Conrad Murray, THE MAN WHO KILLED MICHAEL JACKSON. Part 2 on Dr. Adams as another option
The latest news says that Conrad Murray’s appeal has won a chance to be looked into by the appellate court. Well, if they consider they have reasons to look into Murray’s case again, we have all the more reason to look into the same to make sure that Murray’s guilt for killing Michael Jackson is unforgivable.
Therefore the story about the way he killed Michael and then lied about it will continue and will last as long as it is needed – in parts 2, 3 or more.
By now we have not only Murray’s film of 2011 to talk about, but also his new interviews and what’s even more important – the testimonies of the direct participants in the events at the AEG trial. And the testimony of the second doctor Michael Jackson wanted to go to London with (Dr. Adams) is simply invaluable.
But first we need to go back to the British film about Murray made immediately after his conviction for manslaughter in November 2011.
WHAT MURRAY SAID ABOUT THE NIGHT MICHAEL DIED
Besides telling many things we already know the film will surprise you by some details which are completely novel. Some are not easy to notice – for example, the fact that Murray disposed of part of the urine collected that night and this means that it could contain even more Propofol and its overall amount given to Michael might be even bigger than our minimal estimation of 206 ml.
Another thing never mentioned before is, for example, Murray’s story that during his struggle with insomnia Michael often retreated into his other bedroom. In short when you look back into the past there is always something new to find in search of the truth, and this is the main idea of these posts at all.
Below you will find Murray’s account of Michael’s last night the way he described it in the 2011 film. Same as with everything else Murray says, we need to be careful and draw a fine line between the thick layer of his lies and a theoretical possibility that even he can say a thin word of truth.
Michael’s pleading for Propofol and the look of him like a ghost in the Thriller are surely the true parts of Murray’s story as at the time described (end of June 2009) Michael was indeed going through sheer hell.
Now he couldn’t miss a single rehearsal as Ortega could quit, AEG would pull the plug on the show and he would be facing a massive lawsuit and devastating publicity from AEG and the media.
They would stop at nothing to ruin him, portray him as an irresponsible junkie in whose care the children cannot stay and he would probably lose his kids – as they threatened him he would.
So I can easily believe that after Ortega’s statements and the crisis meeting of June 20th Michael lost his sleep altogether. However the rest of Murray’s story describing Michael’s last sleepless night should be taken with a big grain of salt.
Valium, Lorazepam and Midazolam were recorded in the autopsy report and this means that Murray did administer them too, with the only correction that they were most probably given in one package at the beginning of the night or at very close intervals between each other.
Murray says that those benzos were strong enough to put an elephant to sleep and judging by the autopsy report their dosage must have indeed been an elephant one – only none of those medications worked and this is why Murray put Michael on a drip of Propofol lasting for at least several hours after that.
Let us also keep in mind that Murray’s description of Michael’s sufferings must be sort of a generic account and can very well apply to any other sleepless night among the many he had during the period of those damned rehearsals.
Here is the part of the 2011 film about Michael’s final day.
It starts at approx. 38:30 in this video (please correct my mistakes if any):
38:30 Voiceover: Michael’s final day, June 25th. It had been another good rehearsal. Jackson was excited but needed to sleep. At approximately 2 am Murray said he’d administered some Valium and Lorazepam but refused to give him any Propofol. At 3am the doctor gave him another drug – Midazolam. Jackson still didn’t go to sleep.
38:55 Murray: He was basically hysterical. He really could not sleep. And he begged and pleaded and asked me: “Please, please, Dr. Conrad, I need some milk so that I can sleep. If I don’t get any sleep today I could not perform. I could not do anything. AEG will be upset. Everything will basically go down the drain”.
He looked to me during that morning – should be like the Thriller. If you’d ever seen the Thriller image when he was made up, he looked that. Hysterical. Now, I don’t want to give him the medication, because I’m trying to show him a different path. But here is the pressure he puts on me. He can’t practice. He can’t go to concert. AEG is going to be on him. The tour will fall apart. This is it. It’s over for this man if he does not make this happen.
I fought, I struggled, I rubbed his feet, I felt such a weight. I was so worried about this man who was my friend, thinking where AEG promises future would lie, WOW.
40:55 Voiceover: Dawn… Despite the drugs Murray had given him Jackson still couldn’t sleep. Murray says that the singer retreated to his other, private bed chamber.
41:10 Murray: You know, there were several times he would walk away from me into the other room and to me that was a break. That was a break. The longer he stayed away the less I had to do with the fright that I could not get him to sleep.
After he’d begged and pleaded I said: “You know what?” If I give him a tiny amount of propofol – 25milligrams, slowly infused, I may just tip him into sleep and the other medications would now get a chance to work because of the other … of the medications on board. And the medication he had on board, I even told him before, we got to that point, Michael, that would put an elephant to sleep. You are not… this is not normal. It’s not normal. He fell asleep. I was very pleased.
42:20 Voiceover: It was 10:50 in the morning. Murray says he then watched over Jackson for 25 minutes. The effects of 25 milligrams of propofol were off in about 10 minutes. At 11:15 am Murray began making phone calls.
42:40 Murray: It was no unusual for me to make calls. Or return calls. During the morning hours while he was still asleep. It was not unusual.
