HINELY v. GEORGIA DEPARTMENT OF CORRECTIONS et al
Filing
40
ORDER DENYING as moot 26 Motion to Exclude Report of Dr. William Thompson; GRANTING 27 Motion for Summary Judgment; and GRANTING in part and DENYING in part 29 Motion for Sanctions. Sanctions against the Plaintiffs counsel are assessed in the amount of $250.00 as a penalty payable to the Court pursuant to Fed. R. Civ. P. 11(c)(4). Ordered by U.S. District Judge MARC THOMAS TREADWELL on 4/1/2014. (tlh)
IN THE UNITED STATES DISTRICT COURT
FOR THE MIDDLE DISTRICT OF GEORGIA
MACON DIVISION
DONALD HOWARD HINELY,
)
)
Plaintiff,
)
)
v.
)
)
)
GEORGIA DEPARTMENT OF
)
CORRECTIONS, SHARON LEWIS, M.D., )
and IKE AKUNWANNE, M.D.,
)
)
Defendants.
)
)
CIVIL ACTION NO. 5:12-CV-346 (MTT)
ORDER
This is a 42 U.S.C. § 1983 lawsuit by a prisoner who alleges his Eighth
Amendment rights were violated. Specifically, the Plaintiff claims he was diagnosed
with hepatitis C while in state custody and that the Defendants1 were deliberately
indifferent to his medical needs. Before the Court are the Defendants’ motions for
summary judgment (Doc. 27) and for sanctions (Doc. 29) against the Plaintiff and his
attorney. For the following reasons, the motion for summary judgment is GRANTED,
and the motion for sanctions is GRANTED in part and DENIED in part.
1
Defendant Sharon Lewis, M.D., is medical director for Defendant Georgia Department of
Corrections (DOC). Her duties include administrative oversight of the DOC’s clinical programs.
Defendant Ike Akunwanne, M.D., is medical director at Baldwin State Prison where the Plaintiff
was incarcerated beginning in April 2012. He treated the Plaintiff and is responsible for
providing medical care to inmates there. (Doc. 1; Doc. 11). As for the DOC, it is an arm of the
state, and the Eleventh Amendment bars this action against it regardless of the nature of relief
sought by the Plaintiff. Stevens v. Gay, 864 F.2d 113, 115 (11th Cir. 1989) (citing Pennhurst
State Sch. & Hosp. v. Halderman, 465 U.S. 89, 100 (1984)). In any event, even if the Plaintiff
could seek injunctive relief from the DOC, his request would be denied for the reasons
discussed below.
I. FACTUAL BACKGROUND
The Plaintiff has been incarcerated in DOC facilities since 2001. According to
allegations in his complaint, he started feeling sick in 2009. Since then he has
complained of ongoing symptoms of weight loss, inability to eat, vomiting, passing out,
sweats, shakes, seizure-like spells, and severe stomach pain. (Doc. 1, ¶ 6). The
Plaintiff was diagnosed with hepatitis C in February 2010.2 (Doc. 8-10 at 16-19).
Although various tests and treatments related to his symptoms have preceded and
followed his diagnosis, the Plaintiff alleges he has not been provided antiviral
medications to treat his hepatitis C. (Doc. 1, ¶ 10).
In April 2012, the Plaintiff was transferred to Baldwin State Prison. (Doc. 27-2, ¶
5; Doc. 32, ¶ 5). There he encountered Dr. Akunwanne, who he met for the first time in
a May 1, 2012 physical exam. During the exam they discussed the Plaintiff’s medical
history and treatment options. (Doc. 27-2, ¶¶ 13-14; Doc. 27-13, ¶ 6; Doc. 32, ¶¶ 1314). Based on the exam and his review of the records, Dr. Akunwanne was concerned
the Plaintiff possibly had a neuroendocrine tumor. (Doc. 27-2, ¶¶ 15-16; Doc. 27-13, ¶
9; Doc. 32, ¶¶ 15-16). If that were the case, it would be contraindicative to treat his
hepatitis. (Doc. 27-13, ¶ 8). Accordingly, Dr. Akunwanne ordered a consultation with
Dr. Ayaz Chaudhary, a DOC consultant in the area of gastroenterology and hepatology
2
Hepatitis C is a virus that, over a period of years, causes the patient’s liver to become
inflamed. Because the disease is complex, DOC medical professionals rely on department
protocol and policy to guide the treatment they provide. (Doc. 27-2, ¶¶ 25-26; Doc. 32, ¶¶ 2526). This protocol calls for inmates diagnosed with hepatitis C to have their liver enzymes
tested. If they continually have abnormal elevations, further testing is initiated to determine if
they have an acute or chronic infection. (Doc. 27-2, ¶¶ 27-29; Doc. 32, ¶¶ 27-29). Inmates may
receive antiviral treatment if they meet the clinical criteria. Some may qualify for a liver biopsy if
they have hepatitis C genotype 1. (Doc. 27-2, ¶¶ 32-34; Doc. 32, ¶¶ 32-34).
