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This profile was last updated on 2/15/09  and contains information from public web pages.

Ms. Joan Laurel Small

Wrong Joan Laurel Small?
 
Background

Employment History

Web References
Joan Laurel ...
www.naplesnews.com, 15 Feb 2009 [cached]
Joan Laurel Small
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Joan Laurel Small
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NAPLES — Joan Laurel Small and her boyfriend, Elias Guzman, flip through a remembrance book showing photos of the baby girl they lost a week earlier while Small was an inmate at the Collier County jail.
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NAPLES — Joan Laurel Small and her boyfriend, Elias Guzman, flip through a remembrance book showing photos of the baby girl they lost a week earlier while Small was an inmate at the Collier County jail.
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"The minute they showed her to me, I couldn't stop crying," Small said as she sat in a Naples hotel Tuesday, a day after her release from The Birth Place at North Naples Hospital.
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"I want them to make changes," Small said of hiring lawyers to file a lawsuit. "I don't want this to happen to other mothers."
This week, Small and Guzman, her 2-year-old son Michael, and her parents, Jennifer and Michael Graeber, will attend memorial services in New Jersey for the baby, who was cremated by Fuller Funeral Home.
...
Coburn told Small it was "possible" the baby could have been saved.
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Small landed in jail when her estranged husband, Ken Enright Small, was stopped for a traffic violation in September 2007 in Naples Park and his car was searched.
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"I brought him down here to change him, but that didn't happen," Small said.
That day, she'd purchased a bus ticket to New Jersey and planned to end their six-year marriage. "He told me to hold his drugs," she said of $30 of crack found in her purse, adding that she thought he'd own up after her arrest. She told deputies the crack was his, but it was too late.
"I never tested positive for drugs," said Small, who had no prior criminal record. "He took my bus ticket and returned it and got high on the money he got back."
She was released on bond and was sentenced in July to probation as part of a plea bargain that withheld an adjudication of guilt. She moved in with Guzman, a foreman at a paving company, her husband's boss. But she landed back in jail twice for probation violations after returning late from a parenting class in Naples.
"My probation officer was well aware of my transportation problems," Small said, adding that she has no car and relied on friends.
Days before her Dec. 22 probation violation arrest, she'd seen her obstetrician at the Women's Health Foundation, where she went every two weeks. She and Guzman also attended a weekly parenting class she'd enrolled in to earn "baby dollars" to purchase baby necessities. Her baby had a strong heartbeat, she said, but Estes was concerned about how small her stomach was; her estimated delivery date was Feb. 4 and as late as Feb. 21.
The day she was arrested, she was to get a RhoGAM shot to protect her baby from her RH negative blood, and Estes scheduled an ultrasound for Dec. 26. "It was too small and he wanted an ultrasound as soon as possible," Small said, adding that jail medical staff canceled it and said they'd make an appointment. "They waited 40 days to take me."
She pleaded for the RhoGAM shot. "I kept saying, 'What don't you understand? I need this shot.'"
Small said medical employees ignored her complaints about a heavy discharge that continued nearly two weeks and gave her a sanitary pad, telling her to monitor it and show them proof.
...
On Feb. 3, Small got the RhoGAM shot - after the recommended time - and had the fateful ultrasound. "Now I have to worry about the next time I get pregnant," Small said of the delayed shot.
Small said she wanted to correct misstatements in a press release issued by the Collier County Sheriff's Office, which claimed the first time she'd seen an obstetrician was after she was jailed June 11, 2008. The press release also took credit for her early release and hospital arrangements.
Small said she'd been seeing her doctor regularly and pulled out a bill to prove her first visit was June 4. She also confirmed her public defender, Amy Shirvanipour, arranged for her Feb. 4 release to the hospital, where said the baby had been inside too long to deliver naturally. When she arrived, her blood pressure was rising, the first sign of septic shock and her baby was delivered by C-section the next morning.
...
Helmbrecht, the forensic medical expert contacted by the Daily News, said leaving the dead fetus inside Small so long could have led to her death.
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Jail officials said Small was seen 190 times by medical professionals over 128 days since June 11. Due to HIPAA, the Health Insurance Portability and Accountability Act, which prohibits the release of medical information, they say they can't discuss specifics without a signed waiver from Small.
