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News summary of week 8 at the AEG trial. THE SLEEP EXPERT SOLVES THE PROPOFOL MYSTERY

June 22, 2013

Here is the news summary for the remaining part of week 8 of the trial. The first days of the week were covered by the previous two posts.

The fight between the lawyers for the opposing parties has reached a stage when the AEG lawyers are trying to compromise Brian Panish and his team on a personal level now. On June 17th they claimed that when no one was looking Brian Panish showed Putnam “the finger”. I highly doubt that this was the case because Mr. Panish has a thousand other arguments in favor of his case and does not need a gesture of insult which is often used as a compensation for lack of more valid arguments.

Ridiculous as it looks but the matter was nevertheless seriously discussed in court and taken to the judge during a sidebar. The ABC correspondent reported it as follows:

Michael Jackson wrongful death trial: Hostilities between attorneys erupt

Monday, June 17, 201

Miriam Hernandez 
(excerpt)

LOS ANGELES (KABC) — The Michael Jackson wrongful death trial is in its eighth week, and it appears the attorneys are having a tough time controlling their tempers. Hostilities between the battling attorneys erupted during a sidebar conference with the judge in her chambers Monday.

The attorney representing AEG, Marvin Putnam, said that he was repeatedly flipped off by the attorney for the Jacksons, Brian Panish. Panish denied making any gestures.

According to court records, Panish says, “I don’t think I’ve even gestured anything to Mr. Putnam today.”

“You’ve given me the finger twice,” Putnam said.

“Judge, if I want to give him the finger, I know how to give him the finger,” Panish responded.

“And you did it quite well twice,” Putnam fired back.

The judge said simply that if the gestures were going on, they need to stop.

In the courtroom, a music industry expert paid to testify for Katherine Jackson took the witness stand. The testimony centered on AEG creating an alleged conflict of interest in the hiring of Michael Jackson’s physician, Conrad Murray.

Former record executive David Berman testified that in his opinion, AEG’s lack of production experience paved the way for a series of negligent decisions. Murray’s fee, he testified, was out of whack and should have been a red flag. He said the doctor first asked for $5 million, finally agreeing to $150,000 a month.

Berman says such a deal was also inappropriate, highly unusual and set up an inherent conflict of interest. He stated the physician had an obligation to both the person he’s treating and to the entity who would be paying him.

The lawsuit pits Katherine Jackson against AEG, claiming that it hired Murray and should have conducted background checks on the doctor and supervised Jackson’s care.

Jurors reviewed emails of AEG attorneys discussing a contract with Murray, but not with Michael Jackson’s managers or attorneys. Berman says the emails show that AEG wanted to control the services of Murray.

http://abclocal.go.com/kabc/story?section=news/entertainment&id=9142632

Those interested may have a look at the way the hostilities progressed:

13 (THE FOLLOWING PROCEEDING WAS HEARD AT SIDEBAR:)

14

15 THE COURT: IT’S BEEN BROUGHT TO MY ATTENTION

16 THAT THERE HAS BEEN SOME GESTURING BETWEEN COUNSEL,

17 WHICH IS INAPPROPRIATE.

18 SPECIFICALLY, MR. PANISH, IT’S BEEN BROUGHT TO

19 MY ATTENTION THAT YOU MAY BE GESTURING SOMETHING TO

20 MR. PUTNAM.

21 IS THAT WHAT’S GOING ON?

22 MR. PANISH: I DON’T THINK I’VE EVEN GESTURED

23 ANYTHING TO MR. PUTNAM TODAY.

24 MR. PUTNAM: YOU’VE GIVEN ME THE FINGER TWICE

25 MR. PANISH: WHAT? I SAID LIKE THIS TO STOP

26 (INDICATING).