42:50 Voiceover: His last call was to Sade, a waitress he had met recently. He never completed that call.
Sade Alding: “I said hello, hello and then I didn’t hear anything. I pressed the phone against my ear and I heard mumbling of voices. It sounded like if his phone was in the pocket or something, and shhhhh.”
Voiceover: Murray discovered Jackson unconscious.
43:15 Murray: “He was not breathing, so my concern was – Have those agents, the Valium, the Alivan (Lorazepam), the Versed (Midazolam) acted in concert, have now overwhelmed him once he went to sleep? Not 25 milligrams of Propofol.”
Voiceover: Instead of calling 911 Murray attempted to revive Jackson. No one heard his shouts for assistance. He called Michael Amir, Jackson’s head of security. No answer. He ran to get help.
Kai Chase: I saw Dr. Murray come down the stairs into the kitchen – in a panic, in a frantic.
Prosecutor: What did he shout?
Kai Chase: Get help. Get security. Get Prince.
44:05 Murray: The first security guy that finally showed up once he realizes this is an emergency, comes to the door. His name is Alvarez, Alberto Alvarez. He’s got to the door and he remains static.
Alvarez: “I was reaching for my phone in my pocket. And as I was doing that Prince and Paris came behind me. Paris screamed up: “Daddy!”
44:30 Murray: And I told security to get the kids away from there because I did not want them to see their father getting CPR and having such a resuscitative event.
Alvarez: Dr. Murray said “Don’t let them see that like that” and I proceeded to turn around to the children, and kind of ushered them out and said: “Kids, don’t worry. We’ll take care of that. Everything is going to be okay”.
44:55 Murray: And he says (in a high voice): “Oh, doctor, doctor. What happened?” (with resentment in voice): “I need help, I’m doing CPR, Mr. Jackson is not breathing. Come in here. Get me up. Call 911. I need you to call 9-1-1”.
45:20 Murray (sounding outraged): “In addition to me doing CPR, chest compressions, trying to resuscitate this patient I’m controlling him on the 911 call. “How old is this patient?” (Murray mimics Alvarez’s stare) “FIFTY!”. I said: “Tell them where we are and get the fuck over here. Get here, I need you. COME ON! Help me!”
46:10 Voiceover: When the paramedics arrived Michael Jackson was dead.
46:25 In May 2010 Murray’s Las Vegas home was repossessed. He hasn’t worked in months. Even before the guilty verdict Dr. Murray started to reevaluate his relationship with Michael Jackson.
45:45 Murray: “I don’t think that he would have had an active intention to do me harm. But I think through his most intense desire to have me there with him it was interwinded with a degree of betrayal.”
I will leave you to form your own opinion about Murray’s irresponsibility that allowed him to make phone calls while his patient was barely breathing, and of his constant desire to shift the blame to others and his inability to understand what a callous swine he is.
The only thing I will comment on is Murray’s peculiar vision of Michael’s sleep problems as a betrayal of him (Murray). By this “betrayal” he probably means the amount of the work he had to do single-handedly and not a dime paid to him for the job done.
If any of us feel sorry for Murray and his really laborious task of having to deal with Michael’s insomnia on a daily basis let me remind you of some essential facts.
First of all, from the very start of it Michael envisaged Propofol as an option only for the night prior to the show and absolutely not for daily use. To prove it we have Debbie Rowe’s testimony about how and in what circumstances Michael used Propofol on two occasions in Germany and Michael’s words about his special need for sleep only prior to performing related in Murray comments.
Second, Michael never wanted any Propofol for the period of rehearsals. He seldom rehearsed for his tours and the grueling rehearsals imposed on him by Ortega and AEG were a sort of a contingency which unexpectedly required Propofol too.
Add to it the heavy blow of the added 50 shows and the daily need to cope with AEG’s insults and you will realize that the use of Propofol prior to the tour was a forced measure and was never Michael’s initial idea.
And as regards his attitude to Murray Michael was actually a very caring patient. Since he was aware of how exhausting it must be for one person to attend to his sleeplessness he suggested that Murray shared his duties with another doctor, a professional anesthesiologist Dr. Adams – however it was Murray himself who refused his help.
MURRAY’S STORY ABOUT THE SECOND DOCTOR
Below is a rather long excerpt from Murray’s police interview of June 27, 2009 where Murray tells his version of meeting Dr. Adams sometime in between March and April 2009.
It is customary for Murray to throw under the bus every person coming his way, and this time he is doing it to Dr. Adams. He claims that when Michael was in Las Vegas Dr. Adams readily arranged for MJ a 6-hour long Propofol sleep session in Murray’s office.
In his testimony at the recent AEG civil trial Dr. Adams completely ruled out this possibility and said that on that Sunday day in April 2009 Michael had a kind of an interview with him and offered him a job of a second doctor to accompany him to London.
If Dr. Adams is telling the truth, then Murray’s story to the police will serve as proof of his capability to tell very elaborate lies full of most picturesque details.
Here is a rather long excerpt from his police interview on June 27, 2009 which I could not cut any further as it has valuable pieces of information in almost each of its lines.