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Small isn't the only pregnant woman who has complaints about the jail's medical care. Small and others said being housed in the medical unit meant they were feet away from a mentally ill inmate who screamed, ejaculated, and threw feces.
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"Joan's baby probably saved others like me," Nicol said Thursday.
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Yes, there is a problem with how the jail's medical services manage pregnant women, and Small should have been examined by a physician, given her RhoGAM shot, and hospitalized if necessary.
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Joan Small has only one criminal mark in her life, at least in this county. I don't see any other criminal activity on the clerk's website. In my mind, her troubles began when she stupidly believed that a low life cared about her.
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Perhaps you were the intended recipient of Ms. Small's crack cocaine?
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Joan get clean, get a job, care for your child and be a law abiding citizen. Focus on teaching your child good morals and values. Be a role model for your child.
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Joan Laurel Small I want you to make changes!
Joan Laurel ...
www.naplesdailynews.com, 14 Feb 2009 [cached]
Joan Laurel Small
...
Joan Laurel Small
...
NAPLES — Joan Laurel Small and her boyfriend, Elias Guzman, flip through a remembrance book showing photos of the baby girl they lost a week earlier while Small was an inmate at the Collier County jail.
...
NAPLES — Joan Laurel Small and her boyfriend, Elias Guzman, flip through a remembrance book showing photos of the baby girl they lost a week earlier while Small was an inmate at the Collier County jail.
...
"The minute they showed her to me, I couldn't stop crying," Small said as she sat in a Naples hotel Tuesday, a day after her release from The Birth Place at North Naples Hospital.
...
"I want them to make changes," Small said of hiring lawyers to file a lawsuit. "I don't want this to happen to other mothers."
This week, Small and Guzman, her 2-year-old son Michael, and her parents, Jennifer and Michael Graeber, will attend memorial services in New Jersey for the baby, who was cremated by Fuller Funeral Home.
...
Coburn told Small it was "possible" the baby could have been saved.
...
Small landed in jail when her estranged husband, Ken Enright Small, was stopped for a traffic violation in September 2007 in Naples Park and his car was searched.
...
"I brought him down here to change him, but that didn't happen," Small said.
That day, she'd purchased a bus ticket to New Jersey and planned to end their six-year marriage. "He told me to hold his drugs," she said of $30 of crack found in her purse, adding that she thought he'd own up after her arrest. She told deputies the crack was his, but it was too late.
"I never tested positive for drugs," said Small, who had no prior criminal record. "He took my bus ticket and returned it and got high on the money he got back."
She was released on bond and was sentenced in July to probation as part of a plea bargain that withheld an adjudication of guilt. She moved in with Guzman, a foreman at a paving company, her husband's boss. But she landed back in jail twice for probation violations after returning late from a parenting class in Naples.
"My probation officer was well aware of my transportation problems," Small said, adding that she has no car and relied on friends.
Days before her Dec. 22 probation violation arrest, she'd seen her obstetrician at the Women's Health Foundation, where she went every two weeks. She and Guzman also attended a weekly parenting class she'd enrolled in to earn "baby dollars" to purchase baby necessities. Her baby had a strong heartbeat, she said, but Estes was concerned about how small her stomach was; her estimated delivery date was Feb. 4 and as late as Feb. 21.
The day she was arrested, she was to get a RhoGAM shot to protect her baby from her RH negative blood, and Estes scheduled an ultrasound for Dec. 26. "It was too small and he wanted an ultrasound as soon as possible," Small said, adding that jail medical staff canceled it and said they'd make an appointment. "They waited 40 days to take me."
She pleaded for the RhoGAM shot. "I kept saying, 'What don't you understand? I need this shot.'"
Small said medical employees ignored her complaints about a heavy discharge that continued nearly two weeks and gave her a sanitary pad, telling her to monitor it and show them proof.
...
On Feb. 3, Small got the RhoGAM shot - after the recommended time - and had the fateful ultrasound. "Now I have to worry about the next time I get pregnant," Small said of the delayed shot.
