“mere ‘disagreements between an inmate and a physician over the inmate’s proper medical care’ are not actionable absent exceptional circumstances.”
How later courts described this case
- “mere ‘disagreements between an inmate and a physician over the inmate’s proper medical care’ are not actionable absent exceptional circumstances.”
Written by the judges who cited it.
The opinion
IN THE UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF NORTH CAROLINA
STATESVILLE DIVISION
CIVIL CASE NO. 5:21-cv-00169-MR
JIMMY DANIEL RAYBON, )
)
Plaintiff, )
)
vs. )
)
LARRY WILLIAMSON, et al., ) ORDER
)
Defendants. )
_______________________________ )
THIS MATTER is before the Court on initial review of the pro se
Amended Complaint [Doc. 20]. A pro se Motion to Amend is also pending.
[Doc. 19]. The Plaintiff is proceeding in forma pauperis. [Doc. 8].
I. BACKGROUND
The pro se Plaintiff filed this civil rights action addressing incidents that
allegedly occurred at the Alexander Correctional Institution.1 The Complaint
passed initial review on retaliation claims pursuant to 42 U.S.C. § 1983
against Defendants FNU Hice, Tass Jansen, and Larry Williamson, and the
1 The Plaintiff is presently incarcerated at the Pamlico Correctional Institution.
Plaintiff was granted the opportunity to amend.2 [Doc. 10]. The Amended
Complaint is now before the Court for initial review. [Doc. 20].
The Plaintiff again names Hice, Jansen and Williamson as Defendants.
He additionally names: FNU Marshall, an Alexander CI case manager, and
Jane Doe,3 an Alexander CI nurse, in their individual and official capacities.
He asserts violations of the First and Eighth Amendments. [Id. at 3]. As
injury, the Plaintiff claims that: he was fired from his prison job; his personal
property was “trashed” and damaged; he was moved from medium custody
to close custody, where he was attacked and injured by another inmate; he
has persistent back pain; he had nightmares, anxiety and depression for
“weeks;” and he suffered a substance abuse relapse. [Id. at 17]. He seeks
a declaratory judgment; compensatory and punitive damages; court costs
and fees; injunctive relief; and any other relief the Court deems just and
proper. [Id. at 20].
II. STANDARD OF REVIEW
Because the Plaintiff is proceeding in forma pauperis, the Court must
review the Amended Complaint to determine whether it is subject to
2 The pending Motion to Amend [Doc. 19] is therefore denied as moot.
3 “NCDPS Prisons Medical Nurse” and “Unknown Nurse” in the Amended Complaint.
[Doc. 20 at 12].
dismissal on the grounds that it is “frivolous or malicious [or] fails to state a
claim on which relief may be granted.” 28 U.S.C. § 1915(e)(2). Furthermore,
under § 1915A the Court must conduct an initial review and identify and
dismiss the complaint, or any portion of the complaint, if it is frivolous,
malicious, or fails to state a claim upon which relief may be granted; or seeks
monetary relief from a defendant who is immune to such relief. 28 U.S.C. §
1915A.
In its frivolity review, this Court must determine whether a complaint
raises an indisputably meritless legal theory or is founded upon clearly
baseless factual contentions, such as fantastic or delusional scenarios.
Neitzke v. Williams, 490 U.S. 319, 327-28 (1989). Furthermore, a pro se
complaint must be construed liberally. Haines v. Kerner, 404 U.S. 519, 520
(1972). However, the liberal construction requirement will not permit a
district court to ignore a clear failure to allege facts in his Complaint which
set forth a claim that is cognizable under federal law. Weller v. Dep’t of Soc.
Servs., 901 F.2d 387 (4th Cir. 1990).
III. DISCUSSION
To state a claim under § 1983, a plaintiff must allege that he was
“deprived of a right secured by the Constitution or laws of the United States,
and that the alleged deprivation was committed under color of state law.”
Am. Mfrs. Mut. Ins. Co. v. Sullivan, 526 U.S. 40, 49-50 (1999).
A. Official Capacity Claims
The Plaintiff again purports to sue Defendants, who are state officials,
in their individual and official capacities. [Doc. 20 at 2-3, 12]. The Plaintiff’s
claims for damages against Defendants Hice, Jansen, and Williamson in
their official capacities were previously dismissed with prejudice and
therefore cannot be reasserted. [See Doc. 10 at 4-5, 15-16]. The official-
capacity claims for damages against Defendants Marshall and the Jane Doe
nurse are dismissed with prejudice for the same reasons.
