Cockrum v. Carter et al
Filing
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ORDER & REASONS denying 14 Motion for Preliminary Injunction and 16 Motion for Temporary Restraining Order. Signed by Magistrate Judge Karen Wells Roby. (cml)
UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF LOUISIANA
BENJAMIN LOUIS COCKRUM
CIVIL ACTION
VERSUS
NO. 13-5329
BESSIE CARTER, CASEY MCVEA,
ROBERT TANNER
SECTION “I”(4)
ORDER AND REASONS
Before the court are a Motion for Preliminary Injunction (Rec. Doc. No. 14) and a Motion
for Temporary Restraining Order (Rec. Doc. No. 16) filed by the pro se plaintiff Benjamin Louis
Cockrum, an inmate incarcerated in the B.B. “Sixty” Rayburn Correctional Center (“RCC”) in
Angie, Louisiana. Cockrum seeks an order to compel the prison officials to provide him with
medical treatment. There is no indication in the record that Taylor served a copy of the motions on
the defendants nor have the defendants replied to the motions.
I.
Factual Background1
Cockrum filed this pro se and in forma pauperis complaint under 42 U.S.C. § 1983 against
Warden Robert Tanner, Bessie Carter, and Dr. Casey McVea. Cockrum alleges that, on January 17,
2007, he injured his left elbow while attempting to flee from the police when he jumped off of a
balcony. He was taken to an orthopedic specialist at University Hospital. He claims that he was told
that the hinge joints and radius head would not heal properly and would cause him to suffer with
chronic arthritis and pain.
1
The Court held a hearing pursuant to Spears v. McCotter, 766 F.2d 179 (5th Cir. 1985), January 15, 2014, at
which the plaintiff reiterated the factual basis for his claims against the defendants. Rec. Doc. No. 19. The purpose of
the Spears Hearing is to ascertain what it is the prisoner alleges to have occurred and the legal basis for the claims. The
information elicited at the hearing is in the nature of an amended complaint or a more definite statement under Fed. R.
Civ. P. 12(e). Wilson v. Barientos, 926 F.2d 480, 482 (5th Cir. 1991).
He further alleges that, beginning in October of 2012, he first saw Dr. Casey McVea for pain
in his left elbow. The doctor prescribed motrin and ordered x-rays, which showed no progress in
the joint. Cockrum alleges that he saw Dr. McVea again in November of 2012, and was told that
the medical committee declined to provide him with surgery or additional pain management
medication.
He soon thereafter was sent to an orthopedist at University Hospital and additional x-rays
were taken. Cockrum claims that the doctor recommended that he be given 50 mg. tablets of
Ultram2 three times per day for the pain. He was later advised at the prison that the request for
Ultram was denied and he would continued on Motrin. He continued to file sick call complaints to
no avail.
Dr. McVea eventually referred him back to the orthopedist. Cockrum claims that the doctor
gave him a cortozone injection in the left elbow and again ordered that he receive Ultram. He claims
that Dr. McVea again refused the doctor’s recommendation.
After continued pain complaints, Dr. McVea ordered a different medication called “Mobic,”
which did not provide any more relief. Dr. McVea then referred Cockrum to the tele-med doctor
and he was seen on May 3, 2013. The doctor ordered that Cockrum receive 50 mg. tablets of Ultram
three times per day. However, he was later advised by EMT Jane Hillman that Dr. McVea
discontinued the order and reinstated the Mobic.
Cockrum further alleges that two and one-half months passed without him being seen by Dr.
McVea. During that time, he filed numerous requests for care for the pain and new manifestations
2
Ultram is used for the management of moderate to moderately severe chronic pain in adults who require
around-the-clock treatment for their pain for an extended period of time. Physicians’ Desk Reference, 62nd Ed., p. 2366
(Thomson 2008) (“PDR”).
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of swelling and joint problems in his arm and hand. He received written replies to his complaints
in which Dr. McVea indicated that the request for Ultram was denied due to prior abuse of
medication. He also claims that Dr. McVea threatened him with a disciplinary rule violation for his
continued suggestions that he was being denied medical care. He claims that Dr. McVea did see him
again in July of 2013, at which time he was given a Percogesic injection into the hinge joint for pain
and Indocin, a non-steroidal anti-inflammatory, was ordered along with additional x-rays.
Cockrum also alleges that he sued Bessie Carter and Warden Tanner because his grievance
complaints were denied and no actions were taken against Dr. McVea.
II.
Analysis
Cockrum first filed a motion for issuance of a Preliminary Injunction to compel Dr. McVea
to provide him with the stronger pain medication prescribed by another doctor for the chronic pain
he suffers in his left elbow and pain in his lower back. In the later filed request for a Temporary
Restraining Order (“TRO”), Cockrum voices the same concerns complaining that he is suffering
with continued pain because Dr. McVea will not agree to provide a stronger prescription pain
medication. Under a broad reading, Cockrum claims that if relief is not granted, he will continue
to suffer in severe pain and eventually could loose the use of his left arm.
