expert testimony not necessarily required to establish deliberate indifference
How later courts described this case
- expert testimony not necessarily required to establish deliberate indifference
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
CENTRAL DISTRICT OF ILLINOIS
DWAYNE STEVENSON, )
Plaintiff, )
)
vs. ) Case No. 21-3243
)
TIM DISHER and WEXFORD )
HEALTH SOURCES, )
Defendants )
MERIT REVIEW ORDER
JAMES E. SHADID, U.S. District Judge:
This cause is before the Court for merit review of the Plaintiff’s complaint. The
Court is required by 28 U.S.C. §1915A to “screen” the Plaintiff’s complaint, and through
such process to identify and dismiss any legally insufficient claim, or the entire action if
warranted. A claim is legally insufficient if it “(1) is frivolous, malicious, or fails to state
a claim upon which relief may be granted; or (2) seeks monetary relief from a defendant
who is immune from such relief.” 28 U.S.C. §1915A.
Plaintiff, a pro se prisoner, claims Defendants Nurse Tim Disher and Wexford
Health Sources violated his constitutional rights at Graham Correctional Center.
Plaintiff says on or around February 19, 2019, he began to experience severe stomach
pain which prevented him from urinating or defecating. Plaintiff says his stomach
began “to swell and harden.” (Comp., p. 5).
The next day, Plaintiff asked to see medical staff. Plaintiff could no longer walk
and he was taken to the Healthcare Unit in a wheelchair where he met with Defendant
Nurse Disher. Plaintiff explained his symptoms and his increasing pain, but Plaintiff
says the nurse was rude and did not conduct a thorough examination. Instead, the
nurse told Plaintiff there was nothing wrong with him, provided him with Ibuprofen,
and sent him back to his housing unit. The nurse also failed to consult with a doctor or
any other medical professional concerning Plaintiff’s symptoms.
On February 19, 2019, officers found Plaintiff unresponsive in his cell. Plaintiff
was rushed to St. John’s Hospital where the medical records indicate Plaintiff was in
“severe shock” and “was also in multiorgan failure.” (Comp, p. 17). Plaintiff was rushed
into surgery with a perforated bowel. Plaintiff says additional surgery or surgeries
were also required.
Plaintiff has alleged Defendant Nurse Disher violated his Eighth Amendment
rights when he was deliberately indifferent to Plaintiff’s serious medical condition in
February of 2019. Plaintiff has failed to articulate a claim against Wexford Health
Source.
Plaintiff has also filed a motion for appointment of counsel. [3]. The Court
cannot require an attorney to accept pro bono appointment in a civil case. The most the
Court can do is ask for volunteer counsel. See Jackson v. County of McLean, 953 F.2d 1070,
1071 (7th Cir. 1992).
Almost everyone would benefit from having a lawyer, but there are too
many indigent litigants and too few lawyers willing and able to volunteer
for these cases. District courts are thus placed in the unenviable position of
identifying, among a sea of people lacking counsel, those who need counsel
the most. Olson v. Morgan, 750 F.3d 708, 711 (7th Cir. 2014).
Ultimately “[t]he question is not whether a lawyer would present the case more
effectively than the pro se plaintiff; if that were the test, district judges would be
required to request counsel for every indigent litigant.” Pruitt v. Mote, 503 F.3d 647, 655
(7th Cir. 2007)(internal quotation omitted). The text is whether the litigant is competent
to litigate his own claims. Pruitt, 503 F.3d 655.
Specifically, the Court must consider two questions. First, “has the indigent
plaintiff made a reasonable attempt to obtain counsel or been effectively precluded
from doing so.” Pruitt v. Mote, 503 F.3d 647, 654 (7th Cir. 2007), citing Farmer v. Haas, 990
F.2d 319, 322 (7th Cir. 1993). Plaintiff has provided evidence of his attempt to find
counsel with his complaint.
Therefore, the Court must focus on the second inquiry, “whether the difficulty of
the case—factually and legally—exceeds the particular plaintiff's capacity as a
layperson to coherently present it to the judge or jury himself.” Pruitt, 503 F.3d at 655.
The Court must consider all aspects of the litigation including gathering evidence and
responding to motions. Eagan v. Dempsey, 2021 WL 456002, at *8.
