Antonio A. Calles v. California Department of Corrections and Rehabilitation et al
Filing
32
ORDER TO SHOW CAUSE Re: Lack of Prosecution by Magistrate Judge Alka Sagar. Plaintiff is ORDERED TO SHOW CAUSE, in writing,no later than October 20, 2017, why this action should not be dismissed with prejudice for failure to prosecute. (See Order for complete details) (Attachments: # 1 Courts May 11, 2017, Order, # 2 Notice of Dismissal (Blank), # 3 Civil Rights Complaint (Blank)) (afe)
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UNITED STATES DISTRICT COURT
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CENTRAL DISTRICT OF CALIFORNIA
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ANTONIO A. CALLES,
Plaintiff,
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v.
DR. JOHANNES HAAR,
Defendant.
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)
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Case No. EDCV 16-1382-R (AS)
ORDER GRANTING IN PART AND DENYING
IN PART DEFENDANT’S MOTION FOR
JUDGMENT ON THE PLEADINGS
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I.
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INTRODUCTION
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20
On June 27, 2016, Antonio A. Calles (“Plaintiff”), then an inmate
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at the California Men’s Colony (“CMC”) in San Luis Obispo, California,
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filed a Complaint pursuant to 42 U.S.C. § 1983, (“Compl.,” Docket Entry
23
No. 1), asserting claims against (1) the California Department of
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Corrections and Rehabilitation (“CDCR”); and (2) Dr. Johannes Haar
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(“Haar”) in his individual and official capacities.
(Compl. at 1, 3
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(continuous pagination of Plaintiff’s filings used throughout this
27
Order)).
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On July 27, 2016, the Court issued an order dismissing the
1
complaint with leave to amend for failure to state a claim.
2
(Docket
Entry No. 5).
3
4
On August 25, 2016, Plaintiff filed a First Amended Complaint
5
asserting claims against Haar in his individual capacity.
(“FAC,”
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Docket Entry No. 6).
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First Amended Complaint be served on Haar in his individual capacity.
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(Docket Entry Nos. 7, 8, 9).
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(Docket Entry No. 18).
On September 30, 2016, the Court ordered that the
On January 6, 2017, Haar filed an Answer.
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On January 20, 2017, Haar filed the instant Motion for Judgment on
12
the Pleadings pursuant to Federal Rule of Civil Procedure 12(c).
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(“Motion,” Docket Entry No. 20).
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“Response” to the Motion. (“Response,” Docket Entry No. 27). On April
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20, 2017, Haar filed a Reply in Further Support of the Motion.
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(“Reply,” Docket Entry No. 28).
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Surreply
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(“Surreply,” Docket Entry No. 29).1
styled
as
an
On April 5, 2017, Plaintiff filed a
On May 5, 2017, Plaintiff filed a
additional
“Response”
to
the
Motion.
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1
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25
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27
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Haar filed Objections to the Surreply, arguing that the Surreply
was filed without prior written permission of the Court in violation of
C.D. Cal. Rule 7-10. (Docket Entry No. 30 at 2). The Court agrees
that the Surreply violates C.D. Cal. Rule 7-10, but the Surreply raises
no new claims and, as discussed infra, it clarifies and arguably limits
the nature of Plaintiff’s claims and the scope of this action.
(Surreply at 1-3 (setting forth several propositions that Plaintiff
“does not argue” as well as “[t]he questions that must be addressed”)).
The Court therefore exercises its discretion to OVERRULE Haar’s
Objections. See Harper v. Ramirez, 2015 WL 9918409 at *2 (C.D. Cal.
2015) (acknowledging that pro se surreply violated C.D. Cal. Rule 7-10
but nevertheless considering the surreply); Schmidt v. Shah, 696 F.
Supp. 2d 44, 59 (D.D.C. 2010) (“The decision to grant or deny leave to
file a surreply is committed to the sound discretion of the court.”).
2
1
For the reasons set forth below, Haar’s Motion is granted insofar
2
as the First Amended Complaint is dismissed, but the Motion is denied
3
insofar as the Motion seeks dismissal with prejudice and without leave
4
to amend.
5
leave to amend.2
The First Amended Complaint is therefore dismissed with
6
7
II.
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PLAINTIFF’S ALLEGATIONS
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10
Plaintiff suffers from bilateral foot pain, fibromas in the arches
(See FAC at 5-6).
Before the
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of both feet, and plantar fasciitis.
