
The final chapter in Michael Jackson`s death was written Tuesday as Dr. Conrad Murray was sentenced to four years in prison by what appeared to be a very angry judge.
“People are depending upon Dr. Murray to be candid with them, regarding Mr. Jackson`s medical condition," Judge Michael Pastor said at Murray’s sentencing. "Dr. Murray is lying. He`s lying to the AEG people. He`s lying to Mr. Ortega. He`s lying to the insurance carrier, and anybody else he can, and he`s engaged in personal matters while he should be paying attention to his patient.”
“I understand he (Judge Pastor) is supposed to apply the law from the bench, [but I’m] not sure I want to hear a sermon from the bench," Dr. Drew said on his HLN show Tuesday night. "I mean, really – do I want to hear from a judge about the doctor/patient relationship and good medical practice? Is a criminal judge going to talk about that?"
Drew asked his guest Dr. Alon Steinberg, a cardiologist and prosecution witness, how he felt about the judge being so "vehement and preachy."
“It bothered me some, but, a lot of stuff was, unfortunately, true," Dr. Steinberg responded. "He was, you know, very flagrant in all the mistakes he made, and he wanted to set an example to Conrad Murray.”
Dr. Drew further questioned Steinberg. ”Setting an example doesn`t bother you at all?" Drew asked. “Doesn`t it send a little bit of a chill down your spine. I`ll take that judge down to some pill mills down in Florida and show lots of medicine being practiced like that and people who feel very justified in practicing that kind of medicine.”
Dr. Steinberg said that he understood Dr. Drew’s point, but it shouldn’t be justified.
“We need to be on notice as physicians,” Steinberg said. “We need to practice within the standard of care and try and help our patients to the very least.”
Drew told Steinberg that every time he sees a doctor getting into trouble is when he doesn`t have proper training on addiction and gets involved with a drug addict, without knowing it. “They get into that dance and they get sucked into the vortex,” he said.
Drew went on to say that he does have sympathy for Murray, but also noted what he didn’t like hearing during the trial.
"What I don`t like is blaming the victim – number one," Drew said. "I don`t think it`s OK to say this. This was awful. Let`s face it – but he got sucked in way over his head, and other doctors are doing the same, and we have an obligation as a medical professional to look at that issue – is my point.”
Later, Dr. Drew asked guest Nareg Gourjian, one of Murray’s defense attorneys, if he was coaching Murray to not show feelings of guilt or remorse.
“Well, I didn`t have to coach him," Gourjian said. "Dr. Murray has been adamant from the very beginning as to what occurred on June 25th, and he`s always said he`s loved Mr. Jackson, and he would never do anything that would hurt Mr. Jackson.”
“Not intentionally,” Dr. Drew added.
“Right,” Gourjian replied. “But as far as getting out there and apologizing or accepting responsibility like the judge would have liked, he was adamant that he was not going to do that.”
Dr. Steinberg also noted, “we should absolutely accept our mistakes. There`s clear errors that he (Murray) made, and he has to realize it that he got himself in trouble.”
“That`s the arrogance again,” Dr. Drew responded.
Later, Dr. Drew stated that there was one big message he wanted to share with his peers.
“Don`t go it alone,” he said. “Consult with your peers – always collaborate. Medicine is so complicated these days … You (Murray) made a great example of this issue of doctors being the ‘friend.’ Boy, when there are mental health issues, you are not the friend.”
Steinberg added that the judge was making an example of Dr. Murray. "We all need to practice within the standard of care in good medicine," he said. "And, I think that, in general, it looks bad on doctors, at least today, but we`re put on notice.”
Hear more from Dr. Drew weeknights at 9 on HLN and follow the show on Twitter @DrDrewHLN.
LOS ANGELES (CNN) - Dr. Conrad Murray was sentenced Tuesday to four years in jail - the maximum sentence allowed under the law - in the death of Michael Jackson.
Judge Michael Pastor, in a lengthy statement delivered before sentencing Murray for involuntary manslaughter, said he felt a significant responsibility to determine the appropriate sentence, utilizing his "sense of fairness and decency."
