ORDER
The parties have consented to have the undersigned conduct any and all further proceedings in this case, including the entry of final judgment, in accordance with 28 U.S.C. § 636(c) (Item 16).
Presently before me is the plaintiffs motion for summary judgment (Items 75-1 and 75-2), the defendants’ cross-motion for summary judgment (Item 79-1), and plaintiffs motion to reinstate claims against the State of New York and the Department of Correctional Services nunc pro tunc (Item 92-1). For the following reasons, plaintiffs motions for summary judgment and to reinstate claims nunc pro tunc are denied. Further, defendants’ cross-motion for summary judgment is denied as to the Eighth Amendment claim against the defendants in their individual capacities, but is granted as to the both the Eighth Amendment claim against the defendants in their official capacities and the pendent claims. Further, plaintiff may have forty-five days from the date of this Order to file his negligence and medical malpractice *349 claims in the New York State Court of Claims.
BACKGROUND
The following facts are undisputed. Plaintiff, Derry Ruffin, is an inmate incarcerated in the custody of the New York State Department of Correctional Services (“DOCS”) (Item 81, ¶ 1, Item'88, ¶ 1). In March of 1994, while incarcerated at Wende Correctional Facility (“Wende”), plaintiff, who suffers from a variety of serious health problems including but not limited to diabetes and hypertension, was injured when a table fell on his left foot (Id. at ¶ 6, Id. at ¶ 6). Plaintiff subsequently advised the medical staff at Wende that he was continuing to experience pain and swelling in his left foot (Id. at ¶ 9, Id. at ¶ 9). On March 30, 1994, Dr. Punzal ordered x-rays of plaintiffs left foot and ankle which were found to be negative for fractures (Id. at ¶ 14, Id. at ¶ 14).
Throughout the period between March 30 and August 17, 1994, plaintiff was regularly seen by .several members of the Wende medical staff, including the defendants, for medical problems including continued pain and swelling of his foot (Id. at ¶¶ 14-22, Id. at ¶[¶ 14-22). On August 17, 1994, because of the continuing problems with his foot, plaintiff was referred for an appointment with a neurologist at the Erie County Medical Center (“ECMC”) (Id. at ¶ 22, Id. at ¶ 22). As a result of that consultation in September 1994, EMG and Doppler diagnostic tests were ordered (Id. at ¶ 23, Id. at ¶ 23). Plaintiff continued to be seen frequently by the defendants and other members of the medical staff throughout the remainder of 1994 (Id. at ¶¶ 23-28, Id. at ¶¶ 23-28). On December 9, 1994, plaintiff was admitted to the infirmary at Wende (Id. at ¶ 28, Id. at ¶ 28). On December 16, 1994, plaintiff was admitted to ECMC by an ECMC neurologist for a femoral/peroneal bypass (Id. at ¶ 28, Id. at ¶ 28).
Plaintiff was confined, either at the infirmary at Wende or at ECMC, throughout the majority of January, February, March, and April of 1995 (Id. at ¶¶ 28-37, Id. at ¶¶ 28-37). Plaintiff underwent further surgical procedures at ECMC in June and July of 1995, which resulted in the amputation of several toes and part of plaintiffs left foot (Id. at ¶¶ 38-44, Id. at ¶¶ 38-44). In January 1996, plaintiff was transferred to another correctional facility (Id. at ¶ 56, Id. at ¶ 56).
