“a plaintiff must provide ‘verifying medical evidence’ that the delay (rather than the inmate’s underlying condition) caused some degree of harm.”
How later courts described this case
- “a plaintiff must provide ‘verifying medical evidence’ that the delay (rather than the inmate’s underlying condition) caused some degree of harm.”
- “A delay in treating non-life-threatening but painful conditions may constitute deliberate indifference if the delay exacerbated the injury or unnecessarily prolonged an inmate’s pain.”
- “[t]he plaintiff still has the burden of demonstrating that the communication, in its content and manner of transmission, gave the prison official sufficient notice to alert him or her to an excessive risk to inmate health or safety.”
- holding that “prolonged, unnecessary pain as a result of a readily treatable condition” may constitute deliberate indifference
Written by the judges who cited it.
The opinion
IN THE UNITED STATES DISTRICT COURT
FOR THE SOUTHERN DISTRICT OF ILLINOIS
JAMES A. COX,
#K53474,
Plaintiff,
v. Case No. 16-cv-01096-NJR
JACQUELINE LASHBROOK,
CHRISTINE BROWN,
JOHN R. BALDWIN,
LESLIE WOOD,1
TRACI PEEK,
MARCIA HILL,
VIPIN SHAH,
STACEY BROWN, and
KAREN SIKORSKI, Independent
Administrator of the Estate of Allan J.
Brummel,
Defendants.
MEMORANDUM AND ORDER
ROSENSTENGEL, Chief Judge:
Pending before the Court is a Motion for Summary Judgment filed by Marcia Hill,
Traci Peek, and Dr. Shah (Doc. 122), a Motion for Summary Judgment filed by John
Baldwin, Christine Brown, Stacey Brown, Jacqueline Lashbrook, and Leslie Wood
(Doc. 125), and a Motion for Summary Judgment filed by Karen Sikorski, Independent
Administrator of the Estate of Dr. Brummel2 (Doc. 134). For the reasons set forth below,
1 The Clerk of Court is directed to correct the docket to reflect Les Wood’s proper name as identified in the
motion for summary judgment: Leslie Wood. (See Doc. 125).
2 Dr. Brummel passed away after the suit was filed. On June 13, 2019, the Court entered an order
substituting Karen Sikorski, the Independent Administrator for Dr. Brummel’s estate, for Allan Brummel
as a defendant in this case. (Doc. 124).
the Court grants in part and denies in part all three motions.
BACKGROUND
Cox, an inmate in the Illinois Department of Corrections, filed this action under 42
U.S.C. § 1983 for alleged deprivations of his constitutional rights that occurred at
Pinckneyville Correctional Center (“Pinckneyville”). (Doc. 8). 3 According to the
Amended Complaint, Cox was attacked by his cellmate on August 6, 2015. (Doc. 16, p.
3). He pressed the emergency button for ten minutes, but no one responded or came to
his cell to assist him. Eventually he was able to get the attention of an inmate worker who
contacted the floor officer, Correctional Officer Wood. When Wood arrived at the cell, he
placed handcuffs on Cox through the chuck-hole. While being cuffed and unable to
defend himself, the cellmate hit Cox with a hardcover book, severely injuring his left eye.
(Id). He was taken to the infirmary, but was not seen by an optometrist until forty-five
days following the attack, and in the following months received inadequate treatment for
the injury to his eye and subsequent pain. (Id. at pp. 5, 11). As a result, he has permanent
damage to his left eye, and his vision has deteriorated. Cox is proceeding on the following
claims:
Count 1: Correctional Officer Wood failed to protect Cox from a violent
attack by his cellmate in violation of the Eighth Amendment.
Count 4: Nurse Peek, Dr. Shah, and Dr. Brummel showed deliberate
indifference to Cox’s serious medical needs involving an injured
left eye and pain associated therewith in violation of the Eighth
Amendment.
3 Although the action was filed pro se by Cox, the Court recruited counsel to represent him shortly after the
case survived screening in May 2017, and he has been represented throughout discovery and dispositive
motions. (See Docs. 16, 23, 28).
Count 5: Baldwin, Lashbrook, Stacy Brown, Nurse Hill, and Christine
Brown showed deliberate indifference to Cox’s serious medical
needs involving an injured left eye and pain associated therewith
in violation of the Eighth Amendment by failing to respond to
Cox’s grievances and complaints regarding his lack of treatment.
RELEVANT FACTS
On August 6, 2015, Cox was involved in an altercation with his cellmate. (Doc. 138,
p. 2). Although the details of the altercation are disputed (Doc. 140, p. 2; Doc. 138, p. 2), a
correctional officer arrived, and while ordering Cox to “cuff up,” Cox’s cellmate struck
Cox with a hardcover book on the left side of his face. (Doc. 125, p. 3; Doc. 138, p. 3).
Whether Cox was already handcuffed or not at the time he was struck with the book is
another disputed fact. (Doc. 138, p. 3). Cox was taken to the healthcare unit and seen by
Traci Peek, a registered nurse. (Doc. 123, p. 1; Doc. 140, p. 2).
At some point in August 2015, Cox was seen by Marcia Hill, a licensed practical
nurse, who referred him to see a doctor. (Doc. 123, p. 1; Doc. 140, p. 5; Doc. 141-3, p. 4).
He also saw Dr. Shah in August, although the dates and number of visits are at issue
between the parties. (Doc. 123, p. 1; Doc. 140, pp. 3, 4). Cox saw the optometrist, Dr.
Brummel, on September 22, 2015 (Doc. 140, p. 6.), and Cox was issued new prescription
glasses on October 14, 2015. (Id. at p. 8). Dr. Brummel saw Cox again on December 1, 2015.
He referred Cox to Marion Eye Clinic and ordered new prescription glasses for him.
(Doc. 140, p. 8; Doc. 139, p. 21). Dr. Brummel also saw Cox on January 13, 2015, and
documented a decline in vision. (Doc. 139, p. 13). Cox was sent on a furlough to Marion
Eye Center for a macular OCT on January 25, 2016. (Id.). The results of the macular OCT
appeared normal and showed no retinal abnormal findings. (Doc. 142-2, p. 23). At the
follow up appointment on February 10, 2015, Dr. Brummel recorded that no treatment
was recommended. (Doc. 139, p. 14; Doc. 142, p. 23-24). Dr. Brummel saw Cox on June 1,
2015, and November 16, 2016. (Doc. 140, p. 7; Doc. 139, p. 8). Dr. Brummel ordered Cox
new prescription glasses again on June 1, 2016, and on November 16, 2016, he ordered
Cox photo-gray lenses. (Doc. 140, p. 8; Doc. 139, pp. 20, 21).
Prior to being seen by Dr. Brummel on September 22, 2015, Cox submitted at least
four grievances regarding his pain and requesting treatment for his eye injury dated
August 10, 2015, September 4, 2015, September 18, 2015, and September 21, 2015.
(Doc. 125-6, pp. 6, 10, 17, 19; Doc. 138, p. 7).
LEGAL STANDARDS
I. Summary Judgment Standard
Federal Rule of Civil Procedure 56 governs motions for summary judgment.
