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"r-j .:!~ .-'-~j,~ ,,;" ~:. -- ~.:. -< :~~... , .;:":, ~~~::" ,...+,' ,< i ,'. :'" " ~?~}~:~~- . .:",/ ,'" '..' " t.. ~, - COMMONWEALTH OF PENNSYLVANIA, : DEPARTMENT OF CORRECTIONS, : STATE CORRECTIONAL INSTITUTION: AT CAMP HILL, : Plaintiff : IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA V. . . . . CIVIL ACTION - EQUITY RAYMOND WARHE, Defendant . . . . . . NO. 95-4641 EQUITY TERM IN RE: PRELIMINARY INJUNCTION Proceedings held be~ore the HONORABLE EDGAR B. BAYLEY, J., CUmberland County Courthouse, Carlisle, Pennsylvania, on September 5, 1995, at 2:07 p.m. in Courtroom Number Two. APPEARANCES: RANDALL N. SEARS, Esquire For the Department of Corrections DANIEL J. SODUS, Esquire Court-appointed Counsel For the Defendant INDEX TO WITNESSES FOR THE PLAINTIFF DIRECT CROSS REDIRECT RECROSS 1. Martin Leonard Lasky 8 13 20 FOR THE DEFENDANT 1. Raymond John Warme 22 27 INDEX TO EXHIBITS FOR THE PLAINTIFF IDENTIFIED ADMITTED 1. Packet of Documents 11 13 on Hunger strike FOR THE DEFENDANT 1. Patient Observation Notes 19 19 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 ZS September 5, 1995, 2:07 p.m. Carlisle, Pennsylvania (Whereupon, Commonwealth's Exhibit No. 1 was marked for identification.) This is Warme? Yes, Your Honor. A preliminary injunction was THE COURT: MR. SEARS: THE COURT: issued on this one? MR. SEARS: THE COURT: do what? Yes, also on August 31st. That allows the Commonwealth to MR. SEARS: To provide involuntary medical treatment including nutrition, hydration and medication to preserve his health and life pending the adjudication of this matter. THE COURT: MR. SODUS; THE COURT: MR. SEARS: first witness? THE COURT: MR. SEARS: Fine. This is challenged? That's correct, Your Honor. Proceed. Your Honor, if I may call my Yes. I'll call Dr. Lasky. 3 1 2 3 4 5 6 7 8 9 lO 11 l2 l3 14 15 l6 17 l8 19 20 21 22 23 24 25 Whereupon, MARTIN LEONARD LASRY, havinq been duly sworn, testified as follows: DIRECT EXAMINATION BY MR. SEARS: Q Would you please state your name for the record. A Martin Leonard Lasky, L-a-s-k-y, D.O. Q Dr. Laskey, are you employed? A Yes, I am, by Executive Health Group which has the contracted medical care of the state correctional Institution at Camp Hill. Q Do you work at the state Correctional Institution at Camp Hill? A I do. Q Would you please describe your educational backqround for us? A I attended Albriqht Colleqe. I then attended and qraduated from the Philadelphia Colleqe of osteopathic Medicine in 1965, and then served a one year rotatinq internship at the Tri-County Hospital, Sprinqfield, Delaware county, Pennsylvania. Q Have you ever treated Raymond Warme? A Yes, I have. Q How recently? 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 l5 l6 17 18 19 20 21 22 23 24 25 A starting approximately August 30th of this year. Q And for what condition were you treating him? A He was refusing to take any nourishment or hydration or medication. Q And what effect did that have on him? A All laboratory work that had been picked up on him on the 28th of August revealed that his blood sugar was well below the normal levels. Also, he showed in his urine the presence of ketone bodies to the highest extent that we were able to measure on the test that was performed, which indicated a breakdown of body tissue as well as an increase in an element in his blood called uric acid which also indicates a breakdown of essential body tissue. Q Left untreated what effect can that have? A If left untreated, it could eventually lead to loss of consciousness and permanent effects upon his nervous cardiovascular system and even ultimately death. Q Do you know whether Mr. Warme is accepting nutrition and hydration at this time? A To the best of my knowledge, he has accepted nutrition and hydration since, I believe, the 30th of August. Q What will happen to him if he stops eating again? 5 1 A The same situation could occur but could 2 occur more rapidly since his body has not had enough time to 3 build back up what it has broken down through his recent 4 approximate ten day fast. 5 Q If a person refuses nutrition and hydration, 6 what treatment is indicated? 7 A Hydration and nutrition, but must be given to 8 the person on an involuntary basis. This can be done 9 through intravenous or through a nasogastric tube or through 10 a method called hyperalimentation, a simple method. 11 Q In this case, what was done with Mr. Warme? 12 A Mr. Warme was placed in the infirmary at the 13 Camp Hill Institution. He was placed in four point 14 restraints so he could not fight. The nursing and medical 15 personnel then placed a nasogastric tube down through his 16 nose, the back of his throat and into his stomach, and was 17 then tested to make sure it was in his stomach. 18 He was then asked whether or not he would eat 19 or take the nourishment through the tube. He said he would ZO eat by mouth, which he can do even though the tube is down. 21 He proceeded then to eat and continued to eat by mouth. We ZZ did not ultimately have to use the tube, but it was left in 23 place. 24 Q Is it your opinion as a medical doctor that ZS you need the ability to intubate him again should he stop to 6 1 eat at this point? 2 A Absolutely, because we do not want to have 3 somebody under our care at the institution die from a very 4 preventable death. 5 Q If Hr. Warme would be permitted to starve 6 himself to death, what effect would that have on the part of 7 the institution that you are engaged with? 8 A It would cause mass pandemonium. First of 9 all, a great lack of confidence in the medical staff that 10 would let somebody go that far and not recognize it. Number 1l two, all of the other inmates at the institution, I'm sure, 12 would have a lack of competence of medical staff for 13 allowing somebody to kill themself in such a manner that was 14 preventable; and number three, it would be severely 15 demoralizing to the department of medicine. 16 HR. SEARS: Your Honor, may I approach the 17 witness? 18 THE COURT: Yes. 19 BY HR. SEARS: 20 Q I'm handing you a packet of documents which 21 we have marked as one exhibit, Commonwealth 1, and I would 22 ask if you would go through there and tell us what those 23 documents are, please. 24 A The first set of documents is approximately 25 five pages long. They indicate daily reports written on Hr. 7 1 Warme by Dr. Young, who is one ot my associates at Camp 2 Hill, starting on the 26th ot August atter Hr. Warme had 3 missed 14 meals, his general condition, including blood 4 pressure, state ot hydration, weight, things ot that nature, 5 and it was done daily until the 30th. 6 Q And is that routine practice at the Camp Hill 7 state Correctional Institution? 8 A Yes, it is. starting approximately on the 9 third or tourth day, we usually institute this form as a lO general intormation item for myself as medical director of 11 the institution, for the health care administrator at the 12 institution, and for the administrator of the Executive 13 Health Group who is also at the institution. 14 Then there are two sheets, actually only one 15 of which applies to this episode, and it's headed The 16 Effects of starvation and Dehydration. This is a lengthy 17 paragraph that was read to Hr. Warme by Dr. Young on the 18 26th of August, 1995, outlining for Hr. Warme all of the 19 problems that could occur if he continued his hunger strike. 20 At the end of this document there is an area for Hr. Warme 21 to sign the document. He declined to do so, and it is 22 witnessed by an officer whose signature I just can't 23 recognize. 24 The other document is the same as the first 25 one because apparently Hr. Warme had done a similar incident 8 1 in 1994, and that one he did sign. Those are those two 2 documents. 3 The other document is a large pack, I would 4 s~y roughly 30 to 40 pages, which contain all of the medical 5 nursing progress notes, treatment plans, orders, laboratory 6 tests, et cetera, that were conducted on Mr. Warme from the 7 time of his hunger strike until his discharge from the 8 infirmary on the 2nd of September 1995. 9 Q That last packet of documents you have lO described, does that reflect his condition as you described II it to us earlier? 12 A Yes, it definitely does. Within it is 13 contained laboratory results that I mentioned previously and 14 also contains results that were done on Mr. Warme after he 15 had eaten and taken hydration, et cetera, for two days. We 16 showed all those tests returning to normal. 17 MR. SEARS; I have no further questions for 18 this witness, Your Honor. I'll move for the admission of 19 Commonwealth's Exhibit No. 1 at this time. 20 THE COURT: They are admitted. Cross. 2l CROSS EXAMINATION 22 BY MR. SODUS: 23 Q Dr. Lasky, when defendant began this hunger 24 strike, what was his weight? 25 A The first reported weight that we have on ~r. 9 1 Warme was after he had missed 14 meals, and that was l56 2 pounds. 3 Q And 14 meals represents? 4 A Not quite five days. 5 Q And just prior to the time that he was 6 involuntarily fed and hydrated, what was his lowest weight? 7 A His lowest weight as reported on the daily 8 sheets as I described before is l48 pounds. 9 Q And that was on August the 31st? lO A 30th. 11 Q Do you have any information on Mr. Warme's l2 weight at the time his hunger strike began? 13 A I do not have those records present. 14 Q What is his weight presently? 15 A The last weight recorded -- the last weight l6 recorded, to the best of my knowledge, is on September 2nd 17 when he was discharged from the infirmary when his weight l8 was 156 pounds and three quarters at 9;30 a.m. 19 Q And approximately how long did it take -- 20 approximatelY how long did it take before Mr. Warme began 2l gaining his weight back? 22 A There are no other weights that I can locate 23 in rapid fashion prior to when I just mentioned before, but 24 since he started to eat and drink fluids, immediately upon 25 placing the nasogastric tube, I would have to say he started lO 1 to gain his weight back immediately. He gained weight back 2 immediately, not all. 3 Q The period of his hunger strike was 4 approximately 10 or 11 days? 5 A Approximately lO to 11 days when we placed 6 the tube, that is correct. 7 Q From the time that you began recording his 8 weight at the infirmary to the time that he began to be 9 force fed, he lost approximately 8 pounds? 10 A That's incorrect. II Q I'm sorry? l2 A That's incorrect. 13 Q At the time he was force fed, he was 148 14 pounds, correct? 15 A I believe so, yes. He was not weighed in the 16 infirmary. When he was weighed on those sheets that I 17 mentioned before, he was weighed in Mod 5, which was where 18 he was housed. The weight on discharge was at the 19 infirmary. 20 Q Approximately halfway into his hunger strike 21 your team began intervening with him, is that correct, you 22 weighed him? 23 A Yes. 24 Q Approximately halfway into his hunger strike? 