Stiri Michael Jackson 2011
Ianuarie

Rezumatul primei zile din infatisarile preliminare ale procesului impotriva lui Murray - 4 Ian, 2011 Preliminary Hearing Day 1

- Katherine, Latoya and Jackie Jackson attends the hearing.

- After opening statement from the DA, Kenny Ortega, Michael Amir Williams and Faheen Muhammad testifies.

- Below are the summary of their testimonies as reported by the media

Prosecutor David Walgren opening statement

- Walgren on his opening statement mentions that MJ was already dead by time Murray called for help, Murray hid the fact that he have propofol to MJ, Murray didn't do proper CPR (performing CPR on Jackson with one hand on his bed, rather than a hard surface as is generally required.)and that he asked a bodyguard (Alberto Alverez) to hid evidence.

- "The evidence will show through the expert testimony, by all accounts, Michael Jackson was dead in the bedroom at 100 North Carrolwood prior to the paramedics arriving," Walgren said.

- Walgren said evidence will show Murray waited at least 21 minutes to call 911 and ordered a bodyguard to help him clean up evidence before summoning help. In the most favorable interpretation, Walgren said, Murray waited at least nine minutes before calling paramedics.

The following is the timeline of events as presented by Walgren

- 1:30am Court learned through evidence that Murray began treatment
- 2:00am valium pill administered
- 3:00am Intravenous diazebeem, IV of benzso
- 5:00am other treatment
- 7:30am other drugs through IV
- 10:40-11am infusing with propofol..at some point he ceases to breathe and dies after that
- MJ dead before paramedics arrived
- Only 2 pepople in room at the time— MJ and Dr. Murray
- 11:51am call- lasted 11 mins..witness heard noises at other end of phone. Likely Conrad Murray who realized MJ was not breathing.
- 12:12pm Call by Murray to Michael Amir Williams, security, saying he needs help..left a message.
- 12:15pm Williams returns call and Murray says MJ had a bad reaction. Williams calls another member of security who is not at house.
- 12:17pm Williams then calls Alberto Alvarez who is in second trailer outside house, checks permission to go in house, goes upstairs to MJ's bedroom.
- He Sees MJ on bed, Murray doing one handed CPR on the soft bed.
- Murray reports MJ had a bad reaction and asks Alvarez to collect medical evidence.
- Prosecution says Murray has still not called 911 at this point.
- 12:21pm Alvarez told to get a bag and Murray collects medical bottles, and IV bag etc., as told and only then is he told to call 911.
- Possible that Murray waited 20 minutes to call 911...MJ could have been dead before noon.
- 12:26pm Paramedics treating MJ on site. MJ's Eyes fixed and dilated and he was cool to touch. He flatlined so heart action taking place. MJ dead...no observation of appropriate equipment for treatment with propofol, according to paramedics.
- Asked Murray about underlying medical condition. Asked Murray what drugs he had given...doesn't mention propofol
- Prosecutors says this could have been useful.
- UCLA medical center advised futher care on MJ useless..they in contact with paramedics.
- 1:07pm Paramedics transport to UCLA with MJ
- 1:13pm Arrive in ER room.
- Doctors at hospital only asked Murray what he treating MJ for. Mentioned on drug, valium and flomax..no mention of propofol to UCLA doctors.
- Doctors still tried to bring MJ to life.
- 2:26pm Dr. Cooper at UCLA pronounced MJ dead.
- Murray had conversation with security personnel at hospital.
- Detectives question Murray next day and then learned of propofol.

Murray's attorney, Ed Chernoff, declined to give an opening statement.

Kenny Ortega testimony

- Ortega mentions that on June 19th Micheal didn't seem well.

- "He didn't look well at all," Ortega testified. "Michael was chilled and soft-spoken. ... He wasn't in the kind of condition to be at rehearsal." Ortega also said Jackson appeared lost.

- "It was scary. I couldn't put my finger on it," Ortega said. "I said, 'Michael, is this the best place for you to be or do you want to go home and be with your family?' He said, 'Would you be OK with that?' I said, 'OK,' and he left."

- Ortega say on June 20th he's called to a meeting at MJ's house. He says MJ, Murray, Frank Dileo and Randy Phillips was present at this meeting.

- Ortega says ""It quickly became clear that the meeting was about me, Dr. Murray was upset that I had sent Michael home the night before and didn't allow him to rehearse."

- Ortega says Dr. Murray scolded him and said "Dr. Murray told me that this was not my responsibility and he asked me not to act like a doctor or psychologist ... and leave Michael's health to him" . Ortega also mentions Murray suggested Jackson should not have been sent home because he was physically and emotionally fine.

- Ortega recalls what MJ told him by saying "I know you love me and care about me. You don't have to worry about me. I'm fine,' and he gave me a big hug,".

- When cross examined by defense lawyers Ortega says he never seen anyone going through drug withdrawals, denies discussing MJ's health with Karen Faye. He also denies "riot act" and yelling to Michael saying "it was an emotional meeting but there was no yelling"

Michael Amir Williams testimony

- Michael Amir tells that he received a frantic call from Murray saying MJ had a "bad reaction" and that immediate help was needed, but that the doctor didn't ask him to call 911. Murray also tells Williams to get the house right away.

- Williams says he then called Alberto Alvarez, MJ's security guard, and asked Alvarez to walk to the front door. Williams says he heard Murray's voice in the background, then Alvarez hung up.

- Williams said he arrived at the house when the ambulance was already there and helped put the children in a car to follow the ambulance.

- Williams said Dr. Murray then approached him and said ”Brother Michael, Mr. Jackson has some cream in the house that I knew he wouldn't want the world to know about". He added "It was an odd question, to ask to go to the house to get the cream.”

- Williams testified that he told Murray he didn't have a key to the house when in fact he did. He says he called the house and ordered that it be put on lock down and not to let anyone in.

- Williams said that Frank Dileo, Murray and him went to tell MJ's kids that their father was dead.

- His voice faltered as he recalled how the children, still thinking their father was alive, began listing his allergies for the doctors. “It was horrible,” he said.

- Williams said Murray said he was going to get something to eat and left the hospital.

- In cross examination by Murray's lawyers Williams connection to the Nation of Islam,other phone calls he made in the minutes after Murray's call is questioned. He also asked the personal assistant how frequently he went upstairs to Jackson's bedroom, and whether his fingerprints may be found on vials, intravenous bags or syringes. Williams denied this saying "I never touched any of that".


Faheem Muhammad testimony

- Faheem testifies to be in the room when Murray was administrating CPR.

- Jackson was lying with his eyes and mouth open, appearing not to be alive, testified Faheem Muhammad. “I recall him being in a sort of panic state, and I recall him shortly after asking if anyone in the room knew CPR,” Muhammad testified.

- Muhammad said " I knew Dr. Murray was a heart surgeon, so I looked at Alberto [Alvarez] kind of shocked,” he said. Alvarez eventually began helping Murray administer CPR, Muhammad testified.

- Muhammad also testified MJ's kids Prince and Paris being inside the room/ just outside the door and Paris crying on her hands and knees. He says the left the room to whisk two of Jackson's children, Paris and Prince, away from the foyer at the front of the room to keep them from the commotion.

- Muhammad also testified that less than an hour after the singer had been declared dead, the doctor approached him, saying he was hungry and wanted to get something to eat, and abruptly left the hospital soon afterward.

- In cross examination Muhammad said Murray spoke with MJ's family and police before leaving.

Rezumatul zilei a doua din infatisarile preliminare ale procesului impotriva lui Murray - 5 Ian, 2011 Preliminary Hearing Day 2

In the courtroom audience, Jackson's mother, Katherine, dabbed at her eyes during the most detailed public account yet of events surrounding the death of her son. She came to court with her husband, Joe, and children Randy, Janet and LaToya.

Alberto Alvarez

Alberto Alvarez said he was the first security guard to reach Jackson's room after word came that something was wrong. He described a shocking scene.
The King of Pop was on his bed connected to an IV tube and a urinary catheter. His eyes and mouth were open, and Dr. Conrad Murray was leaning over him doing one-handed chest compressions to try to revive him.
Alvarez said he was "frozen" at the sight.
"I said, 'Dr. Murray, what happened?' And he said, 'He had a reaction. He had a bad reaction,'" Alvarez recalled.

On the witness stand, Alvarez recalled Jackson's children Paris and Prince walking into the room during the effort to revive their father.
"Paris screamed, 'Daddy!' and she started to cry. Dr. Murray said, 'Get them out. Don't let them see him like this,'" the bodyguard said.
Alvarez's voice choked as he described Paris crying and he took a moment to compose himself.
"I said, 'children, don't worry, we'll take care of this.' And I escorted them out and left the door ajar," Alvarez said.

They heard Alvarez testify that he helped Murray bag the medicine and saw an unidentified "white milky substance" in the bottom of an intravenous bag.
"He just grabbed a handful of bottles, or vials, and he instructed me to put them in a bag," Alvarez testified, adding Murray also told him to place an intravenous bag into another sack.
"Is it true that 911 had not been called yet?" Walgren asked.
"That's true," Alvarez replied.
After collecting everything and bagging it, Alvarez said, Murray told him to call 911. The prosecutor then played a recording of the call.
Alvarez was heard on the tape telling the 911 operator that Jackson's private doctor was there, and she responded that he would be "the higher authority."
When the operator said to transfer Jackson to the floor, Alvarez grabbed Jackson's legs and Murray grabbed his upper body. He said at that point he noticed the IV in Jackson's leg that had to be removed. Alvarez also saw that Jackson had the urinary catheter.
Alvarez said Murray then asked him to give Jackson chest compression, while Murray did mouth-to-mouth resuscitation.
Murray said, "'You know this is the first time I give mouth-to-mouth but I have to do it because he's my friend,'" Alvarez recalled.
"Did it appear he was breathing," Walgren asked.
"No sir," Alvarez said.
"His eyes and mouth were open?" the prosecutor asked.
"Yes," the witness said.
"Did he seem to be alive or dead?" Walgren asked.
"Dead, sir," Alvarez said.

Under cross-examination, Alvarez acknowledged he had not told police in two initial interviews that Murray had ordered him to remove potential evidence.

“You didn't think it was suspicious?” asked defense lawyer Ed Chernoff.

“Apparently not, sir,” Alvarez said.

“You thought he was packing up to go to the hospital, right?” the lawyer asked.

“Yes, sir,” Alvarez replied.

Chernoff also questioned Alvarez about his relationship with the Jackson family, which briefly employed him as a guard for the late singer's children, and his discussions with other Jackson staffers, with whom he shares an attorney.

Alvarez acknowledged that he had refused to speak to a defense investigator who had sought to interview him, but that in a police interview he had said he might sell his story to the media at a later date.

Kia Chase

The chef, Kia Chase testified. The only noteworthy thing she testified to was that Dr. Murray did not ask her to call 911 when around 12:05 pm, he came down the stairwell, called for her to "Get security, get Prince." She testified that normally, Dr. Murray would come downstairs to the kitchen to get the juice she would prepare for Michael around 10 am. Dr. Murray did not come down at all to get the juice that morning. She also noted that the dinner she prepared the night before and left in the refrigerator for when they returned from rehearsals at the Staple Center, was untouched when she arrived around 8:30 am that day.

Richard Senneff

A paramedic who was called to the scene of Michael Jackson's final moments testified Wednesday that he had a “gut feeling” the singer's physician was not telling the truth as emergency personnel worked to revive the pop icon.

Richard Senneff, who has worked for the Los Angeles Fire Department for 25 years, said that when he arrived at Jackson's rented Holmby Hills home, Dr. Conrad Murray told him Jackson's condition had “just happened.”

Yet based on the performer's dilated pupils, dry eyes and his skin, which was cold to the touch, Senneff believed Jackson may have been dead for more than 20 minutes, the paramedic said.

“All I can tell you is my gut feeling at the time was this did not just happen, it's been a period of time,” Senneff testified in a hearing being held to determine whether Murray should stand trial in Jackson's death.

Senneff said other things Murray told him did not seem to add up: that Jackson had no underlying condition and was just being treated for dehydration, and that the only medication he had been given was the sedative lorazepam.

Even when pressed repeatedly about what medication Jackson had been given, Murray never mentioned the powerful anesthetic that was eventually determined to have caused the singer's death.
“At that time or any time, did Dr. Murray tell you he'd given the patient propofol?” Deputy Dist. Atty. David Walgren asked.

“No, sir,” Senneff responded.

An EMT continued testifying after a recess, stating all of the emergency workers at Michael Jackson's house knew the singer was dead, but Dr. Murray wouldn't "call it."

In cross examination Murray's lawyers asks if the way MJ looked (thin, frail, black/bluish feet) could be signs of drug addict. Judge stops the question.

 

Rezumat preliminarii 6 Ianuarie 2011 / Day 3

EMT Richard Senneff Testimony

- Senneff testifies that Murray wanted to insert a central line and give magnesium to MJ. Senneff says the EMT's are not trained in central lines and do not have magnesium at hand.

- When Murray says he heard a pulse on MJ's femoral artery (on the leg close to groin), Senneff checks the monitor. DA in cross examination ask if this can be a "false" pulse (pulse happens during CPR compressions).

- Senneff said the singer did not respond to two rounds of drugs to revive him and hospital officials told him over the radio to “call” Jackson's death, but that neither he nor Murray wanted to do so. “I said, 'Be advised, this is a very high-profile VIP,' ” Senneff said.

-Senneff said rescue workers had gone “above and beyond” the call of duty in the field not because Jackson was a celebrity, but “because it was someone's son.”

- When they left the house a paparazzi puts a camera to the window of the ambulance and runs with the ambulance. “It just seemed wrong,” Senneff said. Murray requests that they cover MJ's face with a towel. Paramedics find this as a reasonable request.

- Senneff said that the ambulance driver had trouble navigating away from the residence because of a throng that included passengers of a tour bus and photographers with “big cameras, little cameras, video cameras, still cameras.”

- Senneff says again they never heard a pulse and in his opinion MJ went down between 20 minutes and a hour prior their arrival.

EMT Martin Blount Testimony

- Blount has 20 years experience, was the driver of the ambulance. He's the last of the paramedics in the room. He brings the gurney and other gear. He was by MJ's head.

- He inserts ET tube and gives air to MJ by pumping a hand pump. He sees an Oxygen tank and nasal canula (tubing that goes around the nose and connected to an Oxygen tank).

- Paramedics notice IV on MJ isn't working properly so they are looking for a new place to insert additional IV. They touch MJ's arms looking for a place and think that his body was "cool".

- Paramedics decide to stick the additional IV by the jugular, at that time they realize MJ's eyes were "blown" (fixed and dilated). Blount's opinion is that MJ was already dead. Blount said Murray told paramedics that MJ had passed out about a minute before 911 was called.

- Blount says at one time Murray showed them an hypodermic needle 24 gage which he calls strange as Murray told them he didn't give MJ anything. He also said that paramedics refused to use the needle. Also he sees bottles of lidocaine on the floor. He also calls "condom catheter" presence as odd.

- Blount says he saw Murray scoop up three bottles of lidocaine from the floor and place the vials in a bag during they are trying to revive MJ.

- Blount describes Murray as frantic and sweating profusely.

- Murray makes a phone call in the ambulance.

- In cross examination Murray's lawyers say that Blount actually told detectives that MJ's skin "not warm, not cool".

- Blount says one of the paramedics asked Murray if MJ was taking recreational drugs. Murray says no.

- Murray's defense mentions a paramedic tried 3 times to find a vein on MJ's arms and couldn't and asks if finding veins on drug addicts are hard? Blount gives an example of a known drug addict and being able to find a vein. Defense again asks if it could be difficult. Blount agrees.

Harry Daliwal (AT&T) Testimony

- AT&T employee for 15 years.(AT&T is the carrier for iPhone). 72 pages of cell records, phone, text, email and Internet records.

- Daliwal testifies there were 8 phone calls - 4 incoming, 4 outgoing - between the hours of 9:23 a.m. and 12:15 on June 25th on Murray cell.

- Daliwal says there are also several text and data messages connected to Murray's phone from the morning of June 25th

- relevant data activity
12:03 pm text
12:04 text message to or from TX
12. 13 pm data
12:18 pm data
12:53 pm text mesage California
1:23 pm text message Nevada

- list of phone calls
10:29 am call from ? to Murray's phone 22 minutes
11:07 am from 3233 to Murray's phone 1 minute
11 18 am call from 0973 placed 6802 and that call logged at 32 minutes.
missed listing one call
11:49 am call placed from Murray to 4989 3 minutes.
11:51 am a call placed from Murry to 3832 11 minutes.
12:12 pm from Murray phone to 2570 lasted 1 minute
12:15 pm from 2570 to conrad Murray 1 minute

- Chernoff asks if it's possible to retrieve text messages and voice messages. Expert says yes but he's not an expert and not familiar with the process.


Jeff Strohn (Sprint Nextel) Testimony

-Strohn's documents show there were 6 phone calls - 3 outgoing & 3 incoming - associated with Murray's phone number.

- Phone calls
8:49 am from 5217 to Murray 53 seconds
10:22 am from 0124 to Murray 111 seconds
10:34 am from Murray to 3233 8 and a half minutes
11:26 am from 9566 to Murray seven seconds
1:08 pm from Murray to 070 2 minutes

Overall cell phone activity summary:

- In the approximately five hours before Murray discovered MJ, he had 11 phone conversations on two different phones. Three back-to-back calls lasted 45 minutes just before Murray discovered MJ.

- According to testimony from a phone company representative, Murray sent or received five text messages on his iPhone in this period. His phone conversations on that phone and a Sprint cellphone included calls with his practice in Las Vegas, a clinic he runs in Houston, an employee and another doctor. All told, he spent close to an hour and a half on the phone in the five-hour period.

- The records also show the call from Murray to Michael Amir (MJ's personal assistant) and a two-minute call with his girlfriend, Nicole Alvarez, apparently made while Murray was riding in the back of an ambulance.

- Murray also sent two text messages just within a minute or two of the time when prosecutors believe he saw Jackson was stricken.

Dr. Richelle Cooper (UCLA) Testimony

- UCLA receives call from paramedics. They estimate time of cardiac arrest as 12:18 (this is an "estimated time" based on 911 call and information they receive). As the revival efforts produce no results Dr. Cooper gave the paramedics permission to pronounce MJ dead at 12:57. She was told that MJ personal doc wanted to continue with life saving efforts. Dr. Cooper told for the transport Murray had to take over the control and be with the patient.

- Dr. Cooper testifies MJ, Murray and emergency personnel got to the ER around 1:13 p.m.. When they come to the hospital Murray tells MJ wasn't ill only had trouble sleeping and dehydrated, gave him lorezapeam, witnessed the cardiac arrest. She's later asked what is "witnessing the arrest" means she says "seeing patient stop breathing".

- Dr. Cooper asks if there were any chest pain before cardiac arrest, Murray says no.

- Murray mentions Flomax and Valium.

- Dr. Cooper says MJ was DOA (no sign of life, pupils fixed and dilated, no pulse, no sign of trauma) still tried to revive him, they worked on MJ for 1 hour 26 minutes. She says she never felt or observed pulse on MJ.

- Dr. Cooper also asked Murray about recreational drug use. She says this is a common question as MJ came in with an unexplained cardiac arrest (they didn't know propofol).

- Dr. Cooper gets asked a lot of questions about propofol and it's usage (if she knows the drug, if she used it and such). Cooper says "Protocol requires certain monitoring to administer propofol. There needs to be equipment available to monitor the airway. There must be heart monitoring. There has to be a staff person available as their only job to monitor the euqipment/patient. So that the patient doesn't die"

- Dr. Cooper is asked how much propofol she would give to someone MJ's weight (136 lb), she says she would start with 60mg. She says a dose of 25mg wouldn't last longer than 5-10 minutes and a dose wears of in 20-30 minutes.

- Cross examination Dr. Cooper is asked if she knew Murray given MJ propofol it would have made any difference in her treatment. She says no, she was treating cardiac arrest. She also adds getting drug history helps them give the relevant treatment and understand what happened.

- Walgren asks if the drugs on top of drugs were given to MJ, that would be an accumulative effect? Dr. Cooper answers yes.

- Murray was in the ER room and hands on.

Dr. Thao Nguyen (UCLA) Testimony

- She is a cardiologist and is called to the ER by Dr. Cooper.

- She says Murray never mentioned Propofol or benzodiazapine medications.

- Murray also tells her that MJ was getting ready for a tour, had trouble sleeping and he gave him 4 miligrams of adavan (mirazapam) via IV. She asks Murray if he tried to reverse the effect of the adavan? Murray says no. She asks if he gave any other medicines , Murray says no.

- Murray tells he doesn't have a watch and he doesn't know how long MJ was down. Murray couldn't give an estimate about when the drug was injected and how long MJ was down. Nguyen says Murray's exact words were he ‘did not have any concept of time' which is why he was unable to say when MJ stopped breathing.

- She does the balloon pump although she thinks it wouldn't work based on everything done already. An agreement was made with Dr. Murray that if the balloon pump failed, then they would call the time of death.

- She is asked how much mirazapan she would give to 136 lb patient. She says that she would start with a small dose of 1 mg and need to know the prior use of the drug with the patient.

- She says Murray's voice sounded calm and normal but he looked devastated.

- She says Murray didn't want them to stop the efforts.

Detective Dan Myers testimony

- He talks about the phone calls.

- 7:01am call to Andrew Butler. Murray's patient.

- 8:49 am Angelette Guild. Murray's patient. Called Murray to ask about the note she got saying that Murray wouldn't be in his office.

- 9:23 am call Marissia Bioni. Murray is the father of her friend.

- 10:22 am call Dr. Prechad. She indicated that she in post op room in hospital and ready to perfrom a procedure and she needed to know what kind of medication that patient was receiving. She needed to know if she should continue medication. She did talk to Dr. Murray and they dicussed the care for this patient.

- 10:34 am. Stacey Howel Ruggles. Murray's personal assistant.Murray requested her drafting a letter concerning the upcoming tour in London.

- 11:07 am. again calling Stacey Howel Ruggles - Murray's personal assitant.

- 11:18 call Dr. Murray's practice in Las Vegas.

- 11:26 call. Ms. Morgan.

- call Robert Russel, Dr, Murray's patient.

- 11:51 am Ms. Saday Adinie. Objection to the conversation what the conversation was about is not relevant

- 12:12 pm Michael Amir Williams - Michael's assistant.

- 1:08 pm Ms. Nicole Alvarez.

Rezumat Conrad Murray Preliminary Hearing Day 4 / Jan 7 2011

- Katherine, Joe, and Latoya Jackson are all present.

Detective Dan Myers testimony

- Myers is under cross examination. A lot of objections to the questions.

Sade Anding testimony

- Sade is employed Sullivan Steak house (in Houston) and met Murray there in February 2009. She was Murray's girlfriend/mistress in June 2009.

- Sade Anding -- who was in Houston the day MJ died -- testified she received a call from Murray at around 12:30 PM. It's unclear if she was referring to Pacific or Central time. But there is only one call in the phone records from Murray to Sade, and that's at 11:51 AM PT.

-She said he abruptly stopped responding to her comments. “I just remember saying, ‘Hello, hello, hello! Are you there? Are you there,'” Anding recalled. She said she heard “a commotion, as if the phone was in a pocket or something,” followed by coughing and a “mumbling of voices” that she did not recognize.

- She said she called Murray back and also texted him, but was unable to reach him.

Bridget Morgan Testimony

- Morgan met Murray in 2003 at a club and has a social relationship with him. She called Murray on June 25th but didn't talk with him.

Nicole Alvarez Testimony

- Alvarez met Murray in 2005 at a club she works. Alvarez says that she and Murray developed an ‘intimate relationship' but she doesn't recall if he told her that he was still married. Later in her testimony, however, she said that Murray's permanent residence was “in Las Vegas with his wife.”

- She says Murray stays with her 2-3 nights and doesn't know where he is when he's not staying with her. "Well, I don't have expectations of Dr. Murray, so that's fair to say. That's just a rule that i live by."

- She learns sometime that Murray is MJ's personal doctor (she's quite confused about when she learned it though).

- She says Murray would leave the house at 9-10PM and return between 7-10AM (although there wasn't a pattern).

- Alvarez said that she knew Murray left her apartment each night to treat Jackson, but that the physician told her “absolutely nothing” about those treatments. “Dr. Murray and I were on a need-to-know basis. He's a professional man and I know my position and my place in his life and it is not my duty to know” the details of his medical practice, she said.

- Alvarez says Murray invited her on a trip to England – Murray already told her that he was accompanying MJ on the same trip.

- She says Murray told her that packages will come to her house and asked her to just bring them inside. She says he didn't tell her the contents or say that they were important. She says she never opened any of the packages. She says she never asked about the packages (what they contained).

- She says as the packages were for Murray she didn't pay attention to the sender. She said Murray told her he was having packages shipped to the apartment, but she never opened the boxes or looked closely at the return address.

Elissa Fleak LA Coroner Investigator

- Fleak arrives at UCLA at 5:20PM for physical examination of the body to see if she can infer anything about the cause of death. She did not see obvious signs of a cause of death.

- Fleak gets 4 bottles of blood from UCLA for toxicology tests.

- After ER she goes to MJ's house to make observation of the bedroom taking photographs, documenting the room, collecting ‘several pill bottles' from beside his bed.

- Fleak starts with documenting prescription medications found on the stand. She observes flomax clonazapan, diazapam, lorazapam, tomazapam, trazadone tiziaandine, several pill bottles, tubes of lotion. Hydrocodone. tube of lidocane lotion. benequin. She documents who prescribed what.

- Tube of lidocaine lotion on table. There was a syringe on the table and one on the ground as well, next to the bed. IV bag with connected tubing. Blue “ambu” bag. goes to a nasal canua. Syringe on the table, needle on the floor, they may have been together they may not have been. (this is the one she described as broken syringe) ,an IV stand. saline bag. jug of urine. several urine pads. open box of disposable hypodermic needles. Iv catheters. empty vial of propofol and tomazinil.

- She returns June 29 for her investigation. She learned from detectives that there's additional evidence in the house. She goes to the attached room lined with wooden closets lined with wood. She recovers several items.

- List of the items: 1 black square bag with a zipper. 1 dark blue bag with a zipper with costco on the outside.light blue and brown colord bag. With a zipper with baby essentials bag .Misc. medical supplies. bag full of bedoquin lotions.

- Inside one bag : black pressure cuff, three 30 mil bottles of lidocaine. 2 empty and one of them had some liquid in it. All three of them had been opened.

- Large blue costco bag: saline bag that hat had been cut open with 100 mg propofol bottle inside it (open and had liquid in it). 20ml propofol open with liquid in it. 10 ml morazapam bottle open with liquid in it. 2 bottles of midazalom 10 ml both open both had liquid in them. bloody piece of gauze A bag of miscellaneous medical packaging and finger pulse monitor.

- Other bags: 2 100ml bottles of propofol , 2 20 ml bottles of propofol unopened, 3 20 ml bottles of lidocaine opened.1 30 mil bottle of lido unopened 20 ml bottle of diazolam opened 1 4ml of diazopam unopened etc (this is not a complete list)

- Additional items : Red pill bottle with no label that contained 14 caples turend out ot be emphederine. Over the counter night drops. Five business cards of Dr. Murray.IV clamp
blue strip of rubber.

- Overall :
6 bottles of lidocaine.
12 bottles of propofol. Elissa Fleak says two bottles were in the bedroom where MJ died, and the other 10 were in a nearby closet. One of the Propofol bottles found in the room by the nightstand was empty.

-Fleak says the prescribing physician on all the prescription medicines, whether in pill or cream form, was Dr. Conrad Murray.

- Fleak says she also saw some juice bottles.

- On cross Fleak says a needle on the bedroom floor was about a foot away from Jackson's bed - while the Propofol was ‘a couple of feet away'.

- Murray's lawyer, J. Michael Flanagan, asked Elissa Fleak two questions that alluded to their theory: 1) Was the IV bag fingerprinted? and 2) Was it possible for Jackson to reach the syringes from the bed? Judge didn't allow these questions as they were speculative and Fleak didn't answer these questions.

 

Rezumat Conrad Murray Preliminary Hearing Day 5 / Jan 10 2011

Tim Lopez

Pharmacist sent large amounts of anesthetic to Dr. Conrad Murray

The owner of a Las Vegas specialty pharmacy testified Monday that he sent large quantities of propofol to Dr. Conrad Murray in the three months before Michael Jackson died from an overdose of the surgical anesthetic.

Pharmacist Tim Lopez said Murray never mentioned the pop star was his only patient at the time and instead led him to believe the 255 vials of propofol he requested were being used for patients at a Los Angeles clinic.

In reality, the four shipments Murray placed, including a final order 10 days before Jackson stopped breathing, went to the Santa Monica apartment where Murray's mistress and infant son lived.

Lopez said that when he volunteered to personally deliver an order during a trip to Los Angeles, Murray told him not to.

“He said just Fed Ex it the way we normally do,” Lopez recalled.

Orlando Martinez

- Martinez is LA Robbery Homicide detective with 16 years experience. He investigates deaths.

- Martinez interviews Murray on June 27th.

- Murray says he first met MJ in 2006 through a patient's son and later treated MJ and his kids for flu in Las Vegas.

- Murray tells the detectives that he received a call from Michael Amir Williams saying that MJ wanted him as his doctor for the tour.

- Murray tells the detectives for a little over 2 months he has been treating MJ, assisting him to sleep six nights a week. Murray said he would assist MJ with 50 milligrams of propofol (maximum). An injection to get him to sleep and with an IV drip to keep him under.

- Murray says that he felt that MJ had developed a dependency on the propofol. So he decided to try to wean him off, and introduce other agents. Last 3 days Murray says He lowered the amount of propofol and administered the other two drugs -lorazapam and the midazalam.

- What happened after MJ came home from rehearsal : MJ arrived upstairs to the room, they had a brief discussion as to what went on that night and that MJ had a shower and changed. Murray rubbed some skin lotion on MJ back for a dermological condition

- Murray says IV was either on MJ's right or left leg below the knee.

- Murray's timeline
2AM : 10 mg valium orally. 2 mil lorazapam with saline pushed slowly 2 to 3 minutes.Done with a syringe using the IV port
3AM : 2 mg of diazopam same method
3:20AM : MJ fells asleep for 10-12 minutes then wakes up.
Murray says he turned down the lights turned on the music, and suggested that MJ to meditate. MJ says he has to cancel the rehearsal / shows because he couldn't sleep.
Murray gives more Mirazapam - no effect
5AM : 2 miligrams of lorazapam - no effect. MJ complains about cancellations.
7:30AM : MJ still up, complains about the pressure on him for cancelling rehearsals. Murray gives another 2 milligrams of diazopam.- no effect
10AM: MJ asks for his milk.
10:20-10:40 : Murray gives propofol. 25 mg over some time.
11AM : MJ falls asleep. Murray watches MJ for a while when he feels comfortable with MJ's situation he goes to the bathroom for 2 minutes.
He comes back after 2 minutes and stunned to see that MJ wasn't breathing, because he always looked at his chest and his diaphramatic motion.
Murray starts chest compressions. - one hand under supporting MJ's back and the other hand on top of his chest. He says he also did mouth to mouth.
Murray says he couldn't get MJ to the floor on his own.
Murray says he was caring for MJ and didn't want to interrupt it and that's why he didn't call 911.
Murray injected MJ with tomazapil. .2 mil

- During this process he called Michael Amir Williams - while holding the cell phone one hand, giving chest compressions with other. Murray also left the room to the landing to call out to Kai Chase.

- Murray doesn't tell the detectives that he was making phone calls and sending text messages when he was supposed to care for MJ. Murray only mentions the call he made to Michael Amir Williams.

-Chernoff on cross: "Murray told you that MJ told Dr J that he wanted to push the medication in himself but Murray told you that he wouldnt' let MJ do that." - Yes .

 

Rezumat Conrad Murray Preliminary Hearing Day 6 / Jan 11 2011

Christpher Rogers

- LA coroner. Employed since 1988 as a forensic pathologist

- He performed the autopsy on MJ.

- Findings : MJ's overall health was excellent.

- MJ had prostate issue; vitillago, polop of the colon, inflammation and scaring of his lungs, and also had some arthritis of the spine.

- MJ was 5' 9” and 136 pounds. His BMI (body mass index) 20.1. It falls to the thin side of normal weight.

- MJ did not have any abnormalities of the heart and he did not have any atherosclerosis. He did not have any cardiac disease.

- There was no trauma or any natural disease that caused his death.

- They decided it was homicide based on the info they have and substandard care given to MJ.

- Cross-examination : Rogers say that situation doesn't support self administration of self treatment of propofol and there were no factors inconsistent with his conclusions.

- Cross-examination : Rogers is asked hypothetically if MJ ingested propofol and lydocaine himself would it still be considered homicide. Rogers answer is that it would still be homicide based on the medical care - the fact that there was propofol in a house setting and there was no preparation for adverse effects.

- Question about self administration : The IV catheter was in the left leg a little bit above the knee. Rogers mentions it's hard to reach and in order of MJ to inject himself it would require the doctor to stop medication, leave the room, MJ wake up and gain the necessary awareness to press /push propofol.

- Cross - examination : Oral digestion. Rogers say it's possible to orally digest propofol but doesn't think that's the case here as the amount in the stomach is so small.

He said that even if Michael Jackson injected himself with the fatal dose of Propofol, Dr. Murray is still guilty of homicide.

Dr. Christopher Rogers testified he believes Dr. Murray had no business administering Propofol outside a hospital setting, particularly without the appropriate medical equipment. Rogers said given MIchael's dependence on Propofol and the fact that Murray left him alone in the room with access to the drug constitutes a homicide.

He said Murray had endangered Jackson by using the drug in a home setting without proper monitoring, regardless of who gave the final dose. The testimony was a blow to the defense.

Dr. Richard Ruffalo

- Ruffalo is an anesthesiologist and clinical pharmacologist. He went over everything about MJ's death and wrote a 47 page independent report.

- He says propofol levels in MJ at the time of his death would be even higher as the blood is drawn from him after he received a lot of IV fluids and propofol degrades over time.

- Dr, Ruffolo also thinks the numbers of the benzodiazapams from the heart blood, he thinks reflect an injection of a higher dose than what Dr. Murray states he gave.

- Dr. Ruffolo mentions monitoring requirements and the equipments and training needed for any emergency situation response.

Closing statements

Murray's lawyers arguments

- We have never heard the time of death, if we knew the time of death we can find out who is involved.

- Murray saw MJ everyday for 3 months, he would know how MJ interacted with these drugs better than the other doctors.

- We heard from an anethesiologist what he would use as a standard of care. We didn't hear from a cardiologist in a similar situation and training.

- Murray injected around 10:40 so if Dr. Murray was away from MJ, how could he have given another dose of propofol? so what was going on between 11 am and 12 am? That goes to show you right there that Dr. Murry could not have given that dose, he was on the phone.


Prosecutor Walgren's Arguments

- Walgren is very angry and passionately in a loud voice, arguing his case.

- It was not MJ time to go. MJ's children are without a father.The reason MJ is not here today, is because of the careless, negligence careless incompetence of Murray. MJ is dead at the hands of Murray.

- Walgren goes over what is heard in the testimonies.

- Walgren mentions Murray's timeline "According to Murray's own timeline, that he let MJ lie there for over an hour not breathing. Or he could be lying about his timeline, and Murray is not being truthful about his timeline. Third option, is that Dr. Murray is so utterly so incompetent and reckless, that he has no idea what he gave him or when."

- Judge Pastor denies the defense's motion to dismiss the case.

- Walgren asks for an increase in the bail amount. (wants it to be $300,000). Judge denies this as he doesn't think Murray is a flight risk.

- Ms. Saunders of Medical board goes over the testimony and asks the judge to suspend Murray's medical licence. Judge grants that request.

- Arraignment is set for January 25th, at 8:30 am.

 

Conrad Murray arraignment January 25th

Dr. Conrad Murray a pledat nevinovat in cazul privind moartea lui Michael Jackson.

Judecatorul Michael Pastor a decis la inceputul lunii ca exista suficiente dovezi pentru proces.

Data de inceput a procesului a fost fixata pentru 28 martie.

Daca va fi condamnat Murray risca o pedeapsa de maxim 4 ani in inchisoare.

Februarie

Katherine Jackson si copiii lui Michael la GMA

Judecatorul amana cu inca o luna procesul lui Murray

Judecatorul numit in cazul intentat de procuratura doctorului implicat in moartea lui Michael a amanat inceperea procesului pana la inceputul lui mai.

Los Angeles Superior Court Judge Michael Pastor a anuntat amanarea miercuri dupa ce s-a intalnit cu procurorii si avocatii apararii.

Miscarea vine dupa ce judecatorul chestionase deja apararea asupra unor documente pe care nu le-au predat inca procuraturii.

Procesul era programat sa inceapa pe 24 martie debutand cu alegerea juratilor.

Potentialilor jurati le vor fi inmanate chestionare in data stabilita anterior dar procesul va incepe efectiv pe 9 mai.

 

Martie

Un nou videoclip - HOLLYWOOD TONIGHT (10 martie)

Goodbye dear Elizabeth...

michael jackson
michael jackson

 

Aprilie

Avocatii lui Murray doresc o noua amanare a procesului

By LINDA DEUTSCH
ASSOCIATED PRESS

April 29, 2011, 5:47PM

LOS ANGELES — Defense attorneys for the Houston doctor charged in Michael Jackson's death have asked a judge to delay the trial so they can prepare for newly named prosecution witnesses.
Superior Court Judge Michael Pastor did not immediately rule on the oral motion made Friday but instructed attorneys for Dr. Conrad Murray to file a formal motion by Sunday afternoon.
Pastor set a hearing for Monday to decide whether to delay the case just two days before jury selection was scheduled to resume and a week before opening statements were expected.
Murray's defense attorney Ed Chernoff told Pastor the cardiologist had agreed to a delay.
Murray has pleaded not guilty to involuntary manslaughter.
Chernoff and J. Michael Flanagan had argued that the new evidence against Murray should be barred from the trial because it arrived too late.
Deputy District Attorney David Walgren said that would be absurd and called the situation the defense team's own fault for refusing to delay the trial when he and the judge suggested it.
Among the new expert opinions proposed by prosecutors is that Jackson could not have caused his own death by swallowing the powerful anesthetic propofol because it is not absorbed through the intestines.
At a preliminary hearing earlier this year, the defense posed the idea that Jackson, desperate for sleep, swallowed the drug while his doctor was out of the room. Propofol is normally is administered intravenously for surgery.
Superior Court Judge Michael Pastor said he would not exclude the expert testimony and declared he prosecution was not trying to "sandbag" the defense by disclosing the witness so close to the possible end of jury selection next week.
"This case involves sophisticated scientific issues," Pastor said, adding it was likely that new theories would arise during discovery of evidence.
"I'm not surprised by the situation," the judge said. "I anticipated these problems when I was advised that this case was going to proceed within 60 days after the preliminary hearing."
Murray, who has pleaded not guilty to involuntary manslaughter in the death of the pop superstar, has insisted on moving forward quickly.
Walgren said the prosecution, which originally listed 11 anticipated expert witnesses, has cut that down to four, most of them new.
"When the first experts got into this, it was not anticipated the defense would go with the theory that Michael killed himself," the prosecutor said. "This is a situation they created ... It was always our theory that Dr. Murray was incompetent, untruthful and caused the death of Michael Jackson."
With the new defense theory in play, prosecutors had to seek new scientific experts, he said.
Flanagan said he and Chernoff now need additional experts to respond to the newly added prosecution witnesses.

http://www.chron.com/disp/story.mpl/nation/7543658.html

O noua amanare

Procesul a fost amanat pana in septembrie.

Pana atunci apararea va avea timp sa inventeze o noua poveste trasnita cu privire la ce s-a intamplat in acea noapte si presa va avea timp sa publice alte minciuni.

Oricum intr-un final adevarul va iesi la iveala si se va face dreptate...

 

Be nice, you never know when you dance with Michael Jackson
Nancy J. Caldwell

Detroit, Michigan; Summer of 1981. I was with two of my long time friends at our local dance club where our favorite band plays most weekends. We are regulars there. I ordered a coke and both of my friends were appalled and demanded I purchase a real drink. What would people say if they knew I wasn't drinking? My reply was, “who cares, people can think its Rum and Coke. What difference does it make?” They insisted on buying me a real drink but I declined. I was getting tired of their discussions as if I somehow wasn't there hearing them pass judgment on me.

Just then a man came up to the table and asked me to dance. He had an Afro-style haircut, wore a long coat and rumpled clothes and looked like a bum. His voice was soft despite his rough appearance. I had a feeling this guy was someone special and my thoughts jumped to the Good Samaritan story. With absolutely no hesitation, I said “yes.” He helped me out of my chair and I led the way to the dance floor.

I'd started dancing when I was three years old and throughout my childhood I performed in dance recitals, talent shows, in hospitals and retirement homes. When I wasn't performing I was taking dance classes or practicing. I love to dance.

It has been my experience that most guys don't dance well and I usually lead on the slow ones. So I was doing my thing on the dance floor when I looked over at my partner and realized this guy was nothing short of an amazing dancer with moves I've never seen before (and I went out dancing a lot!) I was excited to find someone who could challenge me, so I stepped up my moves. Who was this guy; and how lucky was I to be dancing with him?

The song ended and I hoped we would stay for another but he walked me back to my table, thanked me for the dance with a slight bow then disappeared. My exhilaration turned to disappointment. It was too fast. We didn't even talk. I wanted more.

 


michael jackson

My reverie was cut dramatically short when both of my friends took turns reprimanding me for not only dancing with a bum but a bum who was a Black man. ‘What was I thinking anyway? I should stick to my own kind. Didn't I notice his flapping shoes?’ They told me it was embarrassing for them to be with me. I thought: “who are these people I thought were my friends? We are so very different now and I no longer seem to have anything in common with them anymore.”

Through my life, I have often thought about that evening—sometimes because of my now ex-friends' behavior and the criticism about my choices in drink and my dance partner. Mostly I think about the fact that whoever I danced with that night was someone special. It was obvious the guy was in disguise and I wondered why he would do that. Was it God testing my ability to accept people as they are and not to judge? I believe that was the case. The guy didn't smell like a street person at all. Although his clothes were worn and rumpled, they were clean. I never even noticed his floppy shoes. And you have to get past a bouncer and show your ID to get in to the place and they didn't have a problem with him. I felt very safe with this person. His energy was magnetic and he had manners far better than most guys who ask me to dance. I really wish the experience had lasted longer. It was a highlight in my life that I have returned to many, many times since and wondered who this person was and why it happened.

Cut to July 7, 2009, Staples Center; Los Angeles, California—Michael Jackson's Memorial.

His brother, Marlon, is on stage relating a story about this guy he saw in a record store. He described him as dressed in rumpled clothes, an Afro . . . I froze. He was describing the man I danced with that night in Detroit so many years earlier. He continued his story ... ‘So I said, Hi Mike, what are you doing here?’ In that moment I had absolutely no doubt whatsoever who I had danced with that night so long ago. I had danced with Michael Jackson!

I told myself it was crazy: ‘what would Michael even be doing in Detroit?’ Then I found out that in that very time frame he was on his Triumph Tour, and one of the stops was Detroit. I looked it up on Wikipedia and found out they were performing on August 29th (Michael’s birthday but he and his family did not celebrate birthdays at this time) at the Joe Louis Arena which was an easy drive to the club. So it was possible. Later I saw a picture of Michael dancing with Tatum O'Neal where he was in mid-move—that distinct move. He also did it in the Don't Stop 'Til You Get Enough video where first there is one of him doing it, then two and finally three. He leans back a certain way with his leg in a specific position. That was the move I saw across from me on the dance floor back in Detroit.

Now that I know it was him, I wish more than ever we had danced longer, exchanged a few words, and that he might have revealed himself. That evening when I left the club, feeling a bit down from the treatment from my so-called friends, and the all too short time with the mystery dancer, the bouncer made an odd comment to me that made no sense at the time. I remember this because he rarely spoke to me beyond "ID please" and "go on in" but whatever he said was something about my dancing that lifted my spirits a little even though it was cryptic. Now, knowing who I danced with that night, I realize his comment must have been something about me dancing with Michael without coming right out and saying it given the man’s desire and need to be in disguise. He had to have known since he checked everyone's ID in this small place and he had a bird's eye view of the action, including the dance floor.

I don't know why I chose not to have alcohol that evening but I think none of this would have happened if I had indulged, especially now knowing that at that time, Michael did not drink. No matter how short that moment when I didn’t know who I was with, it was already tucked away as a standout experience in my memory. Now it is something I will be eternally grateful for having in my life. It fits with the message Michael Jackson told repeatedly: “It doesn't matter what we look like, we are all a part of each other. Don't judge, accept and above all L.O.V.E.”

Mai

Videoclipuri din ultimele repetitii si 2 poze de la autopsie vor fi prezentate in timpul procesului

A Los Angeles judge says prosecutors can show limited clips of Michael Jackson's final rehearsals during the trial of the doctor charged in the singer's death.

A deputy district attorney says Thursday the footage shows that Jackson was highly engaged in preparing for his comeback tour and was not desperate, as defense attorneys have alleged.

Los Angeles Superior Court Judge Michael Pastor says prosecutors can only show footage from Jackson's rehearsals on the two days before he died on June 25, 2009.

Dr. Conrad Murray's defense attorneys objected to showing clips of Jackson performing "The Way You Make Me Feel" and "Earth Song," saying it had been edited to show Jackson in the best light.

A judge hearing the Michael Jackson manslaughter case says prosecutors can show jurors two images from the singer's autopsy.

Superior Court Judge Michael Pastor ruled Thursday that prosecutors trying Dr. Conrad Murray can show what Pastor described as benign photos that are not graphic or gruesome.

Deputy District Attorney David Walgren says he intends to introduce photos during the upcoming trial that will be carefully displayed.

Iunie

25 iunie 2011

michael jackson
michael jackson

La Multi Ani Thomas Mesereau

michael jackson

Iulie

Vizita din Indiana (videoclipuri)

Partea 1

Pareat 2

Partea 3

Partea 4

Partea 5

 

michael jackson
michael jackson

August

Stiri despre proces

July 25th hearing

Final Jackson rehearsals won't be shown at trial

(AP) LOS ANGELES — A judge says unseen footage of Michael Jackson's final rehearsals cannot be shown to jurors in the upcoming trial of the doctor charged in his death.

Los Angeles Superior Court Judge Michael Pastor approved a motion by Sony Pictures quashing a subpoena for 16 hours of previously-unseen footage of Jackson's rehearsals for a series of comeback concerts. He said Monday that the images were valuable to the studio and did not show the singer in poor health as Dr. Conrad Murray's attorneys have contended.

August 8th hearing

Conrad Murray Jury Questionnaire Up for Debate

Judge and lawyers in the case against Michael Jackson's personal physician, Dr. Conrad Murray, met Monday morning for a pretrial hearing.

The hearing focused on the questionnaire used for potential jurors. Judge Michael Pastor said he had a sense that the questionnaire discussed in media reports over weekend was "related to old draft."

It was revealed during Monday's hearing that the prosecution has a list of drugs Murray prescribed to patients other than Jackson.

The prosecution also asked that Murray's defense team provide more discovery information on its 103 potential witnesses. So far, according to the prosecution, it has no witness statements for 76 candidates.

Murray was not present Monday.

August 10th hearing

STORY HIGHLIGHTS

* NEW: September 8 is still "our go date" for the trial to start, judge says
* NEW: Defense interviews Dr. Arnold Klein's ex-office manager as a possible witness
* NEW: The former manager says Klein supplied Jackson with drugs before his death
* NEW: Prosecutors says defense lawyers have now met discovery requirements

Un nou interviu cu Thomas Mesereau

Listen the interview

The staff of PositivelyMichael is pleased to announce that we will be partnering with Thomas Mesereau during Conrad Murray’s involuntary manslaughter trial.
During the trial, we will be releasing regular podcasts in which Tom will answer fan questions.

michael jackson

Desene ale lui Michael Jackson au fost donate unui spital de catre copiii sai

Michael Jackson's mother and three children presented 13 pieces of art created by the late pop legend to Children's Hospital Los Angeles on Monday afternoon.

Artist Brett Livingstone-Strong, a close friend who Jackson once called a "modern-day Michelangelo," offered to donate the pieces to the hospital, hospital spokeswoman Lyndsay LaGree said. Some of the works are signed by Jackson.

The pieces were unveiled by Katherine Jackson and the singer's three children –- Prince Michael, Paris and Blanket –- at a 2:30 p.m. ceremony at the hospital. Other members of the Jackson family were also in attendance, along with Mayor Antonio Villaraigosa, hospital CEO Richard Cordova and trustee Mary Hart.

The artwork will be installed throughout the hospital after an art board determines where the pieces should be displayed, LaGree said

 

michael jackson

Cele mai deosebite momente de la VMA

michael jackson
michael jackson

Frank Dileo a parasit aceasta lume...

Frank Dileo , unul dintre veteranii industriei muzicale, managerul lui Michael Jackson din anii `80 dar si in ultimele luni de viata ale  acestuia, a murit la varsta de 63 de ani in casa sa din Ohio. RIP

michael jackson

 

Sarbatoriti cu ceilalti fani ai lui MJ aceasta zi speciala-29 august 2011

michael jackson

 

29 aug 2011 -Bucuresti, Romania

michael jackson
michael jackson

Stiri financiare

O dezvoltare importanta, in cazul Estate Michael Jackson. Executorii au facut atat de multi bani pentru Estate, incat doresc sa creeze un fond: Michael Jackson Trust in valoare de 30 milioane dolari pentru beneficiul lui Katherine Jackson si a celor 3 copii. Co-Executorii John Branca si John McClain au cerut permisiunea instantei pentru a finanta aceasta actiune. Potrivit documentelor, Estate-ul a generat mai mult de 310 milioane dolari in venituri brute la 31 decembrie, 2010 - acesta este cel mai recent bilant.

In plus, executorii au cerut permisiunea instantei de a vinde casa familiei de pe Hayvenhurst Avenue din Encino, CA. Potrivit documentelor, Katherine vrea sa vanda casa si, desi nu este mentionata pretul, proprietatea a fost evaluata la 4.15 milioane dolari atunci cand Michael a murit.

Documentul spune ca Katherine vrea sa achizitioneze o alta casa, ea doreste cu adevarat casa Calabasas in care ea si copiii locuiesc in prezent.

Septembrie

Ultimele actualizari privind procesul lui Murray

Judecatorului in procesul de omucidere involuntara se va intalni cu avocatii joi pentru a clarifica orice probleme inainte de faza finala de selectie a juriului care incepe saptamana viitoare.
Avocatii Dr. Conrad Murray si procurorii sunt ocupati in aceasta saptamana studiind ceea ce 145 membri ai juriului au scris pe un chestionar de 30 de pagini conceput pentru a ajuta la alegerea juriul care va auzi cazul.

Chestionarul este folosit pentru a determina daca membrii juriului pot pune deoparte prejudecatile si ceea ce au auzit despre moartea starului si de a ajunge la un verdict echitabil. Avocatii le vor pune intrebari cu privire la raspunsurile lor, atunci cand se intorc in instanta de judecata pe 23 septembrie.

Ed Chernoff si echipa sa vor studia raspunsurile la chestionar pentru a determina care jurati s-au hotarat deja cu privire la vinovatia lui Murray. Ei au facut acest lucru o data inainte, dar procesul a fost amanat in cursul acestei veri.

"Unul dintre lucrurile pe care le-am invatat, este ca forte multi jurati cred ca deja stiu totul despre acest caz", a declarat Chernoff.

Saptamana trecuta, echipa lui Murray nu a reusit sa convinga judecatorul Michael Pastor, precum si o curte de apel, sa tina juriul sechestrat intr-un hotel pentru durata procesului, este de asteptat ca procesul sa dureze aproximativ o luna.

Medicul legist din Los Angeles a decis ca moartea cantaretului pe 25 iunie, 2009, a fost cauzata de o supradoza de anestezic chirurgical propofol, combinat cu alte medicamente.

Procurorii l-au acuzat pe Murray, care era medic personal pt Michael Jackson la acea data, de a avea un rol in moartea cantaretului.
Ei sustin ca Murray a folosit o perfuzie IV pt ca sa administreze propofolul destinat sa il ajute pe Jackson sa doarma, o practica care acestia sustin ca a incalcat standardul de ingrijire si a dus la moartea lui Michael.

Daca este gasit vinovat, Murray ar putea lua pana la patru ani de inchisoare.

Pledoariile de deschidere, sunt programate pentru 27 septembrie.

Un om care a marturisit mai devreme ca a expediat cantitati mari de propofol la Dr. Conrad Murray, in saptamanile dininainte de moartea lui Michael Jackson aparent s-a mutat din Statele Unite ale Americii si nu poate fi localizat pentru proces luna aceasta, procurorii i-au spus joi judecatorului.

O audiere luni dimineata va lua in considerare, de asemenea, cererea acuzarii de a exclude marturia make-up artistul lui Michael Jackson. Apararea vrea ca Karen Faye sa repete declaratiile date in interviuri despre ceea ce ea a descris ca fiind problemele de sanatate ale lui Jackson.
Judecatorul nu este insa convins, pt ca o mare parte din ceea ce Faye a spus in trecut se bazeaza pe ceea ce a auzit de la altii, nu pe amintirile ei.

Prima saptamana din procesul importiva lui Murray

September 23, 2011 Jury Selection Report

84 jury candidates were brought in for selection process. 10 jury candidates were quickly dismissed because they said they could no longer serve on such a long case. The personality and life of Michael Jackson dominated much of the jury questioning.

Conrad Murray's defense team asked potential jurors:
- Do you believe Michael Jackson is less capable of making decisions that somebody else his age?
- If Michael Jackson was "childlike...not capable of making decisions?"
- Does anybody think that Michael Jackson should be held to a different standard of responsibility?
- Does anybody believe that Dr. Murray is partially responsible for Michael Jackson ‘s death?

Prosecution asked if the jurors could convict Murray if they found Michael Jackson had contributed to his own death. Jurors were given a hypothetical situation where a reckless driver runs a red light and kills a pedestrian who was “also not being safe as he could be and steps out in front of a car.” “You could say the driver is not 100% responsible, but he did play a substantial role,” DA Walgren said. “Could you find him guilty?” he asked to the jurors.

12 Jurors selected consists of 7 men and 5 women. 6 of the jurors are White, 5 of the jurors are Hispanic and 1 is African American. 5 alternate jurors (3 women, 2 men) were also selected.

Below are basic information about the 12 jurors.

Juror #127 Mexican-American female, 54, property manager, has a daughter who was an alcohol and drug user 5 years ago, thinks famous people are treated differently in court. She loved MJ's music as a girl.

Juror #145 White male, 45, partner in management consulting firm, wife is pediatric nurse at a hospital, served twice on a jury, watched "This is It".