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who previously had been involved in the Plaintiff’s care. (Doc. 8-18, ¶¶ 4, 20-26; Doc.
27-2, ¶¶ 19-21; Doc. 27-13, ¶ 11; Doc. 32, ¶¶ 19-21).
At the July 26, 2012 consultation, Dr. Chaudhary recommended the Plaintiff
receive a celiac serology, chromogranin testing, and a duodenal biopsy. (Doc. 27-2, ¶
35; Doc. 27-13, ¶ 12; Doc. 32, ¶ 35). The Plaintiff’s chromogranin levels, measured
August 1, were out of range, potentially indicating the presence of neuroendocrine
tumors. (Doc. 27-2, ¶¶ 37-38; Doc. 27-13, ¶¶ 14-15; Doc. 32, ¶¶ 37-38). According to
Dr. Akunwanne and Dr. Chaudhary, the Plaintiff’s continued complaints of having
seizures, being unable to eat, vomiting, weight loss, passing out, and feeling weak
evidenced a serious illness that had to be resolved before the administration of an
antiviral treatment for his hepatitis. (Doc. 8-18, ¶¶ 25-26; Doc. 27-13, ¶ 8). Dr.
Chaudhary believed the Plaintiff’s symptoms were unrelated to hepatitis. (Doc. 8-18, ¶
28). The doctors were further concerned that if the Plaintiff’s symptoms were unrelated
to the infection, the treatment for hepatitis C could endanger him. (Doc. 8-18, ¶¶ 25-26;
Doc. 27-13, ¶ 8).
Notwithstanding the medical attention he was receiving,3 the Plaintiff filed this
lawsuit for damages and injunctive relief in late August 2012, nearly four months after
3
Although he was not prescribed antiviral medication for his hepatitis, between the time he first
complained of symptoms in June 2009 and the onset of litigation in August 2012 the Plaintiff
received numerous prescription medications for other illnesses as well as prescribed nutritional
drinks and multivitamins. (Doc. 8-12, ¶¶ 10-12; Doc. 27-2, ¶ 1; Doc. 27-13, ¶¶ 53-56; Doc. 32, ¶
1). During these three years he was also provided with medical tests, procedures, and consults
with specialists to ascertain the medical diagnosis and prognosis for his symptoms. (Doc. 8-12,
¶¶ 10-12; Doc. 27-2, ¶ 2; Doc. 27-13, ¶¶ 53-56; Doc. 32, ¶ 2). Doctors, nurses, physician
assistants, and nurse practitioners all contributed to his care, and he has received at least
eleven special consultations. (Doc. 8-12, ¶¶ 10-12; Doc. 27-2, ¶ 3; Doc. 27-13, ¶¶ 53-56; Doc.
32, ¶ 3). Although his weight fluctuated during this time, it has remained within a 20 pound
range. (Doc. 27-2, ¶ 4; Doc. 8-12, ¶ 8; Doc. 32, ¶ 4).
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Dr. Akunwanne first saw him. He alleges that Dr. Akunwanne and Dr. Lewis, who has
never treated the Plaintiff, were deliberately indifferent to his hepatitis infection. (Doc.
1). Still, the Plaintiff continued to receive treatment after initiating this action. On
October 11, 2012, he underwent the duodenal biopsy that Dr. Chaudhary had
recommended. Results were normal, and for the next two months doctors and nurses
continued to examine, test, and treat the Plaintiff for various complaints. (Doc. 27-2, ¶¶
51-57; Doc. 27-13, ¶¶ 19-25; Doc. 32, ¶¶ 51-57). Because the Plaintiff was receiving
regular medical care and doctors were continuing to search for the cause of his
underlying symptoms, the Court denied the Plaintiff’s motion for a permanent injunction
in November 2012. However, the Court ordered the Defendants to provide monthly
updates on the Plaintiff’s course of treatment. (Doc. 12).