Plaintiff filed the instant action pursuant to 42 U.S.C. § 1983 on December 13, 1995. Plaintiff filed a motion to amend the complaint on February 28, 1997 (Item 24). Plaintiff filed a second amended complaint (Item 29) on March 20, 1997. He filed a third amended complaint (Item 47) on August 20, 1997. The third amended complaint (Item 47) alleges that the defendants were deliberately indifferent to plaintiffs serious medical needs, and that their failure to properly treat plaintiffs diabetes and foot injury led to the amputation of plaintiffs left leg below the. knee. Plaintiff further alleges pendent state law claims for negligence and medical malpractice. 1
Plaintiff has filed a motion for summary judgment (Item 75) alleging that the defendants’ failure to provide proper medical treatment for plaintiff Violated his Eighth Amendment right to be free from cruel and unusual punishment as a matter of law. Also, defendants have filed a cross-motion for summary judgment (Item 79), arguing that plaintiff failed to establish the necessary deliberate indifference to sustain' an Eighth Amendment claim, that this court lacks subject matter jurisdiction over plaintiffs pendent claims, and that the defendants are entitled to qualified immunity. Defendants filed a response (Item 89) *350 to plaintiffs summary judgment motion. Plaintiff also filed a response (Item 87) to defendants’ cross-motion for summary judgment and a motion for an order permitting reinstatement of plaintiffs claims against the State of New York and the Department of Correctional Services nunc pro tunc (Item 92). Defendants have filed a response to plaintiffs motion (Item 95). Oral argument was conducted before me on February 3, 2000.
DISCUSSION
I. Summary Judgment
Summary judgment is appropriate “if the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to judgment as a matter of law.” Fed.R.Civ.P. 56(c). In reaching this determination, the court must assess whether there are any material factual issues to be tried while resolving ambiguities and drawing reasonable inferences against the moving party.
Anderson v. Liberty Lobby, Inc., 477
U.S. 242, 248-49,
Once the moving party has met its burden of demonstrating the absence of a genuine issue of material fact, the nonmov-ing party must come forward with enough evidence to support a jury verdict in its favor, and the motion will not be defeated merely upon a “metaphysical doubt” concerning the facts, or on the basis of conjecture or surmise.
Maffucci, supra
(citing
Matsushita Electric Industrial Co. v. Zenith Radio Corp., 475
U.S. 574, 586,
II. The Eighth Amendment Claim Against the Defendants in their Individual Capacities
Plaintiff claims that the defendants’ failure to provide him with adequate medical treatment violated his Eighth Amendment right to be free from cruel and unusual punishment. The prohibition against cruel and unusual punishment includes an inmate’s right to adequate medical care.
Farmer v. Brennan,
The first part of the test is objective and requires the plaintiff to show that the alleged deprivation is “sufficiently serious.”
Farmer,
The second prong of the test is subjective and requires the plaintiff to show that the official had a “sufficiently culpable state of mind.”
Wilson,
[A] prison official does not act in a deliberately indifferent manner in violation of the Eighth Amendment unless that official “knows of and disregards an excessive risk to inmate health and safety; the official must both be aware of facts from which the inference could be drawn that a substantial risk of, serious harm exists, and he must also draw the inference.”
Hathaway,
A. Objective Element
A serious medical need has been defined as “one that has been diagnosed by a' physician as requiring treatment, or one that is so obvious that even a layperson would easily recognize the necessity for a doctor’s attention.”
Johnson v. Busby,
Defendants argue that plaintiffs claim that a table fell on his foot, resulting in pain and swelling, is not sufficient to meet the objective standard (Item 80, pp. 5-6). Defendants further argue that I should reject plaintiffs “attempt[ ] to bootstrap subsequent amputations to his left foot” to his claim (Id. at p. 6). Although I find defendants’ attempt to isolate the damage caused by the initial injury from its ultimate outcome to be artificial, I nevertheless find that, even looking solely at the initial injury, plaintiff has shown a sufficiently serious medical need.
In
Baumann v. Walsh,
Moreover, plaintiff meets each of the three Chance factors. First, plaintiffs voluminous medical records (Item 75, Exhibit C), indicate that the medical staff at Wende found plaintiffs condition worthy of comment. Numerous medical personnel saw plaintiff and his medical records are replete with reference to his foot injury (Item 75, Exhibit C). Second, both plaintiffs and defendants’ evidence suggests that plaintiffs foot injury affected his ability to engage in his normal work and other daily activities. On March 29, 1994, defendant Dr. Punzal ordered restrictions on plaintiffs work and recreation for 30 days (Item 81 ¶ 11). Further, plaintiffs medical records are laden with evidence of the medical staffs observations of plaintiffs difficulty walking (Item 75, Exhibit C). Lastly, plaintiff has alleged and complained of severe and persistent pain (Id.).
