MJ~Leben u. Sterben~u das Geschehen danach!

es geht weiter ...

http://twitter.com/#!/abc7MurrayTrial (Archiv-Version vom 19.10.2011)

abc7MurrayTrial ABC7 Murray Trial
Dr. Shafer: an infusion is when the drugs is dripping in. Doctors use the word infusion, in lay terms it means the drug drops.
vor 46 Sekunde


abc7MurrayTrial ABC7 Murray Trial
Dr. Shafer is showing the jurors how the saline bag works and the orange port where drugs are injected. #conradmurraytrial
vor 42 Sekunden


abc7MurrayTrial ABC7 Murray Trial
Dr. Shafer showing a new saline bag to the jurors. It's an intravenous "Gatorade" he says, used to hydrate.
vor 2 Minuten


ABC7 Murray Trial
abc7MurrayTrial ABC7 Murray Trial
Trial back on. You can watch it love at www.abc7.com/live
vor 3 Minuten

http://twitter.com/#!/abc7MurrayTrial (Archiv-Version vom 19.10.2011)

abc7MurrayTrial ABC7 Murray Trial
Dr. Shafer brought a brand new bottle of Propofol to show how to remove the seal and access the drug. #conradmurraytrial
vor 1 Minute


abc7MurrayTrial ABC7 Murray Trial
Dr. Shafer is showing the jurors the 100 ml glass bottle of Propofol. The rubber stop can be cut with a spike or punctured with a syringe.
vor 1 Minute

@ghost777
@FunnyKerstin

die Herren Walgren, Flanagan und Chernoff haben wohl die freien Tage genutzt, um
zum Friseur zu gehen ... sorry, kleiner Spaß am Rande ... :D :D

http://twitter.com/#!/abc7MurrayTrial (Archiv-Version vom 19.10.2011)

abc7MurrayTrial ABC7 Murray Trial
Prosecutor Walgren is now going to play the video of 25 mg of Propofol being used. #conradmurraytrial
vor 1 Minute


abc7MurrayTrial ABC7 Murray Trial
Dr. Shafer said the spike cut is used when Propofol is infused (dripped) into the patient. #conradmurraytrial
vor 1 Minute



abc7MurrayTrial ABC7 Murray Trial
Dr Shafer used magnifying glass to inspect the 100ml Propofol bottle and came to the conclusion a spike was used to puncture the rubber stop
vor 1 Minute


abc7MurrayTrial ABC7 Murray Trial
Dr. Shafer explained that he has to switch the volume of Propofol vs air in order to be able to draw the drug out into the syringe.
vor 2 Minuten


ABC7 Murray Trial
abc7MurrayTrial ABC7 Murray Trial
Dr Shafer got a 20cc syringe and showed how he had to inject some air into the Propofol bottle in order to get the drug out into the syringe
vor 3 Minuten

http://twitter.com/#!/abc7MurrayTrial (Archiv-Version vom 19.10.2011)

abc7MurrayTrial ABC7 Murray Trial
Dr. Shafer: anesthesia breathing circuit -- if the patient isn't breathing, we have to do it for them. It's a bag we squeeze.
vor 1 Minute



abc7MurrayTrial ABC7 Murray Trial
Dr. Shafer: check for nasal cannula for oxygen; have sensor for measurement of carbon dioxide; tests the machine.
vor 1 Minute


abc7MurrayTrial ABC7 Murray Trial
Dr. Shafer: we need to make sure the workspace is organized. It sounds silly, but it's crucial. Then verify primary oxygen delivery.
vor 1 Minute


abc7MurrayTrial ABC7 Murray Trial
Dr. Shafer: next is the endotracheal tube, which is passed between the vocal chords into the air tube. Then you need laryngeal mask airway.
vor 29 Sekunden


abc7MurrayTrial ABC7 Murray Trial
Dr. Shafer: video shows the preparation of the room: oral airway equipment; nasal airway; laryngoscope -- to look inside the throat.
vor 1 Minute


ABC7 Murray Trial
abc7MurrayTrial ABC7 Murray Trial
There's no audio on the video. Dr. Shafer will talk whenever there's need to #conradmurraytrial
vor 3 Minuten

@FaIrIeFlOwEr
@FunnyKerstin

Dr. Shafer ziegt, wie man Propofol auf eine Spritze aufzieht. Man muss erst das Vakuum herauskriegen, dann kann man das prop. aufziehen. Bei der Flasche, aus der Michael das Propofol bekommen hat wurde aber keine Nadel benutzt sondern ein sog. 'spike', den man braucht für die intravenöse Verabreichung von Propofol.

