Reality: a nurse relays the inmate's concerns to a doctor overwhelmed with patients who is not familiar with this particular inmate's medical background, unless

Reality: a nurse relays the inmate's concerns to a doctor overwhelmed with patients who is not familiar with this particular inmate's medical background, unless that inmate is already a regular in the infirmary. Prison doctors are actually doctors. But like most doctors these days, they're usually too overwhelmed with patients and too underwhelmed with resources to do much more than triage.