thrillerchild
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Would that training still hold even if its someone as BIG as Michael celebrity wise?
I do not believe he screwed up. I'm sorry.
My mind doesn't allow me to ever believe this it seems. A cardiologist knows.
I can't help myself but my mind is always telling me Murray knew. But he obviously still didn't perform it.
The police and/or the DA have to find out why!!!
Unless Murray bought his dr. and never saw neither a school nor a University from the inside. There is NO WAY a cardiologist doesn't know. It's crazy seems my mind is laughing about me whenever I try to get only that possibility entering it.
Cardiologists usually have that in their automatical emergency content as a fix pattern... so they can't really act wrong anymore... that's how studied they are in CPR.
They would have to instantly stop and start the thinking process to get out of that pattern.
Ok I give up... but I can't help it... it's impossible I'll ever convince my mind to only give it the tiniest possibility to believe that could be true... that Murray just was in panic and did some unfortunate faults. I'll never believe that. I'm not able to...:no:
Medically, who uses PROPOFOL.
As a nurse I have worked in various settings over the years so I am going to share what i know about using the Propofol.
You do NOT have to be a trained anesthesiologist to use it. It doesn't say that in the Physicians Desk Reference and it doesn't say that in a lot of other drug resources. It is a wonderful drug and has many uses.
Say you break a bone and they need to reset this bone. They can give you this drug and reset the bone and you wake back up and it is done. Of course, this is done with a Code Blue cart nearby in the hospital or facility. It is given during plastic surgeries, dental procedures, etc. It has been reported all the time as this drug just for surgery, but it has many uses. It is used in the ICU to keep patients sedated at times.
When overdosed it stops breathing and the 'fix' is to mechanically ventilate the patient until they can breathe on their own. In the photo of Michael in the ambulance, there was a mechanical breathing tube inserted into his airway as well as a "Central Line" catheter which is for giving fluids directly to the blood stream of the heart. You can easily push drugs into their system that way and they can have an immediate effect on the heart.
I don't understand what the hospital was 'doing' to Michael when he got there. He was already mechanically ventilated so they would have just hooked him up to a heart monitor and the ventilator there and given some rescue drugs to get the heart beating.
It is a drug that is not a controlled substance, meaning it isn't a narcotic. It is also not uncommon to give other sedatives that were given along with the Propofol. None of that really sends out a red flag to me. But ok......
Propofol comes in a vial and there is a concentration to it. You have a bag of fluid you add it to. You give a continuous drip of it. This keeps the patient sedated just enough to keep them sedated but breathing. It is used like this all the time. Murray would have had to mix it and make a concentration into the bag. Its not different in a way than making powdered drink mix. Too much and its too sweet and not enough and it tastes like water. So, you have to know how much to use to make the proper concentration.
Any number of things could have gone wrong here. He could have mixed it incorrectly. He should have used an IV Pump to regulate flow. If he didn't have a pump there, then thats leaving a room for overdose. The patient can simply move their arm and the flow rate can increase or decrease and that changes the amount they receive.
So, there are many questions I had about what was there in the room. Did he use a pump to regulate flow? Or, did he just use the drip method. Where on his body was the IV. There are places on the body such as the crook of the inside of the elbow which is a great place for an IV if the arm is totally straight. If it is slightly bent the flow decreases. A sleeping person can move. So, if he had it running at just say 10 drips a minute and the patient moves, it can increase to 30. But you have to be there if its on a pump.
There are MANY drugs in the hospital I would NEVER even consider giving without a pump because the patient be seriously hurt or die from a quick infusion.
Murray was a licensed cardiologist who did procedures on people. He more than likely used this drug before. They do use it during procedures at times. He was trained.
I am not so willing to say he was a bad doctor or didn't know what he was doing.
I do however ask what he was thinking if he had no oxygen sensor on his patient, and didn't have the proper equipment to get him breathing again. Oxygen tanks are great but you need to have an ambu bag to get them breathing attached to it. I don't know if he did that. None of us do. We only have second hand information.
Remember one thing here and this is NOT a defense of Murray at all, but a logical statement. The police took down what he said but it was condensed into what they logically thought in the warrants so many parts could easily have been left out if they didn't feel it necessary to say it to get the warrant. He had a 3 hour conversation with them. We don't know all he said or did.
