Cotts v. Osafa, No. 10-3687 (7th Cir. 2012)
Annotate this CaseCotts was injured in 2004 while incarcerated. He complained of intense pain, and was diagnosed with an inguinal hernia, two inches in diameter, pushing into his groin. Cotts visited the health unit 16 times and stated that pain was interfering with walking, sleeping, and using the restroom. Care providers manually shoved it back. Cotts testified that this procedure was painful and that often the hernia popped back out. Cotts claims that a doctor told him that regardless of pain, he would not have surgery because the hernia was reducible. On parole, he was admitted to the emergency room with “unbearable” pain. There was no surgery; Cotts could not pay. Cotts was arrested for parole violation and sent to a different facility, where the doctor told him his hernia necessitated surgery. It was the size of a grapefruit in his groin and a small grapefruit in his right scrotum. He was transferred again and returned repeatedly to the health care unit but was denied surgery. In February 2007, Cotts had surgery. Cotts filed suit, 42 U.S.C. 1983. Despite an agreement by the parties, the district court used jury instructions that suggested that “cruel and unusual punishment” was an independent element of liability beyond showing deliberate indifference to serious medical need and that damages were an element of liability. The Seventh Circuit reversed; the misleading instructions prejudiced Cotts.
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