At the end of December 2012, the Plaintiff saw Dr. Chaudhary again. Dr.
Chaudhary recommended, based on results of the testing and biopsy, that the Plaintiff
have a colonoscopy. (Doc. 27-2, ¶ 58; Doc. 27-13, ¶ 26; Doc. 32, ¶ 58). The
colonoscopy was scheduled for February 2013, but the Plaintiff later refused it. (Doc.
27-2, ¶ 59; Doc. 27-13, ¶ 27; Doc. 32, ¶ 59). Dr. Akunwanne saw the Plaintiff on
February 28, 2013 and advised him refusal of the test could delay his hepatitis
treatment, which was on hold pending a negative result from his colonoscopy. (Doc.
27-2, ¶ 60; Doc. 27-13, ¶ 28; Doc. 32, ¶ 60).
The Plaintiff met with Dr. Akunwanne again on March 26, 2013 and indicated he
wished to proceed with the colonoscopy. However, he refused Dr. Akunwanne’s
suggestion that he be admitted to the infirmary for observation of his symptoms. (Doc.
27-2, ¶ 63; Doc. 27-13, ¶ 31; Doc. 32, ¶ 63). The Plaintiff continued to see medical staff
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in April and May for other complaints and because he was not taking his medication.
(Doc. 27-2, ¶¶ 64-67; Doc. 27-13, ¶¶ 32-35; Doc. 32, ¶¶ 64-67). A colonoscopy was
performed on June 27, 2013. Results were normal. (Doc. 27-2, ¶ 68; Doc. 27-13, ¶ 36;
Doc. 32, ¶ 68). Between July 2013 and October 2013, the Plaintiff visited medical staff
on several occasions, underwent numerous tests, and was examined and treated for
various symptoms. (Doc. 27-2, ¶¶ 69-80; Doc. 27-13, ¶¶ 37-48; Doc. 32, ¶¶ 69-80). On
October 1, 2013, Dr. Akunwanne met with the Plaintiff and told him further treatment
depended on Dr. Chaudhary’s assessment. (Doc. 27-13, ¶ 48).
On October 10, 2013, the Plaintiff again met with Dr. Chaudhary. Dr. Chaudhary
advised the Plaintiff that treatment for hepatitis might worsen his health status and
cause a cardiovascular accident, a heart attack, anemia, or flu-like symptoms, but that
treatment was available if he assumed the risk. (Doc. 27-2, ¶ 81; Doc. 27-13, ¶ 49;
Doc. 32, ¶ 81). Dr. Chaudhary also ordered further chromogranin testing to document
stability or progression, a consult for a gastric emptying test, and a consult for a second
opinion regarding the Plaintiff’s self-reported complaints. (Doc. 27-2, ¶ 82; Doc. 27-13,
¶ 50; Doc. 32, ¶ 82). These tests were pending at the time the Defendants filed their
summary judgment motion in November 2013. (Doc. 27-2, ¶¶ 83-84; Doc. 27-13, ¶¶ 5152; Doc. 32, ¶¶ 83-84). Out of an abundance of caution, the Court ordered the
Defendants to submit for in camera review the Plaintiff’s medical records created since
then. Those records, provided to the Court on March 21, 2014, indicate the Plaintiff has
continued to receive significant medical care, including a liver biopsy in late February
2014 and another consultation with Dr. Chaudhary scheduled for April 2014.
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The Plaintiff does not dispute the facts of his treatment – at least not with specific
citations to the record.4 Rather, as to those facts he does not expressly admit, the
Plaintiff attempts to create a dispute by asserting through broad denials that despite the
many tests he has undergone, he has not been treated with any antiviral medications
since his hepatitis diagnosis. (Doc. 32). This may be true, but it does not create a
genuine dispute as to whether the Defendants were deliberately indifferent to the
Plaintiff’s medical needs.
II. DISCUSSION
A.