27 MR. PUTNAM: I KNOW WHAT —

28 MR. PANISH: JUDGE, IF I WANT TO GIVE HIM THE

1 FINGER, I KNOW HOW TO GIVE HIM THE FINGER.

2 MR. PUTNAM: AND YOU DID IT QUITE WELL TWICE.

3 MR. PANISH: I WAS TRYING — I WOULD TELL YOU;

4 OKAY? I ADMIT WHAT I DO. IF I WANTED TO GIVE YOU THE

5 FINGER — ARE YOU COMPLAINING AND SAYING I GAVE YOU THE

6 FINGER?

7 MR. PUTNAM: I DIDN’T.

8 MR. PANISH: I DID — I WENT LIKE THIS WHEN HE

9 WAS TALKING (INDICATING), AND ALL THREE OF THEM WERE

10 INTERRUPTING.

11 AND MS. STRONG, SINCE SHE’S BEEN HERE, YOU CAN

12 SEE HOW THE INTENSITY AND HOSTILITY. AND IN DEPOSITION,

13 SHE HAS BEEN UNBELIEVABLE. I’LL SHOW YOU THE

14 TRANSCRIPTS. THE MOST UNCIVIL LAWYER, DISRUPTIVE,

15 ATTACKING LAWYER. NOW WE COME IN HERE, THE THREE OF

16 THEM ARE TALKING.

17 I TRIED TO LET THEM TALK. I DIDN’T GET IN AN

18 ARGUMENT WITH THEM. THEY STARTED ADDRESSING ME. I

19 HAVEN’T ADDRESSED THEM.

20 I DIDN’T FLIP MR. PUTNAM THE FINGER OR FLIP HIM

21 OFF. IF HE WOULD LIKE ME TO, I KNOW HOW TO DO IT,

22 BELIEVE ME. I HAVEN’T EVEN TALKED TO MR. PUTNAM OR MADE

23 ANY — DID I HAVE ANY DEALINGS TODAY OTHER THAN WHEN WE

24 CAME IN HERE?

25 MR. PUTNAM: NO.

26 YOUR HONOR, EVERY TIME THAT YOU HAVE RAISED AN

27 ISSUE WITH MR. PANISH ABOUT SOMETHING THAT YOU THOUGHT

28 WAS IN TERMS OF CIVILITY AND DEALINGS BETWEEN COUNSEL

1 WHAT IMMEDIATELY OCCURS, HE COMPLETELY THEN TURNS AND

2 BLAMES SOMEBODY ELSE FOR SOMETHING ELSE; OKAY? AND I

3 THINK THAT’S NOT ONLY INAPPROPRIATE, BUT IT ATTEMPTS TO

4 BELIE WHAT’S ACTUALLY GOING ON.

5 AND I THINK THE ISSUE RAISED IS AN ISSUE. I

6 DID NOT RAISE THIS ISSUE WITH THE COURT, BUT I WILL

7 REPRESENT THAT THAT ABSOLUTELY OCCURRED AND DID OCCUR

8 TWICE.

9 THE REASON I DIDN’T RAISE IT WITH THE COURT IS

10 BECAUSE THIS HAS BEEN REPEATED FOR TWO MONTHS NOW. WE

11 ARE CONSTANTLY ACCUSED ON THE RECORD OF MANY THINGS,

12 INCLUDING LACK OF CIVILITY. WE HAVE DONE NOTHING TO

13 LACK CIVILITY. BUT CONTINUOUSLY WE ARE SWORN AT, WE ARE

14 GIVEN THE FINGER, AS TODAY, WE’RE ACCUSED OF THINGS THAT

15 ARE ABSOLUTELY BASELESS.

16 AND I THINK WHAT YOU’RE ASKING TODAY IS THAT

17 THERE BE REQUIRED CIVILITY, YOU’RE NOT EVEN ASKING OF

18 THE EXPECTED, THE ACTUAL REQUIRED CIVILITY. I THINK

19 THAT IS SOMETHING THAT EVERYONE WOULD BENEFIT FROM.

20 MR. PANISH: WELL, FIRST OF ALL, I DON’T KNOW

21 WHEN I’VE SWORN AT MR. PUTNAM. OF COURSE, APPARENTLY HE

22 HAS SAID THAT.

23 BUT I HAVE BEEN TRYING MY BEST, IN LIGHT OF THE

24 CONDUCT OF COUNSEL, TO BE CIVIL. I’VE NEVER HAD AN

25 ISSUE IN 100 JURY TRIALS WITH CIVILITY UNTIL THIS CASE.

26 I’VE NEVER HAD SUCH ATTACKS ON MY LAW FIRM AND MYSELF

27 BEFORE ANY LAWYERS BEFORE THEIR CASE. AND I COULD BREAK

28 OUT CHAPTER AND VERSE OF THE LETTERS AND THE THREATS BY

1 THIS LAW FIRM.

2 I DIDN’T GIVE MR. PUTNAM THE FINGER. IF HE

3 WANTS ME TO GIVE HIM THE FINGER, I’M HAPPY TO DO THAT.

4 I’VE SAT THERE ALL DAY LISTENING TO THESE OBJECTIONS AND

5 THESE SPEECHES BY MS. STRONG; OKAY? AND I ASKED TO COME

6 BACK HERE TO STOP THAT. I DIDN’T DO IT IN FRONT OF THE

7 JURY.

8 BUT I WILL NOT TALK TO MR. PUTNAM, AND I DIDN’T

9 ADDRESS MS. STRONG WHEN SHE ATTACKED ME IN HERE, AND I

10 BROUGHT IT TO THE COURT’S ATTENTION.

11 NOW, HAVE I BEEN UPSET WITH THEM? YES,

12 ABSOLUTELY. WAS I UPSET WITH THEIR WITNESSES?

13 ABSOLUTELY. NO QUESTION. I DON’T DENY THAT.

14 THE COURT: WELL, I HAVEN’T SEEN IT, BUT IF

15 THAT’S GOING ON, IT’S GOT TO STOP. IT REALLY DOES.

16 I MEAN, I JUST — YOU KNOW, THIS TRIAL IS

17 DIFFICULT ENOUGH FOR BOTH OF YOU, AND IT JUST — IT

18 REALLY, AS I’VE SAID TO OTHER PEOPLE, IT DOESN’T HELP TO

19 ENFLAME PROBLEMS WITH GESTURES OR ATTITUDE OR RAISING

20 VOICES OR ANY OF THAT. IT REALLY DOESN’T. IT MAKES ALL

21 OF OUR JOBS A LOT HARDER. SO PLEASE DON’T DO THAT.

22 I HAVEN’T SEEN ANYTHING UNCIVIL ON THEIR PART,

23 MR. PANISH. I KNOW YOU KEEP ARGUING THAT SOMEHOW

24 THEY’RE DOING SOMETHING TO YOU, BUT I HAVEN’T SEEN

25 ANYTHING LIKE THAT. SO I DON’T KNOW WHY YOU FEEL

26 THEY’RE DOING THAT.

27 MR. PANISH: SHE JUST ATTACKED ME RIGHT HERE IN

28 CHAMBERS.

1 THE COURT: SHE DIDN’T ATTACK YOU.

2 MR. PANISH: DID YOU HEAR WHAT SHE SAID TO ME?

3 THE COURT: I HEARD WHAT SHE SAD. SHE’S NOT

4 ATTACKING YOU. DON’T FEEL THAT THERE’S A PERSONAL

5 ATTACK.

6 MR. PANISH: THEY’RE CONSTANTLY ATTACKING ME,

7 YOUR HONOR. I’LL SHOW YOU THE E-MAILS THAT THEY WRITE

8 ALL DAY LONG BETWEEN MS. STEBBINS AND MS. STRONG; OKAY?

9 THEY MAY NOT BRING IT IN ALL THE TIME IN HERE,

10 BUT THEY CERTAINLY DO. SHE JUST SAID — WAS MAKING

11 COMMENTS TO ME AS WE’RE WALKING OUT OF HERE. I DIDN’T

12 SAY ANYTHING TO HER, AND I DON’T TALK TO HER BECAUSE OF

13 WHAT SHE’S DONE WITH ME BEFORE.

14 THE COURT: MAYBE THE BEST THING TO DO IS NOT

15 TO TALK TO THEM.

16 MR. PANISH: I DON’T. I DON’T TALK TO

17 MR. PUTNAM. RARELY. I SAY, “HELLO,” THAT’S IT, OTHER

18 THAN SOMETHING ON SCHEDULING. WE DO TALK ABOUT THAT. I

19 DON’T TALK TO ANY OF THEM. THAT’S THE WHOLE POINT. I

20 DON’T TALK TO THEM.

21 THE COURT: NO GESTURING, PLEASE.

22 MR. PANISH: NO GESTURING. I DON’T TALK TO

23 THEM.24 THE COURT: ANYTHING ELSE YOU WANT TO SAY?

25 MR. PUTNAM: NO, YOUR HONOR.

26 THE COURT: OKAY. ALL RIGHT. LET’S GO BACK

27 AND DO OUR THING.

http://abclocal.go.com/three/kabc/kabc/jackson-trial-sidebar.pdf

Not for a single moment do I believe that Mr. Panish resorted to such methods as showing Mr. Putnam the finger. Using “ugly stuff” as an argument is actually the trademark of AEG and its lawyers. The dirty provocations were first made against the Jacksons’ family and now they started against their lawyers. AEG actually adheres to the same rules in selecting their witnesses too and the contrast in the ethics of the two parties is visible even to the naked eye.

Thus Dr. Charles Czeisler retained as an expert by the Jacksons reminded me of Dr. Steven Shafer at Conrad Murray’s trial who impressed all of us by the highest standards a person can possibly adhere to.

And AEG lawyers called Dr. Paul Earley who by his mediocre research and arbitrary opinion reminded me of Dr. White who was opposing Dr. Shafer and completely lost to him during Conrad Murray’s trial. Dr. Earley’s testimony was heard on June 19, 2009.

Wednesday June 19, DAY 33

On day 33 after Kai Chase’s recross examination the AEG lawyers showed avideotaped testimony of their ‘addiction specialist’ Dr. Earley. Here it is, represented by the ABC7 Court News tweets:

Wednesday, June 19 DAY 33

1

Plaintiffs played a video deposition to play of defendant’s retained addiction specialist, Dr. Paul Henry Earley.

2

Dr. Earley said he’s getting paid $300 an hour for research and $500 an hour for deposition.

3

Dr. Earley is an addiction medicine specialist, care for individuals with substance abuse and disorders.

4

He became board certified the first year the test became available. Dr. Earley first training was in neurology, then psychotherapy.

5

Kevin Boyle: Are you qualified to treat patients who have addiction?

6

Dr Earley: I am

7

The doctor has been working on this field for 28 years

8

Dr. Earley said he treated patients with Propofol addiction, and is qualified to treat patients with benzodiazepine addiction.

The wording “propofol addiction” did not look quite correct to me, so I had to do a short study on addiction, and as could be expected found that the term used by Dr. Eearley is not quite right. He is speaking of propofol “addiction” though propofol is not an addictive drug.

Propofol does not form an addiction as recreational drugs do because it does not have the receptors in the brain which react to this drug and change the dopamine level in our system.

What is dopamine? Wiki tells us that the dopamine system (also called mesolimbic system) is widely believed to be a “reward” pathway in our brain which can make the person “high” and gives him “pleasure”.

Only four classes of substances affect the dopamine system and anesthetic propofol is no way connected with any of them.

Wiki classifies the substances affecting the level of dopamine in our system into four categories: psychostimulants, opiates, alcohol (ethanol) and nicotine. These are addictive substances proper.

Drug addiction, the loss of control over drug use or the compulsive seeking and taking of drugs despite adverse consequences, with the four major classes of abused drugs (psychostimulants, opiates, ethanol, and nicotine) are due to increased dopamine transmission in the limbic system – each by different mechanism.

http://en.wikipedia.org/wiki/Mesolimbic_pathway

How is the addiction formed by these four types of substances?

The article below explains the mechanism. Its author refers to the latest studies though I personally read a similar research in my own language forty years ago and it taught me to never touch drugs in the whole of my life:

Addiction and Brain Circuits

The neurotransmitter dopamine acts on specific receptors in the brain to increase pleasure and reward. The image shows that dopamine produced in one nerve cell activates receptors in neighboring brain cells.

The neurotransmitter dopamine acts on specific receptors in the brain to increase pleasure and reward. The image shows that dopamine produced in one nerve cell activates receptors in neighboring brain cells.

Creation Date: 15 April 2011 | Review Date: 15 Feb 2012

For a long time, society viewed addiction as a moral failing. The addict was seen as someone who simply lacked self-control. Today, thanks to new advances in brain imaging and other technologies, we know that addiction is a disease characterized by profound disruptions in particular routes — or circuits — in the brain.

When a person takes an addictive drug — whether it be nicotine, alcohol, cocaine, heroin, or methamphetamine — chemicals travel swiftly through the blood stream into certain key brain regions known as the reward system, which regulates our ability to feel pleasure. With drug use, the circuitry of this system becomes flooded with dopamine. This brain chemical, or neurotransmitter, activates specific sites on brain cells called receptors to increase pleasure and reward.

Over time, the brain adjusts to the excess dopamine by decreasing the number of dopamine receptors and the overall amount of dopamine in the brain. Users must then consume more and more of the drug to achieve the same “high.”

Drugs also disrupt brain circuits involved in impulse control in the prefrontal cortex, making it more difficult for addicts to resist taking drugs. Conversely, research suggests existing deficiencies in prefrontal function increase the risk of drug addiction. This finding may help explain why adolescents are more susceptible to addiction — the prefrontal cortex does not become fully developed until people reach their mid-20s.

Environmental factors, including stress, also disrupt brain circuits in ways that increase vulnerability to drug addiction. Research shows that during withdrawal, the activity of a stress-related neurotransmitter called corticotropin-release factor increases in the amygdala, a brain region that plays a key role in processing emotions — including negative ones like anxiety, depression, and fear. This may explain why addicts often feel anxious and depressed when sober, and why they turn back to drugs so quickly.

However, addicts can recover. Although relapse remains an ongoing threat, the brain has a remarkable ability to mend from drug use. Imaging studies show dopamine levels eventually increase to near normal after months of abstinence. Better knowledge of how addiction disrupts brain circuits — and how genetics and environmental factors influence those disruptions — could help medical professionals develop more effective methods of getting addicts off drugs permanently.

For the full text please go to: http://www.brainfacts.org/diseases-disorders/addiction/articles/2011/addiction-and-brain-circuits/

The above explains how a recreational drug affects the brain and why it grows into an addiction.

First it increases the dopamine level (and makes a person “high”), but with continuous use of the drug the brain adjusts to the high level of dopamine produced by it and  lowers the original level of dopamine or reduces the number of dopamine receptors, which amounts to the same thing.

This makes a person increase the dose of the drug as it helps him to take the dopamine at least to the same level where it was before, but the more he takes the lower the natural level of dopamine is in the brain, and the higher the dosage is needed just to return to the level where he was before starting the drug-taking.

Now it is no longer the matter of feeling “high”  – it is more a matter of just returning to where you were before and feeling like those of us who have never taken drugs. The vicious circle was started and is taking the drug addict down the road of no return.

The four classes of substances forming an addiction are alcohol and nicotine, but mostly psychostimulants and opiates.

Leaving the alcohol and nicotine aside let us look a closer look at the two major drug categories that form an addiction.

Below is short information on what psychostimulants are. The light-hearted manner in which these drugs are treated by people in the medical profession is amazing as it shows their totally irresponsible approach to the matter:

List of Stimulants (PsychoStimulants)

Psychotropic medications stimulate the central nervous system (CNS) by boosting the release of certain chemicals in the brain. Adderall (amphetamine and dextroamphetamine), Dexedrine (amphetamine salts), and Ritalin (methylphenidate) are the most commonly prescribed brands of these drugs. These drugs achieve their beneficial effects by increasing the levels of dopamine in the brain. Dopamine, one of the most important neurotransmitters, is related to concentration, attention, and feelings of reward and pleasure. Some stimulant drugs also increase the level of glutamate, a neurotransmitter associated with behavioral control and inhibition. People with attention deficit hyperactivity disorder (ADHD)often have low levels of glutamate. http://www.goodtherapy.org/drugs/stimulants.html

I find the tone of the second piece totally outrageous:

Psychostimulants: Bringing Order out of Chaos

By THE CARLAT PSYCHIATRY REPORT

There are now no fewer than 14 FDA-approved psychostimulants… and counting. Yes, capitalism is in full swing in the stimulant world. But who’s complaining? Now we have multiple options from which to pick and choose.

