Johnson v. Dominguez, No. 19-1727 (7th Cir. 2021)
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Johnson, an inmate at Dixon Correctional Center in Illinois, sued medical professionals under 42 U.S.C. 1983 alleging that they were deliberately indifferent to his serious medical needs because none of them referred Johnson for surgery to repair his hernia. In 2011-2016, Dixon's medical professionals evaluated Johnson more than 90 times, including for treatment of his often-uncontrolled diabetes. Johnson complained, intermittently, of hernia pain but the hernia was at times undetectable, and even when detected, it was small and reducible. Johnson claims that the defendants told him that he would not receive surgery unless his hernia became strangulated or incarcerated. They prescribed over-the-counter pain medication and abdominal binders to manage his symptoms.
A court-appointed expert, Dr. Toyama opined that the standard of care in treating a “medically fit” individual with an umbilical hernia is surgical repair but when an umbilical hernia is not strangulated or incarcerated, surgery is not urgent and usually scheduled as an elective procedure. Toyama reiterated that Johnson’s medical records showed no evidence that Johnson’s hernia was strangulated or acutely incarcerated and testified that Johson’s medical records established that his hernia never changed significantly, that he continued to be physically active. When asked whether he had any criticisms of the defendants’ treatment, Toyama answered, “No.” The Seventh Circuit affirmed summary judgment in the defendants’ favor. The record failed to support that they acted with deliberate indifference.
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