“Summary judgment is appropriate ‘if the movant shows that there is no genuine dispute
as to any material fact and that the movant is entitled to judgment as a matter of law.’”
Anderson v. Donahoe, 699 F.3d 989, 994 (7th Cir. 2012) (quoting FED. R. CIV. P. 56(a)). Accord
Archdiocese of Milwaukee v. Doe, 743 F.3d 1101, 1105 (7th Cir. 2014). A genuine issue of
material fact remains “if the evidence is such that a reasonable jury could return a verdict
for the nonmoving party.” Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986). Accord
Bunn v. Khoury Enterpr., Inc., 753 F.3d 676, 681-82 (7th Cir. 2014).
In assessing a summary judgment motion, a district court views the facts in the
light most favorable to, and draws all reasonable inferences in favor of, the nonmoving
party. Donahoe, 699 F.3d at 994; Delapaz v. Richardson, 634 F.3d 895, 899 (7th Cir. 2011). As
the Seventh Circuit has explained, as required by Rule 56(a), “we set forth the facts by
examining the evidence in the light reasonably most favorable to the non-moving party,
giving [him] the benefit of reasonable, favorable inferences and resolving conflicts in the
evidence in [his] favor.” Spaine v. Cmty. Contacts, Inc., 756 F.3d 542, 544 (7th Cir. 2014).
II. Eighth Amendment Deliberate Indifference
The Eighth Amendment prohibits cruel and unusual punishment and deliberate
indifference to the “serious medical needs of a prisoner constitutes the unnecessary and
wanton infliction of pain forbidden by the Constitution.” Rodriguez v. Plymouth Ambulance
Serv., 577 F.3d 816, 828 (7th Cir. 2009) (citation omitted). A prisoner is entitled to
“reasonable measures to meet a substantial risk of serious harm”—not to demand specific
care. Forbes v. Edgar, 112 F.3d 262, 267 (7th Cir. 1997).
In order to prevail on a claim of deliberate indifference, a prisoner who brings an
Eighth Amendment challenge of constitutionally-deficient medical care must satisfy a
two-part test. Arnett v. Webster, 658 F.3d 742, 750 (7th Cir. 2011). The first consideration is
whether the prisoner has an “objectively serious medical condition.” Id. Accord Greeno v.
Daley, 414 F.3d 645, 653 (7th Cir. 2005). “A medical condition is objectively serious if a
physician has diagnosed it as requiring treatment, or the need for treatment would be
obvious to a layperson.” Hammond v. Rector, 123 F. Supp. 3d 1076, 1084 (S.D. Ill. 2015)
(quoting Pyles v. Fahim, 771 F.3d 403, 409 (7th Cir. 2014)). It is not necessary for such a
medical condition to “be life-threatening to be serious; rather, it could be a condition that
would result in further significant injury or unnecessary and wanton infliction of pain if
not treated.” Gayton v. McCoy, 593 F.3d 610, 620 (7th Cir. 2010). Accord Farmer v. Brennan,
511 U.S. 825, 828 (1994) (violating the Eighth Amendment requires “deliberate
indifference to a substantial risk of serious harm”) (internal quotation marks omitted)
(emphasis added).
The second consideration requires a prisoner to show that a prison official has
subjective knowledge of—and then disregards—an excessive risk to inmate health.
Greeno, 414 F.3d at 653. A plaintiff need not show the individual “literally ignored” his
complaint, but that the individual was aware of the condition and either knowingly or
recklessly disregarded it. Hayes v. Snyder, 546 F.3d 516, 524 (7th Cir. 2008). “Something
more than negligence or even malpractice is required” to prove deliberate indifference.
Pyles, 771 F.3d at 409. Deliberate indifference involves “intentional or reckless conduct,
not mere negligence.” Berry v. Peterman, 604 F.3d 435, 440 (7th Cir. 2010) (citing Gayton,
593 F.3d at 620).
Assessing the subjective prong is more difficult in cases alleging inadequate care
as opposed to a lack of care. Without more, a “mistake in professional judgment cannot
be deliberate indifference.” Whiting v. Wexford Health Sources, Inc., 839 F.3d 658, 662 (7th
Cir. 2016). The Seventh Circuit has explained:
By definition a treatment decision that’s based on professional judgment
cannot evince deliberate indifference because professional judgment
implies a choice of what the defendant believed to be the best course of
treatment. A doctor who claims to have exercised professional judgment is
effectively asserting that he lacked a sufficiently culpable mental state, and
if no reasonable jury could discredit that claim, the doctor is entitled to
summary judgment.
Id. (quoting Zaya v. Sood, 836 F.3d 800, 805-06 (7th Cir. 2016)). This is in contrast to a case
“where evidence exists that the defendant[ ] knew better than to make the medical
decision [ ] that [he] did[.]” Id. (quoting Petties v. Carter, 836 F.3d 722, 731 (7th Cir. 2016))
(alterations in original). A medical professional’s choice of an easier, less efficacious
treatment can rise to the level of violating the Eighth Amendment, however, where the
treatment is known to be ineffective but is chosen anyway. Berry, 604 F.3d at 441.
III. Failure to Protect
“[P]rison officials have a duty ... to protect prisoners from violence at the hands of
other prisoners.” Farmer, 511 U.S. at 833 (citation and quotation marks omitted). A prison
official’s deliberate indifference to a substantial risk of serious harm may thus violate the
Eighth Amendment. Id. at 828. To succeed on a failure to protect claim, an inmate must
first objectively demonstrate that he is “incarcerated under conditions posing a
substantial risk of serious harm.” Id. at 834. A beating of one inmate by another “clearly
constitutes serious harm.” Brown v. Budz, 398 F.3d 904, 910 (7th Cir. 2005). Second, he
must show that prison officials acted with deliberate indifference to that risk, a subjective
inquiry into a prison official’s state of mind. Farmer, 511 U.S. at 838-39.
A prison official may be held liable only if he knows an inmate faces a substantial
risk of serious harm and “disregards that risk by failing to take reasonable measures to
abate it.” Id. at 847. An official who knows of a substantial risk of serious harm is free
from liability, however, if he or she “responded to the situation in a reasonable manner.”
Fisher v. Lovejoy, 414 F.3d 659, 664 (7th Cir. 2005). A showing of negligence, or even gross
negligence, is insufficient to prove an official acted with deliberate indifference. The
standard is the “equivalent of criminal recklessness.” Grieveson v. Anderson, 538 F.3d 763,
777 (7th Cir. 2008) (quoting Borello v. Allison, 446 F.3d 742, 747 (7th Cir. 2006)).
ANALYSIS
I. Deliberate Indifference Claim against RN Traci Peek, LPN Marcia Hill, and Dr.
Vipin Shah
Defendants Peek, Hill, and Shah do not contest that Cox suffered from a serious
medical condition but instead argue that Cox has not demonstrated that they acted with
deliberate indifference in their evaluation and treatment of his eye injury or that
substantial harm resulted from their conduct. (Doc. 122, p. 4).