There are two basic types of stimulants: methylphenidate (Ritalin and its knockoffs) and amphetamine (Dexedrine and Adderall). Within each of these large categories, there are subcategories, depending on the pharmacokinetics of the specific drug. The three typical subcategories are: (1) Short-acting—3-5 hours; (2) Intermediate-acting— 5-8 hours; (3) Long-acting—8-12 hours. Not too bad so far, but the story is more complicated than this, because within the intermediate and long-acting groups, you have meds that release the stimulant continuously, and others that release it in stages, often mimicking the action of taking an immediate-release stimulant twice a day.

http://pro.psychcentral.com/2013/psychostimulants-bringing-order-out-of-chaos/001371.html

The second big class of drugs affecting the dopamine level and therefore forming an addiction are Opiates:

What are Opiates?

Opiates, sometimes referred to as narcotics, are a group of drugs which are used medically to relieve pain, but also have a high potential for abuse. Some opiates come from a resin taken from the seed pod of the Asian poppy. This group of drugs includes opium, morphine, heroin, and codeine. Other opiates, such as meperidine (Demerol), are synthesized or manufactured.   http://www.linkinghumansystems.com/drugs/opiates.html

As you have noticed Propofol does not belong to any of the four classes of drugs affecting the dopamine level and therefore even in theory cannot be called drugs forming an addiction.

There is simply no mechanism for forming it as this anesthetic does not affect the dopamine receptors in the brain. Moreover it actually suppresses the concentration of serotonin, which is the second biggest system or pathway in the brain which is popularly thought to be a contributor to feelings of well-being and happiness.

Here is a picture from Wiki showing what parts of brain are called dopamine and serotonin pathways. From the picture we realize that there are no other but these two, and both of them are responsible for various functions including the feeling of pleasure and reward.

Propofol does not affect any of these two pathways:

addiction - dopamine and serotonin pathways from wiki

The blue area  in the brain is a dopamine pathway , and the brown area is the serotonin pathway. Functions of Dopamine are: Reward, Measure and euphoria, Motor function, Compulsion, Perseveration. Functions of Serotonin are: Mood, Memory, Sleep, Cognition

A medical site devoted to anesthesia specifically notes that Propofol does not affect dopamine receptors and as regards the  concentration of serotonin even reduces it. This means that in neither of the ways Propofol can give the feeling of being “high”.

It relaxes the system and creates the impression of a good sleep, but it is not a stimulant like the above four classes of substances and does not enhance the feeling of happiness and reward (except for the feeling of a good night’s sleep and some freshness after it):

Propofol reduces the concentration of serotonin and 5-hydroxyindoleacetic acid in the area postrema. Propofol does not affect dopamine D2 receptors.

http://www.nurse-anesthesia.org/showthread.php/1663-Propofol

In short propofol is not a recreational drug, and no addiction to it can be formed on a physical level.

After this short discourse into addictive and non-addictive drugs let us return to what else AEG’s witness Dr. Eearley has to tell us:

9

Dr. Earley is now involved in long-term treatment of physicians with addiction problems.

10

Dr. Earley explained what “Enabler” is, when someone is feeding the addiction of an addict.

11

Addiction is disease of secrecy, often times enablers don’t see it Dr. Earley testified. “I think Dr Murray was trying to help MJ sleep”

12

Boyle: Was it ok for Dr. Murray to give Propofol to MJ at home?

13

Dr. Earley: No, that was medically incorrect

14

Dr. Earley said he would not have done it. “Propofol is not an appropriate agent for sleep induction.”

15

Dr. Earley testified that under the circumstances, he doesn’t think he could’ve done a better job with MJ in terms of recovery.

16

Dr. Earley explained in hospital if patient goes into deep sleep, there are machines to help the patient breath and control blood pressure.

17

When asked if he thought MJ had substance issue, Dr. Earley was adamant: “In 2009, he did have an addiction, yes.”

18

I think he clearly had an addiction to opioids, that class of drugs, Dr. Earley said.

19

Dr. Earley: I don’t think there’s sufficient evidence from the record reading to ascertain he was addicted to Propofol or benzodiazepine

20

Dr. Earley: The primary drug of his (MJ) addiction was Demerol, by far the most common opioid he took.

21

Dr. Early: MJ’s death wasn’t caused by Demerol directly, there’s a question if Demerol created synergy with Propofol and benzodiazepine

1. First of all he suggests that Demerol played a part in Michael’s death though the autopsy report completely refutes this point of view. The cause of death was the high level of Propofol in Michael’s blood which arrested breathing and this eventually brought about a heart arrest.Those of us who are familiar with the autopsy results will be stunned by all conclusions made by this doctor testifying for AEG.

As to Demerol they did not even find a trace of it in his system.

2. Secondly, Dr. Earley says that MJ “clearly had an addiction to opioids” (in 2009) though there is absolutely nothing to confirm this point of view. Technically Michael can be attributed to addicts as all people whose dopamine level has been irreversibly affected are considered addicts – only some are controlling themselves and others are not.

If Michael was treated for Demerol addiction in 1993 it means that he did unfortunately develop an addiction to it.Using the drug was never his choice – they kept giving it to him to dull the pain from the scalp surgery that followed the burn. The surgery was unnecessary and even harmful as it did not solve the problem and only led to further baldness, but the terrible side effect of it was the addiction to Demerol.

However Michael stoically fought and beat it, turning into a recovered addict as he was not seeking the drug and was free from a compulsive use of it. His dopamine level must have been low but he still managed to stay away from the drug.

Michael never asked for Demerol as Dr. Klein said in his interview with Harvey Levin, so all questions regarding the use of Demerol during the cosmetic procedures in 2009 should be addressed Klein and Klein alone. With a recovered addict such games are indeed dangerous and reckless to play – Michael could easily relapse into the old state. However Klein always insisted that Demerol during those facial procedures was the drug of his choice, and he never exceeded the dosage.

This is what I actually like about Klein – given the amount of hate he had to deal with he never succumbed to the temptation to shift the blame for the Demerol usage onto Michael. And the whole problem of Demerol could indeed be taken out of proportion as the autopsy report showed no trace of Demerol or any other recreational drugs in Michael’s system.

3. The third thing Dr. Earley is saying is partially correct. He says that “there is no sufficient evidence to ascertain that MJ was addicted to Propofol”.

The general idea of it is okay, only the focus is misplaced again – propofol is not an addictive drug in principle and does not form any physical addiction.

A psychological dependence is a different matter and is something like us taking coffee. The psychological dependence on either of them is similar – we habitually use coffee to brace ourselves up and he used propofol to make himself sleep. If tea helps us better we can change to it tomorrow, same as he would change to something different if doctors found something better for his sleep.

In both cases there is no physical addiction and this is all that matters.

Fortunately at this point the video testimony of Dr. Earley ended. It did not explain anything but only confused us and muddied the waters further, but no one expected anything different from these AEG’s guys:

22

Judge then adjourned session until tomorrow 10:30 am PT. They will resume playing Dr. Earley’s deposition.

23

We are told next witness is probably plaintiff’s sleeping disorder specialist Doctor Charles Czeisler. Karen Faye is back on Friday.

24

Alternate juror 6 was taken into chambers with judge and attorneys. He’s moving to Atlanta, there’s indication he was excused.

25

Judge sealed the record of the conversation in chambers with alternate juror 6. We’re told neither juror nor attys are to talk to the media.

26

That wrapped up Day 33 of testimony. We hope to see you tomorrow.

Thursday June 20, DAY 34

The next day in the courtroom was absolutely fantastic. This time Dr. Charles Czeisler , the Jacksons’ witness was testifying.

Dr. Czesler is a specialist on sleep disorders. Among several reputable institutions he works for NASA and the poor astronauts who have a sunset and sunrise every 90 minutes and therefore experience huge problems with sleep.

In short this doctor was just the right kind of a specialist to consult Michael on his sleep disorder and if anyone had taken care to find him in June 2009 Michael would be alive now.

His testimony is the first time I hear a clear explanation why the sleep induced by Propofol is absolutely not the same kind as natural sleep. The doctor explained that sleep is the time used by the brain to repair and maintain its cells, and recover its functions:

  • “Sleep is the repair and maintenance of the brain cells.”

During natural sleep the brain repairs its cells which are not generated by the body and are given to us just once. And sleep under propofol does not perform this function – the person is in a coma during which the brain is not recovering. Therefore the propofol ‘sleep’ does not fulfil the biological functions performed by natural sleep. The two conditions look similar only on the surfance but in their essence they are totally different.

The difference between natural sleep and propofol induced coma was explained by the doctor in a marvelous a way:

  • “It would be like eating some sort of cellulose pellets instead of dinner. Your stomach would be full and you would not be hungry, but it would be zero calories and not fulfill any of your nutrition needs.”

Without sleep the brain slowly deteriorates and gradually dies. The most rats could survive with no sleep in some cruel experiments was 21 days, and those partially deprived of sleep died in 37 days. Sleep deprivation is actually considered one of the worst types of tortures. And Michael was living under this continuous torture for the past several months of his life!

Michael actually set a world record for going without sleep. According to Conrad Murray he was given propofol for 2 months and this means that Michael went without proper biological sleep for at least 60 days. The coma he was in on those nights only created the impression that he had had a rest, while in reality the biological needs fulfilled by natural sleep were not satisfied and it had a toll on his body and mind.

All those strange symptoms Michael was displaying in June 2009 were not the result of propofol usage per se – it was the result of his brain not recovering and slowly deteriorating due to the loss of a crucial stage in sleep which is called REM sleep.

Animals deprived of sleep are  unable to keep their body temperature and this is exactly what was happening to Michael.The icy cold he felt in his legs and arms, his inability to maintain the body temperature, all that ‘obsessiveness’ and talking to himself, lack of concentration and slowness he occasionally displayed were the signs of not “taking drugs” or a psychiatric condition as everyone thought of him, but were the grave signs of a huge damage to his brain from a continuous lack of natural sleep.

Sleep is a biological need and Dr. Czeisler convinces us that it is necesary for our system in the same way as we need food, water and oxygen to survive. If we do not have sleep our brain slowly decays and dies. Dr. Czeisler’s lecture impressed me so much that upon reading it I even went to bed in a decent hour – probably the first time in the four years of all this blogging.

Another crucial idea I gathered from Dr. Czeisler’s testimony is that even if Michael had not been taking propofol he would have died anyway – just because of sleep deprivation and the damage to the brain. Unless the necessary measures were immediately taken and the sleep disorder was treated.  Rats die of sleep deprivation and humans too, only no one has yet conducted so terrible an experiment on  human beings  – Michael is actually the first and probably the last one, and all this owing to these AEG beasts.