Juror #61 White female, 57, unemployed, worked in past for Red Cross, followed the OJ trial, her younger brother uses drugs, served 5 times on a jury.

Juror #70 White male, 54, college professor of animation and art, created characters for motion pictures at Disney, followed OJ trial, convicted of DUI, thinks celebs are not treated the same by police and can bend rules. MJ fan.

Juror #44 Cuban/Mexican-White, family members with alcohol addiction, served on a civil jury, fan of MJ, especially Thriller.

Juror #49 White female, 43, head of communications for international marketing firm, served as juror in child sexual abuse case, does not think cops are more lenient with celebs.

Juror #100 white female, 48, paralegal for 30 years, watched Casey Anthony trial, brother is an EMT, people of wealth and fame treated differently in court system.

Juror #52 Mexican male, 51, USPS letter carrier, wife is back-office medical assistant, fan of MJ.

Juror #99 Hispanic male, 42, school bus driver, father was addicted to alcohol, father-in-law died from alcohol abuse, served on a jury, MJ fan.

Juror #38 Hispanic female, 36, customer service rep, watched Casey Anthony trial , former employer is a doctor, father was an absent alcoholic, served on a DUI jury, MJ fan.

Jury #128 African American male, 54, technical director for TV, has cousin is a judge and another cousin who's a lawyer, his dad died of alcoholism, juror on 3 cases, loved the Jackson 5 as a kid, now likes Jay Z.

Juror #108 White male 32, book seller, juror in civil trial, trained actor, MJ fan.

Murray Trial Day 1 - September 27 , 2011

Hearing started approximately 30 minutes late. Judge Pastor explained the reason as traffic and problem with the elevators. Trial started with Judge Pastor explaining jurors the process, breaks , taking notes and what is an opening statement.

Prosecution Opening Statement

DA Walgren started his opening statement. He used a presentation to accompany the points he's making. In the presentation he showed a picture of Michael lying in a gurney - most probably taken at the hospital after revival attempts.

michael jackson
michael jackson


DA Walgren “Evidence will show that Michael Jackson literally put his life in the hands of Conrad Murray. Michael Jackson trusted his life to medical skills of Conrad Murray. That misplaced trust was a too high of a price to pay.” DA Walgren states that Dr. Murray's actions led to MJ's death.

DA Walgren explains what Michael was doing in months before his death. Walgren mentions that Michael was getting ready for his comeback tour TII, mentions rehearsals and that Michael was living in 100 N Carolwood with his children.

Walgren mentions that Michael and Dr. Murray met in 2006 in Vegas and maintained contact. At the time Michael Jackson died, Dr. Conrad Murray was not board-certified in any medical specialty. In March 2009 Michael asked Dr. Murray to accompany him on tour. Murray agreed and requested to be paid $5 Million a year. They offered him $150,000 a month. Murray's duties included to perform general medical care, emergency medical care. He would have received $150,000 , airfare to UK and housing. He would have been hired as an independent contractor. At the time Michael died the contract was not signed by Michael or AEG.

DA Walgren explains Propofol to the jurors. Walgren tells that it's not a sleep agent , it's anesthesia. Walgren goes over good and bad qualities of Propofol and tells the dangers. DA Walgren mentions Murray lied to pharmacists Tim Lopez and told him that he had a clinic and patients in California. Walgren starts listing Murray's Propofol orders and how they were sent to Murray's girlfriend Nicole Alvarez's house.

DA Walgren plays a part of an audio Murray recorded on is iPhone on May 10. Walgren mentions that Murray was recording Michael who was under influence of a unknown drug. Walgren states that this shows that the Murray knew the effect of his treatment on Michael, yet continued to order Propofol.

The recording said:

“We have to be phenomenal. When people leave this show, when people leave my show, I want them to say, “I've never seen anything like this in my life.

"Go. Go. I've never seen nothing like this. Go. It's amazing. He's the greatest entertainer in the world. I'm taking that money, a million children, children's hospital, the biggest in the world, Michael Jackson's Children's Hospital.”

Between April 6, 2009, and the time of Michael Jackson's death on June 25, Dr. Conrad Murray ordered enough propofol to give Jackson 1,937 milligrams a day, prosecutor David Walgren told jurors in his opening statement.

June 19, 2009. Michael was not in good shape. He had chills, he was rambling and trembling. Kenny Ortega put a blanket on him, massaged his feet, fed him chicken and then made him go home early.

June 20, 2009. There was a meeting about Michael's health. DA Walgren says that Dr. Murray scolded Kenny Ortega. " I'm the doctor not you. You direct the show leave MJ's health to me."

June 23, June 24, 2009. Michael had good rehearsals. He's fine, strong and optimistic.

June 25, 2009. Michael comes home around 1 AM. DA Walgren shows pictures of the house, layout, inside the rooms.

DA Walgren shows a list of Murray's phone calls and emails. Walgren mentions the 11:51 phone call with Sade Anding and tells that 5 minutes into the phone call that Sade Anding heard a commotion and Murray stopped talking to her. DA Walgren says for 11:56 - 11:57 AM ""This is likely the time Conrad Murray first noticed Michael Jackson's lifeless body".

Walgren says that Dr. Murray called Michael Amir Williams (MAW) at 12:12PM. MAW returned Murray's call at 12:13 PM. Dr. Murray told him to come to house, he didn't ask him to call 911. MAW called Alberto Alvarez and told him to go into the house. When Alberto came into the room Murray told him to collect the vials and saline bag on the IV. 911 was called at 12:20 PM.

Paramedics arrived at 12:26 PM, they tried their best but Michael was gone. Paramedics asked Murray what he gave to Michael. Murray said Lorazepam and he didn't mention Propofol. Paramedics was on call with UCLA and UCLA wanted to announce Michael death on the scene. Murray wanted Michael to be transferred to UCLA. When they arrived UCLA doctors asked Murray what Michael was taking and what he gave to Michael. Murray told the doctors that Michael was taking Valium and Flomax and he gave Michael Lorazepam. Again Murray does not mention Propofol to the doctors. Michael is announced dead at 2:26 PM at UCLA.

2 days after Michael's death LAPD interviews Murray. At that time the tox results wasn't back and there was no visible trauma so the detectives did not know the reason of Michael's death. This is the first time that Murray mentions Propofol and tells his version of the events.

According to Murray all the drugs he gave to Michael did not work. At 10 AM Michael tells Murray that he would cancel the rehearsal and he wouldn't need to get up at 12:00PM. After that Murray decided to give Michael Propofol. Murray claims he gave Michael 25 mg of Propofol. When Michael was lying in bed with all the drugs in his system Murray emails the insurance broker saying that Michael is fine.

Walgreen discusses issue of standard of care. DA Walgren explains gross negligence to the jurors and gives examples of Murray's actions that account to gross negligence. These are
- No written standard of care / risks / consent form
- Not calling 911 (especially when calling 911 is basic common sense)
- Employee / employer relationship and Murray not working for the best interest of Michael but working for $150,000. He did not use sound medical judgement.
- Deceived paramedics by not disclosing Propofol
- Deceived emergency room doctors by not disclosing Propofol

Murray had legal duty of care to do no harm to Michael Jackson. Murray with his eyes on $150K agreed to provide him massive aounts of propofol with complete disregard to all medical standards. Murray abandoned Michael on June 25. Filled with drugs, no monitoring equipment, no resuscitation equipment, left him all alone. It's clear that Murray abandoned Michael when he needed help.

Murray Defense Opening Statement

- Chernoff argues that Michael was frustrated and desperate to sleep and took 8 2 mg Lorazepam pills without Murray's knowledge. It was an act that caused his own death.

- Chernoff believes that scientific evidence will show that Michael administered Propofol when Murray left the room and with the Lorazepam in his body it created the perfect storm and killed him instantly. He couldn't even close his eyes.

- When Murray found Michael, there was no way to bring him back.

- 2 questions
o How did Michael get to this (desperate) point?
o What happened when Dr. Murray was out of the room?

- TII would be creating history. It would be a world tour and movies. Michael would earn a lot of money. It was dependent on Michael doing TII shows but he was never able to do this shows. He had a problem that would not be resolved by any determination or talent. He knew he needed help and he went looking for help in Spring 2009.

- Summer 08 initial negotiations of TII. October 08 meeting. Michael cried at that meeting said he was tired of being a vagabond. January 09 signing the contract. Michael was afraid he wouldn't sell the tickets. It sold quickly. Increase the shows to 50 on 2 conditions: 1 - house for him and his children and 2- Guinness world book of records would be there to record. 50 year old man 50 shows in one arena over 1 million people. This was it for him. He named the tour himself.

- Murray is not a celebrity doctor. He has 2 practices, he performs angioplasty surgeries. Those require anesthesia. He saves lives. They will bring patients of Murray to testify. Chernoff states that Murray is not greedy and provides service for free.

- One of MJ's bodyguards knew Murray; he was called to the hotels to look after his children were sick. They would become friends first. Michael would tell him about his childhood, dreams etc. From 2006 to 2008 Murray treated Michael for things like toe fungus, broken foot, checked his heart, his liver. Michael told Murray twice he had anxiety and problems with sleeping. Murray prescribed him sleep medicine but it wasn't effective for Michael.

- Michael didn't have insomnia. Michael Jackson had an absolute and through inability to sleep, not for minutes, hours. It was for days.

- June 27 meeting with the police. Defense only selected the location. 9 of the other witnesses also had lawyers. Detective Smith had already spoken to everyone before he spoke to Murray. There was no limitations in regards to questions or time. He answered every question. In that interview Murray said he said to the detectives he didn't know what killed Michael Jackson and he wanted to know as well.

- In this interview Dr. Murray told detectives about Michael's sleep problems. Michael Jackson told Murray he had inability to sleep and he could only sleep on Propofol and he always slept on Propofol when he was touring. Michael Jackson explained how to give Propofol. Murray told detectives he agreed to give Michael propofol to help him sleep. He said that he was concerned that Michael would use Propofol without him.

- Murray provided Michael Propofol for 2 months. For 2 months Michael slept, woke up and went to work. Chernoff states that Michael Jackson dies when Murray stopped giving Michael Propofol.

- Murray told detectives his goal was to find a way for Michael to sleep normally. He says that he said to Michael he can't continue using Propofol, what would happen once his tour over and let him try other sedatives - something else to sleep.

- Midazolam and Lorazepam was ordered as well as Murray hoped to switch Michael to those sedatives.

- The day Michael died was 3rd day of wean process from Propofol. On that day the goal was not to give Michael any Propofol, Murray refused to give Propofol and gave Michael Midazolam and Lorazepam.

- 10 AM Michael started to begging for Propofol. Murray was confused and couldn't understand why Michael wasn't able to sleep as he slept last night. Murray checked under the covers to make sure the medicine he was giving was reaching to Michael's system.

- Michael compartmentalized his life. Different people in his life didn't know much about other parts of his life. Murray didn't know what Michael did during the day.

- Klein dermatologist. Michael would visit Klein 3-4 times a week. From medical records he would get Botox etc, and he would receive a shot of Demerol ranging from 100 mg to 300 mg. Sometimes 1000 mg of a week.

- They would present a witness about addiction. This witness will say that Klein addicted Michael to Demerol and one effect of Demerol addiction or withdrawal is inability to sleep.

- Murray didn't know about Demerol.

- Michael received a shot of Demerol on 16th june, attended a rehearsal same day. Attended a rehearsal on June 17th. Missed the June 18th rehearsal and was sick on June 19. Defense expert will explain that he believes this to be Demerol withdrawal.

- Michael told the result for his insomnia was he was always thinking, creating.

- Murray told investigators that he knew Michael had to be up at 12 PM and that's why he only gave 25 mg Propofol to Michael around 10 AM. He knew that Michael had Midazolam and Lorazepam in his system. Michael told Murray he needed sleep and he need to do his rehearsal or they would cancel his show. There had been 3 meetings so Murray knew he needed to sleep.

- Chernoff states that scientific information will show that by the time Murray left the room, there was no Propofol in Michael Jackson's system.

- Chernoff mentions defense witness Paul White , "father of Propofol". Explains Propofol. Chernoff says that their witness will tell that there was no risk with the amount of Propofol that Murray gave to Michael. White would tell that what Murray gave to Michael could not kill him.

- Chernoff says that there was no drip so the question becomes how did Michael Jackson get more Propofol. Defense says that they believe Michael gave himself that Propofol.

- Chernoff says the defense tested Lorazepam levels in Michael's stomach and it was 4 times higher than the levels in his blood. Chernoff say that he believes this could only happen if Michael was swallowing Lorazepam.

- Defense believes that Michael wanted to sleep and frustrated that he couldn't sleep and his doctor refusing to give him Propofol he swallowed Lorazepam (up to 8 pills) while Murray was outside the room. Murray geva him Propofol unknowingly and then when he's out of the room Michael gave himself another dose of Porpofol.

- Chernoff states that the events are tragic, but Murray is not guilty and they would ask for an acquittal.


Kenny Ortega testimony

- Ortega states he has been a director since the 1980s, a choreographer since the 1970s. He first met MJ in 1990, MJ called him to work on the Dangerous tour. He was a co-creator and director of production, as well as the History tour. For History tour, he supervised choreography, MJ did most of it. Ortega stated he was also responsible for costuming and lighting and the same for the This Is It tour. MJ and Ortega had been in touch for the last few years before MJ died. AEG told Ortega that MJ wanted Ortega for the This Is It tour, then MJ told Ortega himself. Ortega stressed that MJ was excited for This Is It, and that MJ said this is the time to do it.

- Ortega started working in the middle of April '09 on This Is It. MJ was heavily involved.

-Ortega states that Michael had several reasons for wanting to tour now. First, Michael's children had taken in interest in his music and his performances, Michael felt the kids would now appreciate live performances. Second, he wanted to do a tour for his fans. Michael was allowing his fans to choose the songs which would be performed on This Is It. Third, Michael felt that his environmental songs, such as Heal the World and Earth Song, were just as important or more important now that when they were written and performed.

- Preparation for This is It started as Center Stages In Burbank. Ortega, MJ and Travis Payne were conceptualizing the tour. Ortega states at this point, he was meeting with MJ 3 to 4 times a week.

- Rehearsals began at the Forum in LA in the beginning of June, '09. Michael's children did not attend rehearsals because he wanted them to focus on school. The rehearsals lasted 5-7 hours, from late afternoon until evening. There was stating, tech work, lighting and musical rehearsals done by MJ.

-Ortega states he met Murray in April or May of '09. MJ introduced Ortega to Murray at his home on Carolwood Drive. Murray came to rehearsal rarely; never at Center Stages, once at the Forum and never at Staples.

-MJ was not showing up for rehearsals in the middle of June, the last week at the Forum. Ortega was told it was a scheduling problem, and that there was a "continued absence".

- Friday, June 19, while still at the Forum, Ortega says MJ "wasn't right, wasn't well". He was chilled, appeared "lost and a little incoherent". Ortega states he gave MJ some food, wrapped him in blankets and gave him a heater. Michael, according to Ortega, asked him if he could sit and watch the performance, with Travis Payne filling in for MJ. Ortega agreed. Ortega emphasizes that he'd never seen MJ like that, and that he suggested Michael go home.

-Ortega is asked about an email that was sent to Randy Phillips at AEG Live on June 21, 09. In the email, Ortega reiterates that Michael was ill, chilled and was sent home. Ortega also states that MJ will need psychological help and lots of nurturing.

Text of the email

Randy

I will do whatever I can to be of help with this situation. If you need me to come to the house, just give me a call in the morning. My concern is now that we've brought the doctor into the fold and have played the tough love, now or never card is that the artist may be unable to rise to the occasion due to real emotional stuff. He appeared quite weak and fatigued this evening. He had a terrible case of the chills, was trembling, rambling and obsessing. Everything in me says he should be psychologically evaluated. If we have any chance at all to get him back in the light. It's going to take a strong therapist to help him through this as well as immediate physical nurturing. I was told by our chereographer that during the artists costume fitting with his designer tonight they noticed he's lost more weight. As far as i can tell there is no one taking care responsibility (caring for) for him on a daily basis. Where was his assistant tonight? Tonight I was feeding him, wrapping him in blankets to warm his chills, massaging his feet to calm him and calling his doctor. There were four security guards outside his door, but no one offering him a cup of hot tea. Finally it's important for everyone to know , I believe that he really wants this. I twould shatter him, Break his heart if we pulled the plug. He's terribly frightened it's all going to go away. He asked me repeatedly tonight if i was going to leave him. H e was practically begging for my confidence. It broke my heart. H e was like a lost boy. There still may be a chance he can rise to the occasion if we get him the help he needs

Sincerely,
Kenny

- Ortega states that there was a meeting on 6/19, with the heads of AEG, Randy Phillips and Gongaware. Ortega heard that Phillips and Gongaware told MJ that if he didn't start showing up to rehearsals, the This Is It tour would be cancelled.

-On 6/20/09, Ortega is asked to go to MJ's house for a meeting with Randy Phillips, Frank Dileo, Conrad Murray and MJ. The topic is that Murray is upset that Ortega home. Murray tells Ortega that he should stop being an amateur doctor, and leave that to Murray. Ortega clarifies that he did not make the decision to send Michael home on the rehearsal date 6/19, it was a mutual decision between Ortega and MJ. Ortega states that Murray's demeanor is stern.

-Ortega states there were no rehearsals on 6/21 or 6/22. On 6/23, This Is It performance is shown, The Way You Make Me Feel, MJ wearing a red and a blue shirt. On 6/24, MJ is fully involved, a full participant. Earth Song on This Is It was done on 6/24, the very last rehearsal that Michael did before he died. MJ is wearing a black jacket and black sweats. Ortega states that the last time he saw MJ, he told him he loved him, and MJ said I love you more.

-Ortega tells the prosecutor that MJ had plans for This Is It beyond the London tour. He planned on touring to the US. He also planned on making movies; a full length Thriller and the Legs Diamond story, which Smooth Criminal is based on.

-Ortega states on 6/25 that the illusion part of This is It was supposed to happen that day. MJ was supposed to stand on a bed, flames were supposed to shoot up and MJ was disappear. He would reappear on a cherry picker above the crowd.

-On cross examination, Ortega denies that he told Karen Faye that he "read Michael the riot act" or "don't placate him".

Paul Gongaware Testimony

- Gongaware is the co-CEO of AEG. AEG was the producer and promoter of TII.

- Gongaware states that he was also involved with Michael's Dangerous and History tours.

- They contracted 31 shows because Michael wanted to do 10 more shows than Prince.

- They put 10 show tickets on sale just to engage how strong the sales are going to be. It was sold out instantly. Then they put the rest of the shows on sale and increased the concert number to 50.

- Michael said that he would do 50 shows.

- All 50 shows were sold out and even after that there were 250,000 people still in que for tickets. They could have sold out another 50 shows.


- DA Brazil asks Paul Gongaware to go over Michael's performance schedule for the upcoming weeks. July 5 rehearsals / 8 shows, August 10 shows / no rehearsal, September 9 shows/no rehearsal, October / November/ December no show / no rehearsal, January 3 rehearsals/10 shows, February 10 shows/no rehearsals, March 3 shows/no rehearsals.\

- DA Brazil asks Gongaware about a production meeting at Carolwood house. Gongaware says Michael came a little late because he was at Dr. Klein. He seemed little off and little slow than usual. His speech was slurred. Yet he participated to the meeting.


- Gongaware said that in May Michael told him to hire a personal physician, Dr. Murray, in May. Gongaware called Murray. Murray told him that he had 4 practices that he needed to close and lay off people and asked $5 Million a year to do it. Gongaware told him it would never happen and ended the negotiations. Gongaware believed they could get a more reasonable priced doctor in London. Michael said they needed to look after "the machine" (his body) and wanted Murray.

- Gongaware received a call from Michael Amir Williams who said that Michael wanted him to hire Dr. Murray. Gongaware heard on the background Michael saying “offer him 150”. He called Dr. Murray again and said that he was authorized to offer him $150,000 a month. Murray accepted.


- Gongaware asked Murray how will this work as he wasn't licensed in UK. Murray told him not to worry and he'll take care of the license. Employment contract was being drafted.

- Another early June meeting in Carolwood with Ortega, Dileo, Phillips, Gongaware, Murray and Michael. The meeting happened because Kenny Ortega believed that Michael wasn't at the stage he needed to be and they might not be ready for the show.


- Gongaware said that the tone in the meeting was great and that Michael wasn't defensive on the contrary he was engaged. They discussed what they can do to give Michael everything he needs to get to where he needs to be such as health and eating habits.

Murray Trial Day 2 - September 28 , 2011

Morning Session


Resuming with Paul Gongaware (PG) on the stand. Ms. Brazil is continuing cross examination.

The recapped schedule for tours. From Jul to Sept there were 27 shows then a break from Oct-Dec. Then there were 23 shows between Jan-Mar. (8 shows in July, 10 in August, 9 in Sept, 10 in Jan, 10 in Feb., and 3 in Mar.)

After the tour ended in March there were plans to add additional shows but PG stressed these were only plans.

Early June there was a meeting to discuss MJ's health and stamina attended by MJ, CM, PG, Frank Dileo, Randy Phillips. It was a positive meeting. PG was also aware of the June 20 meeting but did not attend.

PG saw CM at rehearsals at Forum rehearsal after the early June meeting. PG did not see Murray at other meetings.

PG saw MJ rehearse on June 24th and 25th and thought MJ was strong, excited, full of energy, and engaged.

Defense cross examination

Defense go over PG's history with MJ. PG says he was tour manager of Dangerous and did not see MJ very much. In History tour for the first leg he worked with the promoter and in the second leg he was tour executive. PG talked and interacted with MJ in the second half of History. PG worked on TII from the start.

Defense brings back the day Michael came from Dr. Klein. PG says he saw a slower speech pattern and a little slur in his speech. PG says he was on the look out for any drug usage by Michael.

PG says his relationship with Michael was business relationship but friendly. If PG needed to get in touch with MJ, he would see him at rehearsals if MJ was there. Or, if needed, he would go through Michael Amir.

Meeting in early June was pushed by Kenny Ortega who was concerned that MJ was missing rehearsals.
PG did not know how many practices CM had, the value of his practices, or what kind of doctor CM was.
When he turned down $5 mil, Cm did not try to negotiate another price. That was the end oof their correspondence until MJ prompted PG to contact Murray and offer CM $150,000/mo.


PG did not know Murray was a cardiologist. He did not read the final contract and did not know how long Murray was to receive $150,000. He did not see the completed contract between Murray and AEG. PG was not involved and did not know about the contract between AEG and Murray.

Defense tried to bring up lawsuit against PG and AEG that is by Katherine and he was shot down.

Brazil recross

PG did not know Conrad Murray (CM) gave MJ nightly doses of propofol. CM did not seem surprised that PG was contacting him about his services. He didn't have to explain in depth why he was calling.

PG says a personal doctor for tour is normal but the $5 million was high in his opinion.

Defense recross

PG made a phone call to another doctor to get an idea about acceptable payment.

MJ said "they needed to take care of the machine." There were no further conversations about any medical needs of MJ.


Kathy Jorrie Testimony

Examination of Kathy Jorrie (KJ) is a lawyer with Luce, Forward, Hamilton, Scripps and is in charge of their LA office.

She was contracted by AEG to draft a contract for services involving CM and MJ. She began drafting contract in May-June timeframe after being contacted by Tim Wooley (TM) of AEG. TM sent her basic information. KJ sent first draft of the contract to TM on June 15th. TM forwarded the contract to CM and KJ received phone call from CM about the contract draft.

The start date of Murray's contract was when all three parties signed the contract. The contract was not valid until this was done.

Initally CM contract had a end date of September 2009. CM called KJ asking to change the end date to March 2010. Kathy queried CM as to whether he asked MJ about getting paid during the hiatus of Oct-Dec and all of the way til Mar 2010. CM said he did and MJ was willing to pay for his services during hiatus and till March 2010.

Final contract was signed by CM and sent back to KJ on June 24th, 2009.

KJ spoke to CM twice about changes to contract. CM requested certain changes, one was for the start of his payment to be retroactive to May, 2009.

KJ said CM did not want his name on the contract but instead wanted the name of his company, GSA Holdings. KJ said she could add the company to the contract but needed to have his name on it as well.
Another change was for a medical professional to be available in London. KJ asked CM why this was needed. CM said it was for if Murray was unavailable or needed to rest, that someone would be there.
There was a right to terminate the contract immediately if MJ no longer wanted CM. Also, if the tour was cancelled. Murray wanted a provision that said if a termination for any of those reasons occurred past the payment date of the 15th of the month, CM would not have to return the payment for that month.

KJ had a conversation on Jun 18th with CM about medical equipment needed to be included as a provision in the contract. KJ wanted to know why he needed this equipment including a CPR machine. CM said when MJ was performing at the O2 arena he was going to be performing extraordinary things. Also considering his age, CM wanted the machine. KJ asked wouldn't this be at the arena? CM told her he didn't want to take any chances. KJ was worried MJ might have a heart problem or was unhealthy. CM assured her he was healthy. CM told KJ three times that MJ was in perfect health.

They also discussed where CM was licensed to practice medicine. Murray told Kathy he was licensed to practice in CA, TX, NV, Hawaii.

June 23 conversation: CM had some revisions he wanted. He asked the term to be changed from September 2009 to March 2010. Start date was changed to May 1. Contract said "services requested by the producer" CM asked it to be changed to "artist". KJ asked CM to help with medical records of MJ to submit to insurer for concert cancellation insurance. Insurer company asked for 5 year of medical history. CM asked KJ to send what is required to MJ's house.He said that he had only been the physician of MJ for 3 years and since MJ was in such good health, the file would be very tiny. KJ later provided CM insurer company's information so that he can contact directly.

CM repeatedly told her MJ was healthy, in excellent condition, he was great.

Prosecution presented contract that Murray sent to KJ on June 24th. The only signature on it was CM.
Above where MJ was supposed to sign reads:
"The undersigned hereby confirms that he has requested Producer to engage Dr. Murray on the terms set forth herein on behalf of and at the expense of the undersigned."

The contract was between Murray, AEG Live, GCA Holdings with the consent of Michael.

Defense cross examination

Contract was not signed and no payment was made to CM - at least by AEG. CM had to provide liability insurance and medical malpractice insurance.

CM told KJ he would need the equipment in London. First time KJ talked to CM was on the 18th. When she received the information from Tim Wooley, the CPR machine was already on the list of machines CM needed.

Kathy: "Murray said he needed the CPR machine for MJ at the venue. He did not indicate home use."

KJ was not aware of the hours CM would be providing services to MJ. She assumed they would be during the day. She had no hint that the services would be at night.

Records were not provided to KJ. But she requested that medical reords be sent to the broker trying to secure the insurance (Bob Taylor).

According to the contract CM was not prohibited from doing other things at all.

Contract was terminable at the discretion of MJ. CM was not guarateed the next month of employment.


Michael Amir Williams Testimony

Personal assistant of MJ. Had been employed by MJ in mid 2007. Before this he had been brought on to archive and organize MJ's films and DVDs.

MAW did anything MJ needed and considered himself a friend of MJ's. MAW was a liason between MJ and security and major staff. MAW would come to Carrolwood and call to make sure MJ didn't need anything. If not, he would go to the security trailer.

According to MAW only MJ and his three children lived at Carrolwood on a continuous basis.

Walgren then shows several pictures depicting the layout and some interior/ exterior photos of Carolwood.

Security routine: An advance vehicle, MJ in principal vehicle with driver and MAW and a security detail following them.

Fans outside the house. If any security ever did anything against his fans, they would be gone according to MAW. MAW mentions MJ stopping, talking to fans, getting gifts, pictures to sign.

MAW said he was a fan first so tried to sneak to see of MJ performing. But MJ usually had him doing things for him/ running errands.

It was a rule across the board that no one would go upstairs unless they were asked specifically which was very rare. MAW said that MJ liked his privacy.

MAW met Murray for the first time in 2008 in Las Vegas. He saw Murray visiting MJ's house in Las Vegas in 2007. MAW would call Murray in 2008 at Michael's request to treat the children and him.

Amir said that in Apr/May/Jun it was common to see Murray's BMW parked there after rehearsals and still there in the morning. During this time MJ asked MAW to sometimes call CM even though he had a cell phone.

MAW said they left for rehearsals late afternoon and did not return after it was dark although the time varied. MAW said that it was not uncommon for him to call Murray ahead of time to make sure he was at home.

MAW said they were late on the 24th going to the Staples Center. They left around 5 or 6pm give or take an hour or two. MJ was in good spirits ans was adamant about getting there on time. Amir said that he thought the rehearsal on the 24th was great. "MJ told me he only gave 30/40% at rehearsals. But I thought it was great."

MAW lived in downtown LA and left Carolwood to go home after making sure that MJ was in the home. Security was 24 hrs around home. They would either be checking gates, doing perimeter checks but were stationed in the trailer.

At 12:13pm, MAW received a phonecall from CM. MAW was not able to answer this since he was in the shower trying to get dressed. When he came out and saw the phone, he had a message. The message said to call CM right away. He then called CM back. CM didn't ask him to call 911. CM told him to "Get here right away and send someone up" and that Michael had a bad reaction.

A still photo of the phone (MAW's phone) was labeled People's 12 and the video of the voicemail was marked as People's 13. A transcript of the video message was labeled as People's 14.

"Call me right away. Please call me right away. Thank you."

Walgren goes over MAW's phone calls on the 25th.

At 12:15 MAW calls CM back and CM tells him that MJ had had a bad reaction and asks him to get someone up to the room. Amir said Murray did not ask me to call 911 initially.

After he got off of the phone with CM, MAW called Faheem Muhammad (FM) at 12:16 and told him to go upstairs. FM told MAW that he was not on the property to run an errand to go to the bank. MAW told him to hurry and get back home.

There were then 3 calls between Amir and Alvarez that were not being connected so he then contacted Derrick Cleveland (another security). He did not get him. Later he was able to talk with Alvarez. He told Alvarez to go to the house and told him to run. Nanny opened the door. Alvarez asked MAW for permission to go into the house and go upstairs. Alvarez hanged up the phone after a little while. MAW made multiple phonecalls.

Amir: "It took maybe 30/40 minutes to get from my home to Carrolwood. When he got there medics were bringing gurney down."

MJ's kids were in the car to follow the ambulance to the hospital. MAW thinks CM looked frantic. CM ride with the ambulance. People were following them to the hospital. MAW shielded the children with their jackets and took them inside the hospital to a private room with their nanny. They placed a security on the door. MAW waited outside the room they were working on Michael. Slowly people such as his manager and family came to the hospital. Later they learned that MJ dead.

After Michael was announced dead, Murray asked him if he or someone else could take him back to the house so he could get some cream of MJ's that he was sure MJ would not want the world to see. MAW said "let me check". He spoke about this with Faheem Muhammed (FM). He told FM he was goig to tell CM that the police had his keys.

He then spoke to CM again who asked to be taken to go get something to eat. MAW refused.

MAW went to FM and told them to call the security and tell them to lock down the house and do not let anyone go in or out.

MAW did not see CM after that talk about food. MAW gave CM's contact information to the police. After MJ was announced dead MAW and the other bodyguards loaded the cars and drove to fool the media so that the Jackson family can leave without being followed. On the ride MAW received a phone call asking them to come back to Carolwood. They spoke to the police at Carolwood.

Oxygen tanks was normal. Security would pick oxygen tanks and bring to the house.

Defense cross examination

Defense asks if the first time MAW mentioned the cream to the detectives was in August 2009. MAW says yes.

MAW denies planning a lie with FM. He says he just told FM what he would say to CM and FM said "do whatever you need to do".

MAW says there was a lot of police officers both at UCLA and Carolwood. Police asked him about the timeline of the day. MAW says that his initial talk with police wasn't in detail.

MAW says he spoke to Michael several times a day. Defense goes back MAW first seeing Murray in 2007. MAW says that he just saw Murray to go to the house. MAW says he never learned or know how MJ and Murray met.

Defense mentions the phone calls between MAW and CM. Defense asks if sounded like an emergency. MAW: "When I hear someone has a bad reaction, I don't think anything fatal - me personally. I wasn't asked to call 911. He told me what to do and I did it what doctor told me to do - get someone up there quickly"

2 security on the property 24/7. House has gates and those gates are monitored. Family only allowed by Michael's request.

Murray Trial Day 2 - September 28, 2011

Afternoon session


Michael Amir Williams (MAW) - Cross examination by Ed Chernoff continued

Frankly, a lot of what Ed Chernoff asked MAW was tedious and irrelevant, so for this part of the testimony, only relevant material will be posted.

MAW states that he left at either midnight or 1 a.m. on 6/25/09 after dropping MJ off from rehearsal. Chernoff asks if it was unusual for MAW to be at the Carolwood home at 12 pm during the week, MAW states no. Chernoff then states that Murray said "Get security up here" (meaning upstairs), MAW states that no, Murray said "Get someone up here." MAW states called Alberto Alvarez, Faheem Muhammad and a guy named Derek, all security for MJ.

Chernoff and MAW then go through pointing to specific doors at the Carolwood home.

Chernoff asks MAW, if Murray had told MAW to call 911, would MAW have done so. MAW answers yes. Chernoff then asks if MAW would have gotten a voicemail from Murray telling him to call 911, would he have done so. MAW answers yes, and then he would have called Murray. This goes on for over a minute. Chernoff continues to ask whether it was usual or unusual for Murray to call and tell MAW to get someone up there. This continues for several seconds.

Chernoff moves back to whether it was usual for MAW to be at the Carolwood residence at 12 pm on a daily basis. Chernoff states that MAW called Faheem Muhammad first, Alberto Alvarez later. MAW has known Faheem Muhammad for ten years, and Alberto Alvarez for five years. Alvarez was brought in to work for MJ in 2008.

Chernoff asks about a security company called Security Measures. MAW states that they were hired in 2008, MAW was "instrumental" in helping to connect Security Measures and MJ.

After MJ died, MAW states that he got into a blue Escalade, along with Alberto Alvarez and Faheem Muhammad. The three of them planned to be a decoy, to distract from other cars that were trying to leave UCLA.

Chernoff asked MAW where he was when MAW talked to police in August 2009, 2 months after MJ died. Chernoff basically asks if Alvarez and Muhammad were with MAW at the same time and place as MAW when giving their statements to police. MAW says he could not recall. MAW also states that he could not recall if he talked to either Alvarez and Muhammad about MJ and his death in the two months that transpired after MJ's death.

MAW states that the meeting with the police was postponed because the police postponed it. Chernoff states, "Well, that's interesting but what I want to know is did you speak..." At this point, Judge Pastor states, "Editorial comments are not appropriate for either parties..." (Essentially, Judge Pastor admonishes Chernoff for the comment.

Chernoff asks if MAW took the video of the voicemail of Conrad Murray telling MAW for help on 6/25. Chernoff asks if MAW had help making the video, MAW states yes and his wife helped him. Chernoff asks MAW if he received voicemails from others on 6/25, MAW states yes, that he received many on that date. Chernoff asks if he received voicemails from Alberto Alvarez or Faheem Muhammad, and MAW states he cannot remember.

At the time of death, MAW had worked for approximately two years, he stated. As MJ's personal assistant, MAW stated that he did whatever MJ asked him to do, for the most part. MAW stated that MJ had his own cell phone, but if someone needed to get in touch with MJ they would call MAW.

Chernoff asks MAW if he picked up prescriptions for MJ, MAW states yes. MAW also states that he accompanied MJ to Dr. Arnold Klein's office. Chernoff asks MAW if he heard the audio tape of MJ (the one where he is clearly drugged). Chernoff asks if MAW felt that when MJ left Klein's office, if MJ's speech was slower. MAW says yes, but not to the extreme of the tape he heard.

Chernoff asks if MJ kept his medical conditions separate from MAW, MAW states yes. Chernoff asks if MAW ever called Dr. David Adams for MJ, MAW states the name sounds familiar, but he cannot say for sure. Chernoff asks if MAW can remember calling Adams in Las Vegas, MAW says he's not sure.

Chernoff asks how long MAW stayed at the Carolwood house. MAW states a few hours, he talked to police and waited for MJ's family to arrive. Chernoff states that the entire security team had been replaced, and MAW states yes. Chernoff asks if it surprised MAW, MAW stated no. MAW states he called either Frank Dileo or Randy Phillips to make sure it was okay that the new security team was there.

Redirect from Prosecutor David Walgren

Walgren asks MAW about MJ's slow speech when leaving Dr. Klein's office. MAW states that it was not unusual, but it was not every time either.

Walgren asks MAW about the recording Murray made of MJ in a 'very intoxicated state". MAw states he heard of it on the news because it was everywhere. Walgren asks if MAW had ever heard of MJ in that state, MAW states "Never, never in that extreme." Walgren asks if it was shocking to MAW. MAW states, "Yeah it was kinda sad."

Recross by Defense Ed Chernoff


Chernoff asks if MAW has ever called Cherilyn Lee for MJ, MAW states yes. Chernoff asks if MAW had ever called Cherilyn Lee because MJ was sick, MAW states that Faheem Muhammad called Lee one time because MJ was not feeling well

Faheem Muhammad (FM) Testimony

Prosecutor Walgren Direct

In June 2009, FM states he worked as a security chief for MJ, for approximately 10 months. As chief of security, he made sure MJ's house and children were protected, and daily routine was safe and planned out. FM states he was stationed in the trailer outside of the Carolwood home. FM states that he would deal with Michael Amir Williams, not MJ directly. FM states that he initially was hired as a driver, but then promoted to chief of security.

FM states that he saw Murray daily and stayed overnight every day at the Carolwood home. FM states he did not know the details as to why Murray was staying the night. FM states that he saw oxygen tanks in the trailer, Murray brought the tanks to the back door, and security would bring them inside the trailer.

On 6/24, FM drove MJ to Staples to his last rehearsal, leaving at approximately 7 p.m. Michael Amir Williams accompanied both FM and MJ to Staples. FM states that there was an underground parking lot, and that Alberto Alvarez would meet them, and take them on a golf cart to MJ's dressing room. FM states that his duty was to set up security at specific doors, but that he was also able to observe some of the rehearsal. FM stated that MJ's rehearsal was excellent and high energy. FM states that he, MJ and Michael Amir Williams left at approximately midnight. FM states that MJ stopped outside Staples to greet fans, and in front of the Carolwood home. FM states that they arrive approximately 1 a.m. FM states that security would normally take gifts that fans gave MJ and leave them at the bottom of the stairs. MJ would then say goodnight and go upstairs. FM stated they had a security meeting, and then went home.

On 6/25, FM states that he arrives at Carolwood at approximately 11:45 a.m. FM states that he left the property to go to the bank. FM states that he then got a phone call from Michael Amir Williams, stating that MJ had a bad reaction and to go upstairs. FM stated he was not at home, but that he would go back and he did.

FM states that he arrived back at the house, types in the PIN for the gate, and enters the house. FM called Michael Amir Williams, asks if he can enter the house and go upstairs. FM states the he did go upstairs. FM entered the room that MJ was in, he states.

Walgren asks FM when he came into the room MJ was in, what did he see? FM states that he saw Alberto Alvarez pacing the floor, he saw MJ's feet on the side of the bed, as FM moved closer, he could see MJ's body and Murray to the side of MJ. FM states that he saw MJ at the far side of the bed, his feet were on the floor. FM states that Dr. Murray was to the right of MJ on the far side of the bed.

FM states that he asked Alberto Alvarez how it was going, Alvarez states it's not looking good. FM states that he moved closer to the far side of the bed, Murray appeared to administering CPR, Murray was nervous, sweaty. FM states that he then saw MJ's face and his full body. FM states that MJ's eyes were open, mouth slightly open, and when asked, FM states that MJ appeared to be dead. FM states that he saw no medical equipment attached to MJ.

FM states he then realized that both Paris and Prince were inside the room slightly. FM states that Prince was "slowly crying" and Paris was "balled up on the floor, crying". FM got nanny and moved them to downstairs. Then FM went back upstairs.

CM asked if they knew CPR, Alvarez went to help CM with CPR. After FM went back upstairs asked Alvaraz if 911 was called. Alvarez said yes. FM went down again to get the cars ready. Paramedics arrived, FM escorted them up to the room. FM was mainly in the room while paramedics working. FM left the room twice to put the children in the car and talk to the security saying that they'll be leaving soon and get ready for paparazzi.

FM said he saw an IV stand in the room, he did not realize any other medical equipment.

They followed paramedics to UCLA. When they arrived paparazzi was at UCLA. They took their jackets to shield MJ's body so that paparazzi cannot take pictures. They also escorted the children inside. FM talked to UCLA security about family arriving and not let in people trying to sneak in. FM helped UCLA security to let Jackson family in and keep other people out.

MAW talked to FM about CM wanting to go home to get a cream. FM says that they agreed that CM should not be let into the house. FM states that MAW came up with the story to say that police took their keys.

FM states that at UCLA Murray wanted to leave because he was hungry. FM stated that there was a cafeteria at the hospital.

FM states he remembers seeing an IV stand in the room where MJ died. FM states he does not remember if there is tubing attached to the IV, but he clearly remembers the IV stand in the room.

FM states that after he spoke to Dr. Murray, FM went to the room where his children were. FM believes that at that time, the children were getting ready to see MJ's body. FM eventually left UCLA with Michael Amir Williams, Alberto Alvarez, and he's not sure, but maybe Isaac, a guard from Carolwood. FM says he was not sure where they were going, but that the police called and asked all of the security to come to Carolwood. FM states that they did talk to the police at Carolwood on 6/25.

FM states that he talked to the police again in August, 2009.

Defense Cross Examination - by Chernoff

FM states his wife picked him up from the Carolwood home. FM states that Murray asked if he would take him to Carolwood and to get him something to eat, FM states he said no. When FM left Carolwood, Murray's car was still at the residence.

FM states he watched Murray walk away from UCLA. FM states he does not know what time he left the hospital.

FM states that the first time that he mentioned that Murray wanted to get something to eat and leave UCLA, was in August, 2009. FM states that he made his statement to the police in his attorney's office. Chernoff repeated asks if Alberto Alvarez or Michael Amir Williams were there, or if FM saw them before or after he talked to detectives. FM states he did see Alberto Alvarez at the attorney's office.

FM states he knew Michael Amir Willaims for 10 years, in a social capacity.

FM states his normal shift approximately at 11 a.m. and leave at 7 p.m., but if MJ was leaving, he would stay and accompany him. FM states he took MJ to see Dr. Klein. FM states that MJ often left Klein's office tipsy, and at times, Klein's staff would have to accompany MJ downstairs and to the car.

FM states that MJ once said to him, "You must think I'm crazy for going to Dr. Klein's office so much." FM states that he didn't see MJ one way or the other, and MJ states that he was going to Klein's office because his doctors told him that he had to go to a doctor for a skin disease.

FM states that at Carolwood in the month prior to MJ's death, he never saw another doctor come there.

FM states that he knows who Cherilyn Lee, and that she was hired for the kids. FM states that he knew Lee professionally and that she was hired. FM states that he called Cherilyn Lee for MJ. Michael Amir Williams told FM that one of MJ's hands was hot, and one of his feet was cold, and to call Cherilyn Lee. FM states that he thinks he left a voicemail, but ultimately talked to her, but cannot recall the conversation.

Chenoff asks if FM told the police that CM was helping MJ to sleep. FM said yes it was rumored. Chernoff asked if everyone knew, FM says he can't say what other people knew. FM says the security didn't discuss it among themselves.

FM says the house didn't have any land line phones.

On 25th FM came to Carolwood around 11 AM and left to go the bank after 12PM. FM said that he can come and go and do tasks. FM says there was a security camera recording the gate. FM is not sure about a security camera recording the door of the house.

June 27, LAPD asked FM to help them to take surveillance tapes from the gates. FM helped a technician from LAPD. FM cannot remember what was downloaded.

Defense again asks how many times FM went up and down the stairs. FM repeats 4 times going up and down the stairs again. FM calls the scene shocking, seeing Michael. FM says he doesn't recall what was on IV and does not recall any other medical equipment.

Defense again asks about the security leaving the hospital. FM said they received a call asking them to come back to Carolwood to talk to police officers. They were outside the front door talking to the detectives.

Chernoff looks for pictures to show, and shows pictures of the bodyguards talking to the detectives. FM yawns and nods to the jury while waiting the defense to find the picture. Chernoff spends several minutes asking FM identify the people on the pictures.

FM said that after Carolwood he took the detective Abdul to Hayvenhurst so that he can talk to the nanny.

Prosecution Walgren redirect

FM when talked to detectives on August 31, 2009 he was alone in the room with the detectives and his lawyer. Alvarez and MAW was not with her.

Nurse Lee is a nutritionist and that's all she does.

Murray Trial Day 3 - September 29, 2011

Morning Session

Alberto Alvarez (AA) Testimony


Prosecutor Walgren direct examination

Month of June. AA says that he worked for MJ in Carolwood. AA was director of logistics, he was part of the advance team. He made sure everything was okay before MJ arrived to a venue.

AA worked for MJ on / off since 2004. AA was called to work for MJ December 2008 / January 2009. AA said it was a good full time job with a good salary.

Security would be in the trailer outside he house, they will only go inside when requested. Two different security : Property security and personal security. Personal security were MAW, FM, AA, Isaac and Derek.

AA saw CM first after January 2009 in Carolwood. April/ May/ June AA saw CM 5-6 times a week. AA knew that CM was staying the night. AA was aware about the oxygen tanks. AA from time to time saw CM bringing empty oxygen tanks and take full ones.

June 24th. After 5 PM they took MJ to rehearsals. AA made sure everything was in order in MJ green room (dressing room) such as arranging the room temperature, checked the venue for security. MJ came around 6:30 - 7:00PM. AA met MJ with golf cart and took him to his dressing room. MJ was very happy and in good spirits. AA was behind the stage. AA sometimes peeked to see his performance. AA believed his performance was good. After the rehearsal they did the same routine. MJ was still happy and in good spirits. They came to Carolwood. CM's car was already parked. MJ came home, they helped with the gifts. MJ said "goodnight".

After they unloaded the gifts, they secured the front door and went to the security trailer for debriefing. After they went to home and house security stayed.

June 25th AA came to Carolwood at 10:15AM. He sat down in the trailer and waited for any specific instructions. He was in the security trailer around 12:15 PM.

Phone records. 4 phone calls between MAW and AA, those were attempts to reach each another. Another call from MAW to AA, they finally spoke. MAW asked where was AA, told him to get up and go to the front of the house without much commotion. MAW asked him if he was walking AA said yes, MAW told him to run. AA came to the front door and tried to open it but it was locked. Nanny came and unlocked the door. From the glass door AA saw nanny Rosalind ,Paris, Kai Chase and CM on the second floor. CM had both hands on the rail and was looking down.

AA told MAW he was in the house. MAW told him to run up the stairs. Prince was upstairs walking opposite direction of AA.

Walgren shows pictures and layout of the house and asks AA to identify where CM was and identify the rooms.

AA said he only went upstairs 2 times in 6 months he worked for MJ to let MJ's hairdresser.

CM said to him "Alberto come quick", AA realized the situation was serious. AA hung up the phone call to MAW. AA followed CM into the room.

AA saw CM giving chest comprehensions to MJ. MJ was in the bed. AA saw MJ lying on his back, his hands extended out to his sides with palms up, his eyes and mouth was open. His face was slightly towards the left. CM was using one hand (his left hand) giving MJ chest comprehensions.

CM said to him they need to get him to a hospital. AA was walking towards the bed and reaching for his phone in his pocket. Prince and Paris followed him into the room, they were behind him. Paris screamed out "Daddy". Paris was crying. CM said "don't let them see their dad like this". AA ushered the children out the door and told them that everything will be okay and not to worry.

When returned AA asked CM what happened. CM said "he had a bad reaction". AA was at the foot of the bed.

AA saw some sort of a plastic device on his penis to collect urine. AA now knows that it was a condom catheter. AA did not see any monitoring equipment, no ventilation equipment. AA only saw a clear plastic tubing for Oxygen attached to MJ's nose. AA saw an IV stand.

CM got some vials from the night stand and asked AA to put them in a bag. AA held out the bag and CM dropped the vials. CM told AA to place that plastic grocery bag to the brown bag. Then CM told AA to get the bag in the IV stand and put it in the blue bag. AA says there was a bottle in the saline bag.

Walgren: "Why were you following these instructions?" AA " I believed CM had MJ's best intentions at mind, I didn't question his authority. I thought we were getting ready to go to the hospital".

IV stand has 2 hooks. One hook had a saline bag, CM didn't ask AA to remove that one. AA was only asked to remove the saline bag with the bottle. AA saw milky white substance at the bottom of the saline bag.

Walgren shows the saline bag pictures to AA. The bad has a cut, AA says he didn't see the cut on june 25th. Walgren shows the cut to the jurors. Walgren then shows empty 100ml Propofol bottle. Walgren replaces the bottle in the saline bag through the slit shows it to AA and the jurors.

AA says all these events happened very quickly. AA says he was obeying CM's instructions.

911 call is played in court. Alberto visibly upset and looks like about to cry when listening to the call.

AA and CM moved MJ from bed to the floor. AA saw a clear plastic tube coming from the bag on the IV coming to MJ's leg. CM removed it when they moved MJ. CM took pulse oximeter from a bag and clipped it to MJ's finger.

AA says a few days to a week before June 25th, CM asked the securities for AAA batteries. AA saw CM holding the device, AA had asked him what it was and CM said it was like a heart monitor.

FM arrived to the room. AA said "It's not looking good". CM asked if anyone knew CPR. AA and FM looked to each other. AA went to assist CM doing CPR. AA started doing chest comprehensions with two hands. AA knew CPR before that day, he learned it when he was a swimmer. CM was giving mouth to mouth. CM said "this is the first time I do mouth to mouth. but I have to because he's my friend". AA continued chest comprehensions. Paramedics arrived soon after and took over. AA says there was no indication that MJ was alive.

Paramedics moved MJ from the side of the bed to the foot of the bed. AA went downstars twice; to check on the childern and to meet MAW. When paramedics were bringing MJ down, AA was trying to distract MJ's kids so they wouldn't see their father like that.

At UCLA AA begged to paparrazzi to leave them alone saying it was a private moment, shielded MJ when going in, waited in the hospital. CM came to AA to thank for help, AA said "we did our best". At that moment AA didn't suspect that CM did anything wrong. CM first said he was hungry and asked if someone could take him home. AA didn't answer, CM then asked it to MAW. AA last saw CM outside the emergency room saying "I wanted him to make it".

AA and other security drove off after the announcement and MJ was taken to the coroners. They went to Carolwood, police was there. They stayed outside of the house while talking to the detectives. AA was asked to bring children's dog Kenya to Hayvenhurst.

20-30 times media approached to AA to give interviews and was offered money. Media have offerred him $200,000 to $500,000, AA said no. AA says this event was negative for his life. He went from a full time great wage job to bad financial position. AA says he's totally wiped financially. AA said he had been honest with the police to best of his ability.

Defense cross examination by Chernoff

AA draw the IV bad picture after the preliminary hearing. Defense shows another drawing done for the police. AA doesn't remember drawing it. Defense questions AA never mentioned the pointy nub before. Chernoff says that the IV bag doesn't have any white substance in it today.

Chernoff asks if he could be confused about the timeline of events. AA says no. Chernoff asks if it was possible if CM asked AA to collect the vials after the 911 call after the paramedics came and before they went to hospital. AA says no.

Defense going over AA's phonecalls and how AA went into the house. AA understood something was wrong by that time but he didn't knew if it was related to MJ. Defense goes over what AA did when he entered to the house. AA basically repeats his previous testimony. AA says he was shocked when he entered the room. Chernoff is writing AA's timeline on a easel. Jurors has a problem with reading it. Defense continues with the events, at one moment they refer back to AA's testimony from preliminary hearing. Chernoff is asking about the 911 call and putting the vials in a bag. Most of the questions are about if he yet called the 911 and how CM put the vials in the bag. Basically defense is going over AA's timeline of events.

Murray Trial Day 3

Afternoon session


Defense cross examination continued

Still discussing AA's version of events and timeline. Chernoff writing the timeline on a piece of paper.

Chernoff questions how AA held the IV bag and got it from the stand. AA says he got it bu holding it from the top of it. AA first mentioned taking off the IV bag in August, 2009 at his second meeting with the police. He was also fingerprinted at that time.

Chernoff again asks if AA could be mistaken about his timeline. AA said no.

AA: (looking at 911 transcript) Indicated when he placed MJ on floor according to transcript. OP says, let's get him to the floor-AA acted on that order. AA says that they got MJ on the floor while he was talking with 911 operator. AA says he put his phone on his shoulder. Chernoff plays the 911 call and AA identifies the point they got MJ on floor.

AA: Clarifies pic he drew. He clarified that there was a box with a wire sticking out of it, NOT a needle.

Chernoff mentions media offers. AA says there have been media offers before he talked to the police August, 2009. Chernoff says AA didn't mention most of the things he said in August interview in June interview.

Chernoff plays a video of AA at hospital. AA was waiting outside the room where MJ's body was placed after he was announced dead. Chernoff mentions there was a lot of police around and asks AA if he mentioned them about collecting the vials. AA says no. AA was interviewed by the police in the hospital.

sidebar

Bodyguards went to Carolwood , talked with the detectives. Chernoff shows pictures taken outside the house with detectives asking AA to identify people in the pictures. Again Chernoff asks if AA told the detectives about the vials then. AA says no.

Chernoff mentions saline bag and asks if that was connected to MJ. AA says yes. Chernoff asks if it was connected to anything else, AA says no.

AA sees a report on CNN about evidence and saw detectives coming out of the house with a baby blue bag. AA heard on the news about Propofol and heard it being white. AA says that he realized that he handled those items and believed he needed to talk to the detectives. AA believed he needed to report it to the police.

Chernoff asks about AA's work. AA says he's unable to get a continious job. AA's work history with MJ. In 2004 worked for MJ for 6 months. 2007 in Las Vegas worked for MJ for a few months. 2008 Las Vegas 2-3 months. After MJ's death AA worked with Jackson family. AA would call to check on the children. Katherine's assistant mentioned AA could become a secruity for Jacksons. This talks happened Nov 2009. AA worked for the Jacksons for a few months in 2010. Chernoff tries to ask AA what other celebrities he worked for.

Objection. Sidebar.

Chernoff asks AA about his relationship with CM and if they were friends. Chernoff tries to ask questions about why would CM would conspire with AA to hide evidence. Objection. Sustained.

Walgren redirect

Walgren goes over the timeline Chernoff wrote, asks AA if most of the events happened simultaneous continious events. Walgren asks questions very rapidly. Judge Pastor asks Walgren to slow down and jokes that "I see steam coming out"

Chernoff recross

Chernoff asks if AA did these events quickly. AA says he acted quickly and he's "very efficient". Laughter heard in the courtroom.

