Opinion

ANGLE v. MONTAG

Court
District Court, W.D. Pennsylvania
Filed
Feb 27, 2023
Cited by
0 cases
Authority
More cited than 29.3%

dental condition that interfered with inmate plaintiff's ability to eat constituted a serious medical need

How later courts described this case

  • dental condition that interfered with inmate plaintiff's ability to eat constituted a serious medical need
  • “The condition of thirty days’ notice prior to seeking dismissal of an action for failure to comply with the COM regime is substantive and must be applied in federal court.”
  • the exception applies to cases where “the negligence ‘is obvious to the untrained layman, [such as leaving surgical instruments or sponges in the incision or operating on the wrong portion of the body[.]]’”
  • dentist’s failure to remove all of inmate’s wisdom tooth, which caused tooth decay and resulted in oral surgery, amounted at most to negligence, not deliberate indifference

Written by the judges who cited it.

The opinion

IN THE UNITED STATES DISTRICT COURT

FOR THE WESTERN DISTRICT OF PENNSYLVANIA

ERIE DIVISION

BRYAN ANGLE II, )

)

Plaintiff 1:21-CV-00252-RAL

VS. RICHARD A. LANZILLO

) Chief United States Magistrate Judge

DR. MONTAG, IN HIS INDIVIDUAL )

D ICIAL CAPACITY

AND OFFIC ° ) MEMORANDUM OPINION ON

) DEFENDANT’S MOTION FOR SUMMARY

Defendant ) JUDGMENT

)

IN RE: ECF NO. 41

MEMORANDUM OPINION

I. Introduction and Procedural History □

Plaintiff Bryan Angle II (“Angle”), an inmate currently incarcerated at the State

Correctional Institution (“SCT”) at Fayette, commenced this pro se civil rights action in the Court

of Common Pleas of Forest County, Pennsylvania, against Dr. Montag, a dentist who provided

dental care to Angle during his prior incarceration at SCI-Forest. ECF No. 1-1. Angle’s

complaint alleges that the dental treatment Dr. Montag provided to him reflected deliberate

indifference to his serious medical needs and thereby violated his rights under the Eighth

Amendment to the United States Constitution. He seeks redress of this alleged violation under

42 U.S.C. § 1983. The complaint also asserts a dental malpractice claim under Pennsylvania

state law against Dr. Montag. ECF No. 1-1. Dr. Montag removed the action to this Court

pursuant to 28 U.S.C. § 1441 based on federal question subject matter jurisdiction conferred by

28 U.S.C. § 1331. ECF No. 1.

On July 20, 2022, Dr. Montag filed his pending motion for summary judgment. ECF No.

41. Pursuant to Local Rule 56(A), Montag’s motion was accompanied by a brief (ECF No. 42),

a concise statement of material facts (ECF No. 43), and an appendix containing the following

exhibits: Ex. A, Dental Records 6.5.20 to Present (ECF No. 43-2); Ex. B, Record of Grievance

No. 885445 (ECF No. 43-3); and Ex. C, Declaration of Helen Shambaugh (ECF No. 43-4).

Thereafter, Angle filed a brief in opposition (ECF No. 55), responsive concise statement of

material facts (ECF No. 54), an affidavit (ECF No. 54-1), and what the Court has construed as a

supplemental opposition brief (ECF No. 48).! For the reasons that follow, Dr. Montag’s motion

for summary judgment will be GRANTED.

Il. Statement of Facts

Angle’s Eighth Amendment deliberate indifference claim is based on dental treatment

Montag provided to Angle at SCI-Forest. The material facts concerning that claim are

summarized below. Disputed facts are noted.

In his complaint, Angle alleged that Dr. Montag filled cavities in two of his teeth, tooth

32 and tooth 22. ECF No. 1-1, 94. Angle does not say when each of the fillings was installed,

but he does claim that Dr. Montag filled each tooth on “separate occasions” and that both fillings

“fell out within weeks.” ECF No. 54-19 4. On May 15, 2020, Angle filed a grievance

complaining that he had lost a tooth filling and requesting a dental check-up and replacement

filling. See ECF No. 53-1 (Grievance No. 868875 Record). On June 4, 2020, an Initial Review

Response to the grievance was issued advising that Angle would be scheduled for an

1 Angle’s supplement brief primarily complained about his limited ability respond to defendants’ motion due to the

circumstances of his incarceration. To the extent this and Angle’s other submissions asserted factual matters and legal

argument, the Court has considered them in its review of Defendant’s motion.

appointment with Dr. Montag within the next two weeks. This appointment took place on the

following day, June 5, 2020.

