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Date: Wednesday 20 November 21:57:14 1732161434 From: Xxxxxxx X. Xxxxxxxx P.O. Box xxxx Xxxxx AR xxxxx To: Arkansas State Medical Board 1401 West Capitol Avenue, Suite 340 Little Rock AR 72201-2936 Subject: Jeffery Blake Copeland M.D. This letter is a formal complaint regarding Jeffery Blake Copeland, a doctor employed from January 2021 through March 2021 and to the best of my knowledge at this time, by Arkansas Continued Care Hospital (ACCH) in Jonesboro, Arkansas. My name is Xxxxxxx X. Xxxxxxxx. I was in the custody of ACCH for approximately 68 days (15 January 2021 - 28 March 2021). According to the records of my stay in that facility, Dr. Copeland was the physician responsible for my care. The reason this letter is being sent more than two years after the fact is that only in the past few months, due to my degraded health caused by the doctor's actions, have I been able to do so. It is accompanied by two exhibits: Exhibit A consists of records provided by the hospital after my discharge, showing the drugs being administered. Note that at the time of my release I was still being administered the dangerous and injurious psychotropic drugs without any demonstrated medical necessity. It further shows that the attempts of my family to have me relocated to another facility were thwarted due to what the doctor alleged were 'behavioral problems' that were in fact caused by the drugs. Due to the number of pages of repetitive information, the included records include only several typical days. They show the escalation of misapplied medications. Exhibit B is a collection of notes, based on my experience and the accounts of family members who visited me. While they refer to unsafe and unprofessional conditions and behavior by hospital staff and the shameful state of the operation, Dr. Copeland knew or should have known it and taken action to protect the patient. I was and remain unable to return to work, depriving me of years of income and retirement benefits. My employer (a company with multi-million dollar per year revenues) was deprived of a valuable employee of almost twenty years of service and in a significant way a part of the company's success. Dr. Copeland, entrusted with the life and health of - except for a relatively minor and temporary injury - a healthy human being reduced that human being to a physical wreck. What a competent, prudent and ethical doctor would have accomplished in a matter of weeks caused me months of mental and physical torment and permanent pain and disability. The reckless actions of Dr. Copeland reflect badly on an industry with a reputation already often sullied by the avarice and incompetence of many of its practitioners. He should be thoroughly ashamed of himself and the institution which employs him should be embarrassed for doing so. He should not be permitted to continue to be a danger to helpless patients. This letter was sent by certified mail. Xxxxxxx X. Xxxxxxxx Attachments: Exhibit A Exhibit B

On 15 December 2020 I was transported by ambulance from my office in Paragould, Arkansas to the Arkansas Methodist Medical Center (AMMC) in Paragould. While diagnosing my condition, the staff injected a dye while attempting to attempting to perform a cardiac catheterization. The dye, known to cause kidney injury, did so but it was not immediately apparent. On the same day I was transported to St. Bernards Regional Center (SBMRC) in Jonesboro, Arkansas. There a successful bypass surgery was performed and I was moved to the intensive care unit (ICU) for recovery. I later experienced cardiac arrest and was administered CPR for twelve minutes, and my family members (who were not present at the time) were notified by phone that I had expired. I was successfully revived, but was diagnosed with an anoxic encephalopathy. On 15 January 2021 I was committed to the Arkansas Continued Care Hospital (ACCH) in Jonesboro, ostensibly to recover from the kidney injury and possible brain injury. As I have no history of kidney disease or other complicating factors, my recovery from the kidney injury should have been a matter of routine care (and should have occurred at St. Bernards) until it was resolved. The diagnosis of a brain injury was (as I will demonstrate) incorrect and while the staff at St. Bernards is culpable of malpractice or dereliction it has no bearing on this matter. The fact that they either knew or should have known that they endangered my health and indeed, my life by consigning me to ACCH is not the issue. I have no history of mental disorder of any kind, and have never been recommended for examination for such a disorder. During my military service, to determine my suitability for sensitive work, I was administered psychological tests which found no disqualifying factors. Prior to 15 December 2020 and since leaving ACCH on or about 28 March 2021 my mental condition has been as it was for more than sixty years. However, I now have neurological impairment associated with misapplication of psychotropic drugs. I cannot walk or even stand without a cane, and that is difficult and I fall often. I can not write or even print legibly, and my speech is affected to the point of it being extremely difficult to communicate with someone who is not familiar with me and my condition. I have difficulty retaining memories and must use checklists and schedules for the most routine activities such as paying bills and other business activities. I experience painful muscle spasms in my legs and feet, parkinsonism, among other documented effects of antipsychotic medications. Having never suffered from insomnia (another documented effect of antipsychotics) I now require sleep aids regularly. When I was delivered into his care, Dr. Copeland had two obligations: 1) Administer suitable care until my injury had healed. 2) assess my condition in view of the (erroneously) reported brain injury and act accordingly. Instead he proceeded to confine me, administer numerous destructive psychotropic drugs (several at the same time) none of which were indicated by examination by a competent physician and caused permanent neurological dysfunction. When my family members, with considerable difficulty, persuaded him to reduce the dosages to allow me to remain conscious long enough for such an assessment it became clear that I was not in any way mentally incapacitated and that any apparent mental dysfunction was solely due to the effects of the drugs. For the last three weeks (prior to that I was incapable of coherent communication or perception due to the effect of the drugs) of the almost ten that I was confined there, I requested daily that the doctor visit me and have the restraints removed. To this day I have never seen Dr. Copeland. HE NEVER CAME TO MY ROOM WHILE I WAS IN A COGNIZANT STATE. I lay in a hospital bed, day after day, waiting for the doctor to come. He never did. Had my family not succeeded in extricating me I have absolutely no doubt that I would before long either have been dead or in such a physically degraded condition that recovery would have been impossible. As it is I remain substantially incapacitated and unable to safely operate an automobile and am thus a burden to my family. Dr. Copeland, entrusted with a functional and healthy human being in need of basic elementary care to heal an injury, turned that human being into a near invalid. Dr. Copeland is a menace to any patient consigned to his care.