Kai Chase (KC) Testimony

Brazil direct

KC professional chef. March 2009 was working for MJ. Her duties was to prepare food for MJ and his children. KC learned what they liked and didn't like. KC did the shopping. KC says she enjoyed working for MJ and kis kids. KC wears professional chef uniform - chef jacket and bistro apron. Her apron had 2 pockets. KC said she kept track of time because she needed to follow the food cooking and had to get food on the table on time. KC says she had her cellphone in her apron pocket and kept track of time.

KC worked 6 days a week for MJ. KC came at 8 AM and prepared breakfast for the kids. Then prepared breakfast and juice for MJ for breakfast. MJ ate Granola, juices and vegatarian omelets. Healthy foods was very important for MJ and his kids. KC saw MJ eating with his kids. "It appeared to me that MJ had a close, loving relationship with his children and appeared to be happy around them."

mid afternoon break.

June 24. Arrived around 8:30AM. Prepared breakfast for children. Prepared MJ his beet juice which had beets, celery, apple, carrots. KC would see CM in the mornings. He would come to the kitchen. He would sometimes come to leave or sometimes would come to get MJ's juice. CM said MJ will be down shortly and MJ would like to have lunch with his children. CM then went to other part of the house.

KC saw MJ on June 24. They talked. MJ asked about the lunch , he smiled. KC says MJ was happy because he was going to have a lunch with his children. KC prepared the same Ahi Tuna salad so that MJ could take it to rehearsal. KC prepared Tuscan White Bean soup for MJ for dinner. KC also prepared food for CM as well. KC made dinner for children. KC left at 10 PM on June 24.

June 25. Arrived between 8:00-8:30AM. Prepared breakfast for children. The soup KC prepared the previous day was still in the refrigerator. KC started to prepare MJ's breakfast. She prepared him Granola with Almond Milk. MJ's children would notify KC when MJ would eat his food. 9:45 AM KC leaves to go to market. She cames back around 10:30. Everything seemed the same as she left when she returned. Children were playing, music was playing. KC started preparing lunch.

MJ always had lunch at 12:30PM. There was no difference on June 25th. KC was preparing Spinach cobb salad with organic turkey breast for lunch. KC had already prepared fresh juice for MJ. CM didn't come to pick up the juice that day.

CM came down to the kitchen from the stairs between 12:05 and 12:10. CM looked frantic. KC says CM was nervous, frantic and he was shouting. CM shouted "get help, get security, get Prince". KC stopped what she was doing and run to get Prince from the den. KC said to Prince "Hurry. Dr. Murray needs you. There might be something wrong with your father". Prince and KC went back to kitchen. Prince went to CM. KC went back to work.

Brazil asks if CM asked her to call 911. KC says no. Brazil asks KC why she decided to get Prince. KC says Prince was in her sight and CM seemed frantic and disturbed. KC wanted to get help as soon as possible and Prince was the closest. Security is outside. Prince was closer to her.

KC returned to work. KC saw housekeeper crying at he foyer of the house. KC approached to them and asked them what was wrong, they said something might be wrong with MJ. MJ's kids were crying and screaming. They held hands and prayed in a circle. KC then saw security and paramedics running up the stairs. KC, housekeeper and the children stayed in the foyer. Soon security asked KC and the housekeeper to leave the house and KC left.

KC says her heart is still broken. She is devastated. KC met with detectives a few days later. Several media contacted KC asking about what happened that day. After KC gave statements to the police, KC gave interviews to several media sources. Brazil asks if she was paid any money by US media, KC says no. KC mentions interviews she has done with the foreign media. One interview was with German media about food. She was paid $1,000 for it. KC also met with a French documentary, she was paid $1,000. She took part in 5 more interviews. She was paid in total $7,000 for all the interviews.

Brazil asked if KC ever planned to get rich from her experiences with MJ. KC says no.

Defense cross Flanagan

Defense asks if KC was at house Sunday May 10th. KC says no. KC says MJ will come down for breakfast 2 times a week around 8:30 - 9:00 AM. Other days breakfast was taken up to his room.

When KC come in the morning the gate was closed. She press a buzzer, tells who she is and one of the security guys will come to meet her. She can't recall which security let her in on the 25th. When she comes to the house , she had to knock the kitchen door to be let in. Children or housekeeper would let her in. On June 25th MJ's kids let her in.

KC says she only had MAW's phone numbers. KC says there was no land line in the house and she didn't have any phone numbers for AA, FM, Nanny or MJ.

Defense asks KC how far it was from the kitchen to the security trailer. KC explains the distance.

CM came down frantic. CM yelled "go get help, go get security, go get Prince". KC thought it was emergency but did not know what kind of emergency it was. KC went into the den to get Prince. KC said " Prince Dr. Murray needs you. There might be something wrong with your father." Prince went with CM. KC went back to work.

Flanagan asks how old was Prince. KC says 12 years old at that time. Flanagan asks why she did not get the security. She said Prince was right in front of her. She thought there was a human being she can get immediately. She says she didn't want to take the time to go out and go to the security and get them. She didn't know if the security was there or left. She didn't want to take the chance.

Flanagan goes over says that KC saw a frantic CM and thought there was something wrong with MJ. KC says yes. Flanagan asks "He was asking for help, he was asking for security. Did you think a 12 year old child is going to be able to assist this doctor with a problem with Michael?". KC "I did what I was told and I went to get Prince". Flanagan asks if she ever saw CM again, KC says no. Flanagan asks if KC ever told CM that she would not get the security, KC says no.

Murray trial Day 4- Sept 30

Bob Johnson Testimony

Walgren Direct

Employed by Nonin Medical, designs noninvasive medical equipment such as pulse oximeters. Johnson states he is the Director of Regulatory Affairs Clinical Research and Quality Assurance. Johnson states his responsibilities are to get product approval with the FDA and Worldwide Health Ministries. Johnson states that the clinical research entails both animal and human research. Johnson states again that Nonin Medical designs pulse oximeters.

When prompted, Johnson states that pulse oximeters detects both pulse rate and red blood cells that have oxygen attached to them, basically determined oxygen saturation and a pulse rate, called SPO2. Johnson states that Nonin probably makes ten or models of pulse oximeters.

Walgren asks if Johnson if familiar with model 9500, Johnson states yes. Johnson describes the "onyx 9500" is a fingertip oximeter, which displays both heart rate and SPO2. Johnson is asked to identify a pulse oximeter that was in MJ's bedroom at the time of death, he does. Johnson is asked to identify two numbers on the oximeter, Johnson explains that the "92" is the heart rate, and the top number is the percentage of red blood cells that have oxygen attached.

Walgren then asks if the Nonin 9500 oximeter has an audible alarm, Johnson states no. Johnson also states that this particular model is used for spot checking. A doctor would use this if a patient were to come into their office to have their heart rate and pulse checked. Johnson then states that this model is not used for continual monitoring and that it is specifically label not to be used continually.

Walgren then asks Johnson if Nonin makes oximeters that have an audible alarm, Johnson states yes. Walgren asks how much this particular model of oximeter costs, Johnson states $275 retail value. Walgren asks if Nonin makes a model of oximeter 2500A, Johnson states yes. Johnson states that the 2500A displays the same functions as the 9500, but also has visual and audible alarms. Johnson states that the alarm at its loudest, can be heard outside. Johnson states that the retail value of the 2500A model is $750. Walgren asks if Nonin makes a 9600 tabletop pulse oximeter, Johnson states yes. Johnson states that the readings are the same, heart rate, then moves to retail value, $1250 in 2009. Johnson also states that Nonin makes pulse oximeters that display capnography, which is the C02 coming from a person's breath. Walgren asks Johnson if all of these models are available to lease, Johnson states that yes they are. When asked how much one of the most expensive models costs to lease, Johnson states about $40 a month.

Defense Cross

When asked if the model 9500 (the one found in the room MJ died in) is accurate, Johnson states yes. Johnson is asked if someone to monitor a patient for 15 minutes, would that model of oximeter be adequate, Johnsons states perhaps. Johnson is then asked if the pulse oximeter detects change, Johnson states yes. Johnson is asked if someone were there with a patient, under the influence of propofol for five or ten minutes, would there be a constant change in the pulse oximeter, Johnson states no. Johnson states that it is very difficult to constantly monitor the numbers, so it is not recommended for continuous monitoring. When asked what Johnson means by continuous monitoring, he states something other than a spot check or to take vital signs. Defense asks if it would be safe in monitoring every five minutes, Johnson states yes. Defense asks if it would be safe continuously for fifteen minutes, Johnson says only if the doctor is constantly monitoring the screen.

Johnson states that it takes about five or ten seconds to get an accurate reading on the oximeter. Defense states that after the five to ten seconds, does the reading change, Johnson states yes. Defense then states that it can be used for constant monitoring, Johnson once again states that it cannot.

Walgren Redirect

Walgren asks if the difference between the audible versus the nonaudible pulse oximeter models is a big difference, Johnson states that it is a huge difference. Walgren states that it's the difference between life and death, Johnson states yes. Walgren states that if in another room, the inaudible oximeter is useless, Johnson states yes.

Flanagan (Defense) Recross

Defense once again asks if a doctor is constantly monitoring, is the pulse oximeter useless, Johnson states no.

Robert Russell Testimony

Deborah Brazil, Prosecution Direct

Russell states that he had a heart attack in 2009 in Las Vegas. Russell stated that he met Dr. Murray in the emergency room in the hospital. Russell Murray reviewed what had happened, and ultimately inserted stents to the heart to repair it. Russell states that this was the first time he had ever met Murray.

Russell states he went into the emergency room, and then went into a surgical room, where Murray and an anesthesiologist performed heart surgery. Russell states that he was awakened during the surgery, because he had been give too much medicine for his blood pressure, by the hospital staff. Russell states that after he was awakened, Murray said "here's your heart (on a screen), stay awake", and that Russell did not want to see it. Russell states that Murray installed three stents in his heart. Russell states that he wanted to leave the hospital that night, but that Murray was stern with him, told him he was minutes from death, and that if Russell left the hospital, he was a dead man. Russell was released from the hospital on approximately March 12, 2009.

Russell states that he went to a follow-up visit on March 16, 2009, and that Murray advised him that he needed to have a second procedure to insert more stents into his heart. Russell states that Murray told him that because of the problems with the first surgery, Murray told Russell that he was unable to put all the stents in his heart, therefore Russell needed another surgery to finish inserting the stents. Russell states that he felt Murray treated him very well. Russell states that Murray told him that he had an opportunity to go to the UK, and take care of one person as a physician, but did not tell him who the one person was. Russell states that he made an appointment for the second surgery, and that he had the surgery in April of 2009. Russell states that the procedure was the same as the first, but that it was an outpatient surgery. Russell states that an anesthesiologist was present in addition to Murray and other medical personnel. Russell states that he went home the same day and had scheduled meetings for follow up care. Russell states that he went to the follow up visit, Murray told Russell that he had made a decision to take care of the one patient and that patient was Michael Jackson. Russell states that he has not told his staff, and that he was going to tell them after Russell and his wife. Russell states that Murray inferred that he had had an ongoing professional relationship with Michael Jackson. Russell states that he was very happy for Murray, and that Murray seemed highly excited and pleased that he would be working for Michael Jackson. Russell states that Murray advised that Russell needed further therapy for his heart and that it was important to his recovery.

Russell states that the therapy for his heart began mid-April 2009 on a daily basis. Russell states that Murray is only there occasionally. Russell states that Murray advised him that he would not be there. Russell states that he asked the staff, and Murray called him at home to answer them. Russell states that he completed the therapy in early June, and had a follow-up visit on June 15 to get the results of therapy to see how Russell's heart was doing. Russell states that this visit was very important to him, but Murray did not keep the appointment. Russell states that he was notified by mail that Murray after June 15, mailed out to all patients, that Murray would be leaving his practices temporarily in order to take "a once in a lifetime opportunity". The letter stated that Murray would manage the practice, and would find a suitable replacement. Russell states that he was not surprised.

Russell states he had a second follow-up visit on June 22, because Murray cancelled the appointment. Russell states that the June 22 appointment was also cancelled and was frustrated. Russell states that he felt he was dependent on Murray, because he had no referral, rescheduling and that Murray had all his medical records. On June 25, 2009, Russell calls Murray's office early in the morning. Russell states that he had formed a relationship with Murray's staff members because during the therapy, he had seen the staff members more than he saw Murray. Russell stated that he expressed his frustration to the staff members, he felt desperate, he threatened legal action, and that he felt abandoned. Russell received a voicemail later that morning from Murray on June 25, 2009.

The voicemail played is Conrad Murray stating that Russell's therapy went very well. Russell states that he felt grateful that he took the time to call him. Russell felt that the statement was odd, because Murray stated that the heart was repaired, when months earlier Murray said it could never be fully repaired. Russell also stated it was odd that Murray had stated he was going on sabbatical, when all along Russell knew that Murray was going to take care of MJ.

Russell stated that although at first he felt Murray's care was excellent, he also felt that he was abandoned.

Chernoff Defense Cross

Chernoff establishes that Russell and Chernoff have never met. Russell states that the medical care he received was unlike any he had never had before. Russell stated that Murray was adamant about how serious Russell's condition had been, and that Murray saved his life.

Russell states that Murray knew his wife. Russell states that his heart attack was on March 9, 2009, and that now, his heart is in good shape, according to his new cardiologist. Russell stated that his new cardiologist stated that the stents had been inserted properly.

Paramedic Richard Senneff (RS) Testimony

Brazil Direct

RS is a paramedic at Los Angeles Fire Department. RS explains his training and experience and certification.

June 25th, RS was working at fire station 71. They received a call to go to Carolwood. "Cardiac arrest. CPR in progress. 50 year old male. Patient not breathing" They went to Carolwood. RS was the team leader and the radio man and he gather information and write records. Senneff rode in Ambulance 71 with Paramedic Blount. Fire Engine 71 followed them with engineer, fire fighter, fire captain and additional paramedic.

Brazil goes over People's Exhibit 43 and what's written on it.
Print out information

Line 1 : Engine 71 Rescue Ambulance 71
Line 2: Address 100 Carolwood
Line 3: Incident number 5-12 Cardiac Arrest 12:21 call time 50 year old man
Line 4 : code cardiac arrest not breathing at all
Line 5: the phone number call came from
Line 6 : dispatch time the time they got the call at station 12:22
Line 7 : 911 call from a cell phone , caller is still on the phone with the dispatcher
Line 8 : Where the call is originated and transferred

At the end there's a patient identification sticker at the UCLA assigned to MJ when he was brought in.

Mid morning break

They arrived at 12:26. Rescue ambulance entered the residence, fire truck stayed on the street. RS got his equipment the starter kit and followed the security guards up the stairs and in the bedroom. RS saw CM, MJ and a security guard in the room.

RS describes the patient. MJ was wearing pajama bottoms and a top. The top was open. Surgical cap on his head. He appeared to be thin.

RS describes CM. CM was leaned over MJ and was holding his torso and was moving MJ from bed to the floor.

RS also saw a security person helping to move MJ to the floor.

According to RS, CM was frantic.

When entered the room RS asked if there was an advanced DNR (Do Not Resuscitate) order. No one answered initially. RS repeated the question CM said no. RS saw an IV stand with a saline bag hanging and saw an oxygen tank. RS was trying to gather information to understand what was happening. RS asked three times if there was an underlying health problem. CM finally said nothing. According to RS this didn't make sense as there was a physician at the house and a IV stand.

RS asked how long the patient been down. CM said "just happened right I called you". RS says that ambulance got there very quickly and if they were called right when the event happened, they had a good chance of reviving MJ and starting his heart.

12:26 is the time RS was in the room and making observations. RS states that they were in the room within 5 minutes. RS says that a firefighter and himself moved MJ from side of the bed to the foot of the bed because there was not enough space to work on the side of the bed. RS was still trying to gather information from CM. Firefighter Herron was doing CPR. Paramedic Blount was starting ventilation. Paramedic Goodwin was hooking up the EKG. Fire Captain was helping with anything needed. RS was busy and didn't look to see the patient was MJ. He later learned that it was MJ.

EKG showed flatline/ asystole.

MJ had an IV on his leg. RS checked to see if it was working and then gave MJ atropine and epinephrine - those are drugs used to start the heart. RS saw no change in MJ's condition after administering the started drugs. RS asked CM if MJ was taking any medicines and was he given any medicines. RS had to ask that question multiple times. RS told CM that he's seeing an underweight patient, with an IV stand and medication vials on the nightstand. At that point CM said MJ wasn't taking anything and CM only gave MJ a little bit of lorazepam for sleep. CM said he was treating MJ for dehydration and exhaustion.

By this time MJ was hooked on the machines and had received one round of starter drugs. Blount incubated MJ quickly to give air directly to his lungs. RS was monitoring MJ's situation. RS was also communicating with UCLA Base Situation reporting to them. RS told the age, the situation, how long he was down, what they did. RS was talking to the radio nurse and radio nurse was communicating with the doctors.

When RS looked to the MJ, he didn't believe that MJ was "just down". RS observed that MJ's skin was cool to the touch; MJ's eyes were open, dilated and dry; EKG was flatline, and capnography reading was low.

They gave MJ a second round of starter drugs through left jugular vein (left neck). Paramedic Goodwin tried to find a vein in MJ's arms to locate a vein 5 times to start an IV but he was unsuccessful. RS says it's significantly difficult to locate a vein when the blood is not circulating for a while.

After RS first contacted UCLA and told them what they administered the first round of starter drugs, UCLA asked them if they wanted to continue or stop. RS said they wanted to continue. After the second round, RS talked to UCLA again. UCLA was ready to announce MJ dead.

Brazil asked what happened to the IV on MJ's leg. RS says CM pulled the IV from MJ's leg and that's why paramedics needed to find another vein and finally found jugular vein.

CM says he felt a pulse at right femoral (right groin). RS looked to heart monitor and he saw a flat line with CPR (lines were only moving due to CPR). RS told his crew to stop CPR to check for pulse. The heart monitor was a clear flat-line, it means that the heart wasn't functional and there could not be a pulse. RS and another paramedic checked for pulse, they did not felt a pulse.

People's 43 exhibit again. They are going over handwritten notes.

call time 12:21, glucose levels, EPI 3.5 mg at 12:40, Allergy : florazen, another EPI and atropine. 12:57 the time UCLA wanted to call MJ death. Box on the right hand side : Hydration and lorazepam what CM told RS. Second bicarb - another starter drug given to MJ. RS says the time is wrong. He wrote 14:00 but it was actually at 13:00 PM

RS's call to UCLA is played. CM assumes control.

CM asked paramedics to do a central line. RS says they don't have any training or equipment to perform it. CM asked paramedics to administer magnesium, RS says they didn't have it. Brazil asks if CM provided them the materials to perform these tasks. RS says no.

People's exhibit 46

902-M. The document contains comprehensive information about the care provided. Starter drugs provided from 12:27 to 12:50. Readings are also written in the document. Medication information and RS's own notes are written.

They gave MJ sodium bicarb before transportation. All of the paramedics and firefighters took MJ downstairs on a backboard. Some of them were carrying the backboard and the others were still performing resuscitation efforts. When downstairs MJ was put on a gurney with wheels. RS turned back to go upstairs to get their equipment.

RS sees CM with a bag in his hand picking up items from the floor near the nightstand.

Blue ambu bag on the floor. RS says it's not paramedics.

RS collects the items, go down the stairs and go to the ambulance. CM was still inside the room. CM joined them later. RS was sitting close to MJ's head in the ambulance and was observing MJ. There was no changes. MJ was given another round of starter drugs on the ambulance. No change. RS saw CM on his cell phone. RS says he never saw any sign of life at MJ and there was no change in MJ's situation for the 42 minutes he was with him. They arrived UCLA at 13:13 PM.

Brazil lists monitoring equipment and asks RS if he saw them in the bedroom. RS says "No" to them all. Brazil asks if CM ever mention Propofol to RS, RS says No. RS says CM was alone in the bedroom for a while after he left the room with their equipment.

Defense cross by Nareg Gourjian

RS says they got the call 12:22 and left at 12:22. Gourjian mentions the call was placed at 12:20 and transferred from Beverly Hills. RS was not aware of it.

Gourjian reminds of RS's preliminary hearing description of MJ: pale, underweight, so thin that you can see his ribs. Gourjian asks if MJ looked real sick to him. RS says he looked like he had a chronic health problem.

Gourjian asks if it was the physical characteristics of someone that has been a drug addict for a long time. RS says he cannot say that and he has seen drug addicts that are overweight and underweight. Rs says he just thought it was a chronic illness.

Gourjian asks about MJ being on the bed. RS says MJ was in the process of being moved, his feet on the ground and his upper torso still on the bed. IV tubing on his left calf.

Defense asks if RS asked CM if MJ was on recreational drugs. RS says it's a common question that he asks but he doesn't remember if he asked it or not. Defense asks RS about Lorazepam. RS says he's not that knowledgeable about it.

Defense asks about CM not answering the questions right away could be because he was busy. RS says there was a lot of things going on and he was busy.

Defense is going over what each paramedic doing. RS repeats what he previously said. Gourjian mentions Paramedic Herron doing CPR and Paramedic Blount managing ventilation. And if CM asking for help as well it acceptable. RS answers yes you wouldn't want to do it alone. Defense reminds American Health Association (AHA) guidelines which says people should work collaboratively.

Defense asks if the CPR should be performed where the patient is found. RS says that's wrong. Defense reads from American Heart Association (AHA) guidelines. RS agrees with it. Defense asks if MJ had IV connected to him. RS says yes. RS says he didn't see anything else connected to him. Defense asks if things connected will be a factor when moving a patient, RS answers yes. Defense asks if the chest comprehensions are adequate, would be irrelevant if the patient was on a bed or floor. RS says correct.

Defense asks questions the pulse CM felt at MJ's femoral artery. RS says he didn't suspect what CM said. Defense reminds of RS's preliminary hearing in which he said that it's common to get femoral pulse from CPR. Defense asked would it be likely that CM actually felt that pulse. RS answers yes.

Defense asked why RS didn't pronounce MJ dead as UCLA said. RS said he preferred to go to the hospital as it was a VIP patient and as he was told it was a recent arrest. CM took the control and he needed to ride in the ambulance with them. After getting MJ down to the ambulance, RS went back to the room to pick the medical equipment left behind. CM was also picking up items in plain sight. Defense asks if it's normal practice to pick up medical items, RS says yes. Defense asks if CM could have been picking up his glasses and wallet. RS says he didn't see anything and the bed was blocking his view. RS goes back to the ambulance. CM came to the ambulance in a minute or so. Defense asks about the phone call CM did at ambulance, asks RS if he heard anything. RS said he didn't hear anything. Defense asks if CM was trying to help the paramedics with anything they needed when they were at Carolwood. RS says correct.

Defense asks is fractured ribs is a show of good CPR. RS says it is common occurrence. RS wasn't aware that MJ sustained fractured ribs. Defense asks if RS is familiar with Propofol, RS says no.

MJ was a combination of P.E.A (Pulseless Electrical Activity) and asystole (flat lined). Defense asks if there are certain protocols to follow if someone is P.E.A. They wouldn't shock (defibrillate) a person with P.E.A. They would give CPR and give atropine and EPI and sodium bicarbonate. Defense asks if they knew MJ was given Propofol, they wouldn't be able to anything different. Objection. Sustained.

Brazil redirect

Brazil asks if there was any confusion and chaos when RS's team attempted to save MJ's life like the defense claimed. RS says it was not the case.

Brazil asks if RS knows the IV tubing had been replaced, removed or placed again prior to his arrival. RS says no.

RS says that it's accurate that they believed the femoral pulse that CM felt to be due to comprehensions and not a real pulse.

RS says by the look of CM's face he was surprised to see him come back in the room. RS says it was "deer in the headlight" kinda look. RS says CM had a trash bag in his hand.

Defense recross

Defense asks RS's time of estimate for the cardiac arrest. RS says it is hard to speculate. Gourjian reminds of RS's preliminary testimony which said "at least 20-25 minutes before we arrived there". Gourjian asks if the time of arrest could have been 12:01 -12:05PM.

Defense again asks if CM could have been getting his wallet. Objection. sustained. Defense asks if CM asked RS to close his eyes or step outside the room. RS says no.

Brazil re re direct

Brazil reminds of the preliminary hearing and asks if it's correct that RS said the arrest could be anywhere from 20 minutes to 1 hour ago. RS says correct.

Defense re re cross

Defense asks if CM stopped doing what he was doing when RS walked into the room. RS says no CM continued to do what he was doing.

Martin Blount (MB) Testimony

Brazil direct

LA Firefighter paramedic. Worked for 20 years. Became a paramedic in 1999. Trained by UCLA doctors and nurses. Every 2 years they are required to take 48 hours of trainment. Works at firestation 71.

MB drived the rescue ambulance. RS was sitting next to him. He came to Carolwood and parked the ambulance and went into the house. Fire truck accompanied them and parked outside the street. Fire Captain Mills, Paramedic Goodwin and Herron was on the fire truck.

MB saw a man lying on bed. He was on the bed fully. MB saw 2 rescue personnel getting MJ to the floor. CM was sweating profousely, he was aggitated. CM said "He needs help could you help him please".

MB has the designated role as a driver. His job is initial treatment and assessment of the patient. RS is responsible for communications and obtain information.

MB immediately recognized it was MJ when he came in the room. MB went to the head of the patient and started basic life support. MB's job was to provide air to MJ.

Steps:
Tongue suppressor so the tongue would not go back of the throat and wouldn't block the airway.
Head tilt back - to make airway open and unconstrusted
Ambu bag - artificial air. More efficient than mouth to mouth. Tied it to an oxgyen tank that he brought.
It took him a minute or so do these all

Then he did advance life support which is endotracheal tube - 100% of the air is going into the lungs. It's better than ambu bag. He did did it in 45 seconds.

According to Blount, MJ wasn't breathing, he wasn't moving, his eyes was fixed and dilated. MB felt that MJ was dead.

MB observed an an oxygen tank and saw a long tube and nasal cannula attached to it. Nasal Cannula was on MJ. MB also saw an IV on MJ's leg and saw an IV bag on IV stand. He did not see any monitoring equipment in the room or on Michael.

While MB was doing his tasks, MB was able to see the heart monitor. He saw no movement. He believed MJ was flat lined.

RS's duty was to gather medical information. MB heard RS asked about the medications MJ took. MB heard CM said no. For previous medical condition CM said no. CM said he was a healty 50 year old man. CM said he was providing normal saline. CM said MJ was rehearsing for 16 hours and was dehydrated. MB heard RS asking if MJ was taking recreational drugs. CM said no.

Brazil asks about stater drugs. Atropine and EPI. Paramedic Goodwin made multiple attempts to find a vein in the arms but he was unssuccessful. RS found a jugular vein on the neck to administer another round of starter drugs.

MB saw 3 open vials of lidocaine on the floor when he was helping MJ. Lidocaine is a heart drug. Paramedics do not carry lidocaine and did not administer it. CM did not mention of giving MJ any lidocaine. MB did not hear CM mentioning Propofol.

MB says he did not hear anyone saying they felt a pulse. Brazil reminds him of his preliminary testimony. MB then remembers that CM said he felt a pulse on MJ's groin area. They stopped the comprehensions to check it (comprehensions can create artificial pulse). When they checked, no one else felt any pulse.

RS was communicating with UCLA base center. MB heard UCLA was ready to announce him dead. MB never saw any signs of life and did not believe MJ was alive. CM took over the control of the patient. MJ was put on a backboard and paramedics took him down to transfer him to UCLA. Before they were taking MJ down, MB saw CM taking Lidocaine vials from the floor and put them in a black bag. MB never saw those lidocaine bottles again.

MB rode with MJ to UCLA. He was sitting towards his head. They administered another started drugs to MJ on the ride. There was no change to MJ's situation on the ride. MB saw and heard CM on the phone. MB heard CM say "It's about Michael and it doesn't look good" on the phone. MB doesn't know who CM was speaking to on the phone.

MB saw MJ had condom catheter. It allows urine to be collected in a bag. It's typically used when someone not able to get up and go to the restroom.

RS asked how long the patient was down. MB heard CM say "he's been down about 1 minute". MB felt MJ's skin,when he was on the bed he was warm. On the floor MJ felt cold to the touch. MB looking at MJ's condition believed he was longer than one minute.


Defense cross by Gourjian

MB parked the ambulance, got his equipment went upstairs to the bedroom. MB says MJ was still on the bed. MJ looked pale and thin.

Gourjian shows MB a picture and asks what the black thing on the bed is.

MB doesn't know what it is.

Gourjian asks what are recreational drugs? MB gives examples such as heroin, cocaine. CM answered that question as no. MB says he didn't hear CM mentioning lorazepam to RS.

Defense asks if MB heard CM said "he has been down about a minute prior calling for help". MB says he didn't hear that , he only heard "about 1 minute".

Gourjian goes over the AHA guidelines :comprehension first, airway next, breathing last. MB mentions in 2009 the rules was airway first but now the rules have changed. Gourjian asks is asking for assistance during CPR is normal, MB says yes.

Gourjian asks about Lidocaine bottles. Lidocaine wasn't hidden, they were out in the open and in plain sight.

Defense asks if MJ was P.E.A. MB says MJ was never P.E.A., he was flat-line the whole time.

Dr. Richelle Cooper (RC) Testimony

Walgren direct

UCLA Board Certified Emergency Physician. Explains her medical background, training, education in detail.

RC explains what is a base station: Nurses with specialized training. They answer radio calls from paramedics, help paramedics, consult with doctors to provide further information to the paramedics.

June 25th RC was consulting with the paramedics through base station nurse. Nurse called RC after receiving the call from the paramedics after the resuciation effort were unsuccessful. RC knew the patient was incubated and received starter drugs but still asystole for 40 minutes. LA protocol say if rescuaiation efforts are unsuccessful for 20 min person can be announced dead. After receiving the information RC authorized paramedics pronounce MJ dead at 12:57.

Nurse called RC back said there was a physician on scene requesting paramedics provide another medication. It was sodium bicarbonate. RC said if that was a physician with an active licence they can administer it but the physician need to take over the control and the patient needs to be transported to the local hospital.

When MJ came to the hospital, the care became RC's responsibility. RC knew patient was on the way so she was waiting for the ambulance.

She assigned a team of 14 people. It included :
- Richelle Cooper and 4 residents
- at least 2 emergency technicians,
- a respitory therapist,
- a scribe nurse to record information and make calls to get consult,
- 2 circulating nurses,
- a pharmacist,
- a social worker to contact/assist family members, gather information from physicians and
- a charge nurse who assigns other staff as it's needed.

Additional doctors were consulted and came as needed. Administrative people came down after a while as it was MJ.

RC's main goal is to manage MJ's care. While paramedics was transferring MJ to the trauma bay. RC was speaking CM and asked what happened. CM told MJ was working very long hours, CM believed MJ was dehyrated, CM gave him IV and gave MJ 2mg lorazepam , later gave another 2 mg lorazepam and saw MJ go into cardiac arrest. CM reported MJ had not been ill. RC asked about medications MJ has been given. RC was told MJ was given 2 doses of 2 mg lorazepam through IV.

Walgren asks "Did CM tell any other medicines other than lorazepam?" RC says "No".

CM said witnessed the arrest. What does it mean? RC says it's an observed arrest and the critical event happens when you are with the patient. It's when the patients heart and breathing stops. It means you are on site and saw it happen.

RC asked for MJ's routine regular medications. She was told Valium and Flomax. Valium - anti anxiety medicine. Flomax is given for prostate or kidney stone. CM did not mention any other medicines.

RC asked past medical history , if he had a heart problem, blood clot or drug use. CM said no to all. RC asked if he saw any seizures and if MJ had complained about chest pain, CM said no.

RC did not see any physical trauma.

RC says MJ was clinically dead, he didn't have a pulse. There was signs of a dying heart (heart might still send some signals), pupils were dilated. Despite this they made attempts to revive MJ. They confirmed the breathing tube was in correct place and they were breathing for the patient. They checked for pulse, there was no pulse. They started CPR and tried to resuscitate MJ. They used an ultasound to examine the heart.

Walgren shows pictures of trauma bay and asks RC to go over all of the medical items in the trauma bay. RC identifies items one by one.

Sursa:mjjcommunity.com

 

Octombrie

A doua saptamana din procesul importiva lui Murray

Murray Trial Day 5 October 3, 2011

Dr. Richelle Cooper Resumption of Direct by David Walgren

Cooper states that CM indicated he had given MJ 4 miligrams of lorazepam, with no mention of propofol. Cooper states that there were over 14 people in the room where MJ was at UCLA, but that she had the final say over everything that happened in the room. Cooper states that she was aware that paramedics have given "starter drugs" at the Carolwood home and also during transport to UCLA. Cooper states that at UCLA, epinephrine, sodium bicarbonate, vasopressin were all given to try to restart MJ's heart. Dopamine was given in a drip. Cooper states that chest compressions were given from time of arrival.

Cooper states MJ arrived at 1:13 pm and was death was called 2:26, chest compressions were given continuously throughout. Cooper states MJ had an endotracheal tube, and a respiratory therapist was squeezing an ambu- bag to pump oxygen into MJ's lungs throughout. Cooper also states that MJ was hooked to monitors throughout. Cooper states that during this hour and thirteen minutes, from the time MJ arrived at UCLA, until the time of death was called, she never felt a pulse. Cooper states that when compressions were going on, they could feel a pulse. But, that a spontaneous pulse (when there are no chest compressions going on) was not found by her. Cooper states at 13:21 (military time for 1:21) one of the staff reported a pulse, but when Cooper consulted the monitor it was not consistent with a pulse.

Cooper states that she made the decision at 2:26 pm to call the time of death, even though she called time of death at the Carolwood home at 12:57 pm. Cooper states that from 12:57 pm to 2:26 pm there had been no notable change in MJ's condition. Cooper states that she noticed a condom catheter on MJ's body. Cooper states that condom catheters are used to collect urine when unconscious. Cooper states that the condom catheter was unusual for a 50 year old male who was reportedly healthy.

Cooper states that she did not request Murray to sign a death certificate, because MJ was her patient.

Cooper states she did not have a reason for MJ's death and therefore MJ's case would be a coroner's case. Cooper states that there was a social work team to help with the family even before the time of MJ's death was called. Cooper states that the social work team is standard care for UCLA, not initiated by Conrad Murray. Cooper states that she was notified that MJ's children were aware that their father was dead. Cooper states that she saw the children, that they were scared and that they were fairly hysterical, and taken care of by someone referred to as their nurse.

Defense Cross

Cooper states she does not know exactly time of death for MJ, she bases it on what the paramedics told her, and called time of death at 12:57 pm. Cooper states based on the information she had, she believed MJ to be dead at 12:57 pm. Cooper states that she could override Murray's request to continue to try to revive Murray, but she allowed Murray to make that call. Cooper states that her assessment when MJ arrived, he was clinically dead and that any revival would be futile. Cooper stated that Murray claimed there was a pulse, so she continued efforts to save MJ.

Cooper states she was never an anesthesiologist, but she has used propofol, at UCLA you need to have privileges. Cooper states she always practices medicine in a hospital emergency room setting. Cooper states that in her use of propofol, she uses amounts that are based by case. Cooper states that she chooses a dose that will make a patient comfortable, so that the patient does not feel pain. Cooper states she never used propofol as a pre-med student. Cooper states that if 25 mg of propofol was slowly infused in 3-5 minutes, on a patient at 135 pounds, and he received no other medications, she believes if she achieved sedation, he would wake up in seven to ten minutes. Cooper does not believe that the propofol would be completely metabolized in seven minutes. Cooper states that 25 mg is very small, and would not be sufficient to sedate a patient.

Cooper states that Murray stated he witnessed MJ's cardiac arrest. Cooper states that she never asked what time the lorazepam was given to MJ. Cooper states that she previously testified that Murray stated he witnessed MJ's cardiac arrest. Cooper states that the half life of benzodiazepines varies greatly.

Cooper has been to courses in procedural sedation, she has administered procedural sedation, and reviews articles on procedural sedation. Cooper states that on a healthy patient, she would start sedation at a mg per kg dose, and in MJ's case that would be 60 mg, it would keep them asleep for about 10 minutes.
Cooper states that if Murray had told her that he had given 25 mg of propofol at 10:40, it would have not changed how she treated MJ as a patient. Cooper states that MJ died long before he became her patient.

Cooper states that Murray stated that he thought MJ was dehydrated, had given him lorazepam, and had witnessed MJ's cardiac arrest. Cooper states that Murray told her MJ took Flomax which is typically taken for a urinary problem.

Cooper states that while it is normal to take a rectal temperature, but Cooper cannot recall if it was done. Cooper states that rectal temperature would not tell her time of death. Cooper states that there is a protocol for LA county paramedics, with 20 minutes of revival procedures, after 20 minutes with no change, it's time to call time of death. Cooper states that this is the first time that paramedics have ever asked her to continue revival procedure after she tells them to call the time of death.

Cooper states that she does not recall Murray being frantic, but to be honest, she does not pay that much attention to someone other than the patient. Cooper does not recall much about Murray's demeanor, except that Murray was respectful in that he was not allowed to do procedures in the emergency room. Cooper states that Murray and a Dr. Cruz had a conversation, which she did not hear, but then the aortic pump was inserted. Cooper states that there was no urine present in the condom catheter or the collection bag. Cooper states that had there been urine, Cooper would have sent it to the lab to be analyzed.

Walgren Redirect

Cooper states that she assumed that Conrad Murray was not lying to her. Cooper states that Murray told her that MJ was working hard, was dehydrated and he had given him lorazepam. Cooper states that all physicians do not have propofol privileges. Cooper states that they have equipment set up within a room and outside a room for issues arising in a patient who has received propofol. Cooper states that there is always an attending physician present, plus other physicians when administering propofol or another anesthetic agent.

Defense Cross

Cooper states that when administering propofol, it should go in as a slow infusion through a bolus. Cooper states that a direct injection of propofol would cause apnea, although she has never seen a direct injection done. Cooper states that continual propofol usage is rare.

Walgren Redirect

Cooper states that she is prepared as a an emergency physician to intubate patients or attend to patient's airway during procedural sedation.

Defense Recross

Cooper states she has never had a patient stop breathing during a procedural sedation. Cooper states that if there is a problem, the first thing to do is to stimulate the patient, meaning wake the patient up and that that is almost always sufficient. Cooper states that if a doctor was to administer 60 mgs to 60 kg patient, the doctor would be able to see insufficient breathing right away, that it could be determined by seeing, but that capnography would be able to detect a breathing problem first.

mid morning break

Edward Dixon Testimony

Brazil Direct

Dixon states he works for AT & T as a senior support engineer since 1997. Dixon states that he is familiar with preparations of cell phone records and has testified previously in cases regarding cell phone records. Dixon states he has reviewed Murray's cell phone records. Dixon states that Murray's cell phone account status was active in June, 2009.

Dixon states that on June 25, 2009, calls were made:
- 9:23 am Call placed to Murray's phone lasting 22 minutes
-10:14 am Call placed to Murray's phone lasting 2 minutes
-11:07 am Call placed to Murray's phone lasting 1 minute
-11:18 am Call placed from Murray's phone lasting 32 minutes
-11:49 am Call placed to Murray's phone lasting 3 minutes
- 11:51 am Call placed from Murray's phone lasting 11 minutes
- 12:12 pm Call placed from Murray's phone lasting 1 minute
-12:15 pm Call placed to Murray's phone lasting 1 minute
- 3:38 pm Call placed from Murray's phone lasting 2 minutes
- 4:31 pm Call placed from Murray's phone lasting 1 minute
-4:32 pm Same as above
-5:02 pm Same as above

Dixon states that cell phone contains data as well as calls. Dixon states that data activity occurred on Murray's cell phone on June 25, 2009:
- 1:04 am, 2:04 am, 3:04 am, 4:04 am, 5:04 am and 6:04 am, Dixon states that this is pull notification, and that information is pulled to the phone.
-8:54 am - 5:02 pm Data activity

Gourjian Defense cross

Dixon states the records do not identify who is using the phone. Dixon states that there is no way to identify what is said in a text message sent from any AT&T phone (referring to data activity). Dixon states that he does not know, as of today, who own the cell phones that Murray called on June 25, 2009. Essentially, Dixon states that he can tell if calls went to voicemail or they were answered only if they made from or to AT&T phones.

Dixon states that regarding data usage, the data is set automatically, in this case, it was set at 1:04 am, 2:04 am, 3:04 am, 4:04 am, 5:04 am and 6:04 am.

11:07 am, phone call to Murray's call, Dixon states that he cannot tell whether the call was answered or it went to voicemail. Dixon then looks to his records, looking specifically at the duration of the call, and states it is identified as an incoming call, length is 1 minute, but he still cannot tell if it went to voicemail or answered.

Brazil Redirect

Brazil corrects that 3:38 pm call is wrong, it is 3:58 pm.

Jeff Strohom Testimony

Brazil Direct

Strohm states that he is a custodian of records for Sprint/Nextel, and is responsible testifying for courts who require it. Strohm states that the subscriber for the number that Brazil asks, is Conrad Murray. Strohm states that calls were made from or to Murray's phone on 6/25/09:
- 7:01 am Call made to Murray lasting 25 seconds
- 8:25 am Call made from Murray lasting 0 seconds (text message)
- 8:39 am Call made from Murray lasting 53 seconds
- 10:20 am Call made to Murray lasting 111 seconds
- 10:34 am Call made from Murray lasting 8 1/2 minutes
- 11:26 am Call made to Murray lasting 7 seconds
- 1:08 pm Call made from Murray lasting 2 minutes

Gourjian Defense Cross

Strohm states that the 11:26 am call cannot tell whether the phone was answered or not, but that the call is not a voicemail.

Dr. Thao Nyguen Testimony

Dr. Nguyen states she works at UCLA as a cardiologist/scientist. Nguyen 20% of her time spent as a cardiologist, 80% of her time she researches. Nguyen states that in June, 2009, she was a cardiology fellow. Cooper states her responsibilities included taking care of patients that were critically ill in CCU at UCLA, managing patients and supervising her was Dr. Daniel Cruz.

Cooper states she was called into the emergency room at UCLA to help with the patient MJ. Cooper states she received a page that the ER needed help with a VIP patient, named Michael Jackson. Nguyen states that Dr. Cooper was treating MJ when she arrived at the emergency room. Nguyen states that Murray introduced himself to her as MJ's private physician. Nguyen asked Murray what happened, and Murray replied that MJ was very tired, he was preparing for a concert tour. Nguyen states that she asked Murray if there were any drugs given, Murray stated 4 mg of Ativan (another name for lorazepam). Nguyen asked if any other medications were given, Murray stated no other medications given.

Nguyen states that she asked what time the Ativan was given, Murray stated he did not know. Nguyen states that Murray told him he found MJ not breathing, Nguyen asked what time was that, Murray stated he did not know. Nguyen states that she then asked Murray what time was 911 called, Murray stated he did not know, he had no concept of time because he did not have a watch. Nguyen states she asked for an estimate from Murray from the time he found him not breathing to the time he called 911, Murray was not able.

Nguyen states that Murray never mentioned propofol to her. Nguyen states that after receiving from Murray, she consulted Dr. Cruz. Murray told them that he found a pulse, but Dr. Nguyen nor Dr. Cruz found a pulse. Murray asked both Nguyen and Cruz to continue to try to revive MJ, to not give up easily. Nguyen states that the next thing to do to try to revive MJ is to use a balloon pump for MJ's heart. Nguyen states that she feared they were running too late, that time was not on MJ's side.

Walgren Direct continued

What is a balloon pump? It is inserted into aorta to help heart. She was doubtful that it would help. It looked like time wasn't on MJ's side and he looked lifeless. She went forward with the balloon pump to show good faith. TN and Dr. Cruz (attenting cardiologist) could not felt a pulse but CM told them he felt a pulse and asked them not to give up easily on MJ and try to save his life. TN and Dr. Cruz moved forward with balloon pump even though they thought it was futile. Dr. Cruz decided and authorizated the ballon pump. It was quite smoothly placed but the attempt was futile.

Before they did the balloon pump placement, they made an agreement with CM that this would be the last attempt to save MJ and if it didn't work they would stop the efforts.

Dr. Nguyen: "We wanted Mr. Jackson to depart with dignity and respect, so we decided to end our efforts. "

Shortly after the balloon pump MJ was pronounced dead.

CM did not mention propofol during all these balloon pump efforts.

Defense Flanagan cross

TN was called a minute before 1:35. TN remembers the time because she looked to her pager. TN was on the 7th floor in the rounding room of cardiac care. She talked to Dr. Cooper when she came into the trauma bay and Dr. Cooper pointed and introduced her to CM saying that CM is the physican for MJ.

TN knew the patient was MJ because page she received was a code for "VIP named Michael Jackson".

TN talked and asked CM first because he was the primary source . She always goes to the source and then talks to ucla attending doctor (Dr. cooper).

CM said to TN that MJ was having hard time sleeping, MJ was tired because of preparation/ rehearsal for the concert tour and MJ asked for sleeping aid. CM told TN that he gave MJ "Ativan 4 mg IV" .

CM didn't tell her that he gave it in 2 seperate doses. CM didn't mention Valium or Flomax and said no when she asked if there was any other sedatives and narcotics involved. CM did not recall the time when gave Ativan to MJ. CM didnot remember the time of the arrest. CM did not recall when he called EMS.

TN had some concerns: 1)time was not on their side 2) IV for insomnia for outpatient setting is quite uncommon. The dosage wasn't too high but there was a lifeless patient.

4mg of Ativan by IV would put a person to sleep. TN would start with 1 mg by a mouth. IV would be stronger than by mouth usage. She wouldn't use Ativan in outpatient setting and even inpatient setting because they are better drugs that are non-sedatives and non-narcotics.

Recommended dosage for Ativan is 2 -4 mg by mouth for an adult. 2 mg Ativan by IV would put a patient to sleep pretty quick in 5-7 minutes depending on the patient. If a person is used the drug before it can take them longer to sleep. Ativan half time is 12 +- 5 hours. TN says the amount of sleep would depend on the patient and the conditions. She says that normally people would be able to sleep through the night with that dose.

Defense asks about the second dose of 2mg Ativan and if it would put the person to sleep. TN says yes if the person has not developed higher tolerance , if they had a high tolerance they would need higher dosage. TN also mentions that the even though a person's tolerance to drug could increase, their body's tolereance level to toxicty wouldn't increase.

Defense asks 20 mg Ativan IV, TN says that it's a really high dose. Defense asks if it would kill a person. TN says that Ativan affects the brain and will make the brain sleepy (depress the consciousness) and it would not tell the diaphragm to breath.

Defense talks about half life of Ativan. Defense asks if Ativan would be expected in to be present in blood at 12:00PM if 2mg is given at 2 AM and 5 AM.

Defense asks if they would watch the patient if they gave them Ativan. TN says that multiple people watch them until they would gain total consciousness.

Slurry speech is mentioned and TN says that it would be an affect of Ativan. TN has used Propofol. She says that they don't hear slurred speech in Propofol.

CM sounded desperate and looked devastated. CM said "Do not give up easily, please save his life".

There was no pulse but TN didn't know how long he didn't have pulse. TN believed when she was called to come down, CPR was partially successful. All TN knows when she came down MJ appeared lifeless and TN and Dr. Cruz could not find a pulse. There was typically no reason to use a balloon pump.

TN says as CM was there and he was trained and knew how to take pulse so TN gave CM the benefit of the doubt and believed when he said he felt a pulse.

Defense asks when they did the balloon pump. She says that they got the equipment in 5-7 minutes and did the balloon pump immediately after they got the equipment.

Defense again goes over the agreement they did with CM to do balloon pump and stop if it doesn't work. TN repeats multiple times of her previous explanations.

TN says she asked CM if he gave anthing to reverse the effect of atrivan. Later TN explains the drug Flumazenil. 0.2 mg to prevent the further depression of the brain. To reverse the effect of Ativan it should be given immediately like in seconds. Defense questions about window of opportunity. TN says seconds to minutes (2-3 minutes). TN says you can 100% reverse Ativan but if you wait too long then you would zero chance to reverse it. It must be given as soon as you find the patient. TN says that antidote should be to be at hand when giving Ativan to a patient. TN says the next step will be to incubate the patient and to be put on a ventilator to breathe.

Defense asks is she would expect 4 mg Ativan need Flumazenil. TN says she would not typically expect any complications in a person that is accustomed to the drug and tolerant to it. TN adds that anything can happen and they always use it at a monitored environment with oxygen on board.

Walgren redirect

TN use propofol at the hospital but uses an anesthesiologist in procedures. TN says at least 3 people will be in the room - cardiologist,anesthesiologist and a nurse. TN says Propofol will be administered in a hospital setting and furthermore only in an ICU or procedure room. TN also mentions that it would be administered in a designated place, with designated personnel and necessary equipment. TN says that crash cart should be available. TN says she wouldn't administer Propofol without the necessary equipment.

TN mentions Propofol can cause negative effects and that it doesn't have an antidote so that they should be prepared for the worst when giving Propofol before they even start administering it. TN mentions it's a must.

Flanagan recross


Defense asks if Propofol can be used for other reasons than procedures. Defense asks if TN knows conscious sedation. Defense mentions that TN only used Propofol during a procedure so divided the responsibility with anesthesiologist and asks if there's no procedure could she give it alone (be in charge of giving Propofol). TN replies " I don't use Propofol when there's no procedure being done". Flanagan says that's because she never practiced outside a hospital. TN says she does work outside a hospital setting and she would never use Propofol in an outpatient setting.

Defense asks how much Propofol she would give to someone MJ's size. TN says that it would depend the conditions and if other sedatives were used.

Flanagan states Propofol being commonly used outside hospital setting. TN disagrees , Flanagan asks if TN knows Propofol being given at a dentist offices and gastroenterologist, TN says she was not aware of it and never asked what they gave and wasn't interested. TN says that she was only concerned with what is given to her.

W algren redirect

Walgren asks TN if she has ever heard Propofol being used in someone's home in a private residence, she says that's a first.

Dr. Joanne Prashad (JP) Testimony

Brazil Direct

JP Internal medicine physician for 9 years at a Houston Hospital.

JP was called to evaluate a patient for a surgery to see if the patient can undergo surgery. JP generally sees the patient, takes their medical history, does a physical exam and she would review medical charts. The patient had a recent surgery done by CM, CM had placed a stent to an artery on his leg to keep a blood vessel open. Patient was taking medications (Plavix) which was a concern for the surgeon and the anesthologist.
Patient had an open wound on the leg that went to the bone. If they do the surgery the wound would additional bleed. The concern was that if the patient could continue to take Plavix or not.

The stent was put into 4.5 months ago. JP saw that he was taking plavix medicine , generally it's taken for 6 months. She needed to learn if the medicine could be stopped. JP wanted to ask CM what was his opinion about this patient and if she can tell the patient to stop the plavix and have the surgery.

Brazil questions about medical chart and asks if they are important. JP says they are important because they can get the accurate medical information from them. Patient generally don't know the details of the medications and previous procedures.

Shee called CM's office and was given a phone number it was a answering service. She called the office again and was given a second phone number. JP called the second number and explains her reason for calling and she asked if this patient needs to continue to take Plavix or if they can stop it and the patient can have the surgery. CM was clear, he said the patient need to continue the medicine for 6 months and postpone the surgery until that the time period was over. CM properly told the medicine dosage and his treatment plan.

She was surpised that she called out of the blue and he was able to give an answer. Generally doctors would say they need to review the chart and call back. CM was clear about the treatment and about the need for the medication.

10:20 AM . It was a brief call. CM provided the information she needed. She decided to postpone the procedure based on the information she got from CM.

Defense Chernoff cross

Defense mentions that a lot of the times doctors doens't remember the patient but CM did, he knew the treatment, he knew the medication. Chernoff asks if she was impressed with CM, she says she was impressed.

Mid Afternoon Break

Antoinette Gill Testimony


She's from Las Vegas, Nevada. She has known Murray for over 10 years. She was referred to him by a client of hers. She is a patient of CM.

Mid June she received a letter from CM's office. It said that CM was going on to a sabbatical. She called CM's cell phone on June 25th at 8:45AM . She had a short normal conversation. She was seeking referral for another physician she didn't receive it.

No Defense Cross

Consuelo Ng (CN) testimony

CN met CM 2003 -2004 when CM was treating her grandmother. CN says CM helped to cure her grandmother. She volunteered to work at CM's Las Vegas office and she was working as a caregiver at a group home. She's not a nurse.

She consistently volunteered in CM's Las Vegas office 5 days a week. She worked at the front and back of the office. She did filing, answered phones and took vitals of the patients.

She knows Robert Russell who used the ECP room. 3 other girls Carol, Sarah, Leah worked at CM's office. Carol mostly handles the front office - checking in patient, scheduling appointments , answering the phones, authorizations from insurance and verification and filing of insurances. Leah works at back of the office also answer calls and help the front if needed. Sarah does the same. None of them are registered nurse. They are not licensed vocational nurses. All of them did whatever needd in the office. CM also has an assistant administrator Stacy who worked from San Diego. Stacy order supplies, process payroll.

CM will be in Houston for a week and next week he will be in Las Vegas. Las Vegas office will be open when CM was in Houston . When CM is in Houston they would provide ECP threaphy and an Echo tech would come and do echocardiogram (echo).

ECP threaphy : They would wrap lower extremities, they put the patient on a Blood Pressure cuff, check oxygen level, hook up the patient on machine. They would check the oxygen level with a machine that they put it on the finger.

When CM was not in office he would call the office daily to check. When CM was in Houston they would see patients in a partial day basis. CM did not perform procedures in his office. His procedures will be on Friday at the hospital.

June 2009 - she did not know CM was in California. CM would call in to say to rechedule some patients.
Brazil mentions the June 15 letter sent to CM's patients telling that the CM would leave his practice for a period of time. CM told his staff that he was the personal physician of MJ before the June 15 letter. They would continue working for CM, another physician would come and would take over but it wasn't set up.
June 25, she was working in the office with Carol, Leah and Sarah. CM called the office, she did not speak to him. 11:18 AM 32 minute call. She did not speak to him, someone else from the office could have talked to CM. It was his normal habit to call the office when he was away.

They went to lunch, they weren't seeing patients that day. When they got back from lunch, they got a call from their biller. That how they found up something happened to MJ.

Defence cross Chernoff

Defense asks if she was supbeonad to testify. She says yes.

Defense goes over CM's schedule. Mondays and wednesdays he sees patients in the afternoon, mornings makes rounds in the hospital. Tuesdays see patients mornings, make rounds in the afternoons. Fridays he does procedures at the hospital.

Defense again goes over if CM would call the office and what they would do in the office when CM was away. She repeats the previous answers.

Defense asked why she volunteered to work in CM's office. She says because she wanted to learn and experience how it is working as a medical assistant was. she saw how CM treated her grandmother.

