John Caldwell, Medical Neglect
CONFIDENTIAL
GRIEVANCE FORM
UNIT/CENTER E.A.R.U.NAME (Please Print) John Caldwell ADC# 090188
BARRACKS MAX #5-2 JOB ASSIGNMENT NAHave you discussed this problem with your immediate supervisor? YES x NO NATURE OR DESCRIPTION OF THE PROBLEM:
I have turned in as many as (10) sick call slips in the past (30) days. What are you people doing with them?
In MAX #5 the sick call box sits in the floor with no lock on the ...[indistinguishable word]; your inmate porters use the sick call box as a "chair." I have a large lump under my right breast nipple causing me severe problems-plus other problems.WHAT DO YOU WANT TO HAPPEN TO SOLVE IT?
I want to receive proper medical treatment for #1: lump/knot that is under my right breast nipple. #2 Treatment for my right arm-it turns purple for no reason.#3 I can barely see at all out of my left eye-cannot read.Inmate Signature John signed the form and put his inmate number. Date May 20, 2003
IS THIS AN EMERGENCY SITUATION? YES x NO If so, why? (Provide Explanation) I'm in dire need of proper medical treatment-medical malpractice is rampant around here-my health and safety are in danger.
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GRIEVANCE FORM
UNIT/CENTER E.A.R.U. NAME (Please Print) John Caldwell ADC# 090188
BARRACKS MAX #5-2 JOB ASSIGNMENT NAHave you discussed this problem with your immediate supervisor? YES x NO NATURE OR DESCRIPTION OF THE PROBLEM?
I have put in as many as (10) sick call slips-your ...[indistinguishable word] for sick call slips sits in the floor-has no lock on the ... [indistinguishable word] and it is used as a chair more than anything else. I don't know where the slips are going. This is my 2nd grievance on my need for medical treatment. Ignoring my medical needs and/or denying me access to treatment is cruel and inhuman.WHAT DO YOU WANT TO HAPPEN TO SOLVE IT?
To receive proper medical treatment. I will specify to help you: #1 my left eye is losing all focus, I cannot read with it period. #2 Lump/knot under right breast nipple-painful pressure. #3 Right arm turns purple without cause.Inmate Signature John signed the form and put his inmate number. Date May 23, 2003
IS THIS AN EMERGENCY SITUATION? YES x NO If so, why? (Provide Explanation) I have tried procedure and policy to no avail-This doesn't change my immediate need for proper medical treatment of several specified problems.
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GRIEVANCE FORM
UNIT/CENTER E.A.R.U.NAME (Please Print) John Caldwell ADC# 090188
BARRACKS MAX #5-2 JOB ASSIGNMENT NAHave you discussed this problem with your immediate supervisor? YES x NO NATURE OR DESCRIPTION OF THE PROBLEM:
On May 24, 2003 my internal bleeding started up again. I am formally requesting a colonoscopy to determine if I have cancer or what the cause is. I have a lump/knot (possibly a tumor) under right breast nipple causing odd pressure, pain in chest area. My right arm will turn purple for no known reason. My left eye has convulsive spasms rendering extremely blurred vision problems.WHAT DO YOU WANT TO HAPPEN TO SOLVE IT?
Much of this has been ongoing for several years with no adequate treatment as of yet. Portions of it started up in the past 6 to 8 months and the sick call up process doesn't work. I want immediate treatment.Inmate Signature John signed the form and put his inmate number. Date May 26, 2003
IS THIS AN EMERGENCY SITUATION? YES x NO If so, why? (Provide Explanation) I am having multiple medical problems hitting me one after the other. Obviously it all ties in together; it is progressive, and I'm in dire need of medical treatment. This is a medical emergency. Please do not ignore this.
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Inmate Request Form
This form is to be used by inmates to contact staff with request on issues they may have. This step should be used before filing a grievance and the staff given 5 working days to answer. This is East Arkansas Regional Unit in-house Form.
Name John Caldwell Number 090188 Date May 29, 2003
Housing Assignment MAX 5-2 Job Assignment NA
I have a request in the following area: (Circle one)
Medical
Law Lib
Editor's note: Both of these were circled on this form.Staff Directed to: Any warden? Office Warden
Give a detailed reason for request We do not necessarily need to talk, but-I am being forced to use a request form that I do not have and cannot seem to find so that I can request other forms. What I need and want are-multiple grievances and multiple sick call slips, can you handle this? This needless process is delaying my medical request! Why do you have inmates in control of medical forms and in charge and control of emergency grievance forms? Explain?
Have you talked to any staff about request and if so whom? Yes was circled.
Staff contacted Hooper, Smith, Friday Date May 28, 2003-May 29, 2003Inmate's signature John signed the form
Date May 29, 2003Staff responding Date
I have reviewed your request and here is my finding: This was left blank.I am referring this to_______________________________________