Michael Jackson Autopsy Inconclusive, More Tests Needed

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JOHN ROGERS | June 26, 2009 11:36 PM EST | AP

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FILE - In this April 19, 1997 file photo, pop star Michael Jackson, right, poses by his wax figure at the Grevin Wax Museum in Paris. (AP Photo/Michel Lipchitz, file)

LOS ANGELES — The final act of Michael Jackson's life came into clearer focus Friday, a picture of a fallen superstar working out with TV's "Incredible Hulk" and under the care of his own private cardiologist as he tried to get his 50-year-old body in shape for a grueling bid to reclaim his glory.

While the exact circumstances of his death remained unclear, early clues suggested he may simply have pushed his heart too far.

Police said they had towed the doctor's BMW from Jackson's home because it may include medication or other evidence, and a source familiar with the situation told The Associated Press that a heart attack appeared to have caused the cardiac arrest that led to the pop icon's sudden death.

As grief for the King of Pop poured out from the icons of music to heartbroken fans, and the world came to grips with losing one of the most luminous celebrities of all time, an autopsy showed no sign of trauma or foul play to Jackson, who died Thursday at UCLA Medical Center after paramedics not could not revive him.

The AP source who said Jackson apparently suffered a heart attack was not authorized to speak publicly and requested anonymity. Jackson's brother Jermaine had said the pop singer apparently went into cardiac arrest _ which often, but not always, happens because of a heart attack.

Authorities said they spoke with the doctor briefly Thursday and Friday and expected to meet with him again soon. Police stressed that the doctor, identified by the Los Angeles Times as cardiologist Conrad Murray, was not a criminal suspect.

"We do not consider him to be uncooperative at this time," Beck said. "We think that he will assist us in coming to the truth of the facts in this case."

Craig Harvey, a spokesman for the Los Angeles County coroner, said there were no signs of foul play in the autopsy and further tests would be needed to determine cause of death. He said Jackson was taking some unspecified prescription medication but gave few other details.

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Meanwhile, a 911 call released by fire officials shed light on the desperate effort at the mansion to save Jackson's life before paramedics arrived Thursday afternoon. Jackson died later at UCLA Medical Center.

In the recording, an unidentified caller pleads with authorities to send help, offering no clues about why Jackson was stricken. He tells a dispatcher that Jackson's doctor is performing CPR.

"He's pumping his chest," the caller says, "but he's not responding to anything."

Asked by the dispatcher whether anyone saw what happened, the caller answers: "No, just the doctor, sir. The doctor has been the only one there."

The president of the company promoting Jackson's shows said Murray was Jackson's personal physician for three years. Jackson insisted Murray accompany him to London, said Randy Phillips, president of AEG Live.

Phillips quoted Jackson as saying: "Look, this whole business revolves around me. I'm a machine, and we have to keep the machine well-oiled." Phillips said Jackson submitted to at least five hours of physicals that insurers had insisted on.

On Friday, the autopsy was completed in a matter of hours, but an official cause of death could take up to six weeks while medical examiners await toxicology tests. No funeral plans had been made public.

Jackson had remained out of the public spotlight during intense rehearsals for the London concerts, but those with access said he was upbeat and seemingly energized by his planned comeback. Ken Ehrlich, executive producer of the Grammys, said he watched Jackson dance energetically as recently as Wednesday.

"There was this one moment, he was moving across the stage and he was doing these trademark Michael moves, and I know I got this big grin on my face, and I started thinking to myself, 'You know, it's been years since I've seen that,'" he said.

Lou Ferrigno, the star of "The Incredible Hulk," said he had been working out with Jackson for the past several months.

Still, Jackson's health had been known to be precarious in recent years, and one family friend said Friday that he had warned the entertainer's family about his use of painkillers.

"I said one day we're going to have this experience. And when Anna Nicole Smith passed away, I said we cannot have this kind of thing with Michael Jackson," Brian Oxman, a former Jackson attorney and family friend, told NBC's "Today" show. "The result was I warned everyone, and lo and behold, here we are. I don't know what caused his death. But I feared this day, and here we are."

Oxman claimed Jackson had prescription drugs at his disposal to help with pain suffered when he broke his leg after he fell off a stage and for broken vertebrae in his back.

The worldwide wave of mourning for Jackson continued unabated for the man who revolutionized pop music and moonwalked his way into entertainment legend.

"My heart, my mind are broken," said Elizabeth Taylor, who was one of Jackson's closest friends and married one of her husbands at a lavish wedding at the pop star's Neverland Ranch in 1991. She said she had heard the news as she was preparing to travel to London for Jackson's comeback show, and added, "I can't imagine life without him."

