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Case 2:08-cv-00160-WKW-TFM
Document 12
Filed 04/22/2008
Page 1 of 4
IN TRENJIIEDTATES DISTRICT COURT FOR
TMrnME DISTRICT OF ALABAMA
WILLIE JAMES CLEN 1 r4 J
Plaintiff,
U3RA P. HACKETT, CLK)
PS9
V.
L )
CASE NO -2 08-CV-160-WKW
)
)
SHERIFF HERBIE JOHNSON, et al., )
)
Defendants.
)
SPECIAL REPORT
Comes now the Defendant, Johnny E. Bates, M.D., by and through counsel of record,
Wayne P. Turner, and respectfully submits this special report.
Documents
Affidavit of Johnny E. Bates, M.D.
Alle2ations
1. Plaintiff Clemmons alleges that on or about January 16, 2008, he was denied medical
treatment after several doctor's slips and grievances.
2. Plaintiff Clemmons alleges that after verbally informing Defendant Bates of his medical
condition, Defendant Bates told Plaintiff Clemmons that the county would not pay for Plaintiffs
medical problem.
3. Plaintiff Clemmons alleges that Defendant Batestold him that the EKG does not pick
up Plaintiffs pacemaker and there is nothing he could do for Plaintiff and that the County would
not pay for a replacement operation.
4. Plaintiff Clemmons alleges that all medical staff has refused to treat his Hepatitis C
Case 2:08-cv-00160-WKW-TFM
Document 12
Filed 04/22/2008
Page 2 of 4
condition.
Defenses
5. Quality Corrections Health Care assert the following defenses:
A. This Defendant affirmatively avers that he has at all times provided the Plaintiff
quality healthcare which meets and exceeds the standard of care required of
physicians in Alabama.
B. This Defendant denies that he told the Plaintiff that the County would not pay
for his medical problem.
C. This Defendant denies that there is a problem with the Plaintiff's pacemaker.
D. This Defendant affirmatively avers that there is no reason for any action to be
taken with regard to such pacemaker.
E. This Defendant denies that he has refused to treat the Plaintiff for any ligitimate
medical condition.
F. This Defendant generally denies all allegations in the complaint, demands strict
proof thereof, and denies that the Plaintiff is entitled to any relief.
G. This Defendant avers that the Plaintiffs compliant fails to state a cause of
action against this Defendant upon which relief can be granted.
H. This Defendant pleads the general issue and denies any allegations not
specifically denied.
I. This Defendant is not the correct party in interest.
J. This Defendant pleads qualified immunity.
K. This Defendant reserves the right to amend these defenses as allowed by the
Court.
Case 2:08-cv-00160-WKW-TFM
Document 12
Filed 04/22/2008
Conclusion
Plaintiff cannot succeed on any claim against this Defendant.
Respectfully submitted this the 22"' day of April, 2008.
iz
Wayne P. Turner, Esq.
Attorney for Defendant Bates
OF COUNSEL:
Wayne P. Turner, Esq.
Bar Number: ASB7227T80W
Attorney for Defendant Bates
1505 Madison Avenue
Montgomery, AL 36107
(334) 420-6560 Telephone
(334) 265-9299 Facsimile
waynetlawao 1. corn
Page 3 of 4
Case 2:08-cv-00160-WKW-TFM
Document 12
Filed 04/22/2008
Page 4 of 4
CERTIFICATE OF SERVICE
I hereby certify that I have this 22d day of April, 2008, filed the foregoing with the Clerk
of the Court and will send notffication of such filing to the parties via US Mail, postage prepaid
and properly addressed
to:
Willie J. Clemmons, Jr.
ProSe
1417 County Road 161
Marbury, Alabama 36051
Sheriff Herbie JOhnson
Autauga County Courthouse
40 West 16th Street
Prattville, AL 36068
OF COUNSEL
Case 2:08-cv-00160-WKW-TFM
Document 12-2
Filed 04/22/2008
Page 1 of 2
IN THE UNITED STATES DISTRICT COURT FOR
THE MIDDLE DISTRICT OF ALABAMA
WILLIE JAMES CLEMMONS, JR )
f1flf)
Plaintiff,
4fl
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CASE NO.-2:08-CV-160-WKW
OEA P hANH T C C
!U.S, DISTRICT COURT
)IIODLE DISTRICT AL
SHERIFF IIERBIE JOHNSON, et at., )
)
Defendants.
