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People vs. Dr. Conrad Murray

Anesthesiologist:

My Patients Fear Propofol

10/21/2011 8:00 AM PDT BY TMZ STAFF

Anesthesiologist -- Dr. Steven Shafer Testifies
Updated 10/24/11 at 8:49 AM

101911_doctor_still

**For today's testimony, click to continue below.**

Leading Propofol expert Dr. Steven Shafer --  the final witness for the prosecution -- told the jury,  Dr. Conrad Murray corrupted his patients ... because now, they're all terrified of Propofol.

He told the jury today -- "I am asked every day I'm in the operating room ... 'Are you going to give me the drug that killed Michael Jackson?'"

In his review of Dr. Murray's conduct, Shafer testified he found 17 "egregious violations" of standard medical care that contributed to the singer's death.

* Last Thursday, Shafer told prosecutors he was hired 20 years ago by the company that produces Propofol to calibrate the correct dosing for the drug.
* Shafer said the exact dosage of Propofol is crucial -- because even a slight discrepancy could be the difference between a patient sleeping for a few minutes, and one sleeping for several hours.
* Jurors then watched a video that showed how Propofol should be used in the OR. The clip showed nurses and doctors successfully reviving a patient -- played by an actor -- suffering from a cardiac arrest. Prosecutors were trying to show the jury Dr. Murray was not equipped to handle an emergency situation when he treated MJ.
* Shafer explained to the jury that Jackson probably died because his tongue blocked the back of his throat ... but could have been saved with a simple chin lift.

* As the video was played, Dr. Shafer gave a blow by blow how Propofol is administered.
* Shafer's key points:
-  Infusion of drugs should be done ONLY through a pump to avoid overdosing.
- "Informed consent" is not just a piece of paper but a process in which the doctor informs the patient of all the risks, benefits and alternatives.
-  A verbal consent is NOT binding.
- Record keeping is paramount
- If the patient stops breathing, the first thing a doctor should do... call for help.
* Shafer told prosecutors even when administering "a little bit" of Propofol, guidelines should be strictly followed because the worst disasters occur during sedation ... when doctors "cut corners."
* Shafer said Murray's treatment of MJ is both an "egregious" and "unconscionable" violation of standard care. 
* He also called the 15.5 liters of Propofol Murray bought -- about four gallons worth -- "an extraordinary amount" for one person.
* Shafer said Murray's lack of basic and essential monitoring devices are an egregious violation of care and contributed to MJ's death.
* The fact that Murray never kept any records is "unbelievable," according to Shafer.
* He said Murray "left the steering wheel" when he went to bathroom to relieve his bladder calling the doc "quite clueless."
* Shafer told prosecutors there is practically no research on Propofol use to treat insomnia ... adding, "We're in a pharmacological Never-Never Land."
* Shafer took a shot at his former colleague and friend, defense expert Dr. Paul White... telling the court he was "disappointed" to learn that  White thought MJ could have died from drinking Propofol. Shafer went over several studies on rats, dogs and even humans that show the drug doesn't work when it's swallowed.
*  Shafer also bulked at the defense's argument that Jackson may have caused his own death by swallowing 8 pills of Lorazepam ... because the toxicology report showed the amount of Lorazepam found in MJ's stomach was "trivial." According to his calculations, Murray would have had to inject MJ with 10 consecutive shots of 4 mg each to reach the the blood levels in the toxicology report.
* Dr. Shafer debunked another theory by the defense, telling jurors there is no way Jackson woke up and then injected himself with a fatal dose of Propofol. He said people don't wake up  "hell-bent" on grabbing the next dose, calling it a "crazy scenario."

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* Shafer said the only theory that fits is this: Murray started MJ on a 1000 mg Propofol drip at around 9 AM ... which caused the singer to stop breathing around noon.
* Had Murray been in the room he would have noticed MJ's breathing slowing down around 11:45 AM and could have saved him by stopping the drip.
* In a dramatic moment, Shafer demonstrated  to the jury how, he believed, Murray set up a Propofol drip ... inserting a Propofol bottle into an empty saline bag.
* Shafer said Murray never used an automated pump, which caused the anesthetic to drip at a dangerous rate. The defense claims Murray only gave MJ a single dose of 25 mg of Propofol with a syringe on the day the singer died.
* Defense attorney Ed Chernoff came out swinging during cross examination, challenging Shafer's testimony from Thursday in which he said there is no way Jackson killed himself with either Propofol or Lorazepam. "That's a bold statement isn't it?" Chernoff  "asked " ... "That's what I think happened," Shafer shot back. "Everything you said is an opinion..." Chernoff said... to which Shafer responded, "To say that one should not lie to UCLA Medical Center is my opinion."
* Chernoff  tried to discredit Shafer's testimony ... saying the IV tubing he used in his demonstration was not found at the scene. Shafer said Murray could have easily shoved it in his pocket before leaving MJ's room.
* Chernoff also pointed out Shafer used the wrong size syringe and IV bag in his demonstrations. Shafer brushed it off, saying he didn't think  "size mattered."
*  Chernoff also asked Shafer about his relationship with Dr. Paul White, the defense's Propofol expert... asking him if it's true that he nominated White for an "Excellence In Research" award. Shafer said he did.
* During his cross examination on Monday, Shafer told Chernoff it's hard to know the precise effect Propofol may have had on MJ because the singer had been given so much of it in the 2 months before he died.
164 COMMENTS