Summary judgment standard
The Court must grant summary judgment “if the movant shows that 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). A factual dispute is not genuine unless, based on
the evidence presented, “a reasonable jury could return a verdict for the nonmoving
party.” Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986); Info. Sys. &
Networks Corp. v. City of Atlanta, 281 F.3d 1220, 1224 (11th Cir. 2002). The movant
must cite “to particular parts of materials in the record, including depositions,
4
Indeed, the Plaintiff has failed to comply with Local Rule 56. That rule provides in part that
“[a]ll material facts contained in the moving party’s statement which are not specifically
controverted by specific citation to the record shall be deemed to have been admitted[.]…All
documents and other record materials relied upon by a party…opposing a motion for summary
judgment shall be clearly identified for the court. Where possible, dates, specific page numbers,
and line numbers shall be given.” This rule protects judicial resources by requiring the parties to
organize the evidence rather than placing the burden on the Court. Reese v. Herbert, 527 F.3d
1253, 1268 (11th Cir. 2008). Thus, failure to comply with the rule permits the Court to ignore
uncited evidence the Plaintiff relies on to raise facts contrary to those stated by the Defendants.
But the Defendants must still demonstrate the absence of a genuine dispute and the Court, as it
does in this case, must ensure the Defendants meet their burden of production to show they are
entitled to judgment as a matter of law. Id.
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documents, electronically stored information, affidavits or declarations, stipulations
(including those made for purposes of the motion only), admissions, interrogatory
answers, or other materials.” Fed. R. Civ. P. 56(c)(1)(A).
The burden then shifts to the non-moving party, who must rebut the movant’s
showing “by producing…relevant and admissible evidence beyond the pleadings.”
Josendis v. Wall to Wall Residence Repairs, Inc., 662 F.3d 1292, 1315 (11th Cir. 2011)
(quoting Celotex Corp. v. Catrett, 477 U.S. 317, 323 (1986)). The non-moving party
does not satisfy its burden “if the rebuttal evidence is merely colorable, or is not
significantly probative of a disputed fact.” Id. (quoting Anderson, 477 U.S. at 249-50).
However, “credibility determinations, the weighing of the evidence, and the drawing of
legitimate inferences from the facts are jury functions, not those of a judge. … The
evidence of the non-movant is to be believed, and all justifiable inferences are to be
drawn in [its] favor.” Anderson, 477 U.S. at 255.
B.
Summary judgment analysis
The Eighth Amendment prohibits cruel and unusual punishment, including
deliberate indifference to a prisoner’s serious medical needs. Estelle v. Gamble, 429
U.S. 97, 106 (1976). To show deliberate indifference, a prisoner must: (1) satisfy an
objective component by showing a serious medical need; (2) satisfy a subjective
component by showing that prison officials acted with deliberate indifference to this
need; and (3) show the officials’ wrongful conduct caused his injury. Goebert v. Lee
Cnty., 510 F.3d 1312, 1326 (11th Cir. 2007) (citations omitted). The subjective
component requires a plaintiff to further prove officials’ “(1) subjective knowledge of a
risk of serious harm; (2) disregard of that risk; (3) by conduct that is more than [gross]
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negligence.” Id. at 1327 (quoting Bozeman v. Orum, 422 F.3d 1265, 1272 (11th Cir.
2005)).
In determining “gross negligence” where the case turns on a delay in providing
medical care, courts have considered the seriousness of the medical need, whether the
delay worsened the medical condition, and the reason for the delay. Id. To succeed on
such a claim, a plaintiff “must place verifying medical evidence in the record to establish
the detrimental effect of delay in medical treatment.” Hill v. Dekalb Reg’l Youth Det.
Ctr., 40 F.3d 1176, 1188 (11th Cir. 1994), overruled on other grounds by Hope v.
Pelzer, 536 U.S. 730, 739 (2002). The prisoner cannot establish a violation simply
because he “may have desired different modes of treatment” than that which was
provided to him. Hamm v. DeKalb Cnty., 774 F.2d 1567, 1576 (11th Cir. 1985). Such
course of treatment claims involve the “exercise of professional judgment” and are not
actionable as Constitutional torts. See Estelle, 429 U.S. at 105 n.10. Neither does “a
simple difference in medical opinion” constitute deliberate indifference. Waldrop v.
Evans, 871 F.2d 1030, 1033 (11th Cir. 1989).
Hepatitis C is an objectively serious medical condition that requires treatment.