One of them is that Michael was trying to beat his insomnia by means of more conventional medications, but it seems that for his case the medicine was helpless. No medication worked, so I whole-heartedly understand his need for Propofol:
Dr. Murray: I never knew Michael Jackson was coming to town. And again not knowing that I didn’t keep a record of his time, but it was sometime between March and April. And he called me, and I said, “Hi, how you doing, Michael? Where are you?” and he says, “Oh, I’m in Vegas.” “Really? Why here?”
“I brought my children to see a show.”
I said, “Wow. Well, that’s nice.” I can’t remember what show he was seeing. And I said, “When are you leaving?” He says, “I’m leaving tomorrow.” So he was just here for one night. He stayed at the Wynn hotel. And the after speaking with him, I hung up.
Then I got another call from his assistant, Michael Amir. And he said Mr. Jackson wants to speak to me again. So I spoke with him. And then he asked me. He says “I’m having difficulty sleeping. I can’t sleep.” I said, “Are you going out tonight and doing anything?” He said, “No, I’m staying inside. But I just can’t sleep.” he said, “Could you help me to sleep?” I said, “Well, don’t you have any sleeping pill that I gave you in the past that you can use as needed?” Like – like Lorazepam or Restoril, which I had given to him before, pill form. He said, “They don’t work.” I said, “Did you try them?” he said, “Yes, Dr. Conrad. Nothing works. You know, I’ve had pills from the other doctors in Beverly Hills, and I’ve had medicine from Dr. Klein, who says he gave me the strongest medication. And I have medicine from Dr. Metzer, M-E-T-Z-E-R. They all don’t work.”
Detective Martinez: Dr. Klein, Dr. Metzer. Was there another one?
Dr. Murray: Those are the names that he had mentioned. I said, “I don’t have anything I can offer you that would work.” He said, “Well, what about Diprivan?” which is another name for which is the –
Mr. Chernoff: Brand name for Propofol.
Dr. Murray: So he asked me, “What about Diprivan?” I said, “Diprivan? Why you ask that?” he said, “Well, it works. I know it works.” I said, “Well, that’s not a medicine you can just call and readily put your hands on. You know, it’s a medicine that you’ll have to order. And I don’t know anyway how I can get that to you.”
So I said, “Well, I can’t help you, because I don’t have access to such products. And those has — those have to be ordered, and this is the weekend, a Sunday.
NOTE: It is interesting that according to Murray’s own story he didn’t say to Michael that Propofol was not to be used for sleep. All he said was that it was Sunday and was impossible for him to find it at so short notice and it should be ordered. Actually Murray makes himself sound as an enthusiastic supporter of the Propofol idea.
Then they talk about MJ giving him the number of Dr. Adams and Murray arranging a meeting with him. According to Murray Dr. Adams said that he knew Michael and agreed to administer Propofol:
Dr. Murray: So I allowed him on a Sunday to use my office, where I had oxygen, a crash cart, and monitoring devices like the oximeter, to use my office to treat Mr.Jackson. After Mr. Jackson got there, Mr. Adams, Dr. Adams was waiting. I brought him upstairs. I introduced myself. And I left them. I said, “How long are you going to let him sleep?” He told me he was going to do five or six hours. This was about 1:00 o’clock in the day. So I said, “Okay. So I’ll come back around 7:00?” and he said, “Yeah, 7:00 will be good.” And I came back at 7:00 o’clock. When I came back to my office at 7:00 o’clock, he had his Diprivan drip going. There was a pulse oximeter there. I had supplied oxygen for his use during the procedure. I’m not sure if it was used or not. But Dr. Adams did have an I.V. bag that was diluted with the agent. And he was – Mr. Jackson slept.
When Mr. Jackson woke up, of course, I being his intermittent general physician, I asked him how he felt. And he said he now felt wonderful because he was able to get to sleep. I said, “Are you going to leave for Los Angeles tonight?” he said he wasn’t sure if he was going that night or the following day. He then surprised me that same evening, because by then he had already made the proposal to me joining his team and going to England.
… Dr. Murray: But he had already proposed to me joining his team and going to England as his exclusive medical doctor. He then surprised me and said — his words were “This is divine guidance.” and I said, “What do you mean?” He said, “Come, come. Come with me. You mind?” So we left the doctor in one room. He said — I said, “Excuse me, doctor.” And Mr. Jackson pulled me down the hall, into my office on this Sunday afternoon — Sunday evening. He said, “Conrad, you know, when I’m on this course, when I am on the tour I have difficulty sleeping. And what most doctors have done for me, they help me to sleep for 15 to 18 hours, because I need it.” So innocently, I wasn’t thinking that he was sleeping 15 to 18 hours with assistance. I wasn’t thinking that it was a regular everyday basis. But what he saw, as I look retrospect, is that what developed quickly within that evening, his – what he called the divine guidance was to introduce to me, even before I agreed to go on his team, “How about if you have another doctor join you?.” and I said, “Why would you want that?” he said, “because you don’t quite know or understand that these hours are long. You know, when I sleep for 15 to 18 hours, that’s when I feel good enough to get up to perform. And that’s what most of the doctors have done for me. And I think on you, it may be too much.”
