The opinion
IN THE UNITED STATES DISTRICT COURT
FOR THE SOUTHERN DISTRICT OF ILLINOIS
JOHN BURNOM, N53396, )
)
Plaintiff, )
)
vs. ) Case No. 25-cv-2018-DWD
)
JEREMIAH BROWN, )
JEREMY KOHN, )
LATOYA HUGHES, )
)
Defendants. )
MEMORANDUM AND ORDER
DUGAN, District Judge:
Plaintiff John Burnom, an inmate of the Illinois Department of Corrections (IDOC),
brings this civil rights action pursuant to 42 U.S.C. § 1983 for alleged deprivations of his
constitutional rights at Lawrence Correctional Center. Specifically, Plaintiff alleges that
the defendants are refusing to provide a milk substitute directed by physicians. Plaintiff’s
Complaint (Doc. 1) is now before the Court for preliminary review pursuant to 28 U.S.C.
§ 1915A. Under Section 1915A, the Court is required to screen prisoner complaints to
filter out non-meritorious claims. See 28 U.S.C. § 1915A(a)-(b). Any portion of a
complaint that is legally frivolous, malicious, fails to state a claim upon which relief may
be granted, or asks for money damages from a defendant who by law is immune from
such relief must be dismissed. 28 U.S.C. § 1915A(b). At this juncture, the factual
allegations of the pro se complaint are to be liberally construed. Rodriguez v. Plymouth
Ambulance Serv., 577 F.3d 816, 821 (7th Cir. 2009).
ANALYSIS
Plaintiff suffers from chronic kidney disease and has been authorized to see an
outside physician to manage his condition. (Doc. 1 at 5). On February 2, 2024, Plaintiff’s
outside doctor (Temitope, a non-party) recommended that he be provided with
powdered milk, and that his phosphorus levels be monitored. (Doc. 1 at 6). In July of
2024, Plaintiff was confirmed to be lactose intolerant by the prison medical staff. (Doc. 1
at 5). On February 27, 2025, medical director Susan Cole directed the therapeutic diet
with a notation about powdered milk. (Doc. 1 at 6-7). On March 7, 2025, a nurse
practitioner at the prison issued him a therapeutic diet that directed powdered lactose
free milk. (Doc. 1 at 6).
Plaintiff alleges that despite these orders, Defendant Jeremy Kohn has refused to
provide the prescribed therapeutic diet. Plaintiff grieved the issue, and his second
grievance was deemed an emergency by Defendant Brown, the Warden. However, when
the grievance officer responded, they indicated that Plaintiff would not be provided with
the diet because IDOC does not allow allergy-based diets. The grievance response says:
Per FSPM Kohn, “This Dietary Department follows the policies set forth by IDOC. IDOC does not recognize allergy diets”
Per the Therapeutic Diet Manual, it states:
Diets deemed to be necessary by staff physicians that are not on the approved diet list are to be approved by the Agency
Medical Director prior to implementation,
IDOC THERAPEUTIC DIET MANUAL
FOOD SENSITIVITYAND ALLERGIES
here are numerous individuals who display intolerances to food or elements of the environment. These intolerances may
result in gastrointestinal irritation, nasal congestion, skin rashes and so forth. Generally these sensitives do not require
modification in the diet. As a rule the problems can be solved by simply avoiding the food that is known to cause the
istress.
Inmates in IDOC may demonstrate sensitivity or allergy to a large number of foods, thus it is not feasible or economical to
ttempt to provide diet modifications to meet all of their needs. For this reason there are no diets written or honored in IDOC
to acknowledge these sensitivities. It is therefore the responsibility of the health care unit to provide the individual with
ducation on how to avoid foods or groups of food that may cause problems. Therefore, as a rule, allergies and food
sensitivities are not recognized diets in IDOC
If itis determined that an allergy exists in an individual to a major food group or that the avoidance of the allergen
ompromises the individual's nutritional status, the Food Service Administrator and the Agency Medical Director must be
ontacted for further instructions. In such a situation a special diet may have to be written to accommodate the individual
need,
ensitivity to lactose, milk products, is quite common in our society. When there is an individual allergic to lactose, it is
highly recommended that Lactaid be ordered by the physician for the individuals. The use of these tablets allows the inmate
o consume milk products and at the same time not compromise his/her nutritional status.”
(Doc. 1 at 30). The grievance was rejected on technical grounds by the Administrative
Review Board. (Doc. 1 at 27).
In this lawsuit, Plaintiff faults Kohn, Brown, and IDOC Director Latoya Hughes
for failing to accommodate his diet after it was brought to their attention via his
grievance. Specifically, he complains that if there is a policy that would disallow his
medically prescribed diet, the policy is unconstitutional. Or, regardless, that the denial
of the diet is deliberate indifference. He claims that he is now forced to choose between
consuming lactose products to get needed minerals or foregoing adequate nutrition. He
alleges lactose gives him severe stomach pain, diarrhea, and vomiting, among other
things. Without a substitute, he claims he has lost weight, and he feels hungry and weak.
He seeks a preliminary injunction, declaratory, and compensatory damages. (Doc. 1 at
11).
Based on the allegations in the Complaint, the Court will designate the following
claim:
Claim 1: Eighth Amendment deliberate indifference claim against
Defendants Kohn, Brown, and Hughes for their role in
denying Plaintiff the diet prescribed by an outside
physician and two prison medical providers.
