TMZ

Our TV Shows

Got a Tip?

Call TMZ at (888) 847-9869 or Click Here

Michael Jackson's Autopsy Doc

MJ Didn't Kill Himself

10/11/2011 12:37 PM PDT BY TMZ STAFF

101111_dr_murray_v2_video
The doctor who declared Michael Jackson's death a homicide claims it's extremely unlikely the singer killed himself with a deadly dose of Propofol -- insisting Dr. Conrad Murray is more likely to blame.

Dr. Christopher Rogers just testified -- Murray's description of the final moments leading up to Michael's cardiac arrest just doesn't add up.

Murray claims he left for two minutes to go to the bathroom -- and when he returned, Michael wasn't breathing. The defense will argue MJ self-administered a deadly dose of Propofol in that time.

But Rogers insists ... Murray's scenario is nearly impossible -- because in that two minute window, MJ would have had to wake up (under the influence of several powerful sedatives) and skillfully administer the deadly dose ... which would then have had to travel to his brain, causing him to stop breathing.

What's more likely, according to Rogers -- Murray administered several doses of Propofol in the hours leading to Michael's death without properly measuring them out ... resulting in an overdose.

update_bar
4:05 PM: Rogers seemed to soften his initial position during cross-examination -- claiming it's unlikely MJ injected himself with a deadly dose of Propofol ... but it's still possible.

1011_murray_scenario_sub_launch

50 COMMENTS

No Avatar
16.

Dose Of Reality    

Remember stuper fans, if Murray is acquitted for ANY reason, let's say a clerical error, you must be ready to defend his complete and total innocence for anything he has done. It's only fair.

1087 days ago
17.

samantha    

I mainly want to thank TMZ for allowing this non commercial witness by witness for the trial. Was trying to watch it on another program but was so upset with all the commercials right at the time a witness went to answer a question. grrrr
I personally have my opinion but I am not on the jury just hope they see it my way

1087 days ago
18.

John the Lawyer    

Don't over blow the "softening" or "change," ANYTHING is "possible." The question is whether it is probable or not. It's POSSIBLE that Jackson was killed by space aliens that stepped on a propofol bag. It's HIGHLY improbable, but it IS possible. The prosecutor will do that on redirect. And where is Beckerman, he should explain this, it's his job lol

1087 days ago
19.

K    

So over this trial. TMZ please cover more stuff. I don't care about drug addicted MJ anymore.. We get it, MJ was a crackhead and his doctor helped him a little too much.

1087 days ago
20.

mymjj5.    


4:05 PM: Rogers seemed to soften his initial position during cross-examination -- claiming it's unlikely MJ injected himself with a deadly dose of Propofol ... but it's still possible.
___________________________________________________________
The bank roll of the culprits even have this doctor talking out of both sides of his blowhole!
Murray and the 2 minute drill does not add up.

If murray was gone for 2 minutes and found michael not breathing, why call Ms. Anding at all?

Perhaps Murray called Ms. Anding went into act 1, discon the call and then went to the bathroom. if this is true it's because michael was already dead and murray was trying to delude the time of death by calling ms. anding... next run half way down stairs yelling "get prince",,,,

Or Murray went to the bathroom came back saw michael not breathing, called Ms. Aanding as a cover that michael was still alive, went into act 1 and discon the call.....run halfway down stairs and yell "get prince"......

Or murray is lying about going to the bathroom period. Michael has been dead for perhaps 5 or 6 hours, and murray just did not care......He called ms. anding, went into act one then discon the call.....now run halfway down the stairs and yelled "get prince".....

If murray went to the bathroom, came back, saw michael not breathing, why do anything other than call 911 first?

after being poisoned by murray, Michael died in his sleep. perhaps murray fell asleep too for a while......woke up, went to the bathroom, came back, saw michael not breathing......and chose not to call 911......paid-off mission accomplished.

murray poisoned Michael and wanted to make sure he was dead.
All of Murray's immediate choices and actions were nothing more than a tacky, furtive, self serving series of farcical idiotic, dumbfounded-foolery.
Murray took no prevented action to protect or save michael's life. Yet the media is pulling out all the stops for a self proclaimed broke as a joke-!%$@*&!-like murray.......

