Please share with anyone you know who has a loved one in TDCJ.
♥ Send some love Cassandra’s way in the comments. ♥
GIVE YOURSELF THE CHANCE TO SAY GOODBYE. [My experience happened in the Texas state prison system.]
ASK YOUR LOVED ONE TO SUBMIT AN i60 TO GO TO MEDICAL AND SIGN A HIPAA PAPER. Have them put your name on it and sign it ASAP. The prison will think you are silly, and that the inmate is healthy and doesn’t need to sign one BUT THEY DO! And make sure it is signed and updated every 6 months!
My husband Christopher went into the prison system 10/05. We had not even had our first phone call yet and were communicating through letters. On 11/01 the TDCJ website said he was at an off-site medical facility. I freaked out and called the prison. They told me because he didn’t sign a HIPAA form they couldn’t tell me a single thing. We were married for 6 years, and I even had a strong Power Of Attorney written out and signed before he went to prison. It did not matter, they could not tell me anything. I called every single day, crying, thinking my husband got jumped. The warden and office began to get irritated with my calls and would tell me “Ma’am, quit calling the office. He is O.K. and nothing is wrong. If it was life threatening we would call you. Quit calling the office.”
On 11/06 I made my daily call and the office told me that the warden was going to the hospital to get him to sign the HIPAA paper in person. I asked, “Thats odd, and doesn’t sound like his job duty, why is the warden going himself?” her response was, “He likes to pay his respects.” That’s a weird response.
Four hours later while I was in the middle of making my husband a get well soon card the warden called me. The first words out of his mouth were, “Your husband is dying fast from cancer and you need to fly back to Texas soon.” The messed up part of all of this is HE KNEW MY HUSBAND HAD A DEADLY CANCER SINCE 10/27! He was getting his new inmate blood work done, they saw his blood looked weird, and sent him to the hospital where he was diagnosed with Acute Myeloid Leukemia. They should had given him a HIPAA paper to sign the day he was diagnosed with cancer. The doctors begged the warden to call family because his cancer was deadly and he may not survive. THE WARDEN ONLY CALLED ME WHEN HE NEEDED A DNR SIGNED AND DIDNT WANT TO BE THE ONE TO SIGN IT.
The next day I flew in and he had emergency brain surgery. He looked so swollen. He was still in a coma, My kids didn’t get to say goodbye. He didn’t get to at least look at me one last time. The doctors said if I would have come a few days earlier he would have been able to see my face for at least 15 seconds.
I spent the next two days with my husband until I took him off life support, while I was watched by two guards, one who was laughing about the previous night’s basketball game — laughing and joking while my husband was struggling to breath.
Have your loved ones sign the paperwork. They could be seemingly healthy one second, and dying of cancer the next. He had no symptoms, my husband was healthy and strong. Don’t risk not having the chance. Get it signed.
PLEASE COPY AND SHARE. HELP GIVE SOMEONE THE CHANCE TO SAY GOODBYE!
We watched him dying. Everyone on our wing had their own diagnosis.
“It’s jaundice. Look at how yellow he is.”
“How can you tell? He’s hispanic.”
“Next time you get close to him, look at his eyes. They are yellow.”
“I bet he has liver cancer. Look at how skinny he’s gotten. If he weighs a hundred pounds I’d be surprised.”
Several of us wrote requests to medical. “You really must help this man.” Somebody took a guard quietly to the side of the dayroom after our requests went unanswered.
“You see that guy standing on the wall next to 101 cell?”
“He’s dying. When you do an in and out, take a close look at him. He never goes to chow, his celly says he has chronic diarrhea. Somebody has got to do something for him. Medical is ignoring us.”
At first, our attentions were discreet. But later we openly made pests of ourselves, asking him daily if he needed help, if he was feeling okay. His stoic refusals led us to believe he was committing an agonizingly slow suicide. Finally, medical responded, though we were certain it was too late. He refused treatment time and time again. To the Warden’s credit (how word reached him nobody is sure), when he saw the man in the infirmary, he was having none of their official resignation.
“What are you doing for this man?”
“Nothing. He’s refusing treatment.”
“Oh, hell no! He’s going to the hospital. Now!”
That was the last we saw of him. We’ve heard nothing since about whether he lived or died but we kept him in our prayers.
It’s probably like this in other states but certainly in Texas, the prison system is loathe to even hint that they employ people who care about inmates. Thus, every nurse station is labeled an ‘infirmary,’ every form requesting medical care is a ‘sick call,’ and you pick up your medication at the ‘pill window.’ Outside. Rain, snow, sleet, or shine.
To say that prisons do a poor job of delivering health care is a gross understatement. Prison Legal News has been at the forefront of reporting and litigation on behalf of inmates who’ve suffered medical malpractice. You can find, in their archives, article upon article describing lawsuits against prisons which have neglected inmates to the point of serious injury and death. In many cases, suffering could have easily been prevented.
