# Smith v. Wexford Health Sources Inc

> District Court, S.D. Illinois · April 11, 2023

URL: https://www.frixlaw.com/law-library/cases/10156264

## Case

- **Court:** District Court, S.D. Illinois
- **Decided:** April 11, 2023
- **Opinion:** 100trialcourt
- **Cited by:** 0 later opinions in the Frix Law Library

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## Opinion text

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

ANTHONY SMITH, )
)
Plaintiff, )
)
vs. ) Case No. 23-cv-793-NJR
)
)
WEXFORD HEALTH SOURCES, INC., )
DAVID POOR, DR. BABICH, WARDEN )
DODD, and ROB JEFFRIES, )
)
Defendants. )

MEMORANDUM AND ORDER
ROSENSTENGEL, Chief Judge:
Plaintiff Anthony Smith, an inmate of the Illinois Department of Corrections (“IDOC”)
who is currently incarcerated at Robinson Correctional Center, brings this action for
deprivations of his constitutional rights pursuant to 42 U.S.C. § 1983. On March 6, 2023, Smith
filed his Complaint, alleging Defendants were deliberately indifferent to his serious medical
needs in violation of the Eighth Amendment.
On March 8, 2023, Smith filed a motion for leave to file an Amended Complaint in
order to add claims against Phil Martin and Josh Lane, as well as add additional facts, medical
records, and exhibits (Doc. 6). His motion appears to be a piecemeal attempt to amend his
Complaint because he only includes allegations against the new defendants Phil Martin and
Josh Lane (Id. at p. 2). The Court will not accept piecemeal amendments to the original
complaint. An amended complaint supersedes and replaces the original complaint. See
Flannery v. Recording Indus. Ass’n of Am., 354 F.3d 632, 638 n. 1 (7th Cir. 2004). Thus, any
amended complaint must stand on its own, without reference to any previous pleading. As
Smith’s amended complaint is a piecemeal attempt to add claims against Phil Martin and
Josh Lane, the Court will not accept the filing. The motion to amend (Doc. 6) is DENIED.
Similarly, Smith submitted a supplement (Doc. 17) and supplemental declaration (Doc. 18)

to his original Complaint. The Court will not accept these piecemeal amendments to the
Complaint.
This case is now before the Court for preliminary review of the Complaint pursuant
to 28 U.S.C. § 1915A. Under Section 1915A, the Court is required to screen prisoner
complaints to filter out non-meritorious claims. See 28 U.S.C. § 1915A(a). Any portion of a
complaint that is legally frivolous, malicious, fails to state a claim upon which relief may be
granted, or asks for money damages from a defendant who by law is immune from such

relief must be dismissed. 28 U.S.C. § 1915A(b).
The Complaint
In his Complaint, Smith makes the following allegations: Prior to entering IDOC, in
2008, Smith had a tumor removed. In 2009, he had a hernia mesh implanted in the area
surrounding the tumor removal (Doc. 1, pp. 4-5). Although Smith experienced slight pain in
the area of the surgery, he suffered no major medical issues with the hernia mesh (Id. at p. 5).
On June 7, 2022, Smith arrived at Robinson Correctional Center. Smith alleges that he

informed medical staff, including Dr. Poor, of the slight pains in the area of the hernia mesh.
On June 14, 2022, he asked for his bottom bunk permit to be renewed because he suffered
from pain in the area of the hernia mesh when sleeping on his right side (Id. at p. 6).
Starting in June 2022, Smith began experiencing increasing pain in his right side. He
described the pain as excruciating at times and chronic (Id. at p. 6). He informed medical staff,
including Dr. Poor, of his pain between June 2022 and August 2022 (Id.). Dr. Poor left
Robinson in August 2022 (Id.). Before he left, Dr. Poor was treating the pain and had
scheduled Smith to be seen by a general surgeon in September 2022. On September 9, 2022,
Smith learned from Phil Martin that his appointment was cancelled (Id.). Smith continued to

