Nelson v. DemingNelson v. Deming
- Reporters:
- , ,
- Before:
- Wolford
I. INTRODUCTION
Pro se plaintiff Dennis Nelson (“Plaintiff’), an inmate at Five Points Correctional Facility (“Five Points”), brings this action against employees of the Department of Corrections and Community Supervision Services (“DOCCS”), pursuant to
Presently before the Court is Defendants’ motion for summary judgment in lieu of an answer (Dkt. 11) and supplemental motion to dismiss, pursuant to
II. BACKGROUND
The following allegations are contained in Plaintiffs complaint and exhibits to the complaint (Dkt. 1, 8 — 9), and two supplements to the* Complaint. (Dkt. 7 & 18).
Plaintiff suffers from an ulcer on his leg, which he has allegedly had for 18 years. (Dkt.'9-1 at 2; Dkt. 18" at 5)'. The ulcer is roúghly four inches by six inches and is located on Plaintiffs lower left leg. (Dkt. 9-1 at 8).' Plaintiff has a documented history of refusing treatment for the ulcer, including dressings and medication. (Id. at 9,12). •
On March 8, 2012, a Five Points physician conducted a physical exam on the ulcer, which revealed a moderate amount of drainage from Plaintiffs wound but no tunneling or' undermining. (Id. at 2). Plaintiff reported that he was experiencing a pain level of eight out of ten. (Id. at 2-3). Plaintiffs wound was cleaned and treated, and dressing was applied. (Id. at 2). Plaintiff was advised'to sanitize the wound and change the dressings daily. (IdX
On May 18, 20Í2, nurse practitioner Kristin Salotti (“Nurse Salotti”) submitted ¿ culture of Plaintiffs leg. wound for testing. (Id. at 1). The culture tested positive for a moderate amount of methicillin-resistant Staphyloceus aureus (“MRSÁ”).
On January 18, 2018, Plaintiff visited Cayuga Medical Center for treatment relating to his ulcer. (Id. at 4-9). Plaintiff was evaluated with a boil, directed to apply gentle heat to the wound, and to make a follow-up appointment. {Id. at 5). The medical records associated with Plaintiff’s visit note that he was in a stable condition. {Id. at 7). In the “NYDOCS Request & Report of. Consultation” submitted relating to Plaintiffs visit, his caregiyers noted that if was “very difficult” to manage Plaintiffs medical care due to his noncompliance. {Id. at 10) (emphasis in original).
Between September 2012 and May 2013, DOCCS employees reported ( numerous acts of noncompliance, by Plaintiff, including refusing antibiotics, and not allowing nurses to change his,dressings or sanitize his wound. {Id. at 11-20). In April 2013, Plaintiff refused wound dressing changes and to take his medications on multiple occasions, even after speaking with his providers and discussing options to alleviate any discomfort. (Id. at 14). Although on some occasions Plaintiff communicated that he did not want to receive medications because they caused him to experience side effects (id.), on other occasions Plaintiff stated that he “[didn’t] want [the medication],” or refused to take the medication for no reason (id. at 16). On May 16, 2013, Plaintiff refused to sign for and accept a referral to the wound clinic. (Id. at 12). Plaintiff listed his reason for declining the referral as “I done with you!” (Id.).
On May 10, 2013, Plaintiff filed a complaint against Ms. Deming, nurse (“Nurse Deming”), Nurse Salotti, Ms. Lawrence, Corrections Officer, and Mr. R. Casper, pursuant to
On August 20, 2013, Plaintiff filed a supplemental complaint alleging violations of
On July 21, 2013, Plaintiff filed another inmate grievance complaint. (Id, at 8). The grievance states that Plaintiff did not receive proper treatment for the MRSA infection in his left leg. (Id.). Plaintiff requested that his administrative remedies be exhausted and that he receive proper treatment. (Id.). Plaintiff attached this grievance to his supplemental complaint. (Id.).
