deliberate indifference shown by inexplicable delay of six days in treating serious dental pain and broken teeth caused by biting a rock in food
How later courts described this case
- deliberate indifference shown by inexplicable delay of six days in treating serious dental pain and broken teeth caused by biting a rock in food
- dental pain, bleeding gums, and broken teeth considered objectively serious
Written by the judges who cited it.
The opinion
IN THE UNITED STATES DISTRICT COURT
FOR THE SOUTHERN DISTRICT OF ILLINOIS
IVAN DAVILA, #M55646, )
)
Plaintiff, )
)
vs. ) Case No. 25-cv-00168-SMY
)
JOHN BARWICK, )
DR. PERCY MYERS, )
DENTIST NATHAN CHAPMAN, )
NURSE JAMES, )
LT. J. DUDEK, )
SGT. ENGSTROM, )
C/O JOHN DOE 1-3, )
KITCHEN SUPERVISORS JOHN DOE 4-6, )
and WEXFORD HEALTH SOURCES, INC., )
)
Defendants. )
MEMORANDUM AND ORDER
YANDLE, District Judge:
Plaintiff Ivan Davila, an inmate in the custody of the Illinois Department of Corrections
currently incarcerated at Pinckneyville Correctional Center, filed a Complaint under 42 U.S.C.
§ 1983 for constitutional deprivations stemming from allegedly inadequate post-operative care and
nutrition following removal of a wisdom tooth in July 2024. He seeks monetary and injunctive
relief.1 (Doc. 1). The Complaint is now subject to screening under 28 U.S.C. § 1915A, which
requires this Court to dismiss any portion that is legally frivolous or malicious, fails to state a claim
for relief, or seeks money damages from an immune defendant. Id.
The Complaint
Plaintiff makes the following allegations in the Complaint (Doc. 1, pp. 7-15): During his
1 Plaintiff seeks a verbal apology and a “restraining order against defendants so [he] will never have to see them again
and won’t ever have to deal with the mistreatment by them ever again.” (Doc. 1, p. 15).
incarceration at Pinckneyville, Plaintiff’s lower left wisdom tooth was extracted at an offsite
facility on July 8, 2024. Id. at 7. Following surgery, he was given a bag containing gauze, a
syringe, antibiotics, pain medication, and post-operative care instructions. Plaintiff was denied
appropriate care and nutrition following his return to prison from July 8-17, 2024. Id.
Dr. Nathan Chapman, the prison’s dentist, examined Plaintiff when he returned from
surgery and noted that his wound was stitched closed. The dentist prescribed ibuprofen (400 mg),
cephalexin (500 mg), and Tylenol 3. When Plaintiff requested a soft diet, Dr. Chapman said he
could “eat whatever [he] wants” but warned him to “stay away from the surgical site” when
chewing. Plaintiff again requested a soft diet, but the dentist said, “[N]o, you will be fine.” Id.
That night, Plaintiff received a meal for the first time since 5:00 p.m. on July 7, 2024.
When he opened his mouth, Plaintiff “felt and heard a loud rip” that coincided with sudden and
severe pain. Plaintiff took his medication and went to bed without eating on July 8, 2024. Id.
When he awoke the next morning, Plaintiff’s face and throat were swollen and sore. The
nurses observed him struggling to open his mouth and swallow pills. He could not speak and ate
nothing on July 9, 2024. Id. at 7-8.
Plaintiff complained of weakness without food to Nurse James on July 10, 2024. Id. at 8.
Nurse James disregarded his complaint and gave him more pain medication. Plaintiff became
distressed about his inadequate nutrition and medical care, and requested a crisis intervention. He
vomited and fainted the same evening, and his cellmate had to care for him. Id.
