Charlie J. Williams v. Morris A. Young, 695 F. App'x 503

Williams, a pretrial detainee at Leon County Jail, had a diagnosed inguinal hernia and arrived at the jail on June 22, 2011.
Jail nurses and Corizon physicians examined him repeatedly; Dr. Flodin arranged a surgical consult and prescribed pain medication.
A general surgeon (Dr. Neal) evaluated Williams on July 19 and deemed surgery necessary but elective (not urgent); Williams was released on house arrest to obtain surgery, but the procedure was postponed for reasons not shown to be Defendants’ fault.
After returning to jail, Williams received ongoing nursing checks, pain medication, a hernia belt, and closer monitoring; Dr. Garcia admitted him to the infirmary, later classified him as a chronic patient, increased pain meds, and ordered another surgical consult.
On September 16–17, after worsening pain, Williams was sent to the hospital and underwent surgical repair.
Williams sued under 42 U.S.C. § 1983 (deliberate indifference) and Florida negligence; the district court granted summary judgment for Corizon and the Sheriff, and the Eleventh Circuit affirmed.

Issue	Plaintiff's Argument	Defendant's Argument	Held
Deliberate indifference to a serious medical need	Williams: delay in performing hernia surgery and insufficient pain medication caused unnecessary pain	Defendants: provided regular evaluations, arranged surgical consults, treated symptoms, and hernia was non-urgent per multiple doctors	Court: No deliberate indifference; disagreement over timing/treatment is medical judgment, not constitutional violation
State-law negligence by Sheriff	Williams: jail staff failed to ensure adequate medical care	Sheriff: care was provided; any claim is medical negligence requiring pre-suit compliance	Court: Claim is medical negligence; Williams failed to satisfy Fla. Stat. § 766.106 pre-suit requirements, so summary judgment proper

Harris v. Thigpen, 941 F.2d 1495 (11th Cir. 1991) (constitutional violation requires care so grossly inadequate as to shock the conscience)
Maniccia v. Brown, 171 F.3d 1364 (11th Cir. 1999) (summary judgment standard and view of evidence for nonmoving party)
Taylor v. Adams, 221 F.3d 1254 (11th Cir. 2000) (deliberate indifference requires conduct beyond negligence or malpractice)
Adams v. Poag, 61 F.3d 1537 (11th Cir. 1995) (differences in medical judgment do not establish constitutional liability)
Rooney v. Watson, 101 F.3d 1378 (11th Cir. 1996) (policy/custom inquiry follows proof of a constitutional deprivation)
Mann v. Taser Int’l, Inc., 588 F.3d 1291 (11th Cir. 2009) (pretrial detainee claims analyzed under Fourteenth Amendment but evaluated like Eighth Amendment inadequate-care claims)
Goebert v. Lee Cty., 510 F.3d 1312 (11th Cir. 2007) (same standard for pretrial detainee medical claims as for Eighth Amendment)
Sapuppo v. Allstate Floridian Ins. Co., 739 F.3d 678 (11th Cir. 2014) (abandonment of claims not pursued on appeal)