A couple of “medical reports” on the Stock Island jail.
Hi Sloan,
I’m sorry I’ve taken so long in writing about my observations about the jail food, but I’ve been busy scrambling to find a second job so that I don’t wind up in jail myself because I wind up homeless. I have been selling off my possessions just to make ends meet. Anyway, enough of me. On to the jail food:
As I may or may not have told you, I worked in medical in the jail for about a year. While I cannot give specific names of the inmates (it’s been a while – if I could give you names I would. But I remember many times the reluctance of the institution to give the proper diet trays to the diabetics, and having to call the kitchen many times to get the orders straight. I also remember quite a few inmates who lost weight while incarcerated. Ten, twenty pounds at times. Double trays would be ordered (and can only be ordered by the physician on duty) and would take too many faxes to the kitchen, and too many phone calls. At the time I worked there, there was a particular physician who I won’t name here in this email, but she was very cold to most of the inmates that I observed, and often denied requests for double trays. I think she’d already needed to get out of the prison doctor business because of her bias. Inmates would have to wait until she would write the order, which seemed to be taken with a “sucks to be you” attitude. The inmates eat off these really disgusting looking plastic molded trays, and from what I saw, it was slop every day. Diabetic inmates especially distressed me, because some of them were what we call “brittle diabetics”, meaning their sugars were very difficult to keep within allowable limits. They would often complain to staff that most of what was on the trays were not food for diabetics. I didn’t know the dietician, but I’m sure the mandate was to keep costs as low as they could. It sure seemed that way. There were a few sympathetic guards and other workers, but most of those issues were out of their reach, so to speak. Yes, Sloan, conditions at that jail are deplorable. And we all know it’s about revenue. If there is anything I can do, please don’t hesitate to call on me. I don’t care anymore if they know it’s me speaking out. I hope this is of some help.
One more thing I find outrageous that you may or may not know about. I once asked about funding given to the commissioners, for each and every inmate, every day they are incarcerated. The number that was quoted to me was $185. That’s per inmate, per day. I can’t vouch for the complete validity of that info, but it was quoted to me by a ranking officer at the jail during a casual conversation. I believe that’s why they can hold some of the inmates up to 29 days. I think that “subsidy” runs out after that period. I sure would like to find out the truth in that matter. I always wondered why the jail was always full to capacity. That could be a reason why.
So that’s some of my recollections, and if more pop up in my overstuffed brain, I will keep you updated. Write me back (or call me) and let me know if I can be of further use to the cause. I have never lived in a state/county so blatantly corrupt. I’m sick of it all…
Always,
Marlene Slaght
FYI. Here are three letters from inmates having health issues at the MCSO. The third of three letters in this pdf file is from a Mr. Vance Montoya, an inmate at MCSO since 1/21/09, and his case is of particular concern due to his illness. Mr. Montoya has authorized me to contact anyone who can help. He has idiopathic thrombocytopenia purpura…(AKA ITP). He was previously incarcerated in Florida a few years ago and maintained on WynRho (immune globulin) for this disorder (having failed to respond to Prednisone treatment, and as he was considered a poor candidate for splenectomy due to severe risk of hemmorrhage interoperatively….) He was in New Mexico seeking and receiving care at a cancer center for his ITP, and picked up there recently for violation of probation. He was transferred to MCSO, Key West on 1/21/09. His last platelet count before re-incarceration was, per him, 24,000. He was told by his prior treatment providers that his platelets should be checked every 2 weeks. While in New Mexico jail custody, no medical treatment was provided to him, pending soon return to MCSO-Key West. He requested medical treatment of his ITP upon arrival to MCSO. He was told by jail medical staff that they would obtain lab tests but otherwise “nothing could be done” as the immuneglobulin is “too expensive” to receive from the jail. To this date he has not had any labs drawn, he has received no treatment of his ITP, and he has multiple large bruises over his body, indicative of extremely low platelet count. There is a critical platelet level at which he will hemorrhage profusely- e.g.,about 5,000-8,000 count. It seems to me that this is inadequate medical care on the part of the MCSO; if care is not rendered to this inmate this is likely to result in him “bleeding out” as we healthcare professionals call it…eg., intracranial hemorrhage or GI bleeding…an ugly way to die because he “violated probation” to seek medical care at a New Mexico cancer center for his ITP…..This certainly seems to be non-compliance with the McIntyre Consent Decree, section U…..if not by the letter of the law than certainly by the spirit of the law in which the decree was crafted….Here is a link with treatment guidelines for ITP…Especially note that it advises “urgent treatment is required for adults with severe thrombocytopenia…” http://www.bcshguidelines.com/pdf/BJH574.pdf
And a description of the disorder…
ITP, idiopathic thrombocytopenic purpura, also known as immune thrombocytopenic purpura, is classified as an autoimmune disease.