Dr. Chapman met with Plaintiff on July 11, 2024. He reported feeling unwell and hungry
because he had not eaten since July 7, 2024. He complained of swelling and pain that prevented
him from swallowing, spitting, eating, or even opening his mouth to speak. He also reported his
recent nausea, vomiting, and fainting episode. Dr. Chapman diagnosed him with a “severe dry
socket” and indicated that his jaw bone was “clearly visible.” Id. He recommended an emergency
referral to the oral surgeon, but, after leaving the room and returning, indicated that he would treat
Plaintiff at the prison. Plaintiff again broke down and asked for a meeting with mental health.
Following the meeting, “dental” had “medical staff” prescribe two Boost milks. Plaintiff also
received a liquid diet tray consisting of four cups of broth and one juice. Id. at 9.
The next day, on July 12, 2024, Plaintiff did not receive his liquid diet trays for breakfast,
lunch, or dinner. While he slept, the gauze and medicine fell out of his mouth. The dentist
previously told him to get immediate medical attention if this occurs. Plaintiff told correctional
officers and a nurse about the issue, but they ignored him. When he reported the denial of a liquid
diet tray, however, C/O Dickerson agreed to speak with a kitchen supervisor (Kitchen Supervisors
John Doe 4-6) during lunch, but said that it was up to them to decide what trays to send. Plaintiff
also gave Dickerson a kite to pass along to medical requesting proper dental care, medical care,
and nutrition. Dickerson returned and indicated that Nurse James refused to treat Plaintiff. This
prompted Plaintiff to go out to the nurses’ station and make a personal plea to Nurse James.
Plaintiff was still denied treatment. Sergeant Knope, C/O Rogers, and C/O Dickerson all tried to
address the dental, medical, and dietary issues, to no avail. Id.
Plaintiff was forced to take his medication and lock up at 3:00 p.m. Id. at 10. Within an
hour, he became nauseous and drowsy. His head, chest, stomach, heart, and body began hurting,
and he fainted again. Plaintiff’s cellmate called out to Sergeant Engstrom. When she arrived,
Plaintiff was sweating profusely and slurring his words as he reported his symptoms. Sergeant
Engstrom said there was nothing she could do, and she left. Plaintiff asked her to call a “Code 3”
medical emergency, but she ignored his request. Within five minutes, Plaintiff began vomiting,
sweating, and shaking uncontrollably. He pressed the “all call” button to summon help and banged
on his cell door, but no one responded. He called out to an inmate porter, who said all officers
were in the bubble “laughing.” Id. When medical staff and officers finally showed up to the cell
thirty minutes later, Plaintiff was passed out on the floor in a pool of sweat and vomit. Correctional
officers placed him in restraints, aggressively dragged him through the vomit, and transported him
on a stretcher to the health care unit (HCU). Dr. Percy Myers never saw or examined Plaintiff, but
cleared him for return to his cell. Id.
Lieutenant Dudek then stormed into the ER and threatened to mace Plaintiff if he did not
get up and return to his cell. Plaintiff could not move and begged for medical treatment. The
lieutenant brought him a wheelchair and pushed him out of the HCU. Plaintiff vomited again and
began to faint. As he lost consciousness, Plaintiff heard Dudek ask C/O John Doe if he wanted to
“have fun” and “push this piece of shit to his cell and make sure he doesn’t come out.” Id. at 10.
C/O John Doe 1-3 then pushed the unconscious Plaintiff to the R-3-B Wing, carried him up the
stairs, dropped him on the floor, and left him to die. Id. at 11. Plaintiff’s cellmate returned from
dinner and found him unresponsive on the floor in a pool of vomit. When his cellmate told
C/O John Doe that he did not feel safe locked up with a cellmate who was having a medical
emergency, the officer told him to lock up with Plaintiff or go to disciplinary segregation.
Plaintiff’s cellmate chose to stay with him. Id.
Lieutenant Bryant eventually appeared at the cell door, and Plaintiff’s cellmate reported
Plaintiff’s medical emergency and staff’s refusal to address his medical and nutritional needs.
Lieutenant Bryant instructed the inmate to keep administering care while he called for help.
Moments later, Bryant and Dudek returned and escorted Plaintiff back to the HCU for treatment.
