inmate had an available remedy through the emergency grievance process and had to “wait more than two days to test its availability before he could sue”
How later courts described this case
- inmate had an available remedy through the emergency grievance process and had to “wait more than two days to test its availability before he could sue”
- inmate had to wait more than two days to test the availability of the grievance process
- the plaintiff may have demonstrated that remedies were unavailable when he faced the medical emergency of a gangrenous gallbladder and had been requesting treatment for five days
Written by the judges who cited it.
The opinion
IN THE UNITED STATES DISTRICT COURT
FOR THE SOUTHERN DISTRICT OF ILLINOIS
DEANDRE BRADLEY, )
)
Plaintiff, )
)
vs. ) Case No. 19-cv-23-NJR
)
)
DR. SIDDIQUI1and )
FRANK LAWRENCE, )
)
Defendants. )
MEMORANDUM AND ORDER
ROSENSTENGEL,ChiefJudge:
Pursuant to 42 U.S.C. § 1983, pro sePlaintiff Deandre Bradley filed his Complaint against Dr.
Mohammed Siddiqui for deliberate indifference to his serious medical needs. Specifically, Bradley
alleges that Dr. Siddiqui denied him mental health treatment from August 21, 2018 to January 1, 2019
and refused to remove a paperclip from Bradley’s chest,which Bradleyinserted on December 31, 2018
(Doc. 6). Defendant Frank Lawrence was added to the case for purposes of implementing injunctive
relief.
This matter is now before the Court on Dr. Siddiqui’s motion for summary judgment for
Bradley’s failure to exhaust his administrative remedies (Docs. 41 and 42). Bradley filed a response
(Doc. 44) in opposition to the motion, and Dr. Siddiqui filed a reply brief (Doc. 45).The Court held a
hearing on the motion on October 18, 2019.
1Defendant Siddiqui has identified himself by his proper name, Mohammed Siddiqui (Doc. 41). Accordingly, the Clerk is
DIRECTEDto CORRECTDefendant Siddiqui’s name on the docket to reflect his proper name.
BACKGROUND
The issue raised by Dr. Siddiqui is whether Bradley failed to exhaust his administrative
remedies prior to filing suit. Bradley filed his Complaint on January 7, 2019 (Doc. 1). He submitted
three grievances related to the claims in his Complaint.Thefirst grievance, dated September 17, 2018,
complained that Bradley was not being seen by mental health staff (Doc. 42-2, p. 9). Bradley was in
segregation at the time, and Bradley complained that he was not being let out of his cell for group
therapy and requested that mental health release him from segregation (Id. at p. 9). In response to the
grievance, Bradley’s counselor attached a response from Dr. Goldman, psych administrator, which
stated that Bradley was not labeled a seriously mental ill (“SMI”) inmate and was not on the mental
health caseload (Id. at p. 10).The grievance officer also indicated in its response that Bradleywas not
labeled as SMI until January 2019.(Id. at p. 8).The grievance does not mention Dr. Siddiqui,and Dr.
Siddiqui did not respond to the grievance. The parties do not dispute that this grievance was fully
exhausted, and the Administrative Review Board (“ARB”) responded to the grievance on April 24,
2019.(Id. at pp. 7-10).
Bradley submitted a second grievance related to his mental health treatment on December 5,
2018 (Doc. 42-2, p. 1).Bradleycomplained that a “lady” from mental health did not properly document
his concerns during a mental health evaluation (Id.). Also, correctional staff were present during his
evaluation,which wasnot proper.Bradleycomplained that he was not receiving proper mental health
treatment and that Dr. Goldman statedBradleywas not on the mental health caseload despite Bradley
having a mental illness which he identified as suicidal ideation (Id. at pp.1-2). The grievance did not
identify Dr. Siddiqui.The grievance was labeled as an emergency, but the Chief Administrative Officer
found that an emergency was not substantiated (Id. at p. 1). The grievance was submitted to the
counselor,who responded on January 22, 2019 (Id.).The response included a note from Dr. Levin, the
mental health services director, which noted that Bradley was not on the mental health caseload and
had indicated during a January 14, 2019 wellness check that he was not suicidal (Id. at p. 3).The ARB
has not yet received Bradley’s grievance.