Dr. Shafer hat gerade bestätigt, dass die Propofolflasche aus Michaels Haus darauf hinweist, dass das Propofol per Infusion über einen Tropf verabreicht wurde. Grund dafür ist, dass kein Einstichloch in der Flasche ist (wie es bei der Nadel einer Spritze der Fall ist), sondern eine Art Riss in der Flaschenöffnung ist. Dieser entsteht durch einen "Spike", wie man ihn bei einer Tröpfcheninfusion benutzt.

http://www.mjackson.net/forum/showthread.php?15257-19.10.11-13.-Tag-.......Diskussion/page2

http://twitter.com/#!/abc7MurrayTrial (Archiv-Version vom 19.10.2011)

abc7MurrayTrial ABC7 Murray Trial
Dr Shafer says the anesthesiologist always consults with the patient before each procedure for every patient begins. There are no exceptions
vor 1 Minute


ABC7 Murray Trial
abc7MurrayTrial ABC7 Murray Trial
Dr Shafer is describing how doc in the video is setting the pump with Propofol, which is based in the patient's weight and drug composition.
vor 2 Minuten


abc7MurrayTrial ABC7 Murray Trial
Dr Shafer: for syringe pump we use narrow tubing. We attach tubing, move all the air out of the syringe/tube, then place syringe into pump
vor 1 Minute


abc7MurrayTrial ABC7 Murray Trial
Dr. Shafer: video now shows 100ml Propofol glass bottle. Air in injected into the bottle then drug drawn into syringe. #conradmurray
vor 1 Minute


abc7MurrayTrial ABC7 Murray Trial
Dr. Shafer: the theme through all of these is uninterrupted supply of air and oxygen available to the patient in the operating room.
vor 1 Minute


abc7MurrayTrial ABC7 Murray Trial
Dr. Shaffer: check suction apparatus, make sure it works. If contents from stomach gets in lungs it starts to break down as if it was food
vor 1 Minute


abc7MurrayTrial ABC7 Murray Trial
Dr. Shafer: anesthesiologists says don't eat or drink before you go into surgery before they don't want anything into your stomach.
vor 1 Minute

http://twitter.com/#!/abc7MurrayTrial (Archiv-Version vom 19.10.2011)

abc7MurrayTrial ABC7 Murray Trial
Dr. Shafer: anesthesiologists need to write down the vital signs on the chart every 5 minutes. #conradmurraytrial
vor 1 Minute


abc7MurrayTrial ABC7 Murray Trial
Dr Shafer: anesthesiologist has this moment-by-moment contact with patient. He's sitting right next to him, recording vital sign on chart.
vor 2 Minuten


abc7MurrayTrial ABC7 Murray Trial
Dr. Shafer: verbal consent is not binding. It is as though it didn't exist, unless there's a life threatening emergency. #conradmurraytrial
vor 1 Minute


abc7MurrayTrial ABC7 Murray Trial
Dr Shafer: next is patient informed consent, which is written document/signed piece of paper. Also the patients get their questions answered
vor 3 Minuten


abc7MurrayTrial ABC7 Murray Trial
Dr Shafer says anesthesiologist checks the airway, which is the most important before surgery, heart rate and overall patient condition
vor 1 Minute

Lunch Time

bis 22:30 h

http://twitter.com/#!/abc7MurrayTrial (Archiv-Version vom 19.10.2011)

abc7MurrayTrial ABC7 Murray Trial
Video is concluded. Judge Pastor recesses trial for lunch. Dr. Shafer to resume testimony at 1:30 pm. #conradmurraytrial
vor 3 Minuten


abc7MurrayTrial ABC7 Murray Trial
Dr. Shafer: once you begin CPR one of two things happens -- either patient revives or he's pronounced dead. #conradmurraytrial
vor 55 Sekunden


ABC7 Murray Trial
abc7MurrayTrial ABC7 Murray Trial
Dr Shafer: when you're an anesthesiologist during the first days of your training you learn that when something goes wrong you call for help
vor 2 Minute

@ghost777
@FunnyKerstin


die Erklärungen von dem Dr. Shafer fand ich sehr aufschlußreich ... :D

@FaIrIeFlOwEr

Ja finde ich auch ...