"There are those who feel Dr. Murray is a saint," he said. "There are those who feel Dr. Murray is the devil. He's neither. He's a human being. He stands convicted of the death of another human being."
Pastor said that while he had considered the entire "book" of Murray's life, he also had "read the book of Michael Jackson's life."
"Regrettably, as far as Dr. Murray is concerned, the most significant chapter, as it relates to this case, is the chapter involving the treatment, or lack of treatment, of Michael Jackson."
Jackson died "not because of an isolated one-off occurrence or incident," Pastor said. "He died because of a totality of circumstances which are directly attributable to Dr. Murray ... because of a series of decisions that Dr. Murray made."
Murray, he said, became involved in "a cycle of horrible medicine."
He cited Murray's "pattern of deceit and lies. That pattern was to assist Dr. Murray."
A tape recording of Jackson's slurred voice was Murray's "insurance policy," Pastor said. "It was designed to record his patient surreptitiously at that patient's most vulnerable point. I can't even imagine that happening to any of us because of the horrific violation of trust."
He said he wondered whether that tape would have been offered for sale, had Jackson not died and a rift had developed between the two in the future.
Murray was convicted of involuntary manslaughter three weeks ago after a trial in which prosecutors successfully argued that Murray's reckless use of the surgical anesthetic propofol to help Jackson sleep, without proper monitoring equipment, led to the singer's death.
Testimony during the trial revealed that Murray gave propofol nearly every night in the two months before the singer's death on June 25, 2009, as Jackson prepared for his comeback concerts set for London the next month.
Prosecutors asked for the maximum four years behind bars, and for Murray to pay Jackson's children more than $100 million in restitution. Defense lawyers requested probation.
In a sentencing memo filed with the judge last week, prosecutors said Murray has "displayed a complete lack of remorse" about Jackson's death, and is, "even worse, failing to accept even the slightest level of responsibility."
Deputy district attorneys David Walgren and Deborah Brazil cited Murray's decision not to testify in his own defense, even while he was giving interviews for a documentary that aired days after the verdict.
"In each of these interviews, the defendant has very clearly stated that he bears no responsibility for Michael Jackson's death," the prosecutors said. "Moreover, the defendant has continued to express concern only for his individual plight and portrays himself, not the decedent, as the victim."
"I don't feel guilty because I did not do anything wrong," Murray said in the documentary quoted by the prosecution.
"Finally, the defendant consistently blames the victim for his own death, even going so far as to characterize himself as being 'entrapped' by the victim and as someone who suffered a 'betrayal' at the hands of the victim," the prosecutors said.
The defense argued that Jackson, fearing the comeback concerts could be canceled if rehearsals did not go well, put intense pressure on Murray to help him sleep.
The prosecutors contended in their sentencing memo that Murray should be ordered to pay Jackson's three children restitution for the "wage and profits lost," as provided under California's "victim's bill of rights" law.
The singer's "estate estimates Michael Jackson's projected earnings for the 50-show O2 concert series to be $100 million," the prosecutors said.
With nearly $2 million in funeral expenses and 10% interest added each year, the prosecution is asking Pastor to order Murray to pay Prince, Paris and Blanket Jackson more than $120 million in restitution.
While it is doubtful that Murray, who is unlikely to ever practice medicine again, could pay very much of that sum, it could prevent him from reaping financial benefits from any books, interviews or film projects in the future.
Defense lawyers, in their sentencing memo, included a biography of Murray that described him as "a self-made man of humble origins," who paid his own way through medical school without scholarships or family funds.
"He was raised in a home that lacked indoor plumbing or electricity, and he walked to school barefoot for his first couple years of school," the defense said.
He worked as a doctor for 20 years, with "no prior contacts with the law," and many of his patients were elderly in low-income, underserved communities, the defense said.
"It seems reasonable that the transgression for which he is to be judged should be viewed within the context of the larger life of which it is a part," it said.
The defense challenges the prosecution's contention that Murray is not remorseful.
"Dr. Murray wishes to make it unmistakenly clear to everyone that he deeply mourns the loss of Michael Jackson's life, and he profoundly regrets any mistakes or oversights on his part that may have contributed to it," the defense said.
