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Messages - mjj_fan
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31
« on: July 10, 2010, 11:31:40 AM »
@pj4j its fine you pointed out that but height is measured in centimeters more often during autopsy but you can still expect minor errors with plus minus 1 cm than actual height of the deceased and it depends upon who and how measurements have been taken , may be it was correctly done during autopsy than the data collected during court trials , 1-2cm error can be can ignored but yes 10 inches or cm one cant
sometimes the physician during the autopsy overlook cetain important clues thats why exhumation is performed later when you are suspicious about missed finding during autopsy
32
« on: July 10, 2010, 11:16:37 AM »
thats what i said its not possible to perform with them in place on one hand and on otherhand inserting and reinserting them everyday , anyways i believe we only know half truth , half ..still a mystery, hopefully the court trails would reveal complete
33
« on: July 09, 2010, 08:13:08 PM »
@ hazzely exactly thats the point , let me put it that way , for a continuse drug infusion you need to maintain an i.v line , right , now according to tmz dr murray was giving propofol for past 10 days , i suppose he did the same , inserted i.v line but once you place a cannula or haplock you cant insert it in the same vessels it become useless you have to puncture other vein , now the problem is , practically there are not as many ideal sites to maintain i.v because either the veins are not straight or are too deep , so i assume dr murray must have left haplock in mj veins , because of the above mention reason second for the pain it cause to the patient 3rd michael hate needles so there is no reason to bother your patient taking in and out every night and for that matter you need a nurse ,as physicians are not as good as they are , and can you expect a person who was doing a cpr was first time could do that correctly without double pricks ?? besides a consultant rarely maintain i.v lines but juniors doctors do it but again rare ,in any case you need an expert assistance , now if mj had one in his vessles how can he perform , by the way propofol is extreme short acting drug , if dr murray was giving him to treat insomnia it must be in infusion form , you can take a look a video i posted sometimes back how within minutes the infusion stops , the patient regains consciousness You are not allowed to view links.
Register or Login base line .... things dont add up ,i hope i m getting my point across
34
« on: July 09, 2010, 07:54:04 PM »
@mj298195 8 about dehydration all the vessels collapse no matter upper or lower limb , you are left with 2 choices then , either insert catheter in larger vessels or go for venous cut down where a minor surgical incision is given to expose saphenous vein and i.v line is maintained you seem to have good medical knowledge i appreciate that , but i guess if you read my previous posts you will get your answers we discuss various issues in the link below,i thank everyone for it specially a dear friend of mine, lisap27 You are not allowed to view links.
Register or Login like i said earlier i cant visit here daily ,but you can pm me and have my email address i will try to clear your doubts as much as i could , Godbless
35
« on: July 09, 2010, 07:32:21 PM »
@ HAZZELY Where did i mention that  i meant its NOT POSSIBLE to have catheters or haplock inserted in vessels and perform both at same time ,please read it again i said "how could someone perform with them in place ? "
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« on: July 09, 2010, 07:08:12 PM »
Hi mj2981958 He did , on Tmz live ,I.v line on medial left leg??? i didnt know that ,Im surprised why dr Murray did that ,the usual site to place a catheter are the upper limbs ,but ofcourse you can expect anything of him... silly person should have known the joints are the worst sites specially for a dancer , how could someone perform with them in place , as i mention very earlier in one of my post and i m writting it down one more time , its very painful to pull out and put the catheter everyday , so they are left for maximum of 3 days , while they are still in your vessels one cant even lift up his limb dancing is out of question besides everytime you prick a vessel it collapse and that site is no longer feasible to draw the blood even i have seen drug abusers with multiple punctute marks on arm . neck and legs less often but dorsum of the foot specially between the big toe and digits .... well in my practice i have never seen them may be someone else encounter a patient with wounds in that area
37
« on: July 09, 2010, 08:53:49 AM »
about dr klein didnt he say something about open i.v lines mj had , as far as i remember i read somewhere joe jackson also mention the same , i cant see any thing suggesting its presence in autopsy report , another lie .... disgusting
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« on: July 09, 2010, 08:49:37 AM »
Dear Gema i agree SYSTEMIC LUPUS is associated with autoimmune diseases like you mention , but he had DISCOID Lupus not systemic which is a subform of lupus the difference being the involvemnt of all the body system in systemic hence the name suggesting systemic lupus erythematosus (SLE) but with discoid one suffers scars on scalp,( the scarring baldness i mention ) baldness , and butterfly rashes on face which was in remission phase according to dr klein
anything which grows out of its normal size with cause pressure symptoms by pressing the air channel called trachea , not necessarily the thymoma , the brochitis is totally a different identity it involves deep respiratory air passages not the main channel i.e trachea
39
« on: July 08, 2010, 01:38:39 PM »
Just want to add one thing , all the above links are from various sites , few of them i had in my laptop when i was a student ,i dont take credit for any of this , copy right things is a whole issue ,by saying that , want to spare myself before someone accuse me for putting their material here . i always aim to give right concept based on facts . take care members ,Godbless you all
40
« on: July 08, 2010, 01:00:29 PM »
@ mykidsmom i see it was you who mention that , you always do a great job but let me post a link so that everyone would be clear about olfactory bulbs they are at the base of brain , probably you must have read olfactory " dysfunctiong" by sinus drainage or nose surgury but avulsion is caused by "significant head|" injury , so true both smell and taste perception is gone with avulsion of bulbs You are not allowed to view links.
