failure to cure chronic back pain was not evidence of deliberate indifference
How later courts described this case
- failure to cure chronic back pain was not evidence of deliberate indifference
- district court properly construed action as a Bivens action because plaintiff alleged he was deprived of a right secured by the United States Constitution by persons acting under color of federal law
Written by the judges who cited it.
The opinion
PEARSON, J.
UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF OHIO
EASTERN DIVISION
MICHAEL KEITH FORRESTER, ) CASE NO. 4:19-CV-1730
)
Plaintiff, )
) JUDGE BENITA Y. PEARSON
v. )
)
FEDERAL BUREAU OF PRISONS, ef al., ) MEMORANDUM OF OPINION
) AND ORDER
Defendants. ) [Resolving ECF Nos. 1, 32]
Pending before the Court is Health Service Administrator Barnes’, Dr. J. Dunlop’s, and
Physicians Assistant Griffith’s (Collectively, “Ohio Defendants”) Motion to Dismiss. ECF No.
32. Plaintiff did not respond. The Court has reviewed the parties’ filings and the applicable law.
For the reasons stated herein, the Ohio Defendants’ Motion is granted.
I. Procedural Posture
Pro se Plaintiff Michael Keith Forrester, a former federal prisoner, filed this Bivens'
action in the United States District Court for the Western District of Texas on September 7,
2018. ECF No. 1-1. In Forrester’s Complaint, he alleges numerous instances of negligence,
medical deliberate indifference and poor living conditions while incarcerated in FCI La Tuna in
Anthony, Texas from April 9, 2014 to February 24, 2016 and then in FCI Elkton in Lisbon, Ohio
' Western District of Texas District Court Judge Kathleen Cardone, construing the Complaint
liberally, determined that Plaintiff asserted a Bivens action against all Defendants named in the
Complaint. (ECF No. 42). See Sullivan v. United States, 90 F. App’x 862, 863 (6th Cir. 2004)
(district court properly construed action as a Bivens action because plaintiff alleged he was deprived
of a right secured by the United States Constitution by persons acting under color of federal law)
(citing Bivens v. Six Unknown Named Agents of Fed. Bureau of Narcotics, 403 U.S. 388, 397 (1971).
(4:19CV1730)
from March 1, 2016 until his release from prison on October 26, 2017. He named as Defendants
the Federal Bureau of Prisons (“BOP”) South Central Region, the BOP Northeast Region, seven
Defendants employed by the La Tuna prison (“Texas Defendants”), and FCI Elkton Health
Services Administrator Barnes, Dr. J. Dunlop, and Physicians Assistant Griffith (as noted, “Ohio
Defendants”).
The Texas Defendants and Ohio Defendants each filed Motions to Dismiss (ECF Nos. 31
and 32). The Magistrate Judge to whom the matter was referred issued a Report and
Recommendation. ECF No. 36. First, he recommended granting the Texas Defendants’ Motion
on the grounds that it was barred by the statute of limitations. /d. at PageID #: 347. He then
separated the claims against Nurse Rios from those against the other Texas Defendants, in part,
because she was not properly served, and recommended dismissal of the Fifth and Fourteenth
Amendment claims against her with prejudice; it was also recommended that the Eighth
Amendment claims against Rios be dismissed without prejudice. Jd. at PageID#: 353. The
Magistrate Judge recommended granting the Ohio Defendants’ Motion to Dismiss on the
grounds that the Court lacked personal jurisdiction over the Defendants. /d. at PageID #: 349. In
addition, the Magistrate Judge recommended that the Bivens claims against the Ohio Defendants
be transferred to this Court. /d. at PageID #: 354. The Magistrate Judge construed claims against
the BOP in the South Central Region and the Northeast Region as claims against the United
States under the Federal Tort Claims Act (“FTCA”). Jd. at PageID #: 343.
District Judge Kathleen Cardone accepted and adopted the Magistrate Judge’s Report and
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Recommendation.” ECF No. 42. She granted the Motion to Dismiss filed by the Texas
Defendants (ECF No. 31) and dismissed the claims against them with prejudice as time-barred.
