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La Autopsia De Michael Jackson: Psicopatía, Codicia Y Negligencia Médica

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La Autopsia De Michael Jackson: Psicopatía, Codicia Y Negligencia Médica www.medigraphic.org.mx Medicina, arte, historia y cultura Vol. 6, Núm. 3 • Julio-Septiembre 2013 • pp 104-108 www.medigraphic.com/emis La autopsia de Michael Jackson: Psicopatía, codicia y negligencia médica Luis Carlos Ortega Tamez* Eran las 12:26 pm del jueves 25 de junio de 2009 cuando Sr. Kenny Ortega, director del evento, había enviado un fue recibida la llamada al 911, solicitaban ayuda en una de e-mail a los representantes de la compañía AEG infor- las suntuosas mansiones del exclusivo barrio de Holmby mándoles que Michael Jackson se mostraba fatigado, Hills, en California, la residencia del llamado «Rey del débil, tembloroso, excesivamente obsesivo y emocio- Pop»: Michael Joseph Jackson. nalmente paralizado, sugiriendo ayuda psiquiátrica Tres minutos después, cuando los paramédicos R. para el famoso artista. Senneff y M. Blount llegaron al lugar, encontraron el En las últimas noches, Michael Jackson no había po- cuerpo de Michael Jackson sin vida; las pupilas dilata- dido conciliar el sueño, el estrés de su regreso había das y sin respuesta, los ojos sin brillo y secos, la piel fría, agravado su insomnio crónico, por lo que la mañana del sin respiración ni pulso palpable; junto a él, estaba su 25 de junio, después de pasar una noche más sin po- médico de «cabecera» el Dr. Conrad Murray (cardiólogo) der cerrar los ojos, su médico personal le administró una realizando maniobras para tratar de reanimarlo. A pesar tableta de 10 mg de diazepam, posteriormente 2 mg de de que se comportaba de manera evasiva, el médico les lorazepam y 2 mg de midazolam. Ante el fracaso de los reportó que Michael Jackson tenía aproximadamente 20 medicamentos para procurar el descanso exigido, le ad- minutos sin respirar. ministró una inyección de 25 mg de propofol, un anes- Los paramédicos iniciaron maniobras de reanimación tésico de corta duración generalmente utilizado como cardiopulmonar durante aproximadamente 45 minutos anestésico inductor. La recomendación es utilizar el pro- más, a pesar de considerar que ya no había nada que ofre- pofol en unidades hospitalarias en donde sea posible la cer. Por tratarse de Michael Jackson, se optó por trasladar intubación traqueal y el soporte de respiración mecáni- el cuerpo al Servicio de Urgencias del Ronald Reagan UCLA ca, ya que dentro de sus posibles efectos secundarios es- Medical Center de Los Ángeles California. Los médicos de tán la depresión o incluso paro cardiorrespiratorio. urgencia intentaron de nuevo maniobras de resucitación A decir del Dr. Murray, Michael Jackson aprovechó que cardiopulmonar, ventilación pulmonar y varias drogas para él se retiró unos minutos al sanitario para inyectarse el reactivar el corazón; sin embargo, todo fue infructuoso. propofol; cuando regresó a la recámara, lo encontró dor- Michael Jackson fue declarado clínicamente muerto a las mido, sin reaccionar a los estímulos por lo que inició ma- 14:26 pm (hora de Los Ángeles) del 25 de junio de 2009. niobras de resucitación, con el desenlace conocido. Unos días antes, Michael Jackson había supervisado, El día siguiente, 26 de junio a las 10:00 am, el Dr. Cristo- junto con Kenny Ortega, el ensayo general de su regre- pher Roger realizó la autopsia; el dictamen final consideró so artístico titulado This is it, www.medigraphic.org.mxen el Staples Center. El que la causa de la muerte fue homicidio imprudencial por * Editor Huésped, Hospital Regional de Alta Especialidad de Ciudad Victoria «Bicentenario 2010». Correspondencia: Dr. Luis Carlos Ortega Tamez Hospital Regional de Alta Especialidad de Ciudad Victoria, Tamaulipas «Bicentenario 2010» E-mail: [email protected] Evid Med Invest Salud 2013; 6 (3): 104-108 • Ortega TLC. La autopsia de Michael Jackson 105 una intoxicación aguda con propofol. Pero además, el re- dinero, y le sacaban millones a Michael a base de especu- porte de la autopsia número 2009-0441 de 51 hojas pone laciones y falsos halagos. Hacían que viviera en un mundo de manifiesto otros hallazgos. totalmente irreal y sin sentido». Michael Jackson, de 50 años de edad y una altura de 1.78 El Dr. Murray fue contratado por la empresa AEG Live, m, pesaba sólo 50 kg, lo que le daba una imagen sumamen- promotora de los eventos, para cuidar la salud de Michael te delgada, incluso enferma. Tenía huellas de punciones en Jackson; él se preparaba para acompañar al artista en su glúteos, brazos, tobillo, cuello y en el área precordial. Un gira por Londres, quien ya se había comunicado con sus gran hematoma en la parte central del tórax y varias costi- pacientes para pedirles que buscaran otro médico, pues llas fracturadas (provocado por las maniobras de resucita- él se ausentaría durante el mes de julio, los dejaba para ción). Además de hematomas en rodillas y pantorrillas. aprovechar una oportunidad que sólo se presenta una vez Tenía, además, tatuajes de color negro en el