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Conrad Murray: Precedent Set

Posted: 11/07/11 05:05 PM ET

A Precedent Set
By Charles Karel Bouley II

"If it were anyone other than Michael Jackson, this would have never gotten to trial..." seemed to be the mantra from the defense team in the Conrad Murray criminal trial for his role in the death of Michael Jackson.

Maybe that is true. And maybe that will change.

In 2001 I began my journey in the arena of wrongful death lawsuits, filing one on behalf of my late partner Andrew Howard.

When he died, I truly felt someone was negligent, not financially, but criminally. I know so many of those that lose loved ones to medical mistakes feel the same, as I have spoken with so many through the years and through my journey. Yet, that's not how medical mistakes are typically handled; they are a matter for insurance and lawyers, not police and jails.

It's odd to survivors of medical mistakes or those who have lost loved ones to them; because to them, dead or injured is the same whether it was a drunk driver or a doctor whose negligence inflicted the harm. But somehow the law makes an exception because of the nobility of the medical practice; most doctors, unless they go WAAAAY beyond the pale, pay their way out of killing or harming people.

Dr. Conrad Murray went beyond that pale.

And instead of his case being an exception, maybe it should be more the rule. If your negligence directly results in the death of another, and then you try to cover it up, you should be tried criminally. I fought the wrongful death suit for six years, and over that time learned quite a bit about them. 98% of them fail. Of the ones that make it to trial, most settle on the side for the doctors. As my lawyer said, "in the jury room, most jurors want to believe their doctor wouldn't make a mistake, so they side with them out of allegiance to the profession and hope that theirs won't mess up."

And they are expensive. In other words, most doctors get to walk away from malpractice and negligence because A: finding a lawyer to take the case on contingency is nearly impossible; B: most of the cases never go to trial; and C: If they do, juries often side with the doctors.

That leaves many out in the cold, never getting any kind of justice for the loss they or their loved ones have suffered. They can't get satisfaction through the courts, and the police simply don't get involved.

This time they got involved. And they should more.

I know Janet Jackson was screaming today when she heard the judge say, no bail, go directly to jail, you are a convicted felon and the public may be at risk with you around; when she saw handcuffs put on him and saw him perp walked back in to lockup. I know Kathryne and Prince, Paris and Blanket will sleep better tonight, LaToya, all of them. Whichever one it was in the courtroom that was shushed as they read out the guilty verdict... they are happy.

And more families need that. And more doctors need to know it can happen. If you take great risks, become negligent, performs surgeries while impaired... on and on, then it could cost you more than an insurance increase. If you get greedy and do things outside the standard of care, it can cost you more than money.

That's the point. Medical mistakes cost the families involved more than money, so why is money their only recourse, and a faint one at that?

When anyone's negligence causes someone else to die -- white coat, stethoscope or not -- there must be repercussions.

Dr. Murray may end up under house arrest. If he gets the maximum, four years, it's already cut to 18 months due to jail overcrowding. All nonviolent felons in California are being transferred out of the state system and in to the county's to ease overcrowding on a state wide level. And in L.A. County there is a house arrest policy in place and good lawyering could end up getting it for him. If he had sexually molested Michael while alive, he could go to jail for thrice that time, or if he had sold him a pound or two of pot, much, much longer. But kill him, and you may get house arrest.

It's still not the most just, but it's better than nothing, and better than a check. The Jackson family didn't need a check from Conrad Murray's malpractice insurance company. They needed to know the man that put their relative in to a near coma then left him alone and lied about it all was going to pay.

And so he is. And more should.

Because everyone is a star, a superstar, in their own universe, and each family deserves this satisfaction.

 

Follow Charles Karel Bouley on Twitter: www.twitter.com/thekarelshow

 
 
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maxfax
Taa - dah!
03:16 AM on 11/09/2011
"Maybe that is true. And maybe that will change....." It is true, and it won't change, a politician, the D.A. and the public clamoring for retribution made this trial happen. Ordinarily without public outcry, cases without such publicity, don't garner a second look.
07:05 PM on 11/08/2011
Dr. Murray was the final straw that broke the camel's back. Along the way, there were other enablers as well physicians for sure, and perhaps his family as well.

The care of a superstar addict is already fraught with potential hazards, particularly when the doctor is being provided large sums of money sufficient to cloud the physician's judgement. The patient has all of the control. Murray took a bite of the tainted apple and the result was inevitable. Clearly, that does not excuse Murray's prescription of a dangerous drug not intended to be given in a home setting. His actions are well beyond what a reasonable physician would do, and criminal penalty is appropriate.

