The opinion
IN THE UNITED STATES DISTRICT COURT
FOR THE MIDDLE DISTRICT OF PENNSYLVANIA
SEAN CHRISTOPHER :
CLEMMONS, : 1:15-cv-2003
Plaintiff, :
: Hon. John E. Jones III
v. :
:
UNITED STATES OF AMERICA, :
Defendant. :
MEMORANDUM
May 24, 2021
Plaintiff Sean Christopher Clemmons (“Clemmons”), a former federal
inmate incarcerated at the Federal Correctional Institution at Schuylkill (“FCI-
Schuylkill”, commenced this action on May 12, 2014. (Doc. 1). The only claim
remaining for disposition is Clemmons’s Federal Tort Claim Act claim.
Presently pending is the United States’ motion for summary judgment
pursuant to Federal Rule of Civil Procedure 56. (Doc. 143). The motion, filed on
February 4, 2021, is accompanied by a statement of material facts (Doc. 144) and a
supporting brief. (Doc. 145). Clemmons failed to oppose the motion.
Consequently, on March 5, 2021, an Order issued affording him until March 18,
2021, to file an opposition brief and statements of material facts in accordance with
Local Rule 56.1.1 (Doc. 146). The Court cautioned Clemmons that his failure to
adhere to the deadlines would result in the statement of material facts being
deemed admitted and the motion being deemed unopposed. On March 18, 2021,
he moved for an extension of time. The Court granted the motion and afforded
him until April 23, 2021, to properly oppose the motion. (Doc. 148). Clemmons
has failed to file an opposition brief or controvert the statement of material facts.
Hence, Defendant’s statement of material facts is deemed admitted and the motion
is deemed unopposed. For the reasons set forth below, the motion will be granted.
I. STANDARD OF REVIEW
Summary judgment “should be rendered if the pleadings, the discovery and
disclosure materials on file, and any affidavits show that there is no genuine issue
as to any material fact and that the movant is entitled to judgment as a matter of
law.” FED. R. CIV. P. 56(c); Turner v. Schering-Plough Corp., 901 F.2d 335, 340
(3d Cir. 1990). “[T]his standard provides that the mere existence of some alleged
factual dispute between the parties will not defeat an otherwise properly supported
motion for summary judgment; the requirement is that there be no genuine issue of
1 Local Rule 56.1 states that “[t]he papers opposing a motion for summary judgment shall
include a separate, short and concise statement of material facts, responding to the numbered
paragraphs set forth in the statement required [to be filed by the moving party], as to which it is
contended that there exists a genuine issue to be tried… All material facts set forth in the
statement required to be served by the moving party will be deemed to be admitted unless
controverted by the statement required to be served by the opposing party.” See L.R. 56.1
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material fact.” Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 247-48 (1986)
(emphasis in original); Brown v. Grabowski, 922 F.2d 1097, 1111 (3d Cir. 1990).
A disputed fact is “material” if proof of its existence or nonexistence would affect
the outcome of the case under applicable substantive law. Id.; Gray v. York
Newspapers, Inc., 957 F.2d 1070, 1078 (3d Cir. 1992). An issue of material fact is
“genuine” if the evidence is such that a reasonable jury could return a verdict for
the nonmoving party. Anderson, 477 U.S. at 257; Brenner v. Local 514, United
Brotherhood of Carpenters and Joiners of America, 927 F.2d 1283, 1287-88 (3d
Cir. 1991).
The party moving for summary judgment bears the burden of showing the
absence of a genuine issue as to any material fact. Celotex Corp. v. Catrett, 477
U.S. 317, 323 (1986); Orson, Inc. v. Miramax Film Corp., 79 F.3d 1358, 1366 (3d
Cir. 1996). Although the moving party must establish an absence of a genuine
issue of material fact, it need not “support its motion with affidavits or other
similar materials negating the opponent's claim.” Celotex, 477 U.S. 317, 323
(1986). It can meet its burden by “pointing out ... that there is an absence of
evidence to support the nonmoving party’s claims.” Id. at 325.
Once such a showing has been made, the non-moving party must go beyond
the pleadings with affidavits, depositions, answers to interrogatories or the like in
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order to demonstrate specific material facts which give rise to a genuine issue.