On 15 January 2021 I was admitted to the Arkansas Continued Care Hospital (ACCH) in Jonesboro. With a few exceptions I have no memory of anything from 15 December 2020 until sometime in early March 2021. I was constantly either completely unconscious or in a non-cognizant state - I was observed by the hospital personnel and my visitors to be apparently awake, sitting up, talking and eating. I was completely unaware and according to them (noted in the records) my speech was nonsensical, some apparently being a response to hallucinations. I was visited daily by one or the other of my two older siblings. The hospital used the "pandemic" as an excuse to restrict access to one visitor, so they visited on alternate days. They became concerned by the situation, both being well-educated and having more medical knowledge than most, and have known me my entire life and believed that the doctor not only was not making any progress towards improving my condition but was in fact making it worse. It took considerable persuasion to have him reduce the dosage of some of the drugs to allow me to remain awake long enough to assess my mental condition. He finally did so, and sometime during the first week of March I became continuously semi-cognizant. That is to say, I recognized that I was in a hospital bed and was being attended by nurses and other personnel. The days preceding this had been filled with constant hallucinations that contained few elements that resembled the real world. Following are some examples of the abuse to which I was subjected before my family managed to have me released: 1. I was tied to the bed with wire. Wrists and ankles were connected to strips of cloth (resembling torn strips of bed linen) which were tied to the bed. I could not move any extremity more than a few inches. (Note 1) I was told that these restraints were to prevent me from leaving the bed or removing a feeding tube. (Note 2) My right hand was occasionally freed temporarily, and sometimes my left as well, to allow me to sit up for meals or have medication administered. I was promptly tied down again afterwards. This continued for days, as I pleaded with them to release me, or at least not tie my hands again. The only response was that it was ordered by the doctor. On at least two occasions I saw the form with the restraint order. I asked, every day, to have the doctor visit me and assess my condition. Each time I was told that the doctor would see me on his morning rounds. Each day I lay in the bed, watching the clock, until the day passed and I went to sleep, only to repeat the process the next day. To this day I have never seen Dr. Copeland in person. (Note 3) 2. Members of the staff repeatedly told my family that I was unlikely to recover. This should have never been permitted. An employee at St. Bernards who made a similar comment was reprimanded by a doctor, who informed my family members that it was inappropriate and unfounded. At no time (see Part 6) was I ever evaluated by a competent doctor to assess my condition. Under the influence of the drugs it would have been impossible for even a properly trained doctor to do so. When I was released to the care of my family they were told that they were endangering my health and life and were required to sign papers releasing the hospital from liability. 3. Other conditions (dirty environment, including some of the personnel) and abuse by them may or may not be to some degree the responsibility of the doctor, but inasmuch as he did not even bother to observe them he in my opinion shares blame. The large orderly who verbally and physically abused me (when he desired to change my position on the bed he picked me up and dropped me where he wanted) should at least not been allowed to attend me and should have been reported to the management. 4. The deterioration of my physical condition caused by two months of confinement was never addressed in any substantial way. (Note 4) When my family was attempting to have me moved to a more competent facility the staff began making rather indifferent attempts at 'physical therapy'. During the last three weeks I was visited at most three times weekly by a therapist, who spent perhaps twenty minutes attempting to restore my ability to walk. On the first day I was unable to stand at all. The therapist and his assistant held me in a vertical position a few times and put me back in the bed. It was several days before I could stand using a walker and with an able-bodied person supporting me. By the time I was discharged I was able, barely, to go from my room to an elevator and from the elevator to the entrance a few yards away, with assistance to prevent me from falling. They put me in the car and drove me to the home of a family member, where my recovery actually began. (Note 5) Beyond performing its one legitimate task - treating my kidney injury until I recovered - Dr. Copeland did absolutely nothing do improve my condition and in fact caused my permanent disability. I am in fact disabled to the point of being unable to work at my former job or any other.