Defendants allege that after Cox was injured by his cellmate, he was taken to the
healthcare unit where he was evaluated by Nurse Traci Peek, who noted bruising,
reddened left sclera, and a small sized wound on the outer portion of his eyebrow.
(Doc. 123, pp. 1, 3). She referred him to Dr. Shah for examination. (Id.). That same day,
August 6, 2015, Dr. Shah treated Cox and referred him to Pinckneyville’s optometrist. (Id.
at pp. 1, 4, 11). Pinckneyville does not have an optometrist on site full time, but Dr. Shah
believed that the optometrist would be at the facility soon after August 6, 2015. (Id. at
p. 4). Dr. Shah saw Cox again in the segregation unit on August 11, 2015; he assessed the
eye and determined that Cox had a left orbit injury, and he again referred him to be seen
by the optometrist the next morning. (Id.). On August 16, 2015, Cox was treated at a nurse
sick call appointment by Nurse Marcia Hill, who did not believe his injury was an
emergency and referred him to the physician. (Id. at pp. 1, 5; Doc. 123-5, p. 2). Following
these visits, Cox was treated by the optometrist, Dr. Brummel, from September 2015
through November 2016. (Id. at p. 1-2). Dr. Shah saw Cox three times between September
2015 and January 2016 without Cox complaining of eye issues. (Id. at p. 4).
a. RN Traci Peek and LPN Marcia Hill
Nurse Peek argues that she treated Cox on one occasion immediately following
his injury on August 6, 2015. (Doc. 123, p. 10). She claims that considering her objective
findings, and because she is not a specialist and could not diagnose a significant eye
injury, she referred him to the physician. She also recommended that Cox use ice and
follow-up with sick call as needed. (Id. at p. 11). Although Cox disputes that he was
treated by Dr. Shah that same day, Peek argues there is no dispute that she made the
referral for Cox to see the physician. Because she relied on her professional judgment for
the appropriate treatment plan and Cox has not presented evidence that she departed
from accepted professional standards, he has not demonstrated that she acted with
deliberate indifference. (Id.).
Nurse Hill first argues that Cox has not presented any evidence to support his
claim that she ignored his medical requests. (Id. at p. 9). Nurse Hill claims that she does
not process inmate grievances or medical request slips, and there is no evidence that she
ever received any grievances or written medical requests directed to her. (Id.). Because
medical providers cannot be found deliberately indifferent to an inmate’s medical needs
for situations over which they have no control, Nurse Hill cannot be liable for claims
relating to his grievances or medical requests. (Id. at p. 9-10) (citing Walker v. Benjamin,
293 F.3d 1030, 1038 (7th Cir. 2002)). Second, she cannot be liable for deliberate indifference
regarding the care that she provided, as she followed the appropriate course of action.
(Id. at p. 10). She saw Cox on one occasion, determined it was not an emergency, and that
referral to the physician was appropriate. (Id.). Nurse Hill further argues that in the
Amended Complaint the allegations against her are only for the failure to respond to
grievances and complaints filed by Cox. As he did not allege deliberate indifference to
any treatment provided in the Amended Complaint, any additional claims regarding her
treatment have been improperly raised in the Response in Opposition filed by Cox.
(Doc. 145, p. 2).
Cox states that a jury could infer deliberate indifference because both nurses failed
to follow the Illinois Department of Corrections Nursing Treatment Protocols for eye
injuries when treating his eye injury. (Doc. 141, p. 11; see also Doc. 141-9, p. 5-6). He argues
that “a failure to follow existing protocols, like assessing and documenting the
information required in the IDOC Eye Injury form, creates an inference of deviation from
medical standards…” (Id. at p. 12) (citing Petties, 836 F.3d at 730).
Specifically, Cox alleges that following the attack, Nurse Peek did not exam his
eye, take his vitals, or provide pain relief medication or an ice pack. (Id. at p. 13). In his
deposition, Cox states that in the healthcare unit following the altercation, Nurse Peek
complained about her smoke break being interrupted and carried on a conversation with
another nurse about what she did the night before. (Id. at p. 13, Doc. 137-6, pp. 8, 11). Cox
also states that she did not ask him any questions regarding the injury. (Doc. 137-6, p. 11).
Instead of providing him medical treatment, Nurse Peek “chose the easier option of
referring” him to a medical doctor. (Doc. 141, p. 14).
Similarly, Cox argues that Nurse Hill also did not examine his eye or provide pain
relief medication or an ice pack during the August 11, 2015,4 nurse sick call appointment.
(Doc. 141, p. 14; p. 13; Doc. 137-6, pp. 15, 29). Instead of examining his eye or immediately
taking him to medical, she too only referred him to a medical doctor. (Doc. 141, p. 13;
Doc. 137-6, pp. 12, 15, 19). He alleges that if she had conducted a full examination, then
Nurse Hill would have taken him immediately to healthcare that day for treatment.
(Doc. 137-6, p. 19). Additionally, Cox claims that Nurse Hill inaccurately recorded his
injury and symptoms. (Doc. 141, p. 14). She states in her affidavit that Cox complained
that he “couldn’t close his left eye,” but all other evidence in the case demonstrates that
Cox could not open his eye. He argues that she also falsely recorded that he experienced
no discomfort and that he never had complained about his eye injury prior to the nurse
sick call appointment, when he had actually attempted to contact someone in healthcare
on multiple occasions. (Doc. 141, p. 14; Doc. 137-6, p. 14).
The Court finds that Nurse Peek is entitled to summary judgment on Cox’s claim
that she acted deliberately indifferent by not properly examining his eye injury. Cox does
not dispute that following the altercation with his cellmate he was promptly taken to the
healthcare unit where Nurse Peek cleaned his wound, but he argues that Nurse Peek’s
evaluation and treatment were inadequate and failed to follow nurse protocols, which
“directly decreased his chance of being evaluated by a doctor.” (Doc. 141, pp. 13, 14; Doc.
141-1, p. 3). Failure to follow healthcare protocols can “provide circumstantial evidence
that a prison health care gatekeeper knew of a substantial risk of serious harm.” Petties,
4 Cox claims that he was seen by Nurse Hill at nurse sick call around August 11, 2016, (Doc. 137-6, pp. 15,
29), while Nurse Hill claims that the date of the nurse sick call visit was August 16, 2015 (Doc. 123-5, p. 2).
836 F.3d at 729 (quoting Mata v. Saiz, 427 F.3d 745, 757 (10th Cir. 2005)). Even if Nurse
Peek had not evaluated his eye according to IDOC nursing protocols and acted
unprofessionally during the exam, however, Cox has not demonstrated how Nurse
Peek’s decision to refer him to a doctor5 rather than conduct a full evaluation herself
“represents so significant a departure from accepted professional standard or practices
that it calls into question whether the [provider] actually was exercising his professional
judgment[,]” Pyles, 771 F.3d at 409, or was “blatantly inappropriate[.]” Greeno, 414 F.3d
at 654. See also Patton v. Przybylski, 822 F. 2d 697, 700 (7th Cir. 1987) (unprofessional
conduct does not violate the Constitution). Furthermore, accepting as true the claim that
Cox did not see Dr. Shah until August 16, 2015, he has not presented any evidence for a
jury to conclude that Nurse Peek knew that Cox did not see a doctor for another ten days
following the attack or that she was responsible for the delay in scheduling the
appointment. See Walker v. Wexford Health Sources, Inc., 940 F.3d 954, 956 (7th Cir. 2019).
