MEDICATIONS NEEDED VS THE BOP FORMULARY; REQUIRES A COMPREHENSIVE PSR
Preparing for the Presentence Interview should begin ASAP, and this comes from Federal Judge Robert N. Scola:
Judge Scola suggested that lawyers took a page out of the book from our death penalty colleagues and advised, “Don’t wait to think about sentencing advocacy,” since 99 percent of federal criminal clients will be facing sentencing, start preparing the case for sentencing early on.
I. The BOP Formulary (all generic) is provided either:
On-Formulary: as long as it is included in your Presentence Report (PSR), it should be provided immediately.
II. Non-Formulary: If the medications are on this list, they will Not Be Available. But if the treating provider goes through every medication that is On-Formulary, with their treating records documenting why, drug-by-drug, each medication that has been tried was unsuccessful, or for another reason of equal importance.
III. Therapeutic Equivalent Substitution: a drug that is therapeutically equivalent to, but chemically different from, the drug originally prescribed by a physician.
IV. Not Available. The Caveat is that many Judges believe that BOP covers all aspects of the required 2023- 2024 bop leadership- attorneys – director of medical care. Unfortunately, following COVID-19, cracks were evident in this theory. How?
1) It’s great to have excellent Policies and Procedures, but they only work if followed.
2) Staffing shortages cause medical care delays and sometimes fail to provide that needed care.
3) Medical Second Opinions can take up to 36 months if allowed, but Clinical Directors are not obligated Judge says conditions too ‘dreadful’ 3-21-24 (5-2022_ winter_formulary_part_1, Page 4: #5) to follow their specialist’s recommendations.
4) The BOP will ignore a judge if they order treatment or medication. If there are issues, (5-2022_ winter_formulary_part_1, Page 4: #9) suggests contacting the appropriate BOP Regional Directors, up to the Director. The BOP Regional Attorneys.
The disconnect to me is that the BOP Hierarchy is best contacted before a medical emergency.
240.888.7778
Dr. Blatstein (Marc)
Physician Presentence Report Service (PPRSUS.com)
• Sentence Mitigation
• Humanizing Yourself To The Court
• The Narrative, Release Plan, Allocution
• Expectations of Daily Life in Prison, The Do’s and Don’ts
While studying there, he started the “Pink Panther Bartenders” along with his brother and two of his classmates to help with some of the costs of higher education. At one point, he was grateful to be asked to participate in a Gala for the Cleveland Opera, to which he agreed.
In the end, though, the peace of sailing is where I have spent most of my time.
standing first thing in the morning. While the pain initially is excruciating, with ambulating, the pain may subside, only to come back again with a vengeance after sitting and then immediately returning after standing up again.
padding & taping of the foot in a supportive nature, taking oral anti-inflammatory medications, immobilization of the foot in a walking cast, physical therapy as well as implementing specific stretching exercises. Should additional treatment be necessary, cortisone injections and orthopedic functional foot orthotics may be prescribed. Should any or all of these treatments fail, and after a detailed review of X-rays and lab results with your physician, surgical intervention may be considered, and according to Dr. Marc Blatstein, it is very effective. Here, an Endoscopic Plantar Fasciotomy is one (of many) of the procedures that could be recommended. A plan is formed between you and your doctor for a successful outcome meant to add a full and enjoyable life to your years.
the Posterior Tibial Nerve. Dr. Marc Blatstein, a Podiatric Surgeon, explained that Tarsal Tunnel Syndrome occurs over time as the nerve becomes inflamed, resulting in symptoms such as burning, electric shocks, and tingling, as well as a shooting type of pain. Other factors that Dr. Marc Blatstein has found factors contributing to Tarsal Tunnel Syndrome come from either an overly pronated foot, which puts a stretch on the nerve, pressure on the nerve from soft tissue masses such as ganglions, fibromas, or lipomas that physically compress the nerve, as well as other insults to the nerve.
abnormal pronation of the foot [which is accomplished with prescription functional foot orthotics]. Along with this, oral anti-inflammatory medications, vitamin B supplements, &/or steroids may provide some benefit but are rarely curative. Should a soft tissue mass compress the nerve, surgical removal of the mass may be necessary. Surgical correction of Tarsal Tunnel Syndrome has a good chance of success; at the same time, the overpronation of the foot still needs to be followed with functional foot orthotics.
impossible to straighten the rigid toe without surgery. Because most of us wear enclosed shoe gear, the pressure caused by the shoe gear we wear causes the toes to become painful. On top of this, pressure forms hard corn, while on the bottom of the foot, the toe pushes the metatarsal bone down, forming a callus under the metatarsal head. Treatment of hammertoes can be approached in many ways. Dr. Marc Blatstein recommends a combination of appropriate shoe gear and a functional orthotic prescribed as a shoe insert to help the hammertoes from progressing or worsening. In the very initial stages, while the toe is still flexible, it can 
be tapped into its corrected position, utilizing a functional orthotic. This conservative treatment also consists of hammertoe and buttress pads, all available over the counter, and open-toe shoes.
