30 is receiving at the prison.”271 He mentioned that “[t]he clinical file from 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.” 101. When asked if Ms. Chinchilla had been brought to the hospital in adequate time, the attending physician from the HSJD said, “So far, yes.” As to whether or not Ms. Chinchilla referred [Tr: sic] the medicine that was prescribed for her, he said, “No.” When asked who administered the insulin, he said, “I do not know,” and stated that “at this moment and in the short-term it is difficult [to know if her life is in danger]; however, without proper treatment “she could suffer a diabetic complication.” He said, “Ms. Chinchilla has an illness that is not properly treated and controlled,” and “if she does not get insulin ... he could go into a hyperosmolar or ketoacidotic coma.” He said that he had “no medical knowledge ... that ... she has cervical cancer. I He said that given the illnesses that Ms. Chinchilla had, she needed “glycemia control, pre- and post- [illegible], ophthalmological monitoring, nephrological monitoring, control of irrigation in lower limb, and cardiovascular checkups.” When asked if Ms. Chinchilla was consistently receiving such treatment daily in prison, he said, “Not to my knowledge.” 102. On April 6, 2004, the COF duty doctor submitted a medical report stating that 51-year-old Ms. Chinchilla had, among other illnesses: (i) decompensated type II diabetes mellitus; (ii) arterial hypertension; (iii) blindness caused by diabetes; (iv) anasarca; (v) kidney failure screening; (vi) chronic adult malnutrition; and (vii) aggressive behavior. The report indicated that she was currently on “10 units of insulin TX in the A.M. and P.M. and Enalapril every 24 hrs”272 On April 21, 2004, the Judge asked that the Central Prisons Board be requested for an early release report. 273 103. On April 22, 2004, Ms. Chinchilla presented the judge with “illustrative background information on the motion for early release under special remission of sentences,” comprising a report from the Director General of the Correctional System and conditions at the COF, as well as the expert opinions and reports contained in the record.274 104. The Correctional System Medical Services Coordinator reported, “The prison has medicine for dealing with infectious problems as well as oral medications for treating diabetes, osteomyelitis, and arterial hypertension. However, 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 said, “The Center does not have specialized hospital medical equipment to deal with crises of that magnitude. ... It does (sic) have adequate facilities for the internment of the inmate which are managed by the prison's hospital area” and that “it does not have adequate orthopedic equipment.” Finally, the report said that “Ms. Chinchilla Sandoval's condition has forced us to refer her regularly to hospitals because at given times she requires specialized care.”275 271 Appendix 2. Incidental Motions for Early Release. Judiciary Final Decision No. 429-96; Of. 7, Record of Evidence Hearing. April 21, 2004. Located from the page marked 70 to the page before the one marked 76. Appendix 3 to the initial petition. 272 Appendix 2. Incidental Motions for Early Release. Communication from Amelia Moran, COF duty doctor, April 6, 2004. Page 78. Appendix 3 to the initial petition. 273 Appendix 2. Incidental Motions for Early Release. Decision of the Second Criminal Enforcement Court of April 20, 2004, Page 76. Appendix 3 to the initial petition. 274 Appendix 2. Republic of Guatemala Judiciary Second Criminal Enforcement Court Final Decision No. 429-96 Of. 7. Sentence Remission Case. Public Criminal Defender Institute Brief submitted on behalf of Ms. Maria Ines Chinchilla Sandoval by her attorney. Page 80. Appendix 3 to the initial petition. 275 Appendix 2. Republic of Guatemala Judiciary Second Criminal Enforcement Court Final Decision No. 429-96 Of. 7. Sentence Remission Case. General Directorate of the Correctional System. Office of the Medical Services Coordinator. Official Letter No. 0546-2004- DR-RECH. April 2, 2004. Page 82. Appendix 3 to the initial petition.