Singleton v. Rains et al
Filing
98
ORDER GRANTING 75 Motion for Summary Judgment filed by Defendant Dr. Vipin Shah. This entire action is DISMISSED with prejudice. Signed by Chief Judge Nancy J. Rosenstengel on 9/23/2019. (mlp)
IN THE UNITED STATES DISTRICT COURT
FOR THE SOUTHERN DISTRICT OF ILLINOIS
AVERY SINGLETON,
Plaintiff,
v.
Case No. 3:17-CV-323-NJR-GCS
VIPIN SHAH,
Defendants.
MEMORANDUM AND ORDER
ROSENSTENGEL, Chief Judge:
Pending before the Court is Defendant Vipin Shah’s motion for summary
judgment (Doc. 75). Plaintiff Avery Singleton opposes the motion (Docs. 80, 81). For the
reasons set for the below, the Court grants the motion for summary judgment.
BACKGROUND
Singleton, a former inmate of the Illinois Department of Corrections (“IDOC”) who
was incarcerated in Robinson Correctional Center, filed a pro se lawsuit pursuant to
42 U.S.C. § 1983 for deprivations of his constitutional rights (Doc. 1). Specifically,
Singleton complains about the medical care he received at Robinson from Defendant Dr.
Shah for his back, neck, and knees resulting from an accident while he was a passenger
on the Cook County Jail’s transportation bus.
Following threshold review of the complaint pursuant to 28 U.S.C. § 1915A,
Singleton was permitted to proceed on one claim of Eighth Amendment deliberate
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indifference claim against Dr. Shah for refusing to examine his knees, back, or neck
despite his complaints of severe pain. (Doc. 7, ps. 5-7).
Dr. Shah now moves for summary judgment, arguing that he was not deliberately
indifferent to Singleton’s medical needs regarding his back, neck, or knees. Singleton
counters that Dr. Shah delayed an adequate examination and should have examined him
to find the “root” of his problem.
FACTS
The following facts are taken from the record and presented in the light most
favorable to Singleton, the non-moving party, and all reasonable inferences are drawn in
his favor. See Ricci v. DeStefano, 557 U.S. 557, 586 (2009).
The events at issue in this lawsuit as it relates to Dr. Shah occurred at Robinson
from August 2016 to March 2017. According to Singleton’s medical records, he has been
diagnosed with lumbago (low back pain) with an onset date of May 31, 2012, and
osteoarthritis of the spine and knee with an onset date of June 16, 2015. 1
On June 21, 2016, Singleton was involved in a bus accident. As a result of that
accident, Singleton alleged he experienced neck, knee, and back pain. On July 8, 2016,
Singleton was seen by Physician Assistant Carlos Altez; he complained of neck, knee, and
lower back pain as a result of the bus accident.
During the month of July, Singleton was transferred to Stateville Correctional
Center NRC (“Stateville”). On August 3, 2016, Singleton was transferred back to
Singleton contends that “[d]ue to the Dept. of Corrections and Cook County Jail’s effort to cut costs” he
ended up with these diagnoses and without “a second opinion from a qualified medical professional” he
cannot substantiate that he has these conditions. (Doc. 80, p. 2).
1
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Robinson. Three days later, Singleton reported to a nurse sick call for pain in his neck,
knee, and back, as well as other issues.
Singleton saw Shah on August 16, 2016. Singleton claims Shah asked him
questions about his pains. Shah then looked at his medical records, re-prescribed the
ibuprofen that Stateville previously prescribed, and requested Singleton’s medical file
from Cook County. Shah’s notes from this visit indicate that Singleton’s vitals were
normal and he had no acute distress. Singleton was able to walk, sit, stand, and move
around with no signs of a medical issue. (Doc. 76-2 at p. 14). Singleton said Shah told him
he could not do anything until Shah got the medical records from Cook County Jail.
Shah next saw Singleton on August 25, 2016, for pain in his right hand and for an
ear infection. (Id. at p. 18). During this visit, Singleton asked about the medical records
from Cook County Jail. Singleton claimed Shah told Singleton, “The medical records say
there was no signs of trauma. So I am not going to see you about those problems.”
(Doc. 80, p. 7). Shah examined his hand and ear, prescribed him a low bunk permit as to
not put weight on his hand, and continued him on ibuprofen (Doc. 76-2 at p. 18). Shah
also told Singleton to lose weight to help alleviate any pressure he is placing on his hand.
(Id.).
On September 2, 2016, Singleton was transferred to Stateville for an upcoming
court date. Singleton returned to Robinson on September 28, 2016.
On October 7, 2016, Singleton filed a grievance complaining about medical
treatment against Shah regarding his neck, back, and knee pain (Doc. 1 at pp. 15-16). On
November 15, 2016, the grievance officer responded, recommending: “Based on a total
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review of all available information, this Grievance Officer recommends that the grievance
be denied because offender’s medical needs are being addressed in follow up
appointments with the Medical Director. The Medical Director was not able to determine
from the Cook County Jail Medical Records that any injury’s [sic] were recorded in the
Medical file that resulted in the pain that offender is claiming in his neck, back, and knees.