The Court finds, however, that there is a genuine issue of material fact regarding
5 Cox has conflicting statements regarding when he was referred to a medical doctor. The Court finds that
Cox’s allegation in his supplemental declaration that Nurse Hill did not refer him to the medical doctor on
April 6, 2015 (Doc. 141-3, p. 2-3), directly contradicts the statements in his deposition that he does not know
what steps Nurse Peek took to contact the physician and that he did not know whether or not his
appointment with Dr. Shah on August 16, 2015, was scheduled based on the offender injury report filled
out by Nurse Peek that referred him to the medical doctor. (Doc. 137-6, pp. 26, 31). “As a general rule ...
this circuit does not permit a party to create an issue of fact by submitting an affidavit whose conclusions
contradict prior deposition or other sworn testimony.” Dunn v. Menard, Inc., 880 F.3d 899, 910 (7th Cir.
2018) (quoting Buckner v. Sam’s., Club, Inc 75 F.3d 290, 292 (7th Cir. 1996). “Thus, where deposition
testimony and an affidavit conflict, ‘the affidavit is to be disregarded unless it is demonstrable that the
statement in the deposition was mistaken…’”Dunn, 880 F.3d at 910 (quoting Russell v. Acme-Evans Co., 51
F3d 64, 67-68 (7th Cir. 1995)).Therefore, the Court disregards the contradictory statements and instead
credits the deposition testimony. See Jones v. Moore, No. 03-56-CJP, 2006 WL 839422 at *3, n. 2 (S.D. Ill. 2006)
(“a party cannot create questions of fact and/or credibility by belatedly issuing contradictory statements
that ameliorate or contradict prior sworn statements, at least not without further support in the record.”)
(citations omitted).
whether Nurse Peek was deliberately indifferent to the pain that Cox experienced. See
Gonzalez v. Feinerman, 663 F.3d 311, 314 (7th Cir. 2011) (treating a hernia and chronic pain
it caused as separate medical conditions). See also Gomez v. Randle, 680 F.3d 859, 865 (7th
Cir. 2012) (holding that “prolonged, unnecessary pain as a result of a readily treatable
condition” may constitute deliberate indifference). Cox claims that Nurse Peek
disregarded his pain, and in his deposition, he states that he told Nurse Peek that his
head was pounding and his pain was at a level ten, but he did not receive any medication
or an ice-pack. (137-6, p. 34; see also Doc. 8, p. 68). Cox claims that from August 6, 2015,
until his nurse sick call appointment, the pain was the exact same and that it “didn’t go
away.” (Doc. 137-6, pp. 34, 35). When deciding summary judgment, the Court will not
make credibility determinations. See Townsend v. Fuchs, 522 F.3d 765, 774 (7th Cir. 2008).
Although Cox’s allegations that he complained of pain to Nurse Peek are not supported
by the medical records, a fact noted by Defendants (see Doc. 145, p. 4), it is possible that
the observations written down by medical staff are inaccurate as Cox alleges. (See
Doc. 141, pp. 13, 14). “Where the parties present two vastly different stories—as they do
here—it is almost certain that there are genuine issues of material fact in dispute.”
Washington v. Haupert, 481 F.3d 543, 550 (7th Cir. 2007) (quoting Payne v. Pauley, 337 F.3d
767, 770 (7th Cir. 2003)). Because the accuracy of the medical records has been called into
question, Nurse Peek is not entitled to summary judgment on the issue of whether she
acted with deliberate indifference in treating Cox’s pain.
As to Nurse Hill, the Court finds that there is a genuine issue of material fact
regarding whether Nurse Hill provided constitutionally inadequate treatment and failed
Page 13 of 32
to treat his pain. First, the Court does not find that the allegations against Nurse Hill
regarding the treatment he received during his nurse sick call appointment are new
claims improperly raised by Cox in his Response in Opposition. Although the Court
characterized Count 5 in the merit review order of the Amended Complaint as against
“grievance officials,” his claims against Nurse Hill are not solely as a “grievance official.”
(Doc. 16, p. 12; Doc. 145, p. 2). The Court stated in the merit review order that Cox is
claiming an Eighth Amendment claim against Defendants Baldwin, Lashbrook, Stacy
Brown, Hill, and Christine Brown for deliberate indifference by “failing to respond to
Plaintiff’s grievances and complaints regarding his lack of treatment.” (Doc. 16, p. 6)
(emphasis added). The Court also summarized Cox’s claim by stating that he “has alleged
that he informed, via grievance or otherwise, many of the defendants about his medical
issues.” (Id. at p. 12) (emphasis added). Cox alleges in the Amended Complaint that he
saw a nurse at nurse sick call who charged him five dollars “to add his name to the doctor
call-line.” (Doc. 8, p. 68). In his deposition, Cox also states that during the nurse sick call
appointment with Nurse Hill, “what I said to her, she basically ignored. It went in one
ear, out the other. I’m giving her specific details, and she is like—she writes inmate never
complained about eye injury until now.” (Doc. 137-6, p. 14). Cox is not raising a new claim
at the summary judgment phase by arguing that Nurse Hill acted with deliberate
indifference by failing to examine him at his nurse sick call appointment. His claim
against her has always been an Eighth Amendment deliberate indifference claim for
ignoring his complaints and failing to respond.
A review of the facts in the light most favorable to Cox assumes that at the time he
arrived at nurse sick call he had gone around five days without receiving treatment for
his eye injury. Cox’s expert, Dr. Nadel, an ophthalmologist, states in his report that Cox
should have been examined within twenty-four to forty-eight hours after his injury
(Doc. 141-4, p. 5), and Defendants’ expert, Dr. Cohen, testified that he agreed “to that
statement based on the fact of what the nurse and the doctors saw at the institution.”
(Doc. 123-6, p. 15). Even Dr. Shah states in his deposition that someone who is
complaining of being hit in the eye with a hard-covered book should be seen by an eye
doctor as soon as possible. (Doc. 123-3, p. 19). If, as Cox alleges, Nurse Hill did not
examine his eye, notated incorrect observations in the medical records, and ignored his
complaints that he had been trying for days to obtain medical care for his injury and pain,
a reasonable jury could conclude that Nurse Hill departed “from the professional
norm…[and] acted deliberately indifferent to [Cox’s] health[,]” Gayton, 593 F.3d at 622
(citation omitted), by not examining him, ensuring he received immediate medical
attention, and failing to provide him pain medicine. See also Arnett, 658 F.3d at 753 (“A
delay in treating non-life-threatening but painful conditions may constitute deliberate
indifference if the delay exacerbated the injury or unnecessarily prolonged an inmate’s
pain.”). Nurse Hill is therefore not entitled to summary judgment.
b. Dr. Shah
Dr. Shah argues that he provided appropriate treatment and that Cox cannot
demonstrate that he acted with deliberate indifference. (Doc. 123, p. 12). He examined
Cox immediately after Nurse Peek on August 6, 2015, and referred Cox to the optometrist
to ensure there was no inside eye damage. (Id. at p. 13). In his deposition, Dr. Shah states
that he did not have drops to dilate the eye, and thus he could only examine the outside
of the eye, but not do a “full checkup” and examine for damage on the inside of the eye.
