I work in prison health care in both long term and short term settings. Based on the information presented, I could kind of understand not being sent out after the first visit (although I'm fairly certain even I, as an NA, would have checked for stroke symptoms during that assessment). But there's no excuse for not getting that man out during the next assessments. Every nurse I work with would have done a better job than those in this story. Yes, working in a prison, it can be difficult to tell whether or not someone is expressing legitimate symptoms. I have met many stroke patients and many stroke fakers. I have also met my share of medical and security staff that are inappropriately ignorant and even aggressive towards inmate patients. Private prison healthcare is no easy task, but I know that if this had occurred on the yard I work, it simply would not have happened this way.