administered to Michael.
The empty lidocaine vials were found in the bags used by Murray for hiding away the medication scattered on the floor.
Alvarez remembers that before calling 911 Murray dropped those vials into the bag he was holding open for Murray. Paramedic Sennoff also saw Murray collecting things from the floor when he returned into the room to pick up his equipment.
Ms. Fleak found the bags in the closet during her second visit to the house on June 29 – after Murray was forced to admit to detectives where he had left them. Ms. Fleak made full inventory of the bags and here are the items which attract our attention. First comes the BLACK BAG:
1) the blood pressure measuring kit was in a small bag, put into in a cardboard box, stored in a bigger bag. All this shows that the blood pressure measuring device wasn’t close at Murray’s hand and he wasn’t using it for monitoring Michael, otherwise it would have been opened or at least less packed
2) the black bag contained 3 lidocaine 10ml vials, two of which were empty and one was half-full . Exhibit 132.
Considering the fact that lidocaine is mixed with propofol in the proportion of 1:10, those two and half empty bottles of lidocaine can give us the idea of how much propofol was given to Michael.
If the cumulative quantity of LIDOCAINE used from those three vials was 25ml, this alone brings us to the estimated quantity of 250ml of propofol, and not 2,5ml (25mg) claimed by Murray.
THE BLUE BAG contained lots of things including the pulse oximeter (which Murray put on Michael’s finger only when he was moved to the floor, and not earlier), a 10ml Lorazepam bottle, 2 vials of midazolam, some debris like an empty cap for a needle or empty packaging for an IV set, etc.
But what is most important is that it contained a huge number of vials, part of which were empty (or used). These included:
– another empty 20ml propofol vial. Exhibit 136. We remember that the first empty vial was found on the floor near the bed and now comes the second one from the bag in the closet. Thus the used-up quantity of propofol grows to 40ml.
– 2 pcs of unopened 100ml propofol vials were also found in the bag (they came from the so-called ‘baby essentials’ bag inside the blue bag) . Exhibit 142.
– 7 more vials containing 20ml of propofol were found by Ms. Fleak. Exhibit 143.
4 pcs of them were unopened and 3 pcs of them were partially consumed (1st was 20% full, 2nd was half-full, 3d was 15-20% full). Altogether the consumed propofol from these three vials we will come to approximately another 40ml.
So the total figure of used propofol is now growing to 80ml.
– 3 more vials of LIDOCAINE (I remind you that it goes together with propofol) were also found in the blue bag. Two of them were partially consumed. Exhibit 144
It seems that the volume of three lidocaine vials from the blue bag is the same 10ml as the vials from the black bag. If “partially consumed” means that the two vials were at least half-full (though in the picture all of them look empty), this can give us a minimum of 10ml of lidocaine used – which with the help of 1:10 ratio brings us to another estimated 100ml of the propofol administered to Michael.
– 3 midazolam vials (two intact, one open). Exhibit 145
– 4 vials of flumazenil (three unopened, one uncapped) – exhibit 146. Flumazenil is used to reverse the effect of Lorazepam
– 2 vials of lorazepam (one unopened, one half-full) – exhibit 147
– 1 bottle of a mixture of ephedrine 25 ml, caffeine 200 ml and aspirin 80 ml from Applied Pharmacies (and therefore ordered by Conrad Murray) – exhibit 148
– and one of the major findings in the bag was a saline bag with a cut in it and a 100 ml empty Propofol vial inside it.
Same as Alvarez Ms. Fleak said that she saw the propofol inside the saline bag, but took one from the other to check what it was and photograph it.
Later in her testimony she will admit that she didn’t make a photo of them when the vial was inside the bag. She first took the vial out, registered it and then placed it on top of the saline bag to take a picture. Her records though say that the vial was inside the bag.
The absence of the initial photo was naturally questioned by Chernoff as he wanted to show that Ms. Fleak had made mistakes in her investigation, but whatever the defense says it does not change the essential thing – the fact that the 100ml vial of propofol was empty.
If we bring all five open 20 ml vials of propofol together – 1) one empty found on the floor 2) another empty found in the bag 3) one 20% full, 4) another one half-full and 5) the last one 15-20% full – this should take us to at least 80ml of propofol administered to Michael that night.
And if we add to it the empty 100 ml bottle from the saline bag, the end result will be at least 180 ml which is a decided difference from the 2,5ml (25mg) Murray is telling us about.
However if we try and approach it from another end, that of lidocaine which goes together with propofol at the ratio of 1:10, the overall quantity of propofol used will become much bigger.
Calculations over Exhibit 132 took us to the estimated quantity of 250ml of propofol used and Exhibit 144 added to it at least 100ml more – thus bringing the overall estimated quantity of propofol used to around 350ml.
Chernoff tried to discredit Ms. Fleak by pointing at small and not too significant discrepancies which did not change the general picture but created the impression that she had done sloppy work. The media naturally had their heyday over it – “Defense grills investigator”, “Defense accuses investigator of shoddy work”, etc.
In comparison with the most media trash this article looks more or less okay. It says that Murray’s fingerprint was found on the 100ml empty Propofol bottle and that Michael Jackson’s fingerprints were not found on any of those bottles, vials or syringes!
Jackson investigator criticized
Alex Dobuzinskis, Reuters
LOS ANGELES – An attorney for Michael Jackson’s in-house doctor challenged a crime scene investigator Thursday and suggested she conducted a shoddy examination of the bedroom where the “Thriller” singer stopped breathing in 2009.
Jurors in the involuntary manslaughter trial of Dr. Conrad Murray also heard from a toxicologist, who said he found the anesthetic propofol in Jackson’s blood, liver, urine and stomach. The sedative lorazepam and other medications were also found in his body.
Authorities have ruled that Jackson died of acute propofol intoxication, combined with the sedative lorazepam.
But the day’s most confrontational exchange came during the testimony of coroner’s investigator Elissa Fleak. Murray’s attorney, Ed Chernoff, mounted the defense team’s most forceful challenge since the trial began in Los Angeles Sept. 27.