)
AFFIDAVIT
Before me, the undersigned authority, personally appeared Johnny E. Bates, M.D., who, after
first being duly sworn, says as follows:
"My name is Johnny E. Bates, M.D. I have been licensed to practice medicine in the State of
Alabama since 1985 and I am also licensed in the State of Tennessee. I am board certified in internal
medicine. I provide medical services to inmates at the Autauga County Detention Facility pursuant
to a contract with Autauga County. The following is a summary of the facts surrounding my
relationship with the Plaintifl', Willie James Clemmons, Jr. In preparing such summary I have
reviewed Willie James Clemmons, Jr.'s medical record, a copy of which is attached hereto as "Exhibit
A," I have conferred with my nurse, and I have relied upon my own independent recollection.
Mr. Clemmons' complaint regarding medical care appears to relate to his pacemaker. In that
regard, the medical records from his cardiologist have been obtained and are attached hereto as
"Exhibit B." The purpose of a pacemaker is to maintain a normal rhythm in the event the heart's
natural rhythm is altered for various reasons. In this case, the record is clear that Mr. Clemmons'
pulse has always been above 60, even with the use of Clonidine to control his blood pressure, which
can cause low heart rates. Pacemakers do nOt fire until a heart rate drops below 60. The original
Case 2:08-cv-00160-WKW-TFM
Document 12-2
Filed 04/22/2008
Page 2 of 2
EKG revealed a normal sinus rhythm which negates the need for the pacemaker.
With regard to Mr. Clemmons' claim that he needs a new pacemaker or a new battery, it is
clear from the cardiologist records that neither claim is true. The life expectancy of modem
pacemakers is between 8-15 years with the majority lasting longer than 10 years. Mr. Clemmons'
pacemakers has several years of useful life remaining.
JTES,M.D.
SWORN TO and SUBSCRIBED before me this
2 L...day of April, 200
NOTARY PUBLIC
My Commission Expires:
(
/
Case 2:08-cv-00160-WKW-TFM
Document 12-3
Filed 04/22/2008
Page 1 of 24
Chronological Events Related to the Care of Willie James Clemmons, Jr.
Exhibit I. Sick call request dated 1/21/08.
Summarization: Inmate had numerous complaints
Chest pains
Lower Stomach Pain
Headache
Need Mental Health Medications___ ____
Toothache
Findings and treatment.
Evaluated by nurse who documented the following on the same day as the request:
Chest pains occurred prior to incarceration
Stomach pains actually occurred 3 days before.
Told nurse at that time that the pacemaker was put in 2008.
Exam was normal with exception of an elevated BP of 180/100.
Placed on Ibuprofen because of sharp stabbing chest pains which are generally musculoskeletal,
Note the pulse was 62.
Exhibit II. Physician notes
First exam 1/21/08
Same day as sick callrequest.
Complained of sharp chest pains around his pacemaker.
No shortness of breath, no palpitations, patient was unable or unwilling to give me much in the
way of a history.
Pulse 60 BP 144/110 R20 02 Sat. 99%
1.
2.
3.
4.
5.
Findings and Treatment.
Exam was normal except for some mild chest wall tenderness at pacemaker insertion site.
Hypertension
History of Mental Health Issues - although not documented in my note the inmate was lucid
and did not appear delusional or psychotic in any senseoLthe word,
Treatment consisted of obtaining medical records to document time and reason for pacemaker
insertion. (See Attached Records Request) Observation and obtainment of baseline EKG. (See
attached EKG). Placed on Clonidine to control BP (see medical orders)
Exhibit III. Sick Lall request dated 1/29/08
Inmate complained of toothache, Evaluated by nurse placed on Dental list and given Ibuprofen
for pain.
Note Pulse is 68. BP down to 144/90.
Exhibit IV. Physician Note dated 2/17/08.
Patient complained of toothache and stated pacemaker was placed in 2000 instead of 2008.
Pulse noted again to be 65.
F/U scheduled with Dentist.
Exhibit V. Offsite Dental Care rendered on 2/19/08.
See Off-site Dental Consult Report. Two teeth extracted #12, #13.
Again placed on Motrin by Dentist for Dental Pain.
EXHIBIT
Case 2:08-cv-00160-WKW-TFM Document 12-3
Filed 04/22/2008
uallty Correctional Health Care
Page 2 of 24
TUBERCULIN PPD FOR INMATES
Please read the following information about tuberculosis.
What Is TB?
Tuberculosis (TB) is a disease caused by germs that are spread from person to person through the air. TB
usually affects the lungs, but it can also affect other parts of the body, such as the brain, the kidneys, or the
spine. A person with TB can die if they do not get treatment.