FED. R. CIV. P. 56; Celotex, 477 U.S. at 324; Matsushita Elec. Indus. Co. v. Zenith
Radio, 475 U.S. 574, 586 (1986) (stating that the non-moving party “must do more
than simply show that there is some metaphysical doubt as to the material facts”);
Wooler v. Citizens Bank, 274 F. App’x 177, 179 (3d Cir. 2008). The party
opposing the motion must produce evidence to show the existence of every
element essential to its case, which it bears the burden of proving at trial, because
“a complete failure of proof concerning an essential element of the nonmoving
party’s case necessarily renders all other facts immaterial.” Celotex, 477 U.S. at
323; see also Harter v. G.A.F. Corp., 967 F.2d 846, 851 (3d Cir. 1992). “[T]he
non-moving party ‘may not rely merely on allegations or denials in its own
pleadings; rather, its response must . . . set out specific facts showing a genuine
issue for trial.’” Picozzi v. Haulderman, 2011 WL 830331, *2 (M.D. Pa. 2011)
(quoting FED. R. CIV. P. 56(e)(2)). “Inferences should be drawn in the light most
favorable to the non-moving party, and where the non-moving party’s evidence
contradicts the movant’s, then the non-movant’s must be taken as true.” Big Apple
BMW, Inc. v. BMW of North America. Inc., 974 F.2d 1358, 1363 (3d Cir. 1992).
If the non-moving party “fails to make a showing sufficient to establish the
existence of an element essential to that party’s case, and on which that party will
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bear the burden at trial,” summary judgment is appropriate. Celotex, 477 U.S. at
322. The adverse party must raise “more than a mere scintilla of evidence in its
favor” and cannot survive by relying on unsupported assertions, conclusory
allegations, or mere suspicions. Williams v. Borough of W. Chester, 891 F.2d 458,
460 (3d Cir. 1989). The mere existence of some evidence in support of the non-
movant will not be adequate to support a denial of a motion for summary
judgment; there must be enough evidence to enable a jury to reasonably find for
the non-movant on that issue. Anderson, 477 U.S. at 249–50.
II. STATEMENT OF MATERIAL FACTS
Clemmons arrived at FCI-Schuylkill on April 23, 2012. (Doc. 144, p. 2, ¶
2). On April 30, 2012, he requested suppository medications from Physician’s
Assistant (“PA”) Steffan for treatment of his hemorrhoids. (Id. at ¶ 3). He also
requested soft-soled shoes, claiming the institutional boots caused his hemorrhoids
to “fall out.” (Id.). On April 30, 2012, PA Steffan noted that Clemmons purchased
over-the-counter medication at the inmate commissary on April 23, 2012, and
advised him to purchase hydrocortisone cream from the commissary and apply it to
his external hemorrhoids, as his condition did not meet the requirements for
suppositories. (Id. at ¶¶ 4-6).
On May 7, 2012, Clemmons again asked PA Steffan for special shoes
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because his institution issued boots were causing his hemorrhoids to “drop out.”
(Id. at p. 3, ¶ 10). PA Steffan advised him that his complaint was not medically
possible and that his footwear had no bearing on his hemorrhoid issues. (Id. at ¶
11). Clemmons left the Health Services Department without being examined by
PA Steffan. (Id. at ¶ 12).
Clemmons presented to the Health Services Department on June 11, 2013,
complaining to PA Lingenfelter that the commissary replaced his hemorrhoid
cream with hemorrhoid pads, but the pads did not provide him relief. (Id. at pp. 3,
4, ¶¶ 13-15). On June 13, 2013, PA Lingenfelter provided him with a commissary
slip for hydrocortisone cream. (Id. at p. 4, ¶ 16).
Between June 12, 2013, and August 11, 2014, although he did not seek
medical treatment for hemorrhoids, he submitted written Inmate Request to Staff
forms dated July 21, July 29, and July 30, 2014, wherein he complained that he did
not have money to purchase the over-the-counter creams he needed for his
hemorrhoids and jock itch. (Id. at ¶¶ 17-19). In responding to his requests, PA
Steffan and Clinical Director Dr. Ellen Mace-Leibson (“Dr. Mace-Leibson”) noted
that Clemmons had funds in his inmate trust account sufficient to purchase his
over-the-counter medications from the commissary/pharmacy. (Id. at ¶ 20).