To illustrate result of the egregious behavior of Dr. Copeland consider this: When I arrived at my new lodgings I was physically helpless. I was able, with assistance, to go into the house and to my room and little else. During the next week I became able to use a walker to move from my room to the living area of the house and back, but that would be the extent of my activity for three weeks or so. During this time I suffered from bowel incontinence, which persisted for several months. The hospital had prescribed ten or so medications, including one of the psychotropic drugs they were still administering until the day I was discharged. My caregivers monitored my condition daily to determine the need for continuing to use them. Within a few weeks I needed only one - a blood pressure medication I had been using for years. How incompetent must a doctor to not only keep me confined to a hospital for weeks with no medical necessity or benefit but causing me permanent harm into the bargain? Eventually I was able to walk outside the house for a short distance, on a paved driveway and sidewalk. One of my caregivers had to be present as my legs were weak and arms no better. I asked for a pair of 2.5 pound dumbbells to exercise my arms. Initially I was able to lift one with my right arm to about eye level while sitting in a chair. With my left arm I was unable to lift one at all. (Note 4) It would be several weeks before I could do that. A year after leaving the hospital I was and remain physically disabled to the point of being unable to do any type of work requiring even the smallest amount of manual labor, and at my age the prospect of any employment is not likely. I was forced to retire years earlier than I would have, as had I not been confined to a hospital for over three months I could have returned to my former work with a six-figure salary. All things considered - lost wages, reduced retirement benefits and the continuing expenses - the cost to me has been nearly, if not more than, a million dollars. My life expectancy is almost certainly reduced considerably, and the probability of perishing due to an accident (e.g. a fall or other mishap) due to my disability is considerable. In the event of my death by a misadventure caused by this condition, Dr. Copeland would be the proximate cause of my untimely demise.

I will not be surprised if Dr. Copeland denies what I have related and may wish to sue me for damaging his reputation. If he wishes to hale into court a crippled and dying old man he is welcome to do so. If he wishes to publicly harass a physically disabled old man in view of the community where he lives and works so be it. My health continues to deteriorate and whether in any case I would live so long is questionable. I can prove with witnesses to his actions, character witnesses who can vouch for my own credibility and the hospital's own documentation that it is true in its entirety. My present mental condition demonstrates that no of part of my condition can be plausibly attributed to the brain injury suspected by the doctors at St. Bernards. If the doctor wishes to pursue litigation against me I am prepared to call upon former and present employees of ACCH and provide from other victims and their family members evidence of the malfeasance occurring there. The history of the hospital CEO and Dr. Copeland at his previous employment - such as it was - will also be subject to examination. I further note that the hospital records are demonstrably false in at least some part. I suspect that an examination of itemized billing records to my insurance company can prove a certain amount of fraud. Falsus in uno, falsus in omnibus.

As I observed earlier, errors by the first two hospitals (AMMC and SBMRC) created the situation in which I found myself. That is another matter. Responsibility for this matter rests entirely on ACCH and Dr. Copeland. On 15 December 2020 I was, except for a blocked blood vessel, healthier than average for a person of my age. On the morning of 15 December the first thing I did was 100 pushups, something I repeated later in the day on most days. This was a daily activity. I walked over a mile most days, weather permitting. I worked in an office building where my duties required me to go up and down the stairs a minimum of a dozen times a day. On weekends I did manual labor on my rural property, for more than eight hours a day. My work required me to maintain the information technology infrastructure (which I built) for which my employer depended on for an annual revenue of millions of dollars. Today, if my physical condition allowed, I could return and resume my work with little difficulty. I would in fact still be employed there if I had not been necessary for them to end my employment due the need to replace me after an absence of more than three months. To demonstrate that the diagnosis at St. Bernards was in error, I can today sit at a computer and write code with the same ease that I could before, albeit with considerable difficulty in typing. Within a few months of my discharge from the hospital I had updated my computers to the current development environment I had been working with and was again able to write complex code. I can build a website and write a a JavaScript library, MySQL database, and a PHP class to manage it, as fast as I can type. Unfortunately my ability to type is severely compromised. When I was in high school I could type 50 words per minute on a manual typewriter. Now even operating a computer is a laborious task because of the impairment of my physical functions by the drugs administered to me by a doctor who should not be practicing medicine. Sadly, he has more than likely done considerable damage to others in the nearly two years it has taken me to recover as much of my health as I have. About six months after my release I for the first time attempted to do pushups again. On the first day I was unsuccessful, the next day managed one. Today, about a year later, I can do thirty. Once a day. It has taken that long to rebuild my body to this degree. WITH NO MEDICAL TREATMENT WHATSOEVER. The only damage is to my nervous system and some difficulty in retaining recent memories. Do you understand that? Had I remained in that hospital, subjected to the treatment that Dr. Copeland obviously had no intention of changing, I would be at best in a vegetative state or more likely dead. The only difference between my being dead and being alive and nearly normally functional is ESCAPING FROM THE CLUTCHES of Dr. Copeland and the hospital. My recovery, to the present extent, is due solely to NOT BEING UNDER THE 'CARE' of Dr. Copeland. Dr. Copeland and the hospital were entrusted with the routine and relatively simple task of overseeing the recovery of a patient from an injury, and instead left that patient permanently unable not only to work but to care for himself. Whatever the negligence of misconduct of the other hospitals, Dr. Copeland should have made an effort to ascertain my condition before doing anything other than what was necessary to keep me alive in in good physical health. Obviously he did not. He should have consulted a doctor with proper education and experience if he was unsure of his diagnosis or actions needed to preserve and restore my health. He failed to observe even minimal principles of prudence and caution.

