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HEALTH SERVICES -FPC DULUTH

SICK-CALL APPOINTMENT REQUEST

Name: ^ ) ^ J ^ -^ fUDit :

Case Mana-ger :

?-^ l^ i'ft f^ i Number :.

- Work: ^ /^ ^ C€^ Date: V" '£7W • SQ

State your medica l problem (may wr ite, on back of th is page as needed).

'5 ^ ^ /^ ^ ^ v/y /-';1Problem: 'CvV fcffrTlf

n^ ^ { /^ /J T ^ ////^ ^ ^ i/ /< <^ ^ 7^ ^ _^ ^When did it sta r t?: /),^ /} ^ t£.S ^ ^ / ^ /^ ^ //^ ^ &

^

Symptoms: ^ • e-.^'iysy

Taken to t rea t symptoms:

PAIN ASSESSMENT SCALE (circle number m fir st column)

PAIN LEVEL

0

1-2

3-4

<^ }7-8

9-10

WBAT THE NUMBERS MEAN

You feel no pa in .

YQU feel very mild pa in and a re on ly aware of it when you focus on it .

The pa in is tolerable and can be ignored. You a re able to cont inue normal act ivit ies.

The pa in is dist ressfu l, causing difficu lty car rying out some normal act ivit ies.

The pa in is severe, h indenng concent ra t ion and ability to car ry ou t a ll bu t simple act ivit ies.

The pa in is disabling, not a llowing you to focus on anyth ing but the discomfor t .

When did the pa in begin? Has pa in got ten bet ter , worse, or stayed the same?

Do you take aay medica t ijpns? /y/i//^ ' C^ '-.SV -//^ ^ ^ //^ ff€f^ ,S\ A^ /n / ^ S^ ^ /f^ w ^ 4-9 r ff OF//" /f'^ a^ ^ i^ ^

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VITALS:

Temp:.

02%:

Hear t Ra te: BP://f//^ Respira t ions:.

Peak F lows (Asthma):.

Weighty

Sugar (Diabet ics):

Tr iaged. Schedule ou t 0 See now by:

If you feel tha t you have an urgent MEDICAL issue ask a cor rect iona l officer or work supervisor to ca ll Hea lth Services

to request an urgent appoin tment . DO NOT COME TO HEALTH SERVICES UNLESS YOU HAVE AN

APPOINTMBNT OR ARE PAGED ON THE INTERCOM. Do not knock on doors seeking appoin tment igibrmat ioi

You will be ou t of bounds and told to leave. Send an elect ron ic cop-out via Tru lincs if you have quest ions./ (STX ft " ^Case 1:17-cr-00160-WCG Filed 05/11/20 Page 1 of 10 Document 158-1

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^ t21>f^ ' ^ /^

Bur&Liilfcdf Pr isonsA" ~ - ~srSfl'r^

^ 1-j^ a lth Services

^ ;,,Ml^ ica l Duty Sta tusReg #: 15653-089 "^ ,. J ltmate Name: VANDEN HEUVEL, RONALD H

the living quar tersfexeg'pt _meals _pill

on complete bed rest : "AK^ ,.'• "ba throom pr ivileges on ly

Exp.

Exp. Date: /f^ ^ j'A.M^cell on fir sfflobt i ''• ' single cell X lower bunk a irborne in fect ion isola t ion Exp. Date: <}Q'^ 2^ 1ZQ20

V''; /'i: • "a liS .-St .

X cell:.,"3^ . *lA-. J ' . _'..__"%_ &,fff'.