I didn’t see it as being too much. But what Mr. Jackson knew is that this is something that he did every date. And by him having that every day, it would certainly be too much for one doctor. And I was caught sitting there, in the sense that I said, “You know, I couldn’t make a decision for you, Mr. Jackson. You will have to know best what you think.” And so I sat there with Dr. Adams, and I — introduced myself better, and I got to know him.
Dr. Murray: And I was surprised that he was bringing that up only without any warning. So I said, “whatever you want.” But he was familiar working with Dr. Adams before and getting that substance as one of his treating physicians for Diprivan. and that’s what happened.
So I said — I said, “Whatever he wanted.” And so Dr. Adams continued to call me, and he left word for Mr. Jackson, “Who should I contact in case I want to go to England? Should I go to you, or should I go to Michael?” I said, “It’s up to Michael.” Now, Michael say, “Well, talk to Conrad. Let him know what you want, and then we will work it out.”
Well, at that time, even though I sort of somewhat agreed to go on the team, we were not in contract. We had not locked into numbers. I know I had my practices. I mean how do I close that down to make sense to go on a trip like this with the gentleman? And Dr. Adams did call me back, and then he said that he had spoken to his mother. He had called her. He had spoken to a friend. And he was single and available and was on board, just call.
So I said, “What kind of income are you going to look for?” He said —
Mr. Chernoff: is this important to you guys?
Detective Smith: Yeah, that’s fine. Yeah, that’s fine.
Mr. Chernoff: he’s completely skipped the most important part.
Detective Martinez: We’ll get back to it.
Mr. Chernoff: Okay.
Dr. Murray: Mr. Adams, Dr. Adams said that he had made about $600,000 in his previous year working in Vegas with a minimum staff. The overhead was small. And he took home about half a million. And – but if he had to make the trip or change and give up his practice, he wanted to have a commitment for maybe three years with Mr. Jackson, and he would like to have about a million two or million three. That was his request. I told that to Michael and there was no subsequent follow-up on that.
Detective Martinez: So he didn’t end up joining the team.
Dr. Murray: No, but he said was available. He kept asking. He kept texting me, “How are things going?” and I just said, “You know, things are still” —
Detective Smith: For a million two or a million three.
Dr. Murray: Uh-huh.
Mr. Chernoff: Just for the trip?
Detective Smith: Just for the tour, exactly.
Dr. Murray: Yeah.
Mr. Chernoff: How long was the tour for?
Dr. Murray: The tour in England was going to be a year, but Mr. Jackson had said that following the tour, there were three or four movies already programmed with AEG, to develop, for which he wanted me to still be around. He wanted me to be around forever. That’s what he said.
Detective Smith: Excuse me.
Dr. Murray: He wanted me to be around forever.
Detective Smith: I’m sorry there. Yeah.
Dr. Murray: He wanted me to be around —
Dr. Murray: Yeah, he wanted me to be around forever. And he wanted to open a children’s hospital, where kids from all over the world can come and get treatment. And he wanted me to be the medical director, not particularly to see them but to help to hire the specialists so I’ll have the different departments running. And those were people that he had in mind for down the road. So that’s — that’s it.
Detective Martinez: Okay
Okay Murray, we did notice it. By repeating the phrase four times Murray made sure that everyone heard that Michael “wanted him to be around forever”. But from the same Murray’s account it also transpires that he himself wanted to be the only and “exclusive” doctor on the tour and absolutely hated the idea of having another doctor beside Michael.
In fact he sounded almost insulted that Michael offered the job to Dr. Adams too without first warning him about it.
In the context of the idea that Michael allegedly betrayed Murray by getting him into a trap of too much work with no payment for it, let me stress it again that Murray himself wanted to be Michael’s sole doctor and even the 15-18 hour long working day did not put him off the job. As to the lack of payment for his services all questions should be please addressed to AEG.
This piece is also telling us how Michael came to the idea of Murray’s salary at $150,000 a month. It most probably started with Dr. Adams who also requested a huge sum of $100,000 ($1,2 mln per year) and both Michael and Murray knew about it.
So when it came to discussing Murray’s salary Michael raised it by half and Murray immediately agreed knowing that it was more than even a professional anesthesiologist like Dr. Adams had asked for. However first he tried his luck with AEG asking them for $5 million but the trick did not work.
Why did Murray refuse Dr. Adams’s help though Michael was eager to have a professional anesthesiologist by his side and Murray could even learn from him the basics of the new trade?
Evidently the prospect of sharing his salary or being second to a professional guy did not appeal to him, and this is why he – acting as an intermediary between Michael and Dr. Adams – eventually brought all negotiations to a stop.
Instead he decided to save up on the costs and asked AEG for a nurse. The nurse was not provided by AEG either, and Murray ended up doing the work single-handedly. The job was indeed exhausting however it was the problem of his own doing, and this makes his present talk about MJ “betraying” him simply insane – he got what he wanted.
If anyone was betrayed here it was Michael Jackson. Instead of a professional anesthesiologist who would have saved his life he got an ignorant and self-conceited ass who poisoned him with excessive propofol on a nightly basis, left him to die and is now complaining about his poor fate.
The story of Murray’s revelations about Dr. Adams did not end there. As soon as the tape of Murray’s police interview was played in court in 2011 Dr. Adams’s lawyer arranged a press-conference and went on a telephone talk with Jane Velez-Mitchell, and from this telephone conversation we again learn some extremely interesting details.
