Good morning.

Today marks the 20th anniversary of my first propofol ketamine anesthetic.

Not many of our colleagues can claim to have created a new paradigm.

One day, I hope most will see the utility of the nifty 50 for any surgery that breaches the skin.

Patients will be delighted, PACU will notice & facility cost efficiency will increase.

Until that day, I shall be thrilled with my accomplishment.

Dr. Friedberg blog post in NY Times
Paul Krugman Op-Ed: Hurray for health care

http://tinyurl.com/7fuvt7r

see Going Under c Goldilocks anesthesia.

http://www.youtube.com/watch?v=GlQ3Do3b3_I&list=UUJfRG14veFypW1wEqYYgSfA...

youtube video, 'Going Under with Goldilocks anesthesia' has gone viral since being cited by Outpatient Surgery Magazine email blast & eweekly

http://www.youtube.com/watch?v=GlQ3Do3b3_I&list=UUJfRG14veFypW1wEqYYgSfA...

Goldilocks Anesthesia Technique "Not too much, not too little, just right"

As an increasing number of procedures requiring sedation are done in the outpatient setting, Sedation Consulting is presenting this seminar to help physicians and nurses involved in sedation administration to minimize the risks associated with the anesthesia or analgesia being provided for procedural sedation.

The 9th annual FACE meeting (http://www.faceconference.com/) in London, England has invited me to address their meeting on 'Propofol Ketamine anesthesia: How to make your office/outpatient anesthesia as safe as possible.' I have accepted the invitation & look forward to the experience.

Given Murray's immediate remand to custody, it appears unlikely Judge Pastor will give him anything but the maximum 4 years. Anything less might provoke rioting among Jackson's multitudinous fan base..

The only justice for the Jackson family will not come from Murray's jail sentence but by Murray never again being able to practice medicine, at least in this country.

Murray's native Grenada would most certainly welcome him back to practice there.

Sociopath that Murray is, he would just as likely resume practice without a license after his release.

When given without a brain monitor, anesthesia is always given in excess of what is thought necessary for fear of under-medicating (anesthesia awareness).

Goldilocks anesthesia is predicated on your individual brain response to anesthetic agents; therefore it is never too much, or too little, always just the right amount.

Patients older than 50 are especially sensitive to the negative effects of anesthesia over-medication: delirium, dementia & death.

Nearly one American surgery patient dies daily from anesthesia over-medication.

Conrad Murray Found Guilty In Trial - Fans & Advocates Release Post Verdict Reflection

While most of the media or independent commentators did not focus on these facts, there were exceptions. Beth Karas, Anthony McCartney, Linda Deutsch and the Associated Press, Law Med, Dr. Barry Friedberg, Sky’s Michael McParland, Michael C. Barnes, Dr Patrick Treacy, Matt Semino, Thomas Mesereau, and those of Michael’s friends who spoke up for him – voices that avoided easy soundbites and paid attention to the facts Michael Jackson’s toxicology and autopsy reports established.

More than 2 years after the avoidable death of Michael Jackson, a Los Angeles jury handed out the responsibility that Conrad Murray had denied.

When Judge Pastor asked for his plea, Conrad Murray blurted, “I am an innocent man.”

Murray’s defense sought to place blame everywhere aside from Murray’s shoulders, but the jury did not buy the claims.

"The general public has been needlessly traumatized over the safety of propofol" said anesthesiologist, Dr. Barry Friedberg. “I have said from the outset that propofol is safe, but Conrad Murray was not,”