(PC) Ellis v. Tilton et al, No. 1:2007cv01351 - Document 18 (E.D. Cal. 2009)

Court Description: FINDINGS And RECOMMENDATIONS Recommending Dismissal Of Action (Doc. 15 ), Response Due Within 30 Days, signed by Magistrate Judge Gary S. Austin on 9/25/2009. The Court RECOMMENDS that this action be dismissed with prejudice for failure to state a claim. F&R's referred to Judge Lawrence J. O'Neill; Objections to F&R due by 10/28/2009. (Scrivner, E)

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(PC) Ellis v. Tilton et al Doc. 18 1 2 3 4 5 6 UNITED STATES DISTRICT COURT 7 EASTERN DISTRICT OF CALIFORNIA 8 9 LEGRANTE V. ELLIS, 10 CASE NO. 1:07-cv-01351-LJO-YNP PC Plaintiff, 11 FINDINGS AND RECOMMENDATIONS RECOMMENDING DISMISSAL OF ACTION v. (Doc. 15) 12 JAMES E. TILTON, et al., RESPONSE DUE WITHIN 30 DAYS 13 Defendants. / 14 15 Plaintiff LeGrante V. Ellis (“Plaintiff”) is a state prisoner proceeding pro se and in forma 16 pauperis in this civil rights action pursuant to 42 U.S.C. § 1983. Plaintiff is in the custody of the 17 California Department of Corrections and Rehabilitation and was incarcerated at North Kern State 18 Prison (“NKSP”) and subsequently transferred to Kern Valley State Prison (“KVSP”) during the 19 events in his complaint. Plaintiff is suing under section 1983 for the violation of his rights under the 20 Eighth Amendment. Plaintiff names medical doctors Dr. M. Spaeth and Dr. J. Akanno as 21 defendants. For the reasons set forth below, the Court finds that Plaintiff’s complaint does not state 22 any cognizable claims and recommends that this action be dismissed with prejudice for failure to 23 state a claim. 24 I. Screening Requirement 25 The Court is required to screen complaints brought by prisoners seeking relief against a 26 governmental entity or officer or employee of a governmental entity. 28 U.S.C. § 1915A(a). The 27 Court must dismiss a complaint or portion thereof if the prisoner has raised claims that are legally 28 “frivolous or malicious,” that fail to state a claim upon which relief may be granted, or that seek 1 Dockets.Justia.com 1 monetary relief from a defendant who is immune from such relief. 28 U.S.C. § 1915A(b)(1),(2). 2 “Notwithstanding any filing fee, or any portion thereof, that may have been paid, the court shall 3 dismiss the case at any time if the court determines that . . . the action or appeal . . . fails to state a 4 claim upon which relief may be granted.” 28 U.S.C. § 1915(e)(2)(B)(ii). 5 In determining whether a complaint fails to state a claim, the Court uses the same pleading 6 standard used under Federal Rule of Civil Procedure 8(a). Under Rule 8(a), a complaint must 7 contain “a short and plain statement of the claim showing that the pleader is entitled to relief.” Fed. 8 R. Civ. P. 8(a)(2). “[T]he pleading standard Rule 8 announces does not require ‘detailed factual 9 allegations,’ but it demands more than an unadorned, the-defendant-unlawfully-harmed-me 10 accusation.” Ashcroft v. Iqbal, 129 S. Ct. 1937, 1949 (2009) (quoting Bell Atlantic Corp. v. 11 Twombly, 550 U.S. 544, 555 (2007)). “[A] complaint must contain sufficient factual matter, 12 accepted as true, to ‘state a claim to relief that is plausible on its face.’” Id. (quoting Twombly, 550 13 U.S. at 570). “[A] complaint [that] pleads facts that are ‘merely consistent with’ a defendant’s 14 liability . . . ‘stops short of the line between possibility and plausibility of entitlement to relief.’” Id. 15 (quoting Twombly, 550 U.S. at 557). Further, although a court must accept as true all factual 16 allegations contained in a complaint, a court need not accept a plaintiff’s legal conclusions as true. 17 Id. “Threadbare recitals of the elements of a cause of action, supported by mere conclusory 18 statements, do not suffice.” Id. (quoting Twombly, 550 U.S. at 555). 