On October 24, 2014, Plaintiff filed a second supplemental complaint, also alleging violations pursuant to
Plaintiff attached to his second supplemental complaint a copy of a grievance against Officer Ryan, dated September 14, 2014, alleging that Officer Ryan said that Plaintiff’s “leg will be coming off soon,” and was “passing around lies” about Plaintiff losing his leg. (Id. at 8). Plaintiff also attached a notice from the director of the grievance program stating that Plaintiffs grievance FPT-28821-14, entitled “Not Wearing Gloves,” was received on July 7, 2014. (Id. at 10). Plaintiff indicated on the complaint form that he grieved his claim against Nurse Salotti, and that his-appeal was received by the CORC on July 7, 2014. (Id. at 6), With regard to his claim against Dr. Trobout, Plaintiff indicated on the complaint form that he had not yet received an answer to his grievance, and that his appeal of the grievance was mailed “today 9-14-14.” (Id. at 7).
III. PROCEDURAL HISTORY
Plaintiff filed his complaint against defendants Nurse Deming, Correction Officer Lawrence, Mr. R. Casper, and Nurse Salotti, on May 10, 2013, alleging violations of
On October 24, 2014, Plaintiff filed an additional
On November 13, 2014, Defendants filed a motion to dismiss addressing the allegations contained in Plaintiffs second supplemental complaint. (Dkt. 19). Plaintiff responded on December 1, 2014, and January 7, 2015. (Dkt. 21 & 23). The case was transferred to the undersigned on December 4, 2014. (Dkt. 22).
IV. DEFENDANTS’ MOTION FOR SUMMARY JUDGMENT
Defendánts move for summary judgment on the claims contained in Plaintiffs original complaint and supplemental complaint, on the basis that Plaintiff has not' stated a claim for deliberate medical indifference and has failed to allege personal involvement by defendants Casper and Lawrence. (Dkt. 11-3 at 4-5). In the alternative, Defendants move the Court to revoke Plaintiffs IFP status because he previously had more than three actions dismissed pursuant to
A. Standard
Rule 56 of thé Federal Rules of Civil Procedure provides that summary judgment should be granted if the moving party establishes “that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.”
Although a pro se litigant’s pleadings should be liberally construed “to raise the strongest arguments that they suggest,” Fulton v. Goord,
Generally, summary judgment is not appropriate until after some discovery has occurred in a case. Celotex Corp. v. Catrett,
[6]• The facts contained in the attachments to Plaintiffs own complaint contradict his claim for deliberate, medical indifference. Further, Plaintiff has not opposed summary judgment by arguing that he is in need of specific documents to oppose Defefidants’ motion. See Young v. Benjamin Dev., Inc.,
B., Lack of Personal Involvement
“To bfing a
Although Plaintiff brings his first complaint against defendants Deming, Salotti, Lawrence, and Casper, Plaintiff fails to make allegations against defendant Cas-per. Accordingly; the claims contained in Plaintiffs original complaint against defendant Casper are. dismissed, because Plaintiff has failed to plead his personal involvement in the alleged
C. Defendants Were Not Deliberately Indifferent
Defendants argue that they are entitled to summary judgment on the claims contained in Plaintiffs original and supplemental complaint because Plaintiff cannot establish a claim for deliberate medical indifference. (Dkt. 19-3 at 5).