While the parties agree that Dr. Montag examined Angle’s lost filling during that

appointment, they disagree regarding the extent of the treatment Dr. Montag provided. Montag

asserts that he “provided restorative treatment” to tooth 32 “by inserting a dental amalgam

filling” and applied a desensitizer to tooth 22 because Angle had complained of its sensitivity.

ECF No. 43, 7 2. Angle counters that Montag did not restore tooth 32 at this appointment.

Instead, he contends that tooth 32 was restored by a different dentist and only after “this court

asked Atturney [sic] Raymond to contact [Angle’s] current institution and ask that [he] be

treated.” ECF No. 54, 92. Angle also disputes that Montag applied desensitizer, asserting that

“Montag said he was going to order that desensitizer be applied but instead of ordering it he lied

and said treatment was exicuted [sic].” Angle has not seen Dr. Montag since his

appointment on June 5, 2020.

On August 19, 2020, Angle filed Grievance No. 885445,” wherein he complained that

another filing had fallen out and he was in pain. Defendants assert that he did not appeal this

grievance to the final review with the Secretary’s Office of Inmate Grievances and Appeals

(“SOIGA”); Angle avers that he did.

Il. Standard of Review

Federal Rule of Civil Procedure 56(a) requires the court to enter summary judgment “if

the movant shows that there is no genuine dispute as to any material fact and the movant is

? Dr. Montag asserts that this is the only grievance Angle filed related to this action. Angle argues that Grievance No.

868875 is also related. Both grievance records are properly before the Court. While Grievance No. 869975 relates to

events that ultimately led him to the care provided by Dr. Montag on June 5, 2020, it does not speak to whether Dr.

Montag acted with deliberate indifference to Angle’s dental needs on that date. Grievance No. 869975 requested that

Angle be seen for his lost filling. The grievance was upheld, and Angle was, in fact, seen by Dr. Montag well within

the two weeks promised by the Initial Review Response. Accordingly, Grievance No. 868875 is immaterial to the

pending motion for summary judgment.

entitled to judgment as a matter of law.” Fed. R. Civ. P. 56(a). Under this standard “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 material fact.” Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 247-48 (1986). A

disputed fact is “material” if proof of its existence or nonexistence would affect the outcome

under applicable substantive law. Anderson, 477 U.S. at 248; Gray v. York Newspapers, Inc.,

957 F.2d 1070, 1078 Gd 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 Bhd. of Carpenters and Joiners of Am., 927 F.2d 1283,

1287-88 (3d Cir. 1991).

When determining whether a genuine issue of material fact remains for trial, the court

must view the record and all reasonable inferences to be drawn from it in favor of the nonmoving

party. Moore v. Tartler, 986 F.2d 682 (3d Cir. 1993); Clement v. Consol. Rail Corp., 963 F.2d

599, 600 (3d Cir. 1992); White v. Westinghouse Elec. Co., 862 F.2d 56, 59 (3d Cir. 1988). To

avoid summary judgment, however, the nonmoving party may not rest on the unsubstantiated

allegations of his or her pleadings. Instead, once the movant satisfies its burden of identifying

evidence that demonstrates the absence of a genuine issue of material fact, the nonmoving party

must go beyond his pleadings with affidavits, depositions, answers to interrogatories or other

record evidence to demonstrate specific material facts that give rise to a genuine issue. Celotex

Corp. v. Catrett, 477 U.S. 317, 324 (1986).

Further, under Rule 56, a defendant may seek summary judgment by pointing to the

absence of a genuine fact issue on one or more essential claim elements. The Rule mandates

summary judgment if the plaintiff then fails to make a sufficient showing on each of those

elements. When Rule 56 shifts the burden of production to the nonmoving party, “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 Harter v. G.A.F. Corp., 967

F.2d 846, 851 (3d Cir. 1992).

