*1 shows, the government gun dealers at Douglas on tried have indicted
should However, Douglas cannot be
that basis. in that was an offense for
convicted (or jury indictment
cluded in the matter). States United for that verdict Cir.
Mastelotto, charged
1983)(court the crime cannot alter on different ele allowing conviction presented than those of the offense
ments indictment). The grand jury to show may be able that.
government- law, it but
Douglas’s conduct violated 922(g), section that he violated
cannot show charged. he was with which crime
Therefore, Douglas’s conviction we reverse possession firearms being a felon in charging the
and dismiss indictment
same.
CONCLUSION above, Doug- reasons set forth
For the the indict- conviction is reversed
las’s
ment is dismissed. McGUCKIN, Plaintiff-Appellant,
John C. Medien, al.; SMITH, et John C.
Dr.
Dr., Defendants-Appellees. 90-16651.
No. Appeals, Court States
United
Ninth Circuit. *. Nov.
Submitted Aug. 1992.
Decided 3(f). 34(a) Rule R.App.P. and Ninth Circuit unanimously this suitable finds case panel *The argument. Fed. oral for decision without *3 McGuckin, pro John C. se. Gen., Skolnik, Tuc- Atty. Bruce L. Asst. son, Ariz.,' defendant-appellee. Slutes, Sakrison, Even, Slutes, Tom Pelander, Tucson, Ariz., for defen- Grant & dant-appellee. REINHARDT, POOLE,
Before: FERNANDEZ, Judges. Circuit REINHARDT, Judge: Circuit McGuckin, prison- state John Arizona er, 42 1983 ac- brought proa se U.S.C. § authori- against several medical tion of Correc- Department Arizona ties at the Mеdien, (ADOC) Dr. C. tions John does con- orthopedic specialist who private McGuckin sulting for the ADOC. work were deliber- alleged the defendants medical to his serious ately indifferent with- The district court dismissed needs. claims defendants prejudice his out Buttram, and and Ron Dr. Dimitri Catsaros of de- summary judgment favor granted Dr. Dr. Theodore J. Smith fendants appeals. John G. Medien.
Jurisdiction
party has ad
Although neither
required to
are
question,
dressed
sua
concerning
jurisdiction
our
raise issues
Abernathy
Cali
sponte.
v. Southern
525,
(9th Cir.
Edison,
fornia
1989).
Catsa
dismissal
defendants
prejudice”:
was “without
ros and Buttram
“final
did not constitute
if the dismissal
court,
do
then we
the district
]”
decision[
jurisdiction
ap-
(1978)
not have
over McGuckin’s
L.Ed.2d
(quoting
Catlin v. Unit
peal. 28 U.S.C. 1291.1
States,
229, 233,
631,
ed
324 U.S.
65 S.Ct.
633,
(1945)),
mary judgment de
Berg
novo.
v. Kinche
indifference” involves an examination of
loe,
(9th Cir.1986).
794 F.2d
Sum
two elements: the seriousness
pris
if,
mary judgment
appropriate
after
oner’s medical need and the nature of the
viewing
light
in the
evidence
most fa
response
defendant’s
to that
party opposing
motion,
need. “Be
vorable
genuine
society
expect
prison
does not
there is no
issue of materiаl fact
moving party
unqualified
judg-
and the
is entitled to
ers will have
access to health
care,
as a
ment
matter of law.” Hutchinson v.
deliberate indifference to medical
States,
United
Cir.
Eighth
needs amounts to an
Amendment
”
1988).
only if
violation
those needs are ‘serious.’
—
Hudson,
at -,
S.Ct. at 1000.
government
obligation
has
to'
“[T]he
A “serious” medical need exists if the fail-
provide medical care for those whom it
prisoner’s
ure to treat a
condition could
incarceration,”
punishes by
id., and cannot
significant injury
result in further
or the
deliberately
indifferent to the medical
“unnecessary and wanton infliction of
prisoners.
needs of its
See Estelle v. Gam
Gamble,
pain”.
presence
curiam). However,
finding
Cir.1985)
a
(per
daily activi-
an individual’s
cantly affects
in
activities resulted
that the defendant’s
and sub-
ties;
of chronic
existence
or the
prisoner
to
is not
harm the
“substantial”
examples of indications
pain are
stantial
1339-40;
Wood, 900 F.2d at
necessary, see
need for
“serious”
prisoner has a
that a
—
-,
Hudson,
U.S. at
See,
see also
e.g.,
v.