As a physician, I disagree with many of the points made by the author. I don't see barriers for patients or their families seeking redress for real or imagined injuries. But understand that most harms occur without forethought or malice; they are unintentional or accidental. Criminalizing these circumstances serve no purpose. Juries will award damages and the MD may lose his license, which is their livelihood. I no longer see the MD being held in such high esteem that juries are biased in their favor.
coronaboy
Independent Cuss
08:37 AM on 11/08/2011
MJ clearly had an addiction problem. Both UP and DOWN. Dr Murray did not help that problem. MJ's family knew of the problem well before Dr Murray but did little, if anything, to get him help. Dr Murray is guilty but he had a lot of help. RIP, Michael.
NotaDrone
20 points higher than me Mitch?
08:11 AM on 11/08/2011
I heard a commentator postulating that this is an example of the difference in how blacks and whites are treated by the courts. He stated that Dr. Murray should be given community service like Lindsey Lohan but because he is black he'll go to jail. The difference is that Lindsey didn't kill anyone.

The premise is totally wrong. The man knowingly prescribed horse tranquilizers.
ThatsTheTheWayItIs
religion, ideology, partisanship are delusional
08:53 AM on 11/08/2011
So? Lots of people take those, safer than the drugs we humans take, people care about horses more. We're both mammals, there is no difference in our drugs.
07:46 AM on 11/08/2011
I found lots of fascinating stuff in your blog. From the a lot of comments on your articles, I suppose I'm not the only one! continue the actual amazing function.
British Food
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rothomaha
The Truth will out
07:32 AM on 11/08/2011
Murray failed as a physician, chiefly because he did not address Jackson's underlying problem. It is completely impossible, from a physiological perspective, for a human being NOT to sleep, eventually. The only qualifier to that statement is if the person is so jacked up on a simulant that their natural body functions are completely upset. My best guess, looking at Jackson on stage, is that he was typically high, likely on coke, and so jacked up at home as a result that he could not sleep. Instead of sending him to detox, where he probably belonged, Murray did as most DC politicians are doing - he followed the smell of the money and "put bandaids" on a much bigger problem. This is what happens when a physician permits the patient to dictate treatment, taking the "easy way out" rather than insisting on doing what is really needed! Justce has been served, but the deification of Jackson should also be toned down - believe me, he was no saint!
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nenitaB
Not the talk. What good result would it hav
06:19 AM on 11/08/2011
For some, not generally, may be hard hot to refuse your client's wish or request esp. with huge amount of money. The doctor's mistake was the unmonitored use of the drugs. But a superstar like Michael he can do it as he wish , discreetly. With this both of them are irresponsible more on Michael's fault. The doctor's licence may be suspended but not totally be revoked permanently.
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Jeffin90019
Independent, occasional absolutist
01:34 AM on 11/08/2011
Elegantly and eloquently put. Those who take great risks should pay a great price. House arrest for manslaughter is a disgrace, but our government must fill for-profit prisons with drug offenders.
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slash77
" You have failed me for the last time "
01:23 AM on 11/08/2011
Interesting thoughts…… and what about mal practice with lawyers, and what about the police that shoot and kill unarmed people (50 times), and what about those imprisoned for decades only to be found innocent, and those actually executed that were innocent……..

Yes Doctors make mistakes, nurses makes mistakes, technicians make mistakes, and everyday millions of people make mistakes that impact others lives…..

Let’s not condemn the entire medical profession based on a single case….discounting the millions of people that helped each and every day by health professionals…….

Here is the bottom line in Murray’s case…. His actions fall well out of the standard of care for administrating propofol…. That directly led to Michael death…… Murray had full knowledge of the effects of the medication he was giving and that it could lead to immediate death……. That makes it Manslaughter….. However…. He clearly did not what Michael to die…… thus involuntary Manslaughter….