According to Dr. Mace-Leibson, “[h]emorrhoids become clinically relevant
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when they thrombose, and cause regular bleeding, which leads to anemia. For
hemorrhoids that are not clinically relevant, treatment is over the counter
medication and surgery is elective. Surgery becomes necessary when it’s medically
indicated that a person is experiencing significant blood loss, and surgery must be
performed to stop blood loss.” (Doc. 144-1, Declaration of Dr. Mace-Leibson
(“Mace-Leibson Decl.,” pp. 7, 8, ¶ 14).
Clemmons was transferred to the Federal Correctional Institution at Gilmer
(“FCI-Gilmer”) on August 11, 2014. On October 4, 2014, he reported to the
Health Services Department for an elevated body temperature. (Doc. 144, p. 5, ¶
25). The following day, he returned to the Health Services Department
complaining of dizziness. (Id. at p. 6, ¶ 26). The lab work did not show anemia,
which would be present when hemorrhoids bleed regularly. (Id.). On October 20,
2014, he reported that his hemorrhoids were stable, with no rectal itching or pain,
no blood in his stools, and no black stools. (Id at ¶ 28).
On March 24, 2015, he sought treatment for rhinitis and hemorrhoids. (Id.).
According to the clinical encounter notes, he used cream from the commissary for
a history of hemorrhoids and had no rectal bleeding. (Id. at ¶ 29). The notes also
indicate that he had internal hemorrhoids, but no clinically significant symptoms
such as external hemorrhoids, thrombosed hemorrhoids, bleeding, fissure, trauma,
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or a prolapsed rectum. (Id. at ¶ 30).
On April 16, 2015, he sought treatment in the Health Services Department at
a BOP facility in Oklahoma for rectal pain and bleeding. (Id. at p. 7, ¶ 31). He
was diagnosed with external hemorrhoids with minimal bleeding. (Id.). On April
22, 2015, he sought treatment for chronic hemorrhoids that bleed with bowel
movements. (Id. at ¶ 32). During the April 22, 2015 evaluation, the treating
physician noted “prior CBC normal, repeat pending.” (Id. at ¶ 33). Clemmons
underwent a hemorrhoidectomy on August 25, 2015. (Id. at ¶ 34).
Dr. Mace-Leibson opines that “a review of the record reveals that inmate
Clemmons received medically reasonable treatment for the symptoms he
experienced.” (Doc. 144-1, Mace-Leibson Decl., p. 8, ¶ 18).2
III. DISCUSSION
The Federal Tort Claims Act (“FTCA”) provides that “the United States
shall be liable, respecting the provisions of this title relating to tort claims, in the
same manner and to the same extent as a private individual under like
circumstances.” 28 U.S.C. § 2674. The substantive state law where the tortious
conduct occurs, in this instance, Pennsylvania, governs a FTCA claim, see Sosa v.
Alvarez-Machain, 542 U.S. 692, 700 (2004).
2 Dr. Mace-Leibson did not personally provide medical services to Clemmons. (Doc. 144-1, p.
8, ¶ 18).
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Under Pennsylvania law, medical negligence, or medical malpractice, is
defined as “the unwarranted departure from generally accepted standards of
medical practice resulting in injury to a patient, including all liability-producing
conduct arising from the rendition of professional medical services.” Toogood v.
Owen J. Rogal, D.D.S., P.C., 824 A.2d 1140, 1145 (Pa. 2003) (citing Hodgson v.
Bigelow, 7 A.2d 338 (Pa. 1939)). The existence of an injury, by itself, does not
prove a doctor’s negligence. Mitchell v. Shikora, 209 A.3d 307, 315 (Pa. 2019)
(citations omitted). Rather, under Pennsylvania law, to “establish a cause of action
for negligence, the plaintiff must prove the following elements: (1) a duty or
obligation recognized by law; (2) a breach of that duty; (3) a causal connection
between the conduct and the resulting injury; and (4) actual damages.” See
Northwestern Mut. Life Ins. Co. v. Babayan, 430 F.3d 121, 139 (3d Cir. 2005)
(citing Pittsburgh Nat’l Bank v. Perr, 637 A.2d 334, 336 (Pa. Super. Ct. 1994));
see also Mitchell, 209 A.3d at 315.