What-A--a-the Symptoms-of-TB-?
The general symptoms of TB disease include feelings of sickness or weakness, weight loss, fever, and night
sweats. The symptoms of TB disease of the lungs also include coughing, chest pain, and the coughing up of
blood. Symptoms of TB disease in other parts of the body depend on the area affected.
How is TB Spread?
TB germs are put into the air when a person with TB disease of the lungs or throat coughs, sneezes, speaks,
or sings. These germs can stay in the air for several hours, depending on the environment. Persons who
breathe in the air containing these TB germs can become infected; this is called latent TB infection.
Date Given:
I / ;
Site Given(L)
IMTJAL SKIN TEST
Date Read:
i/ /
Size:
mm
ot #:
Nurse:
Nurse:Y'Q9/'
I agree to TB testing by PPD. I understand the PPD must be read 72 hours afteriieing
administered. I have never had a positive reaction to a TB skin test, nor have I ever been
treated with TB drugs. I have also been instructed to check with my regular physician or
the public health department if I am released_prkTrtcçhe TB test
read.
being
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Inmate Signature
Date
Witnss
Inmate Name:
Location:
Date
I,-
Case 2:08-cv-00160-WKW-TFM
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(2hec one:
Name:
Document 12-3
T
Page 3 of 24
1
,- Mental t-iealm
7n-Niechcal
2
Filed 04/22/2008
Lomate l.. Number _____
Social Security No. _____________
Housing
Unit_72S_
Medical Problem (be specific):
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Inmate's Signature
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FOR MEDICAL UNIT USE ONLY
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BP
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A:
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Disposition:______________________________ ______________________________________
Nursing Protocol:
______
Provider's Sigiiature: _______________________Date _______________Time
Refened to Physician Appoultment Date __________ Time______
Case 2:08-cv-00160-WKW-TFM
Ncisc:
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Document 12-3Filed 04/22/2008
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Refened to Physician
Appointment Date
Time
Time
Page 4 of 24
Case 2:08-cv-00160-WKW-TFM
Document 12-3
-
Filed 04/22/2008
Page 5 of 24
-
CONFiDENTIAL FACSIMILE COVER SHEET
If this facsimile is received in error, please no1if,' Sender.
Date: ________________________ Pages (Including Cover Sheet) _________
To: __________________________ Sender:
Fax Number:
Fax Number:
Phone Number:
Urgent
7xz92c/
3ç/
Phone Number: 33
- 47
c/ —3c;
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For Your Review _____Reply ASAP _____Please Comment
Comments:
The Documents accompanying this transmission may contain confidential health information that is protected by law This information is intended only for the individual or entity named above. The authorized
reczpient of this information isprohibitedfrom disclosing this information to any other party.
If you are not the intended recipient, you are hereby notified that any disclosure, copying,
distribution, or action taken in reliance on the contents of these documents is strictly prohibited.
Z L n
Case
Lnec2:08-cv-00160-WKW-TFM
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Document
12-3
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Filed
04/22/2008
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Page 6 of 24
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Case 2:08-cv-00160-WKW-TFM
Document 12-3
Filed 04/22/2008
Page 7 of 24
HC SICK CALL REQUEST
Check one:
'Medical
______Dental
Name: 1aj,J/'F
/,/ Mental Health
himate I.D. Number_____________
SocialSecurity No._________________
HousingUnit___________________
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Case 2:08-cv-00160-WKW-TFM
Document 12-3
Filed 04/22/2008
Page 8 of 24
CHC SICK CALL REQUEST
Check one:
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______Mental Health
Name:_____________________ Thmate I.D. Number____________
SocialSecurity No._______________
HousingUnit___________________
Medical Problem (be specific):
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Case 2:08-cv-00160-WKW-TFM
Document 12-3
Filed 04/22/2008
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Page 9 of 24
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Case 2:08-cv-00160-WKW-TFM
Document 12-3
:L)ICATJON
ADMINISTRA
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Filed 04/22/2008
Page 10 of 24
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Case 2:08-cv-00160-WKW-TFM
Document 12-3
AUMIN!5TRATN RECORD
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Filed 04/22/2008
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Case 2:08-cv-00160-WKW-TFM
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Document 12-3
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DOB:
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Page 12 of 24
[ISJ1fI[.1iiI. l FT 11 r. ii r*i
FROM: Autauga County Jail Phone Number: (334) 358-3729 Ext: 226
Fax: (334) 358-4827
Date & Time:
Filed 04/22/2008
BILL TO: QCHC, Inc.
