Commonwealth v. Wallace

11 Pa. D. & C.5th 21
CourtPennsylvania Court of Common Pleas, Lawrence County
DecidedJanuary 27, 2010
Docketnos. 1006, 1053, 1066, 1093, 1095, 1102, 1106, 1107, 1108, 1109, 1110, 1111, 1112 of 2004, 107, 108 and 119 of 2005
StatusPublished

This text of 11 Pa. D. & C.5th 21 (Commonwealth v. Wallace) is published on Counsel Stack Legal Research, covering Pennsylvania Court of Common Pleas, Lawrence County primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Commonwealth v. Wallace, 11 Pa. D. & C.5th 21 (Pa. Super. Ct. 2010).

Opinion

MOTTO, P.J.,

Before the court for disposition is the defendant’s motion to modify sentence pursuant to 61 P.S. §81 due to defendant’s medical condition, following a rehearing granted thereon upon motion of the intervenor, Pennsylvania Department of Corrections, for reconsideration of this court’s prior order dated April 17, 2009. The prior order had granted [23]*23the defendant’s motion and directed the defendant’s release to a skilled nursing facility. The dispositive issue is whether the current facility in which defendant is incarcerated lacks the ability or resources to treat him for his diagnosis of probable multiple sclerosis. Because the court finds that, based upon the current state of the record, defendant is receiving appropriate care and treatment for his medical condition, the court is therefore compelled to deny the defendant’s motion.

HISTORY OF THE CASE

These proceedings originated with the defendant’s pro se filing of a modification of sentence nunc pro tunc for medical reasons pursuant to 61 P.S. §81. Upon the filing of such motion, this court appointed the public defender to represent the defendant and scheduled a hearing on the defendant’s application for modification of sentence. At the hearing on March 23, 2009, the Commonwealth appeared through the district attorney; however, the Department was not represented at such hearing. The March 23, 2009 hearing consisted of extensive testimony from the defendant and introduction of medical records. At such hearing, the Commonwealth made no request to present the position of the Department. Based upon the evidence presented at the March 23,2009 hearing, the court found that the defendant was seriously ill and that his current facility lacked the resources to treat him and issued an order pursuant to 61RS. §81 granting the modification of sentence and directing that he be transferred to a skilled nursing facility for treatment of his current medical condition, with the defendant to be returned to the prison upon restoration of his health.

[24]*24Subsequent to the issuance of the April 17,2009 order granting the defendant’s petition, the Department filed a petition to intervene, a motion for stay of the April 17, 2009 order and a motion for reconsideration of the April 17, 2009 order.

By order dated May 22, 2009, the court granted the intervenor’s motion for stay and scheduled a hearing on the Department’s petition to intervene and for reconsideration on the basis that the Department had a substantial interest in the subject matter of the litigation; granted reconsideration of the April 17, 2009 order, since the position and evidence of the Department had not been considered in the prior proceedings; found that 61 P.S. §81 continued to apply, although it had been repealed, since the original request for modification had been filed while that statute remained in effect; and scheduled a full hearing on the defendant’s motion for modification of sentence nunc pro tunc for medical reasons. At this hearing the Department presented substantial evidence regarding the diagnosis, care and treatment of the defendant’s medical condition.

DISCUSSION

Based upon the evidence provided by the defendant at the initial hearing in which the Department did not participate, the court found that the defendant was seriously ill and that it was necessary that he be removed from SCI Highlands because his medical condition could not be treated in prison. The court found the defendant was partially paralyzed, going blind, could not urinate, lost control of his bowel movements and his conditions [25]*25continued to deteriorate. The defendant was in need of a neurologist to be involved in the diagnosis and development of a treatment plan for multiple sclerosis. The court further found that a neurologist must be involved in a diagnosis and treatment plan for this kind of disease. Defendant was in need of diagnostic workups including a spinal tap or imaging of the spinal cord and other studies to establish the diagnosis and a treatment plan. The defendant was not provided with an examination by a neurologist nor any development of a treatment plan, while his condition continued to deteriorate. (See opinion dated April 17, 2009 pp. 3, 4, 6 and 7.)

The evidence presented at the subsequent hearing after the intervention of the Department demonstrates that the deficiencies in the treatment which the court previously found to exist have been addressed by the prison. The court now has the benefit of the testimony of the prison medical personnel who are responsible for the proper medical treatment of the defendant as to the care that has been and is now being provided to the defendant. That care has been principally outlined in the testimony of Dr. Jawal Salameh M.D., the medical director for SCI Laurel Highlands.

Defendant was transferred to SCI Laurel Highlands from SCI Frackville in November of2007. At the inception of defendant’s intake, medical personnel at SCI Laurel Highlands were aware of defendant’s diagnosis of multiple sclerosis. His records showed that he began to have problems with his eyes in 2006 and was evaluated at SCI Frackville by an ophthalmologist, Dr. Goldberg, who suspected multiple sclerosis. Dr. Salameh [26]*26ordered an MRI and referred defendant to Dr. Feinberg, a neurologist, who saw defendant in October of 2006. Dr. Feinberg reviewed an abnormal MRI that showed increased intensity in the white matter, which is nonspecific but consistent with multiple sclerosis. With the MRI finding and noting the presence of optic neuritis, Dr. Feinberg made a finding of probable multiple sclerosis.

Defendant was seen by the neurologist, Dr. Feinberg, in a follow-up in November 2006. Dr. Feinberg prescribed Avonex for defendant, did not order any other testing and directed follow-up as needed.

Based upon Dr. Feinberg’s examinations, Dr. Salameh ordered a continuation of Dr. Feinberg’s recommendation, continuing defendant on Avonex, a standard treatment for multiple sclerosis, and assigned defendant to physical therapy, directed that he see an optometrist and ophthalmologist to follow up on the treatment for optic neuritis, and ordered a wheelchair for defendant for use as needed. Defendant was then stable until he began to complain of difficulties in luly of2008. He began to have a problem with urination, for which he was examined by a urologist and was given medications to help with urination.

In April of2009, defendant had an episode of dizziness and chest pain and was sent to the Sommerset Hospital emergency room for evaluation. Defendant was admitted to the hospital, and although the primary concern was that defendant was suffering from coronary artery disease, the opportunity was taken during that admission to [27]*27have the defendant evaluated by a neurologist, Dr. Catalano.

Dr. Catalano evaluated the defendant and agreed with the diagnosis of probable multiple sclerosis and directed a series of MRIs be taken. The MRI results showed two lesions in the brain consistent with multiple sclerosis. Dr. Catalano then ordered a spinal tap to confirm the diagnosis. The defendant declined all additional tests ordered by the neurologist, Dr. Catalano, including the spinal tap. However, based upon the MRIs, which included an MRI of the brain, of the cervical spine and an MRA to look at the blood vessels, which disclosed the two lesions, Dr. Salameh concluded that the diagnosis of multiple sclerosis was more than possible or probable multiple sclerosis.

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Bluebook (online)
11 Pa. D. & C.5th 21, Counsel Stack Legal Research, https://law.counselstack.com/opinion/commonwealth-v-wallace-pactcompllawren-2010.