# Bilik v. Wexford Health Sources, Inc.

> District Court, S.D. Illinois · September 23, 2021

URL: https://www.frixlaw.com/law-library/cases/10154161

## Case

- **Court:** District Court, S.D. Illinois
- **Decided:** September 23, 2021
- **Opinion:** 100trialcourt
- **Cited by:** 0 later opinions in the Frix Law Library

## Citator (automated)

- No negative treatment found by the automated citator. That is not the same as a confirmation that the case is good law; read the citing cases.
- Full citator and citing cases: https://www.frixlaw.com/law-library/cases/10154161

## How later opinions describe it (automated extraction)

- noting that while an inmate’s personal experience of repeated actions may be sufficient to establish an unconstitutional policy, “what is needed is evidence that there is a true municipal [or corporate] policy at issue, not a random event.” (internal quotations omitted)

## Opinion text

IN THE UNITED STATES DISTRICT COURT
FOR THE SOUTHERN DISTRICT OF ILLINOIS

RICHARD BILIK, )
)
Plaintiff, )
)
vs. ) Case No. 17-cv-142-SMY
)
WEXFORD HEALTH SOURCES, DR. )
MICHAEL SCOTT, CHRISTINE )
BROWN, DAVID WHITE, JOHN R. )
BALDWIN, JACQUELINE )
LASHBROOK, and KAREN JAIMET, )
)
Defendants. )

MEMORANDUM AND ORDER

YANDLE, District Judge
Plaintiff Richard Bilik, an inmate in the custody of the Illinois Department of Corrections
(“IDOC”), filed the instant lawsuit pursuant to 42 U.S.C. § 1983, alleging that his constitutional
rights were violated while he was incarcerated at Pinckneyville Correctional Center. Defendants
are various physicians, medical staff, and administrators employed by IDOC and its medical
services contractor, Wexford Health Sources, Inc. (“Wexford”).
Bilik asserts an Eighth Amendment deliberate indifference claim against Defendants for
allegedly denying medical treatment related to a cyst on the crown of his head (Doc. 3). He also
claims that Defendants Baldwin, Brown, Jaimet, Lashbrook, White, and Dr. Scott retaliated against
him for filing grievances in violation of the First Amendment. Id. Lastly, Bilik claims that
Wexford, IDOC, and John Baldwin (the director of IDOC) had an unconstitutional cost cutting
policy or custom that caused Plaintiff harm in violation of the Eighth Amendment. Id.
Now pending before the Court are Defendants’ Motions for Summary Judgement (Docs.
124, 126, 128) and Plaintiff’s responses (Docs. 146, 147, 148). For the following reasons,
Defendants’ motions are GRANTED.
Factual Background
The following relevant facts are undisputed unless otherwise indicated: Bilik has been an
inmate at Pinckneyville Correctional Center since February 2, 2016 (Doc. 3). In December 2006,

a cyst was first noted to be present on his scalp. The lump was again noted in 2010 and 2011 (Doc.
132-10 at 5, 11-12). Sometime between 2009 and 2012, Bilik was diagnosed with traumatic brain
injury (TBI) (Doc. 131-4 at 12). The TBI resulted from two car accidents where Bilik went through
the windshields, being hit by a bat, and experiencing fights and beatings as a child. Id.; 132-10 at
2. Doctors informed Bilik that his TBI could cause head pain (Doc. 131-4 at 12). He suffers from
chronic back pain and migraine headaches, as well. Id.; 132-10 at 6-7. He takes several different
medications to alleviate his pain (Doc. 132-11 at 7-8).
In 2012, Bilik saw Dr. Mona Gandhi, a dermatologist, at Stroger Hospital at Cook County
Jail who removed a Pilar Cyst from the crown of his head. But the cyst grew back. Dr. Gandhi