In any event, as stated above, I find the fact that plaintiff ultimately had a portion of his left foot amputated to be extremely relevant to the determination of whether plaintiff meets the objective element. In
Koehl v. Dalsheim,
Therefore, I conclude that plaintiff has sufficiently shown an objectively serious medical need and thereby satisfies the first element of his Eighth Amendment claim against the defendants in their individual capacities.
B. Subjective Element
The subjective element is satisfied if the defendants acted with a “sufficiently culpable state of mind.”
Farmer,
*353 Plaintiff argues that defendants’ conduct was so egregious as to constitute deliberate indifference as a matter of law (Item 76). Defendants argue that, because plaintiff received medical care, the defendants were not deliberately indifferent to his serious medical needs (Item 80). Defendants further argue that, at most, plaintiffs allegations amount to a claim for medical malpractice which is not cognizable under the Eighth Amendment (Id.).
Defendants claim that plaintiffs medical records show that they were not deliberately indifferent to plaintiffs medical needs because he was frequently examined by the defendants and eventually referred to outside specialists. However, the mere fact that plaintiff was frequently examined by the defendants and eventually referred to outside specialists is insufficient when, as in the instant case, the "course of treatment was largely ineffective.”
Hathaivay,
Defendants claim that plaintiff was provided with medical treatment. After a thorough examination of plaintiffs, medical records, the deposition testimony of the parties, and the report of plaintiffs expert witness (Item 75, Exhibits C, D, E, F, and G),
2
I find that a reasonable jury could conclude that the defendants’ “treatment” of plaintiff consisted of little more than documenting his worsening condition (Item 75, Exhibit G, p. 5), and continuing the provision .of ineffective medications and methods of glycerin, control.
See Evans v. Dugger,
The defendants’ attempts to characterize plaintiffs allegations as mere negligence or disagreement over a course of treatment are unpersuasive. Plaintiff does not argue that he requested a specific type of medical care and was refused. Rather, he argues that the defendants’ failure to act on his repeated complaints of pain, swelling, difficulty in walking, inability to sleep due to foot pain, and blackening of his toes, particularly when combined with glycerin levels which were regularly three to five times the normal level between March and December of 1994 (Item 80, pp. 9-13), all of which are obvious symptoms of serious medical problems in a diabetic, constitutes deliberate indifference to his serious medical needs. In any event, certain instances of medical malpractice may rise to the level of deliberate indifference.
Farmer,
Therefore, I conclude that plaintiff has sufficiently shown that the defendants were deliberately indifferent to his serious medical need and thereby satisfies the second element of his Eighth Amendment claim against the defendants in their individual capacities.
Plaintiff claims that the defendants’ actions and/or inactions, constitute deliberate indifference as a matter of law. Although the evidence provided by plaintiff is persuasive, it cannot erase the issues of fact that exist here. Defendants in their deposition testimony (Item 75, Exhibits D and E) and in their affidavits (Items 82, 83, and 96) insist that they provided plaintiff with all necessary and appropriate medical treatment. Further, defendants’ medical expert has provided an affidavit (Item 75, Exhibit H) stating that an earlier diagnosis of plaintiffs foot injury would not have changed the eventual outcome. A reasonable jury could conclude from all the evidence that, given the difficulties of treating individuals with multiple medical problems and the limitations inherent in providing treatment in a prison setting, the defendants treated plaintiff in an adequate manner. Lastly, defendants claim that plaintiffs noncompliance with his diabetic regimen was a significant factor in the amputations. Plaintiff vigorously contests , this allega
*355
tion. Evidence of a prisoner’s noncompliance with a medical regimen is sufficient to defeat plaintiffs motion for summary judgment.
