16 48. Ms. Chinchilla was admitted to hospital on August 20, 2002,153 with “an abscess in the right foot, wet gangrene on the right foot, decompensated diabetes mellitus, and arterial hypertension.” That same day, doctors performed “a supracondylar amputation of the right foot” and “she developed an infection of the stump, which was treated with local cleaning and antibiotics.” She also presented “obstructive arterial disease in the lower left leg” as well as “mild dilation of the left ventricle without hypertrophy of the walls and preserved systolic function.”154 Ms. Chinchilla was discharged on November 26, 2002.155 That same day, authorization was requested for her to go to medical appointments on December 11, 2002.156 On December 30, 2002 permission was sought for January 8 and 29, 2003. 157 On January 2, 2003, the Judge gave permission for her to leave the prison on January 9 and 29, 2003.158 2.7 2003 49. On January 2, 2003, the duty nurse informed the Medical Coordinator of the Correctional System that Ms. Chinchilla “refuses to have her wounds cleaned by [her], since she says that the inmate Gina is cleaning them and that she can continue doing her the favor.” The nurse said that “the lady is very negative” and explained that “on December 31, Marlene Lavavigno came to the Center, was informed of the problem, and went to block “C” to talk to the inmate, but she continued with her negative attitude.” She said that “the lady is very difficult and [she did] not know what could be done to prevent the infection of those wounds because of the bad practice employed by the inmate cleaning them.”159 50. According to the information available, Ms. Chinchilla was given permission to go for medical appointments on January 9,160 15,161 and 29;162 March 28;163 April 4, 14,164 and 23, 2003.165 153 Appendix 1. Certification of final decision 429-96. Judiciary Final Decision No. 429-96 OF- 7º Written Communication from the Deputy Director of the COF, August 21, 2002. Page 552. Appendix 8 to the initial petition. Appendix 2. Incidental Motions for Early Release. Brief of Ms. María Inés Chinchilla Sandoval to the Second Criminal Enforcement Court, March 3, 2004, Page 3. Appendix 3 to the initial petition. 154 Appendix 2. Incidental Motions for Early Release. San Juan de Dios General Hospital. Medical Records Department. Certification 447/04. March 2, 2004, Pages 2 and 3. Appendix 3 to the initial petition. 155 Appendix 1. Certification of final decision 429-96. Judiciary Final Decision No. 429-96 OF- 7º Written Communication from the Director of the COF, November 26, 2002. Page 557. Appendix 8 to the initial petition. Appendix 2. Incidental Motions for Early Release. Brief of Ms. María Inés Chinchilla Sandoval to the Second Criminal Enforcement Court, March 3, 2004, Page 2. 156 Appendix 1. Certification of final decision 429-96. Judiciary Final Decision No. 429-96 OF- 7º Written Communication from the Director of the COF, November 26, 2002. Page 557. Appendix 8 to the initial petition. 157 Appendix 1. Certification of final decision 429-96. Judiciary Final Decision No. 429-96 OF- 7º Written Communication from the Deputy Director of the COF, December 30, 2002. Page 558. Appendix 8 to the initial petition. 158 Appendix 1. Certification of final decision 429-96. Judiciary Final Decision No. 429-96 OF- 7º Decision of the Second Criminal Enforcement Court of January 2, 2002. Page 559. Appendix 8 to the initial petition. 159 Appendix 3. Female Orientation Center. Communication from the duty nurse to the medical coordinator of the correctional system. 2 January 2003. Appendix 4 to the State’s brief of July 13, 2010. 160 Appendix 1. Certification of final decision 429-96. Judiciary Final Decision No. 429-96 OF- 7º Decision of the Second Criminal Enforcement Court of January 2, 2002. Page 559. Appendix 8 to the initial petition. 161 Appendix 1. Certification of final decision 429-96. Judiciary Final Decision No. 429-96 OF- 7º Decision of the Second Criminal Enforcement Court of January 10, 2002. Page 563. Appendix 8 to the initial petition. 162 Appendix 1. Certification of final decision 429-96. Judiciary Final Decision No. 429-96 OF- 7º Decision of the Second Criminal Enforcement Court of January 2, 2002. Page 559. Appendix 8 to the initial petition. 163 Appendix 1. Certification of final decision 429-96. Judiciary Final Decision No. 429-96 OF- 7º Decision of the Second Criminal Enforcement Court of March 20, 2003. Page 596. Appendix 8 to the initial petition. 164 Appendix 1. Certification of final decision 429-96. Judiciary Final Decision No. 429-96 OF- 7º Decision of the Second Criminal Enforcement Court of April 3, 2003. Page 600. Appendix 8 to the initial petition.

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