“Deliberate indifference is a very high standard—a showing of mere negligence will not meet it.”
How later courts described this case
- “Deliberate indifference is a very high standard—a showing of mere negligence will not meet it.”
- a pleader must allege facts, directly or indirectly, that support each element of the claim
- noting that “a distant prison official can generally rely on his medical staff’s examinations and diagnoses”
- non-medical prison employees can be found to have acted with deliberate indifference if they intentionally delay or deny an inmate’s access to medical care or intentionally interfere with prescribed treatment
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. 5:23-cv-00005-MR
PATRICK J. CHAMBERS, )
)
Plaintiff, )
)
vs. )
)
TODD ISHEE, et al., ) ORDER
)
Defendants. )
_______________________________ )
THIS MATTER is before the Court on initial review of the pro se
Complaint. [Doc. 1]. The Plaintiff is proceeding in forma pauperis. [Doc. 8].
I. BACKGROUND
The pro se Plaintiff, a prisoner in the North Carolina Department of
Adult Corrections (NCDAC),1 filed the instant action pursuant to 42 U.S.C. §
1983 addressing incidents that allegedly occurred at the Alexander
Correctional Institution.2
1 The Plaintiff is serving a life sentence for first-degree murder. See https://webapps.doc.
state.nc.us/opi/viewoffender.do?method=view&offenderID=1234898&searchOffenderId
=1234898&searchDOBRange=0&listurl=pagelistoffendersearchresults&listpage=1 (last
accessed April 11, 2023); Fed. R. Evid. 201.
2 The Plaintiff filed this action from the Pasquotank Correctional Institution, where he is
still incarcerated.
He names as Defendants Todd Ishee, the commissioner of the North
Carolina Department of Public Safety (NCDPS)3 and the following Alexander
CI staff: FNU Dye, the warden/superintendent; Richard Bates, a medical
provider; Lisa Huffman a “CHA;”4 Cheryl Kaufman, Iris Saine, FNU Towery,
and McKensie Houston, nurses; FNU Slater, FNU Caban, and FNU Velasco,
correctional officers; FNU Roberts, a correctional sergeant; and John/Jane
Doe, the correctional officer who was on duty at the Big Seg Red Unit booth
around 3:50 p.m. on September 30, 2021. The Plaintiff, who claims to have
chronic hypertension, asserts claims under the Eighth Amendment for
deliberate indifference to a serious medical need. As injury, he claims:
Yes, I passed out and lost consciousness, due to the
medication I was placed on it made me have stomach pain,
decreased sexual ability and desire, swelling and redness of my
eyes, and trouble breathing and irregular heartbeating.
[Doc. 1 at 10] (errors uncorrected). He seeks injunctive relief, damages for
“monetary” and “emotional distress,” punitive damages, and nominal
damages. [Id. at 12].
3 Now NCDAC.
4 Correctional Healthcare Assistants, referred to as “CHA I” and “CHA II,” are unlicensed
nursing staff. See NCDAC Comprehensive Health Services Policy and Procedure, § P-
9(II)(B).
II. STANDARD OF REVIEW
Because the Plaintiff is proceeding in forma pauperis, the Court must
review the Complaint to determine whether it is subject to 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).
Claims under 42 U.S.C. § 1983 based on an alleged lack of or
inappropriate medical treatment fall within the Eighth Amendment’s
prohibition against cruel and unusual punishment. Estelle v. Gamble, 429
U.S. 97, 104 (1976). 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 v. Brennan, 511 U.S. 825,
837 (1994); Johnson v. Quinones, 145 F.3d 164, 167 (4th Cir. 1998).
To state a claim under the Eighth Amendment for deliberate
indifference to serious medical needs of the inmate, an inmate must show
that “the defendants actually knew of and disregarded a substantial risk of
serious injury to the detainee or that they actually knew of and ignored a
detainee’s serious need for medical care.” Young v. City of Mt. Ranier, 238
F.3d 567, 575-76 (4th Cir. 2001) (citations omitted). 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 v. Shreve, 535 F.3d 225, 241 (4th Cir.
2008) (internal quotation marks omitted). An official acts with deliberate
indifference if he had actual knowledge of the prisoner’s serious medical
needs and the related risks but nevertheless disregards them. DePaola v.
Clarke, 884 F.3d 481, 486 (4th Cir. 2018). The prison official “must both be
aware of facts from which the inference could be drawn that a substantial
risk of serious harm exists, exists, and he must also draw the inference.”
