“The officer’s subjective motivation is irrelevant.”
How later courts described this case
- “The officer’s subjective motivation is irrelevant.”
- “[Police officers] saw that Fisher had a cut on his hand, and they asked him whether he needed medical attention. Fisher ig- nored these questions and demanded, with accompanying profan- ity, that the officers go to get a search warrant.”
- “district court judges are not required to ferret out delec- table facts buried in a massive record”
Written by the judges who cited it.
The opinion
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[DO NOT PUBLISH]
In the
United States Court of Appeals
For the Eleventh Circuit
____________________
No. 23-11896
Non-Argument Calendar
____________________
MICHAEL B. BROWN,
Plaintiff-Appellant,
MICHAEL B. BROWN,
Executor of the Estate of Clara Virginia Britton,
deceased
CLARA VIRGINIA BRITTON,
Plaintiff,
versus
COLUMBUS POLICE DEPARTMENT, et al.,
Defendants,
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2 Opinion of the Court 23-11896
OFFICER ROBERT HOOKS,
OFFICER KERTAVIOUS COPPINS,
OFFICER AARON GUILLAUME,
OFFICER SETH COLE,
KIMBERLEY MYHAND,
CPD compliance department, et al.,
Defendants-Appellees.
____________________
Appeal from the United States District Court
for the Middle District of Georgia
D.C. Docket No. 4:21-cv-00162-CDL
____________________
Before WILSON, LUCK, AND ANDERSON, Circuit Judges.
PER CURIAM:
Michael Brown, pro se, sued dozens of defendants, 1 alleging
depravations of rights regarding his hospital treatment following
1 The district court categorized the defendants into the following
groups, which we also use:
The “Columbus Defendants”—Columbus Consolidated Government
(“CCG”), Columbus Fire Department, Columbus Police Department, Officers
Rachel Blanks, Seth Cole, Kertavious Coppins, Aaron Guillaume, and Robert
Hooks, and Kimberly Myhand.
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23-11896 Opinion of the Court 3
a bicycle accident, and a subsequent welfare check performed on
his mother, Clara Virginia Britton, during Brown’s hospitalization,
her unwilling transportation to the hospital, and her allegedly
sub-standard medical treatment, which he alleges all led to her
death. He appeals the district court’s partial dismissal, partial grant
of judgment on the pleadings, and partial grant of summary judg-
ment against him. Brown’s claims were brought under 42 U.S.C.
§ 1983; the Health Insurance Portability and Accountability Act
(“HIPAA”), 42 U.S.C. §§ 1320d, et seq.; and Georgia law. Some of
the defendant-appellees argue that the district court lacked supple-
mental jurisdiction to hear Brown’s claims against them. We first
address the jurisdictional issue, and then Brown’s several argu-
ments on appeal.
I. Subject Matter Jurisdiction
The “Piedmont Hospital Defendants”—The Medical Center at Pied-
mont Hospital; Doctors Sara Adams, Richard Hanney, and Meagan Mahoney;
and Nurses Emily Blasingame, Jessica Carden, Charisse Seals, and Devyn
Sizemore.
The “Medical Providers”—Regional Rehabilitation Hospital; Doctors
Addo Chidi, Neil Desai, Shivam Desai, Benjamin Knepper, Sunil Kumar, Vi-
rendra Kumar, Charisse Logronio, and Kennon McLendon; and P.A. Kelly
Watson.
The “EMS Defendants”—EMS Care, Marc Dade, Isaac Waters, and
Tanya Hardy.
The other defendants were Host Medical & Transport, LLC
(“HM&T”); Lock Busters Inc, d/b/a/ Pop-A-Lock; and an unidentified
“Dr. Evans,” who was never served.
