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Scott v. Ambani
577 F.3d 642
6th Cir.
2009
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Docket

*1 territory, reluctant and that leave remained in may

some Ohio for a majority of the

time after the Tribe left (ROA 456-57; 459; pp. Vol.

the area.

464-65.) also There is evidence that the

remaining members continued to Tribe (ROA by treaty.

hunt on land ceded Vol. 465.) none p. But of this evidence upon fishing rights,

touches Tribe’s nor the. any effort

does the Tribe make to make a

connection this between evidence and the understanding

Tribe’s of their usufructu- Further,

ary rights. none of expert

evidence examines the Tribe’s understand-

ing fishing rights of the Tribe’s in relation occupy

to the their right to the ceded land. evidence,

Given this dearth it is impossi- parse right

ble to the Tribe’s to occupancy usufructuary rights,

from their or to raise genuine of material issue fact on the Thus, believe,

issue. on the record be- us,

fore we are bound Williams. SCOTT, Plaintiff-Appellant,

James M.D., AMBANI, Faghih-

Nitin Ardeshir

nia, M.D., Molly Sullivan, M.D., Aud- M.D., Antonini, Defendants-Ap-

berto

pellees. 08-1671.

No.

United Court of Appeals, States Circuit.

Sixth March

Submitted: Aug.

Decided and Filed: *3 Subhi,

ON BRIEF: B. Loretta Hack- ney Bean, PLC, Grover Hoover & East Lansing, Michigan, Chapman, Ronald W. Koester, Kimberly A. Chapman and Asso- ciates, P.C., Hill, Michigan, Bloomfield Kraus, Foster, Swift, Richard C. Collins & Smith, P.C., Lansing, Michigan, Appel- Scott, Louis, lees. James Charles St. Michigan, pro se. COOK, SILER,

Before: McKEAGUE, Judges. Circuit SILER, J., opinion delivered the court, COOK, J., joined. in which McKEAGUE, 649-50), (pp. J. delivered a separate opinion concurring in part and dissenting part.

OPINION SILER, Judge. Circuit Scott, prisoner James serving who is sentence, defendants, life alleges all of physicians, them were deliberately indifferent to his medical needs in connec- tion with prostate his treatment can- cer. filed Defendants motions to dismiss pursuant to Rule and motions for summary judgment. The district court dismissed Scott’s claims all defen- affirm dants. We the district judg- court’s Ambani, ment as Faghihnia, to Drs. Sullivan, judgment vacate the as to Dr. Antonini, proceed- and remand for further ings. would not receive radiation AND PROCEDURAL

