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Exempt: 281.301 119.07(1)(3)(a)


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Surveillance videos referenced are

FLAGLER COUNTY SHERIFF’S OFFICE Investigative Report Case#: 2019‐11382

________________________

Investigative Summary

1

Other(s) Information

Name: Anthony Joseph Fennick Date of Birth: June 15, 1995 Race/Sex: H/M Last Known Address: 1002 Justice Lane, Bunnell, FL 32110 Phone Number: DL: FL/ F520‐010‐95‐215‐0 Injuries: Death

Witness Information (Armor Correctional Health Services)

Name: Jaqui Janine March Johnson (LPN – Licensed Practical Nurse) Date of Birth: February 10, 1989 Race/Sex: B/F Last Known Address: 120 Red Mill Drive, Palm Coast, FL 32164 Phone Number: (386)569‐9134 DL: FL/ M625‐430‐89‐630‐0

Name: Kelsey Delrey Cochran (LPN – Licensed Practical Nurse) Date of Birth: April 24, 1990 Race/Sex: W/F Last Known Address: 965 Oak Arbor Circle, Saint Augustine, Florida, 32084 Phone Number: DL: FL/ C265‐504‐90‐644‐0 Name: Jennifer Marie Pallegrino (RN – Registered Nurse) Date of Birth: December 27, 1985 Race/Sex: W/F Last Known Address: 4 Wavering Place, Palm Coast, Florida, 32164 Phone Number: DL: FL/ P426‐433‐85‐967‐0

Name: Freddie May Owens (RN – Registered Nurse) Date of Birth: August 5, 1970 Race/Sex: W/F Last Known Address: 12 Birdseye Place, Palm Coast, Florida, 32164 Phone Number: DL: FL/ O520‐253‐70‐785‐0

Name: Tracey Johnson Columbus (RN – Registered Nurse) Date of Birth: November 20, 1968 Race/Sex: W/F Last Known Address: 91 Wellshire Ln, Palm Coast, FL 32164 Phone Number: (386)793‐3990 DL: FL/ C451‐810‐68‐920‐0


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2

Witness Information (FCSO Detention Services)

Name: Nathan Hockenberry (Sergeant with Flagler County Sheriff’s Office Detention Services) Date of Birth: Race/Sex: W/M Last Known Address: 1002 Justice Lane, Bunnell, Florida, 32110 (FCSO Perry Hall Inmate Detention Facility) Phone Number: DL:

Name: Peter Dascartes (Corporal with Flagler County Sheriff’s Office Detention Services) Date of Birth: Race/Sex: B/M Last Known Address: 1002 Justice Lane, Bunnell, Florida, 32110 (FCSO Perry Hall Inmate Detention Facility) Phone Number: DL:

Name: Jarred Tazewell (Deputy with Flagler County Sheriff’s Office Detention Services) Date of Birth: Race/Sex: W/M Last Known Address: 1002 Justice Lane, Bunnell, Florida, 32110 (FCSO Perry Hall Inmate Detention Facility) Phone Number: DL:

Name: Sam Scott (Deputy with Flagler County Sheriff’s Office Detention Services) Date of Birth: Race/Sex: W/M Last Known Address: 1002 Justice Lane, Bunnell, Florida, 32110 (FCSO Perry Hall Inmate Detention Facility) Phone Number: DL:

Name: Sara Radford (Deputy with Flagler County Sheriff’s Office Detention Services) Date of Birth: Race/Sex: W/F Last Known Address: 1002 Justice Lane, Bunnell, Florida, 32110 (FCSO Perry Hall Inmate Detention Facility) Phone Number: DL:

Name: Joshua Long (Deputy with Flagler County Sheriff’s Office Detention Services) Date of Birth: Race/Sex: W/M Last Known Address: 1002 Justice Lane, Bunnell, Florida, 32110 (FCSO Perry Hall Inmate Detention Facility) Phone Number: DL:


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3

Name: Frederick Kemp (Deputy with Flagler County Sheriff’s Office Detention Services) Date of Birth: Race/Sex: B/M Last Known Address: 1002 Justice Lane, Bunnell, Florida, 32110 (FCSO Perry Hall Inmate Detention Facility) Phone Number: DL:

Name: Brandon Twing (Deputy with Flagler County Sheriff’s Office Detention Services) Date of Birth: Race/Sex: W/M Last Known Address: 1002 Justice Lane, Bunnell, Florida, 32110 (FCSO Perry Hall Inmate Detention Facility) Phone Number: DL:

Name: Kevin Keiser (Deputy with Flagler County Sheriff’s Office Detention Services) Date of Birth: Race/Sex: W/M Last Known Address: 1002 Justice Lane, Bunnell, Florida, 32110 (FCSO Perry Hall Inmate Detention Facility) Phone Number: DL:

Name: Stephen Palmer (CCTV Operator with Flagler County Sheriff’s Office Detention Services) Date of Birth: Race/Sex: W/M Last Known Address: 1002 Justice Lane, Bunnell, Florida, 32110 (FCSO Perry Hall Inmate Detention Facility) Phone Number: DL:

Name: Andrew Crowley (CCTV Operator with Flagler County Sheriff’s Office Detention Services) Date of Birth: Race/Sex: W/M Last Known Address: 1002 Justice Lane, Bunnell, Florida, 32110 (FCSO Perry Hall Inmate Detention Facility) Phone Number: DL:


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4

Witness Information (Inmates from Echo Block)

Name: Gregory Lamar Williams Jr. Date of Birth: March 3, 1993 Race/Sex: B/M Last Known Address: 32 Woodstone Lane, Palm Coast, Florida, 32164 Phone Number: DL: FL/ W452‐292‐93‐083‐0

Name: Matthew William Brown Date of Birth: January 13, 1994 Race/Sex: W/M Last Known Address: 74 Veranda Way, Palm Coast, Florida, 32137 Phone Number: DL: FL/ B650‐559‐94‐013‐0

Name: Joseph Tyler Strople Date of Birth: June 25, 1991 Race/Sex: W/M Last Known Address: 44 Utah Place, Palm Coast, Florida, 32164 Phone Number: DL: FL/ S361‐498‐91‐225‐0

Name: Thomas Augustus Nugent II Date of Birth: August 30, 1977 Race/Sex: W/M Last Known Address: 167 South Coopers Hawk Way, Palm Coast, Florida, 32164 Phone Number: DL: FL/ N253‐821‐77‐310‐0

Name: Monnie Dean Greene Date of Birth: March 23, 1961 Race/Sex: W/M Last Known Address: 601 North State Street, #23, Bunnell, Florida, 32110 Phone Number: DL: FL/ G650‐544‐61‐103‐0

Name: Darnell Elie Hyppolite Date of Birth: December 22, 1995 Race/Sex: B/M Last Known Address: 38B Wellwood Lane, Palm Coast, Florida, 32164 Phone Number: DL: FL/ H143‐165‐95‐462‐0


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5

Name: David Michael Ward Date of Birth: April 29, 1975 Race/Sex: W/M Last Known Address: 6 Rolls Royce Court, South, Palm Coast, Florida, 32164 Phone Number: DL: FL/ W630‐173‐75‐149‐0

Name: Adam J Jordan Date of Birth: April 29, 1975 Race/Sex: W/M Last Known Address: 2561 Forest Park St, Bunnell, FL 32110 Phone Number: DL: FL/ J635‐010‐085‐100‐0

Witness Information (Relatives of Anthony Fennick)

Name: Erika Isabel Williams (Mother) Date of Birth: September 20, 1971 Race/Sex: H/M Last Known Address: 13 Richardson Drive, Palm Coast, Florida, 32164 Phone Number: DL: FL/ W452‐209‐71‐840‐0

Name: Daniel S. Williams (Step‐father) Date of Birth: January 28, 1971 Race/Sex: W/M Last Known Address: 13 Richardson Drive, Palm Coast, Florida, 32164 Phone Number: DL: FL/ W452‐177‐71‐028‐0

Name: Amanda Gloribel Lopez (Girlfriend) Date of Birth: January 11, 1994 Race/Sex: W/M Last Known Address: 13 Richardson Drive, Palm Coast, Florida, 32164 Phone Number: DL: FL/ L120‐007‐94‐511‐0


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6

Law Enforcement Involvement:

Investigative Services Division: Detective Gabe Fuentes (Lead Investigator) Detective Annie Conrad Sergeant Michael Miller Detective Dennis Lashbrook Detective Darrell Butler Commander Jennifer Taylor ***See Investigative Supplements*** Crime Scene Investigations: CSI Laura McKinley CSI Lainie Rittenhour

Medical Examiner’s Office:

St. Johns County Medical Examiner’s Office: 4501 Ave A, St. Augustine, FL 32095 (904) 209‐0820 Chief Doctor Conducting Medical Examination: Dr. Oleske


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7

Keys to Reading this Document:

This case was an investigation into the death of an inmate, from a medical emergency, inside a correctional facility.

This presented unique issues in documenting information for lay persons to understand the relevant information and

conclusions of the investigation for the following reasons:

Jargon or language specific to deputies working in the Flagler County Inmate Facility (FCIF), specifically locations

and areas of the jail are referred to names unfamiliar to most people.

Jargon or language specific to Armor Medical.

Jargon or language specific to the nursing or medical field.

Multiple different forms and systems were utilized by Armor Correctional Health Services Inc., for record

keeping. One of these forms (shift reports) were completed by hand by the nurses.

Armor Correctional Health Services Inc had errant data entry, including erroneously documenting the times of

shifts, and time entries for medicine distribution were often documented inaccurately.

There was an issue with preserving all video surveillance from the facility, because it was so voluminous that it

eventually caused a system malfunction causing a portion of the data to be lost.

The Flagler County Inmate Facility uses a separate system on tablets, for inmates to request and document

medical assistance, and there are multiple ways in which an inmate can request medical assistance.

Limitations with the Flagler County Sheriff’s Office Record’s Management System (RMS). Each document gets

uploaded into the RMS and named by the user. If you are unfamiliar with what the document was named, it

may be difficult to locate if there is a large volume of data entered into the RMS case file.

Numerous subjects were interviewed and referred to during this investigation. It can often become confusing

determining who is being referred to when reading this document.

Voluminous amounts of medical records, jail calls, video surveillance, investigative interviews and other data

collected.

Numerous investigative personnel were also involved which can create issues in tracking the information

gathered.

Given these challenges, the following steps were taken to assist invested parties in interpreting this report, its

conclusions, and with locating relevant documents and evidence:

The main investigative personnel combined as much information as possible into this one “Investigative

Summary” so it is easier to understand the entirety of the investigation.

Sections of this report that appear in Bold and Blue describe supporting documentation or evidence and its

location and/or file name in the FCSO RMS. This was done to make it easier to identify and locate the

supporting documentation or evidence.


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8

Words that appear in Gold, Bold, Underlined, and italicized are terms that might be unfamiliar to lay persons

and are therefore defined in the Glossary of Terms section at the end of this report.

This investigation had medical information, and terms, that were unfamiliar to investigators. Some research had

to be done to obtain a basic understanding of these terms. Resources utilized to gain this understanding are

cited in standard American Psychological Associate (APA) format in the References section of this report.

Documentation was provided to the investigators by the Flagler County Sheriff’s Office Corrections Division

Director Rebecca “Becky” Quintieri. Much of it was entered into a system called CorrecTek by Armor staff. It

was printed by Director Quintieri and the pages are numbered at the top right. The page numbers become

problematic in that they printed in reverse order. Meaning Page 1 was chronologically one of the last entries.

The pages, at times, are also out of order, as some constituted different records, such as a health screening, that

was conducted when Anthony Fennick was booked into the Flagler County Inmate Facility. Efforts were made to

reference where the information can be located, but it needs to be noted, that at times, when reviewing

scanned documents, the page numbers will appear out of order.

A “Subject Profile Sheet” (Tab 1 in the hard copy case file) has been uploaded into the RMS to help track who

is being referred to.

In order to assist in determining which area of the jail is being referred to, a map of the Flagler County Inmate

Facility has been attached. It has been uploaded to the RMS and labelled “Facility map” (Tab 2 in the hard

copy case file).


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9

Background Information:

On January 25, 2018, The Flagler County Sheriff’s Office (FCSO) entered a contract with Armor Correctional Health

Services Inc., to provide health care services to inmates of the Flagler County Inmate Facility (FCIF). A copy of the

contract has been uploaded to the Records Management System (RMS) and labelled “Armor‐Health‐Contract” (Tab 3

in the hard copy).

Anthony Fennick was a white male, who was in the Flagler County Drug Court Program. He entered the program on

June 8, 2018. He signed an agreement stating he “would not use or possess alcohol, illegal drug; medications prescribed

to others, eat foods containing poppy seeds, or use CBD oil”.

On December 17, 2018, A drug test was administered to Anthony. He tested positive for Benzoylecgonine‐Cocaine

Metabolite.

On December 27, 2018, Anthony’s Probation Officer (John Diogardi) sought, and was granted a warrant for Anthony’s

arrest. The warrant was granted by the Honorable Judge Perkins for Violation of Probation. The warrant number was in

reference to Court Case numbers 17‐295 CFFA, and 17‐426 CFFA. This Warrant has been uploaded to the RMS and

labelled “Warrant‐Fennick” (Tab 4 in the hard copy).

On December 28, 2018, the warrant was executed by Corporal Paul DeSousa, and Anthony was subsequently taken

into custody and booked into the Flagler County Inmate Facility. Corporal DeSousa’s charging affidavit has been

scanned into the RMS and labelled “Charging Affidavit‐Fennick” (Tab 5 in the hard copy). The signature is illegible.

Corporal DeSousa listed Judge Bill France as the issuing judge but the accompanying paperwork appears to indicate the

case was before Judge Perkins and he may have issued the warrant.

The booking was completed by Deputy Sharia Woods (no longer employed with FCSO as of 9/17/19). During the

booking process Anthony completed and signed an FCSO Booking Card form, an Inmate Property Inventory Report form,

an Inmate’s Property Record form, a Detention Facility Inmate Rules and Regulations Handbook form, a Booking

Questions Regarding Sex Offenses form. These forms have been collectively uploaded into the RMS and labelled

“Booking Paperwork” (Tab 6 in the hard copy).

A health screening was completed by Armor Medical on December 28, 2018. During the screening Anthony’s vitals

were taken and recorded. Anthony also indicated the following:

He had been to the Emergency Room within 2 weeks of being booked into the facility and had been treated for

kidney stones.

He had a seizure disorder that he was diagnosed with when he was 6 years of age.


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10

He was currently taking 10 mg of BuSpar and Remeron for insomnia. (Remeron is a brand name for

Mirtazapine).

When asked if he had kidney disease the response was marked “active”.

In a section marked “Diagnosis”, Anthony is marked as having “Renal disease”.

A copy of this health screening was uploaded to the RMS and labelled “Health Screening Fennick” (Tab 7 in

the hard copy).

This information was uploaded into the CorrecTek System, utilized by Armor Medical.

A copy of the Detention Facility Inmate Rules and Regulations Handbook has also been uploaded into the RMS and

labelled “Detention Facility Inmate Rules and Regulations Handbook” (Tab 8 in the hard copy).

On December 29, 2018, Anthony had first‐appearance.

On January 24, 2019, Anthony was sentenced for the probation violation. He was sentenced to 300 days with 130

days credit for his time served. His estimated end‐of‐sentence was May 3, 2019. See form uploaded to the RMS and

labelled “Sentence Computation/Estimated End of Sentence Form” (Tab 9 in the hard copy).

Also on this date, Anthony was transferred from “I” or “India block” (a housing section of the jail) to “E” or “echo

block” (a housing section of the jail, used for sentenced inmates). See “Inmate Housing History Report” (Tab 10 in the

hard copy) uploaded to the RMS.


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11

Time‐line of Investigative Efforts:

February 5, 2019

8:26 am

Commander Taylor was notified by Chief Brandt to contact Commander Pasquariello in reference to an inmate who

was currently in the Intensive Care Unit (ICU) at Advent Health. Commander Taylor contacted Commander Pasquariello,

via telephone. Commander Pasquariello stated the Detention Services Division had contacted the Florida Department of

Law Enforcement (FDLE) (Special Agent Sammons) and was currently waiting for a call back. Commander Pasquariello

said he was notified by medical staff Anthony had no brain activity and probably would not survive. Commander

Pasquariello called Commander Taylor back to inform her FDLE advised they would send an agent to inspect Fennick’s

person but they would not take the lead on the investigation. He provided the name of Special Agent Shedlock and said

he would be the contact from FDLE responding.

Commander Taylor then called SA Shedlock who also advised they would not take lead in the investigation and that

they were responding to check Fennick’s person over. They were not taking lead since it seemed it was a medical related

issue.

8:29am

Sergeant Randy Vickers of the Flagler County Sheriff’s Office Detention Services Division relocated all inmates from

Echo block, and established a crime scene log. This is documented in the document labelled “Crime Scene Log” which

has been uploaded to the RMS (Tab 11 in the hard copy file).

Sergeant Miller was asked to provide an investigative liaison to the Florida Department of Law Enforcement (FDLE) in

the investigation. Sergeant Miller was then advised the FDLE had refused jurisdiction, and would only examine the

patient (who was at Advent Health) for visible external injuries.

Sergeant Miller was advised the subject's name was Anthony Fennick, he was currently on life‐support, not expected

to recover, and had been taken to the hospital, from the Flagler County Inmate Facility (FCIF) via ambulance on February

4, 2019 at about 10:30pm, after complaining of a headache and vomiting.


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12

Sergeant Miller was then advised the Flagler County Sheriff's Office (FCSO) Major Case Unit would be the lead

investigating agency. Sergeant Miller asked that FDLE not contact the patient until a Flagler County Sheriff’s Office

investigator could accompany them. All available FCSO Major case Unit investigators were assembled. A series of tasks

were identified and assigned to personnel.

10:30am

Detective Butler Responded to the jail and made contact with Detention Commander B. Pasquariello, who provided

information regarding this incident involving Anthony Fennick and took Detective Butler to Echo Block. Detective Butler

confirmed the block was being held as a crime scene and a crime scene log was being maintained.

Detention Commander B. Pasquariello and Detention Commander G. Davis provided copies of incident narratives

completed by involved Detention Deputies, a transcription of Anthony’s text message conversations, compact discs

containing Anthony’s recorded phone calls, and video footage from Echo Block to Detective Butler.

Detective Fuentes responded to the Flagler County Inmate Facility (FCIF) and spoke with Chief Cole and Commander

Pasquariello. He obtained the following list of inmates that were housed with Anthony:

Gregory Lamar Williams Jr. (booking #2019‐17)

Thomas Augustus Nugent II (booking #2019‐242)

Monnie Dean Greene (booking #2019‐237)

Joseph Tyler Strople (booking #2019‐2786)

Matthew William Brown (booking #2018‐2449)

David Michael Ward (booking #2018‐2851)

Darnell Elie Hyppolite (booking #2018‐2447)


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13

Detective Fuentes then identified Flagler County Sheriff’s Office Detention Deputies that needed to be interviewed.

He was informed that some of the deputies had retained an attorney through their Collective Bargaining Union, Coastal

Florida Police Benevolent Association (CFPBA). The following is a list of the Deputies:

Deputy Jarred Tazewell ‐ Retained Attorney Marty White (via CFPBA)

Sergeant Nathan Hockenberry ‐ Retained Attorney Marty White

Deputy Samuel Scott ‐ Retained Attorney Marty White

Deputy Sara Radford ‐ Retained Attorney Marty White

Deputy Joshua Long ‐ Retained Attorney Marty White

Deputy Frederick Kemp ‐ Retained Attorney Marty White

Deputy Brandon Twing ‐ Retained Attorney Marty White

Corporal Peter Descartes ‐ Retained Attorney Marty White

Deputy Kevin Keiser

CCTV Operator Stephen Palmer

CCTV Operator Andrew Crowley

Detective Fuentes identified the following Armor Correctional Health Services employees who needed to be

interviewed: Their attorney was present during the interviews.

Licensed Practical Nurse (LPN) Jacqui Johnson

Licensed Practical Nurse (LPN) Kelsey Cochran

Registered Nurse (RN) Jennifer Pellegrino

Registered Nurse (RN) Freddie Owens

Registered Nurse (RN) Tracey Columbus

Investigative Interviews took place over the course of several days in the investigation. All interviews were recorded

and uploaded into RMS. All interviews have been summarized in the Investigative Interviews section of this report.

Interviews with Sergeant Nathan Hockenberry, Corporal Peter Descartes, Deputy Frederick Kemp, Deputy Samuel

Scott, Deputy Joshua Long, Deputy Sara Radford were conducted with their Attorney (Marty White) present. Deputy

Kevin Keiser, CCTV Operator Stephen Palmer and CCTV Operator Andrew Crowley were also interviewed but did not

have legal counsel.


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14

11:15am

Detective Conrad met with Florida Department of Law Enforcement (FDLE) agent Rob Sammons and visited Anthony

Fennick at Advent Health. Anthony was located in the Intensive Care Unit (ICU) and on a ventilator. Machines were still

on and connected to him. Anthony had not been declared deceased yet.

Det Conrad made contact with nursing staff while in the room to gain more information in reference to Anthony’s

medical condition and chain of events. Information obtained while speaking with medical staff was given as follows; they

suspected sepsis, he had low blood pressure and a high fever, his fever went down and his heart stopped after

performing the Spinal Tap. He presented a rash at admission which was suspected to come from a reaction to the

antibiotics he was given at the inmate facility.

Anthony was described as having zero brain function after his heartbeat was retrieved. Medical staff believed this

may have been caused by a brain stem stroke. A preliminary drug screen was performed with negative findings.

Additional blood had been sent to the laboratory to complete a more in‐depth drug screening. Routine bloodwork was

run with “no significant findings” and described as “fairly normal.” Anthony’s brain scan/function test was scheduled for

2:00 pm that day. This information and interpretations of results were provided by the nurse in charge “Danado aka

Dan” in the presence of FDLE Investigators as well. All findings were also provided to the Medical Examiner’s Office.

FDLE agents explained they would not be continuing to investigate this case. The explanation was there were no

obvious signs of mistreatment or abuse ie: bruises, contusions, or scratches. Medical staff also ruled out any internal

injuries.