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4 Opinion of the Court 23-11896
We review a district court’s subject-matter jurisdiction
de novo. Upper Chattahoochee Riverkeeper Fund, Inc. v. City of Atlanta,
701 F.3d 669, 679 (11th Cir. 2012). Lack of federal jurisdiction can-
not be waived, and an appellate court must satisfy itself that the
district court had jurisdiction over a case under review before as-
sessing its merits. Absolute Activist Value Master Fund Ltd. v. Devine,
998 F.3d 1258, 1264 (11th Cir. 2021)
A district court has “the power to exercise supplemental ju-
risdiction over all claims that arise out of a common nucleus of op-
erative fact with a substantial federal claim.” Upper Chattahoochee,
701 F.3d at 678; 28 U.S.C. § 1367.
Here, the district court did not err in assuming supplemental
jurisdiction under 28 U.S.C. § 1367 over Brown’s medical-malprac-
tice claims against the Medical Providers. Contrary to the Medical
Providers’ suggestion, Brown’s substantial federal claims predomi-
nantly revolve around Britton’s removal from her home following
a welfare check. His state-law claims against the Medical Providers
turn on allegations that they committed malpractice in treating
Britton following that removal and his theory that her death was
caused by the removal and treatment. The medical-malpractice
claims therefore arose from “a common nucleus of operative fact
with a substantial federal claim,” and the district court had supple-
mental jurisdiction. See Upper Chattahoochee, 701 F.3d at 678; 28
U.S.C. § 1367.
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23-11896 Opinion of the Court 5
Accordingly, the district court had subject-matter jurisdic-
tion to consider Brown’s claims against the Medical Providers, and
we can review the merits of those claims.
II. Pre-death Injuries to Britton
We review a dismissal for failure to state a claim de novo, ap-
plying the same standard as the district court. Holzman v. Malcolm
S. Gerald & Assocs., 920 F.3d 1264, 1268 (11th Cir. 2019). Under
Georgia law, pre-death tort injuries “survive to the personal repre-
sentative of the deceased plaintiff.” O.C.G.A. § 9-2-41. Surviving
children may bring an action for the wrongful death of their parent.
Id. § 51-4-2.
Here, the district court correctly dismissed Brown’s claims
relating to Britton’s pre-death injuries because he is not the proper
party to bring such claims. The record makes clear that Brown is
not the personal representative of Britton’s estate, so he cannot
state a claim under Georgia law for her pre-death injuries.
See O.C.G.A. § 9-2-41.
Accordingly, we affirm as to this issue.
III. Claims Against the Piedmont Hospital Defendants
To state a claim, a complaint must contain facts that, if ac-
cepted as true, state a plausible claim to relief. Holzman, 920 F.3d
at 1268.; see Fed. R. Civ. P. 8(a). All factual allegations—as opposed
to legal conclusions—must be taken as true. Ashcroft v. Iqbal,
556 U.S. 662, 679 (2009); Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555
(2007). A party alleging fraud must “must state with particularity
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6 Opinion of the Court 23-11896
the circumstances constituting” the fraud. Fed. R. Civ. P. 9(b).
Pro se pleadings are liberally construed. Alba v. Montford, 517 F.3d
1249, 1252 (11th Cir. 2008).
Under Georgia law, liability for medical malpractice requires
proof of: “(1) the duty inherent in the doctor-patient relationship;
(2) the breach of that duty by failing to exercise the requisite degree
of skill and care; and (3) that this failure be the proximate cause of
the injury sustained.” Zwiren v. Thompson, 276 Ga. 498, 499
(Ga. 2003).
Under Georgia law, ordinary negligence requires (1) a legal
duty to conform to a standard of conduct; (2) a breach of this stand-
ard; (3) a legally attributable causal connection between the con-
duct and the resulting injury; and (4) some loss or damage as a re-
sult of the alleged breach of the legal duty. See Rasnick v. Krishna
Hospitality, Inc., 289 Ga. 565, 566 (Ga. 2011).
Here, the district court did not err in dismissing Brown’s
claims against the Hospital Defendants. Regarding the Hospital,
Brown did not allege specific facts showing that the Hospital had
breached a duty inherent in the doctor-patient relationship or that
such a breach had caused an injury to him. See Fed. R. Civ. P. 8(a);
Zwiren, 276 Ga. at 499. His legal conclusion that the Hospital had
committed malpractice was insufficient to state a claim. See Iqbal,
556 U.S. at 679.
Regarding Dr. Adams, Brown alleged that she prescribed
him an enema, and her name appears on a report stating that
he was treated at 5:30 a.m. on October 15, 2020. While this report
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23-11896 Opinion of the Court 7
does conflict with other reports stating that Brown was admitted
at approximately 9:00 a.m., neither that conflict nor the allegation
that Dr. Adams prescribed an enema alleges facts sufficient to al-
lege a claim for medical malpractice or ordinary negligence.