25 A Approximately. II 1 2 3 4 S 6 7 8 9 10 11 12 13 14 lS 16 17 18 19 ZO 21 22 23 24 ZS Q Prom approximately halfway into his hunger strike to the time that he began to be force fed, he lost approximately 8 pounds, is that correct? A That's correct. Q Would it be reasonable to assume that he lost another 8 pounds from the beginning of his hunger strike to the middle if he lost eight from the middle to the end? A That's an assumption. I can't tell you whether that assumption is true or not. lie could have lost more. Q Is it likely? A I can't say with any certainty. Q What is your experience in working with people who are on hunger strikes? A What is my experience? Q In terms of time or number of cases. A I have during my service at Camp Hill over the past three years seen approximately a dozen inmates who have been on hunger strikes. Q And do hunger strikes sometimes last longer than 11 days? A Yes. Q Sometimes considerably longer than 11 days? A Not much longer, no. Q Mr. Warme never reported any symptoms of 1Z 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 l6 17 18 19 20 2l 22 23 24 25 dizziness to you or anyone on your staff? A I have to check. He complained of gastric change to swallowing, yes. But he did not complain of dizziness, to the best of my knowledge. He was also refusing his seizure medication. THE COURT; Are you going to be awhile? HR. SODUS: Maybe another half dozen questions, Your Honor. THE COURT: Is he going to testify? HR. SODUS: No, Your Honor. THE COURT: Okay. Go ahead. I am merely saying if it is going to be awhile I have got to change courtrooms. We have got a jury ready to go, and we will change. But if you are going to be short, we will proceed. BY HR. SODUS: Q So the short answer is defendant never reported any symptom of dizziness to you? A Not to my recollection. I would have to go back through the records to make sure of that. Q To the best of your recollection, no one on your staff reported or recorded any symptoms of dizziness or disorientation or anything of that nature with respect to Mr. Warme? A Not to my recollection. Q In fact, it's part of the record in this case l3 1 that Mr. Warme was up doinq jumpinq jacks in his cell at one 2 point? 3 A I don't have that report either, to my 4 recollection. 5 MR. SODUS: Permission to approach the 6 witness, Your Honor? 7 THE COURT: Yes. 8 THE WITNESS: I see what you make reference 9 to. There is a name Reqqie Lewis. 10 BY MR. SODUS: 11 Q Let me ask a question. If you have 12 additional matters, your attorney can ask you questions to 13 elicit that. The paqes I just showed you, is that part of 14 the medical record in this particular case? 15 A It appears to be. 16 Q And does that refresh your recollection at l7 all? 18 A No, I don't recall that. 19 Q Can you tell me who would have prepared that zo part of the record? 21 A It's a nurse. 22 Q And the portion that's highlighted in pink 23 near the bottom of the paqe, what does that state? 24 A Twenty thirty hours, 0 colon, inmate doinq 25 jumping jacks in cell, P slash observe, a lonq line, and 14 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 2l 22 23 24 25 then it appears to be a signature. Q Can you identify that signature? A No, I could not. (Whereupon, Defendant's Exhibit No. 1 was marked for identification.) MR. SODUS: For the record, I would like to note that that piece of paper has been marked as Defendant's Exhibit No.1, and I would move for its admission at this time. THE COURT: It is admitted. BY MR. SODUS: Q Dr. Lasky, would each instance of an inmate being weighed at the infirmary be included in the medical record? A It should be. Q There is a possibility that it might not be though? A There is that possibility. Q So that prior to the insertion of an NG tube into Mr. Warme, Mr. Warme was weighed by Dr. Young, that increase in weight or whatever that reading of weight might be might not be included in the medical record? A But that didn't happen because I took over -- Q That's not my question. THE COURT: Wait a minute. He can answer. 15 1 2 3 4 5 6 7 8 9 10 1l 12 13 14 15 16 17 18 19 20 21 22 23 24 25 He is answering your question. THE WITNESS: That didn't happen because I took over the care of Mr. Warme when the NG tube was replaced. BY MR. SODUS: o A At what time did you take over that case? I took over that case on the 30th during the day. o Midday? A Morning, before noon. o Before noon. MR. SODUS: I have no further questions, Your Honor. THE COURT: Anything else? MR. SEARS: Just a couple questions, Your Honor. REDIRECT EXAMINATION BY MR. SEARS: o Dr. Lasky, was your concern for Mr. Warme's condition based solely on the amount of weight he had lost? A Absolutely not. My concern was based upon laboratory findings, weight loss, the history all put together. You can't take one isolated factor and make a diagnosis. This is a whole individual; therefore, you have got to look at everything. l6 1 2 3 4 5 6 7 8 9 lO 11 12 l3 l4 15 16 17 l8 19 20 2l 22 23 24 25 Q Those laboratory tests qave you an objective measure of what was happeninq in his body? A AbsOlutely, absolutely. Q And earlier you had described the cumulative effects of repeated hunqer strikes. At what point would those cumulative effects not occur? A Probably if there was years between the episode of starvation where the body had had a chance to reqenerate, but that's very hypothetical. MR. SEARS: Nothinq further, Your Honor. THE COURT: Anythinq else? MR. SODUS: Your Honor, contrary to my earlier indication, I would like to call Hr. Warme as a witness. down. know. THE COURT: Take a recess. I will find us a place to do it. You may step We will let you (Whereupon, a brief recess was taken.) (Whereupon, the hearinq continued in Courtroom No.5.) THE COURT: Continue. MR. SODUS: Your Honor, I would like to call Hr. Warme to the stand, please. l7 1 Whereupon, 2 RAYMOND JOHN WARME, 3 havinq been duly sworn, testified as follows: 4 DIRECT EXAMINATION 5 BY MR. SODUS: 6 Q Mr. Warme, would you please state your full 7 name and spell it for the record, please. 8 A Raymond John Warme, W-a-r-m-e. 9 Q And you're currently an inmate at SCI Camp 10 Hill? II A Yes, I am. 12 Q And are you the Mr. Warme who is the subject l3 of this proceedinq today? 14 A Yes, I am. l5 Q You initiated a hunqer strike at the end of l6 last month, is that correct? 17 A Yes, sir. 18 Q And approximately how much time had elapsed 19 since the time you missed your first meal to the time that 20 you were taken to the infirmary? 2l A Approximately nine days maybe. I don't 22 understand the question correctly. 23 Q From the time that you stopped eatinq to the 24 time that you were taken to the infirmary. 25 A Nine days. l8 1 2 3 4 5 6 7 8 9 lO 11 12 l3 l4 15 l6 17 18 19 20 21 22 23 24 25 Q And at the time that you stopped taking meals, do you have any idea what your weight was at the time? A At the time I stopped eating? Q Yes. A One sixty-two. Q Is that a fairly typical weight for you? A Yes. Q And were you weighed at the time that you were taken to the infirmary or dispensary? A I was weighed on the day before I went to the dispensary, and I was weighed on August 31st prior to going earlier that morning by Dr. Young. Q And approximately what time in the morning were you weighed by Dr. Young? A Right after -- around 7:30 maybe 8:00. I don't have access to a watch. Q Do you know what your weight was at that time? A One fifty-two. Q Had you taken any meals prior to being weighed by Dr. Young? A Yes, I have. The night before my arrival at the dispensary I was given two trays, which was chili, rice and greens, four pieces of cornbread, two containers of ice 19 1 tea. 2 Q And did you consume those items? 3 A Yes. I was observed by a correction officer 4 and a nurse, I believe. 5 Q And prior to you consuming that meal, do you 6 have any idea what your weiqht was? 7 A Prior to consuming the meal, I'm not sure. 8 Before I ate that meal? Oh, 148. 9 Q One hundred and forty-eiqht? lO A Yeah. 11 Q So when you stopped eating, you were l2 approximately 162 pounds? l3 A Right. l4 Q Before you ate your next meal, you were down 15 to approximately 148 pounds? 16 A Right. 17 Q You ate a meal the evening before you were 18 sent to the infirmary. Do I have that correct? 19 A No, the eveninq I arrived at the infirmary. 20 Q At the infirmary. You ate a meal, and the 21 next morning your weight was up to lS2 pounds, is that 22 correct? 23 A That's correct, yeah. 24 Q During the period that you had missed meals, 25 did you ever feel dizzy? 20 1 A No, sir. 2 Q Had you ever felt any signs of 3 disorientation? 4 A No, sir. 5 Q Did you report anything like that to anybody 6 at the institution? 7 A Nope. I had some indigestion which I was 8 given Maalox for. 9 Q Did you at anytime during this hunger strike 10 feel that your life was in danger or feel any concern at all 1l for your physical well-being? l2 A I wasn't worried I was going to die, no. I 13 didn't feel sick at all. l4 Q Had you been on a hunger strike before? 15 A Yeah. l6 Q Okay. Approximately how long did that hunger 17 strike last? 18 A Three days. 19 Q When you took your meal at the infirmary, 20 that was prior to having a nasogastric tube inserted into Zl your nose, is that correct? 22 A Yeah, that was the day before the order came 23 to have the tube placed in my nose, yes. 24 Q And did you at anytime or -- did you intend 25 at that time to continue consuming meals regularly? 2l 1 A Yes, I did. 2 Q Did you consume all of the meals that were 3 offered to you after that dinner? 4 A I hadn't consumed the creamed beef. I stated 5 to the nurse and I also stated to Dr. Lasky here that I do 6 not eat it. I haven't eaten it for the two years I have 7 been at Camp Hill, and I have no problem taking the lunch 8 tray. When he arrived at my cell, I asked for my lunch tray 9 rather than having the tube placed in my nose. He said, no, 10 it has to go in your nose because you have missed too many 1l meals. l2 13 14 15 16 17 18 A Yes, sir. 19 Q And at the time that you refused that meal, 20 you indicated that it was only that meal that you were 21 receiving? 22 A Yes, sir. 23 Q And you had an intent to consume all of the 24 meals after that? 25 A Yes, sir. Q When was the creamed beef served to you? A August 31st. Q So that was the morning? A Breakfast. Q That was the breakfast immediately following the maal that you did eat? 22 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Q And just so it's clear for the record, can you explain exactly why it is you didn't eat the creamed beef? A I don't like it. It don't look normal to me. I never liked it, never ate it before. I ain't never seen nothing like it before so I decided not to eat it. Q So it was just a matter of personal taste? A Right. Q And you have never eaten creamed beef since the time that you have been at Camp Hill? A No, sir. Q Do you intend to continue eating regular meals? A Yes, I do. MR. SODUS: I have no further questions for this witness. THE COURT: Any questions? CROSS EXAMINATION BY MR. SEARS: Q You went to the infirmary on the 31st of August? A No, August 30th. Q On the 30th, okay. Is that the day you asked for Maalox? A Yes, sir. 23 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 l7 18 19 20 2l 22 23 24 25 Q That was because you were having indigestion? A From what I believe it was and from what I was told, yes. Q And you say you also ate that ;,::'ght? A Yes, I ate that dinner. It was chili, rice, kale, cornbread and ice tea. Q That was in the infirmary? A Yeah, that was in the infirmary. Q And the next day you said you did that because you wanted to get your strength up? A No, I did not. Q You don't remember saying that? A No, I do not. Q And you also don't remember saying I'm not going to eat anymore? A I didn't say that either. If that was the case, I would have never asked for my lunch tray. That was stated in front of Unit Manager Auxer and Lieutenant Spesleys (phonetic). Q When did you ask for your lunch tray? A At lunchtime when the trays were coming around prior to him coming to my cell telling me the tube was going down my nose. Q You didn't just ask for a carton of ice tea at that point? 