ECF No. 42 at PageID #: 366. She ordered the claims against the Ohio Defendants be transferred
to this District Court but did not address the portion of the Report and Recommendation that she
adopted which also granted the Motion to Dismiss. /d. The Ohio Defendants’ Motion to
Dismiss (ECF No. 32), however, was terminated on the docket. The Court dismissed the Fifth
and Fourteenth Amendment claims against Nurse Rios with prejudice and dismissed the Eighth
Amendment claims against Rios without prejudice. Finally, the Court ordered Plaintiff to file an
Amended Complaint asserting his FTCA claims against the government and any Eighth
Amendment claims against Rios which were not time barred within twenty-one days of the order.
ECF No. 42 at PagelD #: 365-66.
One day after issuing her order adopting the Report and Recommendation, Judge Cardone
issued another order which clarified her intent with regard to the prior order (ECF No. 42) and
the status of the case. See W.D. Tex. Docket 2018-CV-00261, ECF No. 43. First, she clarified
that all claims against the individually-named Texas Defendants were dismissed, including those
against Rios. /d. Claims against the individually-named Ohio Defendants and their Motion to
Dismiss were transferred to this Court. /d. Finally, all claims against the BOP, including those
asserted against the Northeast Region, remained before the Texas Court. Jd.
Based on the clarification order (ECF No. 43), it appears that only Plaintiff's Bivens
* Neither party filed objections to the Magistrate Judge’s report and recommendation. After
reviewing the report and the record, Judge Cardone found the Magistrate Judge’s proposed
findings of fact and conclusions of law not to be erroneous nor contrary to law. ECF No. 42 at
PageID #: 366.
claims asserted against the Ohio Defendants (ECF No 1 at PageID #: 7-12) and the Ohio
Defendants’ Motion to Dismiss (ECF No. 32) are before this Court.
II. Factual Background
Plaintiff was first incarcerated in FCI La Tuna in Anthony, Texas. He alleges the living
conditions at FCI La Tuna caused him to be infected with anthrocosilicosis (“Black Lung”) and
coccidioides immitis (“Valley Fever’). Plaintiff was HIV positive prior to his incarceration at La
Tuna. He contends the Special Housing Unit (“SHU”) did not have proper ventilation and he
was exposed to mold, asbestos, coal dust, and fungal spores. He also alleges the walls of the
SHU dripped a yellowish liquid and the prison was infested with cockroaches. He complained to
prison staff about living conditions but was only transferred from one cell to another without
abating the conditions.
Plaintiff was transferred to FCI Elkton on March 1, 2016. On March 16, 2016, during a
routine chest x-ray, a lesion approximately 20 mm in diameter was discovered on the middle lobe
of his left lung. Prison officials transported him to Salem Regional Medical Center in Salem,
Ohio where additional testing was conducted. There, a pulmonologist offered a preliminary
diagnosis of non-tuberculosis mycobacterium pneumonia. Plaintiff states he remained
hospitalized for thirty days and was started on different treatment regimes. He was released from
the hospital on April 15, 2016. At that time the lesion had decreased in size to 12mm. He was
prescribed three different medications and was told to follow up with an infectious disease
physician. He claims the follow up appointment did not occur.
Additional chest x-rays were taken on April 20, 2016 to ensure the treatment regime was
working. The x-rays were read by a private company with which the BOP contracted. Plaintiff
4
alleges the lesion continued to measure at 12 mm. One month later on May 26, 2016, the lesion
was determined to be 11 mm. A third x-ray was taken in the summer of 2016. Based on that x-
ray the lesion was determined to have remained at 11mm. An x-ray performed on September 9,
2016, just days after a CT scan was performed, showed the lesion to be 16 mm x 14mm.
Plaintiff questions whether the individual who read the x-ray was performing his or her job
properly rather than simply glancing at the image and moving on. A pocket of air and fluid was
found in the x-ray. Plaintiff states it was ignored.
On April 6, 2017, Plaintiff had surgery to remove a portion of his lung. He was
hospitalized for three days. Once he was returned to FCI Elkton, he developed an infection at the
surgical site. He claims the infection site was ignored for several days before being cultured. He
contends that the pathology for the portion of removed lung tissue revealed the presence of Black
Lung and Valley Fever.