Small said she wanted to correct misstatements in a press release issued by the Collier County Sheriff's Office, which claimed the first time she'd seen an obstetrician was after she was jailed June 11, 2008. The press release also took credit for her early release and hospital arrangements.
Small said she'd been seeing her doctor regularly and pulled out a bill to prove her first visit was June 4. She also confirmed her public defender, Amy Shirvanipour, arranged for her Feb. 4 release to the hospital, where said the baby had been inside too long to deliver naturally. When she arrived, her blood pressure was rising, the first sign of septic shock and her baby was delivered by C-section the next morning.
...
Helmbrecht, the forensic medical expert contacted by the Daily News, said leaving the dead fetus inside Small so long could have led to her death.
...
Jail officials said Small was seen 190 times by medical professionals over 128 days since June 11. Due to HIPAA, the Health Insurance Portability and Accountability Act, which prohibits the release of medical information, they say they can't discuss specifics without a signed waiver from Small.
...
Small isn't the only pregnant woman who has complaints about the jail's medical care. Small and others said being housed in the medical unit meant they were feet away from a mentally ill inmate who screamed, ejaculated, and threw feces.
...
"Joan's baby probably saved others like me," Nicol said Thursday.
...
Yes, there is a problem with how the jail's medical services manage pregnant women, and Small should have been examined by a physician, given her RhoGAM shot, and hospitalized if necessary.
...
Joan Small has only one criminal mark in her life, at least in this county. I don't see any other criminal activity on the clerk's website. In my mind, her troubles began when she stupidly believed that a low life cared about her.
Joan Laurel ...
www.naplesnews.com, 7 Feb 2009 [cached]
Joan Laurel Small
...
Joan Laurel Small
...
"What we are able to say is that there is nothing in our records that shows Ms. Small was leaking amniotic fluid, and nothing in the records that indicates Ms. Small was having a problem with her pregnancy," the statement says. ... The Sheriff's Office "remains sympathetic to Ms. Small for the loss of her child, and we offer our condolences."
Naples attorney Sharon Hanlon of Zelman and Hanlon met with Small in her room at The Birth Place at North Naples Hospital and will be representing Small with law partner Ted Zelman.
...
During an interview Tuesday, Small said she learned through an ultrasound at the jail Tuesday morning that her full-term baby had died after all her amniotic fluid leaked out and the baby's skull had collapsed.
Small had been jailed since Dec. 22 for a probation curfew violation. She said Tuesday that she had complained about a heavy discharge and asked for medical help, but was told to monitor the discharge. She said it continued for 1 1/2 weeks, but nothing was done.
By Tuesday evening, Small still sat in jail and had not been taken to a hospital to have the dead baby delivered. Her attorney had to seek her release the next day.
...
Small's 40-week due date was Feb. 21 and the Bonita Springs woman has said she'd been seeing doctors at a clinic during her pregnancy.
Prison Health Services, a private firm that provides care to jails and prisons nationwide, has defended its care and sheriff's officials called it appropriate and consistent with National Commission for Correctional Health Care accreditation standards.
Since June 11, sheriff's officials said, Small had been in the jail's custody on three separate occasions totaling 128 days. During that time, they said she had numerous interactions with medical professionals, including: 13 contacts with a certified nurse's assistant; 128 contacts with a licensed practical nurse; 40 contacts with a registered nurse; three appointments with a physician's assistant; and six appointments with a medical doctor.
The statement says the Sheriff's Office and Prison Health Services arranged for and delivered Small to the necessary medical care outside the jail. "In fact, upon her release, CCSO made arrangements for Ms. Small's continued medical care and transported her to North Naples Hospital."
Small remained jailed Wednesday, her dead fetus inside her, and wasn't taken to a hospital until her public defender, Amy Shirvanipour, got a stipulation from the prosecutor to have her sentence modified to time served so she could be immediately released; a judge immediately signed that stipulation Wednesday. Shirvanipour arranged for Small to be brought to the hospital, but the jail refused to release her to Shirvanipour, who waited more than three hours and had to meet Small at the hospital after her 3:10 p.m. release. Shirvanipour arranged for Small to be brought to the hospital, but the jail refused to release her to Shirvanipour, who waited more than three hours and had to meet Small at the hospital after her 3:10 p.m. release.