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events at issue in this action, Plaintiff was an inmate at Centinela
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State Prison, where he was treated by a podiatrist and orthopedic
14
specialist and received orthopedic soft sole shoes and orthopedic
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insoles –
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January 2013, following Plaintiff’s transfer to CMC, Plaintiff began
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visiting Haar for medical care.
i.e., orthopedic “appliances.”
(See id.).
Starting in
(See id.).
18
19
At a chronic care office visit on March 8, 2013, Plaintiff
20
informed Haar that, while he was at Centinela State Prison, Plaintiff
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had been treated by a podiatrist and orthopedic specialist for his
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fibromas and plantar fasciitis.
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Haar that his orthopedic appliances were worn out and needed to be
24
replaced.
(Id.).
(Id. at 6).
Plaintiff also informed
Haar said that, if Plaintiff wanted new shoes, he
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27
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2
Magistrate Judges may dismiss a complaint with leave to amend
without approval from the district judge. McKeever v. Block, 932 F.2d
795, 798 (9th Cir. 1991).
3
1
should “ask [his] family for a pair,” and Haar informed Plaintiff that
2
“this matter was to be heard at a later date.”
3
treatment notes from that visit do not describe this conversation: Haar
4
noted “some tenderness on the plantar surface” but “no indication for
5
[Plaintiff] to having [sic] orthopedic shoes.”3
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treatment notes state that Haar would order x-rays, but Plaintiff’s
7
symptoms were “very more consistent with plantar fasciitis” and Haar
8
would also give Plaintiff a “stretching exercise sheet” for that
9
condition.
(Id.).
Haar’s
(Id. at 15).
The
(Id.).
10
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At a chronic care visit on June 7, 2013, Plaintiff requested that
12
Haar examine both of the arches of Plaintiff’s feet “where the fibromas
13
could be found.” (Id. at 6). Haar visually inspected Plaintiff’s feet
14
but did not perform a physical examination.
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again requested to be seen by a podiatrist or orthopedic specialist to
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ensure that he would receive the “proper appliances.” (Id.). Haar did
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not refer Plaintiff to a podiatrist or orthopedic specialist but
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referred Plaintiff to a physical therapist and ordered that Plaintiff
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be treated with pain medication and foot injections. (Id.). Plaintiff
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informed Haar that his proposed treatments had not proven effective in
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the past and that Plaintiff’s foot pain had been alleviated by the use
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of orthopedic appliances.
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that Plaintiff “would refuse to administer” pain medications.
(Id.).
(See id. at 7).
Plaintiff
According to Plaintiff, Haar knew
(Id.).
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3
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27
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In adjudicating Haar’s Motion, the Court considers “material
which is properly submitted as part of the [First Amended C]omplaint,”
including exhibits. See Lee v. City of Los Angeles, 250 F.3d 668,
688–89 (9th Cir. 2001).
4
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Haar’s treatment notes from the visit state that “[i]t is not clear
2
. . . that [diabetic insoles and diabetic shoes] are indicated” and
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that Plaintiff “has a normal appearing foot with normal x-rays, but we
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will see what Medical Administration has to say and see if perhaps an
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injection for the plantar fascia may be in order.”
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According to the treatment notes, Plaintiff was “not willing” to take
7
Pamelor “when they crush and float On-Line.”4 (Id. at 17).
(Id. at 18).
8
9
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On June 9, 2013, a pain specialist evaluated Plaintiff and
(Id. at 8).
recommended orthopedic appliances.
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During a September 20, 2013, office visit, Plaintiff contends that
12
13
Haar
informed
Plaintiff
that
14
“bilateral foot issues because [Plaintiff] had already been seen by a
15
pain specialist and the issue was considered died.”
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Plaintiff walked out of Haar’s office.
17
notes indicate that Haar informed Plaintiff that he would discuss
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Plaintiff’s
“pain
19
Plaintiff’s
other
20
treatment notes, Haar ultimately agreed to discuss Plaintiff’s foot
21
pain when Plaintiff became argumentative, but Plaintiff nevertheless
22
left the room. (Id.). Haar’s treatment notes indicate that Haar would
23
refer Plaintiff “to Mental Health for evaluation as he clearly has
issues”
he
only
medications.
would
address
(Id. at 8).
after
(Id.
not
at
Haar
22).
Plaintiff’s
(Id. at 8).