Murray has admitted to giving Jackson propofol through an intravenous injection as a sleep aid on June 25, 2009. His attorneys say Jackson gave himself an extra, fatal dose of the drug once Murray was out of the room.
Fleak combed through Jackson’s bedroom with police after the singer’s death.
“Would you agree with me that you made a substantial number of mistakes in your investigation?” Chernoff asked her.
Fleak denied that suggestion, but acknowledged her original hand-written notes were destroyed when they were transferred into an official report. “I do that in all my cases,” she added.
Chernoff questioned Fleak on her assertion that a bottle of propofol was found inside an IV bag.
Investigators found the propofol bottle and IV bag stashed inside a shopping bag in a closet area four days after Jackson’s death, Fleak said.
Prosecutors and defense attorneys agree Murray’s fingerprint was on the propofol bottle.
They also stated that Jackson’s fingerprints could not be found on vials of propofol and other drugs retrieved from the bedroom and nearby.
Fleak admitted her original notes did not mention finding the propofol bottle inside the IV bag, and that the first time she placed that in her notes was earlier this year.
But she denied suggestions by Chernoff she had changed her findings to make them fit in with another witness. “I’ve never talked to prosecutors about another witness,” she said.
Ms. Fleak admitted that she did not mention in her 2009 report the fact that the 100ml propofol bottle was inside the saline bag. Chernoff suggested that she added it after hearing Alaverez’s testimony at the preliminary hearings on March 25, 2011, but during cross-examination by Walgren it was found that this addition was made before the hearings (on January 7, 2011).
Another of Chernoff’s claims was that though Ms. Fleak was at Michael Jackson’s house twice she didn’t mention in her initial report seeing the IV stand. She said she had observed the IV stand and even took a picture on June 25, but made a description of it two days later and included it into her report of June 29 after the second visit (the first one was rather brief – she arrived at 7pm and left at 9pm).
Chernoff also said she didn’t notice three empty bottles of pills on a ledge in a bathroom near the master bedroom (not the one where MJ was found), but later in the day we will learn from Detective Scott that it was him who put them there on June 26, so Fleak could not initially see them.
Questioning her again and again over that empty propofol vial inside the saline bag Chernoff insisted she should have photographed it the way it was without taking one from the other. She agreed that she should, but also noted that she could have also put it back into the bag and taken a photo after it, but she didn’t.
There were two or three more instances of minor inaccuracies and Elissa Fleak admitted she hadn’t done a perfect investigation, but said that she was doing her best and her answers were accurate.
Chernoff pointed out that the saline bag was clean and free from any milky substance. This is an argument we will have to agree to though it does contradict Alvarez’s words who said he saw some milky substance inside.
This contradiction is absolutely no tragedy because during the few seconds Alvarez was looking at the bag and in a shocked state he was at that moment, it was impossible to see every minor detail of it– and his assumption that a little bit of substance was there is absolutely logical as the propofol vial lying upside down inside the bag was indeed suggestive of it. The mistake was all the more easy to make since the cap of the bag is white too.
A much more interesting question is why the bag was indeed clean. And the fact that there was no propofol there was confirmed in the testimony of Dan Anderson, toxicologist with the Los Angeles County Coroners office.
* * * * *
One of the crucial pieces of his evidence at the trial was a diagram of the IV stand and various tubing attached to it. Unfortunately when Dan Anderson was commenting on it the signal from the court was very poor and much of the information was lost for the viewers. However I managed to make a screenshot of the diagram.
The legend on the diagram reads:
- A. IV bag
- B. Syringe
- C. Y-connector
- D. Short Tube
- E. Clear Tip
- F. Long Tube
- G. White Clamp
- H. White Thumb Clamp
- I. IV bag plug
Initially the news that the saline bag on the IV stand was clean and didn’t contain propofol looked like being in the defense’s favor but the more I think of it the more it looks like it is not.
The diagram shows that part of the tubing system on the IV stand – from the saline bag (with an empty propofol vial inside it) to a clamp somewhere in the middle of the tubing – was cut off and all propofol went via a shorter side route, from the syringe direct into MJ’s body.
This means that the whole cumulative quantity of the propofol used (which is at least 180 ml judging by the vials calculated above) could be pushed manually. The syringe via which it was pushed was hanging on the stand.
But if all propofol was administered manually by a syringe how come an empty 100ml vial got into a bag on the top of the IV stand?
This question is not idle because it means that someone first pushed all that propofol by a syringe (one 20ml vial dropped on the floor, another 20ml from the bag, three more partially empty 20ml vials and finally a big 100ml vial) and then stood up and put the empty vial into the bag through a slit on it.
Michael is ruled out for obvious reasons and the only other man who could have done it is Murray. Why did he stand up and put it there I wonder?
But let us first see whether Michael could have used a smaller vial of Propofol. An empty 20ml propofol vial was lying on the floor beside the bed.
(Isn’t it interesting that Murray collected everything including scraps of paper and some torn packages except this vial as if leaving it on purpose?)
- The 20ml vial was accessible to Michael but in order to extract propofol from it one needs syringe with a needle as the cap on the vial was still on and otherwise it is not accessible.
- A syringe with traces of propofol and lidocaine in it was conveniently left on the nightstand – only it didn’t have any needle. And what Fleak thought to be a needle on the floor turned out to be a catheter. The needle mysteriously disappeared – and it won’t suprise me if it went into Conrad Murray’s pocket.
Let me make an important point that the syringe did not have Michael’s fingerprints on it.
In fact no Michael’s fingerprints were found on any vials, bottles or saline bags in that bedroom (Prosecutor Walgren read out a special fingerprint analysis report, people’s exhibit 160).
We never believed that Michael could administer any propofol to himself anyway – simply because with the first drops of propofol his muscles would relax and he would be falling asleep, but the absence of fingerprints is the last blow to the “self-administration” theory presented to us by the defense. Michael wasn’t wearing latex gloves as Conrad Murray did and there was no way he could avoid leaving the fingerprints!
If we go once again over one of the possible scenarios of the events, we’ll see that first Murray could push all that propofol via a syringe, then take the needle away and put the only big 100ml bottle of propofol on the top of the IV stand to produce the impression of it being administered via dripping. The vial was even placed there upside down for better effect and he just didn’t have time enough to attach an IV tubing to it to imitate the dripping.