So it was lack of sleep which was the ultimate reason for Michael’s death, and not propofol which was simply an inadequate way to treat it. Thus Dr. Charles Czeisler’s testimony dotted all I’s and crossed all t’s in the propofol mystery – propofol was the immediate reason for Michael’s death as an inadequate remedy to treat the main problem, but this main problem was lack of sleep.

And these Dr. Charles Czeisler’s words actually point to AEG as the main cause of Michael’s death because the reason why Michael was not sleeping was the extreme bullying and terrorizing they subjected him to beginning with the rehearsal stage. The show had not yet started but Michael was already overworked, fatigued and exhausted from all that incessant training and excessive demands put on him by AEG.

If you come to think of it those several months of incessant training were like several months of daily shows with Sunday as the only day of rest between them. Considering that for the previous tours Michael never rehearsed how many shows did he give during those rehearsals? 50 or even more?

If Michael had been getting ready for the show in a regimen comfortable for him and not for the AEG bosses, there would have been no need for propofol at all – at least at the rehearsal stage when no concerts yet started. He would have enjoyed at least some natural sleep and would have survived.

But by all their bullying they fully deprived him of his sleep and therefore doomed him to a terribly torturous manner of death.

And even when everyone sent signals to AEG that something was terribly wrong with Michael’s health – just five days before he died –  AEG chose to not help him and denied others the chance to render any medical help. Remember that e-mail from Randy Phillips that “it is critical not to become amateur psychiatrists or physicians”? The essence of that message is mind your own business and leave the matter to the doctor though this was the doctor of his qualifications and skills they themselves were absolutely not sure of.

Now they say they never checked up on him and pride themselves on it. Then why leave Michael in his hands further if they know nothing of him and everyone sees that he has already driven him to a terrible state?

Here is Dr. Charles Czeisler’s testimony:

Thursday June 20 DAY 34

27

Hello from the courthouse in downtown LA. Day 34 of Jackson family vs AEG trial is underway. Jurors are not in the courtroom yet.

28

Attorneys spent the last 20 minutes discussing with the judge boundaries for testimony of upcoming sleeping disorder expert.

29

Katherine Jackson is in court today wearing a black and white floral long jacket.

30

Judge said alternate juror 6 has been excused, since he moved. Judge said with the move came financial hardship. Thus, she let him go.

31

New witness on the stand: Dr. Charles Czeisler, plaintiff’s retained Sleeping Disorder Specialist.

32

Jackson’s attorney Michael Koskoff doing direct examination.

33

Dr. Czeisler lives in the Boston area, Massachusetts, grew up in Chicago. He detailed his extensive background in the medical field.

34

Dr. Czeisler graduated from Harvard and went to StanfordMedicalSchool. He became a professor at Harvard medical school.

35

The doctor said our internal clock regulates the timing we are awake and asleep.

36

Dr. Czeisler began studying the internal clock in the brain that controls our sleep while in undergraduate school.

37

After lunch time, the drive from the internal clock to stay awake becomes stronger and stronger, Dr. Czeisler said.

38

Light is the most synchronizing sleep pattern, Dr. Czeisler explained. When it’s light out, it’s time to stay awake. Dark, time to sleep.

39

Changes in the regular sleeping pattern sends confusing signals to the brain, which suppresses the release of hormones, Dr. Czeisler said.

40

People who work night shift have difficulty going to sleep right away when they get home, since they are still wired up.

41

The first sports team Dr. Czeisler worked with was NBA Portland Trail Blazers. They contacted him to help the team just through time zones

42

The doctor also worked with the Minnesota Timberwolves and Boston Celtics, the Bruins and now the Red Sox.

43

Dr. Czeisler said musicians can also have sleeping problems when they are traveling through time zones.

44

Musicians on tour have altered schedule, Dr. Czeisler said. They perform late, are on a different country with different time zones.

45

Dr Czeisler has worked with The Rolling Stones and Shaquille O’Neal. Shaq allowed doctor to videotape exam to evaluate if he had sleep apnea

46

The doctor said Shaq wanted help educate the public about sleeping problems. They published entire film of episode of him going through exam

47

Dr. Czeisler worked with astronauts for 25 years to help them adjust their sleep while in space.

48

They trained the astronauts how to set up the recording system so they could see different stages of sleep they were in while in space.

49

Dr. Czeisler said there are about 800,000 physicians in the US. He was elected one of the members of the Institute of Medicine.

50

Dr. Czeisler belongs to several professional societies. He testified before Congress in a panel of shift workers discussion.

51

Dr. Czeisler published over 120 original reports in peer review journals, which are all new researches.

52

The doctor works with industries that typically work around the clock and workers who have problems sleeping during the day/work at night

53

Dr. Czeisler has worked with nuclear power plants workers, police forces, firefighters, federal air marshals, CIA, secret service, others.

54

He worked with pilots in the operation desert storm, where most flights were at night.

55

Dr. Czeisler has served as expert witness before, testified in less than a dozen cases.

56

Dr. Czeisler is being paid $950 an hour. He’s one of Jackson’s retained experts.

57

Sleep is a very active process, but it’s characterized by, and fulfills basically biological needs, Dr. Czeisler explained.

58

Sleep is controlled by the brain, Dr. Czeisler said.

59

Signs of sleep:

60

Reversible loss of conscious

61

Reduction in sensitivity, but not a complete loss

62

Eyes closed

63

Posture

64

Reduced activity

65

Dr. Czeisler created slides showing how the brain works to help the jury understand how sleep happens.

66

There’s a lot going on in the brain while we sleep, Dr. Czeisler said, explaining it’s the time for repair/maintenance of the brain cells.

67

The average person should obtain 7-8 hours asleep every night, Dr. Czeisler said.

68

Sleep cycle takes about an hour and a half to two hours, Dr. Czeisler explained. You go through a progression between sleeping stages.

69

Sleep has an architecture to it Dr Czeisler said. We keep brain cells for life, the brain has to go through offline maintenance process.

70

Dr. Czeisler: That period of repair and maintenance is called sleep.

71

The brain uses 20% of glucose (energy) a day, Dr. Czeisler said. At night, we purge things that are not important and keep the ones that are

72

Dr. Czeisler explained sleep is essential to consolidate the memory of what we learned during the day in our brain.

73

We sleep in order to fulfill a series of basic biological needs, Dr. Czeisler explained.

74

Dr. Czeisler: We keep our brain cells for life, we need to repair and maintain the connections because we don’t have enough room

75

Doc: While we sleep, we consolidate our memory, integrate learning, refuel the tank, store energy in cells, which requires brain to be off

76

The doctor said it was believed that sleep was just necessary for the brain, but it was learned sleep is also necessary for the body.

77

Regulation of metabolism doesn’t go well if we are sleep deprived, Dr. Czeisler said. “If we don’t get enough sleep, we are hungrier.”

78

The doctor said if we sleep only 4-5 hours a night we use more energy, but because we are awake longer, we eat more and gain weight.

79

Even fat cells need sleep to metabolize properly, Dr. Czeisler said.

80

Dr. Czeisler said lack of sleep increases appetite, among other things.

81

Sleep is necessary for life, just like the same way eating or drinking fluid is necessary for life, the expert said.

82

It takes 17 days before an animal dies if deprived of food, Dr. Czeisler said.

83

Study shows that rats sleep deprived became scrawny, disheveled, unable to maintain body temperature, Dr. Czeisler testified.

84

Rats deprived of all sleep died on 21 days, rats selectively deprived of sleep died in 37 days. Recovery occurred in 1-3 days in those rats.

85

If deprived, animal is no longer able to maintain body temperature, Dr. Czeisler explained.

86

Rapid eye movement sleep (REM) is necessary, Dr. Czeisler said. Its deprivation affects cognitive function, ability to consolidate memory

87

Adverse impact of sleep deficiency on cognition:

88

Slowed reaction time; slowed reflexes, Impaired balance

89

More impact: Increased distractibility, Impaired judgement, Impaired memory, Impaired creativity, Increased risk of lapses of attention

90

More impact: Increased risk of automatic behavior, Increased risk of falling asleep, Fast and sloppy (speed/accuracy trade off).

91

250,000 people a day fall asleep at the wheel, Dr. Czeisler said.

92

People take chances they would not take when sleep deprived, Dr. Czeisler explained.

93

Dr. Czeisler said even if someone has taken a shower and put on make up, we can recognize lack of sleep by looking at their picture.

94

Adverse impact of sleep deficiency on mood:

95

Increased emotional volatility, difficult focusing sustained attention

96

Impact on mood: increased risk of burnout, depression and suicidal ideation, euphoria/slap-happy, somatic complaints, anxiety, paranoia.

97

Dr. Czeisler described the brain and what each area does.

98

You may not be able to hold your emotions in check, Dr. Czeisler explained.

99

They will make 10 times as many mistakes if they are sleep deprived, Dr. Czeisler said.

100

When we are sleeping, we’re going through and replaying the events, Dr. Czeisler explained. “We are actually practicing what we learned.”

101

You need to sleep the night after you learned a task in order to absorb it, Dr. Czeisler said.

102

Dr. Czeisler testified sleep deprivation is used as a method of torture to get confessions.

103

It’s so exhaustive and so painful to be sleep deprived, Dr. Czeisler explained. Some say it is by far the worse type of torture.

104

Koskoff: Sleep deprived people look for ways to get sleep?

105

Dr. Czeisler: Yes

106

Insomnia is a complaint of difficulty of sleep in either falling asleep, staying asleep or waking up too early, Dr. Czeisler explained.

107

They may have negative associations with bedroom or sleep that may prevent them from sleeping, Dr. Czeisler explained about insomniac.

108

Dr. Czeisler said there are 3 billion hours a week of video game playing, which affects the sleep because of over activity in the brain.

109

If irregular sleeping, it’s necessary to look into sleep hygiene: Poor sleeping environment, caffeine usage (16 hour half life), darkness

110

70% of parents put TVs in children’s room to help them asleep but it actually interfere with sleep, Dr. Czeisler said.

111

Insomnia could be secondary to medicine use or substance abuse.

112

Dr. Czeisler: Once you’re taking sleeping pills for a series of nights, now you can’t sleep without them. Your sleep is actually worse

113

Dr. Czeisler said cognitive behavior therapy is used to treat insomnia, where a psychologist identifies the problem.

114

The expert said this is a multi-week therapy with personalized approached. It’s proven effective, even more than drugs, Dr. Czeisler said.

