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Case 2:21-cv-01276-RAJ Document 230 Filed 08/26/22 Page 1 of 7

X Hearing is Set
Hearing date: September 9, 2022
Hearing time: 9:00 AM
Judge/Calendar: Hon. Judge Carol Murphy
CASE NO. 20-2-02155-34

Carolyn Sioux Green v. Providence St. Peter Hospital, et al.

EXHIBIT 2
SUMMARY
CASE NO. 2:21-cv-01276-RAJ
Case 2:21-cv-01276-RAJ Document 230 Filed 08/26/22 Page 2 of 7

1
Hon. District Judge Richard A. Jones
2

4
UNITED STATES DISTRICT COURT FOR THE
5
WESTERN DISTRICT OF WASHINGTON (WAWD)
6 AT SEATTLE

7
CAROLYN SIOUX GREEN, CASE NO. 2:21-cv-01276-RAJ
8
Plaintiff,
PLAINTIFF CAROLYN SIOUX GREEN
9
FURTHER SUPPORTING JOINDER DOE-
10 v. 1 PROVIDENCE DKT. #48.
CONNECTING PROVIDENCE ST. PETER
11 UNITED STATES OF AMERICA, [DOE’S 1-155] HOSPITAL TO DEPARTMENT OF
ET AL. VETERANS ADMINISTRATION AND
12 Defendants. WESTERN STATE HOSPITAL-ASYLUM,
13 FRAUD

14 EXHIBIT 2

15 JURY DEMAND
EQUITABLE TOLLING (Fairness)
16

17
I. SHOWS PLAINTIFF DID NOT HAVE LEGAL REPRESENTATION IN
18 THURSTON COUNTY SUPERIOR COURT & PIERCE COUNTY SUPERIOR COURT
19
(Decl.of CSX; Dkt. 19–DeclarationsA, Dkt. 20–SummonsB, Dkt. 21–NoticesC, Dkt. 22–MotionsD,
20
Dkt. 23–ExhibitsE Case No.3:22-05258-JCC ).
21

22 Rule 36: Request for Admissions (RFA) are located in Dkt. #114-3 through #114-12, with the

23 Answers to RFA in Dkt. #125.

24 Rule 26: Initial Disclosures, Discovery: Plaintiff will be requesting documentation from Defendants.
25 Plaintiff has provided Defendants and the Courts with substantial evidence.
26

27
EXH–2: SUPPORTS MOTION TO
28 JOINDER DOE-1 PROVIDENCE TO
RELATED CASE NO; 2:21-CV-01276-RAJ
PAGE - 1
Case 2:21-cv-01276-RAJ Document 230 Filed 08/26/22 Page 3 of 7

Rule 33: Interrogatories. Plaintiff has not served Defendant Providence with written interrogatories
1

2 yet to the inadequate answers filed by Defendant Providence in the listed exhibits.

3 In addition, Defendants have had Exhibits for well over a year. Plaintiff’s argument in-part is

4 seen in the comment section of Dkt. #126-1 p. 6-20D dated March 23, 2022 for Defendant
5
Providence motion for summary judgment.
6
II. EXHIBIT 2
7
Plaintiff is able to satisfy both prongs of the Strickland Test and show she received
8
ineffective assistance of counsel, and prejudice. The evidence shows deficient performance pursuant
9

10 to the Strickland Test satisfying 1) Deficient Performance, and 2). Prejudice.

11 The right to effective assistance of counsel is the right “to require the prosecution’s case to
12 survive the crucible of meaningful adversarial testing.” United States v. Cronic, 466 U.S. 648, 656,
13
104 S. Ct. 2045, 80 L. Ed. 2d 657 (1984). When such a true adversarial processing has been
14
conducted, even if defense counsel made demonstrable errors in judgment or tactics, the testing
15
envisioned by the Sixth Amendment has occurred. Id. “The essence of an ineffective-assistance
16

17 claim is that counsel’s unprofessional errors so upset the adversarial balance between defense and

18 prosecution that the trial was rendered unfair and the verdict rendered suspect.” Kimmelman v.

19 Morrison, 477 U.S. 365, 374, 106 S. Ct. 2574, 91 L. Ed. 2d 305 (1986).
20 The Plaintiff (Respondent then) who raises a claim of ineffective assistance of counsel must
21
show: (1) that his or her attorney' s performance was deficient, and 2) that he or she was prejudiced
22
by the deficiency. Strickland v. Washington, 466 U.S. 668, 104 S. Ct. 2052, 80 L. Ed. 2d 674 (1984);
23
State v. Hendrickson, 129 Wn.2d 61, 77- 78, 917 P.2d 563 (1996). Under the first prong, deficient
24

25 performance is not shown by matters that go to trial strategy or tactics. State v. Garrett, 124 Wn.2d

26 504, 520, 881 P. 2d 185 (1994). Under the second prong, the defendant must show that there is a

27
EXH–2: SUPPORTS MOTION TO
28 JOINDER DOE-1 PROVIDENCE TO
RELATED CASE NO; 2:21-CV-01276-RAJ
PAGE - 2
Case 2:21-cv-01276-RAJ Document 230 Filed 08/26/22 Page 4 of 7

reasonable probability that, but for counsel' s errors, the result of the trial would have been different.
1

2 State v. Thomas, 109 Wn.2d 222, 226, 743 P. 2d 816 (1987).

3 The standard of review for effective assistance of counsel is whether, after examining the

4 whole record, the court can conclude that defendant received effective representation and a fair trial.
5
State v. Ciskie, 110 Wn.2d 263, 284, 751 P. 2d 1165 (1988). A presumption of counsel' s
6
competence can be overcome by showing counsel failed to conduct appropriate investigations,
7
adequately prepare for trial, or subpoena necessary witnesses. Id. An appellate court is unlikely to
8
find ineffective assistance on the basis of one alleged mistake. State v. Carpenter, 52 Wn. App. 680,
9

10 684- 685, 763 P. 2d 455 (1988). (citation omitted).

11 a). Court appointed counsel was ineffective for failing to pursue or argue in the best interest
12 of Carolyn Green (Dkt. #54, formally known as) when the record indicates she failed to
13
investigate (in fact assigned counsel stipulated an agreement with defense waiving my rights,
14
then abandoned me) when there was evidence to support Plaintiff’s timely release within 12-
15
72-hours. Providence filed a groundless Ex Parte Petition for a 14-day when Providence
16

17 already had a signed agreement through my spouse-at-that-time for a seventy-two hour.

18

19 Ex Parte Applications: The "opportunities for legitimate ex parte applications are extremely
20 limited." In re Intermagnetics America, Inc., 101 B.R. 191, 193 (C.D. Cal. 1989); see also Mission
21
Power Engineering Co. v. Continental Casualty Co., 883 F.Supp. 488, 489 (C.D. Cal. 1995) (stating
22
that to be proper, an ex parte application must demonstrate that there is good cause to allow the
23
moving party to "go to the head of the line in front of all other litigants and receive special
24

25 treatment").... Thus, the use of such a procedure should be limited to instances in which: (1) there is

26

27
EXH–2: SUPPORTS MOTION TO
28 JOINDER DOE-1 PROVIDENCE TO
RELATED CASE NO; 2:21-CV-01276-RAJ
PAGE - 3
Case 2:21-cv-01276-RAJ Document 230 Filed 08/26/22 Page 5 of 7

the threat of immediate or irreparable injury; (2) there is danger that notice to the other party may
1

2 result in the destruction of evidence or the party's flight; or (3) the party seeks a routine procedural

3 order that cannot be obtained through a regularly noticed motion. Id. Lum v. Mercedes-Benz USA,

4 LLC, 2012 U.S. Dist. LEXIS 199629, *4 (USDC Central Dist. Of CA 2012) (cit. omitted). (9th Cir.).
5

6
The number on the left below is to keep order, not to represent an exhibit number:
7
Plaintiff Carolyn Sioux Green’s Logbook notation dated June 8, 2001:
8
1. “5/31 –_____”. Six-judicial days plus a weekend, noted 6-8-01. Carolyn had no idea
9

10 when she would be permitted to speak to a neutral party. The Court appointed ineffective counsel

11 made a “stipulated” agreement with the defense for a one-minute Ex Parte hearing that ineffective
12 counsel waived the rights of Carolyn Green without her permission or knowledge. There was no
13
adequate care and individual treatment for my injury by Providence. I had no idea when I
14
was going to be released to go home, seen by a neutral party, or be medically treated for my well-
15
documented and reported physical injury. (Dkt. #55), (Dkt. #110), (Dkt. #128).
16

17 2. 18:11 PM, MAY 31, 2001, plaintiff was tortured in four-point mechanical restraint

18 (7-hrs-50-min), on her physical injury out of nine-hours in Providence emergency room. Forced

19 drugs administered. (Dkt. #113-1: Four-point-mechanical restraints).