200 Narrows Parkway, Suite A
Birmingham, AL 35242
Corporate Number (205) 437-1512
patient's Name:)/ (t
MJF Inmate Loc:
Off-Site Facility:
Off-Site Address & Phone
# 3&3T
Complaint/Significant Medical Data
(chronic conditions, allergies, current meds, lab & x-ray results, treatments, etc.)
i}_/J4-. ,1
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Instructions to Off-Site Provider: Authorization is provided ONLY for requested procedure and treatment of life-threatening conditions. Prior
approval from QcHc's Medical Director is required foradditional procedures or hospitalization. Failure to notify the medical contact person may
result in reduced benefits and/or possible denial of payment. Because of security concerns, inmates must NOT be informed of follow-up
appointments or possible hospitalization. Please note we have a NO NARCOTIC policy. Complete bottom portion of this Off-Site Consultation
form and return in a sealed envelope with the Correctional Officer when the inmate is returned to the facility or fax to the site fax number listed
above. Authorization for payment of services in only guaranteed during the time of actual confinement of the inmate under the custody of the
above listed jail/prison and under the terms of our County contract.
SignificantFindings/Tests Completed/Diagnosis: ___________________________________________________________
Treatment Provided:
V
Orders/Recommendations:
Date/Time:
MD
Case 2:08-cv-00160-WKW-TFM
Last
N&me
[pate
Document 12-3
Filed 04/22/2008
Page 13 of 24
Middle Initial
Inmate #
Allergies
Facility -
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Physician Signare:
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Case 2:08-cv-00160-WKW-TFM
Last
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Filed 04/22/2008
Page 14 of 24
Middle Initial
1st
Inmate #
Date
SIG.
Document 12-3
Allergies
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Facility
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Case 2:08-cv-00160-WKW-TFM
Document 12-3
Filed 04/22/2008
Page 15 of 24
C LITY CORRECTIONAL HEALTH C4R
RELEASE OF INFORMATION AUTHORIZATION
Name of Inmat(
Jmnate ID Number / Date ofBirth
Facility Releasing Information
Date
I hereby give my consent to QCHC and the above named facility to release the following information from
Recordsrelated to treatment of____________________________________________________
fron()O(2toj4t
Physician/Provider's summary of my diagnosis, medications, treatments, prognosis and recent care.
() X-Ray Reports
( ) Immunization History
( ) Operative Sunimaty Reports
( ) Discharge Reports
( ) Admission Reports
( ) Special Studies Reports
( ) Mental Health Reports
( ) Laboratory Reports
( ) Psychiatric Summary Report
( ) Dmg Treatment History and Counseling
( ) Other Records
Facility/Provider to Re6èive Information
Please Send Records to:
o Records Found ( )
This information has been disclosed to you from records whose confidentiality is protected by State law.
State regulations prohibit you from making any further disclosure of this information without the prior
written consent ofperson to whom it pertains.
I understand this authorization shall remain in full force and effect for the period of
from today's date-unless-withdrawn in writing by me.
I sign this willingly, and I release QCHC and the facility from any liability which may result from such
release of information.
-
___________
Imnate Signature
Date
Witness
Witness
Case 2:08-cv-00160-WKW-TFM
Document 12-3
Filed 04/22/2008
Page 16 of 24
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Case 2:08-cv-00160-WKW-TFM/
Document 12-3
Filed 04/22/2008
Page
17 of 24
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Case 2:08-cv-00160-WKW-TFM
Document 12-3
Filed 04/22/2008
Page 18 of 24
QUMJTY CO EC1ONM. ffTh J