Plaintiff alleges he faced negligence, medical indifference, and inadequate care while
incarcerated at both institutions. He seeks twenty-five million dollars in monetary damages “for
pain and suffering incurred by the Federal Bureau of Prisons and its staff for cruel and unusual
punishment and medical indifference.” ECF No. 1 at PageID #: 12.
The Ohio Defendants filed a Motion to Dismiss (ECF No. 32) listing three grounds for
relief: (1) lack of personal jurisdiction; (2) improper venue; and (3) failure to state a claim upon
which relief may be granted. The transfer of their claims to the Northern District of Ohio cures
the first two grounds for relief. For their third ground, Defendants argue that Plaintiff did not
allege facts to suggest that any of them was personally involved in the actions described in the
Complaint. Id. at PageID #: 316-20. Further they indicate the facts alleged suggest claims of
5
(4:19CV1730)
medical malpractice, negligence, or disagreement with a medical treatment and that all of these
fail to meet the criteria to state an Eighth Amendment claim. /d. at PageID #: 321.
III. Standard for Dismissal
Although pro se pleadings are liberally construed, Boag v. MacDougall, 454 U.S. 364,
365 (1982) (per curiam); Haines v. Kerner, 404 U.S. 519, 520 (1972), the Court is required to
dismiss an in forma pauperis action under 28 U.S.C. §1915(e) if it fails to state a claim upon
which relief can be granted, or if it lacks an arguable basis in law or fact. Neitzke v. Williams,
490 US. 319 (1989); Lawler v. Marshall, 898 F.2d 1196 (6th Cir. 1990); Sistrunk v. City of
Strongsville, 99 F.3d 194, 197 (6th Cir. 1996). An action has no arguable basis in law when a
Defendant is immune from suit or when a Plaintiff claims a violation of a legal interest which
clearly does not exist. Neitzke, 490 U.S. at 327. An action has no arguable factual basis when
the allegations are delusional or rise to the level of the irrational or “wholly incredible.” Denton
vy. Hernandez, 504 U.S. 25, 32 (1992); Lawler, 898 F.2d at 1199,
When determining whether the Plaintiff has stated a claim upon which relief can be
granted, the Court must construe the Complaint in the light most favorable to the Plaintiff, accept
all factual allegations as true, and determine whether the Complaint contains “enough fact to
state a claim to relief that is plausible on its face.” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570
(2007). The Plaintiff's obligation to provide the grounds for relief “requires more than labels and
conclusions, and a formulaic recitation of the elements of a cause of action will not do.” Jd.
Although a complaint need not contain detailed factual allegations, its “factual allegations must
be enough to raise a right to relief above the speculative level on the assumption that all the
allegations in the complaint are true.” /d. The Court is “not bound to accept as true a legal
(4:19CV 1730)
conclusion couched as a factual allegation.” Papasan v. Allain, 478 U.S. 265, 286 (1986). The
Supreme Court in Ashcroft v. Igbal, 556 U.S. 662, 677-78 (2009), further explains the
“plausibility” requirement, stating that “a claim has facial plausibility when the Plaintiff pleads
factual content that allows the Court to draw the reasonable inference that the Defendant is liable
for the misconduct alleged.” Jgbal, 556 U.S. at 678. Furthermore, “the plausibility standard is
not akin to a ‘probability requirement,’ but it asks for more than a sheer possibility that a
Defendant acted unlawfully.” /d. This determination is a “context-specific task that requires the
reviewing Court to draw on its judicial experience and common sense.” Jd.
IV. Law and Analysis*
The Eighth Amendment imposes a constitutional limitation on the power of the states to
punish those convicted of crimes. Punishment may not be “barbarous” nor may it contravene
society’s “evolving standards of decency.” Rhodes v. Chapman, 452 U.S. 337, 346 (1981). The
Eighth Amendment, therefore, prohibits conduct by prison officials that involves the
“unnecessary and wanton infliction of pain.” Jvey v. Wilson, 832 F.2d 950, 954 (6th Cir. 1987)
(per curiam) (quoting Rhodes, 452 US. at 346).