See Brown v. Johnson, 387 F.3d 1344, 1351 (11th Cir. 2004). And it is obvious that
various prison officials, including Dr. Akunwanne, knew the Plaintiff had been diagnosed
with hepatitis C. However, there is no evidence the Defendants intentionally
disregarded the harm the infection poses or that they have been “grossly negligent” in
their treatment of the Plaintiff. On the contrary, the record shows the Defendants have
postponed a certain treatment for a specific condition until they could determine the
underlying cause of the Plaintiff’s overall symptoms. Moreover, Dr. Chaudhary and Dr.
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Akunwanne believed that providing antiviral treatment to the Plaintiff for hepatitis C
without first resolving his unrelated ailments could actually worsen his health.
Clearly, the DOC physicians were exercising their professional judgment in
postponing treatment of the Plaintiff’s hepatitis while searching for other sources of his
symptoms. They have provided an abundance of medical care to the Plaintiff both
before and after he filed suit, and certainly since May 2012 when Dr. Akunwanne began
treating the Plaintiff. This is not a case where the Plaintiff’s hepatitis has been ignored,
deliberately or otherwise. Rather, it is a case where the Defendants have assessed the
Plaintiff’s hepatitis in the context of his overall health and have pursued a specific
course of treatment that takes into account many factors, not just his infection.
In response, the Plaintiff has offered only the declaration of Dr. William S.
Thompson, an emergency room physician who has not treated the Plaintiff but has
reviewed some of his medical records.5 Dr. Thompson does not identify all of the
records he reviewed. But based on facts recited in his declaration, there is no indication
that he reviewed records of the Plaintiff’s treatment by Dr. Akunwanne, who first saw the
Plaintiff in May 2012. In his declaration, Dr. Thompson states that the Plaintiff’s
hepatitis viral load was abnormally high and that no antiviral medication was
administered between the Plaintiff’s 2010 diagnosis and January 17, 2012. (Doc. 1-1 at
7). Dr. Thompson concludes that the Plaintiff’s physical and mental states “appear[]” to
be worsening because his hepatitis C is not being treated. (Doc. 1-1 at 7). “There is a
5
The Defendants dispute Dr. Thompson’s qualifications to provide expert opinion in this case
and have moved to exclude his declaration. (Doc. 26). Because the Defendants are entitled to
summary judgment even taking into account Dr. Thompson’s opinion, the Court does not rule on
its admissibility and the Defendants’ motion is DENIED as moot. The Court addresses Dr.
Thompson’s opinion here merely for the sake of argument.
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deliberate indifference to his medical condition and there is an absence of medical
diligence which is negligent and does not meet the standard of care,” he observes.
(Doc. 1-1 at 7-8). But Dr. Thompson makes no mention of the Plaintiff’s symptoms
unrelated to hepatitis C and the efforts by the DOC physicians to determine the cause of
those symptoms. Thus, Dr. Thompson does not address whether treatment of the
Plaintiff’s hepatitis C might be inappropriate depending on the cause of the Plaintiff’s
other unrelated symptoms. At most, Dr. Thompson’s opinion, based on circumstances
that existed at some point in early 2012, suggests a professional disagreement with
unidentified DOC doctors, but not with Dr. Akunwanne.
As for Dr. Lewis, there is no indication she was involved in the Plaintiff’s care.
Indeed, she provides no direct patient care. (Doc. 27-2, ¶ 92; Doc. 32, ¶ 92). Nor has
she received any correspondence regarding the Plaintiff.6 (Doc. 27-14, ¶ 10). Because
she cannot be vicariously liable for the conduct of her subordinates, the Plaintiff must
show an affirmative link between her actions and the deprivation of his rights. That is,
he must show she personally participated in the alleged unconstitutional conduct or that
her actions caused the deprivation because (1) she did nothing in the face of a history
of widespread abuse, (2) her policy resulted in deliberate indifference to constitutional
rights, or (3) she directed her subordinates to act unlawfully. Cottone v. Jenne, 326
F.3d 1352, 1360 (11th Cir. 2003). In his response to the Defendants’ motion for
6
The Plaintiff has alleged otherwise, attaching to his complaint three letters his counsel wrote
on his behalf in November and December 2011 requesting that he receive “emergency
treatment” for his hepatitis C. (Doc. 1-1 at 2-4). At the bottom of the letters, which are
addressed to the wardens of the prisons where the Plaintiff was then incarcerated, Dr. Lewis is
listed among the parties who supposedly were to receive copies of the correspondence. There
is no other indication or evidence the letters were actually sent to or received by her.
