(PC) Gregory Quinn v. Merritt, et al, No. 1:2018cv00547 - Document 11 (E.D. Cal. 2018)

Court Description: FINDINGS and RECOMMENDATIONS Regarding Dismissal of 10 Action for Failure to State a Claim signed by Magistrate Judge Barbara A. McAuliffe on 8/9/2018. Referred to Judge Dale A. Drozd. (Sant Agata, S)

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1 2 3 4 5 UNITED STATES DISTRICT COURT 6 EASTERN DISTRICT OF CALIFORNIA 7 8 9 GREGORY QUINN, 10 11 12 Plaintiff, v. DR. L. MERRITT, et al., 13 Defendants. 14 15 ) ) ) ) ) ) ) ) ) ) ) ) 1:18-cv-00547-DAD-BAM (PC) FINDINGS AND RECOMMENDATIONS REGARDING DISMISSAL OF ACTION FOR FAILURE TO STATE A CLAIM (ECF No. 10) 16 Plaintiff Gregory Quinn (“Plaintiff”) is a state prisoner proceeding pro se in this civil rights 17 action pursuant to 42 U.S.C. § 1983. Plaintiff initiated this action on December 20, 2017, in Kings 18 County Superior Court. The action was removed to this Court on April 19, 2018. (ECF No. 1.) 19 On June 28, 2018, the Court screened Plaintiff’s complaint and granted him leave to amend. (ECF 20 No. 7.) Plaintiff’s first amended complaint, filed on July 27, 2018, is currently before the Court 21 for screening. (ECF No. 10.) 22 I. Screening Requirement and Standard 23 The Court is required to screen complaints brought by prisoners seeking relief against a 24 governmental entity and/or against an officer or employee of a governmental entity. 28 U.S.C. § 25 1915A(a). Plaintiff’s complaint, or any portion thereof, is subject to dismissal if it is frivolous or 26 malicious, if it fails to state a claim upon which relief may be granted, or if it seeks monetary relief 27 from a defendant who is immune from such relief. 28 U.S.C. § 1915A(b)(1), (2); 28 U.S.C. § 28 1915(e)(2)(B)(ii). 1 1 A complaint must contain “a short and plain statement of the claim showing that the pleader 2 is entitled to relief. . . .” Fed. R. Civ. P. 8(a)(2). Detailed factual allegations are not required, but 3 “[t]hreadbare recitals of the elements of a cause of action, supported by mere conclusory 4 statements, do not suffice.” Ashcroft v. Iqbal, 556 U.S. 662, 678, 129 S. Ct. 1937, 1949 (2009) 5 (citing Bell Atlantic Corp. v. Twombly, 550 U.S. 544, 555, 127 S. Ct. 1955, 1964-65 (2007)). 6 While a plaintiff’s allegations are taken as true, courts “are not required to indulge unwarranted 7 inferences.” Doe I v. Wal-Mart Stores, Inc., 572 F.3d 677, 681 (9th Cir. 2009) (internal quotation 8 marks and citation omitted). 9 Prisoners proceeding pro se in civil rights actions are entitled to have their pleadings 10 liberally construed and to have any doubt resolved in their favor. Hebbe v. Pliler, 627 F.3d 338, 11 342 (9th Cir. 2010) (citations omitted). To survive screening, Plaintiff’s claims must be facially 12 plausible, which requires sufficient factual detail to allow the Court to reasonably infer that each 13 named defendant is liable for the misconduct alleged, Iqbal, 556 U.S. at 678, 129 S. Ct. at 1949 14 (quotation marks omitted); Moss v. United States Secret Service, 572 F.3d 962, 969 (9th Cir. 15 2009). The sheer possibility that a defendant acted unlawfully is not sufficient, and mere 16 consistency with liability falls short of satisfying the plausibility standard. Iqbal, 556 U.S. at 678, 17 129 S. Ct. at 1949 (quotation marks omitted); Moss, 572 F.3d at 969. Plaintiff’s Allegations 18 II. 19 Plaintiff is a state prisoner currently housed at the California Substance Abuse Treatment 20 Facility in Corcoran, California, where the events in the complaint are alleged to have occurred. 21 Plaintiff names the following defendants: (1) Nurse Practitioner L. Merritt; and (2) Chief 22 Executive Officer C. Cryer. 