PERKINS v. ASSOCIATED ROOFING PROFESSIONALS et al
Filing
39
ENTRY Granting Plaintiff's Motion for Medical Injunction - Mr. Perkins' 25 motion for preliminary injunctive relief is granted to the extent that Dr. Byrd, or his designee with the authority to do so, shall refer Mr. Perkins to an outs ide orthopedic specialist to examine and evaluate Mr. Perkins' right knee. The Court denies Mr. Perkins' request for specific pain medications and MRI, and leaves whatever treatment, if any, is appropriate, to the determination of the spe cialist. The specialist shall be given a copy of this Entry. Dr. Byrd or his designee shall report not later than April 11, 2016, that the referral has been made and an appointment has been scheduled as promptly as reasonably possible, taking into account the specialist's schedule. If the specialist determines than an MRI is necessary to properly diagnose the problem, it shall be provided. The specialist's treatment plan shall be followed. (See Entry.) Signed by Judge William T. Lawrence on 3/30/2016. (GSO)
UNITED STATES DISTRICT COURT
SOUTHERN DISTRICT OF INDIANA
TERRE HAUTE DIVISION
COREY PERKINS,
Plaintiff,
vs.
DR. BYRD,
DR. MANDIP BARTLES,
Defendants.
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Case No. 2:15-cv-00336-WTL-MJD
Entry Granting Plaintiff’s Motion for Medical Injunction
On May 16, 2015, plaintiff Corey Perkins (“Mr. Perkins”) slipped in water on the floor
while incarcerated at the Wabash Valley Correctional Facility, causing pain to his back and right
knee. He seeks preliminary injunctive relief in the form of an MRI and an appointment with a
“consultant” at the Terre Haute Regional Hospital to obtain a proper diagnosis, and a commitment
to the treatment plan prescribed by the consultant. Defendant Dr. Byrd has opposed the motion for
preliminary injunctive relief and has submitted Mr. Perkins’ medical records. Mr. Perkins has
replied.
To succeed in obtaining preliminary injunctive relief, the plaintiff must establish that he is
likely to succeed on the merits, that he is likely to suffer irreparable harm if preliminary relief is
not granted, that the balance of equities tips in his favor, and that it is in the public interest to issue
an injunction. United States v. NCR Corp., 688 F.3d 833, 837 (7th Cir. 2012). A preliminary
injunction is “an extraordinary and drastic remedy, one that should not be granted unless the
movant, by a clear showing, carries the burden of persuasion.” Mazurek v. Armstrong, 520 U.S.
968, 972 (1997). The movant bears the burden of proving his entitlement to such relief. Cooper v.
Salazar, 196 F.3d 809, 813 (7th Cir. 1999).
The underlying claim in this action is whether the defendants have been deliberately
indifferent to Mr. Perkins’ knee injury and pain. To prevail on an Eighth Amendment deliberate
indifference medical claim, a plaintiff must demonstrate two elements: (1) he suffered from an
objectively serious medical condition; and (2) the defendant knew about the plaintiff’s condition
and the substantial risk of harm it posed, but disregarded that risk. Farmer v. Brennan, 511 U.S.
825, 8374 (1994); Pittman ex rel. Hamilton v. County of Madison, Ill., 746 F.3d 766, 775 (7th Cir.
2014); Arnett v. Webster, 658 F.3d 742, 750-51 (7th Cir. 2011). “A medical condition is objectively
serious if a physician has diagnosed it as requiring treatment, or the need for treatment would be
obvious to a layperson.” Pyles v. Fahim, 771 F.3d 403, 409 (7th Cir. 2014).
Dr. Byrd does not dispute Mr. Perkins’ claim that Dr. Byrd does not have a license to
dispense controlled substances. Dr. Byrd states that other doctors, or the Regional Medical
Director, however, are able to dispense controlled substances if they are needed.
Mr. Perkins alleges that he is in constant pain and walks with a limp to and from chow, to
and from work, in the housing unit, and at work. Dkt. 35, p. 4. In response to the motion for
preliminary injunctive relief, Dr. Byrd insists that Mr. Perkins does not have any issues walking.