FACTUAL alleges vesicle. that ad- BACKGROUND his seminal cancer testing showed ditional informed Scott was March that, prostate but nonethe- confined pros- had an elevated that he Dr. Ambani less, exposed to his seminal vesicle was (PSA), indicating a antigen tate-specific radiation treatment. cancer. Ambani prostate possibility not find biopsy but did performed complete treatment was Once Scott’s recommended that cancer. An- he was referred to Dr. August regular physician up with his Scott follow his health for side effects tonini to monitor year. one approximately *4 2006, February In from the radiation. pursue to addi- that Dr. Ambani refused reported to Dr. Antonini that he was Scott cancer. He also testing prostate tional developed in and had a hard great pain comply Dr. Ambani failed to alleges that lump. Dr. Antonini denied testicular of Corrections Michigan Department refer him back to Dr. request to Scott’s (MDOC) him to requiring directives policy prescribe pain and also refused to Sullivan care clinic” and to in a “chronic place Scott Instead, medication. Dr. Antonini re- As a therapeutic on a diet. place him him to another doctor for a colonos- ferred result, that he suffered dis- claims Scott copy. dy- he could “thinking that tress from delay a experienced from cancer” ing 2006, a May In Scott saw nurse because con- for his receiving proper in eyelid a on his and was still in lump he had pre- also refused to Dr. Ambani dition. pain lump. from his testicular The great to treat Scott’s low- pain medication scribe problems to nurse communicated Scott’s pain. er back Antonini, but he said that he did not facility to another was transferred pain time to examine Scott. His Faghihnia the care of Dr. and came under dissipated. eventually February 2002 until from October 2006, a colo- In June Scott underwent Faghihnia was deliber- alleges that Dr. He colonoscopy indicated that noscopy. The medical needs ately to his indifferent of radio- screening previous pain in his was the result him annual health denying an 2002, refusing requests for additional effects from cancer treatment. logical side denying 2006, him lab work testing, cancer August In Dr. Antonini examined screening. 2003 an ul- lump testicular and ordered Scott’s trasound. The ultrasound indicated screening October 2004 annual Scott’s cyst a that had burst. lump was PSA level. He also revealed an elevated upper thigh in his complained January complaint Scott filed his result, he was referred lower back. As in their The defendants are named In biopsy. Dr. Ambani for second back to and, capacities and official individual performed the January Sullivan, of Dr. were em- exception prostate cancer. biopsy which revealed by or under contract with MDOC. ployed Sullivan, then referred to was employed the Univer- Sullivan oncologist, for treatment. radiation Michigan. sity of that for to Dr. Sullivan indicated granted Faghih- Drs. The district reasons, to under- he did not wish religious dismiss, to Antonini’s motion nia and might affect his go any treatment which summary judgment, motion for Sullivan’s him if told fertility. Dr. Sullivan to dismiss. and Dr. Ambani’s motion only prostate, in the he was located cancer (6th Cir.2005). plaintiff OF REVIEW “A STANDARD has reason injury to know of his when he should have novo This court uses a de standard it through the rea- discovered exercise of reviewing a district court’s dismissal when diligence.” Turner, sonable Sevier v. either complaint pursuant of a Rule (6th Cir.1984). 262, 273 F.2d 56(c) or Federal Rules Rule Kottmyer v. of Civil Procedure. See district court con correctly (6th

Maas, Cir.2006); cluded that Scott’s claim Am- Streicher, F.3d Ciminillo Cir.2006). bani accrued un and is therefore timely. In Dr. Ambani refused reviewing a dismissal under requests testing further cancer 12(b)(6), allegations Rule all com therapeutic and for According treatment. true, and plaint should be taken as complaint, it was this denial which liberally is to be construed to experience caused Scott mental party the motion opposing favor emotional distress regarding the uncer Lucas, dismiss. Westlake v. F.2d tainty diagnosis. of his This mental and *5 (6th Cir.1976); Elliot 858 Davis H. Co. v. emotional distress forms the of basis Co., Ltd,., F.2d Caribbean Utils. 513 against Ambani, Scott’s claim and (6th Cir.1975). of 1182 “Dismissals com very Scott was aware of this distress at or plaints rights under the civil statutes are near the time which Dr. Ambani refused Westlake, with special scrutinized care.” requests. Similarly, Scott’s Dr. Ambani’s F.2d at 858. 537 alleged to comply prison pro failure DISCUSSION requiring cedures Scott placed to be program chronic care due to his elevated Dr. Ambani A. reasonably PSA level should have been dismissing In Scott’s deliberate indiffer- known to Scott or near the time of the Ambani, against claim ence the district Schickel, denial. See Hermansen v. 202 concluded that the claim arose in (6th Cir.1999) F.3d 268 that (concluding was, therefore, untimely. Scott prisoner’s cause of action for deliberate challenge does not the conclusion that indifference accrued on the date that he whatever events in 2002 occurred are care, was denied medical though even by limitations. barred the statute of In- full injury extent his was not known stead, he challenges the district court’s later). until conclusion that the complaint con- an allegation tain Ambani that Dr. denied that argues Scott the district court erred pain Scott medication in 2005. when it that complaint concluded failed allege to that Dr. Ambani denied Scott parties

