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    ER doc: Jackson physician never mentioned propofol

    LOS ANGELES (AP) — Michael Jackson was clinically dead when he arrived at a hospital and two emergency room doctors said they thought it was futile to attempt to revive him. His doctor, however, insisted that they try.

    Both doctors, testifying at Dr. Conrad Murray's involuntary manslaughter trial Monday, said Murray failed to tell them that he had been giving Jackson the anesthetic propofol or when Jackson had been medicated or stopped breathing.

    "He said he did not have any concept of time, that he did not have a watch," said Dr. Thao Nguyen, a cardiologist at Ronald Reagan UCLA Medical Center, where Jackson was taken on June 25, 2009.

    "Dr. Murray asked that we not give up easily and try to save Michael Jackson's life," she said. "...In Dr. Murray's mind, if we called it quits, we would be giving up easily."

    Nguyen said Murray "sounded desperate and he looked devastated." But, she said, without knowing how much time had passed since he stopped breathing, resuscitation was a remote hope.

    "It was not too little too late," she said. "It was a case of too late. I feared that time was not on Mr. Jackson's side."

    Murray, 58, has pleaded not guilty. Authorities say Murray administered the fatal dose and acted recklessly by providing Jackson the drug as a sleep aid at his home when it is supposed to be administered in a hospital. The defense argues that Jackson gave himself an additional dose of the drug when Murray was out of the room.

    Nguyen and Dr. Richelle Cooper, who oversaw Jackson's care in the emergency room, said Murray never mentioned that he had given the singer the propofol. They said he told them that he had given two doses of lorazepam, also known as Ativan, trying to get him to sleep.

    "Did he ever mention propofol to you?" Deputy District Attorney David Walgren asked Nguyen.

    "Absolutely not," she said in a firm voice.

    Before leaving the stand, Nguyen said, "I've never heard of propofol being used outside of a hospital."

    She said at least three medical personnel, including an anesthesiologist, should be present when the drug is given. Walgren asked her: "Have you ever heard of propofol being used in someone's private bedroom?"

    Nguyen replied: "That would be a first. I've never heard of it."

    In cross-examination, defense attorney Michael Flanagan was able to get Cooper to say that, even if they had known about the propofol, they could not have saved Jackson's life.

    "Michael Jackson had died long before he became my patient," she said. "It is unlikely with that information I could have done something that would have changed the outcome."

    She also said that the amount of propofol which Murray has since claimed he gave Jackson would not have put him to sleep and would have dissipated from his body in five to seven minutes.

    Murray claimed he administered 25 milligrams. An autopsy showed that he died of an overdose of the drug.

    Cooper said Jackson was "clinically dead" by the time he reached the hospital and she had advocated pronouncing him dead at his home when she received radio calls from paramedics describing his condition.

    "Mr. Jackson was my patient and I didn't really have an explanation of why he was dead. I knew it would be a coroner's case," she said and suggested he should have been pronounced dead at 12:57 p.m. when the radio call came in.

    But she yielded to Murray and Jackson was brought to the emergency room where more than 14 people worked on the effort to revive him.

    "My assessment when he arrived was he was clinically dead and given the time — it was about an hour — I thought the attempt at rescue would be futile," Cooper said. She has said more than an hour of resuscitation efforts at the hospital did nothing to improve Jackson's condition.

    Cooper also told jurors about trying to speak to Jackson's children after he was pronounced dead at the hospital at 2:26 p.m. "They were crying," Cooper said. "They were fairly hysterical."

    Murray's phone records are a central part of the prosecution case. Two staffers from cell phone providers identified records of his calls on the day of Jackson's death.

    Prosecutors intend to show records of Murray's phone calls and emails from the hours before Jackson's death to show that Murray had other things on his mind — getting his $150,000 a month deal to serve as Jackson's personal physician approved, running his medical practices and fielding calls from mistresses.

    One of Murray's former patients, Las Vegas salesman Robert Russell, detailed one of those calls for jurors last week and the phone traced a call to his number.

    Later in the case, prosecutors will further detail calls and messages Murray fielded that day, including several the physician apparently made to his girlfriend as he rode in the back of the ambulance on the way to the hospital.

    ___

    AP Entertainment Writer Anthony McCartney contributed to this report.