Haar’s treatment
finished
discussing
According
to
the
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25
26
27
28
4
Pamelor is a drug commonly prescribed “off-label” as a treatment
for chronic pain. See Cox v. Levenhagen, 2013 WL 3322034 at *1 (N.D.
Ind. 2013). “Crushing and floating” a medication involves grinding the
medication into a powder and placing it in water.
See Wright v.
Swingle, 2011 WL 2622689 at *2 n.4 (E.D. Cal. 2011).
5
1
anger
issues
and
perhaps
2
indicated.”
3
Plaintiff had refused physical therapy, Pamelor, and carbamazepine.5
4
(Id. at 22).
(Id. at 23).
some
psychiatric
treatment
might
be
Haar’s treatment notes also state that
5
6
Plaintiff later learned from reading Haar’s treatment notes that
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Haar had changed Plaintiff’s medication without consulting Plaintiff.
8
(Id.
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medication “to cover the fact that [Haar] refused to discuss the
at
8).
According
to
Plaintiff,
Haar
changed
Plaintiff’s
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[Plaintiff’s] chief complaint [of] his bilateral foot issues.”
11
Plaintiff acknowledges that Haar ordered “extra depth shoes with arch
12
supports” after the office visit, but claims that these were the “wrong
13
appliances” to meet Plaintiff’s needs.
14
2013 office visit, Plaintiff “became aware that [Haar] was not working
15
in [Plaintiff’s] best interest and from this point forward [Plaintiff]
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simply refused to be seen by [Haar]” until November 3, 2015.
17
8).
(Id.).
(Id.).
After the September
(Id. at
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19
On October 10, 2013, Plaintiff was evaluated by a mental health
20
professional to discuss his unwillingness to be treated by Haar.
(Id.
21
at 9). Plaintiff told the mental health professional that he was angry
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because Haar refused to refer Plaintiff to a podiatrist and “knowingly”
23
ordered the wrong appliances to treat Plaintiff’s foot pain.
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The mental health professional determined that Plaintiff did not meet
(Id.).
25
26
27
28
5
Carbamazepine is an anticonvulsant sometimes prescribed to treat
nerve pain. See Krejci v. Comm’r of Soc. Sec., 2016 WL 4651371 at *4
n.5 (M.D. Fla. 2016).
6
1
the criteria for mental health treatment.
(Id. at 9, 25).
Haar also
2
referred Plaintiff to mental health treatment in November 2014 and
3
August 2015.
(Id.).
4
5
In November 2014, January 2015, and June 2015, Haar wrote progress
6
notes indicating that Plaintiff had requested medical treatment but
7
refused to meet with Haar.
(See id. at 36-37, 41-42).
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On August 13, 2015, a CMC nurse submitted on Plaintiff’s behalf a
(Id. at 10; see also Compl. at
10
7362 request for healthcare services.
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101).
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foot specialist “due to extreme pain, getting worse with every step.”
13
(Compl. at 101).
14
following three months, several other 7362 forms complaining of foot
15
pain were filed and reviewed by a triage nurse, who prepared “encounter
16
form[s]” for submission to Haar.
The form requested that Plaintiff be seen by a podiatrist or
The form was sent to Haar.
(FAC at 10).
During the
(Id.).
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By the end of October 2015, Plaintiff “could no longer tolerat[e]
19
the excruciating bilateral foot pain.”
(Id. at 10).
Plaintiff asked
20
to visit Haar, requesting that a correctional officer be present.
21
(Id.).
22
address [Plaintiff’s] bilateral foot pain.”
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if Plaintiff wanted to be “seen for his foot problems,” Plaintiff could
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submit a 7362 request form. (Id.). Plaintiff contends that “there was
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no reason” for Haar to require Plaintiff to file another 7362 form
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because several 7362 forms and “encounter forms” addressing Plaintiff’s
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foot pain had already been submitted to Haar.
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treatment notes from this visit indicate that Plaintiff’s “sign out
During a November 3, 2015 office visit, Haar “refuse[d] to
7
(Id.).
Haar stated that,
(Id. at 11).
Haar’s
1
report” had requested “[f]ollowup of the Chronic Care Program” for
2
diabetes, hypertension, hypothyroidism and hyperlipidemia.
3
55).
4
indicated that he would “only [be seen] for [his] feet,” and Haar
5
stated that the visit was for an evaluation of “his other medical
6
issues.”