Detective Conrad made contact with Anthony’s family in the ICU waiting area. They were very upset because they had

not been notified Anthony was taken to the hospital, and because they attempted to contact medical personnel at the

inmate facility in reference to concerns for Anthony’s health, on multiple occasions, prior to this event.

5:04 pm

Detective Conrad spoke with Erika Williams (Anthony’s mom) summarized as follows:

Anthony called Erika yesterday at 2:20pm and said he was sick, it hurt to stand up and he “sounded horrible”. He

told the nurse yesterday morning that he had a fever. The nurse (Kelsey) refused to take his temperature

Saturday. He stated he had not eaten or showered in days. He traded his food for applesauce and he could not

hold that down.

Kelsey allegedly told Anthony the thermometer was broken and asked who took his temperature.

Jaqui was the nurse that allegedly took Anthony’s temperature and took his complaints serious.


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15

On Saturday, Correctional Officers Tazwell and Twang witnessed interaction between Anthony and Nurse Kelsey

when he became frustrated because he did not feel well and the nurse agued with him.

Ericka stated Tazwell and Twang “stuck up” for him.

No one called Ericka to let her know Anthony was transported to the hospital.

February 6, 2019

Investigative Interviews continued throughout the day. Video surveillance, radio traffic, incident reports, jail calls,

and other relevant items were being collected for review.

February 9, 2019

Detective Conrad was present at Advent Health when life support was removed. A Medical Examiner form was

provided to body removal (St Johns Family). Detective Conrad also assisted in obtaining original blood samples

(admissions blood) from Anthony Fennick which was sent to the Medical Examiner’s office via body transport.

February 11, 2019

The autopsy was performed. See the Medical Examiner Report and Autopsy section of this report for more

information.

February 12, 2019

Investigative interviews were conducted with Deputy Brandon Twing and Deputy Jarred Tazwell. The interviews are

summarized in the Investigative Interviews section of this report.

March 15, 2019

Detective Conrad responded to Flagler County Fire Station 62, in Bunnell and conducted interviews with two

Firefighter/Paramedics who were involved in the treatment of Inmate Anthony Fennick on February 4, 2019. The

interviews are summarized in the Investigative Interviews section of this report.

April 9, 2019

The autopsy report was completed. See the Medical Examiner Report and Autopsy section of this report for more

information.


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16

August 13, 3019

Detective Fuentes, Detective Conrad, Commander Taylor, Chief Bovino, and Sergeant Miller met with Dr. Oleske for

clarification on the findings from the autopsy. The findings are discussed in‐depth in the Medical Examiner Report and

Autopsy section of this report.

Crime Scene Investigative Documentation:

On February 5, 2019 Crime Scene Investigators (CSI) Laura McKinlay and Lainie Rittenhour were sent to the Flagler

County Inmate Facility to document the scene and collect evidence. CSI McKinlay completed a Crime Scene Investigative

Report. This report has been uploaded into the RMS and labelled “19‐11382 CSI Investigative Report” (Tab 12 in the

Hard Copy). In all 34 pictures were taken of the scene. Those photos were placed on a DVD and submitted into

evidence as item # 344.15.

Anthony’s belongings were also photographed. Those photos were placed on a DVD and submitted to evidence as

item # 344.16.


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17

Medical Timeline:

The Following is a timeline of Anthony’s medical care, beginning from when he was first booked in on December

30, 2018. The information was gathered from reviewing various documents.

December 30, 2018

Anthony was prescribed Mirtazapine. The dosage was 15 MG and he was prescribed to take one tablet, orally in, the

evening for 120 days. The documentation advises Anthony was administered this medication on this date. This

information was entered into the CorrecTek system. It was provided to investigators by Corrections Division Director

Rebecca “Becky” Quintieri. Specifically it is listed on page 196 of the document labelled “CorrecTek 2” (Tab 13 in the

hard copy) which has been uploaded to the RMS. The prescriber was listed as Ted Matejka, MH ARNP. This is listed on

page 195 of the document labelled “CorrecTek 2” (Tab 13 in the hard copy) which has been uploaded to the RMS.

December 31, 2018

Anthony was administered 15 MG of Mirtazapine. This is listed on page 191 of the document labelled “CorrecTek 2”

(Tab 13 in the hard copy) which has been uploaded to the RMS.

January 1, 2019

Anthony was not administered his 15 MG of Mirtazapine. The reason listed was that the medication was unavailable

and the order for the medication was being re‐faxed. This is listed on page 190 of the document labelled “CorrecTek 2”


January 2, 2019



January 3, 2019


(Tab 13 in the hard copy) which has been uploaded to the RMS. Also on this date, Anthony was prescribed, and

administered, 10MG of Buspirone HCL, twice daily, for 90 days. This was prescribed by Ted Matejka, MH ARNP. This is

listed on pages 178 and 184 of the document labelled “CorrecTek 2” (Tab 13 in the hard copy) which has been

uploaded to the RMS.


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18

Also on this date, it appears that Anthony was evaluated during a “sick call” for asthma and seizures. His vitals were

taken but it appears his temperature was not taken. This evaluation appears to have been ordered by Gerald Maxwell

DO. This is listed on page 182 of the document labelled “CorrecTek 2” (Tab 13 in the hard copy) which has been


January 4, 2019

Anthony is listed as not taking his morning Buspirone. The reason listed is that he refused to come down/out. This is

listed on page 173 of the document labelled “CorrecTek 2” (Tab 13 in the hard copy) which has been uploaded to the

RMS. He is listed as having taken his Mirtazapine and Buspirone in the evening. This is listed on pages 174 and 175 of

the document labelled “CorrecTek 2” (Tab 13 in the hard copy) which has been uploaded to the RMS.

January 5, 2019



RMS. Anthony did take his Mirtazapine and Buspirone in the evening. This is listed on pages 170 and 171 of the

document labelled “CorrecTek 2” (Tab 13 in the hard copy) which has been uploaded to the RMS.

January 6, 2019





January 7, 2019






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19

January 8, 2019

Anthony was administered a tuberculosis skin test. A medical evaluation was completed at the time. During the

evaluation it was listed that Anthony had a “SIGNIFICANT PAST MEDICAL HISTORY” with an 8mm kidney stone on his

right side. His vital signs were also taken and his temperature was listed at 97.3 degrees. This is listed on pages 151‐

156 of the document labelled “CorrecTek 2” (Tab 13 in the hard copy) which has been uploaded to the RMS. Also on

this date, Anthony is listed as not taking his morning Buspirone. The reason listed is that he refused to come down/out.

This is listed on page 161 of the document labelled “CorrecTek 2” (Tab 13 in the hard copy) which has been uploaded

to the RMS. Anthony did take his Mirtazapine and Buspirone in the evening. This is listed on pages 157 and 158 of the


January 9, 2019

Anthony is listed as taking his morning Buspirone. This is listed on page 148 of the document labelled “CorrecTek 2”

(Tab 13 in the hard copy) which has been uploaded to the RMS. Anthony also took his Mirtazapine and Buspirone in

the evening. This is listed on pages 149 and 150 of the document labelled “CorrecTek 2” (Tab 13 in the hard copy)

which has been uploaded to the RMS.

January 10, 2019

Anthony received the results of his tuberculosis skin test. The test was negative. This is listed on pages 142 and 143

of the document labelled “CorrecTek 2” (Tab 13 in the hard copy) which has been uploaded to the RMS. Anthony is

listed as not taking his morning Buspirone. The reason listed is that he refused to come down/out. This is listed on page

144 of the document labelled “CorrecTek 2” (Tab 13 in the hard copy) which has been uploaded to the RMS. Anthony

did take his Mirtazapine and Buspirone in the evening. This is listed on pages 146 and 147 of the document labelled

“CorrecTek 2” (Tab 13 in the hard copy) which has been uploaded to the RMS.

January 11, 2019






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20

January 12, 2019





January 13, 2019


listed on page 132 and pages 126‐129 of the document labelled “CorrecTek 2” (Tab 13 in the hard copy) which has

been uploaded to the RMS. Anthony did take his Mirtazapine and Buspirone in the evening. This is listed on pages 130

and 131 of the document labelled “CorrecTek 2” (Tab 13 in the hard copy) which has been uploaded to the RMS.

January 14, 2019





January 15, 2019





Also on this date Anthony generated a sick call. Anthony advised “I am very worried about a personal matter

involving my penis. This is not a joke, I would like to be seen about this asap. Thank you.” This is listed on pages 119 of

the document labelled “CorrecTek 2” (Tab 13 in the hard copy) which has been uploaded to the RMS.


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January 16, 2019





Also on this date Anthony was seen for his previously documented sick call. The notes document that Anthony had a

sore/bumps on his penis. The problem began two days earlier and he was complaining of a white clear discharge. His

vitals were again documented but his temperature was not taken. A specimen was asked for Gonorrhea/Chlamydia.

This is listed on pages 114 and 115 of the document labelled “CorrecTek 2” (Tab 13 in the hard copy) which has been


January 17, 2019





January 18, 2019

Anthony is listed as not taking his morning Buspirone. The reason listed is “missed”. This is listed on page 110 of the

document labelled “CorrecTek 2” (Tab 13 in the hard copy) which has been uploaded to the RMS. Anthony did take his

Mirtazapine and Buspirone in the evening. This is listed on pages 108 and 109 of the document labelled “CorrecTek 2”

(Tab 13 in the hard copy) which has been uploaded to the RMS. Also on this date, it is listed that a specimen was

collected for Gonorrhea/Chlamydia. This is listed on pages 105 and 106 of the document labelled “CorrecTek 2” (Tab

13 in the hard copy) which has been uploaded to the RMS.

January 19, 2019

Anthony is listed as taking his morning Buspirone. This is listed on page 102 of the document labelled “CorrecTek 2”

(Tab 13 in the hard copy) which has been uploaded to the RMS. Anthony did take his Mirtazapine and Buspirone in

the evening. This is listed on pages 103 and 104 of the document labelled “CorrecTek 2” (Tab 13 in the hard copy)



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22

January 20, 2019


listed on pages 97, 98, and 101 of the document labelled “CorrecTek” (Tab 14 in the hard copy) which has been

uploaded to the RMS. Anthony did take his Mirtazapine and Buspirone in the evening. This is listed on pages 99 and

100 of the document labelled “CorrecTek” (Tab 14 in the hard copy) which has been uploaded to the RMS.

January 21, 2019


listed on page 94 of the document labelled “CorrecTek” (Tab 14 in the hard copy) which has been uploaded to the


document labelled “CorrecTek” (Tab 14 in the hard copy) which has been uploaded to the RMS.

January 22, 2019





January 23, 2019





January 24, 2019






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23

January 25, 2019




document labelled “CorrecTek” (Tab 14 in the hard copy) which has been uploaded to the RMS. It also appears

Anthony was provided his lab results from his testing for Gonorrhea/Chlamydia. The results were negative. This is

listed on pages 78 and 79 of the document labelled “CorrecTek” (Tab 14 in the hard copy) and the lab report which is

labelled “Lab Report Gonorrhea/Chlamydia” (Tab 15 in the hard copy). Both documents have been uploaded to the

RMS.

January 26, 2019





January 27, 2019





January 28, 2019






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24

January 29, 2019




document labelled “CorrecTek” (Tab 14 in the hard copy) which has been uploaded to the RMS. Also on this date,

Anthony entered a sick call. The reason listed for the complaint was “I think I have a spider bite on back of my neck,

please help, hurts forreal.” This is listed on page 64 of the document labelled “CorrecTek” (Tab 14 in the hard copy)


January 30, 2019

Nurse Jennifer Pellegrino noted that she saw Anthony on this date, for what she described as “Two dime sized pus

filled pimples on the back of neck.” She spoke with Dr. Maxwell who ordered a prescription for

Bactrim/Sulfamethoxazole TBD DS, 800‐160 strength, twice a day, for 7 days. He was also prescribed 400 MG

Ibuprofen, twice daily for 5 days. Anthony was instructed to keep the area clean and place an additional sick call if

symptoms worsen. This is listed on pages 54, 56 and 58 of the document labelled “CorrecTek” (Tab 14 in the hard

copy) which has been uploaded to the RMS. Anthony is listed as taking his morning Buspirone. This is listed on page

59 of the document labelled “CorrecTek” (Tab 14 in the hard copy) which has been uploaded to the RMS. Anthony is

listed as taking his Mirtazapine, Buspirone, Sulfamethoxazole, and Ibuprofen in the evening. This is listed on pages 60

and 63 of the document labelled “CorrecTek” (Tab 14 in the hard copy) which has been uploaded to the RMS.

January 31, 2019

Anthony is listed as not taking his morning doses of Buspirone, Sulfamethoxazole, or Ibuprofen. The reason listed is

that he refused to come down/out. This is listed on pages 51‐53 of the document labelled “CorrecTek” (Tab 14 in the

hard copy) which has been uploaded to the RMS. Anthony is listed as taking his Mirtazapine, Buspirone,

Sulfamethoxazole, and Ibuprofen in the evening. This is listed on pages 47‐50 of the document labelled “CorrecTek”



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February 1, 2019

Nurse Freddie Owens lists that she had an encounter with Anthony where he was complaining he did not feel well.

She took his temperature and noted it was 102 degrees. She provided him 400 Mg of Ibuprofen and advised she would

check on him in two hours. This is listed on page 38 of the document labelled “CorrecTek” (Tab 14 in the hard copy)

which has been uploaded to the RMS. Anthony is listed as taking his morning doses of Buspirone, Sulfamethoxazole, or

Ibuprofen. This is listed on pages 44‐46 of the document labelled “CorrecTek” (Tab 14 in the hard copy) which has

been uploaded to the RMS. Anthony is listed as taking his Mirtazapine, Buspirone, Sulfamethoxazole, and Ibuprofen in

the evening. This is listed on pages 40‐43 of the document labelled “CorrecTek” (Tab 14 in the hard copy) which has

been uploaded to the RMS.

February 2, 2019

Anthony is listed as taking his morning doses of Buspirone, Sulfamethoxazole, and Ibuprofen. This is listed on pages

30‐32 of the document labelled “CorrecTek” (Tab 14 in the hard copy) which has been uploaded to the RMS. Anthony

is listed as taking his Sulfamethoxazole, and Ibuprofen in the evening but not taking his Mirtazapine, Buspirone. The

reason listed is “refused to take.” This is listed on pages 33‐36 of the document labelled “CorrecTek” (Tab 14 in the

hard copy) which has been uploaded to the RMS.

February 3, 2019

Nurse Kelsey Cochran notes “Inmate became irate and cursing at me when I refused to give inmate 800mg ibuprofen

instead of his ordered 400 mg of ibuprofen. Inmate said his fever was ‘103’ last night. After speaking to the nurse from

the night before she stated it was 101.2 and this morning was 97.4 He became aggressive stating this was ‘my damn job’

and I needed to give him the extra medication.” This is listed on pages 20 of the document labelled “CorrecTek” (Tab

14 in the hard copy) which has been uploaded to the RMS. Anthony is listed as taking his Sulfamethoxazole, and

Ibuprofen in the morning but not taking his Mirtazapine. The reason listed is “refused to take.” This is listed on pages

21‐23 of the document labelled “CorrecTek” (Tab 14 in the hard copy) which has been uploaded to the RMS. Anthony

is listed as taking his Sulfamethoxazole, and Ibuprofen in the evening but not taking his Mirtazapine, Buspirone. The

reason listed is “refused to take.” This is listed on pages 24‐27 of the document labelled “CorrecTek” (Tab 14 in the

hard copy) which has been uploaded to the RMS.

On the shift report labelled 2/3/19 from 0600‐1800 it is noted that if Anthony continues to complain of a high

temperature he may be needed to transfer to a medical holding room to continue observation and frequent

temperature checks. This information is listed on the document uploaded to the RMS and labelled “Armor Shift

Reports” (Tab 16 in the hard copy).


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February 4, 2019

Nurse Tracey Columbus has a documented encounter with Anthony. It states “Date: 02‐04‐2019 Mon Time Presented

for Care: 2115 on medpass pt walked up to medcart but did not take his meds. Spoke to deputy but did not speak to this

nurse. Other inmates states [sic] he has a rash. Instructed to place sick call. After sick call, I called to the deputies to

bring pt to medical. Pt was not able to ambulate. Pt came to medical via wheelchair.” It goes on to state “DETAILS OF

EVENT/INJURY CONDITION220: pt has nonpapillary red rash on trunk and arms. Nonverbal. Had vomited on himself.

Stiff. PERRLA. Reflexes positive. Finger tips cool.” Anthony is listed as “unresponsive”. His temperature is listed as 100.1

rectally with a pulse of 88 and a BP of 140 over 60. It also notes that while prepping the patient for transfer to the ER be

began to seize. An IV was started in his left forearm and 2MG of Ativan was given with little effect. This is listed on page

6 of the document labelled “CorrecTek” (Tab 14 in the hard copy) which has been uploaded to the RMS.

Also on this date, Nurse Kelsey Cochran listed an encounter with Anthony. She noted “Inmates mother called and

asked to speak to someone in regards to her sons [sic] care. I stated I could not confirm or deny his whereabouts and

that I could not discuss his care with her since he has not signed a release form to discuss care. She became irate and

was refusing to take no for an answer and said ‘who am I speaking to’, which I answered with my name and she said ‘oh

he told me about you, well im going to come to the jail now, and what is your supervisors [sic] name?!’ In which I

answered my HSA Name. She then stated she was coming to the jail and we promply [sic] then hung up. She has now

attempted to call over 12 times after disconnecting.” It is also noted that “Inmate is to request via sick call for ROI form

for mother.” This is listed on pages 7 and 8 of the document labelled “CorrecTek” (Tab 14 in the hard copy) which has

been uploaded to the RMS.

Another encounter is listed by Nurse Kelsey Cochran on this date. She notes ‘Inmate spoke to me during med pass

this morning and stated he was sorry for yelling at me yesterday. Which I replied, ‘it’s ok, do you feel better today?’. He

stated he did, and that he was sorry he just wasn’t feeling to [sic] well.” This is listed on page 9 of the document

labelled “CorrecTek” (Tab 14 in the hard copy) which has been uploaded to the RMS. Anthony is listed as taking his

Sulfamethoxazole, Buspirone and Ibuprofen in the morning. This is listed on pages 10‐12 of the document labelled

“CorrecTek” (Tab 14 in the hard copy) which has been uploaded to the RMS. Anthony is listed as not taking his

Sulfamethoxazole, Mirtazapine, or Buspirone in the evening. The reason listed is “refused to take.” This is listed on

pages 13‐15 of the document labelled “CorrecTek” (Tab 14 in the hard copy) which has been uploaded to the RMS.

On the shift report labelled 2/4/19 from 06am‐6pm it is noted that Anthony was instructed to place a sick call in

reference to making a request for an ROI to allow them to speak to his mother. This information is listed on the

document uploaded to the RMS and labelled “Armor Shift Reports” (Tab 16 in the hard copy).


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27

On the shift report labelled 2/4/19 from 7pm‐7am it is noted, Anthony had been admitted to the hospital. This

information is listed on the document uploaded to the RMS and labelled “Armor Shift Reports” (Tab 16 in the hard

copy).

The Flagler County Fire/Rescue EMS, also generated a report for this date. The report has been uploaded into the

RMS and labelled “Flagler County Fire Rescue Report” (Tab 17 in the hard copy).

February 5, 2019

Nurse Freddie Owens entered an encounter and stated that she had called Advent Health and spoke with staff and

provided Anthony’s mother’s contact information. This is listed on pages 1 of the document labelled “CorrecTek” (Tab

14 in the hard copy) which has been uploaded to the RMS.

On this date, Doctor Timothy O’Shaughnessy noted in documentation received from Advent Health:

“a 23‐year‐old male with a history of kidney stones and GERD who presented to the emergency room from jail.

According to reports he had been experiencing fever and altered mental status. He was given Bactrim for possible skin

infection and apparently had a rash secondary to this. Apparently he had a seizure at the jail was given Ativan and

Benadryl. On arrival to the ED the patient had bizarre uncoordinated motor movements, some decreased

responsiveness. CT head suggestive for leptomeningitis. Patient had an LP performed, patient developed increasing

tachycardia had what appeared to be seizure‐like activity developed PA arrest and underwent 3 rounds of epinephrine

and ACLS with return of spontaneous circulation. At that time he was placed on vasopressin and phenylephrine for

blood pressure support along with propofol infusion. He was cultured and started on antibiotics and anti viral signs for

possible meningitis/encephalitis. He had an elevated lactic acid and procalcitonin. Initial Chest x‐ray suggestive

bibasilar patchy infiltrates, follow‐up post arrest with worsening of these infiltrates. CT scan negative for PE but did

show evidence most likely suggesting pulmonary edema versus multifocal pneumonia.” This is listed on pages 1 of the

document labelled “Advent Consultation Report O’Shaugnessy” (Tab 18 in the hard copy) which has been uploaded to

the RMS.

Also in the same report it is noted “Had a long discussion with the patient’s family explained at the patient is likely

brain dead at this point. Patient will be re‐evaluated in a.m. Along with neurology. Patient is critically ill with a poor

prognosis of recovery, he is a acute risk of decompensation requiring complex decision‐making”. This is listed on pages 2

of the document labelled “Advent Consultation Report O’Shaugnessy” (Tab 18 in the hard copy) which has been

uploaded to the RMS. The time and date stamp of the entry is February 05, 2019 20:48 EST.


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February 6, 2019

Doctor O’Shaughnessy with Advent health entered a progress note on Anthony that contained the following:

“Musculoskeletal: No spontaneous movement. Integumentary: Diffuse maculopapular rash somewhat improving.

Neurological: Absent brainstem reflexes. No cough to deep suctioning, pupils fixed and dilated, no response to deep

stimulation no corneal reflexes. No response with cold caloric test.” This is listed on pages 1 of the document labelled

“Advent Progress Note O’Shaugnessy” (Tab 19 in the hard copy) which has been uploaded to the RMS.