Farmer, 511 U.S. at 837. “[E]ven if a prison doctor is mistaken or negligent
in his diagnosis or treatment, no constitutional issue is raised absent
evidence of abuse, intentional mistreatment, or denial of medical attention.”
Stokes v. Hurdle, 393 F. Supp. 757, 762 (D. Md. 1975), aff’d, 535 F.2d 1250
(4th Cir. 1976). “Mere delay is … not enough” to support a deliberate
indifference claim. Moskos v. Hardee, 24 F.4th 289, 298 (4th Cir. 2022). The
objective prong of the deliberate indifference inquiry requires a plaintiff to
show that the alleged delay put him at a “substantial risk” of “serious harm.”
Id. (quoting Moss v. Harwood, 19 F.4th 614, 625 (4th Cir. 2021); Scinto, 841
F.3d at 225). “A commonplace medical delay such as that experienced in
everyday life will only rarely suffice to constitute an Eighth Amendment
violation, absent the unusual circumstances where the delay itself places the
prisoner at ‘substantial risk of serious harm,’ such as where the prisoner’s
condition deteriorates markedly or the ailment is of an urgent nature.”
Moskos, 24 F.4th at 298.
To establish liability under 42 U.S.C. § 1983, a plaintiff must show that
the defendants “acted personally” to cause the alleged violation. See
Vinnedge v. Gibbs, 550 F.2d 926, 928 (4th Cir. 1977) (citation omitted). As
such, the doctrine of respondeat superior does not apply in actions brought
under § 1983. See Monell v. Dep’t of Soc. Servs., 436 U.S. 658, 694 (1978).
A supervisor can only be liable where (1) he knew that his subordinate “was
engaged in conduct that posed a pervasive and unreasonable risk of
constitutional injury;” (2) his response showed “deliberate indifference to or
tacit authorization of the alleged offensive practices;” and (3) there was an
“affirmative causal link” between her inaction and the constitutional
injury.” Shaw v. Stroud, 13 F.3d 791, 799 (4th Cir. 1994) (internal quotation
marks omitted).
The Plaintiff does not make any allegations whatsoever about
Defendants Houston and the John/Jane Doe booth officer. The Plaintiff’s
allegations are so vague and conclusory that they fail to satisfy the most
basic pleading requirements. See Fed. R. Civ. P. 8(a)(2) (requiring a “short
and plain statement of the claim showing that the pleader is entitled to relief”);
Simpson v. Welch, 900 F.2d 33, 35 (4th Cir. 1990) (conclusory allegations,
unsupported by specific allegations of material fact are not sufficient);
Dickson v. Microsoft Corp., 309 F.3d 193, 201-02 (4th Cir. 2002) (a pleader
must allege facts, directly or indirectly, that support each element of the
claim). The claims against Defendants Houston and John/Jane Doe are,
therefore, dismissed without prejudice.
The Plaintiff claims that Defendant Ishee “is legally responsible for the
operation of North Carolina State Prison(s) and the welfare of all the inmates
of that prison.” [Doc. 1 at 2]. The Plaintiff appears to rely on a theory of
respondeat superior, which is insufficient to state a § 1983 claim. See
Monell, 436 U.S. at 694. Accordingly, the claims against Defendant Ishee
are dismissed without prejudice.
The Plaintiff claims that Defendant Dye is responsible for overall
functioning of Alexander CI, and that he should be held responsible for staff’s
inadequate and untimely response to his medial needs. [Doc. 1 at 8-9].
These vague and conclusory allegations fail to plausibly allege that
Defendant Dye knew of, and deliberately disregarded, any serious medical
need. See Fed. R. Civ. P. 8(a)(2); Simpson, 900 F.2d at 35; Dickson, 309
F.3d at 201-02. The Plaintiff also appears to rely on theories of respondeat
superior and negligence, which are insufficient to state a § 1983 claim. See
Monell, 436 U.S. at 694; Grayson v. Peed, 195 F.3d 692, 695 (4th Cir. 1999)
(“Deliberate indifference is a very high standard—a showing of mere
negligence will not meet it.”). Accordingly, the claims against Defendant Dye
are dismissed without prejudice.
As to the medical staff, the Plaintiff claims that Defendants Bates and
Saine were aware that he had high blood pressure, violated prison policy
and/or informed consent rules regarding medication, provided inappropriate
medication, and/or failed to adequately and timely respond to his sick calls
requests. [Doc. 1 at 5-9]. These vague and conclusory allegations fail to
plausibly allege that these Defendant deliberately disregarded a serious
medical need or delayed treatment that subjected him to a substantial risk of
serious harm. See Fed. R. Civ. P. 8(a)(2); Simpson, 900 F.2d at 35; Dickson,
309 F.3d at 201-02. To the extent that the Plaintiff is attempting to rely on
the theories of respondeat superior, negligence, disagreement with the care
he was provided, and/or prison policy violations, such theories fail to support
a § 1983 claim. See Monell, 436 U.S. at 694; Grayson, 195 F.3d at 695;
Scinto, 841 F.3d at 225; Jackson v. Sampson, 536 F. App’x 356, 357 (4th Cir.