On December 31, 2018, Bradley inserted two paperclips into his chest and was seen by
healthcare staff the next day.Nurses removed the first paperclip but were unable to remove the second
paperclip.Dr. Siddiqui was contacted by the nursing staff,but he refused to send Bradleyto an outside
hospital to have the paperclip removed (Doc. 1, p. 5). Bradley wrote an emergency grievance about
Dr. Siddiqui on January 1, 2019 (Doc. 42-2, p. 15). The grievance was received by the Chief
Administrative Officer on January 3, 2019 (Id.). The CAO deemed the grievance an emergency. It is
not clear from the records submitted when the grievance officer reviewed the grievance, but the
grievance is stamped as being received by the ARB on April 8, 2019 (Id.). Bradley indicates in his
response that he did not receive the grievance back from the grievance officer until March 29, 2019
(Doc. 44, p. 5).
Bradley’s Complaint was written on January 1, 2019 (Doc. 1, p. 7).It was filed on January 7,
2019,along with a motion for temporary restraining order requesting that Bradleybe sent to an outside
hospital to have the paperclip removed (Doc. 2). Bradley indicated in the motion that the grievance
process was lengthy and that he was in need of immediate medical care because his lung may have
been pierced by the paperclip (Doc. 2, p. 2). Bradley similarly argues in his response that his life was
in imminent danger and that the grievance process would not be able to remedy his life-threatening
condition in a timely fashion (Doc. 44, pp. 4-5).He argues there was no immediate remedy other than
a preliminary injunction (Id. at p. 6). He points to the fact that his grievance was not returned to him
until March 29, 2019 as evidence that the grievance process was unavailable for this emergency
condition.
LEGAL STANDARDS
Summary Judgment is proper if the pleadings, discovery materials, disclosures, and affidavits
demonstrate no genuine issue of material fact such that [Defendants are] entitled to judgment as a
matter of law.” Wragg v. Village of Thornton, 604 F.3d 464, 467 (7th Cir. 2010). Lawsuits filed by
inmates are governed by the provisions of the Prison Litigation Reform Act (“PLRA”). 42 U.S.C.
§1997e(a).That statute states, in pertinent part, that “no action shall be brought with respect to prison
conditions under section 1983 of this title, or any other Federal law, by a prisoner confined in any jail,
prison, or other correctional facility until such administrative remedies as are available are exhausted.”
Id. (emphasis added). The Seventh Circuit requires strict adherence to the PLRA’s exhaustion
requirement.Dole v. Chandler, 438 F.3d 804, 809 (7th Cir. 2006) (noting that ‘[t]his circuit has taken
a strict compliance approach to exhaustion”). Exhaustion must occur before the suit is filed. Ford v.
Johnson, 362 F.3d 395, 398 (7th Cir. 2004).Bradleycannot file suit and then exhaust his administrative
remedies while the suit is pending. Id. Moreover, “[t]o exhaust remedies, a prisoner must file
complaints and appeals in the place, and at the time, the prison administrative rules require.” Pozo v.
McCaughtry, 286 F.3d 1022, 1025 (7th Cir. 2005).Consequently, if a prisoner fails to properly utilize
a prison’s grievance process, “the prison administrative authority can refuse to hear the case, and the
prisoner’s claim can be indefinitely unexhausted.” Dole, 438 F.3d at 809.
Under Pavey, the SeventhCircuit held that “debatable factual issues relating to the defense of
failure to exhaust administrative remedies” are not required to be decided by a jury but are to be
determined by the judge. Pavey v. Conley, 544 F.3d 739, 740-41(7th Cir. 2008). Thus, where failure
to exhaust administrative remedies is raised as an affirmative defense, the Court set forth the following
recommendations:
The sequence to be followed in a case in which exhaustion is contested is therefore as
follows: (1) The district judge conducts a hearing on exhaustion and permits whatever
discovery relating to exhaustion he deems appropriate.(2) If the judge determines that
the prisoner did not exhaust his administrative remedies, the judge will then determine
whether (a) the plaintiff has failed to exhaust his administrative remedies, and so he
must go back and exhaust; (b) or, although he has no unexhausted administrative
remedies, the failure to exhaust was innocent (as where prison officials prevent a
prisoner from exhausting his remedies), and so he must be given another chance to
exhaust (provided that there exist remedies that he will be permitted by the prison
authorities to exhaust, so that he’s not just being given a runaround); or (c) the failure
to exhaust was the prisoner’s fault, in which event the case is over.(3)If and when the
judge determines that the prisoner has properly exhausted his administrative remedies,
the case will proceed to pretrial discovery, and if necessary a trial, on the merits; and
if there is a jury trial, the jury will make all necessary findings of fact without being
bound by (or even informed of) any of the findings made by the district judge in
determining that the prisoner had exhausted his administrative remedies.