1. Standard
“The Eighth Amendment, which applies to the states under the Due Process Clause of the Fourteenth Amendment, guarantees freedom from cruel and unusual punishment.” Jones v. Westchester Cnty. Dep’t of Corrs. Med. Dep’t,
The first prong of the analysis is an objective standard, and “considers whether the medical condition is sufficiently serious.” Jones v. Rock, No. 9:12-CV-0447 (NAM/TWD),
“There is no settled, precise metric to guide a court in its estimation of the seriousness of a prisoner’s medical condition.” Brock v. Wright,
“We do no.t .... require an inmate to demonstrate that he or she experiences pain that is at the limit of human ability to bear, nor do we require a showing that his or her condition will degenerate into a life-threatening one.” Id. at -163. “At the same time, however, ‘an assertion of pain sensation alone, unaccompanied by any large medical complications, does not
The second prong of the deliberate indifference analysis is a subjective standard. “Subjectively, the official charged with deliberate indifference must have acted with the requisite state of mind, the ‘equivalent of criminal recklessness.’ ” Lapierre v. Cnty. of Nassau,
More than medical malpractice is required to establish a constitutional violation. “Medical malpractice does not rise to the level of a constitutional violation unless the malpractice involves culpable recklessness — ” Hill v. Curcione,
Consistent with those principles, “[i]t has long been the rule that a prisoner does not have the right to choose his medical treatment as long as he receives adequate treatment.” Hill,
2. Objective Standard
Although Defendants do not make an extensive argument relating to the objective prong of the deliberate indifference analysis (see Dkt. 11-3 at 7), the Court is doubtful as to whether Plaintiff’s injury qualifies as a “serious medical condition.” Although in his complaints and responses Plaintiff indicates that he rated the pain in his leg at an eight out of ten (Dkt. 9-1 at 2-3), describes his wound as a “very bad infection” (Dkt. 1 at 5), and contends that the ulcer has caused secondary complications, such as blood clots (Dkt. 16 at ¶ 2), the medical records attached to those same complaints reveal that these medical issues were created by Plaintiff’s own actions in failing to comply with directives relating to the care of his wound. See Emerson v. N.Y.S. Dept of Corr. Servs., No. 9:08-CV-824 (NAM/ATB),
Further, the medical records provided by Plaintiff and Defendants do not indicate that Plaintiff presently suffered from a condition of urgency or experienced extreme pain. See also Dkt. 11-4 at ¶7 (“Plaintiff is not in any imminent danger of serious physical injury as a result of his leg ulcers.”); Dkt. 11-6 at'' ¶¶ 11-12 (“Plaintiffs ulcers are not gangrenous, have no odor and no undermining or tunneling. ... Plaintiff is not in any imminent danger of serious physical injury as a result of his leg ulcers.”).
3. Subjective Standard
Even if Plaintiff could satisfy the objective prong of a deliberate indifference standard, Plaintiff has failed to show that Defendants culpably and deliberately disregarded Plaintiffs medical needs; Plaintiffs allegations indicate that he received adequate medical treatment from Five Points employees, evidenced by the various treatment records attached to his own complaints (Dkt. 8 at 1-24; Dkt. 9-1 at 1-18), despite his own acts of nonconjpliance. As Plaintiffs records show, he was treated almost daily, and offered antibiotics and a change of wound dressings. (Dkt. 8 at 11-22). When nurse practitioners believed that Plaintiffs wound required extra care, he was transferred to the infirmary and treated by a doctor. (Id. at 2, 21-22). Neither the treating Five Points staff, nor the doctor in the infirmary, indicated that Plaintiff needed treatment beyond what he was provided. While Plaintiff contends that he requires treatment at an outside hospital where he can receive “around the clock professional care,” (see Dkt. 16 at ¶ 7), “mere disagreement over the proper treatment does not create a constitutional claim. So long as the treatment given is adequate, the fact that a prisoner might prefer a different treatment does not give rise to an Eighth Amendment violation.” Chance,
The medical records and affidavits submitted by Defendants demonstrate that Plaintiff was provided with dressing changes and received adequate medical care. Accordingly, Plaintiffs conclusory assertions to the contrary are insufficient to create a material issue of fact. See Bickerstaff v. Vassar Coll.,
The undisputed evidence shows that Plaintiffs refusal to receive treatment and noncompliance with the directions he received from Defendants, caused him to experience pain, rather than any deliberate indifference by Defendants. (See Dkt. 15 at 17 (on November 1, 2013, Plaintiff refused antibiotic and dressing change, told nurse to “go away.”); id. at 18 (on August 19, 2013, Plaintiff “[rjefused care when asked if he was taking antibiotics; states [he] does not want another appointment.”); id. at 19 (on July 26,2013, Plaintiff refused treatment, stated “I don’t care.”); id. at 20 (on July 15, 2013, Plaintiff refused seizure medications and antibiotics); id. at 21 (on March 27, 2013, Plaintiff refused antibiotics, stating “I’m not ready, cause I don’t want them.”); id. at 22 (on May 16, 2013, Plaintiff refused to sign a referral for the wound clinic and infectious disease, stating “I done with you!”); id. at 23 (on April 2, 2013, Plaintiff refused antibiotic and dressing change)). On each of the occasions he refused treatment, Plaintiff was advised that failure to comply with a treatment regimen could result in loss of his limb or death.
