Opinion

Brown v. Bowens

Court
District Court, E.D. Wisconsin
Filed
May 16, 2024
Cited by
0 cases
Authority
More cited than 32.6%

The opinion

UNITED STATES DISTRICT COURT

EASTERN DISTRICT OF WISCONSIN

LEE ANTHONY BROWN,

Plaintiff,

v. Case No. 22-CV-1527

NANCY BOWENS, et al.,

Defendants.

DECISION AND ORDER

Plaintiff Lee Anthony Brown, who is representing himself and currently

confined at Oshkosh Correctional Institution, brings this lawsuit under 42 U.S.C.

§ 1983. Brown was allowed to proceed on a claim for deliberate indifference to medical

needs under the Eighth Amendment because the defendants allegedly failed to treat

his knee injury. The defendants filed a motion for summary judgment, which is fully

briefed and ready for a decision. (ECF No. 19.) The parties have consented to the

jurisdiction of a magistrate judge. (ECF Nos. 6, 14.)

PRELIMINARY MATTERS

In their reply brief in support of their motion for summary judgment, the

defendants argue that Brown failed to follow Federal Rule of Civil Procedure 56 and

Civil Local Rule 56 in his response materials. Specifically, Brown did not respond to

the defendants’ proposed findings of fact. (ECF No. 29 at 2.) District courts are entitled

to construe pro se submissions leniently and may overlook a plaintiff’s noncompliance

by construing the limited evidence in the light most favorable to the plaintiff. See Gray

v. Hardy, 826 F.3d 1000, 1005 (7th Cir. 2016). While Brown’s response materials do

not formally conform with the rules, his response contains sufficient information to

allow the court to rule on the defendants’ motion for summary judgment. For

summary judgment purposes, the complaint will be converted into an affidavit, see

Beal v. Beller, 847 F.3d 897, 901 (7th Cir. 2017); Owens v. Hinsley, 635 F.3d 950, 954–

55 (7th Cir. 2011). In addition, Brown cites to the defendants’ exhibits. Where Brown

uses facts that cannot be supported by the record or his complaint, the court will

disregard those facts.

In short, the court will consider Brown’s response where appropriate in deciding

the summary judgment motions.

FACTS

The facts are largely undisputed. On October 3, 2020, Brown fell down the

stairs at Redgranite Correctional Institution. (ECF No. 21, ¶ 7.) That same day he had

a telephonic consultation with an unnamed non-defendant nurse whom he told he fell

down the stairs because his knee “gave out” and hyperextended. (Id.) The nurse told

Brown to ice his knee and that the on-call nurse would examine him the next day. (Id.)

Brown went to the Health Services Unit (HSU) the next day and told the on-call nurse

that his knee gave out while he was on the stairs and that he was still waiting for his

ACL to be repaired. (Id., ¶ 8.) Brown was given crutches, placed on a low bunk

restriction, and prescribed an icebag and Tylenol. (Id.) He was also placed on a no-

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work restriction, told to refrain from sports or strenuous recreation activities, and to

rest his leg. (Id.)

Also on October 4, 2020, Dr. Kira Labby (not a defendant) reviewed the report

from Brown’s examination with the on-call nurse and ordered Brown an ace wrap, ice

therapy, Naproxen, and acetaminophen. (ECF No. 21, ¶ 9.) On October 7, 2020, Brown

was seen by another non-defendant unnamed HSU nurse for a follow-up visit. (Id., ¶

10.) He was still using crutches but reported that his knee was improving. (Id.) That

same day, Dr. Labby ordered an x-ray. (Id., ¶ 11.)

On October 8, 2020, Brown had an x-ray on his knee, and the radiologist

determined that “Brown had tricompartmental joint space narrowing, sclerosis, and

osteophytosis, with middle degenerative changes without acute findings.” (ECF No. 21,

¶ 12.) Tricompartmental joint space narrowing is a type of osteoarthritis that affects

all three compartments of the knee. (Id., ¶ 13.) Osteoarthritis is “the most common

form of arthritis” where the cartilage that protects the bone wears down over time.