20 3. 18:11 PM, May 31, 2001, Providence admitted Carolyn Becker (Carolyn Green).
21
4. 18:14 PM: It went from voluntary to involuntary in four minutes instead of admitting
22
me to the hospital for adequate medical treatment and care for my physical injury.
23
5. 12:06 AM JUNE 1, 2001, Plaintiff (Respondent then), her spouse at the time signed
24

25 an agreement for a seventy-two hour, without the knowledge of how Providence had criminally

26 mistreated me. (Dkt. #114-13 p. 45). Then at,

27
EXH–2: SUPPORTS MOTION TO
28 JOINDER DOE-1 PROVIDENCE TO
RELATED CASE NO; 2:21-CV-01276-RAJ
PAGE - 4
Case 2:21-cv-01276-RAJ Document 230 Filed 08/26/22 Page 6 of 7

6. 12:30 AM: Providence initiated a premeditated Petition for a 14-day


1

2 (Dkt. #111 p. 6). Here the unqualified designated mental health professional considered the

3 plaintiff’s answer, “I have packed up the evidence of my home, my “brand value,” as “illogical and

4 incoherent.” (Dkt. #110 series, Carolyn’s Frozen Cookie Business: Dkt. #128 Notice of Filing Paper
5
or Physical Material with the Clerk.
6
7. 03:55 AM: “given 30 mg of Restoril ... “Escorted to bed by 2 staff as pt is unsteady
7
on feet immediately asleep...” Due to she could not walk on her own after the inappropriate use from
8
four-point-mechanical restraints that caused body injury maiming me. (Dkt. #190).
9

10 8. 09:10 AM: Time Stamp of Thurston County Superior Court (TCSC) Ex Parte filed.

11 (Dkt. #111 for TCSC court records).


12 9. 14:00 (2:00) PM: I reported my Rheumatology doctors “pt said she ...seen by
13
Dr. Weeks & Dr. Paxon.”
14
10. 2:21–2:22 PM: One-minute Ex Parte hearing. The ineffective court assigned
15
counsel had no authority to waive my right to be present. This also instantaneous removed my
16

17 firearm rights. The box was not checked for removal of firearm. There was already a seventy-two-

18 hour signed by the spouse. This is infringement and illegal taking of my right to bear arms.

19 11. Notice of Prohibition of Firearm Possession.


20 12. 12:06 AM JUNE 8, 2001, Plaintiff (Respondent then) appeared before the closed
21
court on forcibly inject
22
12. See 12:06 AM JUNE 1, 2001, Plaintiff (Respondent then Docket filed in CASE No.
23
2:21-cv-01276-RAJ as Dkt. #195, Dkt. #220-4 for Reasonable Accommodations for Disabilities
24

25 (ADA).

26 See EXH-1 and/or DKT. #111 for Court Records.

27
EXH–2: SUPPORTS MOTION TO
28 JOINDER DOE-1 PROVIDENCE TO
RELATED CASE NO; 2:21-CV-01276-RAJ
PAGE - 5
Case 2:21-cv-01276-RAJ Document 230 Filed 08/26/22 Page 7 of 7

Where Plaintiff is with the Courts time requirements, cognitive processing, and officially
1

2 homeless as of August 24,2022, this is the best I can do for this filing.

3 III. CONCLUSION

4 Exhibit 2: These exhibits prove Defendant Providence the relation to Dept of Veterans and
5
that which lead to Western State. Thus, refutes Providence statement “which admission nothing to
6
do with Veterans Affairs”. (See WAWD Case 3:22-05258-JCC; Dkt 25 p. 3, lines 5-6, that was
7
remanded back to Thurston County Superior Court). Defendant Providence is the catalyst and
8
causation. Plaintiff Carolyn Sioux Green (Dkt. #54, formally known as) did not have legal
9

10 representation in Thurston County Superior Court or Pierce County Superior Court. Plaintiff

11 respectfully requests that the Court grant Plaintiff’s Motion to Joinder (Dkt. #48). Plaintiff had no
12 legal counsel. U.S. Constitution violations: First Amendment violations, Second Amendment
13
infringement violations, Fifth Amendment violations, Sixth Amendment violations, and Eighth
14
Amendment cruel and unusual punishment. In addition, chemical restraints were used as a form of
15
punishment for my non-compliance to ingest drugs. Plaintiff has legal standing.
16

17

18 The foregoing statement is made under penalty of perjury under the laws of the State of

19 Washington and Arizona and is true and correct, and I am competent to testify to the matters set
20 forth herein.
21

22 RESPECTFULLY SUBMITTED, on this 26th day of August of 2022,

23 s/Carolyn Sioux Green


s/CANDIDCAROLYN®
24
CAROLYN SIOUX GREEN
25 PO Box 2494, Scottsdale, Arizona 85252
(253) 588-8100, candidCarolyn@gmail.com
26 Plaintiff Self-represented

27
EXH–2: SUPPORTS MOTION TO
28 JOINDER DOE-1 PROVIDENCE TO
RELATED CASE NO; 2:21-CV-01276-RAJ
PAGE - 6
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 1 of 65

X Hearing is Set
Hearing date: September 9, 2022
Hearing time: 9:00 AM
Judge/Calendar: Hon. Judge Carol Murphy
CASE NO. 20-2-02155-34

Carolyn Sioux Green v. Providence St. Peter Hospital, et al.

EXHIBIT 2

CASE NO. 2:21-cv-01276-RAJ


Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 2 of 65

DKT #214

Updating/Replacing Exh #135, Dkt #187. Now DKT #215.

Exhibit 135–EQT
Case No. 2:21-cv-01276-RAJ-DWC Carolyn Sioux Green v. United States, et al.
Case No. 3:22-cv-05258-JCC-TLF Carolyn Sioux Green v. State of Washington, Providence, et al.

EQUITABLE TOLLING
(Fairness)
Attachment:
o Carolyn’s LOGBOOK notation dated June 8, 2001;

“5/31 – ___________”

Six-judicial days plus a weekend, noted on 6-8-01 as Carolyn had no idea when she would
be permitted to speak to a neutral party, left without counsel. There was no adequate care
and individual treatment for her injury. I [Carolyn] had no idea when I was going to be
released to go home, either. Documented on 06/08/01.

Premeditated 14-day from Providence Exh. 65. (See Exhibit 107 p.17; Exhibit 106 pt2
Unlawful Imprisonment), Attached one-minute Ex Parte from Exh. 63 p. 19. (Providence
Exh. 20, bruises 5-days after restraints.) See Dkt. #113-2 and #113 series
06/22/22. csx
See Exhibit 102 p. 12 for "E" RCW 71.24.300 particularly NEW Sec. 4.

**Exh. 80 p. 3-5 injury "...has never been treated...." Dr. Paxon.

1994 Sept 20 taken off of the ship due to physical injury while active duty on the USCGC
Mellon (WHEC 717), then honorably discharged without adequate medical care Dec. 21,
1995.
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 3 of 65

4-Point Restraints (in seclusion) and Forced Injected Drugs at Providence


Date Time Restraints & Drugged Amount
31-May 1935 Droperidol 5 mglM
1840-2115 4-Point-Restraints 2 hrs. 35 min.
2115-2145 break from restraints (30min)
31 May/June 1 2145-0300 4-Point-Restraints 5 hrs. 15 min.
2243 Droperidol 5 mglM
1-Jun 315a Restoril 30 mg IM
1320 Depakote 250 mg
1930 Ativan 2 mglM
Total 4-Point Restraint time: 7hrs SOmin (out of 9 hrs in the ER)
Triage time in ER is at 1811 PM, with a crisis worker & security escort at 0300 out of ER.
unable to re-do to verify. Cg 09/17/2018
initially discovered and done 09/12/2018

NO WONDER my rectum and colon have literally dropped me to my knees from spasms.
And this is the reason my left labia has gone numb, with numbness to my left foot, for
a year one time, in 2017. Plus, including maiming my bowel movement functions for
18 years.

NO WONDER my left hamstring was messed up and needed reattachment help.


Totally disgraceful.

CAROLYN® SIOUX GREEN


PO BOX 2494, SCOTTSDALE, AZ 8525
THURSTON COUNTY Case No. 01-6-97-6 Added here 08/04/2021 CSX
©CANDIDCAROLYN

See DKT #113-1


Four-Point Mechanical Restraints (torture)
criminal mistreatment, abusive, violent.
(csx 06/22/22).
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 4 of 65
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 5 of 65

X
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 6 of 65

O
X

O O
X -(see time) while in four-point mechanical restraints.
No previous psy history. None. NO Great Weight
taken as required by RCW. (see next page please).
(none)

(none)

PSPH 000045
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 7 of 65

X Hearing is Set
Hearing date: September 9, 2022
Hearing time: 9:00 AM
Judge/Calendar: Hon. Judge Carol Murphy
CASE NO. 20-2-02155-34

GREAT WEIGHT: Pursuant to;


RCW 71.05.245 (1999 c 13 § 6)
RCW 71.05.280 (1998 c 297 New Sec. 14)
RCW 71.05.285 (1997 c 112 New Sec. 23)
RCW 71.05.575 (1999 c 214 New Sec. 6)

Did Providence, the State or the Court take great weight? No.
Previous psychiatric episodes? No.
Previous CD treatments? No.
Hospitalized within last 2 years? No.
Family psychiatric history? No.

See also Exhibit DKT #96.


Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 8 of 65

X
Written while she was in 4-point-mechanical restraints and
under the influence of forced psychotropic drugs, and on her
severely physically injured self.

X
PSPH 000046
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 9 of 65

–––––>
Court Time Stamp 09:10 AM
DKT #111 p. 6.
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 10 of 65

How can a first time be a

x
return of service??