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Case 2:08-cv-00160-WKW-TFM
Document 12-3
Filed 04/22/2008
ITY CORRECTIONAL hEALTH CAW
REL SE OF INFORMATION AUTHOfflZATIoi,
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Case 2:08-cv-00160-WKW-TFM
Document 12-3
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Case 2:08-cv-00160-WKW-TFM
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I hereby give my consent to QCHC and the above named facility to release the following information from
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Case 2:08-cv-00160-WKW-TFM
59 YEARS
MALE
C I 55:
Or:
Tech:
B
Bates
Moates
Document
Vent. Rate:
6! bpni
RR Interval:
970 ms
PR Interval:
150 ms
QRS Duration:
82 ms
QT Interval:
406 ms
QTc Interval:
407 ms
QI Dispersion:
54 ms
PR1 AXIS: 65° 67° 36°
II iy
LJU I
I y lildY -ar T
T
ii T rpre r a i i on
*** CONSIDER ACUTE ST ELEVATION MI ***
12-3
04/22/2008 Page 22 of 24
SinusFiled
rhythm
Poor R wave progression - probable normal variant
Anteroseptal ST elevation, CONSIDER ACUTE INFARCT
Abnormal ECG
Unconfirmed Analysis
Comment: standard ecg
r)
711
Case 2:08-cv-00160-WKW-TFM
Document 12-3
Filed 04/22/2008
QCHC
YSCAN'$ PROGRESS NOTES
I I (III
Page 23 of 24
NOTES MUST BE SGNED BY PHYSICIAN
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Case 2:08-cv-00160-WKW-TFM
Check
_______ Deiu
0cc:
Name:
Document 12-3
£Medical
('//zy/5
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Filed 04/22/2008
Page 24 of 24
_______Me1i1 Health
hmateI.D. Number __________
SocialSecindty No.______________
7
Housing Ut
Medical Problem (be specific):
_/-
vi
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mate's Si nare/
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FOR MEDICAL UNIT USE ONLY
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Disposition:
Nursing Protocol:
Provider's Siatire:
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Date//J
I
Time
Referred to Physician Appointment Date ________________ Time
p
Case 2:08-cv-00160-WKW-TFM
'JU
ILl :AM
Mar
Document 12-4
DU 1 of 11
Filed 04/22/2008NJ Page
JACKSON HOSPTIAL & CLINIC, INC
1235 FOPEST AVENUE
MONTGOMER'Z I TLASANA 36106
CARDIAC CATHETERIZATION REPORT
O
Nun:
Physiiar_-
Hosp No: 387963
Room No: 319
EDt
1/7/91
---PRP—D-LOI-S--eHE2T--PAIN.
POSTOP DIAGNOSIS: CHEST PAIN.
P1OCEDURE; LEFT HEART CATHETERIZATION, CORONARY AND LEFT VENTRZCULAR CINEANGIOCRAPHY.
DESCRIPTION OF PROCEDURE: THIS PATIENT WAS BROUGHT TO THE CARDIAC OATH LAB IN THE POSThBSORPTIVE STATE, LEFT HEART CATHETERIZATION WAS CARRIED OUT WITHOUT DIEFICULTY USING A
RIGHT FENORIIL ARTERIAL PERCUTANEOUS APPROACH WITH ROUTINE SELDINGER TECHNIQUE AND LOCAL 1%
XXLOCAXNE AESTHESIA, A Iti FRENCH SHXA.TH WAS INSERTED PERCUTANEOUSLY INTO ThE RIGHT
FENORAL ARTERY, ASPIRATED, FLUS1ED AND SUTURED IN PLACE FOLLOWING WHICH THE PATIENT WAS
GIVEN 3000 UNITS OF HEPARIN INTRAVENOUSLY. EACH TINE A NEW CATHETER WAS EIThER INTRODUCED
OR REMOVED, THIS WAS DONE OVEJ A J-TIPPED GUIDE WIRE WHOSE TIP WAS LEFT POSITIONED IN THE
DESCENDING AORTA. A JUDEINS 4 RIGHT CORONARY CATHETER WAS ADVANCED ACROSS TEE AORTIC
VALVE INTO THE LEFT VETRXCLE AND A PULL-BACK WAS RECORDED. ROUTINE RIGHT AND LEFT flJDKINS STYLE CORONARY ANGIOGRAMS WERE ACCOMI'LISNED IN MULTIPLE VIEWS WIThoUT DIFFICULTY.
A LEFT VENTRICULOGRAM WAS DONE IN THE RIGHT ANTERIOR C)LXQUE PROJECTION WITH A PIG-TAIL
CATHETER BY INECTINC 1ONL OF CONTRAST PER SECOND TIMES FOUR SECONDS. THE PIG-TAIL WAS
THEN WITHDRAWN OVER A GUXDE WTEE AND THE PATIENT WAS TAKEN TO THE HOLDING AREA WHERE THE
SHEATH WAS REMOVED AND PRESSURE WAS APPLIED FOR TWENTY MINUTES TILL BLEEDING CEASED.
THERE WERE NO APPARENT COMPLICATIONS.
1-7-91
JDB
THOMAS J. WOOL, LD.
Ijjh]YI
LUUD
Case 2:08-cv-00160-WKW-TFM
Document 12-4
Filed 04/22/2008IiL,cJU)
Page 2 of 11
f
LEFT VENTRICLE: THE LEFT VENTRICLE IS OF NORMAL SIZE WiTH NORMAL CONTRACTILITY.