Also on this date, Doctor David Karaffa completed a Consultation report. The report notes that Anthony had gone

into cardiac arrest after undergoing a lumbar puncture, and that he was Coded for approximately “17 to 18 minutes and

the rhythm was obtained.” It also notes that her personally read and EEG of the brain which was read as a “burst

suppression findings suggestive of hypoxic anoxic brain injury.” The report also indicates that Anthony “was deterimed

to meet criteria for brain death.” And the recommendation was to remove him from life support once the family was

comfortable with it. This is listed in the document labelled “Advent Consultation Report Karaffa” (Tab 20 in the hard

copy) which has been uploaded to the RMS.

A progress note for this date was also provided by Advent Health. It is listed as “Telespecialists Teleneurology

Progress Note”. The doctor listed on the report is Doctor Geetanjali Vajapey. The report essentially states that he

agrees with getting a brain death exam. The document is labelled “Advent Progress Note Vajapey” (Tab 21 in the hard


On this date a Brain Death Certification Form was completed. The form was signed by Doctor Timothy O’Shaughnessy

and Doctor David Karaffa. This form has been uploaded to the RMS and labelled “Advent Certification of Brain Death”

(Tab 22 in the hard copy).

Advent Health also provided other documentation. This documentation was reviewed by the investigative team and

determined to have little to no value in the investigation. It was uploaded into the Records Management System and

labelled “Advent Medical Records Additional” (Tab 23 in the hard copy).


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Medical Examiner Report and Autopsy

February 11, 2019

Detective Conrad responded to the St. Johns County Medical Examiner’s Office for the purpose of attending the

autopsy of Anthony Fennick. Doctor Deanna Oleske performed the autopsy. There were no obvious preliminary findings.

The doctor pended the results of the autopsy upon the completion of pathology and toxicology. Photos were taken by

the Medical Examiner Office. They were provided to investigators. They have been placed on a DVD and submitted

to evidence as item # 344.20 (also on DVD in the hard copy file).

April 9, 2019

The autopsy report was completed.

August 13, 3019

Detective Fuentes, Detective Conrad, Commander Taylor, Chief Bovino, and Sergeant Miller met with Doctor Oleske

for clarification on the findings from the autopsy.

The following are considered relevant findings:

Cerebral venous sinus thrombosis (CVST) is listed as the final diagnosis.

Anoxic‐Ischemic Encephalopathy is listed as the cause of death. Due to Cerebral venous sinus thrombosis

And the Manner of Death is listed as Natural.

The above listed information can be found on page 1 of the document labelled “Medical Examiner Report” (Tab 24 in

the hard copy) which has been uploaded to the RMS.


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The following is a description of the findings in laymen terms, as explained to the investigative team by Doctor Oleske:

Anthony died as a result of Anoxic‐Ischemic Encephalopathy which is essentially brain death.

This was caused by Cerebral venous sinus thrombosis which is essentially a stroke or blood clots in the brain.

The stroke was caused by chronic dehydration which was evidenced by Anthony’s recent kidney stones.

Contributing to the dehydration was an allergic reaction to Bactrim, which was the brand name of the antibiotic

sulfamethoxazole and trimethoprim, which he was prescribed by the Armor Health Provider while in‐custody at

the Flagler County Inmate Facility.

The rash noted by Armor medical personnel, inmates and staff of the jail, is a common side‐effect of Bactrim

and contributed to Anthony’s dehydration.

Also contributing to the dehydration were the pustules on the back of Anthony’s neck, and his history of

tobacco use.

The above listed information can be found in the document labelled “Medical Examiner Report” (Tab 25 in the hard



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Summary of Investigative Interviews

Subject Interviewed: Gregory Williams

Date and Time: 2/5/19 at 2:15pm

Investigator Conducting Interview: Detective Gabe Fuentes

Summary: Gregory Williams was an inmate at the Flagler County Inmate Facility (FCIF). The following is a summary of

an audio‐recorded interview with Gregory Williams in reference to the investigation of the death of Anthony Fennick.

Gregory stated Anthony came to him complaining his neck hurt, and he was having migraines. Gregory looked at

Anthony’s neck and noticed two lumps, that Gregory believed resembled spider bites.

Anthony took the antibiotics and said he was feeling a little better but was still having migraines. Gregory stated

the next time the nurse saw Anthony they took his temperature.

Anthony was told by one of the medical providers that if he complained that he had spider bites that he would

be separated from the rest of the population, but if he said it was “hair bumps” he would not be.

Medical staff began providing Anthony ibuprofen, the headaches would subside and he would feel better for a

short time. However, he still did not eat much.

Gregory noticed Anthony would not eat breakfast, and would only take a “scoop off the lunch tray”.

After seeing him do this a second day, Gregory believed something was not right and described Anthony as

“getting delusional.”

When asked to clarify what he meant by “delusional”, Gregory stated Anthony used to play cards with him and

the other inmates but then he just stopped responding to them. He would just tense up and Gregory could tell

something was not right.

Gregory estimated that Anthony had been assigned to same block of the jail as him, for about 2 weeks. He

estimated that the bumps on his neck and migraines began occurring about 4‐5 days later.

He assumed it was a spider bite because he saw a spider in the cell block. Staff brought in bacterial spray and

degreaser. And Gregory helped clean the area.

The day following the discovery of the bite, Anthony started becoming delusional and that is when they gave

him the ibuprofen and antibiotics. The antibiotics were supposed to be a three day process.

Gregory noticed Anthony would appear to get better at times, and then get worse. Anthony became more

delusional, stopped showering, and developed a rash. Gregory tried to point out the rash to the nursing staff

but they took offense, and accused him of trying to tell them how to do their job.

Gregory described an incident from 2/4/19 where Anthony was asked to put on his “jumper” and he could not

figure out how to put it on. Anthony was only able to put on the top portion of the jumper. Since he was not

dressed properly the staff refused to provide Anthony his dinner.


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Gregory stated Anthony had almost stopped talking completely on 2/4/19. He stated it appeared as if the staff

was either scared or did not know how to react.

Gregory believed medical staff came in on 2/3/19, took Anthony’s temperature and gave him 2‐3 ibuprofen.

Gregory stated if someone wanted to see medical, they completed a request on a tablet.

Gregory told the staff something had to be seriously wrong with Anthony because he was delusional.

Gregory described incidents where staff would give Anthony instructions, like “put on your clothes.”, but he was

weak and slow moving. The staff seemed to believe Anthony was “playing.” Gregory described Anthony as

having a blank look and staring straight.

Gregory described events from 2/4/19 where Anthony would not respond to the staff, he finally asked if they

were afraid to touch him, and if so they (inmates) would wrap him a blanket and bring him up to the door and

get a wheelchair. Anthony then began vomiting. Gregory advised they should turn him so he would not choke.

Anthony was still breathing at this time. The staff had gloves on, but Gregory believed the staff was not allowed

to touch Anthony without a sergeant’s approval. Anthony’s eyes were rolling back, and he was trembling.

Anthony never spoke to Gregory about using narcotics in the facility. Gregory believed Anthony had two more

months on his sentence and that he was serving time for possession of narcotics.

Gregory was not aware of Anthony having any issues with the staff.

The full audio‐recording of this interview has been uploaded to the Records Management System (RMS) and labelled

“Interview with Gregory Williams 2.5.19”. It was also placed onto DVD and submitted into evidence as item # 344.1.

(Also on DVD in the hard copy file).

Subject Interviewed: Thomas Nugent


Investigator Conducting Interview: Detective Gabe Fuentes and Detective Dennis Lashbrook

Summary: Thomas Nugent was an inmate at FCIF. The following is a summary of an audio‐recorded interview with

Thomas in reference to the investigation of the death of Anthony Fennick.

Thomas stated he had a medical background and believed Anthony may have had something contagious.

Thomas was unaware of Anthony’s condition until dinner time on 2/4/19. Thomas stated they were handing out

the dinner bags and noticed Anthony trying to get up out of his bed and make it over. Anthony was not dressed,

which Thomas described as a “big thing here”. Anthony was trying to put on his jumper but was obviously really

confused and disoriented. Anthony had the top on, but was unable to get his legs in the bottom. The deputy

handing out the meals then decided not to provide Anthony with the food because he was not dressed.

Anthony then just wandered back to his bed. Thomas stated that from there it all just “got worse.”

Anthony was in his bed just lying there. Thomas noticed he had a rash from head‐to‐toe, and believed it looked

like something neurological. He described Anthony’s hands as “kind of weird”, and that his eyes began to flutter.


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33

Inmates kept telling the staff that Anthony was sick. They would come in, look at him and “would be like, well he

won’t help himself, we know he can walk.”

Thomas stated Anthony was obviously getting worse, at one point he could walk, but was deteriorating. Thomas

stated staff repeatedly came in and looked at Anthony and then left. Thomas was unsure of how many times

this happened. Thomas stated eventually Anthony vomited and stated “thankfully someone turned him because

he was just vomiting on himself” because he believed he would have aspirated.

Thomas had been in the cell block with Anthony since Thursday 1/31/19. He stated Anthony played card with

other inmates but he (Thomas) did not play cards with them.

Thomas stated dinner is given out around 6:30 pm and meds are dispensed after that.

Thomas first noticed Anthony was in distress at dinner. He stated Anthony was the last person to get out of his

bunk for dinner, and he was stumbling and appeared lethargic and confused.

Thomas stated he was uncertain if something was wrong with Anthony or he was just being difficult, but a

deputy (later determined to be Deputy Kemp) was not tolerating the behavior, and told Anthony he was not

getting any food.

Anthony then just went back to bed and pulled the sheets over his head.

The inmates began telling the staff Anthony was not doing well. A different deputy came in and said that they

were not going to help Anthony if he could not help himself.

Thomas found this cruel, because he said it was obvious that Anthony was in distress and not faking at this

point.

After several times of the staff checking on Anthony, medications were brought in.

When the nurse came in with the medication, Anthony was still confused and could not put his jumper on

properly. Thomas described Anthony as completely disoriented. Thomas could not tell if Anthony even took the

medication but he did not believe he did.

Anthony eventually began vomiting, inmates rolled him to try to prevent him from aspirating, and then began

hitting a button to alert staff to the medical emergency.

Three staff members came in, they watched Anthony for some time. At one point Anthony tumbled out of bed,

onto knees on the floor hunched over.

The staff then brought in a wheelchair, picked Anthony up, put him in the wheelchair and wheeled him out.

Anthony was slumped over in the wheelchair.

About 30‐40 minutes after Anthony was removed from the block, the staff brought in cleaning supplies and

asked the inmates to clean Anthony’s cell and pack up his belongings, which they did.

The full audio‐recording of this interview has been uploaded to the RMS and labelled “Interview with Thomas Nugent

2.5.19”. It was also placed onto DVD and submitted into evidence as item # 344.2 (Also on DVD in the hard copy file).


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Subject Interviewed: CCTV Operator Andrew Crowley


Investigator Conducting Interview: Detectiv Gabe Fuentes

Summary: Andrew Crowley is a Closed Caption Television (CCTV) Operator with the Flagler County Sheriff’s Office. The

position is a civilian position with the Flagler County Sheriff’s Office (FCSO). He was on‐duty the night Anthony Fennick

was taken from the facility to the hospital. The following is a synopsis of his interview.

Andrew Crowley is a CCTV operator at the FCIF. He described his daily function as watching cameras, and

opening doors. He did not know and had never met Anthony Fennick.

Andrew was pretty unaware of any issue with Anthony. He was aware that medical went into the cell‐block,

that Anthony was removed, and that rescue personnel were called to the facility.

Andrew could not recall if it was him, or a co‐worker that opened the doors to the block to allow personnel to

help Anthony.

The full audio‐recording of this interview has been uploaded to the RMS and labelled “Interview with CCTV Operator

Andrew Crowley”. It was also placed onto DVD and submitted into evidence as item # 344.3 (Also on DVD in the hard

copy file).

Subject Interviewed: CCTV Operator Steven Palmer



Summary: Stephen Palmer is a CCTV Operator who was on‐duty the night Anthony Fennick was taken to the hospital.

Steven Palmer is a CCTV operator, he watches monitors and opens doors for subjects to move through the

facility. He had never met Anthony Fennick.

Steven knew Anthony was sick and was taken to a medical facility on February 4, 2019

During the evening of February 4, 2019, he was directed by Sergeant Hockenberry, over the radio, to contact

Flagler County Communications. He requested Emergency Medical Services EMS to come to the facility. Steven

let EMS into the facility.

Steven stated he was in control when the inmates “hit the button”. He was referring to an intercom system the

inmates use when they need assistance in the cell block. Steven stated they hit the button, and he answered

them. They advised there was an inmate in there that wasn’t feeling too well.

Steven buzzed the deputies in to handle the emergency.

The full audio‐recording has been uploaded to the RMS and labelled “Interview with CCTV operator Steven Palmer

2.5.19”. It was also placed onto DVD and submitted into evidence as item # 344.4 (Also on DVD in the hard copy file).


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35

Subject Interviewed: Corporal Peter Descartes



Summary: Corporal Peter Descartes is a Corporal with the FCSO Detention Services Division. He was on‐duty, in control

at the time, during the evening of February 4, 2019. The following is a synopsis of the interview.

Corporal Descartes advised he was working in the capacity of Field Training Officer (FTO) for CCTV operator

Crowley on February 4, 2019. He never had personal contact with Anthony.

Corporal Descartes advised they had just finished meal distribution in the block Anthony was housed in.

Corporal Descartes then noticed the inmates in the housing unit were screaming and “hitting a button, and

advising hey this guy’s sick, he’s vomiting, whatever.”

Deputies were buzzed into the block. They have keys to enter the block, but no one uses them. They called for

the main door to echo block to be opened. “Echo Block” or e‐block, is the housing unit, Anthony was in. Once

deputies were in the housing block, they called for the sergeant.

Corporal Descartes believed it was the sergeant who made the decision to take Anthony to medical, and

requested a wheelchair for Anthony.

A wheelchair was brought in and Anthony was taken to medical.

Corporal Descartes was hearing some of these events over the radio, and some of them he determined

happened from watching the video of the incident.

Anthony was lying on the right‐hand side of his bunk, so Corporal Descartes was unable to see him on the video.

He was able to see the sergeant, who he said was Sergeant Hockenberry.

The deputy who went to get the wheelchair was buzzed out, and then buzzed through a series of doors to

medical, where he retrieved a wheelchair and returned to the housing block with the wheelchair.

Corporal Descartes saw Anthony taken to medical, but could not see in the medical room because there is not a

camera in that room. There is a camera that points towards the room and he observed Sergeant Hockenberry in

front of the door for medical.

Corporal Descartes assumed they were doing an assessment of Anthony at that time.

Medical is just a door and control does not need to buzz anyone into it.

There is no audio available on the camera system.

Corporal Descartes was just watching on the camera and stated it appeared that Deputy Scott was getting a

vehicle, so he assumed that based on the nurses assessment, they were trying to assess whether Anthony

needed to go to the hospital.

Corporal Descartes saw that Anthony was taken down to the booking area in a wheelchair, and he said he was

“just kind of waiting for things to happen”. He looked back at the cameras and noticed Anthony sitting on the

floor.


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36

Corporal Descartes did not notice how Anthony ended up on the floor. He stated he had been busy handling

opening doors and continuing to monitor the facility for normal operations.

There was a lot of movement around Anthony. Corporal Descartes observed Deputy Kemp leave the area and

return (this was to obtain something the nurse requested for treatment). Sergeant Hockenberry requested to

have EMS en route over the radio.

Normal protocol is for a request to go through control, and that is what happened. Corporal Descartes told

CCTV operator Palmer to contact dispatch and request EMS, which he did.

Corporal Descartes stated he was a former dispatcher and anticipated some of the questions the dispatcher

would be asking such as, patient name, age, and what’s exactly going on with him? Corporal Descartes stated

they did not have much of this information to provide.

EMS arrived shortly after.

Corporal Descartes noticed what he now knows was a blood pool, but at the time thought might be vomit, near

Anthony. (This is presumed to be from a documented issue giving Anthony and IV)

Corporal Descartes was unable to tell what the nurse was doing at this point.

Anthony was placed on a gurney and taken out of the facility and to the ambulance.

The blood pool Corporal Descartes noticed was in front of the booking counter.

The cameras that captured that particular area do not have audio and do not have the ability to zoom.

Corporal Descartes did not have any significant interaction with Anthony and was unaware of any medical

complaints by him prior to this incident.

He was briefed, by the off‐going squad, that Anthony had made a complaint to the nurse who was on‐shift, prior

to the one who treated him during this event.

He was told this by two other employees (Vickers and St Fleur) during the 15 minute briefing that takes place

prior to shift change.

Corporal Descartes believed someone must have told them (Vickers and St Fleur) about Anthony’s issues, and

that his understanding was the nursing staff was aware. He believed the nurses must have changed shift at the

same time the jail staff changed shifts. The communication was that the previous nurse had administered

medication and the incoming nurse was aware.

Corporal Descartes completed a daily shift‐briefing email, and referenced this incident on that shift‐briefing.

Corporal Descartes believed Anthony was transported to Advent Health by EMS and Deputy Long. Deputy Long

was the Deputy assigned to watch Anthony, since he was still considered in‐custody.

Corporal Descartes also sent out a separate email that they are required to complete anytime there is a

transport for medical purposes. This email is sent to jail medical, jail supervisors, and also to the transport

deputy.

The full audio‐recording has been uploaded to the RMS and labelled “Interview with Corporal Peter Descartes 2.5.19”.

It was also placed onto DVD and submitted into evidence as item # 344.5 (Also on DVD in the hard copy file).


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37

Subject Interviewed: Sergeant Nathan Hockenberry



Summary: Sergeant Hockenberry was the sergeant on‐duty on the evening of February 4, 2019. The following is a

synopsis of his audio‐recorded interview.

Sergeant Hockenberry is responsible for the supervision of the entire facility during his shift.

Commander Davis was the commander on‐shift at the time of the incident.

Sergeant Hockenberry had spoken with Anthony Fennick in the past and advised that he had complained about

things in the past, but nothing related to the current matter, and never any medical complaints or drugs directed

to him (Sergeant Hockenberry).

Deputies contacted Sergeant Hockenberry on the night of February 4, 2019, and advised that medical would like

to see Anthony. Sergeant Hockenberry authorized Anthony to be taken to medical. Deputies then advised that

he was not responding to them verbally, that he was making eye contact but just would not respond and that he

had refused his medication earlier.

Sergeant Hockenberry believed Anthony had made several complaints to medical in the past but admitted that

was hearsay.

Sergeant Hockenberry advised deputies that if he did not want to go to medical, it’s classified as a refusal. And

instructed deputies to “go in and ask him again.”

He specifically spoke to Deputy Long on the phone and relayed the instruction, but he was uncertain which

deputy actually went in to speak with Anthony.

The deputies called back and advised Anthony did not want to speak with them (It is now believed, from the full

investigation, that this was involuntary, and that Anthony was non‐verbal because of his medical condition).

Sergeant Hockenberry then contacted Nurse Tracey in medical, advised her Anthony was refusing to come

down. She stated that if he did not want to come, he did not have to. Several minutes later, he was contacted

again and advised Anthony had vomited. He responded to the housing block and checked on Anthony.

Sergeant Hockenberry continued to try to talk to Anthony but he was unresponsive. He advised Deputy Long to

get a wheelchair.

When Sergeant Hockenberry originally entered the housing block, he observed Anthony kneeling on the floor

and some vomit.

When he spoke to Anthony, Anthony looked at him, but would not respond verbally.

The deputies assisted Anthony into the wheelchair.

Anthony was then taken down to medical. Nurse Tracey said to put him in the exam room. He was placed in the

exam room. Nurse Tracey came in a very short time later and attempted her medical assessment on him.


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Nurse Tracey tried to take Anthony’s vitals including his blood pressure, pulse, and temperature, but was having

difficulty obtaining them. She advised she needed to take a rectal temperature. Deputy Kemp was called to

assist with that. The deputies assisted Anthony onto an exam table and the nurse took his rectal temperature.

When Anthony was taken out of the wheelchair, he was unable to stand on his own. He was not resisting but he

was not moving on his own. Three deputies assisted him to the table for the taking of his temperature. When

the temperature was taken, he did not respond at all.

Anthony did not have his shirt on during the exam and Sergeant Hockenberry noticed marks, he described as

circles on his back. He assumed it was a rash.

Sergeant Hockenberry did not recall what the nurse said his temperature was.

Anthony was placed back in the chair. Sergeant Hockenberry asked the nurse if Anthony need to be transported

to the hospital. Her response was “I need to call The Provider.”

Sergeant Hockenberry asked again “does he need to be transported to the hospital, it’s a yes or no.” She again

replied “I need to call The Provider”

Sergeant Hockenberry advised “call The Provider” meant she has to call somebody higher than her, either a

nurse practitioner, or a doctor to get approval.

Sergeant Hockenberry asked the nurse if she believed The Provider would authorize the transport. She stated

she thought so, so Sergeant Hockenberry began initiating procedures to prepare to have Anthony transported to

the hospital.

He asked for a car to be pulled around, and asked the nurse if transporting in a car would be acceptable. She

advised it was.

The nurse advised The Provider authorized the transport. Anthony was taken to booking. At that point, he was

escorted down to booking. He ensured paperwork, and restraints were being prepared.

A minute or two after arriving in booking, Anthony tensed up and appeared to be having a seizure. He called

medical to come to booking.

Deputy Scott supported Anthony’s head and he appeared to stop seizing.

Anthony slumped down in the chair more, as if to slide out.

More deputies arrived and Sergeant Hockenberry asked them to place Anthony on the floor, and on his side, in

the event he began to vomit.

Nurse Tracey came down to the booking area, turned around, and walked off. Sergeant Hockenberry advised

control to notify dispatch fire‐rescue was needed immediately.

Sergeant Hockenberry was not sure on the order of every event at this point or why the nurse left and came

back, but thought it was for supplies. He advised she knelt on the ground at one point, put her fingers in

Anthony’s mouth and had a syringe. She requested a second syringe from the medical office. The nurse

mistakenly believed the medical office was unlocked. Sergeant Hockenberry responded there and found it

locked.

Deputy Kemp went back to the nurse and got the keys.


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Sergeant Hockeberry received word that EMS arrived and went outside the facility to meet them. At that time

he reported back to booking and then stepped outside to meet with EMS.

He led rescue to Anthony and they attempted to take over his care. The nurse was still on the floor trying to

render aid.