The judge should also consider "the manifold collateral consequences that Dr. Murray has sustained as a result of his mistake," the defense said, including the loss of his medical career, the public disgrace and loss of privacy.
"Dr. Murray has been described as a changed, grief-stricken man, who walks around under a pall of sadness since the loss of his patient, Mr. Jackson," the defense said.
The defense memo included a letter from Murray's elderly mother, Milta Rush. She sat in court for much of her son's trial, just a few feet away from Jackson's mother.
"I sympathize with Mrs. Jackson as a mother," Rush wrote in a letter to the judge. "I sense she was very close to her son. I really wanted to approach her personally and tell her I am sorry for the loss of her son, but I was unsure if she would be receptive, and I did not want to take the chance of violating court rules. I am sorry for all her loss."
Murray's mother also told the judge her son is "saddened and remorseful" about Jackson's death.
The defense argued that Murray was trying to help Jackson. "His compassionate intentions should not be overlooked," defense lawyers said.
"The victim was a willing recipient of the medications administered," the defense said. "In fact, Mr. Jackson had repeatedly begged Dr. Murray for propofol to overcome his insomnia so that he could sleep."
Murray does not pose a safety threat to the public, the defense said in filings before the hearing. "The likelihood of recurrence is essentially nonexistent since Conrad Murray's medical license has been suspended."
Aside from the arguments of what Murray deserves, the defense contended that California's prison and jail crowding means that "neither the space nor the public funds exist to continue imprisoning nonviolent, nondangerous offenders who do not need to be incapacitated for the sake of public safety."
"Dr. Murray is clearly such a defendant," the defense said. "He is an individual who remained free on bond for more than two years prior to the jury verdict, adhering assiduously to all of the bond conditions that had been imposed."
If Murray takes up a state prison or county jail cell, it "may mean that someone else with higher potential for violence will be released," the defense said.
Instead, the defense proposed that Murray could be sentenced to community service along with probation.
"Though he will perhaps not again be a doctor qualified to make diagnoses, he could educate and counsel patients about heart care and disease prevention," it said. "There are many nonprofit clinics and organizations that would benefit from his participation, if ordered to perform community service as a condition of his sentence and a means of 'putting some water back into the public well.'"
On Monday, a jury in Los Angeles found Dr. Conrad Murray guilty of involuntary manslaughter in the death of Michael Jackson.
As stated in testimony, Murray gave Jackson the surgical anesthetic Propofol to help him sleep nearly every night for the last two months of his life as the pop icon was rehearsing for his comeback concerts,
Ultimately, an LA County coroner ruled that Jackson’s death was caused by "acute Propofol intoxication" in combination with two sedatives.
On Monday night, Dr. Drew and his guests discussed the lesson learned from this tragic case.
“This is a great education for doctors to practice within our boundaries,” explained Dr. Alon Steinberg, a cardiologist who testified for the prosecution. “Now, when someone comes to me with an obvious addiction problem, I'm more educated now, just from this trial, that I can tell patients ‘listen, this is outside my expertise ... I need to send you to a specialist.’”
HLN’s Jane Velez-Mitchell expanded upon Steinberg’s thought.
“[Dr. Murray] was pretending that he was an addictionologist,” she said. ”He was going to be able to wean Michael Jackson off Propofol? ... If he really wanted to help Jackson, he would have brought in some real addiction specialists such as yourself [Dr. Drew] and gotten him help.”
Later, Dr. Drew noted that young people contemplating a career as a physician may think twice about that decision, saying they may not want to pursue a position where, when someone dies, they could be vulnerable.
He emphasizes three important messages that Murray’s guilty verdict should send to other doctors:
1) No special care for celebrities. They get the standard of care because the standard is the best. As soon as you deviate from that standard because somebody is special, you're putting them in harm's way.
2) Prescribing/addiction ... Letting the patient decide what medication he will receive is completely out of bounds. Consult when you get the sense that you’re in an environment where somebody is abusing substances. Get help! Do not go alone!”
