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Records show that MV1 was admitted on 2/18/25 at 0251 hours. Due to the threat of respiratory failure MV1 was Intubated. It was documented that the medical facility showed no medical records on file. This means that any medical facility that shared the same system as this one, showed no history for MV1. An early exam of MV1 described him as Cachectic and appears younger than his stated age.
Cachectic, or Cachexia, is also referred to as Wasting Syndrome. It has to do with significant unplanned weight loss and the deterioration of muscle mass. This condition is seen in individuals who are suffering from chronic diseases such as heart disease and/or advanced cancer.
MV1 was described as being near starvation. Continuing with early reports and observations from medical staff, it is documented on 2/18/25 that MV1 is severely malnourished with a body mass index (BMI) of 11. Speaking with medical staff for MV1
this is about half of what it should be. It was also explained that anything under 16 is considered starvation and anything under 13 is life threatening. It's also noted in this report that Refeeding Syndrome needs to be avoided.
Medical staff at the facility stated that Refeeding Syndrome is a life-threatening condition brought upon by severe malnutrition whereby introduction of foods and fluids can have fatal consequences due to the fact the body cannot process the intake properly. MV1's body is not equipped to handle or breakdown the nutrients. This can have a domino effect of electrolyte imbalance, which will lead to heart abnormality which will lead to heart failure.
Records show that once extubated, MV1 begins to speak with staff and is immediately providing them with information about his situation stating that he has been abused at home and not allowed to leave for several years. Staff noted their concern of a hostage situation.
As the medical reports continue, it notes that MV1 is extremely thin and weighs 31.2kg (approximately 68.7 lbs) MV1 is 5'9". MV1 continued to speak with staff about his situation which was consistent with what he had initially stated to Officers. MV1 stated that he set the fire because, he states, "I wanted my freedom". He stated that he had been locked in his room since he was 11 years old. Staff notes that at this point MV1 is fully oriented, his thoughts are clear and he is absent of suicidal ideation's. As staff continues to speak with MV1 he talks, with a constricted affect, about what he missed out over the past twenty years. It's documented that over the past months his mood was angry, he was always hungry and that he has been tossing and turning in his sleep for the past few years. Here MV1 opens up about his life stating that he was pulled from school in the fourth grade because his parents were tired of DCF being called on the family because he was always hungry.
MV1 explained that he was always asking other students for food, taking other students food and eating out of the garbage. When asked, he stated that he doesn't know basic technology and described spending his days reading and watching cars pass by his window. Note that at the end of Detective Pesce's interview Det. Pesce attempted to help MV1 work an iPad and it was clear that he had no concept of how it worked.
Evaluations of MV1 noted that he had decreased ability to use his arms for pushing and pulling. Decreased ability to use legs for bridging and pushing and an impaired ability to control his trunk for mobility. His muscle tone was abnormal with decreased flexibility and strength. MV1 had decreased endurance and activity tolerance and impaired balance with impaired motor function. He has bilateral knee contractures. A condition where the knee joints become stiff and cannot extend. Severe muscle wasting and severe subcutaneous fat loss is noted in the clavicle and temple.
During an assessment for mental health MV1 tested positive for PTSD and depression. During these assessments MV1 noted that he was forced to urinate in plastic bottles that he would empty by dumping out of his window and when he defecated he would do so on his floor using newspaper. When asked, he could not remember the last time he showered. He's noted as being developmentally delayed at this time having
an adolescent cognitive level. When provided a task to complete, MV1 demonstrated difficulty problem solving, multitasking and sequencing. He became frequently overwhelmed and needed verbal cues to continue. It is noted that he was unaware how to use a microwave