23 In Claim 1, Plaintiff alleges that on June 3, 2017, he was seen by Nurse Practitioner Merritt 24 regarding his finger. Plaintiff explained to Defendant Merritt that he was in serious pain and his 25 finger was deformed due to a surgery that allegedly was botched on September 20, 2013. Plaintiff 26 also explained to Defendant Merritt that the pain made it difficult for him to do basic things, such 27 as eat, sleep or use the restroom. Plaintiff reported that he had been seen by three previous doctors 28 at the facility, all of whom stated that Plaintiff needed another surgery. Plaintiff asked Defendant 2 1 Merritt if she could refer him to an orthopedic surgeon. Defendant Merritt denied the request and 2 ordered physical therapy, pain medications and x-rays. Plaintiff asserts that Defendant Merritt’s 3 orders were improper and unnecessarily delayed required treatment by a licensed physician. 4 Plaintiff further asserts that Defendant Merritt provided inadequate medical care as 5 opposed to referring Plaintiff to a specialist medical doctor. Plaintiff alleges that Defendant Merritt 6 exceeded the scope of authority as a Nurse Practitioner and rendered deficient medical care. 7 Plaintiff contends that the deliberate indifference was confirmed by Dr. Swafford on June 21, 2018. 8 Dr. Swafford opined that Plaintiff required surgery for which Plaintiff has since been scheduled. 9 Additionally, Plaintiff alleges that his range of motion was misrepresented by the physical therapist 10 because Plaintiff has not had any movement in his finger since surgery in 2013. 11 In Claim 2, Plaintiff alleges that on March 27, 2017, he filed a medical 602 appeal 12 regarding his deformed finger. Plaintiff stated in his appeal that he was in serious pain, which was 13 making it difficult for him to do basic things like eat, sleep or go to the restroom. Plaintiff 14 requested to see an orthopedic surgeon. 15 On March 27, 2017, Plaintiff’s appeal was forwarded to Defendant Cryer, a physician and 16 Chief Medical Officer at the institution. Defendant Cryer reviewed the appeal and failed to 17 overrule Defendant Merritt’s decision to let Plaintiff see an orthopedic surgeon. Plaintiff contends 18 that he is suing Defendant Cryer under a theory of respondeat superior. Plaintiff claims that 19 Defendant Cryer became responsible when reviewing Plaintiff’s appeal and was on notice of 20 Plaintiff’s medical need. 21 Plaintiff seeks compensatory and punitive damages, along with injunctive relief. 22 III. 23 A. Supervisory Liability 24 To the extent Plaintiff seeks to hold Defendant Cryer liable based on his/her supervisory 25 role, he may not do so. Liability may not be imposed on supervisory personnel for the actions or 26 omissions of their subordinates under the theory of respondeat superior. Iqbal, 556 U.S. at 676−77; 27 Simmons v. Navajo Cty., Ariz., 609 F.3d 1011, 1020−21 (9th Cir. 2010); Ewing v. City of 28 Stockton, 588 F.3d 1218, 1235 (9th Cir. 2009); Jones v. Williams, 297 F.3d 930, 934 (9th Cir. Discussion 3 1 2002). 2 Supervisors may be held liable only if they “participated in or directed the violations, or 3 knew of the violations and failed to act to prevent them.” Taylor v. List, 880 F.2d 1040, 1045 (9th 4 Cir. 1989); accord Starr v. Baca, 652 F.3d 1202, 1205−06 (9th Cir. 2011); Corales v. Bennett, 567 5 F.3d 554, 570 (9th Cir. 2009). Supervisory liability may also exist without any personal 6 participation if the official implemented “a policy so deficient that the policy itself is a repudiation 7 of the constitutional rights and is the moving force of the constitutional violation.” Redman v. Cty. 8 of San Diego, 942 F.2d 1435, 1446 (9th Cir. 1991) (citations and quotations marks omitted), 9 abrogated on other grounds by Farmer v. Brennan, 511 U.S. 825 (1994). 