Plaintiff told Bryant about the denial of a liquid diet tray and his inability to eat solid food due to
his pain and infection. Bryant agreed to get Plaintiff a liquid diet tray, and he did so. Id.
Plaintiff was then placed under medical observation for 24 hours. He was moved to the
crisis watch wing and left in a cell filled with flies and spiders and walls stained with urine, feces,
and food. No one checked on him. He was offered no shower and no new clothing. He was given
no liquid diet trays by the Kitchen Supervisors 4-6. Plaintiff was left to die. Id.
On July 13, 2024, Lieutenant Simmons and C/O Adams found Plaintiff having a panic
attack and suffering from severe cramps. Id. at 12. They pushed him to the ER, where he began
vomiting uncontrollably. Sergeant Spencer, C/O Spencer, and Lt. Simmons helped him onto a
gurney, and Nurses Erin, Caitlin, Alley, and Brandy tried to help him. For almost ninety minutes,
nurses worked to persuade Dr. Myers to order intravenous fluids and sodium shots. Labs revealed
health problems, and he was prescribed more Boost milk and Phas-Nak to help nourish him.
Plaintiff had to wait several additional days to actually receive the supplements and a liquid diet
because dietary did not receive the doctor’s orders. When Kitchen Supervisors Doe 4-6 finally
began serving him a liquid diet on July 17, 2024, they did not give him 2,000 calories per day. Id.
Plaintiff filed many detailed grievances about this matter as part of his effort to fight for
food and medicine. Warden John Barwick never responded to any of them by reaching out,
speaking with him, or investigating his complaints. Plaintiff claims that warden turned a blind eye
to the grievances and the misconduct giving rise to them. Plaintiff adds that Wexford Health
Sources, Inc. has a history of lawsuits for misconduct of its employees. Id. at 13.
Preliminary Dismissals
Plaintiff mentions numerous individuals in the statement of his claim but does not identify
them as defendants in the Complaint, including Sergeant Knope, C/O Rogers, C/O Dickerson, C/O
Adams, Sergeant Spencer, C/O Spencer, Lt. Bryant, Lt. Simmons, Nurse Erin, Nurse Caitlin,
Nurse Alley, Nurse Brandy, and others. Therefore, the Court will not treat these individuals as
defendants, and all claims against them are considered dismissed. See FED. R. CIV. P. 10(a) (noting
that the title of the complaint “must name all the parties”).
Discussion
The Court designates the following claims in this pro se Complaint:
Count 1: Eighth Amendment claim against Defendants for exhibiting deliberate
indifference to Plaintiff’s medical needs following wisdom tooth surgery
from July 8-17, 2024.
Count 2: Eighth Amendment claim against Defendants for denying Plaintiff adequate
nutrition in the form of a liquid diet containing 2,000 calories per day
following wisdom tooth surgery from July 8-17, 2024.
Count 3: Illinois negligence claim against Defendants for their inadequate post-
operative care of Plaintiff from July 8-17, 2024.
Any claim mentioned in the Complaint but not addressed herein is considered dismissed without
prejudice as inadequately pled under Bell Atlantic Corp. v. Twombly, 550 U.S. 544, 570 (2007).
Count 1
To articulate an Eighth Amendment claim for the denial of dental care, a plaintiff must
describe a sufficiently serious medical need and deliberate indifference on the part of each
defendant. Berry v. Peterman, 604 F.3d 435, 440 (7th Cir. 2010). An objectively serious medical
need is one that has been diagnosed as requiring treatment, one involving an obvious need for
treatment, or one causing substantial pain. Gutierrez v. Peters, 111 F.3d 1364, 1373 (7th Cir.
1997). Plaintiff’s severe dry socket, infection, pain, fainting, nausea, and related medical
emergencies are sufficiently serious to support an Eighth Amendment claim. Board v. Farnham,
394 F.3d 469, 480 (7th Cir. 2005) (dental pain, bleeding gums, and broken teeth considered
objectively serious).