Wood
medical treatment.
in-
(9th
(rejecting “significant
at 998-1000
1337-41
S.Ct.
900 F.2d
Housewright,
noting
requirement
that the Con-
jury”
cases);
v. Dental
Cir.1990) (citing
Hunt
signifi-
or not
(9th Cir.1989).
is violated
stitution
“whether
Dept., 865 F.2d
evident”),12although a find-
injury is
cant
medical needs
prisoner’s
Once
seriously harmed
ing that the inmate was
response
defendant’s
nature of the
and the
inaction tends
by
action or
the defendant’s
established, a
have been
to those needs
support
to a claim
provide
to
additional
indif
“deliberate
of whether
determination
“deliberately indif-
that the defendant was
made.
can be
has been established
ference”
prisoner’s
needs:
ferent” to the
medical
indifference
of deliberate
requirement
idly by
sat
as
the fact that an individual
involving prison
a
stringent in cases
is less
bеing
seriously injured
human
was
another
in
cases
than
other
er’s medical needs
ability
prevent
to
despite the defendant’s
individuals be
to incarcerated
volving harm
indicium of callous-
injury
strong
is a
pro
responsibility to
State’s
“[t]he
pris-
ness and deliberate indifference
ordinarily
care
inmates with medical
vide
Gamble,
suffering.
429 U.S. at
oner’s
See
competing adminis
conflict with
does not
a defen-
(holding
at 292
that
97 S.Ct.
Hudson,
U.S. at
trative concerns.”
could be “suffi-
dant’s action or inaction
However, there are
-,
at 998.
indif
ciently
to
harmful
evidence deliberate
requirements before de-
minimum
certain
needs”); Ortiz
ference to serious medical
established.
can be
indifference
liberate
1312, 1313-14
City
Imperial, 884
purposeful act or
First,
a
there must be
Cir.1989)
(9th
(reversing summary judg
part
of the defendant.
to act on
failure
of doctors
part
ment in
inaction
because
produce
acсident, although
it
“An
death).
inmate’s
and nurses resulted in
alone to
is not
that basis
anguish,
added
un-
infliction of
as wanton
be characterized
met,
prerequisites are
those
Once
to demonstrate
necessary pain” sufficient
up
to determine
it is
to
factfinder
indifference, Gamble, 429 U.S.
deliberate
defendant was “deliber
whether or not the
added),
(emphases
at
at
medical
ately
prisoner’s
indifferent”
failure to
“an inadvertent
nor does
ne
finding
A
the defendant’s
that
needs.
a
by itself to create
adequate medical care”
an “iso
glect
prisoner’s
of a
was
condition
1983.
A de-
under
Id.
cause of action
occurrence,”
Housewright,
lated
Wood
ignore or fail to
purposefully
fendant must
Cir.1990),
(9th
or an
pain
possible
or
prisoner’s
respond to a
exception,” Toussaint v. McCar
“isolated
indif-
for deliberate
medical need
order
Cir.1986),
thy, 801 F.2d
established.
ferеnce to be
of the
treatment
the defendant’s overall
here,’
ordinarily
against a find
Second,
prisoner
claim al
militates
when, as
a
On the oth
surgery,”
prisoner
ing of deliberate indifference.
delay of
leges “mere
hand,
finding
the defendant re
er
deliberate medical
“no claim for
can make
properly
peatedly
an inmate
was harm
failed
treat
unless the denial
indifference
egregious
single
or that a
failure
Board
State
Shapley v. Nevada
ful.”
opinion);
Wood,
ing
portion
Judge
panel suggested
Reinhardt’s
one member of
12.
Reinhardt, J.)
(opinion of
delays
that cause
see also id. at 1336
treatment
medical
opinion
joined
(noting
that Section I of his
a defendant’s consti-
harm" violate
"substantial
Wood,
by majority
panel).
that is the
Because
rights.