(Id., ¶ 16.) That same day Dr. Labby sent Brown a letter without his x-ray results.

(Id., ¶ 14.) She informed him that his “x-ray was negative for acute fracture. This is

good news. You do have mild degenerative changes which are commonly seen once we

reach our 30s-40s and beyond.” (Id.)

On October 29, 2020, Dr. Labby examined Brown for his knee pain. (ECF No.

21, ¶ 19.) At that appointment Brown was walking without crutches, doing a home

exercise program, and was able to work his job as a tray server in the cafeteria. (Id.)

After the appointment Dr. Labby consulted with nursing at Waupun Memorial

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Hospital Orthopedics, and Dr. Nelson (not a defendant), an orthopedic specialist,

agreed to review Brown’s x-rays and then follow up. (Id., ¶ 20.)

On October 31, 2020, Brown transferred to Oshkosh Correctional Institution.

(ECF No. 21, ¶ 21.) On November 3, 2020, Dr. Labby received an email from HSU staff

informing her that Dr. Nelson had called and said “that she looked at Brown’s knee x-

rays and due to his young age, all conservative treatment must be attempted before

anything surgical can be considered.” (Id., ¶ 22.) Dr. Nelson recommended physical

therapy. (Id.)

Because Brown had transferred to Oshkosh, Dr. Labby sent Dr. Nelson’s

information to defendant Nancy Bowens, an Advanced Practice Nurse Prescriber

(APNP) at Oshkosh, who took over Brown’s treatment. (ECF No. 21, ¶¶ 2, 22.) Bowens

replied to Dr. Labby’s email, telling her that she placed a referral for Brown to be seen

by the on-site physical therapist. (Id., ¶ 23.) On November 18, 2020, Bowens also

placed an order prescribing Brown Naproxen. (Id., ¶ 24.)

On November 29, 2020, Brown was examined by unidentified non-defendant

HSU nursing staff, but he refused all treatment recommendations because he wanted

to see a doctor. (ECF No. 21, ¶ 25.) Bowens first examined Brown on February 1, 2021.

(Id., ¶ 26.) At that appointment Brown told her that he had had a meniscus repair

several years before and that he was supposed to have ACL surgery prior to his

incarceration. (Id.) He detailed the October 2020 fall at Redgranite and reported that

his knee occasionally “pops out.” (Id.) He told her he does physical therapy and a home

exercise program and that he was not experiencing disruption with daily function or

4

sleeping. (Id.) He further told her that he stopped taking the Naproxen. (Id.) Brown

was concerned about losing the ability to exercise and complete daily tasks. (Id.)

Bowens ordered another x-ray of his knee to compare to the October 2020 x-ray and

additional physical therapy evaluation and treatment. (Id.)

Brown had another x-ray, and on February 3, 2021, a radiologist compared it

with the October 2020 x-ray and reported there was no significant change. (ECF No.

21, ¶ 27.) Brown completed six physical therapy sessions between February 3, 2021,

and March 10, 2021. (Id, ¶ 28.) During these sessions he was given exercises to do on

his own and tried out a knee stabilization brace. (Id.) Brown eventually discontinued

using the brace, but he reported that his knee had stopped “popping out” since starting

physical therapy. (Id.) Brown was also given a TheraBand to strengthen his knee. (Id.,

¶ 30.)

On March 10, 2021, when Brown was climbing down the ladder from his top

bunk, he tripped over his cellmate’s wheelchair and reinjured his knee. (ECF No. 21, ¶

32.) Security staff called HSU, and the nursing staff, based off what was reported by

the security staff, determined that it was not an emergency situation and requested

that Brown fill out a Health Services Request to be seen in the HSU. (Id., ¶ 32.) On

March 12, 2021, Brown was examined by a non-defendant unidentified nurse in the

HSU. In addition to a headache and twisted right foot, Brown also told the nurse that

his” right knee was throbbing constantly with intermittent shooting pain along [the]

medial aspect of [his] right knee, with his right meniscus popping out at times.” (Id., ¶

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34.) He further told the nurse that he was taking Naproxen for the pain but it was

ineffective. (Id.)