Deliberate indifference occurs when a defendant “know[s] of and disregard[s] an excessive
risk to inmate health.” Greeno v. Daley, 414 F.3d 645, 653 (7th Cir. 2005). A delay in treatment
amounts to deliberate indifference when it unnecessarily prolongs pain or exacerbates an injury.
Gutierrez, 111 F.3d at 1373. Plaintiff states a claim for deliberate indifference against the medical
defendants, including Dr. Chapman, Dr. Myers, and Nurse James. According to the allegations,
all three defendants delayed or denied Plaintiff necessary post-operative care following wisdom
tooth surgery from July 8-17, 2024. As a result, he suffered from a severe dry socket, infection,
and prolonged pain. Count 1 will proceed against Chapman, Myers, and James.
The allegations also articulate a claim against the non-medical prison officials, including
Lieutenant Dudek, Sergeant Engstrom, and C/O John Doe 1-3. Each officer allegedly responded
to Plaintiff’s pleas for medical treatment by refusing to help him obtain treatment, delaying access
to treatment, and/or leaving him in his cell to die. Green v. Beth, 663 F. App’x 471, 473 (7th Cir.
2016) (deliberate indifference shown by inexplicable delay of six days in treating serious dental
pain and broken teeth caused by biting a rock in food). Count 1 will proceed against Dudek,
Engstrom, and Doe 1-3.
The allegations also state a claim against Warden Barwick. Plaintiff alleges he filed
numerous grievances, including emergency grievances directed to the warden, during the relevant
time period (July 8-17, 2024). In them, he described his dental and medical issues in detail. Even
so, the warden never spoke with him, investigated his complaints, or helped him secure treatment.
Plaintiff claims the warden turned a blind eye to his ongoing pain and infection. Count 1 will
receive further review against this defendant.
However, this claim will be dismissed against Wexford Health Sources, Inc. To proceed
with a claim against the private medical corporation, Plaintiff must allege that a policy, custom, or
widespread practice attributable to the corporation caused a violation of his constitutional rights.
Shields v. Illinois Dept. of Corr., 746 F.3d 782,786 (7th Cir. 2014) (citing Monell v. Dept. of Soc.
Servs., 436 U.S. 658 (1978)). Here, Plaintiff alleges only that Wexford employed one or more
medical defendants and is frequently named in lawsuits. But because respondeat superior liability
is not recognized under § 1983, Plaintiff cannot proceed against Wexford simply for employing
wrongdoers. Id. Moreover, Wexford’s tendency to get named in lawsuits is not indicative of a
policy, custom, or practice that caused the constitutional injuries here. Count 1 will be dismissed
without prejudice for failure to state a claim against Wexford.
Count 1 will also be dismissed against Kitchen Supervisors John Doe 4-6 because the
allegations do not suggest that these defendants were involved in decisions about Plaintiff’s dental
or medical care.
Count 2
The Eighth Amendment guarantees an inmate’s right to a healthy and habitable
environment that includes nutritionally adequate food prepared and served under conditions posing
no immediate danger to his health. French v. Owens, 777 F.2d 1250, 1255 (7th Cir. 1983).
Allegations of a nutritionally deficient diet can support a claim of cruel and unusual punishment.
See Smith v. Dart, 803 F.3d 304 (7th Cir. 2015) (citing Antonelli v. Sheahan, 81 F.3d 1422 (7th
Cir. 1996)).
Plaintiff alleges that Dr. Chapman, Dr. Myers, Nurse James, Kitchen Supervisors John Doe
4-6 all refused to provide him with a liquid diet tray and/or nutritionally adequate diet between
July 8-17, 2024, resulting in weakness, loss of consciousness, and unnecessary pain, among other
things. Warden Barwick allegedly ignored or turned a blind eye to this deprivation of food that
Plaintiff described in numerous grievances, including emergency grievances directed to this
defendant. Based on these allegations, Count 2 survives screening against Barwick, Chapman,
Myers, James, and Kitchen Supervisors John Doe 4-6. However, this claim will be dismissed
without prejudice against all other defendants based on their lack of personal involvement in this
constitutional deprivation.