Hundreds made a pilgrimage to the Jackson family's compound in Los Angeles, leaving flowers and messages of love. They did the same at his star on the Hollywood Walk of Fame and at the home in Los Angeles' Holmby Hills where Jackson was stricken. Some camped out overnight.

In New York, people stopped at Harlem's Apollo Theater, where Jackson had performed as a child with his brothers in one of rock's first bubblegum supergroups, the Jackson 5.

Scores of celebrities who knew or worked with Jackson _ or were simply awed by him _ issued statements of mourning. Some came through publicists and others through emotional postings on social networking sites like Twitter and Facebook, where countless everyday fans were sharing memories as well.

"I truly hope he is memorialized as the '83 moonwalking, MTV owning, mesmerizing, unstoppable, invincible Michael Jackson," said John Mayer. Miley Cyrus called him "my inspiration."

And Diana Ross, the former lead singer of the Supremes who introduced the Jackson 5 at their debut on "The Ed Sullivan Show" in 1969, said she could not stop crying. "I am unable to imagine this," she said. "My heart is hurting."

His two ex-wives both said they were devastated. One of them, Lisa Marie Presley, posted a long, emotional statement on her MySpace page in which she said her ex-husband had confided to her 14 years ago that he feared dying young and under tragic circumstances, just as her father, Elvis Presley, had.

"I promptly tried to deter him from the idea, at which point he just shrugged his shoulders and nodded almost matter of fact as if to let me know, he knew what he knew and that was kind of that," Presley said.

Presley's father, the King of Rock 'n' Roll to Jackson's King of Pop, died in 1977 at age 42 of a drug-related death.

At rehearsals for Sunday's Black Entertainment Awards show, stars like Beyonce, Wyclef Jean and Ne-Yo were frantically revamping their performances in an effort to turn the evening into a Michael Jackson tribute.

"There's a direct line from Ne-Yo to Michael Jackson," said executive producer Stephen Hill. "There's a direct line from Beyonce to Michael Jackson. There's a direct line from Jay-Z to Michael Jackson. I think they'll want to pay tribute in their own way."

When he was on trial on child molestation charges in 2005, Jackson appeared gaunt and had recurring back problems that he attributed to stress. His trial was interrupted several times by hospital visits, and Jackson once even appeared late to court dressed in his pajamas after an emergency room visit.

After his acquittal, Jackson's prosecutor argued against returning some items that had been seized from Neverland, the Santa Barbara County estate Jackson had converted into a children's playland. Among the items were syringes, the powerful painkiller Demerol and other prescription drugs.

Demerol carries a long list of warnings to users. The government warns that mixing it with certain other drugs can lead to reactions including slowed or stopped breathing, shock and cardiac arrest.

Within hours of Jackson's death on Thursday, fans were inundating Web sites that sell his music, and physical stores reported they had been cleaned out of Michael Jackson and Jackson 5 CDs. All 10 of the albums on Amazon.com's bestseller list Friday were Jackson's; the 25th anniversary edition of "Thriller," the bestselling album of all time, was at the top.

Meanwhile, fans were snapping up every Jackson recording they could get their hands on.

Bill Carr, Amazon.com Inc.'s vice president for music and video, said the Web site sold out within minutes all CDs by Michael Jackson and by the Jackson 5. Jackson's albums accounted for all 10 of Amazon's "Bestsellers in Music" list Friday, with the 25th anniversary edition of the celebrated "Thriller" album taking the top spot.

Barnes and Noble Inc.'s Web site and retail stores also sold out most Jackson CDs, DVDs and books, and its 10 best-selling CDs were Jackson titles as well.

"They love him," said Bill Carr, Amazon's vice president for music and video. "He's a legend, and they're anxious to make sure they have his music in their collections."

___

Associated Press writers Lynn Elber, Gillian Flaccus and Thomas Watkins contributed to this report.

LOS ANGELES — The final act of Michael Jackson's life came into clearer focus Friday, a picture of a fallen superstar working out with TV's "Incredible Hulk" and under the care of his own privat...
LOS ANGELES — The final act of Michael Jackson's life came into clearer focus Friday, a picture of a fallen superstar working out with TV's "Incredible Hulk" and under the care of his own privat...
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Check his adrenal functioning...

http://www.ncbi.nlm.nih.gov/pubmed/18520491

    Favorite    Flag as abusive Posted 02:07 AM on 06/30/2009
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More on the connection to Adrenal Insufficiency...

http://www3.interscience.wiley.com/journal/120016808/abstract?CRETRY=1&SRETRY=0

http://www.healthscout.com/ency/1/255/main.html

http://content.karger.com/ProdukteDB/produkte.asp?Aktion=ShowFulltext&ProduktNr=223840&Ausgabe=224973&ArtikelNr=8093

Since his mother appears to show no signs of Adrenoleukodystrophy (ALD)... given the overlap of symptoms... this may not necessarily be a genetic condition. Traumatic stress and the resulting physiological changes may very well be the on-off switch in genetic conditions. See the following...

http://www.medicalnewstoday.com/articles/139938.php

    Favorite    Flag as abusive Posted 02:53 AM on 06/30/2009
- carolo I'm a Fan of carolo 8 fans permalink
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His autopsy is not inclusive, it is delayed until testing comes back in 4-6 weeks. Inclusive means nothing has been found.