See Fed. R. Civ. P. 8(a); Zwiren, 276 Ga. at 499; Rasnick, 289 Ga.
at 566.
Regarding Dr. Mahoney, Brown alleged that she noted
which ambulance took him to the hospital and possibly consulted
on his injuries and treatment. Neither these allegations nor specu-
lation that she gave other orders which have been withheld from
Brown allege facts sufficient to allege a claim for medical malprac-
tice or ordinary negligence. See Fed. R. Civ. P. 8(a); 276 Ga. at 499;
Rasnick, 289 Ga. at 566.
To the extent that Brown attempted to state a claim for
fraud, he has not stated with particularity the circumstances consti-
tuting the fraud. See Fed. R. Civ. P. 9(b).
Accordingly, we affirm as to this issue.
IV. HIPPA Claims
The Health Insurance Portability and Accountability Act
generally provides for the confidentiality of medical records and
governs the use and disclosure of protected health information by
covered entities that have access to that information and that con-
duct certain electronic healthcare transactions. See 45 C.F.R.
§ 164.502. It provides both civil and criminal penalties for improper
disclosures of medical information and limits enforcement of the
statute to the Secretary of Health and Human Services. 42 U.S.C.
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8 Opinion of the Court 23-11896
§§ 1320d–5(a)(1), 1320d–6 (criminal enforcement). HIPAA con-
tains no express provision creating a private cause of action.
See generally § 1320d-5. “[P]rivate rights of action to enforce federal
law must be created by Congress.” Alexander v. Sandoval, 532 U.S.
275, 286 (2001).
Here, the district court correctly dismissed Brown’s HIPAA
claims. HIPAA is to be enforced by the Secretary of Health and
Human Services, and Congress has not created a private right of
action to enforce it. See 42 U.S.C. 1320d-5(a)(1); Alexander, 532 U.S.
at 286. Brown cannot bring a private suit to enforce HIPAA against
the EMS Defendants and HM&T and so failed to state a claim.
See Fed. R. Civ. P. 8(a).
Accordingly, we affirm as to this issue.
V. Fraud Claims Against EMS Defendants
Under Georgia law, fraud requires the misrepresentation of
a material fact that is acted on by the opposite party. See O.C.G.A.
§ 23-2-52.
Here, the district court did not err in dismissing the claims
against the EMS Defendants. Regarding Marc Dade, Brown al-
leged that he signed an EMS report which implicitly misidentified
an EMS unit. Brown did not allege that any misrepresentation was
material or that he acted upon it, meaning that he did not ade-
quately state a claim for fraud. See O.C.G.A. § 23-2-52. Similarly,
Brown has not alleged that EMS Care itself misrepresented a mate-
rial fact that he relied on.
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23-11896 Opinion of the Court 9
Regarding Isaac Waters, Brown alleged that he drove
the ambulance that took Britton to the hospital, and that Britton
told Brown that Waters beat her. The fact that Waters drove an
ambulance does not state a claim against him, and to the extent
that Brown is attempting to bring a claim against Waters based on
Britton’s pre-death injuries, as discussed above, Brown is not
the proper party to do so as he is not the personal representative of
Britton’s estate. See O.C.G.A. § 9-2-41.
Accordingly, we affirm as to this issue.
VI. Theft Claims
Here, the district court did not err in dismissing Brown’s
theft claims against Nurses Jessica Carden and Devyn Sizemore.
Carden is not identified by name outside the caption of any of
Brown’s complaints. Even construing a reference in a hospital re-
port to a “Nurse Jessica” as describing Jessica Carden, Brown al-
leged no facts to support his allegation that Carden stole his keys.
See Iqbal, 556 U.S. at 679. Similarly, while Brown alleged that
Sizemore possessed his keys while he was in the hospital, he did
not allege facts supporting an allegation that Sizemore still pos-
sesses them or gave them to someone else. The district court
therefore did not err in finding that Brown failed to state a claim
against Carden and Sizemore. See Holzman, 920 F.3d at 1268.