THE LAWYER TELLS DR.ADAMS’S STORY
The first thing we learn from Dr. Adams’s lawyer is that the Sunday meeting where Murray and Michael met Dr. Adams was not “sometime between March and April” as Murray said, but in the first week of April 2009.
Why is it any news at all? Because it helps us to restore the events in their logic and proper timeline.
The Sunday of the first week of April was April 5 and the first shipment of Propofol was ordered and arrived at Conrad Murray’s address on April 6, 2009.
As a very minimum it means that Murray did not hesitate for a minute and the very next day after the meeting took the matter of Propofol firmly into his hands, leaving not a single chance for Dr. Adams.
And as a maximum it means that considering the arrangements that were to me made for ordering Propofol, Murray knew about it well before that meeting and all his surprise at hearing of it from MJ that Sunday was false, insincere and feigned.
The second thing we learn from Dr. Adams’s lawyer is that his client was absolutely adamant that Murray was telling lies about him and that is why he intended to sue him. When Dr. Adams lawyer Libo Agwara telephoned Jane Velez- Mitchell he publicly called Murray a LIAR and a bad one at that.
The telephone conversation took place when Murray’s trial was in full swing in 2011:
Here is my best effort at transcribing it:
Jane Velez Mitchell: Michael Jackson does know your client, Dr. Davd Adams. Tell me what Dr. David Adams has done with Michael Jackson in terms of Propofol treatment. Has your client ever given Michael Jackson Propofol and if so, how many times?
Agwara: The answer is yes, four times.
Velez-Mitchell: Under what circumstances?
Agwara: When Michael Jackson had his dental surgeries in 2008. And I actually gave a press conference on that particular issue. We have the medical records. Four times in 2008 – and those were for properly documented medical procedures. And those were also at certified medical facilities. My client doesn’t run around giving people Propofol in their homes. He does it in medical settings and for appropriate procedures.
1:59 Velez Mitchell: In these tapes Dr. Conrad Murray kind of takes his hot potato and throws it on your client’s lap and says basically: “I didn’t know about Propofol till Michael Jackson told me he wanted his milk. And the first way I was introduced to Propofol as a sleep aid was when Michael Jackson told me to call Dr. David Adamas and I ended up sort of going over and visiting Dr. David Adams as he put Michael Jackson to sleep using Propofol. What’s your client’s reaction to him pointing the finger at Dr. Adams/
2:37 Agwara: Jane, first of all Dr. Murray is lying. And I think he hasn’t proven himself to be a good liar – actually a bad one at that. Let me explain to you.
My client has only met Dr. Murray once. And he met Dr. Murray the first week of April, 2009. When Murray called him and asked him to come to his house for a meeting with Michael Jackson himself, my client said “No, I don’t know who you are. I am not going to meet you at your house.” So they agreed to meet at Dr. Murray’s office, okay?
Now at that office meeting Mr. Jackson asked my client to join him on the tour in Europe, okay? And my client gave him a list of his requirements from licensing to a possible association with a sleep specialist and told him what he wanted.
3:40 Now a few days after the meeting Dr. Murray called my client back and said, “Well, look, we thing that what you are asking is too much, but we’re going to take care of it. But tell us how much money you want. My client says, “Look, if he has got to be away for a year, I’ll have to close my practice down, okay? Well, I need … this is how much I need. The total is going to be $1,2 million.
4:06 Now Murray says, “I can get someone to do it for $600,000, okay?” Now my client says, “Look. You can get someone to do it for $200,000 but you’re going to give to Michael Jackson a $200,000 dollar funeral”. Now Murray never called my client back.
4:24 Velez-Mitchell: Are you saying that your client turned down the offer to accompany Michael Jackson to Europe for his tour because he thought that what Dr. Conrad Murray was doing was too dangerous?
4:42 Exactly. Because basically he was saying, “For $600,000 he could do whatever it is and hire all the doctors that he needed to hire to do the work”.
4:50 Velez-Mitchell: Let me play what Dr. Murray said….
6:20 Agwara: What happened to Michael Jackson is a result of Dr. Murray’s greed. Not only didn’t he hire another specialist – he decided to hire himself. And he didn’t know what he was doing. And let me tell you something. If Michael Jackson had hired who he wanted to hire, he would still be alive today. Dr. Murray overruled Michael Jackson and hired himself, because if my client had been hired Dr. Murray would not have been given a $200,000 a month [Correction: $150,000 a month] because there will be no need for him.
My client would have hired the necessary sleep specialist to work with him, to do a rapid detox on Michael Jackson. Murray did not want anybody else close to Michael Jackson. He had absolute control over that man, okay?
So I don’t know what he thinks he is doing and why he wants to drag my client into this mess. He killed that man by himself.
Velez-Mitchell: Is your client considering filing a suit of any sort against Dr. Murray?
Agawara: Yes. Today was the first time we hear the tape. We did meet with Detectives Smith and Myers a while back when they were doing the investigation and they did not play that tape to us. So now that we have that we’re going to be looking at the possibility of instituting civil action against Conrad Murray.
Velez-Mitchell: So you are going to sue?
Agawara: My client will sue.