    Favorite    Flag as abusive Posted 11:14 AM on 06/29/2009
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i'm so tired of hearing about this on the news. when will the normal news cycle resume?

    Favorite    Flag as abusive Posted 10:02 PM on 06/28/2009
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There are many roads to hate, but envy is the shortest of them all.

    Favorite    Flag as abusive Posted 09:18 PM on 06/28/2009

This is so sad....Whitney get your sh it together.

    Favorite    Flag as abusive Posted 03:29 PM on 06/27/2009
- IDIOTA I'm a Fan of IDIOTA 61 fans permalink

When I found out that Britney Spears was being medicated without her knowledge -- it was some kind of amphetamine, I think -- then all of her weird behavior started to make sense. I have to remember not to automatically scoff whenever I hear her name. The same is true for Michael, whom I always admired but often laughed at because of reasons that everybody knows, one of which is media inundation. Anyway, it turns out that Michael had a HUGE drug habit. If any of you have known addicts, then you know that they seldom resemble the person you thought that you knew. Jackson's father was on TV the other day, and clearly he was in an altered state. Are his doctors "medicating" him as well?

    Favorite    Flag as abusive Posted 02:46 PM on 06/27/2009
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I’m thinking….”I can’t help it” because Michael “I want you back” I feel like I lost “Another part of me”….I feel “Heaven can wait” you were a wonderful entertainer and gave the world “Billy Jean” and we all want to “Rock with you” because you make us “Jam,” so “I’ll be there” when the critics say your “Off the wall” just tell them to “Beat It” and “Scream” for your sanity….”Leave Me Alone” to the top of your lungs, because the media is “Dangerous,” but “We are the world” and we’ll “Show you the way to go.” Your fans helped keep you out of the “Heartbreak Hotel,” but you left us so suddenly so we “Never Can Say Goodbye.” I know I’m not the only one….”Can you feel it?” In honor of the King of Pop we will “Remember the time” through your legendary music and see the “Man in the mirror” forever.

A montage to Michael Jackson songs. RIP!

    Favorite    Flag as abusive Posted 01:35 PM on 06/27/2009

Nicely put! RIP MJ!

    Favorite    Flag as abusive Posted 02:47 PM on 06/27/2009

NiCe

    Favorite    Flag as abusive Posted 03:10 PM on 06/27/2009

There are many aspects of Michael Jackson's death that is not making sense first of which is the inconclusive results of the autopsy. If Michael suffered a heart attack and/or cardiac arrest there should be some residual damage to the heart, which is not being resported so that should put the heart attack issue to rest. Second, I question why his weight is not being discussed. Micheal was 5'10 and weighing some 110 pounds. That is grossly under weight for a person of that stature and should have been documented/discussed as a possible sign of anorexia, which could have contributed to his death but would have affected the heart, which has not been reported as damaged.

Second, why would he have a cardiologist on retainer instead of just a primary physician if he did not have a preexisting heart problem? Also, a cardiologist w/o a defilbulator and giving CPR compressions on a bed is enough to disbar this medical practioner. Also, how could Michael be addicted (as most know he was) to painkillers and pass a 4 and 1/2 hour medical exam? Just asking!

    Favorite    Flag as abusive Posted 12:31 PM on 06/27/2009

A small matter, but the tape of the 911 call shows that the caller said Jackson was receiving chest compressions on the bed! The 911 operator properly said - "Put him on the floor." At which point the caller said the doctor was with him doing compressions - and nothing more was said. What kind of doctor does chest compressions on a bed? It doesn't work.

    Favorite    Flag as abusive Posted 11:01 AM on 06/27/2009

AP and Huffingtonpost PLEASE. Cardiac Arrest and Heart Attack are very different. Please have discretion unlike the tabloids. Being that the results are indeed inconclusive is signaling something else may have been the culprit. Lets wait for the upcoming results or if this suspect doctor ever comes clean, although Im sure his legal team has coached him by now, only then we can learn the truth.