THE MITRAL VALVE IS COMPETENT. A PACEMAXER LEAD IS PRESENT WITH ITS TIP TERMINATING IN THE
RIGHT VENTRICULAR APEX.
CONCLUSIONS
1.
NORMAL CORONARY ARTERIOGRAMS.
NORMAL LEFT JENTRICUIJOCRAN.
2.
1-7--91
rns
ThOMAS J- WOOt.. 4.D.
IUJ-1
Case 2:08-cv-00160-WKW-TFM
J,
EJ(_
Document 12-4
JACKSON OS?ITAL &
Filed 04/22/2008
Page 3 of 11
CLINIC INC
123S FORES AVEIflJE
MONTGOMERY, ALPBANA 36206
CARDIAC CATHETERIZATION REPORT
Hosp. No.387963
Njne: CLEM4ONS, WILLF.
Date: 1/91
Room 14o 319
Phy5iin:WOOL
Wgt. :166 ESA: l..139 M 2Rhythw: SINUS BRDYAEDIA
Sex:M
Age :41
Proceauro: LHC
locardiograms CORONARY ANGIOG1RSV. Diagnosis
BLOOD O CONTENT
PRESSUNE
% SAT'N
VOL %
FIC
NEBI
DATA
0 Cct.io (d/rth.r/')
SVC
A-V Duff (m110Ck1)
IvC
Sytewic bid flow (11mm)
RT lWIU
crdcDidex (k/min/?)
ET VENT
He-t tm
PUL ARTERY
mERf)DILIPrI0N &AT
PUL CAP
Systemic bid flow (L/sin)
LY ATRIUM
Crdimc Index (L/i.n/li?)
LT YRBT
NESISTANCF.S (DSC)
- -.--.--- --- - ---- Systemic
BAACH --ART
L
--
R btrnt
etShnt__________________
Op:Os:
-,..-.-- .
ART O CAP
1TRAL
AORTIC
t3rid Dztance
LV Gr Hrt Nate
___________________
___________________
Angiogriphic Ejection Fraction
___________________
1ngiçraphicCardiar thxtput
___________________
1PD1PALc0WAZT
Pk vaiva Or iet (mu11)
iean valve
__________
5kN7 CLCULT1Q (k/Nm)
_______________________
SystemicBloc& flcw
Pu1r*at BleQd f1oi
LSbunt
R
-
ThLVE DATA
__________
___________ __________
dinta (ndg)
Tale Areas (an2)
CONIENTS AND CONCLUSIONS
HENODYNAHIC DATZU THE RESTING LEFT HE?RT PEESSURES RE NORMAL-.
ANGIOGRPHIC DATA
RIGHT CORONARY ARThRY; THE RIGHT CORONARY ARTERY IS DOMIWAN AND FREE OF OBSTRUCTING LESIONS LEFT MAIN CORONARY ARTERY NORMAL LEFT ANTERIOR DESCENDING CORONARY ARTERY; NORMAL-.
LEFT CIRCUNLEX NORMAL-.
.
iici
lv
Case cI_
2:08-cv-00160-WKW-TFM
Document 12-4
Filed 04/22/2008
Page 4 of 11
SoutIioaterfl Cariio1ocy COnsultant5, E. C
PATIENT: CLEMMONS, r/ILLI J.
CHART NO; 10320
DATE
07/25/03
PAGE TWO
c xo
26.9 mCi TC 99 Myoview-
Ti'e Myovew mqe showed
hornogenous uptake ot Lhe traoo ditrihutiori throughout th myocarthum to
suggest normal perrusion throuhouL LIie myocardiuzn.
injected with
CONCLUSION:
.
Negative du1 isotope MyovieW study.
H.
C.
GaLed wall motion ana1yi in the resting stated showed normal
wall motion
The post stress ejection fraction darived from quantitaLive OaLed
SPECT is 56%..
Kenneth J. 001 9 MD
FACUC
KJW/dec
D: 07/25/03
0//2H/03
Route Reult5 To: Thomas J. co1, M.D., F.A.C.C.
Mark Sonninr, MD (Staton Correctional Facility)
CC
Scan No: 03-1511
.****
Case 2:08-cv-00160-WKW-TFM
IvILF']c'
Document 12-4
Filed 04/22/2008
Page 5 of 11
Southeastern Carolology Consultants, P.C.