2013) (unpublished) (holding that “prison officials’ failure to follow internal
prison policies are not actionable under § 1983 unless the alleged breach of
policy rises to the level of constitutional violation”). Accordingly, the claims
against Defendants Bates and Saine are dismissed without prejudice.
The Plaintiff claims that Defendant Huffman, who was also part of the
medical staff, disregarded a high blood pressure reading and the Plaintiff’s
complaints of chest pain on the morning of September 30, 2021, and ignored
him when he told her that he needed assistance that afternoon. [Doc. 1 at
6, 8]. Accepting the factual allegations as true and drawing all reasonable
inferences in the Plaintiff’s favor, his deliberate indifference claim against
Defendant Huffman passes initial review.
The Plaintiff claims that Defendant Towery, who was part of the
medical staff, failed to timely and adequately respond when correctional
officers informed her that the Plaintiff had declared a medical emergency and
needed assistance. [Doc. 1 at 6, 8]. Accepting the factual allegations as
true and drawing all reasonable inferences in the Plaintiff’s favor, his
deliberate indifference claim against Defendant Towery is minimally
sufficient to pass initial review.
As to Defendants Roberts, Slater, Caban, and Velasco, who are non-
medical correctional staff, the Plaintiff claims that they knew that the Plaintiff
had chronic hypertension [Doc. 1 at 8]; that Defendant Slater witnessed
Huffman take a high blood pressure reading, Plaintiff complain of chest pain
and fast heart rate, Huffman tell the Plaintiff that he would be ok and should
lie down, and Plaintiff ask when Huffman would follow up [id.]; that the
Plaintiff declared a medical emergency to Defendants Slater and Caban at
around 3:50 PM, and they both contacted Nurse Towery [id. at 6]; that the
Plaintiff began hitting the “call button” at around 4:00 PM [id.]; the Plaintiff
lost consciousness [id. at 10]; and that he woke up “later” when Defendant
Roberts and others were placing him on a stretcher [id. at 6]. The Plaintiff
claims that he “had been notifying all ‘state actors’ all day such as c/o Slater”
and these Defendants “failed to respond reasonably to the code blue and
constant declaring of medical emergency.” [Id. at 8]. These claims are too
vague and conclusory to plausibly allege that any of these correctional staff
were aware of a serious medical need and were deliberately indifferent to it,
caused an unnecessary delay that placed him at a serious risk of substantial
harm, or otherwise interfered with the Plaintiff’s medical care. See generally
Estelle, 429 U.S. at 104-05 (non-medical prison employees can be found to
have acted with deliberate indifference if they intentionally delay or deny an
inmate’s access to medical care or intentionally interfere with prescribed
treatment); Iko, 535 F.3d at 242 (noting that “a distant prison official can
generally rely on his medical staff’s examinations and diagnoses”) (citing
Miltier v. Beorn, 896 F.2d 848, 854-55 (4th Cir. 1990)). Accordingly, the
claims against Defendants Roberts, Slater, Caban, and Velasco are
dismissed without prejudice.
IV. CONCLUSION
The Complaint passes initial review against Defendants Huffman and
Towery for deliberate indifference to a serious medical need, and the
remaining claims are dismissed without prejudice.
ORDER
IT IS, THEREFORE, ORDERED that:
1. The Complaint [Doc. 1] passes initial review against Defendants
Huffman and Towery for deliberate indifference to a serious medical
need.
2. The Plaintiff’s remaining claims are DISMISSED WITHOUT
PREJUDICE.
3. IT IS FURTHER ORDERED that the Clerk of Court shall commence
the procedure for waiver of service as set forth in Local Civil Rule
4.3 for Defendants Lisa Huffman and FNU Towery who are alleged
to be a current or former employees of the North Carolina
Department of Public Safety.
The Clerk is respectfully instructed to mail the Plaintiff an Opt-In/ Opt-
Out form pursuant to the Standing Order in Misc. Case. No. 3:19-mc-00060-
FDW and a copy of this Order.
IT IS SO ORDERED.
Signed: April 16, 2023
erie ws
Chief United States District Judge AU,
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