Chernoff question : Did CM had a tendency to become friends with his patients? Yes. Patients had an attachment to CM? Yes they did.

She stopped working CM because of what happened , CM shut down his practice due to what happened with MJ Objection. Sustained.

CM talked everyone at the same time and told that he was going on sabbatical to go on tour with MJ. They were excited "because it was MJ and everyone knows MJ". CM told them he would be back by the end of year.

Bridgette Morgan testimony

Brazil Direct

She met CM in 2003 in a social setting. She maintained a relationship / friendship with CM. CM told her that he was MJ's personal physician.

She called CM on June 25th. 11:26 AM. CM didn't answer the phone.

Defense cross

She lives in LA since 1998.

Brazil redirect

She met CM in Las Vegas.

Murray Trial Day 6 October 4 , 2011

Stacey Ruggels (SR) Testimony

Brazil Direct

SR has worked for CM since 1997. June 25. 10:34 AM phone call. She talked to CM for 8.5 minutes. 11:07AM she called CM back. She spoke to him again.

Chenoff Cross

Defense asks what the conversation was about. SR says she called CM to let CM know that she had sent the email. It was brief call.

Defense asks if she helped CM to open an office in Houston in 2005. CM wanted to open an office for his father's memory. Her duty was to look for places to open office. They opened the office in July 10, 2006.

After the Houston office opened he would go every other week - one week Houston one week in Las Vegas.

Type of patients in Houston office are people that are on fixed income and cannot afford to see physicians. Houston was a high volume office, CM saw a lot of patients. CM did not profit from the Houston office, there was very minimal income coming from that office.

SR learned CM was going to work for MJ April 2009. She was involved with trying get another cardiologist for CM's place.

Brazil Redirect

Brazil asks how many offices Murray had as of June 2009. CM only had 2 offices in Las Vegas and Houston.

Michelle Bella Testimony

Brazil Direct

Bella met CM in February 2008. She met CM in a Las Vegas club that she was working. CM gave her his phone number. She called CM. CM called her as well. CM sent her text messages and she had sent him text messages.

June 25th CM sent her a text message. June 16th she received a voice mail from CM.

Brazil wants to play the June 16 voice mail. Objection. Side Bar.

Brazil asks if CM told her if he was MJ's doctor. She says yes. CM also mentioned working for MJ on the voice mail. On the voice mail did CM said he hoped to meet with her in the club? She says yes but the answer is stricken.

No defense recross

Sade Anding (SA) Testimony

Brazil Direct

She lives in Houston Texas and worked as a waitress. CM gave her his phone number when they met Feb 2009. After that first meeting and phonecall they spent time together and communicted by calling each other. They exchanged text messages as well. They maintained regular contact and got to know each other better.

June 25. CM called her. She was in Houston. The call was 11:51 AM. CM said "Hello it's CM. How are you doing?" She asked "how he was doing?" and said "I haven't talked to you in a while". SA had seen CM in May in Houston and went to dinner. CM said "Well.." and paused. SA said "let me tell you about my day". CM didn't respond. She realized that CM was no longer saying anything on the phone. SA says she realized 5 to 6 minutes into the phone call CM wasn't saying anything back to her. SA said "Hello Hello" she didn't hear anything. SA pressed the phone to her ear and heard mumbling of voices. It was like the phone was in CM's pocket. She also heard coughing.

She did not recognize who the mumling voice was. She said "hello hello are you there hello" several times. She didn't receive any response from CM. SA hang up the phone can tried to call back and text multiple times but there was no replies.
SA later learned that MJ was dead.

Brazil tries to ask about the next phonecall she had with CM after MJ was dead. Objection. Sidebar.

July 23, 2009. SA's father told her that LAPD detectives was in Houston and wanted to speak with her. SA called CM and talked to him. She told that LAPD detectives wanted to talk to her. CM said "why they are calling you? I'm sorry they are contacting you. I'm going to give you my lawyer's number. Make sure that when you speak to LAPD to have my lawyer present".

Defense Chernoff Cross

Chernoff goes over June 25th phonecall. Chernoff asks if the voices she heard could be CM. SA answers yes. Defense asks how long she was on the phone before she hang up after she realized CM wasn't responding. SA says 3 to 4 minutes.

Nicole Alvarez (NA) Testimony

Brazil Direct

NA met CM at 2005 in a club at Las Vegas. They exchanged phone numbers and kept in contact. A few months later their relationship became something beyond friendship. She was in a relationship with CM in 2009 and gave birth to a son in March 2009. She had been living in her apartment for 3-4 years.

CM told her that he was MJ's personal physician in 2008. NA says that she was interested and excited about hearing that CM was MJ's doctor. NA says that she didn't ask questions as she respected CM's profession.

NA says that she met MJ around 2008. She was introduced by CM. CM arranged the meeting as a surprise to NA. She was speechless when she met MJ. She met MJ at his home. At the time she met MJ, he was the only patient of CM's that she met. NA says after MJ's death she met some of CM's patient in Houston.

NA says she accompanied CM to MJ's residence 2-3 times. MJ wanted to see her son. She went to MJ's residence after March 2009.

NA knew that CM had practices Las Vegas and Houston. NA says CM didn't mention having a medical practice in California.

NA says that she still lives with CM. CM in 2009 was living in her residence and was paying her rent of $2500 and provided financial support.
NA says she's an actress. Brazil asks where NA was working in May and June 2009. NA says she was maintaining her instrument (herself), going on casting calls, auditioning and refining her craft.

April 2009. CM was living with NA but not on full time basis. CM was maintaining his practices and knew that CM was MJ's personal physician. CM would leave at night time to go to MJ. NA knew that CM was working for MJ, she didn't know at what capacity.

CM's routine. CM would leave around 9 PM and return in the morning sometimes it would be early morning (6-7 AM) and later he started to come around 8-9-10 AM. CM would go very frequently with a few off days.

May 2009. CM's activities would be similar to the April 2009. NA at times called CM while he was working MJ , she says the calls were brief.
June 2009 CM's schedule was similar. NA knew that MJ getting ready for his concert tour. NA didn't ask CM about the show and rehearsals because she thought she would see the show as she would be accompanying CM to London. She learned they would be going to London in March 2009.

NA wasn't aware of the negotiation details but she knew that they were arranging places for them to live. NA says that she don't recall reveiving CM's contract through fax. Brazil reminds her about her preliminary hearing in which she said she saw the AEG contract. NA says she never read the details. Brazil goes over the preliminary hearing testimony and readsthat NA received a fax and looked to the contract and she looked and knew that CM would be paid $150,000. NA says as of now she doesn't recall that moment. NA says that if she said that's what happened then it's true.

NA didn't know when they were going to London. NA knew that they would be gone until November.

mid morning break

Direct continued

April, May, June CM was living with NA's apartment and was providing care to MJ. At the same time packages addressed to CM were being delivering to her house. CM would tell her that he's expecting packages. CM didn't tell her what was in the packages. NA says she didn't know what the packages contained. NA says she didn't open the packages. NA signed for the packages. CM also received mail at her address. Some packages was left at her door and sometimes they were left in the common area. NA would make sure that CM knew that he had a package.

Brazil enters Fedex receipts into evidence dated April 8th, April 29th, May 1st, May 13th, May 15th, June 11 and June 16th.

June 25th. 1:08 PM. CM called NA's home number. CM told her he was on the way to the hospital with MJ. CM didn't want her to be alarmed. She received phonecalls from CM in the late afternoon. CM came to her house in the late afternoon.

No defense cross

Tim Lopez (TL) Testimony

Brazil Direct


Tim Lopez owner and pharmacist of Applied Pharmacy. Applied pharmacy is a specialized pharmacy that made compounds.

TL received a phone call from CM at November 2008. CM told that he had patient having Vitiligo and needed Benoquine. TL needed to look to the raw materials to see if he can make the Benoquine. TL told CM he would look into it and let him know. During their office move TL lost CM's information and didn't call him back.

March 2009. TL received a phonecall from CM. CM asked why TL didn't call him back. TL told him that they were in the middle of the move and lost his phone number. TL got his contact information again and promised that he would keep in touch.

TL looked for the compounds to create Benoquine. CM asked what strentgh TL could make the cream, he said he can make the standard 20% strength. TL said they can make 40 of 30gr tubes. CM placed an order. CM was also told about preordering and he needed to pay up front. CM said he had many African American patients that suffer from Vitiligo and this was a trial basis to see how the medicine worked. CM told he had multiple clinics and would use the cream overseas as well. CM would have come to TL's office to pick it up and pay with a company check for $1,200

CM provided TL with his medical office in Las Vegas and he told him his DEA licence number and his medical license number. TL verified CM's medical license and DEA number.

TL says as the cream was asked for a "trial basis" and under doctor control he didn't need to know the patient's name. TL says he would need to know the name of the patient once they are prescribed the cream for home use.

When CM came to pick up the cream, he discussed if the cream could be delievered to his office. TL said they could. TL also said they needed to have credit card on account for future orders. CM gave him his credit card number.

April 2009. CM called TL and said he was happy with the cream. CM asked if the pharmacy was able to order other stuff for his offices. CM asked him to find pricing and availability of normal saline IV bags and Propofol.

TL says he didn't sell Propofol before CM asked him about him. CM wanted 100ml and 20ml sizes. TL found out the pricing information for Propofol. CM placed an order on April 6th on the phone. 10 bottles of 100ml Propofol and 25 bottles of 20ml Propofol.

The first shipment was sent to CM's Vegas office. CM removed some items and asked if the rest can be shipped to his office in LA.

April 28 order. 40 bottles of 100ml Propofol and 25 bottles of 20ml Propofol.

April 30. CM inquired about availability of Lorazepam and Midazolam in injectible form. Lorazepam is also available in a pill format. 10 vials of 10ml Lorazepam, 20 vials of 2ml Midazolam.

First 2 weeks of May. TL discussed several items with CM. CM had a concern with the base of Benoquin, wanted it to be less greasy. TL said he could do several formulas. CM also asked if it could be done in a larger packaging size. CM wanted packaging to look better.

CM wanted energy formulations for boost. CM didn't want any narcotics or prescription drugs , he wanted natural products. CM said this was for wakefulness and energy. TL said he would look into it.

CM said his patients were complaining about injection site pain. CM wanted a topical anesthetic that only had lidocaine cream in it. TL did a mix for him that had 2% Lidocaine. Such creams are rub onto the skin before injecting a needle.

May 12 receipt. 40 vials of 100ml Propofol. 25 vials of 20ml Propofol. 20 vials of 2ml Midazolam. 10 vials of 0.5 ml Flumazenil . Lidocaine cream 30 gr.

May 14. TL talked with CM about Lidocaine cream. CM wasn't getting the desired responde with thr 4% cream and wanted him to increase the strenght to 4 %. CM asked about the energy formulation. TL suggested several items to CM and agreed to do more research on it. TL also said that he would change the base of the Benoquin cream and would send CM 3 samples and CM would determine which one he liked better. CM asked TL about Hydroquinone cream (used for Vitiligo) and CM was interested in receiving a sample.

TL was driving to LA airport that weekend. Rather than charging CM delivery fees, TL offerred to drive the items to CM's office in LA. CM said there was no need for it and he can just ship them as he always does.

May 14 order. Lidocaine cream 4%.

June 1. TL had another talk about energy formulations. CM requested TL send some samples so that he can try them. TL shipped these items with June 10 order.

June 10. 25 vials 30ml Lidocaine . 40 vials of 100ml Propofol . 50 vials of 20ml Propofol. Hydroquinone 60 gr 20 tubes. Benoquin 60 gr 20 tubes.

June 15. CM said he was happy with the energy formulation. 10 vials 10ml Lorazepam , 20 vials 2 ml Midazolam . Saline IV 1000ml 12 bags.
CM never told him tha he was the doctor for MJ. CM never mentioned any name of his patients.

June 23 -24. TL talked with CM on the phone. There was a lot of background noise and he couldn't understand what CM said. TL said he would call him back. TL didn't call CM. On June 25 he learned that MJ died.

Brazil asks total number of Propofol bottles. 255 bottles of Propofol. 20 vials of Lorazepam. 60 vials of Midazolam.

Gourjian cross

TL put in the DEA number in their system. There was no red flags. CM was authorized to make these orders.

Benoquin is not controlled substance. Propofol is not controlled substance.

Gourjian asks if there's a regulation that says he could only ship to clinics and/or hospitals. TL says he doesn't know any regulations.

Gourjian tries to ask what TL's delivery person said about CM (all positive and nice things). It's is sustained as it's hearsay.

Gourjian asks if the medicines are for an office use, they won't disclose the patient names when ordering. TL says yes as they wouldn't know who the patient will be. Gourjian asks if this will also apply to high profile patients.

Brazil redirect

Talks about confidentiality. Asks if a physican tells the patient's identity if TL would keep it private. TL says yes.

Murray Trial Day 7 October 5, 2011

Sally Hirschberg (SH) Testimony

Prosecutor Walgren Direct

SH states that she is employed with SeaCoast Medical, a medical and pharmaceutical distributor and they sell medical supplies. SH states she is an account rep and she has been employed there for 10 years. SH states that they have an account record of medical order records held by Conrad Murray.

SH states that she holds records for a Conrad Murray on Flamingo Road in Las Vegas. SH states that records reflect a Consuelo Ng, was the account rep that SH worked with who represented Murray. SH states that Murray's account was created in December 2006, and that the address was always the address in Las Vegas. SH states that an order was placed 12/16/08, and then there is a lull in activity until 4/14/09. SH states that prior to 4/09, even though there was no activity, there were phone conversations between she and Connie Ng, with Murray requesting an infusion IV set. SH states that 3/25/09, Murray via Ng requested a case of Safe Site infusion IV sets. SH states that on 3/26/09, the account had a credit card declined, so the infusion set was not shipped. SH states that on 3/31/09, nothing yet had been resolved as far as payment. SH states that with regard to the infusion sets, 24 come in a case.

SH states that on 4/13/09, she spoke to Ng, Ng asked her to send the infusion sets to a residential address in CA, but SH did not agree, it brought up a red flag in her opinion. SH states that on 4/14/09, the invoice shows that the products ordered were a case of sodium chloride solution, a blood pressure cuff, some parts for the blood pressure cuff, components for infusion sets, a tubing device, 20 gauge 1 inch 3 cc syringe needles, IV catheters 25 gauge (50 in a box), transparent dressing a type of bandage, set of syringes 30 cc (40 in pkg), IV catheters, ultrasound equipment, electrode gauze (would attach to EKG machine), alcohol prep pads, gauze sponge, drape sheet (fabric cover that would drape over patient), saline bags (48), sodium chloride bags, and that the order was processed to a credit card belonging to Conrad Murray. SH states that latex gloves, IV components for infusion sets, XL administration sets, exam paper for the bed, exam gloves were also ordered.

SH states that on 4/16/09, lidocaine 1% 25 of them were shipped. SH states that on 4/21/09, blood pressure cuff and components, medex injection adapters, IV catheters were ordered and shipped on 4/24/09 as well the pump IV set. SH states that on 5/12/09, her records reflect that 25 1% 30 lidocaine, more medex T connectors, a child's blood pressure cuff, tape, tourniquets, more medex catheters, blood pressure cuff for adult, shipped on 5/12/09. SH states that the blood pressure cuff is packaged inside a plastic bag and then in a white box, manufactured by Starline. SH states that alcohol pads, 10 cc syringes (100 in a box), saline bags, 10 cc syringes 22 gauge (100 in a box), hypodermic needles (50 in a box) were ordered.

SH states that on 5/19/09, Murray's order is more infusion connectors, blood pressure device for a child, IV catheters (50 in a box), urine pads, external catheter medium for urine collection, urine collection bags were ordered.

SH states that on June 1, 2009, an ambu-bag, and an airway kit was ordered. SH states that this is the first time an ambu-bag was ever ordered, and that the airway kit price is $2.02 per kit. When asked SH states that the airway kit has six in a package.

SH states that on 6/15/09, she talked to Ng about urine bags, that Ng wanted a small urine bag, and SH told her she was not aware that small urine bags were made. SH states that she later talked to Ng, who had contacted the manufacturer directly, and that small urine collection bags were not made. SH states that on 6/22/09, Murray's invoice order includes catheters external wide band (small) was backordered and not shipped, urine bags, which were shipped, leg bags for catheters (medium) were ordered but not shipped. SH states that she told Ng that there would be increased cost, as Ng requested the order was shipped overnight.

SH states that she spoke to Ng on 6/26/09 at 9:26 am PST, and that SH cancelled the order per Ng's request.

Chernoff Cross

SH states that Murray's company, Global CardioVascular has been doing business with SeaCoast since 2006.

SH states that it is not unusual for Murray's practice to order lidocaine or infusion pump sets, but not often. SH states that her records go back to July, 2007. SH states that 7/20/07, a horizon pump set was ordered, and it was the same set that was ordered in April 24, 2009. SH states that on October 5, 2007 a horizon pump set, the same set that was ordered on 6/24/08. SH states that just by looking at certain items, she is able to identify them, others she cannot.

SH reaffirms that on April 25, and May 12 a set of IV administrations were ordered, and that there are 50 per case.

Stephen Marx Testimony

Prosecutor Walgren Direct

SM states that he was employed in the computer forensics lab for the DEA in June, 2009. SM states he had at that time, he had worked there for 5 and a half years. SM states that he is familiar with the iPhone, and that it is basically a mobile computer. SM states that he analyzed Conrad Murray's iPhone.

SM states that he did a forensic analysis on the iPhone on 7/28/09. SM states that he found screenshots on the phone dated 6/25/09, the first screenshot shows that at 7:03 am the phone was viewed for data. SM states that at 9:45 am, the screenshot indicates that the phone was viewed for data. SM states that the screenshot shows that Connie Ng was sending emails to Murray's phone on 6/25/09. SM states he was able to determine the contents of the emails.

SM states that there was an email sent from Connie Ng to Conrad Murray, indicated by a screenshot on CM's iPhone on 6/24/09 at 5:33 pm, and the subject was Omar Arnold - Progress Notes. SM states that the body of the email states "here are his progress notes, please let me know if you can't open it" with attachments. SM states that the attachment is written notes reflecting various dates, 11/19/08, insomnia, anxiety, 12/08, 3/07, with notes attached. SM states that there is a medical record reflected for Omar Arnold, and various handwritten notes, including primary MD Conrad Murray, indicating c/o meaning complained of. SM states that other handwritten medical notes and dates are reflected, including 1/1/07, and the last reflecting handwritten notes but no date mentioned.

SM states the next email from Connie Ng to Conrad Murray was sent on 6/24/09 at 5:34 pm - Omar Arnold - 2D - Echo. SM states the report date states 1/17/07, another stating 3/26/07 entitled Echocardiograph dated 1/17/07. SM states that the next email is headed MRI Paul Forance, stating that Ng has Forance's MRI results. SM states the next email is regarding another MRI, dated 11/13/07 SM states that the next email is from Connie Ng to Murray, header states Omar Arnold Medication Log, on 6/24/09 at 5:38 pm.

SM states the Murray's iPhone received an email on 6/25/09 at 5:54 am. SM states that the email that the email had been read. SM states that the email was from Bob Taylor, begins with Hi Conrad, and that the email has a London phone number and a London street address on it.

SM states that the body of the email is about issues of well being, press reports of the Artist, and issues of full disclosure of an insurance policy for Michael Jackson.

SM states that the iPhone reflects that Murray responded to Bob Taylor in the UK on 6/25/09 at 11:17 am, and the body states " Dear Bob, I am in receipt of your email. I spoke with Mr. Jackson and requested release of his medical records in order for you to procure a cancellation policy for his show, however the request was denied. I therefore request that AEG consult with kindly with Mr. Jackson for its relevance because he is under the impression that he is already secured in the US. As far as the statements published by the press, let me say they're all fallacious to the best of my knowledge. Sincerely, Conrad Murray "

SM states that there was a voicemail on the iPhone on 6/20/09 from Frank Dileo. Dileo voicemail is played, and states, " Dr. Murray this is Frank Dileo, Michael's manager, I'm the short guy with no hair. I'm sure you know Michael had an episode last night, he's sick. ...I think you need to get a blood test on him, we gotta see what he's doing. "

SM states that there is an app on the iPhone called iTalk, and a recorded at 9:05 am on 5/10/09. Prosecutor Walgren then plays Michael Jackson with extremely slurred speech, for a little over 4 minutes.

Transcript and Audio of the recording

[/B]MJ: Elvis didn't do it. Beatles didn't do it. We have to be phenomenal. When people leave this show, when people leave my show, I want them to say, "I've never seen nothing like this in my life. Go. Go. I've never seen nothing like this. Go. It's amazing. He's the greatest entertainer in the world" I'm taking that money, a million children, children's hospital, the biggest in the world, Michel Jackson's Children's Hospital. Gonna have a movie theatre, game room. Children are depressed. The -- in the hospitals, no game room, no movie theatre. They're sick because they're depressed. Their mind is depressing them. I want to give them that. I care about them, them angels. God wants me to do it. God want me to do it. I'm gonna do it , Conrad.
CM: I know you would
MJ: Don't have enough hope, no more hope. That's the next generation that's gonna save our planet, starting with -- we'll talk about it. United States, Europe. Prague, my babies. They walk around with no mother. They drop them off, they leave -- a psychological degradation of that . They reach out to me -- please take me with you.
CM: Mmnh.mmmnh
MJ : I want to do that for them.
CM: Mmnh mmmnh
MJ: I'm gonna do that for them. That will be remembered more than my performances. My performances will be up there helping my children and always be my dream. I love them. I love them because I didn't have a childhood. I had no childhood. I feel their pain. I feel their hurt. I can deal with it. Heal The World, We Are The World, Will You Be There, The Lost Children. These are the songs I've written because I hurt. You know I hurt.
Silence
CM are you okay
Silence
MJ I'm asleep


Gourjian Cross

SM states that the recording of Michael Jackson was on May 10, 2009 which is a Sunday. SM states that the email regarding the insurance email was CC'd to several other people, including a John, Paul and a Tim. SM states that a thread of emails, a series of linked communications appeared on Murray's iPhone. SM states that he recognizes Email from Justin Burns to Ian France on 6/22/09, discussing Michael's physical well being, as well as a return email on 6/24/09 discussing insurance health requirements. SM states that there is an email from Paul Gongaware on 6/24/09, it was also sent to Murray, Randy Phillips, etc. discussing a meeting at MJ's house. SM states that an email sent from Bob Taylor to Paul Gongaware, stating that there are concerns with the Artist's (MJ's) insurance. SM states that there is an email from Bob Taylor on 6/25 on 1:54 pm.

Walgren Redirect

SM states that in order to use iTalk, you need to open it manually. SM states that regarding that within the multiple emails, there is concern about obtaining a five year medical history.

Elissa Fleak Testimony

Walgren Direct

Fleak states she has worked for the LA County Coroner for 8 years. Fleak states she went to UCLA to examine MJ and the circumstances of his death at 5:20 pm on June 25, 2009. Fleak states she examined MJ and documented his physical condition in a private room at UCLA.

Fleak states that she took the picture of MJ on the gurney, deceased. Fleak states that there were other pictures taken of MJ, but this was the first picture she took (the one that was shown on the first day of testimony). Fleak states that initially there were no obvious causes of death.

Fleak states she took four bottles of blood from MJ and turned them into the coroner's lab for further toxicology testing. Fleak states that at 7:10 pm on 6/25, she went to MJ's Carolwood home. Fleak states that in the bedroom where MJ died, she located a 20 ml bottle of propofol on the floor next to the left side of the bed. Fleak states that she found the propofol bottles under a glass/metal table to the left of the nightstand, which is directly left of the bed.

Fleak is asked to identify items she found in the bedroom:
- A propofol bottle with few drops of fluid, Fleaks affirms it is the same bottle.
- An empty bottle of flumanezil nearly emptyfound near propofol bottle, Fleak affirms
- Prescription bottles: Diazepam, Lorazepam and Flomax, Fleak affirms
-Diazepam- prescribed to MJ, Murray prescribed to MJ on 6/20, 10 mg tablet
-Flomax - prescribed to MJ, Murray prescribed to MJ on 6/23
-Lorazepam - Murray prescribed on 4/28/09, 2 mg Fleak affirms all prescriptions

Fleak states additional prescriptions were found on the lower shelf of the table. Fleak states she found Trazadone, Flomazepam, and another drug.
Tizanadine - to Omar Arnold by Arnold Klein, 6/7/09
Flomazepam -to Mick Jackson, 1 mg tablet, Dr. Alan Metzger, 4/18/09
Trazadone -to Mick Jackson, 50 mg tablet, Dr. Alan Metzger 4/18/09
Temazapam -to MJ by Murray, filled 12/22/08
Hydroquinone - Applied Pharmacy name on it
Benoquin - Applied Pharmacy name on it
Lidocaine 4% - Applied Pharmacy, Conrad Murray's name on it

Fleak affirms that all of the above medications were found on the nightstand in the bedroom where MJ died. Fleak states that an ambu bag was found on the floor and an oxygen tanks, one on a rolling dolly, were all found in the room. Fleak states that alcohol prep pads, IV catheters, latex gloves, a 10 cc syringe with no needle attached to it, were also found on a nightstand in the room.

Fleak states that there was an IV catheter underneath the ambu-bag, to the left. Fleak states that she recovered a bottle of Bayer aspirin and other medical items, such as needles and supplies. Fleak states that there was a wooden chair with a jug of urine sitting on it with medical pads sitting next to it. Fleak states that all of the items were recovered on 6/25, except for the IV tubing and bag. Fleak states that she left Carolwood at 8:20 pm on 6/25, and returned on 6/29/09, to search for further medical evidence.

Fleak identifies that there is a large closet which adjoins the bedroom that MJ died in. Fleak states that she recovered items from the top of the closet area, including various bags, gloves and items. Fleak states a small black bag, a blue Costco bag, light/blue bag, a box of gloves and tubes of various lotion were recovered. Fleak states that the black bag had contents of a blood pressure cuff inside of a manufacturer Starline box. Fleak states that 3 bottles of lidocaine were found, 2 were essentially empty, 1 was half full and found inside the same black bag as the pressure cuff. Fleak states that the Costco bag contained a plastic grocery bag, a pulse oximeter, various items and a cut open saline bag with a 100 ml propofol inside the saline bag, Fleak states that she removed the propofol bottle from the saline bag to photograph them. Fleak states that the empty propofol bottle found within the saline bag was a 20 ml bottle.

Fleak states a 10 vial of bottle of Lorazepam was found inside the Costco bag. Fleak states that 2 individual bottles, each 10 ml in size, of Midazolam were found inside the Costco bag. Fleak states that a small bloody cotton gauze pad was in the Costco bag. Fleak states that a pulse oximeter was inside the Costco bag as well as a plastic bag with various medical items in it. Fleak states that inside the plastic bag, an IV administration was found, a urinary bag was found, a wide band bag was found, Tegaderm transparent dressing was found, IV catheter empty packaging was found, various alcohol prep pads were found, Tegaderm dressing backings were found, 10 ml disposable syringe with needle packaging was found, 2 individual straps were found, a dark blue and light blue vinyl top were found, a needle or IV catheter top were found, as well as miscellaneous plastic debris were found inside the Costco bag.

Fleak states that the light blue baby essentials bag contained 2 100 ml propofol bottles which were full, 7 20 ml propofol bottles, 3 were opened with various levels of liquid in them, 3 lidocaine bottle unopened, 2 unopened, 3 10 ml vials Midazolam, 2 unopened, 4 bottles of Flumanezil 5 ml in size, 2 bottles of Lorazepam, 1 unopened, 1 half full, 1 bottle from Applied Pharmacy combination of ephedrine, aspirin and caffeine, Bausch and Lomb eye drops, Medex bag containing IV tubing and syringes, a blue tourniquet, Murray's business cards were all found inside the Costco bag.

Fleak states that on 6/29 she recovered the IV bag and tubing from the Carolwood home. Fleak states that 18 tubes of Benoquin cream were recovered from the cabinet next to the bags already mentioned. Fleak states that she recovered a saline bag on 6/29 that she had observed on 6/25. Fleak states that she recovered IV tubing with a spike at one end, with a roller clamp on 6/29, as well as a Y connector with attached tubing, s capped syringe inside a sharpie container.

Fleak states that on July 1, 2009, she sent a subpoena seeking all relevant medical records of MJ to Ed Chernoff, Murray's attorney. Walgren wants to ask questions about the records Fleak received from Murray via Chernoff. Objection. Sidebar.

Murray Trial Day 8 October 6 ,2011

Elissa Fleak Testimony continued

Walgren direct continued..

Walgren enters more photographs into evidence.

Walgren talks about "broken syringe". EF says she shouldn't have described it at broken syringe. She says she misdescribed the item, she should have written them seperately. She made an assumption that it was the pieces of the same syringe but she was wrong. EF says that she later realized that they have different tips (one square, one circle) and they don't fit together.

Fleak's thumb print was found on the syringe. She doesn't know when that happened. EF says it might have happenned when she was moving the tables to take photos or repackaging the items.

EF subpeonad CM through his counsel Chernoff. EF wanted any and all medical records of MJ on July 1. Chernoff provided records to her. Walgren asks if the records covered April, May, June 2009. EF says they were all dated before that date.

Walgren goes over the medical records they are from 2006 , 2007, 2008 and use the names of Michael Jackson, Omar Arnold and Paul Farance (also Mike Smythe but letter crossed out).

Chernoff Cross

Chernoff asks if EF took more photos then it was shown to the jury. EF says yes.

Chernoff talks about EF's role in this case. Chernoff talks about being a coroner investigator and the importance of her job. EF's job is to collect as much as information about the cause of the death and the motive for death. Chernoff mentions the importance of being accurate and being through with the investigation.

Chernoff is asking who was there on June 25th. Detective Scott Smith from LAPD, her supervisor coroner Ed Winters and LAPD Crime Scene photographer. EF took notes, took photos and collected evidence.

June 29. She went to the residence based on the information she got from Detective Smith. Smith told her that there would be additional medical evidence to be collected from the room next to the bedroom. EF didn't ask any more questions and she said that she would meet him at Carolwood. In Carolwood Smith told her where the bags he was told to would be. EF , Smith , another detective (possibly Myers) and LAPD crime scene photographer was at the house collecting evidence.

They got the items out of the closet and placed it on a table. They took pictures. EF doesn't remember if she or LAPD took the pictures. She laid items out on the table. Defense shows a picture of items on the table. She and Smith was taking notes and observing.

IV bag with slit and Propofol bottle. Chernoff asks if there were more photos taken of it. EF doesn't remember.

3A form- evidence log form to record medical evidence in coroner's office. She did 3 3A forms on June 25, June 29 and July 8th.

EF goes over her June 29 record. In her handwritten notes she list the cut IV bag and the propofol bottle. Chernoff asks if any of her reports that she mentioned the propofol bottle was in the IV bag. She says no. Chernoff says that "propofol in IV bag" was added to her notes in March 2011. Chernoff tries to ask question about her revised notes. A lot of objection and sustained.

A week before she revised her notes , EF met with Chernoff at Coroner's office with other coroners and lawyers. Chernoff says he asked her about the IV bag and what was in it. EF says she doesn't remember. Chernoff asks when was the first time she told prosecution about the propofol bottle in the IV bag. Chernoff asks if she heard about Alberto Alvarez and his testimony. EF says that he didn't know him or didn't hear about his testimony saying that he saw a bottle in an IV bag.

Chernoff asks about her handwritten notes from June 25th. She says after she copies her notes to her reports, she destroys her handwritten notes intentionally in all her cases.

Chernoff asks if she would agree that she made substantial mistakes. She doesn't agree. Chernoff asks if not keeping her notes was a mistake, she says no. EF says she has her report and put everything from her notes to the written report.

Flumanezil bottle found on the floor but she moved to the table. Syringe Chernoff asks if she moved the syringe from the floor to the table. EF says no, she found it on the table.

Chernoff again mentions the "Broken syringe" - EF says she should have described it as two pieces and not broken. Chernoff asks about her scene report and how she wrote there was gloves on the floor and asks her to show it in the picture. She says it was closer to the urine bottle chair and cannot be seen in the current picture. Chernoff shows a picture of gloves on a chair and asks if she wrote about them in her notes. She says no. Chernoff asks if that's a mistake, EF says no.

Chernoff asks about the droplets in the IV bag and argues that they are clear and it's not a milky liquid. Chernoff asks if the IV bag was tested. Yes it was.

June 25 . She was primarily working on the bedroom. Chernoff asks if she went into other rooms. Chernoff asks if she went into the far left bedroom or not. EF says she did not go to that bedroom. That bedroom also has a bathroom attached to that bedroom. Coroner collected some items from that bathroom on June 26.

mid morning break

Several photos of urine on the chair from different angles marked by the defense. Pictures of EF shown. Chernoff asks when those pictures was taken. EF doesn't know the exact dates whether it was June 25th or 29th.

Chernoff asks how far was the table from the bed. EF says a couple feet.

Syringe on IV. Chernoff asks when that picture was taken. Chenoff shows 2 different pictures one taken on June 25th and another taken on June 29. One of the pictures showing the tubing around the IV pole and one does not. Chernoff says that someone was moving evidence.

Chernoff asks who's decision was to not the secure the house. EF says such decisions are up to LAPD. EF also doesn't know if the house was open for access of not.

Detective Smith informed her about the additional medical items CM mentioned there. EF went to the house on 29th. EF says she doesn't know if LAPD went to the house between June 27 and June29.

Chernoff mentioning some items such as the IV stand and IV bag being collected on June 29. EF also did not mention the IV stand, saline bag or the syringe in her June 25 record. EF mentioned those in the case notes in June 27 case notes. She wrote she had additional items to write that she did not mention in the first narrative.

After June 29, EF did not go to Carolwood. EF collected medical records from other doctors as well. EF collect those to get a better understanding of MJ's medical history. She requested medical notes from Murray, Klein, Metzger, Adams, Tadrissi, Slavit, Rosen, Lee, UCLA medical center, Kopplen, Hoefflin. Objection. Sidebar. She collected extensive records. There were other doctors that said there wasn't any records or did not treat MJ.

Chernoff asks about the juice bottle on the stand. EF says that she did not collect the juice bottle.

Walgren redirect

Walgren goes over the documents EF prepared. Investigator's narrative : Overall description of the scene. Evidence log : things are itemized and logged into evidence. Case notes : additional information for a case is listed here. 3A form medical evidence form that will detail the medical evidence versus the physical evidence or trace evidence.

Handwritten notes from June 25 was put into these documents.

Walgren asks she observed the IV stand on June 25 and have it photographed. Yes she did. On June 27 she mentioned IV stand in her notes. June 29 she picked up the IV stand and the bags from residence as evidence.

Walgren mentions her preliminary hearing testimony and how she mentioned Propofol bottle inside IV bag in January 2011. EF removed the propofol bottle from the IV bag to see what it was. She put propofol bottle on the IV bag to photograph it. Walgren asks if there was a reason if she photographed them together. She says she intentionally photographed them together because they were found together inside one another.

March 2011. Walgren, EF, Dr. Rogers examined some evidence. At that time Dr. Rogers mentioned that it was an IV catheter and EF found out that they don't go together.

Walgren asks if this was a perfect investigation, she says no. Walgren asks if she ever conducted a perfect investigation , EF says no. Walgren asks if she in other investigations she thought she could do a better job. EF says yes and she did her best.

Chernoff cross

Chernoff again goes over to say EF didn't take the picture of the Propofol bottle in the IV bag.

Chernoff shows a bunch of photos asking if EF took them.

Fingerprints information is stipulated

Murray's fingerprint was found on 100ml Propofol bottle found inside the IV bag.
Fleak's fingerprint was found on the syringe on the table.
IV bag with the slit had 4 fingerprints on it. 2 fingerprints was found on saline bag and 20ml Propofol . 1 fingerprint was found on 20 ml propofol bottle. but no identification was made about these fingerprints. The following people were eliminated by manual comparison: Michael Jackson, Conrad Murray, Alberto Alvarez, Michael Amir Williams, Faheem Muhammed, Scott Smith, Mark Goodwin, Martin Blount, Jimmy Nicholas, Blanca Nicholas, Elissa Fleak, Kai Chase.
No useable fingerprints on : 2 midozolam vials, 1 lorazepam vial, 2 lidocaine vials, 1 lidacaine vial, eyedrops, tube marked bq, a bottle labelled ephedrine/caffeine/asprine , 2 100ml propofol vials, 7 20 ml propofol vials, 2 lidocaine vials, 1 lidocaine vial, 2 lorazepam vials, 4 flumanezil vials, 3 midazolam vials, IV tubing, IV y connector tubing, syringe with needle.

In short MJ's fingerprints was not on any of the items. Murray's fingerprints was only found on a 100ml Propofol bottle.

Dan Anderson Testimony

Walgren direct
Anderson is employed by LA Coroner as a toxiologists for 21 years. His current position is the supervisor. He's responsible for the people and the results. Anderson mentions his education, work history and certifications.

Anderson talks in detail about toxicology, the type of tests they do ,the terms used and how they do the tests and the equipment they use.

Walgren starts talking about this case. Anderson received 4 samples of blood taken at the hospital and hand delivered to him by Fleak.
June 26. Anderson attended to the beginning of autopsy to tell what he wanted as samples. June 26 afternoon they started testing. Tests take several hour and days. They started evaluating them by Monday. They generated a 8 page report about all the samples tested.

ng/ml - nanogram ug/ml - micrograms. micrograms are 1000 times bigger than nanograms.

Walgren direct continued

Anderson goes over each of the findings in the report. Most majority of the test is done is using heart blood. It's the starting point.
-Femoral blood is taken from leg.
-Heart blood is taken from heart.
- Hospital blood is taken at hospital.
- Vitreous fluid is taken from behind the eyeballs.
- Liver they took a portion.
- Gastric contents are stomach contents.
- Urine samples : Urine from scene brought in a plastic urine bottle also they collected urine from the bladder during autopsy

Anderson lists all the findings. You can see some of them in the following pictures. For full details check the the autopsy report.

Important findings: MJ had no alcohol, no Demerol (Meperadine) , no metabolized Demerol (normeperidine) and no Cocaine, Marijuana and such. MJ had Valium, Lorezepam and Midazolam, Propofol in his system. They tested femerol blood, heart blood and hospital blood. They did 2 tests on liver for lidocaine and propofol - both was detected in liver. Stomach contents showed Lidocaine and Propofol. Urine from autopsy shows lidocaine, Midazolam, Ephedrine and Propofol. Jug of urine was tested and it showed Lidocaine, Midazolam, Ephedrine and Propofol. Vitreous (clear fluid behind the eye) showed Propofol.

Anderson made a summary about positive toxicology findings.

Walgren again clearly states that there was no Demerol in MJ's system. Anderson says correct.

Walgren mentions Propofol in MJ's stomach. Anderson compares amount of propofol in MJ's stomach is equivalent to 'specks of sugar granules'. So they are basically saying that it's too small.

Syringe on the nightstand was tested. They found 4 drops of liquid in it. They detected propofol and lidocaine in it.

Saline bag, tubing, Y connector and syringe on the IV was tested. They draw a diagram and determined how to test it. Walgren identifies each of the items.

Propofol, lidocaine and flumazenil was found on the IV on the syringe and the short side of the tubing. Saline bag and long section of IV tubing had no drugs detected.

Flanagan Cross

Flanagan is going over the summary report about positive toxicology findings

Flanagan asks why Propofol was tested on 3 different blood samples. Anderson says they generally make tests on 2 samples : general blood and peripheral blood (such as from the leg femoral blood) due to postportem distribution. Anderson explains that the body tissue releases the drugs back into the circulation after death and moving the body will also distribute the drugs. On this instance they also got hospital admittance blood.

Flanagan asks if the reason for hospital blood result be higher is due to the drugs not having chance to be redistributed. Objection. Judge finds the question vague. Flanagan " Do you know why the hospital blood results are higher?" Answer : No. Flanagan "why is the femoral blood results are the lowest?" Answer : Postportem distribution. Flanagan confuses the witness to the point that he can't understand what is being asked. Flanagan "Why is femoral blood has the lowest results?" Answer : That's typical because tissues release drugs to the central cavity artifically raising the heart blood.

Lidocaine higher in femoral blood then the heart blood. Anderson says it's drug dependent. Some drugs might have different distribution pattern.

Flanagan asks why the eye fluid was analyzed. They analyzed it for Propofol because Propofol was the real issue. Anderson says that they didn't have enough fluid to make a full analysis. It tells him that Propofol doesn't distrubute very well to the eyeball fluid. They didn't give an exact number amount for Propofol in the eye fluid because they didn't have enough sample. Protocol tells that they can't give exact numbers in such instances as they can't gurantee the accuracy.

Urine from the scene. Flanagan asks why they couldn't get the exact number amount for Propofol amount. Again It was below their lowest caliber. It was almost negligible.

Ephedrine was present in the urine but wasn't in blood. It's because bladder can store things for a long time. Flanaggan asks how long ago it was used. Anderson says it can't be recent as it's not in the blood and it could be used anywhere between 24 to 72 hours ago.

Propofol was found in the urine from the scene. Flanagan asks if it could be from a few days ago as well. Anderson agrees and says that it could also be recent. Flanagan asks if the urine from the scene was accumulated before urine from autopsy. Anderson says he has no idea when it was collected or even it's from MJ.

Flanagan gives a scenario that the urine from the scene was in 7 AM and the time of death being around 12:00 and 2:26 and says that not much urine is collected after death. Anderson corrects him that they actually had over 500 ml of autopsy urine which he says to be alot.
Flanagan is trying to say that MJ got/given propofol after the urine in the scene was deposited in the plastic bottle because the propofol level was higher in the autopsy urine. Flanagan again confuses the witness and no one can understand what he's asking.

Lorazepam. Flanagan asks if it's high. Anderson says it's normal high therapeutic range. Flanagan asks how much lorazepam MJ was given in mg. Anderson says that calculation could be done but it would not be a perfect calculation as there has to be several assumptions made. Anderson says it shouldn't be done.

Anderson mentions assumptions that needed for such calculation :drug fully distributed, redistrubution didn't happen after death and the heart blood level is not falsely elevated.

Flanagan shows a book saying that Lorazepam is not subject to redistribution after death. Anderson doesn't agree with it and says there have been only 2 cases stating that but he wouldn't be comfortable with generalizating it to the whole population.

Flanagan still asks Anderson to give a mg number. Anderson goes over his records saying that based on several assumptions, it's approximately 11 mg. Anderson says that they can't determine how Lorazepam was given (orally or IV) from a blood level and he doesn't know when it was given.

Flanagan asks if the results indicate that lorazepam has been in the system for a while. Anderson says yes. Propofol levels was not equilibrium. Flanagan asks if a person was on a drip , would he expect the propofol levels to be in equilibrium. Anderson says he doesn't know how Propofol metabolizes.

Flanagan mentions that the summary Anderson did has no information about Lorazepam in the stomach contents. Anderson says that they only analyze stomach contents for overdose cases. Their blood test results showed Lorazepam to be in the acceptable range so they didn't test it in the stomach.

Defense has tested the stomach for Lorazepam , it was .634 micrograms/ml.

Flanagan says Lorazepam is 4 times concentrated in the stomach then the blood. Anderson disagrees saying that it's not significant in it's opinion. Flanagan asks if it's consistent with oral digestion. Anderson says no and explains that drugs will be in stomach in small levels due to "ion trapping" and doesn't necessarily mean that it's taken orally. Anderson converts it to mg : 0.046 mg , that means 1/40th of a normal 2 mg pill. Anderson says that it could come from the blood.

Flanagan asks questions about Midazolam. Anderson has not made calculations about it because the amounts are really small.

Flanagan by looking to urine level of Midazolam trying to establish blood levels for it. Anderson says it's not a comparison that could be done.

Flanagan talks about urine and whether it would be representative of the metabolization of the drugs such as if a person urinated at 1 AM and then at 7 AM , Flanagan asks if the 7 AM urine would be representative of the 1 AM - 7AM period. Anderson says there will be some contamination. Flanagan asks if the autopsy urine would be an average level of 12:30 - 7:30 AM time period. Anderson is having trouble with understanding the question. Judge and Walgren also doesn't understand the questions. Flanagan asks if urine would be in equilibrium with the blood, it's beyond Anderson's level of expertise. Anderson says just from the urine results he cannot tell when the person would have higher levels of Midazolam in his system. Anderson says he can't do it for Propofol as well.

Back to stomach contents and not analyzing it for Midazolam and Lorazepam. Switching to IV set testing. Saline bag and the tubing that goes down to the y port had no propofol or lidocaine. Propofol, lidocaine and flumazenil was found in the syringe and short tubing. Flanagan asks about the amounts of those drugs. Anderson says that they didn't quantify them because they didn't think it was relevant and they didn't have a standard procedure to quantify fluids from medical evidence. Flanagan asks if they can tell the proportions of lidocaine and propofol and flumazenil. Anderson says they can't. Anderson says they also had a very small amounts of liquids that complicated the testing as well.

Murray Trial Day 9, October 7, 2011

Dan Anderson Testimony continued

Flanagan Cross continued

Flanagan starts off by asking about the IV bag on the stand in MJ's room where he died. Flanagan asks if the bag was analyzed for all chemicals and the only thing was saline solution, Anderson states they do not analyze for solution, but there were no drugs found in it. Flanagan asks about the tubing (hanging from the IV stand), and Anderson states that it was not found to have any drugs in it.

Flanagan asks repeatedly whether the tubing and the IV bag were attached, Anderson repeatedly states that they were not attached when received into medical evidence, according to notes. Flanagan asks if Anderson tested two syringe barrels, Anderson states yes and when asked, states that both barrels tested positive for propofol and lidocaine. Flanagan asks if Anderson tested any apparatus that had only propofol in it, Anderson states no. Anderson states that the only medical equipment that had propofol and lidocaine in them were the Y tubing (connector) and the syringe barrels. Anderson states that each of the syringes and the Y tubing each had Flumanezil. Flanagan asks if the proportion of propofol and lidocaine were the same in both the Y tubing and the 2 syringe barrels, Anderson states that proportionality testing was not performed.

Flanagan asks for Anderson to define equilibrium as it relates to bodily fluids, Anderson states he believes it is when the samples of the drug or their concentrations are equal. Flanagan asks how long it takes for the blood system to come to an equilibrium, Anderson states its beyond his scope of expertise. Flanagan asks Anderson to define therapeutic range (of a drug), Anderson states that a concentration of the drug that achieves the desired effect, generally it is a safety concern because they are not safe at all concentrations. Flanagan asks what determines therapeutic range, Anderson states clinical trials from the FDA, as well as the literature provided with each drug. Flanagan asks if there is a therapeutic range for propofol, Anderson states no. Flanagan asks about therapeutic range for Lorazepam, Anderson states that it averages 100-200 micrograms per mililiter. Anderson clarifies that the average can be 180, but that everybody tolerates medications differently, and he cannot give specific ranges.

Flanagan shows a Lorazepam bottle, prescription for MJ, asks Anderson to read the bottle, Anderson reads Lorazepam 2 mgs, 1 tablet by mouth. Flanagan asks about MJ's blood concentration of .16% and asks if that would equal about five Lorazepam tablets, Anderson states yes, regardless of the route, whether it was in tablet or IV form. Flanagan asks if MJ had the equivalent of 11 mg of Lorazepam, Anderson states yes, approximately. Flanagan asks how many pills would MJ have to take to get to that level (11 mg), Anderson states that it could be an accumulation over several days, and that he does not feel comfortable with assumptions of routing of medications or form of medications.

Flanagan asks about ion trapping with respect Lorazepam, Anderson states that he knows little about Lorazepam and postmortem redistribution. Anderson states that the only way to get propofol in the stomach is through oral ingestion or ion trapping, it's not postmortem redistribution.

Flanagan asks Anderson to define the term ion trapping. Anderson states that an acidic environment traps the ions of the drug in that environment, beyond that, is beyond his area of expertise. Anderson states that other than ingestion, the only way propofol can get into the stomach by diffusion of the surrounding specimens. When Flanagan asks about the surrounding specimens, Anderson answers that the liver is close, blood samples and blood itself are close to the stomach.

Flanagan states that Anderson is saying that Lorazepam can get into the stomach through redistribution, Anderson states that it can get into the stomach by ion trapping. Anderson states time and time again that this information is beyond the scope of his expertise. Anderson states that he has seen many different decendents who had stomach contents with drugs in them, and that the drugs were not given orally.
Anderson states he does not have personal experience with a decendent that had Lorazepam in their stomach.

Flanagan asks Anderson about ephedrine. Flanagan asks if Anderson came to understand that propofol was the most important drug in the case, Anderson states yes he did. Flanagan asks if Lorazepam was important, Anderson he thinks it has its importance, but that it does notraise a flag. Anderson states that propofol in any case is important, Lorazepam was in therapeutic range, and that he previously testified that propofol was within range only a proper setting. When Flanagan asks what does a setting have to do with therapeutic range, Anderson states that it's very important. Flanagan states that therapeutic range is desired effect, Anderson states yes. Flanagan states that the literature does not take into consideration the setting, Anderson states that every drug literature takes setting into consideration.

Flanagan asks if Anderson did the calculations with regard to Lorazepam last weekend, Anderson states it was two weekends ago, Anderson states that he did them because of the Lorazepam in the gastric sample, and the two urine samples done by the defense. Anderson states that the urine is a historical perspective, and could be an accumulation from several days. Anderson states that the Midazolam testing was done in the urine because the concentration is much higher, which helps to confirm the blood level of Midazolam. Anderson states that Lorazepam levels were much more elevated in the urine than the Midazolam. Anderson states Lorazepam 12,974 nanograms/ml (13 micrograms/ml) Midazolam 0.025 nanograms/ml. Anderson states that the Lorazepam concentration goes up in the autopsy urine, and with Midzolam much less than Lorazepam.

Anderson states that the half life of Lorazepam is 9-16 hours, and that he looked it up in a medical reference book to gain that information. Anderson states he doesn't know what the absorption time and/or the peak time of Lorazepam, that it is in the book, but he doesn't remember what it said.

Walgren Redirect

Anderson clarifies that he never went to 100 North Carolwood. Anderson states that he received vials of blood, a broken syringe with plunger, an IV catheter from Investigator Fleak. Anderson states that the IV bag and IV tubing was brought to him at the lab, simply marked medical evidence #2.

Anderson states that the difference between blood sample and urine sample, is that the blood is what is usually happening in the body, and in the urine represents everything that the body is metabolizing out, and that the urine concentration expectation is that it would be much higher. Anderson states that the urine is historical in nature and what is being expelled from the body over a certain amount of time.

Anderson states that the PACTOX gastric contents analysis, shows 634 nanograms/ml of Lorazepam. Anderson states that the lab measured in concentration, he was provided 73.5 mls of gastric contents, in which he would multiply the two numbers to get the nanograms of stomach contents which would be 46,599 nanograms of Lorazepam left in the stomach. But the numbers Anderson should have used for calculation (micrograms not nanograms) he needed to divide by a thousand, so 46,599 divided by a thousand equals 46.599 divided by another 1000 to get a mg amount, equals 0.04599 of Lorazepam in the stomach. Anderson states that he went further and got a more exact amount and arrived at 0.046599. Anderson states that with a 2 mg Lorazepam pill, the gastric contents are equal to 1/43rd of a single 2 mg tablet, which is a very small amount

Flanagan Recross

Flanagan asks if there is a high concentration of ephedrine in the urine, but a low concentration in the bladder, would it be fair to say it was recently taken, Anderson says it's a fair assumption. Flanagan asks if it's the same with propofol, Anderson states that he is not familiar with the excretion patterns of propofol.

Flanagan asks if a person were to take 7 or 8 Lorazepam tablets, and he found 14 miligrams in the stomach, would Anderson state that the person had taken it recently, Anderson states yes. There are numerous questions asked after this by Flanagan, but prosecutor Walgren objects and judge Pastor sustains them.

Elissa Fleak recall testimony

Walgren Direct

Walgren goes over evidence collection and when Fleak recovered multiple evidence items. Walgren asks if there are a lot of photographs taken on multiple days. Fleak looked over the photos to identify which photograph was taken which day (June 25th or June 29th). Fleak says she went into the master bedroom briefly, looked around but did not search it.

Walgren talks about IV stand and the photographs about it. 2 photos of IV tubing taken on June 25th. Tubing is draped over the handle. June 29 photos of IV stand /tubing. June 29 it's still draped over as it was on June 25. Later photos taken same day, it's no longer draped over the handle. One June 29, the investigators freed the tube (undraped it) so that the syringe can be photographed.

mid morning break

Chernoff Cross

Chernoff again questions about whether she went into MJ's master bedroom or not. And again brings the subject of master bathroom and photographs taken in it.

In MJ's master bedroom fire place is on , TV is on as well. Chernoff shows pictures inside the master bathroom and asks if Fleak remembers the pill bottles. Fleak says she wasn't there in June 26 and those bottles were collected on June 26. Fleak says she doesn't know who collected them and who took those pictures. Chernoff shows a picture where there's no pill bottles. Chernoff asks about the briefcase in the pictures.


Detective Scott Smith Testimony

Walgren Direct

LAPD Detective for 20 years. He was assigned to robbery-homicide division in June 25, 2009. He learned about the death of MJ 3:30PM from his supervisor. He arrived at UCLA at 4:25 PM. Smith went to the emergency area. He stayed there till 7:00PM. Smith did not see Murray at UCLA. Smith obtained security footage from UCLA showing Murray. They got footage of Murray leaving at 4:38PM.

Walgren plays the video and then shows an aerial photo of UCLA and asks Detective Smith to mark the way Murray let the hospital.

Smith talked with Faheem Muhammed, Alberto Alvarez at UCLA very briefly. FM just told he was employed by MJ and gave his contact information. AA said the same things and also mentioned he went into the room to help MJ and called 911. Detective Smith didn't do any more interviews at that day. He arrived to Carolwood around 7:30PM.

Smith didn't know the cause of death at that point of time. At that time this was a death investigation and not a homicide information. Death investigation could be natural causes and detectives may or may not be involved. If it is homicide investigation the police department takes full responsibility. It becomes a homicide investigation if there's an obvious cause of death such as gunshot etc. This was a death investigation and coroner was leading the investigation not the police department. Detectives was on the scene to assist and support coroner's office as needed.

Walgren asks if this had been an homicide investigation would LAPD be leading the investigation and collect evidence. Smith says yes. On June 25th evidence was collected by coroner's office. Det. Smith was assisting and overseeing the LAPD photographer. Smith says they left the residence around 9:30 PM. They released the house at the request of Jackson family to private security.