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summary judgment, the Plaintiff makes no mention of Dr. Lewis and makes no
argument in support of his claim against her.
Further, although the Plaintiff alleged in his complaint the DOC has a policy of
“limiting treatment for inmates who have hepatitis C,” he has offered no evidence to
support this. (Doc. 1, ¶ 13). Dr. Lewis “emphatically denies” the existence of any such
custom or policy. (Doc. 27-14, ¶ 6). The DOC’s written policy for treatment of hepatitis
C is based on a patient’s desire for treatment and ability to meet certain medical criteria.
(Doc. 27-14, ¶ 6; Doc. 27-12). Among the general exclusion criteria are
“[c]ontraindications to many of the medications used” or “[u]ncontrolled or unstable
chronic medical conditions.” (Doc. 27-12 at 4). The Plaintiff has not offered evidence
that these are medically unsound criteria or that they are used to limit treatment for
punitive purposes in violation of the Eighth Amendment.
Because the Plaintiff cannot show there is a genuine dispute that the Defendants
deliberately disregarded a serious risk to his health, he cannot show that he is entitled
to damages or injunctive relief. Accordingly, the Defendants’ motion for summary
judgment must be granted.
C.
Sanctions
The Defendants ask for sanctions against the Plaintiff and his attorney pursuant
to Fed. R. Civ. P. 11 and 28 U.S.C. § 1927.7 The Defendants contend they are entitled
7
The Plaintiff’s counsel did not timely respond to the Defendants’ motion for sanctions, which
the Defendants served him with October 22, 2013 prior to filing it in Court. (Doc. 29). On
February 28, 2014, the Plaintiff filed a motion for an out of time response to the Defendants’
request for sanctions after the Court ordered the Defendants to itemize the costs and fees they
were seeking. (Doc. 35). In his motion, the Plaintiff primarily revisited arguments he made in
response to the Defendants’ motion for summary judgment. It was not until March 14, 2014 that
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to $11,340 for 60 hours of work by their counsel on summary judgment and Daubert
motions plus an additional $1,500 because the Plaintiff’s counsel engaged in “vexatious
litigation.” (Doc. 36; Doc. 36-1; Doc. 36-2). The Court finds that counsel for the Plaintiff
violated Rule 11 when he refused to dismiss the complaint once it became apparent
from the evidence in the record that the named Defendants were not deliberately
indifferent to the Plaintiff’s medical needs. Put another way, by the fall of 2013 the
Plaintiff’s attorney had no evidence that Dr. Akunwanne and Dr. Lewis were deliberately
indifferent to the Plaintiff’s medical needs.
When an attorney files a motion or pleading, he certifies to the Court that, to the
best of his knowledge and after a reasonable inquiry,
[1] the claims, defenses, and other legal contentions are warranted by
existing law or by a nonfrivolous argument for extending, modifying, or
reversing existing law or for establishing new law; [and]
[2] the factual contentions have evidentiary support or, if specifically so
identified, will likely have evidentiary support after a reasonable
opportunity for further investigation or discovery….
Fed. R. Civ. P. 11(b)(2)-(3). Whether an attorney has violated these requirements
depends on “[1] whether the legal claims or factual contentions are objectively frivolous,
and…[2] whether a reasonably competent attorney should have known they were
frivolous.” Thompson v. RelationServe Media, Inc., 610 F.3d 628, 665 (11th Cir. 2010)
(citing Worldwide Primates, Inc. v. McGreal, 87 F.3d 1252, 1254 (11th Cir. 1996)). If
there is a violation, the Court may impose sanctions. Fed. R. Civ. P. 11(c)(1).
In this case, the Defendants contend the Plaintiff and his attorney continued to
assert claims against them that were objectively frivolous in light of facts they would
the Plaintiff’s counsel sought to more fully rebut the Defendants’ sanctions argument. (Doc. 37).
Even then, his arguments were unpersuasive.