On March 18, 2021, Brown was seen by another unidentified non-defendant

nurse in the HSU for a follow-up visit for his knee pain. (ECF No. 21, ¶ 35.) At that

appointment he refused Naproxen because he did not want to “rely on medication.”

(Id.) The nurse educated him on the benefits of Naproxen and gave him an ice bag.

(Id.) The nurse also filled out a Special Needs Evaluation for a low bunk/low housing

tier assignment. (Id, ¶ 36.) The request was denied on March 30, 2021, by the Special

Needs committee because the accommodations were not medically necessary. (Id., ¶

41.)

On March 26, 2021, based on a referral request from Bowens, Brown was seen

by non-defendant off-site orthopedic specialist Dr. Davis Tsai at the Kennedy Center

Orthopedics. (ECF No. 21, ¶ 37.) Dr. Tsai reviewed Brown’s medical history and his

two prior x-rays. (Id., ¶ 38.) He told Brown he had arthritis, but he did not have a

meniscus repair like he thought he did. (Id.) Instead, it appeared he had “a prior

medial meniscectomy.” (Id.)

Dr. Tsai also noted that Brown may have had ACL issues in the past, “but now

that arthritis was present, reconstruction was not warranted because the arthritis

takes care of the laxity.” (ECF No. 21, ¶ 37.) In short, Dr. Tsai did not recommend

ACL surgery, deciding it was unnecessary because of Brown’s arthritis. (Id.) Dr. Tsai

also told Brown that he was “too young to undergo arthroplasty” or a knee

replacement and that, because Brown had a history of abusing drugs, he was going to

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experience pain at a more intense level than those who did not abuse drugs. (Id.) Dr.

Tsai recommended that Brown take Naproxen for pain and wear a brace if it “felt

better.” (Id., ¶ 39.) He also recommended that Brown lose weight to help with the pain

caused by the arthritis. (Id.)

On May 7, 2021, Brown was examined by a non-defendant unidentified nurse in

the HSU. (ECF No. 21, ¶ 43.) Brown told the nurse that.

I feel like NP Bowens is turning a blind eye, and it’s not right. I get

that they don’t want to pay for the surgery, but I don’t want to sit in

my cell all day. I am a very active person and walking over here hurts.

When I was off-site, [the] specialist did not even address the torn ACL,

he did not even address it. I move good. I can jog. I keep active. If

that’s what I have to do to stay fit and active.

(Id.) Brown also told the nurse that he was refusing to take pain medication because

“that’s what got me here in the first place.” (Id.) The nurse determined that there was

no deterioration in Brown’s condition. (Id.)

On June 17, 2021, Bowens again examined Brown. (ECF No. 21, ¶ 44.) At that

visit Brown told Bowens that he was unhappy with Dr. Tsai’s recommendations--

specifically, his opinion that surgery was unnecessary. (Id.) Brown was not having

difficulties with daily activities and could exercise. Brown also stated that the

Naproxen was ineffective. (Id.) Bowens discussed different pain management options,

and eventually added 1000 mg of acetaminophen. (Id.) She also scheduled a follow-up

appointment for September 2021. (Id.)

On July 3, 2021, Brown was examined by a non-defendant unidentified nurse in

the HSU. (ECF No. 21, ¶ 45.) Brown reported that he was having trouble playing

7

sports and that he believed he needed an MRI to prove that he had torn ligaments.

(Id., ¶ 46.) Brown was told that, because of his osteoarthritis, there was no reason for

an MRI because that was the cause of his pain. (Id.) The nurse noted that Brown did

not have issues walking. (Id.)

