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The EKG That Found His Arrhythmia and Failed Care

The EKG That Found His Arrhythmia and Failed Care

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A cotton bale crushes J. W. Gamble in a Texas prison and an EKG finds an arrhythmia-how did prison medical care still refuse him?

The EKG That Found His Arrhythmia and Failed Care

In this episode, we walk through the record of J. W. Gamble’s injury, medical visits, disciplinary hearings, and the missed opportunities that followed. What do the logs, prescriptions, and delays in care reveal about the prison medical system and its choices?

Date: November 9, 1973
Person: J. W. Gamble
Location: Texas Department of Corrections
Event: cotton bale accident, back injury, later arrhythmia on EKG
Status: two documented refusals to see a doctor after EKG

- A cotton bale fell on Gamble on November 9, 1973; he finished his shift and then sought medical attention.
- Medical assistants and prison doctors issued and extended cell-passes, removed them, and treated him for back strain and hypertension across November-December.
- Gamble faced two disciplinary hearings for refusing to work on December 5 and January 31 despite ongoing medical entries.
- On February 5 an EKG performed by Dr. Heaton showed an irregular cardiac rhythm; Quinidine was prescribed February 6.
- Guards logged and denied Gamble’s requests to see a doctor on February 7 and 8 before Dr. Heaton examined him again on February 9.

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