The court applies the foregoing standards no differently when reviewing cross-motions

for summary judgment. Lawrence v. City of Phila., 527 F.3d 299, 310 (3d Cir. 2008). ““Cross-

motions are no more than a claim by each side that it alone is entitled to summary judgment, and

the making of such inherently contradictory claims does not constitute an agreement that if one is

rejected the other is necessarily justified or that the losing party waives judicial consideration and

determination whether genuine issues of material fact exist.’” Jd. (quoting Rains v. Cascade

Indus., Inc., 402 F.2d 241, 245 (3d Cir. 1968)). If review of cross-motions reveals no genuine

issue of material fact, then judgment may be granted in favor of the party entitled to judgment in

view of the law and undisputed facts. Iberia Foods Corp. v. Romeo, 150 F.3d 298, 302 (3d Cir.

1998) (citation omitted).

IV. Analysis

Dr. Montag argues that he is entitled to summary judgment because Angle did not

exhaust his administrative remedies as required by the Prisoner Litigation Reform Act of

1995(“PLRA”), 42 U.S.C. § 1997e(a). Alternatively, he argues that Angle’s Eighth Amendment

claim fails because the record cannot support a finding that he acted with deliberate indifference

to Angle’s dental needs and that Angle’s state law dental malpractice claim must be dismissed

because he failed to file a certificate of merit.

a. Disputed issues of material fact preclude judgment in favor of Dr. Montag on

his PLRA exhaustion defense.

The PLRA requires a prisoner to exhaust any available administrative remedies before he

may bring an action challenging the conditions of his confinement. See 42 U.S.C. § 1997e(a).

The grievance system utilized in Pennsylvania’s prison system requires inmates to satisfy a

three-step grievance and appeals process. See Grievance System Policy DC ADM-804; Smith v.

Sec. of Pa. Dept. of Corrections, 2018 WL 279363, at *2 (W.D. Pa. Jan. 3, 2018). First, the

inmate must “legibly set forth all facts and identify all persons relevant to his claim in a

grievance which will then be subject to ‘initial review.’” Smith, 2018 WL 279363, at *2 (citing

Spruill v. Gillis, 372 F.3d 218, 233 (3d Cir. 2004)). Second, if the inmate is dissatisfied with the

initial review response (“IRR”), he must appeal to the Facility Administrator for a second level

of review. Id. Finally, if he remains dissatisfied, he must file an appeal to the Secretary’s Office

of Inmate Grievances and Appeals (““SOIGA”). Jd. All three stages of review must be

completed before a grievance is deemed administratively exhausted for purposes of the PLRA.

Apropos to this case, however, “[t]he PLRA does not require exhaustion of all remedies.

Rather, it requires exhaustion of such administrative remedies “as are available.’” Brown v.

Croak, 312 F.3d 109, 111 Gd Cir. 2002) (citing 42 U.S.C. § 1997e(a) and Camp v. Brennan, 219

F.3d 279, 281 (3d Cir. 2000)). The Supreme Court has set forth

“three kinds of circumstances in which an administrative remedy,

although officially on the books,” is not “available” because it is

“not capable of use to obtain relief”: (1) when “it operates as a

simple dead end—with officers unable or consistently unwilling to

provide any relief to aggrieved inmates”; (2) when it is “so opaque

that it becomes, practically speaking, incapable of use,” such as

when no ordinary prisoner can discern or navigate it; or (3) when

“prison administrators thwart inmates from taking advantage of a

grievance process through machination, misrepresentation, or

intimidation.”

Rinaldi v. United States, 904 F.3d 257, 266-67 (3d Cir. 2018) (quoting Ross v. Blake, 578 U.S.

632, 654-45 (2016)). In these instances, a plaintiff's failure to exhaust is excused because prison

officials’ conduct has rendered relief via the administrative process unavailable to them. See

Ross, 578 U.S. at 644.

Dr. Montag argues that Angle failed to appeal the denial of Grievance No. 885445 to

SOIGA and, thus, that he has not administratively exhausted his deliberate indifference claim. In

support of this position, Montag has submitted copies of the documents related to Grievance No.

