What should conrad should do cure insomnia of michael jackson?

1. Reckless prescription: why propofol at home was medically indefensible

Administering the surgical anesthetic propofol as a routine sleep aid outside an operating room or properly monitored facility departed dramatically from accepted practice, a point emphasized by expert witnesses and commentators during the investigation and trial ^{[2] [5]}. Multiple accounts show Murray gave propofol nightly to Jackson in a private home setting lacking full monitoring equipment and emergency back-up—circumstances experts called unsafe and ultimately lethal ^{[3] [1]}.

2. The alternative immediate steps a physician should have taken

A responsible physician confronted with an intensely insomniac, high–risk patient should have ceased any experimental use of iv anesthetics at home and instead referred Jackson to board-certified sleep medicine specialists and anesthesiologists capable of supervised interventions in a hospital or ASC (ambulatory surgery center) setting; this would allow appropriate monitoring and rescue capabilities that were absent in the home infusion model Murray used ^{[3] [6]}. Documentation of evaluation, consideration of non‑pharmacologic treatments, staging of safer pharmacologic therapies, and psychiatric assessment for substance dependence would have been essential first moves ^[4].

3. Safer medical options and a supervised wean

Evidence presented in post‑mortem analyses and expert reviews suggests propofol dependence was present; therefore, a planned, supervised taper under inpatient or monitored outpatient care combined with behavioral sleep therapies (CBT‑I) and, if needed, short‑term, guideline‑recommended hypnotics under strict oversight would have been the prudent path—unlike Murray’s reported home infusions that lacked continuous cardiac and respiratory monitoring ^{[4] [3]}.

4. Informed consent, documentation and team‑based care

Clinicians who deviate from standard care must secure informed consent, consult colleagues, and ensure rescue equipment and staff are present; expert testimony at trial and later analyses flagged Murray’s failure to obtain adequate consent, to monitor appropriately, and to involve a multidisciplinary team as key departures from standard practice ^{[2] [4]}. Legal outcomes underscore that failing those safeguards can be criminally culpable when death results ^[1].

5. Murray’s stated defenses and the counterarguments

Murray has repeatedly said his intention was to wean Jackson off propofol and that he eliminated propofol from treatment shortly before the death, claims he used in interviews and at appeal efforts ^[7]. The defense also argued possible self‑administration by Jackson and contributory use of other sedatives, but prosecutors and expert witnesses concluded Murray’s conduct was a direct cause of death and an “extreme departure” from the standard of care ^{[8] [3] [2]}.

6. The ethical and legal lesson for physicians

The Murray case became a cautionary exemplar: using powerful anesthetics as sleep aids in uncontrolled environments, failing to monitor, and not documenting informed consent can convert a clinical judgment into criminal liability, as reflected in Murray’s involuntary manslaughter conviction and the widespread expert condemnation of his treatment choices ^{[1] [2]}. A physician seeking to treat a celebrity patient’s intractable insomnia must prioritize safety protocols over patient demands or financial arrangements ^[9].