X
___________
------ How can a "Respondent" serve a "Respondent"?
(late entries 07/17/22 csx)

------

X
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 11 of 65

f. '{-fJ
See Dkt. #21 for Exhibit Dkt. #128 of Carolyn's Frozen Cookie Business that the
social worker considered "illogical and incoherent" when in fact, the evidence is
irrefutable, proves logical thought process.
See Dkt. #23 p. 3: at No. 14-17 for Exhibit Dkt. #110 series.

IN THE SUPERIOR COURT OF THE STATE OF WASHINGTON


IN AND FOR THE COUNTY OF THURSTON

ITANO. 0 \-(o - '17-;J


IN RE THE DETENTION OF PETITION FOR INITIAL DE NTION

_______Respondent
(�·11-1>-......a-
Pursuant to RCW �71.05 071.34. a Mental Health ro fess· :esi�ated b�
� �
Thurston/Mason 6,�ty alleges that the respondent C_ --d::!•
was brought to my attention under the following circumstances:

sa t ofmy persoJl observation or investigation I believe that the actions of the


respondent constitute a likelihood of serious harm to himself/herself, harm to others or the
property of others, or that he/she is gravely disabled. The specific facts known to me as a result
of personal observation or investigation, upon which I base· the belief that the respondent should
be detained for the purposes and under the authority o pter are:
Date: t,J J / OI
1 0-¥1
Time:

Form #1
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 12 of 65

--p��2 r-C p-e--hncrn � ,..vuh'& akt-�+.�


SUPPLEMENTAL INFORMATION

Respondent Ck,cu::£ 1\51!'\ __ No: __________


Record of circumstances leading to detention (e.g., election of silence, demand for attorney,
first hand observations and investigation results, efforts made toward less restrictives,
determination as to voluntary hospitalimtion, specific details of AMA requests, names and
phone number of all witnesses).
0 Lx/W�CH Researched
Police hold �o Police hold
.....

\�
(),-;;f,,')o\.g,_ &LS cQ,'.ozrM..rclt;- WA-:-4 �t- 0,tl, \� -\, Sad<-
u �-tvL �
��.\3Mand is not releasable witlio�n consent of
South Sound Mental Health Services.

Desi Hei\h)Pro essional


ted Mental
l
Date
I

iJii.ftA.lA� £4 t.A v:e I L,l


Print Name CDMHP
South Sound Mental Health Services (360) 754-1338
P.O. Box 677
Olympia WA 98507
Fonn#3
11/2198
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 13 of 65

Case 2:21-cv-01276-RAJ-DWC Document 214 Filed 06/22/22 Page 3 of 27

(born 1962, not 1952) csx 06/22/22.

PSPH 000154
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 14 of 65

Case 2:21-cv-01276-RAJ-DWC Document 214 Filed 06/22/22 Page 4 of 27

PSPH 000155
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 15 of 65

Case 2:21-cv-01276-RAJ-DWC Document 214 Filed 06/22/22 Page 5 of 27

Providence, State of Washington, Thurston County, had a 72-hour by her


then spouse. 06/22/22. csx
Then at 12:30 am filed out paperwork to Petition the Court for a 14-day that was
filed @ 09:10 AM for an Ex Parte one-minute hearing on the same day.
PSPH 000156
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 16 of 65

Case 2:21-cv-01276-RAJ-DWC Document 144-25 Filed 03/28/22 Page 1 of


2See DKT #113 pt2 pp. 12-13. (csx 3/28/22)
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 17 of 65

D
Filed in TCSC Case
No. 20-2-02155-34
OlscipHne
PS = Pastoral Service$ Index #190 p. 55.
=
. NS = Nursing Service
MD = Medical Doctor PhD Psychology Index #190 p. 64.
SW = Social Work DIET = Dietary
OT = Occupational Therapy
F1N = Financial Counseling
0 = Other
A Providence Exhibit # reference in red.
Seen in EXH 105 pt1 p. 56. where Carolyn
reported on 06/01 her Rheumatology Doctors,
Dr. Weeks and Dr. Paxon (see EXH 80). csx 3/14/22
DATE TIME Write out and unci8fllne the type of incideirt. administrative situation,

Couldn't walk on
my own after
restraints abuse.
csx 06/22/22.

See DKT #84

X
Reported prior to the
one-minute ExParte
groundless hearing.

Providence Sl Peter Hospita


XXXXXXXXXXXXXXXXXX
\/Al 526[;,,.,:�)71
f�/Ctl6t :s ��/31/Cl TJ�
Olympia, Washington
" 6143-13-NH.()1-8/97 F',lllPl'IOPl,focnll/61'3MffM?.-
XXXXXX
BtCKER CAROLYN $
C?44 SY.ITH 1cc:c PSYCHIATRIC PROGRESS RECORD
39Y f 32785464JC2,,'S
xxxxxxxxxxxxxxxxxx page 1 Of 2

�;{)
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 18 of 65

PSPH 000169
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 19 of 65

Case 2:21-cv-01276-RAJ-DWC Document 214 Filed 06/22/22 Page 8 of 27

-- - --
------ ----

see below "LM 6/1/01 @ 2:15 PM" (csx 03/13/22)

---- ---

"left message 6/1/01 2:14 PM" (csx 3/13/22)

c.)

1-+�.......,_-��-.·]A. '1.-'l ----�-'-;--,� ·-----'-"=-"--'------ --·-


----...--¼--l-'-Hc�.,---�'......,·;i..,_""'. ..,"'---1_;..;;.�_� -1-----�--=-Cd. (J,..: _y..,__·, _____1�-0---'-----"-'�-"---
1
_.;;
=-:.·�·

·---- ----------------- ----------


------ - - ·---- -· � --- - - -·

----- ��t�;it.,,...:..-._.- ±:-=r =-=---·· -��


- J -i0
-P:• · i
- '

-- -- . U( ( ,-,.....•---=�
3 �7
l '!-- _<:f:._C_Cl:-.
u

,.!.,-_, _ ,. _,_, L ,.l /_


':13S. -- -S·l.o_
(1435) -Satrl� -���b: ;;� u ;��.) �n� �;;; 1o-�
-� he...� re D1J:'-_ al\__!t ; t- it-"'cl5 __4.t%£d _:To\ \-e _t_ /�_
csx
3/13/22

�f- /uv.JeJs ----·- ______

o/
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 20 of 65

Case 2:21-cv-01276-RAJ-DWC Document 214 Filed 06/22/22 Page 9 of 27

(No Patio Pass Times. Locked in during one-minute


Ex Parte Hearing. csx 3/13/22)

At 1445 = 2:45 PM (csx 3/13/22)


Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 21 of 65

Case 2:21-cv-01276-RAJ-DWC Document 214 Filed 06/22/22 Page 10 of


27

See above Exhibits for times.

One-minute Ex Parte Hearing 2:21 to 2:22 PM.


Where was Carolyn at: 2:14 PM, 2:15 PM; 2:45?
Times listed above as she was locked in Providence,
with no legal counsel.
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 22 of 65

Case 2:21-cv-01276-RAJ-DWC Document 214 Filed 06/22/22 Page 7 of 27



SUPERIOR COURT OF WASHINGTON OL , {o - Cj 7 · CZ
FOR THURSTON COUNTY
OO_NNA_LYN_N_HO_U_
COMMlSSIONE.R: ___

-----------
IN RE THE WELFARE OF:
CLERK: JOHN D. BALES

TAPF.#: G\ YY1:t (0 -\ �-1 rJ Side 2

Hearing Time: Start r?: ;)/ End rJ,· f)2:,


Filed in TCSC Case No. 20-2-02155-34
Index #190 p. 62. as Exh. 14
DATE: ;J"Cne \ aoo l

MI MIJ ALT one-minute hearing


Petitioner Appe3ring: �es □ No through Attorney for P�ner: W-e�� YY\Q-e�
Yes □ No --J
Attorney for Respondent: kI] t:�c
Present:
Respondent Appearing: 0 res �o
X Presence waived by counsel: G'Yes Present: Yes ;J No
D..,.......'(9-'----"'l)
1TER came on before the Coun for hearing at St. Peter Hospital. __._J_(.._/____ _____
7
SES duly sworn and t.esrifying for the State: _________________
Then ineffective counsel files an Ex Parte for a 14-day waiving all my rights.
\1/fI:ffiSSES duly sworn and testifying for the Respondent: AFTER a seventy-two hour was signed by her
Instantly removing 2nd Amendment rights. / then husband. csx
Counsel for the State presented/waived argument. Counsel for Respondent presemed./waived argument. The
Coun, after reviewing the file and having heard testimony, ruled, finding the Respondent:

ef�::r�1
!I:Y"Suffers from a mental illness identified as:
p1do4 v-
X (9'Stipulated Order presented
0 Respondent advised of rights O per counsel
0 OffuofProofmadc
Q---1s' detained due to harm to �and/or B"others □ Contested hearing ·

0 Is detained under Prong A and/ or Prong B□ □
0 Alcohol O inpatient outpatient treatment
scheduled at ----------
O
0 Is detained due to alcohoUdrug addiction
□ □
------------
Bench a Jury Trial set for ______
------------
Clerk to notify DOL of firearm restriction
Other:

Court entered: �INGS, CONCLUSIONS AND ORDER RE: eri:('oay O 90 Day O 180 Day O LRA
0 ORDER ON O 90 Day O 180 Day PRELIMINARY APPEARANCE
0 ORDER OF CONTINUANCE
□ CHANGE OF VENUE ORDERED TO ______ COUNTY
D FINDINGS AND CONCLUSIONS; AND ORDER RE 60 DAY TR.EATMENT
0 OTI!ER: _____________________
County of Residence: _._..,__ l..;\MI\MIN\/TES.f'RM-4Nl
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 23 of 65

Groundless EX PARTE filed with a one-minute hearing that


illegally infringed upon my Constitutional right to bear arms.
And, with no notice. "Stipulated Order presented" AFTER a
seventy-two hour was signed by Plaintiff's now ex-husband

PSPH 000142
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 24 of 65
XXXXXXXXXXXXXXXXXXX

XXXXXXXXXXXXXXX

Filed in TCSC Case


No. 20-2-02155-34
Index #190 p. 63.
Index #87 p. 4.