On August 6, 2021, Brown was examined by a non-defendant unidentified nurse

in the HSU for ongoing knee pain. (ECF No. 21, ¶ 48.) Brown told the nurse that he

was experiencing pressure behind his right knee and occasional sharp pains. (Id.) He

admitted that he was not taking his pain medication. (Id.) He also stated that he

wanted surgery before his release from incarceration. (Id.) Brown was provided with a

topical cream for the pain and an ice bag. (Id.) He was also reminded that he had an

appointment with Bowens in September 2021. (Id.)

On September 20, 2021, Bowens again examined Brown for his knee pain. (ECF

No. 21, ¶ 50.) At that appointment Brown told Bowens that he could not “squat all the

way to full extension” and that the knee pain was interfering with his sleep. (Id.) He

stated that the Naproxen was ineffective. (Id.) In response to Brown’s complaints

about pain medication being ineffective, Bowens prescribed him 600 mg of ibuprofen

and additional topical cream. (Id., ¶ 51.)) She also categorized Brown as an individual

with chronic pain issues, so that he could have routine follow-ups scheduled. (Id.)

Bowens noted that Brown had no issues getting up and down off of the exam table and

that he was able to “exercise vigorously 60 minutes a day, 3 days a week.” (Id.) That

was the last time Bowens examined Brown; she left Oshkosh on September 24, 2021.

(Id., ¶ 53.)

8

From September 2021 through May 2022, Brown’s primary care provider was

non-defendant Dr. Wheatly. (ECF No. 21, ¶ 55.) Neither party provides any details

regarding the care Dr. Wheatly provided.

On May 21, 2022, Brown was examined by a non-defendant unidentified nurse

because he had hyperextended his knee while playing basketball, and his substantial

pain returned. (ECF No. 21, ¶ 54.) He stated that he was regularly taking Tylenol and

ibuprofen. (Id.) The nurse noted that Brown had a slight limp. (Id.) The nurse

reviewed care techniques for chronic knee pain; told him to protect his knee;

recommended he avoid strenuous activity; and directed him to continue taking Tylenol

and ibuprofen. (Id.)

On May 24, 2022, defendant Tracy Thompson, an APNP, examined Brown for

the first time. (ECF No. 21, ¶¶ 2, 55.) Before the appointment, Thompson reordered

acetaminophen for Brown. (Id., ¶ 56.) Thompson assessed Brown’s gait, which was

normal with a full range of motion. (Id., ¶ 57.) She reviewed Dr. Tsai’s

recommendations with Brown. (Id., ¶ 58.) Brown stated that the pain medications

were not working. (Id.¸ ¶59.) Brown acknowledged that his pain levels varied from

day-to-day and stated that he was experiencing pain while sleeping because he was a

side sleeper, so his knee did not have support. (Id.) Brown further stated that he was

not wearing his knee brace; that he was working out regularly; and that he was

playing “physical sports” regularly. (Id., ¶ 60.) He told Thompson that the pain did not

interfere with these activities. (Id.) Thompson discussed ways that Brown could

proactively prevent pain, such as taking anti-inflammatory medications before a big

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workout. (Id., ¶ 59.) She also discussed with him the reality of his chronic pain and

informed him it was unlikely that he would be pain free. (Id., ¶ 62.) Thompson gave

Brown a topical gel and Celebrex to manage the pain. (Id., ¶ 63.) She recommended he

wear a knee brace when working out or playing sports and ordered him an extra pillow

to support his knee while sleeping. (Id., ¶¶ 63-64.)

On July 12, 2022, Brown asked to be seen by his advanced care provider to

review his plan of care for his knee pain. (ECF No. 21, ¶ 69.) On July 26, 2022,

Thompson again examined Brown. (Id., ¶ 70.) Brown told her he was not using the

knee brace and that it did not help. (Id.) He was also still working out and playing

sports regularly, and he had no intention to change his active lifestyle despite the pain

in his knee. (Id.) Thompson explained that, because of his osteoarthritis, he would

continue to have chronic knee pain, but she told him there was no apparent change in

the condition of his knee. (Id, ¶ 71.) Thompson recommended that Brown consider

lower-impact activities to prevent further degeneration of his knee. (Id.) She also

increased his dose of Celebrex for pain management. (Id.)