The man has a shady background with women and money....but that alone doesn't make you a bad doctor. I know a few doctors that are what I would call 'hornbags' and they are great doctors. I don't think he was necessarily stupid. I reserve that judgment until all the facts come in because I don't know what happened in that room. All I am saying here is that I am willing to hear it from his mouth first before I call him an idiot.
All things point to that he didn't follow protocol and in that sense was negligent and therefore guilty of malpractice. This is where it gets sticky because he is a doctor. As Ramona keeps saying, its hard to convict a doctor. This is the big challenge for the police and the DA. The flip side to this is WHY he was giving this drug and the defense team is going to run with that. It is their job to discredit Michael. Thats their job.
Also, Murray can not say anything about it. He would not be allowed to apologize. That admits guilt. He actually has said nothing. Its all been his lawyers. He has not changed any story. We just have to wait as hard as it is to come out in court.
I feel that eventually we will hear more from other people that were in the house but they were probably told not to speak to anyone before hand. Even so, it is what really was given, when and what the doctor did about it that concerns me.
I am just waiting to hear all the facts come out and make a judgment. I have always maintained that if he is guilty he should be punished.
Of Course he knew!
Don't apologize for feeling this way or having this instinct.
and I hope that he'd get something with bringing out a substance, out of the medical environment but they said that since Propofyl is not a controlled substance then, its not illegal to bring it out of the medical settings.
That maybe true, but there is several problems with this. Murray's lawyers never said anything were wrong with the warrants. The only thing they complain about was the timeline. The lawyer went out of his way to explain how Murray did CPR, however, he did not explain why he even gave CPR if he had a slight pulse. His lawyer is the one who said Michael had a pulse and was still alive, which does not explain the CPR. As a lawyer, that is a huge mistake since the CPR could of very well stopped his heart.
Sorry, no one is a good doctor when they leave the room with a person under heavy drugs, even if it was for ten minutes. Also he had 3 phone calls spanning 45 minutes, during the time period if either found Michael or was pumping drugs into him. Both are bad in its own way. Murray's lawyer never said also that he used in medical equipment to revive Michael. He said Murray gave Michael a drug, too lazy to look up the name, that was suppose to revive him before starting CPR. All the drugs were listed in the tox and that particular drug was never mention, but Murray's lawyer did not say anything about it. The only thing he talked about was the amount. I think it would be important as a lawyer to ask what happen to this drug if it was not listed since it would show Murray did everything in his power to save Michael.
The lawyer also did not explain why Murray waited to call 911. He said himself that Murray waited before calling for help, which is a big no, no for a doctor. He also had a cell phone which he could had use to call 911 himself. Murry claimed in the search warrant, once again the lawyer never debated this, that Murray did not use his cell phone because he could not get a signal and there was no phone in the room. So, where exactly did he use his cell phone? When the cell phone calls were mention, his lawyer than stated he didn't know the address. So, he thought it was be better to revive Michael himself instead of give a security his cell phone and telling them to call 911 while he stabilize Michael?
Even if we don't know everything, the lawyers never deputed or deny anything in those search warrants. The only thing they try to debunk was the timeline by calling it police theory. However, he said nothing else about what I have mention above. It is unwise to give you defense away, but the timeline is only one major problem for Murray and his defense team didn't even try to address the others.
With all that said, I heavily doubt anything was plan. Saying he did it just because he was Michael Jackson is not any real motive since Michael would be dead a long time ago if people who worked with him were that shallow. Especially while using a method that leaves your hand in the cookie jar and making glaring errors. Those who comment crimes try to make everything perfect so they won't be caught. They are usually found out because they usually miss something relatively simple in their perfect plan. This has way too many errors and lack some sense to be masterminded.
Like I said, Murray would have to be a very dumb assassin to the point of being retarded to kill someone with such a drug and then do a piss poor job covering it up. This points more to a major screw up and him doing everything that he could to cover it before even attempting to call for help.
Tension Between LAPD and D.A. in Jackson Case
Posted Feb 4th 2010 9:27AM by TMZ Staff
LAPD officials feel slighted by the Los Angeles County District Attorney in the Michael Jackson case, and the cops made their point clear in a secret meeting yesterday .... law enforcement sources tell TMZ.
Sources say there was a "high level meeting" yesterday between officials from both departments. The D.A. had kept the LAPD in the dark over the arrest and prosecution of Dr. Conrad Murray. In fact, until yesterday the LAPD was not informed of any plan for the arrest or surrender of Murray on involuntary manslaughter charges.