10 B. Eighth Amendment – Medical Care 11 A prisoner’s claim of inadequate medical care does not constitute cruel and unusual 12 punishment in violation of the Eighth Amendment unless the mistreatment rises to the level of 13 “deliberate indifference to serious medical needs.” Jett v. Penner, 439 F.3d 1091, 1096 (9th Cir. 14 2006) (quoting Estelle v. Gamble, 429 U.S. 97, 104 (1976)). The two-part test for deliberate 15 indifference requires Plaintiff to show (1) “a ‘serious medical need’ by demonstrating that failure 16 to treat a prisoner’s condition could result in further significant injury or the ‘unnecessary and 17 wanton infliction of pain,’” and (2) “the defendant’s response to the need was deliberately 18 indifferent.” Jett, 439 F.3d at 1096. A defendant does not act in a deliberately indifferent manner 19 unless the defendant “knows of and disregards an excessive risk to inmate health or safety.” Farmer 20 v. Brennan, 511 U.S. 825, 837 (1994). 21 “Deliberate indifference is a high legal standard,” Simmons v. Navajo Cty., Ariz., 609 F.3d 22 1011, 1019 (9th Cir. 2010); Toguchi v. Chung, 391 F.3d 1051, 1060 (9th Cir. 2004), and is shown 23 where there was “a purposeful act or failure to respond to a prisoner’s pain or possible medical 24 need” and the indifference caused harm. Jett, 439 F.3d at 1096. 25 In applying this standard, the Ninth Circuit has held that before it can be said that a 26 prisoner’s civil rights have been abridged, “the indifference to his medical needs must be 27 substantial. Mere ‘indifference,’ ‘negligence,’ or ‘medical malpractice’ will not support this cause 28 of action.” Broughton v. Cutter Laboratories, 622 F.2d 458, 460 (9th Cir. 1980) (citing Estelle, 4 1 429 U.S. at 105–106). “[A] complaint that a physician has been negligent in diagnosing or treating 2 a medical condition does not state a valid claim of medical mistreatment under the Eighth 3 Amendment. Medical malpractice does not become a constitutional violation merely because the 4 victim is a prisoner.” Estelle, 429 U.S. at 106; see also Anderson v. Cty. of Kern, 45 F.3d 1310, 5 1316 (9th Cir. 1995). Even gross negligence is insufficient to establish deliberate indifference to 6 serious medical needs. See Wood v. Housewright, 900 F.2d 1332, 1334 (9th Cir. 1990). 7 Further, a “difference of opinion between a physician and the prisoner—or between 8 medical professionals—concerning what medical care is appropriate does not amount to deliberate 9 indifference.” Snow v. McDaniel, 681 F.3d 978, 987 (9th Cir. 2012) (citing Sanchez v. Vild, 891 10 F.2d 240, 242 (9th Cir. 1989)), overruled in part on other grounds, Peralta v. Dillard, 744 F.3d 11 1076, 1082–83 (9th Cir. 2014); Wilhelm v. Rotman, 680 F.3d 1113, 1122–23 (9th Cir. 2012) 12 (citing Jackson v. McIntosh, 90 F.3d 330, 332 (9th Cir. 1986)). Rather, Plaintiff “must show that 13 the course of treatment the doctors chose was medically unacceptable under the circumstances and 14 that the defendants chose this course in conscious disregard of an excessive risk to [his] health.” 15 Snow, 681 F.3d at 988 (citing Jackson, 90 F.3d at 332) (internal quotation marks omitted). 16 Plaintiff’s complaint fails to state a cognizable claim for deliberate indifference to serious 17 medical needs against Defendants Merritt and Cryer. According to Plaintiff’s own allegations, 18 Defendant Merritt evaluated Plaintiff, considered his complaints and ordered physical therapy and 19 pain medications. Any assertion that Defendant Merritt negligently treated his condition does not 20 state a claim under the Eighth Amendment. Moreover, Plaintiff’s allegations suggest a difference 21 of opinion between Plaintiff and Defendant Merritt (and reportedly between Defendant Merritt and 22 other unidentified physicians) regarding the appropriate course of treatment for Plaintiff at that 23 time. Such a difference of opinion does not amount to deliberate indifference. 