June 26, Detective Smith attended the entire autopsy of MJ. He didn't have cause of death by the end of autopsy. They had no information to assist with the investigation. It was deferred pending toxicology results. At this time it was still a death investigation and not a homicide investigation. On June 26th Smith went to Carolwood again. Coroner Ed Winters called him and said some items were given to him by family. Smith went to take those items. They initially thought it was tar heroin which turned out to be old rotten marijuana. It was found in a shaving kit. Those items had no relevance to MJ's death and determining the reason of his death.

In the shaving kit there was also temazepam bottle prescribed by Murray. Smith had also found some empty pill bottles on June 26 in MJ's master bathroom.

Walgren goes over the pictures of MJ's master bathroom taken over several days. June 25th pictures. Bathroom appears to be messy, drawer doors open, a few notes taped on the bathroom mirror. Pictures from June 26. There was no empty pill bottles or briefcase on June 25th pictures. On June 26th there's a briefcase, Smith doesn't know whose suitcase it is. June 26 pictures show empty pill bottles on a ledge. Smith says that he placed them on the ledge to photograph them.

On June 27 Murray's attorney Michael Pena spoke with Detective Martinez. They made arrangements to meet at Ritz Carlton at 4 PM. Murray's attorneys had chosen the place. Detective Martinez and Smith met with Murray and his lawyers in a room at the hotel. They conducted and recorded the interview.

Audio of Murray's interview with the police is played

June 27th Ritz Carlton. Murray is at the interview with his lawyers Chernoff and Pena. Detective Smith and Martinez is doing the interview.

First part of the interview: Officer is going through and asks Murray basic information as his address, phone number, weight, when he was born, how tall he is etc.

Detective says the detectives at the hospital was from another division and was not handling the case. They took some notes but didn't do a formal interview. Murray seems surprised to hear that other detectives took notes after he left.

Murray talks about how he met Michael. They met in 2006 and saw MJ on and off since 2006. The first time Murray saw MJ was because MJ and his kids had the flu, a bodyguard of MJ whose parents were patients of Murray referred him.

Murray says he had been caring for MJ for the last 2 months. Murray tells that he received a phone call from MAW. MAW said MJ was going to do a concert-tour in London and MJ wanted Murray with him. Murray said he needed more details before accepting. He then say MJ called and said he was happy Murray was going to join him – although he had not yet committed to join MJ's team.

Detectives ask about who is Murray is working for AEG or MJ. Murray says he's an employee of MJ but paid through AEG.

Murray says he had no idea that AEG were going to pay him.

Detectives ask about MJ's general health. Murray says generally speaking MJ did not eat well and was very thin. He did not find any major physical change in MJs condition except for something called subluxation of his right hip (MJ's right hip would slip out and slide back to the joint). MJ had fungal disease on his toes which was treated. Nothing more that Murray noticed.

On June 24th – Murray got a called from MAW around 12:10 am that MJ was done with rehearsals. MJ had attended meetings and did a partial performance (not a full rehearsal). MJ wasn't complaining about anything but wanted Murray to be at Carolwood by the time he came home.

Murray spent every night at Carolwood except nights he where off, which were Sundays. He spent the night there per MJs request.

Murray arrived to MJs home at 12:50am before MJ and waited at MJs room. MJ arrived shortly after, around 1am. Once MJ arrived, they greeted each other and talked about their days. MJ told Murray he was tired and fatigued and was treated like a machine. MJ took a quick shower and changed and came back to the room.

When MJ came back to the room, Murray put on some cream/lotion on his body and back for Vitiligo.

Detectives ask Murray about the bedroom. Murray tells that MJ had 2 bedrooms. No one not even cleaners would be allowed to go into the master bedroom and it would be in a bad state. Murray would see MJ in the second bedroom , the one that had IV stand and oxygen tanks.
After cream, MJ wants to sleep. Murray says MJ is not able to sleep naturally. Murray says he would put an IV for hydration on MJ's right or left leg below the knee. They then talked a bit and he gave MJ Valium 1 pill 10 mg orally.

As Valium's effect was delayed so around 2 AM Murray gave MJ 2 mg of Lorazepam which it was IV pushed slowly. Murray says he observed MJ but he continued to be awake for 1 hour, he says he watched him because he wanted to be cautious. So Murray decided to give him Midazolam (2 mg injected slowly) around 3 AM. Murray waited again but MJ was wide awake. MJ said he couldn't sleep. Murray suggested to lower the music MJ likes to sleep with and dim the lights and told MJ to meditate while he rubbed his feet. MJ did that reluctantly and MJs eyes closed. Murray estimates that MJ closed his eyes around 3:15-3:20; he doesn't know it for certain because he wasn't looking at his watch at that time. 10-15 minutes later MJ was again awake.

MJ was surprised that he managed to sleep after he had meditated. And they tried mediating again but by 4:30 AM MJ was sill wide awake. MJ starts to complain saying that says he has rehearsals he needs to perform and tomorrow he will need to cancel his rehearsals because he can't function if he can't sleep. Murray says then he gave MJ another 2mg of Lorazepam at 4:30 – 5:00 AM because a safe time had passed. That didn't put MJ to sleep as well.

MJ complained that if he can't perform he would have to cancel the rehearsals and it would put the show behind and cannot satisfy fans if he's not rested well. Murray says that it put a lot of pressure on him. Murray tells MJ he isn't normal and the medications that he gave would make a normal person sleep for 1-2 days. (due to wanting the medications/can't sleep)…

By 7:30 MJ was still awake.At that time he gave another 2 mg Midazolam. There was still no effect. Murray says he cautiously checked the IV site to make sure the fluid and medicines was going to MJ because he wondered why MJ wasn't responding to medications.
At this time Murray says Michael also urinated.

10 AM in the morning. Nothing has worked. Murray was watching and trying to get MJ to sleep. MJ is complaining he can't sleep, he has to cancel the dates and everything has to be pushed back.

MJ at that time asks “Please give me some milk so that I can sleep, because I know this is all that really works for me”. Detectives think that they are talking about actual milk and asks if MJ wanted hot or warm milk. Murray tells them it's a medicine Propofol which is “a sedative that could also be used for anesthesia”. Murray gave MJ propofol through IV around 10:40. Murray had asked him how long he would sleep if he gave him Propofol because MJ needed to get up at a certain time. MJ told him it doesn't matter when he wakes up, told him to just make him sleep.

Murray say he gave him small amounts to get him to sleep, he administered 25 mg of Propofol together with Lidocine, he pushed it slowly. This time it must have been 10:50, effect is quick and Michael was sleeping now.

Detectives ask if Murray had any monitoring equipment. Murray says he took all the precautions that were available to him such as oxygen and pulse oximeter.

Detectives questions Murray about the dosage. Murray says 50 mg propofol was the highest amount propofol he had given MJ ever. That night he gave less due to the other medications he had given to MJ. Murray says he roughly gave MJ Propofol every day, there were rarely exceptions. Murray also says that three days leading up to MJs death, he tried to wean MJ off propofol

He was not aware that MJ was taking this on a daily basis before he was hired. Murray was surprised by MJs pharmacological knowledge and his mention of “milk” and “antiburn”. MJ said he had taken propofol before.

MJ said he used it in Germany but never disclosed other doctors' names. MJ never told him he administered it himself but other doctors let him infuse it by himself.Murray told him NO he wouldn't let him to that.

Murray says MJ knew that propofol was the only thing that worked for him. Murray says he often warned him about it.

MJ told him he was seeing a Dr Lee that she was giving him a cocktail for energy. Murray says there were a lot of IV sites on MJ's body and his veins were sclerotic. Murray asks MJ what is in the cocktail and wants to review it. MJ says he doesn't know. Later they got of Lee because MJ felt she was unprofessional and cancelled an appointment. MJ felt she wasn't telling him the truth.

Once in Las Vegas Murray got a call from MAW. MJ was in Vegas with his children for a show and he was staying at Wynn Hotel. MJ says he having difficulties to sleep. Murray tells MJ to use sleep medications (lorazepam or restoril) that he gava to him. MJ tells Murray nothing that he or Klein or Metzger gave to him works. Murray says he doesn't have any other alternatives. MJ then asks about Diprivan / Propofol and says that he knows that it works. Murray says he doesn't have it. MJ mentions Dr. Adams and that he gave him Propofol. Murray doesn't know Adams. MJ gives Murray Adams phone number. Murray calls Adams. The plastic surgeon's office Adams used doesn't allow them in the office so Murray lets them into his office on a Sunday. Adams puts MJ on a Propofol drip for 6 hours. Murray says he had monitoring equipment. Murray comes back to his office after 6 hours and MJ says he's feeling wonderful because he has slept.

MJ tells Murray that this is divine guidance and other doctors helped MJ sleep for 15 10 18 hours. MJ mentioned of having another doctor – Adams- on tour with them. Adams was willing on to go on tour with them and wanted $1.2 - $1.3 million a year. Murray told it to MJ but there was no follow up and Adams didn't end up joining the team.

Murray mentions that MJ wanted him to be around forever, after the tour. Murray mentions MJ's plans for a children's hospital and wanted Murray to be medical director.

Detectives go back to the night of June 25. Murray gave MJ 25 mg Propofol. MJ falls to sleep but he's not snoring. Generally when he's in deep sleep he snores so he's not in deep sleep. Murray monitors him. Everything looked stable and he was comfortable. Murray needed to go to the bathroom to pee and empty MJ's urine jar.

When he came back after 2 minutes he sensed MJ wasn't breathing because he usually looked at his chest to see if he was breathing. He immediately checked MJs pulse and got a thread pulse from the femoral area and MJs body was WARM and he assumed everything happened quickly and immediately started CPR and mouth-to-mouth. He wanted to apply medicine as well but not first because he wanted to ventilate and compression first. He saw MJs chest rise. Murray says he couldn't move him from the bed to the floor by himself. He then got his left hand under MJs body and then gave him CPR and also ventilating him and made sure his chest was rising completely. He looked for the phones but phones do not work in the house. He doesn't know the address zip-code; only know its North Carolwood. The house is closed during nights and only MJ, he and the children would be there. Murray tells that security doesn't come to the house. Murray thinks it's inhumane that the security are not allowed into the house to pee.

He says to talk to 911 would be to abandon him and he didn't wanted abandon him. He reached his cell phone and called MAW. Murray tells MAW to send up security. Murray says he didn't ask MAW to call for 911 because then MAW would have asked why and Murray was trying to assist MJ. Murray realizes that MJ doesn't have a pulse now so he lifts MJs legs for a brief moment for auto transfusion and continue to do CPR etc. No one came to the door, no one knocked on the door. So he gave Michael 0.2 mg Flumazenil because he wanted to reverse the affects of the other drugs but MJ would not still breathing and no help was coming. He then opened the door and ran down to the kitchen and saw the chef (Kai Chase) to have the security immediately and security (Alvarez) comes upstairs. Murray tells Alvarez to call 911 and want help to move MJs body to the floor and still helps with chest compression.

Alberto talked to 911 but Murray told him to just tell the paramedics to hurry up because he wanted help to move MJ to the floor. Paramedics came and called UCLA, MJ was not breathing. They were doing chest compressions. Murray says Michael was PEA –pulseless electrical activity – which means you don't shock a patient. MJ was given starter drugs. Murray says that he felt the communication and the orders coming from UCLA was kind of slow.

After 20 minutes of effort – which Murray thinks was limited – he knew MJ hadn't been gone too long and he had felt a femoral pulse. So Murray asked UCLA instead to calling MJ dead to transfer the patient to him. Murray took over the care and they took MJ to UCLA. Emergency personnel met them. They worked on MJ for an hour. Murray says probably they would have stopped sooner if Murray wasn't insisting. They don't know why MJ died but thinking pulmonary embolism could be a reason (a clot in the lungs that would shut the circulation in the lungs). MJ is pronounced dead. Murray doesn't want to sign the death certificate as he doesn't know the cause of death.

Chernoff jumps in and changes the topic to Murray trying to wean off MJ 3 days before leading up to MJs death. Murray says he didn't know MJ used propofol before and that it was kind of a habit. Murray says he wanted to MJ to sleep naturally and tried to wean him off. Murray asks what MJ would do once the tour was over; MJ tells him he thinks he can be able to sleep then. Murray switches to lesser drugs (such as Lorazepam) to wean MJ off. Murray says MJ knew it but he was reluctant. Murray says he never told MJ that he believed he had drug dependency. He was trying a strategy and was trying Michael to transfer his confidence in Propofol to something lesser. First night Murray reduces Propofol and starts Lorazepam and Versed. Second night he removed Propofol and only gave Lorazepam and Versed. Michael told him he felt a little hangover in the day. The night MJ died Murray started with Lorazepam and Versed but nothing was working. Murray doesn't know if it was withdrawal from Propofol or if it was psychological. Murray says after trying all night with those 2 drugs he finally gave MJ Propofol so that he can sleep and so that he can produce the next day. Murray says he didn't want MJ to fail and he cared about him.

Judge stops the tape.. Rest will be continued on Tuesday.

There won't be any testimony on Monday October 10, 2011. It's Columbus Day and it's a federal holiday in USA.

Testimony will continue on Tuesday October 11, 2011. At that time they will continue to play the audio of Murray's interview with the LAPD Detectives. You can find the summary of the remaining portion of the interview below.

Murray mentions Michael probably having withdrawal symptoms to Propofol on June 25. He says that it can be either physical or psychological or mental.

In the hospital Murray talked to the detectives briefly and gave them his phone number.

Murray says he and emergency room doctor went into the room Katherine Jackson was waiting and told her that MJ had died. Murray says he stayed with her to console her and asked UCLA to bring in a psychologist to help Katherine. Murray then learns that children are in another room and decided to notify the children. Murray , Dileo and Michael Amir Williams and a social worker went into the room the children were and told them MJ was dead. Murray says the children were weeping and the stayed there to console them. Murray says Paris mentioned her unhappiness and said she didn't want to be an orphan. Dileo and Murray say that they will take care of her. Murray tells Paris that he tried her best to save Michael. They bring MJ's kids and Katherine together. Murray says he doesn't know how close they are.

The children want to see Michael, psychology team says it's a good idea and it would bring them closure. UCLA was prepping MJ's body for viewing. During this time Jermaine, Latoya and some cousins of MJ came to the hospital. They were briefed about what happened. Murray went into the room where the family was, family asked Murray if he knew why MJ died. Murray said no and recommended them to get an autopsy. MJ's body was ready for viewing and the children went to see MJ. Murray asked Katherine if she wanted to see MJ as well, she said no.

Murray talked with the bodyguards and asked them where would the children go. Bodyguards told him they can't go back to the house because it was on lock down. Murray talked with Randy Phillips, Frank Dileo and the bodyguards and asked if he can do anything. Murray says Jermaine as asked to make a announcement and they wanted Murray to review the press release. Murray says he added the cause and Jermaine edited the part that asked fans to respect their privacy to ask media to respect their privacy. Murray says he talked with Jermaine a little bit. Murray says then he was tired and let the hospital to go home.

Murray again mentions he talked to Detective Porche and gave him his phone number. Detectives mention that they called Murray several times but the calls went to voice mail. Murray's lawyer Pena says it was his advice to Murray to leave his phone off and wait for his lawyers to talk to detectives later.

Detectives ask if Murray knew MJ had any preexisting conditions. Murray says he treated MJ for pneumonia in 2008, fractured toe in 2008, upper respiratory issues multiple times over the years, lethargy and for callouses on his feet. Murray also treated fungal infection on MJ's feet. Murray says he gave MJ Lamisil and did a full blood work before to make sure that his liver was okay.

Chernoff asks detectives if there's any preliminary toxicology results and the detectives say they are not aware of it. Chernoff then asks Murray if he knew of other medications Michael might be taking. Murray says he heard that MJ was seeing Klein. Murray says around 3 weeks ago he hear MJ calling Jason Pheiffer and asking him if he can squeeze him to see Klein. Murray says he also saw pill bottles with Dr. Metzger's name on them. Murray says MJ doesn't disclose all the physicians that he's seeing.

Detectives list a number of medicines and ask Murray if he prescribed them and what are they used for. Murray explains Flomax and says that MJ has hard time urinating. Murray is surprised to find out that MJ had some sort of eye drops. Murray says that MJ had a very bad eyesight and he thought that MJ could be legally blind. Murray arranged for an appointment but MJ didn't go to see the eye doctor so Murray is surprised to hear about eye drops.

Murray says MJ's production team has told him that MJ's worst days was after he came from seeing Klein and MJ would be wasted and require 24 hours to recover. Detectives mention finding marijuana and Murray says that MJ denied it and surprised to find out MJ would be using stuff like that. Detective tells Murray it was old and rotten. Detectives ask about empty cigarette packs they found , Murray says he doesn't know if MJ smoke. Detectives ask if MJ packed his suitcases and Murray says he did. Murray mentions MJ using excessive cologne and could not understand why he would use that much and says it might be to dismiss any odor.

Detectives ask how many syringes Murray used and Murray replies 2. He says he would recap them and he would use medication and mix them with saline. Detectives asked Murray what he did with those syringes Murray say he would put them in his bag and put them into the cupboard. When detectives ask where those syringes are Murray tells them he left them at the house at the closet. Detectives ask which closet and Murray describes it to them. Murray says MJ showed him the cabinet and told him to put his stuff there.

Detectives ask for the keys to Murray's car so that they don't have to break into his car and damage it.

At the end of the recording Detectives ask if Murray ever gave MJ Demerol. Murray responds no. Detective Smith says they didn't find any and Detective Martines says he doesn't know how that came up.

Sursa:mjjcommunity.com

 

Saptamana a 3 a din procesul impotriva lui Murray

Murray Trial Day 10 October 11, 2011

Detective Smith LAPD Testimony continued

Walgren Resumption Direct

They finish playing the Murray interview tape.

Smith states that the first time propofol was mentioned was in his interview with LAPD two days after MJ died, and that prior to that Murray had only mentioned he administered a sedative.

Smith states that he responded to UCLA and also attended the autopsy but that his knowledge was limited.

Smith states that very little of the questioning of Murray was limited, but that they allowed Murray to speak freely. Smith states that Murray did not mention the phone calls he placed or received on June 25, and was unaware of Sade Anding at that time.

Smith states that Murray was surprised by the fact that LAPD had not recovered Murray's medical bags at the time of the interview, dated June 27, 2009.

Smith states that on June 26, 2009, there were some business cards belonging to Conrad Murray and David J. Adams found in the Carolwood home. Smith states that the business cards were recovered from MJ's master bathroom by a LAPD detective. Smith states that also recovered were Latanoprost, a skin cream, and three vials of eye medication from the master bedroom, prescribed by Arnold Klein. Smith states that a large plastic bag with Applied Pharmacy on it, inside with benoquine to Dr. Murray was recovered the bathroom area of MJ's bedroom.

Smith states that there were a series of search warrants issued, the first being on June 29, 2009, to 100 North Carolwood Drive and the tow yard where Murray's BMW was. Smith states that a contract recovered from the pocket of the door, and a few business cards. Smith states no propofol bottles were recovered from the car.

Smith states the next search warrant issued on July 22, 2009 to Murray's cardiology practice and a storage unit in Houston, but that no propofol bottles were found.

Smith states that next search warrant issues on July 28, to Murray's Las Vegas office, home or storage unit were done, no propofol bottles found.

Smith states that the next search warrant was issued on August 11 to Applied Pharmacy at Las Vegas, owner Tim Lopez. Smith states that this is when LAPD discovered that propofol was being sent to an apartment in Santa Monica, CA belonging to Nicole Alvarez. Smith states that then a search warrant was issued for Alvarez Santa Monica home, on August 13, 2009. Smith states that there were no propofol bottles recovered from Alvarez' home.

Chernoff Cross Examination

Smith states that attempts had been made to contact Murray by the LAPD by phone, but that he did not personally make those calls, and that the detective who had made those calls, states that the calls went to voicemail.

Smith states he was aware that the press release for MJ's death was done by Jermaine Jackson, but not aware whether the press conference was actually done.

Smith states that he and Detective Orlando Martinez were initially assigned to MJ's death case, but that Detective Porsche was the original detective who tried to contact Conrad Murray.

Smith states that on June 27, 2009, the initial meeting between Murray and LAPD was set up for 2 pm, but it was rescheduled for 4 pm by LAPD.

Smith states the he spoke with Michael Amir, Faheem Muhammad, Alberto Alvarez, Larry Tolbert, Nanny Roslyn Muhammad, Kai Chase, MJ's family members, some housekeepers, Larry Muhammad had all spoken to LAPD on June 25, 2009. Smith states that Chernoff/Murray never made any limitations as to what he did not want to talk about or time limits, during the initial meeting with LAPD.

Smith states that he did meet with Michael Amir Williams on August 31, 2009 and that he vaguely remembers that Williams had to leave the room briefly at one point to speak to his attorney. Smith states that Murray did not leave the room, nor did he put time limitations on the interview with LAPD on 6/27/09.

Smith states that he had been with robbery/homicide for 1 and half years, before that he worked in another division for 10 years, 24 years as a police department, 14 in homicide. Smith states that he is an avid note taker, and that he took notes for various individuals and evidence collected regarding MJ' death, because he understands the importance of those notes. Smith states that he was in and out of the room while Elyssa Fleak was investigating on June 29, 2009. Smith states that while Fleak was removing items, he did not make notes about what she was removing them, but after that when all items had been laid out for display purposes for photographs.

Smith states that on June 29, 2009, he never mentioned that he never mentioned that a propofol bottle was found in an IV bag. Smith states that he was very specific with miligrams, lot numbers, etc., empty IV bags, empty pill bottles. Smith states that on June 29, in the search, he found Murray's medical bags exactly where Murray said they were.

Smith states that there were Lorazepam bottles found in the master bathroom of MJ's bedroom, but that he was not the person who found them. Smith states that the business cards were found in the vanity of the master bathroom, and that Detective Sanchez told him where they were found.

Smith states that he interviewed Dr. David Adams in Las Vegas.

Smith states that while he was at UCLA, he spoke to Alberto Alvarez. Smith states that Alvarez said he was called into the bedroom, and that Alvarez was told that MJ was having a bad reaction. Smith states that Alvarez never mentioned CPR, or that the propofol bottle was inside the IV bag was on August 31, 2009. Smith states that Faheem Muhammad made a statement on June 25, but that he said nothing about Murray wanting to go back to the Carolwood home on that date, nor did Michael Amir Williams until 8/31/09.

Smith states that there was another interview with Alberto Alvarez after August 31, 2009, and but he can't remember when. Smith states that he requested fingerprints from Alvarez, and he did turn them in, and they were analyzed.

Smith states that SID came in and downloaded surveillance video, that there were video cameras were not pointed toward the front door of the home door, but there was one on the front gate, on the keypad at the front gate, and one in the back of the house. Smith states that the video that was selected to download was made collectively, but Detective Martinez did the actual downloading. Smith states that they never requested any more video surveillance after June 25, 2009. Smith states that although the Carolwood home was locked and guards were there, that there were people allowed in the home for the 26th, 27th, 28th of June, 2009. Smith states that he does not know if a log had been kept regarding visitors at Carolwood after MJ died through June 29, 2009.

Smith states that he never talked to the new security at Carolwood to get a list of the people who had been in the house on the 27th, 28th, 29th. Smith states that marijuana was found by family members in MJ's closet in a suitcase.

Smith states that he asked upon leaving Carolwood if he the home would be sealed, he stated that he was told no.

Smith states that Conrad Murray told Detective Porsche that he would not sign a death certificate because an autopsy needed to be performed.

Smith states that he interviewed other doctors besides Dr. Adams and Dr. Murray.

Smith states that Murray gave him the keys to his car in order to search it.

Smith states that he did not go personally to search Murray's property in Houston. Smith states that in Las Vegas, Smith recovered Murray's cell phone from his home, computer hard drives from his office, paperwork involving his practice from his offices in Las Vegas.

Smith states that he can't recall if he interviewed a Patrick Muhammad was interviewed, Isaac Muhammad was interviewed, and a Derek Cleveland was interviewed by Smith, all of whom were security at Carolwood.

Smith states that MJ's death was deemed a homicide case on August 27, 2009. Smith states that there was some discussion and that the lieutenant from LAPD told Ed Winter from the coroner's office to stop looking into other doctors besides Murray.

Walgren Redirect

Smith states that a lieutenant from LAPD contacted Ed Winter, who had already contacted Arnold Klein, which caused some friction between the two. Smith states that the DEA was assigned to look into specific doctors ultimately and that LAPD was to focus on the homicide investigation.

Smith states that when Conrad Murray stated he gave MJ milk, Smith asked whether the milk was hot or cold. Smith stated he had no idea that milk meant propofol.

Smith states that only one IV bag was recovered on June 25, 2009. Smith states he was not present when the propofol bottle inside the IV bag was discovered, but was present when it was all laid out on a table.

Smith states regarding video cameras, first pointed at gate area on the outside of gates, second on an entrance underneath the residence but inoperative, third and fourth were on either side of the back side of the entrance facing pool and backyard, fifth pointed at right portion on exterior of house, one pointed facing at the inside of the gate. Smith states no camera showed any door entrances, primarily for exterior perimeter video surveillance.

Chernoff Recross

Smith states that when he found an empty Lorazepam bottle inside an empty IV bag, he starred it and underlined it, marking the lot number. Smith states that he did not note that the propofol bottle was inside an IV bag in his notes, as he did with the Lorazepam bottle.

Re-redirect Walgren

Smith again states he did not see the propofol bottle inside the IV bag, and that is why he did not document it.

Re-recross Chernoff

Smith states that the DEA was going to investigate Mickey Fine Pharmacy, and that Arnold Klein was linked to the pharmacy.

Dr. Christopher Rogers LA County Coroner's Office Testimony

Walgren Direct

Rogers states that he is a deputy medical examiner for LA county, and that he does autopsies to find cause of death, and that he has done this since 1988. Rogers' current position the Chief of Forensic Medicine.

Rogers states he has been present for several thousand autopsies over his career. Rogers states that he did the autopsy report for Michael Jackson on June 26, 2009. On that specific day, Rogers states he was not able to specify a cause of death, there was nothing anatomically obvious to state cause of death.

Rogers states that MJ was healthier than the average person of his age. Rogers states that there were incidental findings, that MJ had an enlargement of the prostate gland which meant that it was difficult to urinate so he was retaining urine, he had vitiligo, and he also had a polyp in the colon. Rogers states that the nervous system showed mild diffuse swelling, lung exam showed chronic inflammation and scarring, radiology showed an extra rib and also some arthritis. The dental examination showed root canals and implants were done. Rogers states that an anesthesiology consultation was also done.

Rogers states that a previous scalp injury caused an area of pigmentation at the top of the scalp which was scarred, Rogers was aware of the scalp injury. Rogers states that MJ was 5'9" and that he weighed 136 pounds, BMI index was within the normal range, however a thin individual.

MJ's autopsy photo is shown in court. Rogers states that is, indeed Michael Jackson. Rogers states that also the autopsy photo shows 8-25-09, the date is incorrect.

michael jackson
michael jackson
michael jackson


Rogers states that MJ did not have heart disease and no abnormalities were detected in the heart. Rogers states that coronary arteries were clear, and that almost everybody has some athrosclerosis in their coronary arteries, but that MJ had none, meaning no fat or cholesterol in MJ's arteries.

Rogers states that initially he felt there was no natural disease that caused his death. Rogers states that MJ's esophagus was intact, and that there was no white, milky substance in the esophagus.

Rogers states that the stomach content was examined, and that Rogers found 70 grams of drug fluid but did not show pills or capsules. Rogers states that he looked for that specifically to determine cause of death.

Rogers states that he checked the mouth and upper airway (meaning the entrance to the breathing passages, mouth down the throat into the windpipe or trachea) and found no foreign material.

Rogers states that he requested toxicology reports to assist him to report cause of death. Rogers states that he sought out other doctors in specialties to help him with cause of death. Rogers states he read Conrad Murray's interview with LAPD to help him and asked for medical records from Murray, but was never able to obtain any records from Murray.

Rogers states that he was at some point, able to determine cause of death, and the manner was homicide. Rogers states that he based his homicide report on 1) Murray's statement to the police he administered the propofol and benzodiazepines 2) it's not appropriate to give propofol for insomnia, that the risk outweighs the benefit, and in addition, the setting in the home did not provide for the use of an EKG monitor, a precision dosing monitor, equipment available to revive MJ adequately, not an endotracheal tube, no meds to improve circulatory function and 3) and that the circumstances do not support self-administration of propofol, because Murray stated that he only gave MJ 25 mgs, went to the bathroom, returned from the bathroom to find MJ not breathing. Rogers states that you would have to assume that even though MJ was under the influence under the influence of propofol and other sedatives, injects himself with propofol, seems less reasonable than Murray giving MJ propofol from time to time.

Rogers states that since they did not find a precision dosing device, and that he feels that it would be easy for the doctor to give too much propofol, rather than MJ self injecting propofol himself.

Rogers states that the cause of death was acute propofol intoxication, and the contributing condition was the benzodiazepine effect. Rogers states that Lorazepam and Midazolam, both sedatives were a smaller contribution to MJ's death, and could exacerbate respiratory depression, causing someone to stop breathing. Rogers states that it could have also stopped the heart from beating.

Rogers states that a diagram was made of MJ's body during the autopsy, noting various IV puncture marks during revival efforts. Rogers states that on MJ's right arm, left arm, neck, just below the left knee (where Murray had administered the IV, not revival puncture mark). Rogers states that he observed the empty propofol bottle that was found in MJ's bedroom, noting that it was unusual as the stopper had a center which had a linear opening, showing that it did not show any needle punctures. Rogers states that the linear opening is an opening from side to side in the center of the rubber stopper of the empty bottle of propofol, indicating it was not made by a syringe needle. Rogers states that the linear opening could have been made by a spike.

Walgren asks if Roger checked the autospy picture during the lunch break and if the picture was corrrectly dated as June 25th. Rogers says yes.

Walgren reminds that when they went to break they were talking of a spike. Walgren shows a spike and asks Rogers to identify it.

On March 2011 Rogers reviewed some evidence. Rogers identified what Fleak called a needle as IV catheter with a needle still present. It appeared unused. Rogers also examined the syringe from the nightstand. According to Rogers it did not appear to fit.

Flanagan cross

Defense asks if Rogers reviewed his preliminary testimony, the coroner's report,his notes, expert reports to refresh his memory before today's hearing. Rogers says he reviewed those items as well as another autopsy report and reviewed toxicology results. Flanagan asks if he reviewed a report from Dr. Shafer who is an anesthesiologist in Columbia University. Rogers reviewd that as well. Flanagan asks if he has reviewed toxicology results from outside labs about stomach and urine. Rogers did not see those.

Flanagan asks if Midazolam, Diazapem and Lidocaine toxicology results are consisted with what Murray told the cops. Rogers answers yes.

Flanagan asks if it's correct that what Murray said about Lorazepam in his interview doesn't match with the toxicology results and also mentions that Propofol is hard to determine as it metabolizes fast. Rogers says it's true and they also don't know how much and how fast Murray gave MJ Propofol.

Flanagan asks if they can't be sure who gave it. Rogers says yes.

Flanagan asks why would IV bottle be spiked. Rogers says it's done for giving it continuosly to maintain sedation. Flanagan asks if spiking would also help to emptyPropofol bottle quickly than getting it out with syringe. Flanagan asks if you wanted to mix Propofol with saline spiking it would make it faster to pour it into the saline bag.

Flanagan mentions a way of doing Propofol drip by mixing with saline solution. Flanagan again mentions that emptying the Propofol bottle with a spike would be more efficient than using a syringe to get it out.

Flanagan asks if propofol - saline mix was done, you would expect to see an IV bag with Propofol in it. Rogers says there was no Propofol found in the bag. Flanagan asks if any evidence of propofol was in the y connector, syringe and the tubing below the y connector. Rogers answers yes. The portion above the y connecter was negative for Propofol.

Flanagan mentions Propofol's shelf life of 6 hours. If it's not used it has to be thrown out. Flanagan says that it doesn't make sense if one will only use 5ml of Propofol to get it from a 100 ml propofol bottle as they will need to throw away the 95 ml.

Flanagan asks about lidocaine and Rogers explains why it's used.

Flanagan asks about if Propofol needs to be slowly infused and not rapidly. Flanagan asks what the blood levels will show if a person is given 25mg of propofol. Rogers doesn't know. Flanagan asks how much sleep would such dose of Propofol would bring. Rogers says 5 minutes and Propofol would have no effect after 5 -10 minutes.

Flanagan asks what happens if 25 mg is injected rapidly. Rogers say that you'll have a locally high concentration and it would mean a higher risk of cardiao respitory arrest. Flanagan goes over the information that propofol needs to be slowly administered. Flanagan asks if someone is slowly administering Propofol if they would see any negative effects such as breathing stopping. Rogers answers yes.

Flanagan asks if a slow injection is given and the patient is watched for 15-20 minutes and if after that time period if something goes bad if it wouldn't be due to Propofol. Walgren objects because it's not considering other benzos. Flanagan changes his hypothetical to ask if a person is sleeping more than 5 minutes that wouldn't be due to Propofol and if he could be sleeping due to being tired / fatigue. Rogers agree.

Therapeutic level of Propofol. Rogers says it's dependent on intended use. MJ had 2.6 mg Propofol in his femoral blood. Flanagan asks if due to post mortem redistribution if that numbers could be problematic. Flanagan goes over articles to say that Lorazepam does not redistribute and ask Rogers about the Lorazepam amounts. Rogers say that they are very close and it might or might not show that there was no redistribution.

Pills in stomach. They wouldn't distribute to the body until they are disolved. Flanagan switches to stomach contents. It was a dark liquid. Flanagan asks if there could be fruit juice in the stomach and asks if they ever identified the content of the stomach. Rogers say they didn't. Flanagan asks if they saw any tablets or capsules. Rogers says they didn't. Flanagan says they could get dissolved and they can't tell if a person has taken tablets by looking to stomach contents. Toxicology would be needed to determine it. Flanagan asks if toxicology results show that Lorazepam , would it mean consumption of Lorazepam. Flanagan shows the Lorazepam in stomach toxicology results. Flanagan mentions Lorazepam concentration being 4 times higher than the femoral blood levels. Flanagan mentions the amount equals to 1/43 of a tablet but it doesn't show how many tablets are actually taken as the pills dissolve over time.

Lorazepam levels in the blood didn't cause any red flags because it wasn't too much. Flanagan shows 2 Lorazepam pill bottles found in MJ's house. Both had 30 pills (60 total), one bottle is empty the other one has 9.5 pills left in it.

Flanagan mentions that Rogers thought benzodiazepines had an effect on the death. Midazolam and Diazepam found in the blood was low and insignificant. Flanagan asks what level one Lorazepam pill would cause. Rogers says it should be at therapeutic level. Flanagan brings out the Baselt book that says for 1 pill .018 in 2 hours. Flanagan tries to ask if 1.69 blood level would mean it would require 9-10 pills. Objection.

By judge's order Flanagan goes into hypothetical scenarios. Rogers can't understand questions. A lot of objections and judge sustains them one after another very quickly.

Flanagan mentions half life of Lorazepam (9 to 16 hours) and bioavailability. It's beyond expertise of Rogers.

Flanagan asks if what level of Propofol would be lethal. Rogers says 1 to 17 mg per ml. Flanagan asks if a person with 2.6 level of Propofol would feel pain. Rogers says yes.

Flanagan again asks Lorazepam levels of 1.69 and how many pills it would mean. Overruled due to improper hypothetical. After several hypotheticals Flanagan gets Rogers to say it would equal to 9 pills.

Flanagan mentions that stomach and urine wasn't tested for Lorazepam. Flanagan talks about urine samples. If urine sample in autopsy has higher levels of Lorazepam then the scene urine, would the blood would have higher level of Lorazepam then the blood at 7:30 AM as well. Rogers says he can't answer because there are too many variables. Flanagan gives the scenario of 2 mg Lorazepam at 2AM and 5 AM and then 8 pills being taken around 10 AM , if the urine level of Lorazepam would be higher at autopsy urine then the scene urine. Rogers answers yes.

Flanagan goes over the homicide conclusion. Rogers mention 4 factors contributed to that conclusion.

1st factor propofol and benzodiazepines is administered by another. Flanagan again asks questions about Lorazepam which is beyond expertise of Rogers.

2nd factor non hospital setting. Flanagan asks if chronic insomnia cannot be treated by Propofol. Rogers says that it's not general way to treat it. Flanagan mentions insomnia has different levels and if Propofol might be used. It's beyond Rogers expertise.

3rd factor standard of care. Rogers made that determination with the help of the anesthologist.

4th factor Circumstances do not support self administeration. Rogers says that he thought what was reasonable. To Rogers it's reasonable to believe that Murray miscalculated and gave too much Propofol. He finds it less reasonable for Michael to wake up and while still under influence of sedatives and manage give himself Propofol and it killed him and all these happened within 2 minutes.

Flanagan talks about the positioning of the IV line. IV was beyond left knee and it was 6 inches long till the y connector. Flanagan asks if a person can touch an area around their knee. Rogers agree. Flanagan asks about if anyone can do a bolus injection and if it can stop the heart.

Flanagan asks if someone else was giving the injection other than MJ would they see if there's a problem. Rogers say you hope that they do.

Walgren redirect

Walgren brings up what was mentioned earlier and asks is it true if a person found with eyes open it would mean they died quickly. Rogers says it's not true. People can die slowly and still have eyes open.

Oxygen tank was analyzed at july 13, 2009. It was empty.

Walgren says that most of the defense questions pharmacology - what happens to drugs when they enter into the body. It's not Rogers area of expertise. Rogers is an expert in determining cause of death. He's not an expert in propofol or lorazepam.

Walgren mentions the lethal levels of 1 to 17 mg Propofol and asks if smaller numbers than we have seen in MJ can cause death. Rogers answer yes.

Walgren goes over Lorazepam bottles. They are both prescribed by Murray. One is filled April 28, 2009. It was for 30 pills - 9.5 remaining. Second one is filled April,2.2009. It was for 30 pills and it's now empty.

Walgren mentions the hypotheticals Flanagan asked. Tells Rogers to assume Murray was telling the truth in his interview and gave MJ Valium and then 2 injections of midozolam and lorazepam and then propofol. In that scenario if he left the patient alone to swallow lorazepam pills, and there's no monitoring equipment, no airway management equipment and no resusitive equipment. Rogers says it's still homicide. Walgren gives the same sets of events but the scenario self administration of Propofol instead of Lorazepam. Rogers would still classify it as homicide.

Flanagan cross

Flanagan asks about the oxygen and asks if the valve was open or closed. Rogers doesn't know. Flanagan asks how long would it take it to become empty. Rogers say it depends on how open the valve is. Flanagan asks if it's in therapeutic levelswould it empty in 2 weeks. Rogers say probably.

Flanagan mentions Rogers answers about how he's not knowledgeable about Lorazepam and asks doesn't he need to be knowlegeable about that to make determination in this case in regards to the cause of death. Rogers says he doesn't know how these levels are achieved but they are the cause of death.

Flanagan talks about Lorazepam levels being close to the levels required to be unresponsive to painful stimuli and Propofol levels are half the required to be unresponsive to painful stimuli.

Flanagan asks Rogers to assume that Murray was telling the truth in his interview. Flanagan mentions the midazolam and diazapam numbers match but Propofol and Lorazepam levels are a lot higher.

Walgren redirect

Walgren asks why he do an consult with an anesthologist. Rogers says because it was a comples problem. The doctor he consulted told him that the levels was consisted with general anesthesia.

Flanagan recross

Flanagan mentions rapid injection again and asks if rapid injection would have negative effects of respitory and cardiovasculary depression

Murray Trial Day 11, October 12 2011

Dr. Alon Steinberg Cardiologist Testimony

Walgren Direct

Steinberg is a board certified cardiologist for 13 years. He is not an expert in anesthesia, sleep medicine, pharmacology or addiction medicine.

Steinberg has reviewed CM's resume. CM was not board certified on June 25th 2009. Steinberg tells board certification is an extensive 2 day test and 90% of the cardiologists that take it pass it.

Steinberg is an expert reviewer for the California Medical Board, he reviews other doctors' actions to ensure the standard of care has been respected. 3 levels are possible: no deviation, simple deviation and extreme deviation. Extreme deviation is also defined as gross negligence.

Steinberg has conducted a review for this case. He had conducted 8 prior reviews. In 4 cases he found no deviation; in 4 cases he found simple deviation of care. This is the first time he's seen an extreme deviation from standard of care.

Cardiologists use sedation for many procedures and sometimes they use Propofol. Cardiologists are expert in mild or moderate sedation. In conscious sedation the patient is able to talk and respond to touching. Deep sedation is when patients are only responsive to pain or repeated stimuli. General anesthesia is when patients feel no pain. Cardiologists are not trained in deep sedation. When deep sedation is needed, they call anesthesiologist and that's the only time they use Propofol.

When they are giving mild or moderate sedation they use benzodiazepines. For deep sedation they are required to give Propofol with an anesthesiologist.

Steinberg has reviewed this case. He has focused his review based on CM interview with police. Steinberg wanted to judge CM on his own words.

Steinberg found 6 separate extreme deviations from standard of care.

1: Propofol was not medically indicated. Steinberg mentions Propofol is an anesthesia. Steinberg tells there was no written informed consent. The patient must be informed of the risks and benefits of treatment. Steinberg never heard of Propofol used for insomnia. Steinbers says that using propofol for insomnia is gross negligence and extreme deviation.


2: Propofol was given in a home setting, without proper equipment and without proper staff.

Walgren asks what equipment needed. Steinberg says that first a pulse oximeter with an alarm is needed but Murray's oximeter didn't have an alarm. Steinberg says he had to stare to MJ nonstop every second. Steinberg says he should have automated blood pressure cuff, to check blood pressure at least every 5 minutes. Murray had a manual cuff and did not use it. Next thing is needed is an EKG monitor to track the heart rhythm. Another thing that is needed is oxygen with a nasal cannula or mask. You need suction in case the patient regurgitates and you need to get it before it goes into patient's lungs. Another equipment needed is an Ambu bag. Murray had an Ambu bag but did not use it, he did mouth to mouth. You also need to have a way to call for help. Backboard is needed in case CPR is needed. You also need a back up battery for the equipment in case of a black out. Other equipment needed is equipment needed for airway such as endotracheal tube. Endotracheal tube requires trained staff to place it. Also you need a defibrillator.

A lot of special drugs are also needed. Those are fluamzenil, narcan, lidocaine, betablockers, atropine, dopamine, epinephrine, prednisone, dextrose.

Steinberg says when giving sedation you also need BLS (basic life support) and ACLS (advanced cardiac life support) trained assistant.

3: Inadequate preparation for an emergency. You need to have the drugs ready, equipment ready, have a person ready to help you. You need to be prepared to use those medicine and equipment in the case of emergency.

4: Improper care during the arrest. MJ's breathing had stopped and CM didn't follow proper protocol.
Steinberg explains cardiac arrest which is when heart stops beating. There's no blood pressure and the patient collapses. In that case you call 911, use a defibrillator, and do CPR on a hard surface.

In MJ's case, it was a respiratory arrest. MJ stopped breathing and the oxygen goes down. Then heart started to beat harder while trying to distribute little oxygen in the body. According CM's statement this is where CM found MJ. If you do nothing, the heart weakens because of lack of oxygen, and stops contracting but there is still an electrical activity. That's PEA (Pulseless Electrical Activity). After PEA, there's asystole.

Steinberg says CM should have called 911 immediately then try to arouse MJ, should have used the Ambu bag and give him Flumanezil. Steinberg says it's inexcusable that CM did chest compressions. This was a respiratory arrest not a cardiac arrest and there was blood pressure and pulse. CM should NOT have done CPR.

CM's CPR was poor quality because MJ was on a bed. It has to be done on a hard surface such as on the floor and should have done CPR with 2 hands. Steinberg says it would have been very easy to put MJ on the floor.

5: Failing to call for help. CM should have called 911 immediately. CM should have known that he didn't have any of the medications and the equipment and he had to call for help. But CM instead called MAW which caused a significant delay. EMS was only 4 minutes away. If CM had called them he could have gotten help sooner.

For every minute delay in calling EMS, there are less and less chances the patient will survive and there is a risk of permanent brain damage. Walgren: “Every minute counts”.

Steinberg also thought it was bizarre to call an assistant instead of calling 911. CM as a medical doctor should have realized he needed help and call 911.

6: Failure to maintain proper medical records. Medical records are important because of several reasons. Insurance companies want them. Second reason is litigation. The most important reason is for better health care for the patient. CM did not document a single thing. He didn't ask when the last time MJ ate was, he had no vital sign records, he had no physical exam. There was no informed consent. He didn't write what medication he gave and what was the reaction. CM was confused and was not able to explain MJ's history or what he gave him to the ER doctor or EMTs. Walgren asks if he could be dishonest rather than confused.

Steinberg concluded that these extreme deviations directly contributed to MJ's death. Without these deviations, MJ would still be alive.

Walgren asks based on CM's statement if he gave benzodiazepines and only 25mg Propofol if the risk of respiratory depression is foreseeable. Steinberg answers yes.

Walgren assumes everything happened as CM described and as CM left MJ alone, MJ was able to take Lorazepam pills or Propofol. Steinberg says all the things he said still apply. Steinberg says you never leave the patient and always monitor patient. If MJ self administered, means that Murray was away, and that should not have happened. Steinberg compares leaving a patient under the effect of Propofol to leaving a baby sleeping alone on the kitchen counter. Steinberg says the baby might have woke up and fall down.

Steinberg also mentions that medication should not have been within MJ's reach. Steimberg explains how in hospitals every medication will be under lock and says that having medications out in the open is a foreseeable risk that the patient can self administer and take the wrong medication.

Mid morning break.

Flanagan Cross


Steinberg is not currently trained in using Propofol. When Steinberg was NY he had privileges to use Propofol. In his current work he does not have the privileges and he hasn't used it in 7 years. When he was in NY he felt confident in using Propofol because he was trained in protecting airways.

Flanagan asks if there is a difference in the equipment needed for moderate and deep sedation. Steinberg answers no, they will be the same.

Flanagan asks if Steinberg thought CM's declaration to the cops was thorough and complete. Steinberg says he assumed it was complete.

Flanagan asks how Steinberg knows CM didn't have informed consent. Steinberg says because there was none. Flanagan asks if the informed consent can be oral. Steinberg says it has to be written. “If it's not written it's not done.” Steinberg says he has never heard an oral consent. Flanagan asks if any written document had anything to do with MJ's death. Steinberg says if MJ had been informed about risk and benefits, he might not have agreed to this.

Steinberg says he cannot know if MJ had been informed, but assumes he was not informed that a powerful dangerous drug would be used on him without proper monitoring. Steinberg assumes MJ would not have agreed to it.

Flanagan asks if Steinberg know anything about MJ's propensity towards drugs and mentions Demerol and Klein. Flanagan asks what if MJ was an addict; would he have agreed to it? Steinberg says if he was an addict, he wouldn't give it to him in the first place.

Other doctors that use Propofol could be dentists, gastroenterologist, pulmonary doctors, ER doctors. But their societies have advice on how to use it and they are trained. Their societies outline the same monitoring equipment that Steinberg mentioned. Steinberg says there's no difference in equipment needed for conscious sedation.

Flanagan asks what killed MJ? Steinberg says a respiratory arrest because he still had a pulse that means there was a heart rate and blood pressure. CM said there was blood pressure and pulse, it was later PEA.

Steinberg says that according to CM he found MJ around noon and EMS arrived at 12:26. There was a delay in calling 911 for at least 12 minutes. Flanagan mentions CM made a lot of time estimations and it might be all precise.

Flanagan asks what 2mg of Lorazepam would do to a patient. Steinberg says he's not an expert, he gave it as a sedative orally before but he never used IV. Steinberg says he gives it an hour before the procedure orally. Flanagan asks further questions about Lorazepam, Midazolam. Objections. Sustained. It's beyond his area of expertise.

Flanagan turns the subject to Propofol and say that MJ and CM had been discussing Propofol for the past 3 night and CM told MJ it was not good for him and he was trying to wean MJ off.

Steinberg states that CM said that he gave 25mg initially and started MJ on IV. Flanagan denies that there was an IV. Steinberg understood that after that initial 25mg dose, there was a drip based on his police interview. Steinberg cites a lot of examples in CM interview referencing IV and says it makes sense because 25mg would not keep MJ asleep.

Flanagan insists there was no drip on the 25th, Steinberg insists there was a drip, they both give examples in CM's LAPD interview. They agree it's not clear, but Steinberg says it makes no sense. It's logical CM gave a drip. MJ logically would have woken up, and there was no reason that CM changed his methods.

Flanagan says that 25mg is not a heavy dose and it would make MJ sleep 4 to 7 minutes. Steinberg agrees. So Flanagan asks if MJ was still asleep he was sleeping for other reasons such as being tired. Steinberg says that he would have worried that MJ was still asleep if MJ was not on a drip. Protocol says that after Propofol you should watch the patient. Steinberg says just looking at MJ doesn't tell if he's in mild sedation or in deep sedation. Steinberg says they need to be continuously checked for their reaction to stimuli. Steinberg says CM should have woken MJ up. Steinberg says the fact that MJ was still asleep after 10 minutes, if there was no drip, is very alarming. Steinberg it might mean that something was going wrong.

Flanagan mentions a study that Propofol was successfully used on refractory chronic primary insomnia in Taiwan. Steinberg says that the article dates back to 2010, in 2009 when CM gave propofol there was no medical knowledge that Propofol could be given for sleep. CM was unethical in giving Propofol with no medical knowledge. Article mentions Propofol given for 2 hrs per night 5 nights, not 8 hours per night for 2 straight months. The article says that this test was successful, but it's still not used as a sleep medication because it's still experimental, there is not enough data about this. It needs to be extensively researched and tested. CM is the first doctor he's heard who used propofol for insomnia.

Flanagan asks how Steinberg knows CM didn't use Ambu bag, Steinberg says because CM said he did mouth to mouth. Flanagan asks how Steinberg knows CM didn't use the blood pressure cuff, Steinberg says because it was not on MJ. Steinberg says pulse oximeter was not on MJ.

Steinberg says he doesn't know what happened between 11 and 12 or how long CM watched MJ or when CM went to bathroom. Flanagan asks if he has an idea about the actual time of death. Steinberg says MJ was pronounced dead at 2:26PM but he was probably clinically dead for some time.

Steinberg says MJ savable when CM found him based on his interview. Steinberg says CM said he left MJ for 2 minutes. By using Ambu bag, by arousal and changing the effects of the medicines and if 911 was called MJ was savable.

Flanagan tries Steinberg to assume that CM was gone longer than 2 minutes. Steinberg is not comfortable making those assumptions as he based his report on CM's statements. Flanagan mentions the phone calls; Steinberg does not want to comment on them. Steinberg says saying CM was on the phone tells him that CM shouldn't have been on the phone and if MJ would only given 25mg it would wake him up. Steinberg says that it tells MJ was on a drip.

Flanagan wants him to assume if CM was gone longer than 2 minutes if MJ was savable. Steinberg says he was savable because according to CM's statement MJ had a pulse, blood pressure and heart was still beating and with proper equipment he could have been saved. He could have given MJ oxygen. Steinberg says MJ wasn't PEA when CM came back because he had a pulse. Flanagan asks how he knows know MJ had a pulse, Steinberg says because CM said so. Flanagan asks if it could PEA. Steinberg says in PEA there's no pulse.

Flanagan asks what CM should have done. Steinberg says he should have called 911 and it would have taken 2 seconds. Steinberg says protocol says doctors are allowed 2 minutes to determine the situation. Flanagan asks if CM went down to ask for help in 12:05 – 5 minutes after – if it would be a violation of standard of care. Steinberg says he didn't have the right equipment so he should have called 911 immediately.

sidebar

Flanagan tries to talk about Kai Chase. Steinberg says CM didn't ask Kai to call 911. Flanagan asks what if CM called for help in 5 minutes but not in 2 minutes. Steinberg says it's still a deviation from standard of care.

Flanagan asks if he talked to CM to review the case. Steinberg says no and he didn't ask. Steinberg used CM's 2 hour interview.

Flanagan asks what CM should he have done in 2 minutes. Steinberg says call 911, tilt the head to open airway, make him breathe with Ambu bag and give Flumazenil. Steinberg says he would have called 911 first. Steinberg says CM had to increase MJ's breathing.

Flanagan asks if CM make a mistake in asking someone to call 911 Steinberg says he had no one around and he had to call 911. Steinberg says for the time it takes to call for security CM could have called 911. He had a cell phone. Steinberg says it would have taken him 2 seconds to say “I'm a doctor, there's an arrest, come to 100 Carolwood now” and then CM could have put 911 on loudspeaker and continue to do what he was doing.

Flanagan asks if he's aware that EMS said MJ was cool to the touch. Yes but CM said he was warm. Steinberg says you get cold in 26 minutes when you have no blood pressure.

Flanagan asks if Steinberg have no doubt that if 911 had been called immediately MJ would still be alive. Steinberg says he have no doubt about that, they could have saved him. CM said that he lost the pulse after calling MAW at 1212. So if the paramedics had been there at 1205 or 1210, they could have saved him.

Flanagan says that CM was in emergency situation and he could be mistaken in his estimations. Steinberg says there is clear evidence that there was a delay in calling 911 as CM went downstairs and called MAW rather than calling 911.

Flanagan asks based upon these facts if Steinberg thinks CM is responsible of MJ's death. Steinberg says yes.

Flanagan asks if CM should have dropped MJ on the floor, in spite of the IV line. Steinberg says he should stop the Propofol drip first and then he should be careful with the line when he's putting MJ down the floor.

Flanagan asks rather than suction would it be okay to turn patient his side and clean the mouth with a finger will be okay. Steinberg says suction is needed.

Flanagan asks if a doctor has only 1 patient, he would still need to document everything he does. Steinberg says he does because obviously CM didn't recall what he had given when he talked to UCLA or with the paramedics.

Flanagan says that not having records did not kill MJ. Steinberg says it wouldn't cause his death but it's still deviation.

Steinberg states that Murray did not act like he was ACLS certified.

Steinberg states that he used propfol in New York, but it was in hospital settings.

Steinberg states that gastroenterologists, dentists and ER doctors who use propofol receive appropriate training, with a trained staff and appropriate monitoring equipment are necessary.

Steinberg states that an article about the propofol study in Taiwan : published in 2010, was an experimental study. The patients were given propofol in a hospital , with the appropriate equipment, the experiment was approved by their ethics committee. Steinberg states that written, informed consents were obtained from the patients. Steinberg states that 8 hours of fasting occurred prior to being given propofol, and that the propofol was given by an anesthesiologist. Steinberg states that the patients were constantly monitored and pulse oximeters were attached to the patients. Steinberg states that the propofol was administered by an infusion pump, a drip was not used. Steinberg states that no other benzos were used. Steinberg states that the authors of the article specifically state that the study was experiment, and that is does not dictate a standard of care. Steinberg states that what Murray was doing was essentially an experiment.