Plaintiff’s complaint very clearly states his claims against Defendant Disher and
Plaintiff has also attached relevant documentation. While Plaintiff’s claim does involve
his medical care, Plaintiff should be able to testify to the pain he experienced, his
attempts to obtain help, and the response he received to demonstrate deliberate
indifference. See Ledford v. Sullivan, 105 F.3d 354, 358 (7th Cir. 1997)(expert testimony
not necessarily required to establish deliberate indifference). Plaintiff will also be able to
obtain additional medical records during discovery.
Once the Defendant is served, the Court will set this matter for a hearing to
discuss Plaintiff’s claims, potential defenses, and needed discovery. In addition, the
Court will enter a Scheduling Order which will provide additional information to assist
a pro se Plaintiff with the discovery process. Based on the current record, the motion is
denied. [3].
IT IS THEREFORE ORDERED:
1) Pursuant to its merit review of the complaint under 28 U.S.C. § 1915A, the
Court finds Plaintiff has alleged Defendant Nurse Disher violated Plaintiff’s
Eighth Amendment rights when the Defendant was deliberately indifferent to
Plaintiff’s serious medical condition in February of 2019. The claim is stated
against the Defendant in his individual capacities only. Any additional claims
shall not be included in the case, except at the Court’s discretion on motion by a
party for good cause shown or pursuant to Federal Rule of Civil Procedure 15.
2) This case is now in the process of service. Plaintiff is advised to wait until
counsel has appeared for Defendant before filing any motions, in order to give
Defendant notice and an opportunity to respond to those motions. Motions filed
before Defendant’s counsel has filed an appearance will generally be denied as
premature. Plaintiff need not submit any evidence to the Court at this time, unless
otherwise directed by the Court.
3) The Court will attempt service on Defendant by mailing Defendant a waiver of
service. Defendant has 60 days from service to file an Answer. If Defendant has
not filed an Answer or appeared through counsel within 90 days of the entry of
this order, Plaintiff may file a motion requesting the status of service. After
Defendant has been served, the Court will enter an order setting discovery and
dispositive motion deadlines.
4) With respect to a Defendant who no longer works at the address provided by
Plaintiff, the entity for whom that Defendant worked while at that address shall
provide to the Clerk said Defendant's current work address, or, if not known, said
Defendant's forwarding address. This information shall be used only for
effectuating service. Documentation of forwarding addresses shall be retained
only by the Clerk and shall not be maintained in the public docket nor disclosed
by the Clerk.
5) Defendant shall file an answer within 60 days of the date the waiver is sent by
the Clerk. A motion to dismiss is not an answer. The answer should include all
defenses appropriate under the Federal Rules. The answer and subsequent
pleadings shall be to the issues and claims stated in this Order. In general, an
answer sets forth Defendant’s positions. The Court does not rule on the merits of
those positions unless and until a motion is filed by Defendant. Therefore, no
response to the answer is necessary or will be considered.
6) Once counsel has appeared for a Defendant, Plaintiff need not send copies of
his filings to that Defendant or to that Defendant's counsel. Instead, the Clerk will
file Plaintiff's document electronically and send a notice of electronic filing to
defense counsel. The notice of electronic filing shall constitute service on
Defendant pursuant to Local Rule 5.3. If electronic service on Defendant is not
available, Plaintiff will be notified and instructed accordingly.
7) Counsel for Defendant is hereby granted leave to depose Plaintiff at his place of
confinement. Counsel for Defendant shall arrange the time for the deposition.
8) Plaintiff shall immediately notify the Court, in writing, of any change in his
mailing address and telephone number. Plaintiff's failure to notify the Court of a
change in mailing address or phone number will result in dismissal of this lawsuit,
with prejudice.
9) Within 10 days of receiving from Defendant’s counsel an authorization to
release medical records, Plaintiff is directed to sign and return the authorization
to Defendant’s Counsel.
IT IS FURTHER ORDERED THAT THE CLERK IS DIRECTED TO:
1) Dismiss Defendant Wexford for failure to state a claim upon which relief
can be granted pursuant to by 28 U.S.C. §1915A; 2) Deny Plaintiff’s Motion for
Appointment of Counsel, [3]; 3) Attempt service on Defendant pursuant to the
standard procedures; 4) Set an internal court deadline 60 days from the entry of
this order for the Court to check on the status of service and enter scheduling
deadlines; and 5) Enter the Court's standard qualified protective order
pursuant to the Health Insurance Portability and Accountability Act.
Entered this 11th day of April, 2022.
s/James E. Shadid
_________________________________________
JAMES E. SHADID
UNITED STATES DISTRICT JUDGE