Accordingly, we affirm as to this issue.
VII. Medical-Malpractice Claims
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10 Opinion of the Court 23-11896
Under Georgia law, a medical-malpractice plaintiff must
demonstrate by expert testimony a violation of the standard of care
and that the violation was the proximate cause of the injury. Porter
v. Guill, 298 Ga. App. 782, 789 (Ga. Ct. App. 2009).
Here, the district court did not err in dismissing Brown’s
medical-malpractice claims. Regarding Dr. Hannay, Brown only
alleged that he injected Brown with “a serum,” without alleging
what the serum was. Regarding Dr. Neil Desai and Dr. Shivam
Desai, Brown alleged that a Dr. Desai asked him to permit Britton
to stay another day in the hospital. Regarding Dr. Knepper, Brown
alleged that he had a duty to inform Britton about certain diagnoses
and failed to do so. Regarding Dr. Virendra Kumar, he appears in
some medical records, as do the other doctors, but it is not clear
which actions Brown believes to be reflective of malpractice. Re-
garding Dr. McLendon, it is alleged that he performed a suture and
he appears in medical records. Regarding Dr. Logronio, it is al-
leged that she ordered a syphilis screening and proscribed a drug.
Regarding Dr. Chidi, a “Dr. R. Addo” is mentioned in medical rec-
ords. Regarding Dr. Sunil Kumar, he is only mentioned in com-
plaint captions.
Brown has not alleged specific facts showing that any of the
doctors breached a duty inherent in the doctor-patient relationship
or introduced medical evidence showing that any breach had
caused an injury. See Fed. R. Civ. P. 8(a); Zwiren, 276 Ga. at 499;
Porter, 298 Ga. App. at 789.
Accordingly, we affirm as to this issue.
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23-11896 Opinion of the Court 11
VIII. Claims Against CCG
Section 1983 establishes civil liability for a person who vio-
lates constitutional rights under color of law. 42 U.S.C. § 1983.
A § 1983 “person” includes local governments and municipalities.
Monell v. Dep’t of Soc. Servs. of City of N.Y., 436 U.S. 658, 663 (1978).
However, a municipality is only liable for its policies and customs,
not through a respondeat superior theory based on its employment
of a tortfeasor. Id. at 690-91. A plaintiff must “identify either (1) an
officially promulgated county policy or (2) an unofficial custom or
practice of the county shown through the repeated acts of a final
policymaker for the county.” Grech v. Clayton County, Ga., 335 F.3d
1326, 1329 (11th Cir. 2003). CCG is a county for the purposes of
tort liability. Tillis ex. rel. Wuenschel v. Brown, 12 F.4th 1291, 1295
(11th Cir. 2021).
“Sheriff’s departments and police departments are not usu-
ally considered legal entities subject to suit.” Dean v. Barber,
951 F.2d 1210, 1214 (11th Cir. 1992). A suit against a government
officer in their official capacity is treated as a suit against the em-
ploying government entity. Kentucky v. Graham, 473 U.S. 159,
165-66 (1985).
Here, Brown has not alleged that CCG had a policy or cus-
tom leading to any alleged violation of rights. The district court
therefore correctly dismissed Brown’s § 1983 claims against CCG.
See Monell, 436 U.S. at 663; Tillis, 12 F.4th at 1295. Because official
capacity suits against the officers are treated as suits against CCG,
the district court also correctly dismissed those claims. See Graham,
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12 Opinion of the Court 23-11896
473 U.S. at 165-66. The district court also correctly dismissed the
claims against CCG’s fire and police departments, which are not
separate legal entities subject to suit. See Dean, 951 F.2d at 1213.
Accordingly, we affirm as to this issue.
IX. Qualified Immunity for the Officers (Columbus Defendants)
Named as Defendants in their Individual Capacities in Brown’s
§ 1983 Unconstitutional Search Claims
We review a district court’s grant or denial of qualified im-
munity de novo. Hardigree v. Lofton, 992 F.3d 1216, 1223 (11th Cir.