(Doc. 123, p. 13; Doc. 135-2, p. 12). Dr. Shah determined based on Cox’s vital signs, mild
swelling, and blood in the eye, which is common after being hit, the situation was not an
emergency. (Doc. 123, p. 13; Doc. 135-2, p. 12). He noted to visit Cox in segregation on his
next rounds, which he did on August 11, 2015. (Id.). During the exam, Dr. Shah assessed
the eye and determined that Cox had a left orbit injury and again referred him to the
optometrist. (Doc. 123, p. 4). He ordered that Cox be seen by the optometrist the next
morning. (Id.). Dr. Shah states he saw Cox three times between September 2015 and
January 2015, but that Cox did not complain about eye issues during those visits. (Id.).
Even if Dr. Shah did not see Cox until August 16, 2015, as Cox alleges, there is no evidence
that proves that the delay in treatment exacerbated the injury. Dr. Shah further argues
that he has no control over scheduling optometrist appointments and so he cannot be
held liable for the delay in time between his optometry referral and the actual
appointment on September 22, 2015. (Id. at p. 15).
Cox claims that he did not see Dr. Shah on August 6 or 11, 2015, and that his first
appointment with him was in segregation on August 16, 2015. (Doc. 140, p. 4). During
this exam, Cox alleges that Dr. Shah did not examine his eye. Dr. Shah told Cox that he
was there to evaluate Cox for seizures and asthma, not the eye injury. (Doc. 137-6, pp. 13,
27, 35; Doc. 141, p. 8). Cox claims he told Dr. Shah that he felt like his “head was going to
explode” because of the pain, but Dr. Shah informed Cox that he was not an eye doctor.
(Doc. 137-6, p. 35). During the appointment on September 19, 2015, Cox claims that Dr.
Shah expressed surprised that Cox had still not yet seen an eye doctor. (Doc. 137-6, p. 15,
Doc. 141, p. 8).
Cox argues not only that Dr. Shah denied and delayed medical treatment, but that
Dr. Shah was deliberately indifferent to his extreme pain. (Doc. 141, p. 10). Cox’s
allegations that Dr. Shah never evaluated his eye injury, did not provide a treatment plan
for his pain, and did not ensure that he was seen by an optometrist creates a genuine
issue of material fact on whether Dr. Shah acted with deliberate indifference. (Doc. 137-
6, p. 27). A reasonable juror could determine that because (1) Dr. Shah signed the injury
report on August 6, 2015 (Id. at p. 11; Doc. 137-6, p. 13); (2) the healthcare unit was
contacted in response to grievances and request slips Cox filed regarding his injury
(Doc. 137-4, p. 2; Doc. 137-5, p. 2; Doc. 137-6, p. 7); and (3) both Nurse Peek and Nurse
Hill referred him to be seen by the medical doctor, Dr. Shah knew the seriousness of Cox’s
injury and pain and was deliberately indifferent in failing to treat him. (Id. at p. 11).
Although Defendants argue that Cox has no foundation to dispute entries in the medical
records or schedule (Doc. 145, p. 6), it is up to the jury to determine the accuracy or
truthfulness of the information contained within the records. Whether or not Cox is
telling the truth is a question that the Court cannot resolve at summary judgment.
Furthermore, as previously mentioned, the experts retained by both parties and
Dr. Shah agree that someone with a traumatic eye injury should be seen as soon as
possible. (Doc. 141-4, p. 5; Doc. 123-6, p. 15; Doc. 123-3, p. 19). Dr. Shah repeatedly asserts
that he does not control inmate scheduling. (Doc. 123, p. 4; 123-3, p. 14; Doc. 145, p. 5).
During his deposition, however, he also states that as medical director he sees that each
offender’s “plan of care is carried out” (Doc. 123-3, p. 26), and so there is an issue of fact
regarding whether Dr. Shah had control over the circumstances that caused the delays.
Walker, 940 F.3d at 964. Not only does Cox claim that his pain was prolonged by the denial
and delay in care, but he has offered testimony from an expert that failure to promptly
treat and evaluate his eye injury may have increased the risk of cataract formation.
(Doc. 141-4, p. 6). See Williams v. Liefer, 491 F.3d 710, 715-16 (7th Cir. 2007) (“a plaintiff
must provide ‘verifying medical evidence’ that the delay (rather than the inmate’s
underlying condition) caused some degree of harm.”) (citations omitted); Gayton, 593
F.3d at 625 (“only in the rare instance that a plaintiff can proffer no evidence that a delay
in medical treatment exacerbated an injury should summary judgment be granted on the
issue of causation.”). For these reasons, the Court denies Dr. Shah’s motion for summary
judgment.
II. Deliberate Indifference Claim Against Dr. Brummel
Administrator Sikorski also does not contest that Cox suffered from a serious
medical need. Rather, she argues that Cox cannot demonstrated that Dr. Brummel was
deliberately indifferent in providing treatment. (Doc. 135, p. 14). She argues that there is
no evidence that Dr. Brummel departed from professional standards when treating Cox.
Dr. Brummel first treated Cox on September 22, 2015, determined that there was possible
formation of a posterior subcapsular (“PSC”) cataract on the left eye and measured his
visual acuity, spherical, intraocular pressures, and cup-to-disc ratios. (Id. at p. 6). On this
date there was no indication that Cox required cataract surgery. (Id. at p. 10).
Dr. Brummel saw Cox again on December 1, 2015, for an optometric evaluation
and Cox’s complaint of blurred vision in his left eye. (Id. at p. 7). Dr. Brummel again
measured Cox’s visual acuity, intraocular pressures, and cup-to-disc ratios. During this
appointment, Dr. Brummel decided to refer Cox to Marion Eye Clinic for a diagnostic
OCT exam to make sure there was no macular disease or macular edema.
On January 13, 2016, Dr. Brummel saw Cox for an evaluation and regarding Cox’s
complaint that he still had not had his OCT exam. (Id.). Dr. Brummel again measured
Cox’s visual acuity, intraocular pressures, and cup-to-disc ratios, identified a PSC
cataract, and documented a decline in vision. (Id. at p. 8). Because of the decline in Cox’s
vision, Dr. Brummel recommended amsler grid testing. On January 25, 2016, Cox was
sent to Marion Eye Center for a macular OCT.
Dr. Brummel saw Cox on February 10, 2016, at a follow up appointment. The
macular OCT of both eyes was normal with no retinal abnormal findings. (Id.). Dr.
Brummel measured Cox’s visual acuity in the left eye. (Id.). Dr. Brummel concluded that
no treatment was recommended without an edema seen on the OCT diagnostic
evaluation and that the reduced vision in the left eye was due to the traumatic injury. (Id.
at p. 9). During the next evaluation on June 1, 2016, Dr. Brummel again measured Cox’s
visual acuity, intraocular pressures, and cup-to-disc ratios. Dr. Brummel assessed
presbyopia, Anisocoria, and retinal damage due to trauma and that no treatment was
possible.