See Brown v. Selwin,
Finally, in this case the issues of liability are necessarily entwined with the issues of damages. Even if plaintiff has demonstrated his entitlement to a liability finding as a matter of law, a trial of many of the same facts will be necessary on the issue of damages.
Therefore, I conclude that plaintiff has failed to show that he is entitled to summary judgment on his Eighth Amendment claim. His motion is hereby denied.
C. Qualified Immunity
I also reject defendants’ contentions that they are entitled to summary judgment based upon their qualified immunity. The Second Circuit has held that where factual disputes exist, a court cannot resolve the question of qualified immunity without engaging in some weighing of the evidence, a function that falls within the province of the jury.
Posr v. Doherty,
III. The Pendent State-Law Claims Against the defendants In Their Individual Capacities
Plaintiff alleges that the defendants were negligent and committed medical malpractice. Defendants argue that plaintiffs pendent claims against the defendants in their individual capacities are barred by § 24 of the New York State Correction Law (Item 80). For the reasons discussed below, I find that the plaintiffs pendent claims against the defendants in their individual capacities are barred by § 24.
Defendants claim that the pendent claims against the defendants in their individual capacities are barred by § 24 of the New York State Correction Law.
3
In
Bak
*356
er v. Coughlin,
This includes any restrictions set by the state on whether a plaintiff may bring a court action regarding the claim. If a state would not recognize a plaintiffs right to bring a state claim in state court, a federal court exercising pendent •jurisdiction, standing in the shoes of a state court, must follow the state’s jurisdictional determination and not allow that claim to be appended to a federal law claim in federal court.
Baker
at 16, (quoting
Promisel v. First American Artificial Flowers, Inc.,
Therefore, I conclude that § 24 bars the pendent claims against the defendants in their individual capacities. Defendants’ motion for summary judgment on the pendent claims against the defendants in then-individual capacities is granted.
IV. The Constitutional and Pendent Claims Against the Defendants in their Official Capacities
The Eleventh Amendment states:
The Judicial Power of the United States shall not be constructed to extend to any suit in law or equity, commenced or prosecuted against one of the United States by Citizens of another State, or by Citizens or Subjects of any foreign State.
Plaintiff alleges that the defendants, who are both state actors, are liable in their official capacities for violating his rights under the Eighth Amendment because they were in charge of the medical unit at Wende, and had policy-making authority. He also argues that they are liable in their official capacities for being negligent and committing medical malpractice. However, state defendants are protected by the Eleventh Amendment from legal or equitable claims brought by private parties for alleged constitutional violations.
Pennhurst State School & Hosp. v. Halderman,
As a general rule, “[i]n the absence of an unequivocal waiver specifically applicable to federal-court jurisdiction, we decline to find that [the State] has waived its constitutional immunity.”
Atascadero State Hosp. v. Scanlon,
In Wisconsin Dep’t of Corrections, Justice Kennedy expressed doubt as to the propriety of permitting the State to raise the immunity defense at a late stage in the proceeding,
[i]n permitting the belated assertion of the Eleventh Amendment bar, we allow States to proceed to judgment without facing any real risk of adverse consequences. Should the State prevail, the plaintiff would be bound by the principles of res judicata. If the State were to lose, however, it could void the entire judgment simply by asserting its immunity on appeal.
Id. at 2055. Justice Kennedy went on to express his opinion that the Eleventh Amendment is more similar to the personal jurisdiction requirements than to a limit on the federal courts’ subject matter jurisdiction. He concluded that a rule “inferring waiver from the failure to raise the objection at the outset of the proceedings, [would prevent the States] from gaining an unfair advantage.” Id.