Requested my own counsel


then denied. csx 06/22/22.

See DKT #114-13 p. 45


Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 25 of 65

DKT #114-13 p. 48

XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 26 of 65

DKT. #64 p. 30
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 27 of 65
XXXXXX
XXXX Case 2:21-cv-01276-RAJ-DWC Document 64 Filed 03/20/22 Page 29 of 52
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 28 of 65
Case 2:21-cv-01276-RAJ-DWC Document 214 Filed 06/22/22 Page 18 of

See DKT #113-1


27
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 29 of 65

XXXXX
XXXXX
XXXX
XXXXX
XXXXX
XXXX
XXXXX
XXXXX
XXXXX
XXXXXX
XXXXXX
XXXX left message. June 6, '01
late entry 06/24/22 csx.

X
XXXX
XXX
XXX
XXXX
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 30 of 65

DKT#114-13 p.90
xxxxx

XXXXXXX
XXXXXXXXXXXXXXXX

xxxxxxxxxx
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 31 of 65

CP 906
COA #5579-08-II
Supreme Court 100839-2
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 32 of 65

Case 2:21-cv-01276-RAJ-DWC Document 64 Filed 03/20/22 Page 32 of 52


Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 33 of 65

Case 2:21-cv-01276-RAJ-DWC Document 64 Filed 03/20/22 Page 33 of 52

DKT #110-3 p. 14
DKT #128
DKT #64 p. 33
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 34 of 65

XXXXX
XXXXX
XXXX
XXXXX
XXXXX
XXXX
XXXXX
XXXXX
XXXXX
XXXXXX
XXXXXX
left message. June 7, '01
XXXX
XXXX late entry 06/24/22 csx.
XXX

X
XXX
XXXX
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 35 of 65

I •
DKT #114-13 p. 51

/YV'-
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C
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 36 of 65
Case 2:21-cv-01276-RAJ-DWC Document 214 Filed 06/22/22 Page 13 of 27

Dkt. #114-14 p. 92

I had NO legal counsel. No returned messages. Out of


desperation I reached out to Andy Anderson the legal
assistant to Muenster & Koenig, where I learned of Bruce
Danielson. Kim Koenig was my attorney fin the USCG case.
csx 06/22/22. (Dkt. #132)
Case
Case2:21-cv-01276-RAJ-DWC
2:21-cv-01276-RAJ Document
Document
230-1214Filed
Filed
08/26/22
06/22/22Page
Page
37 2ofof6527

I
(.A) i1'1-­ f-t:ff.M..t,

•{j 1-lrr-v u
t<..<"0.,,t).....

-------
( -------
(NOTE: Carolyn
had no idea when
,�

b,f,
- --
-----
. ...__
..
- she was going to
,I
see/have an attorney
____ __
I
,
or a neutral party on
06/08/2001)
08/01/2021 csx

/J-r1 ' See DKT #114-14 p. 94


rf1tlt2t Thj ec� /¾Uo L ,

q r'Y'I O t., ,,<, /-

0-�ilul. �iv-- Yi\J A-wt sltAH- 5i'h n ·-JL-e i /r,,,&tLa-�

rn-edv Ul -fr 11;..... &-f-o I. (,A:)h1 ?) ./1-Ju-?


Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 38 of 65
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 39 of 65

See Ex Parte one-minute hearing.

= legal standing. Did not previously appear.


In fact, prevented from appearing.
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 40 of 65

SUPERIOR COURT OF WASHINGTON


FOR THURSTON COUNTY

IN RE THE WELFARE OF:


CLERK:

. TAPE#: � 10Side2

Hearing Time: Start � End � ·

DATE: 0uv'\e �) 62,CQ\


. MI�_ALT_ .
Petitioner Appearing: li'Yes O No through A�y for Petitioner: ��---����----....;.....�-

Respondent Appearing: �0 No Attorney for Respondent:


Presence waived by counsel: Yes □ Present:

THIS MATIER came on before the Coun for hearing at St. Peter_ Hospital. SQ V--=:J
WITNESSES duly sworn and testifying for the State: ________________

WITNESSES duly sworn and testifying for the Respondent: _______________

Counsel for the State presented/waived argument. Coiinsebf6r Respondent presented/waived argument. The
Court, after reviewing the file and having �eard testimony, ruled, finding the Respondent:

�ers.-f,qm a mental illn� ide�tificd as: .


J:2 , \c.,
Xo x:: c:\ , s· a c � & x::: . . i
x 11,'§tipulated Order presented
O R�ndent advised of rights □ per· counsel

x X<–––
�gravely disabled D Offer of Proof made
ri detained due to harm to C!r(lf and/or O others . Q-"Contested hearing
0 Is detained under O Prong A and/ or O Prong B □
D Alcohol O inpatient outpatient treatment
0 �tamed. due to alcohol/drug addiction · scheduled at __________

X IB"'Cletk to notify DOL of fireann ·restriction


0 Other:____________
D Bench O Jury Trial set for ______
D Other: ____________

Court entered: 0 FINDINGS, CONCLUSIONS AND ORDER RE: 0 14 Day O 90 Day O 180 Day d LRA
0 ORDER ON O 90 Day O 180 Day PRELIMINARY APPEARANCE
0 ORDER OF CONTINUANCE·
0 CHANGE OF VENUE ORDERED TO ______ COUNTY
0 FINDINGS AND CONCLUSIONS; AND ORDER RE 60 DAY TREATMENT
0 OTIIBR: ---------------------
County of Residence: D1AY>n L:IMI\MINUTl:S.FRM�
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 41 of 65
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 42 of 65

Case 2:21-cv-01276-RAJ-DWC Document 214 Filed 06/22/22 Page 20 of 27


April 15, 2020

Carolyn Sioux
PO BOX 2494 PROVIDENCES NURSES. noted 03/15/2022 csx
Scottsdale, AZ 85252

Teresa Corrado (with cc'd email names: Helen Budde, Adena olet)
Assistant Director of Discipline-Case Management
Washington State Department of Health
PO BOX 47864
Olympia, WA 98504

Dear Teresa Corrado,

This is in response to the Washington State Nursing Commission email dated April 14, 2020
with a sent time of 1351 hours regarding the formal complaints sent registered mail 03/30/2020.
Please note and understand, my complaints are not broad, as stated by the nursing commissions
email. In fact, my complaints are very specific in regards to the rule of law, which includes
Patient Rights.

Although I am aware of RCW 18.79.260, and 18.79.280 which refers to RCW 18.71, and RCW
18.57, that a nurse is not in violation to administer medications, injections, I am also aware of
WAC 388-861-211 Advising patient of rights, WAC 275-55-241 recodified as WAC
388.861.241 Rights of Patients: the patient has rights, and to refuse drugs, as stated in RCW
71.05.370 Rights post of lists (recodifiedfrom 71.05.217), and RCW 71.05.215 Right to refuse
antipsychotic medicine (drugs), the patient has the Right to Refuse neuroleptic (antipsychotic)
drugs, and prior to court, by law, in which were all denied. This includes no physical
examination at any time required by RCW 71.05.210 Evaluation-Treatment and care.
Failure to perform a physical examination was even denied with documented requests and
physical pain noted by me [Carolyn], as well as noted by other medical providers about my
injury, and Rheumatology doctors listed in the record on June 1 @ 2:00 p.m. (listed on Encl 19,
which is Exh 4 for Case No. 19-2-04117-34). RCW 9A.36 assault: forced injections of Haldol,
without a required court order, prior to court, no petition filed, no notes in the medical record, no
alternative treatment, which would appropriately have been a medical doctor skilled in the taking
care of my physical body. Numerous other patient rights afforded to the patient [Carolyn] were
also denied. All of the written Providence St. Peter Hospital Patient Rights, were completely
stripped from me as well. There are other nursing violations located in WAC 246-840-700,
WAC 246-840-710, RCW 18.130.180...,

Maggie Smith, a charge nurse:


49 CFR § 1570.5 Fraud and intentional falsification of records, (Court records on both June 1,
and June 8), RCW 9.72 (perjury).
RCW 9A.36 assault for the refusal, against my will, forced injections of Haldol, and other forced
to ingest drugs. Maggie Smith did not use reasonable skill, independent judgement, was unsafe

11
Carolyn Sioux
Case No. 01-6-97-9
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 43 of 65
a

Case 2:21-cv-01276-RAJ-DWC Document 214 Filed 06/22/22 Page 21 of 27


in her practices, and negligent. See Encl: 4, 5, 8, 9, 10 recopied drug records, 17 logbook
evidence records, and 18 affidavit for Thurston County (and on page 189 in Locked), 19 for
Exhibit List for Case No. 19-2-04117-34, a public record.