The parties and the Court will use these designations in all future pleadings and orders
unless otherwise directed by a judicial officer of this Court. Any claim that is mentioned
in the Complaint but not addressed in this Order is considered dismissed without
prejudice as inadequately pled under Twombly. See Bell Atl. Corp. v. Twombly, 550 U.S.
544, 570 (2007) (an action fails to state a claim upon which relief can be granted if it does
not plead “enough facts to state a claim that is plausible on its face”).
Analysis
In McDonald v. Hardy, 821 F.3d 882 (7th Cir. 2016), the Seventh Circuit reversed a
grant of summary judgment for prison administrators who cancelled all medical diets at
Stateville Correctional Center, including the Plaintiff’s low cholesterol diet. The
McDonald Court explained, “[w]here, as here, an inmate sues prison employees who are
not part of the medical staff, deliberate indifference can be shown with evidence that
those employees ignored or interfered with a course of treatment prescribed by a
physician.” 821 F.3d at 888. “Custodians are not excused from ensuring adequate
treatment for inmates with chronic or degenerative conditions simply because any
resulting harms may remain latent or have not yet reached the point of causing acute or
life-threatening conditions.” Id. at 889. “Interference with prescribed treatment is a well-
recognized example of how nonmedical prison personnel can display deliberate
indifference to inmates’ medical conditions. Id. at 890.
Plaintiff’s present allegations are on all fours with McDonald. He alleges that
multiple physicians have prescribed him a lactose-free diet with a milk substitute to
ensure he receives adequate nutrients. He claims that Defendant Kohn refused to honor
the diet, and Defendant Brown backed the decision in the grievance process. Claim 1
may proceed against Kohn and Brown.
Plaintiff also faults Defendant Hughes for denying his grievance on July 21, 2025,
but the grievance documents attached to his complaint do not support this contention.
On July 21, 2025, his grievance was returned for procedural reasons by an Administrative
Review Board staff person. (Doc. 1 at 27). There was no signature line on the form for
Hughes, and there is no indication Hughes was asked to endorse this procedural ruling.
Other than the grievance document, Plaintiff does not explain how Hughes was
personally made aware of the situation or how she participated in causing him harm.
Supervisors cannot be held liable for a § 1983 violation merely because their role as a
prison administrator. Burks v. Raemisch, 555 F.3d 592 (7th Cir. 2009). On the allegations
presented, Plaintiff has not sufficiently demonstrated Hughes’ role or involvement, so
Hughes will be dismissed without prejudice.
Within the complaint, Plaintiff also included a demand for immediate injunctive
relief related to his diet. However, he did not file a freestanding motion consistent with
Federal Rule of Civil Procedure 65. If Plaintiff wishes to further pursue the option of
injunctive relief while this lawsuit is pending, he shall file a separate motion. He should
take special care to describe his current medical situation, including the impact that he is
experiencing without the prescribed diet, and if he has been able to consult on-site or off-
site medical providers about the lack of the diet that they prescribed.
Disposition
IT IS HEREBY ORDERED THAT Claim 1 of the Complaint (Doc. 1) survives
against Defendants Kohn and Brown. By contrast, Claim 1 is insufficient against
Defendant Hughes, and the Clerk of Court shall TERMINATE Hughes.
The Clerk of Court is DIRECTED to prepare for Defendants Kohn and Brown: (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 Defendants’ 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 Defendant, and the
Court will require 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. Address information 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, Defendants need only respond to the issues
stated in this Merits Review Order.
If judgment is rendered against Plaintiff, and the judgment includes the payment
of costs under Section 1915, Plaintiff will be required to pay the full amount of the costs,
regardless of whether his application to proceed in forma pauperis was granted. See 28
U.S.C. § 1915(f)(2)(A).
Plaintiff is ADVISED that he is under a continuing obligation to inform the Clerk
of Court and each opposing party of any address changes; the Court will not
independently investigate his whereabouts. This shall be done in writing and not later
than 14 days after a change of 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 failure to prosecute. FED. R. CIV. P. 41(b).
The Clerk of Court is DIRECTED to enter the standard HIPAA Order in this case
because it will involve the exchange of medical records.
IT IS SO ORDERED.
Dated: November 12, 2025 /s/ David W. Dugan
________________________
DAVID W. DUGAN
United States District Judge
NOTICE TO PLAINTIFF
The Court will take the necessary steps to notify the appropriate defendants of your
lawsuit and serve them with a copy of your complaint. After service has been achieved,
the defendants will enter their appearance and file an Answer to the complaint. It will
likely take at least 60 days from the date of this Order to receive the defendants’ Answers,
but it is entirely possible that it will take 90 days or more. When all of the defendants
have filed 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 the 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 his time, unless otherwise directed by the Court.
The Court wishes to remind the Plaintiff that litigation is often viewed a series of hurdles
that the Plaintiff must clear to get to another hurdle. Initial screening is such a hurdle, but
it is a very low one for the Plaintiff to clear. As noted above, surviving initial screening
only requires the bare statement of a claim that, if proven, could entitle Plaintiff to some
relief. At trial, he will need to prove by a preponderance of evidence that the facts alleged
actually occurred and that those facts satisfy the legal requirements for recovery. Trial is
the highest and most difficult of hurdles for any Plaintiff to clear.