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WILCO – NO Medical Licenses

🩺 Blind Justice: Inside Williamson County Jail’s Medical Maze

He entered jail with vision. He left blind. For over a year, he was treated by people called “doctor”—but Texas records say they weren’t. Every prescription came from a Houston physician he never met. Now he lives with chronic pain and unanswered questions. Williamson County won’t explain.

🔍 Summary of Allegations (Verification in Progress)

  • Unlicensed “Doctors”: The detainee says he was treated by four individuals presented as “doctor.” Texas Medical Board (TMB) searches showed three of the four were not licensed physicians.
  • Alan Brooks Named: One provider, Alan Brooks, was introduced as a doctor. The detainee’s TMB search returned no active physician license.
  • Remote Prescribing Only: All medications were prescribed by a Houston-based physician the detainee never met. No telemedicine notes or encounter documentation were found.
  • Permanent Harm: After following jail medical directives, the detainee reports blindness and chronic neuropathic pain.
  • Stonewalling: The jail’s medical director allegedly refused to disclose staff credentials or explain the centralized prescribing system.
  • Legal Action: Complaints have been filed with the Texas Medical Board, and civil counsel in Dallas has been retained.

🧠 How the System Worked—According to Records

🩺 Titles vs. Licenses

Clinical notes and sick-call slips refer to “Dr.” or “Provider” encounters. TMB searches for those names did not return Texas physician licenses for three of the four individuals. Under Texas law, it is illegal to represent oneself as a physician without a license. Non-physician clinicians (NPs/PAs) must operate under written supervision and delegation agreements—and should not be labeled “doctor.”

💊 One Remote Prescriber

Medication Administration Records (MARs) and electronic prescription headers show every prescription was issued under a Houston physician’s name. The detainee says he never met or spoke with this doctor, and no telemedicine encounter note was found documenting a valid physician-patient relationship—a requirement under TMB telemedicine rules.

🧬 Injury Timeline

After following jail medical directives, the detainee experienced progressive vision loss leading to blindness, along with burning and tingling pain consistent with nerve damage. Grievances requesting outside evaluation were allegedly delayed or denied. He remains blind and in chronic pain.

⚖️ What Texas Law Requires—and Why It Matters

  • Practicing medicine requires a license. Diagnosing, treating, or prescribing without one violates the Texas Occupations Code.
  • NP/PA supervision is mandatory. Non-physician clinicians must have signed supervision and delegation agreements.
  • Telemedicine must be real medicine. Prescribing remotely requires a valid physician-patient relationship, proper evaluation, and documentation—not just rubber-stamping.

If titles were misused and prescriptions issued without proper evaluation, this isn’t a clerical error—it’s a systemic breach with potential for civil liability and professional enforcement.

🧾 Receipts (Exhibits for Publication)

  • TMB screenshots: Search results for Alan Brooks and other “Dr.” names in grievance and chart records.
  • Medication logs: MARs and e-Rx headers showing the Houston prescriber’s name on every order.
  • Encounter notes: Absence of telemedicine documentation for remote prescribing.
  • Grievances: Filed by the detainee, showing notice of worsening symptoms and requests for outside care.
  • Specialist reports: Neuro-ophthalmology and neurology evaluations post-release confirming blindness and neuropathic injury.

Personal identifiers will be redacted. License numbers and job titles will remain visible.

🧱 Why This Isn’t Just a Paperwork Snafu

Jail medicine is real medicine. Mislabeling titles, outsourcing prescriptions without evaluation, and denying outside care aren’t minor errors—they’re structural failures. The outcome here is permanent blindness and life-altering pain. Accountability demands answers:

Who examined? Who decided? Who prescribed? On what basis?

🔜 What Happens Next

  • Regulatory Review: The Texas Medical Board can pull credentialing, supervision, and prescribing records—and interview staff.
  • Civil Litigation: Dallas counsel may pursue medical negligence and §1983 civil-rights claims, including Monell liability if county customs are implicated.
  • Public Records Requests: The county must respond to targeted Texas Public Information Act requests for rosters, supervision agreements, telemedicine logs, and contracts.
  • Independent Chart Review: Board-certified specialists will assess standard of care and causation.

📣 Call for Testimony

Have you experienced questionable medical care in a Texas jail?

Keep copies of:

  • Grievances
  • Medication logs
  • Staff names and titles
  • Telemedicine notices (or lack thereof)

Note dates, symptoms, and outcomes. We’ll verify records and consider your story for follow-up reporting.

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