(Sandra L. Banghart), a charge nurse, RN00082192:


is included, yet no form was included in the packet of formal complaints, and need be.
RCW 9A.36 assault for the refusal, against my will, forced injections of Haldol, to include Prior
to Court on 06/08/01, and other forced to ingest drugs. Sandra Banghart, did not use reasonable
skill, independent judgement, was unsafe in her practices, and negligent. See Encl: 8, 9, 10
recopied drug records, 17 logbook evidence records, and 18 affidavit for Thurston County (and
on page 189 in Locked).

Sarah Benson, a charge nurse, RN00061137:


Ignored my written request to see a Judge regarding the forced drugging, to stop immediately,
without a required court order, no petition filed, no notes in the medical record, no alternative
treatment, which would appropriately have been a medical doctor skilled in the taking care of my
physical body. All required by law. No follow up for the unlawful forced drugging. Sarah
Benson did not use reasonable skill, independent judgement, and was unsafe in her practices, and
negligent. See Encl: 8, 9, 10 recopied drug records, 17 logbook evidence records of 06/06/01
needing a Judge, and 18 affidavit for Thurston County (and on page 189 in Locked).

Don Bischko RN00089589:


RCW 9A.36 assault for the refusal, against my will, authorized forced injections of Haldol, and
other forced to ingest drugs, even after [Carolyn] reported negative effects of the drugs. Don
Bischko did not use reasonable skill, independent judgement, and was unsafe in his practices,
and negligent. See Encl: 8, 9, 10 recopied drug records, 17 logbook evidence records, and 18
affidavit for Thurston County (and on page 189 in Locked).

Phyllis Congilosi, a charge nurse, RN00121199:


RCW 9A.36 assault for the refusal, against my will, forced injections of Haldol, and other forced
to ingest drugs. Phyllis Congilosi did not use reasonable skill, independent judgement, and was
unsafe in her practices, and negligent. See Encl: 8, 9, 10 recopied drug records, 17 logbook
evidence records, and 18 affidavit for Thurston County (and on page 189 in Locked).

Jack Jarrell RN00133494:


RCW 9A.36 assault for the refusal, against my will, forced to ingest drugs. Jack Jarrell did not
use reasonable skill, independent judgement, and was unsafe in his practices, and negligent.
See Encl: 8, 9, 10 recopied drug records, 17 logbook evidence records, and 18 affidavit for
Thurston County (and on page 189 in Locked).

James Van Sickle RN00128079:


RCW 9A.36 assault for the refusal, against my will, forced to ingest drugs. James Van Sickle did
not use reasonable skill, independent judgement, and was unsafe in his practices, and negligent.
See Encl: 8, 9, 10 recopied drug records, 17 logbook evidence records, and 18 affidavit for
Thurston County (and on page 189 in Locked).

21
Carolyn Sioux
Case No. 01-6-97-9
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 44 of 65

Case 2:21-cv-01276-RAJ-DWC Document 214 Filed 06/22/22 Page 22 of 27


Diana Vogel, a charge nurse, RN00084178:
RCW 9A.36 assault for the refusal, against my will, forced injections of Haldol, to include Prior
to Court on 06/08/01, and other forced to ingest drugs. Forced injections of Haldol from Diana
Vogel, were also noted on the progress note for 06/07/01, not seen on the "recopied drug
record". Diana Vogel did not use reasonable skill, independent judgement, and was unsafe in her
practices, and negligent. See Encl: 8, 9, 10 recopied drug records, 17 logbook evidence records,
and 18 affidavit for Thurston County (and on page 189 in Locked).

Please note the jurat at the back of locked, page 291, as well as there are jurats on affidavits for
both Thurston and Pierce county. Enclosure 19; Exh List for Case No. 19-2-04117-34 see
number 4 for [Carolyn's] Rheumatology Doctors listed on Providence medical record, and 6 for
additional logbook evidence records pertaining to those involved. In short, the jurats, a sworn
oath, that the forgoing statements are true, in the court of law.

Sincerely,
Carolyn Sioux

Ps. Perhaps the Washington State Department of Health would kindly look into what the
Washington State Medical Commission's purpose was, to open the box with formal complaints,
that were sent registered mail, to then have the medical commission return the contents without a
response. Thank you.

31
Carolyn Sioux
Case No. 01-6-97-9
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 45 of 65
PROVIDENCE ST. PETER HOSPTT-AL
Olympia, Washington
(This information ma)· be protected by Federal and/or State Law e_rohibiting further disclosure.)

Case 2:21-cv-01276-RAJ-DWC Document 214 Filed 06/22/22 Page 14 of 27 ...


IDEKTIFICATIO�: Carolyn

·CHIJ
S-tt IJ�f.xlt ;w 18.83.110, I

�(p\
The patient states that she was arrested because she had taken her Cherokee to the Chrysler dealer and on the
way of the dealership decided to d;1\le around in the dirt area near the dealership. Apparently, this was full of
hills and dips, and she decided to drite fast to do "donuts" and, according to the police who arrested her, she
almost rolled her Cherokee on two separate occasions and was driving very erratically. When she was arrested,
she was quite tangential, illogical, and sh_owed psychotic symptomatology. She was brought to Providence St.
Peter Hospital emergency room where she_ was put in restraints and eventually detained because she would not
come in voluntarily.

The patient herself says she has been sleeping erratically because she has had a lot of energy. She denies that
she has ever been diagnosed with bipolar disorder or schizoaffective. She denies auditory, visual, or tactile
hallucinations. However, when talking in the initial interview, she quite clearly outlined a lot of paranoia and
delusional material about being placed in ih. an isolated area with no environmental help from "the state
government." �tes that she has loaded at least 7,000 lbs of garbage from ger land; that she has been
working frantically to try to aa,fust to living in She also
would talk about conspiracies such as putting handles on bags in grocery stores that will break so that t.ji,fwill
come back and buy more groceries, and also conspiracies of manufacturers to do such things as put the wrong
kind of connections in a sprinkler hose so that you will have to buy more. She has many examples of this; these
are just a few.

The patient was detained at Providence St Peter Hospital psychiatric unit, both gravely disabled and a dange:oc__l
____
herself and others, and will appear for court hearing on 6/01/0 l for a 14 day detention. *
According to the patient, she does not see that she acted in a bizarre manner with this driving.
did report to the CD mental health professional that ·she has not been sleeping recently and--that
· · - this
behavior of hers is new for her.

PAST PSYCHIATRIC HISTORY: Involvement with the VA; records will have to be obtained.

SOCIAL illSTORY: The patient was born in Garden Grove, California

Adm. Date: 05/31/2001 John P. Haws, :Nill


Room#: 1SOUT1S001 Age: 39 !\1R: 43-02-49
CLMC NJJMB�.
PT: 000003278546
PATIE�T: Carolyn S

HISTORY & PHYSICAL


Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 46 of 65
Case 2:21-cv-01276-RAJ-DWC Document 214 Filed 06/22/22 Page 15 of 27
PROVIDENCE ST. PETER HOSPITAL
Olympia, Washington Page 2 of3

Redacted pursuant to RCW 18.83.110, RCW 5.60.060, and RCW 18.19.180

The patient was in the Coast Guard from about 1991 to 1995.

DRUG AND ALCOHOL IDSTORY:


She did have an accident in the Coast Guard in which she injured her back and was
placed on Vicodin.
She is now adamant that she will not go back on any prescribed medications unless it is fully
understood by her. She, nonetheless, did agree to go on a mood stabilizer in the hospital.

MENTAL STATUS EXAMINATION: The patient came willingly to the examining room. She was seen by
the attending physician and a staff social worker. At first, she was somewhat hypomanic in her verbalizations
but often would change into sobbing, particularly.
She denied auditory or visual hallucinations, but did
demonstrate rather clearly paranoia and rather loose associations regarding her present living. She was often
tangential and circumstantial but, at other times, quite coherent. She was well-oriented to time, place, and
situation.•

There did not appear to be any disturbance of recent or remote memory.

DIAGNOSIS
Axis I. 1. Bipolar disorder, rapidly cycling with psychosis.
2. Rule out schizoaffective disorder.
3. Post traumatic stress disorder by history.
Axis II. No diagnosis.
Axis III. History of injury to back with some disability.
Axis IV. Stressors: Undetermined at this point in time but certainly one is escalating psychosis.
Axis V. Global assessment of functioning on admission: 25.
Global assessment of functioning in the past year: Undetermined.

Adm. Date: 05/31/2001 John P. Haws, MD


Room #: 1 SOUTI S00 l Age: 39 MR: 43-02-49
CLINIC NUMBER:
PATIENT: Carolyn S
PT: 000003278546

HISTORY & PHYSICAL


Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 47 of 65
Olympia, Washington
Page 3 of3

PLAN
I. The patient is admitted to Providence St. Peter Hospital One South unit on an involuntary basis for further
psychiatric assessment and medication management�
2.

