December 4, 2023


Health is important

Yolo Jail Medical Treatment for War Vet Who Almost Died in Battle Questioned by Doctor, Attorney; Judge Thanks Vet for Service, Refuses to Release Him Early

By Aakanksha Patel and Alexander Ramirez

WOODLAND, CA – A number of months in the past, the Yolo County Outstanding Court made a locating that the Yolo County Jail was making realistic lodging for Alfred Narayan who has a range of health-related ailments that impair his daily life. 

These conditions incorporate tumble risk, Put up Traumatic Strain Syndrome (PTSD), rheumatoid arthritis, TBI (Traumatic Brain Damage), long-term sinusitis, and COPD (Continual obstructive pulmonary illness) with bronchial asthma. 

The listening to ended with promises that experts would be extra to his treatment, and the clinical facility be there in case of any emergency. 

The courtroom satisfied all over again this 7 days to get an update on no matter whether these claims are getting fulfilled. 

Non-public Defense Attorney Jennifer Schieck argued that Narayan was not getting ample medical awareness in the Yolo County Jail and that his custody sentence ought to be lowered. She identified as therapist Dr. April Hayes to testify about development prior to and in the course of custody. Dr. Hayes has been qualified with a Ph.D. in the psychology of trauma. 

Narayan was referred to her seven to eight decades in the past from the Veterans Affairs section. He was wounded in Iraq in 2004—his convoy was strike by three Improvised Explosive Units. He was at position blank, in immediate line of a person of these. 

He was airlifted and despatched to Germany, and then Washington State for treatment, not predicted to live. It took years to get better and commence strolling once more with medical treatment. When he was having difficulties psychologically a long time back, he was referred to Dr. Hayes.

To elaborate on the struggles Narayan faces because of, Dr. Hayes explained the different triggers he faces in jail.

The major set off is confinement. She stated that “it feels like you are not able to get out, the walls are coming in, no protection.” Due to the fact of this, Narayan develops a struggle or flight response. He requires to transfer but when he are unable to, he starts fighting and hurting themself. 

A further set off is suffering. It is a bring about since it is so intensely painful, that he can not feel straight. “It feels like the close of the entire world,” she says. 

The third 1 is loud noise. Jail is a noisy position. Any doorway that opens or closes is metallic and it vibrates throughout the complete creating. She mentions that she had been viewing him just about every week considering that he experienced been in jail, and she has read people screaming at other inmates. 

She was deeply anxious about his prolonged-phrase health-related issue. When questioned to elaborate on his declining ailment, Dr. Hayes got psychological and experienced to choose time to attain her composure. 

When questioned if she was all proper by choose Dave Rosenberg, she replied, “It’s just been mind-boggling to see him like that. I’ve viewed him for so extensive and he’s carried out so effectively, and we experienced pre-planned for him to be there regarding his PTSD…He had it down rather perfectly. Now, he has declined so considerably that he is getting bewildered.”

As a concluding assertion, Dr. Hayes gave her skilled view regarding what would materialize if have been to keep on being in custody. 

She defined that even if he were being to get out now, he has previously declined to a diploma exactly where it is going to just take a whole lot of work to get him back up. Her latest concern is that he has complained of not staying in a position to urinate which implies his entire body is refusing to cooperate. She has no plan how lengthy it will just take to become standard all over again.

Deputy District Lawyer Rachel Raymond cross-examined the medical professional on regardless of whether she has any partnership with  Narayan outside the house of the experienced sphere. Dr. Hayes declined to remedy but he was a aspect of the veteran’s group in her workplace. 

When requested whether she often gets psychological or connected when dealing with sufferers, she asserted that she is an psychological individual. “Working with individuals about the several years, you get to know them incredibly effectively,” she said, introducing that she was not particularly connected to Mr. Narayan. She had good respect for him, but she treats all her clients the identical, she explained. 

Assistant County Counsel Ronald Martinez questioned Dr. Hayes regardless of whether she was mindful if his drop was affecting his mobility in any way. She reported that he experienced fluctuating mobility and anytime she has observed him, he has been in soreness, wheezing. From what he tells her, he lays in his bed most of the time.