“Determining whether there was a breach of duty, however, involves a two-
step process: the court must first determine the standard of care; it then must
examine whether the defendant's conduct measured up to that standard. Not only
does the plaintiff have the burden of proving that the defendant did not possess and
employ the required skill and knowledge, or did not exercise the care and judgment
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of a reasonable professional, he or she must also prove that the injury was caused
by the failure to employ that requisite skill and knowledge.” Toogood, 824 A.2d at
1149. Plaintiffs must also demonstrate that the doctor’s conduct was a “substantial
factor in bringing about” their harm—liability does not extend if the injuries would
have occurred in the absence of negligence. Hamil v. Bashline, 392 A.2d 1280,
1284 (Pa. 1978) (citations omitted).
When he initially presented for treatment in April and May 2012, medical
staff evaluated him and, based on his symptoms, directed him to purchase
hydrocortisone cream from the commissary and instructed him on application.
(Doc. 144, p, 2, ¶¶ 4-6). After the passage of nearly a year, Clemmons complained
that the commissary replaced his hemorrhoid cream with hemorrhoid pads, which
were ineffective. (Id. at pp. 3, 4, ¶¶ 13-15). In response, medical staff provided
him with a commissary slip for hydrocortisone cream. (Id. at p. 4, ¶ 16). Over the
course of the next year, did not raise any new complaints with regard to his
hemorrhoid or jock itch conditions. Although he complained that he did not have
money to purchase the over-the-counter creams he needed for his conditions,
medical staff confirmed that he had funds in his inmate trust account sufficient to
purchase the creams from the commissary/pharmacy. (Id. at ¶¶ 17-20).
After being transferred from FCI-Schuylkill to FCI-Gilmer, he was seen in
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October 2014, in the Health Services Department for an elevated body
temperature. (Id. at p. 5, ¶ 25). When he presented with dizziness the following
day, lab work was ordered to rule out anemia. (Id. at p. 6, ¶ 26). On October 20,
2014, he reported that his hemorrhoids were stable, with no rectal itching or pain,
no blood in his stools, and no black stools. (Id at ¶ 28). Approximately five
months later, he sought treatment for rhinitis and hemorrhoids. (Id. at ¶ 29). His
records indicated that he used cream from the commissary for a history of internal
hemorrhoids with no rectal bleeding and that he had no clinically significant
symptoms such as external hemorrhoids, thrombosed hemorrhoids, bleeding,
fissure, trauma, or a prolapsed rectum. (Id. at ¶ 30).
On April 16, 2015, he reported to the Health Services Department at a BOP
facility in Oklahoma complaining of rectal pain and bleeding and was diagnosed
with external hemorrhoids with minimal bleeding. (Id. at p. 7, ¶ 31). On April 22,
2015, he sought treatment for chronic hemorrhoids that bleed with bowel
movements. (Id. at ¶ 32). During the April 22, 2015 evaluation, the treating
physician noted “prior CBC normal, repeat pending.” (Id. at ¶ 33). According to
the record, Clemmons underwent a hemorrhoidectomy on August 25, 2015. (Id. at
¶ 34).
Dr. Mace-Leibson opines that treatment for hemorrhoids that are not
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clinically relevant, i.e., lack of thrombosis or regular bleeding, is over the counter
medication. More invasive treatment in the form of surgery only becomes
necessary when a person is experiencing significant blood loss. (Doc. 144-1,
Declaration of Dr. Leibson, pp. 7, 8, ¶ 14). In this instance, this is precisely the
treatment course followed. Initially, Clemmons received non-invasive treatment
with over the counter medications. However, once he experienced regular
bleeding, he underwent a hemorrhoidectomy. After a comprehensive review of the
pertinent medical records, Dr. Mace-Leibson concluded that Clemmons received
medically reasonable treatment for the symptoms he experienced. (Doc. 144-1, p.
8, ¶ 18). Clemmons fails to dispute this conclusion.
Because Clemmons fails to establish the elements of his medical negligence
claim, i.e. that the Defendant breached a duty to provide him with proper medical
care for his hemorrhoid and jock itch conditions by demonstrating that the medical
providers did not possess and employ the required skill and knowledge to treat his
condition, or failed to exercise the care and judgment of a reasonable medical
professional, and that such conduct proximately caused his alleged injuries,
Defendant is entitled to judgment as a matter of law.
IV. CONCLUSION
Based on the foregoing, Defendant’s motion (Doc. 143) for summary
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judgment is deemed unopposed and will be granted.
A separate Order will issue.
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