115

If it is secondary to anxiety, doctor might consider give some anxiolytics, Dr. Czeisler explained.

116

In order to treat insomnia, the first step is to figure out what the disorder is, Dr Czeisler said; sleeping disorder is a treatable disease

117

Propofol is not sleep medicine, Dr. Czeisler said. “It is an anesthetic.”

118

Even though it’s the brain they are anesthetizing, they have not been monitoring the brain, Dr. Czeisler said about anesthesia.

119

Dr. Czeisler: There are a series of experiments to understand the extend from which its similar or different from sleep.

120

Propofol appears to dissipate the drive for sleep, Dr. Czeisler testified.

121

AEG atty said there’s no reference in Dr. Czeisler’s 78 pages resume of Propofol study, asked judge to not allow his testimony.

122

Attorneys discussed extensively about Dr. Czeisler’s competence to testify on Propofol vs sleep. Judge admitted his opinion conditionally.

123

Genuine sleep: Actively generated by the brain; Fulfills biological needs; Readily reversible reduction in sensation;

124

Genuine sleep: Readily reversible loss of conscious awareness, Can be easily awakened

125

Genuine sleep: Cycles between two behavioral states: REM and non-REM sleep, Sensitive to pain

126

Propofol anesthesia: Drug-induced coma, Doesn’t fulfill needs, Profound unresponsiveness, No consciousness, Cannot be awakened until gone

127

Propofol anesthesia: No REM sleep, NREM sleep abnormal, Isoelectric EEG in deep, Insensitive to pain

128

Propofol anesthesia: Dissipates the sleep drive without fulfilling the sleep need

129

When you go under anesthesia, you are going into induced coma, Dr. Czeisler said.

130

There’s no FDA approved reversal to Propofol, you need to metabolize it in order to wake up, Dr. Czeisler explained.

131

If you didn’t get REM sleep yesterday, you’ll have REM rebound tonight, you might fall directly into sleep, Dr. Czeisler said.

132

Dr. Murray: Ironically, Propofol anesthesia in sleep deprived animals, they don’t have rebound, it destroys the drive for sleep.

133

They wake up feelings refreshed, it has dissipated their sleep drive, but not their sleep need, Dr. Czeisler said about Propofol.

134

They feel like they had a great night, but they haven’t had any sleep at all, the expert said.

135

Genuine sleep fulfills biological needs, but Propofol sleep dissipates the sleep drive, the doctor explained.

136

Dr. Czeisler said there are no intravenous medication approved to treat insomnia.

137

Dr. Czeisler: Demerol is an opioid and it increases sleep propensity. It’s not the same as anesthetic.

138

The sleep that you are getting is generated by the brain, not by the drug, Dr. Czeisler explained.

139

Demerol is a sedative, normally used in association with surgical procedure to address pain.

140

Demerol dissipates some of your biological drive for sleep, if slept for hours during the day it will be more difficult to sleep at night.

141

Withdrawal of Demerol is a secondary type of insomnia. “It can increase insomnia,” Dr. Czeisler explained.

142

Koskoff gave a very long hypothetical using all the examples that happened with MJ. Defendant’s objected, judge held another long sidebar.

143

Judge adjourned session until tomorrow 9:15 am PT. Dr. Czeisler resumes testifying tomorrow. Karen Faye won’t return until next Friday.

144

That wraps Day 34 of testimony. We hope to see you tomorrow. For all the latest, watch @ABC7 and http://www.abc7.com

Alan Duke wrote a perfect article about Dr. Charles Czeisler’s testimony which helps us understand things even better:

 Expert: Michael Jackson went 60 days without real sleep

By Alan Duke, CNN

June 21, 2013 — Updated 1403 GMT (2203 HKT)

Los Angeles (CNN) — Michael Jackson died while preparing to set a world record for the most successful concert run ever, but he unknowingly set another record that led to his death.

Jackson may be the only human ever to go two months without REM — Rapid Eye Movement — sleep, which is vital to keep the brain and body alive. The 60 nights of propofol infusions Dr. Conrad Murray said he gave Jackson to treat his insomnia is something a sleep expert says no one had ever undergone.

Propofol disrupts the normal sleep cycle and offers no REM sleep, yet it leaves a patient feeling refreshed as if they had experienced genuine sleep, according to Dr. Charles Czeisler, a HarvardMedicalSchool sleep expert testifying at the wrongful death trial of concert promoter AEG LIve.

If the singer had not died on June 25, 2009, of an overdose of the surgical anesthetic, the lack of REM sleep may have soon taken his life anyway, according to an opinion by Czeisler.

Lab rats die after five weeks of getting no REM sleep, he said. It was never tried on a human until Dr. Murray gave Michael Jackson nightly propofol infusions for two months.

Czeisler — who serves as a sleep consultant to NASA, the CIA and the Rolling Stones — testified Thursday that the “drug induced coma” induced by propofol leaves a patient with the same refreshed feeling of a good sleep, but without the benefits that genuine sleep delivers in repairing brain cells and the body.

“It would be like eating some sort of cellulose pellets instead of dinner,” he said. “Your stomach would be full and you would not be hungry, but it would be zero calories and not fulfill any of your nutrition needs.”

Depriving someone of REM sleep for a long period of time makes them paranoid, anxiety-filled, depressed, unable to learn, distracted, and sloppy, Czeisler testified. They lose their balance and appetite, while their physical reflexes get 10 times slower and their emotional responses 10 times stronger, he said.

Those symptoms are strikingly similar to descriptions of Jackson in his last weeks as described in e-mails from show producers and testimony by witnesses in the trial.

Jackson’s mother and children are suing AEG Live, contending the company is liable in his death because it hired, retained or supervised Dr. Murray, who was convicted of involuntary manslaughter. They argue the promoter pressured Dr. Murray to get Jackson to rehearsals, while failing to get Jackson help despite numerous red flags warning that he was in trouble.

AEG Live lawyers contend it was Jackson who chose, hired and supervised Murray and their executives had no way of knowing about the dangerous propofol treatments administered in the privacy of Jackson’s rented mansion.

A very long question

Czeisler is back on the witness stand Friday to answer a question that was asked just as court ended Thursday. Jackson lawyer Michael Koskoff asked his expert what may also be a record breaker in a trial — a 15-minute-long hypothetical question.

He was asked to render an opinion based on a long list of circumstances presented so far in the trial about Jackson’s condition and behavior, including:

— That Murray administered propofol to Jackson 60 consecutive nights before June 22, 2009.

— That Murray began to wean Jackson from propofol on June 22, 2009, and gave him none of the drug on June 23.

— That a paramedic who tried to revive him the day he died initially assumed he was a hospice patient.

— That show producers reported  Jackson became progressively thinner, paranoid and was talking to himself in his final weeks.

— That the production manager warned Jackson had deteriorated over eight weeks, was “a basket case” who he feared might hurt himself on stage and could not do the multiple 360 spins that he was known for.

— That show director Kenny Ortega wrote Jackson was having trouble “grasping the work” at rehearsals” and needed psychiatric help.

— That Jackson needed a teleprompter to remember the words to songs he had sung many times before over several decades.

— That show workers reported the singer was talking to himself and repeatedly saying that “God is talking to me.”

— That Jackson was suffering severe chills on a summer day in Los Angeles and his skin was cold as ice to the touch.

Lawsuit evidence: Michael Jackson lost dance moves in last days

AEG Live lawyers objected to the question because the information about Murray’s nightly propofol treatments was derived only from the doctor’s statement to police after Jackson’s death. The judge previously ruled that statement was inadmissible. It was a ruling made earlier in the trial when Jackson lawyers objected to AEG’s use of Murray’s statement that he believed he was Jackson’s employee, not AEG Live’s.

The statement could be used if Murray, who is serving a prison term, is brought into testify. But that is unlikely since the doctor has said he would impose his constitutional protections against self-incrimination as long as the appeal of his conviction is pending.

Jackson lawyers could clear the way for use of the statement by withdrawing their objection, something they are now considering.

Koskoff told the judge that his expert would testify that Jackson’s symptoms perfectly matched what he would expect from someone who had been given long-term propofol treatments.

The jury is likely to hear his answer Friday.

A lecture on sleep

Jurors appeared quite interested as Czeisler lectured them Thursday on his sleep research, including an explanation of circadian rhythm — the internal clock in the brain that controls the timing of when we sleep and wake and the timing of the release of hormones

“That’s why we sleep at night and are awake in the day,” he said.

Your brain needs sleep to repair and maintain its neurons every night, he said.

Blood cells cycle out every few weeks, but brain cells are for a lifetime, he said.

“Like a computer, the brain has to go offline to maintain cells that we keep for life, since we don’t make more,” he said. “Sleep is the repair and maintenance of the brain cells.”

CNN Health: Sleep

An adult should get 7-8 hours of sleep each night to allow for enough sleep cycles, he said.

You “prune out” unimportant neuron connections and consolidate important ones during your “slow eyed sleep” each night, he said. Those connections — which is the information you have acquired during the day — are consolidated by the REM sleep cycle. Your eyes actually dart back and forth rapidly during REM sleep.

“In REM, we are integrating the memories that we have stored during slow eyed sleep, integrating memories with previous life experiences.” he said. “We are able to make sense of things that we may not have understood while awake.

Learning and memory happen when you are asleep, he said. A laboratory mouse rehearses a path through a maze to get to a piece of cheese while asleep.

A basketball player’s area of the brain that is used to shoot a ball will have much greater slow eyed sleep period since there is more for it to store, he said. They shoot better after sleep.

The Portland Trailblazers consulted with him after they lost a series of East Coast basketball games, he said. He was able to give their players strategies for being sharper when traveling across time zones.

He’s worked with the Rolling Stones on their sleep problems, he said. Musicians are vulnerable since they are traveling across time zones and usually “all keyed up” to perform at night, he said.

Czeisler developed a program for NASA to help astronauts deal with sleep issues in orbit, where they have a sunrise and sunset every 90 minutes.

Other clients include major industries that are concerned about night shift workers falling asleep on the job, the CIA, Secret Service and the U.S. Air Force, he said.

Jackson lawyers argue that AEG Live should have consulted a sleep expert like Czeisler for Jackson instead of hiring Murray — a cardiologist — for $150,000 to treat the artist.