After the appointment Thompson requested a functional assessment of Brown,

wherein a nurse or security staff would observe Brown on a daily basis to see how he

was functioning in day-to-day life. (ECF No. 21, ¶ 73.) Thompson wanted to see if

Brown was wearing his brace during activities and what sports he was playing. (Id., ¶

72.)

On October 6, 2022, Brown was examined by a non-defendant unidentified

nurse for a routine follow-up for his knee pain. (ECF No. 21, ¶ 74.) Before the

10

appointment Brown had had another x-ray, which showed arthritis. (Id.) He also

completed two rounds of physical therapy and stated he was improving using a

TheraBand. (Id.) He told the nurse that the pain medications were not working and

requested to see his advanced care provider. (Id., ¶ 75.) The nurse placed him on the

referral list for an appointment with his advanced care provider. (Id.)

On November 11, 2022, Brown again went to the HSU for continued knee pain

where he was examined by a non-defendant unidentified nurse. (ECF No. 21, ¶ 77.) He

told the nurse he believed he had a torn ACL and requested an MRI to determine if he

needed a knee replacement. (Id., ¶¶ 77-78.) Brown stated that he was not playing

basketball but was playing handball and wearing his brace. (Id., ¶ 79.) He further

indicated that the pain medication was not working. (Id.) The nurse reminded Brown

that the off-site specialist did not recommend surgery because he was too young. (Id., ¶

80.)

Thompson reviewed the notes from Brown’s November 11 visit. (ECF No. 21, ¶

82.) Thompson made arrangements for Brown to get a new TheraBand and scheduled

a nonurgent follow-up appointment. (Id.) On December 28, 2022,1 Thompson examined

Brown for chronic knee pain. (Id., ¶ 85.) She noted that Brown continued to work out

regularly and had no issues completing daily functions. (Id.) She further noted that he

had a full range of motion. (Id., ¶¶ 86, 90.) Brown requested a low bunk restriction, a

1 The defendants detail Thompson’s treatment of Brown all the way through July 2023.

(ECF No. 21, ¶¶ 91-102.) However, Brown filed suit on December 20, 2022, and filed

an amended complaint on February 20, 2023. The allegations in Brown’s amended

complaint ended with the December 28, 2022 appointment, so the court will not detail

or consider Thompson’s actions after that date.

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low housing tier restriction, and special shoes. (Id.) Thompson explained to Brown that

such resources were limited, and she did not think these accommodations were

medically necessary to treat his knee pain. (Id., ¶ 87.) Thompson reviewed pain

management options with Brown, noting that he had not refilled any of his pain

prescriptions in 206 days. (Id., ¶ 88.) She recommended Brown try duloxetine,

glucosamine chondroitin, or tricyclic antidepressants. (Id.) Brown expressed interest

in glucosamine chondroitin but did not want to try duloxetine or the antidepressants.

(Id.)

According to institution policy, glucosamine chondroitin required approval from

the Medical Director or the Assistance Medical Director. (ECF No. 21, ¶ 89.)

Thompson’s request was not approved because Brown had not been using the pain

medications previously prescribed to him. (Id., ¶ 94.)

SUMMARY JUDGMENT STANDARD

The court shall grant summary judgment if the movant shows 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); see also Anderson v. Liberty Lobby, Inc., 477 U.S.

242, 248 (1986); Celotex Corp. v. Catrett, 477 U.S. 317, 324 (1986). “Material facts” are

those under the applicable substantive law that “might affect the outcome of the suit.”

See Anderson, 477 U.S. at 248. A dispute over a “material fact” is “genuine” if “the

evidence is such that a reasonable jury could return a verdict for the nonmoving

party.” Id.