Id. at 742.
A. Illinois ExhaustionRequirements
As an inmate confined within the Illinois Department of Corrections (“IDOC”), Bradley was
required to follow the regulations contained in the IDOC Grievance Procedures for Offenders
(“grievance procedures”) to properly exhaust his claims.20 Ill. Administrative Code §504.800 et seq.
The grievance procedures first require inmates to file their grievance with the counselor within 60 days
of the discovery of an incident.20 Ill. Admin. Code §504.810(a).The grievance formmust:
contain factual details regarding each aspect of the offender’s complaint, including
what happened, when, where, and the name of each person who is the subject of or
who is otherwise involved in the complaint. This provision does not preclude an
offender from filing a grievance when the names of individuals are not known, but the
offender must include as much descriptive information about the individual as possible.
20 Ill. Admin. Code §504.810(c). Grievances that are unable to be resolved through routine channels
are then sent to the grievance officer. 20 Ill. Admin. Code §504.820(a). The Grievance Officer will
review the grievance and provide a written response to the inmate. 20 Ill. Admin. Code §504.830(a).
“The Grievance Officer shall consider the grievance and report his or her findings and
recommendations in writing to the Chief Administrative Officer within two months after receipt of the
grievance, when reasonably feasible under the circumstances.” 20 Ill. Admin. Code §504.830(e).“The
Chief Administrative Officer shall review the findings and recommendation and advise the offender of
his or her decision in writing.”Id.
If the inmate is not satisfied with the Chief Administrative Officer’s response, he or she can
file an appeal with the Director through the ARB. The grievance procedures specifically state, “[i]f,
after receiving the response of the Chief Administrative Officer, the offender still believes that the
problem, complaint or grievance has not been resolved to his or her satisfaction, he or she may appeal
in writing to the Director.The appeal must be received by the Administrative Review Board within 30
days after the date of the decision.” 20 Ill. Admin. Code §504.850(a). The inmate shall attach copies
of the Grievance Officer’s report and the Chief Administrative Officer’s decision to his appeal. Id.
“The Administrative Review Board shall submit to the Director a written report of its findings and
recommendations.” 20 Ill. Admin. Code §504.850(d). “The Director shall review the findings and
recommendations of the Board and make a final determination of the grievance within 6 months after
receipt of the appealed grievance, when reasonably feasible under the circumstances. The offender
shall be sent a copy of the Director’s decision.” 20 Ill. Admin. Code §504.850(e).
The grievance procedures do allow for an inmate to file an emergency grievance. In order to
file an emergency grievance, the inmate must forward the grievance directly to the Chief
Administrative Officer (“CAO”) who may “[determine] that there is a substantial risk of imminent
personal injury or other serious or irreparable harm to the offender” and thus the grievance should be
handled on an emergency basis.20 Ill. Admin. Code§504.840(a).If the CAO determines the grievance
should be handled on an emergency basis, then the CAO “shall expedite processing of the grievance
and respond to the offender” indicating to him what action shall be taken. 20 Ill. Admin. Code
§504.840(b).If the CAO determines the grievances “should not be handled on an emergency basis, the
offender shall be notified in writing that he or she may resubmit the grievance as non-emergent, in
accordance with the standard grievance process. 20 Ill. Admin. Code §504.840(c). When an inmate
appeals a grievance deemed by the CAO to be an emergency, “the Administrative Review Board shall
expedite processing of the grievance.” 20 Ill. Admin. Code §504.850(f).
