Propofol expert and anesthesiologist Dr. Paul White gave exhaustive testimony in a defense attempt to counter Dr. Steven Shafer's compelling propofol testimony for the prosecution. White refuted Dr. Shafer's theory of the IV setup and series of events leading to Jackson's death by stating it requires "an incredible coincidence of circumstances" involing a "befuddling" IV drip configuration that Murray likely would not have used as well as "irrational" assumption about how Murray injected sedatives along with the propofol administration. Dr. White used an inordinate amount of time to demonstrate what he thought the IV setup most likely looked like and contrasted it with Dr. Shafer's demonstration as well as commented on various charts of bioavailability of lorazepam when ingested orally, and the effects of the other drugs in question. He disputed virtually every point of Dr. Shafer's testimony save what could be the most important: if Murray had been present when Jackson went into distress, he could have intervened, most likely saving his life.
Dr. White testified he thought Jackson most likely ingested several tablets of lorazepam in the early morning hours without Murray's knowledge. White hypothesized the lorazepam on top of the propofol administration Murray had given him had a fatal effect when Jackson awoke and injected himself with another dose of propofol.
The cross examination of White will commence on Monday, October 31, 2011. Today, Judge Pastor apologized to the jury for the extended length of the trial and thanked them for their service prior to recessing. Dr. White is the last scheduled witness for the defense. If the prosecution decides not to recall Dr. Steven Shafer as a rebuttal witness to Dr. White's testimony, the trial could go to the jury mid-week next week.
Nephrologist and Addiction Practitioner Dr. Robert Waldman testified about dermatologist Arnold Klein's medical records in Michael Jackson's treatment. Waldman read and commented on an exhaustive day by day accounting of Klein's near daily administrations of doses of Botox, midazolam, Demerol, and Restylane. Defense attorney, Ed Chernoff, displayed Klein's records of "Omar Arnold," one of Jackson's many aliases, spanning from March 2009 to June 2009. During that time, it seems Klein frequently had Jackson in his office for what he labeled treatments for excessive perspiration. (Restylane is a wrinkle filler, midazolam is a benzodiazepine often used to treat anxiety, and Demerol is a powerful and addictive painkiller.) In March 2009, Klein often started with 100-200mg of Demerol for Jackson's visits, but by May 2009, he was routinely administering 300mg of Demerol in addition to midazolam and Botox. The Botox was injected into Jackson's groin and armpits. Waldman said the treatments Jackson received were not painful procedures and he did not think Demerol, especially in those amounts, was a necessary accompanyment. Indeed, the Demerol was not the standard of care and the treatments themselves were unnecessary. Click to see a screenshot of the medical record and to read more about Waldman's heated testimony.