“Actually, Murray had privileges to use propofol for sedation in his hospital practice placing stents in diseased coronary arteries. He also knew full well what the sound of a pulse oximeter was (i.e. lower tone, lower oxygen - danger, pay attention), yet purchased one without either a tone or an alarm. To complete the picture of criminal indifference, Murray gave Jackson propofol then left the room.
According to Murray's attorney, Mike Flanagan, Murray did not start an IV when giving propofol to his cardioversion patients, just 'mainlined' it... meaning no venous access for additional medication if an emergency developed. Not even a first day intern would conduct himself in such an egregiously cavalier fashion.
Murray is a sociopath who did not believe 'the rules' applied to him & has no remorse for his actions, even to this day. His appeal should be denied.”
“Nu, Rabbi? Were there any other doctors @ Jackson's house the night he died? Were there any other drugs in Jackson's body aside from those prescribed or given by Conrad Murray? You are entitled to your opinions but you are wrong.”
MillieJ on Nov 14, 2011 at 01:38:10
“Barry, Michael's demise consisted of more than the events of "one night." It was a long, slow, torturous process that was years, even decades, in the making. That's the point the Rabbi is making.”
Seeker11 on Nov 8, 2011 at 12:20:13
“Why did Jackson need all those drugs? It wasn't Murray who addicted him. Like Elvis and Marilyn and Amy Winehouse and River Phoenix and thousands more this wasn't the first time.”
“Sad to report the passing of commentator & all around grumpy (but great) guy, Andy Rooney.
Since hospital records are pretty hard to access, I guess we will never know if Andy's minor surgery was performed under general anesthesia &, if so, was there a brain monitor or not.
Based on the 25% usage of brain monitors in US hospitals, it is a statistical probability that Andy did not receive the benefit of a brain monitor &, hence, received too much anesthesia for his brain's requirement.
Also, those who might be inclined are invited to sign my petition on change.org:
“Sociopaths like Murray tell lies as smoothly as they breathe air. They are very charming & convincing which is why they pose such a danger to the rest of society.
For 6 weeks, Murray had no difficulty with Jackson's propofol 'addiction.'
Only after he realized the huge amount of propofol he had secured for the concert tour was unlikely to last did Murray become 'concerned' about Jackson's alleged addiction.
It is more probably that Murray was far more concerned with fulfilling his contract to get the $150K/month that he became worried about making the propofol last by substituting lorazepam (Ativan) & midazolam (Versed) for the propofol.
Substituting benzos for propofol appears like a good idea. In fact, I tried 0, 2, & 4 mg midazolam before giving propofol to my elective cosmetic surgery patients between 1992-1997. Good idea but it doesn't work!
Even once gave as much as 40 mg Versed (in small incremental doses) to a tolerant patient (not unlike Jackson) but only succeeded in making her forget her first postoperative week. No effect on propofol consumption or wake up time.
“Murray's public comments, "I gave Michael Jackson propofol," & "I left the room," undeniably incriminate Murray for patient abandonment. Any potential juror must already know of these remarks.
It was the reckless indifference to human life in Murray's failure to either watch or monitor Jackson that led to Jackson's predictable, avoidable death with the subsequent charge of involuntary manslaughter .
Read the Michael Jackson chapter in 'Getting Over Going Under.'”
Jan 26, 2011 at 18:33:35
“The central issues in the involuntary manslaughter case are clear and simple:
1) patient abandonment, 2) concealment of evidence, & 3) misrepresentation to the paramedics.
Murray's conduct was morally equivalent to a hit and run driver; i.e. a blatant attempt to escape personal responsibility for his actions
The potential issues of how much propofol or who gave it are nothing more than defense attorney tactics to create 'reasonable doubt.'
However, no amount of tactics can relieve Murray of his responsibility to have watched and monitored his patient.
The verdict should equally be clear & simple but the Jackson family will not get any real sense of justice if Murray loses his license and serves 4 years in jail.
If Michael's death can serve a greater social good by alerting the American public to the dangers of anesthesia over medication (delirium, dementia & death), then his death will not have been for nothing.
Download 3 free letters @ www.drbarryfriedberg.com to help you avoid anesthesia over medication if you or a loved one need to go under for surgery.”
tofdel1 on Jan 28, 2011 at 14:54:30
“Thank you Dr. Friedburg
I hope you keep educating people about Propofol. I also agree that there must be some other "social good" that will come of this. Michael is one person that could attract that attention to a cause. Hopefully the media will see this.”
Cherubim on Jan 26, 2011 at 19:06:07
“Mr. Friedberg this might just be the best Huffington Post comment I have ever read.
By the way, I agree with what you have written.
Michael Jackson forever....”
Aug 18, 2010 at 08:20:00
“Excellent piece. SAFE is also the acronym for short acting fast emerging anesthesia. Just entering the market is the book for the patient's survival guide for any surgery requiring anesthesia, 'Getting Over Going Under.' A quick but important read.”
“Your anesthesiologist is unlikely to directly measure your brain with a brain monitor unless you demand it!
Download the FREE checklist of the 9 essential questions (& answers you must get) to enable yourself to become your own anesthesia safety advocate when you first discuss surgery with your surgeon.
The aging brain is more sensitive to the negative effects of anesthesia over medication that is routine without the use of a brain monitor.
Propofol (the 'P' in 'PK') is an anti-oxidant while general anesthetics are oxidizing agents that raise your C-reactive proteins, markers of inflammation.
Propofol ketamine (PK) intravenous sedation anesthesia has safely anesthetized ALL cosmetic procedures including tummy tucks and post-bariatric procedures.
You can get everything you want from PK anesthesia; i.e. you don't hear, feel or remember your surgery. Why would anyone want an oxidizing general anesthetic?
Since its conception in March 26, 1992, the SAFETY record of PK anesthesia includes:
NO pulmonary embolisms (deadly blood clots to the lungs),
NO patient deaths (like Donde West or Stephanie Kuleba),
NO cardiac arrests (or near death experiences like Tameka Foster),
NO negative pressure pulmonary edema or aspiration, NO 911 calls, and
NO hospital admissions for PONV or pain management
- NONE of those outcomes can proponents of general anesthesia claim.
FWIW, PK anesthesia has the lowest rate of PONV.
Disclaimer: Neither Dr. Friedberg nor Goldilocks Anesthesia Foundation accept financial support from brain monitor makers.”
“Very happy to read Dr. Aston is interested in 'today's modern anesthesia techniques' which most definitely include brain monitored PK anesthesia described for the past 8 years on cosmeticsurgeryanesthesia.com.
It would have been even nicer had his interest in 'modern anesthesia techniques' extended to the anesthesia chapter by Drs. Zelman & Geradini in Aston's 2009 'Aesthetic Plastic Surgery' textbook. Neither the subject of brain monitoring, modern anesthesia for at least the past decade, nor PK anesthesia recognized for at least the same period of time were referenced or mentioned.
Brain monitored PK anesthesia was the thrust of the 2007 book, 'Anesthesia in Cosmetic Surgery' from Cambridge University Press, inspired by the 2004 death of Olivia Goldsmith at MEETI.
On June 1, 2009, the Portuguese translation of 'Anesthesia in Cosmetic Surgery' went on sale in Brazil, the world's biggest market for cosmetic surgery.”