tag:blogger.com,1999:blog-6757696342634699253.post381233093502757377..comments2024-02-24T18:44:39.324-08:00Comments on Trials & Tribulations: Dr. Murray's Death Drip Explained - - Part 2Sprockethttp://www.blogger.com/profile/03837416113512618694noreply@blogger.comBlogger32125tag:blogger.com,1999:blog-6757696342634699253.post-82404107776052584192011-01-26T23:48:42.627-08:002011-01-26T23:48:42.627-08:00Thanks again Sprocket. Perhaps even Conrad Murray ...Thanks again Sprocket. Perhaps even Conrad Murray might have confused mg and ml. (Sarcasm.)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6757696342634699253.post-16575412416408380422011-01-26T10:52:31.142-08:002011-01-26T10:52:31.142-08:00Anon @ 11:16pm:
We don't know what was removed...Anon @ 11:16pm:<br />We don't know what was removed from the storage facility. That wasn't entered into evidence at the preliminary hearing.<br /><br />You are not alone Anon. I'm confused by the mg/ml discrepancies too. <br /><br />The search warrants issued, (link to them in the QUICK LINKS page) which has detailed information from the taped interview with Dr. Murray states MG was administered.<br /><br />My notes say ML. <b>My notes could easily be wrong,</b> since I'm learning the medical terms and drug names after the fact.<br /><br />cc and ml are the same thing<br /><br />mg is SMALLER than ml/cc.<br /><br />For example, in direct questioning, DDA Brazil referred to a 20ml empty propofol bottle as 200mg, (correct; same thing 200mg = 20ml) totally mixing me up and making me at first THINK there was a 200<b>ml</b> bottle on the premises, when there wasn't.<br /><br />Hope that helps.Sprockethttps://www.blogger.com/profile/03837416113512618694noreply@blogger.comtag:blogger.com,1999:blog-6757696342634699253.post-92065236646629370002011-01-25T23:16:59.528-08:002011-01-25T23:16:59.528-08:00Thanks Sprocket and KZ. I see, stockpiling those q...Thanks Sprocket and KZ. I see, stockpiling those quantities doesn't make sense because of the shelf life. The stockpiling occurred to me because of media reports stating that boxes were removed from a storage facility held by Murray in Houston on that day.<br /><br />Also, I was getting confused by mc v ml. Milligrams was the word mentioned in a Search Warrant, which included an affidvait from Martinez:<br /><br />"...Murray finally administered 25mg of Propofol (Diprivan) diluted with Lidocaine (Xylocaine) via IV drip to keep Jackson sedated.."<br /><br />Milligram was also the word he used to describe "the maximum" in the testimony at the prelim:<br /><br />"You mentioned 50 milligrams, did he say that was 50 milligrams every night?<br />That was the maximum.<br /><br />Did he say that was the total or the amount of one dose? ???<br />I don’t think he specifically noted.<br /><br />He told me it was a dosage, to put him under and then a specific drip."<br /><br /><br />The DDA in his question to Fleak is also confusing mg with ml. He mentions the 100mg propofol bottle found in the closet. (Fleak later appears to correct this to say 100ml.)<br /><br />"DDA Q: In addition the IV bag with the slit in and the 100 mg. Propofol you mentioned, what else did you find? <br />Fleak: 20 ml bottle of Propofol bottle. Back to 100 ml bottle; it was open and had liquid in it. Twenty ml. open with liquid in it. Ten ml. lorazepam (Ativan) bottle open with liquid in it. Two bottles of midazalom (Versed) 10 ml both open, both had liquid in them."<br /><br />Because of the vial quantities used, could you conclude that Murray was using the smaller vial for an initial injection following by the 100cc bottle for the drip?<br /><br />Martinez (on Murray's actions the last day):<br />"He said he halved his normal dose, gave him only 25 milligrams over 25 minutes.<br />It was simply an injection to put Mr. Jackson asleep, and then a slow drip to keep him asleep."Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6757696342634699253.post-68520580298571934342011-01-25T21:58:59.345-08:002011-01-25T21:58:59.345-08:00FROM KZ:
Part II answer
The following is a cut ...FROM KZ:<br /><br />Part II answer<br /><br /><br />The following is a cut and paste of my comment from Jan. 8, 2011 from CaliGirl9's article, "Michael Jackson's Drugs: A Cast of Characters": <br /><br />"This is contrasted with respiratory arrest due to a person receiving medications which depress the respiratory drive. <br /><br />First, from a clinical standpoint, there are 2 ways that respiratory arrest can occur in heavily medicated situations such as was occurring in MJ's bedroom. The "obvious" is a respiratory arrest induced by "too much" medication, which produces <b>central nervous system depression</b> (ie, the body doesn't even try to breathe). <br /><br />About 3-5 minutes later, the heart will begin to experience abnormal rhythms due to oxygen deprivation and carbon dioxide accumulation, which deteriorate usually to profound bradycardia (very slow heart rate), and then, with no intervention, the rhythm will become agonal, and deteriorate further into asystole (flat line). <br /><br />The treatment is appropriate positive pressure (ambu bag and high flow oxygen) support, +/- advanced airway measures such an a breathing tube & mechanical ventilator, reversal of any reversible drugs, and support of BP and heart rhythms until such time that the meds wear off. <br /><br />The second type of respiratory arrest occurs from airway obstruction in a heavily medicated unconscious patient, which <i><b>can</b></i> be due to a "mostly appropriate" amount of depressant drugs, before an accumulation of drugs sufficient to shut down the respiratory center in the brain. <br /><br />This is as simple as observing "snoring" type respirations, as the upper airway relaxes and the tongue occludes the airway. A simple repositioning of the head or a finger beneath the jaw can relieve this type of early respiratory depression and abnormal respiratory pattern IF it is observed by a clinician who knows what to do. (In addition to airway support with supplemental oxygen and a high flow mask or an ambu bag.) <br /><br />A very common error inexperienced clinicians make when giving sedation for procedures is that they think snoring equals an effective level of sedation, when in fact, snoring indicates an obstructed airway, and impending respiratory arrest. With an obstructed airway arrest, the chest moves in a paradoxical way, with obvious chest and abdominal muscle use, as the body tries to breathe against the obstruction. If not corrected, the heart begins to beat faster (tachycardia from hypoxia and catecholamines released), followed by rapid rate abnormal rhythms, which deteriorate into bradycardic (slow rate) rhythms, agonal rhythms, then asystole (flat line). <br /><br />The treatment here is to intervene early with airway and positioning support, back off on the drugs, support BP and heart rate as needed, and possibly reverse any reversible meds to restore adequate ventilatory efforts. Advanced measures, such as intubation and positive pressure ventilation as needed. <br /><br /><b> Almost no one</b> recovers once aystole occurs, no matter why it occurred. It is indicative of a very advanced state of cardiac arrest. (In fact, it is a sign of irreversible death.)<br /><br />Hope this explanation is helpful!<br />~KZ Sprockethttps://www.blogger.com/profile/03837416113512618694noreply@blogger.comtag:blogger.com,1999:blog-6757696342634699253.post-73177597337319292662011-01-25T21:53:23.066-08:002011-01-25T21:53:23.066-08:00KZ answer... in two parts.