7
stated that he “would only be seen for his feet,” Haar told him to
8
“submit a 7362[] to be seen for his feet,” and Plaintiff “made
9
disparaging remarks and walked out the door.” (Id.).
(Id. at
According to the treatment notes, during the meeting Plaintiff
(Id.).
According to the treatment notes, Plaintiff again
10
By November 29, 2015, Plaintiff “could no longer tolerat[e] or
11
12
ambulate because of the extreme foot pain.”
(Id. at 11).
13
14
On December 3, 2015, Plaintiff was seen by a different physician,
15
Dr. Mark Ward, “who immediately performed a physical examination of
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[Plaintiff’s] feet and found that both feet had fibromas on both arch
17
areas of the feet and one large mass/lump on the right arch area of the
18
right
19
recommended and ordered a MRI, and referred [Plaintiff] to a podiatrist
20
and a pain management specialist.”
21
MRI that Dr. Ward had ordered was performed.
foot.”
(Id.
at
11).
“Without
question
Ward
immediately
On January 25, 2016, the
(Id.).
(Id.).
22
23
On February 22, 2016, Plaintiff saw podiatrist Dr. James W.
(Id. at 11, 60-62).
Dr. Breedlove prepared a report
24
Breedlove.
25
recommending that Plaintiff be provided with custom molded orthopedic
26
shoes with orthopedic insoles.
27
10, 2016, Dr. Breedlove noted that Plaintiff still had not received the
28
recommended orthopedic shoes and insoles.
(Id. at 62).
8
In a letter dated June
(Id. at 11, 63-64).
The
1
First Amended Complaint claims that Plaintiff has not yet received the
2
proper shoes.
(Id. at 11).
3
4
Plaintiff
alleges
that
Haar’s
conduct
violated
the
Eighth
5
Amendment and California law.
(Id.).
Plaintiff seeks money damages.
6
(Id. at 13).
7
8
III.
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STANDARD OF REVIEW
10
11
Federal Rule of Civil Procedure 12(c) (“Rule 12(c)”) provides
12
that, “[a]fter the pleadings are closed — but early enough not to delay
13
trial — a party may move for judgment on the pleadings.”
14
P. 12(c). “Rule 12(c) is ‘functionally identical’ to Rule 12(b)(6) and
15
. . . ‘the same standard of review’ applies to motions brought under
16
either rule.” See United States ex rel. Cafasso v. Gen. Dynamics C4
17
Sys., Inc., 637 F.3d 1047, 1054 n.4 (9th Cir. 2011) (quoting Dworkin v.
18
Hustler Magazine, Inc., 867 F.2d 1118, 1192 (9th Cir. 1989)).
19
the relevant inquiry is whether a pleading “fail[s] to state a claim
20
upon which relief can be granted[.]”
Fed. R. Civ.
Thus,
See Fed. R. Civ. P. 12(b)(6).
21
22
Dismissal for failure to state a claim is appropriate if Plaintiff
23
fails to proffer sufficient “facts to state a claim to relief that is
24
plausible on its face.”
25
(2007); Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009).
26
facial plausibility when the plaintiff pleads factual content that
27
allows the court to draw the reasonable inference that the defendant is
28
liable for the misconduct alleged.”
Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570
“A claim has
Iqbal, 556 U.S. at 678; see also
Hartmann v. Cal. Dep’t of Corr. & Rehab., 707 F.3d 1114, 1122 (9th Cir.
9
1
2013).
Although a plaintiff must provide “more than labels and
2
conclusions, and a formulaic recitation of the elements of a cause of
3
action will not do,” Twombly, 550 U.S. at 555; Iqbal, 556 U.S. at 678,
4
“[s]pecific facts are not necessary; the [First Amended Complaint] need
5
only give the defendant fair notice of what the . . . claim is and the
6
grounds upon which it rests.”
7
(2007) (per curiam) (citations and internal quotation marks omitted);
8
see also Twombly, 550 U.S. at 555.
Erickson v. Pardus, 551 U.S. 89, 93
9
10
In determining whether a plaintiff has stated a facially plausible
11
claim, a court must accept the allegations in the complaint as true,
12
Erickson, 551 U.S. at 93-94; Albright v. Oliver, 510 U.S. 266, 267
13
(1994), construe the pleading in the light most favorable to the
14
pleading party, and resolve all doubts in the pleader’s favor. Jenkins
15
v. McKeithen, 395 U.S. 411, 421 (1969); Berg v. Popham, 412 F.3d 1122,
16
1125 (9th Cir. 2005).