The main point in all this riddle is that the vial could not go into the bag on its own. Someone put it there on purpose – to produce the impression they wanted to produce. Or Propofol could indeed be administered to Michael by a drip, but then the prosecutors will have to explain why the saline bag holding it was clean.
I think that Murray is a big liar and maybe much more than that. His demeanor during the trial and the quiet way he related his story to the detectives shows that he is quite emotionless and is capable of the worst.
I would be only happy if someone refuted my understanding of this situation. Please do.
Here is medical evidence # 1 and #2 submitted by Ms. Fleak and analyzed by the coroner. It is the analysis of separate parts of the IV tubing system from the point of view of where propofol and lidocaine (and flumazenil) were found and were they were not. Two syringes were also examined – the one on the night stand and the other one hanging on the IV stand.
Propofol and lydocaine were found in both syringes as well as the short tubing. But they were not found in the saline bag and the long tubing on top of the IV stand. Does it mean that the empty 100ml propofol bottle didn’t belong there and was put there by someone on purpose?
The only fingerprints on the 100ml empty propofol vial were those of Conrad Murray.
* * * * *
I will not comment on the 8-page report generated by Dan Anderson’s office as there are people who will do it better than I will. All I will provide here is general information which is easy for us laypeople and should be known by everyone.
Firstly, the report said that there was no Demerol either in blood or urine specimens (when you look for Demerol you look for its metabolites Meperidine and Normeperidine which were not detected, or ND).
Mr. Andersen explained that blood samples show what is happening in the body at present, while urine samples represent the history of medications — what has already gone through the body and what is being expelled from it.
The report showed that Cocaine was Not detected.
Marijuana together with its metabolytes — Not detected.
Amphetamine (Extasy) — Not detected.
Mathamphetamine, codeine, vicodine, morphine — Not detected.
Alprazolan (Xanax) — Not detected.
Diazepam (Valium) — present in the amount of <0,10 micrograms per ml.
Midazolam — present in the amount of 4,6 micrograms per ml.
The major medications found were Lidocaine, Propofol and Lorazepam. Their quantities varied depending on the specimens tested (for example, the urine from a jar on the scene or urine collected during the autopsy). However the biggest numbers were always for Propofol no matter which specimen you took.
Andersen explained that the abbreviation UL stands for miligrams and NG stands for micrograms, therefore UL is a thousand times as big a particle as NG. See the WIKI definition for them:
- One milligram is 1000 micrograms. 0.001 milligrams is equal to 1 microgram. http://en.wikipedia.org/wiki/Gram
Therefore when we look at the table providing findings for the above three medications you see that though Lorazepam is marked with a bigger number (169 micrograms/ml) it actually stands for only 0,0169 miligrams/ml and is absolutely incomparable to 2,6 miligrams/ml of propofol in the same table.
The amount of propofol found in various specimens was as follows:
Heart blood -3,2 mg/ml
Hospital blood – 4,1 mg/ml
Liver – 6mg/ml
Femoral blood – 2,6mg/ml
Vetrious (the liquid in the eye) – <0,4 mg/ml
In the gastric contents – 0,13 mg/ml
Urine collected during autopsy – 0,15 mg/ml
Urine on the scene – <0,10 mg/ml
Commenting on the amount of propofol in the gastric contents Dan Andersen said that the 0,13mg/ml found there was so small that it might be compared to 1 sugar crystal in a 1000g sugar pack.
When Flanagan of the Defense asked Andersen fantasy questions which were not easy to understand even by this top professional, we accidentally found out that during the autopsy there were three jars of urine collected from the body which altogether amount to some 530ml. Andersen said that finding this amount in the bladder of a deceased is wholly untypical.
The amount itself is not surprising considering that Murray was constantly dripping saline into Michael’s body (and this is why the saline bag with profopof inside it was empty with only drops of clear saline left on its sides).
What is surprising though is that a big amount of urine can be held by the bladder only if a person is asleep, and this refutes Murray’s story that Michael was wide awake the whole night.
Nikki Alligator (gatorgirl) has earlier made an excellent post on the above called “But I have got to pee” where she explains that the above proves that Michael was asleep when he was administered propofol:
“In a normal person (as in, someone without diabetes insipidus) , someone usually makes urine in proportion the amount of fluids they take in, so, a person who drinks just a little bit of liquid should not pee as much as someone who has taken in a lot of liquids. Murray claims Michael was dehydrated–so Murray may have actually given Michael a lot of IV saline fluids, either for dehydration or some other reason.
So, assuming Murray gave Michael a lot of fluids, for whatever reasons, it caused Michael to produce a lot of urine. Here is where the problem occurs–Michael had 550 mL of urine in his bladder. A normal bladder comfortably holds 300-350 mL of urine. A “full” bladder holds about 500-700 mL of urine.
Michael’s bladder had about 550 mL of urine in it so his bladder was at capacity. The desire to urinate begins to be felt when the bladder is at about 25% of its working value–so, if the working volume was 400 mL for Michael then at about 100 mL Michael should have felt the need to pee. Whatever the percentage, at 550 mL Michael should have felt the need to urinate and urinate ASAP.
But, Murray claims Michael was awake, “demanding” propofol. Really? Michael was awake yet did not think to empty his at-capacity bladder? In fact, Michael should have felt the urge to go well before he passed away but yet died with a full bladder but Murray insists Michael was awake all this time. I seriously doubt an awake Michael consciously held this much urine and did nothing about it, hell, he did not even have to get up to pee since he had a condom catheter on–I think almost certainly Michael was sedated thus did not feel the need to urinate and that is why his bladder was full. He would have peed had he been awake during all that time when Murray claims he was awake demanding this and that and what not.
With Michael creating that amount of urine and holding it all that time one has to ask if Michael EVER awoke at any point on June 25th before he died? It does not seem likely from my point of view.
