Corey Spigner pleaded guilty to and was convicted of conspiring to distribute 50 grams or more of cocaine base (crack), in violation of 21 U.S.C. §§ 841 and 846. His offense subjected him to a ten-year mandatory minimum sentence, see 21 U.S.C. § 841(b)(1)(A)(iii), but Spigner received a sentence fifteen months greater than the mandatory minimum due to the district court’s use of the United States Sentencing Guidelines (Guidelines). On appeal, Spigner challenges the sentence imposed by the district court because it was based on an erroneous (yet understandable) belief that the Guidelines were mandatory. We remand for resentencing.
BACKGROUND
On January 23, 2004, Spigner was indicted for engaging in a conspiracy to distribute 50 grams or more of crack from on or about January 1, 2000, to July 19, 2003. He was arrested for this offense on January 30, 2004, and granted conditional release that same day. On March 30, 2004, he entered into a plea agreement, whereby he agreed to plead guilty to the offense contained in the indictment. In that agreement, he admitted responsibility for between 150 and 500 grams of crack, which carried a Guidelines base offense level of 34. See USSG § 2Dl.l(c)(3). The parties also agreed that “no motions for upward or downward departure will be filed.” (Plea Agreement at ¶ 9.)
At some point during the pendency of this action in district court, it became clear that Spigner was suffering from serious chronic health problems. During the April 14, 2004, change of plea hearing, Spigner informed the district court that he was on a daily regimen of the medications Loten-sin and Norvasc to control his high blood pressure, and Renagel for his kidney problems. The court ordered a presentence investigation report (PSR) to be prepared, and allowed Spigner to remain on pretrial release until sentencing.
The PSR confirmed that Spigner was plagued by serious ailments:
Mr. Spigner reported he suffers from health problems related to anemia and high blood pressure. He stated that due to his high blood pressure going undetected for a. long period of time, his kidneys have failed. He reported he needs a kidney transplant and is on the donation list. He is also on three medications for the condition: norvasc, loti-sen [sic], and renagel.
(PSR at ,¶ 61.) Thp PSR also remarked that Spigner had been unemployed since 1991 due to his health problems.
On July 12, 2004, the district court held Spigner’s sentencing hearing. Spigner, through his lawyer, informed the court that he required additional treatment for his health problems. Spigner was forced to perform dialysis for his kidney failure, and had a catheter surgically placed in his chest so that he could do so. He was scheduled for surgery that week to insert a catheter in his arm that was expected to eventually replace the one in his chest. *710 The following week, he was scheduled for another surgery to remove his thyroid. Based on these circumstances, Spigner asked that the court either reschedule the sentencing hearing after his surgeries, or allow him to self-report to serve his sentence at a later date. The government stated that it had no objection to allowing Spigner to self-report, and the court granted the request. The district court then informed Spigner that “I think the low end [of the Guidelines] is a sufficient sentence so you don’t need to argue for that; but if there’s anything else that you’d care to say, be my guest.” (Sentencing Tr. at 7.) Because the parties had stipulated in the plea agreement that they would not request a departure from Spigner’s Guidelines range, Spigner’s only request was that the court recommend that the Bureau of Prisons place him somewhere he could get the medical treatment he needed. The court then imposed a 135-month sentence, the lowest, allowed under the Guidelines. In its oral pronouncement of sentence and its written judgment, the district court stressed that the Bureau of Prisons should take note of Spigner’s medical condition, as well as the possibility of an upcoming transplant, and provide him necessary treatment. The court then reiterated that it was granting Spigner’s request to self-report, and gave him a report date of September 13, 2004.
On September 8, 2004, Spigner filed a motion to extend the time for self-surrender to November 12, 2004. His motion stated:
The Defendant’s medical condition has been well known to the court and he requires regular dialysis treatment. Previously, the Defendant has undergone surgery for placement of a dialysis catheter in his chest. Approximately three weeks ago, he underwent another surgery for placement of a substitute catheter in his arm. He is scheduled to be seen by his doctor on September 16, 2004 at which time the doctor will evaluate the status of the new arm catheter, and assuming the new arm catheter is functioning, the doctor will then authorize use of the arm catheter for dialysis for a trial period of two weeks. Should the arm catheter continue to function properly for those two weeks, the doctor will then schedule a general anesthesia surgery for removal of the chest catheter. Such procedure would likely take place in the time frame of October 11, 2004 to October 22, 2004.
(Mot. to Extend Time for Self Surrender at ¶ 2.)
The district court granted Spigner’s motion the next day, finding good cause for the time extension. On November 15, 2004, Spigner reported to Devins Chronic Care Federal Medical Center in Ayer to begin serving his sentence.
ANALYSIS
Spigner claims that his sentence cannot stand because it was imposed by way of an unconstitutional mandatory Guidelines scheme. He is correct in this assertion; sentencing under the mandatory Guidelines regime has been held unconstitutional by the Supreme Court. United States v. Booker, — U.S. —, — - —,
In the wake of
Booker,
the district court’s duty at sentencing is not merely to calculate the appropriate Guidelines range and then determine if a departure is appropriate. Rather,
Booker
“requires a sentencing court to consider Guidelines ranges, but it permits the court to tailor the sentence in light of other statutory concerns as well.”
Booker,
A number of decisions from this circuit have remanded for resentencing after conducting plain error review of a
Booker
claim. In
United States v. Whipple,
Many of the above decisions included a transcribed, explicit statement from the district court noting its displeasure with the sentence, but that is not the sole ground for remand when faced with plain error review of a
Booker
claim. Rather, our court is charged with the duty to review the “appellate record as a whole” to determine whether there is a reasonable probability that the defendant would receive a different sentence absent the
Booker
error.
Pirani,
This principle has particular application in Spigner’s case. The sentencing transcript itself contains no express statement from the district court that it wished the Guidelines did not bind its discretion. Spigner received the lowest sentence permitted by the Guidelines, and the district court indicated it expected to give that lowest sentence before even hearing argument. While we recognize that “this fact alone does not give rise to a ‘reasonable probability’ that his sentence would have been shorter” absent the
Booker
error,
United States v. Whipple,
The record shows that the district court was cognizant of and sensitive to the grave condition of Spigner’s health. The court went to extraordinary efforts to ensure *713 that Spigner’s medical needs would be met by allowing him to remain free during his case, and granting him the privilege of self-reporting months after the imposition of his sentence. Indeed, due to his offense of conviction, Spigner could not remain free unless the district court found “exceptional reasons” why his detention would not be appropriate. 18 U.S.C. § 3145(c); see also 18 U.S.C. § 3143. When these factors are combined with the court’s stated predisposition to give a sentence at the low end of the Guidelines (which it did) and insistence that the Bureau of Prisons take note of Spigner’s condition, there is a reasonable probability that the district court would have given Spigner a lower sentence.
Having found that Spigner has established that he was prejudiced by the district court’s
Booker
error, we have no trouble in concluding that the error would result in a miscarriage of justice if left uncorrected.
United States v. Olano,
CONCLUSION
For the reasons stated above, we hold that Spigner has established that he is entitled to plain error relief for the district court’s sentencing error. We thus remand for resentencing.
Notes
. Spigner agreed that he would not seek a downward departure on the basis of his health, see USSG § 5H1.4, p.s., but that does not foreclose the argument that the district court could impose, a sentence lower than the suggested Guidelines range, see
Booker,
