Madoff was described as a difficult patient since being incarcerated at the age of 71, stubbornly refusing medical treatment and missing appointments. In his final weeks, Madoff’s mental health reportedly saw a steep decline. He told a correction’s officer that he’d seen a bird in that person’s pocket. Madoff, who was taking methadone to ease his pain, admitted to doctors that he was “feeling crazy” and expressed a feeling of general apathy. His communications were not coherent. He was found lifeless at 3:10 a.m. on April 14 and declared dead less than 20 minutes later.

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