MJ~Leben u. Sterben~u das Geschehen danach!

@FaIrIeFlOwEr

Sorry habe nicht hingehört :(

People vs. Dr. Conrad Murray
Sleep Doc
Murray's Care Unethical
Sleep Expert -- Dr. Nader Kamangar Testifies
Updated 10/12/11 at 1:50 PM



Dr. Nadar Kamangar -- a pulmonary and critical care doctor who specializes in sleep medicine -- just told the jury Dr. Conrad Murray's use of Propofol outside of a highly monitored facility was "inconceivable," "disturbing," and "unethical."

Kamangar -- who is an adviser for the CA Medical Board -- said he found "multiple extreme deviations" in Murray's standard of care as it relates to insomnia.

* Dr. Kamangar told the court insomnia is a common problem in the ICU ... he said he uses Propofol on a daily basis.
* Kamangar said Propofol should be used with caution because it can be extremely unpredictable, especially when used with other sedatives.
* He said Murray's treatment of Michael Jackson amounted to "gross negligence."
* Kamangar told prosecutors it's "imperative" to administer Propofol through an automated pump to because it's so powerful.
* According to Kamangar , Murray should have never given MJ any sedatives because he was dehydrated ... which means his blood pressure was already low.
* He also said Murray's failure to call 911 was an "unconscionable deviation of care" adding, Murray wasted critical time calling MJ's assistant instead of calling 911.
* Murray also broke one of the first rules of medicine -- putting your patient first -- when he witheld information from ER docs.
* He also said Murray was unethical when he chose to ignore "clear signs" of MJ's drug addiction.
* The judge just announced the jury will have the day off on Friday because of scheduling issues.

Refresh for updates...

http://www.tmz.com/2011/10/12/conrad-murray-trial-michael-jackson-trial-propofol-dead-manslaughter-nadar-kamangar/

@FaIrIeFlOwEr

Ich gehe dann mal ........ nachtiiiiii :)

@ghost777


ich gehe auch in meine Heia ... GN8 ... schlaf schön ... bis später ... :D

@CosmicQueen
@ghost777

Also am Donnerstag !!!!!!! ... also heute ... geht die Verhandlung weiter ... alles
wie gehabt, um 17:45h ...

Aber es ist der Freitag, der aus fällt ... Richter Michael Pastor hat irgendwas von organisatorischen
Problemen von Zeugen gesprochen oder so ähnlich :D

hier gab es ein Update ...


People vs. Dr. Conrad Murray
Sleep Doc:
Murray's Care Was "Disturbing"
Sleep Expert -- Dr. Nader Kamangar Testifies
Updated 10/12/11 at 1:50 PM



Dr. Nadar Kamangar -- a pulmonary and critical care doctor who specializes in sleep medicine -- had some harsh words for Dr. Conrad Murray ... calling his use of Propofol "inconceivable," "unethical," and "disturbing."

Kamangar -- who is an adviser for the CA Medical Board -- said he found "multiple extreme deviations" in Murray's standard of care as it relates to insomnia.

* Dr. Kamangar told the court insomnia is a common problem in the ICU ... he said he uses Propofol on a daily basis.
* Kamangar said Propofol should be used with extreme caution because it can be unpredictable, especially when used with other sedatives.
* He said Murray's treatment of Michael Jackson amounted to "gross negligence."
* According to Kamangar , Murray should have never given MJ any sedatives because he was dehydrated ... which means his blood pressure was already low.
* He also said Murray's failure to call 911 was an "unconscionable deviation of care" adding, Murray wasted critical time calling MJ's assistant instead of calling 911.
* Kamangar told the court Murray broke one of the first rules of medicine -- putting your patient first -- when he witheld information from ER docs.
* He also said Murray behaved unethically when he chose to ignore "clear signs" of MJ's drug addiction.

http://www.tmz.com/2011/10/12/conrad-murray-trial-michael-jackson-trial-propofol-dead-manslaughter-nadar-kamangar/#.TpaR23LVanA

auch hier gab es ein Update ...


People vs. Dr. Conrad Murray
Cardiologist Testifies:
Dr. Murray Messed Up Big Time
Cardiologist -- Dr. Alon Steinberg Testifies
Updated 10/12/11 at 08:45 AM



Dr. Alon Steinberg -- one of the leading cardiologists for the California Medical Board -- just told the jury ... Dr. Conrad Murray demonstrated an "extreme deviation" from standard practices in his care for Michael Jackson.

* Dr. Steinberg made it clear he is a cardiologist... not an anesthesiologist.
* Steinberg testified he reviewed Murray's case relying solely on transcripts from his police interview because he wanted "to judge Dr. Murray on his very own words."
* He found 6 separate and distinct deviations of standard of care – each one amounting to "gross negligence."
* Steinberg said Propofol should only be used for procedures in a hospital and should never be used for sleep.
* According to Steinberg, Murray lacked basic equipment to keep the singer alive in case of emergency.
* Murray should have had an assistant at all times.
* Murray should have called 911 immediately.