19 II. Background 20 A. 21 Plaintiff filed the Original Complaint in this action on September 17, 2007. (Doc. #1.) On 22 January 12, 2009, Plaintiff’s Original Complaint was screened pursuant to 28 U.S.C. § 1915A. 23 (Doc. #10.) The Court found that Plaintiff’s Original Complaint failed to state any claims and 24 dismissed the complaint with leave to file an amended complaint. Plaintiff filed his First Amended 25 Complaint on March 13, 2009. (Doc. #15.) This action proceeds on Plaintiff’s First Amended 26 Complaint. 27 /// 28 /// Procedural Background 2 1 B. 2 Plaintiff claims that Defendants subjected him to cruel and unusual punishment in violation 3 of the Eighth Amendment of the U.S. Constitution by withholding medical treatment for his left knee 4 injury. Plaintiff injured his left knee on August 5, 2005 while coming down some stairs at NKSP. 5 Doctor Iway at NKSP examined Plaintiff and determined that Plaintiff had a possible torn meniscus 6 tendon in his left knee. Iway filled out a form requesting that Plaintiff receive an orthopedic referral. 7 However, Plaintiff was transferred to KVSP before the referral took place. Factual Background 8 On October 6, 2005, Plaintiff received an initial health screening at KVSP. Plaintiff 9 informed the screening nurse about the left knee injury and Iway’s recommendations. The nurse told 10 Plaintiff that he would be examined within 72 hours by a medical doctor. Plaintiff was examined 11 October 19, 2005 by Dr. William McGuiness. Plaintiff told McGuiness that the pain in his knee was 12 getting worse and was having difficulty getting around and performing everyday activities. Plaintiff 13 also informed McGuiness about Iway’s recommendations for an orthopedic consultation. After 14 McGuiness completed the examination, he filled out the necessary forms requesting an orthopedic 15 referral for Plaintiff. Plaintiff was also prescribed pain medication. 16 After 30 days passed without Plaintiff receiving an orthopedic consultation, Plaintiff began 17 submitting health care requests because his condition was getting worse. On December 9, 2005, 18 Plaintiff was examined by Defendant Spaeth. Plaintiff informed Spaeth of the details of his injury, 19 including the increased pain in his knee and the prior recommendations from Iway and McGuiness 20 to receive an orthopedic consultation. Plaintiff also told Spaeth that he had previously been given 21 a knee brace that helped alleviate the pain, but the brace had been lost during Plaintiff’s transfer from 22 NKSP to KVSP. Spaeth noted Plaintiff’s comments and told Plaintiff that she would prescribe pain 23 medication, order a knee brace, and order an MRI. Some time between January 10, 2006 and 24 February 27, 2006, Spaeth cancelled the order for Plaintiff’s knee brace because the MRI came back 25 and indicated that Plaintiff’s left knee was “within ‘normal’ limits.” (Compl. 7:1-7.) 26 On February 28, 2006, Plaintiff informed Defendant Akanno that he was having a difficult 27 time getting around and was experiencing chronic knee pain. Plaintiff requested an orthopedic 28 consult as recommended by Iway and McGuiness, as well as a knee brace. In his report, Akanno 3 1 wrote that Plaintiff refused to believe that his MRI indicated that his left knee was “within the realm 2 of normalcy.” (Compl. 8:25-28.) Plaintiff complains that Akanno did not examine Plaintiff during 3 the appointment and therefore inappropriately denied Plaintiff’s requests. Plaintiff was not seen 4 again by Akanno until August 4, 2006 despite filling out numerous health care request forms. 