…a condom catheter does not actually enter the body–it is external and merely collects urine as it is released from the body. It does not help one to urinate or anything like that–it simply collects it and keeps it from soiling the patient…I would think had he been awake he’d have relieved himself well before allowing his bladder to get that full as I don’t think he would have been comfortable with that much urine in his bladder.
… the comments above seem to be yet another indication that Michael was in fact sedated when he was killed.
For full story please go to: http://gatorgirl277.blogspot.com/2011/03/but-i-have-got-to-pee.html
In a taped talk between Murray and detectives played the next day (September 7) Murray claimed that his patient had problems urinating and this fact could probably make some corrections to the above version, however firstly, we have only Murray’s word for it which is absolutely worthless as we see now and second, even some prostate problems do not rule out the need and desire to urinate when the bladder has some 530ml or 550 ml inside it.
Flanagan tried very hard to impress on the jury a version that Michael’s death was caused by too much Lorazepam which could have been taken orally by the man himself. However Andersen said that the amount of Lorazepam in the stomach contents was minimal and that its presence there is not always due to oral administration.
When Dan Andersen’s testimony was resumed the next day, on September 7, he said again that he could confidently testify from his experience that drugs may be found in the stomachs of decedents even if not taken orally (they come there from the blood).
And it was David Walgren who delivered to the Defense’s theory a fatal blow. He presented an analysis which said that the amount of Lorazepam found in the stomach amounted to 634 micrograms/ml -which if related to tablets – was 1/43d or one forty third of one 2 mg pill!
This quickly resolved the issue of “a big amount of Lorazepam possibly taken orally”. Flanagan had nothing more to say and did not go on with the cross-examination.
* * * * *
Day 9. September 7
Detective Smith learned of Michael’s death at 3.30 pm and arrived at the medical center at 4.25pm. For some reason Prosecutor David Walgren asked him numerous questions about the time Murray left the building and in what direction he went (he even showed a video of Murray exiting the building). The time Murray exited the hospital was 5.02 pm. He had to walk as he had left his car at Carolwood 100.
Detective Scott didn’t gather any details about Murray that day. He briefly spoke to the security guys Faheem Muhammad and Alberto Alvarez and got their contact information. At approx. 7.15 pm he arrived at Michael Jackson’s house.
At the time it was still a death investigation and not a homicide investigation – the coroner’s report was not ready, so they didn’t know the cause of death.
All the evidence was collected by the Coroner’s investigator Ms. Fleak. Detective Smith said that his role in the process was just an additional pair of eyes. He had his own photographer and was assisting Ms. Fleak. He and Ms. Fleak left the residence at 9.30 pm simultaneously. The house was released to private security at the request of the Jackson family.
The next day he attended the autopsy, but the cause of death was still unclear and they had to wait for the toxicology report. On June 26 Scott returned to Carolwood 100 as he received a word from the Coroner’s office that some additional evidence had been provided by the family. It turned out to be rotten marijuana.
When Walgren asked him if that evidence was anything meaningful the detective said: “Not whatsoever”.
Besides that rotten thing Smith also found 3 discarded empty bottles of medication two of all of which were prescribed by Murray (Lorazepam in 2mg pills on April 2 and Diazepam on April 14), and one by Arnold Klein on May 3. He said that he placed them on the ledge for taking a photo and this is why Ms. Fleak could not see them there the previous night (the fact that she overlooked them there was one of the reasons why Chernoff was finding fault with her).
On June 27 he and Detective Martinez met Murray who was accompanied by his lawyer Ed Chernoff. The interview was recorded. Here is a link to the transcript: http://tmz.vo.llnwd.net/o28/newsdesk/tmz_documents/1007_conrad_murray_transcript.pdf
I hope there will be a time to analyze it in detail. At the moment let me just state here our very first impressions of it. Lynette has written about it:
- “He went into that interview with one intention and that was to make anyone other than himself look guilty of everything from administering propofol to not letting people pee in the house and making them go to the gas station on the corner that is non existent. Yes I did a Mapquest search and there is no gas station on the corner, so how far did those poor security guards have to go to go to the bathroom? And then to add that bit about him thinking that was inhumane and how he talked MJ into letting them pee in the house? What a hero to the common man he is.
Oh and if you want to “wean” someone off a drug the key to being sucessful is to stop ordering more and more of it like 4.9 gallons of it. Good grief that is enough to anesthetize 100 people for major abdominal surgery.
Did anyone else notice that Chernoff looked a little red in the face when this thing was played. He should be embarrassed to listen to this”.
I agree, Chernoff looked very embarrased while listening to all those lies – most probably because Murray turned out a worse liar than any of us and even him could ever expect.
Murray’s lies are endless. There are so many of them that it is impossible to list them all – from minor things like him ” insisting on calling a social worker to take care of Michael’s children” (it is part of the hospital protocol as the doctors said) to serious claims that he was “monitoring Michael’s pulse with pulse oximeter all the time” (Alvarez saw him clipping that device to Michael’s finger only when they placed him on the floor).
From all the variety of lies I will cite only two in order to show how incredibly bold his lies are and how willing he is to shift all the blame onto Michael’s shoulders.
All of us remember that Murray asked Michael Williams Amir to take him back to the house motivating it by the need to take away some creams “Michael didn’t want the world to know about”. Fortunately Williams didn’t go for it or otherwise Murray would have taken away and destroyed all incriminating evidence (leaving the bags with unimportant bottles and clean syringes there).
And now please have a look at how Murray explains why he left the bags in that closet cupboard. He doesn’t know that they have not found them yet. See the smooth story he is making of it and how he tries to shift all the blame to Michael again and again:
DETECTIVE SMITH: WHAT DID YOU DO WITH THOSE SYRINGES WHEN YOU WERE DONE WITH THEM?
DR. MURRAY: WELL, I USUALLY HAVE MY BAGS RIGHT THERE. EVERYTHING I USE, I WOULD PUT IT QUICKLY INTO THE BAGS AND, YOU KNOW, JUST PUT IT INTO THE CUPBOARD, BECAUSE HE WANTED ME TO NOT HAVE ANYTHING HANGING AROUND.
DETECTIVE SMITH: WHERE’S YOUR BAG WHERE THOSE SYRINGES WOULD BE AT NOW?