* Steinberg said after calling 911, Murray should have given bagged him with an ambu bag, then administered Flumazenil ... Instead, Murray went for chest compressions, which MJ wouldn't have needed if he was still breathing.
* When Murray did finally call for help, he phoned MJ's assistant ... which caused further delay.
* Steinberg told the jury that "for every minute of delay there's less and less chance the patient will survive."
* Steinberg called Murray's behavior "bizarre."
* Murray did not take notes. This is important, not only for insurance and legal purposes, but also to make sure everything is documented so that no mistakes are made.
* Steinberg said Murray's breeches in care "directly contributed to the untimely death of Michael Jackson."
* Steinberg condemned Murray for leaving the singer alone unsupervised, saying "it's like leaving a baby that's sleeping on your kitchen countertop,"
* He said, according to the transcripts, Murray gave MJ a drip of Propofol the night he died ... in ADDITION to the 25 mg. he gave him initially.
(during cross-examination, Murray's lawyer argued Murray never mentioned when describing the night of June 25th. After an long back-and-forth, Steinberg shrugged, "Can we agree to disagree?")
* Murray's lawyers asked Steinberg if it was possible Murray left the room for more than two minutes ... suggesting the doc may have had his timetable confused.
* Dr. Steinberg made it clear ... MJ would be alive today if Murray had simply called 911 right away.

http://www.tmz.com/2011/10/12/people-vs-dr-conrad-murray-cardiologist-testifies-michael-jackson/#.TpaWD3LVanA

October 12, 2011

Gallery: Doctors steal the show at Conrad trial
Posted: 05:53 PM ET



Cardiologist Dr. Alon Steinberg testified that Dr. Conrad Murray violated the standard of care for Michael Jackson in numerous ways.



Dr. Conrad Murray's defense team dropped their claim that Michael Jackson orally self-ingested propofol. They now argue the pop star used a syringe and catheter.



Prosecution expert Dr. Alon Steinberg testified that Dr. Murray exhibited "gross negligence" in his decision to use propofol to help Michael Jackson sleep.



Defense attorney Michael Flanagan prepares to question Dr. Alon Steinberg.



Pulmonary and sleep expert Dr. Nader Kamanger called it an "extreme violation" to leave the side of a person who is under sedation.



A few dozen early risers waited in line before court for the chance to be selected to sit in the courtroom gallery.



Michael Jackson's father, Joe Jackson, enters court. Later, upon leaving, he told reporters "It just shouldn't have happened. I can't get over him being dead."

Complete courtroom coverage of the Conrad Murray trial airs live on HLN from gavel to gavel. It’s also on In Session on truTV from 9 a.m. to 3 p.m. ET every weekday.

Posted by: HLN staff

http://insession.blogs.cnn.com/2011/10/12/gallery-doctors-steal-the-show-at-conrad-trial/ (Archiv-Version vom 15.10.2011)


viele weitere Berichte unter
http://insession.blogs.cnn.com/category/conrad-murray/ (Archiv-Version vom 11.10.2011)

Michael Jackson hätte gerettet werden können
13. Oktober 2011, 08:48 Uhr

Michael Jacksons früherer Leibarzt Conrad Murray hätte das Leben des Popstars nach Aussage eines Mediziners mit geeigneten Maßnahmen retten können.

Michael Jacksons früherer Leibarzt Conrad Murray hätte das Leben des Popstars nach Aussage eines Mediziners mit geeigneten Maßnahmen retten können. Man müsse kein Arzt sein um zu wissen, dass man die Notrufnummer 911 wählen müsse, wenn jemand leblos aufgefunden werde, sagte der Herzspezialist Alon Steinberg am Mittwoch im Prozess gegen Murray vor Gericht in Los Angeles. Murray habe weder über die notwendige medizinische Ausrüstung noch über die benötigten Medikamente verfügt. "Michael Jackson hätte gerettet werden können", Murray habe aber seine Pflichten "schwer vernachlässigt", sagte Steinberg.

http://www.stern.de/news2/aktuell/michael-jackson-haette-gerettet-werden-koennen-1738216.html

die Verteidigung erhebt eine ihrer Theorien NICHT mehr ... nun wird sich vielleicht die Strategie weiter darauf versteifen, dass MJ sich das Propofol selbst injiziert hat ... :)

Herzspezialist erhebt schwere Vorwürfe„Jackson hätte gerettet werden können“
Donnerstag, 13.10.2011, 07:25

Michael Jackson wäre noch am Leben, wenn sein Leibarzt sofort die richtigen Maßnahmen ergriffen hätte, sagt ein Herzspezialist. Er warf dem Arzt Jacksons schwere Fehler und grobe Vernachlässigung seiner ärztlichen Pflicht vor.