885445? and a declaration by SOIGA grievance officer Helen Shaumbaugh. Angle disputes the

completeness of the grievance record submitted by Montag, arguing that he did completely

exhaust Grievance No. 885445. To buttress his position, he asserts in his affidavit that he

“appealed to superintendent Oberlander and . . . to Central Office Chief Grievance Coordinator”

(SOIGA). ECF No. 54-1, 4 13.4

Failure to exhaust administrative remedies under the PLRA is an affirmative defense that

a defendant must plead and prove. Ray v. Kertes, 285 F.3d 287, 295 (3d Cir. 2002). The record

relating to Grievance No. 885445 includes conflicting evidence that precludes the entry of

summary judgment in favor of Dr. Montag on his exhaustion defense. Upon review of the

documents submitted by Montag, it appears, but is not certain, that Angle erroneously penned the

appeal to the facility manager on an Initial Grievance Form instead of the correct Inmate Appeal

3 The grievance record submitted by Montag consists of the following documents: Official Inmate Grievance Form

submitted on August 19, 2020; Initial Level Extension issued on September 17, 2020; Initial Review Response

(“IRR”) issued on September 21, 2020; Official Inmate Grievance Form submitted on September 22, 2020; Facility

Appeal Extension issued on October 20, 2020; Remand Grievance — Notice to Inmate issued on November 3, 2020;

and Remanded Initial Review Response issued on November 24, 2020. ECF No. 43-3.

‘Tn his affidavit, Angle also appears to argue that the administrative remedies were made unavailable to him because,

although he appealed the IRR to the facility manager, he did not receive a copy of the facility manager’s response,

and because he did not receive a copy of the Remand Grievance — Notice to Inmate or the Remanded IRR. Angle

hypothesizes that these omissions arose out of his being transferred to SCI-Albion after the IRR was issued, and

“because staff figure [he] [wa]s no longer their concern and therefore need not to forward institutional mail.” ECF

No. 54-1, J 11. Angle has not produced any evidence that he notified prison officials of these alleged missing

documents, and his claim of not receiving these documents appears incompatible with is assertion that he exhausted

his grievance through final appeal. His contradictory allegations fail to create a triable issue of material fact regarding

his claim that administrative remedies were unavailable to him.

to the Facility Manager Form. See DC-ADM 804, Section 2(A)(1)(d)(6). It also appears, but is

not certain, that the reviewing official treated this September 22, 2020 Official Inmate Grievance

Form as an appeal to the facility manager despite the form error. And though Montag argues

only that Montag failed to complete the third and final exhaustion requirement—the appeal of the

Facility Manager’s response—he has not included a copy of Angle’s submitted Facility Manager

appeal. What’s more, while Shaumbaugh attests to the absence of any final appeal from the

second level of review of Grievance No. 885445, she does not certify that these documents

constitute a complete and accurate record of Angle’s grievance proceedings. Absent such an

attestation, and given Angle’s affidavit asserting that he appealed the grievance through final

review, the Court cannot hold as a matter of law that Angle failed to exhaust his administrative

remedies. See Sims v. Wexford Health Sources, 2015 WL 4041771, at *5 (W.D. Pa. July 1,

2015), aff'd, 635 Fed. Appx. 16 (3d Cir. 2015) (DOC Defendants . . . .fail[ure] to authenticate

[the copies of the grievance documents] with a sworn declaration certifying that they constitute a

complete and accurate record of Plaintiff's grievance proceedings” precluded the court from

“rely[ing] on such documents to definitively conclude that Plaintiff ha[d] failed to exhaust.”);

Watkins v. Merriel, 2015 WL 5722819, at *8—10 (D.N.J. Sept. 29, 2015) (finding that there were

genuine issues of disputed facts regarding whether an inmate filed [RF appeals when there was

“at least some record evidence suggesting that Plaintiff did not receive responses from prison

officials related to some IRFs he submitted”); Ortiz v. Hayman, 2008 WL 1319203, at *4 (D.N.J.

Apr. 10, 2008) (holding that summary judgment is inappropriate when there was a dispute of fact

whether plaintiff actually submitted an IRF when the plaintiff claims he sent an IRF and the

defendants claim they never received an IRF); Ball v. Bower, 2012 WL 1414827, at *3 (M.D. Pa.