440 Ty1or Ready Montgomery, ?labanta 36117
(334) 265-7075
L)AT; 07/25/2003
10320
CHPRT
SSN
ETTENT CLEMMONS, WILLIE
DOCOMENT: Test ResulLs
3
D0
01-10-1949
AGE
54
M
________
WRTtARY Pl1Y g ICThN
Mark Sonrair, M.D. (StatOn Correctional FacilIty)
STRESS TFST REPORT
fter obtaining informed conse.fiL, the patient was brought to the sLress
lab. where Lreadxeil]. exercise testing was p erformed according to the Bruce
protocol. - 2aeiine data shced a retinci heart TOte of 68 beats per
minute with a resLing blood pressure of 166/88 inmftg. Resting FMG shwcd
sirius rhythm.
The pati.e.nt xercissd for 6 minutes in the Bruce protocol achieving a
maximum heart rate of 119 beets per minute which represents 75% predicted
maximum heart rate for 54 years of age. Total exercise capacity was 7
The test was interrupted
mets. Blood pressure rose to 21.5/106 ntmlig; because of fatigue. There was no chest pain or any signi±icant
arrhythmias on the EKG.. There were no exercise induced ischernic
changes
in The FFG.
CONLUSION
1.
This Lest is considered c1inica1l negative for exercise induced
ischemia
2.
To the level of exercisc achieved, there are no isohemic changes
in the KG.
Myoview was in] acted at peak e-xe-rdise arid images ra pending..
.3.
Nypertensive respoflsC to exOCOiSC..:
1.
_________________
Pervaiz £
, aiD.
PAM/dsc
U
07/25/2003
T:
07/28/2003
DUAL ISOTOPE ±'OVIW XMING REPORT
The patiariL was in j ected with 460 mCi ThailiultL at rest end imagc^s
myocardium were obtained. There was homogenoos uptake of tracer
distribution throughout the m-yocardlum to suggeat viable myoca (cent ined)
of the
J
J
Case 2:08-cv-00160-WKW-TFM
CLEMHO4S,HLLE
D
10320
07H9105 9:39:53
VEñRS
Loc:
ir;
96
0 rs
12 ii
376 ri
390 ibis
PR Int9rvI:
QT IntrvI:
0Th LfltV&:
22
01 Oiprion;
P-R-T fiIS 7P 7(
Norrn& ECG
-
r : .1I
llilIll
O79l05 939:
* Unaoriflrd Aru
F.1.iIrIIllIIu
Iilll
__ __ __ _ _
_
_____
__
-
Page 6 of 11
69
___
_
Filed 04/22/2008
CLEM0jS,*1ILLIE
10320
Sinus rhth
Ivenh. Rate:
P Ouratri
QRS Ourit,;
1
ORTOWD0L
Document 12-4
_
__ __
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__ __
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_____
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__ __
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Case 2:08-cv-00160-WKW-TFM
Document 12-4
Filed 04/22/2008
Page 7 of 11
Southeastern Cardiology Consultants, PC.
Clemmons, Willie 3.
Chart No.; 10320
February 17, 2004
Page Two
AV: Delay
After-sense.; 140 rns
Alier-pace: 200 ms.
V. PULSE;
Amplitude; 2.5 volts
Width: 0.40 rns,
Sensitivity; 4.0 mv
Refractory; 230 ms.
A. PULSE;
Amplitude; 2.5 vølts
Width; 0.46 in$
Sensitivity: 1.4 my.
PVARP Auto
1MPRESSONANDLNI Normal DDDR pacing function. The only change made to the
patient's device today was to slightly increase the atrial pu1s width to allow for a greater
safety margin. The patient is 66.4% a-sensedlv-sensed and 24.6% a-paced/v-sensed. He has
had insignificant high rate episodes. He will continue his transtelephonie monitoring and
return here in six months tbr a ftllow-up evaluation unless he is released from prison and
then he will notify us of his whereabouts..
C Hamilton, g.N.
CHiT) W/slf
CC: SCD
DL) 2/17/04
DT 2117/04
***
rJI
-J '
Case 2:08-cv-00160-WKW-TFM
*
Document 12-4
Filed 04/22/2008
Page 8 of 11
**
SouLheasuern Card:io Logy C.onu1tirits, P.C.