5 III. Discussion 6 Plaintiff claims that Spaeth and Akanno’s conduct constituted cruel and unusual punishment 7 in violation of Plaintiff’s rights under the Eighth Amendment of the U.S. Constitution. The Eighth 8 Amendment prohibits the imposition of cruel and unusual punishments and “embodies ‘broad and 9 idealistic concepts of dignity, civilized standards, humanity and decency.’” Estelle v. Gamble, 429 10 U.S. 97, 102 (1976) (quoting Jackson v. Bishop, 404 F.2d 571, 579 (8th Cir. 1968)). A prison 11 official violates the Eighth Amendment only when two requirements are met: (1) the objective 12 requirement that the deprivation is “sufficiently serious”, Farmer v. Brennan, 511 U.S. 825, 834 13 (1994) (quoting Wilson v. Seiter, 501 U.S. 294, 298 (1991), and (2) the subjective requirement that 14 the prison official has a “sufficiently culpable state of mind”, Id. (quoting Wilson, 501 U.S. at 298). 15 The objective requirement that the deprivation be “sufficiently serious” is met where the prison 16 official’s act or omission results in the denial of “the minimal civilized measure of life’s necessities”. 17 Id. (quoting Rhodes v. Chapman, 452 U.S. 337, 347 (1981)). The subjective requirement that the 18 prison official has a “sufficiently culpable state of mind” is met where the prison official acts with 19 “deliberate indifference” to inmate health or safety. Id. (quoting Wilson, 501 U.S. at 302-303). A 20 prison official acts with deliberate indifference when he/she “knows of and disregards an excessive 21 risk to inmate health or safety”. Id. at 837. “[T]he official must both be aware of facts from which 22 the inference could be drawn that a substantial risk of serious harm exists, and he must also draw the 23 inference.” Id. 24 “[D]eliberate indifference to a prisoner’s serious illness or injury states a cause of action 25 under § 1983.” Estelle v. Gamble, 429 U.S. 97, 105 (1976). “A ‘serious’ medical need exists if the 26 failure to treat a prisoner’s condition could result in further significant injury or the ‘unnecessary and 27 wanton infliction of pain.” McGuckin v. Smith, 974 F.2d 1050, 1059 (9th Cir. 1992), overruled on 28 other grounds by WMX Techs., Inc. v. Miller, 104 F.3d 1133 (9th Cir. 1997) (quoting Estelle, 429 4 1 U.S. at 104). Delay of medical treatment can amount to deliberate indifference. See Jett v. Penner, 2 439 F.3d 1091, 1096 (9th Cir. 2006); Clement v. Gomez, 298 F.3d 898, 905 (9th Cir. 2002); Hallett 3 v. Morgan, 296 F.3d 732, 744 (9th Cir. 2002); Lopez v. Smith, 203 F.3d 1122, 1131 (9th Cir. 2000) 4 (en banc); Jackson v. McIntosh, 90 F.3d 330, 332 (9th Cir. 1996); McGuckin, 974 F.2d at 1059; 5 Hutchinson v. United States, 838 F.2d 390, 394 (9th Cir. 1988). However, “a complaint that a 6 physician has been negligent in diagnosing or treating a medical condition does not state a valid 7 claim of medical mistreatment under the Eighth Amendment. Medical malpractice does not become 8 a constitutional violation merely because the victim is a prisoner.” Estelle v. Gamble, 429 U.S. 97, 9 106 (1976). Isolated occurrences of neglect do not constitute deliberate indifference to serious 10 medical needs. See Jett v. Penner, 439 F.3d 1091, 1096 (9th Cir. 2006); McGuckin v. Smith, 974 11 F.2d 1050, 1060 (9th Cir. 1992); O’Loughlin v. Doe, 920 F.2d 614, 617 (9th Cir. 1990). 12 Plaintiff’s factual allegations do not support his conclusion that Spaeth and Akanno acted 13 with deliberate indifference. See Ashcroft v. Iqbal, 129 S. Ct. 1937, 1949 (2009) (quoting Bell 14 Atlantic Corp. v. Twombly, 550 U.S. 544, 555 (2007)) (“[t]hreadbare recitals of the elements of a 15 cause of action, supported by mere conclusory statements, do not suffice”). The deliberate 16 indifference standard is only met if Spaeth and Akanno had actual knowledge that their decision 17 would pose a substantial risk of serious harm to Plaintiff. It is not an Eighth Amendment violation 18 if Spaeth and Akanno should have known of the risk, or if Spaeth and Akanno were negligent. 