24 1 A No, I did not. 2 Q Prior to going to the infirmary, how often 3 were you weighed? 4 A Everyday. 5 Q Everyday. 6 A Everyday up until the first time they checked 7 me, yeah, vital signs were taken. 8 Q And you know that you had lost at least ten 9 pounds at that point? lO A If that's what the records show. 11 Q You said your weight at the time you stopped 12 eating was 162 pounds? 13 A Yep. 14 Q How do you know that? 15 A Because when you go to PRC every month you 16 step on the scale and it's recorded, and I went to PRC 17 maybe, what, two weeks before that. 18 Q Then you weighed 152 pounds when you went to 19 the infirmary? 20 A No, that's incorrect. I weighed 152 pounds 21 after I ate those meals on August 3lst. I was weighed by 22 Dr. Young. 23 Q But that was when you went to the infirmary? 24 A When I went to the infirmary and ate those 25 meals. On August 3lst, I was weighed by Dr. Young, and the 25 scales showed 152 pounds. Q You have been on hunger strikes -- at least one hunger strike before? That is correct, if you can call it that. Well, you didn't eat for three days before? Yeah. Why was that? Why? Just working out, drop the weight, 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 l6 l7 18 19 20 21 22 23 24 25 A Q A Q A that's all. Q meals? A else? exhibits. position? But you noW intend to continue to eat regular Yes, I do. MR. SEARS: THE COURT: MR. SODUS: THE COURT: Nothing further, Your Honor. Anything else? No redirect. You may step down. Anything MR. SODUS: No, Your Honor. THE COURT: Anything else? MR. SEARS; No, Your Honor. THE COURT; I have admitted all of the The record is closed. What is the co~monwealth's (Whereupon, argument was held off the record.) 26 1 CERTIFICATION 2 3 I hereby certify that the proceedings are 4 contained fully and accurately in the notes taken by me on 5 the above cause and that this is a correct transcript of 6 same. 7 8 9 Pamela R. Sheaffer Official Court Reporte lO 11 12 The foregoing record of the proceedings on the 13 hearing of the within matter is hereby approved and directed 14 to be filed. ,/ l5 16 v~cf6 l7 18 19 20 2l 22 23 24 25 28 ..... en - ,. .z;.~ ..~ ..... .r. U'Cl::~1 c.>;.r:'.'z. .-== ci ..' .~ .... -= D~" (""'I ~ - or -' :~~ .~ ,;-~ j;.;.l:'. _."i t .1'~ ::J C:-.(-' . . , I .~ ..., . ..... · 11 . l.. ~ "'" ~ ~f .;:;~ ~'L i if ::c ~ ~~ ...., CJ => oe:< -,'I .-1 '/' ~ ;- "~ .. .,,, 4 '\.,. . 2. A hearing on this matter shall be scheduled in accordance with Pa. R.C.P. 1531. BY THE COURT ~ I~ ~ ~ t .[ "- ~ ~ - - ...., <-~ .a ~.. ...... 1_.1:.... '-""-.?' UZC';r. i:oc......t ''; ;~ ~ ~:l . ,.,..f". ~].: ,-,-J~ ~;i ::r.: . ,:..l.... :.:t.~ '"", '0(,;1 3 U'l @)~ , ' , ". ~~ .' " ,- I.: .'. , ..; ...., ~ - ,... ...,>>- ..~ 1-...... U1(.)'" :! '=~ ~C_'rt" 1...1.'-':'_' h r..""\." '-)I--r ..1 .~-, ..., ;.. l" _,lll ',,:..,..t: "i-L. '.....,;..1.' ~ :w:: _T .... ..... CO ......, <.~ => or.:< ~.U J .. \ COURT OJ' COMMON PLEAS OJ' CUMBBRLAND COUNTY COMMONWEALTH OF PENNSYLVANIA, . . DEPARTMENT OF CORRECTIONS, . . STATE CORRECTIONAL INSTITUTION AT CAMP HILL, . . . . Plaintiff . . v. . No. q 5" -if" If { [~T~ . . . RAYMOND WARNE, . Civil Action - Equity . . . Defendant . . MOTION FOR PRELIMINARY INJUNCTION 1. plaintiff's complaint in this matter is incorporated by reference as if fully set forth herein. 2. Defendant will suffer irreparable harm possibly resulting in death if ongoing, involuntary medical treatment including forced nutrition, hydration and medication and medial testing is not permitted. 3. Based upon the facts set forth in the Complaint and in Plaintiff's concurrently filed Application for ~ Darte Issuance of a preliminary Injunction, Plaintiff has a clear right to administer ongoing involuntary medical treatment in the form of forced nutrition, hydration and medication. Commonwealth of Pennsvlvania. DeDartment of Public Welfare. Farview State HosDital v. JoseDh Kallinaer, 134 Pa. Commw. 415, 580 A.2d 887 (1990). COURT OF COMMON PLEAS OF CUMBERLAND COUNTY COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF CORRECTIONS, STATE CORRECTIONAL INSTITUTION AT CAMP HILL, . . . . . . . . . . Plaintiff . . v. . . . . Defendant . . . . . . . . No. q:;-.... Lf~4-1 ~ ~ civil Action - Equity RAYMOND WARME, NOTICE TO DEFEND You have been sued in court. tf you wish to defend against the claims set forth in the following pages, you must take action within twenty (20) days after this compliant and notice are served, by entering a written appearance personally or by attorney and filing in writing with the court your defenses or objections to the claims set forth against you. You are warned that if you fail to do so the case may proceed without you and a judgment may be entered against you by the court without further notice for any money claimed in the complaint or for any other claim or relief requested by the plaintiff. You may lose money or property or other rights important to you. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND WHERE YOU CAN GET LEGAL HELP. Court Administrator Cumberland County courthouse, 3rd Floor Carlisle, PA 17013 Telephone: (717) 240-6200 NOTICA Le han demandado a usted en la corte. Si usted quiere defenderse de estas demandas expuestas en las paginas siguientes, usted tiene viente (20) dias de plazo al partir de la fecha de la demanda y la notificacion. Usted debe presentar una apariencia escrita 0 en persona 0 por abogado y archivar en la corte on forma escrita sus de fens as 0 sus objeciones alas demandas en contra de su persona. Sea avisado que si usted no se defiende, la corte tomara medidas y puede entrar una orden contra usted sin previo aviso 0 notificacion y por cualquier queja 0 alivio que es pedido en la peticion de demanda. Usted puede perder dinero 0 sus propiedades 0 otros derechos import antes para usted. COURT 01' COMMON PLBAS 01' CUMBBRLAHD COUNTY COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF CORRECTIONS, STATE CORRECTIONAL INSTITUTION AT CAMP HILL, Plaintiff v. No. <}!.l'. <1(, 'II ~ -r~ civil Action - Equity RAYMOND WARME, Defendant COMPLAINT 1. This action is brought in the court's original jurisdiction. 2. Plaintiff is the Commonwealth of Pennsylvania, Department of corrections, State Correctional Institution at camp Hill. 3. The Department is an executive agency of the Commonwealth of Pennsylvania and is responsible for administering the state correctional State including system the Correctional Institution at camp Hill. 4. Defendant is an inmate presently incarcerated in the Special Management Unit (SKU) at the State Correctional Institution at Camp Hill. 5. Defendant has been on a hunger strike for approximately nine (9) days during which time he has refused to take any solid foods or protein supplements. 6. During the time of his hunger strike, Defendant has had minimal liquid intake. 7. The SKU at the State Correctional Institution at Camp Hill is the Department of Corrections' central maximum security unit for housing inmates who are deemed to pose very high security risks anywhere else within the correctional system. 8. It appears from Defendant's conduct and behavior that he is not presently committable under the Mental Health Procedures Act, 50 P.S. SS7l01 ~ ~. 9. Defendant's medical condition has been monitored on a continuous basis since the beginning of this hunger strike. 10. Dr. Laskey, a physician providing medical services at the SCI-Camp Hill, visited Defendant on August 30, 1995. During this visit, Defendant complained of severe chest pains. 11. Analysis of the blood and urine samples obtained from Mr. Warme on August 28, 1995 indicate: a. a glucose level of 50 mg/dl; a level that is 15 points below the low normal range and indicates that Mr. Warme is suffering from hypoglycemia, b. an elevated uric acid level of lO.4 mg/dl (the upper normal range is 8.3 mg/dl); a level that indicates that Mr. Warme is suffering from tissue breakdown as a result of dehydration, and c. a ketone level of 3+ (this is the highest ketone level that is measured) indicating the presence of byproducts created by tissue breakdown. 12. It is the opinion of Dr. Laskey that Defendant is in imminent danger of severe protein deprivation. Without the involuntary administration of nutrition, hydration, and such necessary medication as determined by Plaintiff's medical staff Defendant is in danger of going into coma or cardiac arrest, possibly resulting in death. 13. Without intervention in the form of forced nutrition, hydration, and such necessary medication as determined by Plaintiff's medical staff, as, soon as possible, Defendant will likely suffer severe and irreparable harm, including death. 14. It is impossible to predict at what point Defendant's condition may result in irreparable harm, therefore, immediate intervention is necessary. 15. Defendant's conduct threatens the good order of the SCI- camp Hill in that other inmates may engage in hunger strikes as a result of Defendant's conduct or may believe that Plaintiff is not concerned with their physical well being. 3. Hr. Warme has been visited by a physician daily since day three of his hunger strike and has permitted a physician to obtain samples of blood and urine for analysis to determine his condition. 4. I visited Hr. Warme on August 30, 1995. 5. On August 29, 1995 and again on August 30, 1995, Hr. Warme complained of severe chest pains. 6. On August 30, 1995, Hr. Warme was admitted to the infirmary at the state Correctional Institution at Camp Hill. 7. Analysis of the blood and urine samples obtained from Hr. Warme on August 28, 1995 indicate: a. a glucose level of 50 mg/dl; a level that is 15 points below the low normal range and indicates that Hr. Warme is suffering from hypoglycemia, b. an elevated uric acid level of 10.4 mg/dl (the upper normal range is 8.3 mg/dl); a level that indicates that Hr. Warme is suffering from tissue breakdown as a result of dehydration, and c. a urinalysis revealed a ketone level of 3+, which is the highest ketone level that is measured, indicating the presence of byproducts created by tissue breakdown. 8. Hr. Warme has refused a liquid protein supplement that was offered in order to stabilize his medical condition. 