1087 days ago
21.

mymjj5.    

Remember stuper fans, if Murray is acquitted for ANY reason, let's say a clerical error, you must be ready to defend his complete and total innocence for anything he has done. It's only fair.
____________________________________________________________
looky here...if justice fails the agencies, reptiles, and media machine that cares for murray's scabious mange will have to defend him.
It's their job.....................not Michael's fanbase.
The fans stand for & with Michael...........not murray.

btw: my apologies to all reptiles.......

1087 days ago
22.

mymjj5.    

Remember stuper fans, if Murray is acquitted for ANY reason, let's say a clerical error, you must be ready to defend his complete and total innocence for anything he has done. It's only fair.
___________________________________________________________
You've been reading a counterfiet bible haven't you? Michael was acquitted and yet you don't defend him. the media does not defend him. TMZ drives a stake in his legacy every single day. if let of the hook, why is it only fair for the fans to switch out and defend the &$$#@@# that took michael's life?????.........pleaszzzzz

1087 days ago
23.

Sincerity    

At this point, it seems as if the prosecution is doing a very good job of establishing Dr. Murray's negligence. If Michael Jackson was regularly consuming/abusing numerous presciption meds in addition to what he was regularly giving him then Dr. Murray was certainly responsible for making sure that whatever drugs he was administering WOULDN'T KILL HIM!!! Blaming other physicians at this point is "MOOT"!!! Dr. Murray was clearly aware of the situation but proceeded to give him "improperly" administered doses of Propofol, anyway!!! DR. MURRAY IS TOAST!!!

1087 days ago
24.

Vanessa     

Shame on TMZ... for displaying the autopsy photo of MJ. It was unnecessary, hugely irresponsible and clearly empathetic. Did you ever think about his family - especially his children? The photo will be on the net - indefinitely....

1087 days ago
25.

cali    

Dont underestimate an addict.............

Clinical Anesthesiology
ISSUE: MAY 2007 | VOLUME: 33:05
Propofol Abuse Growing Problem for Anesthesiologists
by Adam Marcus

One addict fell asleep at his desk so often that his lolling forehead became a perpetual bruise. Another was so desperate for a fix that he started trolling through sharps bins for discarded needles with traces of drug to inject.

The addicts were two doctors, an anesthesiologist and a family physician. Their drug of choice: propofol.

If that’s surprising, consider this: One in five academic anesthesiology training programs reported at least one case of abuse by physicians or other healthcare workers over the past decade, new research shows. The incidence of propofol abuse has risen fivefold over the last 10 years.

Propofol abuse ****ters careers and lives—and worse. Only a few cc’s more than what’s required to put a person to sleep can trigger fatal respiratory arrest. That threat is an insufficient deterrent for determined users; 40% of residents who reportedly abused the anesthetic died from the high—the peril of propofol’s exquisitely narrow therapeutic window.

“That’s the drive to use this drug. It’s amazing,” said Paul Wischmeyer, MD, an anesthesiologist at the University of Colorado Health Sciences Center in Denver. “People who have abused propofol say it’s pretty much their first-choice drug every time.”

Because propofol is such a short-acting substance, heavy abusers must inject it frequently to stay high—as many as 50 to 100 times during a using session is not unheard of, he said. Access to the drug is not a problem, as propofol is among the most widely used anesthetic agents in both hospitals and, increasingly, office settings. “It’s everywhere,” Dr. Wischmeyer said.

Dr. Wischmeyer became interested in studying propofol abuse in physicians after hearing the bin-fishing physician, who had since sought treatment for his addiction, describe his ordeal. Dr. Wischmeyer and his colleagues have conducted surveys on the extent of propofol abuse, and that of inhaled anesthetics, among academic anesthesiologists. Their work was presented at the 2007 annual meeting of the International Anesthesia Research Society, and has been accepted for publication in a major specialty journal.