An inmate’s refusal to receive treatment' indicates that the inmate’s treating doctors and nurses were not deliberately indifferent to the inmate’s medical needs. See Jones v. Smith,
Plaintiff attempts to create an issue of fact by submitting an affidavit from a fellow inmate, Lance Carter, who contends that he has personally observed Plaintiffs wbund, and that he has seen Defendants provide Plaintiff with' inadequate medical care. Mr. Carter also contends that Defendants have provided Plaintiff with a medication to which he has had an allergic reaction and have not identified an alternative medication. (Dkt. 16 at ¶ 12). In his affidavit, Plaintiff characterizes his allergic reactions to include “bleeding gums, vomiting blood, migraine headaches, stolen appetite, seizures and general major discomfort, ...” (Dkt. 16 at ¶ 6):
Because Plaintiff has failed' to raise a material issue of fact as to whether Defendants deliberately disregarded a. serious medical need, Plaintiffs claims contained in the original and supplemental complaint are dismissed.
D. Nurse Salotti’s Failure to Provide Plaintiff With Medical Records
Plaintiff also alleges that Nurse Salotti did not provide him with his medical records. To the extent Plaintiff alleges that Nurse Salotti violated his Eighth Amendment rights, her failure to provide him with medical records plainly does not rise to the level of deliberate indifference. See Wood v. Housewright,
To the extent Plaintiff claims that he was denied access to the courts or denied due process by Nurse Salotti’s. conduct, this claim also must be dismissed. See Godson v. Goord, No. 96 Civ. 7544(SS),
V. DEFENDANTS’ MOTION TO DISMISS .
Defendants move to dismiss Plaintiffs second supplemental complaint on the ground that Plaintiff failed to exhaust his administrative remedies and because the claims asserted therein do not state a deliberate indifference claim. (Dkt. 19-1 at, 2-3). In response, Plaintiff demands a trial so that he can “show [the Court] what is happening to [his] infected leg.” (Dkt. 23 at 2).
A. Standard
“ ‘In considering a motion to dismiss for failure to state a claim under
“While a complaint attacked by a
In, addition, “[i]t is well-settled that pro se litigants generally are entitled to a liberal construction of their pleadings, which should be read to raise the strongest arguments that they suggest.” Green v. United States,
When a motion is premised on the plaintiffs failure to exhaust all administrative remedies, the court considers whether exhaustion is clear from the face of the complaint arid incorporated documents. See McCoy v. Goord,
B. Failure to Exhaust Administrative Remedies
Defendants argue that the claims contained in Plaintiffs second supplemental complaint must be dismissed because he failed to exhaust his administrative remedies. (Dkt. 19-1 at 2).
The PLRA provides, in relevant part, that “[n]o action shall be brought with respect to prison conditions under section 1979 of the Revised Statutes of the United States (42 U.S.C.1983), or any other Federal law, by a prisoner confined in any jail, prison, of other correctional facility until such adiriinistrative remedies as are available are exhausted.” See
The PLRA contains a variety of provisions designed to manage prisoner-brought litigation in federal courts. See, e.g.,
In New York, an inmate’s exhaustion of his administrative remedies
•First a grievance complaint is submitted to the Inmate Grievance Resolution Committee (“IGRC”) for an initial determination. The grievance must be submitted within twenty-one calendar days of .the alleged occurrence. Id. at § 701.5(a). Next, if the IGRC decision is adverse to the inmate, he has seven calendar days to appeal to the prison superintendent. Id. at § 701.5(c). If dissatisfied with, the superintendent’s decision, an inmate has another seven calendar days to appeal the superintendent’s decision to the Central Office Review Committee (“CORC”). Id. at § 701.5(d).