17
true mere legal conclusions.
18
recitals of elements of a cause of action, supported by mere conclusory
19
statements, do not suffice.” (citing Twombly, 550 U.S. at 555)).
20
court must set aside conclusory statements and bare allegations and
21
then consider whether a complaint plausibly states a claim for relief.
22
See id. at 679.
A court, however, does not have to accept as
See Iqbal, 556 U.S. at 678 (“Threadbare
The
23
24
In addition, pro se pleadings are “to be liberally construed” and
25
held to a less stringent standard than those drafted by a lawyer.
26
Erickson, 551 U.S. at 94; Haines v. Kerner, 404 U.S. 519, 520 (1972)
27
(per curiam); see also Hebbe v. Pliler, 627 F.3d 338, 342 (9th Cir.
28
2010) (“Iqbal incorporated the Twombly pleading standard and Twombly
did not alter courts’ treatment of pro se filings; accordingly, we
10
1
continue to construe pro se filings liberally when evaluating them
2
under Iqbal.”). A court, however, may not supply essential elements of
3
a claim that the pro se plaintiff did not initially plead.
4
Gardner, 976 F.2d 469, 471-72 (9th Cir. 1992).
5
to state a claim can be warranted based on either the lack of a
6
cognizable legal theory or the absence of factual support for a
7
cognizable legal theory.
8
521 F.3d 1097, 1104 (9th Cir. 2008).
9
for failure to state a claim if it discloses some fact or complete
Pena v.
Dismissal for failure
See Mendiondo v. Centinela Hosp. Med. Ctr.,
A complaint may also be dismissed
10
defense that will necessarily defeat the claim.
11
745 F.2d 1221, 1228-29 (9th Cir. 1984).
Franklin v. Murphy,
12
13
IV.
14
DISCUSSION
15
16
For the following reasons, Haar’s Motion is granted insofar as the
17
First Amended Complaint is dismissed, but the Motion is denied insofar
18
as the Motion seeks dismissal with prejudice and without leave to
19
amend.
20
to amend.
The First Amended Complaint is therefore dismissed with leave
21
22
A.
23
Plaintiff’s § 1983 Inadequate Medical Care Claim Is Subject to
Dismissal
24
To state a § 1983 claim for inadequate medical care that violates
25
26
the
Eighth
Amendment’s
27
punishment, a plaintiff must allege acts or omissions by a prison
28
official
that
are
proscription
sufficiently
against
harmful
to
cruel
evidence
indifference to an inmate’s “serious medical needs.”
11
and
unusual
deliberate
Farmer v.
1
Brennan, 511 U.S. 825, 834 (1994); see also Estelle v. Gamble, 429 U.S.
2
97, 104 (1976).
3
plaintiff to establish that he has a serious medical need. A plaintiff
4
can do so by demonstrating that a failure to treat the plaintiff’s
5
condition could result in further significant injury or the unnecessary
6
and wanton infliction of pain.
7
1066 (9th Cir. 2014) (citation omitted); see also Lopez v. Smith, 203
8
F.3d 1122, 1131 (9th Cir. 2000) (en banc).
9
medical need is “serious,” a court should consider whether a reasonable
10
doctor would think that the condition is worthy of comment, the
11
condition significantly affects the prisoner’s daily activities, and
12
the condition is chronic and accompanied by substantial pain.
13
203 F.3d at 1131-32; Doty v. County of Lassen, 37 F.3d 540, 546 n.3
14
(9th Cir. 1994).
15
to satisfy the “serious medical need” requirement.
The objective component of this standard requires a
Colwell v. Bannister, 763 F.3d 1060,
In assessing whether a
Lopez,
As Haar acknowledges, Plaintiff’s allegations appear
(Motion at 8).
16
17
Although
Plaintiff
satisfies
the
objective
component
of
an
18
inadequate medical care claim, he does not establish the subjective
19
“deliberate indifference” component.
20
“deliberate indifference . . . only if the [official] knows of and
21
disregards an excessive risk to inmate health and safety.”
22
Chung, 391 F.3d 1051, 1057 (9th Cir. 2004).
23
“deliberate indifference,” a correctional official must “both be aware
24
of facts from which the inference could be drawn that a substantial
25
risk of serious harm exists, and he must also draw the inference.”
26
Farmer, 511 U.S. at 837.