NOTES: 1. On one occasion a visitor entered my room to find me totally nude and uncovered, tied as I have described. My left arm was twisted into such a position that, nearly unconscious as I was, I was vocalizing expressions of severe pain. When she demanded that the situation be rectified she was told "we can't keep a diaper on him" and only after some insistence was my arm repositioned. My left arm functionality has been impaired since I left the hospital and remains so. Judging from the rough treatment to which I was subjected (paragraph 3) my arm was likely injured at this or some other time. Its function remains impaired to this day. 2. The floor in the room was equipped with sensors to detect the presence of a body on the floor. The staff turned them off when in the room as a very loud alarm (audible a considerable distance from the room) sounded continually until the presence was removed. On at least two occasions I managed to free my hands and feet and afterwards lay quietly in the bed until I was discovered and again restrained. There was never any cause to believe I was a danger to myself or others, yet my requests to see the doctor were ignored. 3. For the purpose of clarity the verb "see" in this context means, according to Merriam-Webster: 1. a: to perceive by the eye b: to perceive or detect as if by sight 2. a: to be aware of b: to imagine as a possibility c: to form a mental picture of d: to perceive the meaning or importance of If Dr. Copeland entered my room and light reflected from my person passed through the cornea, pupil, and lens of my eyes to the retina, and the photoreceptors therein produced the signals to the optic nerve to my brain, then it may be said that I "saw" him. The point is that my brain was functionally impaired to the point that I would have been unaware of it in any meaningful way. The same applies to any conversations I had with him or anyone else - my brain functions were impaired to the point that I might as well have been as brain-damaged as I had been represented. 4. My family members advise me that at on occasion the staff attempted some form of physical therapy (such as manually moving my limbs) but due to my apparent inability or unwillingness to cooperate they ceased. For almost the entire 68 days of my confinement I was immobile in the bed, restrained most of the time. 5. At the time I was discharged a feeding tube which had not been used for the last three weeks was left in place. I believe this was deliberate. It was another six weeks and three doctor visits (due to infection at the site) before the tube was removed. 6. I have numerous symptoms of exposure to anti-psychotic medications, including parkinsonism. I am unable to write or even print legibly, and my typing ability is limited. Others include tardive dyskinesia, acute dystonias and the lobotomizing effect of those drugs, to the degree that my family is required to assist me in remembering to pay bills and conduct other necessary business. Muscle spasms in my legs and feet cause frequent pain. I am always at risk of falling due to my inability to balance - I am unable to even stand without support.

Arkansas State Medical Board June 17, 2025 re: Jeffery Blake Copeland, M.D. Dear The Arkansas State Medical Board addressed the complaint you registered against the above-referenced practitioner at their June 5, 2025 board meeting. The Board has the authority and can only take action against a practicioner's license if the medical care rendered by the physician rises to the level of gross negligence of ignorant malpractice as defined: "It is carelessness or recklessness to a degree that shows utter indifference to the consequences that may result." After careful review, the Board determined that there was not probable cause to bring charges against the practitioner; for the Board did not believe it could meet its statuatory requirement of proving gross negligence. We realize this is not the outcome you wished for and the Board does appreciate you bringing your concerns to the board. Without this interaction, the Board would not be as effective in protecting the health and safety of the public. Your complaint will be retained in the physician's file and unless new information is received, this case is considered closed. Sincerely Amy E Embry Executive Director AEE/jeb Enclosure 319603 Arkansas State Medical Board 1401 West Capitol Avenue Little Rock, AR 72201 ARMEDICALBOARD.ORG