Both that agree pain medication in argument 2005. His subject three-year claims are to a statute without In merit. the section of com- of limitations. Comp. See Mich. Laws “Facts,” plaint entitled Scott lays out the 600.5801(10); § Perry, 412 v. F.3d Wolfe surrounding events his Cir.2005) encounter with 713-14 (applying Michi Ambani in March 2002. that alleges Scott gan’s three-year statute of limitations to a (1) claim). requests § Dr. Ambani denied his In brought actions under (2) § cancer testing, additional to begins statute of limitations refused to (3) in a plaintiff place run when the Scott chronic care program, knows or has reason injury to know of the request placed that is basis of denied Scott’s to be aon Burks, (4) Kelly diet, the action. therapeutic pre- refused to untimely. process lower trative because it was medication for Scott’s pain scribe griev- that thigh pain. contends the denial his upper back and Scott improper it was ance was because filed also Janu- complaint states The he medical records. soon after received his performed a second ary Dr. Ambani referred February biopsy Prison Reform Act Litigation Under the No- for treatment. Scott to Dr. Sullivan (PLRA), prison litigation brought of 1995 biop- second in the discussion of the where § may only under U.S.C. sy of the referral does in the discussion or brought prisoner after a has exhausted medi- requesting pain either Scott mention available administrative remedies. See refused medication being pain or cation 1997e(a) (“[n]o § action shall be U.S.C. in 2005. respect brought prison conditions title, or titled, under section of this the section law, by ... Action, prisoner Federal until I,” makes other Count “Cause of avail- such administrative remedies as are indifference claim deliberate exhausted”). Dr. Amba- able are Dr. Ambani. deliberately ni to Scott’s indifferent “Proper demands com exhaustion by denying requests needs medical with an and oth pliance agency’s deadlines refusing to testing cancer additional procedural critical no ad er rules because prescribe pain medication for Scott’s lower system effectively judicative can function thigh pain. only alle- upper back and imposing orderly without some structure gation regarding Dr. Amba- made the course of its proceedings.” on Wood medication prescribe ni’s refusal *6 90-91, Ngo, v. 548 U.S. 126 S.Ct. ford refusal in March alleges that the occurred (2006). 2378, 165 L.Ed.2d In Wood- Therefore, deliberate indif- 2002. Scott’s Supreme ford, pris the Court held that a claim, upon insofar as it is based ference § 1983 action oner’s must dismissed prescribe Dr. Ambani’s refusal to failure exhaust to administrative remedies

medication, refus- referring must be to the grievance the de underlying where was allegedly al occurred in March 2002. which untimely the though as even claim nied claim against Since Scott’s applica not have been the would barred 2002, it should have been accrued of ble statute limitations. Woodford brought by comply order to satisfy a prisoner that cannot makes clear three-year the statute of limitations. Scott fil requirement by PLRA exhaustion the Therefore, the 2007. the filed untimely ing procedurally an or otherwise untimely. claim is grievance. Id. at defective administrative 83, 126 S.Ct. B. Faghihnia Dr. Here, grievance against Scott’s granted The district court rejected Faghihnia untimely during as motion to on the basis Faghihnia’s dismiss Therefore, process. un- the administrative to

that failed exhaust his administra Scott Woodford, he exhaust der failed to grievance Scott a tive remedies. filed administrative remedies. Faghihnia contending that Dr. the Amendment Faghihnia Eighth violated Dr. Antonini C. health failing give to Scott an annual appeals the district court’s screening from 2002 to Feb care October dismissal of deliberate indifference grievance ruary 2004. He did not file his against Dr. Antonini under grievance against Dr. claim Rule until 2006. The Pro- adminis- of the Federal Rules of Civil Faghihnia during was denied the Nevertheless, that An- painful. The district concluded hard and cedure. claims were not time-barred provide these tonini not did Scott with medi- However, it properly were exhausted. pain. cation to treat the In May Dr. Antonini’s motion to dismiss granted reported when to the that the nurse allegations that on the basis lump causing him pain, was still severe indifference. rise to the level of deliberate Antonini said he did not to have time was erroneous. Dismissal lump, examine the and he did not do so August until prisoner adequately