Steinberg states that if he had to assume that Murray gave only 25mg, that there was no drip, would he draw the same conclusions? Steinberg states yes, that standard of care was deviated from in an unmonitored setting, without appropriate equipment, response was inappropriate, medical records were inappropriate and that it was be a foreseeable prediction that there would be respiratory depression (stop breathing).


Steinberg states that Murray played a direct, causal role in MJ's death.

Recross Flanagan

Steinberg states that the sleep study showed that propofol helped insomnia.

Steinberg states that in his analysis for the CA medical Board, that Murray deviated from the standard of care for MJ.

Steinberg states that the lack of a backup battery did not lead to the cause of MJ's death, however, 5 out of 6 deviations did lead to MJ's death.

Steinberg states that he did read Murray's interview with LAPD that he gave MJ propofol for 40-50 days without incident. Flanagan asks if Steinberg has made certain assumption, Steinberg states no. Steinberg states that he didn't assume that Murray gave propofol, that Murray didn't have the proper equipment, the delay in calling 911, improper care during the arrest, that all of these things are facts.

Walgren Re-redirect

Steinberg states that even if the defense theory that MJ self-injected propofol and therefore accidentally killed himself, according to Conrad Murray's own words, Murray would still be the causal factor in MJ's death.

Dr. Nader Kamangar/ Sleep Medicine Expert Testimony

Walgren Direct

NK states he is a pulmonary care/sleep medicine/critical care physician at UCLA. NK states he is board certified in four areas: internal medicine, pulmonary medicine, critical care, and sleep medicine.

NK states he is a medical reviewer for the CA Medical Board , and that he assessed Murray's care to MJ for the medical board. NK states that is propofol used in critical care unit on a daily basis. NK states he is trained in using propofol. NK states propofol is used for placement of endotracheal tubes, and for people on breathing machines. NK states that propofol is the most commonly used drug for this.

NK states that he found multiple deviations of standard of care with regard to Conrad Murray's care of MJ :

1. Propofol was given in an unacceptable setting : using this deep sedation agent in a home setting is inconceivable and an egregious violation of standard of care.

2. ACLS certified : the person who gives propofol must be trained in ACLS and airways management. There was a risk of hypoventilation (diminishment in rate of breathing), apnea and obstruction of the airway.

3. Need of assistance : Murray needed a second person (a nurse) to monitor, to pay complete and utter attention to MJ, especially if Murray was going to leave the room; this goes without saying. This violations Hippocratic oath, to abandon his patient.

4. Pre-procedure setup : imperative to be prepared for unforeseen circumstances. Things can change very quickly. A patient may look good, and the next minute there's a problem. Murray needed a suction catheter, because patients can regurgitate into their airway, and block the airway, this can cause death. A crash cart (medication on hand : adrenaline, ephedrine, medication to correct the heart beat, etc...) , pulse oximeter, defibrillator, automated infusion pump (precise dosing for propofol) even with people who are intubated;

NK states that all of these factors are extreme deviation of standard of care and are the equivalent of gross negligence.

NK states that he has never seen someone giving propofol at home in such settings, and would not have expected to see that.


5. Charts / medical documentation : or medical history, reactions to a medication. For example a blood pressure can look normal, but not be normal for a particular patient, and that change in blood pressure could be the indication of a problem.

6 . MJ was left alone, which is not acceptable, especially since Murray didn't have the right equipment.

7. Use of benzodiazapines: using lorazepam and midazolam on top of propofol can have higher effects : more significant respiratory depression, decrease cardiac output (often a consequence of respiratory depression), decreased blood pressure and cardiac arrest can occur directly, or because of low levels of oxygen.

8. Dehydration : blood circulation is not good when you are dehydrated , causes low blood pressure. Benzos and propofol would also lower blood pressure . Murray should not have used benzos or propofol if the patient is dehydrated.

9. Failure to call 911 : 911 should have been called immediately.

10. Improper CPR : Murray stated there was a pulse, therefore the heart was beating, so the problem was respiratory not cardiac. Murray should have dealt with airway management by placing an ambu-bag over MJ's mouth. Murray's administration of CPR was ineffective; it was not on a hard surface, and it was done with one hand . Correct CPR correctly allows about 20% of the normal blood circulation, so if you do it incorrectly

NK states that assuming Murray found MJ at noon, and calls MAW at 12:12 pm, the significance of the 12 minutes is that the what is the lack of blood flow to vital organs, especially to the brain. NK states that some individuals are more susceptible than others to a lack of oxygen. NK states that generally it takes 3 to 4 minutes before brain cells start to die. NK states that time is really important. NK states that because 911 was called at 12:20 pm, with the passage of 20 minutes, it reaches a point where it becomes irreversible.

NK states that Murray Deceived paramedics and ER staff because did not provide the accurate information, which is a deviation of standard of care.

NK states that Murray did not properly evaluate insomnia. NK states that insomnia can have many causes, so it's important to have a detailed history. NK states that Murray needed to exclude secondary problems (psychological problems, substance abuse, underlying conditions, chronic anxiety, depression , etc...)
NK states that insomnia is defined by no restful sleep for 4 weeks or more. NK states that once all the secondary problems are ruled out, primary insomnia is considered.

NK states that in order to diagnose/treat insomnia. a detailed sleep history is needed. : when do they go to bed, when do they fall asleep, when do you wake up, etc.. check sleep apnea. In some cases you need a sleep study.

NK states that a detailed pharmaceutical history was needed; both prescribed or over the counter (example migraine pills contain caffeine, that can cause insomnia), illicit drugs.

NK states that a detailed physical examination was needed; some underlying conditions can cause insomnia, for example asthma, congestive heart failure, diabetes, bladder problems, enlargement of prostate, thyroid conditions, etc..

NK stated blood testing was needed to rule out certain conditions : examples diabetes, kidney problem, restless legs , etc..

NK states that a good blood workup would reveal the use of narcotics, if the doctor asks the patient for one. NK states that if the patient is not giving the information, a doctor can simply refuse to treat the patient.

NK states that when all the above mentioned are done, then the doctor can treat the underlying condition that causes the insomnia.

NK states that in this case , Murray didn't have a detailed history. In addition, Murray didn't check what the root problem for MJ's insomnia was before treating him.

NK states that Murray did say that he saw that other doctors were treating MJ, he said he saw IV sites. NK states that if Murray could not get that info from MJ, Murray should have refused care, refused to give further medication. Murray didn't do that, and that was unethical.

NK states that Murray bypassed the evaluation of insomnia, bypassed the detailed history which was a deviation of care.

NK states it was obvious there was probably secondary causes in MJ's insomnia (substance abuse or anxiety or depression ) and that these underlying causes should have been treated.

NK explains about sleep hygiene techniques that can help in case of insomnia (using a bedroom to sleep only, among other things)

NK explains about sleep restriction, that the doctor should tell the patient to go to bed later , and limit their time in bed.

NK states that relaxation techniques can be used to treat insomnia.

NK states that all these can usually work better to treat insomnia than pharmacological approach, but that the pharmacological approach can also be used.

NK states that Murray did not use any of the above approaches on MJ, that Murray went direct to the pharmacological approach.

NK states that the pharmaceutical approach : 3 medications that are not benzos should be used first, because they are not addictive . NK states that a newer drug is melatonin something less addictive.

NK cites 4 different benzodiazepines that deal with insomnia. NK states that others are used also, but their main goal is to treat underlying conditions (anxiety). They are used in tablet form.

Midazolam : not appropriate for long term use for primary insomnia
Valium : not appropriate for long term use for primary insomnia
Lorazepam : can be used on short term basis, tablet form. Really addictive after 3 to 4 weeks. Used to treat underlying conditions, not primary innsomnia.

NK states that the use of midazolam and lorazepam to treat insomnia was an extreme deviation of care, especially in IV form.

NK states that it is inconceivable to use propofol for the management of insomnia, regardless of the setting. NK states that it is "beyond comprehension, inconceivable and disturbing." NK states that it is beyond a departure of standard of care, especially when underlying causes for insomnia were not treated.

NK states that even if MJ took lorazepam and propofol himself, Murray was the causal factor in MJ's death, especially if MJ had substance abuse problems. NK states that the lorazepam and the propofol should not have been readily available to MJ.

NK states that there is a risk of respiratory complications, especially if MJ was dehydrated, and that any competent doctor would have been aware of the risk.

Murray Trial Day 12 October 13, 2011

Flanagan cross

CM treated MJ with Propofol with no problems for 2 months.3 days before MJ's death CM tried to change the treatment. NK says he read it in CM's statement police.

Flanagan asks if he experience any patient that was resistant to his recommendations. NK says he would send them to another specialist if it's not in his area of expertise such as psychological issues. NK says he would realize his limitations.

NK says patients have right to refuse therapy as long as they make an informed decision.

Flanagan asks what if a patient is totally resistant and wants to do it in a certain way, what he would do. NK says he would refuse the treatment and try to understand the problem and why the patient does want it and may refer the patient to another specialist.

Flanagan asks if CM had these conversations with MJ. NK doesn't know as there were no medical records.

NK says if a patient asks for inappropriate therapy you need to get to the root of it. You should try to understand why they are refusing an appropriate therapy and try to get the appropriate care for that patient. He would make sure that they get the right care and says that he would not give the patient a care that he thinks is inappropriate.

Flanagan says CM gave propofol for 2 months and MJ had no problems. NK says he can't answer because he doesn't know MJ's state of mind and his situation.

NK says in the evaluation of the degree of deviation from standard of care, the end result doesn't matter. He didn't consider MJ's death. Flanagan says a doctor can practice bad medicine but the result might not be bad. NK says it doesn't make it okay. Even if a treatment doesn't cause death, it might still be gross negligence.

Flanagan asks if NK can tell what happened on june 25th. NK says MJ was receiving very inappropriate therapy in home setting, with inappropriate cocktail drugs, with inappropriate equipment, in a dehydrated patient, delay in calling 911. NK says it was a disaster that resulted in MJ's death.

Flanagan asks what was an inappropriate cocktail: valium + mizadolam +lorazepam+ 25 mg propofol. Flanagan asks if this cocktail can cause MJ's death.

NK says “absolutely”, especially combination of Propofol and lorazepam, in a dehydrated patient, whose vitals were unknown ( blood pressure, heart rate etc ). NK calls this the “perfect storm” that killed MJ.

Flanagan says NK doesn't know if Murray had that info or not. NK says CM didn't record anything, had no records; there was no way to determine the trends and changes. Flanagan says not having documents doesn't mean CM didn't know those vitals. NK says not having documentation means that CM didn't have the information. NK says you can't take care of a patient only from a memory. NK says it's a recipe for disaster.

NK gives an example of being with a single patient for long hours. NK says they keep notes. NK says needs to refer to the charts frequently to get a better picture. It's imperative to have charts. NK says without them you can't see the trends and see differences.

Flanagan asks if NK thinks there's no way CM remembered what he was doing. NK says keeping records is standard care especially when you give such a powerful drug as propofol.

Flanagan says not keeping the charts, for example not writing down 2 mg Lorazepam, did not kill MJ. NK says he's talking about vital signs, it's not only about writing the medicines. NK says it's a combination of many factors that killed MJ and says the failure of chart is a contributing factor. NK says it's bad medicine to not keep charts.

NK says MJ death was directly caused by Propofol + Lorazepam. NK says Lorazepam increased the side effects of Propofol. NK says it can be a lethal combination in a patient that is not monitored.

Flanagan asks questions about levels of the medicines, NK says he wants to defer it to a pharmacologist.

Flanagan asks if NK reviewed the records of Arnold Klein and saw that he gave MJ 6500 mg Demerol (pain killer) with Midazolam (sedative) over 3 months. Flanagan asks if MJ had a Demerol problem. NK says he cannot answer that question.

Flanagan asks if 200mg Demerol is a large dose. NK says it's a significant dose and says he avoids using Demerol because it makes someone more hyper, excitable and creates more stimulation. Flanagan asks if Demerol can cause insomnia. NK says it's correct.

Flanagan asks if MJ had insomnia problems. NK says he clearly had insomnia. Flanagan asks if NK made a determination of what type of insomnia. NK says doctors made no effort to determine that. NK says there were suggestions about the reasons for MJ's insomnia such as performance anxiety and issues with certain medication (Demerol).

Flanagan asks if MJ had refractory insomnia. NK says he cannot say that.

Flanagan asks if he read CM's records from 2006 -2009 on MJ. NK says CM gave MJ sleep medications as well as knew he was prescribed sleep medicines by other doctors. Flanagan says multiple doctors prescribed sleep medicines.

Flanagan asks if NK ever had a patient that was not forthright in their medical history. NK says he tries to get information from patient and from other doctors and hospitals. Flanagan says patients have to sign a release; they can't get the medical records. NK says it's true. NK says if they can't get information from the patient, they would ask people that live with the patient for information and use sleep diary logs. NK says without getting these information we wouldn't give Ambien to a patient. NK says if a doctor gives Ambien without a work up it would not be a serious deviation. NK says the doctor still needs to determine the cause and gather information.

Flanagan mentions physical examination and asks if an enlarged prostate can cause insomnia. NK says urination problems can keep a patient up. Flanagan asks if they would check the arms for needle marks. NK would be a part of a physical exam. Flanagan asks if he can determine if a person is taking intra muscular Demerol. NK says you can able to see it in some individuals and not by some.

NK says CM could have understand if MJ got Demerol from MJ's behavior, slurred speech and from people who witnessed the change of behavior such as the bodyguards. NK says CM could have talked to his security, assistant and CM could have confronted the patient.

Flanagan asks if there are studies about Propofol as a treatment for insomnia. NK says they are just experimental and it's in no way in a standard of care. They go over the Taiwan study. It dates back to November 2010. Patients had been extensively evaluated, informed consent was obtained, and they fasted for 8 hours. The study was done in a highly monitored setting, receiving propofol via an IV pump. 64 patients received propofol. Patient fell asleep better and have less sleep interruptions. Patients had no complications because they were highly monitored. It's very preliminary experiment with good results. It has no clinical applicability and the doctor that conducted the study stated that there was need for further study.

Flanagan asks why it is incomprehensible to use propofol for insomnia. NK says it was a study, in a highly monitored setting. NK says it is incomprehensible and inacceptable to give Propofol, especially with no monitoring and home setting.

Flanagan asks if 25 mg propofol is a very low dose. NK says yes. Flanagan states you wouldn't expect problems with such a small dose. NK says it depends on the patient. Such as if the patient is dehydrated (low blood pressure), had other medication (such as lorazepam) etc, there can be a problem that can lead to respiratory depression.

Flanagan asks questions about Lorazepam. NK says it's not FDA approved for primary insomnia, especially the IV form. Lorazepam in oral form can be used if cause of insomnia is anxiety, for a very short period of time of 3 to 4 weeks. NK says oral form is appropriate for a short period of time as it created dependency and IV is inappropriate because monitoring is necessary. Even with monitoring, it's not FDA approved for insomnia.

Flanagan asks if Lorazepam was appropriate with anxiety due to This is it. NK says there should have been a psychological or psychiatric help and says he would not have used it in this case and try to cure the underlying issue.

mid morning break

NK states that Ativan/Lorazepam in short periods of time, can be used for secondary insomnia associated with anxiety, even though it is not FDA approved. NK stresses that either drug should be only used for secondary insomnia, not primary insomnia.

NK states that Murray indicated he had a bag of saline infused, but because there was no charting of medical records, there is no way to know how much saline was being infused into MJ.

NK states that MJ was producing urine, based on Murray's interview with LAPD.

NK states that 25 mg of propofol would sedate someone for 6-10 minutes with no other meds, with no residual effects. NK states he would expect the person to have an increasing consciousness, and that the person would wake up by the 6-10 minutes. NK states he would not expect a patient to sleep after that time period, even if they were extremely tired. NK states that it would be the doctor's obligation to determine whether the patient was sleeping (if possible) and wake them up, and determine if they are responsive to stimuli.

NK states that even if a doctor has the lack of judgment to use propofol like Murray did on MJ, it is incumbent on the doctor to continually monitor the patient.

NK states that by visually monitoring, there is no way to determine if the patient is naturally asleep or still sedated. NK states that propofol can be used for conscious sedation in a highly monitored setting.

NK states that in his initial report, he stated that MJ had massive doses of propofol. NK states that he believes that MJ was given an unregulated drip IV of propofol, after the initial injection push of propofol.

NK states that he believes that the sequence most likely is that MJ had a respiratory arrest, causing cardiac arrest.

NK states that Murray should have called 911 first, especially given the lack of tools Murray had available. NK states that he should have determined whether he was breathing, determined his pulse, manipulate the airway, and tilt the jaw back to determine if there was blockage.
NK states that he is aware that there were no working landline phones at Carolwood. NK states that he is aware that the 911 call took 2:43, and that paramedics got there in less than 6 minutes.

NK states that even if MJ self medicated with excessive Lorazepam and bolus pushed propofol, Murray is still responsible for MJ's death.

Walgren Redirect

NK states that he would call 911 immediately, it's a moral/professional obligation, but it's basic common sense as well.

NK states that Walgren provided him with Dr. Klein's medical records. NK states that Murray stated in his interview with police multiple times that he was aware that MJ was seeing Dr. Klein.

NK states that the study done in China on propofol was done in a hospital, highly monitored, using a very precise drip, was used as an experiment and would need another study done to positively state that propofol could be used for insomnia.

NK states that one of the fundamental tenets of the doctor/patient relationship is putting the patient first. NK states that this means knowing when to say no to a patient, and that if, assuming MJ asked for the propofol, the doctor has the professional, ethical and moral obligation to say no.

NK states that he makes the final decision as to the appropriate care of the patient, not the patient.

NK states that Murray's interview indicates his inability to give precise information about oxygen saturation, although Murray indicated the oxygen saturation was in the high 90's and then stated 02 saturation was 90.

NK states that a doctor could be grossly negligent and survive, however in MJ's case, Murray was grossly negligent in multiple cases and this is what caused MJ's death.

Recross Flanagan

NK states that Murray said he immediately performed CPR, but that NK should have called 911. NK states that he is aware Murray said he went partially down the stairs, but that nobody could do the same job as the paramedics, so that should have been done first.

NK states that although Murray states he asked the chef to call security and she did not do so, NK is not sure whether he is aware of that fact.

Re-redirect Walgren

NK states again that Murray should have immediately called 911.

Re-recross Flanagan

NK states that if there was someone in a hallway, and he was in a room with a person who was medically down, he might shout to the hallway, but ultimately it is his responsibility as a doctor to call 911.

Dr. Steven Shafer Anesthesiology Expert Testimony

Walgren Direct

SS states that he is a professor of anesthesiology at Columbia University, adjunct professor and Stanford and UCSF. SS states that he has worked at Columbia since 2007, at Stanford since 1987, tenured at 2000. SS states that he teaches a class in pharmacokinetics at UCSF.

Pharmacokinetics deals with math models that deals with drug concentrations in the body to determine what the drug actually does to the body, which helps determine dosages of meds and what is effective and what is not.

SS states that pharmacokinetics is a discipline that is growing, and that it determines labels for every med, core of pharmaceutical companies, core of FDA, and services doctors on how to use the med safely and reduce toxicity.

SS states that the three schools he hold professorships at are ranked among the top medical schools in the US.

SS states that he is editor-in-chief for the journal Anesthesiology and Analgesia, which publishes manuscripts (studies) of issues related to anesthesiology. Among the 70 board members that sit under Shafer, SS states is defense witness Dr. Paul White. SS states that the journals' acceptance rate for manuscripts is roughly 21%, so about 4 out of 5 submitted are rejected. SS states that due to the editor in chief position for the journal, he is exposed to unusual cases that he never thought he might read about.

SS states that in 1987 the FDA had problems determining proper dosage levels of Midazolam, therefore the FDA was very particular about dosing instructions for infusing propofol. SS states that he did the infusion rate analyses and the start rate of propofol for the label AstraZeneca.

SS states that in particular, he analyzed the reduction of dosing in elderly patients, and that almost all label dosing was done by SS in 1991.

SS states that drugs that are marketed, one drug is marketed as a chemical name, in this case propofol. SS states that the retail name is Diprivan, and that it differs slightly from propofol because there is a fat solution (emulsion) added to the propofol.

SS states that max sedated means monitored anesthesia care, the care a patient expects, with a controlled dose, and monitoring. SS states that titration means increasing or decreasing the dose according to each patient.

SS states that pharma means drugs, kinetics means motions, so pharmacokinetics means drugs in motions. SS explains that when meds are given, drugs go thru several processes or motions, first when meds goes into the patient it becomes more diluted. Second the bloodstream takes the drug everywhere in the body, delivers to the brain, and will move the drug to the liver and metabolized there. SS states that the liver chews the drug up, that the pieces can go to the blood, or to the bile, then to the intestine. SS states that they can go to the kidneys and the kidneys then remove the blood from the body.

SS states that he is an expert in pharmacokinetics, specific to propofol. SS states that he developed the module of the software that eventually determined propofol dosing on labels for all propofol bottles.

court ends early due to a scheduling issue. There's no court on Friday October 14 as well. Testimony will resume on Monday October 17.

 

Saptamana a 4 a din procesul importiva lui Murray

Murray Trial Day 13 , October 19, 2011

Dr. Shafer Testimony continued

Walgren Direct continued

Walgren goes over again the credentials of Dr. Shafer by showing the journal he's editor in chief and multiple research articles written by Dr. Shafer. Research articles examine the differences in regards to gender, age. Dr. Shafer also had research done on Lorazepam, Midazolam and Lidocaine. DA Walgren says that he will ask about these topics during testimony.

Walgren mentions difference between intensive care sedation and procedure related sedation (MAC). Dr. Shafer tells that intensive care sedation would be for longer time, MAC would be shorter.

Dr. shafer says that all the work he has done on this case was for free. He says he never charged money for testimony because he feels it's inappropriate and unethical to benefit from medical misadventures. Shafer says he doesn't want his integrity to be questionned as well Shafer also says he wanted to get involved in this case to restore general public's confidence in anesthesia and doctors. Dr. Shafer says that he's asked daily by his patients " Are you going to give me that drug that killed Michael Jackson?". He says that he hopes to alleviate this unneeded fear with his testimony.

mid morning break

Dr. Shafer has brought several medical items for demonstration. First he starts with explaining Saline bag and it's ports. Later Shafer tells what and IV is. Infusion(Drip) when drug drips in slowly. Shafer explains that Propofol comes in a glass vial, there's an aliminium seal and a rubber stopper on top. To get the drug out you need to go through with a slow needle or a large spike to get the drug out.
Walgren asks Shafer to demonstrate to get Propofol out of the bottle.

Shafer demonstrates to get out Propofol with a syringe / needle. Shafer tells to get Propofol out you need to replace Propofol with air so that Propofol will go into the needle.

Walgren asks Dr. Shafer to examine 100 ml Propofol bottle from the scene. Shaffer says that it has a spike hole and not a needle hole.

Dr Shafer has made a video for his case, to demonstrate what is necessary for sedation, even for 25mg propofol. Playing the video : «*an over view of safe administration of sedation*»

The doctor first prepares the room, checks the equipment. Video shows multiple equipment for airway management such a tube for the throat, a tube for the nose, an equipment for intibation, a throat mask for air. Organizes these items.

Then the doctor checks the oxygen equipment. Doctor checks if the oxygen supply work, checks nasal cannula, checks to see if nasal cannula is measuring carbon dioxide by capnometer. Doctor tests anesthesia breathing circuit. This is the equipment used if the patient stops breathing and the doctor needs to push oxygen into the lungs. Doctor then checks the back up oxygen. This is used if for some reason the breathing circuit fails.

Doctor then checks suction apparatus. This is important because if the contents of the stomach gets into the lungs or if the vomit (bile) gets into the lung, it would destroy the lungs. This is why patients are told to not to eat or drink prior to anesthesia. if the patient vomits or the contents of the stomach come to the mouth, the doctor has to be very quick to clean them with the suction equipment before it goes into the lungs and destroys the lungs.

Next step is to set up the infusion pump. It takes a few minutes to set it up. In the video they use a syringe pump. Doctor first draws Propofol into the syringe. As Dr. Shafer demonstrated this is not easy. You need to draw air into the syringe and do multiple draws to fill the syringe. Dr. Shafer tells a narrow tubing has to be used in the infusion pump as the wide tubing could be problematic. Then the doctor programs the pump, putting the patients weight, correct drug name, infusion rate. Doctor verifies the information for a second time.

Next step is to assess the patient. Anesthesiologist is repsonsible for knowing his patient. Makes a physical examination, first thing is airway, listens to the lungs, checks the heart. Always done for each procedure, for every patient. No exception.

Doctor also gets the informed consent of the patient. Doctor informs the patient of risks and explains what the procedure entails, asks the patient if he has any questions, then patient signs the informed consent form. Dr. Shafer says oral consent is not binding, and is not recognized.

Some steps are not shown on the video. These are: patient put on table, monitoring equipment such as blood pressure cuff, pulse oximeter, ECG are put on patient. Oxygen in place, intravenous catheter is put into the patient. Afther these doctor pauses to verify again. Doctor does one last check before injecting the propofol.

Propofol infusion pump is started. Anesthesiologist is close to the patient, monitors the patient. Doctor keeps records of the vitals. Chart is a necessity to track the patient and the patterns. It's a responsibility to the patient.

In this part of the video, we are shown examples of what can go wrong.

First example is when blood pressure drops. Dr. Shafer says this is very common and they see it everyday. Propofol lowers blood pressure especially if the patient is dehydrates. Doctor gives ephedrine through the IV line. Generally blood pressure comes to normal levels.

Second example is carbon dioxide. The monitor shows that carbon dioxide stopped. It means the patient is not exhaling and the airway is obstructed. Doctor immediately does chin lift and jaw thrust. Dr. Shafer this is also done very routinely. Shafer says the most common reason is because the tongue is blocking the airway and by doing a chin lift and jaw thrust you can move the tongue.

Third example is apnea. This is when the patient doesn't even try to breath. In this instance you need to take over for the patient and force air into the lungs. Doctor removes the nasal cannula, places the mask on the patient's mouth and nose and squeeze the bag to push oxygen into the lungs.

Fourth example is aspiration (not shown on video). This is when the patient vomits and/or stomach contents come to the mouth. Patient is turned sideways and before the next breath you need to suction everything.

Fifth example is cardiac arrest. Heart stops beathing and the patient stops breathing. Doctor does a 2-3 second assesment to make sure that the monitor has not failed. Then the doctor calls for help. First thing is always to call for help. One person begins CPR, one person is ventilating the patient and other person gives resuscitation drugs. Alls of this is done to keep the patient alive for enough time to fix the problem that caused the arrest. These efforts are continued until the patient is revived, or is pronouced dead.

Dr. Shafer says that the safeguards and requirements apply to all doctors who perform sedation, for any type of IV sedatives. Some nurses are also trained about sedation. These guidelines apply to them as well.

Walgren asks if CM's intent were to give 25mg would these standards still apply. Shafer says yes and continues to say the patient (MJ) had other IV sedatives, profound inability to sleep, he was exhausted, dehydrated; and he had been given sedatives for some time and he could have saome elements of dependency or withdrawal.

Walgren asks if it possible to go in saying I'll only give a small amount so I don't need these guidelines. Dr. Shafer says it's a trap. Even for a little sedation , it's a slippery slope, you may have to give more. You never know how the patient will react. Shafer says there's no such thing as a little sedation and the worst disasters happen when people cut corners.

Facts in this case suggest that virtually none of the safeguards for sedation were in place when propofol was administered to MJ.

Walgren asks Shafer explain how patients reacts different to the same dose of sedatives. Shafer says that some patients will need half the usual dose and some patients will need double the dose. Shafer says 25 mg is the limit when a patient migh stop breathing. Shafer says you can't assume that this will be an average patient. Shafer says you always assume your patient is at the edge of sensitivity and prepare for the worst case scenario.

Shafer did a report about this case dated April 15th, 2011. In his report he used some terms.
Minor violation : not consistent with standard of care, but would not expect to cause harm for the patient unless there are several other violations
Serious violation : expected to cause harm to the patient, in combination of other violations
Egregious violation : These should never happen in the hand of comptent doctors. An egeregious violation can alone be catastrophic for the patient. Competent doctors know that bad outcome is a high possibility
Unconscionable vioation : It goes beyond the standard of care. It's an ethical and moral violation as well as a medical violation.

Walgren goes over Dr. Shafer's report and 17 egregious violations he identified.

Lack of basic airway equipment, egregious violation. MJ died because he stopped breathing which is expected when you give IV sedatives. It must be there without question.

Walgren asks Dr. Shafer assume that CM had left only for 2 minutes and CM had the equipment if MJ could have been saved? Dr. Shafer says yes and probably MJ had an obstructed airway and even a simple chin lift might have been required to save MJ. Shafer says that CM says he didn't use the ambu bag. Shafer says mouth to mouth is less effective and gives used air.

Lack of advanced airway equipment. Those are eqipment such as laryngeal mask, or laryngoscope and endotracheal tube. Shafer had described it a a serious deviation originally but changed his mind to en egregious because of the setting. CM had no help.

Shafer says that it's his view that CM had anticipated to give 100 ml vials. CM had purchased at least 130 100 ml vials, Shafer believes that's at least one per night. Shafer says it's an extraordinary amount for one patient; between april – to 25th june, that 80 nights, 1937 mg/night. Walgren asks how he came to this determination. Shafer says Propofol is an environment for bacteria dveelopment. Once a bottle is opened with a needle, it has to be used within 6 hours. Shafer says this suggests CM planned to use 100ml, if he didn't he would purchase smaller vials.

Lack of suction apparatus, egregious violation. Shafer reminds the jury that any stomach content and/or vomit has to be suctioned so that it won't go into the lungs. Shafer says there's no evidence that MJ was asked to fast for 8 hours prior being given Propofol. Due to this MJ was at greatly higher risk. Therefore a suction equipment was needed.

Lack of infusion pump, egregious violation . There was no infusion pump. Without it the rate can not be precisely controled and the risk of overdose is very high. Shafer says in his opinion this is likely contributed to MJ's death.

Walgren asks without an infusion pump how can one person control the drip. Shafer answers by roller clamp. It's a plastic wheel that pinches the tubing to decrease the amount . Shafer says it's extremely imprecise and that was the only thing available to CM when he gave propofol.

Lack of pulse oximetry, egregious violation . The pulse oxieter that CM used was completely inappropriate. It's not intended to be used for continuous care as it had no alarm. Shafer says that on monitors in hospital they can see it on the screen and there is a tone. Doctors will hear the tone changes which alerts them that there's a problem. In MJ's case only way to monitor was to take his hand and continoiusly look to it. If there was a proper equipment, there would be a monitor showing the vital signs from distance and there would be an alarm that could have saved MJ's life.

Lack of blood pressure cuff,egregious violation. Propofol lowers everyone's blood pressure. Doctors would treat it with additional saline solution or with less propofol. MJ was dehydrated, the risk are higher for exagerated response. If blood pressure falls the body shuts down the flow to the arms and legs and concentrates on providing blood to heart and the brain. The drug becomes more potent. Dr. Shafer says the manual blood pressure cuff that CM had in his bag in the cabinet is useless.

Lack of ECG, egregious violation . ECG allows you te see he heart rate, the heart rythm. This is routine monitoring. In this case CM couldn't know what kind of therapy to use when MJ went into arrest.

Lack of capnography, an egregious violation. Dr. Shafer initially thought that it was not a violation as other specialist doesn't use it. However in MJ's environment it was a disaster. If CM had it he would have known immediately that MJ had stopped breathing.

Lack of emergency drugs, serious violation. Dr. Shafer doesn't think lack of emergency drugs contributed to MJ's death. Shafer says if MJ had a low blood pressure as he wasn't going through surgery, MJ could have been woken up and hydration and stopping propofol would have been enough.

Lack of charts, egregious violation as well as unethical. Shafer says a doctor needs charts to asses what's going on and the changes. Shafer says the patient or if the patient doesn't survive the family has a right to know what happened and what the doctor did.

Dr. Shafer gives an example and Dr. Shafer looks clearly upset. Dr. Shafer says he knows how he would feel if his father , brother or son went to a medical facility for 80 days and died and the doctors told him they don't know what happened because they have no reports. Dr.Shafer says it's unbelieveable that after 80 days of treatment there's not a single record of treatment. Dr.Shafer says that not keeping records is also illegal in California. Dr. Shafer says that doctors has to keep records even if the patient doesn't want them and confidentiality cannot be an excuse.

Shafer says that in CM's interview he mentioned MJ could have been dependent on Propofol and that would require a referral but he can't do that referral as he had no records.

Obligation to get information about the patient. Shafer says it's doctors responsability to know everything about their patient to provide care. Shafer says CM mentions IV sites but didn't follow it through and asked what's happening. Walgren asks what if the patient says it's none of your business, Shafer says that then he would say "Then I can not be your doctor".

Dr. Shafer the only physical evidence of Michael was done months ago. Shafer says CM mentioning MJ being dehydrated but yet he do a simple blood pressure check. Shafer says there's no history, not even a simple recording of the vital signs. Shafer calls this serious violation and that no doctor does that.

Failure to maintain a doctor patient relationship , egregious violation. In this relationship doctor would put the patient first. It doesn't meean to do what the patient asks, it's to do what's best for patient. If patient asks for something foolish or dangerous, doctor should have said no. Dr. Shafer describes the relation between Cm and MJ as employer employee relationship. Patient stated what he wanted, CM says yes. Shafer compares CM to a housekeeper that does what she's told. That's what an employee does. Shafer says CM was not exercising his medical judgement and he was not acting in MJ's best interest. CM completely abandonned medical judgement.Shafer says the very first time MJ asked for propofol, CM should have sent MJ to a sleep specialist.

Lack of Inormed consent , egregious and unconscinable. An informed consent would have involved that propofol is not a treatment for insomnia, It woud have explained risk of death and alternative treatments. Dr. Shafer says there's no proof that MJ knew that he was putting his life at risk. Shafer again mentions that the consent has to be written. MJ was denied his right o make an informed decision.

Need to continuously observe the mental satus, egregious and unconscinable. Dr. Shafer says that doctors need to stay with the patient and CM abadonned his patient. Shafer compares giving sedation to driving a motor home. Shafer says you cannot leave the steering wheel on a highway to relieve yourself. If you do it would be an disaster. Dr. Shafer says in 25 years he has been a physician he have never walked out of the room.

Continious monitoring / observation, egregious violation . CM left MJ alone and he was on the phone. Shafer says youcan't multi task especially if you have no monitoring equipment. Dr. Shafer a patient who is about to die, doesn't look that different from a patient that is okay. Dr. Shafer says from a distance you can't tell if a person is breathing. Shafer says he believes Murray may have been in the room and have not realised MJ stopped breathing.

Shafer says resuciation would have been easy as all needed is to stop propofol and make MJ beathe. Shafer once ahain reminds that it's common that patients would stop breathing during anesthesia and it's expected. Shafer says all CM was monitoring all he needed to do was to lift the chin and ventilate.

mid afternoon break

Lack of continuous documentions, egregius and unconscionable violation. Dr. Shafer says documentation is part of giving care. Shafer says if CM had the reports he would have seen that the oxygen saturation lowered or the heart rythm changed.

Failure to call 911 timely, egregious violation. Shafer says in that setting MJ could not have been revived without assistance. Shafer says calling 911 was the highest priority given the lack of help and equipment. Shafer says if calling 911 was not possible, Propofol should not been given at all.

Shafer says assuming CM realised there was a problem at 12:00 he doesn't understand that CM left a voice message to MAW and how it took 20 mn to call 911. Shafer calls it unconceivable and completely and utterly inexcusable.

Shafer says if CM left only for 2 minutes and called paramedics immediately MJ would be alive with some brain damage. If CM realized MJ was in trouble in 2 minutes and had the airway equipment MJ would be alive and uninjured.

Walgren asks how effective is a one handed CPR on a bed. Shafer says the patient sinks into the bed and it's ineffective. Even if CM had his hand behind Mj's back it's ineffective because you need your body weight to do effective CPR. Shafer says you need 2 hands, one hand is not enough. Shafer says CM hould have called 911 first and then moved Mj to the floor. Shafer also says based on CM's interview the issue here was not that the heart stopped; MJe stopped breathing. CM said there was pulse. If there was a pulse what he needed to do was to have oxygen into his lungs. There was no need for CPR if there was a pulse. Shafer says a lay person would use mouth to mouth as they have no other means. For a doctor it shows that the doctor doesn't have equipment needed.

Shafer says that he doesn't understand why CM raised MJ's legs. Shafer calls it a waste of time. Shafer says raising the legs is done when you thing there's not enough blood in the heart but that wasn't MJ's problem. His breathing had stopped. Shafer says that it shows CM was clueless about what to do.

Walgren asks what is flumazenil. Shafer explains it's a frug that reverses the effects of lorazepam and midazolam. Dr. Shafer says he's curious why CM gave it. Shafer says it doesn't fit with only giving 2 doses of 2 mg several hours before. Dr. Shafer says he believes that CM knew that there was a lot more lorazepam.

Dr. Shafer talks about deception of paramedics and UCLA doctors and not mentionning propofol, egregious and unconscionable violation. Dr. Shafer says a person's life was in the balance, it's inexcusable. Shafer says he also mischaracterized this event as a witnessed arrest. Shafer says a witnessed arrest is not an arrest for lack of breathing, it is usually something like a heart attack. So the therapy of the paramedics and ER doctors was not appropriate. In an arrest you have only seconds to choose a treatment, paramedics and ER doctors were not given the corect information. Shafer says witholding information is a violation of patient's trust.

Walgren asks what is polypharmacy. Shafer explains it's administering many drugs at once and it's a serious violation. Shafer says what CM gave to MJ didn't make any sense. Shafer says Midazolam and lorazepam are very similar drugs and the only difference is how long they stay in the system. Shafer says he doesn't understand why CM switched from midazolam to lorazepam and back. Shafer says that he thinks that CM did not understand the drugs he was giving.

Walgren asks if 25mg Propofol is a safe dose. Shafer says in this setting there was no safe dose. Midazolam an lorazepam were given. MJ had received benzos for 80 nights, he could have been dependant or in withdrawal from the benzos or propofol. Dr. Shafer says he never heard a person given propofol for 80 nights and doesn't know what would happen.

Walgren asks about the Taiwan study. Shafer says there are over 13000 medical articles about propofol, 2500 articles about propofol and sedation and there's only one article on Propofol and insomnia. It's this study done in 2010. Dr. Shafer says that he wouldn't published the Taiwan study because the dose of Propofol that was given is not mentioned. Dr. Shafer also says that the conditions of the study doesn't apply here. That study was done in a hospital, by anesthesiolgists, patients had fasted for 8 hours, they were monitored, an infusion pump was used, propofol was used for 2 hours for 5 days during two weeks. There was no other medication. The patients were treated within the standard of care. Shafer says the article actually highlights CMs deviations from standard of care.

Walgren asks even if MJ had taken Lorazepam and/or Propofol would these 17 deviations would still be relevant and if Shafer would consider CM responsible for MJ's death. Dr. Shafer answers yes.

Walgren asks about doctor patient relationship. Dr. Shafer says it's dated back centuries ago. Dr. Shafer says that doctors have power to give drugs and cut open a patient etc and this is because they are entrusted to do that because they are supposed put the patient first. Dr. Shafer reads hippocratic oath. Shafer says when Cm agreed to give propofol to MJ, he put CM first. When CM was showing up every night with propofol and saline bags, he was putting CM first. When Cm withheld info from paramedics and ER doctors, he put CM first.

Murray Trial Day 14 , October 20 2011

Morning Session

Dr. Shafer Testimony continued

Walgren direct continued


Walgren starts talking about Propofol. Walgren asked Dr. Shafer if he would provide his opinion in this case around March 2011 and gave Shafer LAPD and toxicology reports. Walgren also gave Dr. Shafer a report from Dr. White. Dr. White had written that MJ could have orally digested Propofol. Dr. Shafer says that he was disappointed because oral Propofol cannot get pass liver. Shafer says by the first pass effect liver would almost remove all of the Propofol.

Dr. Shafer has prepared a presentation called "Propofol not orally bio-available"

Slide 1 is the title.

Slide 2 shows the digestive track of human body. Dr. Shafer identifies the organs. Shafer says oral Propofol would come to the stomach, it would pass into the blood and all of that blood would go into the liver and only after it passes the liver it would go back to the blood vessels.

Slide 3 is a close up of the digestive track. It shows all the veins from the digestive track goes into the liver. Shafer explains first pass effect of Propofol. 99% of the drug would have been removed and there's no reason to expect that oral propofol would have any effect. Dr. Shafer wrote in his report there is 0 possibility that MJ died because of oral Propofol.

Slide 4 is a 1985 article by Dr.Glen (doctor to developed Propofol - Dr. Shafer says that he deserves to be called Father of Propofol)about Propofol. In this study propofol was given to mice, they found that IV doses was effective but even 20 times the IV dose is given to animals orally would not produce general anesthesia.

Slide 5 1991 Study on piglets. This research shows that less than 1% of Propofol would be bio available in the piglets. This shows that Propofol would be cleaned out the system by the liver.

Slide 6 1996 research done on rats. In this study they found out that 10% of the Propofol was available in rats. Dr. Shafer says it's because rats are a different species. It still shows that a majority of Propofol (90%) is cleaned out of the system.

Slide 7 - US Patent dated June 23,2009. The research findings in this study was done in rats and the bio availability of Propofol was less than 1%.

Slide 8 - US Patent dated Nov 17, 2009. Another research done on dogs and monkeys and the bio availability was less than 1%. All of these information was available when Dr. White and Dr. Shafer wrote their reports.

Rest of the slides - Dr.Shafer then did a research about the oral bio availability in humans. Dr. Shafer says there was nothing published as humans as subjects. Dr. Shafer participated in a study done on human volunteers in Chile. 6 students volunterred. First 3 volunteers drank 20 ml/200mg of Propofol and other 3 drank twice that dose (400mg). they mesasured pulse, blood pressure and sedation was measured. They regularly took blood from the arm and measured for Propofol. None of the volunteers was sedated after orally digesting Propofol. Level of the oxygen never dropped, blood pressure never dropped. The study was presented last week in Chicago in a conference. Dr. Shafer also got a lifetime achievement award in that conference.

Last slide is the conclusion of the human study, there was no effect of oral Propofol on humans.

Shafer says he did the research because of this case and DEA wanting Propofol to be a controlled substance. Shafer thinks DEA is trying to do this because they believe MJ could have drank it. Shafer says that he wants to show that the drug cannot be abused orally.

Shafer says that he told Walgren on the first phone call oral effect of Propofol was not possible and he later seek out these additional surveys and even conducted a study on humans to show that there was zero possibility.

Walgren brings another presentation. This one is about Lorazepam. (long sidebar due to objection by chernoff)

Slide 1 title.

Slide 2 A study that was done by Shafer. He looked to Lorazepam or Midazolam. They gave it to patients by a computer. Blood was gathered at regular interval from the patients artery to study the concentration. The study was done at Stanford, and they colected a huge amount of data.

Dr. Shafer reviewed toxicology levels in MJ and he's aware that CM said 2 doses of 2mg of Lorazepam. Dr. Shafer ran models to see if this dose would cause the Lorazepam levels in MJ's blood. 2 doses of 2mg of Lorazepam is not supported by the blood levels. The model shows that the concentration of 2doses of 2 mg at 2 am and 5 am is about 10% of what was found. Shafer says MJ was administered more Lorazepam.

If the 2 doses of 2 mg was given at 2:00 and 5:00 AM was the only amount given to MJ, the concentration the coroner should have found is 0.025, not 0.169.

Dr. Shafer shows another model to reach 0.169 level at 12:00 noon. It shows 10 doses of 4 mg between midinght and 5 am. This number is consisted with the vials found at MJ's house (10 ml bottles with 4mg per ml concentration which equals to 40mg).

Dr. Shafer explains metabolite of Lorazepam called lorazepam glucoronide. The liver attaches sugar to the lorazepam molecule so the kidneys can process the lorazepam. This process makes the drug inactive. Lorazepam glucoronide has no effect. The lorazepam will have an effect, but not its metabolite. The coroner looks for the levels of lorazepam and not its metabolite.

Walgren shows the defense test done for Lorazepam. Pacific Toxicology converted the metabolite back to the drug itself and after this analyzed for Lorazepam. So their results was inflated as it included both the drug and it's metabolite. Their results for Lorazepam and its metabolite was 0.634 concentration. Pacific Toxicology didn't seperate between Lorazepam and it's metabolite.

Walgren asks how can Lorazepam be found in the stomach. Dr. Shafer showing the digestive track explains the process. After IV injection the active drug goes to the blood. Later it goes to the liver and liver converts it to its metabolite. 25% of the metabolite goes to the bile and then the bile drains it into the intestine. At the junction between the stomach and small intestine, some of the metabolite sloshes back into the stomach. Dr.Shafer says MJ had 1/43 of a pill of Lorazepam and most of it was the metabolite and the true amount of Lorazepam was much smaller.

Dr. Shafer says that this proves that MJ did not swallow Lorazepam for at least 4 hours prior to his death (between 8 AM and 12PM). So Flanagan's hypothetical scenario of MJ taking Lorazepam pills around 10AM is not possible.

Walgren and Shafer switched to discussing Propofol. Walgren goes over several studies that Dr. Shafer has done about propofol.Dr. Shafer used the models that include age, weight and gender from those studies to run models about Propofol found in MJ.

Shafer says that Propofol acts in the brain and it's the brain makes you fall asleep or stop breathing. So it's the brain concentration that matters.

Defense witness Dr. White was a participant in one of the studies to show at what concentration of Propofol a person would stop breathing. At 2.3 mg/ml half of the patients would be expected to stop breathing. The range of apnea is 1.3mg to 3.3mg/ml . At 1.3mg, 5% of patients stop breathing, at 3.3mg 95 % stop breathing.

Another study was done on pigs to determine the the delay between apnea and the time when blood circulation stops. The result showed that there is 9 minutes between respiratory arrest and cardiac arrest.

Dr Shafer did simulations for this case. He assumed the time between respiratory arrest and cardiac arrest to be 10 minutes as a human being has more oxygen than a pig and MJ was on supplemental oxygen. Propofol concentration found by the coroner in Mj's in femoral blood was 2.6 , that's the concentration when blood circulation stopped. Shafer is trying different scenarios to reach to that number. Concentrations of Propofol rises quickly and also falls very quickly. This is because of the liver and propofol goes to other tissues.

Scenario 1 : Only 25 mg Propofol bolus injection

MJ would have been below the point where half of the patients would stop breathing (2.3) but above the 5% limit (1.3). He would have stopped breathing from 1minutes to 2 and half minutes after the injection. After 3 minutes everyone would be expected to breathe again. So even with a small dose there's a risk for short period of time. As MJ was given other drugs he would have a higher risk.

Shafer doesn't think this is what happened to MJ. MJ would be apneic for 2minutes and his blood circulation would have lasted at least 10minutes and propofol would have been metabolised. So the femerol amount would have been much smaller than the coroner had found. Shafer rules out this scenario.

Scenario 2 : 50mg Propofol bolus (half of the needle is filled with Propofol and other half with Lidocaine)

MJ would likely have stopped breathing 1 minutes to 3 / 4minutes after he was given the dosethe dose. (not breathing for 3 minutes wouldn't cause brain damage) The heart would continue beating for 10 minutes. Again 50 mg Propofol wouldn't give the amount measured in the femoral blood. Shafer rules out this scenario as well.

Scenario 3 : 100 mg Propofol bolus (All the syringe is filled with Propofol)

Patient would stop within 1 minutes and heart would have stopped after 10minutes. Femoral blood level would have been under what coroner found. Shafer rules out this scenario.

Multiple Self Injection Scenarios

Scenario 4 : 6 self injections 50mg each over 90mn

Self injection would involve drawing propofol and injection through the port . It takes time and requires coordination. Based on CM's intervew MJ had poor veins so self injection is unlikely and would be extremely painful without lidocaine. 50mg would put MJ sleep and make him sleep about 10 minutes and it would get a little longer with each injectionas there would be a little propofol left in the blood. Circulation would stop after 10 minutes. Femoral blood level would be well under the numbers found by coroner. Shafer rules out this scenario.

Scenario 5 : 6 injections 100 mg each over 3 hours.

This is an anesthetic dose. MJ would stop breathing and the circulation would stop after 10 minutes. Again the blood level of Propofol would be well below than what was measured in femoral blood. Shafer says MJ would have probably died after first or second injection ,but coroner would have found a lower femoral level of Propofol.

Multiple Injections by Murray Scenarios

Scenario 6: 6 injections 50mg each

In this scenario MJ would have stopped breathing multiple times and under this scenario MJ wouldn't be alive and the femoral blood level would be achieved. Dr. Shafer says this doesn't make sense as CM had to reinject repeatedly and the injections needed to continue after the breathing and the heart stopped. So Shafer rules out this scenario.

Scenario 7 : 100ml infusion, 1000 mg

In this model an infusion is started at 9:00AM and there was a bolus before the drip. When you give a drip , there is not much difference between blood and brain concentration. Levels first raise quickly. Later the liver would start to metabolize the propofol and the levels would slowly rise. When the patient approached to the apneic threshold breathing would have slowed down at a slow pace and carbon dioxide would have gone up. If there had been capnometry you would have seen the carbon dioxide go up.

At 10:00 am MJ continues breathing but without capnometry CM doesn't see that there is a problem. Around 11:30 to 11 :45 breathing would have stopped as there is no oxygen in the lungs. MJ died at about noon with the infusion still running. This is the only scenario Dr Shafer could generate that produces the femoral level found at MJ consistent with CM 's explanations of how he gave propofol. This scenario fits all the data in this case. This what Dr Shafer thinks happened .

CM could have detected there was a problem with capnometry, pulse oximetry. If CM was with MJ he would have seen slow breathing and could have turned off Propofol. CM might have thought everything was okay and walked out of the room. Shafer again mentions that CM bought 130 100ml vials which Shafer thinks measn 1 vial per night.

mid afternoon break

Walgren and Shafer starts working on a IV setup demonstration. Dr. Shafer brought same/similar equipment of what CM used or bought.
Shafer hangs a bag od saline on the IV pole. He attaches the infusion set tubing to the saline bag. In the infusion set there's an injection port with a rubber stopper where you can stick a needle to give mediciation.

Shafer shows a 22 gauge catheter (same size as what's used on MJ). Catheter remains in the vein (needle doesnt). Dr. Shafer attached the catheter to the saline tubing and shows that the fluid goes through very quickly. Saline bag has a non-vented tubing as there's no need for a vented tubing with the saline (the saline bag will shrink).

For Propofol you'll need a vented tubing. CM bought vented infusion sets from Sea Coast. Dr. Shafer shows the vented infusion set that CM bought. It has a apparatus on top that allow the air to come in. This tubing is designed to be used with an infusion pump but there was no pump.

Spike from Propofol tubing woul have been stuck into the bottle and this would be consistent with the tear found at the 100ml Propofol bottle from MJ's house. Shafer sticks the spike into the Propofol bottle and hangs it on the pole with the plastic handle on the bottle.

Walgren shows that the 100ml bottle found in MJ's home also had the same handle. Objection by the defense.

After the sidebar the following stipulation is entered to the record : the handle of the bottle was lifted for demonstration by Walgren. When the bottle was found, it was still attached to the bottle and unused.

CM in his statement to the police said that he turned of the saline before giving Propofol with a syringe. Shafer shows the rubber clamp and how you can stop the flow with the clamp. Shafer demonstrates infusing 25mg of Propofol with syringe as CM mentioned in his interview. Propofol doesn't come out of the tube as the saline is turned off and not coming to push Propofol out. So CM's description of infusing it over 3 to 5 minutes is impossible if the turned off the saline. You need to unclamp the saline for Propofol to come out.

Dr. Shafer demonstrates the vent on the propofol tubing. If he closes the vent Propofol stops, if he opens the vent Propofol runs through. Shafer then hook the vented tubing with a needle to the y connector. Dr. Shafer says that this is an extremely unsafe setup that is all based on gravity. If one bag is lifted there will be more force in that bag and it would slow the other one. If saline stops, propofol speeds up. If the rate of the saline is changed, it would change the rate of the Propofol. This is why this system is very dangerous. The only way to control the speed is the clamps.

Walgren asks about the IV bag with a slit. Shafer says perhaps murray didn't know there was a hanging handle or didn't want to use it. Shafer puts the Propofol bottle with the spike into the cut IV bag to demonstrate it's possible.

Shafer says this system explains why the long tubing found at the house didn't test positive for propofol, but the short tubing did. There was another long tube which was connected to the popofol bottle.

Shafer empties the Propofol bottle quickly and removes the long vented tubing that had Propofol in it. It fits in his hand. Walgren asks if that tubing would fit into a pocket. Dr. Shafer says yes.

Walgren does a recap of Dr. Shafer's testimony: 17 egregious deviations of care, 4 of them are also unetical, has shown a video about the way propofol is safely given, has explained that oral consumption propofol was impossible, that MJ received more than 4mg lorazepam, that at 10 am it was impossible that MJ swalllowed lorazepam,scenarios suggested an IV drip, demonstrated the IV set up and that the infusion line could be compacted in one hand and fit into a pocket.

Walgren asks if CM was the direct cause of MJ's death if MJ self injected/ digested Propofol/Lorazepam. Shafer says yes as CM was the one that brought the propofol, left patient with access to the drugs and started the IV line. Shafer says CM is responsible for every drop of propofol or lorazepam.

Walgren finishes his direct examination of Dr. Shafer.

Murray Trial Day 15 , October 21 2011

Dr. Shafer Testimony continued


Hearing starts with 221 - A stipulation . The term "tab handle" on Propofol bottleis defined.

Walgren direct continued

Walgren asks if Shafer reviewed 8 page toxicology report by the coroner. Shafer says yes and that it showed pure true level of drugs , it doesn't include the metabolites. Shafer evaluated the procedures that is used by the coroner.

Shafer mentions that he made his simulations available to the defense and volunteered to help

Walgren asks if dying eyes open mean anything. Shafer says it doesn't mean slow or quick death.

After Walgren's question Shafer says it's a possibility that MJ woke up and manipulated the infusion line and that would mean CM left MJ alone. Shafer also wrote this in his report.

Walgren asks if this had happened would Shafer's opinion change about CM. Shafer says no and even if MJ woke up and opened the rubber clamp, it will still be CM's responsibility and CM wasn't available and let this happen. It's still considered abondonment.


Chernoff cross


Chernoff goes over what Dr. Shafer does and his models. Shafer can determine concentration from dosage. Shafer says he usually knows what dose is given.

Shafer says that as people are different his models are built to give ranges. The median is the representative of the half of the people's response to a particular drug.