27
significant risk that he should have perceived but did not, while no
28
cause for commendation, cannot . . . be condemned as the infliction of
A prison official acts with
Toguchi v.
To be liable for
“[A]n official’s failure to alleviate a
punishment.” Id. at 838. Thus, inadequate treatment due to mistake or
12
1
negligence does not amount to a constitutional violation. Estelle, 429
2
U.S. at 105-06 (“[A] complaint that a physician has been negligent in
3
diagnosing or treating a medical condition does not state a valid claim
4
of
5
Toguchi, 391 F.3d at 1059.
medical
mistreatment
under
the
Eighth
Amendment.”);
see
also
6
7
Similarly, a difference of opinion between medical professionals
8
concerning the appropriate course of treatment does not amount to
9
deliberate indifference to a serious medical need.
Toguchi, 391 F.3d
10
at 1059-60; Sanchez v. Vild, 891 F.2d 240, 242 (9th Cir. 1989).
11
Instead, a prisoner “must show that the course of treatment the
12
doctor[] chose was medically unacceptable under the circumstances” and
13
that the doctor “chose this course in conscious disregard of an
14
excessive risk to [the prisoner’s] health.”
15
F.3d 330, 332 (9th Cir. 1996); see also Toguchi, 391 F.3d at 1058.
16
inmate’s disagreement with his medical treatment or a difference of
17
opinion over the type or course of treatment also does not support an
18
Eighth Amendment claim.
19
State Welfare Div., 662 F.2d 1337, 1344 (9th Cir. 1981) (citation
20
omitted); Buckley v. Gomez, 36 F. Supp. 2d 1216, 1225 (S.D. Cal. 1997).
Jackson v. McIntosh, 90
An
Toguchi, 391 F.3d at 1058; Franklin v. Or.
21
22
Plaintiff alleges that Haar: (1) failed to provide Plaintiff with
23
appropriate
orthopedic
24
specialists; (2) prescribed treatments that had previously failed to
25
alleviate Plaintiff’s symptoms and medications that Haar knew Plaintiff
26
would not take and, on one occasion, provided Plaintiff with the
27
“wrong”
28
examination,
appliances;
inspection.
i.e.,
appliances
and
a
(3)
physical
and
failed
refer
to
examination
him
perform
rather
to
an
appropriate
appropriate
than
(FAC at 6-10; Response at 1-2; Surreply at 3).
13
a
visual
Plaintiff
1
also observes that Dr. Ward “immediately” recommended an MRI and a
2
referral to a podiatrist and pain management specialist and Dr.
3
Breedlove prescribed orthopedic shoes with orthopedic insoles. (FAC at
4
11; Response at 1-3; Surreply at 3).
5
6
The foregoing facts, even if true, do not establish that Haar
7
acted with deliberate indifference.
8
medical treatment but rather ordered various alternative treatments.
9
Neither
Plaintiff’s
disagreement
Haar did not deny Plaintiff all
with
Haar’s
course
of
treatment
10
choices nor the different and allegedly more successful treatments
11
prescribed by Dr. Ward and Dr. Breedlove support an Eighth Amendment
12
claim.
13
Franklin, 662 F.2d at 1344; Sanchez, 891 F.2d at 242; Buckley, 36 F.
14
Supp. 2d at 1225.
Moreover, even assuming that some of Haar’s
15
recommendations
inappropriate
16
allegations amount at most to negligence, and negligent conduct is not
17
sufficient to establish the deliberate indifference required to state
18
an Eighth Amendment claim.
Cf. Toguchi, 391 F.3d at 1058-60; Jackson, 90 F.3d at 332;
were
under
the
circumstances,
such
Cf. Toguchi, 391 F.3d at 1059.
19
20
Instead, to state a claim of deliberate indifference premised upon
21
Haar’s course of treatment and the different treatments prescribed by
22
Dr. Ward and Dr. Breedlove, Plaintiff must allege facts plausibly
23
suggesting that treatment provided by Haar was “medically unacceptable
24
under the circumstances” and that Haar “chose this course in conscious
25
disregard of an excessive risk to [Plaintiff’s] health.” Jackson, 90
26
F.3d at 332; see also Toguchi, 391 F.3d at 1058.
27
28
The allegations in the First Amended Complaint, even if true, do
not satisfy the foregoing standard.
14
To the contrary, Plaintiff
1
acknowledges
and
the
First
Amended
Complaint,
and
its
exhibits
2
establish, that Haar actively treated Plaintiff’s bilateral foot pain
3
with numerous interventions.
