EXCLUSIVE: The story of Bernie Madoff’s erratic behavior, and details of his long-failing health inside a federal prison, are based on more than 4,000 pages of medical records released to MarketWatch by the Bureau of Prisons in response to a FOIA request.
It was just before midnight on April 6 when the nurse’s station at the federal prison hospital in Butner, N.C. received a call about an inmate screaming for help.
A grim and rapid decline They describe a grim decline in Madoff’s physical and cognitive abilities as he spent the last 17 months of his life in hospice care at the prison hospital, waiting to die of kidney failure. Because of his perilous health situation, Madoff was among the first people in the country to be inoculated against COVID-19, getting his first shot of the Pfizer-BioNTech vaccine on Dec. 18, 2020, just a week after it had been approved for emergency use by the FDA. Madoff received his second shot on Jan. 9, the records showed.
The records showed that Madoff’s application was blocked more than once by the prison warden and general counsel, on the grounds that Madoff’s offense had been so great and that he had declined to undergo dialysis as recommended by staff. Last January, Madoff appealed once more to the warden in a handwritten note, declaring that he was at high risk due to the COVID-19 outbreak and that he was in danger of losing his foot to gangrene. The warden again rejected the request, according to a letter contained in the file.
Madoff proved a difficult patient, regularly refusing treatment for various ailments, skipping appointments and stopping and starting his medications at will, the records showed. Madoff for years declined to start undergoing kidney dialysis against the urging of doctors, and only began treatments after his case had been deemed terminal in 2019. At one point, it was suggested he seek a kidney transplant, but Madoff refused.
In late 2009, just a few months after being transferred to the minimum security prison in Butner, N.C., Madoff fainted while returning from the bathroom and struck his head on a water fountain, leaving him with a broken nose, a fractured rib, a cut above his eye that required seven stitches and intracranial bleeding. Prison guards, who found him lying in a pool of blood and unable to explain what had happened, initially thought he had been attacked.
When Madoff returned to prison from the hospital, he told a corrections officer he saw a bird in the officer’s jacket pocket. Madoff admitted “feeling crazy” to doctors and said that nothing mattered anymore, the records showed. He said the methadone he was taking left him feeling cloudy headed.
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