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have discovered through a proper pre-suit investigation or that were later made known
to them during the course of litigation. (Doc. 29-1 at 10). They cite the Plaintiff’s
allegation of deliberate indifference as to treatment, medications, and weight loss in the
face of evidence clearly showing the Plaintiff has received an abundance of medical
treatment since his hepatitis diagnosis. The Defendants also note that Dr. Thompson
only reviewed a portion of the Plaintiff’s file and that a proper pre-suit investigation
would require review of the Plaintiff’s entire file.
However, what the Court finds troubling is not the initiation of this lawsuit but the
fact that the Plaintiff’s counsel did not dismiss the deliberate indifference claims before
November 11, 2013 when dispositive motions were due. By then it was clear that his
legal and factual contentions were not supported by the evidence and were objectively
frivolous. See RelationServe Media, Inc., 610 F.3d at 665 (“A legal claim is frivolous if
no reasonably competent attorney could conclude that it has any ‘reasonable chance of
success’ or is a reasonable argument to change existing law….A factual claim is
frivolous if no reasonably competent attorney could conclude that it has a reasonable
evidentiary basis.” (quoting Worldwide Primates, 87 F.3d at 1254)). The Defendants’
evidence clearly established the Plaintiff was and had been receiving continual medical
care and that the nature of his symptoms precluded treatment of his hepatitis infection.
No reasonably competent attorney could conclude that the Defendants violated the
Plaintiff’s Eighth Amendment rights when they did not treat him for this reason. Thus,
his claims became frivolous by the time dispositive motions were due.
In his tardy responses to the motion for sanctions, counsel for the Plaintiff notes
that the Court ordered the Defendants to submit updated medical records every month.
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Counsel suggests this demonstrates the Court’s concern with the Defendants’ conduct.
It is true that based upon the allegations of the complaint, the Court was concerned and
for that reason did order the Defendants to periodically provide the Plaintiff’s medical
records. But month after month, these records demonstrated the Defendants were not
deliberately indifferent to the Plaintiff’s medical needs, and the frivolity of the Plaintiff’s
claims became increasingly clear with each submission.
Because the Plaintiff’s complaint became objectively frivolous, the Court must
ask whether the Plaintiff’s counsel should have known his claims were without
foundation. This depends on “what was known or reasonably knowable when the paper
was ‘present[ed] to the court.’” RelationServe Media, Inc., 610 F.3d at 665 (quoting
Fed. R. Civ. P. 11(b)). As suggested above, the Court would not expect the Plaintiff’s
counsel to recognize the frivolity of the Plaintiff’s claims prior to filing suit, particularly
given the difficulties of investigating the allegations of a prison inmate. However, once
the Defendants produced the Plaintiff’s medical records and other evidence, the
Plaintiff’s counsel should have suspected his client’s claims were without merit.
Certainly, by November 2013, it was incumbent upon the Plaintiff’s counsel to
dismiss this action rather than burden the Defendants and this Court with the task of
filing and adjudicating a summary judgment motion. At that point, counsel had sufficient
notice that he was treading on thin ice. On October 22 and October 23, 2013, the
Defendants provided to the Plaintiff’s counsel, by facsimile and certified mail, copies of
their motion for sanctions and a letter disclosing their intent to file the motion. (Doc. 381; Doc. 38-2). In doing so, the Defendants complied with Rule 11’s safe harbor
provision. See Fed. R. Civ. P. 11(c)(2). Moreover, the day before that, October 21, the
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Court by text order granted the Defendants’ request for a 21 day extension to move for
summary judgment based in part on their expressed intent to file a Rule 11 motion. The
Defendants did not actually move for sanctions until more than a month later, November
25, 2013. (Doc. 29).
The Plaintiff’s counsel at first denied any knowledge of the Defendants’ motion
for sanctions and claimed he never received a safe harbor notice. (Docs. 35; 37).
Then, as the Court was finalizing this order, and after the Defendants presented
evidence that they had provided notice of their intent to seek sanctions, the Plaintiff’s
attorney filed a “Reply to Defendant’s Response to Plaintiff’s Assertation of Defendants’
Failure to Provide Good Faith Letter.” (Doc. 39). Now, the Plaintiff’s lawyer admits he
received the notice and asserts that because of the Defendants’ “voluminous filings,” he
simply overlooked the motion for sanctions on the docket. (Doc. 37 at 1-2). He blames
this oversight on short staffing and a busy trial calendar. Finally, the Plaintiff’s lawyer
announces he is ready to dismiss this action because he has received the medical
records the Court requested and discovered the Plaintiff has received a pre-treatment
biopsy.