2021). A district court’s grant of summary judgment is also re-
viewed de novo. Id.
Summary judgment is proper if “there is no genuine dispute
as to any material fact and the movant is entitled to judgment as a
matter of law.” Fed. R. Civ. P. 56(a). All submitted evidence is
viewed in the light most favorable to the nonmovant and all justi-
fiable inferences are drawn in its favor. Hardigree, 992 F.3d at 1223.
The party moving for summary judgment has the initial burden of
demonstrating through evidence that there is no genuine issue of
material fact. Jones v. UPS Ground Freight, 683 F.3d 1283, 1292 (11th
Cir. 2012). The nonmovant must then rebut the movant with evi-
dence of a genuine dispute. Id. If the nonmovant presents evidence
that is merely colorable or not “significantly probative of a disputed
fact,” the movant is entitled to summary judgment. Id; see also
Chavez v. Sec’y, Fla. Dep’t of Corrs., 647 F.3d 1057, 1061 (11th Cir.
2011) (“district court judges are not required to ferret out delec-
table facts buried in a massive record”).
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23-11896 Opinion of the Court 13
When a government official is sued in their individual capac-
ity in a § 1983 suit, they may seek summary judgment on qualified
immunity grounds. Holloman ex rel. Holloman v. Harland, 370 F.3d
1252, 1263-64 (11th Cir. 2004). To be eligible for protection under
qualified immunity, the official must first demonstrate that they
were engaged in a discretionary function when they performed the
act in question. Id. at 1264. If so, the burden then shifts to the plain-
tiff to demonstrate that the official is not entitled to qualified im-
munity. Id. To overcome qualified immunity, the plaintiff must
demonstrate that (1) the defendant violated a constitutional right,
and (2) the right was clearly established at the time of the alleged
violation. Id.
The Fourth Amendment prohibits unreasonable searches
and seizures. U.S. Const. amend. IV. A warrantless search is pre-
sumptively unreasonable. Brigham City v. Stuart, 547 U.S. 398, 403
(2006). However, a warrant is not required if exigent circum-
stances make the search objectively reasonable. Id.; see id. at 404
(“The officer’s subjective motivation is irrelevant.”). Protecting
a person who needs immediate aid is an exigency, such as a person
who needs medical treatment that they are unable to provide for
themselves. Id. at 403; Michigan v. Fisher, 558 U.S. 45, 47 (2009).
The person’s refusal of the medical aid does not make the entry
into the home retrospectively unreasonable. See Fisher, 558 U.S.
at 46 (“[Police officers] saw that Fisher had a cut on his hand, and
they asked him whether he needed medical attention. Fisher ig-
nored these questions and demanded, with accompanying profan-
ity, that the officers go to get a search warrant.”).
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14 Opinion of the Court 23-11896
Here, the district court did not err in granting summary
judgment to the officers on Brown’s § 1983 unconstitutional search
claims due to qualified immunity. See Hardigree, 922 F.3d at 1223.
The officers were acting in a discretionary function by responding
to a welfare check. They had objectively reasonable belief that Brit-
ton was in need of immediate aid, see Brigham City, 547 U.S. at 403,
as they believed that she had been home alone for at least a week,
because Brown was in the hospital and they had been told that
Brown had described Britton as elderly, bed-ridden, and unable to
care for herself. Brown has not shown through evidence that there
is a material issue of fact that the officers lacked an objective reason
to believe that Britton required immediate medical attention. See
Jones, 683 F.3d at 1291-92. That Britton refused the officer’s assis-
tance does not make the search unreasonable. See Fisher, 558 U.S.
at 46.
Accordingly, we affirm as to this issue.
X. Brown’s Related State Law Claims Against CCG Employees
“Under Georgia law, a public officer or employee may be
personally liable only for ministerial acts negligently performed or
acts performed with malice or an intent to injure.” Cameron v. Lang,
274 Ga. 122, 123 (Ga. 2001). The plaintiff must show through evi-
dence that the officer acted with malice or intent to injure. See id.
at 125. An officer is entitled to immunity even for negligent per-
formance of a discretionary act. Id. Examples of discretionary acts
include responding to an emergency call and executing a warrant.