Mar. 22, 2012), report and recommendation adopted, 2012 WL 1414771 (M.D. Pa. Apr. 24,

2012) (collecting cases). Accordingly, the Court will deny Dr. Montag’s motion for summary

judgment to the extent it is based on Angle’s alleged failure to exhaust his administrative

remedies and proceed to address the motion as it relates to the merits of Angle’s claim. See

Wilson v. Gromel, 2023 WL 2088429, at *4 (M.D. Pa. Feb. 17, 2023) .

b. The record is inadequate to support a finding that Dr. Montag acted with

deliberate indifference to Angle’s serious dental needs.

Angle claims that Dr. Montag was deliberately indifferent to his serious dental needs in

violation of his Eighth Amendment rights. To establish such a violation, a plaintiff must

demonstrate that: (1) he had a serious medical need, and (2) acts or omissions by prison officials

that reflect deliberate indifference to that need. Rouse v. Plantier, 182 F.3d 192, 197 (3d Cir.

1999). A serious medical need exists when a “failure to treat can be expected to lead to

substantial and unnecessary suffering.” Colburn v. Upper Darby Twp., 946 F.2d 1017, 1023 (3d

Cir. 1991). Additionally, “if unnecessary and wanton infliction of pain results as a consequence

of denial or delay in the provision of adequate medical care, the medical need is of the serious

nature contemplated by the Eighth Amendment.” Young v. Kazmerski, 266 Fed. Appx. 191, 193

(3d Cir. 2008) (quoting Monmouth County Corr. Inst’l Inmates v. Lanzaro, 834 F.2d 326, 346-47

(3d Cir. 1987). Deliberate indifference is manifested by an intentional refusal to provide care,

delayed medical treatment for non-medical reasons, denial of prescribed medical treatment, a

denial of reasonable requests for treatment that results in suffering or risk of injury, Durmer v.

O Carroll, 991 F.2d 64, 68 (3d Cir. 1993), or “persistent conduct in the face of resultant pain and

risk of permanent injury.” White v. Napoleon, 897 F.2d 103, 109 (Gd Cir. 1990).

For purposes of Dr. Montag’s motion for summary judgment, the record is sufficient to

support a finding that Angle’s dental condition constituted a serious medical. Angle’s dental

records support that he had a cavity and infection in tooth 32 and sensitivity in tooth 22 when he

presented to Dr. Montag on June 5, 2020. Angle attests that these conditions caused him to have

trouble eating and sleeping. Courts have found similar conditions sufficient to support the

-existence of a serious medical need. See Oke v. Biggins, 2019 WL 6702142, at *3 (W.D. Pa.

Nov. 15, 2019), report and recommendation adopted, 2019 WL 6701455 (W.D. Pa. Dec. 9,

2019) (plaintiff had cavity that caused him severe pain interfering with his ability to sleep, eat,

and drink); Nolen v. Tolnay, 2020 WL 4736250, at *2 (W.D. Pa. Aug. 14, 2020) (decay of his

remaining wisdom tooth constitutes a serious medical need); Hunt v. Dental Dep’t, 865 F.2d 198,

200 (9th Cir. 1989) (dental condition that interfered with inmate plaintiff's ability to eat

constituted a serious medical need).

In contrast to the existence of Angle’s serious dental need, the record is inadequate to

support a finding that Dr. Montag was deliberately indifferent to that need. Angle asserts that

weeks after Dr. Montag filled two of his cavities “on separate occasions,” the fillings fell out.

See ECF 54-1. The parties agree that on June 5, 2020, Dr. Montag saw Angle specifically to

address his missing filling in tooth 32. Angle’s dental records memorialize that Dr. Montag

filled Angle’s tooth 32 and desensitized tooth 22. Angle’s assertion in his unverified pleadings

that Dr. Montag did neither is, as Defendants point out, “utterly unsupported by the record.”

ECF No. 47, p. 6. “A non-moving party may not successfully oppose a summary judgment

motion by resting upon mere allegations or denials contained in the pleadings, or by simply

reiterating those allegations or denials in an affidavit.” Van Horn v. Suhor Indus., Inc., 829 F.

Supp. 2d 321, 325 (W.D. Pa. 2011) (citing Lujan v. National Wildlife Federation, 497 U.S. 871,

888 (1990)). “Rather, the non-moving party must offer specific evidence found in the record that

contradicts the evidence presented by the movant and indicates that there remain relevant factual

disputes that must be resolved at trial.” Jd.