Chiarappa v. Meyers, No. 09-CV-607(JTC),
The Second Circuit Court of Appeals has recognized some exceptions to the exhaustion requirement, because “in some circumstances, the behavior of the defendants may render administrative remedies unavailable.” Hemphill v. New York,
Plaintiff does not argue that the Hemphill exceptions apply in this case, and the allegations in Plaintiffs complaint do not indicate that any of the exceptions would be applicable. When a plaintiff proceeds pro se, the court is “obliged to construe his pleadings liberally, particularly when they allege civil rights violations.” McEachin v. McGuinnis,
Plaintiff was plainly aware that administrative remedies existed but failed to exhaust them, as required by the PLRA. Plaintiffs second supplemental complaint against defendants Salotti, Trob-out, Gardner, and Ryan, alleges denial of proper medical treatment against defendants Salotti and Trobout. (Dkt. 18 at 5-6). The second supplemental complaint also alleges that Nurse Gardner said, “kool,” when Plaintiff showed her his leg. (Id. at 6). Plaintiff indicates that his claim against Nurse Salotti was grieved and ap
It is well-settled that “inmates must actually receive a response from the CORC in order to exhaust administrative remedies.” See Wilson v. Gantert, No. 01-CV-6371 (CJS),
Accordingly, the claims contained in the second supplemental complaint are dismissed. See Khudan v. Lee, No. 12-cv-8147,
C. The Merits of Plaintiffs Claims in the Second Supplemental Complaint
Defendants have also moved to dismiss Plaintiffs second supplemental complaint because his allegations do not state a claim for deliberate medical indifference. (Dkt. 19-1 at 3). The claims in the second supplemental complaint are essentially the same as those included in his original and supplemental complaints, which the Court previously found do not satisfy the deliberate indifference threshold and are contradicted by the medical record. See Part IV B & C of this Decision and Order, supra. In his second supplemental complaint, Plaintiff alleges that he disagreed with the course of treatment prescribed by Nurse Salotti; Dr. Trobout touched Plaintiffs leg
Based on both his failure to exhaust and to state a claim for deliberate indifference, the claims contained in Plaintiffs second supplemental complaint are dismissed.
CONCLUSION
For the foregoing reasons, Defendants’ motion for summary judgment and motion to dismiss arc granted. Defendants’ motion to revoke Plaintiffs IFP status and Plaintiffs request to appoint counsel are denied as moot. The Clerk of Court is directed to close the case.
SO ORDERED.
Notes
. The Court may consider exhibits attached to the complaint when considering a motion to dismiss. Stratte-McClure v. Morgan Stanley,
. MRSA is an infection "caused by a type of staph bacteria [that has] become resistant to many of the antibiotics used to treat ordinary staph infections.” MRSA infection, Mayo Clinic, http://www.mayoclinic.org. (last visited September 29, 2015).
. A portion of the medical records submitted by Defendants are identical 'to the records submitted by Plaintiff as exhibits to his original complaint,' but also contain additional records relating to ■ Plaintiffs refusal to accept treatment. (See Dkt. 15 at 9, 16-23).
. Plaintiffs claims against Mr. Casper were discontinued on October 24, 2014, following Plaintiffs filing of his second supplemental complaint (Dkt. 18 at 2). However, Defendants have moved for dismissal based on personal involvement in their motion for summary judgment. Accordingly, despite the fact that the docket indicates that the claims against Mr. Casper were previously dismissed, the Court will address them.
. Notably, it is questionable whether the side effects allegedly caused by Plaintiff’s medication would even qualify as a serious ,medi- • cal need. See Sledge v. Bernstein, No. 11 Civ. 7450(PKC)(HBP),
. The Court notes that the claims contained in Plaintiffs original complaint (Dkt. 1) also appear to have not been exhausted, see Dkt. 1 at 4 (Plaintiff conceding that he "didn’t get [an] answer yet” to his first grievance). However, because Defendants have failed to raise failure to exhaust as a basis for dismissing the claims contained in the original complaint, the Court declines to dismiss those claims on that basis.
. There is an open question regarding the continuing vitality of portions of the Hemphill framework following the United States Supreme Court’s decision in Woodford v. Ngo,
. The September 15, 2014 grievance includes allegations against Officer Ryan for stating that Plaintiff’s leg “will be coming off soon,’’ and for "passing around lie’s about [Plaintiff] loosing [his] leg.” (Dkt. 18 at 8). These allegations do not appear in the second supplemental complaint.
. Generally, a dismissal for failure to exhaust administrative remedies is without prejudice. See Snider v. Melindez,