Register or LoginYou are not allowed to view links.
Register or Login^Surface/Ventral^view^2%2Bshowstr%2Blabstr%2B4 You are not allowed to view links.
Register or Login @mj 2981958 not silly but it was a very important question , the i.v catheters should be changed every 3rd day and urinary catheters every week with i.v more than 3 days the chances of having bacterial endocarditis that is infection affecting heart valves increases significantly besides the condition called thrombophelbitis occurs
41
« on: June 30, 2010, 08:29:42 AM »
@ hazzely
1.
I already mention where the person suggesting something odd doesnt seems odd to me , except the part with the body samples under various alias could be a another possibilty to explain , that is his samples were sent to lab with assumed names to have unbiased result s , i think same goes with his histology slides
2.
as far as i remember there was somthing mention about avulsion of olfactory lobes leading to anosmia a condition patient cant smell but it happens after significant head trauma and skull fractures i cant see in this report
3.i thought scar would be mention not because burn scalp but the fact he had discoid lupus leading to scarring aloplecia ( baldness)
i know what most of you might be thinking right now after reading the post its hard for me to write it even because i know many of you might get hurt but i think i clear up your doubts , please keep an open mind and i know you all do .
please take care
42
« on: June 30, 2010, 07:50:21 AM »
Asystole and Pulseless Electrical Activity (Box 9)
PEA encompasses a heterogeneous group of pulseless rhythms that includes pseudo-electromechanical dissociation (pseudo-EMD), idioventricular rhythms, ventricular escape rhythms, postdefibrillation idioventricular rhythms, and bradyasystolic rhythms. Research with cardiac ultrasonography and indwelling pressure catheters has confirmed that pulseless patients with electrical activity have associated mechanical contractions, but these contractions are too weak to produce a blood pressure detectable by palpation or noninvasive blood pressure monitoring. PEA is often caused by reversible conditions and can be treated if those conditions are identified and corrected.
The survival rate from cardiac arrest with asystole is dismal. During a resuscitation attempt, brief periods of an organized complex may appear on the monitor screen, but spontaneous circulation rarely emerges. As with PEA, the hope for resuscitation is to identify and treat a reversible cause.
Because of the similarity in causes and management of these two arrest rhythms, their treatment has been combined in the second part of the ACLS Pulseless Arrest Algorithm.
Patients who have either asystole or PEA will not benefit from defibrillation attempts. The focus of resuscitation is to perform high-quality CPR with minimal interruptions and to identify reversible causes or complicating factors. Providers should insert an advanced airway (eg, endotracheal tube, Combitube, LMA). Once the airway is in place, 2 rescuers should no longer deliver cycles of CPR (ie, compressions interrupted by pauses when breaths are delivered). Instead the compressing rescuer should give continuous chest compressions at a rate of 100 per minute without pauses for ventilation. The rescuer delivering ventilation provides 8 to 10 breaths per minute. The 2 rescuers should change compressor and ventilator roles approximately every 2 minutes (when the rhythm is checked) to prevent compressor fatigue and deterioration in quality and rate of chest compressions. When multiple rescuers are present, they should rotate the compressor role about every 2 minutes. Rescuers should minimize interruptions in chest compressions while inserting the airway and should not interrupt CPR while establishing IV or IO access.