9. Mr. Warme has been informed by medical staff members of the potential dangers of continuing to refuse to eat and that the institution would seek a court order permitting us to involuntarily administer nutrition, hydration, and medical treatment. 10. Unless Mr. Warme is administered nutrition, hydration and medical treatment as soon as possible, he will likely suffer severe tissue breakdown caused by deprivation of carbohydrates, fat and proteins as well as fluids which may result in coma, cardiac arrest and possibly death. This process has already begun as indicated by the ketones present in his urinalysis. 11. It is our plan upon the court's approval of this request, to administer nutrition and hydration through a nasal gastric tube. Such treatment is immediately necessary in order to prevent Mr. Warme from suffering irreparable harm as described above. It is also our plan to administer such medical treatment as is necessary to preserve Mr. Warme's life and health. Martin L. COURT 01' CODON PLBAS 01' CUMBBRLAND COUNTY COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF CORRECTIONS, STATE CORRECTIONAL INSTITUTION AT CAMP HILL, Plaintiff v. No. RAYMOND WARME, Civil Action - Equity Defendant PROOF OF SERVICE I hereby certify that the foregoing documents were served on the person and in the manner indicated below: Personal service bv hand-deliverv Raymond Warme SCI-camp Hill P.O. Box 200 Camp Hill, pennsylvania 17011 e~oo N~ ....\t11'l_M\ Randall N. Sears Assistant Counsel Attorney Identification No. 39301 Commonwealth of Pennsylvania Department of Corrections 2520 Lisburn Road P.O. Box 598 Camp Hill, PA l7001-0598 (717) 975-4864 Dated: August 31, 1995 Served: Application for ~ Parte Preliminary Injunction Motion for Preliminary Injunction Complaint . . ...., en - ~ , ~ i "i &!."O ."'=> ~ltl ..", ~ e. ~ ::l- ~~ ::r-<t: :!::.~ it:!. ~~ ~ >-- ;c~ . -,.{ Ill;... '-~~:-...: -.0.....,.'. ~~ ~~..E :~, cO - =-i ," (" r - en ..., :.~ ". COMMONWEALTH OF PENNSYLVANIA : DEPARTMENT OF CORRECTIONS, : STATE CORRECTIONAL INSTITUTION: AT CAMP HILL, : Plaintiff : IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA . . v. CIVIL ACTION - EQUITY . . . . RAYMOND WARME, Defendant . . . . 95-4641 EQUITY TERM IN RE: APPOINTMENT OF COUNSEL ORDER OF COURT AND NOW, this 11>t day of August, 1995, upon consideration of the Commonwealth's complaint in the above-captioned case, Daniel J. sodus, Esquire, is appointed to represent the Defendant. By the Court, , .., r'\' ~. o J .:-.. DAVIO:L. HORWITZ, ESQUIRE P.O. 'Box 598 2520 ~L$.sburn Road camp'H1ll, PA 17001-0598 For the Commonwealth of Pennsylvania Department of Corrections DANIEL J. SODUS, ESQUIRE 7 Irvine Row Carlisle, PA 17013 Court-Appointed Counsel for Defendant Raymond Warme SCI-Camp Hill P.O. Box 200 Camp Hill, PA l701l Court Administrator wcy ~_L.:' 'c.,' ~'/3/19~' .......,..-~ 0....... .~ ...&. iJ. lit e " "" ... ~fi ~r-;:... a:;;~ ...... "': Q, (j' .:: l~.:: " ~...-, E'~. : .~. I ,~n:4 ~~ v; .:"'~;C- ..- ...,.I.~J~ l.,-z::o'l'I.u ..;rQ ...::. 0'-' .." Ji '. VERIFICATION I, ""'lZ.........~~'"~..-:::a"'..Q..- . , hereby verify that I am the petitioner herein and as such verifies that the information contained in the foregoing petition is true and correct to the best of my knowledge, information and belief. This verification is made subject to the penalties of 18 Pa.C,S,A, ~ 4904 relating to unsworn falsification to authorities. ~/XM~j7aJt/ftuL Defendant. ~ Se Institution Number c.~ -1ll\C\3 SCI-Camp Hill P,O. Box ZOO Camp Hill, PA 17001-0200 6 .... en "- !:I,': Q (...; & l1.! ~.~ --'.-or ~2;.: .-)=-..: .) .. 1'- . '"- :~~i I, ~ ". c..-'" "'( C\ ,:" . ;-,) II .~. , .-:-_': (: ., , u.. 'J i. ("'- .... ...: I , \..:.., ..) co <;.. . () .- .. COURT OJ' COKMON PLBAB OJ' CUJUlBRLUJ) COUNTY COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF CORRECTIONS, STATE CORRECTIONAL INSTITUTION AT CAMP HILL, plaintiff No. qs-- tf6L/I ~I T.t/vl.J Civil Action - Equity v. . . RAYMOND WARME, Defendant NOTICE TO DEFEND You have been sued in court. If you wish to defend against the claims set forth in the following pages, you must take action within twenty (20) days after this compliant and notice are served, by entering a written appearance personally or by attorney and filing in writing with the court your defenses or objections to the claims set forth against you. You are warned that if you fail to do so the case may proceed without you and a judgment may be entered against you by the court without further notice for any money claimed in the complaint or for any other claim or relief requested by the plaintiff. You may lose money or property or other rights important to you. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND WHERE YOU CAN GET LEGAL HELP. Court Administrator Cumberland county Courthouse, Carlisle, PA 17013 Telephone: (7l7) 240-6200 'T..:_ c:: l;" .....' - 3rd Floor w w v' .... ::;-, ~ ~". 'It" ~ : ~.. - Le han demandado a usted en 1a corte. Si ~sted ~1iere defenderse de estas demandas expuestas en las paginas siguientes, usted tiene viente (ZO) dias de plazo al partir de la fecha de la demanda y la notificacion. Usted debe presentar una apariencia escrita 0 en persona 0 por abogado y archivar en la corte en forma escrita sus defensas 0 sus objeciones alas demandas en contra de su persona. Sea avisado que si usted no se defiende, la corte tomara medidas y puede entrar una orden contra usted sin previo aviso 0 notificacion y por cualquier queja 0 alivio que es pedido en la peticion de demanda. Usted puede perder dinero 0 sus propiedades 0 otros derechos importantes para usted. NOTICA 7. The SKU at the State Correctional Institution at Camp Hill is the Department ot Corrections' central maximum security unit for housing inmates who are de.med to po.. very high security risks anywhere else within the correctional system. 8. It appears from Defendant's conduct and behavior that he is not presently cOlD1l\ittable under the Mental Health Procedures Act, 50 P.S. 557101 ~ ~. 9. Defendant's medical condition has been monitored on a continuous basis since the beginning of this hunger strike. 10. Dr. Laskey, a physician providing medical services at the SCI..Camp Hill, visited Defendant on August 30, 1995. During this visit, Defendant complained of severe chest pains. 11. Analysis of the blood and urine samples obtained from Mr. Warme on August 28, 1995 indicate; a. a glucose level of 50 mg/dl; a level that is 15 points below the low normal range and indicates that Mr. Warme is suffering from hypoglycemia, b. an elevated uric acid level of 10.4 mg/dl (the upper normal range is 8.3 mg/dl); a level that indicates that Mr. Warme is suffering from tissue breakdown as a result of dehydration, and c. a ketone level of 3+ (this is the highest ketone level that is measured) indicating the presence of byproducts created by tissue breakdown. 12. It is the opinion of Dr. Laskey that Defendant is in imminent danger of severe protein deprivation. Without the involuntary administration of nutrition, hyd~ation, and such necessary medication as determined by Plaintiff's medical staff Defendant is in danger of going into coma or cardiac arrest, possibly reSUlting in death. 13. without intervention in the form of forced nutrition, hydration, and such necessary medication as determined by Plaintiff's medical staff, as, soon as possible, Defendant will likely suffer severe and irreparable harm, including death. 14. It is impossible to predict at what point Defendant's condition may result in irreparable harm, therefore, immediate intervention is necessary. 15. Defendant's conduct threatens the good order of the SCI- Camp Hill in that other inmates may engage in hunger strikes as a result of Defendant's conduct or may believe that Plaintiff is not concerned with their physical well being. WHEREFORE, based on the foregoing, the Commonwealth of Pennsylvania, Department of Corrections, state Correctional Institution at Camp Hill requests this court to enter an order granting the following relief: A. Authorizing the Plaintiff through medical staff to involuntarily administer medical treatment including but not limited to nutrition, hydration and medication as may be necessary to preserve the safety, health and life of Defendant. B. Providing such other relief as this court may deem proper. Respectfully submitted, R~~oo IU..C~7~ Randall N. Sears Assistant Counsel Attorney Identification No. 39301 Dated: August 30, 1995 7).-( L. I~ David L. Horwitz Assistant Counsel Attorney Identification No. 47226 Commonwealth of Pennsylvania Department of Corrections 2520 Lisburn Road P.O. Box 598 Camp Hill, PA 1700l-0598 (717) 975-4864 COURT 01' CODO. PLUS 01' CUKBDLUD COmITY COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF CORRECTIONS, STATE CORRECTIONAL INSTITUTION AT CAMP HILL, . Plaintiff v. . . No. . . Defendant . . . . . . civil Action - Equity RAYHOND WARME, AFFIDAVIT I, Hartin L. Lasky, D.O. being duly sworn according to law do hereby depose and say that I am a physician providing medical services at the State Correctional Institution at Camp Hill, Camp Hill, Pennsylvania, that I am authorized to make this affidavit and that the facts set forth herein are true and correct to the best of my knowledge, information and belief: 1. I am licensed in accordance with the laws of the Commonwealth of Pennsylvania to practice medicine and have been so licensed since 1966. 2. Hr. Warme has been on a hunger strike for approximately nine (9) days and during that time has refused to take any solid food. To the best of my knowledge, he has had minimal liquid intake throughout that time. 3. Hr. Warme has been vis! ted by a physician daily since day three of his hunger strike and has permitted a physician to obtain samples of blood and urine for analysis to determine his condition. 4. I visited Hr. Warme on August 30, 1995. 5. On August 29, 1995 and again on August 30, 1995, Hr. Warme complained of severe chest pains. 6. On August 30, 1995, Hr. Warme was admitted to the infirmary at the state Correctional Institution at Camp Hill. 7. Analysis of the blood and urin3 samples obtained from Hr. Warme on August 28, 1995 indicate: a. a glucose level of 50 mg/dl; a level that is 15 points below the low normal range and indicates that Hr. Warme is suffering from hypoglycemia, b. an elevated uric acid level of 10.4 mg/dl (the upper normal range is 8.3 mg/dl); a level that indicates that Hr. Warme is suffering from tissue breakdown as a result of dehydration, and c. a urinalysis revealed a ketone level of 3+, which is the highest ketone level that is measured, indicating the presence of byproducts created by tissue breakdown. 8. Hr. Warme has refused a liquid protein supplement that was offered in order to stabilize his medical condition. 9. Hr. Warme has been informed by medical staff members of the potential dangers of continuing to refuse to eat and that the institution would seek a court order permitting us to involuntarily administer nutrition, hydration, and medical treatment. 