Dr. Brummel last evaluated Cox’s eyes on November 16, 2016. (Id.). He measured
the intraocular pressures and cup-to-disc rations, documented the anterior and posterior
segment exams as normal, and notated that there was a PSC cataract in the left eye. (Id.
at p. 10). Dr. Brummel ordered photo-gray lenses to address and prevent Cox’s
complaints of photophobia. (Id.). He also prescribed him new prescription glasses on
three different occasions. (Id.).
Sikorski claims that Dr. Brummel made the determination that the appropriate
treatment for Cox’s blurry vision and photophobia was through prescription glasses and
photo gray lenses and that additional treatment was not possible due to the traumatic
injury. There is no evidence that any earlier treatment from medical providers would
have prevented the Anisocoria or cataract formation. (Id. at p. 10). Cox also has not
presented evidence that his changes vision were caused by any medical treatment he
received at Pinckneyville, and his own expert testified that the blurred vision could have
caused the cataract formation. (Id. at p. 7; Doc. 141-2, p. 21). Cox’s allegations that Dr.
Brummel should have referred Cox to an ophthalmologist for evaluation or surgery or
provided an alternative treatment does not support a claim of deliberate indifference.
(Doc. 135, p. 15).
Finally, Sikorski argues that Dr. Brummel had no control over Cox’s scheduling or
the alleged delay in treatment. But again, Cox has not presented any evidence that Dr.
Brummel actually knew about Cox’s injury or the interval between the injury date and
the first appointment on September 22, 2019. (Id. at p. 18).
Cox argues that Sikorski’s defense relies on Dr. Brummel’s medical records, which
are inconsistent and contradictory. (Doc. 142, p. 7). Dr. Nadel reported that the “records
of Dr. Brummel do not meet medical standards[,]” and that “[t]here’s so many flaws in
these records that one has to question the validity of any of it.” (Doc. 141-4, p. 6; Doc. 141-
2, p. 36). On September 22, 2015, Dr. Brummel recorded in the medical record that the
pupils were round and equal in one section, while stating in the same document that the
left pupil was twice the size of the right pupil in another. (Doc. 142, p. 8). In the records
from September and December, Dr. Brummel notated the possible formation of a PSC
cataract, and in January he recorded a posterior subcapsular opacity. (Id. at p. 8; Doc. 141-
4, p. 5). There is not a notation, however, from the February or June appointments of a
cataract. (141-4, p. 5; Doc. 123-6, p. 13). In November 2016, Dr. Brummel records “residual
psc lens” — indicating there is a cataract, and there is no record of Cox’s vision. (Doc. 123-
6, p. 13). During the examination on June 6, 2016, Dr. Br'ummel recorded that Cox’s vision
was improving and noted a vision of 20/30-1 in the left eye, but as of November 5, 2017,
Cox’s vision was recorded at 20/100 in the left eye. (Doc. 142, p. 8; Doc. 123-6, p. 13). Cox
argues there is no explanation for why the cataract is “identified, then disappeared, and
then reformed” or for the inconsistencies in Cox’s vision acuity. (Doc. 142, p. 8).
Additionally, Dr. Nadel reports that Dr. Brummel “refers to retinal damage” in the
medical records, but he also “notes that there was no edema on the OCT|,]” and the OCT
of both eyes appeared normal with no retinal abnormal findings. (Doc. 141-4, p. 6; Doc.
141-2, p. 25) (Dr. Nadel states in the deposition “you have an OCT that’s perfectly normal,
so what damage are you talking about?”). Dr. Nadel also testified that because of the
incompleteness in the medical records, it cannot be determined based on the records
whether additional treatment was required or whether Cox’s dilated pupil and cataract
formation were caused by the injury or inadequate treatment (Doc. 141-2, p. 37).
Cox further argues that Dr. Brummel’s treatment deviated from medical
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standards, and he failed to follow existing protocols during examinations and to perform
many medical tests necessary to accurately diagnosis Cox’s serious condition. (Doc. 142,
p. 7). For example, during his initial examination of Cox, Dr. Brummel did not perform a
cover test, a lamp exam, or an ophthalmoscopy. (Id. at p. 9). Dr. Nadel states in his
deposition that this initial exam on September 22, 2015, was “incomplete.” (Doc. 141-2,
pp. 28, 29). Dr. Nadel further testified that anyone who has an injury “should have the
peripheral retina examined[,]” which according to the medical records was also not
preformed. (Doc. 141-2, p. 29). Furthermore, Cox states that during the exam following
the OCT, Dr. Brummel told Cox he was unable to read the medical chart. (Doc. 142, p. 10;
Doc. 137-6, p. 17). Finally, Cox argues that Dr. Brummel’s prescribed treatment plan was
the easier, less effective treatment, despite knowing about Cox’s continuous pain,
extreme light sensitivity, and reduced vision. (Doc. 142, p. 11).
The Court finds that Cox has not presented any evidence that Dr. Brummel
actually knew about the delay in treatment from the time of being injured on August 6,
2015, to his initial appointment with Dr. Brummel on September 22, 2015. As such, the
Court grants summary judgment to the extent Cox is claiming that Dr. Brummel was
deliberately indifferent for failing to provide treatment for forty-five days following his
injury. See Alexander v. Richter, 756 F. App’x 611, 614-15 (7th Cir. 2018).
The Court denies the motion for summary judgment, however, as to Cox’s claim
that Dr. Brummel provided him with constitutionally inadequate treatment for his eye
injury and continuous pain. While Sikorski argues that Dr. Brummel provided ongoing
treatment, and Dr. Cohen reports that Cox’s claims regarding damage to his vision and
eye are caused by the trauma and are not a “product of neglect for his care” (Doc. 142-5,
p. 7), Dr. Nadel’s testimony calls into question the reliability of the medical records and
whether Dr. Brummel’s treatment departed from professional standards. See Whiting, 839
F.3d at 664 (to survive summary judgment a plaintiff needs “to present evidence
sufficient to show that [the doctor’s] decision was ‘so far afield of accepted professional
standards as to raise the inference that it was not actually based on medical judgment.’”)
(quoting Norfleet v. Webster, 439 F.3d 392, 396 (7th Cir. 2006)). Accordingly, the Court finds
there is a question of fact as to whether Dr. Brummel was deliberately indifferent, and he
is not entitled to judgment as a matter of law.
III. Deliberate Indifference Claim Against John Baldwin, Christine Brown, Stacey
Brown, and Jacqueline Lashbrook
Defendants Baldwin, Christine Brown, Stacey Brown, and Lashbrook do not
dispute that Cox’s eye injury is a serious medical need. Accordingly, the issue before the
Court is whether each defendant acted with deliberate indifference regarding Cox’s
medical treatment.
a. John Baldwin
John Baldwin, the former action director of the Illinois Department of Corrections
(“IDOC”), argues that his actions have not risen to the level of deliberate indifference.
