The fentanyl killed him. That's why he couldn't breathe. The officers didn't realize he was od'd on the stuff because of the way he was freaking out. The behavior wasn't consistent with what they expected from someone high on such a strong depressant.
its pretty clear from the autopsy that his death was a result of:
Extremely, almost absurdly severe heart disease (so incredibly bad its a wonder he was still alive*
Drug overdose
Overexertion
those factors combined are what killed him, not just one element. He shoved fentanyl up his own ass, that wouldn't kill a normal healthy human being, he had enough in his system that a normal human would be fully anesthetized and you could cut them open for heart surgery while they're awake without feeling a thing. But in someone with 90% blocked arteries and 560g heart and 3:1 LVH? Almost guaranteed fatal. And with a heart like that, any exertion would kill him, let alone on a cocktail of uppers and downers
He had residual amounts of meth. He had taken that at some time earlier. He was on fentanyl. I hadn't heard it was a suppository. I hate that anyone gets that screwed up. You're right though, he was a walking time bomb.
Having watched the video they used to gin up police hatred (I can’t breed), and then the leaked body cam video, my impression was Kirby suffered cardiac arrest following agitated delirium.
No doubt the other drugs contributed to his death, but that didn’t look like an opiate overdose to me.
To be totally honest that level of medicine is beyond my scope, but I’ve never seen or heard of anything like that happening. I regularly administer fentanyl for sedation and pain control just to give you an idea of where I’m coming from.
Just a guess but what I think happened is Kirby’s heightened metabolism and muscle activity caused a spike in serum potassium levels. The effect of that on his already over taxed and diseased heart caused his cardiac arrest.
Hyperkalemia (High serum potassium) is one of the reversible causes we consider when attempting to revive someone in cardiac arrest.
It is strange, usually they stop responding and go cyanotic very quickly.
I suppose it depends on the RoA, other drug interactions, underlying conditions... the strange thought that occurs to me that if he simply nodded out and was unresponsive it would have been obvious what was going on and they could have administered Naloxone. Probably wouldn't have helped given the other factors but yeah, strange presentation. Probably thought he was smoking that synthetic Buddah shit. I see weird type of behavior every time I go into the city, so...
Interesting from a medical standpoint but it's hard to have sympathy on a more basic level. He'd been playing stupid games since the mid 90s. Once your number's up, it's really up.
Yeah I suspect that’s the meth. Doing the ghetto speed ball.
All the people I’ve ever seen with any sort of opiate toxicity generally just sorta lay down and go to sleep. Then respiratory arrest>hypoxia>cardiac arrest>death.
The fact Kirby kept going, screaming he couldn’t brief, makes me think it was something other than opiates.
No, and we don't know how much force was used on his neck. The autopsy didn't find any damage associated with the restraint, other than some facial cuts/bruising that George did to himself.
It definitely makes me question whether or not the knee killed him. It also makes me wonder how long the knee was on the neck to begin with.
Clearly, "that photo" of the incident doesn't give the entire story.
The fentanyl killed him. That's why he couldn't breathe. The officers didn't realize he was od'd on the stuff because of the way he was freaking out. The behavior wasn't consistent with what they expected from someone high on such a strong depressant.
its pretty clear from the autopsy that his death was a result of:
Extremely, almost absurdly severe heart disease (so incredibly bad its a wonder he was still alive*
Drug overdose
Overexertion
those factors combined are what killed him, not just one element. He shoved fentanyl up his own ass, that wouldn't kill a normal healthy human being, he had enough in his system that a normal human would be fully anesthetized and you could cut them open for heart surgery while they're awake without feeling a thing. But in someone with 90% blocked arteries and 560g heart and 3:1 LVH? Almost guaranteed fatal. And with a heart like that, any exertion would kill him, let alone on a cocktail of uppers and downers
Nuh uh- not what the Epstein doctor said...lol
He had residual amounts of meth. He had taken that at some time earlier. He was on fentanyl. I hadn't heard it was a suppository. I hate that anyone gets that screwed up. You're right though, he was a walking time bomb.
Thank you for bringing up the autopsy. It isn’t brought up enough.
Having watched the video they used to gin up police hatred (I can’t breed), and then the leaked body cam video, my impression was Kirby suffered cardiac arrest following agitated delirium.
No doubt the other drugs contributed to his death, but that didn’t look like an opiate overdose to me.
Paradoxical reaction or release of adrenline before dying? Kind of like a major myoclonic jerk?
Interested to know the concentration of methamp., amphet., etc... upon autopsy.
To be totally honest that level of medicine is beyond my scope, but I’ve never seen or heard of anything like that happening. I regularly administer fentanyl for sedation and pain control just to give you an idea of where I’m coming from.
Just a guess but what I think happened is Kirby’s heightened metabolism and muscle activity caused a spike in serum potassium levels. The effect of that on his already over taxed and diseased heart caused his cardiac arrest.
Hyperkalemia (High serum potassium) is one of the reversible causes we consider when attempting to revive someone in cardiac arrest.
I've never seen anyone on a lethal dose of fentanyl get so agitated.
It is strange, usually they stop responding and go cyanotic very quickly.
I suppose it depends on the RoA, other drug interactions, underlying conditions... the strange thought that occurs to me that if he simply nodded out and was unresponsive it would have been obvious what was going on and they could have administered Naloxone. Probably wouldn't have helped given the other factors but yeah, strange presentation. Probably thought he was smoking that synthetic Buddah shit. I see weird type of behavior every time I go into the city, so...
Interesting from a medical standpoint but it's hard to have sympathy on a more basic level. He'd been playing stupid games since the mid 90s. Once your number's up, it's really up.
Yeah I suspect that’s the meth. Doing the ghetto speed ball.
All the people I’ve ever seen with any sort of opiate toxicity generally just sorta lay down and go to sleep. Then respiratory arrest>hypoxia>cardiac arrest>death.
The fact Kirby kept going, screaming he couldn’t brief, makes me think it was something other than opiates.
No, and we don't know how much force was used on his neck. The autopsy didn't find any damage associated with the restraint, other than some facial cuts/bruising that George did to himself.
AUTOPSY SAYS HE HAD NO NECK INJURIES!!!!!! THE JFK, EPSTEIN & OJ CORONER SAID HE DIED FROM ASHYPXIHATION BC HE’S A DEEP STATE HACK!!!!!!!