Justia Civil Rights Opinion Summaries

Lake, a prisoner at Illinois’ Hill Correctional Center, claimed, in his suit under 42 U.S.C. 1983, that Dr. Jackson, the prison’s dentist had refused to send him to an outside dentist to extract a decayed tooth that was causing him pain. Lake claimed that Wexford, the contractor serving the prison, has policy of withholding medical care to save money. Although Dr. Jackson assured him that his mouth could be numbed successfully, Lake refused to let her pull the tooth and complained to Wexford that he was suffering needlessly because of its refusal to provide him with outside treatment. Lake later agreed to let a different prison dentist extract the tooth. A local anesthetic was used during the extraction, but Lake complained afterward that the procedure had been painful. The Seventh Circuit affirmed summary judgment, rejecting Lake’s claims, and agreeing that a jury would have to find that Dr. Jackson had been exercising professional judgment in predicting that administering a local anesthetic would enable her to extract the decayed tooth without inflicting significant pain. View "Lake v. Wexford Health Sources, Inc." on Justia Law

Harper, an Illinois prisoner, sued a prison doctor and a nurse under 42 U.S.C. 1983 for deliberate indifference to his pain following nine abdominal surgeries, the management of his diet, and inattention to a possible renal cell tumor. The Seventh Circuit affirmed summary judgment for the defendants, concluding that Harper had not produced evidence from which a jury could find that either defendant ignored a substantial risk of harm. Harper was evaluated and treated each time that he appeared at the health center, given a treatment plan, and told to return if his symptoms persisted. Harper is not entitled to dictate how he should have been treated or whether he should have been transferred. View "Harper v. Santos" on Justia Law

After plaintiff was released from a twenty-year period of commitment when a jury found him responsible by reason of insanity, he filed suit against various psychologists, psychiatrists, and other employees, alleging medical malpractice under Nebraska state law. Plaintiff also alleged violation of his constitutional rights to be free from unnecessary confinement and free from retaliation for seeking access to courts. The court concluded that the district court did not err by dismissing the medical malpractice claim where plaintiff failed to comply with the requirements set forth by Nebraska's State Tort Claims Act (STCA), Neb. Rev. Stat. 81-8, 209 et seq. Assuming that Nebraska waived its sovereign immunity, plaintiff still failed to bring the suit in the district court of the county in which the act or omission occurred pursuant to the STCA. In regard to the district court's dismissal of the unnecessary confinement claim, the court concluded that plaintiff only alleged defendants' actions were negligent or, at worst, grossly negligent. Therefore, defendants are entitled to qualified immunity where actions that are merely negligent or grossly negligent do no implicate the protections of the Due Process Clause. Finally, the court affirmed the district court's dismissal of plaintiff's retaliation claim where plaintiff failed to address the claim in his opening brief. View "Montin v. Moore" on Justia Law

McDonald, an Illinois inmate in the segregation unit, suffered an asthma attack in his cell. There were no emergency call buttons. Hours later. his cellmate banged on the door to alert the guards. A guard eventually escorted McDonald to the prison’s healthcare unit, run by Wexford, a private company. McDonald was wheezing and using his accessory muscles to breathe. Nurse Reuter started him on oxygen and administered medications, then phoned Dr. Larson, who was the only on-call doctor for several correctional facilities. He slept through the call. He finally returned her call and prescribed several medications. Thirty minutes later, McDonald was still using his accessory muscles to breathe. Larson then ordered his transfer to a hospital via ambulance and called ahead. In the ER, Dr. Reyes treated him with medications for about two hours, then inserted a breathing tube. McDonald died. The court rejected his estate’s 42 U.S.C. 1983 claims against the warden and Wexford, which focused on the lack of a permanent medical director and the lack of emergency call buttons in segregation cells. Claims against Larson, Reuter, and the guards tried to a jury, which returned a defense verdict. The Seventh Circuit affirmed. The evidence did not support a reasonable inference that the warden consciously disregarded a substantial risk of harm to McDonald nor establish that a Wexford policy caused a constitutional injury. View "Chatham v. Davis" on Justia Law

Rivera, a federal inmate, was burned on his leg, foot, and ankle while working in the prison kitchen. A nurse initially treated the second-degree burn. Rivera returned to the healthcare unit daily so that staff could clean and dress the wound, and complained about pain and numbness. A physician assistant stated that his symptoms probably were normal and suggested that he return in six months. He did so and was told that his symptoms were probably permanent. He saw a physician, Gupta, explaining that his family was willing to pay for him to consult a burn specialist. According to Rivera, Gupta refused to examine him, look up his records, or authorize any treatment, admonishing him that he wouldn’t have scalded himself had he not been in prison, that “only God” could help him, and that if he complained again, Gupta would write a disciplinary report. Gupta disputes Rivera’s account. Rivera sued Gupta and Lopez, an administrator, who did not respond to Rivera’s complaints, for deliberate indifference, violating his Eighth Amendment rights. The district court entered summary judgment for the defendants. The Seventh Circuit affirmed as to Lopez, who is not a medical professional, but reversed as to Gupta, noting that Lopez was without legal representation. A reasonable jury might infer that personal hostility, divorced from medical judgment, had motivated Gupta’s refusal to provide Rivera with any further treatment, even by a burn specialist whom Rivera’s family would have compensated. View "Rivera v. Gupta" on Justia Law