No Avatar
46.

Pegasus    

LIVE STREAM: Dr. Conrad Murray On Trial In Michael Jackson’s Death – Watch It Here LiveLIVE STREAM: Dr. Conrad Murray On Trial In Michael Jackson’s Death – Watch It Here Live
--------------------------------------------------------------------------------
Posted on Oct 20, 2011 @ 03:00PM print it send it
Sipa Press/WENNby Radar Staff

The explosive trial of Dr. Conrad Murray -- charged in the death of pop superstar Michael Jackson -- continues Thursday in Los Angeles, and RadarOnline.com is once again live streaming the proceedings, starting at 8:45 am PDT/11:45 am ET.

Dr. Conrad Murray Trial On A Break Friday After Week Of Damning Testimony

The defense will have its shot at cross examining the prosecution’s final witness -- Dr. Steven Shafer, an anesthesiology expert, who provided damning testimony against Murray earlier this week.

Conrad Murray Trial Recap: Defense Drop Claim Michael Jackson Killed Himself With Propofol

Murray -- Jackson’s live-in physician at the time of his death in June, 2009 -- is charged with involuntary manslaughter in the King of Pop’s death for allegedly giving him a deadly dose of the powerful anesthetic Propofol.

1068 days ago
47.

gayforliztaylor    

mj paid to escape his lies and hatred of joe jackson and the unfulfilled life/decades of failed physical changes/drug euphoria.


mj veins collapsed up and down his arm but he never overdosed or lost 15 pounds of weight and common sense.

1068 days ago
48.

MiMi    

Conrat had to have given MJ pure propofol with out saline. That is why there was no spike in the saline bag found hanging on the pole in MJ's room.

1068 days ago
49.

HumanNature    

Marie


ABSOLUTELY!!!!


WE CAN NOT BELIEVE ANYTHING THAT CAME OUT OF THAT "QUACK" MOUTH!!!

1068 days ago
50.

HumanNature    

THE MORE THAT I LISTEN TO THE MEDICAL TESTIMONY THE MORE THAT I WANT THE PROSECUTION TO CHANGE THE CHARGE TO MURDER 2!!!

1068 days ago
51.

MiMi    

AND there is no way Conrat gave MJ propofol nitely for two months.


MJ would have been dead long before June....

1068 days ago
52.

MiMi    


I don't think the charge can be changed at this stage of the game.

Have to look into that.

1068 days ago
53.

MiMi    


Unfortunately, there is no way the charge can be increased at this time.

1068 days ago
54.

MiMi    


Not sure HN.


I don't think all of it was ever recovered.

1068 days ago
55.

MiMi    

But DR Shafer did say the the amount ordered was consistant with the amount Conrat was giving Michael. I just don't see how MJ could have survived with that ridiculous set up Conrat used.

1068 days ago
56.

HumanNature    

Michael Jackson Manslaughter Trial: Conrad Murray Defense Witness Calls Prosecutor a "S***bag"


UPDATE 4 p.m.: Court has adjourned for the day and will resume Friday at 12:45 p.m. The defense, which had expected to start its case tomorrow, has yet to cross-examine Dr. Shafer.

UPDATE: 3:10 p.m.: White, who described Shafer as a friend and colleague, tells E! News that Deputy District Attorney David Walgren's treatment of the evidence has been "unethical and unconscionable." Shafer's testimony, however, has changed the way he thinks of him, White says. "I am going to take the high road, not the low road with him," he adds. "I was his teacher when he was a medical student. The truth will come out. It always does."

UPDATE 3:05 p.m. Pastor immediately called for a break after Murray lost his cool in response to Shafer using an actual infusion stand to demonstrate how Murray could have dosed Michael Jackson with propofol. "Can you believe that?" Murray whispered to Dr. Paul White, an expected defense witness. "What a s***bag," White told the media seated near him.