Causes
ITP occurs when certain immune system cells produce antibodies against platelets. Platelets help your blood clot by clumping together to plug small holes in damaged blood vessels.
The antibodies attach to the platelets. The spleen destroys the platelets that carry the antibodies.
In children, the disease sometimes follows a viral infection. In adults, it is more often a chronic (long-term) disease and can occur after a viral infection, use of certain drugs, pregnancy, or an immune disorder.
ITP affects women more frequently than men, and is more common in children than adults. The disease affects boys and girls equally.
Symptoms Abnormally heavy menstruation
Bleeding into the skin causes a characteristic skin rash called pinpoint red spots or petechial rash
Easy bruising
Nosebleed or bleeding in the mouth
Exams and Tests
Laboratory tests will be done to see how well your blood clots and to check your platelet count.
A complete blood count (CBC) shows a low number of platelets.
Blood clotting tests (PTT and PT) are normal.
Platelet associated antibodies may be detected.
A
bone marrow aspiration or biopsy appears normal.
Treatment
In children, the disease goes away without treatment.
Adults are usually started on an anti-inflammatory medicine called prednisone. In some cases, surgery to remove the spleen ( splenectomy ) is recommended. This can help increase the platelet count in about 50% of patients. However, other drug treatments are usually recommended instead.
If the disease does not get better with prednisone, other treatments may include:
A medicine called danazol (Danocrine) taken by mouth
Injections of high-dose gamma globulin (an immune factor)
Drugs that suppress the immune system
Filtering antibodies out of the blood stream
Anti-RhD therapy for people with certain blood types
People with ITP should not take aspirin, ibuprofen, and warfarin because these drugs interfere with platelet function and blood clotting, and bleeding may occur.
Outlook (Prognosis)
With treatment, the chance of remission (a symptom-free period) is good. Rarely, ITP may become a long-term condition in adults and reappear, even after a symptom-free period.
Possible Complications
Sudden and severe loss of blood from the digestive tract may occur. Bleeding into the brain may also occur.
RE: Platelet Count-In an adult, a normal count is about 150,000 to 450,000 platelets per microliter (x 10–6/Liter) of blood.
If platelet levels fall below 20,000 per microliter, spontaneous bleeding may occur and is considered a life-threatening risk. Patients who have a
bone marrow disease, such as leukemia or another cancer in the bone marrow, often experience excessive bleeding due to a significantly decreased number of platelets (thrombocytopenia). As the number of cancer cells increases in the bone marrow, normal bone marrow cells are crowded out, resulting in fewer platelet-producing cells.
Low number of platelets may be seen in some patients with long-term bleeding problems (e.g., chronic bleeding stomach ulcers), thus reducing the supply of platelets. Decreased platelet counts may also be seen in patients with Gram-negative sepsis.
Individuals with an autoimmune disorder (such as lupus or idiopathic thrombocytopenia purpura (ITP), where the body’s immune system creates antibodies that attack its own organs) can cause the destruction of platelets.Lorri [Szostak]
I was able to open and read the inmates’ letters Lorri forwarded by attachment, but am unable to copy them from the attachment. One was from the fellow described in Lori’s email, a University of North Carolina graduate and disabled war veteran. One letter from another inmate about jail conditions, and a formal complaint from three inmates about being roughed up in the vehicle that transported them to the Stock Island facility. Roughed up by the vehicle and not being properly restrained, not by guards.
Sloan Bashinsky, 27 January 2009, Key West