scheduled an ultrasound to determine why the cyst site was filling with fluid (Doc. 1 at 27). Bilik
claims he has been denied a follow-up ultrasound and other treatment for his cyst. Id. He alleges
he suffers chronic pain and is balding because of the cyst. Id. at 22.
Bilik was incarcerated in four other prisons prior to arriving at Pinckneyville, but never
received treatment for his cyst. His IDOC medical record indicates that he reported complaints
regarding his cyst five out of the 66 times he visited a health care unit (“HCU”) between October
2012 to June 2018 (Doc. 132-12 at 64-65, 69-71, 78, 80, 89). All five appointments occurred prior
to his transfer to Pinckneyville on February 2, 2016.
Bilik alleges that Defendant Dr. Scott, the medical director at Pinckneyville, refused to see
him regarding the cyst or to provide any medical attention for the cyst (Doc. 1 at 25). Dr. Scott
treated Bilik from approximately April 7, 2016 to November 18, 2016 (Doc. 131-4 at 6-8). He
saw Bilik five times for chronic back pain, migraine headaches, and review of prescriptions (Doc.
132-12 at 102, 109, 131, 137). On his last patient visit in November 2016, Dr. Scott conducted an
objective examination and noted that Bilik’s head, neck, face, and scalp were normal and

atraumatic. Id. at 40-41. He asserts that Bilik never complained about pain from the cyst to him,
which is reflected in the medical records. (Doc. 131-4 at 6-8). No doctor (including Dr. Gandhi)
has told Bilik he needs a second excision or procedure for his cyst (Doc. 132-4 at 21, 52).
Bilik filed several grievances at Pinckneyville concerning the alleged denial of medical
care. Three grievances specifically mentioned his cyst—April 24, 2016, September 9, 2016, and
October 24, 2016. His April 24, 2016 grievance recounted the history of his cyst and noted
complaints of pain and balding (Doc. 131-2 at 7-8). The Administrative Review Board (“ARB”)
concluded the grievance failed to comply with “Department Rule 501.810.”1
In his September 9, 2016 grievance, Bilik complained about Dr. Scott discontinuing his

pain medication and denial of treatment for his cyst; the record lacks a response for this grievance
(Doc. 146-2; Doc. 132-4 at 33).
In his October 24, 2016 grievance, Bilik complained of a painful cyst, which Defendant
Lashbrook reviewed and expedited as an emergency grievance (Doc. 131-2 at 1-2). Defendant
Brown, the healthcare administrator at Pinckneyville, reported that Bilik was seen in the HCU on
September 23, 2016 and September 28, 2016 but was not referred to Dr. Scott on either visit (Doc.
131-1 at 36-37). Brown alleges that Bilik never complained of pain during his September 28, 2016

1 Inmates are required to submit grievances within 60 days of the incident or occurrence they are grieving. See 20
ILL. ADMIN. CODE § 504.810(a). Presumably, the ARB denied relief because Bilik’s grievance included only dates
from 2012 and 2013.
visit to the HCU but requested to see a mental health professional. Id. at 36-37. It was
recommended that Bilik’s October 2016 grievance be denied, and Lashbrook concurred. After
speaking with Brown and reviewing the record, Defendant White2 determined that Bilik’s cyst
was not causing pain; rather, it was a cosmetic issue that did not require removal. Id. at 36. The
grievance was ruled unmeritorious, and no action was taken.3 Id.

On June 22, 2018, Dr. Matticks, a Wexford Regional Medical Director, saw Bilik as a
patient (Doc. 132-9 at 3-4). Dr. Matticks examined his cyst and ordered a dermatology consult for
removal. Id.; Doc. 132-12 at 11-12. Wexford approved Dr. Matticks’ request. Bilik visited a
dermatologist, a general surgeon, and finally a plastic surgeon who removed his cyst on December
12, 2018 (Docs. 132-13, 132-14, 132-15).
Discussion
Summary judgment is proper if the moving party can demonstrate that there is no genuine
issue as to any material fact or where the non-moving party “has failed to make a sufficient
showing on an essential element of her case with respect to which she has the burden of proof.”