B. Retaliation
The Plaintiff again claims that Defendants Hice, Jansen, and
Williamson retaliated against him. [Doc. 20 at 14-15, 17-18]. The Plaintiff’s
claims for retaliation against these Defendants passed initial review of the
Complaint. [See Doc. 10 at 5-7]. The Amended Complaint has likewise
stated a plausible retaliation claim against these Defendants and this claim
survives initial review.
C. Failure to Protect
The Plaintiff again asserts a claim for failure to protect against
Defendants Williams, Jansen, and Hice, and he additionally asserts it against
Defendant Marshall. He claims that these Defendants “each … possessed
enough facts and common knowledge to know without a doubt, that the close
custody units are much more dangerous than the medium custody unit,” and
that they were “deliberately indifferent to Plaintiff’s health and safety … when
they wantonly and intentionally … [had] him moved to [the close custody
housing] unit where they knew there existed a disproportionately greater risk
of violence….” [Doc. 20 at 19]. He further claims that discovery will
demonstrate that assaults “often erupted” on the close custody unit at
Alexander CI whereas there were no assaults on the medium custody unit
while the Plaintiff was at that facility [id.], and that an inmate whom Plaintiff
believes to be a “known predator” physically assaulted the Plaintiff, and
attempted to sexually assault him, the day after Plaintiff was moved to the
close custody unit [id. at 15-16].
The Plaintiff’s speculative allegations are insufficient to state a claim
for failure to protect for the same reasons that this claim was dismissed on
initial review of the Complaint. [See Doc. 10 at 8-9]. The Plaintiff’s present
claim for failure to protect is dismissed for the same reasons.
D. Deliberate Indifference to a Serious Medical Need
The Plaintiff claims that his injuries from the inmate attack included
abrasions and bruising throughout his body and “wounds” on his stomach,
back, and knee that resulted in “scarring” [Doc. 20 at 17]; that the Jane Doe
nurse “screened” the Plaintiff after the attack, bandaged some of his wounds
“without properly cleaning them,” denied Plaintiff’s request for pain
medication although he was “clearly in pain,” and denied his request for his
chronic high blood pressure medication although his reading of “150s/90s”
was “clearly high” [id. at 16-17]; that high blood pressure medication “was
with-held from Plaintiff for the next several days,” which resulted in “blinding
headaches and blurred vision” [id.]; and that the pain and soreness from his
injuries remained “intense” for a couple of weeks [id. at 17].
The Eighth Amendment encompasses a right to medical care for
serious medical needs. See Estelle v. Gamble, 429 U.S. 97, 103-04 (1976).
To state a claim for deliberate indifference to a serious medical need, a
plaintiff must show that he had serious medical needs and that the defendant
acted with deliberate indifference to those needs. Heyer v. United States
Bureau of Prisons, 849 F.3d 202, 210 (4th Cir. 2017) (citing Iko v. Shreve,
535 F.3d 225, 241 (4th Cir. 2008)). A “serious medical need” is “one that has
been diagnosed by a physician as mandating treatment or one that is so
obvious that even a lay person would easily recognize the necessity for a
doctor’s attention.” Iko, 535 F.3d at 241 (internal quotation marks omitted).
To constitute deliberate indifference to a serious medical need, “the
treatment [a prisoner receives] must be so grossly incompetent, inadequate,
or excessive to shock the conscience or to be intolerable to fundamental
fairness.” Miltier v. Beorn, 896 F.2d 848, 851 (4th Cir. 1990), overruled on
other grounds by Farmer v. Brennan, 511 U.S. 825, 825 (1994). However,
mere negligence or malpractice does not violate the Eighth Amendment.
Miltier, 896 F.2d at 852. To be found liable under the Eighth Amendment, a
prison official must know of and consciously or intentionally disregard “an
excessive risk to inmate health or safety.” Farmer, 511 U.S. at 837; Johnson
v. Quinones, 145 F.3d 164, 167 (4th Cir. 1998).