PART I
To Athena/ Ano...KZ answer... in two parts.<br /><br />PART I<br /><br />To Athena/ Anonymous, 7:36 pm January 24th<br /><br />Thanks for your comment and question. You are correct that sepsis is a distinct worry with propofol, because the lipid (oil) carrier emulsion supports rapid bacterial colonization. Strict aseptic technique is required when administering propofol. (Please keep this firmly in mind when Part 4: The Death Drip: Explained" is posted. As a preview, IMO the technique could not possibly be described as even clean, let alone sterile.) Prescribing information (the "PI") for propofol addresses handling and storage procedures to minimize the possibility of contamination that could inoculate a patient's bloodstream inadvertently.<br /><br />You are also somewhat correct that sepsis can lead to respiratory distress, but please understand that while the progress can be rapid, it is not instantaneous. Nor is it without evidence that would be quite apparent at autopsy. The type of respiratory distress that patients with sepsis suffer is ARDS, or Acute Respiratory Distress Syndrome. This is characterized by widespread inflammation of the airways, with resultant "seeping and weeping" of fluid from small airways, which essentially drowns the patient's small air sacs, called alveoli, and no gas exchange is possible. Respiratory arrest is a very late consequence of ARDS from sepsis. <br /> <br /><a href="http://en.wikipedia.org/wiki/Acute_respiratory_distress_syndrome" rel="nofollow">Accute Respiratory Distress Syndrome at Wikipedia </a><br /><br />End Part I answer, see next comment for Part II answer.Sprockethttps://www.blogger.com/profile/03837416113512618694noreply@blogger.comtag:blogger.com,1999:blog-6757696342634699253.post-63122397192880691212011-01-25T18:51:34.636-08:002011-01-25T18:51:34.636-08:00I agree SandyL/ anonymous posed an interesting que...I agree SandyL/ anonymous posed an interesting question about stockpiling in advance of the England tour. I don't know when he was supposed to leave, or how long he was going to be touring. However, the same issue of vial sizes plagues that question-- once opened, they have to be used or discarded in 6 hours. There would have been no incentive to try to "save over" an opened bottle, because CM could simply order more trays of 20cc vials instead of big ones. <br /><br />The choice to order large 100cc vials was deliberate-- he had at least 2 size choices. A 20cc vial of generic propofol costs our hospital $1.33, and a 100cc bottle costs $9.43. These are wholesale prices, NOT RETAIL. Lopez' pharmacy would have marked it up, but even if he tripled or quadrupled the price, that was "peanuts" in the big scheme of how much money was available. We don't know if CM himself paid out of his contract fee, but I'm betting he did (or thru his NV clinic billing), because if AEG company had set up the billing at the pharmacy, we would have heard about it.<br /><br />So, I don't think he ordered ENOUGH if he was stockpiling for a long tour. <br /><br />And I agree with Sprocket that IF there was a stockpile at the girlfriend's home, or in the mansion, it would have been found by search warrant or family. AND Murray himself would have been shouting it to the rafters that he DIDN'T give very much to MJ-- "see the big pile of unopened vials?? Here they are!"KZnoreply@blogger.comtag:blogger.com,1999:blog-6757696342634699253.post-43927729748255594342011-01-25T18:46:26.805-08:002011-01-25T18:46:26.805-08:00Just wanted to thank the writer for
all your work ...Just wanted to thank the writer for<br />all your work in putting together<br />this terrific series. So happy I<br />found it. Informative, accurate,<br />complete...excellent.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6757696342634699253.post-64056713197030064702011-01-25T17:47:06.226-08:002011-01-25T17:47:06.226-08:00Stockpiling for England?