10. Unless Hr. Warme is administered nutrition, hydration and medical treatment as soon as possible, he will likely suffer severe tissue breakdown caused by deprivation of carbohydrates, fat and proteins as well as fluids which may result in coma, cardiac arrest and possibly death. This process has already begun as indicated by the ketones present in his urinalysis. 11. It is our plan upon the court's approval of this request, to administer nutrition and hydration through a nasal gastric tube. Such treatment is immediately necessary in order to prevent Hr. Warme from suffering irreparable harm as described above. It is also our plan to administer such medical treatment as is necessary to preserve Hr. Warme's life and health. .. 'j', o '1:. // "; I } ~ I} I " 'I /... .....' "t" ..'t:'J" ,,', 11\'\"-'''':' . ,'. '.... ..... .\.f ,,' t t., l"" ,,' "1/ t ,.' ,!,,1' Hartin L. 2. A hearing on this matter shall be scheduled in accordance with Pa. R.C.P. 1531. BY THE COURT IY ~ W'.~ I!J/a, rr. J. < ~. _\:r. :-:! ro" "l ,., " --. C: ..., ....., ~~.. ':: ;;~ :~l ':~ (.) '.l.: 'I ~.~~~~; j...~-:==~I" - ,. -'", -<-< c.o w w r- ::;<: - 'tD .." COURT 01' CODO. PLUS 01' CUKBB1lLUID COmITY COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF CORRECTIONS, STATE CORRECTIONAL INSTITUTION AT CAMP HILL, . . . . . . . . : Plaintiff . . . . . . . . . . No. Q5-tfl,41 Pt T~ civil Action - Equity v. RAYHOND WARME, Defendant . . . . ORDER And Now, this 31~ day of ~ consideration of Plaintiff's Complaint in the , 1995, upon above-captioned matter, and an ex parte preliminary injunction having issued, a .. hearing on the continuance of the preliminary injunction is SCHEDULED for ~J.l""" r , at ij:a; ,P. WI, in Courtroom No. ~ , cumberland County Courthouse, Carlisle, Pennsylvania. BY THE COURT, tsj ~,-YY.~ Ok 'J~ . Randall N. Sears, Esq. Assistant Counsel Department of Corrections P.O. Box 598 2520 Lisburn Road Camp Hill, PA 17001-0598 Attorney for the Department of Corrections ]:>0 c::: L7 LA.> c.o ';1; 1.... 0.1,....' W ~:.~.;~; VI I'" ~'Il" ~ ... '0. -~ 7- ..c .~ . <D .." FILE COpy COURT 01' COHKOH PLUS 01' CUKBDLUD COmITY COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF CORRECTIONS, STATE CORRECTIONAL INSTITUTION AT CAMP HILL, . . . . . . . . . . . . . . No. qs- - '-1"4-1 ~ T~ Civil Action - Equity Plaintiff v. RAYMOND WARME, . . Defendant HOTION FOR PRELIMINARY INJUNCTION 1. Plaintiff's complaint in this matter is incorporated by reference as if fully set forth herein. 2. Defendant will suffer irreparable harm possibly resulting in death if ongoing, involuntary medical treatment including forced nutrition, hydration and medication and medial testing is not permitted. 3. Based upon the facts set forth in the Complaint and in Plaintiff's concurrently filed Application for AK Darte Issuance of a Preliminary Injunction, Plaintiff has a clear right to administer ongoing involuntary medical treatment in the form of forced nutrition, hydration and medication. Commonwealth of Pennsvlvania. DeDartment of ~C:~;!:.~ ''" ., , ,- .' ... .. .. $ \ - WHEREFORE, Plaintiff requests this court to enter a preliminary injunction permitting the ongoing involuntary administration of medical treatment, including but not limited to nutrition, hydration and medication, as necessary to preserve the health, safety and life of the Defendant. Respectfully submitted, ~~r<Lo.f) IJ. . ( arb . L Randall N. Sears Assistant Counsel Attorney Identification No. 39301 'J).....< t, f/ ~ David L. Horwitz Assistant Counsel Attorney Identification No. 47226 Commonwealth of Pennsylvania Department of Corrections 2520 Lisburn Road P.O. Box 598 Camp Hill, PA 17001-0598 (717) 975-4864 Dated: August 30, 1995 COURT 01' COMMON PLZAS 01' CtnlBBRLAHD COUHTY COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF CORRECTIONS, STATE CORRECTIONAL INSTITUTION AT CAMP HILL, , NO.qS--Y-btf-f ~ T~ \ civil Action - Equity I I I i \ i ! plaintiff v. RAYHOND WARHE, Defendant APPLICATION FOR EX PARTE PRELIHINARY IN3UNCTION pursuant to Pa. R.C.P. 1531, the commonwealth of pennsylvania, Department of corrections, state correctional Institution at Camp Hill, petitions this honorable court to issue an order ~ parte b granting the concurrently filed Motion for preliminary I~iunction ~ pending a hearing because of the following: 1. plaintiff'S complaint and f..P ,,~ _\ u> ',"" &)\ .."-. (:) ~ ~.. !.,"~\';\ ~ Hotion for' ,- ix;elimUAary ~;:. U' incorporated by reference " Injunction in this matter are as if fully set forth herein. 2. Defendant may suffer irreparable harm possiblY resulting is not illl1llediately in death, if the relief F granted. 3. IlIl1IIediate relief as requested is necessary to sustain the life and health of the defendant pending the adjudication of this matter. WHEREFORE, Plaintiff requests this court to AK Darte order a preliminary injunction permitting Plaintiff or Plaintiff's designee to administer involuntary to Defendant medical treatment including nutrition, hydration and medication as may be necessary to preserve his health and life pending the adjudication of this matter as determined by the medical personnel duly charged with his care. Respectfully submitted, ~ . . MG ,0, _(.9 <!> '-.:I... Randall N. Sears Assistant Counsel Attorney Identification No. 39301 t.::>......L 1. /~ David L. Horwitz, Assistant Counsel Attorney Identification No. 47226 Commonwealth of Pennsylvania Department of Corrections 2520 Lisburn Road P.O. Box 598 Camp Hill, PA 17001-0598 (717) 975-4864 Dated: August 30, 1995 COMMONWEALTH OF PENNSYLVANIA DEPARTHENT OF CORRECTIONS, STATE CORRECTIONAL INSTITUTION: AT CAMP HILL, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA . . . . v. . . CIVIL ACTION - EQUITY RAYMOND WARME, Defendant 95-4641 EQUITY TERM IN RE: APPOINTMENT OF COUNSEL ORDER OF COURT AND NOW, this 11>t day of August, 1995, upon consideration of the Commonwealth's complaint in the above-captioned case, Daniel J. Sodus, Esquire, is appointed to represent the Defendant. By the Court, J DAVID L. HORWITZ, ESQUIRE P.O. Box 598 2520 Lisburn Road Camp Hill, PA 17001-0598 For the Commonwealth of Pennsylvania Department of Corrections DANIEL J. SODUS, ESQUIRE 7 Irvine Row Carlisle, PA 17013 Court-Appointed Counsel for Defendant Raymond Warme SCI-camp Hill P.O. Box 200 Camp Hill, PA 17011 Court Administrator wcy FILE COpy lIUNCER STRI"-E Huncer Strike Form - to b~ completed by Physlcl~n upon exaMlnatlo Inmate Nallle: ~.ufll..l 1thlRAl~ Inlllate NUlllber: CFr,,/q=\ 1'o'L ...&_ cI Jr. <.. C.II.~ ><1 . Housing Unit: v ! NUlllber of Heals Hissed: 'lj <6/2'/C/;r-. ..- . Date of Examination: Hea r t : 'Lungs: ----- Curren't Hedication(s): " 1. , . .' 2. 3. Commonwealth's EXHIBIT 1 q\slqcs I~ 4. Vitals: _l'SfoIt6D 12. I~ . Skin: ~ Dehydration: ~l .. .. . ..' ~_. '. Any Current Nedical Problems: " , i '. Current Weight: 15'-U, )Y!1p. .sv;f t;;UdtA (.JIb Last Known Weight & Date: Reason for Hunger Strike: ~ Jl.'J.. ,,,},J~t'1 ~. ~~~ 'f (,1;1 ,)r,_'/1A lI'I' .J.. ,yrKMnlQh , .::;.., , Sign the Effects Starvation Fprm: ~ (Date) YES ~ Abdolllen: .". " Reflexes: ............ H.STRtKE HUNCER STRIKE ~ Inmate N.1me: "unccr Strike Form - to b~ complctcd ~ AlafrlJ l.llMQ\A.~ CF (Q Iq3 I) by Physlcl.1n upon cX.1mln.1tio! 3o~ ...&_cJ J'C<" C Ii .~ ><1 Inmate Number: . Housing Unit: Date of Examination: -E ~/JTI"f-r Heart: V- I/" ! Number of Heals Hissed: , Lungs: ,. \ . .' . . . ,. .. , ' '., ~_. " , . - Any Current ~edical Problems: /Vb " " " i , Current Ileight: ~(fs.sW ~J;. Last I<no"n lle1ght & Date: _ISCi u.~ ~/2.'("\Iy Reason for Hunger Strike.: -" Sign the Effects Starvation Fprm: YES (Date) ~ Abdomen: V ./ \. Reflexes: H.STRIKE lnmate "uncer Strike Form - to Lh~ \I H3me: Inmate Number: . Housing Uni t : .' Number of Heals Hissed: Dste of Exsmination: Heart: 'Lungs: Curren't Hedication(s): 1. " 2. '. 3. 4. Vitals: -11'fLo \ . . P 151( Skin: Dehydration: Any Current ~edical Problems: " " " ....'\01._ '. IlUSC~R STR[K~ b~ compl~ted by Physician upon eXa~inatio ... \()~L. t)C) ~ 1'2i./Cf(' , ~1~ , i 3()Y .' ~ c4f'J SHtJdJ (CO 2. lk Current Weight: - Last Knovn Weight & Date: Reason for Hunger Strike,,: Sign the Effects Starvation Fprm: Abdomen: Reflexes: H,STRIKE ,/ 'iES (Date) ~ ~..... cJ ~<.' <- CII/><1 ," " '.. ~.-. '. .. _. "'. IIUS":~R STRlKI:: <<unGer Strike Form - to b~ completed by Phys[cl~n Inmate Name: upon eK.a~lnatl, ...&- cJ X' <.. C 1I.~>1 " Inmate Number: ~ V . Hous ing Uni t: .I Number of Meals Missed: :23 "b/lC/J'lj' .. Date of Exsmination: Heart: V , V' Lungs: Curren't Medication(s): ... .. 1. \ I' ;' z. ., ,-. 3. . 4. . Vitals: ~'O f '0 , Skin : v 'Dehydration: Ok- t .. , .0.' ,- " " Any Current Medical Problems: " .. " '. ". '. ,. Current Weight: , ~~, 6UJ~} ev/fs/J6/rrl { I.( 3 (,US 'D//...'t f:rT - Last Knovn Weighc & Date: Reason for Runger Strike,: ,/ Sign the Effects Starvation Fprm: ITS (Date) ~ Abdomen: to'" c.,./ -, Reflexes: H. STRIKE HUNGER STRIKE Hun se r be completed by PhysicIan upon exaMInatIo ....&.....cJ J'C<" CII.~><1 Inmate Name: Inmate Number: ! . Housing Unit: Number of Meals Missed: Date of Examination: 2S f6/00tCi.( / V" Heart: 'Lungs: Curren't Medication(s): ,. 1. \ I' , 2. a~ ,-- 3" . 4. ~ Vitals: r~,-,-=fO f4i~ Skin: . Dehydration: " " ,.~. ~ ~~uJ.A,o' t, IA'i;(rf Any Current Medical Problems: i , Current lle1ght: lq~ Us S~ 'lOW 6~ ~ Last Known Weight & Date: ~~ ~ ~~ Reason for Hunger Strike: " Sign the Effects Starvation Fprm: YES (Date) ~ Abdomen: v ,/ / Reflexes: H.STRIKE I\TTI\CIIHEIIT 1 TilE EFFECTS OF STARVATION AmI DEIl'tDRATION Starvation for a long time can do oerlouo and permanent damage to your body and your mind. When you get to the point where the calories you take in, are leos than the calories you burn up everyday, the fi~st result will be weight lo~s. Some people do this on purpose temporarily, in order to lose weight, but if starvation continues too long, the effects go beyond simple weight loss, and can lead to serious illness or death. When you are taking in less energy than you are using up, your body starts eating itself up from the inside. in order to get the energy it needs. It uses fat first, but after a while it starts burning up the protein as well. Protein is what hold~ you together. It is what all your important organs are made of. It is what your brain is made of. When you start burning up those parts of your body, you may find later that unlike fat, you can't put them back once they are used up. Starvation results in a wasting away of virtually every part of the body, including the liver, intestines and heart. The amount of blood decreases. and blood pressure drops. The skin becomes thin, dry. stiff, pale. blotchy and cold. The bones stick out. The hair becomes dry and starts falling out. Sex drive disappears. The person may become apathetic or irritable. People who suffer starvation for too long, reach a point where their bodies can no longer use food even when they do start to eat again. Their stomachs forget how to digest, and how to absorb the food. They may start having diarrhea and vomiting. and in this way lose what little fluid is left in their bodies. Eventually they slip into a coma. When half the body's proteins have been burned up as fuel, death follows. Long before that though. changes can occur that can kill you even faster. Vitamin deficiencies can weaken you and make you lose your resistance to disease and infections. Lack of water in your body can result in a concentration of salt in your body, which can give you a heart attack or a-seizure, and can kill you. Many of these effects cannot be reversed once they are started. Every person is an individual, and every body is slightly different. You have no way of telling how close you are to your own iimits, or to your own particular body's danger points. The starvation that one person can tolerate for a month may kill someone else in a week. I have read (or had read to me) the above. and I understand that my refusal to eat or drink can bring about the above effects on my body. I understand that if I continue to refuse to eat or drink. it could lead to serious and even permanent damage to my body, and can eventually kill me; and that it might become impossible for doctors to save me if the damage goes that far. Furthermore, I understand that the Department of Corrections will do everything within its power to prevent the death of any person committed to its custody, and that this means the permission may be sought from a judge to force me to eat or drink. Date Inmate Signature Date -RIWMDtJD WA-~A.l~ InmAte's Name Physician Signature (F 'Iq~ Inmace'B Number has been advised of the above regarding the deleterious effects on his continued refusal to eat and/or take liquids by on !jJti/qr but refussd to the above form~ 6 ~... ""0'1 tneBS Signature '. J!;. :J(.