Fed. R. Civ. P. 56(a); Celotex Corp. v. Catrett, 477 U.S. 317, 322-23 (1986). If the evidence is
merely colorable, or is not sufficiently probative, summary judgment may be granted. Anderson
v. Liberty Lobby, Inc., 477 U.S. 242, 249–50 (1986). Any doubt as to the existence of a genuine
issue of material fact must be resolved against the moving party. Lawrence v. Kenosha County,
391 F.3d 837, 841 (7th Cir. 2004).

2 Defendant David White is an ARB chairperson.
3 Bilik testified that he sued Defendants Baldwin and White because they signed grievance documents denying him
medical treatment for his cyst (Doc. 132-4 at 48-49, 51). He also stated that Warden Lashbrook never retaliated
against him for filing grievances, only that she denied his grievances for medical treatment (Doc. 132-4 at 54). He
has admitted that Defendants White and Brown never retaliated against him for engaging in activity protected by the
First Amendment (Doc. 131-33 at 3; Doc. 131-34 at 3).
Count 1: Deliberate Indifference
Deliberate indifference to a prisoner’s serious medical needs constitutes cruel and unusual
punishment under the Eighth Amendment and is actionable under 42 U.S.C. § 1983. Estelle v.
Gamble, 429 U.S. 97, 104 (1976). To succeed on such a claim, a plaintiff must establish that he
suffered from an objectively serious medical condition and that the defendant was deliberately

indifferent to a risk of serious harm from that condition. Petties v. Carter, 836 F.3d 722, 727 (7th
Cir. 2016). An objectively serious condition includes an ailment that has been “diagnosed by a
physician as mandating treatment,” one that significantly affects an individual’s daily activities, or
which involves chronic and substantial pain. Gutierrez v. Peters, 111 F.3d 1364, 1373 (7th Cir.
1997).
Here, Bilik’s cyst constitutes a serious medical condition. He suffered from a cyst on his
head for years that caused him chronic pain. Several prison doctors examined him, determined
that the cyst was a condition mandating treatment, and repeatedly prescribed pain-relieving
medications. However, the evidence fails to support Bilik’s claim that Defendants were

deliberately indifferent to his condition.
Bilik argues that despite his numerous complaints and grievances, Defendants delayed or
denied him proper medical treatment, including denying him a follow-up ultrasound appointment
or ordering removal of his cyst. Before the filing of this lawsuit, Dr. Scott never saw Bilik’s
grievances that mention the apparent lack of care for his cyst. And none of Bilik’s Pinckneyville
medical records indicate he complained of pain from his cyst to Dr. Scott. Dr. Scott examined
Bilik several times and prescribed several medications to treat his pain. Thus, Bilik’s claim that
Dr. Scott ignored his suffering is unsupportable on the record.
Bilik also fails to establish that Dr. Scott’s treatment deviated from accepted professional
judgment, practice, or standards such that it amounts to deliberate indifference. Dr. Scott did not
perceive any problem with Bilik’s cyst while treating him at Pinckneyville. In his undisputed
Declaration, he explains that Pilar Cysts are often harmless and do not necessarily require removal.
Because some Pilar Cysts may disappear or reappear in the same location, the applicable medical
standard is a “wait and see” approach. He therefore determined that there was no medical necessity

to require a diagnostic ultrasound, a specialist referral, or removal of Bilik’s cyst. Moreover, Bilik
has seen numerous doctors since 2012 – none of which concluded that his cyst required removal.
Rather, like Dr. Scott, they all prescribed only pain relief medication for treatment. Although Bilik
may feel that Dr. Scott’s treatment was lacking and that he should have referred him for surgery,
the Eighth Amendment does not entitle prisoners to “demand specific care” or “the best care
possible,” but only requires “reasonable measures to meet a substantial risk of serious harm.”
Forbes v. Edgar, 112 F.3d 262, 267 (7th Cir. 1997).
With respect to Bilik’s claim against Christine Brown, the healthcare unit administrator,
while he admits that he never personally interacted with her, he believes she is responsible for his