Id.
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23-11896 Opinion of the Court 15
Here, the CCG employees are entitled to immunity on state
law claims against them. See id. at 344. Brown has not shown evi-
dence that Officers Hooks, Blanks, or Cole—who were acting dis-
cretionarily in responding to the welfare check—acted with malice
or an intent to injure when responding to the welfare check and he
has not shown evidence that Officers Guillaume and Coppins took
any actions at all besides being associated with a “man on [the]
ground” police report. While it is not clear which of Kimberly
Myhand’s actions Brown thinks establish liability, he has not
shown any evidence that she acted with malice, with intent to in-
jure, or even negligently. See Cameron, 274 Ga. at 123-125. All of
Brown’s state law claims against the Columbus Defendants in their
individual capacities are therefore barred by official immunity.
See id.
Accordingly, we affirm as to this issue.
XI. Shotgun Pleading
We review a district court’s dismissal of a complaint as
a shotgun pleading for abuse of discretion. Barmapov v. Amuial,
986 F.3d 1321, 1324 (11th Cir. 2021). A complaint is a shotgun
pleading if it contains pervasive conclusory and immaterial facts
not obviously connected to a specific claim or asserts multiple
claims without specifying who is responsible or which persons the
claim is brought against. Id. at 1324-25. A shotgun pleading makes
it virtually impossible to know which allegations of fact are in-
tended to support which claims for relief. Jackson v. Bank of Am.,
N.A., 898 F.3d 1348, 1356 (11th Cir. 2018). As a result, the pleading
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16 Opinion of the Court 23-11896
violates the requirement that a plaintiff provide a short and plain
statement of their claim. Id.; Fed. R. Civ. P. 8(a)(2).
Before dismissing the action, a district court should provide
a plaintiff an opportunity to amend a shotgun complaint. Jackson,
898 F.3d at 1357-58. If a plaintiff files an amended complaint with-
out substantially fixing the deficiencies in the original complaint,
dismissal with prejudice is warranted. Id. at 1358-59. Pro se litigants
are given more leeway than parties represented by counsel but
must still follow shotgun-pleading rules and must give the defend-
ant adequate notice of the claims against it and the grounds on
which the claims rest. Pinson v. JPMorgan Chase Bank, N.A., 942 F.3d
1200, 1208 (11th Cir. 2019).
Here, the district court did not abuse its discretion in dis-
missing Brown’s consolidated complaints 2 as shotgun pleadings.
See Barmapov, 986 F.3d at 1324. Regarding the consolidated com-
plaint brought in federal court, it did not state which causes of ac-
tion were being brought against each defendant or explain how the
described facts established liability against the defendants. Regard-
ing the complaint removed from state court, it listed a series of stat-
utes and provisions under which the suit was brought, described
the parties, then provided a page of facts, and attached exhibits in
support. The complaints violated the requirements that alleged
facts be clearly associated with a specific cause of action and make
clear which claim is brought against which defendant, and thus
2 The several suits filed by Brown against these Defendants were all
consolidated.
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23-11896 Opinion of the Court 17
were therefore impermissible shotgun pleadings. See Barmapov,
986 F.3d at 1324-25; Jackson, 898 F.3d at 1356.
The district court allowed Brown to amend his complaint
and did not dismiss the case with prejudice until after he had been
informed of the deficiencies of his complaint and had unsuccess-
fully amended it. See Jackson, 898 F.3d at 1357-58. Even pro se,
Brown was obliged to give the Defendants adequate notice of his
claims. See Pinson, 942 F.3d at 1208. Because Brown did not pro-
vide a short and plain statement of his claim, even after being given
adequate opportunity to amend, the district court did not abuse its
discretion by dismissing the case with prejudice. See Barmapov, 986
F.3d at 1324; Jackson, 898 F.3d at 1356-58. 3
For the foregoing reasons, the judgment of the district court
is
AFFIRMED
3 This had the effect of dismissing any remaining claims except those against
the officers (Columbus Defendants) named as defendants in Brown’s § 1983
unconstitutional search claims, and related state law claims, which were dis-
missed at the later summary judgment stage. These claims are addressed
above in Part IX and X of this opinion.