Illinois prisoner Petties was climbing stairs when he felt a “pop” and extreme pain in his ankle. At the prison infirmary, the examining physician prescribed Vicodin and crutches and a week of “lay-in.” The medical director, Dr. Carter, noted in the file that Petties had suffered an “Achilles tendon rupture” and modified the instructions, directing that Petties be scheduled for an MRI and orthopedic examination as an “urgent” matter. Prison lockdowns resulted in cancelation of three appointments. Eight weeks passed before he received an orthopedic boot. Petties claimed that a year later, he still experienced “serious pain, soreness, and stiffness” in his ankle. Petties argued that Carter was deliberately indifferent by failing to immobilize his ankle with a boot or cast immediately and that a physician he saw later was deliberately indifference in not ordering physical therapy despite a recommendation. The Seventh Circuit initially affirmed summary judgment in favor of the doctors, but on rehearing, en banc, reversed. Even if a doctor denies knowing that he was exposing a plaintiff to a substantial risk of serious harm, evidence from which a reasonable jury could infer a doctor knew he was providing deficient treatment is sufficient to survive summary judgment. Petties produced sufficient evidence for a jury to conclude that the doctors knew the care they were providing was insufficient. View "Petties v. Carter" on Justia Law

In 1988, Department of Professional Regulation investigator visited Gekas, a Springfield, Illinois dentist, and expressed concern that Gekas had administered nitrous oxide to a child. He ordered Gekas to provide information on all prescriptions on a continuing basis. Gekas contacted Deputy Governor Riley for assistance. After a meeting, the Department imposed less onerous requirements. In 2002, a Department investigator raided Gekas’ offices, with the assistance of the Federal Drug Enforcement Agency. After failed negotiations, the Department issued a cease and desist order against Gekas for the unlicensed practice of medicine and prescribing controlled substances while not a licensed physician and sought to have his license suspended, on grounds that Gekas had prescribed 4,600 doses of Hydrocodone and Vicoprofen to a patient. Gekas contacted his Senator. In 2008, the cease-and-desist was vacated and the complaint dismissed. Gekas submitted a FOIA request concerning the administrative complaint. The Department responded that no public documents were available. In 2009, Gekas filed suit; it was dismissed by stipulation in 2010. Meanwhile, a Chairman on the Illinois Board of Dentistry issued subpoenas against Gekas, stating that there was reasonable cause to believe that Gekas had violated the Illinois Dental Practice Act. Gekas filed suit, alleging First Amendment retaliation. The district court granted defendants summary judgment, finding no evidence of retaliatory motive. The Seventh Circuit affirmed. View "Gekas v. Vasiliades" on Justia Law

On December 24, 2009, inmate Conley’s hand was examined by a prison nurse, who described Conley’s symptoms to Dr. Birch over the phone; throbbing pain, severe swelling, discoloration, and loss of function throughout the entire hand. The nurse concluded in his treatment notes that Conley suffered from a “possible/probable fracture.” Dr. Birch ordered a regimen of ibuprofen and ice but did not order an x-ray until almost five days later. The x-ray revealed that Conley’s hand was fractured, and years later, he continues to suffer from chronic pain and limited mobility. In 2011, Conley brought suit under 42 U.S.C. 1983, alleging deliberate indifference to his serious medical needs in the days following his injury. The Seventh Circuit reversed summary judgment in favor of Dr. Birch, stating that a reasonable jury could find that, based on the information conveyed to her in her December 24 telephone conversation, Dr. Birch strongly suspected that Conley’s hand was fractured. Dr. Birch’s uncontroverted testimony was sufficient to permit a jury to conclude that, by declining to order an x-ray of Conley’s hand at such a crucial point in the healing process, she exacerbated his lasting injuries. View "Conley v. Birch" on Justia Law

Illinois prisoner Petties was climbing stairs when he felt a “pop” and extreme pain in his left ankle. At the prison infirmary, the examining physician prescribed Vicodin and crutches and a week of “meals lay-in.” The medical director, Dr. Carter, noted in the file that Petties had suffered an “Achilles tendon rupture” and modified the instructions, directing that Petties be scheduled for an MRI and examination by an orthopedist as an “urgent” matter. Prison lockdowns resulted in cancelation of three appointments. Eight weeks passed before he received an orthopedic boot. Petties claimed that more than a year later, he still experienced “serious pain, soreness, and stiffness” in his ankle. Petties argued that Carter was deliberately indifferent by failing to immobilize his ankle with a boot or cast immediately and that a physician he saw later was deliberately indifference in not ordering physical therapy despite a recommendation. The court granted the doctors summary judgment, reasoning that waiting before immobilizing Petties’s ankle could not have constituted deliberate indifference because several physicians held different opinions and that a jury could not reasonably find that rejection of the recommendation for physical therapy constituted deliberate indifference. The Seventh Circuit affirmed. A jury could not reasonably find that the treatment of Petties’s ankle rose to the level of a constitutional violation. View "Petties v. Carter" on Justia Law

In 2011, after about two weeks of reporting symptoms and being treated for constipation and gas, Allard, a prisoner at the Clarinda Correctional Facility of the Iowa Department of Corrections , suffered a bowel obstruction and perforation. Allard had emergency surgery where a colostomy bag was installed and his bowel was repaired. Allard filed suit under 42 U.S.C. 1983. The district court granted summary judgment to the prison staff. The Eighth Circuit affirmed, rejecting a claim that material questions of fact existed regarding the appropriateness of the care Allard received. Although Allard demonstrated that CCF medical staff failed to properly diagnose his bowel obstruction, and demonstrated that failure to treat the bowel obstruction led to a bowel perforation, Allard failed to put forward evidence to support a finding of deliberate indifference. View "Allard v. Baldwin" on Justia Law