MR. CHERNOFF: OH, REALLY?
DR.MURRAY: I DON’T HAVE THEM.
MR. CHERNOFF: I THOUGHT YOU LEFT IT THERE.
DR. MURRAY: YEAH, I DID.
DETECTIVE SMITH: WHERE? WHERE DID YOU LEAVE IT?
DR. MURRAY: IN THAT SAME BEDROOM, IN THE CLOSET, WHERE IT ALWAYS STAYS.
DETECTIVE SMITH: OKAY. WHICH CLOSET? IT’S A MESS.
DETECTIVE MARTINEZ: IT’S 45 CUPBOARDS.
DR. MURRAY: YEAH, IF YOU WALK INTO THE DRESSING ROOM AND YOU TURN RIGHT, THE HIGH LEVEL TOP, THE BAGS ARE RIGHT THERE WITH THE ITEMS IN IT AND THE MEDICATION.
DETECTIVE MARTINEZ: IS THAT THE CLOSET THAT HAS THE GLASS CABINETS WITH HIS JACKETS?
DR. MURRAY: YES. BUT THIS WILL BE TOO SHORT STUBS HIGHER UP THERE. HE SHOWED ME THAT CABINET. HE WANTED ME TO KEEP THE THINGS THERE WITH MY BAGS AND SO.
DETECTIVE SMITH: AND THAT’S WHERE YOU LEFT YOUR BAGS THAT NIGHT?
DR. MURRAY: YEAH.
DETECTIVE SMITH: BLACK ATTACHE BAGS?
DR. MURRAY: THREE BAGS. THERE WERE THREE. ONE IS A LITTLE COTSCO BLUE BAG. ONE IS A BLACK SMALL BAG. THE OTHER ONE IS A LITTLE BLUE BAG THAT HAS A ZIPPER AT THE TOP OF IT
MR. PENA: AND YOU LEFT IT THERE BECAUSE YOU WENT DIRECTLY WITH THE E.M.T.’S TO THE HOSPITAL AND NEVER WENT BACK TO THE HOUSE; RIGHT?
DR. MURRAY: OH, BUT – YEAH, BUT THEY WOULD HAVE STAYED THERE ANYWAY UNTIL I CAME BACK THE NEXT NIGHT AND HELP HIM, BECAUSE, YOU KNOW, IT HAS THE I.V. CATHETERS AND EVERYTHING IS IN THERE.
DETECTIVE SMITH: AND THAT WAS NORMAL COURSE OF BUSINESS FOR YOU. IT’S NOTHING –
DR. MURRAY: YEAH.
So it was normal course of business for Murray to collect all the left-overs and leave them in the closet until “next time”? And he even implies that he did everything following Michael’s instructions? Though all Michael did was showing him a place where he could store his belongings?
What a pack of lies this story is – meant to give a plausible explanation why he cleared all those empty vials from the scene of crime!
First, we know that he was hiding the empty vials of propofol and lidocaine used in order to return to the house later and take them away.
Second, the bags he collected in Alvarez’s presence contained not just clean IV catheters or sterile medication but also scrap papers, torn packaging, empty vials of lidocaine and propofol, used syringes, etc. – anything that might speak to what medication and how much of it was administered that night.
Besides the clearly criminal intentions of these actions let me also note that no normal doctor will ever keep sterile medication with waste material picked up from the floor – even if he was not involved in any criminal activity prior to that!
But what makes Murray’s smooth story about “keeping everything together” even more false than it is, is the fact that it is simply impossible to leave used-up propofol vessels either in a bag, or in the room, or wherever. These things cannot be kept until “next time” because propofol deteriorates very quickly and after some 12 hours the open vials disseminate bacteria all over the place!
Please see the official instructions for disposing of propofol – – microbial contamination associated with it is so serious that it may result in a sepsis and death of a patient:
Propofol Injectable Emulsion 1% FOR IV ADMINISTRATION
- Strict aseptic technique must always be maintained during handling. Propofol injectable emulsion is a single-use parenteral product which contains sodium metabisulfite (0.25 mg/mL) to retard the rate of growth of microorganisms in the event of accidental extrinsic contamination. However, Propofol Injectable Emulsion can still support the growth of microorganisms as it is not an antimicrobially preserved product under usp standards. Accordingly, strict aseptic technique must still be adhered to. Do not use if contamination is suspected. Discard unused portions as directed within the required time limits (see DOSAGE AND ADMINISTRATION – Handling Procedures). There have been reports in which failure to use aseptic technique when handling Propofol injectable emulsion was associated with microbial contamination of the product and with fever, infection/sepsis, other life-threatening illness, and/or death. http://www.drugs.com/pro/propofol.html
Murray may hope to claim that those vials were collected for several days prior to June 25, but even if he claims a ridiculous thing like that, it will still be totally criminal to administer any medication in so terribly anti-sanitation conditions. Even if he clutches at this last straw none of us will ever believe it.
If the police had known at the time that it would turn out to be a homicide case they could have made a relative bacteria analysis of those vials to see at what time they were opened. However even the way it is his negligence is so gross, actions so strange and lies so ourageous that all this is quite enough to charge him with a second and possibly first degree murder….
Another instance of terrible Murray’s lies is the story he tells about the crucial 11.00 o’clock time in the morning of June 25, 2009.
First here is the way he describes that moment in his police interview. I wanted to redact it a bit but then decided to leave everything intact for you to see how keen Murray is on drowning Michael in mud:
DETECTIVE SMITH: OKAY. SO YOU GAVE HIM THIS PROPOFOL.
DR. MURRAY: YES.
DETECTIVE SMITH: DO YOU REMEMBER ABOUT WHAT TIME IT WAS NOW? THE LAST TIME I GOT WAS ABOUT 10:00 O’CLOCK, WHEN THERE WAS STILL NO EFFECT AND HE’S COMPLAINING THAT HE IS GOING TO HAVE TO CANCEL.
DR. MURRAY: IT WAS — I KNEW I LOOKED AT THE TIME. I LOOKED AT THE SUN. AND IT WAS — IT WAS — I SAW 10:30. SO I WOULD SAY ROUGHLY 10:40.
