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Jeffrey E. Keller is a Board Certified Emergency Physician with 25 years of emergency medicine practice experience before moving full time into his "true calling" of correctional medicine. He is the medical director of Badger Medical, which provides medical services to several jails and juvenile facilities in Idaho. Dr. Keller is a Fellow of both the American College of Emergency Physicians and the American College of Correctional Physicians. He serves on the Board of Directors of the American College of Correctional Physicians.
The greatest risk to jail inmates is not new inmates with COVID, but deputies or other jail employees catching COVID in the community and bringing it to the jail
Many arrestees think that if they say they have COVID-19, they will not go to jail, but that's not how the system works
This disease spreads most rapidly where people are enclosed together, like nursing homes, cruise ships and prisons
Funding and staffing for medical care have not kept pace with inmate numbers or the aging inmate population
Many people who are arrested need urgent medical attention before they are booked into jail
I only have a few minutes to convince my patient that I am a legitimate medical doctor and that I care about him
Doctors are required to have separate DEA licenses for each jail where they practice if controlled substances are stored or distributed at that jail
The critical factor was not that suicide checks were not being done, it was that he did not have a roommate
Inmates often ask medical practitioners for a second mattress or pillow – there is a right and a wrong way to handle such requests
Developing a policy to prevent inmates swearing in front of medical personnel aids safety and security in the facility
It is a mistake to confuse the treatment of opioid withdrawal with the long-term treatment of drug addiction
Since medical providers must be fair and consistent, it is important to differentiate medical need for a low bunk from requests made for non-medical reasons
I was unprepared for the sheer number of alcohol withdrawal patients I would see as a correctional physician
A homeless schizophrenic took off most of his clothes in public and was talking loudly to no one in particular – does he really belong in jail?
The goal is to accurately identify those individuals with a true food allergy and exclude those who do not have a true food allergy
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