cráneo en la vida: acompañar a Michael Jackson como médico (ya que era casi calvo) y en las cejas, además de tener los personal en su serie de conciertos, cobrando por su traba- labios tatuados en color rosa. Manchas hipocrómicas de jo 150,000 dólares mensuales. vitíligo en cuello, brazos y tobillos. Múltiples cicatrices en El retorno artístico de Michael Jackson significaba mu- cara, manos y abdomen (liposucción) por cirugías estéti- cho para todos los involucrados, principalmente desde el cas. Además de datos que revelaron inflamación pulmo- punto de vista económico. Por increíble que parezca para nar crónica, bronquiolitis, congestión y hemorragia en una persona que recibe cerca de 55 millones de dólares al ambos pulmones. Hiperplasia prostática nodular, con un año sólo por las regalías de las canciones de los Beatles, crecimiento prominente del lóbulo medio y retención uri- que fue considerado el artista mejor pagado en la historia naria y un adenoma tubular de colon. Degeneración arti- del espectáculo y que donaba una gran cantidad de re- cular en la zona lumbar y en los dedos. Ninguno de estos cursos a instituciones y proyectos de caridad y beneficio hallazgos podría justificar la prematura muerte. social, Michael Jackson estaba quebrado, había vendido En el contenido gástrico sólo había restos de medica- su residencia y después de llevar una vida de nómada en mentos, con lo que se concluye que Michael Jackson no diversos hoteles, había decidido rentar una mansión. había ingerido alimentos en por lo menos 16 horas. Ha- Necesitaba volver a trabajar, pero hacerlo implicaba bía evidencia de las maniobras terapéuticas que se reali- para él una situación de severo estrés. Por las noches dor- zaron en el intento de reanimación; tubo endotraqueal y mía abrazado a una muñeca (fetiche); el efecto de los me- catéter intravenoso en lado izquierdo del cuello y ambas dicamentos provocaban que hablara de manera incohe- regiones femorales. rente; su comportamiento era desequilibrado y errático, Los resultados toxicológicos mostraron: con periodos de manía y grandiosidad ya que la expecta- tiva de su regreso artístico lo emocionaba, alternando con a) Suero: Propofol, lorazepam, midazolam, lidocaína, dia- lapsus de silencio y distanciamiento; su conducta distaba zepam y nordiazepam. mucho de la imagen pública del «Rey del Pop», pero so- b) Orina: Propofol, midazolam, lidocaína y epinefrina. bre todo, no parecía que estuviera en condiciones de ini- c) Humor vítreo: Propofol. ciar una gira de estas dimensiones. Inicialmente se habían programado 10 presentacio- Las conclusiones a las que se llegó con la autopsia nes en el Reino Unido, pero la expectación que despertó es que el motivo de la muerte de Michael Jackson fue en sus fanáticos fue tanta que muy pronto se ampliaron una intoxicación con propofol, administrado de manera a 50, es decir, casi una diaria. Esto emocionó el ego del irresponsable por el Dr. Murray, a quien además se le artista, además los ingresos que recibiría resolverían en ha cuestionado que fuera el médico personal del artis- mucho su situación económica (por lo menos durante ta, toda vez que Michael Jackson nunca tuvo problemas un tiempo), pero la responsabilidad y la posibilidad de cardiacos. El jurado lo condenó www.medigraphic.org.mxa la cárcel por homicidio no estar a la altura que su carácter obsesivo lo obliga- involuntario y negligencia. ba, hacía que se sumiera más en la desesperación y la El Dr. Murray se ha defendido diciendo que fue el pro- depresión; aceptar que su carrera había terminado o ha- pio Michael Jackson ―que se encontraba bajo los efectos cer un ridículo mundial lo angustiaba sobremanera; la de varios tranquilizantes―, quien aprovechó su ausencia experiencia previa de su material Invincible (2001), con- (de no más de dos minutos) para inyectarse en la vena siderado un rotundo fracaso económico, seguía dando el propofol. Además, se considera la víctima o «chivo ex- vueltas en su cabeza. piatorio» de un gran grupo de representantes, asesores, Aunque no bebía alcohol, no fumaba, ni usaba drogas promotores y médicos que revoloteaban alrededor de Mi- ilegales, cada vez consumía más drogas de prescripción, chael Jackson en todo momento: «Sólo les preocupaba el recibía varias inyecciones al día y tomaba una cantidad 106 Ortega TLC. La autopsia de Michael Jackson • Evid Med Invest Salud 2013; 6 (3): 104-108 increíblemente alta de psicofármacos: xanax, propofol, Ése era el ambiente alrededor de los últimos días del dilaudid, fentanyl, vicodin, valium, ambien, lorazepam, mi- llamado «Rey del Pop», para todos un triunfador superdo- dazolam y demerol eran parte del coctel de fármacos que tado, para algunos en franca decadencia artística. consumía para poder mantenerse «en forma». Su toleran- cia al dolor era sumamente baja, además trataba de olvi- dar sus penas morales bajo el efecto de los medicamentos. PERO Nunca se consideró un adicto, ya que todos los medi- ¿QUIÉN ERA MICHAEL JOSEPH JACKSON? camentos eran prescritos por médicos para calmar sus males físicos.
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