Miske autopsy finds traces of fentanyl in his system

Convicted crime boss Michael Miske appears to have died of an accidental overdose of fentanyl and para-fluorofentanyl, described elsewhere as “a schedule I illicit fentanyl analog.”

The results were released today by the Honolulu Medical Examiner, as reported by Hawaii News Now.

According to HNN, “Miske’s manner of death is officially still listed as pending. But based on information that’s currently available, the manner of death appears to be accidental.”

Of course, fentanyl-related deaths have been epidemic in many areas.

A CDC report published in 2022 reports examined the problem and reported that fentanyl was involved in two-thirds of all overdose deaths in the United States.

Provisional estimates indicate that synthetic opioids, including illicitly manufactured fentanyl (IMF), were involved in approximately two thirds of an estimated 108,174 overdose deaths in the United States during the 12 months ending in April 2022.* Previous analyses have identified para-fluorofentanyl, a schedule I† illicit fentanyl analog, in drug overdose deaths in eight states from late 2020 through June 2021 (1–3). Limited data suggest that para-fluorofentanyl is likely similar to or slightly less potent than IMF (3,4); however, its role in the illicit drug market and its impact on the opioid overdose crisis has not been widely studied.

One thing that I have noted is that there was no testimony during the trial indicating Miske had used hard drugs, including fentanyl. There was considerable testimony that he tried push associates with drug problems into rehab, and was opposed to their continued drug use, which he felt endangered him. However, that was before he was facing a lonely holiday season with the prospect of spending the rest of his life in prison.

The investigation of the circumstances surrounding his death has to run its course. But from my perspective, an intentional or accident overdose appears to be more likely than a complex conspiracy that could have successfully taken his life within the Federal Detention Center.


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12 thoughts on “Miske autopsy finds traces of fentanyl in his system

  1. Shaunagh Robbins

    I wonder how he got them?

    Merry Christmas and Happy New Year to you both.

    With love and hopes for peace,

    Shaunagh

    Reply
  2. Rebecca in Hilo

    Mahalo for the update, Ian. I suppose it shouldn’t come as a surprise the Miske OD’d….

    Wishing you and Meda a Merry Christmas and a Happy 2025.

    Reply
    1. WhatMeWorry

      Prison guards have always notoriously been some of the worst, low-life individuals to ever hold the jobs that they have. A case of letting the patients run the asylum.

      Reply
  3. Dean

    Probably not an accidental overdose. The prison is certainly not as secure as claimed.

    Thanks for the persistent reporting, Ian.

    Happy Holidays.

    Reply
  4. WhatMeWorry

    And not a SINGLE employee in the detention center will be investigated or be held accountable with drugs and who know what else flowing in like a free trade, Middle Eastern souk.
    No wonder this state is swamped with professional grade fireworks on an endless basis. This was the first Christmas Eve I can recall hearing fireworks going off on an almost July 4th level!

    Reply
    1. Evelyn

      Oh no! So sorry! I hate the “bombs” that rattle the house and the amount of angst it all causes the furry family members! Sigh. We’re getting old?

      Reply
    2. Lynn

      Okay, it wasn’t just my imagination! I got so annoyed that I was considering going out again to try and video the moron(s). My son convinced me it just wasn’t the smart or safe thing to do. Said he didn’t want to have to go down to the coroner’s office to identify my body. He was only half joking!

      Reply
  5. Anonymous

    Miske may not have been an identified user but sure looks likw “cocaine nose” in the pictures. Miskes’s crew were drug users/dealers. He was caught with a “package” that he dragged a cop to get away rather than arrest

    Reply
  6. Evelyn

    Um, how did he get it? There was enough floating in his blood stream to kill him over time? Forgive me but are we supposed to smell some internal illegal sh*t going on? Suicidal? When reality sounds like the movies you know you have problems!

    Reply

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