The Medical Director has prescribed ibuprofen to offender to ease his pain. Follow up
appointments have been utilized to address ongoing issues.” (Doc. 1, p. 14).
Singleton next saw Shah on October 28, 2016. During that examination, Shah
prescribed Singleton with an increased dosage of ibuprofen from 400 mg to 600 mg.
(Doc. 76-2 at p. 28).
Singleton returned to healthcare for the pain in his back, neck, and knees on
January 28, 2017. (Id. at p. 31). Singleton requested an increase in the ibuprofen. The nurse
provided Singleton with Tylenol and continued him on the ibuprofen. (Id.).
Subsequently, Singleton came to healthcare through a nurse sick call on February 21,
2017, for complaints of back, neck, and knee pain. (Id. at p. 33). The next day, Singleton
saw Shah. Shah evaluated Singleton for low bunk permit and reassessment of his
ibuprofen prescription. (Id. at p. 34). Shah’s notes state that he would not increase his
medications because Singleton needs to lose weight to help relieve the arthritis; Shah
continued Singleton on his current ibuprofen regimen; and Shah renewed his low bunk
permit to assist with relieving pressure on his neck, back, and knee. (Id.).
On March 13, 2017, Singleton returned to the healthcare unit regarding knees and
back pain (Id. at p. 35). At this time, Singleton described the pain as throbbing with a level
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of nine out of ten, but his neck pain had subsided. The nurse noted no obvious signs of
discomfort. (Id.).
On March 21, 2017, Singleton returned to the healthcare unit regarding dry skin.
During this visit, Singleton did not complain of back, neck, or knee pain. (Id. at p. 36).
Thereafter on March 23, 2017, Shah examined Singleton for complaints of dry skin and
itching. There are no notes of complaints of back, neck or knee pain. (Id. at p. 37).
Singleton was placed in segregation on April 4, 2017, until he was transferred to
Jacksonville Correctional Center on April 26, 2017. Singleton’s medical records while he
was in segregation contain no complaints of back, neck, or knee pain. (Id. at pp. 38-45).
Singleton testified that ibuprofen helped to relieve his pain. (Doc. 76-4 at p. 5).
ANALYSIS
Summary judgment is proper only if the moving party can demonstrate there is
no genuine issue as to any material fact and the movant is entitled to judgment as a matter
of law. See FED. R. CIV. PROC. 56(a); Celotex Corp. v. Catrett, 477 U.S. 317, 322 (1986); RuffinThompkins v. Experian Information Solutions, Inc., 422 F.3d 603, 607 (7th Cir. 2005). Any
doubt as to the existence of a genuine issue of fact must be resolved against the moving
party. See Adickes v. S.H. Kress & Co., 398 U.S. 144, 160 (1970); Lawrence v. Kenosha Cty., 391
F.3d 837, 841 (7th Cir. 2004).
A moving party is entitled to judgment as a matter of law where the non-moving
party “has failed to make a sufficient showing on an essential element of h[is] case with
respect to which []he has the burden of proof.” Celotex Corp. v. Catrett, 477 U.S. 317, 323
(1986). A party asserting that a fact is genuinely disputed must support that assertion by
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citing to particular materials in the record or by showing that the materials in the record
do not establish the absence of a genuine dispute. See FED. R. CIV. P. 56. If the non-moving
party does not show evidence exists that would reasonably allow a fact-finder to decide
in its favor on a material issue, the court must enter summary judgment against the nonmoving party. See Waldridge v. Am. Hoechst Corp., 24 F.3d 918, 920 (7th Cir. 1994).
The Seventh Circuit has stated summary judgment is “the put up or shut up
moment in a lawsuit, when a party must show what evidence it has that would convince
a trier of fact to accept its version of the events.” Steen v. Myers, 486 F.3d 1017, 1022 (7th
Cir. 2007) (quoting Hammel v. Eau Galle Cheese Factory, 407 F.3d 852, 859 (7th Cir. 2005)).
The Supreme Court has recognized that deliberate indifference to the serious
medical needs of prisoners may constitute cruel and unusual punishment under the
Eighth Amendment. See Estelle v. Gamble, 429 U.S. 97, 104 (1976). To prevail on a claim for
deliberate indifference to a serious medical need, there are “two high hurdles, which
every inmate-plaintiff must clear.” Dunigan ex rel. Nyman v. Winnebago Cty., 165 F.3d 587,
590 (7th Cir. 1999). First, the plaintiff must demonstrate he suffered from an objectively
serious medical condition. Id. at 591-592. Second, the plaintiff must establish the
individual prison officials were deliberately indifferent to that condition. Id.
