LOS ANGELES -- A leading anesthesiologist yesterday told jurors in the trial of Michael Jackson's personal physician that the singer probably caused his own death by injecting himself with a dose of the drug while his doctor wasn't looking.
In his testimony, defense expert Dr. Paul White directly challenged the theory put forth by the government's main medical witness, Dr. Steven Shafer. The prosecution expert testified that the only plausible scenario was that Dr. Conrad Murray had left a large intravenous drip of the anesthetic propofol running into the singer's bloodstream for three hours, even after he stopped breathing.
Yesterday, Dr. White said Dr. Shafer's theory was ruled out by the level of the drug found in Jackson's urine at autopsy. Given the urine levels and evidence at the scene, the more likely explanation was that the singer gave himself the drug, said Dr. White, one of the first U.S. researchers to study the drug.
"You think it was self-injection of propofol … between 11:30 and 12 o'clock?" defense attorney Michael Flanagan asked.
"In my opinion, yes," Dr. White said.
His statement is the first evidence the defense has put forward to support a theory they've argued all along: that it was Mr. Jackson, not Dr. Murray, who administered the lethal dose of propofol that killed the pop star. Dr. Shafer testified that blood levels of the drug found at autopsy did not support self-injection -- something he said was a "crazy scenario."
Dr. White offered no defense to what several medical experts called by prosecutors have told jurors -- that even if Mr. Jackson gave himself the drug, Dr. Murray was still responsible for the singer's death for leaving him unattended. At the beginning of his testimony Thursday, he acknowledged he could not explain away Dr. Murray's conduct.
The concession suggested Dr. Murray's defense planned on admitting the doctor made missteps, but that he did not directly cause his famous patient's death.
The anesthesiologist's testimony also supported a second defense contention: that the singer swallowed several tablets the sedative lorazepam. That drug, combined with the propofol they say Mr. Jackson gave himself, caused a "perfect storm" that killed the star instantly, they have told jurors.
"The fact that there is even a tiny amount of free lorazepam [in Mr. Jackson's stomach] is consistent with the theory that he took lorazepam orally," Dr. White said.
Mr. Flanagan asked if the drugs Dr. Murray admitted to giving Mr. Jackson in his police interview -- small injections of two sedatives followed by a half-dose of propofol -- could have caused the singer's death.
"Would this present a dangerous situation here?" the attorney asked.
"Not at all," Dr. White said.
Dr. White, the defense's final witness, is expected to resume his testimony Monday.