The Arkansas State Medical Board C/O REGDIS@ARMedicalboard.org 1401 West Capitol, Suite 340 Little Rock AR 72201 Re: Patient & Complainant: Xxxxxxx X. Xxxxxxxx Ms. Embry, My name is Jeffery Blake Copeland and I'm wrting in response to the complaint to the Arkansas State Medical Board by Xxxxxxx X. Xxxxxxxx. I no longer provide services to the hospital where Mr. Lawrence's care took place and the hospital has been closed. Accordingly, I have no way to review the records in Mr. Lawrence's case in detail as there is no HIM to request them from; however, I remember Mr. Lawrence and will do my best to represent the facts as I recall them. Mr. Lawerence had a long and complicated medical journey prior to arriving at the LTAC at Arkansas Continued Care Hospital. He underwent a CABG at St Bernards Medical Center and subsequently suffered a cardiac arrest. While his physicians were able to restore heart function, he sustained significant multi-organ damage from the event. The medical complications of his cardiac arrest included ventilator dependent respiratory failure requiring tracheastomy placement, anoxic brain injury and dense encephalopathy requiring physical restraints, as well as medications for agitation and anxiety, for his own protection. The physicians at St Bernards were unable to improve his medical condition and anticipated that improvements would be very gradual, necessitating a multi-month hospital stay. That is when Mr. Lawrence came into my care. At the time of his admission, Mr. Lawrence was still experiencing respiratory failure with a tracheostomy, renal failure requiring dialysis, esophageal dysmotility requiring PEG placement, anoxic brain injury, nd dense encephalopathy requiring physical restraints as he continuously tried to climb out of bed and pull out his trach, PEG, dialysis catheter. Mr. Lawrence received medically appropriate and evidence-based care while I was his phycian. He gradually improved during his hospitalization and I was able to get him on room air, remove his trach, and wean hif off dialysis and remove his dialysis catheter. His encephalopathy also began to improve and I was able to start weaning him off his agitation/anxiety medicatiopn and remove his restraints. Once he could follow commands we provided phyisical therapy and he was able to improve to the point he was strong enough to discharge home. He worked with speech therapy and was able to be weaned off PEG feedings and eat on his own. He was discharged in stable condition with a plan for follow-up with his PCP and other specialists for continued management. Given the severity of his medical condition when he presented to me as a patient, his outcome was excellent. His claim that I didn't see him in the hospital is cagegorically false as I both spoke to and physically examined Mr. Lawrence every day that he was my patient. His complaints of residual effects from his long and complicated stay at multiple hospitals are completely expalained by the damage caused by his cardiac arrest, respiratory failure, renal failure and anoxic brain injury. there is no evidence that the care he received did anything but save his life as his excellent outcome demonstrates. I also refute Mr. Lawrence's claime that he is only just now, in March of 2025, able to send this board complaint despite receiving his care in 2021 (4 years after receiving treatment) Shortly after his discharg Mr Lawrence created a website (victimsofacch.org) and a blog with the explicit purpose of slandering me, specifically, and the hospitals that cared for him. he made falst statements about the care I provided and directly against the hospitals. He created a second website (dirtyrottenshame.com) containing the same information and allegations. Among other information he documented his journey from lawyer to lawyer attempting to sue me for medical malpracti e and the continued response that after review of the records there was no evidence of any negligence or harm. Attorneys for the hospital got involved at this point and sent him a cease-and-desist letter after which he restricted access to those websites; however they can still be viewed when directly searched. This information has been catalogued as evidence by hospital legal counsel and I expect it can be provided if needed. Mr. Lawrence's outcome was excellent given the severity of his presenting condition and his residual debility is a result of the serious medical conditions he endured (anoxic brain injury, cardiac arrest, renal failuire etc.) and not a result of the appriate and necessary medications he received during his long and complicated hospital stay. I wish to thank the Board for their consideration and hope to have this issue resolved. Jeffery Blake Copeland, MD

