{"id":276,"date":"2026-06-11T09:41:17","date_gmt":"2026-06-11T09:41:17","guid":{"rendered":"https:\/\/atlaslivingmedia.com\/?p=276"},"modified":"2026-06-11T09:41:17","modified_gmt":"2026-06-11T09:41:17","slug":"how-prison-neglect-killed-alex-kuhnhausen","status":"publish","type":"post","link":"https:\/\/atlaslivingmedia.com\/?p=276","title":{"rendered":"How Prison Neglect Killed Alex Kuhnhausen"},"content":{"rendered":"
\n

On April 21, 2024, Katie Kuhnhausen woke before dawn. She showered in the dark, dressed quickly, and jammed the day\u2019s provisions into a backpack\u2014snacks, a hairbrush, bottled water, lipstick. She planned to do her makeup in the car. The drive from her home in Vancouver to the Washington State Penitentiary in Walla Walla took about four hours, and she was running behind.<\/p>\n

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\u201cI was feeling really nervous,\u201d says Katie. \u201cI hadn\u2019t heard from my husband in eight days at that point.\u201d<\/p>\n

Katie\u2019s husband, Alex Kuhnhausen, had fallen ill some weeks earlier. There was no formal diagnosis, but he presented alarming symptoms. On April 7, he told prison medical staff he had been coughing and sneezing up blood for three days and sleeping for most of the day for the past week, according to Department of Correction records reviewed by The Nation<\/em>.<\/p>\n

The following day, he told them again that he had been coughing up blood. The physician\u2019s assistant wrote that it \u201ccould be a thrush,\u201d and prescribed Alex an \u201coral wash.\u201d<\/p>\n

The care was subpar, but Katie says Alex shrugged it off. He didn\u2019t think he would need to deal with prison medical staff again\u2014his release date was four days away, and his wife planned to take him directly from the prison gates to a local ER.<\/p>\n

But two days later, on April 10, he was placed in solitary confinement after guards allegedly caught him with drug paraphernalia. His release date was pushed back. On an assessment form, a licensed practical nurse checked off that Alex was \u201cmedically suitable\u201d for solitary.<\/p>\n

In the hole, Alex\u2019s condition deteriorated. He again requested medical attention.<\/p>\n

On April 17, a physician\u2019s assistant came to Alex\u2019s cell and conducted a consultation with him. Although he remained in his cell throughout the encounter, her report states that he was able to get off and on an exam table.<\/p>\n

She wrote in her notes that Alex was \u201cnot feeling well\u2026. Hard to make himself drink fluids. Intermittent nausea with vomiting, worst when he gets out of bed. Sleeping all day and all night. Recently came to [solitary confinement] about 2 weeks ago, was injecting suboxone.\u201d<\/p>\n

But she dismissed the possibility of serious illness out of hand, concluding that his condition \u201cappears to be more dehydration\u201d than thrush and speculating that Alex was going through \u201csuboxone\/opioid withdrawal.\u201d<\/p>\n

It was a bizarre conclusion. Alex exhibited just one of the nine diagnostic criteria for opioid withdrawal\u2014nausea and vomiting\u2014and three or more must be present to satisfy the diagnostic threshold. Some of his symptoms, particularly his continual sleeping and inability to drink water, are antithetical to the symptoms of opioid withdrawal, which is characterized by lasting insomnia and fever.<\/p>\n

Also, Alex continued to receive daily doses of suboxone, a synthetic opioid substitute that is used to tamp down withdrawal symptoms and stave off cravings, through the facility\u2019s Medication Assisted Treatment program.<\/p>\n

His symptoms did square neatly with those of another, much more sinister ailment: sepsis. Later, when he was properly evaluated, doctors immediately realized that this was the condition actually afflicting him. Untreated, it would only get worse.<\/p>\n

Inside prisons and jails, Alex\u2019s experience is an everyday occurrence. Doctors and nurses routinely ignore incarcerated people\u2019s symptoms, even in dire situations.<\/p>\n