If the rhythm check confirms asystole or PEA, resume CPR immediately. A vasopressor (epinephrine or vasopressin) may be administered at this time. Epinephrine can be administered approximately every 3 to 5 minutes during cardiac arrest; one dose of vasopressin may be substituted for either the first or second epinephrine dose (Box 10). For a patient in asystole or slow PEA, consider atropine (see below). Do not interrupt CPR to deliver any medication. Give the drug as soon as possible after the rhythm check.
After drug delivery and approximately 5 cycles (or about 2 minutes) of CPR, recheck the rhythm (Box 11). If a shockable rhythm is present, deliver a shock (go to Box 4). If no rhythm is present or if there is no change in the appearance of the electrocardiogram, immediately resume CPR (Box 10). If an organized rhythm is present (Box 12), try to palpate a pulse. If no pulse is present (or if there is any doubt about the presence of a pulse), continue CPR (Box 10). If a pulse is present the provider should identify the rhythm and treat appropriately (see Part 7.3: "Management of Symptomatic Bradycardia and Tachycardia"). If the patient appears to have an organized rhythm with a good pulse, begin postresuscitative care.
When Should Resuscitative Efforts Stop?
The resuscitation team must make a conscientious and competent effort to give patients a trial of CPR and ACLS, provided that the patient has not expressed a decision to forego resuscitative efforts. The final decision to stop efforts can never be as simple as an isolated time interval. Clinical judgment and respect for human dignity must enter into decision making. There is little data to guide this decision.
Emergency medical response systems should not require field personnel to transport every victim of cardiac arrest to a hospital or emergency department (ED). Transportation with continuing CPR is justified if interventions are available in the ED that cannot be performed in the field, such as cardiopulmonary bypass or extracorporeal circulation for victims of severe hypothermia (Class IIb).
Unless special situations are present (eg, hypothermia), for nontraumatic and blunt traumatic out-of-hospital cardiac arrest, evidence confirms that ACLS care in the ED offers no advantage over ACLS care in the field. Stated succinctly, if ACLS care in the field cannot resuscitate the victim, ED care will not resuscitate the victim. Civil rules, administrative concerns, medical insurance requirements, and even reimbursement enhancement have frequently led to requirements to transport all cardiac arrest victims to a hospital or ED. If these requirements are nonselective, they are inappropriate, futile, and ethically unacceptable. Cessation of efforts in the out-of-hospital setting, following system-specific criteria and under direct medical control, should be standard practice in all EMS systems.
@ LADY MEDIC
Practically like i mention earlier if the patient doesnt seem to respond to treatment , CPR terminate and he/she pronounced dead ,BUT It carries a great medicolegal importance like this high profile case when the jury can question the paramedical staff/personal physician about their best efforts in patients benefit, and thats why DR Murray called Prince to witness the whole procedure , he is a key witness in that case , I dont know what others physician do but if i see patient is improving i ask to keep on working on him , it happened the patient was flatline all efforts terminated and team was about to declare the patient dead but suddenly rhythm reverted may be thats what people say about UCLA rising the dead alive
@ Elsa
7th cervical rib is rare BUT IT CAN BE A SYMPTOMATIC and person might not know , in some patients it presses the main subclavian artery and major veins leads to emboli ,in others it presses nerve causing muscle wasting of arm and hand , depending upon what anatomical structure is affected the symptoms varies
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« on: June 29, 2010, 04:44:52 PM »
If the time lapse between the press conference and any channel breaking news is more than 30 minutes only then it become significant in a sense like i said in one of my post the physicians/ medical staff are bound to resuscitate for atleast 45minutes unless someone labelled DNR ( means donot resusitate) considering that may be someone from media already heard or saw Michael wont make it as asystolic patient seems dead to layman ,if my memory serves me right i heard TMZ reporter screaming: he is not breathing '' when ambulance was leaving his home or another possibilty is Jackson family were making some preparation to hold a press conference sometime after doctors pronounced him dead and Tmz broke news before Jermaine , my two cents
44
« on: June 29, 2010, 04:00:14 PM »
@ dangerously bad does it means he has gone???
45
« on: June 29, 2010, 11:03:54 AM »
okay this one shows rhythms changing within seconds and how one should recognise them before dangerous arrhythmias like ventricular fibrillation and tachycardia devolop which finally ends up in asystole You are not allowed to view links.
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