Murray and Murray alone is directly responsible for the immediate cause of Michaels death….. that is what this trial was about.
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TXfemmom
Grandma with eye on the future
01:06 AM on 11/08/2011
Within medical practice, there are different levels of negligence. There is a level where someone may have failed to make a notation in a chart because something or someone intervened and pulled the person with the knowledge away and that is negligence. Then, there are other levels leading up to gross negligence. That is what we saw in the Michael Jackson case. Dr. Murray ignored so many basic safety issues as to make his negligence grossly negligent and those failures to follow basic safety precautions so predictable as being able to result in death, that his negligence far exceeded civil negligence and rose to criminal negligence. I was an RN, Advanced Nurse Practitioner and Certified Registered Nurse Anesthetist for almost thirty years and I had the opportunity to work with many fine, dedicated medical professionals of all types. I also saw so much negligence, and at times gross negligence, as well. I once worked with a surgeon who was renowned for ripping and tearing through operations when he was in a hurry and for his patients suffering the consequences. Because he brought so many patients to the hospitals where he practiced, he got away with his behavior. I have to agree with the writer as well on how really difficult it is to win a malpractice case, let alone a wrongful death suit over gross negligence in medical malpractice.
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Milosovich
Honey Badger
12:36 AM on 11/08/2011
I agree with the poster who said that this Conrad Murray guy was nothing but a drug-pusher to Michael. The fact that he's an MD is incidental. It just provided Michael with a false sense of assurance that nothing will go wrong, and gave Murray an insane amount of money per month.
MJ might as well could've hired a nurse....or even better..a pro-junkie, to perform the same things on him. For a fraction of a cost.
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TXfemmom
Grandma with eye on the future
01:11 AM on 11/08/2011
Murray was that, but he was only one of many physician drug pushers in Michael Jackson's life. His dermatologist was doing "procedures" on Michael for years almost on a daily basis and had gotten to the point where he was giving Michael Jackson 375mg of Demerol IV along with as much as 8 mg. of Versed. First of all, Demerol is not effective for pain for the type of procedure he was supposedly doing and 375 mg is enough to put down an elephant...no exaggeration there. Michael Jackson had a long line of enablers who contributed to his addiction and he got everything he paid for, which was dangerous, malfeasance and irresponsible prescribing and administration of drugs...prescription drugs all, but never used in the manner, amounts and indicated means which was medically indicated. Demerol has been virtually eliminated from hospitals because of the toxicity involved and because it is not effective against so many forms of pain, which makes it ineffective in pain management but really high on the possibility for addiction.
coronaboy
Independent Cuss
08:42 AM on 11/08/2011
Agree. Also, where was MJ's family. They KNEW he was addicted to prescription drugs and to the work dr. Klein was performing.
12:06 AM on 11/08/2011
My question has always been, how is Murray any different than a drug dealer whose junkie overdoses? What kind of time would a pusher have gotten?

This was not negligence, it was illegal distribution of dangerous drugs.
11:36 PM on 11/07/2011
And who among us would disagree with Mr. Bouley's basic point, namely, that any person should be held responsible and punished if his negligence results in another person's death?

But it is more likely that the Conrad Murray case will end up being just an overpublicized exception to the pattern he finds so lamentable rather than being anything like a turning point.

And his piece would have actually been more effective if he had deleted "Because everyone is a star, a superstar, in their (sic) own universe..." from the final sentence, and merged the final sentences to read as follows: "And so he is. And more should, because every family deserves this satisfaction."

It would have avoided the Lady Gaga-derived knife wound that he inflicted on his own piece of writing.
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TXfemmom
Grandma with eye on the future
01:12 AM on 11/08/2011
Some of Michael Jacksons' other physicians should face criminal and civil penalties, as well. His dermatologist was administering as much as 375 mg. of Demerol IV with Versed 8 mg daily for "procedures" in his office. Never, ever, in almost 30 years of administering anesthesia, had I ever heard of any human being receiving that type of dosage and then walking out of the office...never. Many of the doctors with whom Michael centered his care for responsible for the addiction which ultimately led to his death, and they should suffer for their behavior, as well.
08:35 AM on 11/08/2011
But will the dermatologist in question ever be charged? Or will any of the others from whom Michael Jackson was scoring his fixes ever be charged?

Not likely.

We've witnessed the public ritual of Conrad Murray being made to pay for the unacceptable death of America's supreme pop-god figure.

The people have been ritually satisfied, atonement has been witnessed and made, and now everyone will move on.....
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lcr999
scientist
11:19 PM on 11/07/2011
The doctor was a drug pusher.
MJ was an addict.
Both equally guilty.
One dead and one in jail.
End of story.
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dsws
No owning ideas. Limit only commercial use.
10:42 PM on 11/07/2011
When someone is harmed, harming someone else does not achieve some sort of cosmic balance. Medical practice should be regulated for results, not for vengeance. So should anything else.