David Fathi, director of the ACLU National Prison Project, says nurses and physicians working in prisons frequently question whether the people asking them for help are sick at all.<\/p>\n

\u201cThere is, unfortunately, a pervasive belief among many prison staff that essentially all incarcerated people are liars,\u201d Fathi says. \u201cAnd if the patient happens to be someone with a history of drug use, as many incarcerated people [are], that presumption becomes almost irrebuttable. It becomes very, very hard to overcome.\u201d<\/p>\n

Medical staff tend to think incarcerated patients are feigning illness in pursuit of a free high, says Fathi. \u201cThis presumption that many prisoners are drug-seekers leads to really far-reaching, systemwide consequences.\u201d<\/p>\n

In some instances, healthcare staff assume prisoners have overdosed, despite evidence to the contrary. Their assumptions can \u201cwaste precious time\u201d a dying patient doesn\u2019t have to spare, Fathi says.<\/p>\n

In 2024, at Stateville Correctional Center in Illinois, prison medical staff administered multiple doses of Narcan to Michael Broadway, who had fallen unconscious in his cell, even as prisoners called out that he had asthma and at least one repeatedly yelled that Broadway did not use drugs. Broadway was eventually taken to a nearby hospital, where doctors pronounced him dead.<\/p>\n

Katie knew little of her husband\u2019s circumstances as she drove across Washington to see him. But it had been more than a week since he last called her, a dramatic break from their routine of talking multiple times each day.<\/p>\n

\u201cI called 16 times and left messages,\u201d she says. \u201cNobody called me back.\u201d<\/p>\n

She arrived at Washington State Penitentiary at 10:30 am<\/span>. Sick with anxiety, she went through the elaborate screening process all visitors are subjected to\u2014taking off her shoes, stepping through a metal detector, being pat-searched by a female guard\u2014and was directed to a long corridor with small visiting booths lining one side.<\/p>\n

Her assigned booth was divided in half by a sheet of plexiglas that separated visitors from their incarcerated loved ones. A black telephone receiver with a metal-reinforced cord was mounted on the wall.<\/p>\n

Off in the distance, she could hear the muffled thud of heavy mechanical doors sliding open and banging shut. \u201cI kept thinking he was coming,\u201d Katie says. \u201cEvery time I heard a door I thought it would be him. He never came.\u201d<\/p>\n

After about 30 or 40 minutes, a mental health counselor and a guard came to see her.<\/p>\n

\u201cThey said he\u2019s not physically able to come,\u201d she says. \u201cThey found him severely dehydrated and incoherent. I got really angry and I was yelling at them that I had been calling the prison begging them to check on him. I wanted to know what was going on. They said they can\u2019t say anything else.\u201d<\/p>\n

Katie says the counselor told her that there was no Release of Information form, known as an ROI, on file designating her as someone to whom prison staff could give medical information. She asked the counselor to take a form to Alex and have him complete it then and there. The counselor said that he was too weak. The counselor\u2019s notes state that Katie did not think there was an ROI on file and that the counselor \u201cagreed to ask him to sign an ROI and if he did that I would call to update her.\u201d<\/p>\n

\u201cShe promised me she would have him fill out an ROI the next day,\u201d says Katie. \u201cI left crying. I was devastated. I felt scared. I didn\u2019t know what was going on. They shut me out.\u201d<\/p>\n

It is not uncommon for prison administrators to stonewall, mislead, or flat out lie to the family of an incarcerated person when their loved one is in a medical crisis.<\/p>\n

After 22-year-old Air Force veteran Maxwell Aguirre hanged himself at the Los Angeles County Jail in 2023, a nurse at the facility allegedly told his parents that he was in \u201cstable condition,\u201d and refused to provide further information, in spite of the family\u2019s being listed on a signed ROI form. According to a wrongful-death suit filed by the Aguirre family, Maxwell\u2019s parents arrived at the hospital days later to find their son had been in a coma all along.<\/p>\n

There was nothing for Katie to do. She went home. To calm herself, she called a friend.<\/p>\n