As recently as February 4, 2016, Mr. Perkins was seen by nursing staff in response to his
complaints of knee pain. The nursing note recites that “Offender walks without difficulty. States
he just wants to be able to run and jump. Knee examined by MD.” Dkt. 34-2, p. 35. Mr. Perkins
denies making such a statement to the nurse. He denies playing basketball. Dr. Byrd admits that if
Mr. Perkins did have ligament damage, he would not be able to walk without pain. Dr. Byrd has
told Mr. Perkins he does not have ligament damage so an MRI is not necessary. Dr. Byrd contends
that Mr. Perkins does not need crutches or a cane or knee brace because he has no issues walking.
As noted, Mr. Perkins maintains that he has pain when he walks, causing him to limp.
It is true that inmates may not demand specific treatment or the best care possible, but it is
also true that they are “entitled to reasonable measures to meet a substantial risk of serious harm.”
Arnett, 658 F.3d at 754. “A significant delay in effective medical treatment [] may support a claim
of deliberate indifference especially whether the result is prolonged and unnecessary pain.” Berry
v. Peterman, 60-4 F.3d 435, 441 (7th Cir. 2010). “The decision of a medical professional to do
nothing, even though she knows that a patient has a serious medical condition requiring prompt
treatment that the professional is capable of and responsible for providing, amounts to deliberate
indifference.” Dobbey v. Mitchell-Lawshea, 806 F.3d 938, 940 (7th Cir. 2015). To meet the
deliberate indifference standard, “a prisoner is not required to show that he was literally ignored.”
Conley v. Birch, 796 F.3d 742, 748 (7th Cir. 2015) (internal quotation omitted). Even if “some
minimal treatment” is provided, a plaintiff may still show deliberate indifference. Id. “[A] doctor's
choice of the easier and less efficacious treatment for an objectively serious medical condition can
still amount to deliberate indifference for purposes of the Eighth Amendment.” Berry, 604 F.3d at
441 (internal quotation omitted).
The Court finds that Mr. Perkins knows more about whether he is in severe pain and
whether he is able to walk without pain than does Dr. Byrd. If Mr. Perkins does, in fact, have some
torn ligaments or torn cartilage or other conditions that do not show up on an x-ray, there appears
to be no plan in place to determine the cause of his pain or extent of any knee damage or the proper
treatment. The parties have come to a standstill. Although Mr. Perkins has complained of knee
pain for months, with some relief provided by an injection last year, Mr. Perkins has recently
submitted a health care request complaining of pain, and Dr. Byrd has told him he can walk without
pain and needs no further treatment or accommodation.
Mr. Perkins is suffering unnecessary pain if a different approach and treatment could
diagnose the cause of his pain and alleviate it. Dr. Byrd will suffer no harm if he refers Mr. Perkins
to an outside physician/specialist. It is in the public interest to provide reasonable medical
treatment for prisoners who complain of severe pain when “no further treatment” has been ordered.
Under these circumstances, the balance of equities tip in favor of Mr. Perkins.
Accordingly, Mr. Perkins’ motion for preliminary injunctive relief [dkt. 25] is granted to
the extent that Dr. Byrd, or his designee with the authority to do so, shall refer Mr. Perkins
to an outside orthopedic specialist to examine and evaluate Mr. Perkins’ right knee. The Court
denies Mr. Perkins’ request for specific pain medications and MRI, and leaves whatever treatment,
if any, is appropriate, to the determination of the specialist. The specialist shall be given a copy of
this Entry.
Dr. Byrd or his designee shall report not later than April 11, 2016, that the referral has
been made and an appointment has been scheduled as promptly as reasonably possible, taking into
account the specialist’s schedule. If the specialist determines than an MRI is necessary to properly
diagnose the problem, it shall be provided. The specialist’s treatment plan shall be followed.
IT IS SO ORDERED.
Date: 3/30/16
Distribution:
Corey Perkins, #194799
Wabash Valley Correctional Facility
Electronic Service Participant – Court Only
Electronically registered counsel
_______________________________
Hon. William T. Lawrence, Judge
United States District Court
Southern District of Indiana
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