AFP Jacksons Leibarzt Conrad Murray steht unter Druck

Murray habe es unter anderem versäumt, sofort den Notarzt zu alarmieren, als er Jackson bewusstlos im Bett vorfand, sagte der Herzspezialist Alon Steinberg am Mittwoch (Ortszeit) als Zeuge für die Anklage im Gericht von Los Angeles. Er habe die Wiederbelebungsversuche verpatzt und später im Krankenhaus den Notärzten wichtige Informationen vorenthalten, kritisierte Steinberg.


Die Verteidigung überraschte am Mittwoch mit einer Kehrtwende in ihrer Erklärung, wie Jackson ums Leben kam. Murrays Anwälte vertraten bisher die Theorie, dass Jackson zum Einschlafen möglicherweise das Narkosemittel Propofol heimlich schluckte, als sein Arzt kurz das Zimmer verlassen hatte.

Jackson hätte noch gerettet werden können

Murray hatte Jackson nach eigener Aussage nach einer schlaflosen Nacht am 25. Juni 2009 gegen 10.40 Uhr 25 Milligramm Propofol verabreicht. Rund 20 Minuten später ging er nach eigener Darstellung für „ungefähr zwei Minuten“ auf die Toilette. Als er zurückkehrte, habe Jackson nicht mehr geatmet.

Steinberg wies aber darauf hin, dass Jackson zu diesem Zeitpunkt noch einen Puls gehabt habe. „Er hätte zu diesem Zeitpunkt ganz eindeutig noch gerettet werden können.“ Die Sanitäter wurden erst um 12.20 Uhr gerufen und erreichten Jacksons Villa nach sechs Minuten. „Michael Jackson wäre noch am Leben“, wenn die Sanitäter sofort gerufen worden wären, sagte Steinberg.

Propofol selbst eingenommen?

Am Mittwoch räumte Murrays Verteidiger Michael Flanagan ein, dass die Einnahme von Propofol durch den Mund nicht zum Tode führen würde. Das Narkosemittel wird Patienten vor Operationen normalerweise intravenös verabreicht.

Jackson war am 25. Juni 2009 nach dem Befund der Gerichtsmediziner an einer Überdosis Propofol im Mix mit anderen Beruhigungsmitteln gestorben. Laut Anklage gab Murray versehentlich die tödliche Dosis. Der Arzt sagte zuvor im Polizeiverhör, er habe Jackson nur eine kleine Menge gespritzt. Im Falle eines Schuldspruchs drohen dem 58-jährigen Herzspezialisten bis zu vier Jahre Haft. Der Prozess läuft seit drei Wochen.
cp/dpa/AFP

http://www.focus.de/panorama/welt/herzspezialist-erhebt-schwere-vorwuerfe-jackson-haette-gerettet-werden-koennen_aid_674208.html

Michael Jackson:

Er könnte heute noch leben

Im Prozess gegen Dr. Conrad Murray, Michael Jacksons Leibarzt, geht ein Zeuge so weit wie bisher kein anderer: Kardiologe Alan Steinberg sagte aus, der King of Pop könnte heute noch leben - wenn die Fehler seines Arztes nicht gewesen wären
13.10.2011 08:59



Im Prozess gegen Dr. Conrad Murray, Michael Jacksons ehemaliger Arzt, verdichten sich die Hinweise, dass der Mediziner tatsächlich für den Tod des King of Pop mitverantwortlich ist. Die Behauptung, Jackson habe sich die tödliche Dosis Propofol selbst verabreicht, nahm die Verteidigung am gestrigen Mittwoch (13. Oktober) wieder zurück.

Nachdem bereits eine Notärztin und eine behandelnde Ärztin des Krankenhauses, in das Michael Jackson eingeliefert worden war, gegen den Arzt ausgesagt und ihm Vorenthaltung von Informationen und zu nachlässiges Handeln vorgeworfen haben, erhob nun ein Kardiologe schwere Vorwürfe.

Dr. Alan Steinberg ging bei seiner Aussage dabei so weit wie bislang keiner vor ihm. "Michael Jackson könnte noch leben", so Steinberg vor Gericht. "Wenn Dr. Murray nur die richtigen Schritte eingeleitet hätte, als Michael nicht mehr atmete."

So habe Murray rund 20 Minuten gewartet, bis er den Notarzt rief und stattdessen zu falschen Wiederbelebungsmethoden angesetzt. Auch seine laufenden Behandlungen an Michael Jackson seien geradezu fahrlässig gewesen, so das Urteil Steinbergs über Murrays Leistungen als Leibarzt. Insbesondere die laufende Verabreichung des Beruhigungsmittels Propofol sei schlecht abgelaufen: Murray habe notwendige Maßnahmen wie regelmäßige Beobachtung der Herz- und Kreislauffunktionen einfach außer Acht gelassen, ebenso wie Vorkehrungen für einen Notfall.