ANALYSIS
Bradley brings two claims against Dr. Siddiqui: (1) that he was deliberately indifferent in
denying him mental health treatment from August 21, 2018 to January 1, 2019 (Count 1) and (2)that
he was deliberately indifferent in refusing to remove the second paperclip in Bradley’s chest (Count
2).It is undisputed that Bradleyfailed to exhaust any of his three grievances prior to filing suit.Bradley
argues, however, that he was in imminent danger and could not properly exhaust his administrative
remedies.
A. Mental Health Treatment
As to Bradley’s claim that Dr. Siddiqui was deliberately indifferent to his mental health
treatment, the Court finds that Bradleyfailed to exhaust his administrative remedies.Bradleyfiled two
grievances regarding his mental health treatment, one dated September 17, 2018, and the other dated
December 5, 2018.Neither grievance mentions Dr. Siddiqui.The grievance procedures require that an
inmate name the individuals involved in the complaint, or, if their names are not known, an inmate
must, as the very least, “include as much descriptive information about the individual as possible.” 20
Ill. Admin. Code §504.810(a)(b). See also Ambrose v. Godinez, 510 F. App’x470, 472 (7th Cir. 2013);
but see Jackson v. Shepherd, 552 F. App’x 591, 593 n.1 (7th Cir. 2014). Further, the Seventh Circuit
has held that an inmate is required to provide enough information to serve a grievance’s function of
giving “prison officials a fair opportunity to address [an inmate’s] complaints.” Maddox v. Love, 655
F.3d 709, 722 (7th Cir. 2011). This fits with the purpose of the PLRA exhaustion requirement which
was designed to afford correctional officials a chance to address inmate complaints internally, prior to
resorting to federal litigation. See, e.g., Kaba v. Stepp, 458 F.3d 678, 684 (7th Cir. 2006) (citing
Woodford v. Ngo,548 U.S. 81, 93, 126 S.Ct. 2378, 165 L.Ed.2d 368 (2006)).
Here, Bradley’s grievances neither identify Dr. Siddiqui nor address any actions taken by Dr.
Siddiqui. Both grievances discuss mental health treatment and the actions of the mental health staff.
The grievances were responded to by mental health staff, including Dr. Goldman and Dr. Levin. Dr.
Siddiqui, on the other hand, is the medical director over medical care at the prison. Nothing in the
grievance puts the prison on notice that Bradley had complaints about Dr. Siddiqui in relation to
Bradley’s mental health treatment.Thus, the grievances do not serve to exhaust his claims against Dr.
Siddiqui.
B. Medical Treatment
As to Dr. Siddiqui’s treatment and removal of the paperclips that Bradleyinserted into his
abdomen/chest, Bradley filed an emergency grievance on January 1, 2019. He admits that he did not
wait for a response to the grievance and, instead,submitted his Complaintto the law library to be filed
on January 4, 2019. It was filed on January 7, 2019. He argues that he did not have to exhaust his
administrative remedies because he was in imminent danger. He testified at the evidentiary hearing
that he felt he was in imminent danger beginning January 1 until the time that the paperclip was
removed in May 2019. He also testified that a piece of the paperclip broke off while he turned in bed
on January 3, 2019, further placing him in imminent danger. He acknowledged, however, that he was
seen by medical staff on January 2, 2019 and January 3, 2019 and that the nurse practitioner offered to
remove the paperclip on January 2 but herefused treatment.
Exhaustion is a precondition to filing suit; a prisoner may not file suit in anticipation that his
administrative remedies will soon become exhausted. Ford v. Johnson, 362 F.3d 395, 398 (7th Cir.
2004). A prisoner must wait to bring a suit until he completes the exhaustion process. Perez v.