Date: Thursday, 17 July 2025 15:40:26 From: Xxxxxxx X. Xxxxxxxx P.O. Box 1014 Wynne AR 72396 To: Arkansas State Medical Board 1401 West Capitol Avenue, Suite 340 Little Rock AR 72201-2936 Subject: Jeffery Blake Copeland M.D. I have your letter dated 17 June (it seems to have arrived less than a week ago that could be the mail service but you addressed it to the wrong post office box) dismissing my complaint against Dr. Copeland. It is exactly what I expected but I'm checking all the boxes. I personally don't give the proverbial fig what you do with it but am sending you a letter refuting Dr. Copeland's denials. Whether or not you forward it to him I again don't care. No reply is expected. You have closed the case and where you are concerned so have I. I merely wanted your letter to document your action. This final letter will also become part of my files - do what you want with it. If you want to forward it to Dr. Copeland be my guest. Congratulate him on getting away with it. I gave you documented facts and he gave you vague rambling provably false excuses. Your action suggests that either you did not bother to read the information I provided, did not believe it, or just don't care. I suspect the latter is the case. Dr. Copeland begins his letter by (smugly it seems to me but what do I know?) stating that he no longer works for the hospital and that the hospital is closed and thus cannot consult the records. Quite convenient and some might wonder whether in closing a very profitable hospital someone is covering their tracks. In any case I HAVE THE RECORDS. I also have witnesses who can testify to his conduct. His letter is a rather small sample to judge by but I got a paranoid narcissist vibe from it. Clearly the previous hospital erred but those were legitimate medical errors which included an erroneous assumption of an anoxic brain injury. My brain is as good as it ever was but my nervous system has been severely damaged by his use of psychotropic medications administered with no medical indication - probably a criminal act. The adverse effects of such drugs are well documented and my condition is consistent with their (mis)use. Sedation is the proper action in such cases and does not cause neurological injury. My condition is due entirely to the egregious actions of Dr. Copeland. I can believe that he acted out ignorance - judging from his other actions - but that is no excuse. His statement that I required restraints for my own protection, while accurate since patients under various drugs do indeed attempt to pull wires and tubes and get out of bed but Dr. Copeland stated to my family members that it was for the protection of his staff. Furthermore wire and strips of torn bedding are not proper restraints - products manufactured for the purpose should be used. His statement that physical therapy improved my condition until I was able to be discharged is false. I had zero therapy until the last two weeks when my family members demanded that he allow me become fully conscious and make it possible for me to be taken home. As I stated in my letter if they had not removed me I would have soon been dead or beyond possibility of any recovery. I had no speech therapy and needed none once the drugs were reduced sufficiently for me to become cognizant. Dr. Copeland's statement that he examined me and spoke to me every day is false. As I stated in my letter I asked day after day to have him see me and he never came. To this day I have never seen him. As I said if he was there while I was either sedated or dissociated then I was unaware of it and anything that I said or did. As for his assertion that he saw me on the days when I requested his presence it is a lie. I was visited daily by family members who told me that he refused to accompany them to my room but stayed in his office and they had to stand outside as he had another person in the office. Furthermore I have been told by a reliable source that he was sometimes absent from the hospital working at another job. And as I said before "Falsus in uno, falsus in omnibus". There is no reason to believe anything he says. As for my "slandering" him apparently he apparently confuses the meanings of words as much as he does medicine. I insulted him and would to so to his face if I ever saw him. I made no false statements on those websites and I did not stalk him or impersonate him as he told his lawyers. If he considers stating provable facts slander that is his problem. The victimsofacch.org site is up to this day and while he may deny what I wrote there I would invite him to sue me. I have no money and can't even afford a lawyer but as I said I will endeavor to show up and if he can prove any of it is wrong I will take it down. As for his statement than I must not be too bad off as I constructed websites not longer after being released from the hospital. Since he seems confused about numerous other things he may be unaware that it is possible to maintain a website without much physical effort and I don't have much. I was sufficiently outraged at what he had done to me to do so. As for lawyers refusing to take my case lawyers in Jonesboro and the area simply stated that they would not sue a Jonesboro hospital for the obvious reasons. A couple of lawyers in Memphis indicated that I had a good case but before I could find one willing to take it the statute of limitations ran out. And as the good doctor is well aware unless a patient is dead or severely mangled and it's a watertight case few lawyers will take it. There is too much money in the easier ones and class actions but in any case not one said it was a weak case. I observed that the Google reviews for that hospital - despite frequent spam 5-stars by hospital staff - were abysmal. They describe the atrocious treatment and behavior of hospital staff and injuries to patients and Dr. Copeland is mentioned by name in some of them. I have copies of those as well. As Columbo would say just one more thing. Arkansas Continued Care Hospital (ACCH) was only technically a hospital - it was a recovery and rehabilitation facility and nothing more. It did not accept emergency patients, had no intensive care or critical care facilities, and surgery was not performed there. In fact no patient in imminent danger of death was admitted and a patient whose condition deteriorated should have been immediately returned to a regular hospital. Only in the most extraordinary or unforeseeable circumstances would a patient die there. Yet an average of twenty patients - many of them well below average life expectancy - died there each year. Does Dr. Copeland care to explain that? He was the "chief medical officer" and as far as I know the only doctor employed there. A reasonable person would strongly suspect that Dr. Copeland responsible for some if not most of those deaths. I could go on but I have more important things do. Dr. Copeland seems by his actions and words (remember that I have never seen him in person) to not be especially bright and arrogant to boot. Such people rarely change and as long as they're getting away with their bad behavior why should they? By the way I neglected to tell you that I sent my letter and documentation to the attorney general and governor. A copy of your dismissal letter and this response will also be sent to them. Whether they will do anything I have no idea and at this point don't particularly care. These communications - your letters included - are my property and may be shared with various people. Xxxxxxx X. Xxxxxxxx

Arkansas Department of Health Arkansas State Medical Board 1401 West Capitol Avenue Suite 340 Little Rock AR 72201 Governor Sarah Huckabee Sanders Renee Mallory, RN, BSN, Secretary of Health Amy Embry, MPA, Director September 3, 2025 Re: Jeffrey Blake Copeland, M.D. Re: Jeffery Blake Copeland, M.D. Dear Mr. Xxxxxxxx The Arkansas State Medical Board received your most recent letter regarding your original complaint against the physicians referenced above. The executive committee reviewed your letter of rebuttal. The Medical Practices Act, under whose jurisdiction the Board operates, has clear and concise criteria for "gross and negligent" treatment of a patient. The Board did not feel it rose to the level of gross negligence as dictated within the Medical Practices Act, wherein the Board could not bring charges against the physician. We will retain your letter in the physician's file. Sincerely, Amy F. Embry Executive Director AEE/jeb