-9S- Date ATTACltHEllT 1 ~E EFFECTS .OF STARVATIOIl AnD DEHYDRATION Starvation for a long eime can do serious and permanene damage to your body and your mind. When you get to the poLnt where the calorie. you take in, are le.. than the calorie. you burn up ever}Jay, the firse result will be weight 10... SOlIlB people do thb on purpose temporarUy, in order to lo.e weight, but if starvation continues too long, the effects go beyond simple weight 10.., and cm lead to serious illness or deaeh, Wh.n you are taking in le.. energy, than you are using up, your tody starts eaeing itself up from the inside, in order to get the energy it needs. It uses fat first. but after a while it starts burning up the protein a. well. Proeein is what holds you together, It is what all your importane organs aru m~de of. I~ is what ypur brain is made of. When you .tart burning up tho.e parts of your. body. you may find later ehat unlike fat, you can't put thlllll back once ehey are used up. Starvaeion re.ults in a wa.ting away of virtually every part of the body, including the liver, inte.tine. and heare. The lUIlOunt of blood decreases, and blooc\ pressure drops. The .kin becOIlI8. thin, dry, .tiff, pale, blotchy and cold. ,The. bones eeick out. The hair become. dry and .earts falling oue. , Sex drive disappears. The person may become apathetic or irritable. People who suffer starvation for too long, reach a point where their bodies can no longer use food even when they' do start to eat again.. Their stOCll&chs forget how to digest, and, how to absorb the food. They may start having diarrhea and vomiting. and in this way lose what little fluid is left in their bodies. Eventually ehey slip Lnto a coma. When half the body's protein. have been burned up as fuel. deaeh follows. Long before that though, change.,cm occur that can kill you even faster. Vitamin deficiencies can weaken you and make you lose your resistance to disease and infections. Lack of water in your body can result in a concentraeion of salt in your body. which can give you a heart attack or, a seizure, and can kill yo~. Hany of these effects cannot be reversed once they are scarted. Every person is an individual, and every boay i. .lightly different. You have no way of telling how close you are to your own limits, or to your own particular bOdy's danger points. The .tarvation that one person can tolerate for a month may kill someone else in a week. ' I have read (or had read to me) the above, and I underseand that my refusal to eat or drink can bring aboue ehe above effects on my body. I underseand that if I coneinue eo refuse to eat or drink, it could lead to IIerious and even permanent damage to my body, and can eveneually kUl me, 'aild that it might becOllle impos.ible for doctors to save me if the damage goes that far. Furthermore, I understand that ehe Departmene of Corrections will do everything within its power to prevent the death of any person ,committed to its cuseody. and that this means the permission may be souqh~ from a judge to force me to eae or drink. " hl'-" 'Date ~.(!t~- ~ /tilJ!:'I./'t(.! It/hktJ !hY81.C1.an s~~~eure has been advLsed of the above J/Jlrll Daee Inmate's Name Inma1:e's NUrnDer rsgarding the deleterious effects on his coneinued refusal to eae and/or eake llqu ids by on but refused to s.qn the above S.... ~ 1 - q L/ Date form:f tAt ^IJo, M'- . ;'h,tne.. SJ.qnt1.cure Medications Start f!/1I It Treatments fJ(], <;'0/ .(.l Diagnosis: Name & Inst. Admission Date: W88~itlll "im. ) Hours Date ~o Date Admitted: Date Dischcrged: ~J~/qS' Q.:2.7r Admission Diagnosis: 1Mr)-r~ ..,. tiJ., ~ )..0 (~ [Wc:v Dischcrge Diagnosis: ~_~v-J2 Chief Complaint and History: (? c,:i::;( /~ ~ ~L-+- 'f &~f(/1Jk-~, ~P" I-z.k ~ ^"" ::::=. 30 w..~Q., . {d....,-<-~ U . Nl1lT8.tive Summll1'Y of Treatment: ~ ~ jV-' 7Ztte f!~ fati ~~k 4 ~~ ~ wJuJ.. {l-t, M t-I2 ~?,....-eP hJ d.u,?tJ ~ & yo ~ . p-I:. yJt~...[J thIl ~ ~(n-c7. Jt.o 4-- t... ~ . ~/~,> ct-(!/?C ~~d~~ (Continued on reverse side) Inmate Identification DC-68 COMMONWEALTH OF PENNSYLVANIA m;I'AltTMENT OF CORRECTIONS HISTORY SHEET D,O.B. t? -1'7-'14> SSN IC, 3-t.-.:2.- L/4G.3 lnst, No. C F (p I 7' 3 Name tJ~, /a;~ lOver) REQUEST FOR COPY t. \aDICAL RECORDS TO Superintendent or Director o( . 1. j)qlf,'",! J. ~ am the legal representative o( &..,htt7){.e:!' Mr~'- r ""'...( Arh'''c."."t who Is an Inmate In the custody o( the Pennsylvania Bureau o( Correction. I request to have~ to me at the address noted below the (ollowing medical records concerning my cUent: (Must be specific as to dates and type o( Infonnation,) . , at' ~~~ ~~ #.e~~: ~,~~4/~ ~\. '~h~.'~~ . ~~/L~~~p7~:Ld;'~~~~~~P ~.d /2~-"--/~ . .::/~ A~ -==- /~.//...~ /?7j-U,,~ (ff' :::~7~ ~-~ Y'~ I w1II use this Infonnation (or the (oUowlng purpose(s)' ~/~~.; ~ 'k?~ ~?/ 7 I enclose a release signed by my cllent. dated ~ /fJ" . which grants me permission to review t . these records: I agree to pay the Bureau o(Correction the cosHor reproduction and maillng o(these records. I further agree that I wt1I use the documents I receive only (or the purpose stated above. and wt1I not permit my cllent or any other Inmate to possess any document provided to me pursuant to this agreement or any copy o( such documents as I may subsequently produce. U,n~~ Signature ( Date Address: Po 13610 9 ;Jc, ?-Z~ ~ (~ ~4 170/...3 26 , '- BLOCK: INFIRMARY INITIAL EVERY 15 MINUTES CHECKS ON INDIVIDUALS PLACED ON RESTRAINT N Al1E : OBSERVATION ROOM: cj::{.' 9/3 DATE: f-3/-6 INMATE N: STATE COt/DInaN: 6AM - 2P~t -2-PH - Tu: uu b : DC , ? ~ ...!-/./ r: "_" ." 6:1~ - ?:15 6: _ .~ : 31 -6-: ' "'I :''''- ,-: 2: / T:-i -; : T:T : T:3C _ :3C '''' .... ~f 8:001 ( ,/ L..i./ r',.'.. _ ,. 8: 1 _ Tr -8-:~ \ :3 lJ:4t :4~ 9:m: : _ 9:1 5: 9: :ll 9: ~ 1 : :crm\ /..-LJ ~.,'(..., s 1 : l~ : 1 T : 3016-: 3 10:4~ :4 11:01 \.'.1 :OC 11: l: - :15 11:lli11+." ~.~Ir~ :3C 11:4~ -11 M '1.iU)L\-\-oAl m' ,7' Y:Oc'u~ an+ Ul\t'Y\ lAl: ~ ~ C"'- .' s; 12 : 1 ~ I (. mil ," I \;1Y1L.h- ': L2: .:.31vL-~ ~ : 1T: q ~ r:t c'S>>... ~.... : 4 E 1 :UUI1 'rl<'1'" ~ !/:UUI 1: 1 ~ +' rc.,,, (.i.tor- 9:: ".; 1 : 3 TJ. 'r c1N ~ IT 1 : 4 I'fK<:'IY\<JJn- ~. 2 : 0 C ,/ (;.!!..!:,,4-fi ("".' ,/ > 10: OOPI~ - ',bAI1"', ' , -"'':'.i'''.i.~.:l\ "'.2'.1",':'; :-/ .10 :oc 1 :H -1 : 1 : "',',," .E; , ~ ~! . . . . '.. . ,."~ 1r . !ifl !:@t ld~; ~ ~~;~. ~. fu'iQt:' ,....,::: ! . . :3C :4~ lC! :UUI :1 :!r-tt I_I {'<In ~. ;\... ;.;.' ....~...~. 4\' ..... " . . :4f 1: O( . . . . ~~ t,.j C?(fJ : ";UUI .~.. :lSf : ;jUI :4111 :UUI : L51 :!f{J {fl('JIrI .:Ii' 3 : , : , :Tt , : 3l : 4~ YfJ (~I t.r", .. (' J J , '. ~ ;";' , ~ ....c..' . -." .,.... ~. ~~". S : : 15 b:UU Attending Physician: Level of Observ'ation' Di rect and Constant:' Intervals: g.31i!5 --1L2L J LcISlLtO _L~'~' .. 'i Date placed in Restraints: Time placed in Restraints: '" i R . FOR /1 " . . , " ; .... ...: '- '-',;'. COURT OF COMMON PLEAS 01' COKDZRLAHD COOHTY COMMONWEALTH OF PENNSYLVANIA, . . DEPARTMENT OF CORRECTIONS, . . STATE CORRECTIONAL INSTITUTION . . AT CAMP HILL, . . . . Plaintiff . . . NO.q5"-l}(.,41 ~I.~T~ . v. . . . . RAYMOND WARME, . civil Action - Equity . . . Defendant . . ORDER AND NOW, this 31 S* day of ~ , 1995, upon the Plaintiff's Application for ~ Par1je Preliminary Injunction and based upon the affidavit of the attesting physician, it appears that immediate relief is necessary in order to preserve the life of the Defendant pending the adjudication of this matter. Therefore, it is hereby ordered that: 1. Plaintiff may involuntarily administer to Defendant medical treatment including but not limited to nutrition, hydration and medication as may be medically necessary to preserve his health and life pending the adjudication of this matter, as is determined by the medical personnel duly charged with his care. BY THE COURT \ I' I I \ I i I i \ \ I \ \ \ i 2. A hearing on this matter shall be scheduled in accordance with Pa. R.c.p. 1531. I.S; ~~~ f!)lL\ ~J: TP.~JE COP'( FROM RECORD !" r~illl'.c'/1Y Hi:af9Cr, / here unto ~ my hand "lId 11m Siia/ of S.':d C"'J i!/ Cai1/5Io Is ?J<;f- da' o' . . r- - I . . 19 .J Prothonotary ." Date Hour Nurses Record. Continued Patient Observation Notes Signature /}_ c J'. /I/, ~~ I....~...... ;. /i.:....h-.--....:h, , C,,~ t/ W/Jc. . , ",,'-l f .'1' ~.,'~.. .(":,.,~ 2/-.:.... " ~';"/7c::. .(:C"/"..",.t r;.t_ck~-r.;,.: ,1- II ,1,?'1;~~ /,.,c/c' / I...., . r1., I .#. / 'c-,. .J';> ,. ,.,. , ..) .,......,.....'c....;J I '"- . /.--...t' C .. ,_/ /'.. <.' L. /_ -, - '. _ ' ..~)/ '. (' /, '" v ~ CIC:',~.- ....-1'.. /~<:...cl'.: <' ---..- t.:. ~.-2->c I .t.~. ~ -./ Data Hour Nursas Racord. Continued Patient Observation Notes Signature ) ,,;) JI,t... o. :\ -, -q..s iv L{a.[' %. .J /...iJ a; , , ~ 'i'-1-c;.S tJ~.J Date Hour Patient Observation Notes Signature ,;. i -cf5 'J~('~' (x,d:,{tU eft" ;i....-) i, , os{. -11;1:1.... .p t>~. ,5' A.-;:: - ;;:'" Io<ttf. I' -fJI(I. J-. DC-71 Inmsle Idenlification 0.0,8. q - 'I - I b SSN Vb J - bJ.. - \.( Lf 63 InSl, No, C F fa / ~ 3 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF CORRECTIONS NURSING CARE NOTES Nama LJ c f II'-. c.. I (l. e '1 V'-\. D Y\ 1 (Ova,) Date Hour Nurses Record. Continued Patient Observetion Notes Signature A- Cillc...!M~ y /,),..L , 'e-h /1 c. .10 Sot: ~ ''h w/'tlt. ~ ,..~ a. ',..l"< iJ_ ~/;(,/ q, c./e -, ~t f:~ '1/~1-" k',> - JO ~ t-l ..~1 IlG&4~~. I pr. ~ I/L.,--""..dc..0 ()? /1 1 1,,,,,,Ja.j , t( J /,v1L-€..c q-: -'I J l5~-,~ V/ ".-:1 . I '1.,1:;""'4.., ...;;r:.