Letztlich habe Murray gegen alle Regeln der ärztlichen Fürsorgepflicht verstoßen und Michael Jackson könnte definitiv noch am Leben sein, wenn diese eklatanten Verstöße nicht passiert wären, so Steinberg.

Die Äußerungen sind das bisher stärkste Argument der Anklage gegen Dr. Conrad Murray. Bisher hatte sich seine Verteidigung darauf gestützt, Jackson habe sich die tödliche Dosis Propofol selbst verabreicht. Diese Behauptung nahm Murrays Anwalt jedoch ohne Begründung wieder zurück.

Bis Freitag will die Staatsanwaltschaft ihre Zeugenbefragung abgeschlossen haben. Und bisher spricht alles für eine Mitschuld Murrays an Michael Jacksons Tod.

smb

http://www.gala.de/stars/news/161673/Michael-Jackson-Er-koennte-heute-noch-leben.html

Michael Jackson könnte laut Gutachter noch leben

Nachrichten, 13.10.2011, Dirk Hautkapp


Michael Jacksons Arzt, Dr. Conrad Murray, gerät vor dem Gericht immer mehr in die Defensive. Gutachter bescheinigen ihm, in der Notsituation zu spät und falsch reagiert zu haben.Foto: dapd

Washington. Es sind die Berufskollegen, die Dr. Conrad Murray immer weiter zusetzen im Prozess um die Verantwortung für den Tod von Pop-Sänger Michael Jackson. Dr. Alon Steinberg, Kardiologe aus Ventura nahe Los Angeles, ging gestern so weit wie bislang kein anderer Mediziner.

„Michael Jackson könnte noch leben“, sagte Steinberg trotz der offenkundigen Übermedikamentierung des „King of Pop“ mit dem Narkosemittel Propofol und Schlaftabletten, „wenn Dr. Murray nur die richtigen Schritte eingeleitet hätte, als Michael nicht mehr atmete.“

Anstatt umgehend die Notfall-Nummer 911 anzurufen, so Steinberg, der von der Anklage als Gutachter geladen war, habe Murray rund 20 Minuten mit der Alarmierung der Rettungskräfte gewartet und in offenkundiger Unkenntnis falsche Wiederbelebungsmethoden praktiziert.

Alles falsch gemacht

Der Herz- und Kreislaufexperte Steinberg ging noch einen Schritt weiter. Murray habe bei der Verabreichung von Propofol, einen Stoff, nach dem Jackson regelmäßig verlangt habe, um schlafen zu können, so ziemlich alles falsch gemacht, was falsch zu machen war: keine ständige Beobachtung der Herz- und Kreislauftätigkeit, keine Vorkehrungen für einen Notfall etc.

Einen Patienten mit Propofol allein zu lassen, so Steinberg, sei ungefähr so, „als ließe man ein Kleinkind unbeaufsichtigt auf dem Küchentisch liegen“. Murray habe sträflich gegen alle Regeln der ärztlichen Fürsorgepflicht verstoßen, Jackson könnte definitiv noch am Leben sein, wenn diese eklatanten Verstöße nicht passiert wären.

Vier Jahre Haft drohen

Staatsanwalt David Walgren will bis Freitag seine Zeugen-Befragung abgeschlossen haben. Ob Murray zum jetzigen Zeitpunkt selbst ins Kreuzverhör genommen wird, ist noch ungewiss. Danach hat die Verteidigung das Wort. Letztere hat gestern in bemerkenswert beiläufiger Weise eine Behauptung zurückgenommen, die vom ersten Prozesstag an Murray in ein günstiges Licht rücken sollte. Danach spreche vieles dafür, so Anwalt Ed Chernoff, dass Jackson sich in den Minuten der Abwesenheit seines Hausarztes am 25. Juni 2009 selbst die Überdosis Propofol verabreicht hat, indem er die trübe Flüssigkeit, seine „Milch“, einfach trank.

Chernoffs Sozius Michael Flanagan kassierte die These gestern ohne Angaben von Gründen ein. Der Prozess gegen Murray, der sich wegen fahrlässiger Tötung verantworten muss und bei einer Verurteilung mit bis zu vier Jahren Gefängnis rechnen muss, wird heute fortgesetzt. Das Urteil wird für Ende Oktober erwartet.

http://www.derwesten.de/nachrichten/Michael-Jackson-koennte-laut-Gutachter-noch-leben-id5156550.html (Archiv-Version vom 15.10.2011)

Propofol expert testifies next in trial of Michael Jackson's doctor
By Alan Duke, CNN
October 13, 2011 -- Updated 0823 GMT (1623 HKT)

Los Angeles (CNN) -- An anesthesiologist will testify Thursday that Dr. Conrad Murray's treatment of Michael Jackson was so grossly negligent that it was criminal, an opinion that echoes two other medical experts called to testify by prosecutors Wednesday.

Dr. Steven Shafer, who may be the last witness called before the prosecution rests its case in Murray's involuntary manslaughter trial, is expected to echo the testimony of a cardiologist and a sleep expert who took the stand Wednesday.