The Supreme Court in Wilson v. Seiter, 501 U.S. 294, 298 (1991), set forth a framework
for courts to use when deciding whether certain conditions of confinement constitute cruel and
unusual punishment prohibited by the Eighth Amendment. A Plaintiff must first plead facts
which, if true, establish that a sufficiently serious deprivation has occurred. Jd. Seriousness is
> The Magistrate Judge’s Report and Recommendation concluded that the Western District
of Texas did not have personal jurisdiction over the Ohio Defendants. Accordingly, the
Magistrate Judge did not made findings with regard to Forrester’s Bivens claim against the Ohio
Defendants. Judge Cardone, adopting the Magistrate Judge’s recommendation, transferred these
claims to the Northern District of Ohio. Thus, the Court proceeds with a de novo review.
(4:19CV 1730)
measured in response to “contemporary standards of decency.” Hudson v. McMillian, 503 U.S.
1,8 (1992). Routine discomforts of prison life do not suffice. /d. Only deliberate indifference to
serious medical needs or extreme deprivations regarding the conditions of confinement will
implicate the protections of the Eighth Amendment. /d. at 9. A Plaintiff must also establish a
subjective element showing the prison officials acted with a sufficiently culpable state of mind.
Id. at 10, Deliberate indifference is characterized by obduracy or wantonness, not inadvertence
or good faith error. Whitley v. Albers, 475 U.S. 312, 319 (1986), Liability cannot be predicated
solely on negligence. /d. A prison official violates the Eighth Amendment only when both the
objective and subjective requirements are met. Farmer v. Brennan, 511 U.S. 825, 834 (1994),
In the context of a claim regarding medical treatment, an inmate must demonstrate not
only that he was suffering from a “serious” medical need, but that the particular Defendants
named in the Complaint were “deliberately indifferent” to that serious medical need. Jd.
Deliberate indifference “entails something more than mere negligence.” Jd. at 835. This
standard is met if “the official knows of and disregards an excessive risk to inmate health or
safety; the official must both be aware of facts from which the inference could be drawn that a
substantial risk of serious harm exists, and he must also draw the inference.” Flanory v. Bonn,
604 F.3d 249, 253-55 (6th Cir. 2010) (citing Farmer, 511 U.S. at 837). Erroneous treatment
implicates the Constitution only when the health care provider’s course of treatment was “so
grossly incompetent, inadequate, or excessive as to shock the conscience or to be intolerable to
fundamental fairness.” Terrance v. Northville Regional Psychiatric Hosp., 286 F.3d 834, 844
(6th Cir. 2002).
Plaintiff's Eighth Amendment claims fail for two reasons. First, he does not allege facts
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suggesting that any of the Ohio Defendants was personally involved in the actions of which he
complains. Furthermore, Plaintiff received treatment for his conditions. The medical staff found
the lesion on his lung, took him to the local hospital where he remained and received treatment
for thirty days. He was sent back to FCI Elkton where he received additional treatment and his
condition was monitored with regular x-rays. Ultimately, he received surgery to remove a
portion of his lung. Plaintiff faults the private company reading the x-ray but they are not a
Defendant in this action. Where, as here, the medical staff provides constitutionally acceptable
care, his or her inability to effect a final cure is not proof of deliberate indifference. See Snipes v.
DeTella, 95 F.3d 586, 591 (7th Cir. 1996) (failure to cure chronic back pain was not evidence of
deliberate indifference); see also Fritts v. Richland Corr. Inst., 2019 WL 6311437, at *2 (N.D.
Ohio Nov. 25, 2019) (same).
V. Conclusion
Accordingly, The Ohio Defendants’ Motion to Dismiss (ECF No. 32) is granted and this
action is dismissed. The Court certifies, pursuant to 28 U.S.C. § 1915(a)(3), that an appeal from
this decision could not be taken in good faith.
IT IS SO ORDERED.
December 23, 2019 /s/ Benita Y. Pearson
Date Benita Y. Pearson
United States District Judge