10

Angle’s assertion is further belied by the records relating to dental care later provided to

Angle by another dentist, Dr. Tolnay, at SCI-Albion. Dr. Tolnay recorded that he saw Angle on

June 15, 2021, a little more than a year after his appointment with Dr. Montag, and that Angle

had a bacterial infection involving tooth 32 and would be placed on the list for oral surgery to

have the tooth extracted. Dr. Tolnay also recorded that Angle reported that his filling in tooth 32

had fallen out, thereby acknowledging that the cavity in that tooth had previously been filled.

Furthermore, Dr, Tolnay recorded that Angle had decay in other teeth, including tooth 22. In his

unverified opposition brief, Angle appears to argue that the infection and decay in tooth 32 are

evidence that Dr. Montag did not fill tooth 32 at the appointment on June 5, 2020. The record

supports no such inference. Rather, the record supports only that Dr. Montag examined and

treated Angle on June 5, 2020, and that approximately one year later, Angle again experienced

tooth decay and infection. Although Angle’s assertions arguably raise questions regarding the

overall quality of the dental care he received, the record is insufficient to support a finding that

Dr. Montag was deliberately indifferent to Angle’s dental needs. Angle’s dissatisfaction with his

treatment does not support a deliberate indifference claim. Tillery v. Noel, 2018 WL 3521212, at

*5 (M.D. Pa. June 28, 2018) (collecting cases) (“an inmate’s dissatisfaction with a course of

medical treatment, standing alone, does not give rise to a viable Eighth Amendment claim.”).

And allegations of Montag’s negligent treatment likewise do not amount to deliberate

indifference. See Gillespie v. Hogan, 182 Fed. Appx. 103, 105 (3d Cir. 2006) (dentist’s failure

to remove all of inmate’s wisdom tooth, which caused tooth decay and resulted in oral surgery,

amounted at most to negligence, not deliberate indifference); id. (citing Estelle, 429 U.S. 97)

(“Allegations of negligent treatment are medical malpractice claims, not constitutional violation

claims.”); Isenberg v. Prasse, 433 F.2d 449 (3d Cir.1970) (rejecting claim that malpractice by

11

dentist while extracting teeth constitutes unconstitutional cruel and unusual punishment).

Accordingly, Montag is entitled to summary judgment on Angle’s Eighth Amendment deliberate

indifference claim.

c. Angle’s state law dental malpractice claim cannot proceed without a

certificate of merit.

Angle also asserts that Dr. Montag’s dental care fell below the accepted standard of care

and represents dental malpractice under Pennsylvania state law. To support such a claim, Angle

must establish the following elements

(1) the [medical professional] owed a duty to the patient; (2) the

[medical professional] breached the duty; (3) the breach of duty was

the proximate cause of, or a substantial factor in, bringing about the

harm suffered by the patient; and (4) the damages suffered by the

patient were a direct result of that harm.

Grant v. Pennsylvania Dep’t of Corr., 2021 WL 4312451, at *12 (W.D. Pa. Aug. 6, 2021),

report and recommendation adopted, 2021 WL 3828146 (W.D. Pa. Aug. 27, 2021) (quoting Doe

v. Hosp. of Univ. of Pa., 546 F. Supp. 3d 336 (E.D. Pa. 2021)).

Rule 1042.3 of the Pennsylvania Rules of Civil Procedure generally requires a plaintiff

asserting a medical or professional malpractice claim to file a Certificate of Merit (“COM”) for

each defendant who is the subject of the claim either with the complaint or within 60 days

thereafter. See 231 Pa. Code Rule 1042.3(a).° The COM must attest that there is a reasonable

> Rule 1042.3(a) of the Pennsylvania Rules of Civil Procedure states:

(a) In any action based upon an allegation that a licensed professional deviated from an acceptable

professional standard . . . the plaintiff if not represented, shall file with the complaint or within

sixty days after the filing of the complaint, a certificate of merit signed by the . . . party that either

(1) an appropriate licensed professional has supplied a written statement that there exists a

reasonable probability that the care, skill or knowledge exercised or exhibited in the treatment,

practice or work that is the subject of the complaint, fell outside acceptable professional standards

and that such conduct was a cause in bringing about the harm, or...