3) Patients and doctors are not friends. Friendship is a mutual back and forth relationship. Doctors are there to serve their patients. They may tell patients things they don’t want to hear and make patients angry. It’s hard to do that when you’re the friend. We may feel very affectionate toward our patients ... but having a dual relationship for a patient with the kinds of issues that Michael had, leads to exactly to the outcome we’ve seen here.
It is appropriate that people feel relief, now that Conrad Murray has been convicted, Dr Drew said.
But he adds: “Let's not forget that this is a sad and solemn situation for two men: one is dead, the other, a convicted felon,” he said. “Let's all take a deep breath and stop looking for some kind of a sacrifice ... Michael's family needs to get on with their lives and so do we.”
Hear more from Dr. Drew weeknights at 9 p.m. ET on HLN and follow the show on Twitter @DrDrewHLN.
People were crying, chanting and cheering the moment Conrad Murray was found guilty of involuntary manslaughter in the death of Michael Jackson Tuesday afternoon.
HLN’s Dr. Drew expressed his thoughts shortly after the verdict was read.
“It's appropriate that there be relief, but let it be at that,” he said. “This is a very sad situation where two lives collided. One man is dead. The other man is going to prison. I would encourage everyone at home to take a deep breath and not behave like a crowd out for a sacrifice. “
Later, Dr. Drew talked about the impact this might have for those thinking about getting into the medical field.
“Young people out there contemplating being physicians might now think twice about that if they’re involved in a case where somebody dies – they now are going to prison,” he said. “There are very serious implications of this case.”
Dr. Drew also addressed Michael’s children, Paris, Blanket and Prince.
“The good news is the fact that this guilty verdict is going to put things to rest more quickly and these children can put it behind them,” he said. “We all worried about these kids when Michael used to cart them around in masks … and whatnot. We wondered, ‘what kind of children could these possibly be’? I've learned throughout the course of this trial that Michael was a very dedicated father. He had impairments, but he apparently was quite a good father. I think the proof is in the pudding, so to speak. These kids seem like remarkable, lovely young people. Let's let them get on with their lives. They've had a terrific loss. They have a family that's now ready to support them. They need to get on with these things and so do the rest of us.“
Hear more from Dr. Drew at 9 p.m. ET on HLN and follow the show on Twitter @DrDrewHLN.
Dr. Drew just speaks on HLN moments ago reacting to the news that a verdict has been reached in the Conrad Murray trial.
“I have to wonder if we're going to be shocked again here," he said. “Nno one has any idea which way this is going to go.”
Drew was asked what he thought of the fact that five people on that jury had families and lives touched by addiction.
"If I only knew to what extent and quality of experience they've had,” Dr. Drew said. “That could cut both ways.”
Hear more from Dr. Drew tonight at 9 on HLN.
Jurors in the Conrad Murray trial have just buzzed three times signaling that they have reached a verdict.
Tune into HLN now for the latest details.
*Update – The jury did not reach a verdict Friday. They will continue deliberations Monday morning.
Jury deliberations began Friday in the trial of Dr. Conrad Murray, who is charged with involuntary manslaughter in the 2009 death of pop icon Michael Jackson.
The seven men and five women heard from 49 witnesses over 23 days, including Murray's girlfriends and patients, Jackson's former employees, investigators, and medical experts for each side.
Prosecutors argue that Murray's use of propofol in Jackson's home to treat his insomnia was so reckless it was criminally negligent.
The defense contends Jackson self-administered the fatal overdose of drugs in a desperate search for sleep without Murray's knowing.
Murray, if convicted, faces up to four years in prison and the loss of his medical license.
On Tuesday night, Dr. Drew spoke to the photographer who snapped the last picture of Michael Jackson inside the ambulance the day the pop star died.
While they walked outside Jackson’s former rented Holmby Hills mansion, Dr. Drew began the conversation by asking Ben Evenstad what sort of things he would look for before that tragic day.
“We were either looking for a doctor's visit because we could always get pictures there, or a shopping trip,” he said.
Evenstad also noticed that Jackson was rehearsing months before his death.
“That started about five to six months [prior],” he said.
