Comments on: The Michael Jackson autopsy | The Sun |News

By: Rogue Medic

Rogue Medic — Fri, 03 Jul 2009 08:50:15 +0000

While I haven’t seen one in two or three years, the intracardiac epinephrine preloads are still available and not even expired. One of the nice things about the Luer adapters is that nobody is going to pull a John Travolta move with it. What would be the point?

The really scary thing is that there are still people in EMS who do not realize that the AHA had removed intracardiac injections several revisions ago. There isn’t even a good reason to be squirting a bunch of water into the lungs of patients with essentially zero ability to clear it out of the lungs, but with IOs, there is not as much desire for iatrogenic CHF.

Even though this was not the true autopsy result, would it really be that surprising if IC Epi were given? This is just one weird story.

By: Goatwhacker

Goatwhacker — Thu, 02 Jul 2009 13:30:55 +0000

As long as we’re all speculating I think the question is whether this was a true cardiac arrest or a respiratory arrest leading to a cardiac arrest. The media is using the term “cardiac arrest” but I’m not sure they know or care about the difference. It sounds like most of the meds at Jackson’s home were more likely to cause respiratory depression than arrhythmias.

The picture I get is that there were a lot of people around at Jackson’s home, including a physician. A respiratory arrest would be pretty straightforward to manage even without equipment assuming it was recognized quickly. Either he had a respiratory arrest that was unrecognized or mishandled, or had a cardiac arrest as a rare side effect of the reported meds, or had a cardiac arrest as a result of something else (underlying disease or drugs not yet reported).

By: Jeff

Jeff — Wed, 01 Jul 2009 18:28:33 +0000

The best thing I have heard so far is the “I can’t sleep, I need…propofol”. WTF? That is serious insomnia right there. Oddly enough, he was found apneic. Who would have thought?

By: Glen

Glen — Tue, 30 Jun 2009 05:47:45 +0000

I expect a doc (or docs) will get in trouble. I doubt a “personal physician” would meet standards of care for record keeping. MJ would not be ideal patient to have walking into your clinic, even in LA. I would guess he has a pool of physician that have come to treat him at home for several years. Documentation will be the key to keeping out of jail.

Crystal Ball gazing says drugs found will be associated with weight loss more than pain killers. In prior returns to the stage, MJ wanted to return to his measurements/weight he enjoyed in his early 20s. That is not easy at 50-for MJ or Elvis.

By: njtq

njtq — Tue, 30 Jun 2009 05:07:57 +0000

If true, Thank Goodness, Matt has solved the case. No further investigation is needed. It was the tort reformed physician’s fault. Matt, you shine out with your objectivity and ethical principles….and of course the relevance of fact…if true.

By: Holly

Holly — Mon, 29 Jun 2009 16:19:34 +0000

This was a fake autopsy story by the Sun. The real one isn’t published yet. (Per an investigator in the case that was on CNN.)

By: Matt

Matt — Mon, 29 Jun 2009 15:43:31 +0000

If true, it’s a good thing California has tort reform so quality physicians like this don’t have to worry!

By: precordialthump

precordialthump — Mon, 29 Jun 2009 10:01:26 +0000

Yes, all round weirdness.

The only other explanation for the needle wounds near the heart that I think could be reasonably entertained might be if an USS was performed during CPR but misinterpreted as indicating the presence of a pericardial effusion. Unlikely though.

If they attempted intracardiac injection of adrenaline… bizarre.

By: GruntDoc » Blog Archive » The Michael Jackson autopsy | The Sun |News | MICHAEL JACKSON CD

Mon, 29 Jun 2009 08:47:54 +0000

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By: Brian

Brian — Mon, 29 Jun 2009 05:08:31 +0000

Haha I was just thinking about Pulp Fiction as I read through it.

Is his physician still on the run?