24 The Court also notes that Plaintiff has omitted numerous exhibits that were attached to his 25 original complaint. As stated in the Court’s prior screening order, those exhibits demonstrated that 26 Plaintiff was seen by his primary care provider on March 4, 2017. The provider informed Plaintiff 27 that surgical intervention was not indicated. An x-ray of Plaintiff’s right hand was reviewed and 28 showed a well-healed fracture with deformity, no acute osseous (bone) abnormality, and an 5 1 examination revealed no edema (swelling) or erythema (redness or inflammation of the skin) to 2 the right hand and that Plaintiff maintained full range of motion in the remaining fingers. 3 Plaintiff’s primary care provider noted that Plaintiff would be prescribed medication and 4 medication cream for pain management. (ECF No. 1 at p. 16.) Additional exhibits indicated that 5 Plaintiff was evaluated by his primary care provider on June 3, 2017, for complaints of pain and 6 decreased range of motion in his third right finger. The provider submitted a referral of Plaintiff 7 for physical therapy and noted pain medication to include oxcarbazepine, capsaicin cream, and 8 naproxen. Plaintiff completed a course of physical therapy on June 21, 2017, with notes indicating 9 an increased range of motion and recommendation to continue a home exercise program. (Id. at 10 p. 20.) From these exhibits, it appears that Plaintiff did not require surgical intervention and that 11 he received treatment for his finger, including x-rays, pain medication and physical therapy. 12 Plaintiff may not simply omit allegations in an effort to state a cognizable claim for relief. 13 Based on the above, the Court finds that Plaintiff has failed to state an Eighth Amendment 14 deliberate indifference claim against Defendant Merritt. Likewise, because Plaintiff has not stated 15 an Eighth Amendment claim against Defendant Merritt, he also does not state a cognizable claim 16 against Defendant Cryer for review of Plaintiff’s appeal regarding Defendant Merritt’s medical 17 treatment. Moreover, the existence of an inmate grievance or appeals process does not create a 18 protected liberty interest upon which Plaintiff may base a claim that he was denied a particular 19 result or that the process was deficient. Ramirez v. Galaza, 334 F.3d 850, 860 (9th Cir. 2003); 20 Mann v. Adams, 855 F.2d 639, 640 (9th Cir. 1988). 21 IV. 22 Plaintiff’s complaint fails to state a cognizable claim for relief. Despite being provided 23 with the relevant pleading and legal standards, Plaintiff has been unable to cure the deficiencies 24 by amendment, and thus further leave to amend is not warranted. Lopez v. Smith, 203 F.3d 1122, 25 1130 (9th Cir. 2000). Accordingly, IT IS HEREBY RECOMMENDED that this action be 26 dismissed for Plaintiff’s failure to state a claim upon which relief may be granted. Conclusion and Recommendation 27 These Findings and Recommendation will be submitted to the United States District Judge 28 assigned to the case, pursuant to the provisions of Title 28 U.S.C. § 636(b)(l). Within fourteen 6 1 (14) days after being served with these Findings and Recommendation, the parties may file written 2 objections with the Court. The document should be captioned “Objections to Magistrate Judge’s 3 Findings and Recommendation.” The parties are advised that failure to file objections within the 4 specified time may result in the waiver of the “right to challenge the magistrate’s factual findings” 5 on appeal. Wilkerson v. Wheeler, 772 F.3d 834, 839 (9th Cir. 2014) (citing Baxter v. Sullivan, 6 923 F.2d 1391, 1394 (9th Cir. 1991)). 7 8 9 IT IS SO ORDERED. Dated: /s/ Barbara August 9, 2018 10 A. McAuliffe _ UNITED STATES MAGISTRATE JUDGE 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 7

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