The law is well settled that issuing an injunction “is an extraordinary and drastic remedy, not
to be granted routinely, but only when the movant, by a clear showing, carries the burden of
persuasion.” White v. Carlucci, 862 F.2d 1209, 1211 (5th Cir. 1989). An injunction is to be the
exception, not the rule. Miss. Power & Light Co. v. United Gas Pipe Line Co., 760 F.2d 618, 621
(5th Cir. 1985). Furthermore, in the prison setting, requests for a preliminary injunction are “viewed
with great caution because ‘judicial restraint is especially called for in dealing with the complex and
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intractable problems of prison administration.’” Goff v. Harper, 60 F.3d 518, 520 (8th Cir. 1995)
(quoting Rogers v. Scurr, 676 F.2d 1211, 1214 (8th Cir. 1982)). “Except in extreme circumstances,”
the “federal courts are reluctant to interfere” with matters of prison administration and management,
including prison discipline and classification of inmates. Young v. Wainwright, 449 F.2d 338, 339
(5th Cir. 1971) (affirming denial of injunction to obtain release from administrative segregation).
With these provisos in mind, the Court may issue a preliminary injunction or TRO in
accordance with Fed. R. Civ. P. 65, which reads in relevant part as follows:
(a)
Preliminary Injunction.
(1)
Notice. The court may issue a preliminary injunction only on notice to the
adverse party.
(2)
Consolidating the Hearing with the Trial on the Merits. Before or after
beginning the hearing on a motion for a preliminary injunction, the court may
advance the trial on the merits and consolidate it with the hearing. Even when
consolidation is not ordered, evidence that is received on the motion and that would
be admissible at trial becomes part of the trial record and need not be repeated at
trial. But the court must preserve any party’s right to a jury trial.
(b)
Temporary Restraining Order.
(1)
Issuing Without Notice. The court may issue a temporary restraining order
without written or oral notice to the adverse party or its attorney only if:
(A)
specific facts in an affidavit or a verified complaint clearly show that
immediate and irreparable injury, loss, or damage will result to the movant before the
adverse party can be heard in opposition; and
(B)
the movant’s attorney certifies in writing any efforts made to give notice and
the reasons why it should not be required.
As noted previously, the record does not reflect that Cockrum provided notice of his intent
to seek the preliminary injunction or the TRO to the defendants or their counsel. Cockrum did not
request that either motion be noticed for hearing, and he instead submitted them ex parte with
proposed orders. Without notice to the defendants, he is not entitled to the preliminary injunction,
and the Court can find no reason to call a hearing. In this circuit, when an injunction is requested
without a hearing and notice to all parties, it is considered to be a TRO not a preliminary injunction.
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Accord Turner v. Epps, 460 F. App’x 322, 326 (5th Cir. 2012) (recognizing that an injunction order
is not construed based on the label it was given but whether it was issued after notice and hearing).
Nevertheless, the standards to obtain both a preliminary injunction and a TRO are
substantively the same anyway. A TRO is “simply a highly accelerated and temporary form of
preliminary injunctive relief.” Hassani v. Napolitano, No. 09-CV-1201-D, 2009 WL 2044596, *1
(N.D. Tex. 2009). Thus, the Court will consider both motions as seeking issuance of a TRO.
A party requesting a TRO must establish four elements: (1) a substantial likelihood of
success on the merits; (2) a substantial threat that failure to grant the injunction will result in
irreparable injury; (3) the threatened injury outweighs any damage that the injunction will cause to
the adverse party; and (4) the injunction will not do disservice to the public interest. Janvey v.
Alguire, 647 F.3d 585, 595 (5th Cir. 2011). Because such relief is an extraordinary remedy, to
justify entry of a TRO or preliminary injunction, the petitioner must “clearly carr[y] the burden of
persuasion on all four elements.” PCI Transp., Inc. v. Fort Worth & W. R.R. Co ., 418 F.3d 535, 545
(5th Cir. 2005); Bluefield Water Ass’n v. City of Starkville, Miss., 577 F.3d 250, 253 (5th Cir. 2009).
In the instant case, Cockrum fails to meet this heavy burden or show a basis for relief at this time.
Under the first prong, Cockrum must show a substantial likelihood that he can prove that
prison officials, specifically Dr. McVea, acted with deliberate indifference to his medical needs so
as to cause “unnecessary or wanton infliction of pain.” Estelle v. Gamble, 429 U.S. 97, 105 (1976).