\u201cI told her \u2018I think my husband is dying.\u2019 But I thought I was being dramatic,\u201d she says.<\/p>\n

Other responsibilities called. Katie took her son to soccer practice. She made dinner and put her children to bed. Her kids asked how Alex was doing. \u201cI didn\u2019t have answers to their questions,\u201d she says.<\/p>\n

Katie was terrified to fall asleep and miss a call from the prison, but there was no cause for worry. \u201cThey never called.\u201d<\/p>\n

Meanwhile, guards and medical personnel went into Alex\u2019s cell. He was still in solitary confinement. They discovered a man near death. Weakness confined Alex to his bunk. His speech was slurred. He could not hold a cup and had not drunk water or eaten in several days.<\/p>\n

Alex was \u201cflopping\/tilting his head backwards, and [his] eyes [were] rolling back\/closing,\u201d the counselor who had spoken to Katie wrote in her report. He asked the counselor to tell his wife he loved her.<\/p>\n

But this was not enough to dissolve the skepticism of medical staff. A nurse theorized that Alex\u2019s symptoms were the product of an unspecified psychiatric condition. He told the counselor that he was requesting Alex receive a mental health assessment.<\/p>\n

Guards loaded Alex into a golf cart and took him to the infirmary. He lacked the strength to raise his arm for a blood pressure cuff to be attached.<\/p>\n

After his labs came back, he was finally sent to the hospital\u2014more than five hours since he was taken to the infirmary. At the time, his white cell count was 23,000, which can indicate an infection. His resting heart rate registered at 122. His mucous membranes were dry, his lips cracked. He had a fever of between 100 and 102.<\/p>\n

At the hospital, a comprehensive diagnosis was at last completed: septic embolism, acute bacterial endocarditis, acute renal failure, anemia, and pleural effusion. Alex, the ER doctor wrote in his notes, \u201cvery clearly is septic.\u201d<\/p>\n

The next day, April 22, he was flown to Sacred Heart Medical Center in Spokane.<\/p>\n

By April 23, two days after her botched attempt to see her husband in person, Katie was done waiting on prison bureaucrats. \u201cI took the day off work,\u201d she says. \u201cI was going to drive to the capitol and talk to whoever, legislators, anybody. I was going to tell them what was going on and get somebody to listen.\u201d<\/p>\n

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As she readied to leave, a Department of Corrections official called with an update on Alex. She does not recall the administrator\u2019s name, but says he told her Alex had developed sepsis as a result of an untreated ulcer.<\/p>\n

A few minutes later, while she was still catching her breath, her phone rang again. It was Washington State Penitentiary Superintendent Rob Jackson. Her husband was in critical condition, he said, and if she wanted to see him she should drive to Spokane right away.<\/p>\n

\u201cI still didn\u2019t think my husband would die,\u201d she says. \u201cI said, \u2018OK. He\u2019s at Sacred Heart. It\u2019s a good hospital. People go to the hospital to get better.\u2019\u201d<\/p>\n

Katie called Alex\u2019s aunt Jacqueline, and they drove together from Vancouver to Spokane. Along the way, the two received updates from an office assistant at the penitentiary whom Superintendent Jackson had assigned to them as a liaison. These updates were less than helpful, Katie says.<\/p>\n

\u201cShe didn\u2019t understand medical terms, but that\u2019s who was given to me,\u201d Katie says. \u201cShe kept using the phrase \u2018latest and greatest.\u2019 Like, \u2018You want to hear the latest and greatest about your husband?\u2019\u201d<\/p>\n

The calls left Katie deeply agitated. She says the office assistant \u201cabsolutely blamed Alex\u201d for his illness, emphasizing his prior drug use and insisting that he had refused to take antibiotics he was never prescribed. \u201cShe said Alex wasn\u2019t septic and he would be fine,\u201d Katie says. \u201cShe made me feel like I overreacted.\u201d<\/p>\n

Katie and Jacqueline arrived at Sacred Heart around seven that night. The person at the front desk told them Alex was not a patient. \u201cNo one knew who we were supposed to talk to or where we were supposed to go,\u201d Katie says.<\/p>\n