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Mrs Small created her own destiny. It is her fault the baby was lost.
Joan Laurel ...
www.naplesnews.com, 6 Feb 2009 [cached]
Joan Laurel Small
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Joan Laurel Small
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Doctors removed the dead fetus from Joan Laurel Small on Thursday, a day after her release from the Collier County jail.
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Small, a Bonita Springs woman who is recovering at the hospital, could not be reached for comment.
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Small, who was housed in the jail's medical unit, learned her baby was dead Tuesday morning as she underwent an ultrasound to determine the baby's sex and to schedule delivery after her Feb. 19 release from jail.
Small, whose 40-week due date was Feb. 21, has said she'd complained about a heavy discharge, which continued for 1 1/2 weeks, but was told it was normal and to monitor it. She told the Daily News the doctor who conducted the ultrasound Tuesday morning told her all her amniotic fluid had leaked out, the baby's skull collapsed and it had no heartbeat.
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When told of Small's account, a nationally known medical expert said the death could have been avoided if Small had been taken to a hospital immediately after complaining of the discharge.
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Small said she'd also requested a RhoGAM shot, which protects her baby from her RH negative blood, but wasn't given one until Tuesday. The shot is recommended between 28 and 30 weeks and she was jailed on her 30th week.
She'd been held since Dec. 22 after she violated probation by returning home after her nightly 10 p.m. curfew. Small said she'd been attending a parenting class in Naples and couldn't get a ride home; she has no car.
Joan Laurel ...
www.naplesnews.com, 5 Feb 2009 [cached]
Joan Laurel Small
...
Joan Laurel Small
...
While in the Collier County jail, Small said she began to experience complications — leaking amniotic fluid for 1 1/2 weeks. And instead of finding out the baby's sex during an ultrasound Tuesday, a doctor told her the baby had died.
...
Helmbrecht, calling it a full-term baby, disputed that, saying a dead baby in the third trimester could seriously harm Small.
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Small could not be reached at the hospital after her baby was delivered.
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It was Joan Small's first brush with the law, according to her mother and lawyer.
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Two years ago, Graeber adopted Joan Small's first baby, Michael Kenneth Graeber, now 2, after the New Jersey Division of Youth and Family Services took him away.
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Joan Small was told by DYFS officials to leave her husband if she wanted to keep the baby, but she refused and came with him to Florida.
Records show Small was sentenced in July 2008 to 1 1/2 years of probation and the judge withheld an adjudication of guilt on the drug possession charge. A month later, she was arrested again due to a 10 p.m. curfew violation, and was sentenced to house arrest, but was incarcerated again due to another curfew violation three days before Christmas.
On Tuesday, Small said she doesn't drive a car and relies on friends for rides. The night she was arrested, she said, she'd been at a parenting class she voluntarily took in Naples to learn to be a good mother to her new baby. Her ride didn't show up and there was no bus service from Naples to Bonita Springs. When she arrived home, her probation officer was waiting.
In jail, she said, she told medical officials she had RH negative blood and needed a RhoGAM shot to protect the baby from her blood. She was denied the shot, she said, but got it Tuesday before the ultrasound. RhoGAM is recommended at 28 weeks; she got it after 35 weeks and Helmbrecht said that could hurt her next pregnancy.
Small said she asked to go to the emergency room when she first experienced leaking fluids.
"They kept telling me it was completely normal," she said.
She was told to monitor it, she said, and it continued 1 1/2 weeks as she kept them apprised.
Tuesday morning, Small hoped to learn the baby's sex through the ultrasound and planned to schedule delivery the day of her release, Feb. 19 — two days before her due date. Instead, the doctor told her there was no heartbeat.
"I couldn't believe it," Small said Tuesday night.
...
"I'm still in shock," Small said, adding that she wanted to go to the hospital to deliver the fetus and request an autopsy, but was still waiting Tuesday night. "I know it's dead, but I can still feel it moving. All they've told me is they're making arrangements."
Small also was upset she was placed on suicide watch, where she couldn't do anything, including go to the bathroom, without being watched through a glass wall.
...
It sounds like Ms. Small is going to be a burden to you taxpayers for a long time.
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