The Plaintiff has failed to plausibly allege that he had a serious medical
need. He vaguely describes his physical injuries as “wounds,” “abrasions,”
and “bruising”; however, this is insufficient to establish that the injuries were
objectively sufficiently serious. Moreover, according to the Plaintiff’s own
allegations, the nurse did not ignore his injuries. He alleges that she cleaned
and bandaged his wounds. The Plaintiff’s dissatisfaction with the quality of
the treatment, and his disagreement with her refusal to provide pain
medication, do not rise to the level of deliberate indifference. See generally
Estelle, 429 U.S. at 106; Scinto v. Stansberry, 841 F.3d 219, 225 (4th Cir.
2016) (“mere ‘disagreements between an inmate and a physician over the
inmate’s proper medical care’ are not actionable absent exceptional
circumstances.”).
Further, the Plaintiff has not plausibly alleged that his elevated blood
pressure reading was sufficiently serious. While high blood pressure can
certainly constitute a serious medical need, the Plaintiff admits that he had a
prescription for blood pressure medication, indicating that his chronic
condition was not being ignored. See Barnes v. Bilak, 2018 WL 2289232 (D.
Md. May 17, 2018) (stating that “hypertension is a serious medical need and
the failure to treat the same, if done with the requisite intent, would present
a colorable Eighth Amendment claim”). He has failed to explain, however,
why the single reading of “150s/90s” indicated the existence of an
emergency requiring immediate additional treatment by the Jane Doe nurse.4
His disagreement with her refusal to immediately dispense blood pressure
medication is insufficient to state an Eighth Amendment claim. See Scinto,
841 F.3d at 225.
To the extent that the Plaintiff complains that he did not receive his
blood pressure medication for several days following the attack, and that the
4 The American Heart Association defines a “hypertensive crisis” requiring immediate
medical attention as a systolic number higher than 180 and/or a diastolic number higher
than 120. https://www.heart.org/en/health-topics/high-blood-pressure (last accessed Oct.
17, 2022); see Fed. R. Evid. 201.
pain from his injuries persisted for several weeks, he has failed to allege that
such was attributable to, or even known by, the Jane Doe nurse; that these
conditions were sufficiently serious; or that the Jane Doe Nurse was
deliberately indifferent to these conditions.
Accordingly, the Plaintiff’s claims that the Jane Doe nurse was
deliberately indifferent to his serious medical needs are dismissed.
E. Relief
In addition to damages, the Plaintiff seeks declaratory and injunctive
relief. The Plaintiff’s claims for declaratory and injunctive relief are moot
because the Plaintiff has been transferred to another prison and the
conditions about which he complains appear to be unlikely to recur. See
Incumaa v. Ozmint, 507 F.3d 281, 286-87 (4th Cir. 2007) (“the transfer of an
inmate from a unit or location where he is subject to [a] challenged policy,
practice, or condition, to a different unit or location where he is no longer
subject to the challenged policy, practice, or condition moots his claims for
injunctive and declaratory relief.”). Accordingly, the Plaintiff’s requests for
declaratory and injunctive relief are dismissed.
IV. CONCLUSION
In sum, the Plaintiff’s retaliation claim has passed initial review against
Defendants Hice, Jansen, and Williamson. The claims asserted against
Defendants Marshall and Jane Doe in their official capacities are dismissed
with prejudice. The remaining claims are dismissed without prejudice.
In light of the Court’s determination that this case passes initial review
in accordance with this Order, the Court will order the Clerk of Court to
commence the procedure for waiver of service as set forth in Local Civil Rule
4.3 for Defendants Hice, Jansen, and Williamson, who are alleged to be
current or former employees of NCDPS.
ORDER
IT IS, THEREFORE, ORDERED that:
1. The retaliation claims against Defendants Hice, Jansen, and
Williamson have passed initial review.
2. The claims against Defendants Marshall and Jane Doe in their
official capacities are DISMISSED WITH PREJUDICE.
3. The remaining claims are DISMISSED WITHOUT PREJUDICE.
4. The Plaintiff’s Motion to Amend [Doc. 19] is DENIED as moot.
5. The Clerk shall commence the procedure for waiver of service as
set forth in Local Civil Rule 4.3 for Defendants FNU Hice, Tass
Jansen, and Larry Williamson, who are alleged to be current or
former employees of NCDPS.
IT IS SO ORDERED.
Martiff Reidinger ey,
Chief United States District Judge ely
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