205.5 Pst Sou th i.lrd, £5ontqortuery, Alabaira 36126
334) 613-0807
CHAP.T
SSN
PATIENT
DOc.UEENT;
10320
41-74-S266
CLEL4?UNS, WiLLIE J L)ATE 02/17/2004
01-10-1949
floP,
55
AGE
Clinic Note
Ti was a pleasure seeing Mr. Clemmons today ftr his routine pacemaker evaluation, lie
denies any symptoms that would indicate pacemaker problems and his site is noimal. lie is
still in prison but states that he will be released soon, possibly in August. This will be around
the time of his next evaluation, and the patient was asked to inform us, shOuld he be released,
of his whereabouts
'I'ypc of Device: Medtronic
Model No.: Kappa KDR 701
Dale Implanted: 7/24/2000
Battery VoRage: 2.74 volts
Atrial lead impedance: 669 ohms
\1 entricuiar lead impedance: 974 ohms
Underlying rhythm: Sinus rhythm.
Atxial sensitivity: 1.4 to 2.0 my.
Verthcular sensitivity: 11.2 tof5'6Kmv..
TRRFSHOLD CAPTUI(E MARGIN TEST;
Atrial amplitude: 0.75 volts @ 1 ms
Atrial pulse width: 0.09 ms. (, 1.5 volts
VenrieuIar amplitude: 0,75 volts ( I ms.
Ventricular pu1e width: 0,12 ms. @ 1.5 volts
HNA L SETTINGS:
Mode: DDDR
Mode Switch: On
Lower Rate: 60
UppeT Rate: 120
(continued)
Case 2:08-cv-00160-WKW-TFM
Document 12-4
Filed 04/22/2008flL UD'fU
Page 9r of 11
Southeastern Cardiology Consultants, P. C.
Ciewnons, Willie J.
Chart No: 10320
July 19, 2005
Page Two
PACEMAKER EVALUATION: I interrogated and tested his pacemaker No changes were
made in the programmed parameters which are as follows: Mode DDDR. Mode switch on.
Detect rate 150. Lower rate 60. Upper rate 120. AV paced and sensed intervals are 200 and
140.. Atiial lead amplitude 2.5, pulse width 0.46. sensitivity 1.40. Ventricular lead amplitude
2.5 pulse width 0.64, sensitivity 4.0. His underlying rhythm today is sinus. Lead impedances
are 647 RA and 846 RV. He has an estimated 56 months of battery life remaining. He has had
rare mode switch pisode. Underlying rhythm today is sinus. His atrial amplitude threshold at
0.52 ins is 05 voits His airial pulse width threshold at 2 volts is 0.03 ins. P waves measure 14
to 2 mV and R waves 11 to 16 rnV
IMPRESSION AND PLAN: Pacemaker function is normal and the patient has many years of
remaining battery lflè.. His blood pressure is not well controlled. On the consult form to be
returned to the jail, I su.ggested that they add Norvasc 5 to 10mg a day.
Thomas J, Wool, Mfl, FACC, ES CAll
TYW/jb
CC: Dr. Mark Sonnier
Staton Correctional Facility
DD: 07/19/05
DT: 07/19/05
I
Case
2:08-cv-00160-WKW-TFM
LJ1JC
L
Document 12-4
Filed 04/22/2008 rj Page 10 of 11
Southetrn Cardiology Conultant, P,C
2055 East South Bivd, Monegoerv, A1abr 36116
(334) 613-0807
10320
SSN
PATIENT CLEMONS, W1LL1 .)
DATE 07/19/2005
DOE
56
AGE
PRIMARY PHYSICIAN:
Dr. Mark Sonnier
Staton Conectional Facility
P0. Box 56
Elmore. AL 36025
PROBLEM LIST:
Status post pennanent pacemaker implantation 10/90, latest revision 07/2000.
2.
Hypertension..
DI
iONS: Atenolol 50 mg 1 qd and ASA coated 325 mg I qd.
ALLERGIES No known drug aflergie&
INTERVAL HISTORY: Mr Clemmons comes in today for a pacemaker evaIuation He has
no cardiac related complaints. He apparn1ly told some people at the jail that his pacemaker had
stopped working. He states that this was based on what he was told by an emergency room
doctor in Prattville..
PI'WSICAL EXAM:
VITAL SIGNS:
UT- 5' 8"
WI'- 150
177/102 sitting; 179/08 standing..
BP-
1-IR- 69
LUNGS: Clear.
CARDIAC EXAM: Regular rhythm, no murmur. No carotid bruits. No JVI) or edema
EKG The 1 2-]ad EKG is nonal,
Continued....
U OUfM
Case 2:08-cv-00160-WKW-TFM
Document 12-4
Filed 04/22/2008
Page 11 of 11
rT!ni
Nam
Chart N umber
JL13QZL