The trial ends its eighth week in a Los Angeles courtroom Friday. Lawyers estimate the case will conclude in early August.

http://edition.cnn.com/2013/06/21/showbiz/jackson-death-trial/index.html?hpt=hp_t1

The next day Dr. Charles Czeisler continued his testimony but no cross-examination by the AEG lawyers could change the eye-opening effect his testimony produced on all of us earlier. This time he confirmed what we knew all along – if Michael’s sleep disorder had not been aggravated by AEG he would have done the shows without any problem. The ABC tweets say:

  • In his opinion, if he had been properly diagnosed for his sleep disorder, it would not have interfered with his tour or many in the future.
  • Dr. Czeisler believes that a fit and competent Doctor would have gotten MJ help and he would have made it through the tour.

Of course he would have made it through the tour if it had not been for these beasts from AEG. If he could survive under those impossible conditions for full two or three months and still make those splendid rehearsals on June 23d and 24th, it means that he could have done the impossible and done even 50 shows.

All he needed was a proper treatment for his sleep disorder.

Friday June 21, DAY 35

145

Testimony started this morning with Dr. Czeisler back on the stand being questioned by the Jackson side.

146

He told the jury he had been working on reviewing the records since January for 1/2 day every week.

147

Dr. Czeisler testified that Dr. Conrad Murray had ordered over 4 gallons of Propofol during April, May, and June.

148

He further stated that a common dose for surgery was 20 to 30 cc’s.

149

In Dr. Czeisler’s opinion the autopsy shows MJ’s level of propofol to be that of a person going through major abdominal surgery.

150

In reviewing correspondences between members of the crew, the Doctor believes MJ is showing signs of chronic sleep deprivation.

151

Those symptoms include weight loss, confusion, memory difficulties, paranoia, and anxiety.

152

He said it was astounding that MJ couldn’t remember the words to his own songs.

153

Total sleep deprivation can kill a lab rat in 80 days and he said he doesn’t know and hopes to never know how long in a human.

154

In his opinion, if he had been properly diagnosed for his sleep disorder, it would not have interfered with his tour or many in the future

155

Finally, Dr. Murray clearly was not fit or competent to diagnose or treat MJ’s sleep disorder.  Jackson side rested.  AEG takes over.

156

Dr Czeisler continues cross examination after the lunch break.  He testified MJ’s Doctor had a conversation with MJ about the stress of tour

157

In that conversation they talked about his problems sleeping

158

The Doctor also said no one could make MJ get treatment – not his children or his business partners.

159

The Doctor said the relationship between anesthesia and sleep is a new area of study.  Much info has come out since MJ died.

160

Each of the symptoms MJ was experiencing – weight loss, paranoia, memory lapse, etc can all be caused by something other than no sleep

161

Mrs. Jackson is not in court today.

162

AEG Attorney Questioned Dr.Czeisler that he did not know exactly how often or what manner MJ was given propofol in the last 2 months of life

163

Dr. Czeisler conceded that the only night he knows MJ was given propofol was June 24th, 2009.  He died the next day.

164

AEG Attorney asked the Dr. what was the cause of death on the autopsy report and it was propofol intoxication…not sleep deprivation.

165

Dr. Czeisler did however interject after the AEG Lawyer finished questions that in an NTSB investigation there are contributing factors

166

Dr. Czeisler believes that a fit and competent Doctor  would have gotten MJ help and he would have made it through the tour

167

On recross the Doctor said he believed MJ got Propofol every night all night for the 2 months before his death. https://twitter.com/ABC7Courts

So all of our previous conclusions have been confirmed.

But why is it so SAD to see it?

The top specialist on sleep disorders is telling us that we were right all along but it does not make any of us a single moment happier….

*  *  *

Below is the full transcript provided by the heroic TeamMichaelJackson (they are in constant need of funds to buy the transcripts, so if you want to make history too please go here and help).

The first day of Dr. Czeisler’s testimony:

View this document on Scribd

The second day of Dr. Czeisler’s testimony:

View this document on Scribd
32 Comments leave one →
  1. September 4, 2014 11:10 pm

    Dear Helena, hope you are well. Came across this link where Propofol is being believed to help treat migraines even in kids.Just shows the safe nature of the drug itself. https://search.bt.com/result?p=Propofol+%26+migraine&fr=ush-bt-mailn

    Like

  2. June 27, 2013 9:29 am

    “Nobody can say how reversible or not the damage this long sleep deprivation that michael had been subjected to was. One can only guess. I would think had OK´s advice been taken it could have been reversed over time with proper treatment. Just a guess.”

    Kaarin, of course we don’t know how long it would have taken Michael to recover, but Dr. Czeisler spoke about some experiments on rats and said that after 3 days of treatment they were returning back to life. With humans it is surely a longer process, but the damage done to Michael was still reversible. All they needed to do was just pay attention to his problem.

    It is almost the same as with hunger – one day for lethally emaciated patients can decide it all. If no proper nourishment is provided they die, but if it is checked even at the final moment they will survive and turn into normal people again. Of course brain cells are a little different – they are given just once for the whole of our life and are never replaced, but on the other hand we use only a minimal portion of our brain capacity and it has enormous compensatory functions too.

    In short if AEG had paid attention to the numerous SOS signals sent by everyone Michael would have survived. No doubt about it.

    Like

  3. June 27, 2013 7:50 am

    Yet another guinnes record for Michael.The only human experiment of this sort.

    Like

  4. June 27, 2013 7:48 am

    Nobody can say how reversible or not the damage this long sleepdeprivation that michael had been subjected to was. One can only guess. I would think had OK´s advice been taken it could have been reversed over time with proper treatment. Just a guess.

    Like

  5. June 27, 2013 7:45 am

    Propofol anestesia or deep sedation masquerades normal sleep only. It also extingwishes the normal drive for sleep when sleepdeprived.That makes it so dangerous on the long, here very long run.

    Like

  6. Jan permalink
    June 25, 2013 12:58 pm

    perhaps this will open for you:

    https://www.itv.com/itvplayer/daybreak/25-06-2013

    mark lester should be on this part:

    https://www.itv.com/itvplayer/lorraine/25-06-2013

    here are contacts for daybreak and lorraine (same people)

    http://www.itv.com/daybreak/hottopics/contact-us/

    Like

  7. Truth Prevail permalink
    June 25, 2013 10:30 am

    “The video does not open for me, but understand that it is about some bodyguard (naturally telling lies about MJ).”

    Not just any bodyguard BUT Matt Phiddes who has already been proven to be full of SHIT!

    Looks like it is A Tabloid reunion Mark Lester, Matt Phiddes, and Now Jason Pheifer (The guy who said Michael was his gay lover)

    Like

  8. June 25, 2013 8:20 am

    Yes, it was not the propofol per se. But the regular use of that substance made it impossible to gain normal restorative sleep.Poison or not, it is sort of a semantic choice.His brain tissue became damaged as result of lack normal reparative sleep.And as long as the nightly propofol was continued there was no chance of that.That damage cannot be seen macroscopically.,so the autopsy made no mention of it. I am still sure that it would have shown up on simple psychological tests.Had they only listened to KO. Many poisons work by prevebting normal processes to occur.

    Like

  9. June 25, 2013 8:01 am

    “He was slowly poisoned.” – kaarin

    I would like to make a post now and it will take time, therefor here now just for a second. Just wanted to say that theoretically we knew that propofol use could damage the brain, but it is not actually like poisoning. Thousands of people have it and no one dies. I’ve seen reports of patients being under propofol for three days or more and was therefore always wondering.

    But Dr. Czeisler explained that it is not so much the matter of poisoining – it is the matter of denying the brain what is needed for its proper biological functioning – all those cycles of sleep which natural sleep gives and the propofol coma does not. Interesting that both of them give the feeling of freshness upon waking up, so the patient himself is not able to tell the difference.

    I think that Dr. Czeisler’s analogy explains it all – you can eat celluloid balls, fill your stomach, and won’t feel hungry but will die of hunger all the same if it goes on for too long. The system does not receive something which it needs for proper functioning and it dies. Sleep is a similar substance like food, water and oxygen. After Dr. Czeisler’s lecture I began to seriously worry about my own lack of sleep and now go to bed much earlier. Actually I myself noticed that my memory and concentration are 10% of what they were before.

    So all that damage to Michael’s brain was not due to propofol – it was due to lack of sleep. The way I understand it propofol per se is harmless for the brain.

    Like

  10. June 25, 2013 7:45 am

    When this blog first started in 2010 I looked up propofol in our PDR. Some of the symptoms mentioned above were mentioned as those that can occur after the anestesia proper is over.
    There were so many warning signs noticed, even a group of fans formed TINI= This Is Not It.
    A fence was built by Thome around Michael isolating him and many measures taken to hide his condition.Such cruel lack of compassion.

    Like

  11. June 25, 2013 7:05 am

    Thank you Helena for the extensive work on the propofol mystery.Now had a psychiatrist or psychologist actually been called a few basic ,simple psychological tests would have shown that Michael had an organic brainsyndrome.Ask your mother. He was slowly poisoned.
    And at the same time abused mentally and physically. The descriptions given by the AEG bosses of Michael´s behaviour could serve as textbook examples of slow propofol poisoning.
    There is also a free poson hotline. I suggest the Jackson lawyersw also contact them for a special witness.

    Like

  12. June 25, 2013 6:41 am

    “daybreak ITV show in UK: http://www.itv.com/daybreak/hottopics/michael-jackson-bodyguard/ lorraine kelly will always get her digs in, she interviewed mark lester after but that isnt up yet.” – Jan

    The video does not open for me, but understand that it is about some bodyguard (naturally telling lies about MJ).

    Do I understand it right and they are marking the fourth anniversary of Michael’s death by breaking Mark Lester’s lies? Just as we expected?

    Like

  13. Jan permalink
    June 25, 2013 3:26 am

    daybreak ITV show in UK:

    http://www.itv.com/daybreak/hottopics/michael-jackson-bodyguard/

    lorraine kelly will always get her digs in, she interviewed mark lester after but that isnt up yet.

    Like

  14. June 24, 2013 7:31 am

    And is Michael supposed to PAY his executioner?Ithought this was outdated.

    Like

  15. June 24, 2013 7:13 am

    Michael and Murray did discuss the problem with sleep. Apparently Murray is sloppy to the degree that he didn´t even read up on the subject and did not inform himself of the effects of longterm propofol use substituting natural sleep.He was seriously malpractising all along. It was not a question of just being inattentive for 2 minutes.-As I said in a prevuious comment any doctor can ask and pay for a consultation with a top specialist..Murray´s conviction should not be overturned ,but a more serious complaint be brought. And he should never be allowed to practce medicine again.