We reported earlier in the week that lawyers for Dr. Conrad Murray had been in touch with the D.A. and planned to drive the doctor themselves to the courthouse where he would be arraigned. That plan would have completely excluded the LAPD from the process.
The D.A.'s plan was especially maddening for the LAPD because detectives in the Robbery Homicide Division had spent months putting the complicated case together. Inside sources say it's one of the best, most thorough investigations the LAPD has conducted in years.
The upshot of yesterday's meeting -- the D.A. and LAPD made a plan -- the LAPD will place Dr. Murray under arrest on Friday morning, handcuff and book him, then take him to court at 1:30 where he will be arraigned
There was a conversation early on where I believe it was Chernoff who said much of it is 'police theory' regarding the search warrants.
I believe they would not say anything and wait for it to come out in the end because thats their defense. Why give away your entire defense? The smart thing is to keep quiet and when it all comes out in court they dispute it at that time and blow the DA out of the water. Thats what I think the strategy is. (on their part)
I don't know what was said in that room. I know what was said on the search warrants, but I don't have the whole conversation from that interrogation room at the police station.
Not disagreeing with you here, but just saying that I feel there are missing parts to the puzzle. They may or may not go in Murrays favor. I don't know. It will all come out shortly and I don't want to sit here saying Murray is an angel and a great doctor when I don't know. I only know that he is a licensed cardiologist in good standing and there are no patients coming forward to say otherwise, with the exception of one that had a procedure they claim went wrong which to me looked rather shady, but thats all I saw.
So, I am willing to hear him out before I raise the gauntlet.
Beachlover thanks for the insight, I read it with an interest...
Tension Between LAPD and D.A. in Jackson Case
Posted Feb 4th 2010 9:27AM by TMZ Staff
LAPD officials feel slighted by the Los Angeles County District Attorney in the Michael Jackson case, and the cops made their point clear in a secret meeting yesterday .... law enforcement sources tell TMZ.
Sources say there was a "high level meeting" yesterday between officials from both departments. The D.A. had kept the LAPD in the dark over the arrest and prosecution of Dr. Conrad Murray. In fact, until yesterday the LAPD was not informed of any plan for the arrest or surrender of Murray on involuntary manslaughter charges.
We reported earlier in the week that lawyers for Dr. Conrad Murray had been in touch with the D.A. and planned to drive the doctor themselves to the courthouse where he would be arraigned. That plan would have completely excluded the LAPD from the process.
The D.A.'s plan was especially maddening for the LAPD because detectives in the Robbery Homicide Division had spent months putting the complicated case together. Inside sources say it's one of the best, most thorough investigations the LAPD has conducted in years.
The upshot of yesterday's meeting -- the D.A. and LAPD made a plan -- the LAPD will place Dr. Murray under arrest on Friday morning, handcuff and book him, then take him to court at 1:30 where he will be arraigned
:smilerolleyes: - even Michael is making that face.
Yet another date for an arrest... we'll see..
I can't believe anything the media says anymore.
There is also something called "Off Label Use" of a drug which is how Murray can get around using the Propofol as a sleep aid. While we may all be shocked at that, there is a flip side to Off Label Use which is when a patient needs a drug perhaps to treat Cancer and many times drugs are not approved for use in children but if a certain drug will help your child and the law says "We can't use it for that. Its not approved" it would be a shame. So, this is how he can use the Propofol as he did.
Ramona, again, I am not disagreeing with you. I am only saying I don't know what the reasons for these things are and saying that I don't know all the facts here because in my honest opinion, everything was not mentioned. I don't know why Cernoff didn't argue some of the points but my gut tells me that he didn't know enough about medicine and neither did the police. After they all realized what they were dealing with they clammed up. That is just what I have seen happen here. Since then they have not changed a thing because I think the strategy changed in the law office of the attorneys. I hope that makes sense.
Yes, all signs point to him being grossly negligent. This is what he is being charged with.
As a side note, Brian Oxman has been helping to build Murrays case, so in that sense he has an extra lawyer working for him that he doesn't even have to pay.
If this is true about the D.A. and LAPD, I wouldn't be surprised. The D.A. just received some $$$$$$$ from those in charge of Michael's estate.
But the only thing that bothers me is, ONLY Murray? That upsets me. That's not thorough investigation.
I hope other arrests are made too. Actually, other arrests NEED to be made. Thome, especially, wherever he's hiding.
Well, we'll see tomorrow if this is true.....
But the only thing that bothers me is, ONLY Murray? That upsets me. That's not thorough investigation.