Interesting. Now I see w...Stockpiling for England?<br /><br />Interesting. Now I see where the "stockpiling" is going. <br /><br />IF SO, where are the drugs? Did Dr. Murray keep them at his girlfriend's pad? If he kept them at MJ rented mansion, I would think they would have been found in that large "closet" off the "treatment" room.<br /><br />There were 12 unopened bottles found there with the other items.<br /><br />I would think that, if LE did find a stockpile of propofol, it would have been found by either a search warrant, or the family found it when clearing out the rented mansion, and hopefully, turned it over to LE. We may never know until trial.<br /><br />However, with that being said, from what KZ has explained about propofol, and it's very short "shelf life" once a bottle has been opened, I can see how Dr. Murray would need lots of propofol to keep Jackson unconscious for 8 hours at a time.Sprockethttps://www.blogger.com/profile/03837416113512618694noreply@blogger.comtag:blogger.com,1999:blog-6757696342634699253.post-27889481967318901462011-01-25T17:33:06.389-08:002011-01-25T17:33:06.389-08:00Thank you so much KZ and Sprocket, your work is br...Thank you so much KZ and Sprocket, your work is brilliant and very much appreciated.<br />I've read that a doctor-friend of MJ's in England (Dr. Susan Etok) said he asked her to get propofol for him, but she said no. I was wondering if maybe CM could have been ordering extra drugs and stockpiling them to take to England with them. Is that a possible scenario?<br /><br />Sandy LAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-6757696342634699253.post-8731718167169530072011-01-25T16:59:20.108-08:002011-01-25T16:59:20.108-08:00In addition, paramedic firefighter Richard Senneff...In addition, paramedic firefighter Richard Senneff who testified at the preliminary hearing, also described the pajamas that Michael Jackson was wearing when he first entered the "treatment" room and saw him.<br /><br />The both saw the pajamas.<br /><br />When a body is delivered to the coroner with clothing/ items attached, it's my understanding those individuals who removed the articles (clothing, etc.) at the coroner's office would write the report to describe the clothing.<br /><br />I don't believe the coroner does that.Sprockethttps://www.blogger.com/profile/03837416113512618694noreply@blogger.comtag:blogger.com,1999:blog-6757696342634699253.post-33015607120389466432011-01-25T14:22:19.257-08:002011-01-25T14:22:19.257-08:00Anonymous at 2:04 pm.
No one is lying.
Alvarez ...Anonymous at 2:04 pm. <br />No one is lying. <br /><br />Alvarez saw MJ in the BEDROOM of the mansion, before paramedics arrived. The language in the autopsy report was generated a day or 2 later in the office of the Coroner, after resuscitation attempts at the hospital failed to revive MJ. The body was nude, which is not surprising from the hospital resuscitation, and preparation of the decedent's body for transport to the morgue.<br /><br />Resuscitation attempts in the ER included the extraordinary measure of an intra-aortic balloon pump, which was inserted in the groin vessels. You don't wear underwear during placement of an IABP. He also had multiple femoral blood sticks and IV attempts. No undies during those, either.<br />~KZKZnoreply@blogger.comtag:blogger.com,1999:blog-6757696342634699253.post-19632660787864259812011-01-25T14:17:09.246-08:002011-01-25T14:17:09.246-08:00Anon @ 2:04pm
Jackson's body was taken to the...Anon @ 2:04pm<br /><br />Jackson's body was taken to the emergency room at UCLA hospital before taken to the morgue.<br /><br />It's a good bet that while in the ER any clothing he was wearing was "cut off" of him there. That's pretty standard for people coming into the ER in his condition. It's not always like what you see on TV shows.<br /><br />Once the clothing is removed from the body, it does not go to the coroner's office. It would go to the LAPD crime lab.<br /><br />The coroner's office only collects and examines items that are with/ on/ attached to the body when they collect it (such as, like at a crime scene).Sprockethttps://www.blogger.com/profile/03837416113512618694noreply@blogger.comtag:blogger.com,1999:blog-6757696342634699253.post-79834277143726234192011-01-25T14:13:42.360-08:002011-01-25T14:13:42.360-08:00Hello everyone, and thank you to all for your ques...Hello everyone, and thank you to all for your questions and kind words! I must apologize for being away--my real life has been very busy the last 48hours! I have a bit of time now, and will return later this evening to try to elaborate on Sprocket's answers-- and may I say most of her answers were very close to what I would have answered! (Sprocket rocks!)