suffer from pain in his right side from September until November 2022. He was only
provided Tylenol or ibuprofen because there were no doctors or nurse practitioners at
Robinson to treat him.
On November 21, 2022, Smith had a CT scan of his right side. He was later provided
an opioid for his pain but refused the pain medication due to being a former addict (Id. at
p. 7). He eventually was provided Tylenol 3 with codeine. On December 1, 2022, Dr. Babich
informed Smith during a teleconference appointment that a mass was discovered between

the hernia mesh (Id.). Dr. Babich indicated that there was a possibility that the mass was
cancerous. After the appointment, Smith began submitting multiple sick call requests to
obtain more information about his condition. He was not able to see a doctor because there
are no doctors currently at Robinson. Because the call passes were not answered, he began
acting out and enduring crisis isolation and disciplinary tickets in an attempt to receive
additional pain medication and care (Id. at p. 8).
On February 7, 2023, Smith had a consultation at Crawford Memorial Hospital with

Dr. Vasireddy about the mass in his stomach (Id. at pp. 9-10). Dr. Vasireddy indicated that he
needed blood work and would determine next steps for determining if the mass was
cancerous. Smith indicates that he is currently under the care of Dr. Becker at Robinson. He
had blood work in February 2023, and the results were sent to Dr. Vasireddy. Smith alleges
that he still suffers from pain in his right side and is worried about the possibility of having
cancer. He believes that that he has not received adequate medical care and that his diagnosis
has been delayed.
Discussion

Based on the allegations in the Complaint, the Court designates a single count:
Count 1: Eighth Amendment deliberate indifference claim against
Wexford Health Sources, Inc., David Poor, Dr. Babich, Warden
Dodd, and Rob Jeffreys for denying and delaying the
diagnosis of his pain in the area of his hernia mesh.

The parties and the Court will use these designations in all future pleadings and orders,
unless otherwise directed by a judicial officer of this Court. Any other claim that is
mentioned in the Complaint but not addressed in this Order should be considered
dismissed without prejudice as inadequately pled under the Twombly pleading standard.1
Simply put, Smith fails to state a claim against any defendant. Although he mentions
David Poor and Dr. Babich as treaters whom he saw while at Robinson, he fails to allege that
any of the care that they provided amounted to deliberate indifference. In order to
demonstrate deliberate indifference, Smith must allege that the defendants were aware of the
serious medical condition and either intentionally or recklessly disregarded it. Hayes v.
Snyder, 546 F.3d 516, 524 (7th Cir. 2008). Negligence is not enough; a plaintiff must
demonstrate that a defendant denied medical care altogether, delayed care, continued with
ineffective treatment, or departed substantially from accepted professional judgment. Brown
v. Osmundson, 38 F.4th 545, 550 (7th Cir. 2022). Smith has not alleged that either treater failed

1 See Bell Atlantic Corp. v. Twombly, 550 U.S. 544, 570 (2007) (an action fails to state a claim upon which
relief can be granted if it does not plead “enough facts to state a claim to relief that is plausible on its
face”).
to provide him with care or delayed his care. He alleges that Dr. Poor scheduled him for an
outside consultation which was later cancelled after Dr. Poor left Robinson. Further, he
acknowledges receiving a consultation after his appointment with Dr. Babich. There are no

allegations to suggest that either doctor delayed his treatment or provided him with
ineffective treatment. Thus, the claim against Dr. Poor and Dr. Babich is DISMISSED
without prejudice.
To the extent that he identifies Warden Dodd and Rob Jeffreys as defendants, Smith
also fails to state a claim against them. He simply alleges that as warden, Dodd is legally
responsible for the welfare of all inmates and that Jeffreys is legally responsible for the
operations of all prisons including Robinson. But these defendants cannot be liable simply

