Davis v. Kayira, No. 18-2456 (7th Cir. 2019)Annotate this Case
Davis, an Illinois prisoner suffering from kidney disease, received dialysis on a Saturday. He subsequently told a prison nurse that his mind was fuzzy and his body was weak. Both complaints were similar to side effects he had experienced in the past after dialysis. The nurse called Dr. Kayira, the prison’s medical director, who asked her whether Davis had asymmetrical grip strength, facial droop, or was drooling—all classic signs of a stroke. When she said “no,” Dr. Kayira determined that Davis was experiencing the same dialysis-related side effects as before rather than something more serious. He told the nurse to monitor the problem and call him if the symptoms got worse. Dr. Kayira did not hear anything for the rest of the weekend. On Monday morning he examined Davis and discovered that Davis had suffered a stroke. Davis sued, alleging deliberate indifference to his medical needs in violation of the Eighth Amendment and a state-law medical-malpractice claim. The Seventh Circuit affirmed summary judgment in favor of Kayira. The deliberate-indifference claim failed because there is no evidence that Kayira was aware of symptoms suggesting that Davis was suffering a stroke. The state-law claim failed because Davis lacked expert testimony about the appropriate standard of care. A magistrate had blocked Davis’s sole expert because he was not disclosed in time, Davis never objected to that ruling before the district court.