The Journal of History     Fall 2004    TABLE OF CONTENTS

John Caldwell, Medical Neglect

CONFIDENTIAL

Grievance Form
Unit/Center Cummins

NAME (Please Print) John Caldwell ADC# 090188
BARRACKS 14-440 JOB ASSIGNMENT A.S. Utility

Have you discussed this problem with your immediate supervisor? YES x No NATURE OR DESCRIPTION OF THE PROBLEM:
There is a malicious and deliberate indifference being shown toward my medical needs by C.M.S. I am profusely bleeding internally and every time I sit down on the toilet it drips out (blood) at a pace so steadily it turns all the water dark red.

WHAT DO YOU WANT TO HAPPEN TO SOLVE IT?
I am in dire need of immediate professional medical care to stop this bleeding before I am allowed to bleed to death; this is cruel and inhumane to allow this to continue.

Inmate Signature John signed this form. Date November 6, 2001

IS THIS AN EMERGENCY SITUATION? YES x No If so, why? (Provide Explanation)
My very life is in danger due to the profuse bleeding; do something to stop this. I need to go to a hospital to get this fixed; My God please get me treatment.

This form was stamped Received at Health Services on November 26, 2001.

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INMATE NAME CALDWELL, J. ADC#90188 GRIEVANCE # CU-2001-6474

WARDEN'S/CENTER SUPERVISOR'S DECISION

I have determined that your grievance is a medical matter. I have forwarded your grievance to the Medical Administrator who will provide a written response, and/or will interview you within twenty working days of the date I receive your grievance. Should you receive no response within this time frame, or the response that you received is unsatisfactory, you may appeal to the Deputy Director for Health and Correctional programs. If you have medical needs that you believe are urgent, put in a Sick Call Request, or send a Request for an Interview to the Medical Administrator.

If you do not agree with response you may appeal my decision to the Appropriate Assistant Director within ten(10) working days.

Signature of ARO or Warden's/Supervisor's Designee There is a signature there.
Title Warden
Date November 6, 2001

INMATE'S APPEAL

If you are not satisfied with this response, you may appeal this decision within five days by filling in the information requested below and mailing it to the appropriate Deputy/Assistant Director. Keep in mind that you are appealing the decision to the original complaint. Do not list additional issues which are not a part of your complaint.

WHY DO YOU NOT AGREE WITH THE RESPONSE?
Why would you expect somebody profusely bleeding every time they sit down on a toilet to wait "20 working days." This is absolutely ludicrous; the very nature of bleeding in this manner constitutes medical emergency; there must be a severe problem or it wouldn't be happening in the first place. I use sick call again and again; all I get are excuses, "no treatment." I put in another sick call on November 3, 2001, "no response yet." Must somebody suffer cruel condition or perhaps die before you see medical priority?

Inmate Signature John signed the form. ADC# 090188 Date November 8, 2001

Date Stamped as Received by Health Services on November 16, 2001.

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INMATE NAME CALDWELL, J. ADC# 90188 GRIEVANCE# CU-2001-6513
WARDEN'S/CENTER SUPERVISOR'S DECISION

I have determined that your grievance is a medical matter. I have forwarded your grievance to the Medical Administrator who will provide a written response, and/or will interview you within twenty working days of the date I received your grievance. Should you receive no response within this time frame, or the response that you receive is unsatisfactory, you may appeal to the Deputy Director for Health and Correctional programs. If you have medical needs that you believe are urgent, put in a Sick Call Request, or send a Request for an Interview to the Medical Administrator.

If you do not agree with response you may appeal my decision to the Appropriate Assistant Director within ten(10) working days.

Signature or ARO or Warden's/Supervisor's Designee This form was signed.
Title Warden
Date November 8, 2001


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