Dr. Drew commented on how so much had been made of the few days before Jackson passed away – the notion that he had been in such good shape. “[So] he had been rehearsing for quite some time,” Drew said.
Drew also mentioned how Jackson could sometimes be heard rehearsing in the mansion at night. He was reportedly known for being a night owl.
“He would stay up late,” Evenstad said. “I had a conversation with one of the members of the security staff that indicated there were many times where they took him out where nobody was here, meaning very, very late at night – three in the morning.“
Did this mean that Jackson's sleep problem was already well established?
Dr. Drew asked Evenstad if he had seen anyone making trips pharmacies.
“We would follow security staff,” Evenstad said. “A lot of times they would do advance work – go to a store [or] movie theater. We wanted an idea of what Michael would do later. Often times they would go to pharmacies [and] pick up various things.”
Evenstad said he could never see what was picked up because “they were smart enough to not let that picture out.”
Later, the two began speaking about the day Jackson died.
“One of my photographers was here posted early in the morning,” Evenstad explained. “Shortly after noon, he saw the ambulance arrive [and a] fire truck parked outside ... He alerted me [that there was] an ambulance at the house. At that time we had no idea ... it could be anything ... I got here in like 10 minutes.”
Drew asked if Evenstad was aware that something was seriously wrong.
“At first, we thought maybe one of the kids is sick – maybe one of the staff is sick,” he recalled. “Through the fire truck outside, we could see the computer monitor and it said ‘50-year-old male not breathing’, – knowing Michael was 50 years old, we thought, ‘OK, this is probably Michael.'”
Evenstad went on to say that he noticed Dr. Conrad Murray coming to the residence for a couple of months and that Murray was with Michael Jackson in the house for a long time.
“I heard some of the fans say they would see Michael Jackson leave five or six times a day ... go to the dermatologist's office,” Dr. Drew said.
Evenstad said Jackson would “be in the building where Dr. Arnold Klein is” ... almost once a day for up to three hours.
“I am a physician,” Dr. Drew said. “I don’t know of any condition that requires a daily dermatology visit over long periods of time.”
At the end of the interview, Evenstad, a man who observed how the place operated, was asked if he had insights as to how Conrad Murray and Michael ran their day.
“All the days were pretty similar,” Evenstad said. "The guards came and went at the same time. Murray came and went at the same time. Michael, when he was going to rehearsal, would be on a fairly consistent schedule. So my guess is, from an outsider's perspective, whatever was going on in there, was something that happened every day or every night and this one time it went bad and they weren’t prepared for it.”
Catch Dr. Drew weeknights at 9 p.m. ET on HLN and follow the show on Twitter @DrDrewHLN.
Michael Jackson: addict or not? Did D Dr. Klein get ambushed? And what is a primary care doctor really supposed to be doing?
Dr. Drew and Dr. Klein's attorney Garo Ghazarian discuss these issues and more. Watch.
Demerol – a powerful narcotic, and part of the loosely-managed drug regimen leading up to Michael Jackson’s Death.
The question is – did abuse of this drug stoke a cycle of addiction that ended with fatal levels of the surgical anesthetic propofol? And more importantly – were MJ’s doctors to blame for this haphazard use of pharmaceuticals?
According to Dr. Drew, the answer to both questions is a resounding ‘Yes.’
Calling into his own show (guest-hosted by In Session’s Ryan Smith) Drew lays down a passionate, razor-sharp condemnation of the use of Demoral on Michael Jackson for cosmetic procedures. He explains that it sparked a cycle of dependency and suppression of withdrawal symptoms with cross-tolerant drugs, including propofol.
Even more egregious according to Dr. Drew – providing Demoral to an self-described addict – Jackson admitted in 1993 to opiate addiction.
After Dr. Drew’s explanation, a fiery debate ensued with the lawyer for MJ dermatologist Arnie Klein. Attorney Gara Ghazarian argued that Jackson was in fact not addicted to Demoral, as evidenced by the long gaps in his use of the drug.
Dr. Drew responds that during those days of abstinence, Jackson was suppressing withdrawal using other drugs, hence the snowballing of pharmaceutical substance abuse, culminating in the death of the pop legend.