@ghost777
@FunnyKerstin


und trotzdem kann ich mir nicht vorstellen, dass sich MJ nicht der Gefahren bewußt gewesen
sein sollte ... er hatte doch auch bei anderen Ärzten Propofol bekommen, weil die Behandlung es erforderlich machte ...

da wird er doch über die Risiken aufgeklärt worden sein ... dann muß es ihm doch jetzt so schlecht gegangen sein, dass er alle Gefahren über den Haufen geschmissen hatte ... :(

wobei es ja heißt, dass dieses Propofol zwar keine physische, aber eine psychische Abhängigkeit hervor rufen soll ... und da ist der Verstand dann eh im Ar... :(

10/13/2011 5:46 AM PDT BY TMZ STAFF

People vs. Dr. Conrad Murray
Propofol Expert Testifies
Anesthesiologist -- Dr. Steven Shafer Testifies
Updated 10/19/11 at 9:10 AM



Anesthesiologist Dr. Steven Shafer -- the prosecution's final witness -- will wrap up his testimony today from last week.

Dr. Shafer is a Propofol expert, and he's expected to testify that Murray was criminally negligent in the way he treated Michael Jackson.

* 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.
* Shafer said patients ask him every day whether he's giving them "the drug that killed Michael Jackson."
* Shafer showed the court how Propofol is extracted out of the bottle with a syringe ... saying air needs to be drawn first to enable drug to enter the syringe. This could take a few minutes.
* Prosecutors are showing the jury a video on how to safely administer Propofol.
* Dr. Shafer said one of the most important things an anesthesiologist can do is to make sure the flow of oxygen is never interrupted.
* Shafer also said Infusion of drugs should be done ONLY through a pump to avoid overdosing.
* He told jurors "it takes time and care" to get the pump ready.
* Shafer says a doctor must get an "informed consent" from the patient ... insisting it's not just a piece of paper but a process in which the doctor informs the patient of all the risks, benefits and alternatives.
* He said a verbal consent is NOT binding.
* Before administering any Propofol, doctors do an "anesthesia pause" -- one last check to make sure everything is right.
* Shafer said the anesthesiologist must be close to the patient at all time.
* As part of their job, anesthesiologists should also be taking copious notes to make sure there's a record of everything that happens in the OR.
* If the monitors show an obstruction to the airway, Shafer said, all doctors need to do is lift the chin slightly. If that doesn't work, they can grab the patient's jaw and move it forward.
* If the patient is still not breathing, docs can force oxygen into the patients lungs with an ambu bag.
* Shafer then went through the 5 steps to keep patient alive:
- Assess patient
- Call for help
- Start chest compressions
- Ventilate lungs
- Start specific treatments

Judge Pastor just broke for lunch ... trial resumes at 1:30 PM.


http://www.tmz.com/2011/10/13/people-vs-dr-conrad-murray-anesthesiologist-testifies-michael-jackson-mj-trial-propofol-manslaughter-death/

@FaIrIeFlOwEr


Iwie ist mir etwas übel .....bei dem Gedanken wie lange MJ das Zeug bekam ..... ich kann das gar nicht glauben ......... da ist wohl nie was passiert .....und am 25 ..... ????

Wäre ich Murray ....ich glaub, ich hätte schon aufgegeben und gesagt ja ich habe Fehler gemacht oder so ..........wie wollen die den denn jetzt noch verteidigen .....das geht gar nicht ....es steht 100%
fest das Murray fahrlässig war !

October 19, 2011

Expert: Propofol is getting a bum rap
Posted: 01:52 PM ET



VIDEO im Bericht

Anesthesiologist Dr. Steven Shafer testified that everyday he is working in an operating room his patients ask him if he will be giving them the drug that killed Michael Jackson.