JPH/ky Job#: 000167/603715 D: 06/01/2001 11:45 A T: 06/01/2001 1:45 P


cc: John P. Haws, l'vID
PSPH One South

Redacted pursuant to RCW 18.83.110, RCW 5.60.060, and RCW 18.19.180

Adm. Date: 05/31/2001 John P. Haws, l'vID


Room #: 1SOUTl SOO I Age: 39 MR: 43-02-49
CLTh'1C NUMBER:
PATIENT: Carolyn S
PT:000003278546

HISTORY & PHYSICAL


©@�W
Case
Case 3:20-cv-06206-RJBDocument
2:21-cv-01276-RAJ Document 14 Filed
230-1 Filed01/22/21
08/26/22 Page
Page4 48
of 316
of 65
WESTERN STATE HOSPITAL
� CAROLYN
..............
TACOMA, WA 98498-7213

IDENTIFYING DATA: This is a 39-year-old, married. Caucasian female who was


aamittea to WSH around 4:00 a.m. or so from Mason County as a 72 ITA.
REFERRAL INFORMATION: She was referred from ALVA about 1 1/2 weeks ago and
stopped meds. She became manic and unmanageable. Her husband called 911. It
took 5 people to restrain her and she was brought to Mason General Hospital
(MGH).
CHIEF COMPLAINT: "Transported from my home. House of God."
PRESENT HISTORY: According to CDMHP. she had been driving dangerously and
taking her clothes off in public. She was frustrated and yelling, resisting
help. She had been running outside unclothed a few times within the past few
days. Upon transport. she was combative in the ambulance as well. Prior to
that, she asked her husband to physically harm her. She had driven her car
backward into heavy traffic trying to slow other's cars down.
She was up for the past 2-3 days and had excessive religious preoccupation.
She stated. nI'm the living God.- and ·r live with Jesus and walk over water."

--=;
She was given Ativan 2 mg IM at l:25 a.m. on 7/2/01.
PAST HISTORY: She claimed she was allergic to "Haldol. to mosquito bites and
bright sunllght ... Apparently, it's her first hospitalization at WSH.
However, she was hospitalized at ALVA in the past. She had mental problems
for several years.
SOCIAL HISTORY: She served in the Coast Guard and had a back injury. She
aenied current usage of drugs or a· ils.
PHYSICAL HISTORY: She is not in ar
FAMILY HISTORY: She was born in Gar was
marriea once and divorced. It was e no
d1 i ldr er,.

MENTAL STATUS EXAMINATION: She is emale


who was interviewed in office. Shi o be
cooperative. She's not a good his• is. her
mood seemed to be elevated. There
She was fairly preoccupied with re louse of
God. coming of Jesus." She also s ·o> • ,.
overwhelming." She mentioned abou

� Au/,,, {)
F �-----.-i-------=-,PSYCHIATR1C ASSESSMEN1
o,raw,

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WSH 23-61 (Rev. 10/00), PMS- Blue Page 1 of2 BIB


Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 49 of 65
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 50 of 65
- ... .... ... -- - ..
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 51 of 65

IN 1 ATE OF WASHINGTON
�ierce

01 6 :'10742 4
IN THE MATTER 0 NO. ___________
NOTICE & ORDER FIXING TIME

�(UIT&. OF HEARING PETITION FOR


INVOLUNTARY TREATMENT

Upon the petiti �aunty duly filed herein, a hearing will be con-

ducted for the following purpose:

14 Dav Involuntary Treatme�

90 Day Involuntary Treatment 0


180 Day Involuntary Treatment 0
Other _________

4,
-----, the __<;;;"�
It is ordered that --�------------ ____...,
20 at 9 o'clock in the A.M., has b�n fixed for hearing on said Petition at:

:.::o:::.H::�'.:� �

Veterans Hospital D
Other _________

Dated this�- day of


� VJC:::::::: 20..Qf.

TED RUTT,
Piefce County Cieri<


Attomey for Respondent
Z-1279
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 52 of 65

DKT. #62 p. 3
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 53 of 65
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 54 of 65
Western asylum Mandatory Forced Drug lnjeLs and required to ingest: 2001
Date Drugs Dosage Time 2-Jul 3-Jul 4-Jul 5-Jul
Ativan IM 2 mg CMF 1:25AM
2 mg 7:30AM
Ativan - now, then four-

times-a-day IM 1 mg 8 9:35AM X X X
12 2:15 PM X X X
4 X X X
8 X X X
(
Olanzapine - HS 20 mg X X X

Depakene - twice-a-day 500 mg 9:35AM


1000 mg 8:00AM X X X
DKT. #62 p. 18

1000 mg 8:00 PM X X X

Table 1: Western asylum 2001 (VA stated they did not take 72-hour holds)
ALL Drugs were prescribed on July 2. The discontinuance date wasAugust 2, excludingAtivan 2mg and Depakene 500mg. No informed cc
RIGHT to REFUSE-DENIED and prior to Court.

Western Drugs Administered


Date Drugs in 24 hours Abbrev. Term CAROLYN SIOUX GREEN
2-Jul 8 mgAtivan BID Twice-a-day PO BOX 2494, Scottsdale, AZ 85252

20 mg Olanzapine HS At bedtime ©CANDIDCAROLYN®
500 mg Depakene IM Injection -forced Court of Appeals Case No. 557908
1000 mg Depakene OID Four-times-a-day PIERCE COUNTY Case No. 01-6-00742-4
Date Drugs in 24 hours Started here: THURSTON COUNTY Case No. 01-6-97-6 ��
3-Jul 4 mgAtivan
20 mg Olanzapine Drugs on July 2 were administered in 18hrs and 35min.
2000 mg Depakene Forced injected 2mgAtivan @ 1:25AM 07/02/01
Date Drugs in 24 hours No physical ailments tests were performed.
4-Jul 4 mgAtivan Force injected and required to ingest drugs without a Court order. There was No Petition filied,
20 mg Olanzapine drugged Prior to Court Hearings and Filings, unlawfully sanctioned by Superior Court of Pierce
r
°'
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 55 of 65

2000 mg Depakene County, for a physical injury. °'


Date Drugs in 24 hours
5-Jul 2 mgAtivan Transferred toAMLK VA in a drugged stupor with brain-damage. e
1000 mg Depakene And still left severly Physically injured.
"-'--''"'Case
": \..ase w1..'..l be discussed in creatment t:eam08/26/22
tomorrow Page
and a56treatment
2:21-cv-01276-RAJ Document 230-1 Filed � of 65
plan will be developed.
Patient will be put on antidepressants.
Medication education anci education regarding che illness will be given.
Patient will be referred for medical follow up.
She will receive supportive psychotherapy and activity therapy.
She will be encouraged to participate in groups, once her condition
.:.rnproves
Tentative plan for discharge 2 weeks. Plan is to iniciate petition for
.xt ension of commitment because of the noncompliance of this patient.

/es/ NANDAN p KUMAR MD


M:) �
Signeci.:�/2001 15: 54 )
I

LOCAL TITLE: MENTAL HEALTH MEDICAL


STANDARD TITLE: MENTAL HEALTH NOTE
DATE OF NOTE: JUL 05, 2001@15:55
AUTHOR: MEZS,MAR � TOM E
URGENCY:

ADMISSION H&P (READMISSION W

This is a 39 y/o female vet


discharge) in-pc on this ware.

Med Hx:

1. h/o fibromyalgia, chronic w/ intermittent sx's


2. Right hip pain, chronic & episodic
3. Nicotine add1.ct1.on

ROS:
Pt denies any illicit drug use since her previous aamiss1.on. She denies
any HIV risks and denies sexual activity; denies pregnancy. LMP: 1 week
ago. Smoking minimal amt's and indicates she had not smoked for 3 days and
is trying to quit. Only med/phys issue noted: 'tooth problem'. Denies
pair., bleeding, recent trauma, etc.

O: VSS, afebrile, appears sedated/lethargic, but cooperative, NAO.


HEENT: HEAD: AT/NC, no lesions noted. EARS: Normal. EYES:
PERRL, EOMI, anicteric sclera. MOUTH/TEETH: Moist muscosa, good dentition
except �or? minor fracture of L lower molar (pt c/o tooth 'catching on
things'). No lesions, gag intact.
LUNGS: CTA throughout.
COR: RRR, nl Sl/S2 w/o m,r,g.
SKIN: Scattered minor superficial scratches especially on lower
extremities ('I ran through some bushes ... '), no evidence of infection.
Ecchymotic areas on� volar forearm and on knees. W&D, otherwise.
NEURO: CN 2-12 intact; sensory: iGtact to light touch; no
hand tremors; strength: 2+/5+ UE/LE and=; DTR's 3+ patellar, 2+ JE's;
Romberg: equivocal; tandem: very unsteady (& d/c'd after a few steps due
to fear of falling).