Sergeant Hockenberry did not know the correct term but appeared to describe that the nurse had put an IV in

Anthony’s arm, but did not have a cap for it and Anthony was hemorrhaging out of the IV line.

EMS tried to assist Nurse Tracey and Sergeant Hockenberry had to lead them back out of the facility to get a cap

for the IV.

Once the IV‐line was plugged, Anthony was secured to the gurney and taken to the ambulance.

The nurse advised Sergeant Hockenberry they (Medical Staff) had prior issues with Anthony throughout the last

several days, and that he had given the nurses a hard time. She did not clarify what that meant.

Sergeant Hockenberry stated he did have knowledge Anthony had started a new medication that could cause

rashes, and he assumed the nurse was referencing that.

Sergeant Hockenberry did not recall receiving any information on Anthony being difficult with medical or having

any issues, during their briefing at shift‐change.

Once Anthony was at the hospital, Deputy Long (who was the deputy who responded to the hospital with

rescue) called several times. During one of the calls, Deputy Long advised the hospital had attempted a spinal‐

tap and Anthony had “coded”. The hospital brought in what is called a “crash cart” and were attempting to

revive Anthony. This was within several hours of arriving at the hospital.

Deputy Long had called earlier and reported the hospital had run x‐rays, and he believed and MRI on Anthony.

Sergeant Hockenberry had prepared a supplemental report to the incident that night. Sergeant Hockenberry

wanted to correct a mistake he noticed in his report. He stated “It’s just a time change for one number. I started

at I believe it was 2145, in the process of writing the report, reviewing other reports, reviewing the video, trying

to get the times correct, I made the mistake of putting instead of 21 I put 2300.”

The full audio‐recordings has been uploaded to the RMS in two parts and labelled “Interview with Sergeant Nathan

Hockenberry 2.5.19” and “Interview with Sergeant Nathan Hockenberry pt 2 2.5.19”.

They were also placed onto DVD and submitted into evidence as item # 344.6 (Also on DVD in the hard copy file).


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Subject Interviewed: Kelsey Cochran


Investigator Conducting Interview: Detective Gabe Fuentes and Detective Annie Conrad

Summary: Kelsey is a nurse with Armor Medical. The contracted medical provider for the FCIF. She was on dayshift and

working on February 4, 2019. The following is a summary of her audio‐recorded interview.

Kelsey described herself as an LPN (Licensed practical Nurse)

She had been working at the FCIF since June of 2018.

She graduated LPN school in October of 2016, and received her license. She then worked at a physician’s office

and did some home‐health. After the birth of her daughter she went to work with Armor Medical and went to

work at the FCIF.

She stated there was no additional training needed to work at the facility.

Her typical shift was, dayshift 7am to 3pm, 4 days a week. Usually a Monday, Tuesday, Thursday, Friday. As of

February 1, 2019, she switched to 12 hours, shifts and worked 5:45 am to 6:15 pm.

Her shift assignment was changed to “fill‐in only” as of as of February 8, 2019. She stated this was so she could

attend school.

On Monday, February 4, 2019, Kelsey did work dayshift.

Kelsey described a contact she had with Anthony on Sunday morning. She described that as the “AM med pass”

and stated it happened around 7:30 am‐8:00 am.

She recalled Anthony had requested additional ibuprofen that was not ordered for him. She told him it had not

been ordered for him and she could not provide it to him.

Anthony told her he needed the meds because he had a fever the previous day and he now wanted more.

Anthony was angry she refused to provide him more Ibuprofen and began cursing at Kelsey.

She told him that she could not give him medication that he was not ordered, and that she was not going to

argue about it and she needed to continue with the med pass.

She described Anthony’s demeanor as “very angry” and “energetic”.

Kelsey stated despite Anthony being upset, the deputies did not have to intervene.

Kelsey stated Anthony was angry right from the beginning and it kind of surprised her. She stated she was used

to it thought, because inmates frequently want more medications without submitting sick calls.

Kelsey stated the policy was “if it’s not ordered, don’t give it to them.” She stated, violating this could cause her

to lose her license.

Kelsey stated if the inmates want, they can refuse the medication, or if they think there is a mistake she can

check records to make sure there is not an error, but some of that cannot be done until the med pass is done.


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Kelsey did not believe Anthony had a fever on this date, and was only complaining that he had a fever the night

before. She stated Anthony told her he had a fever of 103 the previous day, but did not believe Anthony had a

fever at the time of the dispute over the med pass.

When she returned from the med pass, she contacted the nightshift nurse to ask what was going on with the

fever.

Kelsey did not take his temperature at that time though.

Kelsey called the nightshift nurse (Jaqui) about Anthony’s temperature. She believed Jaqui told her Anthony had

a fever of 101.9. And when she checked it again, closer to the beginning of Kelsey’s shift, it was 97.3. So at the

time, he had no further complaints, and she (Kelsey) did not deem it necessary.

There was some confusion over the date between Detectives Fuentes and Conrad and Kelsey, eventually they

established the confrontation over the medication did occur on Sunday February 3rd.

On Monday, February 4th, during the morning med pass, Kelsey stated Anthony came up and apologized for his

behavior. He indicated he had been feeling poorly. Kelsey stated she told him it was okay, and indicated she

had not been feeling well that day either.

On Monday February 4, Kelsey described Anthony’s demeanor as “fine”, and that there was no indication he was

not feeling well. Neither Anthony nor anyone else contacted her about any inmate complaints.

Kelsey stated she documented her interaction with Anthony from Sunday the 3rd in the company’s program

“Correct Tech”.

Kelsey stated she checked the company’s system and Anthony’s last “sick call” was January 29th.

Kelsey stated on Sunday, at the end of her shift, she also put in a shift log (This is actually the document

labelled “Armor Shift Report” that has been uploaded to the RMS) that if Anthony continued to complain of

any high fever, they should consider bringing him to medical confinement. But he did not complain again, so she

told the on‐coming shift that if he complains again they should probably bring him to confinement.

She said that was a daily shift log they kept in a binder. See “Armor Shift Report” (Tab 16 in hard copy).

Inmates do not normally go to confinement for making sick complaints. Kelsey stated her rational was that he

would be closer to them and they could check his temperature every couple of hours instead of having to go all

the way down to the housing block every few hours.

The shift log is paper, and kept in a binder in medical. She was uncertain if it got scanned or filed anywhere.

On Monday February 4, Kelsey stated Anthony was walking upright, did not appear unsteady, and talked to her

like a “regular healthy inmate”. She again had no indication he was not feeling well. She stated he was verbal

with her at this time, and did not complain about any headaches, rashes, bites, or anything else.

As far as Kelsey knew, Anthony did not go down to medical at all on Monday February 4, during her shift.

Kelsey was unsure why Anthony believed he would be able to get more ibuprofen than he was scheduled for.

She advised many of the inmates push the limits in terms of trying to get extra medications. She was unsure if

any other nurses ever provided them, but she stated she never did.


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The only reason she did not check Anthony’s temperature on Sunday the February 3, was because they do not

normally handle sick calls during med passes. Med passes need to be completed in a specific window because

of the necessary time gaps between doses. Generally, unless it is an urgent care, where the inmate is visually

injured, they require the inmate submit a sick call. This also prevents “hearsay or he‐said, she‐said situations”.

This process eliminates confusion. The inmates may submit sick calls electronically via a tablet, in writing, or by

verbally telling a deputy. Verbally telling a deputy prompts the nurse to come to the housing annex and

conduct an assessment.

After the Sunday morning med pass, she cleared up the temperature with nurse Jaqui. She determined the last

known temp was 97.3, and that was taken just a couple hours prior to the med pass and Anthony was receiving

Ibuprofen and his antibiotics.

Anthony took both medications from her (Nurse Kelsey) on all three days she worked Saturday February 2,

Sunday February 3, and Monday February 4.

On Monday February 4, at 5:45pm Nurse Tracey relieved her.

Kelsey stated Anthony’s mother had been calling for medical information on Anthony but she could not provide

her any because they needed Anthony to complete a Release‐of Information (ROI).

Kelsey could not recall what time exactly Anthony’s mother called but believed it was Monday February 4, at

about 2:00pm.

Kelsey stated Anthony’s mother was “demanding information about her son.”

Anthony’s mother did not say what prompted her to call requesting information but assumed she was

specifically looking for medical information because the call was routed to her office. Kelsey did not know why

Anthony’s mother suddenly had concerns for his medical care because he had been incarcerated since

December 28, 2018.

Kelsey estimated Anthony’s mother had called twelve times looking for medical information.

Kelsey was not present for all of the calls and missed several of them. Anthony’s mother never left a message.

Kelsey stated she knew it was twelve missed calls from the caller ID but stated she could not provide a

timeframe for the 12 calls.

Kelsey did brief Nurse Tracey that Anthony would have to complete an ROI to provide his mother information.

She never returned Anthony’s mother’s calls.

Kelsey did inform her supervisor (Sarah) that she was calling and requesting information about her son.

She did not speak to Anthony and tell him that he needed to complete the form or that his mother was looking

for information on his treatment but she believed it had been explained to him when he came into the facility.

This was recorded on an intake report that was taken by another nurse on December 28, 2018. Kelsey could not

recall Anthony ever giving her, any nurse, or any corrections deputies issues prior to the one instance of yelling

at her.

The full audio‐recording has been uploaded to the RMS and labelled “Interview with LPN Kelsey Cochran 2.6.19” It

was also placed onto DVD and submitted into evidence as item # 344.7 (Also on DVD in the hard copy file).


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Subject Interviewed: Deputy Frederick Kemp


Investigator Conducting Interview: Detective Gabe Fuentes and Sergeant Michael Miller

Summary: Deputy Kemp was a corrections deputy working at the FCIF. He was working the night of February 4, 2019.

The following is a summary of her sworn statement.

Dep Kemp’s union attorney (Marty White) was present for the interview. Deputy Kemp stated he knew Anthony

Fennick from him coming to the facility, as an inmate, several times.

Deputy Kemp was not aware of Anthony ever using narcotics in the facility or having any physical altercations.

Deputy Kemp was a member of the Special Operations Team of the jail which is similar to a Special weapons and

Tactics Team (SWAT). He never had to deal with Anthony in that capacity though.

Deputy Kemp did not have a typical assignment in the facility and had different assignments throughout the

facility.

Anthony had never made any medical complaints to Deputy Kemp.

Deputy Kemp had previously helped out with the distribution of medications by the nurses, but did not have

that assignment regularly. He did assist with the distribution of meals to inmates.

On February 4, Deputy Kemp stated during the evening meal distribution, Anthony got up, not wearing his

jumper properly, and he did not get dressed when Deputy Kemp told him to. Deputy Kemp considered this a

“refusal” by Anthony, to get his meal. Deputy Kemp told him that not getting dressed properly qualified as a

refusal. Anthony returned to his bunk without his meal. Anthony did not speak to Deputy Kemp during this

interaction.

Deputy Kemp was asked to describe what proper dress was. He stated inmates are expected to have their

jumper on all the way. Anthony only had his arms in the sleeves of the jumper and did not have the legs on.

Anthony did get up for his meal but he was told to get his jumper on properly. Anthony simply went back to his

bunk without saying anything. Deputy Kemp considered that a refusal of the meal.

Anthony had never done that before to the best of Deputy Kemp’s knowledge.

Deputy Kemp could not recall which deputy assisted him with meal distribution that evening.

Deputy Kemp described Anthony as walking like “somebody who just got up from sleeping and just woke up.”

After Anthony vomited, Anthony was taken to medical. Deputy Kemp responded to medical to assist.

When Deputy Kemp arrived in medical, Anthony was already in the office, sitting in a wheelchair. He assisted in

getting Anthony on the medical table.

The nurse took Anthony’s temperature rectally. Anthony did not react. Deputy Kemp state it was like “he

wasn’t there basically”.

During the taking of his temperature, Anthony did not resist, and did not speak.


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Anthony was put back in the wheelchair and taken to the booking area.

Deputy Kemp also responded to the booking area. The plan was to have Anthony transported via car to the

hospital. Anthony started shaking or seizing and was put on the floor.

The nurse (Nurse Tracey) began attending to Anthony while he was on the ground. Tracey asked Deputy Kemp

to go get medical supplies from the medical office. Deputy Kemp stated he had never received training on

something like that and Tracey was not able to explain what she wanted him to retrieve. He finally rolled a cart

out and Tracey told him the supply she needed was not on the cart.

Sergeant Hockenberry called for an ambulance. Deputy Kemp did not go to the hospital with Anthony, Deputy

Long did.

When Anthony came for his meal and was not dressed properly, Deputy Kemp did not notice a rash and nothing

stood out about Anthony’s appearance to him.

When they were taking Anthony’s temperature in the medical office, Deputy Kemp did notice a rash all over

Anthony’s back.

The full audio‐recording has been uploaded to the RMS and labelled “Interview with Deputy Fredrick Kemp 2.5.19”. It


Subject Interviewed: LPN Jaqui Johnson

Date and Time: 2/6/19 at 3:37 pm


Summary: LPN Jaqui Johnson is a nurse with Armor Medical. The following is a summary of her sworn statement.

Jaqui has been in the nursing field for ten years. She received her LPN license in May 2019. She has worked at a

hospital, a urologist center, as a medical clerk and was now a nurse. She had worked for Armor Medical since

September 2018.

As it relates to the FCIF the only difference between the RNs and LPNs was RNs complete health assessments.

Jaqui did have contact Anthony during the weekend. (Determined to be February 1, 2019. This is documented

on page 39 of the document labelled CorrecTek). She was working med pass and provided Anthony with an

antibiotic and ibuprofen, a nighttime med, and she also took his temperature.

At about 8:00pm. Jaqui took Anthony’s temperature because he advised he had been running a fever on either

Friday or Saturday. Jaqui described it as a low‐grade fever and believed it was “101..point… something” She

told Anthony she would be back between 4‐6 hours to take the temperature again and see if the fever broke or

if the Ibuprofen needed to be alternated with Tylenol.

When she checked his temperature the second time at about 11:30pm or 12:00am. It was 97.4 degrees. She

believed it to be closer to 12:00am. That is because she went in with a deputy who was conducting his rounds in

the cell‐block, and that is normally around 12:00am. The deputy had to wake Anthony so Jaqui could take his

temperature.


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Anthony was called to the front door of the cell block. He was told to put on his jumpsuit and he did. Anthony

said he was feeling better at this time.

Anthony’s temperature was taken orally with a digital thermometer. The thermometer remains on the med

cart.

There was some confusion on what Jaqui’s shift was because they recently changed the hours. It was

determined to by 6:00pm to 6:00am.

For the most part, the nursing staff communicates the inmates’ issues, verbally with one another. If they have

anything important they utilize a log. She was referring to the “Armor Shift Report”.

Jaqui did not make any notes about Anthony’s temperature. She did not check his temperature again after the

midnight visit. She was relieved by Kelsey at 6:00am and briefed Kelsey about Anthony.

Kelsey would have done the morning med pass and would have been responsible for providing Anthony with his

antibiotics and other meds.

Jaqui briefed Kelsey about the temperature on Sunday morning. When she returned to work Sunday night

Kelsey did not provide an update on Anthony.

On Saturday night, Jaqui believed Anthony refused his Remeron (Mirtzapine) and BuSpar (buspirone). She

documented that. Procedure requires the nurses to document why the inmate refused the medication. She

completed a “slip” stating the reason for his refusal (she could not recall). That documentation is then scanned

into a computer system.

Anthony only wanted his ibuprofen and antibiotic.

Jaqui reviewed her notes on Anthony and found Anthony had refused his BuSpar/Buspirone, which is an

antianxiety medication, for 3 to 4 days. The Remeron is a sleep medication.

Anthony had never been problematic for Jaqui before.

On Sunday night, Anthony refused the BuSpar and Remeron.

Jaqui noted to discontinue the BuSpar because Anthony had refused it so many times.

On Sunday night, Anthony just wanted his antibiotic and ibuprofen. He was still verbal and appeared normal to

Jaqui.

Jaqui believes she did Sunday’s med pass at around 8:00pm. Anthony did not have any complaints at the time.

After three days of an inmate refusing a medication, the nurses are required to notify the doctor. Jaqui did this

with Anthony’s BuSpar.

The full audio‐recording has been uploaded to the RMS and labelled “Interview with LPN Jaqui Johnson 2‐6‐19”. It



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Subject Interviewed: Deputy Sara Radford



Summary: Deputy Radford is a Corrections Deputy. She was working in Booking on 2/4/19

Present during the interview was Deputy Sara Radford’s Coastal Florida Police Benevolent Association attorney.

Deputy Radford was familiar with Anthony Fennick, as he has been in and out of the facility frequently. She was

unaware Anthony was in the facility until he was brought down to booking on the evening of February 4, 2019.

Deputy Radford was working in booking that evening.

Deputy Radford was unaware of Anthony having any medical issues but was aware that he had a history drug

abuse.

On February 4, she was working in booking when she heard, over the radio, that staff was bringing Anthony to

booking. Anthony was brought down to booking in a wheelchair at that time. She heard what she described as

“labored breathing and gurgling”. She walked around the counter and saw Anthony lying on the floor. She could

not tell if he had fallen or what happened.

Deputy Radford stated it appeared Anthony was seizing. The nurse and several deputies were attempting to put

Anthony on his side because he had to vomit. She noticed there was some vomit on Anthony, and she believed

they were turning him on his side to prevent him from aspirating. Deputy Radford just held his head in the event

he began to seize again, but he did not.

The nurse was trying to put an IV in Anthony so Deputy Radford held Anthony’s arm.

Anthony was non‐verbal, she called his name a couple times but he did not respond.

Deputy Radford typically does book people in. She was asked if she performs medical assessments when the

inmates come in and she advised that is a separate process, handled entirely by the nursing staff. Nursing staff is

on‐scene 24 hours a day, 7 days a week.

The full audio‐recording has been uploaded to the RMS and labelled “Interview with Deputy Sara Radford 2‐5‐19”. It



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Subject Interviewed: Deputy Joshua Long



Summary: Deputy Long is a corrections deputy who was on‐shift on the evening of February 4, 2019. He accompanied

Anthony to Advent Health. The following is a summary of his interview.

Present during the interview was Deputy Long’s Coastal Florida Police Benevolent Association attorney (Marty

White).

Deputy Long typically worked in the “annex housing” section of the FCIF.

He only dealt with Anthony Fennick in terms of meal distribution, med pass, and the distribution of hygiene

products. He never had any negative interaction with him.

Deputy Long’s typical station, is a monitoring desk in a vestibule, in the center of the housing annex.

Detention deputies are not typically in the housing units. They monitor from the work station and enter the

housing unit when necessary.

If an inmate pushes a button in the housing block, the call goes to a monitoring area upstairs. They would notify

Deputy Long, and he would enter.

No one ever mentioned to him that Anthony ever had any medical issues.

The only thing Deputy Long knew about Anthony was that he was in the facility serving a sentence and had been

in and out of the facility several times.

Deputy Long remembered one instance where Anthony had some sort of complaint, the sergeant asked him to

exit the housing block, they talked about the issue and Anthony returned to the block. The issue appeared to have

been resolved.

Deputy Long often assisted with meal distribution. He accompanied the nurses for the med pass. The detention

deputies do not distribute medication, they provide security for the nurses to do so.

Inmates do have the ability to refuse to take the medication.

Trustees typically distribute food and detention deputies accompany them.

Deputy Long was not aware if Anthony had or had not been eating.

On February 4, 2019 the on‐duty nurse asked to see Anthony so she could evaluate him. Deputy Long entered

the block and noticed Anthony lying on his bunk, staring straight up.

Deputy Long tried to talk to Anthony, but stated it appeared that Anthony was ignoring him.

Deputy Long was telling Anthony that if he wanted to get medical treatment, he needed to get dressed and walk

down to medical, but he was not speaking or responding to him.

Deputy Long stated inmates do have a right to refuse to see medical staff.

When Anthony did not respond, Deputy Long exited the block.


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A short time later inmates in the block started knocking on the door and saying it appeared Anthony had vomited.

Deputy Long entered the block again, and Deputy Scott notified Sergeant Hockenberry. Sergeant Hockenberry

responded to the block and assumed control of the situation

Deputy Long stated Anthony did not vomit until after the inmates had knocked on the door. Anthony still was not

verbal. Anthony was sitting on his knees by his bunk, and there appeared to be vomit on his bed.

Deputy Long indicated that when Anthony did not respond to him the first time (when he was being asked to go

to medical, and was just lying on his bunk) Dep Long believed that Anthony was simply not complying with him.

Sergeant Hockenberry told Deputy Long to go grab a wheelchair from medical. He went to medical, got a

wheelchair and returned to the housing block.

The staff helped Anthony into the wheelchair and wheeled him down to medical.

The nurse started trying to take Anthony’s vitals but was unable to.

The nurse decided she needed to take Anthony’s temperature rectally, because she did not think she could get a

thermometer in his mouth.

After the nurse (Nurse Tracey) took the temperature she stated she had to call the provider, which Deputy Long

assumed was the on‐call doctor.

Deputy Long had helped Anthony out of the wheelchair and helped lean him on the table so the nurse could take

his rectal temperature. Anthony did not appear to be resistant at the time. Deputy Long had gloves on and stated

he did not notice if Anthony felt hot or clammy at the time.

After his temperature was taken, Anthony was helped back into the wheelchair and wheeled down to booking.

Anthony appeared to be slipping out of the wheelchair.

Anthony continued to be non‐verbal and Sergeant Hockenberry decided to initiate an EMS response.

Deputy Long did not know if Anthony fell out of the wheelchair or if he was helped out of the chair onto the floor.

The nurse was then contacted again to respond to booking again.

Deputy Long rode in the ambulance to Advent Health with Anthony.

Anthony had some sort of rash on him and Deputy Long believes the Emergency Medical Technicians (EMTs) gave

him Benadryl.

EMT’s did not seem to know what kind of medical issue Anthony was having, other than possibly an allergic

reaction. Dep Long did not notice any trauma to Anthony’s body, other than the rash.

Once at the hospital, medical staff took over Anthony’s care.