Count 3
This Court will exercise supplemental jurisdiction over Plaintiff’s negligence claim under
Illinois law. See 28 U.S.C. § 1367(a). A plaintiff bringing a claim for negligence under Illinois
law must set forth facts suggesting that each defendant owed him a duty of care, breached the duty,
and the breach was the proximate cause of the plaintiff’s injury and damages. Thompson v.
Gordon, 948 N.E.2d 39, 45 (Ill. 2011) (citing Iseberg v. Gross, 879 N.E.2d 278 (2007)).
Plaintiff’s allegations are sufficient to support a negligence claim for the denial of proper
medical care following wisdom tooth surgery from July 8-17, 2024 against Dr. Chapman,
Dr. Myers, Nurse James, Lt. Dudek, Sergeant Engstrom, C/O John Doe 1-3, and Warden Barwick.
The allegations are also sufficient to support a negligence claim for the denial of adequate nutrition
following surgery from July 8-17, 2024 against Dr. Chapman, Dr. Myers, Nurse James, Kitchen
Supervisors John Doe 4-6, and Warden Barwick.
Although these negligence claims survive preliminary review, Plaintiff must provide an
affidavit and medical report in compliance with Illinois state law, i.e., 735 ILCS § 5/2-622, stating
that “there is a reasonable and meritorious cause” for litigation. See Young v. United States, 942
F.3d 349 (7th Cir. 2019). He must do so before summary judgment on the merits or face dismissal
of one or more of his negligence claims. Count 3 will proceed against Chapman, Myers, James,
Dudek, Engstrom, John Doe 1-6, and Warden Barwick.
Identification of Unknown Defendants
Plaintiff’s claims survive screening against unidentified defendants, including C/O John
Doe 1-3 and Kitchen Supervisor John Doe 4-6. These defendants must be identified with
particularity before the lawsuit can be served on them. Plaintiff will have an opportunity to engage
in limited discovery to ascertain the identity of each defendant. Rodriguez v. Plymouth Ambulance
Serv., 577 F.3d 816, 832 (7th Cir. 2009). John Barwick is the current warden of Pinckneyville and
is already named as a defendant in his individual capacity, and he will be added as a defendant in
his official capacity for purposes of identifying the unknown defendants. Once their names are
discovered, Plaintiff must file a motion to substitute each newly identified defendant in place of
the generic designations in the case caption and throughout the Complaint.
Request for “Restraining Order”
Plaintiff’s request for a “restraining order” prohibiting all further contact with defendants
is DENIED without prejudice. A temporary restraining order (TRO) make take effect for up to
fourteen days. See FED. R. CIV. P. 65(b). Plaintiff describes no instances of misconduct, threats
of harm, or actual harm caused by the defendants in the past six months. Plaintiff may seek a TRO
or preliminary injunction by filing a separate motion pursuant to Rule 65(a) and/or (b) at any time
it becomes necessary during the pending action.
Disposition
The Complaint (Doc. 1) survives screening pursuant to 28 U.S.C. § 1915A against the
following defendants:
• COUNT 1 against JOHN BARWICK, NATHAN CHAPMAN, PERCY
MYERS, NURSE JAMES, LIEUTENANT J. DUDEK, SEGEANT
ENGSTROM, and C/O JOHN DOE 1-3 (once identified), in their individual
capacities.
• COUNT 2 against JOHN BARWICK, NATHAN CHAPMAN, PERCY
MYERS, NURSE JAMES, and KITCHEN SUPERVISORS JOHN DOE 4-6
(once identified), in their individual capacities.
• COUNT 3 against JOHN BARWICK, NATHAN CHAPMAN, PERCY
MYERS, NURSE JAMES, LIEUTENANT J. DUDEK, SERGEANT
ENGSTROM, C/O JOHN DOE 1-3 (once identified) and KITCHEN
SUPERVISOR JOHN DOE 4-6 (once identified), in their individual capacities.