(2) the claim that the defendant deviated from an acceptable professional standard is based solely

on allegations that other licensed professionals for whom this defendant is responsible deviated

12

probability that the medical or other professional care described in the complaint fell outside of

acceptable professional standards. The Third Circuit has held that Rule 1042.3 is substantive law

that applies to professional malpractice claims based on Pennsylvania law that are asserted in

federal court. See Liggon-Redding v. Estate of Sugarman, 659 F.3d 258, 262-64 (3d Cir. 2011)

(citing Erie R.R. v. Thompkins, 304 U.S. 64 (1983)). Thus, for purposes of a motion to dismiss

or motion for summary judgment, Rule 1042.3 is applied as “controlling, substantive state law.”

Scaramuzza v. Sciolla, 345 F. Supp. 2d 508, 509-10 (E.D. Pa. 2004). “[A] plaintiffs failure to

comply with Rule 1042.3 requires dismissal of any malpractice claim.” Bennett v. PrimeCare

Medical, Inc., 2018 WL 6072126, at *10 (MD. Pa. Sept. 14, 2018). While the Court recognizes

the difficulties inmates face in obtaining a COM, they are not excused from the requirements of

Rule 1042.3.

However, “Pennsylvania practice expressly provides plaintiffs with notice of Rule

1042.3’s requirements and an opportunity to cure any failure to file a certificate of merit before a

matter is dismissed.” TranSystems Corp. v. Hughes Associates, Inc., 2014 WL 6674421, at *5

(M.D. Pa. Nov. 24, 2014). Rule 1042.6 of the Pennsylvania Rules of Civil Procedure states:

(a) ... a defendant seeking to enter a judgment of non pros under

Rule 1042.7(a) shall file a written notice of intention to file the

praecipe and serve it on the party's attorney of record or on the

party if unrepresented, no sooner than the thirty-first day after the

filing of the complaint.

Pa. R. Civ. P. 1042.6(a). Under this rule, no judgment may be entered against a plaintiff

for failure to timely file a COM unless the defendant has complied with its notice requirements.

from an acceptable professional standard, or . . .

(3) expert testimony of an appropriate licensed professional is unnecessary for prosecution of the

231 Pa. Code Rule 1042.3(a).

13

Schmigel v. Uchal, 800 F.3d 113, 124 (3d Cir. 2015) (“The condition of thirty days’ notice prior

to seeking dismissal of an action for failure to comply with the COM regime is substantive and

must be applied in federal court.”). Here, Dr. Montag provided Angle with the requisite notice

of his intention to seek dismissal on September 22, 2021. ECF No. 3.

Although conceding that he has not filed a COM, Angle argues that a COM is

unnecessary in this case because “treatment is clearly lacking and any layman can determine that

it did not reach proper standards.” ECF No. 55, 93. Angle is correct that a case of medical or

other professional malpractice may be “so simple and the lack of skill or want of care is so

obvious as to be within the range of ordinary experience or comprehension of even non-

professional persons” and, thus, not require expert testimony. Gindraw v. Dendler, 967 F. Supp.

833, 837 (E.D. Pa. 1997) (quoting Hoffman v. Mogil, 445 Pa. Super. 252, 256-57 (1995)

(quoting Chandler v. Cook, 438 Pa. 447, 265 A.2d 794 (1970))). See also Hunter v. Robison,

488 S.W.2d 555, 560 (Tex. Civ. App. 1972) (the exception applies to cases where “the

negligence ‘is obvious to the untrained layman, [such as leaving surgical instruments or sponges

in the incision or operating on the wrong portion of the body[.]]’”). But this is not such a case.

Angle’s dental malpractice claim requires expert testimony to identify the applicable standard of

professional case, a deviation from that standard, and causation of injury or other damages.

Angle is not excused from the requirement of a COM and his failure to provide one is fatal to his

dental malpractice claim.

V. Conclusion

For the foregoing reasons, Dr. Montag’s motion for summary judgment is GRANTED.

A separate order will follow.

14

DATED this 27" day of February, 2023.

BY T T:

RICHARD A. LANZIL!

CHIEF UNITED STATES 'MAGISTRATE JUDGE

15

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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