    ___

    Anthony McCartney can be reached at http://twitter.com/mccartneyAP

     

    93 comments

    • susan  •  7 mths ago
      No amount of money should influence a Doctor to do anything that is morally, ethically or illegally wrong when it comes to a patient's care. They take an oath of ethics and those ethics should dictate how a patient is taken care of, no matter how wealthy the patient is. If Jackson had been told "no" by the doctors that came in and out of his life, then he may still have a life. Whose fault is it...Jackson's for asking or the doctor's for saying "yes" to propofol? Doctors' ethics should be priceless.
      • Richard 7 mths ago
        Says it all. This guy was greedy too. Read he wanted 5 million a year but the Jackson team refused. Then he wants to resuscitate a man who's presumably been dead for an hour! What did he think he would revive even if something like "physical" or reflexive revival was remotely possible? I'm curious if doctors are still required to take the Hippocratic oath today. For money alone this "doctor" became the personal servant of a Rock star while he reputedly ignored his other patients who tried to contact him on the phone.
      • susan 7 mths ago
        We set the medical community at a very high standard, and rightly so. We, as patients, put our lives in doctors' hands and expect them to do all that is humanly possible to preserve life. When any doctor can be bribed to set aside ethics and safety for the right amount of money, then that doctor should no longer be allowed to practice medicine. The doctor has misused his power to heal, and in this case, caused the death of someone who was so desperate for sleep that they had no ability to make good decisions for themselves. That is when we need a doctor the most, when we can not make good health decisions for ourselves. This doctor, along with probably many others, failed Michael Jackson and failed to uphold the hippocatic oath.
    • Quite A Dude  •  7 mths ago
      Whether Jackson opened the IV increasing the propofol or not, Dr. Murray is culpable and responsible for his death. You don't ever ever leave a patient alone for one moment when he is hooked up to an IV loaded with Propofol. That is medicine 101. Murray is toast...
      • Patriot 7 mths ago
        Why do I think, "affirmative action at work here?"
        Back in '86 I was a building contractor adding a large addition to a black Baptist church. The architect worked full time on a Army post as a civilian worker and belonged to, and "drew" the plans for this church, He had no clue and was constantly asking, "how do we do this?" I finally asked him how he got his license.
        Non plussed, he replied,"schooled by/with affirnative action, 5 years intern in a white firm afraid to fire him and passed a "curved" license exam.
        I can only imagine this is what happened with Murray.
        Remember, that doctor, lawyer, CPA, engineer or architect you hire may have been at the BOTTOM of their class....
        I've seen grading and drainage plans where the engineer must have thought water ran uphill and had sidewalks higher than the front door. That's right, a catch basin at the highest grade instead of the lowest. And doors you wouldn't have been able to open. And curbs laid out directly over man hole covers, and final grades a foot below mean high tide on $500K riverside condos......and on and on.
      • mia 7 mths ago
        Patriot, all I can say is you are such an idiot.
    • Lindsay  •  7 mths ago
      Dr. Murray should absolutely be on trail! If you know anything about propofol you know that this physician's actions were completely reckless. You DO NOT give that medication to a person who is not on mechanical ventilation. There is absolutely no clinical indication for MJ to have received propofol. His actions were grossly negligent and ultimately resulted in a patient’s death, which warrants a criminal trial. Based on his actions, this doctor would be on trial no matter who the victim was, superstar or not.
      • b 7 mths ago
        Had he been addicted to propofol, there would be a clinical indication for MJ to have received it -- to avoid acute withdrawal symptoms.

        This should be nothing more than a malpractice case.
      • Lindsay 7 mths ago
        Highly unlikely that he would have developed acute withdrawal symptoms from intermittent dosing. Propofol withdrawal usually only occurs in patients who have had continuous dosing over 1-2 weeks.