Although many in academia are aware of propofol abuse, most anesthesiologists in private practice probably have not heard of the troubling phenomenon, Dr. Wischmeyer said. Yet, even if anesthesiology department heads know such a problem exists, the news hasn’t filtered down yet to the hospitals in which they practice. No formal system is in place for monitoring propofol, as there is for opioid drugs and other controlled substances, in 71% of programs the Colorado group polled. A statistically significant correlation exists between the incidence of propofol abuse and the lack of pharmacy control over the anesthetic, he added.

Drug abuse by anesthesiologists is hardly a new topic. The American Society of Anesthesiologists (ASA) has been addressing it for decades. The group pushed for gas scavenging and air recirculation technology with the hope of reducing the exposure to operating room (OR) personnel of anesthetic gases. In 2001, the ASA became alarmed enough about substance abuse that it designed a model curriculum for residency programs to combat the problem.

“Educating residents may be an effective
method for prevention of the disease and, through heightened awareness, will hasten identification and treatment of victims of the disease,” according to an ASA statement about the curriculum.

In order to gain accreditation, residency programs in anesthesiology must offer trainees at least some education on chemical dependence each year.

Lately, the lay press has picked up on the subject. Men’s Health magazine published an article last November titled, “The Junkie in the O.R.,” claiming an “epidemic” of drug-addled anesthesiologists “who are addicted to their own drugs.”

The article cited studies suggesting that “more than 400 drug-addicted anesthesiologists and residents may be working in operating rooms at this moment,” and that the specialty is disproportionately treated for addiction. (Experts interviewed for this article disputed that figure, saying the real number, although nearly impossible to determine, is probably much smaller.)

The story relied in part on findings from a group of researchers at the University of Florida who believe that anesthesiologists may be unwittingly driven to substance abuse through chronic exposure to aerosolized fentanyl and propofol exhaled by patients in the OR (Med Hypotheses 2006;66:874-882).

At least one case of propofol abuse or diversion—theft of the drug or its use by someone other than a patient—was reported in 20% of the nation’s 126 academic training programs in the specialty, according to one of the Colorado surveys.

Of the 29 cases reported to researchers, 16 involved residents and six were attending physicians; three were nurse anesthetists, and two were OR or anesthesia technicians, with two classified as “other.”

In the vast majority of cases, physicians who abused propofol dropped out of anesthesiology, the researchers found, with only three of 22 remaining in the field and seven leaving medicine entirely. Slightly more than half of all abusers completed a rehabilitation program, with four reports of relapse.

Deaths attributable to abuse were alarmingly common, with nine overall. The incidence of mortality was highest for residents, among whom six deaths (37.5%) were reported.

In a related study, Dr. Wischmeyer’s group conducted an online survey of the 126 anesthesiology department chairs about abuse of inhaled anesthetics among their personnel. Again, they found its incidence apparently growing, with 21 (23%) of the 90 department heads who responded to the survey reporting at least one case of abuse within the last 25 years; of those cases, 61% occurred since 2000. Residents and nurse anesthetists accounted for 43% and 21% of cases, respectively.

As before, mortality was far from uncommon, with six of 28 cases (21%) resulting in death. Dr. Wischmeyer noted that the apparent surge in cases of abuse over the past decade might be affected by recall bias. However, he added, “either way, it is alarming.”

Joel Wilson, MD, a resident in anesthesiology at the University of Colorado, who helped conduct the research (abstracts S-89 and S-92), said he and his colleagues are planning several additional studies. The group is particularly interested in trying to replicate the work of the Florida investigators, and hope to correlate prolonged exposure to propofol in the OR with elevated levels of the drug in blood and hair. “We also want to see if we can find a difference in pre- and postsurgery blood levels of propofol in residents working in the OR and try to determine if these levels are clinically meaningful,” he said.

Link to Emotional Trauma
Unlike abusers of alcohol or most other substances, propofol addicts are unable to function on the job, said Paul Earley, MD, medical director of the Talbott Recovery Campus, an addiction rehabilitation facility in Atlanta that specializes in treating doctors and other healthcare providers.

“It’s not a subtle drug,” Dr. Earley said. “It’s not like fentanyl or narcotics, where you can be slightly inebriated on the drug and even show up for work. Most of the time, you inject it and pass out.”