(Doc. 125, p. 13). He states that the only evidence regarding his possible involvement in
Cox’s medical treatment is his alleged signature on the responses to grievances. (Id.).
Baldwin claims that he was not responsible for providing direct medical care to Cox, and
the grievance documents demonstrate that he, or a representative on his behalf, ensured
that Cox was being seen by medical providers and provided medical care. (Id.). As a
nonmedical professional, he believed that Cox was in the capable hands of the providers
at Pinckneyville. Although Cox states that he also mailed Baldwin letters informing
Baldwin of his medical issues, Cox provides no documentation and admits he has never
met Baldwin. (Id.).
Cox refutes Baldwin’s argument that as a nonmedical professional he must rely on
the opinions of doctors. Cox claims that his grievances and letters were stating that he
was not actually being evaluated by medical staff or receiving treatment for his pain and
so his complaints did not require medical expertise. (Doc. 137, p. 9).
The Court finds that John Baldwin is entitled to summary judgment. First, Cox
presents no evidence to indicate that Baldwin read or even received the letters that he
alleges to have sent Baldwin regarding his medical care. See Johnson v. Snyder, 444 F.3d
579, 584 (7th Cir. 2006) (overruled on other grounds) (ruling that the fact of sending a
letter or letters to the director was insufficient to create a genuine issue of material fact,
as there was “no evidence that [the director] actually read [the plaintiff’s]
communications or had any subjective awareness of [the plaintiff’s] condition.”). In the
Amended Complaint, Cox specifically alleges that on February 5, 2016, he wrote
“Springfield in regards to me having eye-surgery [because] I believe my vision is getting
wors[e] with every-passing-day.” (Doc. 8, p. 75). Assuming Baldwin did see and read this
letter requesting surgery, this evidence would not be sufficient to establish liability. See
Vance v. Peters, 97 F.3d 987, 933 (7th Cir. 1996) (“[t]he plaintiff still has the burden of
demonstrating that the communication, in its content and manner of transmission, gave
the prison official sufficient notice to alert him or her to an excessive risk to inmate health
or safety.”). This letter was requesting a specific form of treatment, and at this time Cox
was being seen by Dr. Brummel and had been referred to an outside clinic for treatment.
The Seventh Circuit has held that “if a prisoner is under the care of medical experts, a
non-medical prison official will generally be justified in believing that the prisoner is in
capable hands.” Arnett, 658 F.3d at 755.
Second, to the extent Cox is arguing that Baldwin cannot argue he was relying on
the judgment of medical professionals when reviewing the grievances because Cox was
grieving the delay in medical care, this argument does not coincide with the timelines in
the record. The earliest grievance filed on August 10, 2015, was received by the
Administrative Review Board on October 21, 2015. Along with the grievance, the
Administrative Review Board received information that Cox had been seen at this point
by a medical doctor on August 6, 2015, and August 11, 2015, and scheduled to be
evaluated by an optometrist. (Doc. 125-6, p. 8-9). While the accuracies of the medical
records are now being questioned, Cox has not presented any evidence that Baldwin had
any reason to believe that Cox was not being treated by medical staff at that time, and
therefore acted deliberately indifferent in concurring with the Administrative Review
Board. Hayes v. Snyder, 546 F.3d 516, 527 (7th Cir. 2008). Because Cox has not submitted
evidence showing a genuine issue of material fact that Baldwin knew of the alleged
constitutional violation and turned a blind eye, Baldwin is entitled to summary
judgment.
Finally, as to the allegation that Baldwin is directly responsible for the treatment
of IDOC inmates and has power to direct all IDOC personnel, Baldwin cannot be
vicariously liable for the acts of his staff. See Keller v. Elyea, 496 F. App’x 665, 667 (7th Cir.
2012).
b. Jacqueline Lashbrook, Stacey Brown, and Christine Brown
Defendants argue that they are not responsible for providing direct medical care
to Cox and relied on the opinions of the doctors. (Doc. 125, p. 14 -16). They state that the
grievance documents demonstrate that they ensured Cox was seen by medical providers
and received medical care, and Cox has failed to show that their actions rose to the level
of deliberate indifference. (Id.).
According to the records, Lashbrook received the first grievance containing
complaints regarding the lack of medical treatment for Cox’s eye injury on August 14,
2015. (Doc. 137-5, p. 2). On this date, Lashbrook determined that the grievance was not
an emergency. Then, on September 10, 2015, she determined his grievance filed on
September 4, 2015, was an emergency and should be expedited, but as previously
mentioned by this Court, the warden took no other action. (Doc. 125-6, p. 6; Doc. 87, p. 8;
Doc. 137-1, p. 2). Cox alleges he also verbally notified Lashbrook twice during her rounds
through the segregation wing between August 6, 2015, and September 6, 2015, that he
had not been examined by a physician and was in an immense amount of pain. (Doc. 137-
6, p. 47; Doc. 137-8, p. 7).
Grievance records demonstrate that the earliest Stacey Brown, a counselor at
Pinckneyville, received a grievance from Cox was on October 13, 2015, after his
appointment with Dr. Brummel. (Doc. 125-6, p. 6). Cox also alleges, however, that he told
Stacey Brown verbally on three occasions, prior to the appointment with Dr. Brummel,
that medical staff was not evaluating his eye or providing him pain medication, and she
ignored his complaints. (Doc. 137, p. 6).
Similarly, Cox claims that he sent twenty request slips to healthcare addressed to
Christine Brown, the healthcare administrator. He states that he did not receive a
response from the requests slips to healthcare, and they are missing from the medical
record. (Doc. 137-6, p. 7).
In this case, there is a question of fact as to whether Lashbrook, Stacey Brown, and
Christine Brown disregarded an excessive risk to Cox’s health by failing to ensure that
Cox was being treated, as he alleges. Although nonmedical prison administrators may
generally defer to the decisions of medical professionals, see, e.g. Berry, 604 F.3d at 440,
Cox asserts that he was not being treated for his eye injury and pain for over month
following his injury and that he contacted Defendants in an attempt to resolve the issue.
While Defendants claim that they believed that Cox was being seen by medical personnel
and in capable hands, the subject of all his complaints was his eye had not been examined,
he was experiencing vision loss, and he was in continuous pain. (Doc. 137-8, p. 7). This is
less a question of medical judgment and more an issue as to whether Cox was receiving
adequate treatment at all. A prison official may be found to be deliberately indifferent to
a prisoner’s serious medical needs if “they have a reason to believe (or actual knowledge)
that prison doctors or their assistants are mistreating (or not treating) a prisoner.” Hayes v.
Snyder, 546 F.3d 516, 527 (7th Cir. 2008) (emphasis added). Additionally, “delays in
treating painful medical conditions that are not life-threatening can support Eighth
Amendment claims.” Gutierrez v. Peters, 111 F.3d 1364, 1371 (7th Cir. 1997). As “the
evidence of the non-movant is to be believed, and all justifiable inferences are to be drawn
in his favor[,]” Liberty Lobby, Inc., 477 U.S. at 255 (citation and quotation marks omitted),
there are multiple issues of fact regarding whether Cox was being treated by medical staff
at Pinckneyville, and if Lashbrook, Stacey Brown, and Christine Brown disregarded the
risk to his safety by failing to act and ignoring his medical complaints, exacerbating the
injury and prolonging his pain. See Petties, 836 F.3d at 730-31.