12

In evaluating a motion for summary judgment, the court must view all

inferences drawn from the underlying facts in the light most favorable to the

nonmovant. Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587

(1986). However, when the nonmovant is the party with the ultimate burden of proof

at trial, that party retains its burden of producing evidence which would support a

reasonable jury verdict. Celotex Corp., 477 U.S. at 324. Evidence relied upon must be

of a type that would be admissible at trial. See Gunville v. Walker, 583 F.3d 979, 985

(7th Cir. 2009). To survive summary judgment a party cannot just rely on his

pleadings but “must set forth specific facts showing that there is a genuine issue for

trial.” Anderson, 477 U.S. at 248. “In short, ‘summary judgment is appropriate if, on

the record as a whole, a rational trier of fact could not find for the non-moving party.’”

Durkin v. Equifax Check Servs., Inc., 406 F.3d 410, 414 (7th Cir. 2005) (citing Turner

v. J.V.D.B. & Assoc., Inc., 330 F.3d 991, 994 (7th Cir. 2003)).

ANALYSIS

Brown claims that the defendants violated his Eighth Amendment rights by

failing to appropriately treat his knee injury. A prison official violates the Eighth

Amendment when he is deliberately indifferent “to serious medical needs of prisoners.”

Estelle v. Gamble, 429 U.S. 97, 104 (1976). “[A] plaintiff must show (1) an objectively

serious medical condition to which (2) a state official was deliberately, that is

subjectively, indifferent.” Duckworth v. Ahmad, 532 F.3d 675, 679 (7th Cir. 2008). For

the purposes of summary judgment, the defendants concede that Brown’s knee issues

are objectively serious. (ECF No. 20 at 11-12.)

13

To demonstrate deliberate indifference, a plaintiff must show “that an official

actually knew of and disregarded a substantial risk of harm.” Petties v. Carter, 836

F.3d 722, 728 (7th Cir. 2016) (emphasis in original). The plaintiff also “must show

more than mere evidence of malpractice.” Id. The plaintiff must demonstrate that the

prison official’s choices “were so ‘significant a departure from accepted professional

standards or practices’ that it is questionable whether they actually exercised

professional judgment.” Stallings v. Liping Zhang, 607 Fed. Appx. 591, 593 (7th Cir.

2015) (quoting Pyles v. Fahim, 771 F.3d 403, 409 (7th Cir. 2014)). These choices

include where a prison official fails to act or do anything to address the serious

medical need. See Gayton, 593 F.3d at 623-624 (reversing summary judgment in favor

of a nurse who refused to examine or treat a vomiting inmate). They also include

where an official delays necessary treatment, aggravating a condition or needlessly

prolonging a plaintiff’s pain. Gomez v. Randle, 680 F.3d 859, 865-66 (7th Cir. 2012).

Brown argues that the medical care provided by the defendants to treat his

knee pain was inadequate because they refused to order an MRI, recommend knee

replacement surgery, and provide accommodations like a low bunk restriction. Where

a plaintiff is claiming that a medical provider’s course of action was unconstitutional,

he must show that the provider’s “chosen ‘course of treatment’ departs radically from

‘accepted professional practice,’ [so that] a jury may infer from the treatment decision

itself that no exercise of professional judgment actually occurred.” Zaya v. Sood, 836

F.3d 800, 805 (7th Cir. 2016) (quoting Pyles, 711 F.3d at 409). Additionally, a plaintiff

must demonstrate that the provider’s choices were “so blatantly inappropriate as to

14

evidence intentional mistreatment likely to seriously aggravate his serious medical

condition.” Snipes v. DeTella, 95 F.3d 586, 592 (7th Cir. 1996). “Making that showing is

not easy: ‘A medical professional is entitled to deference in treatment decisions unless

‘no minimally competent professional would have so responded under those

circumstances.’” Pyles, 771 F.3d at 409 (quoting Sain v. Wood, 512 F.3d 886, 894-95

(7th Cir. 2008)).