    Like

  16. June 24, 2013 7:03 am

    Sorry for my usual typos.But I am in the library and there is a lot of material to read.

    Like

  17. June 24, 2013 7:01 am

    So sad.At last we know for sure what has been thought and suspected all along.Thanks
    to Dr. Czeisler for his comprehensive information on sleeo and Propofol.Now we know Michael was physivally and psychologically abused in the extreme.And all that was blamed on his supposed addiction is ,or was the result of propofol damage of his brain.So they can forget ant “faults or mistakes” on MJ´s part, Murray had seen to it that he was prone to expierience anxiety, paranoia,moodswings from feeling suicidal to slap-happy euphoria.
    AEG has described the chronic side effects of Propofol well. This should be the END of STORY for AEG.

    Like

  18. Nicoletta permalink
    June 24, 2013 6:19 am

    I will never stop thanking you, dear Helena, thank you for your commitment!
    The picture of the whole situation becomes even more dramatically clear and the saddest thing is to think about how much force had Michael, physical and mental, and that this force was cut short by a deadly mix of neglect, abuse and economic profit.

    Like

  19. June 23, 2013 3:36 pm

    “the article says the meeting took place on June 18. Perhaps you already know this? But this appears to be the big meeting of which Kai Chase spoke, Gongaware and Phillips “testified” to and unfortunately caused Michael much duress.” – monica

    I haven’t read the TMZ article but I’ve read Joseph Jackson’s lawsuit papers and Katherine’s complaint and both of them referred to that meeting. Joseph was speaking about June 18th but now it seems that it was June 16th. I agree that it is quite possible that Kai Chase was speaking about that meeting and not an earlier one. This is the one Susanne was talking about.

    Here is an excerpt from Katherine’s complaint which makes us think that it could be the meeting described by Randy Phillips as an “intervention” on June 16th. So they were making these demands of Michael 6-8 days before he died. Please remember that they had no right to make him perform AT ALL:

    Katherine's complaint, points 35-37

    35. On June 18, 2009, AEG’s agents, including RANDY PHILLIPS, traveled to Michael Jackson’s house at 100 Carolwood Way, Beverly Hills, California. Murray attended the meeting at AEG’s direction.

    36. At the June 18, 2009, meeting AEG demanded Michael Jackson stop seeing Dr. Arnold Klein and stop taking the drugs Klein gave to him. AEG said Klein’s drugs made him sleepy and prevented him from rehearsing. AEG demanded Michael Jackson take only the medications give to him by Murray.

    37. AEG threatened that if Jackson missed any further rehearsals, they were going to “pull the plug” on the show, Jackson’s house, the doctor, and all the expenses for which they paid. If AEG called off the Tour, Jackson would be required to repay AEG for its advances to him. If he could not repay AEG. AEG would be entitled to collect the collateral Jackson had put up to secure his obligation to perform. AEG said that if they called off the Tour, there would be lawsuits and Jackson’s career would be over. They said Jackson must work with Murray. They threatened there would be no further failures to perform on his part or everything with AEG was over.

    Katherine's complaint,  point 38

    38. AEG told Murray that he had to make sure Jackson got to rehearsals. Unless Jackson got to rehearsals, the shows would be cancelled and Murray’s employment would be terminated. It was Murray’s job to ensure Jackson was at rehearsals, and Murray was to attend rehearsals with Jackson. They said it was to be “tough love” and that they had read Jackson the “riot act”. Murray agreed to each of AEG’s demands. Murray thereafter attended rehearsals with Jackson.

    This last point makes me think that if Murray agreed to all their terms he would not have “stormed” out of the meeting muttering that he could no longer “take that shit”. This suggests that he “stormed out” earlier and Kai Chase was talking about an earlier meeting.

    In future this matter will be surely clarified, but I absolutely do not rule out that all that yelling was the usual way Randy Phillips was talking to Michael. It started with a slap on March 5th, so what prevented him from continuing in the same manner?

    And all these demands came approximately a week before Michael died. By that time he had not properly slept for 60 days or so. And his state was clearly seen to everyone who cared to look.

    Like

  20. June 23, 2013 3:01 pm

    We know It’s well-known that Michael endured bouts of insomnia during both the Dangerous and HIStory tours. Many have spoken about it and referred to a doctor (can’t recal his name at the moment–Ratner, perhaps?) that put him “down” and brought him back on consecutive nights during his tours. You and I both know that he tried to keep his privacy as much as possible. We really don’t know everything and if people did try to convince him to seek help. Perhaps Michael was simply afraid, as many of us are, about confronting his demons. It’s no secret either that he was not exactly the most patient person in the world and in order for medical treatment to work, you have to give it time and be willing to explore many options and treatments. I could see that he wanted quick results after listening to his nurse, Cherilyn Lee, talk about remedies to help him. Watching him sleep wasn’t going to GET him to sleep. He really did need a doctor like Czeisler. I’m sure he would have received the help he so desperately needed. Regardless, it’s very disturbing that doctors would compromise their Hypocratic oath because of money but obviously that’s what they did. So essentialy, he was dealing with a serious sleep disorder for at least 15 years. During the interview Opray Winfrey had with the Cascio family, they freely shared that Michael had no trouble sleeping when he stayed with them so clearly, the problem was exacerbated by adrenalin, tension, physical exertion and, sadly, stress which he had more than his share of during the ’05 trial and then again building up to the concerts. Maybe I’m wrong, but he really needed someone in his life that just wouldn’t go away, wouldn’t give up on him no matter how pissed he got about being nagged or pressured into seeking medical help. His inner circle reminded me of a “revolving” door. One day they’d be cozy with him and the next day, they’d be on the curb. It’s a damn shame. He came to the inevitable point in a life overwhelmed by fame and exploitation where he just didn’t trust anyone. And yes, I understand why he felt that way. Like he says in his song, Breaking News, “Everybody wantin’ a piece of Michael Jackson.” As much as I really admire Karen Faye and her efforts to get him help, she, too, refrained from uncomfortable confrontation. Of course she wanted to spare him more drama, but (and she’s certainly not alone on this one!) avoiding confronting Michael in order to keep on his good side, cost him his life. So far, it’s not been disclosed truthfully if Michael Jackson actually did choose Murray to be his tour doctor. The fact that he had treated Michael’s children for colds in Las Vegas would never be enough reason to bring him on a tour. But I guess Michael believed that because he was a “cardiologist” he’d be intimately experienced in all aspects of medical care, including helping him to sleep. And, I know I’ll probably get attacked for saying this, Michael was not above manipulating people for his own gain. He probably saw a very “easy”, sympathetic nature in Murray and felt confident that he could convince him that he needed certain medications regardless if they were questionable or even dangerous. For those who continue to say that AEG can’t be responsible for Michael’s death, they are dead wrong. They failed to pay attention to a flurry of warning signs, desperate pleas for help for him, and to learn what, in fact, Murray was doing to him, especially since they were PAYING him. I’ve reached the point in my journey of learning more about Michael Jackson to accept that this tragic outcome was inevitable, given the circumstances. It’s very disturbing to me as I’m sure it is to you and everyone who loves Michael. You play out the events in your mind, you see the desperation, the frightening warning signs but it’s like you’re watching a movie, feeling the awful tension, begging that someone step in and help him before it’s too late. What we’re left with now is desperately trying to hold those responsible who failed Michael. All I can say is that the underbellly of the entertainment industry is dark and without conscience. I truly hope that his children don’t get caught up in it. It’s already had a tragic effect on them. They deserve a decent, normal life.

    Like

  21. monica permalink
    June 23, 2013 1:57 pm

    Yes, Helena the main fact is that AEG ignored detrimental signs. Totally agreed…

    Also, I like to (as much as possible) refer to old interviews that get us back closer to what could be loosely considered a primary account, which is what you use a lot. And Klein has not changed his story (on this). I hope he doesn’t later adjust for his own “spin” to save his own butt, if necessary.

    Along the lines of going back to old news (at least further back in the timeline) …I did see a TMZ (I won’t include the link because I don’t have it and because it is TMZ, sorry I should have cut and pasted so you did not have to click on them, as I reluctantly had to do initially) write up that was interesting regarding the meeting at Michael’s home. This was back when Joseph Jackson was contemplating his lead in the wrongful death suit. It referred to the meeting consisting of the players to whom Kai Chase testified and also the subject. Apparently, Joseph was trying to get someone to listen to the fact that he had info that the meeting was for the purpose of making Michael “adhere” to their regimen. Specifically only take the medicine/treatment Murray was providing and to stay away from Klein (leading us back to the old Demerol concerns, of which you recently commented on I believe). So when Gongaware states that the meeting was all about Michael’s health and “making sure Murray and Michael had what they needed”, that is just his contribution to keep it vague, as you accurately suggested. Also, the article says the meeting took place on June 18.

    Perhaps you already know this? But this appears to be the big meeting of which Kai Chase spoke, Gongaware and Phillips “testified” to and unfortunately caused Michael much duress. Forgive me if I just added tabloid trash to the convo, but it struck a cord with me and was really curious about your take on it.

    Like

  22. June 23, 2013 1:54 pm

    “90% will not be reported anywhere there is a large concentrated audience… TV. When done so it omits testimony which speaks on contracts, who employed whom and signatures. It is a game of; “we won’t make MJ look too bad”, but “we are not going to make AEG look bad at all.” – Dialdancer

    Dial, this is a very wise thought. The media is only winning from this game. They show a tiny piece of AEG’s dirt (and even this is so bad that it shocks) and just refrain from the usual “wacko-jacko” thing in respect of Michael (which is already an improvement as compared with what it was before) and the result already produces the impression of them being “unbiased” though the public still does not know the remaining 90% of the AEG case.

    On the other hand I get the impression that the human element and conscience in some media people is beginning to take over. Keeping my fingers crossed. However I don’t watch your TV and don’t know what they say.

    Like

  23. June 23, 2013 9:04 am

    “I do find it very sad that Michael rejected efforts by those who cared to encourage him to see a doctor who could have, once and for all, treated his sleep disorder.” – Ladypurr

    Oh, I don’t remember reading about anyone suggesting him this kind of help. Most of it was about certain “interventions” (for “drugs”) and not about handling his sleep problems. Michael was constantly seeking help from doctors to treat his insomnia, but no one was able to help – and this was the biggest of his problems.