    Favorite    Flag as abusive Posted 10:43 AM on 06/27/2009
- DrVandy I'm a Fan of DrVandy 7 fans permalink

So he just had a plain old heart attack like any other 50 yr old man engaged in very strenuous exercise after a long sedentary period. The tabloids will ignore this I am sure and continue with the outrageous rumors. The one thing I have gleaned over the past few days is that Michael Jackson's daily life was much more mundane in certain ways than I had ever imagined. This seems to be confirmation of this.

I wish his family and children well and may they be blessed. He was a phenomenal entertainer who deserves some peace at last.

    Favorite    Flag as abusive Posted 10:43 AM on 06/27/2009
- hjo4 I'm a Fan of hjo4 30 fans permalink

You are so correct as a almost 51 yr old man myself I can surely tell you that you're spot on. After what 12 yrs of not working Michael had a tour to do , which meant a vigorous exercise program that people many in the 20's can't handle and that's what killed the soon to be 51 yr old pop star, nothing more. He's now free from this life.The world will NEVER experience a man like the late Great Michael Jackson.Thank you Michael for ALL your contributions to this world.

    Favorite    Flag as abusive Posted 11:23 AM on 06/27/2009
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Heart attack? Most people use the term to cover anything that causes the heart to stop beating. Not true.

A heart attack is coronary artery occlusion, due either to plaque rupture, thrombosis, or some other even that creates a situation where a coronary artery cannot deliver sufficient blood to the heart muscle. Period. That's a heart attack.

Sudden cardiac death can occur during a heart attack. The heart's sinus node (for various reasons) cannot regulate a normal heart rhythm, and the heartbeat becomes ectopic, often leading to an arrhythmia which can lead to ventricular fibrillation which can, and often is, fatal. Sudden cardiac death can occur without a heart attack. They are not mutually inclusive of one another.

Opiate overdose or long term abuse usually causes respiratory arrest, which can certainly lead to sudden cardiac death from fibrillation. This is not a heart attack.

One thing is certain: an autopsy can determine if there was a heart attack simply by dissecting coronary arteries.

    Favorite    Flag as abusive Posted 02:08 PM on 06/27/2009
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Cardiac arrest is NOT a "plain old heart attack"!

    Favorite    Flag as abusive Posted 02:16 PM on 06/27/2009
- kbkw54 I'm a Fan of kbkw54 57 fans permalink

I wonder who will get his kids. Michael did not like his family. Especially his father. This is a weird family to say the least. According to CNN "Jermaine, who converted to Islam and changed his name to Muhammad Abdul-Aziz" . Latoya and the others are not capable of taking care of 3 young kids. Very sad.

    Favorite    Flag as abusive Posted 10:41 AM on 06/27/2009
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MICHAEL JACKSON WAS/IS THE GREATEST ENTERTAINER PERIOD........

THE KING OF POP IS NOW WITH THE KING OF KINGS

ALL YOU HATEFUL PEOPLE WISH YOU HAD AN OUNCE OF HIS RAW TALENT!

I LOVED HIM AND I WILL CONTINUE TO LOVE HIM

WE LOST A LEGEND

REST IN PEACE GENTLE SOUL!

    Favorite    Flag as abusive Posted 10:39 AM on 06/27/2009
- CorkiDeCat I'm a Fan of CorkiDeCat 7 fans permalink
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But would you let him babysit your little boys?

    Favorite    Flag as abusive Posted 12:33 PM on 06/27/2009
- benne I'm a Fan of benne 10 fans permalink

Creepy how the article puts it. The cardiologist is not considered a "criminal suspect" at this time, and then quote the police to say he is not yet "uncooperatives." So, if you don't cooperate with the police, you become a criminal suspect, the logic of the sequencing suggests.

    Favorite    Flag as abusive Posted 10:37 AM on 06/27/2009
- timmmahhhh I'm a Fan of timmmahhhh 71 fans permalink
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According to WebMd Jackson suffered from cardiac arrest, not a heart attack. There is a big difference. Cardiac arrest is much more sudden and why Jackson left us so quickly, unfortunately.

http://blogs.webmd.com/breaking-news/2009/06/michael-jackson-dies-from-cardiac.html?ecd=wnl_nal_062509

    Favorite    Flag as abusive Posted 10:24 AM on 06/27/2009

It sounds like the source in the above article above is saying he had a heart attack. It is possible he had both. He had a heart attack (damage to the heart muscle which they would be able to tell in the autopsy) followed by cardiac arrest (ventricular fibrillation - the absolute worst heart arrhythmia). The doctor was performing CPR which does buy time but the only thing that might have halted the v-fib is the use of a defibrillator.

    Favorite    Flag as abusive Posted 10:45 AM on 06/27/2009
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