X other : can weaf"'owh1:pUrchased tennis shoes (includes old pa ir of diabet ic soft shoe) Exp. Date:;),, '^ p1'')f:T3/2021

a ll spor t s /i^ Exp:"Date:B ''''• :

welght lifpg: upper body . lower body ^ iH^ ^ i.'Da te:;;p%. ..r i" ~ • —''' • ' — • ^ ' ''• '>, ";!lil.'"' •

^ cardiovascula r exercise: _running _jogging _walking '_softba ll ..^ i'!'';iE 'xp. Date:-W;6;^ ^ ^ , ^ "^

footba ll basketba ll handba ll sta t ionary equipme_nt

other : ;;i'''i:. Exp. Date:

"i£ '",1^

Equipment _ Sta r t J Bate'y End Date Return Date

'>{t£!)W2020^ '^ Aft 1)2^ 23/2019

^ >9wy«€^ g^ :? 12/23/2019

"% 12/13/2019

lowerProteet jon Bag, Leg

\ . Wheelcha ir

Hear ing Aid-L

Hear ing Aid-1

ferna te inst itu t iona l Shoes

Diabet ic pefmposite Toe Shoes

leter

Ser ia l# EL241180 issued .9/3/19 ^ ^ /.-*fA 'y

Cleared for Food Service: jj^ _2^ fRg.st r ict t^ n~~~~~~~~---?W-.it if ,1^

02/03^ 6^"%J '%.w

03/31/2020

02/06/2020

01/13/2020

"fe. .'^• & ''9)>. ^ • '

&,v 08/26/2019

Medica l Convalescenc@,.,r t i;pt5i.^}'^ . '

Vp:Comments: cace'l§.\ (el3-toe

-• WSQseS

J leteraaDr-AehteyFN P-BC 0210412Q^ fQ^,EMf€V.Health Se;R/?fSjMf

:^ s%,^ y'Inmate !^ ofrwfj: " VANDEN HEUVEL, RONALD H Reg #: 15653-089 _ QuaT^ ^ %^ Q2

r "iii?§:lv^

tif-;"

ALK^ IRATION DATES ARE AT 24:00"yv<^ jfs^

^

'-(j. l&t ;^ "

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• ^ .'%.,'"..;iw:'

%yT;-.;w ' ii';

Genera ted 02/04/2020 07:55 by Peterson , Ashley FNP-BC Kureau;o{ Pr isons - DTH 1 of1

^ EX'^Case 1:17-cr-00160-WCG Filed 05/11/20 Page 6 of 10 Document 158-1

.,wif£%)N^ ^ 'Burc^ y3| cr f Pr isons

$tes<a lfR Services<w^^^ MlNica l Duty Sta tus

Reg #: 15653-089 %^ J lmate Name:A v^ <v'1'

VANDEN HEUVEL, RONALD H

confined to the living qua^ r^ y@pt _meals _pill line __t rea tments Exp, Date:_^ %!?^

_j%z^ _,/

on complete bed rest : • ^ %^ ^ pbathroom pr ivileges on ly

^ K cell: cell on fir sfpo%<;'i> single cell X lower bunk a irborne in fect ion isola t ion Exp. Date: ^ g'| %2%®6201ft . !t} — . " ! — . —

Exp. Date:.

other :^^ ^ s^ V

• -^ .W -«yExp. Dato^ ,, ''^ ,

a ll spcir t s ,^ h"..y,^ /'s

^ niit tmg: _upper body _lower body«A '%ut i;?I^ .^ M

• &>. .'%

;-^ J^ y/*' .'if;> '''^ i'^

_^ cSlrdia '/ascu la r exercise: _running _jogging _yva lking _softba ll^ ^ ^ ^ . ' ". . . „ '" *?'<(i?>\ • ' fnn tha ll haRlcstha ll har ir lh ft

^ • "ii^ ]!l!K. '<%l

other :

footba ll basketba ll har idba ll sta t ionary e^ yj.).jfffipt%!h

_.A__!_

,fSxp. Date:

Exp. Date:'VS:.ilw^ ^ nF?1fcy l^ A^ Llf^ ^ ^ t^ J iAiikVli^ 'LVi^ l^ l-tL^ J 't^ Lt L^ ^ E^ LtL-t -L;^ ^ 'L^ £_5.K^ \ l^ :i+^ i*^ ^ ^ ^ t j?.1.^ 1n(ilj^ J - ^ aV^ LiJ LlJ ^ .^ LlV^ -^ tT^ TT/^ ''3ih ''t ^ }f^ ?'_^ 1??_t^ f^ ^ ^ s^ ^ A1'UAl'i6^ 1^ ^ ^ 'i^ fcllUry^ ^ '<^ -l/^ AJ t^ ^ L/t^ *ft \ ^ Vt^ ?^F? \ _~~7 ——.—.--.-— ——-_-.____-__-_,._-__..._„-..-..-..-..-^ ^ ^

Equipment ' . ,. Sta r t liaeitp^":::^ ~"~s.