DETECTIVE SMITH: HOW MUCH DID YOU ADMINISTER INITIALLY?
DR. MURRAY: 2 5 MILLIGRAMS. [vmj: 2,5ml]
DETECTIVE SMITH: OKAY. AND AGAIN, THIS WAS APPROXIMATELY 10:40 NOW, GIVE OR TAKE?
DR. MURRAY: WELL, BY 10:40, WE — WE HAVE DISCUSSED THAT NOTHING IS HAPPENING. SO BY THE TIME I WITHDRAW IT FROM THE BOTTLE, GET IT DILUTED — I HAD TO DILUTE IT, AND USUALLY I DILUTE IT WITH LIDOCAINE, L-I-D-O-C-A-I-N-E, BECAUSE IT COULD BE VERY — IT BURNS THE VESSELS. IN THE SENSE OF THE SIDE EFFECT, IT CAUSES IT TO BURN
DETECTIVE SMITH: AND I’M SORRY. YOU GAVE HIM HOW MUCH NOW?
DR. MURRAY: 2 5 MILLIGRAMS. [vmj: 25mg equals 2,5ml]
DETECTIVE SMITH: OKAY. AND ALWAYS THE SAME WAY.
DR. MURRAY: YES.
DETECTIVE SMITH: REGARDLESS OF WHAT YOU WERE GIVING HIM, WAS INTO THE —
DR. MURRAY: YES, I PUSHED IT.
DETECTIVE SMITH: OKAY.
DR. MURRAY: UH-HUH.
DETECTIVE SMITH: OKAY. I AM SORRY I INTERRUPTED YOU. BUT WE WERE GETTING TOWARDS THE TIME AT 10:40, YOU REALIZED THAT NOTHING WAS HAPPENING, AND SO BY THE TIME YOU GOT YOUR THINGS TOGETHER AND YOU PUSHED IT, IT WAS —
DR. MURRAY: IT WOULDN’T TAKE A LONG TIME FOR ME TO JUST WITHDRAW FROM A VIAL AND DILUTE IT WITH THE LIDOCAINE, WHICH IS A LOCAL ANESTHETIC AGENT THAT, YOU KNOW, ALSO IS A SODIUM BLOCKER TO MAKE HIM NOT FEEL THE BURNING SENSATION OF THE SLOW INJECTION. SO I HAD A TOTAL OF MEDICATION MIXED WITH THE LIDOCAINE, AND I ADMINISTERED IT.
DETECTIVE MARTINEZ: OKAY. DOES THAT TAKE YOU ABOUT AN EXTRA 5 MINUTES OR 10 MINUTES?
DR. MURRAY: SLOWLY INFUSED. SLOWLY INFUSED OVER, I WOULD SAY, 3 TO 5 MINUTES.
DETECTIVE MARTINEZ: 3 TO 5?
DR. MURRAY: YEAH, BECAUSE THE EFFECT IS GONE VERY QUICKLY.
DETECTIVE MARTINEZ: SO WE’RE LOOKING LIKE AT 10:50ISH.
DR. MURRAY: YES. YEAH, THE EFFECT IS GONE VERY QUICKLY. SO THE EFFECT WAS ONLY LAST — ONLY LASTS ABOUT 15 MINUTES.
DETECTIVE SMITH: OKAY. SO NOW WE’RE AT ROUGHLY 10:50, 11:00 O’CLOCK.
DR. MURRAY: UH-HUH.
DETECTIVE SMITH: WHAT TAKES PLACE NEXT?
DR. MURRAY: WELL, YOU KNOW, HE’S NOW ASLEEP, YOU KNOW.
DETECTIVE SMITH: HE DOES GO TO SLEEP.
DETECTIVE MARTINEZ: OKAY. WE’RE GOING TO GET BACKON TRACK. WE’RE AT ABOUT 10:50 HOURS.
DETECTIVE MARTINEZ: WHERE YOU GIVE HIM THE PROPOFOL. WE’VE GONE INTO THE HISTORY OF HOW HE ALREADY KNEW ABOUT IT. HE’S THE ONE WHO REQUESTED YOU —
DR. MURRAY: YES.
DETECTIVE MARTINEZ: –FOR IT, GIVING YOU SOME PRESSURE.
MR. CHERNOFF: WE GOT THE MILLIGRAMS, 25.
DETECTIVE MARTINEZ: 25 MILLIGRAMS, HALF OF WHAT YOU NORMALLY GIVE. NOW, WHAT HAPPENS NEXT?
DR. MURRAY: I AM — I’M MONITORING HIM AT THE HOUSE. AND HE FELL ASLEEP.
DETECTIVE SMITH: 11:00 O’CLOCK NOW? LATER?
DR. MURRAY: HE FELL ASLEEP FAIRLY QUICKLY, I WOULD SAY. BUT HE WAS NOT SNORING. NORMALLY, IF HE’S IN DEEP SLEEP, HE WOULD BE SNORING. I WAS A LITTLE BIT HESITANT THAT HE WOULD PROBABLY JUMP OUT OF SLEEP, BECAUSE THAT IS – HE DOES. HE JUST (SNAPS) GETS UP LIKE THAT, AND HIS EYES GOES, AND HE’S WIDE AWAKE. AND WHENEVER HE’S UP, HE REACHES FOR HIS I.V. SITE.
… I MONITORED HIM. I SAT THERE AND WATCH HIM FOR LONG ENOUGH PERIOD THAT I FELT COMFORTABLE. THEN I NEEDED TO GO TO THE BATHROOM. SO I GOT UP, WENT TO THE BATHROOM TO RELEASE MYSELF OF URINE AND ALSO CONSIDER GETTING RID OF SOME OF HIS URINATION THAT HE HAD PUT IN THE JUGS OVERNIGHT.
THEN I CAME BACK TO HIS BEDSIDE AND WAS STUNNED IN THE SENSE THAT HE WASN’T BREATHING.
DETECTIVE MARTINEZ: ALL RIGHT. SO YOU HAD THE IMPRESSION HE WASN’T BREATHING, AND YOU SAID HIS PULSE WAS HIGH?