In this case Shafer only had the concentration and he had the calculate the dose from the concentration.

Chernoff mentions that there was only one IV line found at the scene. Chernoff asks if Shafer's theory of what happened is a bold statement. Shafer responds as he believes it to be an honest statement.

Chernoff asks if there's any particular reason Shafer brought a different IV line for the saline bag. Shafer contacted Sea Coast medical to get theexact line but the shipping would have taken 2-3 weeks so he brought the other line. Chernoff shows the exact IV line to Dr. Shafer. (The IV line Chernoff shows is dirty and has brown stuff on it. Shafer wonders if it's blood, Chernoff says it's not).

Chernoff then asks why Shafer brought a vented IV line for the Propofol. Shafer says that a vented line is needed to get Propofol out. Chernoff asks why Shafer assumed CM used that IV line. Shafer says that SeaCoast reports shows that Murray ordered that line and it shows he intended to use it.

Chernoff asks how Shafer could know if CM used it in MJ's room. Shafer says because he needed a vented IV line. Shafer says the bottle had a spike tear but there was no needle hole in the Propofol bottle. If there had been a needle hole, CM could have used another IV tubing. Shafer says that as this bottle only had a spike tear, there had to be a vented IV line. Shafer says that this is the only vented IV line he saw in CM's orders and he had it shipped to California.

Chernoff says perhaps there was no tubing at all. Shafer responds how would you draw the Propofol then? Chernoff says that LAPD did not find a vented line. Shafer says it's easy to hide and take with a person. Chernoff asks why wouldn't a person also take the bottle and the needles. Shafer says that needles can hurt and bottles are bulky.

Chernoff tries to emphasize that this is all Dr. Shafer's opinion. They discuss back and forth about what's an opinion. Shafer says what he says is based on medical knowledge and some are facts and some are his opinions. Shafer says "It's my opinion that one should not lie to UCLA doctors".

Chernoff mentions that CM said that he used a 10cc syringe but Shafer used a 20cc syringe. Shafer says the size of the syringe was irrelevant. Chernoff again goes over that Shafer used a different IV tubing for saline bag, a different shape Propofol bottle and a larger syringe. Shafer answers yes. Chernoff asks about the tear on the saline bag. Shafer says it peaked his interest and he bought 3 IV bags for $150 and estimated the tear on the bag.

Chernoff mentions that Walgren called Shafer on March 31st and then sent him statements and reports. Chernoff goes over Dr. Shafer's report and that he used "might" to describe what happened. Shafer also referenced Alberto Alvarez's statatement and that he saw a propofol bottle in a bag. Chernoff asks if Shafer ever met or talked with AA and if he made the assumption that AA was telling the truth.

Chernoff says that the handle on the 100ml Propofol bottle found on the scene was not used. Shafer says it's irrelevant and that whether the bottle was in the bag or hung on the pole it wouldn't make a difference. Chernoff asks if it's reasonable that rather than hanging the Propofol bottle by the handle, CM would go all the steps to empty and cut the bag and put the propofol bottle inside it. Shafer says it's reasonable.

Chernoff says that CM is on trial for his life and there's a sidebar.

Chernoff asks about the medical malpractice lawsuit that Dr. Shafer testified 10 years go and if he didn't like the doctor in that case. Shafer says he didn't like the doctor. Shafer says he testified once before but he consults on trials twice a year.

Chernoff goes over Dr. Shafer's resume. When Shafer was a medical student at Stanford University, Dr. White was an assistant professor in anesthesia. Shafer published papers with Dr. White. Shafer wrote the software and helped with mathematical models for Dr. White's study in 1888.

Chernoff goes over the Propofol insert and asks Shafer to show which parts was his contribution. Shafer circles and underlines the parts he did.

mid afternoon break

Chernoff goes over other studies / articles and books Dr. Shafer worked on. Chernoff mentions the work Shafer and White did together. Shafer and White has known each other for almost 30 years and in 2009 Shafer nominated White for an award.

Chernoff mentions Dr. Shafer's statement when he said "he was disappointed" with White about saying oral consumption. Shafer says he was disappointed and that's how he felt. Chernoff asks if Shafer knows this trial is on TV and shown internationally. Walgren objects. Chernoff asks if Shafer knows the circumstances of the letter Dr. White sent to Flanagan and that it was rushed in 2 days due to threats of contempt. Objection and Sidebar.

Chernoff talks about Propofol found in MJ's stomach. Shafer sent the piglets study to Walgren and told Walgren there's was no human study. Shafer then contacted Chilean professors for the human study but Walgren didn't ask for that study.

Chernoff says that defense paid for a study on beagles and White did that study.

Chernoff asks who paid for the Chilean study. Shafer says he paid $600 for the propofol and the students volunteered. The study was also presented in an international conference. Chernoff asks why would he do a 2 month student, write a paper and present it at a conference if Propofol not being orally bio-available was something that 1st year student will know. Shafer says it's better to have human data because it's not ambiguous and there would be no question about humans.

During questioning we learn that Dr. Shafer himself swallowed 20 ml Propofol before he did the study.

Chernoff asks if Shafer knew White wouldn't say MJ swallowed Propofol. Shafer says he didn't and stull doesn't know what Dr. White is going to say.

Chernoff shows the 40 mg Lorazepam graph. Shafer says that it shows repeated bolus injections (10 injections) for every 30 minutes frim midnight till 5 AM. Chernoff says in his model the first shot was at midnight but MJ was still at rehearsal then. Shafer offers to do another simulation.

Chernoff asks why he removed the "responsive to painful stimulus" , "not responsive to painful stimulus" lines from his graphs. Shafer says he wanted to make it as easy as possible for the jurors.

Chernoff says based on his simulation MJ would be sleeping from 2:30 AM to 11:00AM. Shafer says as MJ was exposed to benzos for 80 nights, it's impossible to predict MJ's reaction to Lorazepam. Chernoff asks how he knows MJ had benzos for 80 nights. Shafer answers based on Murray's statement and pharmacy orders. Chernoff says that benzos being bought doesn't mean that they are used. Shafer says that he stand by his statement that says "information suggests a higher dose possibly 40 mg".

Chernoff asks if Shafer did a simulation for oral Lorazepam. Shafer didn't do a simulation for it. Chernoff asks Shafer to tell what happens if a person swallow a tablet. It goes to the stomach, half of the pill absorbtion is in 22 minutes, it would then go to the liver subject to first pass, it would have 92% bioavailability and then it would go to the blood and to the tissues and brain. Metabolite would go to the bile and to intestines and stomach. The process is same for the IV lorazepam as well.

Chernoff shows a graph that combines 2 injections of 2mg Lorazepam injections and 40 mg dose graph. Chernoff and Shafer goes over that MJ could not have swallowed Lorazepam in his last 4 hours.

Chernoff mentions the Midazolam simulation and the numbers match to what CM said he gave.

Chernoff shows the 25mg Propofol injection graph and another graph that Shafer did for White. This second graph shows 25 mg being given over 5 minutes. Shafer says the induction dose is given over 2 minutes because it's less painful to the patient.

Chernoff asks what's the danger of a rapid infusion. It's apnea.

Chernoff tries to go over the graph using the blood level, Shafer says he need to look to brain levels. Chernoff asks what was MJ's brain concentration of propofol. There was no measurement for that in coroner's report.

 

Saptamana a 5 a din procesul impotriva lui Murray

 

Murray Trial Day 16 October 24, 2011

Morning Session

Dr Shafer Testimony continued


Chernoff Cross

Chernoff asks if one of the dangers of rapid bolus injection of Propofol is apnea. Chernoff goes over the insert of Propofol and reads that slow techniques are preferred over rapid injection to avoid apnea or hypotension.

Chernoff goes over Dr. Shafer's simulations. 25 mg rapid Propofol injection apnea is about 2 minutes. Defense's simulation of 25 mg pushed over 3 to 5 minutes, there's a low risk of apnea after 4 -5 minutes. Propofol would not be as risk after 10 minutes.

Chernoff asks how Dr. Shafer came up with 50mg Propofol dose. Shafer says CM in his interview said he mixed propofol 1:1 with lidocaine and the syringes were 10cc. Chernoff asks if CM gave MJ 50 mg Propofol if there would be apnea after 4-5 minutes. Shafer says it's difficult to say as he doesn't know MJ's pharmaceutical state.

Chernoff shows Shafer's 6 self injections of 50mg Propofol injections and asks if there could be indefinite number of possibilities. Shafer agrees. Shafer did self injection simulations because of Dr. White mentioned them as a hypothesis in his letter.

Chernoff asks if Shafer is aware that there are health care providers who died because of self injection of Propofol. Shafer is aware about articles mentioning that.

Chernoff goes back to the self injection and asks if the person is self injecting do they have to do it quick. Shafer agrees and says that they can't do it over 3 minutes.

Chernoff asks if Shafer's simulations were out of thin air. Shafer says most are based on Dr. White's letter and hypothesis of multiple injections.

Chernoff switches to Lorazepam's half life in stomach. It's 22 minutes. Every 22 minutes the amount is cut in half. 8 mg swallowed 22 minutes later would be 4, another 22 minutes later it would be 2mg, another 22minutes it would be 1 mg , so in 4 hours , there would be a very low amount of free lorazepam in the stomach.

They go over Greenblack's study. Lorazepam reaches a peak concentration in 2 hours after an oral dose. Drug goes into the stomach, and is being removed by liver and distribution in the tissues. So as long as the drugs come in the levels in blood raise, the concentration rises. When fewer drugs come in, it is removed faster than it comes in, so levels drop. Chernoff argues that even if there might be small percentage in the stomach, levels could be at peak in blood.

Chernoff states that Dr. Shafer cannot remove the possibility that MJ woke up and swallowed Lorazepam. Shafer says he needs to know what time but it cannot be after 8AM.

Chernoff asks questions about the urine levels of Lorazepam and Propofol. Shafer did not do examinations / calculations based on urine levels.

Chernoff asks if urine in the bladder could be evidence for or against 100ml Propofol drip. Shafer says he doesn't know and he needs to research and find models. For some questions Shafer says he needs information about propofol glucoronide and it wasn't tested.

Chernoff states that Shafer's analysis is based on repertory arrest and he did not take into cardiac arrest. Shafer says correct.

Chernoff mentions the comments Shafer wrote about Demerol on his report. Shafer had written MJ liked Demerol but was not addicted to it. Chernoff asks if he's an expert in addiction , Shafer says he's not an expert but seen examples and talked to other doctors about it.

Chernoff asks about rapid detox. It's when the patient is detoxing for opiates while under sedation. Chernoff asks if Shafer knows the dangers of opiates. Shafer says they are dangerous for many organs.

Mid morning break


Walgren redirect

Walgren again mentions that Dr. Shafer's work is pro bono (free of charge). Shafer says it's his custom in these types of cases. Shafer says that he had worked for the defense and prosecution on different cases. Shafer says his position on any case is based on the science.

Shafer also shares his research, databases and software for free online as well. Shafer wants to promote the science and even though he can earn some money for his programs he makes them available for free.

Walgren goes over the IV lines and Shafer says he can't say which line was used, all he knows the line had to be vented. Walgren shows People's 157 and Excel IV line and it's a vented line. Seacoast order shows that Murray bought 150 of those vented lines. Exel vented line is a lot smaller than the one used for demonstration.

Walgren mentions Dr Shafer's testimony was interrupted due to a death in his family

Walgren asks if there is anything extraordinary saying than MJ received more than 25 mg Propofol. Shafer says no and the defense is saying the same thing.

Shafer says that he couldn't find any scenario that support self injection and the only scenario he could find was Propofol was still running when MJ died.

Walgren asks about Demerol. Shafer says he read Klein's records and based on them he couldn't say if he was an addict or not and he's not an addiction specialist. Walgren mentions that there was no Demerol in MJ's system.

Shafer says he has done one scenario for the defense and if they asked he would have done more.

Walgren mentions the new lab results about Lorazepam that shows 0.008mg of Lorazepam in MJ's stomach which equals to 1/250th of a tablet and mentions that this is smaller than 1/43rd of a tablet mentioned by the defense.

Shafer says he gave his opinion based on 30 years of expertise and says CM should have monitored MJ. Shafer says his opinion is not made out of thin air. It actually comes from published studies and established standards of care.

Walgren asks if Shafer believed what CM said that MJ liked to push the drug and he was dependent on Propofol if self injection was a foreseeable risk. Shafer agrees.

Walgren shows another Lorazepam scenario of 9 doses of IV Lorazepam 4 mg each starting at 1:30 AM. This would also explain the levels found in MJ's blood.

Recross by Chernoff

Chernoff asks if the last scenario was done this weekend, because of what Chernoff said on Friday.

Chernoff asks if 100ml IV drip Propofol was an extraordinary claim. Shafer says it's an ordinary claim.

Chernoff argues that Shafer is changing his testimony about the IV line used for Propofol. Shafer says that Chernoff is misstating his testimony and he only said the line had to be vented. This goes on for some time.

Prosection rests their case.

Defense case starts

Donna Norris Testimony

Direct by Gourjian

Norris works at communications evidence unit Beverly Hills police department. She goes over the 911 call.
12:20:18 time 911 was called
12:20:21 begins to ring
12:20:26 called picked up
12:20:50 called transferred to LAFD
12:21:03 dispatcher at police dept hangs up.
12:21:04 911 system released the call
Duration of the call at the police department was 46 seconds
the call was made on June 25th 2009
Data shows which cell tower the call came from, the part of the cell tower, cell phone provider, and a number the police can call if they need to trace back the call.

No Cross by Walgren.

Alexander Suppal Testimony

Gourjian Direct

Suppal is a LAPD police surveillance specialist for 11 years.

On June 25th he was asked to go to Carolwood to retrieve the videos. Suppal probably went around 7:30pm on June 25th. Detective Martinez was there. Security staff couldn't play back the videos. Suppal's first task was to find the hard drive so he had the trace the lines back to the source. Suppal finds the DVR in the basement of the house. They get a monitor and hook it up to the DVR. Suppal was with Detective Martinez and a tall African American security guard.

They rewinded the video to the time CM and MJ came home.

Gourjian plays a 7 minute video. It's a camera that looks at the gate. It shows time as 00:45AM. Multiple cars arrive at 00:47AM, 00:50AM and 00:58AM. A car leaves around 01:06 Video shows security guards and fans as well.

Gourjian shows another video. This is from a camera outside on the keypad. It shows 3 cars come in and close up of the driver's face. It also show the fans waiting outside the street.

Suppal did not go back to download additional footage. No one asked him to.

No cross by Walgren

Detective Dan Myers

Direct by Gourjian

Myers is a detective with LAPD since 1994. He was assigned to the case on June 29th, 2009. He interviewed AA on August 31,2009. They interviewed AA in an office building. MAW an FM was interviewed the same day at the same place as well but Myers doesn't know if MAW & FM was in the building when they interviewed AA.

On Agust 31st AA made several drawings. One of the the IV bag with a bottle hanging on an IV stand. The second drawing was the pulse oximeter he saw on MJ's finger. These drawing and interviews was done 4 days after coroner's press release that identified the cause of death as propofol.

On June 25th, AA never mentionned putting away medication or the bottle in the bag.

Gourjian shows another drawing - an IV bag- Myers says he has never seen it before.

No cross examination.

Detective Orlando Martinez

Direct by Gourjian

Martinez is an LAPD detective for 10.5 years. He went to UCLA on June 25th around 3:30PM. At UCLA they(Martinez and Smith) spoke different people. Martinez was present during half of AA's interview on June 25th. AA didn't mention putting away any vials or mention seeing a bottle in a bag.

Martinez went to Carolwood around 7:30PM and he didn't see AA there. He saw FM. Alex Supall , surveillance specialist for the LAPD, was at Carolwood to retrieve the security footage. Martinez made the decision to only download MJ's and CM's arrival.

Martinez was not at August 31st 2009 interview of AA but saw AA in September to take his fingerprints.

On April , 2011 Walgren called Martinez and asked him to bring certain evidence items to his office. Walgren also told him that AA will be there. AA was parked at the police building and walked to Walgren's office with Martinez. Martinez had brough a box of evidence items but only showed the saline bag, propofol bottle and pulse oximeter to AA.

Gourjian shows the drawings AA made on August 2009 and the saline bag he draw on April 2011 and says that they are significantly different.

Cross by Walgren

Walgren mentions that AA testified to the bottle in the saline bag and pulse oximeter in January.

Walgren asks Martinez to explain the April 2011 drawing of the saline bag. Martinez says when he showed the saline bag to AA, AA said there was an additional chamber. Martinez asked him to draw it to explain.

Redirect by Gourjian

Gourjian says during preliminary hearing AA didn't testify that the propofol bottle was the one he saw. Walgren objects saying that at that AA hadn't seen the evidence.

Gourjian says AA never mentioned the additional chamber on August, 2009. Martinez says he mentioned if after seeing the saline bag on April 2011.

Martinez once again mentions that AA was only shown 3 items , saline bag, propofol bottle and pulse oximeter on April, 2011.

Dr. Allan Metzger

Direct by Chernoff

Metzger met MJ 15 to 20 years ago. Metzger's relationship with MJ began professionally and later became close as friends as well. Metzger was MJ's main physician when he was in LA and he treated MJ for various things. Metzger says MJ saw other specialists as well.

Metzger has borugh 5 page medical records with him. Metzger has seen MJ in his office on 23 June 2003. Michael had called him on 12 June 2008. At 2008 call MJ mentioned sleep issues and skin problems. Metzger gave him Tylenol PM for sleep and talked about MJ's general health and back strain. Metzger told MJ when he came to LA to see him and Klein.

Metzger says he frequently talked with Grace about the kids.

Metzger visited MJ at his home on April 2009. Metzger thinks it was a weekend and early afternoon. On that day MJ, his kids and his security was at the house. Grace wasn't at the house. When they started talking the kids were in the room but later they went outside. Metzger and MJ talked privately. Metzger says the whole visit was 1 hour and 30 minutes and he talked to MJ privately around 20-30 minutes. They talked about medical issues and the stress MJ was under due to the rehearsals and upcoming tour. MJ did not mention seeing another doctor.

MJ was lucid. He was excited and was talking about creative things. Metzger says he showed both excitement and fear. His fear was about not doing a good job with 50 shows. MJ believed he was up to the task but he was fearful about staying healty. They talked about nutrition and hydration. MJ was doing well with chronic back issues. Metzger says MJ was also under stress due to his sleep disorder.

MJ was lucid, was exited, talking about creative things, he was in a state of exitement and fear. Fear was about not doing a good job with 50 shows, MJ believed he was up to the task, but he was fearful about staying healthy. They talked about nutrition,MJ had chefs for healthy food, hydration, MJ was doing well with his chronic back issues, he was also under stress due to his profound sleep disorder.

Metzger says sleep has been an issue for 15 -20 years for MJ especially during touring. Metzger says he traveled with MJ on tour.

On April 18 2009 MJ asked for "juice" intravenous sleep medication because MJ didn't believe any oral medication would be helpful. Metzger says MJ didn't mention any drugs by name.

Metzger says from experience he knows previous oral medications doesn't work. Metzger has tried Xanax, Tylenol PM before. In April 2011 he gave MJ klonapim and trazadone to try but not to be used together. He asked MJ to call him and tell him which one worked. Metzger did not speak to MJ after that day.

Chernoff asks who is Randy Rosen. Metzger says he works with him for pain management issues. Chernoff asks what kind of pain MJ was suffering from. Metzger answers chronic back sprain due to overworking and a couple of injuries. Metzger says he doesn't know Rosen's speciality and the question about what kind of medication given at Rosen's clinic is sustained.

Metzger says he also presumed MJ would see Klein for his vitiligo and some minor procedures.

MJ mentioned Metzger that he needed a doctor in London. Metzger says MJ was concerned about hydration, sleep issus and injuries and wanted a doctor with him.

Cross by Walgren

Walgren asks about IV treatment. Mezger says he told MJ it was dangerous and it should not be done outside of a hospital.

Walgren asks if any amount of money would make Metzger to give MJ IV drugs. Metzger says no.

Chernoff redirect

Chernoff asks if Metzger told MJ IV sleep medication would be dangerous. Metzger says he told MJ anything IV would be dangerous. Metzger is not sure if MJ asked him for an anesthetic, MJ said "sleep medication".

Cherilyn Lee

Direct by Chernoff

Lee is a nurse practioner that focuses on holistic nutrion. As a nurse practioner she has been doing this on and off for 15 to 20 years and has worked with athletes and entertainers.

As a nurse practioner she can write prescriptions but she choose not to. She says she doesn't like what medicines does to people, she prefer natural treatments.

On January 2009 she received a call from FM, who is the son of her friend. FM told her MJ's kids had a cold and MJ wanted her to come and see the kids. While she was looking to the kids, MJ talked with her and asked her what she does. MJ told her he felt a little tired. Lee said that she can do some blood tests on him and try to help him with nutrition.

Lee went the next day and did a physical test on MJ. She draw blood for lab tests and asked him questions to determine what caused his fatique. MJ didn't mention his sleep problems on that day. He just said he had difficulty to fall asleep. Lee says MJ was drinking "red bull" (an energy drink) and she felt red bull might be the cause. She told MJ about red bull and MJ said "whatever you tell me to do, I will stop".

Chernoff asks if MJ seemed fatigued. Lee says no. Lee also says MJ told him that he thought he could be anemic. Overall Lee thought MJ was a healthy and loving person.

Lee gave him nutritional smoothies with protein, B12 shots, myers coctail and vitamin C IV. Lee says she did blood test before she started to gove MJ IV and they were normal.

Lee goes over the dates she saw MJ and what she gave him. She saw MJ after he came from London and he told her he was tired. At the end of March MJ asked her if she would go to London with him.

On April 12 easter Sunday. Lee visited MJ. MJ told her he had a sleep problem and nothing she gave him was working. Lee offered to do a sleep study in his home and MJ said he didn't have time for that.

MJ wanted her to see he couldn't sleep and asked her to stay a night and watch him to sleep. Lee agreed. MJ had "sleepy tea" (a herbal tea), had myers cocktail and Vitamin C IV. The catheter was on his hand because MJ had very small veins. Michael had also joked that he had "squiggly veins". Other than being small he had no problems with his veins. Lee watched him to sleep for 5 hours. MJ waked up around 3 AM.

Direct by Chernoff

Lee has reviewed her charts last evening. Lee says she's not feeling well. Judge Pastor takes a break so that she can rest.

Lee has a PhD in nutrition and she's a certified nutritionist and believes in holistic medicines.

Chernoff goes over her records. April 12 Michael wanted products for sleep but did not tell her what he wanted. April 19 she went to MJ's house in the morning to prepare a smoothie and gave MJ B12. MJ said he had trouble sleeping and asked her to watch him sleep. He told Lee that he had a pattern of 2 to 3 hours sleep. MJ also asked about Diprivan (Propofol), Lee didn't know what it is. MJ told her it's the only medication that gets him to sleep right away. Lee says she doesn't know if MJ had received Propofol in the past, he seemed to have familiarity with it. Lee talks about natural ways to sleep and sleep hygiene with MJ.

Before coming back that evening Lee searched Diprivan and called a doctor. Doctor told Lee what Diprivan is and it's never used at home. Lee tells this to MJ. MJ says doctors had told him it was safe and he thought he would be safe he if he had someone at home to monitor him. Lee goes to her office and gets her PDR and shows the adverse effects to MJ. MJ tells her he had Diprivan for surgery and he had fallen asleep so easily. MJ says he needed rest to work.

Lee checks her records and corrects that MJ actually slept 3 hours (not 5 hours) according to her records. When MJ woke only sleeping 3 hours on April 19th he wasn't happy. He said only thing that would help him sleep was Diprivan and asked Lee to help him find someone that would give it to him.

Lee didn't see MJ after that.

June 21st she received a call from FM. FM called to say that MJ wanted to see her. Lee heard MJ in the background saying “tell her what's wrong with me, one half of my body is hot, one half is cold”. Lee told FM that someone needed to take MJ to hospital. Lee was in Florida when she got the call.

Lee mentioned the June 21st phone call to the police and said that it could be a central nervous system problem. Lee says this was one of the symptoms of Propofol she had mentioned to MJ. Lee says on July 2009 when she talked to the police, she didn't know what medication MJ was taking.

In July 09, when she talked to the police, she didn't know what medication MJ was taking.


Walgren cross


Walgren goes over medical records of Lee. She kept detailed reports.

January 29 Lee saw the kids for colds.

February 1st she came back to give nutritional supplements. She did a medical checkup. MJ said he had vitiligo and lupus. Lee says Redbull cans were obvious. MJ went to sleep with light , music and movies on. MJ said when performing he would sweat a lot and people would have to mop the floors. Walgren shows the part that she has written MJ's vital signs. MJ wanted to start a nutritional program so she planned to do lab work. She drew blood and MJ had small veins. She told MJ to stop drinking Red Bull.

February 2nd and 3rd she saw MJ. She kept documenting progress notes, her impressions, her recommendations and complaints if any.
February 16th Lee looked to MJ's vitals and discussed lab results with MJ. The plan was MJ needed to discontinue Red Bull drinks. She took blood again to see the effects of the treatment. Lee says MJ had greatly improved and his results were normal.

March 9 Lee went over the lab results with MJ and again kept documented all of her findings, impressions, recommendations and complaints.
March 13 Lee was again documenting her findings.

March 16 MJ had no complaints and felt good. Plan was to continue with vitamins, Myers cocktails and nutritional supplements.

March 20th, March 24th, March 26th, March 31st Lee continues to see Michael and document everything.

April 12th MJ's main complaint is that he needs products to sleep and he's willing to try natural products.

April 19th MJ's energy is good but he's unable to sleep and the natural products don't help him to sleep.

April 19 morning MJ requested Lee to observe him to sleep. MJ said he needed something that would “knock him out”. MJ asked for Diprivan. Lee never heard of Propofol before. She searched and made a phone call and found out it was used in hospitals for surgery. Lee told MJ that it was not safe to use at home. MJ assured her that it was safe and he “only needed a doctor to monitor him while he sleeps”. Lee brought back PDR from her office and showed it to MJ and explained him the side effects. PDR has several side effects. Some of them are dizziness, agitation, chills, trembling and memory loss.

Lee asked MJ “what if you forget your lines?”. MJ said “I would never forget my lines”. MJ again told her that doctors said it would be safe. Lee asked “I understand you want a good night's sleep. You want to be “knocked out” but what if you don't wake up?”. MJ said “I'll be okay I only need someone to monitor me with the equipment while I sleep”.

Lee gets emotional and starts crying.

April 19 night MJ fell asleep at 12:15 AM and woke up around 3:15AM. He said he needed Dirpivan IV. Lee said it would be dangerous and MJ repeated he would be okay if a doctor monitored him. Lee says she was not willing to give MJ IV Propofol. She says it wasn't used at home and it was not a sleep medication.

She never saw MJ again.

July 2009 Lee was interviewed by police. She said she told MJ “no one who cared or had your best interest at heart is going to give you this”.

Chenoff redirect

Chernoff asks if she gave interviews to the media before talking to the police. She says yes. Lee explains that one of her patients is a PR and arranged the interviews.

Chernoff asks about the June 21st call. She doesn't' remember the time she received the phone call. She was in hospital herself.

Amir Dan Rubin Testimony

Chernoff Direct

On June 25th he was chief operating executive at UCLA medical center. Rubin starts by explaining the layout of UCLA. On June 25th he got a call saying that there was a “person of interest” at the hospital, he didn't initially knew it was MJ.

Rubin was outside the ER room and tried to secure the area for privacy and security. Rubin organized 3 conference rooms: one for the family, one for the police and one for other people. The third conference room was used for a meeting about a press release. There were people from AEG and UCLA. Jermaine Jackson was in the room as well. Rubin came and went from the room. Rubin saw CM in the conference room reading the press release and commenting that the cause of death was not known. CM looked distressed. Press release was given in the auditorium in the basement by Jermaine Jackson.

Walgren Cross

Walgren mentions Katherine Jackson was notified about the death of MJ by Richelle Cooper. Rubin told the police that he heard the “anguish of a mom hearing about losing her child and from a personal perspective it was not a good thing to hear”.

Randy Philips Testimony

Chernoff Direct

Phillips is the president and CEO of AEG Live. Prior to working with AEG he ran a record company. Phillips has been in the entertainment business for 30 years. He explains what AEG and AEG Live does, the venues they operate etc.

Phillips first met MJ in the mid 1990s. Phillips had brought LA Gear endorsement deal to John Branca and MJ.

Next time he saw MJ was in 2007. At the time he was CEO of AEG and Peter Lopez, MJ's attorney, had contacted AEG for a tour. A meeting in Las Vegas had been arranged with MJ, Lopez and MJ's manager.

Chernoff direct continued

AEG was contacted by Peter Lopez about MJ potentially going back on stage in 2007. RP was this would have been monumental achievement for AEG as MJ was the greatest star.

The meeting happened in Las Vegas with Lopez, another lawyer named Cross, Raymone Bain and her assistant. The meeting lasted 90 minutes. At that time MJ wasn't ready to back to stage so Phillips didn't pursue it any further.

August 2008 AEG got contacted by Tom Barrack fro Colony Capital who bought the note on Neverland. They met and talked about concerts. Phillips met with Tohme same week. Tohme said MJ wanted to restart his career, first do live shows and then put out new music.

Phillips met with MJ at September 2008. The plan was to do a residency show at the O2. Phillips calls only special artists can do that and it's like “bringing the mountain to Muhammad”. MJ seemed motivated and receptive to the idea. Phillips had other meeting with MJ to talk about creative stuff.

Phillips met with MJ on Halloween (October 31st). MJ mentioned Phillips how he wanted to restart his career and how he was living like a vagabond. The meeting got emotional and both RP and MJ cried.

AEG contract was for 31 shows. MJ came up with that number as he wanted to do 10 more shows then prince. The contract was signed at MJ's house on January 2009.

Chernoff tries to ask many questions about the contract but it's sustained. Judge didn't allow that line of questioning.

Press conference was on March and AEG advertised initially 10 shows. Chernoff tries to ask MJ being late to press conference etc but the judge doesn't allow it.

After the announcement they did a presale and the demand was unbelieveable. Gongaware told Phillips to ask if MJ would do more shows. Phillips talked to Tohme and got a phone call from MJ after 20 minutes. MJ said he would do 50 shows maximum and had 2 conditions. He wanted a house outside London with 16 acres, horses, pastoral for his kids and he wanted Guinness book of world records to be present at the 50th show.

In March MJ told he wanted Ortega to be the director of the concerts. Ortega was hired and then auditions were done and additional personnel were hired in April. Rehearsals started in May.

MJ talked about a personal doctor in May. RP was away and heard it from Dileo, Gongaware and Whooley. They asked if Phillips can talk MJ out of hiring his own doctor. Phillips told MJ it would be expensive to bring a US doctor to London and asked if MJ would hire a doctor that's based in London. MJ was firm and said he wanted his own physician. Gongaware negotiated with Murray.

There was a meeting at the first week of June. Dileo was worried about MJ not eating enough. CM said he'll make sure that MJ ate properly and he'll give MJ supplemental protein drinks. CM told them MJ's health was good. Phillips say it is obvious to him that MJ trusted CM and they had close relationship. This was the first time Phillips met CM.

There was a concern raised by Ortega at the second week of June. Ortega felt like MJ wasn't as engaged as he needed to be. The main concern was MJ's focus and attending rehearsals.

Phillips says he wasn't sure what Ortega meant by tough love and pulling the plug. Phillips say no one was contemplating pulling the plug and there was no concern that the show would be cancelled, they would have been postponed. After Ortega's email Dileo called and asked Phillips to arrange a meeting. Phillips called CM to arrange the meeting.

During one conversation Phillips mentioned CM that MJ was seeing Klein. Phillips mentioned this because at one production meeting MJ wasn't as focused as he usually was (Phillips say MJ was generally laser focused). Phillips asked MAW if MJ was okay and MAW had told him he just came back from Klein.

June 20th meeting. MJ, CM, Phillips and Ortega were present. Ortega started by saying MJ needed to focus and show more engagement. MJ told Ortega that he was ready and “you build the house and I'll put the door and paint”.

Phillips went to rehearsals on June 23rd and 24th.

June 25th Phillips got a call from Dileo around 10:30 – 11:00AM. Dileo told him MJ was having difficulty breathing and told him to go to Carolwood. It took Phillips 15 minutes to arrive to Carolwood. When he arrived paramedics were leaving the house so Phillips followed them to the hospital. Dileo joined him at hospital. Phillips saw CM at the hospital. CM was in severe distress and Phillips doesn't remember what CM said.

mid afternoon break

Walgren cross

Phillips says he learned in May 2009 that MJ had a personal doctor. Phillips say he had no knowledge of what CM was doing as treatment to MJ.

Phillips says it never got to the point that they considered to pull the plug on TII concerts.

Phillips says he mentioned that MJ was seeing Klein in the meeting at the first week of June. Phillips says CM either knew or said that he would check into it.

Phillips again asked about TII concerts. Phillips says MJ was motivated and that he's a genius. Phillips again tells how the concerts were increased to 50 shows. After the presales demand Gongaware asked him to talk to Michael. Phillips called Tohme and MJ called him within 20 minutes. MJ said he'll do 50 shows but wanted Guinness Book of World records to document it and he wanted an estate for his kids. Phillips says that MJ was a phenomenal father.

Walgren goes over the meetings. The meeting in first week of June was about MJ not eating enough and CM said he'll take care of it. MJ had great trust in CM. 19th June meeting was about missing rehearsals. CM was very reassuring and told Ortega to take care of the show and CM was the doctor and he would take care of MJ's health.

After being told what time paramedics was leaving the house, Phillips says he might be mistaken about the time he got the phone call about MJ on June 25th.

Phillips says he attended rehearsals on June 23rd and June 24th. Last time he saw MJ was on June 24th. Phillips says he had Goosebumps while watching MJ. MJ walked to his car with Phillips. "He put his hands on my shoulders as we were walking out and he said to me, 'You got me here, now I'm ready. I can take it from here.' And that's the last I saw him," said Phillips.

Chernoff redirect

Phillips said he never felt that MJ was not able to do the shows. Phillips says the reason the initial shows were pushed back had nothing to do with MJ's health. Phillips says during the meeting they were always reassured by CM.

Chernoff talks about cancellation of the shows. Phillips says AEG had a contractual obligation to MJ and they (MJ and AEG) would have to mutually agree on cancelling the tour. Chernoff asks if contractually MJ was responsible for the production cost, Phillips says yes. Chernoff tries to ask more about the contract such as insurance but they are sustained.

Chernoff asks what Ortega meant by tough love, pulling the plug. Phillips says he doesn't know and that he's not in Kenny's mind.

Chernoff asks why he mentioned Klein to CM. Phillips say at one meeting MJ was distracted and when he asked MAW if MJ was okay, MAW said he just came from Klein. Another time it was mentioned MJ couldn't; come to a meeting because he had been at Klein.

Micahel Hansen Testimony

Flanagan Direct

Hansen works at Pacific Toxicology. They got samples from the coroner's office and did tests for total Lorazepam (the drug and metabolite) for the defense.

Flanagan tries to ask questions but they can't be answered because it's beyond knowledge of Hansen. There are a lot of objections. Flanagan has no further questions

Walgren Cross

Walgren asks how long Hansen knew Flanagan. Hansen says since 2009 and his firm worked with Flanagan's firm for decades.

Walgren asks about the stomach contents test. They looked for total Lorazepam (free drug and the metabolite) because it's their standard procedure. They found it was 634ng/ml. In their analysis they did not differentiate between the drug and the metabolite. It was later sent to another lab in Pennsylvania to determine the free Lorazepam. The results were 84 ng/ml. It equals to 0.006 mg which is 1/333 of a 2mg tablet.

Walgren asks if Dr. Shafer contacted the lab asking about their methodology for the drug testing. They didn't respond and notified Flanagan. Ms Brazil called the lab to get the procedures and said if they don't respond she would have to get the court involved. Only after this they provided their procedures to the prosecution.

Walgren says they got a corrected version of toxicology results and defense's copy didn't have correction. Walgren asks why but Hansen doesn't know the reason.

Flanagan redirect

Flanagan says the quantity found by the coroner is 0.008 mg but their lab found 0.006mg and asks the reasons. Hansen says it could be due to the timing of the testing and degradation or it could be due to methods used.

Murray Trial Day 18 October 26, 2011

Gerry Causey Testimony

Causey met CM 11 years ago in Las Vegas when he had a heart attack. He was 57 years old and had high blood pressure but didn't expect to have a heart attack. CM talked to him for a few minutes about the procedure, made sure he understood and made him sign papers. He didn't want to be sedated for the procedure.

Causey says that he received one stent and kept seeing CM for controls after the procedure and they became friends. Causey says that CM explains everything in simple terms and doesn't rush the patients. Once Causey spent 4 and half hours in CM's office.

Causey says CM isn't greedy because he didn't charge his deductible. CM told him he would be back and gave him his phone number.

Walgren cross

Causey had given 2 media interviews about CM.

CM had informed him he was leaving his practice around April.

After Walgren's questioning Causey says he was treated for a heart condition and not for a sleep disorder or drug dependency.

Walgren asks where the procedure happened. Causey says it was in a hospital, he signed papers, and there were monitor and 3 additional people in the room.

Causey got put additional stents all again in a hospital with additional personnel present.

Chernoff redirect

Causey says he was not paid for media interview and gave them to help his friend CM. Causey says he helped CM because of love, compassion and he doesn't think he did what he's accused of.

Walgren recross

Walgren asks even if CM acted with gross negligence would he still be here to support CM. Causey says yes.

Andrew Guest Testimony

Guest met CM in 2002. He was 39 years old and had pain in his chest, arm and had a headache. CM put stents to him and solved his chest pain.

Guest says that CM is the best doctor and explains everything and makes sure that you are okay.

Walgren cross

Causey did media interviews as well.

Walgren asks what kind of treatments he got. It was for a heart condition and CM had a team to help him and necessary medical equipment was available.

Walgren asks if CM gave him Propofol in his bedroom. Guest says no.

Walgren asks if every patient deserves the level of care he had. Guest says yes and wants to add something but Walgren doesn't let him.

Chernoff redirect


Guest wanted to add CM provides great care in his office too. Guest also says that he wasn't paid by the media and he talked to the media because he believes CM needs support.

Walgren recross


Guest says that nothing would change his mind about CM.

Lunette Sampson Testimony

Sampson had 3 heart attacks. In 2008 she had a heart attack while CM was out of town. Another doctor told her that she's okay. CM didn't agree with the doctor and wanted her to have a test done. She didn't have the test and had another heart attack.

Sampson says that CM is very caring and takes his time with the patients (he doesn't rush).

Sampson says CM is not greedy and he takes care of people pro bono and pays for medication when patients can't pay.

Walgren cross

Walgren asks who asked her to testify. Sampson was contacted by CM's PR people.

CM never mentioned he was going to work for MJ. He just said that he was going to London for a year and referred her to another doctor. Sampson says she was distresses because she doesn't trust other doctor because of what happened to her.

Walgren mentions a discipline letter CM got from Sunrise Hospital. On December 24th CM was called at 11:00AM and at 11:05AM. CM called the hospital back around 12:00PM and asked the staff to call another doctor. CM got to the hospital at 01:56PM. This was 3 hours after he was first called and there was a serious risk of blood clotting for the patient. Sampson was not aware of this letter.

Walgren asks what kind of treatment Sampson received. She says heart condition. Walgren asks if CM knew what the other doctor did to her is because the other doctor kept records.

Chernoff redirect

Due to hospital procedures doctors are supposed to call in within 1 hour and 20 minutes.

Dennis Hix Testimony

Hix lives at a house next door to CM's children in Las Vegas and met CM around 1999. He had heart problem. His previous doctor told that it can't be fixed but CM fixed his problem. CM put 6 stents in a hospital.

Hix says CM is the best doctor and helped his brother for free when he didn't have the money to go to ER.

Walgren cross

Hix received a letter from CM in 2009. CM didn't say what he was going to do and never mentioned MJ.

Walgren asks what Hix was treated for. It was for heart condition and several other things but it was not for sleep disorder or drug dependency. Hix says he doesn't know if CM kept records for his medical treatment.

Ruby Mosley Testimony

Mosley lives in Houston in Acres home community. Acres home is a senior citizen low income area. Mosley says she knew CM's father. In 2006 CM opened a clinic in honor of his father.

Mosley says CM is not greedy and if he was greedy he wouldn't open a clinic in a low income area. Mosley says CM didn't do much money in Houston and opened the clinic because CM's father had a clinic there and CM made a commitment to continue the medical care after his father.

Mosley says she and her husband is treated by CM. CM put her stents.

Walgren cross

Walgrens asks if Mosley met Sade Anding. Mosley says she saw CM at the clinic and does not know what he did in his personal life.

Mosley says CM is very knowledgeable and can recite details as it related to medical care plans.

Chernoff redirect

Mosley says that CM took his time with the patients and explained everything to her. Appointments could go on for an hour. Mosley says he saw patients no matter how long it took.

Mosley says she misses CM.

Murray Trial Day 19 October 27, 2011

Morning Session

Dr. Robert Waldman Addiction Specialist


Chernoff Direct

RW states that addiction specialists help patients to stop using alcohol and/or drugs. RW states that if a person came to him looking for help, he would first do an interview and a complete history; repetitive use, age of onset, history of all substances of abuse, history of adverse consequences of use such as legal, social consequences. RW states that a complete medical history but also to focus on the consequences.

RW states that there are different types of treatment programs depending on the substance that a person is addicted to. RW states he asks the person if the addiction has caused legal issues, problems in their marriage, etc. RW states that he has treated professional athletes and celebrities with addictions to prescription pain pills. RW states that the signs of withdrawal can be performance changes, behavior changes, use beyond the regular use can come from a dependence.

RW states that demerol is an older drug, and since then, there have been newer drugs that have surfaced. RW states that opioids are prescribed for pain. RW states that people who stop using prescription pills they have been abusing, the situation is not safe, nor is it comfortable. RW states that people in denial of their addiction, telling everyone surrounding them that they don't have a problem. RW states that interventions are necessary at times, because addicted people don't want to give up their daily lives, or live by the rehab's rules. RW states that addicted people hide the use, and do everything in their power to maintain their privacy and discretion, including patients who hide their addictions from a variety of doctors and pharmacies (referred to as doctor shopping) RW states that to keep their addiction from family or friends, addicts use drugs away from them.
RW states that there are two ways to help a opioid addict, one is a opioid substitution drug such as methadone, but one has to enter withdrawal first before they can use the opioid substitution drug. The second method is given through lots of benzodiazepines for sedation through the withdrawal process. Symptoms of opioid withdrawal consist of sweating, tachycardia, muscular aches, bone pain, abdominal cramps, vomiting, severe anxiety, hot and cold chills, diarrhea. RW states that an addict's greatest fear is that they are going to be uncomfortable going through withdrawal. RW states that both lorazepam and ativan can be used for opioid withdrawal. RW states that withdrawal time is variable, and often the addict will say they do not need the rehabilitative drugs anymore because they are now comfortable.

RW states that anesthesia can be used to withdraw from opioid addiction, and while under anesthesia, other drugs can be given to alleviate drug withdrawal symptoms.

RW states that he reviewed the medical records of Michael Jackson from Dr. Arnold Klein, statements/testimony from witnesses. RW states that MJ's medical records begin in January and end on June 22, 2009. RW states that on March 12, a page from the medical records shows that a patient named Omar Arnold (MJ alias) was treated with Restylne/Botox and received Demerol injections for those treatments. RW states that Restylne and Botox are fillers for wrinkles, but he is not familiar with the drugs. RW states that he asked his colleagues whether the REstylne or Botox would be painful enough to call for demerol, and his colleagues said no. RW states MJ also received Midazolam on this day, and that the doses of demerol were above average, meaning it was a large dose.
RW states that he reviewed MJ's medical records for March 17, and that the treatment was similar to March 12, but no botox, and similar demerol injections. RW states that the recommended top limit for demerol is 600 mgs in 24 hours; MJ received 100 mg at 10:45 am and another 100 mg injection of demerol at 11:45 am.

RW states that on April 6, MJ's medical records reveal that at 8 pm, demerol was given at 200 mg and 1 mg midazolam, in one shot. On April 9, MJ received at 3:30 pm an injection of demerol at 200 mg, and midazolam 1 mg. On April 13, MJ received 200 mg of demerol and 1 mg of Midazolam at 11:15 along with Restylne for both the 13th and the 9th. April 5th MJ received 200 mg demerol and midazolam 1 mg injection. April 17th MJ received Botox in the armpit for perspiration, 200 mg demerol 1 mg midazolam, then another demerol 100 mg injection 1 mg midazolam for a total of 300 mg demerol. April 21, MJ received Botox to groin, demerol 200 mg midazolam 1 mg, an hour later demerol 100 mg. RW states that the progression from 200 mg of demerol to 300 mg demerol is significant in that he believes MJ was developing a tolerance of demerol. April 22 11:30 am 200 mg demerol 1 midazolam an hour later, 100 mg of demerol, an hour later 75 mg demerol for total of 375 mg demerol along with Botox. RW states he has never given 375 mg of demerol to a patient. April 23, MJ received 100 mg demerol, 1 mg midazolam, so the total for the 3 days (April 21,22,23) demerol injection was 775 mg.

RW states that April 27, MJ received 11:30 200 mg demerol 1 mg Midazolam an hour later 100 mg demerol and 1 mg midazolam. On April 30, MJ received 200 mg demerol 1 mg midazolam, two hours later 100 mg demerol 2 mg Midazolam. May 4, MJ received 200 mg demerol, 1 mg midazolam, an hour later 100 mg demerol 1 mg midazolam. RW states that he believes MJ was dependent on demerol and possibly/probably addicted to opioids. RW states that six weeks of very high opioid use would provoke a dependence for anyone.

RW states May 5, 200 mg demerol, 1 mg midazolam, then 100 mg demerol 1 mg midazolam. May 6, total 300 mg demerol in two separate doses, 2 mg midazolam in two separate doses. RW states that there are not any notes in the medical records from Dr. Klein, because there are no signatures or initials from Klein. RW states that total demerol given to MJ in three days (May 4,5,6) is 900 mg.
RW states that between May 6 and May 19, there was no interaction between MJ and Dr. Klein. RW states that on May 19, MJ received 200 mg demerol and 1 mg midazolam (versed generic name). RW states that on May 20, MJ received 200 mg demerol and 1 mg versed. May 21, MJ received 100 mg demerol, 1 mg midazolam. RW states that on June 1, MJ received 200 mg demerol, 1 mg of midazolam, june 3 200 mg demerol, 2 mgs of midazolam, June 9 200 mg demerol, 2 mg midazolam, June 16 100 mg demerol 1 mg of midazolam, June 22 100 mg demerol 1 mg midazolam.

RW states that opioid withdrawal entails anxiety, restlessness, insomnia. RW states insomnia is very common, nearly universal with opioid withdrawal. RW states that the simplest way to end withdrawal from demerol would be to provide benzodiazepines.

Walgren Cross

RW states that it is possible to be addicted to benzodiazepines, including lorazepam. RW states that he did not review Conrad Murray's statement as to what happened the night before and the morning of MJ's death. RW states that he was unaware that Murray was shipping lorazepam and midazolam to his girlfriend's apartment, but he was aware that Murray was giving them to MJ. RW states that the shipping of benzodiazepines was not pertinent.

RW states that opioid and benzodiazpine withdrawal do not have the same symptoms. RW states that he based his opinion that MJ was physically dependent on demerol on the medical record from Klein, but would be highly suspicious of diagnosing MJ as an addict based on the same record.

RW states that he is not board certified in drug addiction. RW states that he is involved in dialysis professionally. RW states that this involves a process by which a machine provides kidney function for those patients whose kidneys do not function properly. RW states that he requests a urinalysis for patients who he feels have been lying to him, but not for every patient.

RW states that he works in his office and a number of facilities that are confidential. RW states that he works at Visions Treatment Facility, Clearview Treatment Facility, Authentic Recovery Center, Cliffside Malibu and his office. RW states that he is a consultant and he sees patients at all the above facilities, and also does dialysis but cannot pinpoint how many hours he works a week.

RW states he has determined that some of his patients have not received adequate care prior to treating those patients. RW states that the easy part of his job is getting patients off the drugs, the hard part is keeping them off the drugs.

RW states that the Botox/Restylne injections from Dr. Klein were given in the cheekbones, chin and facial tissue.

RW states he has not used demerol in his practice for two decades, as there are much better and safer drugs to use.

RW states that with demerol, withdrawal symptoms would appear within a day. RW states that there are significant lapses of demerol shots in June, 2009.

RW states that most common withdrawal symptoms of benzodiazepine: anxiety, insomnia, crawly skin. RW states that he would agree with the CA State Medical Board's requirement that controlled substances should be in a locked cabinet, to prevent theft. RW also agree with CA State Medical Board's requirement that medical records are kept by all physicians. RW states that doctors and patients decide what kind of medical care that is best for the patient.

Chernoff Redirect

RW states that he read the testimony of both Faheem Muhammad and Michael Amir Williams.
RW states that although there are blocks of time that MJ did not receive demerol, it was concerning.

Walgren Recross

RW states that a chart he created was made only for his own use representing MJ's doctor visits with Dr. Klein. Walgren and RW go back and forth over what each area represents. RW admits that he has made mistakes in the chart, including April 20, 2009. On April 20, MJ was not seen by Klein, but RW entered data into his chart that reflect that date. RW states that the chart does not reflect a June 4 entry, in which MJ did receive injections from Klein.

RW states that he was not personally aware that Conrad Murray was MJ's personal doctor during April, May and June of 2009. RW states that he was aware that CM was MJ's personal doctor through the media when MJ died.

Chernoff Re-redirect

RW states that he reviewed a summary from Chernoff of MJ's medical records and the medical records themselves of Dr. Klein's. RW states that the medical records were very difficult to read and therefore, there were charts made for RW's personal use.

Dr Paul White Testimony

Flanagan Direct

White is an anesthesiologist that's currently retired. He's still consulting and involved in research projects. White lists his education, his board certification, his articles, books, his awards and research.

White says he was introduced to propofol by a European doctor and at that time emulsion of Propofol created allergies. White suggested a fatty emulsion to avoid allergies.

Flanagan asks about Shafer and the research they did together.

Flanagan called White in January 2011. White heard about CM and didn't want to be a part of this case about the death of an icon and he says he doesn't like the public attention. After his wife's encouragement White agrees to review the docs.

Flanagan asks and White agrees that he cannot justify the elephant in the room that CM infused propofol to MJ and abandoned him.

White says his initial report was based on CM's police interview and autopsy report with 13 expert opinions. White was surprised and says if CM did what he says in his interview MJ wouldn't have died. White asked to meet with CM. Flanagan tries to ask if he met CM but sustained. White flies to LA to meet with Flanagan and Chernoff and was given the transcripts of the preliminary hearing.

White wrote a letter that had his conclusions but he currently doesn't think the same way. In his letter he wrote oral consumption as a speculation based on other expert's testimony and says that he was not aware of the studies about oral bioavailability. White says he learned about them from Dr. Shafer's report.

Flanagan asks about the Chilean study. White says he felt bad that Dr. Shafer himself drank Propofol. White mentions his concerns with that study there was no blind test and one subject had similar levels to MJ. He had done a study on beagles and agrees that there was no absorption by the stomach. White and Shafer think that one subject might have absorption through the mouth esophagus and they thought of doing a Propofol lollipop to sedate patients non-invasively.

White mentions the variations in blood levels from the same dose and he says its 5 fold. For example from the same dose of propofol , you could get a blood level from 1mg/ ml to 5 mg/ml.

They show some examples from articles that show patients with different blood levels.

Mid afternoon break

White says most centrally active drugs have the same variability in the blood levels such as lorazepam. Again example articles and graphs are shown to demonstrate variability in the levels.

White mentions Propofol as sedative hypnotic. Low doses cause sleepiness, reduces anxiety. Medium dose means deeper sedation and higher dose means that patient is not responsive to pain and anesthesia. Benzos have the same variability.

Flanagan asks about off label use. Sleep in a ICU is on label and sleep at home is off label.

Flanagan asks about the Chinese study about Propofol and insomnia. White says that he found the study interesting and the authors should be given a chance. He says he understands Shafer's concerns but those could be corrected with a review.

Flanagan asks if White has read the toxicology report for MJ. White says he has.

Flanagan asks about polypharmacy. White explains that it's combining drugs. It's reducing the side effects by combining lower doses of drugs. White gives the example of pain management and mixing opiates and non opiates to reduce opiates side effects. White says that it's common in their area and that midazolam + propofol is a standard technique.

Flanagan shows a graph done by Dr Shafer that shows 2 doses of 2 mg Lorazepam given at 2AM and 5AM. The graph has 2 lines of responsive and non responsive to pain levels. White says Lorazepam is not an analgesic, doesn't understand these line.

Flanagan tries to find the graph for midazolam but he can't. Court ends 15-20 minutes early.

Murray Trial Day 20 October 28, 2011

Morning Session

Dr White Testimony


Flanagan Direct

They still discuss the variability between people. Propofol's effect site is the brain and the amounts in the brain are not measurable in living humans so they use alternative measures such as EEG.

Flanagan shows several papers and graphs that show that levels and effects in patients vary a lot. White explain why models are not representing each and every patient and models are just an average.

Flanagan switches to Dr. Shafer's graph for Lorazepam (2 doses of 2 mg). White says this is accurate for an average patient but not for MJ. White says if MJ was taking oral Lorazepam, you would expect to see residual levels of Lorazepam from previous days. Walgren objects to the use of word “oral”.

White says as CM said he treated MJ with Midazolam and Lorazepam, he would expect to find residual levels but White doesn't know how much MJ was given to make this determination.

Flanagan shows Shafer's graph for Midazolam (2 doses of 2 mg given at 3AM and 7:30AM). Actual blood concentration for midazolam in autopsy report was close to Shafer's model.

Flanagan shows graphs done by Shafer that combines Midazolam and Lorazepam, another graph that shows 25mg Propofol given over 3 to 5 minutes and another graph combining all (25mg Propofol, 2 doses of 2 mg Lorazepam and 2 doses of 2 mg Midazolam).This combination doesn't show a dangerous situation.

Flanagan and White goes over a study and based on that White says that 25mg of Propofol would provide minimal sedation and help with anxiety relief and bring a little sleepiness. White says that CM gave minimal sedation.

Flanagan asks what is moderate / mac/ conscious/ procedural sedation. White says there's verbal response, airway is unaffected and cardiovascular functions will be okay.

White says hospitals require doctors that use conscious sedation be trained so that if they mistakenly sedate the patient in a deep sedation they can rescue the patient.

Flanagan shows that CM has a certification from Sunrise Hospital in Las Vegas for moderate sedation. That allows CM to evaluate the patient, administer sedation, manage a compromised airway, provide adequate ventilation in case of apnea, rescue a patient from deeper sedation, and monitor the patient to evaluate sedation.