A has a he stated cause of action “when severity Given the of Scott’s med- prior prison authorities denied reason condition, ical a provide pain refusal to requests for medical treatment able and to medication examine his testicular of an need for such attention face obvious lump for three months could trier lead a exposed the inmate to thereby where is of fact to conclude that prison officials ex- suffering tangible or the undue threat posed suffering “undue or the Westlake, injury.” residual 537 F.2d at tangible injury.” threat of residual See inquiry prison 860. The into whether Westlake, (“Whether F.2d at 860 n. 4 official acted with deliberate indifference prisoner has unduly by suffered the fail- objective subjective an com has both ure to provide medical treatment to be is ponent. McCrary, Comstock v. determined view of the totality of the (6th Cir.2001). 693, 702 to satisfy order In making circumstances. this determi- objective component, prisoner the trier nation the should consider of fact show that the must medical need “suffi practicalities including the situation ciently (quoting serious.” Id. 702-03 injury, pos- extent the realistic Brennan, 825, 834, Farmer U.S. treatment, sibilities of possible and the (1994)). S.Ct. 128 L.Ed.2d 811 To consequences prisoner failing satisfy subjective component, pris attention.”) provide immediate medical allege must facts which oner show added). (emphasis “sufficiently official prison culpable had *7 Farmer, 834, of state mind.” 511 U.S. at adequately Since Scott has a stated 1970; Comstock, 114 S.Ct. 273 F.3d at 703. claim Dr. against Antonini for deliberate It must be shown that the official acted indifference, the district court’s dismissal reckless disregard for a substantial of the claim must be vacated. prisoner, risk that he drew the inference, disregarded and that’ he the D. Dr. Sullivan Farmer, 836-37, risk. 511 at 114 U.S.

S.Ct. 1970. alleges that Dr. vio Sullivan rights lated his constitutional by treating Construing light the vesicle against seminal re wishes most favorable to Scott accepting and all infertility. in sulting Dr. a Sullivan filed allegations true, factual as has suffi- summary judgment arguing motion for ciently stated a claim that Dr. Antonini that she not a was state actor there and knowledge had of Scott’s serious medical fore cannot be held liable under 42 U.S.C. and was deliberately needs indifferent to 1983, § alleged and the not facts do those needs. Scott as of Feb- 2006, support of ruary Dr. a claim deliberate Antonini aware that indifference. was had been recently pros- for district concluded that treated Dr. Sulli cancer, tate and had van a leg severe back and was not state actor and dismissed as lump well as a testicular that was the against claim her. We affirm. by any de have been of could treated the