<br /><br />One question I have a minute to address is the issue of whether or not propofol is "addicting". The DEA and FDA have weighed in on this. Due to an alarming number of deaths of health care providers, and large numbers of reports of propofol abuse among health care providers, these agencies were persuaded to formally address the issue. The Anesthesia and Analgesia article imbedded in the Part 2 article (in the part about blood levels) is excellent. If you haven't had a chance to read the whole A & A article-- I HIGHLY recommend it. <br /><br />DEA compiled reports from the health care industry, commissioned studies, sought comment, etc.It is a very complicated process to schedule a drug under the Controlled Substances Act that is not a narcotic. October 10th, 2010, Propofol was moved onto the list of controlled substances in the U.S. as a "schedule IV" substance. (The same as benzodiazepines.) The initial petition to schedule propofol was filed just 68 days prior to MJ's death, so it took 1 1/2 years to go thru the process. Some of my colleagues tell me that is LIGHTNING fast for DEA and FDA to act! <br /><br />However, IMO, it would not have made a single bit of difference in 2009 if propofol had already been a controlled substance, because CM had the proper credentials to obtain controlled substances legally. I'll talk about this more in part 4, and answer the reader's questions above about CM's orders from the compounding pharmacy not attracting attention.<br /><br />Unquestionably, benzodiazepines are addictive substances-- there was a comment above that I think hinted that perhaps benzo's aren't addictive. They are some of the hardest drugs to get off of, once physical dependence occurs.<br /><br />I will write a lot more about the issues of psychological dependence, physical dependence, and tachyphylaxis, which is the physiology of tolerance to meds. One of the dominant systems involved is the cytochrome P-450 enzyme system in the liver (google it), which, essentially kicks into high gear and becomes more efficient at removing drugs from the body. <br /><br />So, it takes an increasing amount of drug to achieve some effects, like pleasure or euphoria, but other effects, like respiratory depression, remain a high risk that is compounded by poly-pharmacy. Drugs interact, and some are synergistic, such as benzodiazepines and propofol. <br /><br />Hope that answers some questions! I'll be back later.<br />~KZKZnoreply@blogger.comtag:blogger.com,1999:blog-6757696342634699253.post-1237864663302270692011-01-25T14:04:39.526-08:002011-01-25T14:04:39.526-08:00Hm...Alvarez says " underwear". The repo...Hm...Alvarez says " underwear". The report says: "The body was no clothed and no clothing is available for review". Somebody lies!!!!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6757696342634699253.post-55016504624298982432011-01-25T11:16:28.047-08:002011-01-25T11:16:28.047-08:00GB:
I have to check testimony. Did Dr. Murray te...GB:<br /><br />I have to check testimony. Did Dr. Murray tell detectives 50 "cc" or 50 "mg" ??? Big difference.<br /><br />If he was stockpiling it, where were all he empty bottles? (255 ordered) from a massive infusion at one time on the morning of June 25th?<br /><br />Dr. Murray made an attempt to clean up the scene by instructing Alberto Alvarez what to do. However, all the items Alvarez testified he collected under Murray's instructions were located in the adjoining closet/room by the coroner's investigator days later. <br /><br />Dr. Murray told detectives in the taped interview that he was giving MJ propofol every night for eight weeks. Although he STATED that he was giving him only 50 (cc's? mg's?) a night, we know that can't be true because of the amount found in Jackson's body at autopsy.<br /><br />It it was true that he was ONLY giving Jackson 50(cc's? mg's?) a night, why order the 100ml bottles? Once opened propofol bottles pass the six hour shelf life, it has to be discarded. <br /><br />Hope that answers your questions.Sprockethttps://www.blogger.com/profile/03837416113512618694noreply@blogger.comtag:blogger.com,1999:blog-6757696342634699253.post-77984373965514209262011-01-25T11:05:03.704-08:002011-01-25T11:05:03.704-08:00@ KZ: Do you think it's possible that Murray w...@ KZ: Do you think it's possible that Murray was stockpiling the propofol instead of actually using such large quantities?<br /><br />Martinez said "50mg maximum."<br /><br />GBAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-6757696342634699253.post-12546213884459916182011-01-25T09:44:39.632-08:002011-01-25T09:44:39.632-08:00Thank you KZ. Your in-depth information and the ti...Thank you KZ. Your in-depth information and the time it must have taken you to put it all together is much appreciated. Thank you also sprocket & T&T. <br /><br />Do I understand the following things correctly?<br /><br />If all the orders were being used, 50mg "maximum" is incorrect. That would refer to the initial injection only?<br /><br />"He had to look at his watch to calculate..."<br />Would/could this be 2.5cc over 25 minutes via IM injection? <br /><br />Would seem to be a lot of waste of the 20cc vials if these were used for the initial injections. Is it possible the remainder of each of the 20cc vials was added to the IV bag?<br /><br />The first order was perhaps a "test" order?<br /><br />While this is all shocking and sickening, I feel the empty O2 tank is of significant importance.<br /><br /><br /><br />GBAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-6757696342634699253.post-76856420659811307382011-01-25T08:13:33.549-08:002011-01-25T08:13:33.549-08:00Not KZ but I will try to answer some questions.