What is the likely effect of simultaneous administration of clonazepam, quetiapine, haloperidol, tramadol and olanzapine? WARNING: This is not medical advice. The combination of clonazepam, quetiapine, haloperidol, tramadol, and olanzapine is extremely high-risk and can be life-threatening. Immediate medical attention is required if this has been taken.Likely Effects of Simultaneous AdministrationThis polypharmacy regimen involves multiple CNS depressants, dopamine antagonists, and a serotonergic opioid, creating profound pharmacodynamic synergy and pharmacokinetic interactions. The dominant effect is severe, potentially fatal central nervous system and respiratory depression, compounded by other critical risks. 1. Severe CNS & Respiratory Depression (Primary Danger) Drugs involved: Clonazepam (benzodiazepine): Potentiates GABA-A → sedation, respiratory depression Quetiapine (atypical antipsychotic): Strong α1-adrenergic& H1 blockade → sedation Olanzapine (atypical antipsychotic): Similar to quetiapine, additive sedation Haloperidol (typical antipsychotic): Less sedating but adds to overall CNS load Tramadol (opioid): μ-opioid agonism → respiratory depression, plus weak SNRI activity Net effect: Profound coma-like sedation, hypoventilation, apnea, hypoxia, and death (especially in non-tolerant individuals). Benzodiazepine + opioid synergy is a leading cause of overdose fatalities. Antipsychotics amplify via histamine/adrenergic blockade. 2. QT Prolongation & Torsades de Pointes (Arrhythmia Risk) Drugs with QT risk: Haloperidol (high risk, dose-dependent) Quetiapine (moderate risk) Olanzapine (low-moderate risk) Tramadol (via metabolite, rare but reported) Net effect: Additive QT prolongation → ventricular tachycardia, torsades, sudden cardiac death. Risk skyrockets with electrolyte imbalances (e.g., hypokalemia from antipsychotics) or bradycardia. 3. Serotonin Syndrome (High Risk)Serotonergic drugs: Tramadol (SNRI + serotonin release) Olanzapine (5-HT2A antagonism, but can paradoxically contribute in polypharmacy) Quetiapine (weak 5-HT effects) Net effect: Hyperthermia, rigidity, autonomic instability, seizures, coma. Especially likely if tramadol dose is high or patient has genetic CYP2D6 polymorphisms (ultrarapid metabolizers). 4. Anticholinergic CrisisAnticholinergic burden: Quetiapine (moderate) Olanzapine (high) Haloperidol (low-moderate) Net effect: Delirium, tachycardia, urinary retention, ileus, hyperthermia. Worsens with dehydration or concurrent anticholinergics. 5. Extrapyramidal Symptoms (EPS) & Neuroleptic Malignant Syndrome (NMS)D2 antagonists: Haloperidol (high potency) Olanzapine / Quetiapine (lower, but additive) Net effect: Acute dystonia, parkinsonism, akathisia. NMS risk (fever, rigidity, CK elevation) ↑ with rapid D2 blockade + anticholinergic load. 6. Seizure Threshold LoweringPro-convulsant drugs: Tramadol (dose-dependent) Clozapine-like effects from olanzapine/quetiapine (though less than clozapine) Benzodiazepine withdrawal (if chronic use) Net effect: Paradoxical seizures despite clonazepam’s anticonvulsant action. Clinical Presentation (Likely Sequence)Timeframe Symptoms 0–1 hr Profound sedation, slurred speech, ataxia 1–4 hr Respiratory depression, hypoxia, coma 4–12 hr Arrhythmia, hyperthermia, rigidity (if serotonin/NMS) >12 hr Multiorgan failure, rhabdomyolysis, death Immediate Actions (If This Has Occurred)Call emergency services (911 / local equivalent) NOW. Naloxone (for tramadol/opioid reversal) — partial efficacy. Flumazenil — CONTRAINDICATED (risk of seizures in chronic benzo users). Intubation/ventilation for airway protection. Activated charcoal if < 1 hr and airway protected. ECG monitoring for QTc. Cyproheptadine if serotonin syndrome suspected. Key Drug Interaction Summary (Table)Interaction Drugs Severity Mechanism Respiratory depression Clonazepam + Tramadol + Quetiapine + Olanzapine Critical GABA + μ-opioid + H1 synergy QT prolongation Haloperidol + Quetiapine Major K+ channel blockade Serotonin syndrome Tramadol + (Olanzapine/Quetiapine) Major 5-HT excess EPS/NMS Haloperidol + Olanzapine Major D2 blockade Anticholinergic Olanzapine + Quetiapine Moderate Muscarinic antagonism Bottom Line: This combination is contraindicated and likely lethal. Even in clinical settings (e.g., ICU psychosis), such polypharmacy is avoided or done with extreme caution, monitoring, and tapering. Self-administration is medical suicide. Seek emergency care immediately if ingested.