Velez-Mitchell: And how upset is Dr. Adams?
Agawara: Oh, I cannot even begin to tell you how angry he is. … My client met Conrad Murray just once. His words are the words of a desperate man. He wants to take down with him whoever he can. And why he is doing this we don’t understand. My client has put over 6000 people to sleep. They all woke up. That’s what Dr. Murray needs to remember.
Yes, this point is indeed worth remembering – thousands of people were given Propofol by Dr. Adams and all of them woke up. And Conrad Murray gave it to only one person and this only person did not wake up.
And this is all the difference in the world between the two of them.
Michael Jackson’s death occurred absolutely not due to the drug which is given to millions of people the world over and nothing happens as a result – in the well-trained hands Propofol is a very safe drug. Michael’s death took place solely because of Murray’s grave irresponsibility and his personal ugly traits and non-professional skills making him totally inadequate for the job of a doctor.
There can be no doubt whatsoever that if Dr. Adams had been giving Michael the same Propofol Michael would be alive now. His testimony at the AEG trial provides us with abundant proof that this would be the case.
DR. ADAMS’S TESTIMONY IN 2013
Dr. Adams’s part of the testimony describing the Sunday meeting in 2009 will be provided here almost in full.
Let me only note that according to Dr. Adams Murray indeed left them for some time during the meeting, but it was for a hour and a half only, and all this time Dr. Adams wasn’t giving Michael any Propofol but was in a sort of a job interview with him.
The offer to join the tour was made only when Murray returned and Michael indeed did take Murray aside for a discussion of it.
When Murray reemerged after some 15 minutes of that conversation the expression of his face was so distressed that it produced on Dr. Adams the impression that Murray had lost his best friend.
Here is Dr. Adams’s account of the meeting from his testimony on August 21, 2013:
Dr. Adams: I’m trying to figure out, you’re sitting there on a Sunday afternoon in Dr. Murray’s office and Michael Jackson’s explaining why he’s going on tour.
Mr. Putnam: Did a time come when you were wondering why you were there?
A. I wondered that from the time the phone rang at my house, I’m still wondering it the whole time I’m there. Because I’m waiting for him to hold his chest or tell me he’s short of breath or he’s got chest pain. I’m sitting in a cardiologist’s office with Michael Jackson on a Sunday afternoon, and I’m just sitting.
Q. Did a time come when you understood why he asked you to his office?
A. He asked me to go on tour with him.
Q. And what did he ask you exactly?
A. Well, this didn’t happen during — right then. Murray excused his self and left the office. And then me and Michael talked and it was sort of like I was on an interview. And he was telling me a little bit about him and how he felt, and his family and different entertainers, and this, this and this, and we sat there and we talked about an hour and a half.
Q. Just you and Mr. Jackson?
A. Just Michael and myself.
Q. Did you start to feel like you were on an interview?
A. I — well, not so much on an interview, but he wanted to know a lot about me. He wanted to know did I have kids, was I married, this, that and the other, and I still wanted to know why. Okay, you’re not holding your chest, you don’t have chest pain, what’s going on.
Q. Then did a time come in that conversation — do I understand you to say after about an hour and a half —
A. And he also wanted to know about my practice. He told me he wanted to build a hospital, that he wanted to build a children’s hospital. We talked about Steven Spielberg, we talked about Bono, we talked about the tour. He didn’t have good things to say about those people either. He talked about his family, he talked about his kids. He talked about everything.
Q. And did there come a time during that conversation where he then asked you to go on tour with him?
A. No. That didn’t happen until about an hour and a half later, Dr. Murray comes back and Michael says to Murray, we’re sitting in the office, he pulled him to the back, and they stayed back there for about fifteen minutes, and I’m getting restless because I don’t know what’s going on. So I walk to the back and they’re having a conversation and I says hey, you know, I’ve got things to do, I’ve got to go. And they said “Hold on a second, just hold on”, so I says okay.
I go back to the office. Michael and Murray walk back in and Murray really looked like he had just lost his best friend, and he sits there in the chair and Michael sits there, and then that’s when Michael says to me, “I would like for you to go on tour”. And I says, you know basically, on tour? Okay. And do what? You know? I says I don’t sing, I really can’t dance, so to do what? And he says — these are his exact words, I remember like it was yesterday. He says, “I would like for you to help me get my rest”. And I referred to Dr. Murray, and I said what do you mean get your rest? And he says well, you know, I’m entertaining, I’m jumping around, I’m doing this. Every once in a while I need an IV, and he says I just need you to help me get my rest. They were pretty vague. In hindsight, I know what they were talking about, but then I says help you get your rest, what do you mean? And I told him that Dr. Murray could do that, you know, he’s a cardiologist, I’m just an anesthesiologist, you know. And then they just started asking me about my practice. Well, how much money did I make. You know, if you were to shut down for a year, how much money would you need? And I just — I just — I didn’t know what to say. You know, I just says I’ll get back — I don’t know. You know, I’m here thinking the guy’s having a heart attack and they’re asking me about going on tour, and you know, I couldn’t even begin to fathom what they were talking about.
Q. Did you have any idea what they meant at the time when they told you that they wanted you to help Mr. Jackson get his rest?