    He needed a doctor like Dr. Czeisler, who is indeed a great professional in his field. Up till now we’ve heard some sleep disorder specialists (one was at Conrad Murray’s trial) but none of them can be compared to Dr. Czeisler.

    The fact that he is working with NASA is probably the decisive factor here. I hear that those who work with astronauts (or our cosmonauts) on the orbit are the best specialists ever because they handle unique problems – like, for example, sleep in conditions when there is sunrise and sunset every 90 minutes. Only this kind of a specialist could help Michael. And also the one who studied the difference between natural sleep and sleep under Propofol.

    Each gives the feeling of freshness as if after a good night’s sleep but who could imagine that lack of REM sleep is what making that propofol sleep so “celluloid”? On the surface both kinds of sleep look the same, and up till now not a single expert was able to explain the difference!

    To be fair to doctors they began doing research in this sphere only recently, after Michael’s death.

    If Michael had beeen taken to hospital in 2009 I doubt that doctors would have managed to immediately cure his insomnia (it takes time to find a good specialist like Dr. Czeisler) but they would have improved his general state of health and would have averted the tragedy. After that help he could have gone on – even with the tour.

    Like

  24. June 23, 2013 8:03 am

    “I had not considered that fact about Klein; that he has stuck with his own responsibility in the administration of Demerol. You are right, Klein could have thrown Michael under the bus as we know so many have; relying on the fact he is not here to defend himself. Gotta give him that.” – monica

    Klein could have thrown Michael under the bus but he didn’t, and things like that should never be overlooked or underestimated. By the way his firm position in this matter was clearly not to the liking of the media – this wasn’t what they expected him to say. They wanted him to say that Michael was begging for it, but instead Klein said he chose it himself – what a disappointment…

    Here are some excerpts from his TMZ interview on November 5, 2009:

    Levin There are…you know, you were his doctor for decades…

    Klein Yes, twenty, over twenty years. I think we met in 1984.

    Levin …and you saw that he was a drug addict during periods of his life yet you prescribed Demerol numerous times…

    Klein I never prescribed Demerol.

    Levin You administered.

    Klein I administered Demerol because you have to understand that the procedures I do are painful injections and I would give him…I would say I would take an hour-and-a-half to inject him and I would do somewhere around… oh, well over a hundred facial injections on him and unless I sedated him… He was very, believe it or not, needle-phobic when you got to needles on his face, and I mean, did you ever have injections in your face?

    Levin Not really.

    Klein Okay. It’s really a painful procedure, so, I mean, you had to stop him from squirming. You had to go to his eyes. The scalp injections were very, very painful, which I had to do because also I had to reduce a great deal of scarring on him. So what I used drugs for, it was not to give him drugs. I mean, I used drugs to relieve the pain when I did a procedure. So we have to make a big difference. If you’re having a surgical procedure, and these are really minor surgical procedures, with my length of time it takes for me to do it, it’s not minor, you have to use some amount of drug but when you look at how much I used, it’s not anything compared to the amount that some other doctors give. I didn’t give him bags of it to take home as some doctors do.

    Levin But repeated dosage of Demerol over a period of time.

    Klein Yeah, but you have to take the total dose of Demerol that I used over the period of time I used it on him and it was not an immense dose because we went down finally…when I got him back from Las Vegas he was on a little higher dose and I twiddled him down to getting a very small, hardly therapeutic dose of Demerol over the period of time that I saw him because he’d developed some tolerance and I told him he couldn’t have it. Now I had no idea…


    Levin Did he ever ask you for Demerol?

    Klein No.

    ..
    Levin Did he repeatedly come to you and ask for drugs?

    Klein No, not at all. Because when he stayed at my house he didn’t ask me for drugs, when he brought his kids to my house he didn’t ask me for drugs. I mean, he didn’t…he was not…

    Like

  25. June 23, 2013 7:28 am

    “I suppose it is possible I am only trying to appease myself because the thought of him dying regardless is just so distressing on top of an already sorrowful situation.” – monica

    I apologize for saying it not in the best way. The phrase should have been continued – Michael was to die anyway unless he was given immediate help . And propofol is a secondary matter here. Five days before Michael died everyone saw the terrible state he was in. Kenny Ortega, John Hougdahl, Karen Faye and Alif Sankey were sending SOS messages that something was terribly wrong with Michael and insisted on urgent medical help. Hougdahl even sent an email “Trouble at the front” which Phillips forwarded to his boss saying “We have a big trouble here”.

    But AEG chose to ignore all those urgent messages. Instead of giving Michael immediate medical help they sent back soothing emails saying that “it’s critical not to become amateur psychiatrists or physicians”. This way they did not only fail to render help themselves but denied others the chance to do it. They said “the doctor is excellent”, “we check everyone out” though they knew nothing of his qualifications, did not check him out and now pride themselves that they never did.

    What are they proud of? That they openly denied help to the dying man when everyone around was asking for it? That they did nothing themselves and did not allow others to help?

    Imagine a man dying in the street. The people standing around suggest calling an ambulance and taking him to a hospital, but you say that you know the doctor treating this man and he is “excellent” and you “have checked him out” (though you haven’t), so please go away and mind your own business. The passers-by go away worried, you talk to the doctor on the phone and he says that it is “just a flu” and five days later the man dies. Do you bear responsibility for not taking action and not allowing others to call an ambulance?

    When you look at the whole picture you understand that propofol is a secondary matter to it. In the same way Murray could have given Michael a double doze of benzos and he could have died of that too. Or Michael could have survived all that propofol and died of the brain damage due to lack of biological sleep (as the doctor said).

    The main thing here is that AEG saw Michael’s terrible state of health but did not care and did not allow others to help. In the remaining 5 days of Michael’s life they were taking care of the insurance instead.

    Like

  26. June 23, 2013 12:49 am

    I had not considered that fact about Klein; that he has stuck with his own responsibility in the administration of Demerol. You are right, Klein could have thrown Michael under the bus as we know so many have; relying on the fact he is not here to defend himself. Gotta give him that.

    Not sure if I am aligned with the inevitability of Michael passing even if he was not receiving propofol. Perhaps I am not understanding, but I see the propofol as an aggravating factor (in addition to directly causing cessation of respiration, as if that wasn’t enough) of each night cumulatively. I don’t think we can say that Michael would have “died anyway” (very troublesome thought as we all agree, I am sure). The propofol was causing him to forgo any of his natural drive to seek sleep and perhaps fall asleep naturally with the situation as it was. With propofol he was being set up each and everyday as a guarantee to NOT sleep within another cycle of say, 24 hours or so. Without propofol at least he stood some semblance of a chance (even under profound stress and chronic insomnia) of regaining the drive and eventually catching some sleep at least here and there.

    I suppose it is possible I am only trying to appease myself because the thought of him dying regardless is just so distressing on top of an already sorrowful situation.

    Like

  27. June 22, 2013 6:30 pm

    Governments will label stories of sleep deprivation studies and evaluating soldiers as conspiracy stories. They are not. There have been attempts for decades to develop programs or suppliments/substances that keep combat soldiers functioning while getting little down time, especially those of elite units.

    Why bring up Demerol again? Simple, while the Media’s half-heartedly reports on this story they are doing a 90/10. (might see the sleep analysis on TV). 90% will not be reported anywhere there is a large concentrated audience….. TV. When done so it omits testimony which speaks on contracts, who employed whom and signatures.

    The same reason the HuffPost writer who did her piece published on the Health section said; “MJ asked for his milk.” At no time will you see a qualifier. Nothing that says this cannot be confirmed as MJ is not available to confirm or deny. Or the majority of headlines read “concert promoters were concerned about MJ.” when reporting on Berman’s testimony.

    It is a game of; “we won’t make MJ look too bad”, but “we are not going to make AEG look bad at all.” Which is why I believe there was no intent to televize courtroom proceedings. They waited too long to file paperwork and displayed no real interest in pushing this forward. You only need look at any other trial which assured ratings.

    Like

  28. June 22, 2013 4:02 pm

    I read the CNN article as soon as it hit the airwaves. What I find even more disturbing than focusing on Demerol is the false belief that Propofol is addictive (thank you, Helena, for including the very informatie post from Wiki). I remember Dr. Shafer speaking to that issue. All I know is that I will be so emotionally relieved when this trial is over. I hope that AEG is found negligent and is made to pay for their deeds. I do find it very sad that Michael rejected efforts by those who cared to encourage him to see a doctor who could have, once and for all, treated his sleep disorder. To know that he probably would have died even if Murray hadn’t overdosed him on Propofol is one of the saddest facts revealed so far in this testimony. He was slowly and systematically being tortured to death. No even the most vile terrorists receive torture. Michael Jackson’s death is truly one of the great tragedies in entertainment history. Oh, that powerful little word, “If.”

    Like

  29. June 22, 2013 3:09 pm

    “Why is everyone still talking about Demerol? Even when Murray was on Anderson Cooper he spoke of Demerol. I thought everybody was passed it but apparently not.” – Tatum Marie

    Because AEG was absolutely sure that Michael was a Demerol addict. They discussed it almost openly and in their emails said they “are scared to death by the shots Klein is giving him”. Paul Gongaware was a witness to it happening in 1993 during the Dangerous tour and all of them, I mean all of them were sure that he was taking Demerol. This was evidently one of the main reason why they were arranging all those constant meetings for Michael and this is why they cut all Michael’s connections with Klein.

    In short they were isolating him from Klein thinking it was Demerol but were pushing him into Murray’s hands who was administering propofol. They thought of one thing but it turned out to be another.

    Like

  30. June 22, 2013 1:25 pm

    “i simply dont buy it 60 days are hell lot it seems really far fetched” – Goodie

    If Conrad Murray did not lie it was two months. But it would be strange if he lied on this point – what’s the use of lying if he could only aggravate his case this way? He could have said that it was on one night only and it would have sounded much nicer.

    Like

  31. goodie permalink
    June 22, 2013 12:24 pm

    i simply dont buy it 60 days are hell lot it seems really far fetched

    Like

  32. TatumMarie permalink
    June 22, 2013 12:06 pm

    Why is everyone still talking about Demerol? Even when Murray was on Anderson Cooper he spoke of Demerol. I thought everybody was passed it but apparently not.

    Like

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