If a patient survived this treatment what would the physical effects be? WARNING: This is not medical advice. The combination of clonazepam, quetiapine, haloperidol, tramadol, and olanzapine is extremely high-risk and can be life-threatening. Immediate medical attention is required if this has been taken. Likely Effects of Simultaneous AdministrationThis polypharmacy regimen involves multiple CNS depressants, dopamine antagonists, and a serotonergic opioid, creating profound pharmacodynamic synergy and pharmacokinetic interactions. The dominant effect is severe, potentially fatal central nervous system and respiratory depression, compounded by other critical risks. 1. Severe CNS & Respiratory Depression (Primary Danger) Drugs involved: Clonazepam (benzodiazepine): Potentiates GABA-A → sedation, respiratory depression Quetiapine (atypical antipsychotic): Strong α1-adrenergic & H1 blockade → sedation Olanzapine (atypical antipsychotic): Similar to quetiapine, additive sedation Haloperidol (typical antipsychotic): Less sedating but adds to overall CNS load Tramadol (opioid): μ-opioid agonism → respiratory depression, plus weak SNRI activity Net effect: Profound coma-like sedation, hypoventilation, apnea, hypoxia, and death (especially in non-tolerant individuals). Benzodiazepine + opioid synergy is a leading cause of overdose fatalities. Antipsychotics amplify via histamine/adrenergic blockade. 2. QT Prolongation & Torsades de Pointes (Arrhythmia Risk)Drugs with QT risk: Haloperidol (high risk, dose-dependent) Quetiapine (moderate risk) Olanzapine (low-moderate risk) Tramadol (via metabolite, rare but reported) Net effect: Additive QT prolongation → ventricular tachycardia, torsades, sudden cardiac death. Risk skyrockets with electrolyte imbalances (e.g., hypokalemia from antipsychotics) or bradycardia. 3. Serotonin Syndrome (High Risk)Serotonergic drugs: Tramadol (SNRI + serotonin release) Olanzapine (5-HT2A antagonism, but can paradoxically contribute in polypharmacy) Quetiapine (weak 5-HT effects) Net effect: Hyperthermia, rigidity, autonomic instability, seizures, coma. Especially likely if tramadol dose is high or patient has genetic CYP2D6 polymorphisms (ultrarapid metabolizers). 4. Anticholinergic CrisisAnticholinergic burden: Quetiapine (moderate) Olanzapine (high) Haloperidol (low-moderate) Net effect: Delirium, tachycardia, urinary retention, ileus, hyperthermia. Worsens with dehydration or concurrent anticholinergics. 5. Extrapyramidal Symptoms (EPS) & Neuroleptic Malignant Syndrome (NMS)D2 antagonists: Haloperidol (high potency) Olanzapine / Quetiapine (lower, but additive) Net effect: Acute dystonia, parkinsonism, akathisia. NMS risk (fever, rigidity, CK elevation) ↑ with rapid D2 blockade + anticholinergic load. 6. Seizure Threshold LoweringPro-convulsant drugs: Tramadol (dose-dependent) Clozapine-like effects from olanzapine/quetiapine (though less than clozapine) Benzodiazepine withdrawal (if chronic use) Net effect: Paradoxical seizures despite clonazepam’s anticonvulsant action. Clinical Presentation (Likely Sequence)Timeframe Symptoms 0–1 hr Profound sedation, slurred speech, ataxia 1–4 hr Respiratory depression, hypoxia, coma 4–12 hr Arrhythmia, hyperthermia, rigidity (if serotonin/NMS) >12 hr Multiorgan failure, rhabdomyolysis, death Immediate Actions (If This Has Occurred)Call emergency services (911 / local equivalent) NOW. Naloxone (for tramadol/opioid reversal) — partial efficacy. Flumazenil — CONTRAINDICATED (risk of seizures in chronic benzo users). Intubation/ventilation for airway protection. Activated charcoal if <1 hr and airway protected. ECG monitoring for QTc. Cyproheptadine if serotonin syndrome suspected. Key Drug Interaction Summary (Table)Interaction Drugs Severity Mechanism Respiratory depression Clonazepam + Tramadol + Quetiapine + Olanzapine Critical GABA + μ-opioid + H1 synergy QT prolongation Haloperidol + Quetiapine Major K+ channel blockade Serotonin syndrome Tramadol + (Olanzapine/Quetiapine) Major 5-HT excess EPS/NMS Haloperidol + Olanzapine Major D2 blockade Anticholinergic Olanzapine + Quetiapine Moderate Muscarinic antagonism Bottom Line: This combination is contraindicated and likely lethal. Even in clinical settings (e.g., ICU psychosis), such polypharmacy is avoided or done with extreme caution, monitoring, and tapering. Self-administration is medical suicide. Seek emergency care immediately if ingested.

Arkansas Continued Care Hospital

Jonesboro

AR

Arkansas

ACCH

James Cox

CEO

Jeffery Blake Copeland

MD

Chief Medical Officer

Arkansas Continued Care Hospital Pharmacy

Arkansas Continued Care Hospital Pharmacy Director

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