The full audio‐recording has been uploaded to the RMS and labelled “Interview with Deputy Joshua Long 2‐5‐19”. It



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Subject Interviewed: Deputy Kevin Keiser



Summary: Deputy Keiser is a corrections deputy who works in the Flagler County Inmate Facility. He was working the

evening of February 4, 2019. The following is a summary of his investigative interview.

Deputy Keiser advised he performs a variety of functions in the FCIF. His assignment changes daily, from booking

to annex housing, to control, to rover.

On February 4, 2019 Deputy Keiser was assigned to annex housing. Anthony was housed in E‐Block. E‐Block is

where sentenced inmates who are not trustees are located. Deputy Keiser assisted with the evening med pass

that was conducted by Nurse Tracey.

Deputy Keiser was not aware of what medications the inmates were getting. Anthony was the last person in E‐

Block to come get his medication. Anthony had his jumper on improperly. He just had his arms in the jumper and

not his legs. He advised Anthony to get his jumper on properly but Anthony was not listening to him.

When asked to clarify this, Dep Keiser stated it appeared that Anthony did not comprehend what was being asked

of him.

Deputy Keiser told Anthony to sit down and fix his jumper. Anthony sat down, took his jumper off but did not put

it back on. The nurse gave Anthony his medication. Anthony just sat there and stared at the medications. The

nurse asked him if he was going to take the medications and Anthony did not respond. The nurse told Deputy

Keiser to take the meds back then.

As they prepared to leave E‐Block Deputy Keiser asked the nurse (Tracey) if she wanted to see Anthony because

he was not behaving like a “normal inmate.” The nurse advised she was behind in her med pass, she needed to

finish her med pass, and that Anthony had been seen by medical staff multiple time, and he was fine.

Deputy Keiser stated there were multiple inmates trying to show that Anthony had some sort of rash or skin

condition to the nurse and the staff. Deputy Keiser stated it did not appear to be a rash to him but indicated there

was something abnormal about his skin tone. This was another reason that prompted him to ask the nurse if she

wanted to examine Anthony.

Deputy Keiser indicated that Nurse Tracey said she was behind and needed to complete her med pass. This was

her first block of eleven blocks to complete med pass.

Deputy Keiser indicated Anthony was mumbling but he could not hear what he was mumbling.

Deputy Keiser asked Anthony if he needed assistance and he would not reply. He was not certain if Anthony was

ignoring him or if there was something else going on with him.

Deputy Keiser indicated his concerns were dispelled by the fact the nurse was there, that she did not seem

concerned and that she indicated that Anthony had already been seen on that date.

Deputy Keiser stated he wrote in his report on the incident that Anthony appeared “dazed”.


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Deputy Keiser helped the nurse complete the rest of the med pass. The nurse advised him that she was going to

put a request to have Anthony moved to a confinement unit, so he could be monitored more closely.

After the med pass was complete, Nurse Tracey called down to control, spoke to Deputy Long, and requested

Anthony be brought down to the medical office.

Deputy Keiser went into the housing block to wake Anthony. He told him to get up and get dressed. Anthony did

not respond. Deputy Keiser went into Anthony’s cell, He was lying on his bunk with a shirt, or something else,

over his face. Deputy Keiser told Anthony to get up and he was going to take him to medical, and touched

Anthony’s foot. Anthony responded by moving, but not verbally.

Deputy Keiser told Anthony to get ready, and then he left Anthony and the dorm to go advise other deputies. He

believed Deputy Long notified Sergeant Hockenberry, via telephone, at that time.

At this point, Deputy Keiser believed Anthony was just not complying with his directions, and that is why he

wanted to notify his chain‐of‐command. Deputy Keiser let Deputy Long know and Deputy Long transferred the

message to Sergeant Hockenberry.

At that time, inmates began knocking on the door to the e‐block door. Deputy Long, Deputy Scott, and Deputy

Keiser entered the cell block and the inmates were advising Anthony vomited. The deputies entered the cell and

found Anthony kneeling next to his bunk. Dep Keiser noticed a liquid that he described as appearing like

“applesauce”. Deputy Keiser did not think it looked like vomit.

Sergeant Hockenberry came in and told Deputy long to go get a wheelchair. Deputy Long went and got the

wheelchair. Deputy Keiser helped Anthony into the wheelchair, and he believes Deputy Scott may have also

assisted.

Sergeant Hockenberry, Deputy Long, and Deputy Scott, escorted Anthony down to medical. Deputy Keiser stayed

back in housing and continued with his normal duties.

Deputy Keiser stated he did not realize Anthony was too sick to cooperate, just assumed that he was purposely

not following direction.

Deputy Keiser stated he did not see a rash on Anthony but stated he noticed his skin color was red, but he stated

he did not know what Anthony’s normal skin‐tone was.

Deputy Keiser was unaware of Anthony not eating or drinking but stated there is a water fountain in the housing

block and Anthony has 24 hour access to it.

The full audio‐recording has been uploaded to the RMS and labelled “Interview with Deputy Kevin Keiser 2‐5‐19”. It



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Subject Interviewed: Deputy Samuel Scott



Summary: Deputy Scott is a corrections deputy who works in the Flagler County Inmate Facility. He was working the

evening of February 4, 2019. The following is a summary of his investigative interview.

Deputy Scott was familiar with Anthony Fennick, as he had been in and out of the facility multiple times. The

two had spoken several times during Anthony’s times in the facility.

Deputy Scott stated his daily assignment in the facility changes, but most recently he had been assigned to

annex housing.

Anthony had never made any medical complaints to Deputy Scott.

Anthony never caused any issues for Deputy Scott and Deputy Scott did not recall anything abnormal about

Anthony’s behavior.

Deputy Scott has helped with both med pass and meal distribution and did not recall anything out of the

ordinary with Anthony as it related to either of those tasks.

Deputy Scott was aware Anthony did not eat his dinner on February 4, 2019.

Deputy Scott was one of the deputies who made entry into the cell‐block when Anthony began vomiting. Once

he entered the block, Anthony was already on his hands and knees.

Deputy Scott stated they entered the block because they heard an abnormal amount of yelling and screaming

coming from that block.

Deputies Keiser, Long, and Scott entered the block at the same time. Anthony was already on his hands and

knees next to his bunk. He had vomit near him and on him. They ordered the other inmates to their cells so

they could have access to Anthony. It appeared to Deputy Scott that Anthony was unable to communicate.

Deputy Scott did not know if Anthony was simply choosing not to communicate or if he was unable to. Deputy

Scott contacted Sergeant Hockenberry, and he responded to the housing block. Deputy Long went and got the

wheelchair. Deputy Scott and Deputy Keiser picked Anthony up and placed him in the wheelchair. Anthony still

was not verbal at that point.

Deputy Long, Deputy Scott and Sergeant Hockenberry accompanied Anthony to the medical office. They

wheeled Anthony into medical. Deputy Scott believed the nurse was unable to conduct her evaluation on

Anthony because he was sitting in the wheelchair. They helped Anthony out of the chair and leaned him,

stomach first on the examination table. The nurse took Anthony’s temperature rectally. Deputy Scott stated he

did not notice the nurse have a reaction to the temperature that indicated alarm. She advised she needed to

call the provider and exited the room.

After the nurse returned and talked to Sergeant Hockenberry, the decision was made to send Anthony to the

hospital. Deputy Scott left to pull a vehicle around to prepare to transport Anthony to the hospital.


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Deputy Scott stated it was standard procedure for deputies to transport sick inmates to the hospital in a sedan,

unless it was an emergency. Dep Scott stated that at this time it had not been deemed a medical emergency in

need of transport in an ambulance.

When Deputy Scott returned from moving the transport vehicle into the sally‐port, Anthony was sitting in the

wheelchair in the booking area. They were preparing restraints for him, since he was still considered a prisoner.

He was in a wheelchair at that moment.

They continued preparing paperwork for Anthony’s transport and Anthony began to seize.

An immediate response was requested from the nurse. Deputy Scott started trying to hold Anthony’s head still,

and tried to keep him from sliding out of the wheelchair. They then began getting concerned that Anthony

would vomit again and aspirate, so they moved Anthony to the floor to prevent that.

Someone made the decision to request an EMS response.

The ambulance arrived, but the vehicle could not fit in the sally‐port. Anthony was taken out to the ambulance

and that ended Deputy Scott’s involvement. Deputy Scott completed a report on this incident that night.

Deputy Scott stated that he did not recall anyone stating they had any idea what Anthony’s exact medical issue

was. He described Anthony as basically “dead‐weight”, and that he was not resisting their efforts to help them

but was unable to assist them.

The full audio‐recording has been uploaded to the RMS and labelled “Interview with Deputy Samuel Scott 2‐5‐19”. It



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Subject Interviewed: Tracey Columbus



Summary: Tracey Columbus is a nurse with Armor Health. She was working the evening on February 4, 2019. The

following is a summary of her interview with investigators.

Nurse Tracey is a registered nurse with Armor Medical. Up until February 1, 2019 she worked 8 hours shifts.

After that they changed to 12 hours shifts, working from 6:00am to 6:00pm or 6:00pm to 6:00am.

Her shift assignment changed. She was working Sunday night, February 3, 2019 and Monday night, February 4,

2019.

When she was assigned to the 11:00 pm to 7:00 am shift. She had almost no contact with Anthony. She stated

this was because the only med pass that was done during those hours was done directly to inmates who needed

the medications during those hours. She did not believe Anthony had any that were taken during those hours.

On Monday, February 4, during the evening med pass, Nurse Tracey stated, when she entered the block, the

first thing that happened was several inmates came up to her to tell her she needed to look at Anthony’s rash.

Tracey told the other inmates to go away because it was not their place to address her about other inmates.

She also indicated that they did not handle “sick calls” at night. Tracey stated it was not Armor’s policy to not

handle sick calls at night, it was the policy of the FCSO.

Anthony approached her med cart with his shirt off. She told Anthony he would need to complete a sick call

because that was the policy, and according to Armor’s protocol, Anthony’s symptoms did not qualify as an

emergency. This was because he was alert and ambulatory.

Anthony did not take his medication. Nurse Tracey believed he did not take them because he did not want to.

Tracey stated if Anthony had submitted a sick call request, he would have been seen the next morning. She had

also been instructed to periodically check the sick call requests for items like “I’m short of breath” or “I have

chest pain.” In instances similar to those requests, she could go to the block and conduct and “urgent care

assessment.”

Tracey knew Anthony had been prescribed Bactrim. She was aware one of the side effects of Bactrim was a

rash. Tracey told the deputies when she left E‐Block that she would likely request Anthony come to the medical

office for an evaluation to see if it was an allergic reaction to the medication.

Tracey believed Anthony had been taking the Bactrim since January 30, 2019.

Tracey stated the only information they received about the inmates medications, is what they were supposed to

dispense that day. Otherwise they were unaware of what medications the inmates had been taking and for how

long they had been taking them, without going back and checking records.

At the start of her shift, Tracey had been briefed by the out‐going nurse (Kelsey). The briefing was that Anthony

had given them a “hard‐time” over the weekend, his mother had called 12 times over the weekend, and they


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54

(nurses) were not going to provide his mother with any information, because he had not completed the ROI

form, allowing them to release information to his mother. Tracey stated she thought Anthony was verbal at that

point and that he was having a conversation, she could not hear, with one of the deputies.

Tracey did not know why Anthony did not want to take his medication. Tracey stated she asked Anthony If he

wanted to take his meds and Anthony just shook his head “no”. Tracey stated she is not allowed to leave the

medications with the inmate, they have to have taken them prior to her leaving the block.

When they left the block, Tracey stated the deputies did not mention anything to her. She told Deputy Keiser

that rashes can develop and that she would probably ask him to come to the medical office after she completed

her med pass.

Deputy Keiser did speak with her about seeing Anthony for his complaints, and advised she did tell Deputy

Keiser she could not see him during the med pass because the med pass had to be conducted in a timely

manner. She advised the deputies do have the ability to declare a “code white”, which is a medical emergency.

Tracey stated she was going to ask to see Anthony because the previous week there was another inmate with a

rash and they were medically segregated. She had never dealt with Anthony before but she knew she had

gotten a rash from Bactrim before and thought she should evaluate Anthony’s rash.

Tracey finished her med pass, returned to her office and called the desk in the housing annex, and requested to

see Anthony about his rash. Tracey stated she has the ability to determine if she sees people in the medical

office or in the block. She wanted to see him in the medical office, because there was a chance she would have

to medically segregate him.

Tracey stated it is difficult to handle sick calls or evaluate inmates during med pass because it’s time consuming

and you need to be able to get a full set of vitals.

When she saw Anthony during the med pass, he had his jumper open and she did notice his rash at that time.

After she called down to the housing annex and asked to see Anthony, the deputy in the housing annex called

back and advised Anthony was refusing to come to medical. Sergeant Hockenberry stated that he would get a

firm answer that Anthony was either refusing or coming down. Next she heard was they were bringing him

down in a wheelchair because he was unable to walk.

The deputies brought Anthony down. Tracey described him as alert and responsive, but non‐verbal, and added

that his pupils were “equally reactive”. Tracey had difficulty clarifying if Anthony was “alert” or not. She

indicated that he looked at her but he was stiff, and then stated she needed to take his temperature rectally

because it would not work orally. She stated the deputies had to lift him to take his temperature rectally and

that it registered as 100.1. She told Sergeant Hockenberry they were going to send him to the hospital and

called the provider for an order to do so. She spoke to “Shawna”. Shawna authorized to send Anthony to the

hospital. They wheeled Anthony out to prepare him for transport to the hospital, and she began writing her

report. Tracey called the emergency room to provide them with the report on Anthony.

After she got off the phone with the hospital, the jail staff called her and requested her in booking because

Anthony was seizing. She rolled Anthony to confirm he was breathing and he was.


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Tracey called the provider again to get an order of “Ativan”. She went to the medical office to get the

equipment to administer an IV and started Anthony an IV. The IV kit she grabbed did not have a “lock” in it. She

asked a deputy to go back to the medical office and get her a syringe and other medical supplies, but they were

unfamiliar with what she needed.

She eventually had to go get the equipment herself and had deputies maintain pressure to prevent bleeding.

She had already instructed them to call EMS for help. Rescue arrived and helped her with “hep‐locking” and the

administration of the Ativan. EMT’s then transported Anthony to the hospital.

The reason Tracey was using Ativan was to alleviate Anthony’s seizures.

Tracey stated the inmates frequently come to the medical office and complain they need to go to the hospital

without elaborating. Tracey appeared to be having difficulty determining if Anthony was simply being difficult

or if he was in distress.

Tracey decided to take Anthony’s temperature rectally because Anthony would not open his mouth when asked.

Tracey described Anthony as “very stiff”. He could move his back and he did move his arm away. His pupils

were also reactive. All these indicators made Tracey think he was reactive, and just refusing to speak to her.

She also described his color as “normal”, and not green or pale. Once she took his temperature rectally, she

realized he was not just ignoring her.

Tracey stated she then had to call the provider to get authorization to send Anthony to the hospital. Tracey

stated she is considered a “nurse provider” but not an “order provider”. A nurse provider cannot order

medication. Armor Medical has two “order providers”, a Doctor Maxwell (physician) and a Shawna Walker

(Nurse Provider). They rotate “on‐call”. Shawna Walker was the on‐call provider on that evening. Prior to

sending anyone to the hospital the provider needs authorize it.

Tracey briefed Shawna, and they agreed Anthony should be transported to the hospital.

During the phone call to Shawna, Tracey told her Anthony had; a non‐papillary red rash on his chest and arms,

had not been feeling well, reported and elevated body temperature, had started antibiotics, was currently non‐

verbal, had equally reactive pupils, had positive reflexes, and was able react to her. She also indicated she had

performed a Babinski‐reflex test.

Tracey stated the rash was indicative of an allergic reaction to the medication, but she did not feel it was an

allergic reaction. She stated it could have also been an allergic reaction to a soap he was using. She had been

told Anthony had vomited, but if he had a fever/illness over the weekend that may have been the reason as

well.

Tracey knew Anthony had vomited and he had what appeared to be applesauce on him. She believed he had

vomited applesauce.

Once Anthony began seizing in booking Tracey realized he needed to be transported via ambulance and not in

FCSO vehicle.


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Tracey was asked what the issue was that she had with the IV for Anthony. She stated they start very few IVs in

the jail, and she only recalls ever starting one while working at the jail. She inventories supplies the first of every

month, and recently realized they had an IV kit. The previous kits she was experienced with had hep‐locks in

them. She believed these kits would have hep‐locks in them because of this, but also because she did not recall

seeing hep‐locks in the supplies, when she conducted inventory on February 1, 2019.

She asked a deputy to get a syringe to block the IV line, but the deputy could not find it. She taped down the

line and asked Deputy Scott to hold it while she went to look for a hep‐lock. She still could not find one, but

paramedics had arrived by that time and administered one. They then gave Anthony Ativan.

At that point, Tracey still had no idea what Anthony was suffering from.

Tracey stated that inmates frequently come up to her and ask for extra Tylenol or a cream, but she believes if

she does it for one, then she has to do it for anyone that asks, so her personal position is to always say, no. If it’s

not on her list she does not provide it to the inmate.

Detective Fuentes then showed Tracey a copy of form that was header “MAR/TAR” for Anthony. The form

appears to list what medications were provided to Anthony and on what date. There was a specific block for

February 4, 2019 that was empty. Tracey was asked why there was no data in the block. Tracey stated she was

uncertain. It could have been because he no longer was receiving the medication, or because she simply did not

input the data. A copy of this form has been scanned into the RMS and labelled “MAR/TAR report Fennick”

(Tab 25 in the hard file).

Tracey stated if she had completed it, she would have circled Anthony’s name, and then wrote “refused”.

Anthony had never complained about a fever or headache to Tracey.

Tracey reiterated that she only wanted to see Anthony about his rash. That she had entered the cell block for

med pass, other inmates began talking about Anthony’s rash, she was not willing to discuss it with them because

of liability as it relates to HIPPA, and the whole episode escalated quickly from that point on.

The full audio‐recording has been uploaded to the RMS and labelled “Interview with RN Tracey Columbus 2.6.19”. It



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Subject Interviewed: Monnie Greene



Summary: Monnie was an inmate in the same housing block as Anthony on February 4, 2019. The following is a

summary of his interview with investigators.

Monnie noticed Anthony did not initially get up for supper on February 4, 2019, and when he did he was half

dressed.

Anthony then went and laid back down.

Anthony was also slow to get up for med pass, and once he did, he was again half dressed.

Monnie saw medical staff trying to give Anthony his meds, but he was unsure if Anthony actually took them.

Monnie said Anthony is usually “bundled up” but on February 4, he was stripped down to his shorts.

Inmates began telling the guards that Anthony was “bad off”, and some of the younger inmates were making

fun of Anthony.

Monnie noticed Anthony started acting “off” or “delusional” at dinner time.

Anthony did not eat his evening meal on February 4, because he was not properly dressed.

Monnie never heard Anthony complain about medical problems.

Monnie described Anthony’s appearance on the evening of February 4, as “red and sweating”.

The full audio‐recording has been uploaded to the RMS and labelled “Interview with inmate Monnie Greene

02.05.19”. It was also placed onto DVD and submitted into evidence as item # 344.17 (Also on DVD in the hard copy

file).


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Subject Interviewed: Erika Williams



Summary: Erika was Anthony’s mother. The following is a summary of her interview with investigators

Erika advised that Anthony never had seizures in the past and only had kidney stones.

According to Erika, Anthony had kidney stones when he was approximately seventeen years old.

Anthony continued to have kidney stone problems approximately twice a year.

Anthony would be put on “flomax” for seven days but he would typically pass them prior to the end of the seven

days.

Anthony had never been on his own and has always been under Erika’s medical insurance.

Anthony had bad ear infections from when he was an infant until he was approximately 4 years old.

Anthony had tubes put into his ears and also had his tonsils and adenoids removed.

Anthony had to have an operation to remove the kidney stones once.

In 2017 Anthony broke his hand. Anthony had to have a plate put into his right hand.

In 2013 Anthony had a deviated septum surgery.

Anthony was in India Block (I‐Block) from December 28‐ January 24, 2019 then went to Echo Block (E‐block).

Erika advised that in jail calls you could hear how upbeat Anthony was and how he called multiple times.

Erika stated Anthony typically would call when he first woke up, before lunch, around 5:00 pm and close to

10:30 pm.

Anthony would call up to four times a day then it started getting less and less.

Anthony called Erika on Sunday, February 3, 2019 at 7:15pm.

Anthony said goodnight and he wanted to go back to sleep because he was not feeling well.

Erika talked about how Anthony was requesting ibuprofen twice a day for 5 days.

On February 4, at about 3:30 pm, after no one was answering the nursing station, Erika called the Inmate Facility

and pressed Zero. Erika advised she spoke with someone she believed was named Deputy Thompson but was

uncertain. She then asked for the Sergeant or Supervisor of E‐Block. She was never able to speak to the

supervisor, and she never received a call back from a supervisor.

On February 4, at about 2:20 pm she tried to call the Inmate Facility multiple times and tried to reach someone

at the medical office, the phone rang for a while then she final was able to speak with Kelsey.

Erika told Kelsey who she was, that Anthony was in E‐Block, she just spoke with Anthony, and he was running a

fever. Erika told Kelsey that Anthony has been feeling this way and asked if he might be having an allergic

reaction to the antibiotic.

Kelsey advised she could not even confirm or deny that Anthony was in the Inmate Facility. Erika told Kelsey

Anthony woke up with a red face and neck, and rash all over his chest and arms.


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Kelsey told her there was nothing they can do without him signing a form. Erika told Kelsey Anthony could not

get up from where he was laying. Erika then asked for Kelsey’s supervisor’s name. Kelsey replied it was Sara,

Sara was present, then disconnected the line.

Erika reached Sara by calling the Inmate Facility and then pressing zero. Erika advised that a female answered

the phone. She explained what was going on and that she was unable to reach the medical office. Sara

explained to Erika about the form that needs to be completed to share information.

Erika advised she spoke with Sara about the possibility Anthony was having a reaction to the antibiotic. She had

researched reactions to the antibiotic Anthony was taking and told her husband that the only reaction Anthony

did not exhibit was seizures. Erika advised medical would not provide any information. She stated she

understood and respected the regulations, then advised them there was something wrong with her son.