This requires proof that the prison officials were subjectively aware of a substantial risk of serious
harm and were deliberately indifferent to that risk. Hare v. City of Corinth, 74 F.3d 633, 648-49 (5th
Cir. 1996) (citing Farmer v. Brennan, 511 U.S. 825, 847 (1994)). In this case, Cockrum must prove
that Dr. McVea was aware of a substantial risk of serious harm subjectively intended that harm
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occur. See Thompson v. Upshur County, 245 F.3d 447, 458-59 (5th Cir.2001) (citing Hare, 74 F.3d
at 649-50).
Thus, in the context of medical care to prisoners, courts have found that a prisoner’s
disagreement with the medical care offered does not suffice to establish a claim of deliberate
indifference to serious medical needs. Norton v. Dimazana, 122 F.3d 286, 292 (5th Cir. 1997)
(citing Young v. Gray, 560 F.2d 201, 201 (5th Cir. 1977)). It also is not enough that the plaintiff
allege that a diagnosis was incorrect. Domino v. Tex. Dep’t of Crim. Just., 239 F.3d 752, 756 (5th
Cir. 2001). Instead, the prisoner must establish that officials “refused to treat him, ignored his
complaints, intentionally treated him incorrectly, or engaged in any similar conduct that would
clearly evince a wanton disregard for any serious medical needs.” Johnson v. Treen, 759 F.2d 1236,
1238 (5th Cir. 1985). Cockrum has not done so here.
In this case, Cockrum concedes in his various pleadings that he has been examined by Dr.
McVea and other medical personnel at the prison. He indicates that he has even been referred by
Dr. McVea to outside orthopedic specialists. It is Dr. McVea’s alleged variance from the
prescriptions ordered by these doctors with which Cockrum takes issue. Cockrum claims that the
orthopedic specialists have recommended that he be given Ultram for his pain. Cockrum,
nevertheless, recognizes that Dr. McVea will not authorize the dispensing of the Ultram as
prescribed based on Cockrum’s past abuse of pain medication. Herein lies what initially appears
to be the difference of opinion over the appropriate course of treatment coupled with prison security
concerns. The facts alleged do not show that Dr. McVea subjectively intended to harm Cockrum.
For this reason, Cockrum has not clearly shown that he will ultimately prevail on his claims of
medical indifference by Dr. McVea.
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Furthermore, under the second prong, Cockrum has not provided specific facts, other than
his conclusory conjecture, to show that an immediate and irreparable injury, loss, or damage will
result to him or his arm. A restraining order should only be issued when “a substantial threat of
harm to the movant . . . cannot be compensated by money.” Harvey Barnett, Inc. v. Shidler, 143 F.
Supp.2d 1247, 1255 (D. Col. 2001). As Cockrum represents, he has received continued care and
examination with no new injury or diagnosis other than his subjective pain. Although he continues
to complain of pain and alleged diminished use of his arm, his suggestion is based on his subjective
representations without any showing at this time that he faces a permanent or imminent danger or
any other injury, including pain and discomfort, that cannot be compensated monetarily. Instead,
it appears that he is merely trying to expedite the relief sought in his complaint, access to stronger
pain medication, which is not alone a proper basis for issuing an injunction at this time. See Guthrie
v. Niak, No. 12-CV-1761, 2013 WL 5487936, at *6 (Sep. 27, 2013) (injunction does not serve to
expedite resolve of the complaint).
Considering the third prong, therefore, Cockrum has not shown that any threatened injury,
or continued pain, outweighs the burden a TRO would place on the defendants. This is true
especially in light of the Court’s “reluctan[ce] to interfere” with matters of prison administration
where Cockrum concedes an issue with medication abuse. Accord Young, 449 F.2d at 339. This
reluctance also culminates in the long-tradition found in the fourth factor, avoiding a disservice to
the common interest, which in this case is in the prison officials discretion to manage their facilities
and services within constitutional bounds.
Based on the current record, Cockrum’s disagreement with the medical decisions being
made, especially in light of the potential for medication abuse as a factor, is not sufficient to
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establish deliberate indifference by Dr. McVea. Thus, the most crucial requirement needed to
succeed on a temporary injunction or preliminary injunction has not been established. He has made
no clear showing of his entitlement to a TRO.
Considering the record and pleadings, Cockrum has failed to establish the need for the
issuance of a temporary restraining order or preliminary injunction. Accordingly,
IT IS ORDERED that Cockrum’s Motion for Preliminary Injunction (Rec. Doc. No. 14)
and Motion for Temporary Restraining Order (Rec. Doc. No. 16) are DENIED.
New Orleans, Louisiana, this 3rd day of April, 2014.
KAREN WELLS ROBY
UNITED STATES MAGISTRATE JUDGE
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