 The case of the first patient, Elizabeth Bouvia, in 1983, eventually resulted in a landmark court decision that allows mentally competent adults to refuse forced feeding by patient care facilities, allowing for the possibility of starvation, if the patient cannot otherwise ingest adequate nutrition.The second patient, Gloria Ramirez, in 1994 died in unusual circumstances in which a number of her care-givers were seriously sickened and fainted by what were claimed to be fumes emanating from Ramirez's body.Riverside County was founded on March 11, 1893.