Murray's delay in calling 911 for help as soon as he realized Jackson was not breathing may have cost the pop icon his life, according to cardiologist Dr. Alon Steinberg.

Steinberg and Dr. Nader Kamangar, a UCLA sleep expert, both presented a long list of what they said were instances of Murray's extreme deviation from the standards of medical care, including his failure to immediately call for paramedics.

"If these deviations would not have happened, Mr. Jackson would be alive," Steinberg testified.

The Los Angeles County coroner ruled that Jackson's June 25, 2009, death was from "acute propofol intoxication" in combination with several sedatives, including lorazepam.

Murray's lawyers contend that Jackson used a syringe to inject the fatal overdose through a catheter on his left leg while Murray was away from his bedside. They dropped the theory pushed earlier that Jackson may have orally ingested propofol that the coroner says killed him.

Murray's defense also contends that Jackson swallowed eight tablets of lorazepam, a sedative, in a desperate search for sleep the day he died.

Murray should be found guilty even if jurors accept the theory that Jackson self-administered the fatal dose because the doctor was reckless for leaving propofol and lorazepam near his patient when he was not around, Steinberg testified.

"It's like leaving a baby that's sleeping on your kitchen countertop," Steinberg said. "There's a very small chance the baby could fall over, or wake up and grab a knife or something."

Steinberg said he based his conclusions on Murray's own words to detectives in an interview two days after Jackson's death. That interview was played for jurors in the previous two days of the trial.

Jackson would be alive today if Murray had called 911 for help within two minutes of realizing Jackson was not breathing, instead of waiting about 20 minutes before asking a security guard to call, Steinberg said.

Earlier testimony revealed Murray did ask Jackson's chef to send a security guard upstairs to help him about five minutes after the time prosecutors suggest he realized there was a problem with Jackson. The chef, however, testified that she sent Jackson's 12-year-old son upstairs instead of security.

Steinberg said the use of propofol to treat Jackson's insomnia was another extreme deviation from standards that contributed to Jackson's death. He later acknowledged a recent report from China that the anesthetic had been successfully used to treat chronic insomnia, but he suggested it needed more study to be accepted.

Kamangar, the sleep expert, testified later Wednesday that propofol has no therapeutic value in treating insomnia, and to use it is unethical and an extreme deviation from the standards of care.

"It is beyond comprehension," Kamangar said. "It is frankly disturbing,"

Steinberg said he based his conclusions on his belief that Murray had connected Jackson to an IV drip of propofol after he gave him an injection of propofol. That assumption, he said, was made because Murray told police he had used such a drip on most previous nights.

When Flanagan challenged him to show where in Murray's police interview he said he used a drip the day Jackson died, he eventually said "I will agree with you, it's not completely clear."

Steinberg also said it was gross negligence that Murray was not prepared for an emergency, such as having a generator in case there was a power failure.

Murray told detectives he gave Jackson a series of three sedatives -- Valium, lorazepam and midazolam -- over a 10-hour period before finally giving in to Jackson's plea for propofol.

"I've got to sleep, Dr. Conrad," Murray said Jackson pleaded to him. "I have these rehearsals to perform. I must be ready for the show in England. Tomorrow I will have to cancel my performance, because you know I cannot function if I don't get to sleep."

Murray said he injected a small dose of propofol using a syringe, but the prosecution contends he also used a makeshift IV setup to keep Jackson medicated and asleep. That drip may have malfunctioned while the doctor was not monitoring his patient, they contend.

The prosecution has been unable to produce the tubing that would be a critical piece of an IV system, although they did show jurors an opened saline bag into which they contend Murray placed an opened propofol bottle.

On the recording, Murray insisted he kept a close watch on Jackson after he finally fell asleep. The physician never mentioned the long list of e-mails and calls that cell phone records later revealed.

Murray was hired as Jackson's personal physician while the singer prepared for his "This Is It" comeback concerts in London, planned to start in July 2009.

If convicted of involuntary manslaughter, Murray could spend four years in a California prison and lose his medical license.

http://edition.cnn.com/2011/10/13/justice/california-conrad-murray-trial/

Experts focusing on Jackson doctor's missteps

By ANTHONY McCARTNEY, AP Entertainment Writer – 31 minutes ago

LOS ANGELES (AP) — Experts repeatedly told jurors that Michael Jackson's doctor acted with "gross negligence" throughout his treatment of the pop superstar, a theme that will likely be repeated as prosecutors near the end of their involuntary manslaughter case against the physician.

The conclusion of the prosecution's case, which may come on Thursday but more likely will extend into next week, brings defense attorneys a step closer to revealing how they will counter damaging evidence presented through more than 30 witnesses so far. The defense case shifted Wednesday when an attorney for Dr. Conrad Murray revealed he was abandoning the theory that Jackson swallowed the fatal dose of the anesthetic propofol.