Following Hayes stepped down from the stand, clinical personnel from the facility gave their point of see on facility insurance policies and their remedy toward Narayan.

The initial employees member went above the “plan of care” for the affected person, and commented, “We don’t make guarantees, we present a approach of treatment that is dynamic and constantly switching. Mostly due to the patient’s response to it.”

Narayan’s system provided soreness medicines that involved narcotics, and he has been getting steroidal medicine and muscle mass relaxers that are staggered throughout the working day. The professional medical personnel added that when they give Narayan his medication all through the day, his mobility has in fact been improving upon.

“He receives rapidly from his bunk, and he, you know, grabs his water, and then he appreciates he form of only has our ear for just a quick time and he basically is able to talk in comprehensive paragraphs with no stopping just so enable us know what his demands are and how to satisfy them.”

A medication that was introduced up normally in the situation was albuterol, which could be employed to take care of Narayan’s breathing matches, but as the medical team stated, this medication is only administered as necessary given that it increases a patient’s stress exponentially. 

It is a “rescue medication” for when a individual is wheezing or demands immediate oxygen in their entire body.

Though Narayan has been finishing actual physical treatment, he nevertheless experiences reasonable breakthrough pain and a back again brace that is on constantly. He might also have a walker but does not have to have it on some situations even although he is regarded a drop risk.

Right after all this, the health care personnel reaffirmed that their system is going as meant for Narayan to retain him comfy and not lose mobility as he serves his time.

Right after the last listening to, the health care workers asked Narayan if there were any accommodations they could make for him, which finished with an officer providing him a new pair of sneakers and a lot more assist for his mattress. After they asked him again later on, there were being no considerable issues that Narayan experienced.

Schieck continued to ask Decide Rosenberg if she had the capacity to query the witnesses, and while Rosenberg corrected Schieck by indicating the health-related employees weren’t witnesses but alternatively just in this article supplying an update on the health care facility treatment, he allowed her to issue them.

Schieck asked about the reaction rate for emergencies like wheezing or problems respiratory. 1 of the employees in court reported it only normally takes considerably less than a moment, and they “get to health care emergencies quite speedily in the jail.”

If which is the situation, then Schieck concerns why there was a two and fifty percent hour reaction time circumstance just on June 8 when Narayan could not breathe, and they promised him they would see him before long. Two and a 50 percent several hours later on, personnel just informed Narayan, “Hey, you’re accomplishing okay?”

Workers ended up conscious of this incident.

“Needless to say, I was really disagreeable in my counseling of the staff members, and it has not took place since. That is an unacceptable time, and I only cannot solution it any other way,” reported the officer.

When Schieck relayed that Narayan claimed that these incidents transpire generally, with no responses from the personnel at times, professional medical personnel in court docket did not have a reply to this assertion. 

Narayan nonetheless calls for dependable respiratory remedy, but they don’t administer his albuterol any longer. Personnel affirmed that albuterol is even now out there to Narayan, but because of to its facet consequences is only employed for emergencies.

If Narayan required to go to the medical center, the staff members would be capable to ship him there.

In closing statements, Schieck argued that by the facility taking Narayan off of unique medication, they subjected him to cruel and abnormal discomfort because of his PTSD that he was subjected to defending his state.

On the opposition, they argued that the decide is generating lodging for Narayan even from the feeling of the DA, and he does not have considerably more time in jail. He is to be introduced in Oct. 

Just after closing statements, Choose Rosenberg acknowledged Narayan’s bravery fighting for his country but did not agree that his procedure at jail is proof of cruel and strange punishment.

“I go on to obtain that the jail is, and continues to obtain acceptable accommodations to Mr. Narayan’s condition,” he said, ruling that Narayan will continue to provide his time right up until his launch in October.


Aakanksha Patel is a fourth 12 months pupil studying Communications and Community Affairs at UCLA. She is from San Jose, California.

Alexander Ramirez is a third-12 months Political Science important at the University of California, Davis. He hopes to hone his producing techniques in preparing for the inescapable time of graduation.

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