The relevant standard un acted termining oncologists whether Sullivan with medical radiation staff law on “the of state focuses der color just privileges. happened Sullivan State, among physi the the relationship physician who provided treatment. Atkins, v. prisoner.” West cian and the such, Dr. Sullivan not performing As was 42, 55-56, 108 S.Ct. U.S. as a state in her her duties actor treatment (1988). determining wheth L.Ed.2d against claim of Scott dismissal of the law, er a acted under color of state doctor proper. her was func is physician’s factor “the primary in AFFIRMED in part, VACATED system, pre tion the state not the within pro- and REMANDED further part, at employment.” cise of his Id. terms claim ceedings in connection with S.Ct. only. Dr. Antonini employed by was the Uni- Dr. Sullivan public university, a as Michigan, of versity McKEAGUE, Judge, concurring Circuit medical oncologist. a held radiation She part dissenting part. Hospital at W.A. Foote privileges staff fully affirming I concur the district Jackson, Michigan. She had no contractu- judgment Drs. court’s as to Ambani and al or relationship MDOC Correctional Sullivan, As to Faghihnia. would Her and treatment Medical Services. care judgment on other affirm a basis than including any prisoners of patients, all University Michigan actor. The state of required at may which have treatment university public and therefore state by were her Hospital, determined Foote Tarkanian, actor. NCAA 488 U.S. experience, independent training, own (1988). 192, 109 S.Ct. 102 L.Ed.2d 469 nor judgment. Neither MDOC medical employee University, As an any in- Medical Services had Correctional direction, acting is a state actor when within fluence, care Sullivan or control over the her any patient. scope employment. Johnson- Abu-Absi, (6th Kurek v. 423 F.3d oncologist as a In her role radiation Cir.2005); Cameron v. Hosp. Children’s Scott, providing care to Dr. Sullivan Center, 1167, 1172 Med. Cir. exercising “any power not possessed 1997). brought Had Scott been West, law.” virtue of state 487 U.S. University for had Dr. treatment and Sulli employment Sullivan’s S.Ct. there, him reasonably van treated it seems University give Michigan that she clear would been state responsibilities or vest her additional treating physi in her role as *8 actor any authority her additional that oth- with affidavit, Dr. cian. In her Sullivan at con patients er who treated physicians “assigned by” that she was the Uni Hospital enjoy. As with tends Foote private provided unit physician, versity oncology Sullivan radiation at the and care to at patients treatment Hospital. Without a better under Foote hospital. precise standing of contractual rela (a) any, tionships, if between Sullivan Furthermore, Dr. Sullivan was able (b) University, University and the and “clothed not because she was treat Scott (c) Hospital, Hospital, Foote and Foote West, law,” authority with the state Services, and Correctional Medical MDOC she U.S. at 108 S.Ct. but because conclusively say that Sullivan cannot Foote Hos- privileges had medical staff at she Ambani, was not a state actor when treated pital. by referral Upon However, in Hospital. my at Foote physician prison hospital, Scott Scott Mehra, need not reach the issue of opinion we Williams v. “[T]he standard is not because, as the magistrate state actor whether there is something easy that the doctors, judge explained report her and recom- with hindsight, the benefit of mendation, Dr. Sullivan did not act with could have It they done. is whether knew disregarded deliberate indifference to Scott’s serious of and an excessive risk to medical needs. R & R at 17-18. safety.” inmate health or 186 F.3d (6th Cir.1999) (internal quotation part company my colleagues I also omitted; marks and brackets emphasis on the evaluation of Dr. Antonini’s treat- original). cases, these types of Normally, ment of Scott. when consider- prisoner allege must ultimately prove ing a motion to dismiss under Federal that he “grossly received inadequate care” 12(b)(6), Rule of Civil Procedure a court in the face of “a decision to an take easier cannot consider records or other docu- but less efficacious course of treatment.” ments outside the four a plain- corners of Perez v. Oakland County, 466 F.3d complaint. tiffs exceptions, There are (6th Cir.2006) (citation omitted). however, to general this rule. at- tached to and cited in complaint A review and of the number of medical records. “When a attached medical records confirms that presented court is with a Rule might while Scott be able to state a claim motion, may it Complaint consider the negligent malpractice against Dr. An- any exhibits attached ... long thereto so tonini, he has not a claim stated of deliber- they are as referred to in the Complaint ate indifference. The records show that and are central to the claims contained Dr. Antonini treated Scott for his testicu- NCAA, therein.” Bassett v. lar pain and rectal bleeding, maybe albeit (6th Cir.2008) (citation omitted). quickly not as as Scott desired. Shortly Scott, examining after Dr. Antonini or- Eighth pro- Amendment does not dered an ultrasound on Scott’s testicles as against every tect unnecessary deprivation well as a colonoscopy. There delays were by prisoner, suffered but rather “only procedures, scheduled but there is that narrow of deprivations class involving nothing in the suggest record to that the injury ‘serious’ inflicted prison officials delays were due to Dr. Antonini’s deliber- acting culpable with a state of mind.” ate indifference. The ultrasound on McMillian, 1, 20, Hudson v. U.S. Scott’s testicles came back negative and (1992) S.Ct. 117 L.Ed.2d 156 (empha- the course of treatment recommended for in original). sis Scott received medical Scott’s rectal bleeding high-fiber was a treatment from physicians several diet, Metamucil, softener, stool a sup- workers, healthcare including Dr. Antoni- pository as needed. The give refusal to ni, acknowledges. as he When the cause any pain medication for his testicles grounded action is not allegation on an might have been negligent, but when com- prison official provide failed to pared to the other acts of pro- him any treatment, but rather Antonini, vided it cannot be said grounded on an allegation that the pre- provided the doctor grossly Scott with scribed treatment was inadequate some *9 inadequate care. Accordingly, would af- way, traditionally courts have been reluc- firm judgment in favor of Dr. Antonini. tant second-guess the medical official. See, e.g., Nichols, Sanderfer (6th Cir.1995); Lucas, Westlake v. Cir.1976).

F.2d n. As this sitting en explained banc

Case Details

Case Name: Scott v. Ambani
Court Name: Court of Appeals for the Sixth Circuit
Date Published: Aug 18, 2009
Citation: 577 F.3d 642
Docket Number: 08-1671
Court Abbreviation: 6th Cir.
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