Wisconsin Dept. of Corrections, 182 F.3d 532, 535 (7th Cir. 1999) (citing 42 U.S.C. § 1997e(a)). An
emergency does not exempt an inmate from exhausting his administrative remedies. The Seventh
Circuithas recognized, however,that under very limited circumstances, an inmate’s need for a remedy
may be so dire that an administrative process could not sufficiently address the need in a timely matter,
thus making the process unavailable. Fletcher v. Menard Correctional Ctr., 623 F.3d 1171, 1173 (7th
Cir. 2010). While there is no “imminent danger” exception to exhaustion like there is for excusal of a
filing fee nor is “futility” an excuse, the Seventh Circuit has stated that imminent danger can create a
situation where “there are no administrative remedies for warding off such a danger.” Fletcher, 623
F.3d at 1173. Thus, an administrative remedy is deemed unavailable when an inmate is placed in
imminent danger of serious physical injury and the available administrative remedies will not afford
him the relief he seeks before the injury will occur. Fletcher, 623 F.3d at 1173; Kincaid v. Sangamon
County, 435 F. App’x 533, 537 (7th Cir. 2011) (the plaintiff may have demonstrated that remedies
were unavailable when he faced the medical emergency of a gangrenous gallbladder and had been
requesting treatment for five days). In Fletcher, the Court ultimately found that IDOC has an
emergency grievance process which could deal with the plaintiff’s urgent medical needs.Fletcher, 623
F.3d at 1175 (inmate had an available remedy through the emergency grievance process and had to
“wait more than two days to test its availability before he could sue”)
The Court findsthat Bradley’s particular circumstances do not fall under the narrow exception
created by the Seventh Circuit in Fletcher. Like the inmate in Fletcher, Bradley had an emergency
grievance process available to him, which he started but did not complete prior to filing suit. Bradley
submitted an emergency grievance on January 1, 2019, and the CAO deemed the grievance an
emergency on January 3, 2019, but Bradleydid not wait for a response to the grievance office nor did
he submit it to the ARB prior to filing suit. In fact, the ARB did not receive his grievance until April
8, 2019, nearly three months after he had already filed suit.
Further, Bradley’s medical condition does not appear to be one that put him in imminent
danger.Bradleysaw a nurse practitioner on January 2, 2019;she offeredto remove the paper clip, but
Bradleyrefused.Thus, Bradleyhad medical care available to him and he refusedthe care.There is also
no evidence that he faced a medical emergency that needed immediate treatment.See Kincaid, 435 F.
App’xat 536-7 (inmate’s physical impediment and need for immediate carecould make the grievance
process unavailable). Although Bradley testified that a piece of the paperclip broke off on January 3,
2019, there is no evidence that he suffered any physical impediment as a result or that he needed
emergency surgery. He received additional x-rays on January 3, which showed that a piece of the
paperclip was still inside of him but there is nothing in the record to suggest that it was near a vital
organ, as Bradleyfeared, or that he required emergency care(Doc.44, pp. 2 and 6).He acknowledges
that the paperclip was not removed until May 2019, which further demonstrates that he did not face
any imminent danger.
Bradley also testified that he did not wait for a response to his emergency grievance because
he had already spoken to the healthcare staff and knew what their response would be. Bradley testified
that he knew the grievance officer would get his or her information from the same doctors with whom
Bradley had already spoken and, thus, he decided not to wait for the response. But an inmate is required
to exhaust his administrative remedies regardless of whether he believes the attempt will be futile.
Dole, 438 F.3d at 809. Although Bradley submitted an emergency grievance, he admittedly did not
wait for a response before filing his Complaint. In fact, he waited a mere four days before submitting
his Complaint for filing. Bradley did not even wait long enough to determine if the grievance process
was unavailable to him. See Fletcher, 623 F.3d at 1175 (inmate had to wait more than two days to test
the availability of the grievance process). In fact, the process was available, because the CAO deemed
the grievance an emergency on January 3, 2019 and submitted it to the grievance office for a response
(Doc. 42-2, p. 15). Because Bradley failed to wait for that response and instead filed suit immediately,
he failed to exhaust his administrative remedies prior to filing suit.
CONCLUSION
For the reasons stated above, Dr. Siddiqui’s motion for summary judgment (Docs. 41 and 42)
is GRANTED, and the claims against Dr. Siddiqui are DISMISSED without prejudice. As Frank
Lawrence is in the case only for the purpose of implementing any injunctive relief awarded to Bradley,
Frank Lawrence is also DISMISSED without prejudice.
The Clerk is DIRECTED to close this case and enter judgment accordingly.
IT ISSO ORDERED.
DATED: 10/21/2019
The teg?
NANCY J. ROSENSTENGEL
Chief U.S. District Judge
10