Lashbrook, Stacey Brown, and Christine Brown further argue that they are entitled
to qualified immunity as to Cox’s claims against him. Qualified immunity shields
“government officials from liability for civil damages insofar as their conduct does not
violate clearly established statutory or constitutional rights of which a reasonable person
would have known.” Pearson v. Callahan, 555 U.S. 223, 231 (2009). The qualified immunity
test has two prongs: (1) whether the facts shown, taken in the light most favorable to the
party asserting the injury, demonstrate that the officer’s conduct violated a constitutional
right, and (2) whether the right at issue was clearly established at the time of the alleged
misconduct. See Pearson, 555 U.S. at 232; Brosseau v. Haugen, 43 U.S. 194, 197 (2004); Wilson
v. Layne, 526 U.S. 603, 609 (1999). “The doctrine of qualified immunity protects
government officials from liability for civil damages when their conduct does not violate
clearly established statutory or constitutional rights of which a reasonable person would
have known.” Humphries v. Milwaukee Cty., 702 F.3d 1003, 1006 (7th Cir. 2012) (citations
and quotation marks omitted).
The Court has already determined that there are disputes of material fact that
prevent a finding that Defendants did not engage in a constitutional violation.
Furthermore, accepting Cox’s allegations as truth, the “Supreme Court has long held that
prisoners have an Eighth Amendment right treatment for their serious medical needs.
For the purposes of qualified immunity, that legal duty need not be litigated and then
established disease by disease or injury by injury.” Estate of Clark v. Walker, 865 F.3d 544,
553 (7th Cir. 2017). As such, Lashbrook, Stacey Brown, and Christine Brown are not
entitled to qualified immunity.
IV. Failure to Protect Claim Against Leslie Wood
Correctional Officer Leslie Wood claims that he was not the responding officer to
the incident between Cox and his cellmate. (Doc. 125, p. 9). His timecard proves that he
was not working at Pinckneyville on August 6, 2015, and Cox has not offered any
evidence demonstrating that Wood was the responding officer. Cox states in his
deposition that Cox was told by another officer that the responding officer’s name was
“Wood.” (Id.). Furthermore, even if it were taken as true that Wood was the responding
officer, he is still entitled to summary judgment. Wood argues it is undisputed that the
responding officer shouted for Cox’s cellmate to stop, and both inmates were removed
from the cell and immediately taken to healthcare. Though there is a factual dispute over
whether Cox was handcuffed in the cell while his cellmate was unrestrained, this action
was at worst negligent on the part of the responding officer and does not demonstrate
deliberate indifference. (Id.).
The record contains insufficient evidence that Wood did not take serious measures
to abate the risk to Cox’s safety. Cox in his deposition states that the responding officer
came to the cell, ordered him to turn around and cuff up through the chuckhole, and he
complied. (Doc. 137-6, pp. 23, 25). The officer radioed control requesting for the cell door
to be opened, but nothing happened. While the officer was waiting for control to open
the cell door, Cox’s cellmate grabbed the book and hit Cox three to four times. The officer
told the cellmate to stop. (Doc. 138, p. 3). The responding officer then left for forty-five
seconds and returned with another officer who then opened the cell door with a key. The
officers then “snatch[ed]” Cox “out of the way.” (Doc. 137-6, pp. 23, 25). Cox argues that
Wood’s choice to handcuff his “arms behind his back, with the cell door locked, after his
cellmate attacked him quite obviously created a substantial risk of serious harm that rises
to the level of deliberate indifference….” (Doc. 137, p. 10).
Assuming that Wood was the responding officer, Cox’s allegations pertain to
Wood’s role in responding to the attack, not that Wood had knowledge of any risk to Cox
prior to the altercation. Though there may have been a better choice in restraining Cox
and his cellmate, the Court finds that Wood’s decision to handcuff Cox prior to removing
him from the cell does “not cross the line from negligently enabling the attack to
recklessly condoning it.” Giles v. Tobeck, 895 F.3d 510, 514 (7th Cir. 2018). As testified to
by Cox, once Wood saw that Cox was being hit with the book, he ordered the cellmate to
stop and quickly found help to open the cell door. He “did not deliberately abdicate [his]
responsibility.” Giles, 895 F. 3d at 514. “A jury could conclude that [Wood] showed poor
judgment…but such a mistake would not be enough to show the reckless disregard
necessary for an Eighth Amendment violation.” Id. (citing O’Brien v. Ind. Dep’t of Corr. ex
rel. Turner, 495 F. 505, 510 (7th Cir. 2007)). Therefore, Wood is entitled to summary
judgment.6
DISPOSITION
For the reasons set forth above, the Court GRANTS in part and DENIES in part
the Motion for Summary Judgment filed by Marcia Hill, Traci Peek, and Vipin Shah.
(Doc. 122). The motion is granted as to Cox’s claim that Nurse Peek was deliberately
indifferent by failing to examine his eye following the altercation on August 6, 2015. The
motion is denied as to Cox’s claim that Nurse Hill, Nurse Peek, and Dr. Shah failed to
treat his pain and to Cox’s claim that Nurse Hill and Dr. Shah provided constitutionally
inadequate treatment.
The Court GRANTS in part and DENIES in part the Motion for Summary
Judgment filed by Karen Sikorksi. (Doc. 134). The motion is granted as to Cox’s claim that
Dr. Brummel was deliberately indifferent to the delay in care following the altercation on
August 6, 2015, and denied as to Cox’s claim that Dr. Brummel provided constitutionally
inadequate treatment for his injury and subsequent pain.
Finally, the Court GRANTS in part and DENIES in part the Motion for Summary
Judgment filed by John Baldwin, Christine Brown, Stacey Brown, Jacqueline Lashbrook,
and Leslie Wood. (Doc. 125). The motion is granted as to Baldwin and Wood, but denied
as to Christine Brown, Stacey Brown, and Lashbrook. Accordingly, the claims against
Baldwin and Wood are DISMISSED with prejudice. The Clerk of Court shall terminate
them as defendants and enter judgment in their favor at the conclusion of the entire
6 Because the Court has concluded that the evidence does not create a genuine issue of material fact as to
whether Defendant Wood violated Cox’s Eighth Amendment rights, it will not address his claim of
qualified immunity.
action. The Clerk of Court is further DIRECTED to correct the docket in accordance with
footnote 1.
Cox’s claims of deliberate indifference shall proceed against Peek, Shah, Hill,
Sikorski, Lashbrook, Stacey Brown, and Christine Brown and remain pending.
A telephone conference will be set at a later date (when the suspension of jury
trials in the district due to COVID-19 has ended) to set firm dates for a final pretrial
conference and jury trial.
IT IS SO ORDERED.
DATED: April 1, 2020
7 wag locating J
NANCY J. ROSENSTENGEL |
Chief U.S. District Judge
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