No reasonable jury could conclude that either Bowens or Thompson were

deliberately indifferent to Brown’s knee issues. Brown disagrees with not only their

assessment of his knee issues, but also the assessment of two orthopedic specialists,

Dr. Nelson and Dr. Tsai. Brown believes that he has a torn ACL and needs an MRI

and a knee replacement.

The overwhelming evidence, including medical records and emails describing

his doctors’ opinions, show that Brown’s assessment of his own knee issues is baseless.

According to the medical professionals, Brown suffers from arthritis, not a torn

ligament. Brown does not submit any evidence other than his own belief that he tore

his ACL and requires an MRI. A prisoner simply disagreeing with his doctor

“generally is insufficient, by itself, to establish an Eighth Amendment violation.”

Pyles, 771 F.3d at 409 (quoting Sain, 512 F.3d at 894-95). A plaintiff needs to “submit

evidence from which a jury could reasonably find that [the doctor’s] exercise of medical

judgment departed significantly from accepted professional norms.” Id. Brown fails to

do so.

15

To the extent that Brown argues that the defendants failed to treat his knee

pain, “[t]o say that the Eighth Amendment requires prison doctors to keep an inmate

pain-free in the aftermath of proper medical treatment would be absurd.” Snipes, 95

F.3d at 592. No reasonable jury could conclude that the defendants’ attempts to

mitigate Brown’s pain was blatantly inappropriate. Whenever Brown complained that

the pain medicine was ineffective, the defendants tried different options. Their efforts

were stymied by the undisputed fact that Brown was not taking proactive steps to

mitigate his pain on his own. He refused to take offered pain medications, refused to

wear his brace, and refused to stop engaging in high-intensity exercise or contact

sports. The defendants cannot be held liable for Brown’s choices.

Ultimately, Brown is upset because he did not receive an MRI, was not

considered for knee replacement surgery, and still suffered from knee pain. Brown did

not show that the defendants’ decisions not to pursue an MRI or surgery or their

decisions regarding pain management were so outrageous or blatantly inappropriate

that even a non-medical professional would recognize those decisions as such.

Summary judgment is granted in favor of the defendants.

CONCLUSION

For the foregoing reasons, the defendants’ motion for summary judgment is

granted. The defendants also argued that they were entitled to qualified immunity,

but because the court granted summary judgment in their favor on the merits, it does

not need to address the qualified immunity arguments. Because there are no

remaining claims, the case is dismissed.

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ORDER

NOW, THEREFORE, IT IS HEREBY ORDERED that the defendants’

motion for summary judgment (ECF No. 19) is GRANTED.

IT IS FURTHER ORDERED that this case is DISMISSED. The Clerk of

Court will enter judgment accordingly.

This order and the judgment to follow are final. A dissatisfied party may appeal

this court’s decision to the Court of Appeals for the Seventh Circuit by filing in this

court a notice of appeal within 30 days of the entry of judgment. See Federal Rules of

Appellate Procedure 3, 4. This court may extend this deadline if a party timely

requests an extension and shows good cause or excusable neglect for not being able to

meet the 30-day deadline. See Federal Rule of Appellate Procedure 4(a)(5)(A).

Under certain circumstances a party may ask this court to alter or amend its

judgment under Federal Rule of Civil Procedure 59(e) or ask for relief from judgment

under Federal Rule of Civil Procedure 60(b). Any motion under Federal Rule of Civil

Procedure 59(e) must be filed within 28 days of the entry of judgment. The court

cannot extend this deadline. See Federal Rule of Civil Procedure 6(b)(2). Any motion

under Federal Rule of Civil Procedure 60(b) must be filed within a reasonable time,

generally no more than one year after the entry of the judgment. The court cannot

extend this deadline. See Federal Rule of Civil Procedure 6(b)(2).

A party is expected to closely review all applicable rules and determine what, if

any, further action is appropriate in a case.

17

Dated at Milwaukee, Wisconsin this 16th day of May, 2024.

BY THE COURT

e a GE. ea

WILLIAM E. nf

United States Magistrate Judge

18

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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