For those unfamiliar with the book/film One Flew Over the Cuckoo's Nest, the antagonist of the story is named Nurse Ratched.
Most medical staff in the Dallas County jails don't wear name badges. Initially I thought this was to protect their identities, should they ever meet up with a dangerous inmate who might hold a grudge post-incarceration. Now I think it's because the majority of them are just making it up as they go along. There are few indications that most have had any proper medical training at all.
Over the last few months, James and several other inmates have received some extremely valuable medical advice from a grumpy, white-haired woman who is employed by the infirmary. (Yes, I'm being sarcastic here.) I have no idea if she's actually a nurse or not. I kinda doubt it.
Here's some examples: When James went the infirmary last week with a nasty sore throat, Miss Ratched told him to drink 15 glasses of water. When another, older inmate explained that he was having difficulty urinating, Miss Ratched suggested he take a warm shower. I'm not making this up, honest.
Most inmates complaining of any sort of illness are told to drink 10 glasses of water a day. I suppose the nursing staff have decided that if the inmates are too busy peeing, they'll be too busy to bother them.
Yet another example of our tax dollars at work ...