The Houston-based cardiologist has pleaded not guilty, and his attorneys have repeatedly told jurors they will show Jackson self-administered either the anesthetic or the sedative lorazepam without Murray's knowledge. They had invested months before the trial on the theory that Jackson somehow drank propofol and caused his own death.

Defense attorney J. Michael Flanagan stunned a judge and prosecutors before testimony resumed Wednesday that the results of a study he commissioned confirmed that if Jackson swallowed the anesthetic, its effects would be "trivial" and the issue wouldn't be raised with jurors.

Murray's attorneys may still argue that Jackson gave himself the fatal dose of the drugs, but a pair of experts told jurors that even if that happened, it didn't change that Murray went far astray from medical norms.

The experts, a cardiologist and a sleep expert who both practice emergency medicine, said Murray should have never been giving Jackson propofol as a sleep aid.

"It's beyond a departure from the standard of care into something unfathomable," said, Dr. Nader Kamanger, a UCLA sleep expert.

Kamanger said that even if Jackson did somehow give himself the fatal dose of a drug, Murray would still be at fault.

"Here you have a patient that may potentially have a substance abuse problem," Kamanger said. "It sounds like he had a substance abuse problem," the doctor said, noting that Murray left the singer alone in his bedroom on June 25, 2009 with a variety of drugs readily available.

Jackson's death, he said, was "a foreseeable complication."

Both Kamanger and Dr. Alon Steinberg, a cardiologist, said Murray's admission that he didn't call 911 for at least 20 minutes and his ineffectual resuscitation efforts left Jackson with little chance for survival.

"Every minute counts," Steinberg said, adding that even a five-minute delay in calling could be the difference between life and death. He called Murray's behavior "strange" and along with Kamanger criticized the cardiologist for trying to perform CPR on Jackson's bed rather than a hard surface.

Kamanger and Steinberg each listed multiple reasons for why they felt Murray acted with "gross negligence" while acting as Jackson's personal physician as the singer prepared for a series of comeback concerts in 2009. Steinberg noted that Murray lacked sophisticated medical equipment that is present in hospital settings where propofol is supposed to be administered.

Kamanger said there was no evidence that Murray attempted to diagnose the underlying reasons why Jackson couldn't sleep and was giving the singer sedatives that were addictive.

Kamanger will undergo cross-examination when court resumes on Thursday. Prosecutors are expected to conclude their portion of the case by calling anesthesiology professor and researcher Dr. Steven Shafer, who is a leading expert on propofol.

Defense attorneys will likely call several witnesses and are relying on another anesthesiologist, Dr. Paul White, to try to counter the prosecution experts. White sat in the courtroom Wednesday, occasionally conferring with Flanagan and Murray's other defense attorneys.

The cardiologist faces up to four years behind bars and the loss of his medical license if convicted.

___

AP Special Correspondent Linda Deutsch contributed to this report.

Copyright © 2011 The Associated Press

http://www.google.com/hostednews/ap/article/ALeqM5g8L0jV6LNU7F-ik3Lk1XC0vuKlSw?docId=944af0ee1afc4a23a552bbe5224244e4

Conrad Murray trial: Experts say Murray was grossly negligent
Wednesday, October 12, 2011


Video im Bericht

By Miriam Hernandez, Robert Holguin and Melissa MacBride

LOS ANGELES (KABC) -- During day 11 of the Conrad Murray trial, jurors heard explosive testimony from two medical experts who accused the doctor of being grossly negligent in his care of Michael Jackson.

Deputy District Attorney David Walgren first called Dr. Alon Steinberg, a cardiology specialist who reviewed Murray's treatment of Jackson for the California Medical Board. He made his testimony based on Murray's two-hour interview with LAPD detectives and photos of the death scene.

Steinberg testified that Murray's negligence resulted in the singer's death.

"All those deviations, giving propofol, giving propofol in an unmonitored setting without personnel, without appropriate monitoring, without the appropriate equipment, not being prepared, not appropriately reacting to an arrest, not calling 911 in a timely fashion, all directly impacted his life because if these deviations would not have happened, Mr. Jackson would have been alive," Steinberg testified.

Steinberg said he has never heard of a doctor using propofol to treat insomnia, and also pointed out that Murray was not a board-certified cardiologist at the time of Jackson's death.

Murray stated that he left Jackson's side for just two minutes, but Steinberg contended that even that was an example of negligence, saying, "When you monitor a patient, you never leave their side, especially after giving propofol."

"It's like leaving a baby that's sleeping on your kitchen countertop," he said.

Steinberg said Murray did not have the proper monitoring equipment, such as a pulse oximeter with an alarm, an EKG monitor to check Jackson's heart rate or an automated blood pressure cuff. Murray had only one device to monitor Jackson - a fingertip pulse oximeter with no alarm.

Murray said Jackson's body was still warm when he found the pop star not breathing at about noon, but by the time paramedics arrived, they said the body was cool, and Jackson was possibly dead. The elapsed time was 26 minutes - a period in which Jackson could have been saved, according to Steinberg.