4
Surreply at 2-3 (acknowledging that Haar ordered x-rays, various
5
medications, physical therapy, a referral to a pain specialist, and
6
“wrong” orthopedic appliances)).
7
exhibits establish, that Plaintiff refused to meet with Haar between
8
September 2013 and November 2015.
9
Surreply at 2-3 (“The plaintiff does not argue that he refused to be
10
seen or treated by the defendant [s]tarting in September of 2013.
11
Plaintiff simply refused to see [Haar] because the plaintiff not only
12
f[e]ared [f]or his health and safety but also did not want to argue or
13
be threaten by [Haar] anymore.”)).
(FAC at 15-17, 22-23, 55-56; see also
Plaintiff also acknowledges, and the
(FAC at 31-32, 34-38, 41; see also
14
15
The First Amended Complaint also observes that Haar failed to
16
discuss Plaintiff’s foot pain during the November 3, 2015 visit,
17
further noting that Haar would not discuss Plaintiff’s foot pain
18
without an additional 7362 form even though Plaintiff had already filed
19
several.
20
an independent “failure to treat” claim based on this visit; instead,
21
it appears that these allegations are provided in further support of
22
allegations that Haar had repeatedly been informed of the nature of
23
Plaintiff’s foot pain and, had he not been acting with reckless
24
disregard for Plaintiff’s health, he would have prescribed proper
25
appliances and a referral to a podiatrist or orthopedic specialist.
26
(Surreply at 1, 3 (“Plaintiff does not argue that the defendant did not
27
provide medical care, but on[ly] argues that [] the defendant refused
28
to provide the correct medical care . . . The questions that must be
(FAC at 10-11).
However, Plaintiff does not appear to raise
addressed: (a) [w]hy did it take a neutral physician (3 yr. later) to
15
1
perform a 30 second examination and without question executes the
2
proper medical procedure that by sending the plaintiff to be seen by a
3
podiatry who also without question orders the correct appliances that
4
the plaintiff had been requesting for Well over three (3) years[;]
5
(b) The medical history i.e. the plaintiffs exhibits not only provides
6
the evidence that shows the defendants course of treatment i.e. the
7
lack of correct treatment but also shows that he failed to refer the
8
plaintiff to the correct medical physician and/or order the correct
9
medical appliances.”)).
10
11
Also, as the Court noted supra, Haar actively treated Plaintiff’s
12
foot pain throughout the period when Plaintiff was under his care,
13
notwithstanding Plaintiff’s repeated refusal to meet with Haar between
14
September 2013 and November 2015.
15
Housewright, 900 F.2d 1332, 1334 (9th Cir. 1990) (“In determining
16
deliberate indifference, we scrutinize the particular facts and look
17
for substantial indifference in the individual case, indicating more
18
than mere negligence or isolated occurrences of neglect.”)). Moreover,
19
as the Court has previously found, “Haar did not refuse to treat
20
Plaintiff, but rather, as alleged, informed Plaintiff that he was
21
willing to address Plaintiff’s other health concerns on the date of
22
Plaintiff’s visit and would address Plaintiff’s foot pain on another
23
date provided that Plaintiff filed a specific written request to
24
address his foot pain.”
25
does not appear to assert any claims based specifically on Haar’s
26
conduct during the November 3, 2015 visit, nor is it obvious that a
27
plausible deliberate indifference claim could be raised on this basis.
(See ODLA at 14); see also Wood v.
(ODLA at 14).
28
16
The First Amended Complaint
1
For the foregoing reasons, Plaintiff has not alleged acts or
2
omissions by Haar sufficient to evidence deliberate indifference to
3
Plaintiff’s serious medical needs.
4
Plaintiff, therefore, has not stated an Eighth Amendment § 1983 claim
5
for inadequate medical care against Haar in his individual capacity.6
Cf. Farmer, 511 U.S. at 834.
6
7
B.
Leave To Amend Shall Be Granted
8
9
Federal Rule of Civil Procedure 15(a) provides in relevant part
10
that “a party may amend its pleading only with the opposing party’s
11
written consent or the court’s leave.
12
leave when justice so requires.”
13
determining whether to grant leave to amend, courts weigh the following
14
factors: “undue delay, bad faith or dilatory motive on the part of [the
15
party who wishes to amend a pleading], repeated failure to cure
16
deficiencies by amendments previously allowed, undue prejudice to the
17
opposing party by virtue of allowance of the amendment, [and] futility
18
of amendment[.]”