A libertarian-minded person might argue that government hires the least qualified since they pay below-market labor rates; look at the VA for instance. There may be some truth in that. Yet, incompetence alone can’t account for such widespread malpractice. Diseases that are routinely vanquished outside prisons are rampant and life-threatening inside them. When is the last time you heard of someone dying of a staph infection or sepsis in a hospital? It happens rarely because staph and sepsis rarely go unrecognized or untreated. In prison?
“Here’s an Ibuprofen. Go back to your cell.”
And that is after one has waited up to 72 hours for the infirmary to respond to your sick call request.
This indifference isn’t because medical staff are incompetent but because they’re trained to be belligerent. That sounds like hyperbole, doesn’t it? it’s not.
Not all belligerence leads to injury or death. Most refusals to provide care merely result in dramatic cost savings. Let’s face it, garden variety colds and flus resolve themselves. Nobody dies. They’re uncomfortable is all. Inmates will be forced to work anyway, threatened with disciplinary hearings which can jeopardize parole chances, a win-win for prison wardens.
Not all malpractice results in legal action. Very few inmates have the resources to litigate a malpractice suit.
An inmate on my unit, we’ll call him Bob, was diagnosed with brain cancer his last time down. He was given an emergency parole but was convicted of another DUI and sent back to prison. After arriving, he was transferred to the Mumford Unit to have his tumor removed. The surgery required that doctors cut away a piece of Bob’s skull. Once his tumor was removed, the piece of bone that had been cut away was fastened back to his skull using four screws and two metal plates.
About five months ago, Bob showed me a two-inch piece of bone that had pushed itself through a wound in his scalp. Also pushed out of his scalp was a titanium screw. Alarming to say the least. Bob put in a sick call request and the nurse was concerned enough to schedule a trip to the neurologist.
Going to see a medical specialist in a Texas prison is an ordeal. TDCJ does not have the resources to employ specialists at every unit. Depending on the type of specialist, an inmate might have to be transported hundreds of miles by bus, cuffed to another prisoner. In the worst case, you’re chained, shackled and hog-tied. Prior to travel, you’re required to pack all of your property and inventory it. Then at 6 AM, you’re taken to a holding cell where you can wait up to four hours for the bus to arrive.
Bob was shackled and hog-tied on his trip to the neurologist. Not once, not twice, but three times was he sent, each trip excruciating and humiliating. On the third trip he was able to converse with the specialist.
“Bob, I have good news and bad news.”
“Okay, what’s the good news?”
“The good news is you’re cancer-free. Your MRIs are negative. No sign of cancer at all.”
“That is good news! What’s the bad news?”
“We can’t see any sign of missing bone, nor can we find any of the screws we used to re-attach the piece we cut out during your surgery.”
“They aren’t showing up. I can’t explain it really.”
Bob literally has three screws loose in his head somewhere. Unless he lodges a serious complaint, the medical professionals obligated to care for him have officially washed their hands of him.
Perhaps you’re still not convinced that belligerence is cultivated. TDCJ contracts its medical care to a corporation called UTMB*Correctional Managed Care, at several of its units. Outsourcing indemnifies it from medical malpractice lawsuits. It also jeopardizes its reputation for being tough on inmates by using a company that has the word ‘care’ in its name.
Dr. Erin Jones, who interned as a psychiatrist and has not even one hour of experience in osteopathy, was called as an expert witness by UTMB’s lawyers. In spite of her lack of experience, she was allowed to give testimony on Adams’ shoulder condition. More interesting was the beginning of her testimony on behalf of the defense.
Q: Then when you went to work for UTMB in the correctional managed health care system did you receive any kind of training?
A: Yeah, we had training that’s called NEO.
Q: What is that?
A: New Employee Orientation. And it’s — working in corrections is very different from working in free-world medicine. And so we had to learn —
Q: Explain to us why. What is different about it?
A: Well, there is a lot more patients that want something for secondary gain. There is — basically eighty to ninety percent of our patients are either lying or exaggerating on their symptoms to try to get something. [Treatment, perhaps?]
And then, my job every day — and it’s a challenge — is that I have to find that ten to twenty percent that are really sick and take care of them because they need my help, you know. But then, you know, I don’t want to waste my time on something that’s not real, you know.
There you have it. A UTMB employee admits, under oath, that UTMB trained her to treat up to 90% of her patients as if they are lying. It’s truly absurd for Dr. Jones to complain that her job is so difficult. Imagine coming home from work and reporting that you had a terrible time disregarding 90% of your duties. Whew!
“That ten percent I did was hard but I enjoyed doing it.”
Jones offered no empirical evidence to support the claim that such a high percentage of inmates are lying and I suspect that its because UTMB doesn’t offer any either. Plain, common sense suggests the claim is a fabrication. Texas inmates are charged a $100 annual co-pay for any non-chronic care (even though they are not paid for their work). Chronic care is care for issues such as diabetes, cancer, or pre-existing conditions discovered during prisoner intake. Why would an inmate lie ‘to get something’ when it costs them $100 to do so?
It’s preposterous to conclude this unless you are interested in getting paid for work you refuse to perform. Planned, systemic belligerence. It’s not health care, it’s not medical practice, it’s hate medicine. No amount of honey can make it palatable.