In a police interview, Murray said he didn't call 911 immediately because he didn't know the address of Jackson's house and didn't want to leave the singer's side.

"It takes literally two seconds to dial and say, 'I'm a doctor. There's an arrest. Come to 100 Carolwood now,' put them on speaker, do your stuff," Steinberg said.

Murray maintains he gave Jackson no more than a small dose of propofol, but Steinberg testified that what was more likely was that Murray set up an IV drip as he had for nearly every night in the previous two months.

Under cross examination, Steinberg got into several heated exchanges with defense attorney Michael Flanagan.

"Dr. Steinberg was an effective witness," said George Bird, a certified criminal law specialist. "He talked to the jurors on a level that they could understand."

Also on Wednesday, the defense team dropped a key claim that Michael Jackson ingested propofol orally.

"We are no longer contending that propofol was ingested orally in this case, so we are not going to pursue it," Flanagan told Superior Court Judge Michael Pastor.

Lawyers had said in opening statements that the pop star gave himself the fatal dose of the powerful anesthetic, but after reviewing a study about the effects of propofol if swallowed, the defense decided to drop that claim. The defense still contends that Jackson somehow self administered the sedative propofol.

Dr. Nader Kamangar, a pulmonary and sleep medicine expert, will resume his testimony on Thursday.

In the morning when the Jackson family arrived to the courtroom, Katherine Jackson was asked what it's like for them to be in the courtroom. She responded simply with, "Difficult."

The judge announced at the end of the day that there will be no court on Friday because of scheduling conflicts with witnesses.

Murray is on trial for involuntary manslaughter for Jackson's sudden death on June 25, 2009, at the age of 50. Prosecutors allege Murray tried to hide the fact that he had been giving propofol to Jackson.

Murray, 58, has pleaded not guilty and has denied any wrongdoing. If convicted, he could face up to four years in prison and lose his medical license.

The trial is expected to last five weeks, with Oct. 28 being the estimated last day.

(Copyright ©2011 KABC-TV/DT. All Rights Reserved.)

http://abclocal.go.com/kabc/story?section=news/entertainment&id=8388937 (Archiv-Version vom 17.10.2011)

hier erfolgte ein Update ...

Propofol expert testifies next in trial of Michael Jackson's doctor
By Alan Duke, CNN
October 13, 2011 -- Updated 0903 GMT (1703 HKT)


Dr. Conrad Murray's defense team believes Michael Jackson may have injected himself with a fatal dose of the surgical anesthetic propofol.

Los Angeles (CNN) -- An anesthesiologist will testify Thursday that Dr. Conrad Murray's treatment of Michael Jackson was so grossly negligent that it was criminal, an opinion that echoes two other medical experts called to testify by prosecutors Wednesday.

Dr. Steven Shafer, who may be the last witness called before the prosecution rests its case in Murray's involuntary manslaughter trial, is expected to echo the testimony of a cardiologist and a sleep expert who took the stand Wednesday.

Murray's delay in calling 911 for help as soon as he realized Jackson was not breathing may have cost the pop icon his life, according to cardiologist Dr. Alon Steinberg.

Steinberg and Dr. Nader Kamangar, a UCLA sleep expert, both presented a long list of what they said were instances of Murray's extreme deviation from the standards of medical care, including his failure to immediately call for paramedics.

"If these deviations would not have happened, Mr. Jackson would be alive," Steinberg testified.

The Los Angeles County coroner ruled that Jackson's June 25, 2009, death was from "acute propofol intoxication" in combination with several sedatives, including lorazepam.

Murray's lawyers contend that Jackson used a syringe to inject the fatal overdose through a catheter on his left leg while Murray was away from his bedside. They dropped the theory pushed earlier that Jackson may have orally ingested propofol that the coroner says killed him.

Murray's defense also contends that Jackson swallowed eight tablets of lorazepam, a sedative, in a desperate search for sleep the day he died.

Murray should be found guilty even if jurors accept the theory that Jackson self-administered the fatal dose because the doctor was reckless for leaving propofol and lorazepam near his patient when he was not around, Steinberg testified.

"It's like leaving a baby that's sleeping on your kitchen countertop," Steinberg said. "There's a very small chance the baby could fall over, or wake up and grab a knife or something."

Steinberg said he based his conclusions on Murray's own words to detectives in an interview two days after Jackson's death. That interview was played for jurors in the previous two days of the trial.

Jackson would be alive today if Murray had called 911 for help within two minutes of realizing Jackson was not breathing, instead of waiting about 20 minutes before asking a security guard to call, Steinberg said.

Earlier testimony revealed Murray did ask Jackson's chef to send a security guard upstairs to help him about five minutes after the time prosecutors suggest he realized there was a problem with Jackson. The chef, however, testified that she sent Jackson's 12-year-old son upstairs instead of security.

