has received or is receiving at the prison.” 213 He mentioned that “[the] clinical file from the San Juan de Dios Hospital describes a tumor in the vagina in March 1997, but there are no other medical notes on the progress of the disease.” 138. When asked if Mrs. Chinchilla had been brought to hospital in adequate time, the attending physician from the HSJD replied, “so far, yes.” As to whether or not Mrs. Chinchilla had mentioned the medication prescribed to her, he said “no.” When asked who administered the insulin, he said “I do not know” and added that “at the moment and in the short-term it is difficult [to know if her life is in danger]; however, without adequate treatment she could suffer a fatal diabetic complication.” He said that “[Mrs. Chinchilla] has an illness that is not properly treated and controlled” and that “if she does not receive her insulin treatment […] she could go into a hyperosmolar or ketoacidotic coma […].” He indicated that he had “no medical knowledge … that… she has cervical or vaginal cancer.” He said that given her illnesses, Mrs. Chinchilla needed “glycemia control, pre- and post- [illegible], ophthalmological monitoring, nephrological monitoring, control of irrigation in the lower limb and cardiovascular checkups.” When asked if Mrs. Chinchilla was “consistently receiving such treatment daily in prison,” he replied, “not to my knowledge.” 139. On April 22, 2004, Mrs. Chinchilla presented the judge with “illustrative background information on the motion for early release under special remission of sentences,” consisting of a report from the Director General of the Prison System about conditions at the COF, a newspaper report on her situation, as well as expert opinions and reports contained in the record.214 140. The Prison System’s Medical Services Coordinator reported that “the prison has medicine for treating infectious problems as well as oral medications for treating diabetes, osteomyelitis and arterial hypertension. However, the inmate Chinchilla Sandoval requires subcutaneous insulin for her diabetic problem that is causing all the metabolic ailments from which she suffers, including chronic kidney failure, for which the prison lacks the necessary equipment to provide care.” The report added that “[t]he Center does not have specialized hospital medical equipment to deal with crises of that magnitude” … It does have adequate facilities for the internment of this inmate, which are managed by the prison’s hospital area” but that it “does not have adequate orthopedic equipment.” Finally, the report stated that “Mrs. Chinchilla Sandoval’s condition has forced us to refer her regularly to hospitals because at certain times she requires specialized care.” 215 Cf. Incidental Motions for Early Release. Judiciary. Enforcement No. 429-96; Of. 7. Record of Evidence Hearing of April 21, 2004 (evidence file, folios 846- 858). 213 Cf. Incidental Motions for Early Release. Judiciary. Second Criminal Enforcement Court. Enforcement No. 429-96 Of. 7. Remission of Sentences File. Public Criminal Defense Institute. Communication from Mrs. María Inés Chinchilla Sandoval through her representative (evidence file, folios 1100 -1101) 214 Cf. Incidental Motions for Early Release. Judiciary. Second Criminal Enforcement Court. Order No. 429-96 Of. 7. Remission of Sentences File. General Directorate of the Prison System. Medical Services Coordinator. Official Letter No. 0546-2004- DR-RECH of April 2, 2004 (evidence file, folios 1103-1104). 215 44