...Not KZ but I will try to answer some questions. <br /><br />Anon @ 1:05 am:<br />Not "everyone" defecates when they die. If there is little to nothing in the large intestine (colon) then there would be nothing to pass. <br /><br />Dark Sky:<br />In a nutshell, yes. That would explain the huge amounts of propofol.<br /><br />As to the second part of your question, I'm not positive. If I'm remembering correctly from testimony, either the coroner or Dr. Ruffalo talked about the body's ability to learn to "clear" a drug faster from the system via the liver. There is a special name for this; I can't remember what it is, but it's well known in the medical field. <br /><br />Propofol is a drug that clears from the body pretty quickly anyway, which is why you need a continuous infusion of it, to keep someone sedated. There are calculations that must be done, using the individual's body weight, to determine "how much" of the drug is needed to keep a person sedated. I believe that's correct. <br /><br />When KZ has time, she will have the correct answers to all questions.<br /><br />tiya:<br />I believe the coroner stated that although MJ appeared thin, he was "within the range" of accepted height/weight ratios. I would have to go back and check testimony to be sure.<br /><br />The coroner testified that he was in generally good health when he died. He did not have any underlying, unknown medical condition that would have caused his death.<br /><br />I don't believe the autopsy mentioned anything about drinking alot, using drugs, or anorexia. I'm sorry, but I have not read the autopsy report. I did not even know if I would be covering the prelim until the afternoon of Monday, Jan 3rd. There is quite a bit about the case reported in the media before the prelim that I don't know.<br /><br />Jackson did not die of alcohol poisoning. <br /><br />Although he did die of a drug overdose, (propofol and benzodiazapines: drugs that supress respiration) but it was not narcotic, addicting type drugs. <br /><br />Jackson was not anorexia-thin to the point where it would kill him. Although you do hear about anorexia cases where the individual dies, those are cases where the person weighs less that 80-90 pounds and doesn't eat.Sprockethttps://www.blogger.com/profile/03837416113512618694noreply@blogger.comtag:blogger.com,1999:blog-6757696342634699253.post-3749011874242003602011-01-25T07:50:59.570-08:002011-01-25T07:50:59.570-08:00I have a question about autopsy reports. I was str...I have a question about autopsy reports. I was struck by the MJ autopsy report that stated he was generally a healthy, 50 year old male. Yet he weighed only 136 lbs for his height, had a BMI of 20, used drugs, drank alot, and was known to periodically have issues with anorexia. His extreme thinness, evident in the This Is It movie, was alarming.<br /><br />Given all this, KZ and Sprocket, do autopsy reports only give baseline measures? So a thin man with MJ's numbers could be at the lower end of the range for his height? Or rather, what are they responsible for reporting? <br /><br />Thankstiyanoreply@blogger.comtag:blogger.com,1999:blog-6757696342634699253.post-33894095621745499032011-01-25T01:57:19.089-08:002011-01-25T01:57:19.089-08:00Another question I thought of... I'm not very ...Another question I thought of... I'm not very good at figuring medication dosages and usage, but if Michael was being put "down" every night for 8 hours or so for 8 weeks; would that explain the large quantity of propofol ordered?<br /><br />Also, is propofol a type of drug that a person can build a tolerance to... which would require more as time goes on to get the same effect?