F.2d at 1335
tutional
circuit,
Farris, J.).
not decide whether
rule of our
need
(opinion
Two members
holding
cоntrary
be undercut
or
suggestion.
explicitly rejected
See id.
would
panel
Reinhardt, J.)
Supreme
(refuting
Court’s decision
with the
(opinion
conflict
at 1339-40
assertion);
J.)
(opinion Hug,
(join-
Hudson.
at
id.
*11
suggests
ing
ac
strongly
that the defendant’s
“massive herniation” of McGuckin’s
by
upper
indif back and
torso.
tions were motivated
“deliberate
We shall not at-
tempt
to recount
prisoner’s
ference” to the
medical needs.
McGuckin’s trials and
See,
prison
tribulations with the
medical
e.g.,
City
Imperial,
Ortiz v.
estab-
during
lishment
(9th Cir.1989)
purposes
time. For
(per
cu
appeal,
of this
we are
concerned
riam);
Dept.,
Hunt v. Dental
the actions of Dr. Smith and Dr. Melden:
(9th Cir.1989).
sum,
In
the more seri
there
no evidence that these individuals
prisoner,
ous the medical needs of the
and
perform
failed to
their duties properly.
the more unwarranted the defendant’s ac
The earliest contact McGuckin had with
needs,
light
tions in
of those
the more
either of
April
these individuals was in
likely
it is that a
has established
years
1989—almost three
injury—
after his
part
indifference” on the
“deliberate
at which time he was transferred to the
defendant.
Arizona
Complex
State Prison
in Tucson.
end,
finding
neither a
that a Dr.
promptly
Smith examined him
upon his
egregious
defendant’s actions are
or that
arrival,
and
obtained
evaluated his medical
they
significant injury
pris
resulted
history,
prescribed
painkillers
and
mild
for
required
oner is
in order to establish a
period
of one month. McGuckin returned
prisoner’s
violation of the
federal constitu
8th,
May
Smith
see
at which
time
rights
tional
and create a cause of action complained
pain
that his
increasing
was
Hudson,
under
1983.
U.S. at
§
Cf.
painkillers
and that the
help.
were of little
-,
(“The
at 1001
theo
dissent’s
requested
Smith then
consultation from Dr.
ry
[precedent] requires
an inmate who Medien, private оrthopedic specialist,
who
alleges excessive use of force to show seri
May
examined McGuckin on
26th. Medien
injury
unnecessary
ous
in addition to the
possible
concluded that McGuckin had
radi-
pain misapplies
and wanton infliction of
culopathy; in order to rule out a herniated
ignores
[precedent]
body
and
of our
disk, Medien recommended that either a CT
n
(em
Eighth
jurisprudence.”)
Amendment
performed.
scan or MRI be
phasis
original).
finding
While either
Despite McGuckin’s condition and Dr.
provides great support for a claim that a
diagnosis,
Medlen’s
per-
CT scan was not
“deliberately
defendant was
indifferent” to
August
formed until
three months
—almost
needs,
the inmate’s medical
“[rjegardless
'
after Medleri’s examination. The CT scan
evidenced,
how
deliberate indifference
pulposus,
revealed a herniated nucleus
prisoner’s
injury
to a
serious illness or
Medien recommended that McGuckinbe ad-
states a
under
action
1983.”
myelogram
surgery.
mitted for a
On
Gamble,
tion. I leave to the district court the would
determination of whether the use of what probably an incorrect name avoid will first-year haps important, law could with even
16. Even student have in- more an individual legal emphasized formed McGuckin of the need to ensure minimal skills could have spelled correctly, Butlin’s name was to see that need for McGuckin to name the officials served, delays properly responsible he was and to describe the for the in his medical treat- (rather primary body merely claims Catsaros in the of the com- ment than his four med- caregivers) plaint as well as elsewhere. If such assistance ical as defendants in his lawsuit. Cf. rendered, supra (noting had been much of the time and at that the individuals effort charge scheduling expendéd both here and in the district court who were in defendants). unnecessary. surgery could have been rendered Per- were not named as