When she did not receive a call from Anthony in the evening of February 4, she knew something was wrong.

At 10:21pm Erika called the Inmate Facility and Tracey answered the phone. As soon as Erika identified herself,

Tracey replied she could not talk to her because Anthony had not signed the ROI.

Erika talked about Anthony’s medical history, and that his drug‐of‐choice was opiates and was also known to use

powder cocaine.

Anthony never suffered from headaches and would not complain about being sick.

Anthony told Erika that Jaqui was extremely nice and would check on Anthony.

The full audio‐recording has been uploaded to the RMS and labelled “Interview with Erika Williams 03.05.19”. It was

also placed onto DVD and submitted into evidence as item # 344.18 (Also on DVD in the hard copy file).


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Subject Interviewed: RN Freddie Owens



Summary: Freddie is a registered nurse with Armor Health. The following is summary of her interview with

investigators.

The only contact Freddie had with Anthony was during med passes. Anthony is not one to put in sick calls.

She had never seen Anthony for a sick call and she never had an issues with him.

Freddie had contact with Anthony on Friday, February 1, 2019 at approximately 9:00am, during morning med

pass. He complained about feeling bad and stated he might have a fever.

Freddie took his temperature and it was 102 degrees. She provided him 400 milligrams of ibuprofen and his

other medication, and advised she would be back to check on him in an hour.

Anthony did not put in a sick call.

Freddie saw another inmate then asked to see Anthony, but Anthony “refused” to go back out. So she never

saw him a second time.

The full audio‐recording has been uploaded to the RMS and labelled “Interview with RN Freddie Owens 02.06.19”. It



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Subject Interviewed: RN Jennifer Pellegrino



Summary: Jennifer is a registered nurse with Armor Health. The following is summary of her interview with

investigators.

Jennifer’s only encounter with Anthony was Wednesday, January 30, 2019 during a sick call.

Jennifer worked the 7:00 am‐7:00 pm shift.

Jennifer stated she would print out the list for med pass and sick calls.

At med pass Anthony did not get up for his medication.

During the sick call, Anthony advised he thought he had been bitten by a spider

Jennifer looked at the marks and did not think they resembled a spider bite, but more closely resembled a

pimple or skin infection.

Jennifer provided Anthony antiseptic wipes and antibiotic cream which is kept on the med cart.

Anthony advised her that he did not have any allergies.

Jennifer told Anthony to keep the area clean and that she will talk to a doctor about it.

She called Doctor Maxwell later in the afternoon, described the bumps as two dime size style pimples, and that

Anthony did not have a fever and was not allergic to anything.

Doctor Maxwell prescribed Bactrim.

Antibiotics were prescribed twice a day for seven days.

The full audio‐recording has been uploaded to the RMS and labelled “Interview with RN Jennifer Pellegrino 02.06.19”.



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Subject Interviewed: Darnell Hyppolite


Investigator Conducting Interview: Detective Annie Conrad

Summary: Darnell was an inmate in the same housing block as Anthony. The following is a summary of the investigative

interview with him.

Anthony Fennick was fine when he first came into the block.

Darnell was very concerned about Anthony’s condition due to his obvious rash.

Anthony complained on 1/30 or 1/31 that he had a fever.

Anthony told Darnell his fever was 103.

Anthony later stated to Darnell he had sweat out the fever and felt better.

Anthony later complained of a bad headache.

On 2/1‐2/2 Anthony began lying in bed more. Inmates were making fun of Anthony and calling him a baby. He

would go to the nurse at night and receive Ibuprofen. Darnell stated Anthony would take his psychotic drug

Remeron (aka Mirtazapine) and conceal it and not take it. Anthony would try to trade them, but no one wanted

them.

From 2/3‐2/4 Anthony was in bed all day. He kept telling the medical staff he wasn’t feeling well.

Darnell witnessed Anthony’s temperature over 102.

On 2/3‐2/4 Anthony had not eaten anything. Darnell believed Anthony’s medical problems began due to a

possible spider bite. Darnell stated they have black widows in the outside yard.

Darnell described Anthony as not being able to get dressed and Deputy Kemp kept telling Anthony to get

dressed. It appeared Anthony did not understand Deputy Kemp’s instructions. Dep Kemp instructed the

trustees to not feed Anthony and leave him there. Darnell stated Anthony sat there for approximately five

minutes and then went back to bed, profusely sweating.

Darnell also described an incident during the med pass on 2/5/19 where Anthony could not get dressed and

could not talk. Darnell stated no one cares about any of the inmates there. Darnell stated Anthony was not

talking and they took his meds away and left him sitting there.

Inmate Matthew Brown tried to give Anthony some applesauce.

Matthew “hit the button” to try to get Anthony some help. Deputy Keiser responded, and was trying to get

Anthony up by tapping on his leg.

Darnell stated it was obvious that Anthony could not respond and something was wrong with him.

Deputy Keiser stated in Darnell’s presence that he was trying to get Anthony some help but he was refusing.

Deputy Keiser then left. Anthony’s eyes then opened, but his eyes started to flutter and he did not seem to

understand what anyone was saying.

Deputies came back in, looked at Anthony and then left again.


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Anthony began vomiting. The inmates put him on his side to avoid him choking.

Deputies came in and continued to give Anthony commands. Anthony was unresponsive. None of the deputies

wanted to touch Anthony.

Darnell stated that Sergeant Hockenberry asked the other inmates if they chose to eat. They replied they did.

Sergeant Hockenberry stated Anthony was refusing to eat. Darnell then stated Sergeant Hockenberry said

Anthony was faking and he had done this before. Sergeant Hockenberry added he was not allowed to discuss

Anthony’s medical condition with them but there was nothing wrong with him.

Darnell stated his meds were possibly in his suave deodorant. Darnell stated it looked like it was affecting

Anthony neurologically. Darnell told Sergeant Hockenberry if they did not get Anthony to the hospital he was

going to die.

Darnell stated you could clearly tell he was not faking, he was soaking wet from sweat, vomiting, and had hives

all over his body. Darnell stated Anthony was never on antibiotics.

Darnell thought Anthony had been complaining of a fever for five to six days.

The full audio‐recording has been uploaded to the RMS and labelled “Interview with Darnell Hyppolite 02.05.19”. It



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Subject Interviewed: David Ward



Summary: David Ward was an inmate in the same housing block as Anthony. The following is a summary of the

investigative interview with him.

David was housed in the same block as Anthony Fennick.

David mentioned Anthony went downhill pretty quick, and no one helped him quick enough.

Anthony was in bed all day Monday and David had to help wake him for food and med pass.

David said he tried to tell people to get him help when he stopped talking.

Anthony got worse and started vomiting his eyes were twitching and they banged on the door. David described

Anthony’s appearance as “looking like someone who had overdosed”.

Some people thought he was faking, but he was not even able to speak.

David stated Anthony did not speak after dinner on February 4.

David told the nurse at med pass that Anthony could not get dressed.

They did not take any precautions for the other inmates, in case it was contagious, after removing Anthony.

David packaged Anthony’s belongings and placed it by the block door.

The full audio‐recording has been uploaded to the RMS and labelled “Interview with David Ward 02.05.19”. It was also

placed onto DVD and submitted into evidence as item # 344.28 (Also on DVD in the hard copy file).


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Subject Interviewed: Adam Jordan

Date and Time: 9/18/19 at 10:32am


Summary: Adam Jordan was an inmate at the Flagler County Inmate Facility. He was a trustee who brought meals into

Echo Block on 2/4/2019. The following is a summary of the investigative interview with him.

Adam explained he assumed Anthony was on some type of drug due to his obvious impairment. Adam

expressed disbelief that staff did not “toss the block” to determine what type of drugs he was on. Adam stated

he even called a relative after the incident and talked about the incident.

This call was later verified and Adam did express, at that time, that he believed Anthony died of a drug overdose.

The full audio‐recording has been uploaded to the RMS and labelled “Interview with Adam Jordan 09.18.19”. It was


Subject Interviewed: Matthew Brown

Date and Time: 2/5/19

Investigator Conducting Interview: Detective Darrell Butler

Summary: Matthew Brown was an inmate at the Flagler County Inmate Facility. He was housed in Echo Block with

Anthony Fennick. The following is a summary of the investigative interview with him.

Matthew advised he has been incarcerated for approximately five months, approximately one and one half

months of which had been spent in Echo Block.

Matthew had known Anthony since approximately 2015.

Matthew estimated Anthony had been assigned to Echo Block for approximately ten to twelve days.

Matthew advised, on approximately February 1, 2019, Anthony suffered from a fever that he (Anthony)

reported as being approximately 102 degrees Fahrenheit.

Anthony was taking ibuprofen to treat his fever and a “psych med” to help him sleep.

On February 2, 2019, Anthony was still potentially sick but appeared to be recovering.

Anthony was complaining of migraines.

On February 3, 2019, Anthony stayed in bed “all day” due to not feeling well.

Anthony slept the majority of the day on February 4, 2019, only waking between approximately 1:00 pm to 1:30

pm to place a phone call to an unknown person and at approximately 6:45 pm for dinner.


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Matthew indicated Anthony began suffering from a rash that started on Anthony’s arm and spread to the rest

of his body. He speculated it took approximately four to five hours to spread over his body.

Matthew advised Anthony began acting “delusional” in the dinner line and was unable to wear his jumpsuit

properly (only arms within the jumpsuit).

Matthew advised Anthony continued to exhibit the same behavior later in that evening while walking towards

the medication cart. Instead of correcting himself, when ordered to by staff, Anthony picked up his jumpsuit

pant leg and began manipulating it, as well as the buttons of his jumpsuit.

Matthew indicated Anthony was not provided with dinner due to the manner in which he was acting, and, as a

result, he gave his applesauce to Anthony.

Matthew further advised Anthony was provided medication; however, he only looked at it instead of consuming

it, at which time it was taken from him.

Matthew stated Anthony then began acting “crazy”/”delusional” and was not responding to Deputy Kaiser when

he responded to Echo Block to assist Anthony.

Deputy Kaiser left, and Matthew attempted to make contact with Anthony; however, Anthony did not respond

to him.

When Deputy Keiser returned, Anthony was still “delusional” and unresponsive.

Matthew indicated Anthony’s eyes were open (unblinking) and were red and “light gold” in color.

Matthew provided Anthony with some water because he thought Anthony may be dehydrated.

Anthony began vomiting while lying on his back, and Matthew and Joseph Strople assisted in rolling Anthony

onto his side.

Matthew and Joseph moved Anthony to the ground, and shortly afterward, deputies responded and removed

Anthony from Echo Block with a wheelchair. Anthony was unable to speak at this time.

Matthew stated, to his knowledge, Anthony had only eaten once in the past two days (approximately February

3‐4), and he was not drinking any fluids.

Matthew indicated he believed the on‐duty staff was under the assumption that Anthony was faking his

condition.

The inmates of Echo Block were speculating Anthony’s condition was either the result of a fever or a spider bite.

Matthew stated none of the inmates believed Anthony had ingested any narcotics.

The full audio‐recording has been uploaded to the RMS and labelled “Interview with Matthew Brown 02.05.19”. It was



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Subject Interviewed: Joseph Strople

Date and Time: 2/5/19

Investigator Conducting Interview: Detective Darrell Butler

Summary: Joseph was an inmate at the Flagler County Inmate Facility. He was housed in Echo Block with Anthony

Fennick. The following is a summary of the investigative interview with him.

Joseph advised he has been incarcerated since approximately November 20, 2018, and he was assigned to Echo

Block on approximately January 17, 2019.

Joseph believed Anthony was reassigned to Echo Block approximately two weeks prior to the incident.

Joseph went on to state he spoke with and played cards with Anthony, and when asked about his demeanor,

Joseph indicated Anthony was a “normal guy”.

Anthony suffered from a fever approximately five to seven days prior (approximately January 28‐30, 2019), and,

after placing “med calls”, Anthony received medication.

According to Joseph, Anthony made an undisclosed number of med calls requesting medication for his fever, for

which he was initially denied, prior to being issued Ibuprofen.

Joseph further advised, approximately two days later (January 30, 2019‐February 1, 2019), Anthony reported he

was feeling better.

According to Joseph, Anthony relayed during the above timespan, that he had suffered from a fever with a

temperature of 102 degrees Fahrenheit.

Joseph stated Anthony began to feel ill again, and he went on to note Anthony had received commissary on

Saturday, February 2, 2019; however, he did not eat any of it (gave it to another inmate identified as “Darnell”).

Joseph went on to state, to his knowledge, Anthony did not eat on Sunday, February 3, 2019, or Monday,

February 4, 2019.

Joseph further noted Anthony had given his breakfast to “Darnell” and his lunch to Matthew Brown (possibly

occurred on Sunday, February 3).

Joseph advised he did not know if Anthony had received his breakfast on Monday (February 4); however, he

indicated Anthony “didn’t know what he was doing” in the evening and did not receive dinner.

Joseph noted Anthony was wearing his jumpsuit improperly (only arms within the jumpsuit).

Joseph further advised, Anthony approached the medical cart wearing his jumpsuit improperly, at which time he

was provided medication by the on‐duty nurse.

Joseph noted Anthony had a rash “all over his body”.

When asked to describe what he meant by Anthony being “delirious”, Joseph advised Anthony “looked like he

was staring into space”.

Joseph noted Anthony’s eyes were fluttering and his hand/arm was “twitching”.

Joseph further noted Anthony was “shaking”.


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Joseph stated numerous inmates approached Anthony in reference to communicating and complying with

deputies regarding his condition so he would be transported to nurse’s office.

At about 9:30 pm to approximately 10:00 pm on Monday (February 4), Anthony began vomiting after Matthew

Brown attempted to provide him with water.

Joseph stated, during the time he was vomiting, Anthony “wasn’t even making any effort to get up or stop

himself from choking on his own throw‐up”.

Joseph went on to state he assisted Anthony by moving him to his side, and by moving him off the bed onto the

floor.

Anthony was positioned on his knees and leaning over.

Anthony appeared as if he wanted to speak but was unable.

Deputies responded to Echo Block, and after being told Anthony was ill, and they removed Anthony.

Joseph further advised, at approximately 10:00 am that morning (February 5), deputies relocated the inmates of

Echo Block to Lima Block.

Joseph stated the inmates were initially instructed to not touch Anthony’s belongings, but later a detention

deputy instructed Inmate David Ward to “clean up” Anthony’s belongings.

When asked, Joseph advised he heard Anthony may have fallen ill due to a spider bite on his neck, which he was

treated with an antibiotic cream.

Joseph further advised, to his knowledge, he was not aware of any inmates within Echo Block having access to

or using narcotics.

The full audio‐recording has been uploaded to the RMS and labelled “Interview with Joseph Strople 02.05.19”. It was



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Subject Interviewed: Michael Dolce

Date and Time: 3/15/19 at 8:58am


Summary: Michael is a Flagler County Firefighter/Paramedic. He treated Anthony on 2/4/19

Michael is a Flagler County Firefighter/Paramedic for 8 years in Flagler County, 3 years of experience in Marion

County.

Michael recalled he was dispatched the jail the night of February 4, 2019 in reference to an inmate having an

allergic reaction to a medication.

Michael stated while en route to the jail, they cancelled their engine, and it was downgraded to non‐emergency.

Upon arrival Michael described the nurse was panicked, and immediately began asking for a cap for the IV she

placed in Anthony’s arm.

She did not have a cap for the IV which was allowing blood to flow back out of the IV while it was in Anthony’s

vein/arm.

Michael stated the nurse was not able to provide a lot of detailed information as far as what type of medication

it was or complete history on Anthony.

She was able to inform Michael that Anthony had been sick for a few days, had not eaten, and had a seizure.

Michael described what appeared to be hives all over Anthony’s body, and that there was also a lot of blood

coming from the IV.

While en route to the hospital Michael administered 50 mg of Benadryl, and a second IV in Anthony’s other arm

because the first one came out.

The nurse at the inmate facility previously gave Anthony medication for his seizure intravenously.

Anthony received both medications for his seizure and allergic reaction, and he was very sleepy upon arriving at

the hospital.

Anthony was never very responsive.

Anthony’s responses were very consistent with someone who was coming out of a seizure.

The full audio‐recording has been uploaded to the RMS and labelled “Interview with Michael Dolce 03.15.19”. It was



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Subject Interviewed: Karl Froling

Date and Time: 3/15/19 at 9:20 am


Summary: Karl is a Flagler County Firefighter/Paramedic. He treated Anthony on 2/4/19

Karl is Flagler County Firefighter/Paramedic with 11 months experience in Flagler County, and 12 years

experience in Volusia County.

Karl described the call as a possible allergic reaction to a medication.

They were advised the patient seemed okay now, and the staff now just wanted the patient “checked out”, so

they downgraded their response.

Karl advised he is at the station that primarily responds to the inmate facility, and that most of the complaints

received at the inmate facility are not usually credible, and typically they are just responsible for transporting

the inmates to the hospital.

Karl remembered that day there was a little delay getting to the patient, solely because it was the inmate

facility.

Upon arrival, Karl described the nurse as frantic.

The urgency of the call changed when they walked in the door. They expected to just check someone out and

then realized it was more severe.

The nurse started an IV in the left arm and the IV was not capped so the blood was flowing freely.

Anthony was responsive to painful stimuli and was moving a little.

The nurse did not have anything to cap the IV so they retrieved a cap from the ambulance.

The nurse mentioned Anthony had a fever, but her history with the patient was not very good. She stated he

had a seizure before paramedics got there. She was focusing on the seizure and medicated him for that. They

were concerned about all the blood, thinking it was a laceration, however they soon learned it was from the

uncapped IV.

Karl observed a rash on Anthony which was consistent with the drug reaction previously advised by the initial

call.


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The nurse was “all over the place” and getting a history was difficult. She did not seem to have much of a

medical history about the patient.

Anthony was responsive to a sternum‐rub and he was breathing okay.

The correctional officers were not able to provide any history on Anthony.

While in the ambulance they started a new IV because the one the nurse established came out. They provided

him with Benadryl and they gave him oxygen.

Karl kept describing Anthony appearing as a postictal seizure patient. He seemed very confused, responsive, but

not really responsive.

The full audio‐recording has been uploaded to the RMS and labelled “Interview with Karl Froling 03.15.19”. It was also

placed onto DVD and submitted into evidence as item # 344.25 (Also on DVD in the hard copy file).

Subject Interviewed: Doctor Gerald Maxwell



Summary: Doctor Maxwell was one of the providers for Armor

Doctor Maxwell stated he believed he saw Anthony one time and that Anthony stated he had a history of

seizures.

Anthony told Dr. Maxwell that he did not have a seizure in a long time and was not currently on any medication

for seizures.

Doctor Maxwell stated he only saw Anthony during intake and not during an illness.

Maxwell saw Anthony because Anthony had a chronic history which was seizures.

Doctor Maxwell had to verify if it was a choric or current.

Doctor Maxwell explained that when an inmate is prescribed medication he goes over side‐effects, but he does

not know of any paperwork that the patient would have to sign about side effects.

Doctor Maxwell advised Anthony seemed healthy and did not have any complaints when he saw him.

The full audio‐recording has been uploaded to the RMS and labelled “Interview with Doctor Gerald Maxwell 11.15.19”.



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Subject Interviewed: Deputy Jarred Tazwell


Investigator Conducting Interview: Detective Gabe Fuentes and Detective Conrad

Summary: Corrections Deputy who was present for an argument between Nurse Kelsey and Anthony Fennick

Deputy Tazwell was present during a med pass on Sunday February 3, 2019. Anthony had a conflict with Nurse

Kelsey Cochran. Anthony told Nurse Kelsey he had a fever.

Nurse Kelsey asked Anthony how he knew he had a fever.

Anthony replied that he had it taken during a previous shift.

Nurse Kelsey advised the thermometers were broken.

Deputy Tazwell advised that Anthony did actually have his temperature checked during a previous med pass, and

in fact had a temperature at the time.

Anthony did appear to look ill to Deputy Tazwell. He appeared flushed and his eyes were watery. He was verbal

at the time, and there was a brief argument between Nurse Kelsey and Anthony.

Deputy Tazwell stated it was not abnormal for inmates and nurses to have arguments, because frequently inmates

would try to obtain more medication than they were allotted.

The full audio‐recording has been uploaded to the RMS and labelled “Interview with Deputy Jared Tazwell 02.12.19”.



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Subject Interviewed: Deputy Brandon Twing


Investigator Conducting Interview: Detective Gabe Fuentes and Detective Conrad

Summary: Corrections Deputy who was present for an argument between Nurse Kelsey and Anthony Fennick

Deputy Twing recalled a brief discussion, during med pass, on Saturday February 2, 2019 between Anthony and

Nurse Kelsey where Anthony believed he was due more Tylenol. Nurse Kelsey stated she would look into it.

During med pass on Sunday February 3, 2019, there was another argument between Nurse Kelsey and Anthony.

Nurse Kelsey raised her voice during the argument.

Anthony told Nurse Kelsey to do her job, and complained of fever.

Nurse Kelsey did not take Anthony’s temperature, and advised all the thermometers were broken.

Anthony did appear flushed to Deputy Twing.

The full audio‐recording has been uploaded to the RMS and labelled “Interview with Deputy Brandon Twing 2.12.19

02.12.19”. It was also placed onto DVD and submitted into evidence as item # 344.35 (Also on DVD in the hard copy

file).


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Securus calls placed by Anthony Fennick (Jail Calls)

Securus is a system used by inmates to make phone calls. The calls are recorded. All of Anthony’s calls were reviewed

by Detective Fuentes. Because of the high volume of the calls, only the relevant ones have been summarized below. The

remainder are preserved in a web‐based system. The ones deemed relevant have been placed onto DVD and entered

into evidence as items 344.22, 344.23, and 344.24 (They are also on DVD in the hard copy file).

January 25, 2019 at 11:14pm

Anthony called his mother, Erika. Anthony spoke with Erika and Amanda Lopez (Anthony’s girlfriend). Towards

the end of the conversation Anthony told his mother that on January 26, 2019 he might go to medical for blood

work. Anthony also stated that he was tested for “gonorrhea and herpes”.


Anthony called Erika and told her that he put in for being a trustee but he needed to be medically cleared.