19
court
20
particularly where the court has already given a plaintiff one or more
21
opportunities to amend his complaint to allege federal claims.
22
Fosburg, 646 F.2d 342, 347 (9th Cir. 1980).
has
broad
The court should freely grant
Fed. R. Civ. P. 15(a)(2).
Foman v. Davis, 371 U.S. 178, 182 (1962).
discretion
to
grant
or
deny
leave
When
A district
to
amend,
Mir v.
23
24
Haar alleges that, because Plaintiff has already received one
25
opportunity to amend his complaint, granting further leave to amend
26
6
27
28
Because Plaintiff’s federal claims are subject to dismissal as
currently pled, the Court declines to exercise supplemental
jurisdiction over Plaintiff’s state law claims.
See 28 U.S.C.
§ 1367(c)(3). Accordingly, Plaintiff’s state law claims are dismissed
without prejudice.
17
1
would be futile.
(See Motion at 10; Reply at 5).
However, the Court
2
cannot conclude with certainty that granting further leave to amend
3
would be futile, particularly after granting the pro se Plaintiff only
4
one opportunity to amend his complaint.
5
opportunity to amend is consistent with the principle of granting leave
6
“freely . . . when justice so requires,” Fed. R. Civ. P. 15(a)(2), and
7
is within the district court’s broad discretion. Mir, 646 F.2d at 347.
8
Therefore, the First Amended Complaint is dismissed with leave to
9
amend.
Granting Plaintiff a final
10
11
V.
12
ORDER
13
14
For the reasons discussed above, Haar’s Motion is GRANTED insofar
15
as the First Amended Complaint is dismissed, but the Motion is DENIED
16
insofar as the Motion seeks dismissal with prejudice and without leave
17
to amend.
18
LEAVE TO AMEND.
The First Amended Complaint is therefore DISMISSED WITH
19
20
If Plaintiff still wishes to pursue this action, he shall file a
21
Second Amended Complaint no later than 30 days from the date of this
22
Order.
23
discussed above and shall be complete in itself without reference to
24
any prior complaint.
25
filed as a matter of right or allowed by order of the Court shall be
26
complete including exhibits.
27
the prior, superseded pleading.”).
28
allege and plead any viable claims in any prior complaint again.
The Second Amended Complaint must cure the pleading defects
See C.D. Cal. R. 15-2 (“Every amended pleading
The amended pleading shall not refer to
18
This means that Plaintiff must
1
In any amended complaint, Plaintiff should identify the nature of
2
each
separate
legal
claim
and
confine
his
allegations
to
those
3
operative facts supporting each of his claims. For each separate legal
4
claim, Plaintiff should state the civil right that has been violated
5
and the supporting facts for that claim only. Pursuant to Federal Rule
6
of Civil Procedure 8(a), all that is required is a “short and plain
7
statement of the claim showing that the pleader is entitled to relief.”
8
Plaintiff, however, is advised that the allegations in the Second
9
Amended Complaint should be consistent with the authorities discussed
10
above.
In addition, the Second Amended Complaint may not include new
11
defendants or new claims not reasonably related to the allegations in
12
his prior pleadings.
13
standard civil rights complaint form when filing any amended complaint,
14
a copy of which is attached.
Plaintiff is strongly encouraged to use the
15
16
Plaintiff is explicitly cautioned that failure to timely file a
17
Second Amended Complaint, or failure to correct the deficiencies
18
described above, may result in a recommendation that this action, or
19
portions thereof, be dismissed with prejudice for failure to prosecute
20
and/or failure to comply with court orders pursuant to Federal Rule of
21
Civil Procedure 41(b).
22
23
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24
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25
\\
26
\\
27
\\
28
\\
19
1
Plaintiff is further advised that if he no longer wishes to pursue
2
this action in its entirety or with respect to particular defendant or
3
claim, he may voluntarily dismiss all or any part of this action by
4
filing a Notice of Dismissal in accordance with Federal Rule of Civil
5
Procedure 41(a)(1).
6
Plaintiff’s convenience.
A form Notice of Dismissal is attached for
IT IS SO ORDERED.
7
8
9
10
11
DATED: May 11, 2017.
/s/
ALKA SAGAR
UNITED STATES MAGISTRATE JUDGE
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