        Regardless, this drug should never be administered outside of the critical care/operating room setting. It was an egregious deviation from the standard of care, and criminal charges are completely warranted.
      • Pin in your Red Balloon 7 mths ago
        Well, I have had surgery before and not put on a ventilator (and propofol was used to put me out); so I don't buy that crap.
    • Felicia  •  7 mths ago
      Secondly based on the trial I would bet that Michael died hours before he was pronounced and as an assistant to nursing administration who have participated in hundreds if not thousands of codes the paramedic said that on initial examination he was cool to touch, tuning blue--he was dead and had been dead long enough that he was cold....so sad!
    • petal  •  7 mths ago
      Why were the children taken to the ER with the dead body of their father? Who thought THAT was a good idea? Dear God.
      • astrid 7 mths ago
        I didn't get where it said they rode *with* him. I totally understand them being at the ER, though.
    • Felicia  •  7 mths ago
      I am 53 years old, I have worked in the medical field for 34 years. What this man did was wrong and it does not matter to me whether it was Michael Jackson or anyone else he should loose his license to practice, he should pay a stiff penalty, and he should go to jail. Doctors take an oath to heal, to save lives, he is in the same boat as a pusher on a street corner. I pray that the children will somehow heal....thats not the way they should remember their father. The love of money is the root of all evil.
      • Orly 7 mths ago
        this was a deadly mistake the doctor did, heavy penalty does not cut it,,he be jailed for his greed!!!
    • Kenneth R...The Barefoot ...  •  7 mths ago
      He thinks Non Disclosure will be his saving Grace...He thought Very WRONG INDEED!!!!
      I Pray real Justice will be served. he took on a job he was totally untrained and unprepared to accomplish .. The end result of Greed was the Death of Michael Jackson
      may JUSTICE be served!!!!!!!
    • Kristine  •  7 mths ago
      What doctor doesn't know how to give a patient CPR and call 911 for help.
    • King Julian  •  7 mths ago
      I have been under propofol during surgery, once that stuff hits your vein it is lights out. Basically they have you on life support when on this stuff during surgery as your brain is not awake beyond electrical impulses. There is no way even if Michael J woke up could give himself this stuff again you are so dazed hrs after you begin to wake up. Got to admit though your not feeling any pain while sleeping literally. Docs gotta come up with a better one than that!!
    • susan  •  7 mths ago
      I know I wouldn't want to be treated by a Doctor whose ethics could be breached or bought for the right dollar figure.
    • anon  •  7 mths ago
      "Prosecutors intend to show records of Murray's phone calls and emails from the hours before Jackson's death to show that the singer had other things on his mind — getting his $150,000 a month deal to serve as Jackson's personal physician approved, running his medical practices and fielding calls from mistresses."

      (quoted from the article ^ )

      Good old Yahoo Newz. I didn't know MJ was running a medical practice. Or, is it that the Doctor Murray was also a singer on the side? Or, is it that Yahoo does not employ proof readers?
    • Telestai  •  7 mths ago
      According to the article above, "Prosecutors intend to show records of Murray's phone calls and emails from the hours before Jackson's death to show that the singer had other things on his mind — getting his $150,000 a month deal to serve as Jackson's personal physician approved, running his medical practices and fielding calls from mistresses." Shouldn't this article state that MURRAY, not Jackson, "had other things on his mind"? The AP might want to consider remedial education for some of its reporters.
    • joe  •  7 mths ago
      If nothing else, this doctor should not be allowed to ever practice medicine in the U.S. again.
    • Lane  •  7 mths ago
      So Murray is ok for giving Jackson meds that are only to be used in hospitals or administered by a doc, because Jackson would have found someone to do it? Have you folks heard about ethical codes? Murray violated these and the law....he should be held accountable for his part in Jackson's death.... he contributed to it and is now paying for his part!!!! Money doesn't make everything ok...Jackson's life is a clear example of this !!!
    • RichL  •  7 mths ago
      A little Ni-Quil might have worked, why pay a GON money for his stupidity. This is not a doctor, but a part of what's wrong with America
    • b  •  7 mths ago
      I believe if the deceased was not of celebrity status, this would be nothing more than a wrongful death/malpractice case.
      Was the deceased addicted to Propofol long before his final doctor was briefly on the scene?
      If so, would it's use be indicated to avoid acute withdrawal symptoms which can be serious?
      Did the deceased refuse hospital admission? -- the proper place for a highly trained staff, and facilities for monitoring. Were there other health issues to consider?
      Standard CPR procedures on a frail patient with a chronic illness can lead to fractured ribs as well as vomiting with aspiration.

      I believe too many people are rushing to judgment on what may be a very complicated case.
    • dadofjay  •  7 mths ago
      POS
    • john  •  7 mths ago
      Look simple you never go to a black doctor ever never. You find a Jew they are smart and make very good doctors; now if you want to cook some fried chicken with some greens then you call a black person. MJ only has his shelf to blame for being dumb to hire this coon.
    • Solari  •  7 mths ago
      Even if he had told Michael Jackson no, another Dr. would have been glad to take his place and he knew it, that Dr. aided in the suicide of MJ, but only if he issued a warning to MJ if not he knew how dangerous that drug was, yet he was money hungry so he gave in to MJ's insistance, if he didn't give MJ any warnings then it is murder...if nothing else he is 50% at fault..MJ has to share in the blame as well...
    • Warm Beer  •  7 mths ago
      I'm sure it just slipped his mind ... just like it slipped into his pocket (as testified by the paramedics)
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