A. I had no idea.
Q. Did they talk to you about insomnia during this visit?
Q. Did they mention that Mr. Jackson had any trouble sleeping?
A. Never. They said they wanted you to be in London with Mr. Jackson?
A. That is correct.
Q. Did they say they wanted you to be in Vegas with Mr. Jackson?
Q. Did they say they wanted you to be in Los Angeles with Mr. Jackson?
Q. Did they say that they wanted you to help him in his rehearsals for the tour?
A. No. What I did tell them is that I don’t have a license to practice in England.
Q. And did you indicate that you would need to get some kind of permission to practice in England?
A. Well, I was — I still wasn’t under the impression that I was going to be practicing medicine. You know, help you get your rest. What do you mean? You want me to sing to you as you go to sleep? I don’t know, you know, I’m not under that impression that you need me, because I even asked him, hey, can I help with VIP ticket sales. You know, no we got that under control. I had no idea what they were talking about.
Q. You said that when Mr. Jackson said this to you, that Conrad Murray looked upset; is that correct?
A. Oh, he was truly upset
Q. Were they asking you to join Dr. Conrad Murray with Mr. Jackson on tour in the U.K.?
A. In this meeting I had no idea what they — it was just sort of mind-boggling that someone would be asking me to go anywhere.
Q. So how much longer were you there at Dr. Murray’s office?
A. After they asked me to go on tour, probably fifteen minutes. Michael asked me not to give him an answer right then, to go home and think about it.
Q. So how long were you there all told?
A. Two and a half hours, maybe three.
Q. Did you give him an answer right then?
A. I didn’t have an answer.
Q. How did you leave it?
A. I asked Michael who did he want me to contact, him or Dr. Murray. And I don’t think he answered. I just said I’ll communicate through Dr. Murray.
Q. At that time did you have Dr. Murray’s number?
A. No, he gave me his — no, his number was either in my cell phone, but he eventually gave me a card.
Q. Did they give you a time frame as to when you should get back to them?
A. I told him give me a few days. I don’t really — you know, it was just — I was just — I’m supposed to be coming for a guy with chest pains, they want me on tour now.
Q. How did the meeting end?
A. We all walked out together, Michael, Murray and I. They got in a car, I got in the car and went home.
Q. Did you discuss any specific medications during that meeting?
Q. And do I understand you to be saying you did not discuss Propofol at all during that meeting?
A. I have never discussed Propofol with Dr. Murray or Michael Jackson.
Q. Did Dr. Murray administer any drugs to Mr. Jackson during that visit?
A. Not that I know of.
Q. And did you?
A. No, I did not.
Q. Did a time come when you again spoke to Dr. Murray?
A. I talked to him on the phone that week. And I believe there’s a couple of texts between he and I.
Q. How many conversations did you have with him?
A. I want to say two or three.
Q. And let’s go to the first one. How long did that last?
A. I’m not really sure, but it was no longer than five minutes.
Q. And the second?
A. The same.
Q. The third?
A. If there was one, it was no longer than five minutes.
Q. You said a time came where you had a conversation about how much you would be paid; is that correct?
A. That conversation did come up.
Q. What do you recall of that conversation?
A. Well, I told — I remember asking them how long that they were going to need me for, and when they told me how long, because it was very open-ended, they says well, we really don’t know because we don’t know how long this tour is going to go. They thought that after London it might go to other countries after that. And I says well, I will have to shut my practice down, and I gave them a figure. I told them I needed enough money to shut my practice down and make it feasible.
Q. And what was that figure?
A. I think it was a hundred thousand a month, and I told them that it wouldn’t be feasible for me doing it for a year. I told them it would have to be for a longer period of time because I couldn’t see shutting my practice down and then coming back and trying to open a practice again. So if I was to sign any contract with them it was going to have to be — I think I asked for three years.
Q. That’s what I was going to ask. So you never spoke with him again after that?
Q. Did you text with him after that?
A. I texted him basically, you know, what’s going on, I’m on board. And no response.
Q. Were there any further communications back from Dr. Murray after that point?
I have to admit that I noticed Dr. Adams not to be telling the whole truth either.
No, I don’t think that he gave Michael any drip that day. It was a highly unlikely scenario simply because no professional caring for his reputation will take the risk of arranging a many-hour drip of Propofol in the office of a man he hardly knows and sees for the first time in his life.
However Dr. Adams is not disclosing to us that he did discuss insomnia with Michael that day. And we know that they discussed it because two years earlier Dr. Adams’s lawyer mentioned the list of the doctor’s requirements for the job and said that it included consultations with a sleep specialist and a possible association with him during the tour.
So Dr. Adams was told about Michael’s problems with sleep and most probably understood what kind of a job he was being hired for, and this is why asked so much knowing that it would be a strenuous task – however now he prefers to keep mum about it.
I don’t know about you, but I don’t care. All it means to me is that Michael was open about his sleeping problem, was seeking advice from various doctors and made no secret about trying to use Propofol as his last hope.
It also means that though anesthesiologists prefer not to talk about it, they themselves do not rule out the possibility of using Propofol for some patients as they routinely do it anyway when putting patients under maintenance in intensive care units.
In fact even the official Protocol for using propofol says that patients can be kept under continuous propofol maintenance for days and the only requirement for it is to continuously monitor them and daily wake them up to check up their vital functions.