DR. MURRAY: WHEN I CAME BACK, YEAH.
DETECTIVE MARTINEZ: GO ON.
DR. MURRAY: BEDSIDE AND MY CLINICAL OBSERVATION. SO IMMEDIATELY I FELT FOR A PULSE, AND I WAS ABLE TO GET A THREADY PULSE IN THE FEMORAL REGION.
HIS BODY WAS WARM. THERE WAS NO CHANGE IN COLOR. SO I — I ASSUMED THAT EVERYTHING HAPPENED VERY QUICKLY, JUST ABOUT THE TIME I WAS GONE, WITHIN THAT TIME AND COMING BACK. SO I STARTED IMMEDIATELY TO PERFORM C.P.R. AND MOUTH-TO-MOUTH RESUSCITATION.
Let us go over it again.
He says that he “looks at the sun” and checks up the time – it is 10.30. Then he dilutes the propofol with lidocaine and about 10 minutes later starts administering it slowly. It takes him 3 to 5 minutes to make the injection. This brings us to 10.43-10.45. He says that the effect of the injection will last only for 15 minutes – which takes us to 11.00. Then he monitored him for some time, then he left his side for 2 minutes after which he found Michael not breathing. So soon after 11.00 o’clock he began to frantically work on his heart, ventilation, etc.
This was Murray’s story told to the detectives on June 27, 2009 or two days after the event. Let us just compare his story with what was really happening at the described crucial period of time according to his phone-calls:
At 10.34 his employee Stacey Ruggles called him and they talked for 8 and a half minutes. This takes us to 10.43.
At 11:07 (when he supposedly started working on reviving Michael) Murray called Stacy Ruggls back and they talked for another minute.
And at 11:17 he sent a long email to Bob Taylor who is a broker of London insurers.
What really happened will hopefully become clear later, but isn’t it the above information enough for us to see that ALL MURRAY’S STORIES ARE JUST A HUGE PACK OF LIES?
And after that some people dare say Murray is not responsible for what he did to Michael?
Here is the email mentioned above in case you forgot it – it was sent by Conrad Murray at 11.17 Los Angeles time on June 25, or at the moment when he says he was doing CPR on Michael Jackson:
* * * * *
After learning so much from just two telephone calls I decided to dig a little deeper and find out the chart of all calls made to and from Murray on June 25, 2009.
Hopefully it will tell us more about what really happened on that tragic day.
The description of all calls to and from Murray’s cell phones that morning is found in the testimony of Detective Myers at the preliminary hearings: http://teammichaeljackson.com/p-v-cm-dan-myers
Most probably his testimony will come during this very week but I am too impatient to wait for it and will base my conclusions on what Dan Myers said previously.
Murray’s calls will enable us to draw a timeline of the events, determine the real background for what was happening in that room on June 25, 2009 and compare it with Murray’s story told to Detective Martinez and Smith on June 27, 2009. Detective Myers gives the following timeline:
5: 54 am An email comes from London from Bob Taylor who writes that the insurers require full information MJ’s various medical conditions including the period of the 2005 trial or otherwise the insurance could be called into question. The email is long and demanding. It demands a 5-year medical record of the artist and lots of other information concerning press reports on Michael’s back injury, lupus, reasons why he appears in wheelchair, whether he has skin cancer, etc.
…. 7:01 am Murray calls Andrew Butler. Butler says that Murray is his doctor and friend. He doesn’t remember if he received a call from Murray that morning but acknowledges Murray’s number.
8:49 am a call is placed to Murray by Antoinette Gill, his patient and friend. She says she spoke to Murray. The reason why she called is because she “received a letter in the mail indicating that he was not going to be in the office. Someone else would be seeing her, and that she called the doctor to ask, to inquire”.
9:23 am a call comes in from Marissa, a girlfriend of Channel, Murray’s daughter. She says this telephone number belongs to Channel.
10:14 am a call comes from Acres Home And Cardiac Care, the clinic where Murray practiced in Texas.
10:22 – 10:24 am a call comes from Dr. Prashad. It is a consultation about one of Murray’s patients. The prosecutor tells it all in one sentence: “So Dr. Prashad conveyed to you that in her short telephone call of approximately less than two minutes, 111 seconds, Dr. Murray was able to recollect the patient that she was referring to, provide her with necessary information concerning that patient’s current prescription and medication needs, as well as a previous procedure some two months earlier that Dr. Murray had conducted on that patient?” “Correct”.
10:34 am a call comes from Murray’s personal assistant Stacey Ruggles . They “discussed a document that was to be drafted to the London medical boards indicating his pending arrival and what facilities may be available to him, if needed”. She says that Dr. Murray doesn’t sound distracted or tired, as Detective Myers testifies:
Q. Dr. Murray was directing her, requesting of her to draft a letter concerning his activities at the upcoming tour in London?
A. That’s correct.
Q. Did you ask Ms. Howe-Ruggles whether or not Conrad Murray seemed distracted or preoccupied at any time during the phone conversation that she had with him on June 25, 2009?
A Yes, I did.
Q. What was her response?
A. She did not indicate that he appeared to be distracted or tired.
11:07 – 11:08 am Murray places a call to Stacey Ruggles and speaks to her for one minute.
11:17 am Murray sends out an email to Bob Taylor of the insurance company in London.
11:18 – 11:49 am comes a call from Murray’s Las Vegas practice. It lasts for 32 minutes.
Q Moving to 11:18 a.m., a call from (702) 862-0973 placed to (702) 866-6802. That call duration reflects 32 minutes. Detective, did you contact the (702) number that ends 6802 during your investigation to make determination as to who that number belongs to?
A Yes, and I was actually at the location as well.
Q What is that location associated with that telephone number?
A It was Dr. Murray’s practice in Houston — in Las Vegas. It is known as global cardiovascular & associates.
11:26 am a call comes from Bridgette Morgan over another cell phone. Murray does not answer it. He is talking to his Las Vegas practice.
