Latest on MJJC

Murray Trial- Day 13- October 19th Discussion

Pulse oximeter used was completely wrong type to be using in this situation. Would perhaps be used by a paramedic, this type of setting was not suitable for this oximeter to be used.
 
Fecking 3g connection had gone down so cant watch it on my phone.thanks for updates
 
murray was such a cheapskate...no pump, no pulse ox, no airway equipment, no cardiac monitor and on and on...This is so infuriating.
 
What would be a proper monitor? In a proper monitor, MJ would have a oxygen saturation of 100%. When he stopped breathing, he had a respiratory arrest, the oxygen in his blood was being consumed since there was a reserve and the rate would be the same for 30-60 seconds. After, it would start to fall. When it starts to fall, alarms stats to go off, in 2-3 minutes. It makes it impossible to miss that the patient is in serious trouble and needs immediate restoring of air flow to the lungs.
 
OMG!!!!!

A simple device that would have alarmed CM, WOULD have saved Michael Jackson.

OMG! :(
 
this testimony is devastating.. i mean he IS a great witness but its devastating to hear that it was so easy to save MJ if he had the proper equipments...

witness says MJ would have been saved if there were a proper oxymeter with an alarm...
 
If CM had proper monitoring, could he have saved MJ's life? Yes.

Propofol lowers blood pressure; in the OR it is treated with saline or with drugs or turning down the infusion. MJ was dehydrated and with no monitoring of blood pressure, there was no way of telling. The arms and limbs start to close off, there is a loss in blood pressure and there is an exagerrated reaction, because the propofol would go mainly to the brain and other organs.
 
A blood pressure cuff was found in a cabinet (Walgreen) It's not useful there.

You always monitor the EKG - allows to see the heart rate, but also how the heart is beating, is it a normal rhythm or an abnormal one? CM had no way of telling what the heart was doing, he was missing an essential monitor.
 
Capnography - there are many settings in the hospital when anesthetics are given without capnometry, but in anesthesia it is always used.

He tried to visualize the environment, it was a sure recipe for disaster, no monitoring, nothing. To not have this hair trigger warning in this environment contributed to the death of MJ.
 
No emergency drugs, used to stabilize the heart rhythm or if the heart was too slow. Which drugs would work to increase the drug pressure? Phenylephrine(similar adrenaline) and Ephedrine. ("but Murray had aspirin" *Flanagan thins to himself; sorry, my comment)
 
Anybody who intubated patients gives a muscle relaxant in order to paralyse muscles (sorry, missed a sentence). Why wasn't the failure to have these drugs not directly linked to MJ's death? Because one should not arrive to this kind of situation. These drugs should not have been required.

In the case of MJ, you turn it off and he wakes up, it's not like in the OR when you don't have the option to turn off the propofol
 
talking about the other drugs like Ephidrene and the muscle relexant... says these did not contribute to the death of MJ because one shld not get to a condition where these drugs are required...
 
Record keeping is not optional, it's part of the care of the patient. During a care, he refers back to the records; it's absolutely part to keep the record. What caused a reaction for example? It's fundamental to the delivery of health care, it's a responsibility to the patient and it's and unconscionable - if MJ had a bad reaction and he asked the second day, he has a right to see what the doctor did to him a day before and is denyied this right. If MJ has not survived, the family has this right and was denied this right.
 
talking about the importance with charting... needs to have charts/records so the doc knows what he had given to MJ or not.. and MJ as a patient has a RIGHT to know what has been given to him and not... and IF MJ died the FAMILY has the right to know what was given to their son/brother/father
 
If his father, his brother or his son went to a medical facility for 80 days and at the end he would ask "what happened?" and they'd say "we don't know", he would feel...it's unbelievable.
 
What if the patient doesn't allow the doctor to keep record? The doctor's obligation is to keep records.
 
I like the example he just gave about his family in the hospital for 80 days and wanting to know what happened if they died and no records shown is wrong. I hate Murray. Michael could have been saved.
 
In this case, the lack of medical records, how is that seen in evaluating standard of care? In his interview, CM made specific references of dependency, so maybe he could of reffered to another doctor but his ability is impaired because he has no records.
 
It's such a profound violation, there's no excuse for it, the excuse of patient privacy is utterly false.
 
MJ had difficult venous access, it's hard for him to imagine taking care of a patient every night, seeing evidence of other thereapy and not asking what's going on, it's a violation of standard of care and knowing everything about your patient. And if the patient refuses, the doctor should refuse to treat.
 
The only reference to a physical examination had been done months before these nightly infusion of propofol. It's unacceptable, there is no evidence that there was an assesement of MJ, was he tired, was he pumped up, was he nauseated, hungry, no history at all.
 
This hurts to hear. That's why I get so mad when people I talk to blame Michael for what happened. Murray did nothing to help or watch out for Michael. It's like he is a phony doctor compared to these witnesses.
 
Describes doctor patient relationship - the dr would put the patients interest first; that is the whole basis and does not mean to do what the patient asks but what is in the best interest of the patient; if the patient requests something foolish/ dangerous, the dr should use his judgement and not engage.

May he comment on what he thought the relationship was? He said in the report that the relationship was a employee employer one.
 
You must log in or register to reply here.
Back
Top