Acosta was sent back to his room with nothing but Maalox nine times. Physicians who reviewed the files said the nurses appear to have missed the larger story of a protracted medical condition. "For prison medicine to work. a doctor has to be able to trust the people who work there." said Dr. Neal Collins. a retired HOP and immigration detentioncenter physician and clinical director who reviewed the Acosta files. "If they have competent nurse practitioners. then they can trust that the system is catching it. But when people dont know what to look for. thats what you worry about." In significant discomfort on one of his many trips to plead for help. Acosta told an LVN that hed vomited a dark substance and had seen blood in his stool.
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