lack of medical treatment because she manages the healthcare unit. Even assuming that Brown
was aware of his condition (there is no evidence that she was), Brown had no power or authority
to order specific treatment for Bilik’s cyst. And she refilled his prescription medication when she
was informed that he needed a refill. There is simply no evidence to support Bilik’s claim that she
disregarded his complaints regarding pain and prescriptions. As such, no reasonable jury could
find that Brown was deliberately indifferent to his medical needs.
Likewise, Bilik cannot show that the non-medical defendants—White, Baldwin,
Lashbrook, and Jaimet—were deliberately indifferent to his cyst. If a prisoner is under the care of
prison medical professionals, a non-medical prison official “will generally be justified in believing
that the prisoner is in capable hands.” Giles v Godinez, 914 F.3d 1040, 1049-50 (7th Cir. 2019);
Arnett v. Webster, 658 F.3d 742, 755 (7th Cir. 2011) (quoting Spruill v. Gillis, 372 F.3d 218, 236
(3d Cir. 2004)). That said, 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). In this case, Defendants White, Baldwin, Lashbrook, and Jaimet became
aware of Bilik’s cyst through his grievances. Believing they had the authority to order a
consultation even without a doctor’s order, Bilik accuses these defendants of ignoring his constant
pain and refusing to take him to a dermatologist for consultation.
Each of these defendants reviewed Bilik’s medical records and noted that he was being
seen by nurses and Dr. Scott and had received multiple prescriptions to manage his pain. Under
the circumstances, they reasonably relied on Defendants Brown and Dr. Scott’s medical judgment
and treatment of Bilik and were not deliberately indifferent to his medical condition.
Accordingly, Defendants are entitled to summary judgment as to Count 1.

Count 2: Unconstitutional Policy or Custom
Bilik’s claim that Wexford employed an unconstitutional cost-cutting policy of refusing to
send prisoners to offsite doctors also fails as a matter of law. To prevail on this claim, Bilik must
provide evidence that Wexford acted pursuant to an unconstitutional official policy or custom, and
that the policy was the moving force behind the constitutional violation. Monell v. Dep't of Social
Servs., 436 U.S. 658, 691-95 (1978)). A plaintiff may prove an unlawful custom or widespread
policy by demonstrating that the challenged practice “‘was so pervasive that acquiescence on the
part of policymakers was apparent and amounted to a policy decision.’” Dixon v. County of Cook,
604 F.3d 343, 348 (7th Cir. 2016). He “can meet this burden by offering ‘competent evidence
tending to show a general pattern of repeated behavior (i.e., something greater than a mere isolated
event).’” Daniel v. Cook Cty., 833 F.3d 728, 734 (7th Cir. 2016) (quoting Davis v. Carter, 452
F.3d 686, 694 (7th Cir. 2006)). In other words, he must “show more than the deficiencies specific
to his own experience” and bring forth “evidence that could allow a reasonable trier of fact to find
... ‘systemic and gross deficiencies in staffing, facilities, equipment, or procedures in a detention

center’s medical system,’” of which the policy maker or official was aware but failed to correct.
Id. at 734-35 (citations omitted).
Bilik has provided no evidence pointing to an official unconstitutional policy. He relies
primarily on conclusions reached by experts in Lippert v. Godinez, 10-cv-4603 to demonstrate that
Wexford has a custom or practice of failing to monitor physician care and patients are not
consistently referred for specialty care when it is warranted (Doc. 148 at 9). However, this Court
joins various other district courts and the Seventh Circuit in excluding the Lippert Report from
consideration as inadmissible hearsay. Wilson v. Wexford Health Sources, Inc., 932 F.3d 513, 522
(7th Cir. 2019); Bradford v. Wexford Health Sources, Inc., No. 16 C 8112, 2020 WL 586810 (N.D.