The CURRENT WARDEN of PINCKNEYVILLE CORRECTIONAL CENTER
JOHN BARWICK (official capacity) is ADDED for purposes of identifying C/O JOHN DOE
1-3 and KITCHEN SUPERVISOR JOHN DOE 4-6 by name and for implementing any
injunctive relief ordered herein. WEXFORD HEALTH SOURCES, INC. is DISMISSED
without prejudice.
The Clerk shall prepare for the CURRENT WARDEN of PINCKNEYVILLE
CORRECTIONAL CENTER (JOHN BARWICK) (individual and official capacities) and
NATHAN CHAPMAN, PERCY MYERS, NURSE JAMES, LT. J. DUDECK, SERGEANT
ENGSTROM, C/O JOHN DOE 1-3 (once identified) and KITCHEN SUPERVISOR JOHN
DOE 4-6 (once identified) in their individual capacities: (1) Form 5 (Notice of a Lawsuit and
Request to Waive Service of a Summons), and (2) Form 6 (Waiver of Service of Summons). The
Clerk is DIRECTED to mail these forms, a copy of the Complaint (Doc. 1), and this Memorandum
and Order to each Defendant’s place of employment as identified by Plaintiff. If a Defendant fails
to sign and return the Waiver of Service of Summons (Form 6) to the Clerk within 30 days from
the date the forms were sent, the Clerk shall take appropriate steps to effect formal service on that
Defendant, and the Court will require the Defendant to pay the full costs of formal service, to the
extent authorized by the Federal Rules of Civil Procedure.
If a Defendant cannot be found at the work address provided by Plaintiff, the employer
shall furnish the Clerk with the Defendant’s current work address, or, if not known, the
Defendant’s last-known address. This information shall be used only for sending the forms as
directed above or for formally effecting service. Any documentation of the address shall be
retained only by the Clerk and shall not be maintained in the court file or disclosed by the Clerk.
Defendants are ORDERED to timely file an appropriate responsive pleading to the
Complaint and shall not waive filing a reply pursuant to 42 U.S.C. § 1997e(g). Pursuant to
Administrative Order No. 244 and SDIL-LR 8.2, Defendants need only respond to the issues
stated in this Merit Review Order.
Plaintiff is ADVISED that if judgment is rendered against him and the judgment includes
the payment of costs under 28 U.S.C. § 1915, he will be required to pay the full amount of the
costs, even though he was granted in forma pauperis status. See 28 U.S.C. § 1915(f)(2)(A).
Plaintiff is further ADVISED that he is under a continuing obligation to keep the Clerk of
Court and the opposing parties informed of any change in his address; the Court will not
independently investigate his whereabouts. This shall be done in writing and not later than 14 days
after a transfer or other change in address occurs. Failure to comply with this order will cause a
delay in the transmission of court documents and may result in dismissal of this action for want of
prosecution. See FED. R. CIV. P. 41(b).
The Clerk of Court is DIRECTED to ENTER the Court’s standard HIPAA-Qualified
Protective Order and TERMINATE Wexford Health Sources, Inc. as a defendant in
CM/ECF.
IT IS SO ORDERED.
DATED: April 29, 2025 s/ Staci M. Yandle_____
STACI M. YANDLE
United States District Judge
Notice to Plaintiff
Once identified, the Court will take the necessary steps to notify the Defendants of your
lawsuit and serve them with a copy of your Complaint. After service has been achieved,
Defendants will enter an appearance and file an Answer to your Complaint. It will likely take at
least 60 days from the date they are served with this lawsuit to receive the Defendants’ Answers,
but it is entirely possible that it will take 90 days or more. When Defendants have filed their
Answers, the Court will enter a Scheduling Order containing important information on deadlines,
discovery, and procedures. Plaintiff is advised to wait until counsel has appeared for Defendants
before filing any motions, to give the Defendants notice and an opportunity to respond to those
motions. Motions filed before Defendants’ counsel has filed an appearance will generally be
denied as premature. Plaintiff need not submit any evidence to the Court at this time, unless
specifically directed to do so.