In Hill, the Ninth Circuit held that the defendant had waived its Eleventh Amendment immunity by waiting until the first day of trial before objecting to the district court’s jurisdiction on Eleventh Amendment grounds. Id. at 756. The Ninth Circuit noted that the defendants had consented to have the case proceed before a United States Magistrate Judge, conducted discovery, moved to compel discovery and for sanctions, participated in pre-trial conferences, filed trial materials and proposed jury instructions, and filed a trial memorandum without ever raising sovereign immunity as a defense. Id. The Court stated that
Such conduct undermines the integrity of the judicial system. It also wastes judicial resources, burdens jurors and witnesses, and imposes substantial costs upon the litigants. In addition, when an Eleventh Amendment defense is first raised late in the case, the record may be inadequate to permit informed appellate review, and the plaintiff may have difficulty obtaining evidence necessary to oppose the motion.
A party may gain an improper advantage through this tactic even without waiting until the first day of trial. The *358 ruling on a motion for summary judgment, or on pre-trial matters such as motions in limine, can signal the probable outcome of the case. The integrity of the judicial process is undermined if a party, unhappy with the trial court’s rulings or anticipating defeat, can unilaterally void the entire proceeding and begin anew in a different forum.
Id. at 756-57.
Both Justice Kennedy’s concurrence and the decision in
Hill
appear to be at odds with the decisions in other courts which require some affirmative action on the part of the State before finding a waiver of sovereign immunity.
See Sutton v. Utah State Sch. for the Deaf & Blind,
V. Plaintiffs Motion to Reinstate Claims against the State of New York and the Department of Correctional Services nunc pro tunc
Plaintiff requests that he be given leave to reinstate his claims against the State of New York and DOCS
nunc pro tunc.
However, as discussed above, plaintiffs constitutional and pendent claims against the state are barred by the Eleventh Amendment.
Pennhurst,
CONCLUSION
Plaintiffs motion for summary judgment (Items 75-1 and 75-2) are denied, defendants’ cross-motion for summary judgment (Item 79-1) is denied as to the Eighth Amendment claim against the defendants in their individual capacities, and defendants’ motion is granted as to Eighth Amendment claims against the defendants in their official capacities and as to the pendent state-law claims. Plaintiffs motion to reinstate claims against the State of New York and the Department of Correctional Services nunc pro tunc (Item 92-1) is denied. Plaintiff may have forty-five days from the date of this Order to file his negligence and medical malpractice claims in the New York State Court of Claims.
Pretrial statements in strict compliance with Local Rule 16.1(i) shall be filed and served no later than May 1, 2000.
*359 A final pretrial conference pursuant to Fed.R.Civ.P. 16(d) and Local Rule 16.1(j) will be held on June 12, 2000 at 2:00 p.m. before Judge Sehroeder.
SO ORDERED.
Notes
. Plaintiff's allegations against former defendants Goord and Irvin were dismissed by Stipulation and Order of February 9, 1999 (Item 71). His claims against former defendants State of New York and Wende Correctional Facility were dismissed by Stipulation and Order of March 22, 1999 (Item 73).
. Dr. Michotek notes that with regard to plaintiff’s diabetes management, "he had poor preventative care, poor glucose control, poor foliow-up of high sugars," with regard to the evaluation, treatment, and follow-up of his foot injury, "[the treatment] was delayed and approached in an apathetic manner. There were delays at every level of management ... many things could have been done for Mr. Ruffin rather than just document his foot pain.’"' Item 75, Exhibit G, p. 5. Further, defendant’s expert, Dr. Curl, acknowledges that the defendants' did not "immediately appreciate” the seriousness and nature of plaintiff's foot injury and that other aspects of his care were "not consistent with exemplary care.” Item 75, Exhibit H, pp. 1-2.
. Section 24 provides in pertinent part:
1. No civil action shall be brought in any court of the state, except by the attorney general on behalf of the state, against any officer or employee of the department, in his individual capacity, for damages arising out of any act done or the failure to perform any act within the scope of the employment and in the discharge of the duties by such officer or employer.
2. Any claim for damages arising out of any act done or the failure to perform any act within the scope of employment and in the discharged of the duties of any officers or employee of the [Department of Correctional Services] shall be brought and main *356 tained in the court of claims as a claim against the state.