• • t®.a tei;Isy End Date . Return Date

Alterna te Inst itu t iona l Shoes

diabet ic soft shoes i?S^e%^ ~

No Work RequirJ ng-:SaTeySteee^

.Comment^ : ca re level 3 / • 6y./i

Expira t ion Date04/24/2020

%ice, BeoUpTiNviito? / /E"1'-. • f''r ?fT-:$t !n l&!ili 1. i04/24/2019

-r—v '^ - - . ?^ - • • • • Date-

• ;1-' . •

Inmate Name: ;VANDE?HE8.?'E , RONALD H _ Reg #: 15653-089 ;'Quar ters: 003/'%^ .^ /^ .s\ - - - "~~^ ' \ -] ' ^ ' T"""

ALL EXPIRATION DAS^ S/AT 24:00'*Wfv"s^ ~~^ ' ^ ^ ~ ^ •

*%1.-^ ,__ ,. , ,^ —^ -

4

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Genera ted

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wv'^04/24/2019 09:19 by Rice, Benjamin MD, CD BJ ;i^ %,f,(?r isons - DTH

,<i> wj^ s'<" I '''• /y% ': •"'W st ,'

P ,aoe1 of 1

OG 6)Case 1:17-cr-00160-WCG Filed 05/11/20 Page 7 of 10 Document 158-1

U.S. Depar tment of J ust ice

Federa l Bureau of Pr isons

Federa l Pr ison Camp

0

Duluth , MN 55814

Apr il 9, 2020

MEMORANDUM FOR VANDEN HEUVEL, RONALDReg. No. 15653-089

^ ^ MFROM: B. Bfikholz, Warden

SUBJ ECT; Reduct ion In Sentence (RIS) Request

You requested a Reduct ion In Sentence <,i<IS) based on concerns about COVID-19.After ca refu l considera t ion , your request is den ied.

Tit le 18 of the United Sta tes Code, sect ion 3582(c)(1)(A), a llows a sen tencing cour t , onmot ion of the Director of the BOP, to reduce a term of impr isonment for ext raordinary orcompelling reasons. BOP Program Sta tement No. 5050.50, Compassiona teRelease/Reduct ion in Sentence: Procedures for Implementa t ion of 18 U.S.C. §§3582(c)(1)(A) and 4205(g), provides gu idance on the types of circumstances tha tpresen t ext raordinary or compelling reasons, such as the inmate's t ermina l medica lcondit ion ; debilit a ted medica l condit ion ; sta tus as a "new law" elder ly inmate, an elder lyinmate with medica l condit ions, or an "other elder ly inmate"; the dea th or incapacita t ionof the family member caregiver of the inmate's ch ild; or the incapacita t ion of theinmate's spouse or registered par tner . Your request has been eva lua ted consisten twith th is genera l gu idance.

The BOP is t aking ext raordinary measures to conta in the spread of COVID-19 and t rea tany a ffected inmates. We recognize • t you , like a ll of us, have legit imate concernsand fears about the spread and effect s ^ i the virus. However , your concern aboutbeing poten t ia lly exposed to, or possibly cont ract ing, COVID-19 does not cur ren t lywarran t an ear ly release from your sen tence. Accordingly, your RIS request is den ieda t th is t ime.

If you a re not sa t isfied with th is response to your request , you may commence anappea l of th is decision via the administ ra t ive remedy process by submit t ing yourconcerns on the appropr ia te form (BP-9) with in 20 days of the receipt of th is response.

Inmate Provided copy on 4| (7lWH by i6uMDA^ TE' STAFF

frx ^ )Case 1:17-cr-00160-WCG Filed 05/11/20 Page 8 of 10 Document 158-1

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