because they are supervisors as the doctrine of respondeat superior (supervisory liability) does
not apply to actions filed under Section 1983. See, e.g., Kinslow v. Pullara, 538 F.3d 687, 692 (7th
Cir. 2008). Nor has Smith alleged that they participated in his care or the scheduling of
outside referrals. Thus, Dodd and Jeffreys are also DISMISSED without prejudice.
Similarly, a corporation like Wexford cannot be liable on the basis of respondeat superior
liability. Shields v. Illinois Dep’t of Corr., 746 F.3d 782, 789 (7th Cir. 2014) (citing Iskander v.
Village of Forest Park, 690 F.2d 126, 128 (7th Cir. 1982)). Wexford will only be liable for

deliberate indifference if an unconstitutional policy or practice of the corporation caused the
constitutional deprivation. Smith fails to identify any policy or practice that delayed his care.
Thus, the claim against Wexford is also DISMISSED without prejudice.
Thus, if Smith wants to pursue his claims, he will have to file an Amended Complaint.
The Amended Complaint should include factual allegations that indicate what actions or
inactions were taken by each defendant as it relates to his care.
Because Smith fails to state a claim for deliberate indifference in the treatment of his
pain, the Court DENIES as moot Smith’s motion for preliminary injunction (Doc. 14). His
motion for status regarding his request for preliminary injunction (Doc. 20) is also DENIED

as moot.
Pending Motions
Smith also filed two motions for counsel (Docs. 3 and 19). He indicates that he has
some college education but lacks knowledge of the law. But Smith’s filings have been well
written and easy to understand. The Court finds him capable of submitting an Amended
Complaint on his own. Thus, his motions for counsel are DENIED without prejudice.
Disposition
For the reasons stated above, Smith’s Complaint is DISMISSED without prejudice

for failure to state a claim upon which relief may be granted.
Smith is GRANTED leave to file a “First Amended Complaint” on or before May 9,
2023. Should Smith fail to file his First Amended Complaint within the allotted time or
consistent with the instructions set forth in this Order, the entire case shall be dismissed with
prejudice for failure to comply with a court order or for failure to prosecute his claims. Fed.
R. App. P. 41(b). See generally Ladien v. Astrachan, 128 F.3d 1051 (7th Cir. 1997); Johnson v.
Kamminga, 34 F.3d 466 (7th Cir. 1994); 28 U.S.C. § 1915(e)(2). The dismissal shall count as one

of Smith’s three allotted “strikes” under 28 U.S.C. § 1915(g).
An amended complaint supersedes and replaces the original complaint, rendering the
original complaint void. See Flannery v. Recording Indus. Ass’n of Am., 354 F.3d 632, 638 n. 1
(7th Cir. 2004). As explained above, the Court will not accept piecemeal amendments to the
original Complaint. Thus, the First Amended Complaint must stand on its own, without
reference to any previous pleading, and Smith must re-file any exhibits he wishes the Court
to consider along with the First Amended Complaint. The First Amended Complaint is
subject to review pursuant to 28 U.S.C. § 1915A.
Smith is further ADVISED that his obligation to pay the filing fee for this action was
incurred at the time the action was filed, thus the filing fee remains due and payable,
regardless of whether he elects to file a First Amended Complaint. See 28 U.S.C. § 1915(b)(1);
Lucien v. Jockisch, 133 F.3d 464, 467 (7th Cir. 1998).
Finally, Smith is ADVISED that he is under a continuing obligation to keep the Clerk
of Court and each opposing party informed of any change in his address; the Court will not
independently investigate his whereabouts. This shall be done in writing and not later than
seven days after a transfer or other change in address occurs. Failure to comply with this
Order will cause a delay in the transmission of court documents and may result in dismissal
of this action for want of prosecution. See Fed. R. Civ. P. 41(b).
IT IS SO ORDERED.
DATED: April 11, 2023 Tl
weffonty’
NANCY J. ROSENSTENGEL
Chief U.S. District Judge

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Source: Frix Law Library, https://www.frixlaw.com/law-library/cases/10156264. Public record. Not legal advice.