Finally, security came down and they were escorted to the ICU.<\/p>\n

During a hospital visit, families of incarcerated people hoping to comfort a loved one or to have a final, peaceful goodbye can instead find themselves in tense and stressful settings. Families are often stunned to see their loved one shackled to a hospital bed with armed guards standing nearby.<\/p>\n

The guards posted in Alex\u2019s hospital room were expecting Katie and Jacqueline. In the hallway, they listed a host of rules\u2014among other restrictions, there would be limited physical contact, the Kuhnhausens could not sleep in the room, and Alex could not take any food from them. Finally, they were allowed to enter.<\/p>\n

\u201cI walked into the room, and my heart just sank,\u201d says Katie. \u201cHe looked gray. He looked like he was dying. I went over and kissed his forehead, and I asked him if he knew I was coming. He said he did.\u201d<\/p>\n

Katie says Alex\u2019s legs were swollen and he couldn\u2019t move the left side of his body, which appeared to be paralyzed. He was shackled to the bed.<\/p>\n

Alex was afraid of flying and had never been on a plane. To lighten the mood, Katie asked about his flight to Spokane.<\/p>\n

\u201cI said, \u2018I heard you got to ride on a helicopter.\u2019 He said, \u2018It was so scary\u2026 When I think about those last days, that\u2019s what I think about. He was so scared, and he was alone. No one would help him.\u201d<\/p>\n

She asked whether the counselor who had promised to bring Alex a Release of Information form had done so. Alex said she had not. (Her report states that Alex agreed to sign the form, but there\u2019s no indication she ever gave it to him.)<\/p>\n

They sat together for a couple of hours, holding hands and chatting. When it became obvious Alex needed to sleep, Katie and Jacqueline said good night.<\/p>\n

\u201cI told him how much I loved him and that I\u2019d be back in the morning,\u201d says Katie. \u201cI remember I looked back when I was leaving and he tried to smile. He saw the look on my face, and he said, \u2018Don\u2019t worry, baby. I\u2019m coming home with you.\u2019\u201d<\/p>\n

On her way out of the hospital, Katie pulled aside her husband\u2019s doctor and asked if Alex was going to die. The doctor said Alex was \u201cvery sick,\u201d and needed heart surgery, but was too weak to survive it.<\/p>\n

Hospital staff, who Katie remembers as exceptionally kind, found a room for her and Jacqueline at a nearby hotel. It was well past midnight by the time they got to bed. Katie woke in a panic after four or five hours of sleep, as she had the day before, fearing she had missed a critical update on Alex\u2019s condition.<\/p>\n

She called the lieutenant overseeing Alex\u2019s security detail. There were no updates, he said. Katie and Jacqueline decided to have a quick breakfast before going back to the hospital.<\/p>\n

While the two were on their way to the hotel\u2019s dining room, Katie\u2019s phone rang. It was the hospital chaplain. \u201cHe said we needed to get there right away.\u201d<\/p>\n

When Katie and Jacqueline arrived, doctors and nurses were huddled over Alex\u2019s bed. A pair of prison guards stood off to the side. A physician Katie hadn\u2019t seen before was performing chest compressions on Alex. Katie fell to her knees.<\/p>\n

She pleaded with Alex. \u201cI told him to keep fighting.\u201d<\/p>\n

Then everything stopped. Medical staff backed away. The blinking machines surrounding Alex were shut off without ceremony. The doctor declared the time of death\u20147:18 am<\/span>.<\/p>\n

\u201cI didn\u2019t know what to do. How long do I stay?\u201d she says. \u201cI just sat there for a long time. I didn\u2019t want him to be alone.\u201d<\/p>\n

It was Wednesday, April 24, 2024. Just over two weeks after Alex first reported his illness\u2014at the time a relatively minor infection\u2014to medical staff at the Washington State Penitentiary, asking for help.<\/p>\n

It\u2019s unknown how many people die in America\u2019s prisons each year.<\/p>\n

