stating that a showing of deliberate indifference requires more than a mere disagreement with treatment decisions and is greater than gross negligence
How later courts described this case
- stating that a showing of deliberate indifference requires more than a mere disagreement with treatment decisions and is greater than gross negligence
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF MISSOURI
SOUTHEASTERN DIVISION
RONALD WHITE, )
Plaintiff, .
v. No. 1:21-ev-00037-NCC
DR. MICHAEL T. BAUMAN,
Defendant.
MEMORANDUM AND ORDER
This matter comes before the Court on a memorandum filed by plaintiff Ronald White that
has been construed as a motion for a temporary restraining order and a motion for a 180-day
extension of time in which to file an amended complaint. For the reasons discussed below, the
motions will be denied. Additionally, plaintiff will be given thirty days in which to either file an
amended complaint as previously ordered, or to file a motion for a voluntary dismissal.
Background
Plaintiff is a self-represented litigant who is currently incarcerated at the Southeast
Correctional Center in Charleston (SECC), Missouri. On March 8, 2021, he filed a document with
the Court titled “Declaration of Ronald White,” which was construed as a civil action pursuant □□□
42 U.S.C. § 1983. (Docket No. 1). The complaint named Dr. Michael T. Bauman and the
Southwest Dental Center as defendants. It was not on a Court-provided form.
In the complaint, plaintiff stated that in August 2020, he was treated by Dr. Bauman at the
Southwest Dental Center, which is located in Jefferson City, Missouri. (Docket No. | at 1).
According to plaintiff, Dr. Bauman “fractured [his] jaw” while extracting “several teeth from [his]
mouth.”
On January 4, 2021, while at the SECC, Dr. Brown x-rayed his jaw and confirmed that it
“had been fractured as a result of the dental procedure performed by Dr. Bauman.”
On February 22, 2021, plaintiff was again seen by Dr. Bauman at the Southwest Dental
Center. (Docket No. 1 at 2). Plaintiff asserted that the visit was with regard to his jaw fracture, but
that “Dr. Bauman was unaware that [plaintiff had] viewed the x-rays taken” at the SECC. Plaintiff
alleged that “Dr. Bauman attempted to conceal [his] jaw fracture by misdiagnosing [him] with an
[infection] in the jaw bone.” Furthermore, plaintiff claimed that Dr. Bauman gave him antibiotics
and scheduled an oral surgery, all to fight a nonexistent infection. Plaintiff suggested that the
upcoming surgery was “unnecessary” and “may cause irreparable injury.”
On March 12, 2021, the Court ordered plaintiff to file an amended complaint on a Court
form. (Docket No. 5). The Court’s order provided instructions to assist him in completing his
amended complaint. Plaintiff was given thirty days in which to comply.
On March 24, 2021, plaintiff submitted a document titled “Memorandum,” which the Court
has construed as a motion for a temporary restraining order and a motion for a 180-day extension
of time in which to file an amended complaint. (Docket No. 6).
Motion for a Temporary Restraining Order
Plaintiff seeks a temporary restraining order against Dr. Bauman. In support of this request,
plaintiff again states that in August 2020, he was treated by Dr. Bauman at the Southwest Dental
Center in Jefferson City, Missouri. (Docket No. 6-1 at 1). While extracting several teeth, Dr.
Bauman allegedly “fractured [his] jaw.” Plaintiff asserts that x-rays taken at the SECC on January
4, 2021 confirmed that his jaw had been fractured.
On February 22, 2021, plaintiff again saw Dr. Bauman at the Southwest Dental Center.
According to plaintiff, Dr. Bauman “attempted to conceal [his] jaw fracture by misdiagnosing
[him] with an [infection] in the jaw bone.” (Docket No. 6-1 at 1-2). Dr. Bauman prescribed him
antibiotics and planned to perform oral surgery. (Docket No. 6-1 at 2). Plaintiff insists that the
infection is nonexistent, and that the procedure is unnecessary and “may cause irreparable injury.”
He further contends that a temporary restraining order must be issued because he “will suffer
immediate and irreparable injury if this Court does not issue the TRO [before] Dr. Bauman has the
chance to respond.”
Motion for 180-Day Extension of Time
Plaintiff also seeks a 180-day extension of time in which to file a civil action under 42
U.S.C. § 1983. He states that he never intended to sue Dr. Bauman at this time, and that he has not
exhausted his institution’s grievance procedure. (Docket No. 6 at 1). As such, he asks for 180 days
in which to file an amended complaint. (Docket No. 6 at 2).
Discussion
Plaintiff is a self-represented litigant who is seeking both a temporary restraining order and
an extension of time in which to file an amended complaint. For the reasons discussed below, the
motions will be denied.
A. Temporary Restraining Order
Preliminary injunctive relief is an extraordinary remedy, never awarded as of right. See
Winter v. Nat. Res. Def. Council, Inc., 557 U.S. 7, 27 (2008). See also Roudachevski v. All-
American Care Centers, Inc., 648 F. 3d. 701, 705 (8" Cir. 2011). As such, plaintiff has the burden
of proving that an injunction should be issued. See Mgmt. Registry, Inc. v. A.W. Cos., Inc., 920
F.3d 1181, 1183 (8 Cir. 2019).