Ill. Feb. 6, 2020) (collecting cases and finding plaintiff failed to show that he could present the
Lippert Report’s contents in some admissible form at trial).
Bilik also offers his own experience as evidence of Wexford’s custom of denying specialist
referrals. But his singular experience is insufficient to support a Monell claim. Shields v. Illinois
Dept. of Corrections, 746 F.3d 782, 796 (7th Cir. 2014). Evidence that there may have been a
denial or delay in the treatment, in-and-of-itself, is insufficient to demonstrate that there is an
unconstitutional policy that was the driving force behind a constitutional violation. Grieveson v.
Anderson, 538 F.3d. 763, 774 (7th Cir. 2008) (noting that while an inmate’s personal experience
of repeated actions may be sufficient to establish an unconstitutional policy, “what is needed is
evidence that there is a true municipal [or corporate] policy at issue, not a random event.” (internal
quotations omitted)). For these reasons, Defendants are entitled to summary judgment on Count
2.
Count 3: Retaliation
A prison official who acts in retaliation for a prisoner’s exercise of a constitutional right

violates the Constitution. DeWalt v. Carter, 224 F.3d 607, 618 (7th Cir. 2000). To prevail on a
First Amendment retaliation claim, a plaintiff must show that (1) he engaged in activity protected
by the First Amendment; (2) suffered a deprivation that would likely deter First Amendment
activity in the future; and (3) the First Amendment activity was a motivating reason for defendant’s
actions. See Daugherty v. Page, 906 F.3d 606, 610 (7th Cir. 2018); Bridges v. Gilbert, 557 F.3d
541, 546 (7th Cir. 2009). Bilik contends that Defendants Dr. Scott, Brown, White, Baldwin,
Lashbrook, and Jaimet retaliated against him for filing grievances by denying him medical
treatment in violation of the First Amendment.
Bilik filed approximately 364 grievances at Pinckneyville in 2016 (Doc. 132-4 at 54). The

record shows that the Defendants conducted an independent review and relied Dr. Scott’s medical
judgment and treatment when denying Bilik’s grievance. And after reviewing Bilik’s medical
record and consulting with Defendant Brown, Defendant White determined that the cyst was a
cosmetic issue that did not require removal. Bilik’s claim that his history as an “avid grievance
writer” influenced the Defendants’ decision is speculation unsupported by the record in this case.
Additionally, Bilik concedes that Defendants Lashbrook, Brown, and White did not retaliate
against him while housed at Pinckneyville (Doc. 131-33 at 3; Doc. 131-34 at 3; Doc. 132-4 at 54).
While he asserts that Defendant Lashbrook retaliated against him when she tore up his cell and
“told [him] not to file any more grievances” (Doc. 132-4 at 54; Doc. 146 at 24), those events
allegedly occurred at Menard Correctional Facility and are subject to a separate lawsuit (Doc. 132-
4 at 54).
Bilik also testified that he is suing Warden Jaimet because she “signed off” on his grievance
denials but did not mention any acts of retaliation she committed against him. /d. at 49, 51, 55.
Similarly, Bilik alleges Defendant Baldwin approved his grievance denials, but he has made no
mention of specific acts of retaliation that Baldwin took. Simply put, his deposition testimony
does not establish a link between any grievance and Defendants’ actions.
Lastly, Bilik alleges that Dr. Scott denied him medical care, also in retaliation for filing
grievances against him. Because Dr. Scott had no knowledge of Bilik’s grievances, he could not
have been motivated to deny medical care in response. Bilik does not dispute this (Doc. 147 at
27).
Accordingly, the Defendants are entitled to judgment on Bilik’s retaliation claims.
Conclusion
For the foregoing reasons, Defendants’ Motions for Summary Judgment (Docs. 124, 126,
128) are GRANTED. All pending motions are TERMINATED as moot, and the Clerk of Court
is DIRECTED to enter judgment accordingly and close the case.
IT IS SO ORDERED.
DATED: September 23, 2021 i (2001.09.28
15:48:19 -05'00'
STACI M. YANDLE
United States District Judge

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Source: Frix Law Library, https://www.frixlaw.com/law-library/cases/10154161. Public record. Not legal advice.