<br /><br />Thanks again!DarklySkyhttps://www.blogger.com/profile/12000899245653554832noreply@blogger.comtag:blogger.com,1999:blog-6757696342634699253.post-24727704168924720622011-01-25T01:05:02.948-08:002011-01-25T01:05:02.948-08:00When a person dies they deficate not only urine, b...When a person dies they deficate not only urine, but they ooze from their rectum. It is impossible for a chux to have remained clean. That shows that CM was doing things and staging things.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6757696342634699253.post-69690457911241788562011-01-24T21:10:12.709-08:002011-01-24T21:10:12.709-08:00I have been an ER RN for 29 years. I am just astho...I have been an ER RN for 29 years. I am just asthonished by what MJ was doing in his home. The amount of Propofol being ordered by CM is just "Jaw dropping" KZ you are doing an excellant job. I look forward to reading more. I'm hoping as you're moving along that you mention the value of a good RN. In my practice I have never ever seen a cardiologist start an IV, maintain an IV, or even do CPR. I'm just amazed that MJ and CM would "play" with Propofol in the home setting.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6757696342634699253.post-11715850811040710952011-01-24T21:00:43.700-08:002011-01-24T21:00:43.700-08:00Dear Ronni:
Various medical reasons cause persons...Dear Ronni:<br /><br />Various medical reasons cause persons of varying ages to wet the bed. MJ was such a physical and psychological mess, so who knows.<br /><br />The man was weird enough to have worn it just so he would not have had to trek to the bathroom.<br /><br />Maybe he got tired of diapers.<br /><br />Who knows.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6757696342634699253.post-79181118520941422032011-01-24T20:07:33.919-08:002011-01-24T20:07:33.919-08:00Not KZ here, but I'm trying my hand at answeri...Not KZ here, but I'm trying my hand at answering a question.<br /><br />Athena:<br />I don't see why Dr. Murray would "reuse" propofol. He had a ton of it at his disposal. Still had 12 unused bottles when FLEAK went back to the house. Even if all 12 were the smaller 20ml bottles, that's still a lot of propofol.<br /><br />I believe the respiratory failure happened first, then cardiac arrest. From my understanding, that is supported by the autopsy. Hopefully KZ can answer if sepsis would create respiratory failure.<br /><br />Dark Sky:<br />Any investigation in Applied Pharmacy Services would be (I believe) on the Las Vegas end, and not necessarily as part of this investigation.<br /><br />From the preliminary hearing, the Pharmacist did the due diligence he was required to do: verify the individual was allowed to purchase drugs. Remember, the first shipment ordered was delivered locally to Dr. M's Las Vegas clinic. When the delivery person got there, Dr. M asked that part of the order, the propofol, be forwarded to his "clinic" in Santa Monica.<br /><br />I don't know the laws (KZ might) regarding state to state drug purchases/shipments. Time will tell if the owner is or was under investigation for shipping drugs out of state.<br /><br />I hope we get some more questions from our readers. KZ has put quite a bit of her personal time and knowledge into bringing everyone this synopsis, even taking some photographs herself.Sprockethttps://www.blogger.com/profile/03837416113512618694noreply@blogger.comtag:blogger.com,1999:blog-6757696342634699253.post-47223667127293477442011-01-24T19:52:02.390-08:002011-01-24T19:52:02.390-08:00Thanks KZ, much appreciated.
AnneThanks KZ, much appreciated.<br /><br />AnneAnonymousnoreply@blogger.com