In determining whether to grant a preliminary injunction, a district court applies “a flexible
consideration of (1) the threat of irreparable harm to the moving party; (2) balancing this harm
with any injury an injunction would inflict on other interested parties; (3) the probability that the
moving party would succeed on the merits; and (4) the effect on the public interest.” St. Louis
Effort for AIDS v. Huff, 782 F.3d 1016, 1021 (8" Cir. 2015). See also Dataphase Systems, Inc. v.
CL Systems, Inc., 640 F.2d 109, 113 (8 Cir. 1981). These same standards also apply to a request
for a temporary restraining order. See S.B. McLaughlin & Co. v. Tudor Oaks Condo. Project, 877
F.2d 707, 708 (8 Cir. 1989) (affirming district court’s application of Dataphase factors to a
motion for a temporary restraining order). “None of these factors by itself is determinative; rather,
in each case the four factors must be balanced to determine whether they tilt toward or away from
granting” injunctive relief. West Pub. Co. v. Mead Data Cent., Inc., 799 F.2d 1219, 1222 (8" Cir.
1986).
Here, plaintiff has not carried his burden of showing that a temporary restraining order
should be issued. In particular, plaintiff has not established the threat of irreparable harm if a
temporary restraining order is not issued. While plaintiff asserts that Dr. Bauman plans to perform
surgery “within the coming weeks” that “may cause irreparable injury,” he has provided absolutely
no indication that he is being forced to undergo this procedure against his will. That is, there are
no facts demonstrating that Dr. Bauman — or anyone else — is somehow compelling plaintiff to
submit to an unnecessary surgery, or that plaintiff cannot simply refuse. Furthermore, there is no
indication that Dr. Bauman is even aware of plaintiff's concerns. To the contrary, it appears that
for whatever reason, plaintiff has not communicated his belief that his jaw has been fractured and
that surgery is not necessary. As such, plaintiff has not shown that a temporary restraining order
is required to protect him from harm.
Plaintiff has also not demonstrated a likelihood of success on the merits. It appears that he
is attempting to bring a 42 U.S.C. § 1983 action against Dr. Bauman, which requires him to
establish both that Dr. Bauman acted under color of law and violated a constitutionally protected
federal right. See Zutz v. Nelson, 601 F.3d 842, 848 (8" Cir. 2010). Here, plaintiff has not presented
sufficient facts to show that Dr. Bauman was acting under color of law. Even if he was, plaintiff
has not sufficiently alleged that Dr. Bauman was deliberately indifferent to his medical needs.
Specifically, plaintiff has not established that Dr. Bauman’s actions were “so inappropriate as to
evidence intentional maltreatment or a refusal to provide essential care.” Jackson v. Buckman, 756
F.3d 1060, 1066 (8" Cir. 2014). There are no facts to support the proposition that Dr. Bauman
intended to fracture plaintiffs jaw, or that he is — as plaintiff concludes — attempting to cover that
up. Rather, at this point, plaintiff has at most shown that Dr. Bauman was negligent, which does
not constitute deliberate indifference. See Gibson v. Weber, 433 F.3d 642, 646 (8 Cir. 2006)
(stating that a showing of deliberate indifference requires more than a mere disagreement with
treatment decisions and is greater than gross negligence).
Regarding the issue of whether a situation is ripe for injunctive relief, a court “should not
get involved unless either a constitutional violation has already occurred or the threat of such a
violation is both real and immediate.” Goff'v. Harper, 60 F.3d 518, 520 (8" Cir. 1995). Plaintiff
has not presented facts showing either that a constitutional violation has already occurred, or that
there is a real and immediate threat of a constitutional violation in the future. For these reasons,
plaintiff's motion for a temporary restraining order is denied.
B. Motion for an Extension of Time
Plaintiff also seeks an extension of time to file an amended complaint, explaining that he
has not exhausted his administrative remedies. He seeks at least 180 additional days. Based on the
length of this request, the Court will deny the motion. Plaintiff shall have thirty days from the date
of this order in which to either file an amended complaint in accordance with the Court’s March
12, 2021 order, or to file a motion for voluntary dismissal. If plaintiff files a motion for voluntary
dismissal, the case will be dismissed without prejudice to plaintiff later refiling this action once
his administrative remedies have been exhausted. If plaintiff does not file either an amended
complaint or a motion for voluntary dismissal within thirty days, this action will be dismissed
without prejudice and without further notice.
Accordingly,
IT IS HEREBY ORDERED that plaintiff's motion for a temporary restraining order is
DENIED.
IT IS FURTHER ORDERED that plaintiff’s motion for a 180-day extension of time is
DENIED.
IT IS FURTHER ORDERED that plaintiff shall have thirty (30) days from the date of
this order in which to file either an amended complaint in accordance with the Court’s March 12,
2021 order, or a motion for voluntary dismissal.
IT IS FURTHER ORDERED that if plaintiff does not file either an amended complaint
or a motion for voluntary dismissal within thirty (30) days of the date of this order, this action
will be dismissed without prejudice and without further notice.
IT IS FURTHER ORDERED that if plaintiff files an amended complaint, the Court will
review it pursuant to 28 U.S.C. § 1915.
Dated thiso20 mt fh} 2021.
.
once +CLMLE
RONNIE L. WHITE
UNITED STATES DISTRICT JUDGE