Steinberg said the use of propofol to treat Jackson's insomnia was another extreme deviation from standards that contributed to Jackson's death. He later acknowledged a recent report from China that the anesthetic had been successfully used to treat chronic insomnia, but he suggested it needed more study to be accepted.

Kamangar, the sleep expert, testified later Wednesday that propofol has no therapeutic value in treating insomnia, and to use it is unethical and an extreme deviation from the standards of care.

"It is beyond comprehension," Kamangar said. "It is frankly disturbing,"

Steinberg said he based his conclusions on his belief that Murray had connected Jackson to an IV drip of propofol after he gave him an injection of propofol. That assumption, he said, was made because Murray told police he had used such a drip on most previous nights.

When Flanagan challenged him to show where in Murray's police interview he said he used a drip the day Jackson died, he eventually said "I will agree with you, it's not completely clear."

Steinberg also said it was gross negligence that Murray was not prepared for an emergency, such as having a generator in case there was a power failure.

Murray told detectives he gave Jackson a series of three sedatives -- Valium, lorazepam and midazolam -- over a 10-hour period before finally giving in to Jackson's plea for propofol.

"I've got to sleep, Dr. Conrad," Murray said Jackson pleaded to him. "I have these rehearsals to perform. I must be ready for the show in England. Tomorrow I will have to cancel my performance, because you know I cannot function if I don't get to sleep."

Murray said he injected a small dose of propofol using a syringe, but the prosecution contends he also used a makeshift IV setup to keep Jackson medicated and asleep. That drip may have malfunctioned while the doctor was not monitoring his patient, they contend.

The prosecution has been unable to produce the tubing that would be a critical piece of an IV system, although they did show jurors an opened saline bag into which they contend Murray placed an opened propofol bottle.

On the recording, Murray insisted he kept a close watch on Jackson after he finally fell asleep. The physician never mentioned the long list of e-mails and calls that cell phone records later revealed.

Murray was hired as Jackson's personal physician while the singer prepared for his "This Is It" comeback concerts in London, planned to start in July 2009.

If convicted of involuntary manslaughter, Murray could spend four years in a California prison and lose his medical license.

http://edition.cnn.com/2011/10/13/justice/california-conrad-murray-trial/

@FaIrIeFlOwEr
@CosmicQueen
@CosmicQueen
Murray kann schon mal zahnbürste und sein köfferchen für die 4 jahre packen.
die jury wird ihn verdonnern. soviel steht für mich heute fest.

Dr. Conrad Murray
The Interview that Sunk Him

Dr. Conrad Murray
Die Befragung, die ihn untergehen lässt

10/13/2011 1:00 AM PDT BY TMZ STAFF



Dr. Conrad Murray would NOT be on trial today for Michael Jackson's death ... had he politely declined to speak with cops 2 days after MJ passed ... law enforcement sources tell TMZ.

Sources directly connected with the decision to prosecute Murray tell TMZ ... Murray's 2-hour interview with LAPD detectives at the Rtiz Carlton Hotel in Marina del Rey gave prosecutors the ammo to charge the doc.

Our sources all say, prosecutors almost declined to file the case, but the police interview made all the difference.

We're told ... police and prosecutors believe they never would have been able to prove Dr. Murray administered Propofol to Jackson almost every day for 2 months, were it not for Murray volunteering the info. The case hinges on Murray's alleged reckless medical treatment, and prosecutors believe administering the drug in a home setting for that period of time proves recklessness.

And, our law enforcement sources say, cops could never have proven that Murray pumped a total of 5 gallons of Propofol through MJ's system were it not for the interview.

But there's something even more fundamental. We're told it became apparent to detectives shortly after Murray's interview that the doctor wasn't telling the whole truth. As one law enforcement source put it, "He told the truth 70% of the time during the interview, and lied 30% of the time. And the lies created the suspicion that led to the investigation that led to charges being filed."

The real question -- why did Murray volunteer to speak with cops and spill his guts? As one source put it, "Murray and his lawyer never thought he'd be charged with a crime. He was worried about the bad P.R. and felt he could put a lid on it." And another source added, "smart people who are arrogant think they can talk to cops and make a problem go away, but it doesn't work that way."

http://www.tmz.com/2011/10/12/dr-conrad-murray-michael-jackson-propofol-police-lapd-interview/#.TpasT3LVanA

EC145 schrieb:Murray kann schon mal zahnbürste und sein köfferchen für die 4 jahre packen.
die jury wird ihn verdonnern. soviel steht für mich heute fest.

seh ich auch so finde das zuviele Zeugen bisher aussagten das Murray fast alles falsch gemacht hat was man machen konnte ... und es haben auch mehrere gesagt das MIchael schon vor eintreffen der Sanis nicht mehr lebte ... ich denke da kann die Jury auch nicht drüber wegsehen

@FunnyKerstin
genau Murray hat alles aber auch alles falsch gemacht. das verdient strafe.