IMPRESSION:

PATIENT NAME AND ADDRESS (Mechanical Imprinting, if available) VISTA Electronic Medical Documentation
GREEN,CAROL YN S Printed at Seattl< �/�

(//r Page 23
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 57 of 65

2001 VA Puget Sound-American Lake Mandatory Unlawful Forced Drugging


Date Drugs Dosage Time Given
VA 1
12-Jun / 26-Jun Olanzapine/ Zyprexa 2.5 bedtime
Depokote 250 mg BID
Ativan 1 mg PRN
Zero to 60mg Paxil 60 mg 30mg AM/ PM

VA2
5-Jul Lorazapam/Ativan 1 mg every 4 hours/ PRN
VA
plus Western: (Depakene
1000 mg + Ativan 2mg)
Olanzapine/ Zyprexa 5 mg bedtime

Tramadol 25 mg bedtime
Trazodone 100 mg bedtime
Divalproex EC 250 mg BID
Paxil/paroxetine 60 mg bedtime
6-Jul Lorazapam/Ativan 1 mg every 4 hours/ PRN DKT. #62 p. 51
Olanzapine/ Zyprexa 5 mg bedtime
Tramadol 25 mg bedtime
Trazodone 100 mg bedtime
Divalproex 250 mg BID
Paxil/paroxetine 60 mg bedtime
10-Jul / 17-Jul Lorazapam/Ativan 1 mg every 4 hours/ PRN
trippled dose on Olanzapine/ Zyprexa 7.5 mg AM J ul 10@0959
court petition day Olanzapine/ Zyprexa 7.5 mg PM
Tramadol 100-50 mg every 6 hours
Trazodone 50 mg bedtime
Divalproex DC 250 mg BID
Paxil/paroxetine 60 mg bedtime
Note Depakote 500 mg doubled J ul 13@22:01

VA created a Standing "Trifluoperazine INJ, 2 mg BID prn to be given if patient refuses


Order for fcreed Olanzapine."(in which O/azapine, a potent antipsychotic was trippled
injections: 10Ju/@ 07/10@ 09:59. VA Petitioned Court for 90-day, premeditated, and with
10:00, then enforced it. prejudice. "Ideal")
12-Jul Paxil (increase ) 70 mg split dose AM/PM
18-Jul / 27-Jul Lorazapam/Ativan 1 mg every 4 hours/ PRN
Olanzapine/ Zyprexa 5 mg AM

VA
Olanzapine/ Zyprexa 10 mg PM
Tramadol 25 mg every 6 hours
Trazodone 50 mg bedtime
Divalproex DC 500 mg BID
Paxil/paroxetine 60 mg bedtime
Aluminum/Magnesium 30cc every 2 I'
Hydroxide not to exceed 4 doses
Magnessium Hydroxide 30cc bedti
Acetaminophen 650 mg Q4H/
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 58 of 65

X ______________________
DKT. #62 p. 148
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 59 of 65
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 60 of 65

Case 2:21-cv-01276-RAJ-DWC Document 156-1 Filed 04/01/22 Page 1 of 6


'Therapeutic Duplication' Summary WARNINGS! 2001

According to each establishments own records (verified):

11 different Central Nervous System (CNS) drugs,


9 different Psychotropic agents,
4 different anti-convulsant agents,
3 different anti-psychotics, (Droperidol made it 4)
3 different Tranquilizers,
3 different Benzodiazepines,
2 different Valproate anticonvulsant agents,
2 different benzodiazepine anticonvulsant agents,
2 Stirn ulant and hyperosmotic laxatives
2 different Antidepressants
1 Hypnotic,
(NO PAIN MEDS).

That is what Pharmaceutical Rape looks like.

Pharmaceutical rape involves suffering physical, emotional, mental, social, and


spiritual damage at the hands of those holding power who deny any wrongdoing and
remain free to do the same to others. 1

ALL before someone finally actually listened to me during the last onslaught of this
40-day horrific nightmare where I was force injected drugs, nearly to death, and with
cruel and unusual punishment. And I walked out with a WALKING CANE 960 hours
later,, of which I had to ask forn A walking cane is not a drug; it is used to help people
walk with stability.

Competen cy is a legal term. It is not a medical term, and therefore, it is NOT the
doctors right to determine. It is the Courts.

Eligible to be released in 12 hours, turned into 960 hours, that turned into 18 years
to recover mostly from this forced treatment.

Reference: "Pha rma ceutical Rape." Dr David Hea ly. Februa ry 16, 2015. Accessed 2018.
https://davidhealy.erg/pbarmaceutical-rape/.

300 Court Order days: (50-days illegal held)


without an interview,
Carolyn Sioux-Green without legal counsel,
without a right to refuse,
without seeing a neutral part,
nearly force drugged to death against my will and all my rights.
With criminal mistreatment. 06/28/22 csx
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 61 of 65
Case 2:21-cv-01276-RAJ-DWC Document 214 Filed 06/22/22 Page 23 of 27

Consult: Request
Page ·1 7/zs
------------�-------
C'u1Tent PC.' Pn"lv i dcr: ROVL8,L008BN J ND
Cui i·r;-nr PC Te��rn: REP .. 1•10MGN • .s tmAL'J'!-1
cur�ent P�t. Status: Outputicnt.
Pi:i tn::l r:y BJ.i gi b.i l i. r y: SERVICE CONNE("l'T-:0

Or:de:r Infonn.::11: ion


To Se:rvice: RC!, AM l,J< PT INP1.'
FlOln ,H:rv.ice: '/B (AL)
Rt!Cfnei1t ·i nq Pnw .i.der: MBZS, MAP.19 1'C>M
Servic� is tc, be rendet:,,,d on dl1 LNP/.\Tl&:NT bai:;ii,
P.lace: (;OL1>1Ultaflt 'l.i choice
U1:gency: Rout irn�
or.-,.1<,rable Jtem: RC:S AM Ll< PT U.fPT
Conti ult: Consult Requent.
Prouisi.onal Dingnosis: Hip Poin
P.ec1G•�•tt For Heque:::t:
B )'<) i'IHI'I'8, N•'l' OF HISPANTC OlUGTN f•'GMALE r�fer.1:,-,d for: ThJ•; ·1:; y/n
fPmal.:-, vt,i- ha>::1 a h/o st'?.nricf'! c<;,1;necled inJu1:y (a 'fall') ;;i1Fl 11,11:: crir:c,nlr·
l-1 hip pa.i.11 . .She llc.; i,.,q•.ieet:i.ng a cc1nP for help w/ ambuici.tion (:-,o pT<•vi.uu,·;
il/o cd!lf'' 111.,e) , Would you pls assess he1: for need of a c:an.e? T!F\:li-s. yo11,
I,
l :·,:;,� i: - Cac.i. l. 1 t. y .1.nf.orm,,.1.. i.cm
'1'\1ir, in not an i.nter-Ccicili.ry consult request.

s�:atus: COMPLETE
t,,11::,t. Action: C0MPLETE/VPDA'i'B

Facility
Act j vity n,, l: e:/'1' irne/ Zone Rcsponmible Per�cn Bnt�re� By

Cf.'R8 RF.l.,.P.ASEP ORDER 07/2'.'i/Ol l!j :4!i MEZS,MARJS TOM M�'.?.S, Mi:IJt!S TOM
PRINTED TO PMRS09-12 07/"25/01 15:45 MEgs, M.AlUS 'f'OM
07/27/01 lt5:07
J
INCOMPLl�' 'B RP'T' PANCY, Lii-!D.Z>. J P.a.NCY, L HJDA d
�ot e# 37'J4384
.
COMPLE'IE/lJPD.A.TE 0'1 I Jo Io l o8 : 3o FJ�CY, L INOA ,l SCARONf,MJCHAL::L 1,
Not:eli J'7H3fl4

Note: TIM£ ZONI:.: 1 s J oc:a.l. if not ind i ce1ted

TITLE: IMAGING CONSULT R�'.PORT


D:'\Tr: OP NOTE, �Il/L 27, 2QOHH6:04 ENTIIY DAT£: JtJI� 27, 2001,,;li;i·O•t:20
AUTRCR: FANCY,LINDA J EXP COSIGN£!<: /aCARONI, MICHAEL l.,
URGENCY: STATUS: COMP[,E'rlm

Pl wa�; .r:eff�1-i:ed t.o P'f for au .i,;nue ol' a .SPC Pt d,�mon��::.ral:t'Ll �;ah� ,,mb •n
0ven au1 face Nnd RLMirs.

......
f'ATIENT NAME /\NO ADDRESS {Mecll•nt.::,I 1m1utot111g, if .av�llablc} VISTA Electronic Medical 00CUITIP.11t;:ition
•:iRl3BN, CAlWLHf i'
Sw:,,::,tift,··•.:�--- "� .•.,.... ...,.
HM....ii& JI Printed at AMERICAN LAKE (V Mt6y-�-�- ''* ,., •>1fr,. .

