Prelude To Upcoming Blogs, Medical Info and Facts

Written by Nikita

Saturday, 16 May 2009 00:24

I encourage all to go look at this program statement. A program statement is really a long bunch of legal mumbo jumbo to explain how they will do some things and they won't do somethings. See the new Forums for discussion on more of them. If you have a loved one inside, and God forbid something happen to them, take a look and see what their care might be like. People get sick, in prison, on the bricks, it just happens. Can you put a price on life? You life? Your son your daughter? Your mother, father? Your best friend, your lover, what’s the price tag? So, they classify someone who needs a hip replacement as not important. A person having a mild heart attack as kind of important, and someone bleeding out their head profusely as a lost cause, fuck it, they are gonna die anyway. Not acceptable.

What if YOU were in prison. What if it were you my friends? This is a pretext to a series of pretty serious blogs coming up guys. What will happen to the author? Probably bad things. But it needs to be said, somebody needs to know what is going on. This blog is dedicated to Ronald “Animal” Foley. You will hear much more about him in the next blogs to come. He is dying of throat cancer, that could’ve been diagnosed, and treated, a non-lethal cancer. Instead simple over the counter meds and suck it ups were given as treatment. They’ve given him until June to live. Please send cards and well wishes to him. It just takes a minute. You will find the address at the bottom of this post. Tell him Katfish and Nikita send their love.

Please read the following and use it as a reference if need be in future blogs. I thought it important that you have the information right in front of you to look at. As many of you know, I have serious health problems. God forbid I ever end up on the other side. I would surely end up dead.

Information found at www.bop.gov Program Statement Number P6031.01; Section 5- Definitions

God Speed Animal, we are all pulling for you!!

~Nikita~

6. PROGRAM RESPONSIBILITY.

Clinical care of inmates at Bureau institutions is under the direction of the Clinical Director, who provides direct patient care and supervises other health care providers. Administrative responsibility and supervision of nonclinical staff is under the Health Services Administrator’s (HSA) direction.

7. SCOPE OF SERVICES - CATEGORIES OF CARE.

The Bureau of Prisons provides five major levels of care that define care provided to inmates. Note: Ordinarily, pretrial or non-sentenced inmates, and inmates with less than 12 months to serve, are ineligible for health services in subsections c., d.,and e.

a. Medically Necessary - Acute or Emergent.

Medical conditions that are of an immediate, acute or emergent nature,which without care would cause rapid deterioration of the inmate’s health, significant irreversible loss of function, or may be life-threatening.

Examples of conditions considered acute or emergent include,
but are not limited to: myocardial infarction; severe trauma such as head injuries; hemorrhage; stroke; status asthmaticus; precipitous labor or complications associated with pregnancy; and detached retina, sudden loss of vision.Treatment for conditions in this category are essential to sustain life or function and warrant immediate attention.

b. Medically Necessary - Non-Emergent.

Medical conditions that are not immediately life-threatening but which without care the inmate could not be maintained without significant risk of: serious deterioration leading to premature death; significant reduction in the possibility of repair later without present treatment; or significant pain or discomfort which impairs the inmates participation in activities of daily living.

Examples of conditions considered medically necessary, non-emergent include, but are not limited to: chronic conditions (diabetes, heart disease, bipolar disorder, schizophrenia); infectious disorders in which treatment allows for a return to previous state of health or improved quality of life (HIV, tuberculosis); or cancer.

c. Medically Acceptable - Not Always Necessary.

Medical conditions which are considered elective procedures, when treatment may improve the inmate’s quality of life.

Relevant examples in this category include, but are not limited to: joint replacement; reconstruction of the anterior cruciate ligament of the knee; and treatment of non-cancerous skin conditions (e.g. skin tags, lipomas).These therapeutic interventions always require review by the Institution Utilization Review Committee. Relevant factors to consider in approving the proposed treatment in this category include, but are not limited to: the risks and benefits of the treatment; available resources; natural history of the condition; and the effect of the intervention on inmate functioning in his/her activities of daily living.

d. Limited Medical Value.

Medical conditions in which treatment provides little or no medical value, are not likely to provide substantial long-term gain, or are expressly for the inmate’s convenience. Procedures in this category are usually excluded from the scope of services provided to Bureau inmates.

Examples in this category include, but are not limited to: minor conditions that are self-limiting; cosmetic procedures (e.g. blepharoplasty); or removal of non-cancerous skin lesions.Any treatment in this category which a health care provider recommends and the Clinical Director feels is appropriate will require the Institution Utilization Review Committee’s review.

e. Extraordinary.

Medical interventions are deemed extraordinary if they affect the life of another individual, such as organ transplantation, or are considered investigational in nature. Any treatment provided in this category requires the Medical Director’s review and approval with notification to the Regional Director.

This is what doctors recite upon graduating med school, it's their oath to the medical career and sick people. This may or may not apply to the Physician's Assistants that work within the BOP. They all go through the same medical program, no?

The Hippocratic Oath: Modern Version

~I swear to fulfill, to the best of my ability and judgment, this covenant:

~I will respect the hard-won scientific gains of those physicians in whose steps I walk, and gladly share such knowledge as is mine with those who are to follow.

~I will apply, for the benefit of the sick, all measures [that] are required, avoiding those twin traps of over treatment and therapeutic nihilism.

~I will remember that there is art to medicine as well as science, and that warmth, sympathy, and understanding may outweigh the surgeon's knife or the chemist's drug.

~I will not be ashamed to say "I know not," nor will I fail to call in my colleagues when the skills of another are needed for a patient's recovery.

~I will respect the privacy of my patients, for their problems are not disclosed to me that the world may know. Most especially must I tread with care in matters of life and death. If it is given me to save a life, all thanks. But it may also be within my power to take a life; this awesome responsibility must be faced with great humbleness and awareness of my own frailty. Above all, I must not play at God.

~I will remember that I do not treat a fever chart, a cancerous growth, but a sick human being, whose illness may affect the person's family and economic stability. My responsibility includes these related problems, if I am to care adequately for the sick.

~I will prevent disease whenever I can, for prevention is preferable to cure.

~I will remember that I remain a member of society, with special obligations to all my fellow human beings, those sound of mind and body as well as the infirm.

~If I do not violate this oath, may I enjoy life and art, respected while I live and remembered with affection thereafter. May I always act so as to preserve the finest traditions of my calling and may I long experience the joy of healing those who seek my help.

**Written in 1964 by Louis Lasagna, Academic Dean of the School of Medicine at Tufts University, and used in many medical schools today.

SEND THINKING OF YOU CARDS AND NOTES. THINK OF IT AS A DYING REQUEST. THIS MAN SERIOUSLY GOT SCREWED. HE WAS NOT SENTENCED TO DEATH, BUT A DEATH SENTENCE IS WHAT HE GOT WHEN ONE PA DECIDED TO CUT CORNERS AND LOOK GOOD FOR HIS BOSS. SAD, SO VERY SAD. SO PLEASE, DROP A CARD TODAY! HIS STORY WILL BE POSTED THIS WEEKEND, TOMORROW NIGHT!