-; L. C ,~.:;,:r .3:i 1..;... I:L;.~:l ~'; :;f, " [""1.........- , ,) ." "-._ :to....., , C:,.l,.."r.l I',c. C''-'-' " \ , " '(.;-',' ,.-.- 'v V .... -'(.,\...... I .' __1',11 (.. J.o\,'" 1 " "t ~ ~ ,--.. , , ( (;) 'u: .!4-\-.,-c. ,\-''-(.,; {..... .:> v"'"'- -':) c..........L::.~ .l'-, ~ __./ -J)\ 7 ~. ''YV. I , ....\, . - ,. (i /~.,\.. ; .J . ' =:.. .' Date Hour Nurses Record. 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I v' " '- , , I t:> vl'/?bA /; ~r.l c 'N ~r..... - L' t: /Z4'/7(; o --D DP', e -{ R~sr. ~ cl...~ - .-.- .......,,1'<' 'C'o ~ e,eu-e. 5 (9 3/ (/ .> - C tJ..{. A~..- Date Hour Patient Observation Notes Signature 0- , ~J ,.~ l' C. ";G'L ~ .. - I" - T coO; ()- ( ,.... j'-' . I 7./ ;l --'. C !v", , """.:. .....-.,....,.......C.J , , t " I . (' l. ~- , \ ;'(0..';1\ l) ~ --- t./ -r-' ~~^O. - )'\-C-~............., ;U-l /7.;..(.. j , ... J~I I "v - , / --'- LI.if !..::...;., ~,/ '},,~r rJ'U.......(', -;x-C) ..c.. ' . __ ,"Y'~t . Ct'. L[ k+-r X :' -,~~,~ I - "''-'' -2 .' ;.___ t..,.;.:.u.:.,,,,-' \J ,\2Gu~;;J<..-l , ,v.1 I .' ..LC-yLl.L'.I-"G ,It. .. IJ"- 1""-"1....:.. , ~.-i ;:...c, cd " I .- , ,-~ , . , \j..".... (., ...-1,........ /\ ;;.r Ld.., .',~ C"....c ~ .l-rl . , ;!!.\--c-...~._I --' ~..... ;j t ':)~C", )c;,'-I f h'I~ ,1 I i!.....;J - -4--- ':.'\.1,"" ...... /Vl.. P1A...1.,--, . 1 I I ~. .' I." I /'l .,,(. /';--;;. ~" ;,,;-,~ I"./t. t, .'" I i 2, J~\" .. ... Cf-),..q~ ( ,.C""I"~",,, ~ .... , <; ..J C/~' .',\ 21:;-<.: I..C'...~",,..I ".. ,. l/' ' ~. Xt, ,'>'>\......... ....""'.......... --k..k. -... -- . . L-r-d.. l- I . t ""..;1- c.. LA -:/- - "'(..~~'v /LI~'- ti..~''''..A." ~_. fr" ~ I ~. Go/,' o.lAA ~ Co'(. \..C ,,\.U.-, ,tt,... .t:..,.,...J xL( (Y1-...~, 'p . I '" C' v I . "...-t.... '-<- ,<::l.e ..1"-':-1' ...1...: ..l~.)~ ,a. "'::t...L..;1,i".,-.,. tf....~/?-& / l' ( , A' /, - ,/'J. M.r '\.a. ,II /Lc.. .-f.,'-'Q---c;..", I c.. L:"'<:- "-~el ;;;- v . j fA ~Jtl 'J . -, l~ L' ~ /\..6-J.V~-t-' . ~, ' /l\-tI...,.....,~1- - c.... J.Vu, I " l lJ.' · \.. . H-'>.-o vIa AJ"f\<. a..', /1~ ;~, . o---rLc..-l >G I . ~', , ~. J~'C-C I ~ /.1-t(. ,:.....-, - ~, c; . -i-7- /i.~t:n..~ I f 1-'\.c. "\.ov'''':,,,-,,,.2..-1' f IY,;; R-iv.i ..., . " , J - ~-Ol.c... .:1. c..,-,~'.,).., . (~~- .~ /1..-viTYl-v-U"") , CI.-'k ~ ' ~- ......... -;::::::::: d I,.!.-/ . .(}\~ 'ft - ."-:" n,'I....I, ~ lev' .' . ..... /- .. ,.' -'-.----.'- -f ", .-.- Inmale Identification DC-'1 1-11 -I { 0,0.8. COMMONWEALTH OF PENNSYLVANIA SSN c:;G~-[. 'L . ~(, ~I 6 ~ DEPARTMENT OF CORRECTIONS Inst. No. ( - L, I ~i 3 NURSING CARE NOTES , Nama L.-,' ('. :\,o.-€ 12- e 01.'--';-,'" ,1 ( I (Ova.) I & 0 FLOW CHART ~ INMATE NAME: /" ./"""-..-.'7)' /}///'17""'" ,J DOCI: l'r'd 17.3 I no:fe. 6AM - 2 PM d 1"----.6 1'.... - lOPM 10PM - 6AM I 0 I 0 I 0 '1/.1,1, .. E/.'i:') 8"e ..:17~ ,">0 1,.{3'/....t 0 ISO 14',1.<;(' 'l-S1, .}o,-.. ~'.ll" . 01"0 1-"'0-: ..... /~J .'\ Uli, ,:".h'~ J< ';/. l<iIl I~t> ;) ~ . .r- I" , I.D ',' VITAL StUNS FLOW SKEET APPENDIX RR s.:l L, c,\tt TtHP BLOOD CUFF WEICHt :NI.:A:.S CArE TtMP BLOOD CUFF WE:CHt INItIALS . SITt STOOL TIME. PUl.SE PIU:SSUIU: TIME PUl.SE PIU:SSUIU: ,; SITE StOOL IU:SP, .~ IU:SP, . 'f/z... <t.7. I /g1J- olOIJ Cl,liV /oY'i' fil,... fC,r I~ rr 0)6' '/8' 1 'U <fl 1/1/ Q(,,1 ,~td "1Y4- o.q:lJ 1<1I~ 1/~t 4( (;;.'(Iy-t. fI '6/0" ~V'I/'f' ,/1- qr.~ I Zit fr'" I o~.oo 70 Ilk ' ('1 I , I , . 1 , 1 , I . " I . 1 1 ' I I / INITIALS S ICNATUN: INITIALS SIGNAnnu: INITIALS SIGIlAnnu: ~U- /). t1 ~ Ji., /5 .,J rJ/ .t"I, ./ /u_ u V 17 : C:2tm1.nts: CC~NWEALTH OF PEllllsn,vAllIA DEPAR~NT OF CORRECTIONS BUlU:AU OF;. 1l!:Al. TH CAN: SERVICl:S vt':'A1. stQIS now SKEET BHCS' 2194 1-/1-7i. C' [. '> ,.(. '--, - 1..,,-; I. S c f C, '\ 1 4i: lJ~..'"\. ~ ) I I C \o....~~.;,\. l.. 1 At , .:NDIX RR VITAL SIGNS FLOW SKE~T S':IL- c:..~t TtMP BLOOD C'JFF wr::CHT :N:-::,u,S CArE TtMP 8:"000 curE" wt:CH,:, 11l:~:Al.S , T:Mt P\Il.St PRtSStJIU: ; SIrE STOOL r:toa: P\Il.St P Rt S S tJIU: StTE STOOr.. RtSP, .' RtSP, 1~/"7 __ II~ ~,J 1-11 . I/Jllts 'i7' IJ'1J ~5 PJ/f'O ...1.1-/ Jr . IS ~/JI:J(I F'o ,Jlt' 7J - I" bl'.J;, 77(. IJ,%' ftv{. tJ~ f;/iS 'i7' '1,) 1.J~J7i' ,VoI/J tt", If') ,.J:> '''''I_-It. .L2<n Jf/J 61.......(<" '1s~ 1~1I f-l-fS '1,,7 I: .- 110/,;:, I IL"V 'it I~ 1'f eJ.)c" S"-II. LII,7 gj"'fJ I :~/;.h\. 'P.S ~ C /' 9-J"'15 0.'/ I , ~ l'V ~ 01 fl> f:Y .Y . (}<Is~ /C'I/ :YO i.t!" ~'fJ Sf - Ir, I 'S /;''1'('> t:'lil /1 ;Z~f /..f..J 'l+ti5 n;;. Jl2.j WL iY I ~'(.. - 1,0 70 f'L"C,r; I I l.' () (J 1110 ./.:J. ~(~~~J "i6 ' ,I? q~/y';:. ','jj' 1,6 Itl 'f frJ I I 27,-:- .-- , 7 r. If' ~o /{f"', t,.{. . Ie' '7(/ I rlJo/'-iJ qg" . ?/tIff <fYY /CZ; It t7 ~r/~'1 (9 "711 -- ~ Jbv IJ'!V t (I. A 7c-' ( II" 11-0 , 'd/!J!/[5 I ~hl/"< ~./ 91Y 9blF.1' 91' I' t! /tt,f t1 I 6 ou - -;Jm to ,It :f-f I I '/I "" " I f/J/k/j '79J1 v.... '1~!fJ' 9j- 1/.oJ' [4. 6~ I ;'<f~[... r4I .tff f i /t3l- (;01/;.' l.7JV k-Ib , I: I rl.>14~ f9 fI Jlo/')~ qlllt' '17. 'f 1l.-'i'{1" l ~: 2c=o 5&:-11,1/ /..:-1/ :J;'l( (,o I' lit. I IlIt1l'I.\LS SICIIATUI\E INITIALS S IGIIATUI\E IIlITIALS SICllATUI\E I I, ,fA->>) ~/Allu /.J ) y~ r>(w ,-r1,1...,,-. to, ..., ) I ?)(!j VA~ u ./J, /lh cJ I ell II' 1I-..1/~ 'u__i. .=- ~ <fa,"""";' L (-flu. I,.,.) "1 ,':'111' ;,/1 A I,). ,.-- . ~JI.I ;)'~H '>-/1...) 'CAllY r ~ iftu..JI~ U' ..... COlmlent.f c, ....., .., -, b O&3-bL-lj't'3 , .V#=, 4"~ (!F (Ply 3 C~WE.\LTH OF PtllllSYLV,\lIIA ct~ARTMENT or CORREC:IONS BtJlU:AtJ Ot 1lE.u.~H CAllE StRVtCl:S VI':'A.!. SIGNS nO\l SKttT BHCS' 2/94 H CIRCULATION CHECKS ON INDIVIDUALS PLACED ON RESTRAINT NAME: JJ'f (J.){ (\\.L OBSERVATION ROOM: ~bCJ~O\ INMATE #: 6r:1c103 DATE: q-I-CJS BLOCK: INFIRMARY Check for Circulation, Sensation, Skin Integrity, and Movement. STATE CONDITION: LIST TIME AND INITIAL EVERY (2) HOURS 6AH-2PM N ABN 2PM-l0PM N ABN 10PM-6AM N ABN V &/" J ,,- 6 I'; ('nt) ....... J ~ ./ 2(D 1 ~ I'h r V' o )\)v l/ DSD 0 /' Date placed in Restraints: Time placed in Restraints: Attending Physician: Level of Observation: Direct and Constant: ~''?I .s Intervals: ~LQ~_ (~i/ NOTE: ANY ABNORMALITIES FOR CIRCULATION, SENSATION, SKIN INTEGRITY, AND MOVEMENT t MUST BE DOCUMENTED IN THE MEDICAL RECORD. RESTRA-F ~b~W ,3 A...~ pd-~ tf./ vl 'zL 'i1Y'V "- . \. Laboratory Report .1. -', l..l.\,'" 1".11', i..;_II'II.' IllLi., ,'11 I.. !'__'1. !M~t~bJ III MetPeth Inc, 900 Business Centor Orivft Horsham, PA 1904. (215) 957,9300 800.825-7330 (PAl 800,825,7320 (Cliont Sorvico) ,..'.... I.. 1,1,1"1 ':',1,..1.. " -t'J')') 1:J l'J..).. Hi" CORNINQ ClinICal Labofalory P olbent NarN Pal..nIID ',. :-i.n Dille COIlKted T""tCOlIOClocJ AcCltUoOi'l No W",(I'II.c :(, i (I'lIm;) t.I'"w.L'J,j I! l-J\~/ .j.~1 ::.. l.t :.i': ;)..:jJ:j ,:'.;,121 RequnMg Pt'lrtoan I Rem""". Coil. RK.~eo ~I. Reported R~SI.1Iu' PJ1. JiH 1'1-':'; t,d'}.' lj2/:i~ kl'}/ t,d;.2/ ::'::J F 11'111 1 T'I' Results Wllhin Range Rel.rence Range UnIts '.J/': I: 1'11-'11_ ( ::i ,I: ~j .jl' i::.,.._~rj:..~ Gl~..l'",'.~" i '.. ..1_'.Jh: .4~',~'j.:'HI~ r.dL.l~ pH G~_LH~USt, - UfHrli:: ~'IW n:: 11'1 I...:: TlJI'If. S UCCULT BLUUIl L~UKOCfTE E3TERASE BILIRUBiN URIME ."1 ;: r 1~.L r c: 1.010 (ELUJW CLE(~k 5.0 ~IEGA rIVE NEGATIVE NEGATIVE NEGATIVE ~IEGAT I VE NEGATI VE NEGIH IIJE 1.. 0l15- L.. 0J;~ (~l_L_UloJ LL'::Hh -t.. :~-i:L. t~ ~II:::GAT I VI~ ~II:::GI,i r 1 \.'E i'Ii::LiHi (Vl:: rtt::GH r L VI:: NEGATIVE ~jl:::(}I'W [VE HI::GIHiVE: * END OF FINAL REPORT * P~inted on: 09/02/95 at: 5:34 AM M.,ry,lm 9.1~hl.1f.M O. 01'ec:to, JOt;ooh'IV FVWI ',t 0 r,.I''C.:;l1 Josl!On J 1,I'Jfpt'l C"f'~;'~f " " '.;,.;,~' .. . ~ Laboratory Jort '.,",..1 " " ! , , \, 'I. fMetPiithl MeIPllh Inc, III 900 BUllnl" Cenler Drive Horsham, PI. 19044 (215) 8~7,9300 , . . 800,825-7330 IPAI ,.',',' ,.' "i,.J '.:BOO:~7320 CllenlServtco) 1"7 . ~ORNINQ ~~.~~"..;.',....: . . 'J.1~., : , , ' PabenttwN , , P.NntIO -.. So. Oate CoIKted TlmeColoctocl Acc..1WOft No. ..... " ~ Ph,IClM I RemMl, Oa'e ReteMd D"'_ ReportSlatu. p... TeSI ::u:JI ~.l"7tl Relults Wlttu" Range R.r.rence Range Units " :...:11.'.' :S:.M;..(Ji.: ", 1:'.'7r,~ .J. :~ l'I;:'f.)('if [VI:': r1ECilH r !,'J.: NEGnn\,'I; ~IEGfntVE r1F:GI1T!IJE WEOflTIVE ~lEtikr r. V ':: .:1. . ,..;. ," .,':>' ':l:~~:_"~ r ! .",,~\) _.:.,_,..._~:: :.. -~~::-:':(.:~;:L : ,(",".oj} '" .- Ui~ ri'!I~ '!o" . , ,Mr';',:, I;':':' _. ,', . _,' I- . ,: ,. , , .. _4"'_ . _ R ~HD OF FINAL REPORT ~ ;~Lnt~d on: 09/02/95 at: 5:;. Maryam Bakhlar.M 0, OttttC!or Joseph W. FISMer, MD. Olntctor JOSeph J. -,tl.lrcny. Olh.tC1C Labor!. ,'Y Report . " I,.. II It" i I: '.1.., ,-'Ii " t,II:"!. [MQt.~th] III ) '. I~ .. 1,,11'11', I L 1.1.. 1..1. :)\:Ul,'11 ,":11'.1 : "; .:...:<';'.~' ':'''ty'l>,,, . . . J.i, ..<.. ." '. :'<',~ ..", . f' ~ " . .: ......~f, ...... , . '\.1...,"" ",:'; 't' I'}':) UU..).. \:, I " 0"". COlIKted riffle COlIwed liH~..' I.~.J: . ~:, l,.jt~:.,", ktOUoQn No ':':'~.JU.T...) ( ':;; l. Pabem Nam. '''.lI'll(,'II':.1l'\Htl'IIJI'IV Palte"IIO I.~I:I:;' .l'},j A,. l' -, SlfI ,h ., n.q"ntInQ PTtyllCWl1 Rem"" Dale Rec'Iyed 0>111 Aepottlld RlIpQf1 StatuI PaO' ddl c.:UI . ~ I.~'I:)/ C j/ }._J I'; .ll'iHL ,,~ 1 UUI'I\:} \I'!-'-:j T..I .. ,: ;' .-: v..,~" Results Within Range HJ. ~) 1.0 8.W 2825 1')80 450 45 o Reference Ranga Units 1'11JI'IUI~( r ::.U 1;:_'.J.:>Li.ILJ....'j-.I.(I...~ l:tH:~IJ~>H.L 1_8 Hb~. N~UT. ~OUNr l~j):J.. 1_ '(I'I,::'H GIJLJI'I f {~i.'S.. j1lut'tG COUNT Ht'~" t:O', COlli-I r HBS. t<I;SO '~OUI~T ::; ..~ L.J l!}-.:j \:.t'-i~ .Lo'JI.'.IM-/~V.J\;:.I .l1(JI.~~j'-"-'0\1~j cJ-/:);t!JI.!J '..!.~ ,..-:;I-J l!I- ~.:~ '.:J I~' ;~ ;'<. ;~ .' '..U" li:l'i ,. \~u ~ 1'11\1 I L..J " 1'1111 I ,~u. l'li'l / '..'J.. 1'11'1 S~Ol~EMr~flON RAfE 5 0-1~ THE BEHAVIOR OF SPECIMENS TESTED FUR ESR OVER Tl~E IS VHkiHBLE iN ~M UN~kEU1Cr~~LE FASHiON. A8NORMAL RESULT~ C~N B~ ~~C~PiaU AT FHCE VALUE, BUT NORMAL RESULTS ON ~PECIMENS NOl r6~TED WifHiN 8 HUURS ~ROM TiME OF DRAW MAY NOT ACCUkHTt:Lr REFLECf friE CLI,HCAL STATE. i'lI'll ;'il~ LJRLI~HLYSiS SPELlFIC GR~)VnY COLOR APH::HRf-lNCE [>1'1 GLUCOSE - URII~E 1"!WlEHI " Vi::RIFlED i'~t::'j'Ur-li::.G OCCULf BLOOD LEuKUCYTE ESTERASE 6iL1RU~iM - URINE 1'1.': ; "":11 t: w~~.I~ l.:t-:t. "'HI. I~R il~ 1t' t;'j:'\';-I'iOi)Ei~H'fC: U (HI:::I:;: I~ l'IUCUS r)I~l:~r.::N t' ,p) 3.;' * '---/ 1. 030 YELLOW HAZY 5.0 NEGATIVE 1.005-.L.035 YEU.OW CLEAR "t.::;-d..t!) I'IEGH fIVE ;'ll':GfC, : (VE NEGAn VE NEGATIVE NEGATIVE NEGATIVE 0-5 0-3 ,It i'IE;:;I~'i:':VE NEGtl n:VE NEGHfiVE rJI:.OH f LVE m,:Gfl f(Vi:: :i-;j l~-" j:'Si-\ t"ll:;'l': 1:1::,1', ~II)I' .. .',-- . ~ND OF FINAL REPURT · IJrlllced on: 08/29/95 at: 6:J'~ il,'1 ,/ /'lltL'/jl ~. \; r.13l)am B.lil.hlar.M D.. Olrl]CIO' JOSttph 'N. Fi.t'.~r MO. C'fec~or " Jo:wc" J. '.I:,.'crl/. i}l"c' .' ~' .. I,~ '.11111-' 111.1.1.. l .' It: l I I \ I I I \ ~.J I I 1) I ,I 11'11' I t 11.1 ~, j ,'It ..:'J }') Patient Name WIII\I'IL t":Hfi'IUI'IJJ ... ... . ,.. -- Labon. ry Report l ( ,~J "J l IMQ.te&thl III 11~J,j. .'J MltPlth Ine, 900 Buslnlss Clnler Drlvl Harsham, PA 19044 (215) 957,9300 800,825.7330 (PA) " .',' .., ,,8oo:8f5"7320 (Client Slrvlce) l . CORNING C~ LolIotIIOlY: "., Plt4flllO '" s... Oil' ~ed Tim'~ Act,,,cn No. L.1;'t,l',;,lj 1; wt3/2UI I~ Wl;I': 1 . j~d"h}/~l 0...,. Rec~ Oar. RfC)Otted Report Statui PlgI (IJUI'ILI \l':-~ ~tIng PtlpdP'A~' ~I<.J, 28/;)';;J 88/2':i1 1 ....... .