Talbott has seen a growing number of propofol abusers over the last two years, Dr. Earley said. Almost all of them have been anesthesiologists; the majority appear to be women. Many have admitted to a history of psychological or physical trauma, such as rape or childhood sexual abuse—which may help explain the drug’s appeal, Dr. Earley said. “What it’s best at is why it’s used in anesthesia—making people unconscious. It’s somewhat dissociative, and can lead to an out-of-body sensation.”

“Propofol is a drug that in a sense doesn’t get you high,” said Omar S. Manejwala, MD, associate medical director at the William J. Farley Center at Williamsburg Place, an addiction treatment clinic in Virginia that, like Talbott, also focuses on physicians. “It blocks out the world,”

In his experience, Dr. Manejwala said, nearly every propofol addict started injecting to overcome persistent insomnia. That aspect of the medication fits neatly with the link both Drs. Manejwala and Earley have observed between propofol abuse and a history of trauma. “One of the hallmark symptoms of post-traumatic stress disorder [PTSD] is hyperarousal. Folks with PTSD want to block that out,” Dr. Manejwala said.

What’s puzzling, experts said, is the strength of the connection. “I don’t know of any other drug where the perceived incidence of trauma, particularly of sexual trauma [in abusers], is so high,” Dr. Manejwala said. “It’s really quite remarkable.”

In fact, Dr. Earley suspects that the psychological factors that push certain people to misuse propofol may also underlie the difficulties they face in overcoming the addiction.

“I think we’re going to learn more about how to treat it, but there’s a window of time when our skill set is not what it could be,” he said. “We’re just now on the learning curve of figuring out how to treat these folks.”

1086 days ago
26.

sofi    

it's unlikely MJ injected himself with a deadly dose of Propofol ... but it's still possible.


Do i detect contradiction here?
Didn't he present the autopsy report?

1086 days ago
27.

janicebyrne    

Why is Conny's legal team carrying on with this charade? It's soooo obvious that Conny is guilty by neglect, incompetence, recklessness. abandonment and lies lies and more lies. Has any of Conny's "legal" team ever been to law school? Has any of them got a law degree? Can any of them even spell "law"? They, all three, look and sound soooo amateurish and totally unprofessional and all look and sound more suited to selling used cars. As for old "Flannelgan".... will he even live long enough to see the end of this trial? He looks and soiunds like a doddery old insurance salesman or double glazing salesman. What an embarrassment of incompetence they are. Conny said he left to room for 2 minutes (yeah right!) to have a pee and to empty out MJ's urine bottle so why was there a pic of a full urine bottle in the room after MJ died? Obviously Conny DID NOT empty it out. He was too busy yacking to a bunch of lady friends while his patient was dying or already dead.

1086 days ago
28.

dallasfan22    

THIS PHOTO NEEDS TO BE TAKEN OFF THIS WEBSITE, FOR GOD SAKE~ HIS CHILDREN HAVE ACCESS TO THIS. WOULD YOU WANT YOUR CHILDREN TO SEE AN AUTOSPY PHOTO OF THEIR PARENT~VERY DISRESPECTFUL AND TWISTED. I HAVE NEVER SEEN ANY OTHER CELEBRITY WITH THEIR AUTOPSY PHOTO SHOWN TO THE WORLD~THIS IS TASTELESS AND UNCALLED FOR. I PRAY TO GOD THAT HIS FAMILY AND CHILDREN DO NOT SEE THIS. THIS IS SOMEONE'S CHILD, BROTHER AND FATHER. TAKE IT DOWN PLEASE. I AM A BIG FAN OF MJ AND THIS MADE ME SICK TO SEE THIS POSTED, I AM DISGUSTED !

1086 days ago
29.

Kathy    

If doctor Murray did anything, we should thank him. MJ was a disgusting whatever (cannot consider him a human being). The same can be said about his fans.

1086 days ago
30.

donnah    

Murray voice give me the creeps. He sounds so satanic like. Kind of remind me of a Jim Jones type, who can catch people in his vortex. He misled MJ and his kids. I would give him 100 years.

1086 days ago
Previous 15 Comments | 1 | 2 | 3 | Most Recent | Next 15 Comments

Around The Web