Anthony called Erika. Anthony advised he slept until 5:30pm. Anthony advised the “CO’s” treat you better when

you get sentenced.


Anthony called Erika. Anthony told Erika that he had a cyst on the back of his neck. Anthony advised he thought it

was a spider bite. Anthony stated every time he turned his neck it hurt. Anthony advised it hurt really badly.

Anthony advised he had “G” (Inmate Gregory Williams) look at his neck. Anthony stated Gregory touched his neck

and told him it looked like a spider bite. Anthony advised he put in a sick call.

Anthony advised he was told by medical staff that they did not believe it was a spider bite, but they thought it was

a cyst. Anthony advised he was given an antibiotic cream and a pill. Anthony stated that it started going down but

prior to it going down, “it hurt so bad.” Anthony advised he did not know where it came from. Anthony advised

he washes his underwear and socks every other day in the shower. Anthony advised he stays clean and showers

every day. Anthony advised he started his antibiotic “last night” (January 30, 2019). Anthony advised he was not

sure how many times he was supposed to take the antibiotics. Erika told Anthony that if it does not get any better

by the next day that he needs to go back in. Anthony told Erika that it was already starting to feel better. Anthony

advised that it was not as sore around the bumps. Anthony advised that he was going to try and go back to medical

that night for blood work. Anthony also stated he was tested for STD’s and he was good.


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Anthony called his girlfriend (Amanda Lopez). During the conversation, Anthony advised he woke up sick. Anthony

stated he had a fever and he was cold. Anthony advised that he was going to tell the nurse that night. Anthony

also talked about how he wanted to become a trustee.


Anthony advised he might go to medical because he did not feel well. Anthony advised he had the worst

headache he had ever had in his life, and that his eyes were bloodshot red. Erika told Anthony that he had to go

to medical, which Anthony replied that he was going to. Anthony told Erika his head was hurting from the top

and it felt like a bad sinus headache. Anthony advised he fell asleep for two hours and when he woke up he

could not eat his dinner. Anthony also told Erika that he had a fever. Anthony advised that he was going to tell

medical that he had a kidney problem. Erika told Anthony to tell the medical staff the symptoms match his

symptoms from when he had a kidney stone.

Anthony then spoke with Amanda and told her that he was going to go to medical because he did not feel well.

January 31, 2019 at 8:40 pm

Anthony began to speak with his uncle (Carlos Trivino). Anthony advised he woke up that morning with the chills.

Throughout the day he tried to shake it off but it got worse and worse. Anthony stated he feel asleep but when

he woke up he had a bad headache. He went to medical and they told him he had a fever. Anthony advised he

took Tylenol to make it go away. Prior to ending the conversation, Anthony advised his ears and eyes were burning.


Anthony spoke with his stepfather (Daniel Williams). Anthony advised he woke up with really bad “chills.” He

tried to shake it off during the day. Anthony advised he went to a church program and he was freezing. He then

took a nap and woke up at 7:30 pm. When he woke up he had a bad headache. Anthony describe the headache

as the worst headache he had ever had in his life. Anthony advised he told a nurse and that he has a 100 plus

fever. Anthony did not know his exact temperature. Anthony advised he did not feel well. Anthony stated he

was worried because it came out of nowhere. Anthony was asked if he thought he had the flu. Anthony advised

it was strange because he did not feel like he was sick. Anthony stated he did not have any “cold symptoms.”

Anthony stated he had a “terrible headache” and the “chills.” Anthony stated he was not sneezing, his nose was

fine, he was not coughing and he had no congestion. Anthony advised he felt like he got hit in the head with a

baseball bat. Anthony stated he was advised to “sleep on it for the night” and if he did not feel better then he

would go to medical. Anthony stated no one else was sick or getting sick. Anthony advised he was going to tell

medical about his history of kidney problems.


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Anthony then spoke with Erika. Anthony advised he did not put in a sick call. Anthony advised he wanted to wait

until “med pass” to talk to the nurse. Anthony told Erika he had a fever, and that he was told to stay on the

antibiotic and to take Tylenol. Anthony was told if he felt worse throughout the night or in the morning that he

should go to the nurse’s office. Anthony advised the bump on his neck was still there but it did not hurt

anymore. Anthony advised he could feel it going away, and he believed he had to take the antibiotic once a day.

Anthony advised he took the first one last night, did not have to take one this morning and then took one at

night. Anthony advised it was a big pill and he believed that he only had to take it for three days. Anthony

advised he was going to find out what kind of antibiotic it was. Anthony stated he did one hundred pushups

today and fifty the day before.


Anthony spoke with Amanda. When asked how he felt, Anthony advised he felt alright. Anthony then stated he

went to the nurse and he had a fever. Anthony advised he was not feeling good all day. Prior to getting off the

phone, Anthony stated his head was “pounding” and his ears were burning. Anthony advised he ate two bologna

sandwiches and a rotten apple for dinner.

February 1, 2019 at 1:41pm

Anthony spoke with Erika, and stated he felt better, but woke up that morning with a 103 degree fever. Anthony

was given ibuprofen and stated he “sweat” it out and was better. Anthony stated he was still taking his antibiotics.

The bump on his neck was still there but he thought it was getting a little better. Anthony advised after sweating

it out, the fever went away. Anthony stated he did not have the flu because if he did he would have gone to

“confinement.” Anthony advised he was going to ask to have his linens changed, and that he was feeling a lot

better.


Anthony spoke with Amanda, Anthony advised that he thought he was going to have to go into confinement

because he had 103 degree fever. Anthony was told if he had the flu he would have to be in confinement. Anthony

then stated that he was fine now. Anthony advised he took ibuprofen and slept. Anthony stated when he woke

up he was fine.


Anthony spoke with Amanda. Anthony advised his fever returned and that he did not feel good. Anthony asked

about changing his linens but they were not changed. Anthony advised he did not know what was going on but

he was burning up. Anthony asked the nurses if it could be his kidneys but he was advised it would not give him a

“fever like that.” Anthony advised they were going to swab him for the flu and if he tested positive he would have

to stay in lock‐up for a week. Anthony advised that is why he did not go back to the doctor because he did not


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want to be in confinement. Anthony advised the ibuprofen was helping him. Prior to getting off the phone Anthony

advised he had a bad headache.


Anthony spoke with his mother. Anthony advised that his fever returned. Anthony stated his fever was 99.6

degrees. Anthony advised he took his antibiotic. Anthony advised he was tired and wanted to go to sleep.

February 2, 2019 at 08:11am

Anthony spoke with Erika and told her he had a fever. When Erika asked him about this temperature, Anthony

stated he did not know it because they would not check it. Anthony stated he had just taken ibuprofen, and his

fever was not as bad as the previous day. Anthony advised he told medical that they needed to put in an order

because he needed ibuprofen in the afternoon. Anthony advised he took ibuprofen yesterday morning which

made him feel better but once it wore off, and his fever returned. Anthony advised he believed he was done with

the antibiotics. Anthony was concerned he had a staph infection. Anthony stated that he had a “pimple” on his

face and another inmate told him that it looked like “staph.” Anthony described it as a “ball” but it was going

down. Erika told Anthony that he had to say something about it. Anthony described the bumps on his neck as

getting better. Erika told Anthony that he had to go to medical during the day. Anthony advised he was going to

wait until he saw them in the afternoon. Anthony advised he did not want to “press it (the issue)” because he did

not want to go to lock up.


Anthony spoke with Amanda. Anthony advised he took his ibuprofen around 7:00am that morning and around

2:00pm he started feeling bad again. Anthony advised he started getting cold again, and his fever was so high that

he fell asleep. Anthony advised that he slept from 2:00pm‐7:00pm. Anthony advised he would wake up in his sleep

with his teeth chattering because he was so cold. Anthony advised he did not to go medical and that he did not

want to. Anthony advised if it is too bad they will quarantine him. Anthony advised he was going to talk to the

nurse tonight when she came into the block. Anthony advised he felt really sick. Anthony advised that “the officers

don’t give a fuck about nothing, you could be dying and they don’t care.”


Anthony spoke with his mother. Anthony told Erika that he was calling to tell her he was feeling better. Anthony

advised that he was in bed all day. After he got off the phone with Erika at 8:11 am he started to feel better.

Anthony advised he stayed awake and watched swamp people. Anthony advised he ate lunch then they made a

cake. Anthony advised around 2:00pm, he started feeling really cold again. Anthony advised by 2:30pm, he was

bedridden. Anthony advised he was freezing. Anthony stated he woke up with his teeth chattering. Anthony

advised he woke up at 7:30pm with a fever, and did not eat dinner. Anthony advised that when deputies were


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handing out dinner they threw away his cake. Anthony advised he had a horrible day and he was mad but he kept

his cool. Anthony advised he told the sergeant on‐duty that he needed to go to medical because he had a fever

for three days. Anthony stated he needed to talk to the nurse when she got there. Anthony advised he talked to

the nurse and he had a 102.9 degree fever. Anthony advised the nurse gave him ibuprofen and he asked for a

double dose. According to Anthony, he received four red pills. He took the medication 45 minutes prior to this

call. Anthony advised he was feeling a lot better.

Anthony stated he was told, by the nurse, the doctor would not see him until he finished his antibiotics. Anthony

advised this was his last night taking them, and he was hoping to see the doctor the next day. Anthony asked Erika

to call the Flagler County Sheriff’s Office Inmate Facility if nothing was done the next day. Anthony advised he was

talking to Sergeant Sa and Sergeant Sa was the “worst in the building.” Anthony advised he tried to ask Sergeant

Sa a question the night prior but Sergeant Sa said he would be back but never returned. Anthony told Erika, “I’m

not going to lie, the nurses have been nothing but helpful. They really feel bad for me.” Anthony advised the nurse,

Jaqui, was going to put in an order so that he can be “checked out” tomorrow. Mrs. Jaqui also advised if they do

not see him, that Anthony should make a “fuss.” Anthony stated that if he did not see a doctor the next day, for

Erika to call the Inmate Facility. Anthony stated he did not know the name of the antibiotic but he described the

pill as a “white oblong pill with the marking of IP2.” Anthony stated he was not exactly sure if he was correct about

the pill. Anthony stated he was starting to sweat and that he did not feel good. Anthony stated he did not have

an appetite. Anthony advised the back of the neck was a ball but it was not bad. Anthony also stated the bump on

his face popped today and it actually had two of them. Anthony stated they are not swollen anymore and they

are going down.


Anthony spoke with Amanda. Anthony advised he took his ibuprofen and finally felt better. Anthony also advised

his temperature was 102.9 degrees. Anthony stated that he told deputies that he needed to go to medical but

they would not take him. Anthony advised the deputies did not care. Prior to getting off the phone, Anthony

advised he was going to eat because he was feeling better.


Anthony spoke with Erika and Amanda. Anthony advised he just woke up, and had gotten into an argument with

the nurse that morning. Anthony advised he walked up to the nurse and she was trying to hand him medication

without talking to him. Anthony asked why he was taking the antibiotic again because he thought he only had to

take it for three days. Anthony was advised he still had to take the antibiotics but she did not know for how long.

Anthony advised the nurse was Kelsey, and he wanted to write a grievance on her. He told the nurse how he had

four ibuprofen the night before and it helped a lot. Anthony stated two ibuprofen helps, but sometimes his fever

is too high, so four ibuprofen helps more. Anthony was told she was not going to give him more ibuprofen.

Anthony stated Kelsey also denied him ibuprofen the previous afternoon. Anthony told Kelsey he had a

temperature of 102.9 degrees and they used a thermometer to take. According to Anthony, Kelsey told him that


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the thermometer was broken and always reads 97.6 degrees. Anthony explained how his temperature was

102.9 degree and asked how high his temperature was really if it’s always running low. Kelsey told Anthony that

she did not want to argue with him. Anthony stated he had been sick for four days and they were doing nothing

about it. Kelsey then said “I’m not fucking doing this shit today.” According to Anthony, there were two deputies

(Deputy Tazwell and Deputy Twing) present and told Kelsey that Anthony was really sick but she still walked

away. Anthony advised that he wanted to file a grievance on her.

Anthony then advised that the antibiotic was IP272. He had been sweating all day and he was still a little warm.

Anthony thought he had a 99 degree fever. Anthony stated his head was bothering him. Anthony stated whenever

he would lie down his ears would ring, and it felt like he had a lot of pressure in his head. Anthony stated it felt

like a sinus infection but times twenty. Anthony stated his nose was also stuffy. While Erika was still on the phone

with Anthony she attempted to call medical but it went to voice mail. Erika stated she was going to continue to

call over and over again. Anthony advised that Jaqui was good to him but Kelsey was not.


Anthony called Erika. Anthony advised that he was not feeling good and he had another fever. Anthony told Erika

not to worry about it because he was going to talk to the nurse when she arrived. Anthony stated they had dinner

fifteen minutes prior. Anthony bought applesauce from his friend and he drank. Anthony stated his throat did not

hurt. Anthony’s sinuses and head were bothering him. Anthony stated he was worried because when they took

his temperature and pulse, his blood pressure was low and his heart rate just said “high.” Anthony advised when

he was lying in bed he could feel his heart going crazy. Anthony and Erika were talking about how Anthony needed

to see a doctor.


Anthony called Erika. Anthony advised he spoke with Jaqui and he was informed the antibiotics are usually for a

week and he is on the schedule to see a doctor Tuesday, February 5, 2019. Anthony was told that they do not

give ibuprofen out two times a day. Anthony thanked her because Kelsey did not explain it. Jaqui advised that

she heard Anthony was “sassy” to her friend that morning.

Anthony advised he knows he has a fever and he felt himself starting to sweat so he got up to use the phone.

Anthony advised he thinks he has the flu. Anthony stated his body hurts and he was sore. Anthony advised his

knees and hips hurt. Anthony advised he usually does not act out, but he is starting to get pissed off because he

has had a fever for five days. Anthony stated he was able to defecate today and took a shower. According to

Anthony, he did not take a shower or defecate in four days.


Anthony called Amanda. Anthony told her not to show up because it states that he does not have a visit set up.

Anthony advised that he has red bumps all over his body. Anthony advised his skin is super red with little red


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bumps, he has a fever, and his head is pounding. Anthony advised the red bumps were on his arms and chest.

Anthony stated he did not check his legs yet. As Anthony was on the phone he advised he lifted up his sleeve and

it appeared his arm was going to dry out. Anthony advised he did not feel good.


Anthony called Erika. Anthony advised he felt terrible and that he was feeling worse. Anthony stated that his face

and neck were red. Anthony also advised that he had a rash all over his arms and chest. Anthony described the

rash as red dots all over him. Anthony advised he did not see the nurse because this happened in the afternoon.

Erika asked Anthony if he could try to put something in so he could be seen. Anthony advised that he tried but

was told he had to wait until the next day. Erika advised that she was going to call the Inmate Facility.


Anthony called Amanda. Anthony advised he thought he was allergic to the antibiotics because the first morning

he woke up with a fever.


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Summary of Jail Surveillance Video:

Detective Conrad was tasked with reviewing surveillance video from the jail. This summary was constructed to depict

what Detective Conrad observed while watching the surveillance videos of inmate Anthony Fennick, while he was

located in E‐Block at the Flagler County Sheriff’s Office Inmate Facility. Specifically to determine the normal activity in E‐

Block, their routine, and how they receive medical treatment and medications.

January 29, 2019 – E‐Block

7:25 am: Breakfast was served. Anthony got breakfast and appeared normal.

8:01 am: Med Pass. A corrections officer entered the door briefly as an inmate got dressed, grabbed his ID band

and exited outside the block door for approximately 20 seconds. This is believe to be morning med pass, and

how they were conducted. Anthony did not go to the door.

9:05 am: A female corrections officer stood in the doorway of the block, appeared to yell something and waited

for approximately one minute. She never entered the block and no inmates in the block responded to her.

10:04 am: A corrections officer walked in with paperwork, and remained by the door for approximately 10

seconds, no inmates came forward.

12:20 pm: Lunch was served. Anthony got lunch and appeared okay.

2:14 pm: Anthony was observed cleaning.

6:13 pm: Corrections officers walked through block. Anthony was in bunk and appeared fine.

7:29 pm: Med Pass‐ A white female came into the block with a med cart. Anthony approached the cart,

Anthony showed the female the bumps on the back of his neck, while the corrections officer shined a light on it.

The female gave two prescription drugs out of the foil packages and meds out of a large white bottle (possibly

ibuprofen).

8:15 pm: Anthony got a new jumpsuit.

9:55 pm: A corrections officer entered the block for laundry.

10:15pm: Anthony is seen walking towards the phones.

10:59 pm: A corrections officer walked in the block with a paper and appeared to speak with another inmate,

then walked by Anthony.

11:05 pm: The lights are turned out in the block. A corrections officer brought in jumpers for two other inmates.


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January 30, 2019 – E‐Block

5:12 am: The lights came back on in the block.

6:02 am: A corrections officer walked through block with a paper.

6:50 am: Breakfast was served. Anthony got breakfast and appeared normal.

8:32 am: Med‐Pass. Anthony came up to the cart and was examined by a female, behind the cart, while a

corrections officer held a flashlight on the lesions on his neck. Medications were given. His temperature was not

taken.

11:54 am: Lunch was served. Anthony got lunch and appeared normal.

4:16 pm: Anthony walked towards the monitor or phones and out of view of the camera.

6:37 pm: Dinner was served. Anthony got dinner and appeared fine.

7:47 pm: Anthony was observed exercising.

7:53 pm: Anthony and Inmate Hyppolite were talking in front of the camera.

10:19 pm: Med‐Pass. A black female (possibly Jaqui) walked into block without her med cart. Meds were

already in cups. Anthony received meds in his hands and appear to discuss the medication with the female. He

gave it back, got water, came back to get it from her again, and then took the meds.

11:09 pm: A corrections officer walked into the block, but did not have contact with inmates.

11:10pm: The lights turn out in the block.

January 31,2019 – E‐Block

4:57 am: The lights came back on in the block.

4:58 am: A corrections officer walked through the block, no contact was made with the inmates.

6:03 am: A corrections officer walked through block and appeared to be waking inmates up.

6:42 am: Breakfast was served. Anthony got breakfast and appeared okay.

7:50 am: Med‐Pass. A female corrections officer came to the door of the block, the med cart was visible outside

the door, as a long brown‐haired female in blue scrubs walked around the cart. The camera does not show the

view outside the door. No inmates move, and the corrections officer and female in blue scrubs leave within

approximately 8 seconds, without making any contact with any inmates. Anthony does not appear to get any

meds.

8:42 am: A female corrections officer appeared to call for someone at the door but no one responded.

8:46 am: A female corrections officer appeared to call again and two inmates exited the block.

9:41 am: A male corrections officer appeared to yell something into the block, no one responded.

9:49 am: There was activity at the entrance of the block by a corrections officer.

9:53 am: A male corrections officer called into the block without entering. None of the inmates had contact

with him.


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11:54 am: Anthony got up and got water. He did not appear very active.

12:00 pm: Lunch was served. Anthony got lunch and appeared normal.

1:45 pm: Anthony looked out the block door and then grabbed a tablet for a few seconds, then put it back down

on another inmates bunk.

1:47 pm: A corrections officer walked in to get cleaning supplies, Anthony exited with him.

3:47 pm: Anthony came back into the block.

5:29 pm: A corrections officer walked through the block without making contact with any inmates.

6:00 pm: A corrections officer walked into the block with a paper and appeared to make contact with Anthony.

He tapped Anthony and stared at him for a minute, then walked away.

6:51 pm: Dinner was served. Anthony got dinner and appeared normal, but he did not eat.

7:46 pm: Med‐Pass. A black female (believed to be Nurse Jaqui) entered the block. Anthony approached the

med cart and appeared to be explaining something to her. The female took Anthony’s temperature and blood

pressure. She gave him his meds out of the foil packages and appeared to give extra meds out of a large white

bottle (possibly ibuprofen).

11:10 pm: A corrections officer walked through block. No contact was made with any of the inmates.

11:11 pm: The lights were turned out in the block.

Corrections Officers walk through the block throughout the night with no contact with inmates. Times observed

are 12:07am, 12:55 am, 1:45 am, 2:33am, 3:22am, 4:29am and 4:50am.

February 1, 2019 – E‐Block

4:50 am: A corrections officer walked through block but did not make contact with any inmates.

4:45 am: The lights turn on in the block.

6:00 am: A corrections officer walked in with papers, appeared to announce something, walked back in the

door, and then exited.

6:54 am: Breakfast was served. Anthony took breakfast but when he sat down he pushed his tray to Darnell

Hypollite and went back to bed.

7:09 am: A corrections officer stuck his head in the block and appeared to announce something. There was no

observable reaction from the inmates. Laundry was then collected.

7:40 am: Appears to be Med Pass. Anthony walked to open block door with his cup, waited his turn behind

another inmate and exited. He returned a few minutes later.

8:21 am: A corrections officer appeared to shout something in the block. None of the inmates appeared to

respond and the corrections officer did not enter the block.

9:51 am: A corrections officer peered into the block. He appeared to be talking to an inmate sitting at a table

but he did not enter.


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10:38 am: A corrections officer opened the door and appeared to announce something. One inmate left the

block and another inmate went and waited at the door, they then switched, and another inmate returned after

3 minutes.

11:52 am: Lunch was served. Anthony walked up, got food, and ate. He appeared normal, but his jumper was

not buttoned all the way.

3:05 pm: Anthony got up and sat with other inmates at the table.

5:59 pm: Two corrections officers came into the block and exited at 6:00pm (possibly a headcount). Anthony

was standing up.

6:47 pm: Dinner was served. Anthony took food and ate. He appeared normal.

7:45 pm: Med Pass. A black female, possibly Jaqui, took Anthony’s temperature and gave him prescription

drugs from the foil packages and meds out of the large white bottle (possible Ibuprofen). Anthony appeared

normal.

7:58 pm: Anthony exited block with three other inmates.

9:05 pm: All inmates returned to the block.

10:29 pm: A corrections officer turned off the television.

11:12 pm: A corrections officer walked through the block, stopped near Anthony for a minute, and then left.

11:13 pm: The lights were turned out.

February 2, 2019E‐Block

5:06 am: The lights came on.

5:36 am: A corrections officer walked through the block but not on Anthony’s side.