This negative image of the anesthetic propofol, which he calls an "outstanding" drug, motivated him to volunteer his expertise to the prosecution's case.

Deputy District Attorney David Walgren asked Dr. Shafer if he was volunteering his time "pro bono" - or working for free. Judge Michael Pastor interrupted Walgren and asked him to define "pro bono" because not everyone may know what it means. Walgren quipped that he didn’t know what it meant either and the court erupted in laughter.

Dr. Shafer said he offers his services in medical malpractice cases for free because he doesn't want to compromise his integrity and doesn't want to profit off of malpractice.


http://insession.blogs.cnn.com/2011/10/19/expert-propofol-is-getting-a-bum-rap/ (Archiv-Version vom 20.10.2011)

@ghost777

ghost777 schrieb:Iwie ist mir etwas übel .....bei dem Gedanken wie lange MJ das Zeug bekam ..... ich kann das gar nicht glauben ......... da ist wohl nie was passiert .....und am 25 ..... ????

ja, es ist sehr schwer zu verstehen ... aber MJ war NUR ein Mensch ... auch mit "Fehlern" ... er hatte zwar viel "gepredigt", aber sich in manchen Punkten auch nicht selbst dran gehalten ...

aber auch das ist menschlich ... hinzu kommt, was wissen wir denn schon über ihn ???

ja, wenn es stimmen sollte, dass MJ das Zeug schon so lange bekam, dann ist es ein Wunder, dass nicht schon früher was passiert ist ... aber vielleicht gab es ja Zwischenfälle ... nur sind die nicht der Öffentlichkeit bekannt ... es gab doch einen Bericht (in der Gracia????) ... da wurde mal etwas drüber geschrieben, aber ich möchte mich nicht festlegen ...

ghost777 schrieb:Wäre ich Murray ....ich glaub, ich hätte schon aufgegeben und gesagt ja ich habe Fehler gemacht oder so ..........wie wollen die den denn jetzt noch verteidigen .....das geht gar nicht ....es steht 100%
fest das Murray fahrlässig war !

ich weiß es leider nicht, wie ich mich jetzt verhalten würde ... das ist schwer zu sagen, denn wer weiß, was im seine Anwälte geraten haben ...

und denke an den OJ Simpson Fall ... da ist alles möglich ... :(

October 19, 2011

Defense objects to prosecution's "terrifying dramatization"
Posted: 01:35 PM ET



The judge has ruled jurors will get to see parts of a video presentation, which shows a simulation of a cardiac/respiratory arrest while under propofol. Defense Attorney Ed Chernoff raised an objection to the exhibit this morning.

"Experiments have to apply to the specific facts of the case. This gives the jury the impression this is what occurred," Chernoff said. "It's extremely prejudicial. This particular video is not relevant and we ask that it not be made available to the jury."

Deputy District Attorney David Walgren said the video is intended to accompany the testimony of Dr. Steven Shafer when he testifies about the standard of care issues.

The silent video is 10-15 minutes long and is a step-by-step guide to how propofol is administered, how the patient is monitored during sedation and what procedures should be undertaken in the event of an emergency.

It's divided into different segments - enhanced by subtitles - and shows the equipment and preparation required in the administering and monitoring of propofol. The second segment demonstrates how propofol is placed in a syringe and inserted into an apparatus that calibrates the patient's weight and an infusion rate is set. The judge has ruled that these two segments are permissible.

This is followed by a segment on "Patient Assessment," which shows the different steps the physician takes to check the patient's vitals before he signs an "Informed Consent" document. This segment will also be showed in court.

The video then shows what defense attorneys find objectionable - a patient (actor) appears to experience an emergency. His airway becomes blocked and his mouth appears to fill with liquid and he needs to be suctioned. There is also a simulated cardiac arrest and what procedures follow in that situation. The judge will allow the cardiac arrest but will exclude the most graphic part of the video, where the patient needs to be suctioned.

http://insession.blogs.cnn.com/2011/10/19/defense-objects-to-prosecutions-terrifying-dramatization/ (Archiv-Version vom 20.10.2011)

FaIrIeFlOwEr schrieb:und denke an den OJ Simpson Fall ... da ist alles möglich ... :(

Stimmt du hast Recht :( :( :(