So the Detention Deputies call medical and say that there is a certain inmate who has not eaten anything for the last four days.  Not an unusual occurrence in my experience; in fact, we medical providers most often hear about Hunger Games participants in this way, sometimes several days into their fast.  At this point, we do not know if this is a real fast (maybe the inmate is gaming), a true suicide-by-starvation patient, some who is just dieting to lose weight, or a psychotic inmate.  Today I would like to go through a step-by-step approach to the Hunger Games participants. Continue reading →