In December of 2014, Congress passed the Death in Custody Reporting Act (DCRA), which requires states to report every death of a person in custody to the Department of Justice (DOJ.) However, the agency\u2019s data collection efforts have been plagued by inaccurate and incomplete reporting by states.<\/p>\n

Based on a on the DCRA, The appeal found that, since 2019, the agency had failed to record at least 18 percent of deaths in state prisons, 39 percent of deaths in jails, and roughly two-thirds of deaths that occur in police custody, which amounts to more than 5,000 deaths.<\/p>\n

According to an investigation conducted by University of North Carolina researchers, as of 2022, only 15 states required prison systems to notify courts or prosecutors when someone in their custody dies. In Washington state, the DOC must send reports on \u201cunexpected\u201d deaths to the state legislature, but those reports tend to be short on details, and the legislature leaves the DOC to decide which deaths qualify as unexpected.<\/p>\n

After her husband\u2019s death, Katie says a doctor at Sacred Heart told her emergency measures had begun hours earlier, at around four in the morning. Katie asked why she hadn\u2019t been notified. The doctor told her he had asked a guard about calling his patient\u2019s wife, but the guard warned him not to, saying it was \u201cagainst policy.\u201d<\/p>\n

A guard who had come on shift after lifesaving efforts had started told Katie that family notifications had to go through prison administrators.<\/p>\n

\u201cHe showed me his phone and he had tried to call the administration at Airway Heights [the local prison from which the guards in Alex\u2019s room were deployed] seven times,\u201d she says. \u201cNo one answered. He said he was sorry.\u201d<\/p>\n

The Department of Corrections held Alex\u2019s body for several weeks. Katie waited, assuming someone would contact her.<\/p>\n

\u201cI don\u2019t know what I thought the prison would do,\u201d she says. \u201cI don\u2019t know why I thought they would call and apologize. And of course they didn\u2019t.\u201d<\/p>\n

Finally, she called Superintendent Jackson to ask for Alex\u2019s remains.<\/p>\n

\u201cHe said \u2018Oh I thought that happened already.\u2019 He was so nonchalant, like my world wasn\u2019t destroyed,\u201d she says. \u201cI sat on the phone just crying. Then I hung up.\u201d<\/p>\n

Alex\u2019s ashes arrived by mail in May of 2024.<\/p>\n

\u201cI picked him up from the mailman,\u201d she says. \u201cHe handed Alex to me in a cardboard box. It wasn\u2019t how it was supposed to be. But I was happy to have him home.\u201d<\/p>\n

In a postmortem investigation conducted by a team that included several DOC employees, the state agency cleared itself of all wrongdoing.<\/p>\n

Unlike most democratic countries, there is no independent oversight of the United States prison system, says the ACLU\u2019s Fathi: \u201cYou literally get the agency investigating and exonerating itself.\u201d<\/p>\n

Almost a year ago, Katie and her attorney put the state on notice\u2014they intend to file a wrongful-death suit against the Washington Department of Corrections. When asked for comment on Alex\u2019s death, a DOC spokesperson told The Nation<\/em> in an e-mail, \u201cPending litigation and medical privacy laws prevent us from commenting.\u201d<\/p>\n

\u201cThey looked at Alex like he was just a drug addict,\u201d Katie says. \u201cHe doesn\u2019t feel good because he\u2019s using drugs. If they would have checked on him, they would have seen that he was dying. They just guessed at what was wrong with him. And here we are.\u201d<\/p>\n

Katie says she hopes the lawsuit will mean the DOC is finally held accountable for Alex\u2019s death. \u201cThis isn\u2019t about anything else except that my husband\u2019s life matters,\u201d Katie says. \u201cHe matters. My husband was 25 years old. We\u2019ll never know who Alex could have been. But I\u2019ll never let them forget about him.\u201d<\/p>\n

Read more Pope Leo\u2019s First Encyclical Is a Game Changer<\/a><\/p>\n<\/article>\n","protected":false},"excerpt":{"rendered":"

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