To show prison officials acted with deliberate indifference, a plaintiff must put
forth evidence that prison officials not only knew that the prisoner’s medical condition
posed a serious health risk, but they consciously disregarded that risk. See Holloway v.
Delaware Cty. Sheriff, 700 F.3d 1063, 1073 (7th Cir. 2012). “This subjective standard requires
more than negligence and it approaches intentional wrongdoing.” Id. Accord Berry v.
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Peterman, 604 F.3d 435, 440 (7th Cir. 2010) (stating that “[d]eliberate indifference is
intentional or reckless conduct, not mere negligence.”); McGowan v. Hulick, 612 F.3d 636,
640 (7th Cir. 2010) (stating that “negligence, even gross negligence does not violate the
Constitution.”).
For a medical professional to be held liable under the deliberate indifference
standard, he or she must respond in a way that is “so plainly inappropriate” or make a
decision that is “such a substantial departure from accepted professional judgment,
practice, or standards,” that it gives rise to the inference that they intentionally or
recklessly disregarded the prisoner’s needs. Holloway, 700 F.3d at 1073; Hayes v. Snyder,
546 F.3d 516, 524 (7th Cir. 2008) (quoting Sherrod v. Lingle, 223 F.3d 605, 611 (7th Cir.
2000)). In other words, a prison medical professional is “entitled to deference in treatment
decisions unless no minimally competent professional would have so responded under
those circumstances.” Roe v. Elyea, 631 F.3d 843, 857 (7th Cir. 2011) (citation omitted).
“But deference does not mean that a defendant automatically escapes liability any
time he invokes professional judgment as the basis for a treatment decision. When the
plaintiff provides evidence from which a reasonable jury could conclude that the
defendant didn't honestly believe his proffered medical explanation, summary judgment
is unwarranted.” Zaya v. Sood, 836 F.3d 800, 805 (7th Cir. 2016). The Eighth Amendment
does not require that prisoners receive “unqualified access to health care[.]” Rather, they
are entitled only to “adequate medical care.” Johnson, 433 F.3d at 1013.
Construing the evidence in the light most favorable to Singleton, the Court finds
that he has not established that Shah was deliberately indifferent to his medical needs
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regarding his neck, back and knee pain. 2 The record reveals that Shah from August 2016
to March 2017 did provide appropriate medical treatment to Singleton; the medical
treatment simply was not the treatment Singleton wanted/demanded. Over the various
visits, Shah did prescribe Singleton with 400 mg of ibuprofen and then increased the
dosage at a later visit to 600 mg, advised Singleton to lose weight, and prescribed a low
bunk permit on two separate occasions.
Shah also reviewed Singleton’s prior medical records before determining
Singleton’s medical complaints. Singleton’s prior medical records show that he was
diagnosed with lumbago with the onset date of May 31, 2012, and osteoarthritis of the
spine and knee with the onset date of June 16, 2015. For the osteoarthritis, Singleton was
provided ibuprofen to alleviate the pain, which is the same treatment Shah provided to
Singleton at the first visit in August 2016.
Clearly, the record does not contain evidence that Shah’s treatment of Singleton
for his back, neck, and knee pain was so inappropriate or that Shah’s treatment was a
substantial departure from accepted professional judgment, practice or standards. Even
construing the facts in the light most favorable to Singleton, the medical records do not
support Singleton’s subjective complaints, and the record does not support Singleton’s
The Court notes that Singleton contradicts himself on the issue of the neck pain. In his deposition, it
appeared Singleton withdrew his claim against Shah for neck pain. Singleton testified that during his time
at Robinson, he did not have neck pain. He further testified that the only time he complained about neck
pain was at Cook County. (Doc. 76-4 at pp. 32, 61). In his declaration, however, Singleton, as to the issue of
neck pain, avers: “Between the date of March 2017 and the date of the deposition, Plaintiff has had no neck
pain. However, Plaintiff has been constantly having complications with his back and knee … Which has
caused a problem with Plaintiff’s hip (See Exhibit ‘C’). With this lapse of time, and the continuous problems
with Plaintiff’s knee and back … and now hip, Plaintiff forgot about the neck pain during his deposition.”
(Doc. 80, p. 13).
2
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argument that he should have had an x-ray performed. There is no evidence that Shah
was deliberately indifferent to Singleton’s medical needs regarding his back, neck, and
knee pain.
CONCLUSION
For these reasons, the Court GRANTS the motion for summary judgment filed by
Defendant Dr. Vipin Shah (Doc. 75). The Court DIRECTS the Clerk of the Court to enter
judgment in favor of Dr. Shah and against Avery Singleton and to close the case. This
entire action is DISMISSED with prejudice.
IT IS SO ORDERED.
DATED: September 23, 2019
____________________________
NANCY J. ROSENSTENGEL
Chief U.S. District Judge
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