I hope other arrests are made too. Actually, other arrests NEED to be made. Thome, especially, wherever he's hiding.
Well, we'll see tomorrow if this is true.....
I wonder: Is this "Off Label Use" strong enough of an argument to justify the MISUSE of Propofol in this case??
Is this left to the personal doctor solely to decide whether to use a medication off label?
And if - for reasons that are emotionally difficult for me to accept - he will be explained thanks to that 'Off Label Use' thing when it comes to actually administering it outside of the hospital - administering it BADLY (if that was the case) should NOT be justified by it, me thinks.
Sorry I'm just confused and with every day that's passing I feel like I actually know less than I knew before. I wish we could finally learn all information... (which sometimes I doubt will ever happen)...
Forgive me, but who is this Tohme & Tiger?? I've read about these 2 ppl that are potentially suspects as well but don't know what role they play and or who they are etc. Thanks.
I also love how Thome's name is just thrown in there, yet no one has any proof of involvement with Michael during his last days. Not liking a person does not equal them being a murder and Thome directly gains nothing for Michael's death. If anything, he actually loses since he can't get money from Michael anymore.
I hope to God people are checking out Tohme. He was at the hospital and with Jermaine when he made the announcement - why? (Not to mention it was first reported that he was the doctor that injected him (with Demerol) and that he was with him when he stopped breathing, Not Murray. And if it was misinfo...where the heck did they get his name from?) He was all over the media and even giving a few weird and shady interviews for a hot minute, then it all stopped. I really hope that the LKL interview he set up and then postponed and then just...never rescheduled was dropped because of something having to do with the investigation or something like that. There are a lot of people who were talking and then once the investigation really started we stopped hearing from them. I hope they (along with Tohme) will be heard from in court.
More like grossly stupd. :smilerolleyes:
No offense Beach, but you theory about the lawyer does not make much sense. Why would a lawyer take on a case about a drug if he didn't bother to do his homework on it before he did the media rounds? It make sense that the LAPD did not know much because only certain doctors really heard of Propofol being use as a sleep aid. However, this lawyer had two days to talk to Murray about what happen and find out everything he could about Propofol. As a defense lawyer, is it you job to know everything.
I also can't see how he screw the timeline since he talked directly with Murray and only changed it when the cell phone calls were mentioned. Shouldn't he knew about those as well and have been prepare with a statement since that is pretty damning. And how as a lawyer of a doctor do you not know not to use CPR on someone with a pulse.
Chernoff did some sloppy things, that is putting it nicely. He failed to get his story right and he didn't even research the drug that is the center of the entire investigation. He also was edging towards the fact that Michael was taking other drugs without Murray's knowledge and that nothing Murray gave him should not had killed Michael. Which is why Murray was 'shock' when Michael was not breathing. This either shows that Cernoff and Murray really didn't know a thing about Propofol and the cocktail he gave him or he is a really bad liar. Either one is bad.
We are on the same side here and I just have a few things in my head that don't sit right. I think a lot of what the lawyers said in the first days as well as the rest of the reporting being done was inaccurate in the sense that no one knew enough to make intelligent statements. People were blaming Demerol and other drugs and that was never the case.
Chernoff likely did NOT know enough about Propofol. Its not a drug that is well known and thats why they hired a lawyer more familiar with this. This is what I mean by them changing their strategy. I think even the police didn't know what they were dealing with and thats normal and why the DA would bring in expert witness to testify about medical things. Lawyers are not doctors and they don't know medicine and have to rely on others or study it as we have done.
When this first came out everyone was 'shocked' and the fans went nuts saying it should not have been done at home and it was murder, etc. Only over time do people now realize more about the drug. So, I agree. Chernoff did not know enough at the beginning and it likely hurt his case but we don't know till it all comes out. I don't disagree with that.
What I am saying is that I don't think it was Murray who didn't know. I think it was his lawyer. Once they realized what they were really dealing with they changed strategy. You are right about other things being a big issue, such as the phone calls and time line, etc. I don't dispute that. I just wonder what really was the sequence of events.
I also wonder if the 'tox' report we got was totally accurate regarding all the drugs. (Meaning....there are other drugs that are given during CPR and since he was seen by EMT and the Emergency Room things would have been given there as well. No one seems to have given the antagonist for pain killers which is a red flag for me. Was it given and not on the tox screen? I don't know. Just little things that can be a bigger deal in court later on.