This filing, if anything, further illustrates why sanctions are appropriate.
Counsel’s willingness to dismiss his client’s claims now that “the remedy has…been
achieved” entirely misses the point. (Doc. 39 at 3). That DOC physicians are now
pursuing a plan satisfactory to the Plaintiff’s counsel is not evidence of the Defendants’
previous indifference to his well-being. By the fall of 2013, the evidence conclusively
showed Dr. Akunwanne and other DOC physicians were constantly evaluating the
Plaintiff’s condition to determine if and when it was appropriate to treat his hepatitis.
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There was no indication at that point that any physician was deliberately indifferent to
the Plaintiff’s medical needs. In the face of this evidence, if the Plaintiff’s attorney truly
believed that Dr. Akunwanne (or, somehow, Dr. Lewis8) was deliberately indifferent in
the care he provided, the Plaintiff needed to at least produce some evidence, e.g., an
expert opinion, explaining how and why Dr. Akunwanne’s treatment rose to the level of
a constitutional violation. His response to the Defendants’ motion for summary
judgment made no attempt to do this.
Accordingly, the Court finds that the Plaintiff violated Rule 11. Any sanction
imposed must be limited to that which will deter repetition of the conduct. Fed. R. Civ.
P. 11(c)(4). Moreover, “even in the face of a blatant Rule 11 violation, a district court
retains discretion to decide how to sanction the party or even not to impose sanctions at
all.” RelationServe Media, Inc., 610 F.3d at 666. In this case, the Court does not
believe the Plaintiff’s attorney acted in bad faith. The Court also recognizes the
difficulties he faces in representing incarcerated parties and appreciates the role
counsel plays in representing those parties who, from a litigation standpoint, are
inherently disadvantaged in trying to assert their constitutional and civil rights. The
Court does not wish to chill such lawsuits when they have some reasonable merit. But
this case is now without merit, and while counsel should be a zealous advocate for his
clients, he must not allow himself to play a part in perpetuating the significant amount of
frivolous litigation that originates in the state’s prison system. Therefore, with respect to
8
The handling of the claim against Dr. Lewis by itself warrants sanction. In responding to the
Defendants’ summary judgment motion, the Plaintiff makes no effort to support his claim against
her.
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Rule 11, the Defendants’ motion for sanctions is granted, and counsel for the Plaintiff is
sanctioned in the amount of $250.00.
As to 28 U.S.C. § 1927, “[a]ny attorney…who so multiplies the proceedings in
any case unreasonably and vexatiously may be required by the court to satisfy
personally the excess costs, expenses, and attorneys' fees reasonably incurred
because of such conduct.” 28 U.S.C. § 1927. To justify § 1927 sanctions, “(1) the
attorney must engage in unreasonable and vexatious conduct, (2) that conduct must
have multiplied the proceedings, and (3) the amount of sanctions must bear a financial
nexus to the excess proceedings.” Barnhart v. Lamar Adver. Co., 523 F. App’x 635,
638 (11th Cir. 2013) (citing Peterson v. BMI Refractories, 124 F.3d 1386, 1396 (11th
Cir. 1997)). An attorney’s conduct is vexatious and unreasonable when it is “so
egregious that it is tantamount to bad faith.” Id. (citation omitted). This requires more
than negligence; the attorney must “knowingly or recklessly pursue[] a frivolous claim.”
Id. (citation omitted). As the Court stated previously, it does not find that the Plaintiff’s
counsel acted in bad faith. Accordingly, to the extent the Defendants seek sanctions
pursuant to § 1927, their motion is denied.
III. CONCLUSION
For the foregoing reasons, the Defendants’ motion for summary judgment (Doc.
27) is GRANTED. Their motion for sanctions (Doc. 29) is GRANTED as to Rule 11
and DENIED as to 28 U.S.C. § 1927. Sanctions against the Plaintiff’s counsel are
assessed in the amount of $250.00 as a penalty payable to the Court pursuant to Fed.
R. Civ. P. 11(c)(4).
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SO ORDERED, this 1st day of April, 2014.
S/ Marc T. Treadwell
MARC T. TREADWELL, JUDGE
UNITED STATES DISTRICT COURT
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