11:49 am a voicemail is sent by Murray to his patient Robert Russell which lasts 3 minutes. In his testimony Russell explained that on June 25 he called Murray’s office and expressed his frustration at continuous cancellation of his appointments with the doctor. Both his June 15 and June 22 appointments had been cancelled and he wanted to know where he stood. Only a few weeks prior to that he had been near death and now he had no information whatsoever and was not referred to any other cardiologist.
When calling Murray’s office he said that he expected a return call or he would proceed to legal action. He said he felt abandoned and needed answers. In reply to his complaints a voice mail from Murray came at 11:49 am. In his message Murray was saying that the patient’s “heart was repaired”. Russell was pleased that Dr. Murray responded so quickly but was disappointed that there was still no information about another doctor to whom he could be referred.
11:51 – 12:01 am Murray calls Sade Alding. She says that 5-6 minutes into the call she realizes that Murray is not responding. She hears a cough and mumbling of voices. She listens to that noise for some 3-4 minutes and then hangs up. She tries to call him again but he does not respond.
Q Moving now to a call at 11:51 a.m., a call from Conrad Murray’s number ending 0973 to telephone number (562) 881-2570. Did you contact that (562) number during your investigation for purposes of determining who that number belonged to in June of 2009?
Q Who did you speak with?
A Ms. Sade Anding.
12:12 pm Murray types a message from the same telephone to Michael Amir Williams, assistant to Michael Jackson. He is writing: Please call me right away. Williams calls him back at 12:13. “Where are you?” asks Murray. Williams says, “I am in downtown”. Murray: “Get here right away. He had a bad reaction!”
Q Moving now to 12:12 p.m., we have a call from Conrad Murray’s 0973 number to (562) 881-2570. You verified that Michael Amir Williams, that was his telephone number in 2009, correct?
A Yes, ma’am.
1:08 pm Murray calls his girlfriend Nicole Alvarez by whom he has a son and with whom he is living in Los Angeles. In her testimony she said he told her that he was on the way to the hospital in the ambulance with Mr. Jackson and that she should not be alarmed … “because he knew she would learn this through the news.” The paramedics who overheard the conversation recalled Murray saying: “It’s about Michael, and it doesn’t look good.”
* * * * *
If you ask for my interpretation of the above I will say that ever since Conrad Murray received a long and demanding email from the insurers in London at about 6 o’clock in the morning he was was extremely busy with various business matters. In addition to the insurance his patient threatened to sue him and a doctor called him for a consultation about another of his patients.
Conrad Murray simply had no time for Michael Jackson.
Beginning with the 10:14 call he is on the phone practically non-stop talking, typing emails, sending voicemails.
First Dr. Prashad calls him at 10:22 to consult him about one of his patients.
Then his employee Ruggles talks to him about the insurance at 10:34 am. He asks her to draft a letter to Bob Taylor of the insurance company, then calls her back, receives the draft email, checks it up and sends it out to London at 11:17. After settling that problem he attends to Robert Russell.
His assistant Ruggles has evidently told him about the imminent legal complaint from Robert Russell unless he answers his calls. So Murray first talks to his Las Vegas staff for 32 minutes to find out what he wants and what he can answer him in respect of his health condition. When that conversation is over at 11:49, he immediately starts dictating a voicemail to Russell. The voicemail is registered as going out at 11:49.
He simply cannot stop talking and at 11:51 he calls his girlfriend Sade Alding. And 5-6 minutes after the conversation started he finally notices that his patient is not breathing.
By the condition of Michael’s body temperature and other signs he realizes that Michael has been dead for about an hour already. After the initial panic and some frantic movements he runs back and forth to the chef in the kitchen, writes to Michael Amir Williams and starts the CPR.
Only he is late in taking action by more than an hour.
In fact Michael could have died earlier than that (and Murray wouldn’t have noticed it either), but since he is still a doctor he managed to calculate the approximate time of his death by the condition of his skin, body temperature, etc.
This is why during his interview with Detectives Martinez and Scott on June 27 he blurts out the approximate real time of Michael’s death – sometime around 11 0’clock – either because he is afraid the police will be able to determine it by themselves (and he doesn’t want to be caught in this lie) or because in his panic he isn’t able to think of anything better.
In any case the description of his real actions on that day shows that the story he related to the detectives in his June 27 interview IS A COMPLETE LIE. Among many other things the real timeline shows that Michael was most probably asleep while Murray was attending to his business.
The sadness that Michael Jackson’s life was in the hands of this man is indescribable.
* * * * *
Suzy sent us the following message which closes week 2 of the trial:
After the recording of Michael’s voice was heard in court on Wednesday, Michael’s drummer, Jonathan Moffett sent a wonderful message directed to all those who ever doubted Michael.
“NOW will you understand? Those of you who doubted…Those of you who accused…Those of you who were so insensitive? Those who didn’t and couldn’t understand? You ridiculed, judged, persecuted and hounded….Drove him into the ground! Now, do you see? After hearing the recordings yesterday – The recordings from the heart of his soul? Even when and while he was in the control of and under the influence of his handlers, who aided, abetted and supplied his impairment of state of being he was focused on caring – caring for others. Dedicating his future, his life, his heart, his mind and his soul to the needs of those, who are left to suffer. Even in the face of what he was dealing with was evident on the betrayal taped recording. From a genuine loving man…these sentiments flowed. “My babies!” “My children!” “I must help them.” “They need help.” “I want to help them.” “I love them all!” Angelic indeed! A loving man who walked and labored among us. Bore compassion for and with others in mind – Can you finally see the beautiful man? Wonderful human being? Truly, honestly wonderful! The ‘angel among us doing God’s Work. God’s will. Behind the scenes, un-publicized. Hopes and dreams recorded in private…though by betrayal.
Those who doubted…You NOW have compassion for the one who showed, had and bore compassion for and towards SO many others in dire need. All those who now will never come to know, the benefits of his hearts desire to help them. Help that because of what has been done, will and shall never come. Help, now never to arrive for all those he spoke and hurt for. Children all over the world who needed him. All those with no hope – His help and caring was forthcoming. Now, never to be realized. Thus, they’ll continue to suffer, trapped within their spirits, hearts, souls and minds of depression. For their ‘ANGEL OF CARE’ has been taken away by negligence.”