~. ..:. T.,. t.. ~ ..:: t ..;.::2 LHt::i'lJ LI--IIM1.."I.II'I, ,.H:'I\UI'I .';'III~bl':'I'ltJt~tJ~j, ~l::t~lJi'l l'IHl:H'tl::..:Jilil'l, 6ct\ul'l Ijl_IJI...IJ~;)I::: BUN C;\'~H r d~il~t::, :jt::l~UI'1 BUN L~t::HTINiNt:: RAflO URiC RCiD, SERUM ChOLESTEROL fRiGt..yLf::RIDf:: rOTAL PROTf::IN, 5f::kUM ALBUl'liN GLUBULUI A-G I~A f ru lHLIfWBIN, TOTAL BiLIRUBIN, DIRECf ALKALINE PHOSPHATASE GAI'II'IA 131_1J H\I'IYL fkRI~::i RBi/SGOT ALT/SOPT LDH SOlJIUI'I, SERUI'I ":'UTHSSIUI'I, SERUI'I CIII_I)I;;! liE, SEI~UI'I iRUN, fOTAL SERUI'I CB~ ,~) UiFFERt::NTIAL WbL f\l,l~ d:.:...IUGLuIHrj I'H:'1'1I:11'lJl~I~. if ,'Il~'J 1'11;1-1 l'Il~.-tt~ r'!l'l " i._II j ..:..l.c.. f 1..t/uHf i 11:,1 J rl'_I~I":'I-lll._ "j ""lii'liJ.;, 1_ l ,'11'1'11.".. ( I t'~~ \.tilr'iam e.l~nl.l,.M D. O,rAclo' :'l! c' ~ lr'1" Results Within Rango Reference Range UnitS ... FASTING SPECIMEN RR~ " ...'~' ';).1 b.. ".-lld. 2 't.6 2. 2'-!+. G 2.3 .l..d-2..S 6~-.Ll". 17 ':J-2~ 1.2 ~j.l~-I. I 14 1-24 3. 6-:}. "J 139 <2lilld 75 <2{;}~) b. '3 6.~-8.2 II. E. ,~. tj-,;.i. ~j 2.3 1.';1-3.8 2. Ii! ~. ':)-2.. .L 1.2 0.2-1.4 0.2 .l. \ij-(o)... 78 41-142 11 1-60 IE. 1-50 8 .l-55 11(,)-240 13E. 134-145 4.3 3. -1-5. 3 '38 ')6- hjl 92 29-1b2 I'IG/UL 1'l,jlvL I'IG/I!L lllbl UL l'IG/Ut.. i'hJIUI_ I'IG/OL I'IG/UL IlltJI UI_ G/llL \j/OL G/VL G/llL I'IG/IIL l'llil lit.. U/L U/L U/L U/L U/L l'IECl/L l'IECl/L 1'lI~ljl L l'ICG/lJL Hl'3 L 4.5 4.I~J 14.7 41.7 8E. 3~j. G 35.~ .l1. U J:/::i 4... ~) 1.8 '14. ~J 4..5-ll..l1 it....s - ~..} Id. 19-1':'. 111\- .j/-,.-j.~ l}J-'h 2i.~j-J'I.~J J2. "J -,Jt=,.. t; l t ..l~-l.:... b 1.teJ--..t\!J ql~.-lJ6 W-c, frlLJul->1 UL 111.lLI UI_ GIUL .. l-t.. ~IG W/iJL ,. .:. '..- ;f'~ fnlJu'r.' ,- : ,IV; , r 'J 10 f{;' / 1;'I'IGlo L: cmllll~Ut::U LJI'I pm,,-, Joscpn'll FI<;.t'1I3'. M 0, O".,ctor Jo'Seon J ~.Lr:;f"t Dir'~c' J . , " ',',' ..... ,~... ,/' ,1 ,.,. '0' , .1'/". ,-'" ;~ '. . ~'. 'J~ . ~ -.. .,.. ~ Laboratory Report '.i.. I" i.., ',-'11'11' IllL!.. L:.. L': '1'1'1 htlllP 1.1 H'll" II 1: ~I_, 1.' It L ,: ",Jl-' I. [MetP8ihl III "'.tPlth Inc. 900 Bu.lne.. Cenler Drive Harshem, PA 19044 (215) 957,9300 800,825-7330 IPA) '" ,', .,800'8~7320 CllentSelVlce) "I . CORNING C'!"iC",1 ~abor.,~ry,: '. '. .. "" '. if t '. ,')." {."."" ....~~~":. ..'''}~ " '~1',;'::;; .' ': ~:". '''\ : ,,'."f. J., ...~. ' ;.. 0.')')1) U8~). ~ Pallenl Nam, P31,."IIC '0_ s.. 0.'. CoIIKled r...~ Acc"ll()rI No WIII-\I'li~ 1'\(1 fJ'ILHil,) l.i:'61':i,; 81~/,;1/' ::; ~jG:l' 55J2tilJ.L if 1.:' .. ",". .'.." .f,'.., R~.tang PttJIICI&n / RemA/b 001111 Ree.....td Dltl R~ed R.porI Status Lj-l;,.;; { l:j'j/01/;l:=; 0'J/01/:=; 1,:'HIIi Te'l Results Within Ranoo Reference Range UMS "....;\1'":' ,'I'JI'IUt.:i f1~ci ;"US il'ILH"H ILS xhiSLiPhi LS Hl'~:;. l'IEUi'. COUI'IT IlIJS. L ..'Ii: 1'1 L:ljUI'II' ~I[':;;. 1'lUNO C;OUNT fWS. EUS CUUiH IW::l. ..'~ISO COLiIH 10.7 2.8 1. 'I 2747 2'~55 717 188 9'1 " ::;"~.L j 1:)-5 t:J'~.d 18IJl:j-- h\00 1001~'-'laljU (iJ-[l~J0 l)-'150 0-'200 ,. ~ ,- leu. i'II'1 IGU.I'II'I II~U. i'lI'l ICU.I'II'I ICU.i'II'! Ulo:Hh:tLYSIS SPI:::CIFIC GHAVny * NO URINE SPECIMEN ll{' . //>77'1\ V * 1.00::5-1.(335 I-.:ECEIVED. * END OF FINAL REPORT * P~inted on: 09/01/95 at: 7:22 AN Molryam O.lio.t1!,",M D. Q'fl!Clor JO~:;tItlll W F,~t"t' '.1 0 C,',~C:C~ J0500h J Mur~f1f. D,rec' Pa;. 2 " '-,.'~ " ..-.... ,n. :.'" '. ...... ',. . ,...., " '"I,.. I.. 1.;11'11 111.!..L.. i.. L;,tL,l)i\l1 id.ill\' '. I illl ; II L.L., I "II L , '.JI.~J I. , \" '-' 'j --~ -';.~...;~ r~:' ;:.~ ....)J ,.'"...A,..' . ~".'.r~J~:. . i _to ,.... ~~~'it:. .", "",.;J:o,,,. . ,.)'YJ Pall.m NamI ',.'11(1'11:, ,(1\ (I'IU'"!) .-'.. ..' ReQut"'"O Pfl)'tcI&n I A~ , .... ". -~ LHI'\~.i( "0" '.,.... ~ .... .".". Te.t 1.:3 2t ~.lI2 ~11t::i'l) C',ILCJ,UI'I, .;[r,I..1I'1 ~"1G~~'riG~ljS, S~I~lji'l d"IlJI-'tC,,':U,'I, GEI~wl'l liLUeiJ::ll [iLJ~1 CREAfININE, SERUM BUN C~EATININE RATIO URIC ACiD, SERUM CHOLESTEROL iRiGUCt::RIDI::: fOTAL PRo'rEIN, SERUM (\I_BU!'\IN GLOBULHl f\-G RAnD BILIRUBIN, TOTAL BILIRUBIN, !)IRECT ~LKRLINE PHOSPHATASE GAMMA GLUT AMYL TRANS ;)ST 16GOT ~Lf/SGPT L!)H SODIUI1, S l:)'W 1'\ PO'iASSIUM, SERUM CHLU1UDE, SERUI'\ IRUN, TOTAL SERUM CBe ,WI DIFFERENTIAL WBL I(in:' Hli'IUGLOBIN : IU'Il) fOCI~ 1 T 1'le'J l'Il,H l'lel-ie I,DW PL,' i'LLEi' eOU!-1 r I'I:::..'J d;:Ul:'H iLS i,q.i 1~,1:;, l~ 'j i'h'-IIIjI~ I j I<::::i Maryam 8alo11,.1r,,", a . a.fOClor p.NntlO eFt. l'j,j .....~ . C\i~~' :;.II"~\t Laboratory Report rMetPsffi) III MIIPllh In<, 900 Bu.lnl.. Clnler Drive Har.ham. PA 19044 (215) 957,9300 800,825.7330 (PAl , '. ' ., 800,8:2,5,7320 (Client SeNlce) 1 . CORNING C~nieaI Labotll<>lY ...' ',. .' ~ ., ,lUJ. <I " Age SVI O.JleCOI\eCltCI TlI'Ile CoileCttCI ".jo/jl/' ~ ':.)(:':1 l,~ Ac;ce"oon ho, ~'J~:J,j,_'d.i lit 0.11. Rec.,vlld O..e ReJIOfI-S Repot1 Statui Plge U~/U11)~ U9/81/J~ FINHL 1 ... FABTING SPECIMEN ... Results Within RDnge Releret'lC8 Ranoe , / . , 9. 'I 8. -.-18. 2: 1t.2 2.2-01.. E, 2.1 1.d-2.6 113 E,5-.l1~. 19 ')-2~ 1.2 11. (~-L 7 Ie. 7-24 3.6-8.3 152 \20l<J 82 <280 7.3 b.8-ti.2 5.0 3. S....:;j. 0 2.3 1.'3-3.8 B. f)-a. 1 0.e. 0.2-1.4 0.1 8.0-19.4 82 41-1'12 11 ,1-60 22 1-50 14 1-55 124 l1e-c!'10 141 134-145 4.1 3.7-5.3 99 96-HI7 84 29-162 it. 5-.1.1.. ~ 't.3 .... 5.';) .1,j.I,!j-J.6.0* .37--'t':Ht tlu..'3'3 2/. w'-~i.t.~) ~2. ~.-J6. 8 l1.,,-I,..6 l-t\:'J-'.-HiJ 'tl.j,..G6 8-"- ..:."t'-.'i"t e..7 4.9@ 1'1. 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" ;fo ~,' ~,'H'~ ., , t: ~ N Q N .. ~ ;: ,'1 ~ :! .... l .' ' , 1. ... ~ 2}1 .. ~ = ,;.,~~ , ',' if .. .! . I' .. ~ :! .. ~ ::! ~ ~ ., ':'; . ::l ~ z co ;; .. .. .. II: " Z l! .. .. ,.. I ,I. .. ~; .. .. .. " , . j~ ~ - II: ~ r.-.. \ ~~ ~ ~ ! ~\s\ ~;;~ ~ ,'to ~' !t '"'.. ~ ; \ . ~ .:~ ~ '" ..; ~ ~ \r-... \ , I" ~ .- ~ ) ':l: 'j '1-, \< ' ~ ~ :1 E ! .. II: ~ Z co ;; .. .. .. II: " Z ~~ ~ - ~ oJ'd'. ~ ~ ....... !") ~ . I " '" o - , 20 :$2 ~~ ~i I \ r I~ ~, ~ ~~ ~.........: :;'I~~' 8~ ! a: , , , , , ... ~O i. ~Z ( ; 2 C ;:; u .. '" --=- ',....: . ~ ..: ~ '- ,~ ~ I... : j ,';' I. I ' -~ --.':": j ~ _: I ;::~ i :;:: I , - i " , t- " N .. N ... N .. .. .. N " .. ~ N .. .. N iiI .. PI .. N .. N .. N " Z ~ N " N " ~ .. , ~ ... ... E ~ .. ! ~ .. ~ :! PI ~ .. .. N i ~ ~ ~ .. " iiI ~ .. .. .. .. .. .. " .. z ... .. .. .. ~ PI ~ N - ~ ~O ~ oz \J .. a: i :> { 0 ., I Zo ... , ! :I: .... ::5z z u.. "0 ~ ,\(' ~~ fiz , ~ ~~ n 0; ~ 0 ~ z 0 . ;: , u - .. '" ~ \l'-. "- -\. ~ ( 'S Q. ~ "- ~ ~ '- ~. ~ .r- l - '1 - ", "" " ....... -) "'-? ....... .- '" z '. ~ ... 1; in :5., ..... ~., , >-.. ;: ~~ .... ..~ .,,, .. ;::.r {~ .. (; "'of ~~ 01'~ ~ >- :t .f X- "- C "- '" ~ l.......I G - l.I -- - v v Inmate Name: Inmate Number: PHYSICIAN'S ORDERS SCI.CAMP HILL WArtff,g, 'K'+ll'lO/'J':'-) r! P (.,/93 Drug Allergies: Chronic Diagnosis: BLOCK OATEI TIME NURSE SIGN OATEITIME .dl r- o e-' 3'~Ci I.l. u. Me. White Canary Pink Goldenrod . Medical Records , Fax 10 Pharmacy , Fax to Pharmacy . Fax 10 Pharmacy \., J Inmale Name: Inmale Number: Drug Allergies: Chronic Diagnosis: BLOCK DATEI TIME ~ PHYSIClk"'s ORDERS SCI.CAMP HILL W~e 1Ra..'1~ CF (P L'n ~L-t~ -) ~ ') NURSE SIGN DATE/nME <~.f 1.\ 4.< ,\tJ~ " . ':""-' l" I ~ 1/ l.. .... , , ./ HG SllIrr I While . Medical Records Canary . Fax 10 Pharmacy Pink ' Fax 10 Pharmacy Goldenrod ' Fax 10 Pharmacy DC-78 Inmate IdentiCication COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF CORRECTIONS O.O,B. SSN Inst. No. C f (, 113 Name 04flKZ-, 7( tWHCpi) DISPENSARY CARD Hypersensitivity Date Medication or Treatment Signature C ;4.1'-1... ~ ;v-d' '. (Over) r, Date Medication or Treatment Signature William W. You~B,. M.D. SIt/ ''f.; -7)--)6 J /(o/j- u ~ , il " .. Ol William W. Young. M.D, 'cian " OC-78 Inmate Identirication DISPENSARY CARD I'h s III j(.;:?A Hypersensitivity D,O,B. 9-17-7' SSN 063- ~.;?-Lfyt':3 Inst, No, {2p ~/r;3 Name tJ~ ~r-?U-<- COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF CORRECTIONS Date Medication or Treatment Signature . 2\.'(1'} "'>-hoe' (.<t-.;J..D -Mo.,...... \L - . u... . ~ OUI P ys: Qockr it - ~ VS 120 William (OVl'r) >- If) a; LrJ ~ '""- 1-, .. ~..I ., ~D N l;'~ ["( .,.-" .}~~ .1.._ C... ':-~ ~t ,.... ;?? I .' .,.-- !il: C~ :,?;) _r ..10.. .:- :t.: ". r- ') 0 0' lJ AUT~ITY TO PAY COURT APPOINTED couN~\R 5 1991\,ft ~ ~ I COURT 2, VOUCHER o DIstrict Justice 1b Common Pleas o Appellate o Olher N2 1923 3, FOR 10 J. CPo APPELLATEI 4. AT (CITY/STATEI 6, BUDGET CODE C.P, Carlisle, Pennsvlvania b\ .-" """_1_"" -""J? 6 IN THE CASE OF 7, CHARGE/OFFENSE (PURDON CITATIONI 8, 0 PETTY OFFENSE CoImOnwealth VI Warme o FELONY 0 MISDEMEANOR 9 PROCEEDINQS (OeSCflbe bnefl)'J 11, PERSON REPRESENTED 12, CIVIL DOCKET NO I Xl D,I'l'ld.l'll- Adtotft 95-4641 Equity z 0 O,l'''d.n'. J".'''I'' 3 0 AO"I"'I'l' 13, CRIMINAL DOCKET NO . 0 .ODtll.. $ ~ ",ben PllltlO"_' 6 U '....It,.,1 WI'"'" , o P.,oI... CII"Qd W.I" VOC)l."OI'l 10 PE~SON REPRESENTED (Full Name. 6 o PfobtltO"" Chl'ged Willi YoQiIflon 14, APPEALS DOCKET NO Raymond Warme I o 0'''" 8/31/95 16 NAME OF ATTORNEY/PAYEE AND AClDt O,lle MAILING ADDRESS Daniel J. Sodus, Esquire J. Wesley Oler, Jr. 7 Irvine Row Carlisle, PA 17013 NAME OF COMMON PLEAS JUDGE ASSIGNED TO CASE 17 T71EJ'n.r3-Nf787 lB. SOCI"LsE.CuAlrvNO OAfUlNO 201-56-0599 CLAIM FOR SERVICES OR EXPENSES 19, SERVICE HOURS DATES AMOUNTS CLAIMED a. A".'Onmtnl and/or P~. Multiply 'lie IMI' hOur Ilmet lolal b P'lhmlnlry H..rlno haufI 10 ablain "In Court- com. penllUon. Enll, tat,l twtow. c:. Mollonl.nd ReQu..lI ,.. c1 Bri.l Heltlng. 0: :> .. S.nlet'C1 H..rtng. 0 0 I. T"II :!; Q. RI-Ioc.Uon HI.rlngl h. JU'f,nlle H.ating. l App"ls Cou" T9" TOTAL IN COURT COMPo ~ Olhe, (Specify on adc2jtlonl' Ih..tsl vu .7 ~re~lmlnary ~nJur TOTAL HOURS. .7 X SSO PER HOUR -s 35.00 20, I. Inl.,....,,,,, and conl....nc.. 4.1 9/1. 4, 5/95 MuIlIPt1 '1'1 per hour Ilmll lola' b Obta,nino and ,..,.ewtng record' ".U 912/9~ hour.. Enl., 101,1 .Oul 01 cou,,~ ...... camDenSlllon below. 00: e. LeQII ,ese.,ch and btiel ."tuta 1.4 Q/?_IJ. ,..:> :>0 d. an.,.,ogltw and OINt WWOIk ISptOIy on addiDonlllhllts) 20.. TOTAL OUT OF COURT ou COMPo TOTAL HOURS. 8.5 X S40 PER HOUR -s 340.00 21, ITEMIZATION OF REIMBURSABLE EXPENSES AMI PER ITEM Mloane S.25Mr mile a 0: w :< 2'" TOTAL ITEMIZED UP, ... 0 -s 22 CERTIFICATION OF AnORNEY/PAYEE 23, ORAND TOTAL CLAIMED Ha. campenUlIon andlor r.lmburalmlnl rOt woftt In Ihls call prlvkKIlty been ,pglled lot? eYES 0 NO -s 375.00 '- "y...wer.youPlod? 0 YES ~~.. _. How much? 24, DEDUCT, PRIOR PVMTS, HU'he ""..on .ep.e..nled Plld "01 n:~f.'-" to , knqol.(~~ el...ln cpnnlcllan wllh Ihe manor '0' -s whiCh you we'" apPoInted to ptcmd 'IPI, II.' ,}! y~ ~ ~IV' dltl,l, on 'd~I"RI! ~tl'.I' I ''''UI 01 Ilium Ine 1ruth or conlet "'" 3 '1'? 26, NET AMOUNT CLAIMED 01 I'" abo'fe ,t.lemnnll Slgnatup' 01 Anom.."PI.... 0.1. -s 3'15,~O 26 -'.....11'''.:'1 ""-. ~ j))~-~C) fd.. )r. .0". rt]vJ. "a L1'lrz 27, AMT.l';)R,:'VED ., ,II s~".'u,. 01 -s3 -.CO .......,.... JIIOQI ~ L Copy' . Mall to Court Administrator at completIon 01 servlco ~ C'J ~ C : ,-" 6\ , ....: tuG' Uc . :.. p::, -~ 1:":J L_' Q~ " 0\ - '. lllL ('oJ _I,. ~. , -ji.iJ LL' (I ~.J.. ;:. "'" l.'. l- .-.~) 0 C' U u '--"