Recently, at the Chelan County Regional Justice Center, we booked a 33-year-old man into the facility who has acute systolic heart failure. He was admitted to the local hospital three times in the previous two months, leaving each time against medical advice. This man does not take his medications but abuses methamphetamine and fentanyl. Instead of being in the jail, he needed an echocardiogram and a cardiology appointment.


Billye Tollackson

That same week, we also booked in a 48-year-old man who has a mechanical heart valve as well as hypertension, chronic systolic heart failure, atrial fibrillation and cirrhosis of the liver. The man was supposed to be on anticoagulation therapy; however, he had not been doing his therapy or taking his cardiac medication in months. He continues to drink alcohol.

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