Flanagan shows Shafer's graph for 40mg Lorazepam. Initially the doses started around 12:00AM but later Shafer corrected the time. White says the average patient would be dead at the very least comatose for several hours, receiving 40mg over 5 hours. Shafer did that simulation because of the 10ml vial found at the house. For Shafer's modified simulation ( 9 doses of 4 mg each starting at 1:30AM), White says it doesn't fit with the vial found in the house. Also last doses would have been given when he was still asleep.

Flanagan shows the graph with 40 mg Lorazepam with 2 doses of midazolam and Lorazepam. White says that it doesn't make sense when MJ was highly sedated with Lorazepam, Midazolam would be given to him.

Flanagan shows a computer simulation: 2 doses of 2 mg Lorazepam (2AM and 5AM) and an oral dose of 20 mg (10 pills taken at the same time) at 7AM. This graph assumes there was no residual Lorazepam from previous days.

Flanagan shows another graph. It's the same but assumes a residual level for 10mg for last 5 days. It would achieve the same result with 16 mg oral Lorazepam (8 pills) taken at 7AM.

Flanagan says the amount of Lorazepam in MJ's stomach was very low. White says the pill will dissolve in 15 minutes and the absorption halftime is 22 minutes. White says that it's normal that there was a little Lorazepam found in his stomach.

White says that his Lorazepam simulations are more reasonable and that 40 mg simulation of Shafer is irrational. White says the simulation with residual level is more realistic.

White says that maybe MJ didn't take 8 pills at once. Maybe he took a few at one time and then later took some more such as at 6 AM and 8 AM. White says it's a speculation but it's more reasonable than 4mg boluses every 30 minutes.

White explains the small amount of Lorazepam in the stomach by absorption half-life.

Flanagan mentions another article and asks finding equivalent of 1/300th of a pill in stomach is consistent with White's simulation. White says you would not expect to find free Lorazepam in the stomach if it was given via IV.

Mid morning break.

White says that as there was free Lorazepam in the stomach it has to be oral consumption.

White goes over Dr. Shafer's simulations. White says Shafer's simulations have Propofol injections in 30 seconds to 60 seconds and say that it's inconsistent with CM's interview. White says Shafer's simulation of 100mg bolus is inconsistent with lidocaine. White says such injection would burn tremendously in small veins.

White says multiple injections of 50mg is inconsistent with lidocaine levels found at autopsy. White says it would be difficult for MJ to draw Propofol himself 6 times and the defense never claimed that.

White says 25mg scenario is less absurd as its minimal sedation. Flanagan asks if a person could be awake to do a 25mg injection over 30 seconds and White answers yes. White adds that the blood concentration depends on how fast the injection is done. Slow injection would have less effect on the heart and respiratory system.

Flanagan shows a graph with Lorazepam and Midazolam and a rapif 25mg bolus Propofol. White says if a fast bolus was put on the Lorazepam levels , the combination could be lethal.

White says Shafer's 100ml infusion (IV) was inconsistent with CM's interview. White says that an IV system was needed and the handle of Propofol was not used. White says bottle in the bag would be too low and it would be dangerous. Also White says if the patient moves or someone touches the tube the bottle could fall. White says he can't think of a reason to not use the handle and go to the hassle of cutting the bag with a knife.

White says before the infusion pumps the practice was to empty the propofol bottle into the saline bag. If you do that when the bag is empty you would see the Propofol residue on the bag and the chamber. There was no propofol in the bag or in the long tube.

White says there's no evidence that there was an IV and says that he think there was no infusion.

White again mentions Shafer's simulation of 100ml IV. He says it's an incredible coincidence that the patient dies when the bottle runs out.
White also says that Propofol in the urine doesn't support the 100ml IV over 3 hours. White says according to urine levels the most consistent scenario is a self injection of 25mg Propofol between 11:30AM and 12:00PM.

White says that Shafer's scenarios don't reconcile with CM's statement, evidence at the scene, urine concentration. White says his scenario with self injection fits fit everything.

Court ends early. Media reports that Prosecutor Walgren asked for time to get ready for cross.

Sursa:MJJCOMMUNITY.COM

Stiri despre copiii lui Michael

Viva Paris – Jackson, that is, who is shattering the glass ceiling in her own right by reputedly being the first female ever to join her Los Angeles private school's flag football team.

"Her grandfather said she is playing and the family is happy for her because she is doing what she likes," says a Jackson family source. "She is a strong girl."

In the meantime, eyeing her moves on the field were her brothers Prince Michael and Blanket, who were also cheering her on.


michael jackson

"Michael Forever," the Michael Jackson tribute concert in Cardiff, Wales, featured sets from Christina Aguilera, Jamie Foxx, Cee Lo Green and Ne-Yo, with a special surprise appearance from the late King of Pop's three children, Prince Michael, Paris and Prince Michael II .

Paris, Prince and Blanket introduced the video tribute to MJ from one of the night's biggest stars, Beyoncé, with Paris modeling one of her dad's signature red and black leather jackets and Blanket wearing another classic MJ look with a black suit and tie, accented by a red shirt and armband.

michael jackson

 

Noiembrie

VERDICT: GUILTY (VINOVAT)

Murray Trial day 21 October 31, 2011

Morning Session

Dr White Testimony

Walgren cross


Dr White is retired after 30 years of clinical care, teaching and research. White says he's an expert in the use of Propofol, not expert in pharmacokinetics and dynamics modeling. He asks other people to do that such as Dr Shafer.

Walgren asks if there were instances Dr Murray deviated from standards of care on June 25th and the preceding 2 months. Dr White agrees.
Walgren asks what did Dr. White understood from CM's police interview. White says he understood CM gave 25mg to 50 mg Propofol with 5 CC of lidocaine. Based on interview, could not say how CM administered the drip. White says there could be a number of possibilities about the drip and multiple IV tubes as described by Dr. Shafer is one of the possibilities.

White agrees and says that giving Propofol without proper monitoring could be dangerous and could result in cardio-respiratory depression. White says at the minimum he would want to have an ambu bag.

Walgren asks White if he has given Propofol in a bedroom. White says he has never heard of it. White says that he knows Propofol being given in medical offices and clinics.

Walgren asks about the suctioning equipment. White says it's desirable to have it but vomiting is fairly rare. White says pulse oximeter is essential and blood pressure cuff is important. White says for an infusion you measure blood pressure every 5 minutes and for minimal sedation you measure it every 5 minutes. Capnography is not utilized everywhere, White finds it useful but not very precise.

Walgren asks if failing to maintain medical records is egregious deviation from standard of care. White says charts are needed but in this case it didn't contribute to death. White also classifies it as minor to moderate deviation from standard of cares.

Walgren asks about pre procedural assessment. It's when the patients overall condition is evaluated to see if there are any factors that can increase cardio respiratory depression. Respiratory depression from Propofol is mentioned to be rare and generally happens when narcotics are present.

Walgren asks how much Dr. White has been paid by the defense. White says that he was paid $11,000 so far. White says he also charges $3,500 a day for court appearances but he didn't ask that because defense doesn't have the resources.

Walgren asks if White ever had a patient that stopped breathing after Propofol. White says he did (after general anesthesia) and he assited them with an ambu bag and mask or other ventilation techniques such as endotracheal intubation or laryngeal mask.

Walgren mentions doctor's oath of “do no harm” and asks if CM violated this by giving Propofol. White says CM did not harm.

Walgren asks who makes the final decision – the doctor or the patient. White says both share the responsibility but the doctor have the option to walk away. White says he would never administer something he considers inappropriate, he would walk away.

Walgren asks if it is easy to go from a level of sedation to the other. White agrees that the monitoring is required but 25 mg dose is a very minimal dose that would wear off after 15 minutes. He says monitoring a patient for that dose for around 15-30 minutes would be enough and then it's okay to leave the patient.

Walgren asks about pulse oximeter without an alarm. White says it has no value when you are out of the room. White also states that 25 mg propofol wouldn't have effects after 25-30 minutes. Walgren asks if benzodiazepines would have an effect, White says if they have been given hours before they would have little effect.

White tries to justify CM's treatment saying that this was an unusual case with the goal being sleep and what CM leaving MJ was acceptable.

Walgren asks what if the patient liked to push Propofol. White says he would not left the room.

White asks about failure to call 911. White says he cannot justify it but also adds the situation was different, CM didn't know the address and the house was not easily accessible. Walgren pushes White. White says CM should have called 911 sooner but it wouldn't have made a difference in this case. White says he would have started resuscitation and call 911 within 3 to 5 minutes.

White say he doesn't think everything CM said to the police is true. White says in emergency situations it's hard to remember the details and CM could have overlooked to mention Propofol and didn't do it in a devious way. Walgren suggests that the other alternative is that CM lied. White reluctantly agrees.

Walgren does over the letter White gave to the defense. In the letter it's written that sedatives, analgesic and benzos may increase the risk of Propofol. White says high concentration of lorazepam and 25mg propofol given too fast causes arrhythmia, and a rapid demise.

White mentions although CM bought Propofol MJ had his own stocks of Propofol. Walgren asks where he saw this information. White says CM told that to Dr. White.

Walgren shows the IV tubing found in the scene and asks if it is easily concealable and fits in the hand or in the pocket. Dr White admits to that.

Walgren mentions how White speculated that MJ drank propofol and now White rejects that's the cause of death. White says Dr Shafer explained why there could be propofol in the stomach and why it would not cause death.

White says he did his 3 page letter in a very short time as Flanagan needed something from him. White says he did not write any other report. In the letter White wrote MJ self administered either by injecting or orally. Flanagan had mentioned oral Propofol before he wrote the letter and White say he did a search but did not find anything about it.

Walgren asks if according to White the only option was to blame the victim. White says if CM only given what he said he did, there was to be something else. Walgren asks if White now blames MJ for Lorazepam as well. White says yes. Walgren asks if White took everything CM said to be the truth. White says yes. White says what CM said in regards to drug administration is consistent with the autopsy report.

Walgren goes over the report and point outs that White now says MJ died of a rapid bolus but he never wrote that in his report / letter. Walgren asks if he came up with any other theory that does not attribute the drug taking to MJ. White says no.

Walgren asks who Dr. Gabriella Ornelas is. White says she's a PhD in biomedical engineering. White met her for the first time last week and asked is she could calculate the amount of free propofol you would expect to see in the urine after a 3 hour 100mk infusion.

Mid morning break


Walgren mentions that Dr. Shafer provided software for the models to the defense and White only provided computer codes on paper.

Walgren goes over the 10 AM Lorazepam theory. As the peak effect will be in 2 hours it first nicely with 12 AM. Last week when Dr. Shafer testified that Lorazepam had to be taken at least 4 hour prior to death that's when White met with Ornelas. She created several scenarios. White says he was not aware of the 10 AM Lorazepam theory.

Walgren asks if MJ came and asked him to work for him to give Propofol , if he would accepted the job. White says absolutely not. He says no amount of money could convince him to do it because of time required, the responsibility and off label use of propofol.

Walgren asks if White's 11:40AM self administration theory is based on a lot of assumptions for the lack of medical records. White agrees.

Walgren asks if for his theory he used CM leaving the room for 2 minutes. White says no.

Walgren asks about the beagle Propofol study. White says that Flanagan knew a veterinarian that could do the study and he had no part in it. White says he only got a report from Flanagan that oral propofol had no effect on beagles.

Walgren asks when White assumes that MJ took Lorazepam was CM out of the room as well. White says MJ was walking around. Walgren objects as White is telling what CM told him. White says he understood that CM was in the another part of the room (adjacent bedroom etc) or not watching. White says CM wasn't aware that MJ took Lorazepam.

Walgren asks White if he's aware that CM left the room only once. White says yes. He also says that he believes CM was away around 7 AM. Dr. White says when CM was on the phone he was presumably away from MJ because he was sleeping.

White's theory is that CM drew 50 mg Propofol and lidocaine and gave half of it to MJ and left the half full syringe. White then says CM was in the corridor, Walgren objects as he is once again telling what CM told White. White thinks after CM gave MJ the half the syringe and observed him left him to talk on the phone and went to the bathroom. White thinks MJ could have injected in that 40 minutes.

Walgren asks if MJ injected through the IV port and the syringe was originally on the chair. Walgren asks if wouldn't it raise an alarm when CM found the syringe in the injection port. Walgren also asks if according to his theory MJ fell back to bed in the same position.

Walgren asks if it's White's understanding that MJ moved around the house wheeling an IV stand with a condom catheter on him and a urine bag attached to his leg.

Walgren asks if isn't it a possibility that CM injected the additional Propofol. White answers yes if he wanted to harm MJ.

Walgren asks if putting MJ to sleep was mild/ minimal sedation which means response to verbal stimuli. Walgren asks if it makes sense to him. White says providing sleep doesn't need a higher level of sedation.

White says he believes that MJ didn't receive Propofol on the 23rd and 24th based on the urine levels.

White says during the 6 weeks prior CM gave MJ 1 or 2 boluses of Propofol (25 to 50 mg) and followed it with an infusion with the Propofol bottle. Walgren again objects as White is once again telling what CM told him. White speculates that it was minimal to moderate sedation.

Walgren cites several articles written by Dr White. One article says that MAC (moderate sedation) requires the same level of standard of care as general anesthesia.

Guidelines for Office based anesthesia (written by Dr White) :
1-appropriately trained personnel
2-anesthesia equipment
3-complete documentation of care provided
4-monitoring equipment
5-recovery area with appropriate staff
6-availability of emergency equipment
7-plan for emergency transport of patients to a site that provides more comprehensive care, should a complication occur
8-documention on a quality assurance program
9-continuous training of physician
10- safety standards that can't be jeopardized for patients' comfort or cost

Walgren asks if these standards should apply if Propofol is administered in a bedroom ? White says that he wouldn't give it in a bedroom and White eventually agrees that giving Propofol in a home requires the minimum requirements of office based anesthesia

Dr White Testimony

Walgren cross

Walgren continues with quotes from Dr. White's books/articles: "because of the profound risk of cardio respiratory depression, propofol should always be administered by anesthesiologists, not by gastroenterologists, etc (other doctors)". White states that the book was published in 1996, things have evolved since then. White states that he would agree that propofol has profound a risk of cardio respiratory depression, but it can be administered by trained doctors other than anesthesiologists, in a proper setting.

White states that the guidelines for sedation, for non anesthesiologists are: "even if moderate sedation is intended, the same standard of care should be applied as for deep sedation" and that "because it's not always possible to predict how a patient will react, the caregiver needs to prepared to rescue a patient from deep sedation."

Dr White agrees that for moderate sedation (when an infusion is used), the patient should receive the same care as for deep sedation.

For mild sedation, Dr. White states that the doctor should be prepared in the event that the patient goes into moderate sedation, not deep sedation.

Dr. White states that he wouldn't administer propofol in a home, but thinks that these guidelines should be followed with an infusion. White states that he doesn't know if a second person is necessary, assuming the doctor is monitoring the patient, while the propofol is being administered.

Walgren asks what about administering benzodiazepines and a propofol bolus? Dr. White states that in an ideal situation, it would be great to follow the guidelines.

Walgren shows Ornelas model with 25mg propofol infused over 3 to 5 minutes versus a 25mg fast injection and the differences in blood concentration and free propofol in urine levels. Her model is based on a 1998 article.

Dr White has not read the article in detail. Dr White had a conversation with Ornelas at the Flanagan's house for a few hours at the end of last week. The models Dr White testified to, were not done by him, he is not an expert in models.

Walgren again shows the model with Murray infusing 25mg at 10:40 am versus MJ self injecting at 11:40 am. Before the self injection, blood level was near 0.

Walgren shows a zoom of the same graph, zooming on the self injection. Dr White believes that self injection occurred later than 11:40.

Dr White thinks this scenario is the most likely as it's consistent with Murray's interview with LAPD, not recovering the tubing, matches the concentration of free propofol in the urine, matches blood concentration.

Walgren shows another zoom of the same graph, over 10 minutes, showing only blood concentration. The circulation stops almost immediately. Dr White says it could have been arrhythmia, the cause is unclear.

Walgren brings up the autopsy report: MJ had no heart problems. Dr White says that doesn't preclude an arrhythmia.

Murray told LAPD that when he returned to the room, MJ's heart rate was 122. Dr White said it's unclear what 122 was and it could have been the saturation. Walgren reads the police interview; Murray also reported that he felt a thready pulse. Dr White says that Murray might have felt his own pulse, he was under stress. He might not have felt a perfusing pulse. Walgren: "This fits with you new theory that MJ died instantly"

Dr White states he doesn't see any evidence of respiratory arrest, or cardiac arrest, or both combined.

Walgren goes back to March 8th letter White sent to the defense. First cause of death Dr. White thought of is respiratory depression. Dr White corrects "cardio pulmonary depression" among other things. Walgren mentions the oral consumption is one of the other things.

Walgren shows models of lorazeapm (multiple 4 mg injection, 2 X 2 mg IV +16mg oral).

The graph shows 0.0013 mg in the stomach, Dr White doesn't know where this number comes from, but it is smaller than the 0.006mg.

White states that the fact that there is free lorazepam in the stomach suggests oral ingestion.

White states that residual lorazepam is an assumption of 10mg for the past 5 nights.
Walgren shows the graph where Murray would have injected 25mg of propofol, and where MJ would have self injected. When MJ self injected, the lorazepam was a little lower.

Walgren again goes back to Ornelas model with 25mg propofol over 3 to 5 minutes, 25mg fast injection blood concentration and free propofol in urine levels. Walgren asks why it doesn't show the effect site (brain). White says it's because she was only asked about the free propofol in the urine.

Graph by Dr Shafer added effect site concentration to Onnelis' graph: the levels at effect site are the same in both Murray's injection, or the supposed MJ's self injection. Dr White says these numbers are meaningless, because of variability. Dr White would be more interested in the heart concentration.

Afternoon break


Walgren asks White if he did any research to make sure that the 0.3% used by Ornelas (0.3% of the propofol is excreted unchanged) was accurate. White says it's his feeling that it was the most conservative number.

Walgren shows an article used by Dr Ornelas as a basis for her analysis. It was published in 1988. It indicated that less than 0.3% of propofol is excreted unchanged, but the model uses 0.3%. Dr White recalls a paper that said 1% .

Walgren asks based on this paper (less than 0.3%), could it be 0? Dr White doesn't agree.
Walgren says that the article says that 0.3 could be an overestimate. Dr White says that the difference with a 3 hour infusion would still be huge.

Walgren shows a 1991 article about animals (dogs, rat). There was no unchanged propofol at all whether it was bolus or infusion. Dr White says he doesn't rely on articles about animals, he would prefer to rely on articles about humans.

Walgren shows a 1999 article: they found no free propofol in the urine. Dr White indicates he did not search the subject

Walgren shows a 2002 article in which the levels found were much smaller. Objection, sustained. The judge asks Walgren to change the subject.


Flanagan redirect

Flanagan talks about 911 not being called for 20 minutes. Flanagan says mentions that it was a large house, fenced, gate closed that can only be opened by security, guards were just outside the kitchen, incident happens upstairs , there are no landlines. Flanagan asks would it be unreasonable to ask a person in the kitchen for help.

White says he would resuscitate the patient and ask the person in the kitchen, it sounds more reasonable than going to security.White says that CPR should be given within 1 to 2 minutes, and sustained for at least 3 minutes, before leaving the patient.

Flanagan asks what kind of CPR should be given. White says mouth to mouth and adds that an ambu bag would be better but mouth to mouth is a possibility.

Flanagan asks Dr. White what would be his assessment if the patient was not breathing and his eyes and mouth were open. White says he would assess the patient to see if they are alive as they are often a sign of death.

Flanagan asks if the patient was dead at 12:00PM, could anything be done. White says if the patient was dead, not keeping a chart would not have changed anything.

Flanagan asks White if he would suspect Propofol to have anything with the death. White says if the propofol was given at 10:40 and the patient was dead at 12:00 he wouldn't suspect propofol.

Flanagan asks after the EMT's received the authorization to declare the patient dead if the further attempts was realistic and had a chance of saving the patient. White says no.

White says even if the ER doctors had known about propofol, it would not change the outcome.

Flanagan and White talk about 25 mg Propofol bolus over 3 to 5 minutes. White says if it had any negative effects it would be apparent by the end of the bolus and there would have been no reason to suspect anything at a later time.

Flanagan asks about concelling the IV tube and White says it's easier to conceal an IV tube than an IV bag but if the IV tube was in a pocket there would be liquid in the pocket.

Flanagan mentions that at preliminary hearing 2 witnesses indicated the possibility of oral consumption of propofol.

Flanagan asks if Walgren has contacted Dr. White. White says Walgren called him and they talked. White said that he was contacted by the defense. Walgren asked him if he was paid and White said he was. White says this is his only source of income.

Murray Trial Day 22 November 1, 2011

Dr White Testimony


Flanagan redirect

Flanagan again mentions the variability in the models.

Flanagan shows the Lorazepam model that includes 16 mg oral consumption which is based on 0.0013 mg in the stomach content. If you move the oral intake to 8 AM, the amount of free Lorazepam in the stomach would equal to the 0.008mg found in the autopsy and the concentrations find in blood.

Flanagan goes over the 0.3 free Propofol in the urine. In a model about 100 ml Propofol infusion over 3 hours the level of propofol would range from 1 to 3 mg in urine. 1 mg is the 10 times the amount found at autopsy.

Flanagan mentions the burn feeling of propofol will be increased by small veins, the concentration of the drug and the speed of the injection. Lidocaine is given before the infusion, or at the beginning. White says given the half life of lidocaine and with a 3 hours infusion there shouldn't be lidocaine found at autopsy, and there was 0.84 mg/ml at autopsy.

White says if there were 2 injections, Lidocaine would have been given twice and White would expect the lidocaine to be around the levels found at autopsy.

Flanagan mentions standard of care versus standard of practice. White says standard of care is the ideal that they would seek for every patient but it's not always possible.

Flanagan goes over minimal sedation. There would be normal response to verbal simulation. Flanagan asks if he took an ambient if White would be able to wake up by talking to him. They discuss 25 mg Propofol. White sys it would reduce anxiety and generally would not produce sleep. White says it could create a restful state if the patient is very tired. White also says that any noise in the room would wake the patient up. White says with minimal sedation airway, breathing and cardiovascular functions will not be affected.

Flanagan's redirect of Dr. White is over. Walgren does not recross.

Off camera judge asks Dr. Murray if he will testify. Murray says that he won't testify.

Judge gives a 30 minute break so that the prosecution can decide whether they would do a rebuttal.

After the break Walgren calls Dr. Shafer for rebuttal.

Dr. Shafer Rebuttal Testimony


Walgren direct


Walgren asks if Lorazepam is given IV would some of it go to the stomach. Shafer says yes and it has nothing to do with post mortem distribution.

Walgren asks and Shafer agrees that there's no way to differentiate between MJ taking oral Lorazepam and CM giving MJ oral Lorazepam.

Walgren brings up Shafer's 100 ml Propofol infusion over 3 hours. Shafer says it doesn't show when MJ died and it was not necessarily at 12:00PM. Shafer says it was basically to show that MJ died with infusion running.

Walgren asks about the IV setup. Shafer says controlling the rate with the clamps are commonly done with some medication that you don't need to precisely set the rate but a pump is required for Propofol.

Shafer says the Lidocaine levels found at autopsy is not inconsistent with 100 ml infusion over 3 hour simulation. Shafer says Lidocaine could have been mixed into the Propofol bottle.

Walgren asks about the main risk of Propofol and Shafer says its failure to breath and the lack of oxygen in the heart kills the heart.

Walgren brings up the article the defense used in their simulation about the unchanged Propofol in the urine. Shafer says he researched the literature. 1988 article that the defense used says they found very little (0 to 0.3) unchanged propofol in the urine but they didn't know if it was free propofol or its metabolite.

Shafer says there are newer articles on the subject. The most detailed one is a 2002 article. 2002 article measured the actual unchanged propofol and the level was between 0.002% to 0.004%.

Autopsy urine propofol was 0.15 mg/ml . 500 ml of the urine = 82.50 micrograms of propofol .

Walgren shows a table from the 2002 article. The average Propofol found is 70.71 micrograms of propofol in the urine; it corresponds to a dose of 2000 mg.

Shafer says this absolutely rules out Dr White's theory and it actually suggests that MJ received more propofol that what even Dr Shafer thought.

Walgren asks about standard of care such as for an anesthesiologist providing care in a remote location (ex: radiology suite, etc..), . Shafer says you have less tolerance for error, because you have no back up. You should not take short cuts. Shafer says if there was such a thing as bedroom based anesthesia, if you have an error, you have mortality. So the standards of care would actually be higher.

Flanagan cross

Flanagan argues with Shafer about what he wrote in his report about lidocaine. Shafer thinks Flanagan misunderstood what he wrote. Flanagan asks Dr Shafer to read a paragraph from his report.

Flanagan goes over the 2002 article and if the 25 mg propofol dose was a sub anesthetic dose. Shafer says in most patients it's a sub anesthetic dose and it depends on what other medication is on board. Flanagan is trying to say that the article didn't mention sub anesthetic doses.

Walgren redirect

Walgren tries to clear the issue about the article and the use of sub anesthetic dose, Shafer says the use of a larger doses makes the result more precise, that's all.

Both sides work on a stipulation. Stipulation 52a says that Peoples 52 reflects the accurate phone numbers.

Both prosecution and the defense rest their cases. Judge informs the jurors that both sides asked for a day to prepare for their closing statements. Judge excuses the jurors. In a not televised afternoon session judge and the both sides work on jury instructions.

There will be no court on Wednesday November the 2nd. Closing statements and jury instructions are set for Thursday November 3rd. Court would start at 9 AM.

Murray Trial Day 23, November 3, 2011

Morning Session


Court starts with Judge Pastor reading the jury instructions.

Judge tells the jurors the evidence that contain medical items will not be in the jury room but it will be brought to them by a bailiff if they ask.

Important points from jury instructions
- Pastor tells the jurors they must follow his instructions about the law even though they might not agree with it.
- Pastor says People need to prove guilt beyond reasonable doubt. He explains that it doesn't need to eliminate all possible doubt.
- Pastor says what the attorneys say and ask aren't evidence.
- Pastor says things can be proved by direct or circumstantial evidence. He says they are equal.
- Pastor says if they can come to 2 reasonable conclusions – one showing innocence and the other one showing guilt- they must find the defendant not guilty.
- Pastor says they can find the witness testimony truthful or not – in full or in partial.
- Pastor says people can forget or make mistakes and 2 people can witness the same thing but remember it differently.
- Pastor says in regards to expert witnesses their education, qualifications, the information they relied on while forming their opinion and why they made a certain statement should be considered.
- Pastor says character witness testimony can be considered and can create a reasonable doubt.
- Pastor tells the jurors not to be influenced by the fact that Murray didn't testify.
- Pastor explains involuntary manslaughter. People claim that Murray did 1) committed a lawful act with criminal negligence and 2) failed to provide a legal duty with criminal negligence.
- Pastor tells that there could be more than one cause of death and it's required that the actions of Murray must be a substantial factor in causing the death. It doesn't need to be the only factor.
- Pastor says Michael could have failed to use reasonable care and may have contributed to death. However if Murray's actions were substantial he's still responsible for the death.

David Walgren Closing Statement

Walgren starts by thanking the jurors to their services.

Walgren mentions that CM does not need to be the sole cause of MJ's death; he only needs to be a substantial factor.

Walgren says that CM caused MJ's death and left Prince, Paris and Blanket without a father. “For Prince, Paris and Blanket this trial will not end today for them it will go on forever”.

Walgren mentions trust and the relationship between a doctor and patient and “do no harm”. Doctor decides what the proper care is for the patient. All the doctors testified said they would never do such thing. Walgren expresses that CM violated that trust between doctor and patient "each and every day."

CM was an employee for money. “MJ trusted CM. He trusted him with his life. He trusted CM with his individual life and the future lives of his children. CM would care for him as he slept so in the morning he could share a meal with his children”. “MJ paid with his life”.

On June 24, 2009 MJ performed at the Staples Center and gave a great performance. He was optimistic and looking for future. 12 short hours later he was laying dead in his bed palms up, had tilted to the side – dead - in his home.

MJ was a 50 year old man anxious about the upcoming tour. MJ wanted to satisfy his fans that have been loyal to him for so long, his family, and his children. MJ was a creative genius who was striving for perfection. He was looking to the future. He was making long term plans for both himself and his children to whom he was so dedicated.

MJ wanted to share his message with the world. He wanted to satisfy his fans. He wanted his children to see him perform.

For MJ his children were paramount. He wanted a house for his children so they wouldn't be cooped up in a hotel. MJ wanted to do a movie based on Thriller and wanted to direct movies. MJ wanted to open a children's hospital. He wanted to give this to the world. He had plans and hopes and dreams.

The tour would have expanded around the world. He was excited his kids would get to see their dad perform in London. But none of this came to be because on June 25, 2009, MJ just 50 years old was pronounced dead. Paris had to see her dead in that situation and scream “daddy”, Prince was shocked. That's what CM did to MJ and his kids.

Walgren mentions that CM is charged with IVM and Walgren goes over the law. Walgren says there could still be questions unanswered and they only need to answer 3 questions.

The law recognizes the special relationship between doctor and patient. Doctors have a legal duty of care to their patients and the failure to act on that duty would be IVM. Walgren goes over criminal negligence and causation.

Walgren mentions that the defense's theory is MJ injected himself with Propofol and caused his death. Walgren says CM is criminally negligent if he could have foreseen what happened. By his own admission, Conrad Murray knew MJ liked to push his own Propofol. He should have never left him alone in a room full of drugs. Walgren says even if true, it was foreseeable.

Walgren says misleading statements can show guilt. Dr. Murray made misleading statements when he failed to tell paramedics and doctors he administered Propofol. That is consciousness of guilt. “That is putting CM first”. Walgren says CM was intentionally giving false statements.
Walgren goes over the background of the case. CM had signed a contract. He was going to get $150,000 a month and housing. CM sent letters to his patients saying he was taking a sabbatical and ceasing practicing medicine “indefinitely”.

Walgren goes over the shipments of medicine and he told jurors that CM ordered more than four gallons of Propofol and had it shipped to his girlfriend's apartment in LA.

Walgren mentions May 10 recording. CM says he realized there was a problem in June but the recording was 1.5 months ago. Murray couldn't bother to keep records ... but had no problem recording a drugged up MJ and then for some reason keeping it.

Even in vulnerable state MJ talks about the future and his desires. He's talking about a children's hospital. He has no reason to believe that anyone will hear him; he's talking about his true feelings and his true desires.

2 days after that recording, CM orders the largest shipment of drugs. Walgren says that they couldn't find the other propofol bottles with search warrants.

At a meeting in early June, Murray assures everyone MJ is doing just fine. On June 19, 2009, director Kenny Ortega is so concerned about MJ's health and sent him home. Ortega sends an urgent email to Randy Phillips saying MJ is in a bad state. Ortega tried to reach CM but couldn't. June 20th meeting CM was upset that MJ was sent home. CM insists MJ is doing fine ... lashing out at Ortega for sending MJ home from rehearsal. Murray sternly told Ortega to mind his own business. “Unfortunately, that's what happened”.

On June 21, 2009, MJ was complaining he was half hot and half cold. FM called a nurse who told them MJ needed to go to the hospital.

On June 23 MJ performed at the Staples Center. By all accounts it was a great performance. There was light at the end of the tunnel. MJ's last rehearsal on June 24 was, again, a success. Everyone was excited that the tour was going to finally happen. MJ was particularly excited about the "illusion" that was to be performed the next day. Walgren goes over MJ's final goodbyes with Ortega and Phillips.

CM's version of events changed. June 25th he said he witnessed the arrest. After MJ's death an arrangement was made to meet with CM at Marina del Rey. CM was there with his lawyers. At this point, investigators knew very little. The cause of the death had not yet been determined. Detectives were working in the dark. They sat down to listen to Conrad Murray to listen to what he had to say. Detectives did not have medical knowledge. CM told detectives he was giving MJ Propofol. When detectives ask how frequently did this happen? Murray tells them every day. CM admitted he gave MJ 50 mg Propofol injections followed by a drip almost every night for two months.

During his interview, CM told cops he was worried about giving MJ Propofol at 10:00 am because MJ had to be up at noon -- 2 hours later. CM says he agreed to give Propofol when MJ said he didn't need to get up at noon. This suggests that CM intended to give MJ a drip, because a 25 mg injection would only put someone to sleep for 5 minutes. CM intended to knock him out.

Walgren says CM didn't call 911 and it's bizarre and he aimed to protect himself. CM never called 911 because, as he claimed, speaking to an operator would be negligent ... so what does he do instead? He calls Michael Amir Williams and leaves him a message. Setting aside all the other bizarre behavior, all he needed to say was, "Call 911..." but he didn't. CM knew what he did and his actions killed MJ. Walgren says CM intentionally didn't call 911.

Walgren goes over CM's phone records and emails. Walgren asks jurors if they believe MJ was paying him $150,000 and awake and complaining and CM was away on the phone. Walgren suggests that CM was able to spend all that time on the phone because MJ was asleep on a drip.

Walgren asks why CM called his female friend Sade Anding at that time. What was so pressing to call her? Sade Anding heard voices in the background at the exact time Murray drops the phone. “Was Conrad Murray in another room? How long was MJ in that condition? Was MJ calling for help? Did he gasp? Did he choke? We don't know ... and we'll never know.”

Alberto Alvarez comes to the home. CM grabs vials of medicine and instructs him to put them in a bag. Only then does CM asks him to call 911. It took 20 + minutes to call 911. FM finds the children crying. Paramedics responded in 4 minutes. They were a mile and a half away. Walgren says CM put himself first and put MJ last. Blount was able to get ventilation quickly but it was too late.

As paramedics transport MJ to the ambulance, Senneff finds Murray is picking stuff off the floor and putting it in a trash bag. Walgren asks the jurors to why? They were trying to get MJ to the hospital but CM was in the room alone picking up stuff. Walgren mentions CM's cargo pants pockets.

In the hospital doctors ask CM what drugs administered ... again CM never mentioned Propofol. After MJ was pronounced dead, CM is concerned about retrieving a "cream" which he claimed MJ didn't want people to know about. Walgren says CM knows that his bags, drugs, syringes were at the house. CM was not concerned about a cream... he was worried about himself.

Walgren mentions that detectives found the bags because CM told them where they were. Walgren says CM went into this interview assuming the police had found his bags. He came forward for the self preservation of CM. CM thought his bags were discovered. He knew the toxicology report was about to be completed. He came forward to get ahead of the story. Unfortunately his story doesn't match up with the evidence.

Walgren switches to standard of care. “Every single doctor has told you they would never have done what Murray did.”

Propofol should be used in a highly monitored setting. No one had ever heard of anyone using Propofol in a bedroom EVER until CM. There's no backup. It's an egregious violation of medical care. It's gross criminal negligence. Walgren says the setting is direct cause for MJ's death.
Propofol is not used for insomnia. The article the defense used is written after MJ's death.

Walgren mentions the equipment needed and being able to use them. None of the required equipments was there. Again this was criminal negligence.

Walgren goes over the abandonment and the patient should not be left alone because things can happen very quickly. Murray's preoccupation with emails, texts and calls constitute abandonment.

Walgren says benzos contributed. Walgren mentions what White said about variability and that's why all the precautions was needed because you cannot know how a patient would react.

CM kept record in the previous years but he didn't do for his last 2 months treatment. CM chose not to keep any medical records because he didn't want his bizarre treatment to be documented.

CM deceived the paramedics and the doctors at UCLA Medical Center.

Walgren says there had been some speculation with scenarios as they had no medical records. Dr. Steven Shafer said the most likely scenario is that Murray gave Jackson a drip. It's based on the evidence such as the propofol shipments, a cut saline bag, Propofol bottle with CM's finger prints on it and a spike tear. It's not unusual Murray admitted he did that every night, a 50 mg injection followed by a drip.

Walgren says it was perhaps MJ's idea to put the bottle in the saline bag to hide it.

Walgren says drip theory explains the blood levels and phone evidence. Walgren says CM was an employee and it's unrealistic to think that MJ was lying there complaining and CM was ignoring him and being on the phone. MJ wasn't complaining he couldn't fall asleep because he was asleep because CM put him on a drip.

White's theories of self injection and lorazepam pills happened during not in 2 minutes but during other times of abandonment.

CM's former patients say he was a good doctor. They were all treated in a hospital for heart conditions CM was trained to do. Walgren mentions we didn't hear from CM's current patients and how they felt about receiving the letter and feeling abandoned.

Walgren plays defense's own witness Dr. Allan Metzger's statement that he said there no amount of money would get him to agree to give Propofol in a bedroom. Lee's statement is played in which she says MJ told him he would be safe as long as he's monitored by a doctor.

Walgren says there's no evidence to suggest that MJ seek propofol without a doctor present. MJ was not reckless. He had a life ahead of him. He had 3 children he loved dearly. He wanted Propofol to sleep but he also wanted a doctor monitoring him at all time to be safe.

Walgren mentions that Lorazepam is a controlled substance and it should be kept under lock and key and their usage has to be recorded.

Defense expert Dr. Paul White presented was junk science. It was garbage. It was sad for science and for truth seeking. White has been consistent to blame MJ. When he's debunked by Dr.Shafer, he goes and picks another theory.

Walgren goes over what White said about the Beagle study under direct and cross. During direct by Flanagan White says it was his idea. During Walgren's cross he says he had nothing to do anything with it and didn't study it.

White during testimony said he would not administer Propofol in a home setting, a pulse oximeter without an alarm has no value, he wouldn't leave a patient that liked to push to Propofol alone and he would have called 911 earlier.

Walgren says White didn't do the models, didn't provide any information for the models, he didn't read the article and he's not an expert in this area. Walgren says he didn't research or studied. Walgren says the theories constantly changed.

Walgren mentions the IV tubing is very compact and concealable. Walgren later plays the video of Flanagan asking White if he has another IV line and White pulling one out of his pocket. Walgren says the IV line was concealable.

Walgren mentions the 1988 article was old and the 2002 article confirms Shafer's theory of IV drip and debunks the defense's self administration theory.

MJ trusted CM. He trusted him with his life. He paid with his life. CM lied, deceived, obscured but more importantly. CM acted with negligence and he looked out for himself. That's not what a doctor does. CM action directly caused MJ's death. But the People do not need to prove that because all it needs to be proven is that CM is a substantial factor in death. Even if you accept defense's facts CM should still be held responsible.

Walgren ask the jury to find Murray guilty of manslaughter because he abandoned his patient. "Justice demands a guilty verdict," he concluded.

Murray Trial Day 23 , November 3 2011

Afternoon Session

Ed Chernoff Closing arguments


- Walgren's argument is exactly why we have a jury trial in America.

- Walgren gave bits and pieces of statements from witnesses regarding propofol, rather than the whole context.

- Defense team has never stated that Conrad Murray did not make mistakes. But this case is not a medical board hearing or a civil lawsuit. For a crime to be proven, the prosecution has to show that Conrad Murray actually killed MJ. Prosecution must show criminal negligence, but also the specific act was the cause of death, otherwise this is not a crime.

- What defense believes is that Murray found MJ in distress, at 12 pm. The very first thing Murray did was try to revive MJ. At 11:51 Sade Anding received a phone call from Murray. From Anding's testimony defense believes she listened for about 2 minutes before hanging up. From 11:18 am until 12 noon, Murray was on the phone. If Murray had found MJ anywhere between 11:18 am and noon, the same thing would have happened that Sade Anding reported when she was on the phone with him (Murray would have dropped the phone and tried to revive MJ). Defense states that from 11:18 am to 12 noon, Murray never found MJ not breathing.

- The nature of propofol, is a 10 minute drug. The only way to keep propofol actually working after that is through an IV drip or IV injection. The prosecution spent 6 weeks trying to prove a drip theory, because the evidence proves that Murray injected propofol into MJ's IV prior to him leaving the room. The prosecution wants the jury to convict Conrad Murray for Michael Jackson's actions.

-Alberto Alvarez stated that he has had a hard time finding steady employment since MJ died, and that he was offered $500,000 for his story. Alvarez stated when he first talked to police, all he claimed he did was call 911. But when Alvarez spoke to police in August 2009, he then stated he comforted the children, he hid evidence for Murray and he comforted the children. The story became monumentally more compelling and valuable. Chernoff asks the jury if they honestly believe that Alberto Alvarez, after this trial is over, is not going to cash in on MJ's death story?

-Alvarez stated that he grabbed MJ's legs, Murray got MJ's shoulders and they took him and placed him on the floor. Alvarez stated that Murray asked him to take the IV bag off the stand and that there was a milky substance in the bag, but when tested there was nothing in the bag. Chernoff reminds the jury that the EMT's stated that they found MJ on the floor not the bed.

-The problem with prosecution theory starts with Alvarez inconsistencies, but moves on to Elyssa Fleak, and that she never mentioned a bottle in a bag originally. In the notes that she didn't destroy, there is no mention of a propofol bottle inside a cut IV bag, and there are no photos of it either. Fleak only mentions it 18 months later in testimony.

-Detective Smith, who Chernoff claims is a methodical, consummate professional, took notes of a smaller bottle of Lorazepam with an IV bag inside a bag fromt eh room where MJ died but did not remember seeing a vial of propofol inside a cut IV bag. Chernoff says that the reason Smith never saw it is because it never existed.

-April, 2011: Alvarez is interviewed by LAPD, and draws a picture of the IV bag. Chernoff states that the tubing, the IV bag, insinuating that LAPD coached Alvarez into drawing a bag that was similar to the bags the LAPD had at the interview. Chernoff states that the prosecution's theory was solidified then.

-Chernoff questions Dr. Shafer's testimony: stating that the IV tubing was hung to prove the prosecution's theory that Murray used an IV drip. Chernoff states that the short tubing used for testimony is used for an IV drip, the short tubing that Murray claims he used would be for IV injection. Chernoff states that Shafer testified he was wrong the next day, even though Murray's life is on the line. Chernoff states that the short tubing is proven to be used by Murray from medical records that show Murray ordered the short tubing only, and no long tubing, therefore showing that Murray did in fact, use an injection IV rather than a drip IV.

-Chernoff states that Dr. Shafer is a pharmacokineticist first and an anesthesiologist second. Chernoff stated that the prosecution turned Shafer into a cop, and that Shafer stated what he believed he happened as if it were true, but it's merely opinion.

-Chernoff on Dr. White: White is completely honest and said when needed, I don't have those qualifications to comment on certain testimony, but Shafer never said that. Chernoff states that White knows more about propofol than Shafer will ever, ever know. White just tried to tell the jury the truth, for $11,000. Chernoff states that Shafer gave simulations, one right after another, and none of them have anything to do with the case except for one, and that one is because the defense asked him to do it. Shafer showed a rapid bolus demonstration, when nobody from the defense ever asked him to do that. Shafer worked backwards on his theory (from concentration to dose), and when someone does that, there are a million different outcomes.

-MJ could not have died from what Murray admitted he did (25 mg injection to IV) and Shafer admitted that. Chernoff questions whether Shafer is a scientist or a prosecution advocate.

-Chernoff states that prosecution cannot prove a crime. When Chernoff asked Shafer about oral Lorazepam ingestion, Shafer stated that MJ's stomach held 1/300th of a tablet. Chernoff states that defense knows MJ orally ingested Lorazepam, and that's Shafer's exhibits are nothing representative of any proof, it represents nothing.

-Chernoff states that there are two reasonable scenarios about Lorazepam. First is MJ went into his bathroom and swallowed Lorazepam and Murray didn't know. Chernoff states that if this case were about anyone else, Murray wouldn't be on trial.

-Chernoff states that Murray's patients were willing to come to court and testify in front of cameras for him. People that know Murray believe that he could never have a disregard for human life as prosecution has claimed.

-Chernoff states that if Murray is such a liar, why did he tell LAPD he had been giving MJ propofol for 60 days straight?

-Definition of criminal negligence: prosecution has shown negligence, in many different respects. Three aspects of criminal negligence (as stated on jury instructions) #1 With the act (of propofol in a home), is it the direct cause of MJ's death, and #3, is it the natural probable consequence of the act (the death).

-Chernoff states that it's easy in hindsight to say that Murray is a lousy doctor, but the prosecution witness doctors have never walked in Murray's shoes. It's easy to judge when people have a miniscule amount of compassion, but do not question his motives. Murray's biggest personality defect is his also his greatest strength; he thought he could help MJ, he thought he could help him sleep. But Murray was wrong, he was a little fish in a big dirty pond.

-Chernoff states that Murray had no idea why when he came back in the room, MJ looked like he was dead. Chernoff states that Murray should not have been expected to call 911 first, but to try to revive the patient (MJ) first. Chernoff states that Dr. Steinberg stated that maybe two minutes for revival, after that, it's a felony not to call 911.

-Chernoff states that Murray injected MJ with Flumanezil, runs down and gets Kai Chase, and then says that Chase got Prince I (MJ's oldest son), not Murray.

-Chernoff states that Steinberg stated that Murray performed substandard CPR, but it's based on testimony that the compressions were done on the bed. Chernoff states that compressions with Murray's hand behind MJ's back, and one hand compressing MJ's chest is not a violation of standard of care. Chernoff states that the prosecution stated Murray deviated from care from the standard of care because he did not provide sufficient for MJ, but Chernoff states that an ambubag was on the floor. Chernoff states that every single thing Murray did, the prosecution claimed that it was a deviation from the standard of care.

-Chernoff states that the prosecution brought in MJ's kids to gain sympathy. He states that the prosecution brought in Nicole Alvarez for no reason. He states that the prosecution wants to paint a perfect villain and a perfect victim, but there are neither. Chernoff states that the only reason that the fact that Murray helped with the press release at the time of MJ's death was because the defense brought it into testimony.

-Chernoff states that it is believable that Murray wanted to back to MJ's house from the hospital the day MJ died because his car was there, and it was believable that he wanted to go eat. What is not believable is that Murray wanted to go back to the house to get some cream, that Amir Williams was so disturbed by that, that he locked the house down, but never mentioned it to the police.

-Chernoff plays the voicemail from Frank Dileo to Conrad Murray again (6/19/09 stating that MJ had an episode, he was sick and Murray should get a blood test on MJ)

-Chernoff states that MJ was under tremendous, abnormal, impossible pressure from AEG. Chernoff concedes that giving propofol in the home was not an appropriate thing to do. But Murray gave an uncontrolled substance, not Demerol, to MJ. Chernoff states that when Murray went home, the other life of MJ took over.

-Chernoff repeats Steinberg's testimony that Murray giving propofol to MJ was "like a baby on a countertop". Chernoff states that this was insulting MJ, as if MJ was a baby, couldn't make contracts for himself, couldn't raise his children for himself, because he was just a baby. Chernoff asks if Murray was supposed to watch MJ all the time to save him from himself?

-Chernoff states to take this case away from MJ, in a psych unit, and some patient kills himself, overdoses. If jury is going to hold Murray responsible, don't do it because it's MJ. This is not a reality show, it's reality, and it's how it affects a real person and the people who love him.

David Walgren Rebuttal Closing

-Walgren states that they are not on trial because the victim is MJ.

-Criminal gross negligence, giving propofol, which is known for respiratory depression, as a one man operation, no safety measures, nothing. Bizarre, unethical, unconscionable behavior that has never been seen before, and that is why Murray is on trial.

- Murray's patients who were witnesses had the benefit of a hospital, a team, monitors and were being treated for heart conditions, MJ did not have any of those benefits. MJ was being treated for insomnia that Murray knew nothing about.

-Walgren questions why the witnesses that were called who were Murray's patients were patients from over a decade ago. Walgren questions why none of Murray's current patients were called to testify.

Walgren: "Poor Conrad Murray. Everyone is just working against him." Defense blamed Elyssa Fleak, Alberto Alvarez, Shafer, AEG, Randy Phillips, Michael Amir Williams, Kai Chase. "Poor Conrad Murray." Walgren states that witness Mr. Ruben states that Murray was grieving, Walgren states that is because it's about Murray and nobody else.

Walgren states defense contends that Alvarez and Fleak are lying, Shafer is a cop, Kai Chase failed to get security, and "if allowed more time I'm sure they would find a way to blame Michael's son, Prince." Everyone is to blame except for Conrad Murray, according to defense. If Alvarez wanted to lie, he could have done a lot better than a bizarre story with an IV bag and propofol inside of it. Walgren states defense is claiming it's a conspiracy between LAPD, bodyguards, and others to pin this on Murray. Poor Conrad Murray. Everything Conrad Murray did in his treatment was bizarre. Waited 20 minutes to call 911, bizarre. Gave propofol in home setting for 60 days, bizarre. Lied to EMT's and UCLA doctors about giving propofol, bizarre. Is it surprising that Murray had some usual setup for the saline bag? Walgren states nobody knows, but that MJ was sensitive to getting all of the medical stuff cleaned up each day so the children did not see it. Everything Murray did was bizarre, and none of it was consistent with a trained competent medical doctor, who was putting his patient first.

Walgren states defense blames MJ, that Murray left him alone. MJ sought out propofol to sleep, but only one doctor said yes to administering it. Poor Conrad Murray. MJ is dead. Poor Conrad Murray. Nobody knows what it's like to walk in his shoes. Walgren: "You got that right. Because I haven't seen a doctor in this case that said they would ever do what Conrad Murray did. Ever. Including the defense experts."

Walgren states that defense closing arguments said nothing about Dr. White's testimony because it was junk science. Shafer on the other hand, did this pro bono, and showed true science to show how MJ died.

Walgren states that Murray had a legal duty to provide the standard of care for his patient, MJ. If Murray hadn't have left the room, this wouldn't have happened. If Murray had attached a monitoring system to MJ, this wouldn't have happened. If Murray knew how to effectively revive a patient, this wouldn't have happened. The law says that causation only be a natural and probable consequence. If you administer propofol in a bedroom, a natural and probable consequence is that there could be death. It's a respiratory depressant, it has unpredictable effects as both Shafer and White says, it's dependent on your fasting, how much food you ate, other drugs in the system, how dehydrated you are. It is entirely foreseeable and predicatable that death would occur. White, defense witness stated that if he had a patient that liked to push propofol, he would not leave him alone.

Walgren states that Alvarez could have easily made up easier lies. There's no evidence that Alvarez had any animosity toward Murray, thought he was a good doctor until MJ died. Alvarez nor Fleak have any position in this case, no reason to lie.

Walgren states that Shafer provided all graphs and data to the defense at their request. Shafer told the truth.

Walgren states MJ's fingerprints were not on the syringe. Alvarez fingerprints aren't on the saline bag. Conrad Murray's fingerprint is on the propofol bottle found in the saline bag.

Walgren asks the jury to evaluate the lies Murray told: Murray lied to Ortega, Gongaware, Phillips, Jorrie that MJ was in great health. Murray emailed Bob Taylor in London and lied about MJ's health. MJ lied to EMT's , to UCLA Dr. Cooper and Dr. Nguyen. Murray lied to Tim Lopez, about the propofol being shipped to his clinic rather than Nicole Alvarez apartment. Murray lied when he said he insisted on an autopsy, when he played no role in that whatsoever. Murray lied when he said he got a social group together for the family at UCLA, when it is UCLA protocol. Murray lied when he said he pulled Katherine Jackson aside and asked if there was anything he could do, she asked what happened, and he said he didn't know. Poor Conrad Murray.

Walgren states law is clear about causation. Defense theory does not fit causation. Murray said he knew MJ was dependent on propofol, Murray said MJ liked to push the drug, and Murray was the one who gave MJ the valium, midazolam, lorazepam and the propofol and abandoned Michael Jackson.

Walgren concedes that the People cannot prove exactly what happened behind the doors. But jury knows what happened every night, propofol being shipped, and that MJ died. It was a foreseeable and predictable consequence, and what is unusual is that MJ lived as long as he did receiving propofol in this setting.

Walgren states that if Murray was so concerned, why did he record Michael in his bedroom? This was supposed to be a relationship based on trust, and MJ clearly trusted Murray. Murray brought propofol into the house, administered, abandoned MJ, failed monitoring, failed to call 911, Murray is responsible. Murray is criminally negligent not because this is MJ, but because he behaved in a criminally negligent way. Murray was a substantial factor in MJ's death.

Walgren asks to jury to consider all evidence, and that he trusts that the jury will find that Murray was criminally negligent, because this was a pharmaceutical experiment in a bedroom. Walgren asks the jury to come back with the only right and true verdict in this case, and the only just verdict in this case. Walgren asks that the jury come back with a guilty verdict for the solitary count of involuntary manslaughter based on Murray's actions and his actions alone.

November 7 , 2011 Verdict Day

On the second day of deliberations and after deliberating for 8.5 hours jurors reached to a verdict of GUILTY in Conrad Murray trial. DA Walgren asked Conrad Murray to be remanded without bail. Judge Pastor citing that Murray was a danger to the public and he had contacts out of State of California remanded Conrad Murray without bail. Conrad Murray was handcuffed by Deputy Jones and later taken to prison awaiting sentencing. Sentencing hearing is set for November 29, 2011 8:30AM PST.

michael jackson
michael jackson

 

Murray primeste pedeapsa maxima! -29 Noiembrie

Conrad Murray, the doctor convicted of involuntary manslaughter in the death of Michael Jackson, was sentenced to four years imprisonment, the maximum punishment the judge could deliver. The sentencing came nearly three weeks after a jury found Murray guilty of administering Jackson with a fatal dose of the powerful sedative Propofol on June 25, 2009. "Some may feel that this was a medical malpractice case. It wasn't. And this jury found that Conrad Murray, with criminal negligence, caused the death of Michael Jackson," Judge Michael Pastor said before revealing the sentence. "The fact is, Michael Jackson died because of the actions of, and the failures to perform legal duties on the part of, Conrad Murray."


The judge also admonished Murray for his "horrific violation of trust" in treating Jackson. The defense was seeking a sentence that included probation but no jail time, but given the severity of the crime and the world-famous victim, the judge sided with the prosecution in delivering Murray his punishment. In addition to the sentence, Murray was also ordered to pay Jackson's children a restitution estimated to be in the amount of $100 million, a sum that combines the cost of Michael's funeral arrangements, plus the lost wages and earnings the singer didn't collect because he died before his This Is It concerts began. The exact restitution, however, will be decided on a later court date.


The judge proceeded to eviscerate Murray's reputation in his critical and moving 15-minute decision. Pastor also condemned Murray for recording an audio tape of a weakened, drugged-out Jackson. "It was designed to tape his patient surreptitiously at that patient's most vulnerable point," the judge said. Pastor also explained why -- even though Murray was eligible for probation -- he was handing the doctor a jail sentence: Throughout the trial, Murray has shown "absolutely no remorse."

 

Decembrie

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