THE PROTOCOL FOR ADMINISTERING PROPOFOL ALLOWS IT
Here are only some rules from the official Protocol for administration of Propofol allowing to put patients under a continuous sedation which can last for days, with only some short breaks in between. Please note that this is done with the purpose to control anxiety and stress:
PROPOFOL can be used whenever continuous sedation is needed to control anxiety and stress responses.
Patients who require more than 24 hours of continuous PROPOFOL infusion should be awakened daily. This daily evaluation of sedation level should be performed during maintenance to ensure that the patient is receiving the minimum dose of PROPOFOL required for sedation.
During maintenance infusion, you should monitor the patient’s vital signs, including blood pressure, heart rate, and if available, cardiac output and pulmonary capillary wedge pressure. If mild hypotension develops during titration, decrease the infusion rate of PROPOFOL.
Once the patient has achieved an adequate level of sedation and is hemodynamically stable, you can maintain that rate of PROPOFOL infusion, except when titration is required for wake-up physical or neurologic assessment, family visits, or nursing care. You can sedate the patient more deeply during the evening hours or when the patient undergoes unpleasant procedures.
The Protocol says that the longer Propofol is administered the lower the dosage of the continuous infusion should be, because as Propofol keeps accumulating in the blood even half the initial rate will be enough to reach the desired level in the plasma. This is called titration.
Titration Is Important
After very long infusions (at steady state), about half the initial infusion rate will maintain the same plasma levels. Thus titration to clinical response and daily evaluation of sedation level are important during use of PROPOFOL infusion for ED sedation, especially of long duration. Excessively high blood concentrations of the drug may result from failure to reduce the infusion rate in patients receiving PROPOFOL for extended periods.
Maintenance dosages of PROPOFOL must be individualized and titrated to clinical response. Patients recovering from the effects of general anesthesia or deep sedation and those who have received large doses of opioids may require lower maintenance dosages of PROPOFOL.
When applied to Michael Jackson’s situation it means that the longer Propofol was administered to him the lower maintenance rate of infusion it was supposed to be. If by any chance he was given Demerol (for example, by Klein during the dermatological procedures) the rate should have been even lower.
Needless to say, Murray hardly understood the proper way to do the titration – according to his own story he thought that it was minimizing the initial infusion rate to 2,5ml and then ….leaving his patient alone in the hope that since he did not wake up he fell into a natural sleep.
If professional anesthesiologists see that their patient is not responding and waking up they call it a coma and take emergency resuscitative action. And when guys like Murray see the same they call it a natural sleep.
Anesthesia is a fine art and should be practiced by professionals with proper training, proper skills, proper experience and preferably some brains too.
WHERE MURRAY GAVE 200ML DR. ADAMS GAVE 20ML
The difference in the way Propofol was administered by an amateur like Murray and Dr. Adams as a professional anesthesiologist is very well seen in Dr. Adams’s testimony at the AEG trial.
We have already heard from Dr. Adams’s lawyer that in 2008 Michael underwent four dental procedures and Dr. Adams was assisting there as the dental surgeons were working on Michael’s two dental implants, root canals and other dental issues.
After reading so much about Murray’s gigantic dosages given to Michael I was absolutely amazed to learn that during each of those 2 hour dental procedures Dr. Adams gave Michael no more than 20ml of Propofol.
This fact was well-documented in the doctor’s medical records:
Q. What date was that?
Q. All right. And here there are a number of boxes filled, et cetera, like previously. Can you look through and see if anything has a different meaning other than what you’ve already told us here today about your prior record?
A. No. Pretty much the same procedure, everything else pretty much the same.
Q. I was going to say, this one is again two hours?
Q. Again 200 milligrams of Propofol?
Q. Initially a hundred then 50 and 50?
Make no mistake about it please – 200 mg of Propofol is equivalent to 20 ml.
And Murray gave to Michael not 20 ml, but at least 200 ml which is equal to 2000 mg respectively.
The above means that in Dr. Adams’s hands each hour of sedation roughly required just 10ml of Propofol (one syringe).
If we apply the same rate to a theoretical case that Dr. Adams would keep Michael under Propofol maintenance for some 6 hours or so (which was probably the duration of Michael’s sleep on his last night under Murray’s care), the quantity required for his sleep would be just 60ml of Propofol.
And if some titration technique were applied it would probably be even less.
Compare it with the more than 206ml of Propofol given to Michael by Conrad Murray and you will see all the difference in the world between the ignorant but self-assured ass and a qualified professional who really knows what he is doing.
So irrespective of the medication given we can be absolutely sure that if Dr. Adams had been by Michael’s side Michael would have had the minimal sedation.
And he would have also worked in association with a sleep specialist.
And Michael would be alive now.
* * *
- Conrad Murray’s terrible lies or HOW HE KILLED MICHAEL JACKSON (vindicatemj.wordpress.com)
- Conrad Murray, THE MAN WHO KILLED MICHAEL JACKSON. Part 1 about some British films (vindicatemj.wordpress.com)
- Conrad Murray, THE MAN WHO KILLED MICHAEL JACKSON. Part 3 on how NOT to do it (vindicatemj.wordpress.com)