MORE: Propofol expert calls Michael Jackson's death an "expected outcome" of Murray's neglect

UPDATE 1:15 p.m.: Shafer also disputed the defense's contention that Jackson ingested eight 2-miligram tablets of lorazepam, the sedative that Murray's attorneys are now training their sights on, between 8 a.m. and noon on the day he died. The true amount was "much, much smaller," the anesthesiologist said. As far as the propofol went, Shafer added, Jackson had been given more than the 25 miligrams Murray told police he'd administered to the singer.

UPDATE 10 a.m.: Shafer said that injecting propofol into a vein with a syringe or finding an injection port would take a bit of "time and coordination." The Columbia University Medical Center doc noted that Murray told police that Jackson's veins were so unavailable he had started giving him IVs below his left knee.

UPDATE 9:20 a.m.: Dr. Shafer says there is "zero" chance Michael Jackson died from oral ingestion of propofol, citing tests that had been done on mice, piglets, dogs and monkeys. Shafer adds that there hasn't been a study on humans because "it was obvious" it wouldn't work because there would be no bio-availability. Plus, when ingested orally, Shafer said, the drug is quickly broken down by the liver. He cited a test on patients in Chile who showed "no sedation" after swallowing 200 or 400 miligrams of propofol.

UPDATE 8:55 a.m.: Dr. Steven Shafer takes the stand to continue his testimony for the second day under questioning from prosecutors.

UPDATE 8:30 a.m.: Jackson family members Katherine, Joe, Rebbie and Randy in the courtroom for this session.

Conrad Murray's team has a tough nut to crack today.

On day 14 of his trial on an involuntary manslaughter charge in the death of Michael Jackson, the defense will commence its cross-examination of Dr. Steve Shafer, an expert on propofol who on the stand yesterday absolutely castigated Murray's treatment of Jackson.

"The facts in this case, in my view...virtually none of the safeguards were in place when propofol was administered to Mr. Jackson," Shafer testified. He also called it "inexcusable" that Murray did not immediately call 911 the second he noticed Jackson in respiratory distress, especially considering Murray was apparently "clueless in what to do."

Deputy District Attorney David Walgren is expected to rest his case once Shafer steps down. Murray's camp has informed Judge Michael Pastor that they plan to call 15 witnesses and wrap their own case toward the middle of next week.

Read more: http://www.eonline.com/news/michael_jackson_manslaughter_trial/270524#ixzz1bMthwUOl


WHAT IS THIS!!!!


THE "QUACK" DEFENSE USING THEIR WITNESS TO ATTACK THE PROSECUTION!!


HEY "QUACK"


YOU ARE THE "DUMB AS A ROCK" S***BAG!!!

1068 days ago
57.

HumanNature    

TAKE THE STAND "QUACK"!!!

1068 days ago
58.

mj fan forever    

MURDERER!!!!!! YOU MUST PAY ROT IN IN DAMNED CELL MURDERER!!!!! DR SHAFER IS VERY VERY COMPETENT HE MADE SEE WHAT MURDERER DID BY THE THREAD AND SIGN AND THE DISGUSTING MURDERER WAS WRITHING ALL THE TIME MURDERER THIS IS JUST THE BEGINNING YOU MUST BURN IN HELL WHY THEY DIDN'T CHARGE HIM WITH MURDER WHY DON'T CHARGE HIM????? HE HIS A COLD BLOODED MURDERER HE IS NOT A DOCTOR IS INCOMPETENT CLUELESS I CAN'T THINK TO ALL THAT THIS HORRENDOUS DISGUSTING MURDERER DID MICHAEL WAS IN THE DIRTY HANDS OF THAT MURDERER WITHOUT KNOWING WHAT HE WAS DOING HIM HE COULD KNOW IT BECAUSE MURDERER DID NOT ALLOW HIM TO KNOW NO INFORMED CONSENT NO MEDICAL RECORDS HE COULDN'T CARE LESS ABOUT MICHAEL AND HIS HEALTH HE DID CARE ABOUT MONEY TO SATISFY HIS DIRTY VICES AND PAY FOR HIS WHORES!!!!!!! CONVICT THE MURDERER REVOKE HIS DAMNED LICENSE WHICH THEY SHOULD NEVER HAVE GIVE TO A MURDERER!!!!! LET HIM ROT IN HELL THE MURDERER!!!!! JUSTICE FOR MICHAEL JACKSON!!!!!!!

1068 days ago
59.

MiMi    

Go lick your pumpkin UW.


Oppps sorry, you do more than that to it.


Yuck......

1068 days ago
60.

Rusty Trichome    

Who was giving Michael Propofol before Dr. Murray was employed? How much was he getting, and who administered it? Dr. Murray claimed Michael asked for it specifically, didn't he? Or is the good doctor trying to cover the fact that he got Michael hooked on a lethal sleepytime tea, (make himself indispensable to Michael) and Michael died as a direct result of his ineptitude?

1068 days ago
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