, ._ �
tt,,
µ:..., .,�
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 62 of 65
Case 2:21-cv-01276-RAJ-DWC Document 214 Filed 06/22/22 Page 24 of 27
Progress Notes Printed On Mar 30, 2018
LOCAL TITLE: RHEUMATOLOGY/ARTHRITIS NOTE DICTATED
STANDARD TITLE: RHEUMATOLOGY NOTE
DATE OF NOTE: JUN 28, 2000@18:48 ENTRY DATE: JUN 29, 2000@12:21:15

See DKT #84


AUTHOR: PAXSON,CHARLES S EXP COSIGNER:
URGENCY: STATUS: COMPLETED

Ms. Carolyn Becker is a 38-year-old lady sent by Robert Weeks, for


evaluation of chronic right back, buttock, and leg pain. She injured
herself while on active duty in the Coast G uard slipping down a ladder and
bouncing three or four times hard on her right buttock before landing on
the floor. She described developing a large hematoma on the right buttock
with numbness and weakness in the right leg that lasted some months.
Precise details of that disability and how long it lasted were not
elicited on this rather short visit. She did regain nearly full function
in the leg, except for the pains which will now be described and the
dysesthesias in the foot. Since that time she has had chronic pain in the
low back and about the right buttock, pretty much centered when she fell.
She has discomfort in that area which is intensified by standing on one
leg and it is intensified by any unusual activity on her feet such as
prolonged walk. It has essentially stopped her many physical activities.
Precise description of pain behavior at night and during the day were not
sought today. What she describes is occasional tense worsening of the
pain in the right hemipelvis area with intensification of lumbosacral pain
at the same time. During these episodes she has a feeling that as if her
right hip is "up" and out of the socket. She states that she and her
husband in experiencing with home therapy on this discovered that it was
sometimes helpful to pull sharply on the right leg causing a pop in the
hip area and then a relaxation of pain. She has seen a number of
physicians, but mostly in the community, Mr. Mark Thomske, physiatrist
techniques. Dr. Thomske notes indicate she had both a piriformis syndrome
and a right a iliac upslip and numerous other lumbopelvic dysfunctions'
that he has treated by manual means on different visits.

The patient relates that she has trouble with her right foot. There is a
persistent patch of numbness on the dorsum of the foot and an intermittent
patch of numbness on the sole. She finds that she is always sensitive to
the application of a shoe in the morning and some days she can put no
pressure on the foot without getting intense tingling. Other days she can
put on a shoe that is relatively confining after a time. The foot
tingling clearly worsens with time on her feet and time walking.
Associated with the foot tingling is a sense of deep pressure in the calf.
When this occurs she finds that she gets relief from a deep tissue massage
in the calf and thigh. Occasionally she will get intense pain down the
lateral aspect of the thigh and this responds to massage as well. She has
frequent pain in the lateral right hip and does not like to sleep on that
side. This has never been treated directly except by massage and physical
therapy. Low back pain is constantly present but not a major issue until
she feels the hip is out. The hip seems to develop this malfunction at
times for no apparent reason. At times she has had to treat the hip once
every two or three weeks at home. She has never worn a belt to try to
PATIENT NAME AND ADDRESS (Mechanical Imprinting, if available) VISTA Electronic Medical Documentation
GREEN,CAROLYN S Printed at Seattle
10425 BUTTE DR SW
LAKEWOOD, WASHINGTON 98498
1962

Page 1
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 63 of 65
Case 2:21-cv-01276-RAJ-DWC Document 214 Filed 06/22/22 Page 25 of 27
Progress Notes Printed On Mar 30, 2018
hold the iliac wings together. In part, this maybe because she does not
like any pressure there from any tight waistband from any sort, and claims
that she frequently spares underwear because of that.
See DKT #84
PHYSICAL EXAMINATION: This is limited today again because of time
constraints. The patient is animated and moves about quite a bit in her
chair during her interview. In standing position she appears to be in no
acute distress. Posture is normal. The lumbar lordosis is somewhat flat.
The lumbar muscles are somewhat restricted from the mid thoracic spine to
about L2. The restriction seems to be muscular in origin. The pelvis is
level. Stork test is negative on both sides. Lumbar range of motion,
extension 20 degrees with pain reported in the lumbosacral junction. Left
side bending 30 degrees, smooth curve, right side bending 30 degrees
smooth curve. Forward bending can be carried out until the hands are
fully on the floor with no abnormal motion of the sacrolilac joints and
smooth recovery. Muscle strength testing reveals that she can do a
partial knee bend on both sides, when given balanced assist. She
can rise up on the toe three times repetitively with balance assist on
that side. At seated position, straight leg test goes beyond 90 degrees
easily on both sides. Muscle strength testing of lower extremities is
normal. Isometric testing of hip muscle function including abduction,
flexion, and adduction all cause pain essentially in the right pelvis area
both in front and in back and in deep. In recumbent position, straight
leg test on the right becomes tight at about 100 degrees and on the left
is carried to 120 degrees. Hip range of motion on the right: External
rotation 80 degrees, internal rotation about 40 degrees with pain in the
posterior hip. Same range on the left with no pain. Stress testing
(through the femur) of the SI joint on the right yields moderate pain in
the posterior hip area and none on the left. In side-lying position there
is moderate tenderness about the very top of the trochanter, the very
anterior superior corner of the trochanter along the leading edge of the
tensor fasciae latae at the anterior margin of the trochanter and to a
lesser degree at the posterolateral corner of the trochanter. Trigger
points in the buttock muscles are not prominent. In prone position, there
is no upslip. The sacrum is symmetrical. There is moderate tenderness of
the right ischial tuberosity on the right inferolateral angle and to a
lesser degree along the sacral iliac margin. There is marked tenderness
at the L5-Sl interspace and the L4-5 interspace. During pressure on the
ILA, the patient reports numbness in the foot that is quite intense.

IMPRESSION: Widespread pain syndrome involving the right lower extremity.


This does not conform to a unitary diagnosis with a reliable indication of
what tissue may have been injured. It is possible that this is like a
ligamentous injury that accounts for some of the dysesthesias, primarily
at the sacral tuberous complex on the right.

The nerve sensitivity in the foot, however, may have some other cause.
The foot needs to be more carefully examined neurologically. At present
there is no evidence of pelvic girdle dysfunction of the osteopathic type.

PATIENT NAME AND ADDRESS (Mechanical Imprinting, if available) VISTA Electronic Medical Documentation
GREEN,CAROLYN S Printed at Seattle
10425 BUTTE DR SW
WASHINGTON 98498
962

Page2
Case 2:21-cv-01276-RAJ Document 230-1 Filed 08/26/22 Page 64 of 65
Case 2:21-cv-01276-RAJ-DWC Document 214 Filed 06/22/22 Page 26 of 27
Progress Notes Printed On Mar 30, 2018
RECOMMENDATION: Local injection with Marcaine to the inferior lateral
angle, the ischial tuberosity, and perhaps the interspinous ligament to
see if there is any change in her pain complex. Since she has a PTSD
problem with sexual trauma issues, a female chaperone will be required.
She will be rescheduled for this visit. She is told that there is no
guarantee that this will be the answer to her problem and that it may just
be another wasted visit but that it is probably worth a try.

See DKT #84


BC5971/57018/CP
JAB/PSI
RPT: 43326

/es/ CHARLES S PAXSON


associate chief PSM&S
Signed: 07/13/2000 09:44

PATIENT NAME AND ADDRESS (Mechanical Imprinting, if available) VISTA Electronic Medical Documentation
GREEN,CAROLYN S Printed at Seattle
10425 BUTTE DR SW
WASHINGTON 98498
962

Page 3
---------------
Case
Case
ABBREVIATED2:21-cv-01276-RAJ-DWC
2:21-cv-01276-RAJ Document
LIMITED DUT):"MEDICALDocument
230-1
BOARD 214Filed
Filed
REPORT 08/26/22
06/22/22
.�, Page
Page6527
of of
6527
-----------------/ ,_.

Date: ?..D¥7f Name:______,__=�=0- /0 __


_____l i_...,..__-"----- Rate/Rani< __ SSN_____ XXXX
(Last, First, M.I.)

Parent Command__.U
....�=C.:.-"
G-
___
(.....
___._IY{
-'---t!...----"-/_/__ ".'.] _________ Phone
o __._
�J 2.1 ?-/,}..';lJI (jJ! C. 7C>· I U o/
2.C(;.

NEC/MOS ----
(Duty)
------------
(Home)
(1) (!_ � ...I
,<; ,h ,_,, •. _s4.A,'7 IC D-9-CM

(2) 0�p e?'.:-,.,ar-: L Ce/\4.z,.... /L,qw b.,...., l � $,�D-9-CM -----------


t • Circumstances of Injury/Illness:

"'"""""""--'-,1'-l..,..-.....
/... y_.,:,.._._t_,_1-..,a...l_.._f:_k
Treatment Plan: __.f__.
1
ll.....:c_:$_if
____ ,--.-AJ,
Z:,_Q�1 ._._....·:::----....-..
;_121- __.-....-L
.......-.r/2 ...·_�
____........o.-_J_______

Period of Limited Duty: _ __..6...______ months


Additional Documentation: () SF-539; () Narrative Summary;

() Qther

· -Z..'13 'Y IC�{


Physician's name and signature

PATIENT ADMINISTRATION ENDORSEMENT

Line of Duty determination required? () yes/no (). Has one been requested? () yes/no (). Member entered into tracking system
__________ (date).

This report has been reviewed and discussed with the member. Full medical board is not required. The member has been instructed to report to

See DKT #61, DKT #64


the Personnel Support Detachment to be made available for orders.

Patient Admin Officer name and signature

PARENT COMMAND ENDORSEMENT


The member is presently assigned duties as
and can/cannot be usefullyemployed at this command considering themedical restriction of activity. A line of duty determination is/is not
required and has/has not been made.
Comments: _____________________________________________

Name and signature of Commanding


Officer or designee

PSD ENDORSEMENT

Member's current PRO is _____ ____ . Member has been made available for orders this date

PRO is readjusted to _ _________ . Member must be scheduled for reevaluation appointment no later than ______,

Name and signature of PS D representative

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