become agitated and want to leave with them.” 67 She also expressed that she agreed with Ms. Chimbó that she would call her on a daily basis to inform her about the health condition of Luis Guachalá and to agree on a date for her to visit him. 68 47. According to the hospital’s medical report, doctor Quimbiulco stated that on Tuesday January 13, 2004 she performed a new test on Mr. Guachalá. 69 She expressed that he was “not very communicative, hypoprosexic, bradipsychic thought, poor content, (…) memory, impaired, deteriorated judgment and reasoning.” 70 She added that Mr. Guachalá had not suffered convulsive crises, and that he was feeding and sleeping adequately. 71 She stated that due to his improvement, she decided to change the prescribed medications. 72 Ms. Chimbó stated that she called doctor Quimbiulco that day, who said that her son “was fine.” 73 48. Doctor Quimbiulco held that on Thursday January 15, 2004, when she arrived at the hospital, she was informed that Mr. Guachalá had suffered a fall in the bathroom on the previous day. 74 She stated that she proceeded to stitch the wound to the left ciliary region. 75 Doctor Quimbiulco stated that she talked over the phone with Ms. Chimbó and indicated that she could visit her son that day because “he was better.” 76 She held that Ms. Chimbó said that “she was not going to come during the week because of her work and she would visit him during the weekend.” 77 49. According to the Hospital’s medical report, on Friday January 16, 2004, doctor Quimbiulco performed another test on Mr. Guachalá. 78 She held that Mr. Guachalá had not had convulsive crises and was eating and sleeping adequately. 79 Ms. Chimbó stated that she communicated over the phone with doctor Quimbiulco, who said that “her son was calling for (her), that he wanted to see her.” 80 Doctor Quimbiulco stated that when she left the hospital that day he was “stable.” 81 E. About what happened on January 17, 2004 50. The Commission observes that Mr. Guachalá’s medical chart at the Julio Endara Psychiatric Hospital contains his “evolution notes” and “medical prescriptions” from January 10, 2004, the date of his admission to the medical center, to the 16 January. 82 On said chart there are no annotations for January 17, 2004. 83 In the report of the hospital’s shift change for that date, it indicates the name of the personnel at the institution during the morning and evening. 84 In said report there is a record of an annotation indicating that “the patient Luis Guachalá abandoned the hospital, he is searched for, he is not found.” 85 51. Nurse Luis Borja sent a communication to the hospital’s director, Rommel Artieda, stating that on the afternoon of January 17, Mr. Guachalá was at the institution’s patio “along with all the other patients, most of them in care.” 86 He held that afterwards he brought Mr. Guachalá to the television room where he Annex 1. Medical Report of the Julio Endara Psychiatric Hospital. Annex to the initial petition. Annex 1. Medical Report of the Julio Endara Psychiatric Hospital. Annex to the initial petition. 69 Annex 1. Medical Report of the Julio Endara Psychiatric Hospital. Annex to the initial petition. 70 Annex 1. Medical Report of the Julio Endara Psychiatric Hospital. Annex to the initial petition. 71 Annex 1. Medical Report of the Julio Endara Psychiatric Hospital. Annex to the initial petition. 72 Annex 1. Medical Report of the Julio Endara Psychiatric Hospital. Annex to the initial petition. 73 Annex 6. Affidavit of Zoila Chimbó, 27 September 2005. Annex 3 to the initial petition. 74 Annex 1. Medical Report of the Julio Endara Psychiatric Hospital. Annex to the initial petition. 75 Annex 1. Medical Report of the Julio Endara Psychiatric Hospital. Annex to the initial petition. 76 Annex 1. Medical Report of the Julio Endara Psychiatric Hospital. Annex to the initial petition. 77 Annex 1. Medical Report of the Julio Endara Psychiatric Hospital. Annex to the initial petition. 78 Annex 1. Medical Report of the Julio Endara Psychiatric Hospital. Annex to the initial petition. 79 Annex 1. Medical Report of the Julio Endara Psychiatric Hospital. Annex to the initial petition. 80 Annex 6. Affidavit of Zoila Chimbó, 27 September 2005. Annex 3 to the initial petition. 81 Annex 1. Medical Report of the Julio Endara Psychiatric Hospital. Annex to the initial petition. 82 Annex 4. Medical Chart of Luis Guachalá, Julio Endara Psychiatric Hospital. Annex to the initial petition. 83 Annex 4. Medical Chart of Luis Guachalá, Julio Endara Psychiatric Hospital. Annex to the initial petition. 84 Annex 8. Report of shift change of the Julio Endara Psychiatric Hospital, 17 January 2000. Annex 5 to the initial petition. 85 Annex 8. Report of shift change of the Julio Endara Psychiatric Hospital, 17 January 2000. Annex 5 to the initial petition. 86 Annex 10. Communication of Luis Borja, 27 September 2004. Annex 7 to the initial petition. 67 68 8

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