6:12 am: A corrections officer walked through with paper. This is possibly a head‐count.

6:18 am: Corrections officers provide new bedding, Anthony exchanged his bedding.

6:52 am: Breakfast was served. Anthony took his, but gave it to Darnell Hyppolite and went back to bed.

7:49 am: A corrections officer brought in bags (possible commissary). Anthony walked up, received a bag,

walked back, gave it to Darnell Hyppolite and went back to bed.

8:04 am: Med Pass. Anthony exited the block with a cup.

8:05 am: Anthony entered the block and stood by the door, staring at the visitation screen/monitor, and then

sat down.

8:17 am: Anthony went back to bed.

11:45 am: Lunch was served. Anthony struggled to get into his jumper. Anthony took food and ate. He traded

some of his food with Darnell Hypollite. Anthony was the last one to leave the table. Darnell Hyppolite took

food from his tray. Anthony walked to the trash can, and then back to bed. He appeared to be walking normal.

12:30 pm: Anthony was up and out of his bunk until approximately 1:18pm (he was also cleaning).

1:00 pm: Anthony sat at the table and laid his head down on the table.

4:07 pm: A corrections officer walked through the block and talked to a couple inmates walking around.


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5:58 pm: A corrections officer walked into the block and stopped at each inmate.

6:39 pm: Dinner was served, Anthony took food.

6:41 pm: Anthony stumbled back a little and then ate something out of a small cup.

6:45 pm: Anthony did not eat his sandwich or apple. He goes back to bed and appeared to be walking okay.

6:58 pm: Anthony got up and went to the video‐chat area, and is out of view of the camera for a moment.

7:07 pm: Anthony came back into the view of the camera and went back to bed.

7:44 pm: Med Pass, Anthony spoke to a black female (Possible Jaqui). He was seen touching his head several

times while talking. It appears Anthony was saying he did not want some of the meds because the female did

not take any meds out of the foil packages, but grabbed an extra tab out of the white bottle (possibly

Ibuprofen). Anthony took the meds without water, and the female took his temperature.

7:47 pm: Anthony went back to bed.

7:50 pm: A corrections officer came into the block with paper and sat at the table. (Appeared to be giving razors

out) Anthony did not move.

8:08 pm: A corrections officer walked into the block and put something on the video chairs. He then walked out

8:36 pm: Anthony got up and walked towards phones.

8:56 pm: Anthony walked back, threw toilet paper and appears to be moving normal.

9:43 pm: Anthony got up and walked towards the phones. It appeared he may be carrying a sandwich.

9:56 pm: Anthony walked back to bed. He appeared to be walking normal.

11:07 pm: The lights went out in the block.

February 3, 2019 – E‐ Block

4:59 am: The lights turn on.

6:07 am: A corrections officer walked into the block but did not make contact with any inmates.

6:51 am: Breakfast was served. Anthony got up, got dressed, got his food, and sat at the table. Anthony shared

his food, then mixed something in his milk and ate it. He gave his food tray to Darnell Hyppolite and then went

back to bed.

7:52 am: A corrections officer appeared to shout into block, but none of the inmates responded. He then

appeared to talk to an inmate standing near the door.

7:53 am: Anthony got up and went to the bathroom.

7:53 am: Med Pass. Anthony went to the block door and exited with a corrections officer. Anthony was holding

his cup (assuming med‐pass‐but out of the view of the camera).

11:42 am: Lunch was served, Anthony got up and put his jumpsuit on. He then got food, sat down and ate.

Anthony appeared to be walking normal. He gave away his leftover food.

12:07 pm: Anthony took his dirty laundry and threw it by the door and went to the bathroom.


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3:35 pm: A corrections officer made contact in block in what appeared to be in reference to an issue with the

television.

3:46 pm: Anthony got up and walked towards the phones and out of view.

4:02 pm: Anthony came back in view, then went to his bunk for a cup, got water, and went to the bathroom a

couple of times.


4:13 pm: Anthony stood up, walked to door, another inmate gave him gloves, he grabbed a trash bag and went

to the bathroom.

4:16 pm: Anthony bagged a plunger and put it by the door.


4:33 pm: Anthony got up, got dressed, and sat at the table with other inmates.

6:06 pm: A corrections Officer walked into the block, but did not make contact with the inmates.

8:44 pm: Anthony got up, put his jumper on and got his cup to get ready for dinner.

8:45 pm: Dinner was served, Anthony took food, took it to his bed, but it cannot be determined from the video if

he ate it or not.

7:02 pm: Anthony got up and walked towards phones.

7:08 pm: Anthony walked back to bed.

7:14 pm: Anthony got up for med pass as a female came into the block.

7:15 pm: Med‐Pass. A black female brought in the med cart. Anthony appeared to be talking a lot to the

female, she only took medication from the large white bottle, and did take any medication from the foil

packages that contain the prescription meds. The female shook her head “no” while Anthony appeared to be

trying to explain something to her. The corrections officer also began speaking with Anthony. The corrections

officer and black female then exited the block. It appeared Anthony only got the normal dose of the white bottle

(which is believed to be Ibuprofen).


8:21 pm: Anthony got up and walked towards phones. He appeared to be walking normal.

8:30 pm: Anthony went to back to bed.

10:03 pm: Anthony got up, went to bathroom, and went back to bed.

10:19 pm: Anthony got up and sat at the table.


10:53 pm: The lights turn out. [Video ends @11:59]

There was a critical error in preserving the video. The video was saved in segments to a specified server. Because of

the volume of data, a separate computer had to be used and left free from any user operations, to avoid interrupting

the download. There appears to have been some sort service interruption and approximately the next 19 hours of

video is not preserved. The next video is not available until 6:00pm on 2/4/19.


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February 4, 2019– E‐Block

6:06 pm: A corrections officer walked through block. He appeared to be conducting a head count.

6:57 pm: Dinner was served.

6:58 pm: Anthony got out of his bunk and is seen struggling to get his jumpsuit on. He then started walking

towards the food cart. He was one of the last inmates to get up.

6:59 pm: A corrections officer appeared to instruct the inmate trustees to push the food cart out of the block.

The food cart was pushed out of the block. Anthony was standing alone and was not given any food. Anthony

was still unable to get dressed and stumbled as he walked back to his bed and laid back down.

7:54 pm: Med Pass. An inmate woke Anthony up and appeared to tell him med pass was happening.

7:55 pm: Anthony approached the med cart and appeared disoriented. He was seen struggling trying to get his

clothes on properly and appeared unstable. He eventually sat down on a nearby stool. Anthony was handed his

medication. He appeared very confused and was seen staring at the meds. The corrections officer began

speaking with Anthony. Anthony was still attempting to get his jumpsuit on but he was unable to. Anthony

appeared to be speaking with the corrections officer but appeared extremely confused. After about 45 seconds

the cup of medication was taken from Anthony. The staff then exited the block. Anthony is still not dressed and

appeared confused. Anthony got up after approximately 13 seconds, stumbled away, unable to maintain his

balance. Several inmates appeared to be trying to speak on behalf of Anthony, to the nurse. Anthony’s skin

appeared to be extremely red.

8:07 pm: An inmate was observed standing over Anthony for approximately 1 min. He stared at him while

Anthony laid in his bed.

8:11 pm: A corrections officer walked into the block, approached Anthony, and looked at him.

8:12 pm: The same corrections officer walked out of the block.

8:13 pm: An inmate was observed watching Anthony.

9:01 pm: A corrections officer walked in and out of the block but did not make contact with Anthony.

9:25 pm: A corrections officer walked into block and appeared to wake Anthony up.

9:29 pm: The corrections officer walked out of the block again.

9:29 pm: Approximately 20 seconds after the corrections officer left the block, an inmate went to door and

appeared to be attempting to get help for Anthony.

9:30 pm: The corrections officer poked his head back into the block but did not enter.

9:30‐9:35pm: All inmates began to surround Anthony.

9:35 pm: A different corrections officer came in the block, looked at Anthony from a distance, and walked away.

The inmates were still all standing around Anthony.

9:38 pm: A corrections officer walked over to Anthony.

9:39 pm: A corrections officer appeared to be explaining something to the other inmates as he walks back out of

the block.


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9:42pm: Another inmate appeared to try and give Anthony water, which caused Anthony to spit up/vomit.

Another inmate immediately ran and banged on the door for help, while other inmates tried to help Anthony by

positioning him properly.

9:43 pm: Three corrections officers came into the block. Anthony was off his bed and on his knees on the floor.

The corrections officers stood around Anthony.

9:48 pm: The sergeant entered the block and stood near Anthony.

9:54 pm: A wheelchair was brought in.

9:55 pm: Anthony was wheeled out of the block in the wheelchair. He appeared extremely red and confused.

9:58 pm: Anthony arrived at the nurse’s office. Approximately 40 seconds later, the nurse entered the room

with Anthony.

10:21 pm: Anthony was pushed out of the nurse’s office in the wheelchair.

10:22 pm: Anthony arrived in booking in the wheelchair. He was wearing only shorts and socks.

10:23 pm: Anthony started to have a seizure and eventually fell out of the wheelchair. The corrections officers

then repositioned him on the floor on his side.

10:24 pm: The nurse briefly appeared, then left to get supplies.

10:25 pm: The nurse appeared again. She did not appear to have any supplies yet. She began checking on

Anthony.

10:26 pm: The nurse left again.

10:30 pm: The nurse reappeared with what appeared to be an IV. She sat on the floor next to Anthony who

appeared to be moving slightly.

10:37 pm: EMS arrived, the nurse began to tell them something at the door.

10:45 pm: Anthony exited the inmate facility with EMS

10:46 pm: The nurse was sitting on the floor where Anthony was treated. There was a large amount of blood

observed on the floor.


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The video clips described above have been placed on thumb‐drives and will be placed into evidence as follows:

Item# 289.1 (Thumb Drive 1)

1/29/19 (8:00)

1/29/19 (18:33)

1/30/19 (7:13)

1/30/19 (21:58)

1/31/19 ( 6:42)

1/31/19 (19:46)

2/1/19 (6:05)


2/1/19 (19:35)

2/2/19 (7:51)

2/2/19 (19:18)

2/3/19 (7:53)

2/3/19 (18:00)

2/4/19 (17:59)

2/4/19 (19:40)


2/4/19 (19:40) Final Med Pass

2/4/19 (19:54) Shorter Clip of final Med Pass

2/4/19 (21:37) Medical Event in block

2/4/19 (21:57) Fennick coming and going from nurse

2/4/19 (22:22) Medical Event in booking

2/4/19 (22:45) View of Fennick as he’s being pushed out of inmate facility

2/4/19 (20:37) View from back side of the block

Approximately two weeks of video were preserved, which amounted to more than 13 Terabytes of data. Due to the

large volume of data, only the videos deemed to be relevant have been preserved on thumb‐drives and entered into

evidence. The remaining video is being preserved on a special server.


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Additional Supporting Documentation:

Every available source of information was reviewed by the investigative team. Many were determined to be

irrelevant to the investigation, but were preserved for the sake of transparency. A brief synopsis of the reviewed

material is listed below, as well as where the information is stored and how to locate it.

Inmates in the facility have access to tablets to make requests. Anthony made several requests via a tablet.

None of them appear to be medical complaints and they do not appear to have any probative value to this

investigation. They have been uploaded into the RMS and labelled “Tablet Requests” (Tab 26 in the hard copy

file).

Additional documentation that appears to have been generated by Armor, in a system that is different from the

CorrecTek, was provided to investigators. The information appears to be redundant to the documentation provide in

CorrecTek. It has been uploaded in the RMS and labelled “Armor additional documents” (Tab 27 in the hard copy file).

Jail personnel, generated an incident report in their reporting system. Each involved deputy completed a

supplemental narrative report. These reports were often referenced during their investigative interviews. They have

been collectively scanned into the RMS and labelled as “Jail Incident Reports” (Tab 28 in the hard copy file).

A print out of all phone calls made by Anthony, while he was an inmate, was provided to the investigative team. The

document was examined, and the information contained does not appear relevant to the investigation. The document

was uploaded to the RMS and labelled “Inmate phone call records Fennick” (Tab 29 in the hard copy file).

Another document provided by jail staff has been uploaded to the RMS and labelled “Officer Activity Log” (Tab 30

in the hard copy file). Anthony is referenced 3 times on pages 20 and 21 of this document.

There is a document created by the FCIF that documents each inmate’s movements throughout the facility. The

document was uploaded to the RMS and labelled “Inmate Schedule” (Tab 31 in the hard copy file).

There was a document created by the FCIF that was created for documenting the activity with Anthony at the

hospital. The document was uploaded to the RMS and labelled “Hospital Post Log” (Tab 32 in the hard copy file).

Inmates can make internal requests though an internal system. The messages were redundant and therefore not considered to have any value. They have been uploaded to the RMS and labelled “Inmate Internal Messaging System” (Tab 33 in the hard copy file).

Armor created separate “refusal of treatment form”. The information appeared redundant to what was contained in CorrecTek. They have been uploaded to the RMS and labelled “refusal of treatment forms” (Tab 34 in the hard copy file).


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The call placed from the inmate facility to dispatch was recorded. This recording was entered into the RMS and labelled “Audio from Admin Line”. It has also been placed on a disc as item # 344.26.

The jail radio traffic at the time of the incident was also recorded. It has been uploaded to the RMS and labelled “Jail

Audio”. It has also been placed on a disc and entered into evidence as item # 344.27.

Medical Review:

The FCSO paid to have an independent doctor evaluate the case file, for “standard‐of‐care” issues as it pertained to

the medical treatment Anthony received while in custody. Sergeant Miller hand delivered a hard copy of the case file to

Dr Kerry Schwartz at his office located at, 1613 N Mills Rd, Orlando, FL.

On January 23, 2020, Sergeant Miller and Commander Taylor traveled to Dr Schwartz’s office for the purpose of

being briefed on his evaluation of the case file. A summary of that meeting was authored by Sergeant Miller and

provide to Dr Schwartz, who subsequently signed that he agreed with the summation. A copy of this summary has been

uploaded to the RMS and labelled “Case Review Summary” (Tab 35 in the hard copy file).

The content is below:


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Glossary of Terms:

Advent Health‐ Flagler County’s local hospital.

Annex Housing‐ A section of the Flagler County Inmate Facility where prisoners are held. It is divided into separate

blocks, each with a letter designation.

Anoxic‐Ischemic Encephalopathy‐ occurs when there is a complete lack of blood flow to the brain. It is often found in

this in comatose patients who have had a cardiac arrest and prolonged attempts at cardiopulmonary resuscitation.

Ativan‐ Ativan (lorazepam) is in the benzodiazepines class of drugs. Ativan affects chemicals in the brain that may be

unbalanced in people with anxiety. Ativan is used to treat anxiety disorders. Ativan may also be used for other purposes.

(Durbin, Drugs.com, 2019).

Armor/ Armor Medical/ Armor Correctional Health Services Inc‐ The terms are used interchangeably throughout the

document. A physician‐owned company that provides medical, dental, and mental health services for incarcerated

persons. They were the contracted medical provider for the Flagler County Inmate Facility.

Babinski reflex‐ Babinski reflex is one of the normal reflexes in infants. Reflexes are responses that occur when the body

receives a certain stimulus. The Babinski reflex occurs after the sole of the foot has been firmly stroked. The big toe

then moves upward or toward the top surface of the foot. The other toes fan out. This reflex is normal in children up to

2 years old. It disappears as the child gets older. It may disappear as early as 12 months. When the Babinski reflex is

present in a child older than 2 years or in an adult, it is often a sign of a central nervous system disorder. The central

nervous system includes the brain and spinal cord (U.S. National Library of Medicine, 2019).

Bactrim‐ Bactrim is an antibiotic which contains a combination of sulfamethoxazole and trimethoprim.

Sulfamethoxazole and trimethoprim. Both are antibiotics that treat different types of bacterial infections (Thornton,

2019).

Booking‐ A section of the jail where subjects first enter the facility. They are processed in this area and either bond out,

are kept in holding cells, or taken to housing.

BuSpar/Buspirone‐ BuSpar is a brand name of the medication Buspirone. Buspirone is a medication for anxiety

(anxiolytic) that works by affecting certain natural substances in the brain (neurotransmitters). (Web MD, 2019)CCTV

operator‐ Closed Circuit Television Operator. A civilian position at the Flagler County Inmate Facility whose duties

consist of monitoring a closed circuit television system and opening and closing doors for persons trying to move

throughout the facility.


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Cerebral venous sinus thrombosis (CVST) a condition that occurs when a blood clot forms in the brain’s venous sinuses

(John's Hopkins Medicine, n.d.).

Coded‐ referring to a cardiac event, where no rhythm is detected.

Code White‐ a medical emergency in the Flagler County Inmate Facility

Control‐ a 24‐hour monitoring control center, integrating the functions of all external and internal security and

communications that tabulates and clears all inmate counts, and serves as a command post during emergencies.

CorrecTek‐a medical record tracking system utilizing by Armor Medical.

Detention Deputy/Corrections Deputy‐ The terms are used interchangeably to refer to Flagler County Sheriff Office

Deputies assigned to the Inmate Facility.

Dispatch/ Flagler County Communications Center/ Communications‐ The three terms are used interchangeably and are

used to describe the emergency call center and how calls for emergency service are initiated and dispatched.

DO‐ Doctor of Osteopathic Medicine

echo block‐ A section of the Housing Annex in the Flagler County Inmate Facility, used for sentenced inmates (inmates

servicing terms of confinement).

EEG‐ electroencephalogram. A test which detects electrical activity in the brain (Mayo Clinic, n.d.).

EMS‐ Emergency Medical Service, an ambulance.

Epinephrine‐ a drug used to treat allergic reactions. It narrows blood vessels and opens airways in the lungs

Hep‐Lock‐ (Heparin) A medication used to keep IV catheters open and flowing freely. Heparin helps to keep blood flowing

smoothly and from clotting in the catheter by making a certain natural substance in your body (anti‐clotting protein) work

better. It is known as an anticoagulant. (Web MD, 2019)

Housing Annex‐ A section of the jail where inmates our housed. They are divided in blocks with a letter designation.

HIPAA‐(Health Insurance Portability and Accountability Act of 1996) is United States legislation that provides data

privacy and security provisions for safeguarding medical information.

India block‐ A section of the Housing Annex in the Flagler County Inmate Facility.

Leptomeningitis‐ inflammation of the pia mater and the arachnoid membrane (Merriam‐Webster, n.d.)


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Med Pass‐ Medicine distribution to inmates. Typically done twice a day. The nurse distributes the medication, and a

detention deputy stands by to provide security.

Medical Office/Medical‐ The terms are used often and interchangeably in the Flagler County Inmate Facility and refer to

an office for medical staff.

MH ARNP‐ Abbreviation for Mental Health Nurse Practicioner

Mirtazapine‐ is an antidepressant used to treat major depressive disorder. (Durbin, Drugs.com, 2018)

The Provider‐The medical provider/doctor for Armor Medical

Phenylephrine‐ a Decongestant (Multum, Drugs.com, 2019)

Procalcitonin‐ A substance produced by the body, usually in response to a bacterial infection (labtestsonline.org, 2019).

Propofol‐ A drug used in general anesthesia that slows the activity of the brain and nervous system (Durbin, Drugs.com,

2019).

Release of Information (ROI)‐ A form completed by the inmate, during the intake process that allows for the release of

medical information to third parties.

Remeron‐ (Mertazapine) an antidepressant used to treat major depressive disorder. (Durbin, Drugs.com, 2018)

Sally‐Port‐ A secure area of the jail where prisoners are taken to and from vehicles, into and out of the facility.

Spinal‐Tap/Lumbar Puncture‐ medical procedure where a needle is inserted between two lumbar vertebrae o remove

spinal fluid (Mayo Clinic, n.d.)

Tachycardia‐ A condition that causes the heart to beat more than 100 times per minute. There are three types;

Ventricular, Supraventricular, and sinus tachycardia (WebMD, n.d.)

Trustee‐ Inmates serving a sentence who assist with particular tasks, such as cleaning, or meal distribution.

Vasopressin‐ a man‐made form of a hormone that works as an antidiuretic. It helps prevent water loss and helps

kidneys reabsorb water into the body (Multum, Drugs.com, 2019)


________________________


97

References:

Durbin, K. (2018, December). Drugs.com. Retrieved from Drugs.com: https://www.drugs.com/mirtazapine.html

Durbin, K. (2019, April 25). Drugs.com. Retrieved from Drugs.com: https://www.drugs.com/ativan.html

Durbin, K. (2019, February 12). Drugs.com. Retrieved from Drugs.com: https://www.drugs.com/propofol.html

labtestsonline.org. (2019, September 23). labtestsonline.org. Retrieved from labtestsonline.org:

https://labtestsonline.org/tests/procalcitonin

Mayo Clinic. (n.d.). Mayo Clinic.org. Retrieved from Mayo Clinic.org: https://www.mayoclinic.org/tests‐

procedures/eeg/about/pac‐20393875

Merriam‐Webster. (n.d.). Merriam‐Webster.com. Retrieved from Merriam‐Webster.com: https://www.merriam‐

webster.com/medical/leptomeningitis

Multum, C. (2019, March 20). Drugs.com. Retrieved from Drugs.com: https://www.drugs.com/mtm/vasopressin.html

Multum, C. (2019, May 29). Drugs.com. Retrieved from Drugs.com: https://www.drugs.com/mtm/phenylephrine.html

Thornton, P. D. (2019, April 9). Drugs.com. Retrieved from Drugs.com: https://www.drugs.com/bactrim.html

U.S. National Library of Medicine. (2019). Medlineplus.gov. Retrieved from Medlineplus.gov:

https://medlineplus.gov/ency/article/003294.htm

Web MD. (2019, October 9). Web MD. Retrieved from Web MD: https://www.webmd.com/drugs/2/drug‐18594/hep‐

lock‐intravenous/details

Web MD. (2019). Web MD. Retrieved from Web MD: https://www.webmd.com/drugs/2/drug‐9036/buspar‐oral/details

WebMD. (n.d.). WebMD.com. Retrieved from WebMD.com: https://www.webmd.com/heart‐disease/atrial‐

fibrillation/what‐are‐the‐types‐of‐tachycardia#1

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