19 Plaintiff alleges that Spaeth and Akanno denied Plaintiff’s requests for an orthopedic consult and a 20 knee brace because their interpretation of an MRI showed that Plaintiff’s left knee was normal. 21 Plaintiff alleges that Spaeth and Akanno should have known that their decision would pose a serious 22 risk to Plaintiff’s health because it conflicted with the recommendations of Iway and McGuiness. 23 However, the difference of opinion is not sufficient to rise to the level of an Eighth Amendment 24 violation. Further, Spaeth and Akanno apparently based their decision on the results of an MRI that 25 Iway and McGuiness never saw, thus Plaintiff’s comparison is flawed. Even assuming that Spaeth 26 and Akanno’s decisions were erroneous, Plaintiff has at most established that they were medically 27 negligent. Medical negligence does not rise to the level of an Eighth Amendment violation. Plaintiff 28 /// 5 1 fails to state a claim against Defendants Spaeth and Akanno for deliberate indifference to his medical 2 needs. 3 Plaintiff was previously informed of the deficiency in his Eighth Amendment claims against 4 Defendants Spaeth and Akanno. (Order Dismissing Compl. With Leave To Amend 4:22-6:28.) 5 Plaintiff was specifically informed that his allegations against Spaeth and Akanno at most amounted 6 to negligence, and that negligence is not sufficient to state an Eighth Amendment violation. Because 7 Plaintiff was specifically informed of the deficiencies in his claim, given leave to amend to cure the 8 deficiencies, and his amended complaint did not cure the deficiencies, the Court finds that Plaintiff’s 9 claims are not curable by further leave to amend. Lopez v. Smith, 203 F.3d 1122, 1131 (9th Cir. 10 2000) (recognizing longstanding rule that leave to amend should be granted when it appears at all 11 possible that the plaintiff can correct the defect). The Court recommends that Plaintiff’s complaint 12 be dismissed with prejudice for failure to state a claim. 13 IV. Conclusion and Recommendation 14 Plaintiff’s complaint does not state any cognizable claims under section 1983. Plaintiff 15 claims that Defendants Spaeth and Akanno erroneously denied Plaintiff’s request for an orthopedic 16 consult and a knee brace based on their interpretation of an MRI of Plaintiff’s left knee. Plaintiff’s 17 allegations at most suggest that Spaeth and Akanno acted with negligence, which is not sufficient 18 to state a claim for violation of the Eighth Amendment. Plaintiff was previously informed of the 19 deficiencies in his claim and his amended claim failed to cure those deficiencies. The Court finds 20 that the deficiencies in Plaintiff’s claims are not capable of being cured with further leave to amend. 21 Based on the foregoing, the Court HEREBY RECOMMENDS that this action be dismissed 22 with prejudice for failure to state a claim. 23 These Findings and Recommendations will be submitted to the United States District Judge 24 assigned to the case, pursuant to the provisions of Title 28 U.S.C. § 636(b)(l). Within thirty (30) 25 days after being served with these Findings and Recommendations, Plaintiff may file written 26 objections with the Court. The document should be captioned “Objections to Magistrate Judge’s 27 Findings and Recommendations.” Plaintiff is advised that failure to file objections within the 28 /// 6 1 specified time may waive the right to appeal the District Court’s order. Martinez v. Ylst, 951 F.2d 2 1153 (9th Cir. 1991). 3 4 IT IS SO ORDERED. Dated: 6i0kij September 25, 2009 /s/ Gary S. Austin UNITED STATES MAGISTRATE JUDGE 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 7

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