Stanley v. Tewelde
Filing
35
MEMORANDUM OPINION. Signed by Judge Roger W Titus on 03/19/2014. (bas, Deputy Clerk)(c/m on 3/20/14 bca)
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF MARYLAND
RONALD STANLEY, #149200
Plaintiff,
v.
DR. TEWELDE,
DIVISION OF CORRECTION
Defendants.
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* CIVIL ACTION NO. RWT-13-370
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*
*****
MEMORANDUM OPINION
Plaintiff, Ronald Stanley, filed a 42 U.S.C. § 1983 civil rights complaint on February 1,
2013. (ECF No. 1). As the original complaint was materially incomplete, Plaintiff filed a courtordered amended complaint on March 4, 2013. In the Amended Complaint, Plaintiff claims he fell
down steps in January, 2013 at the Baltimore City Correctional Center (“BCCC”) and was seen by
Dr. Zerabruck Tewelde (“Tewelde”), who he claims “failed to facilitate [or] render adequate medical
treatment” in part by not taking x-rays of his hip or back. (ECF No. 3.) He also claims that the
Division of Correction (“DOC”) denied him meaningful access to medical services and programs.
(Id.) Plaintiff asserts that Tewelde had knowledge of his serious medical needs and was aware that a
substantial risk of harm existed. (Id.) He alleges that his hip is deteriorating, that he has not seen a
hip specialist since October 25, 2012, and that the DOC has not scheduled him for a necessary hip
replacement procedure. He seeks hip replacement surgery, medical parole or habeas corpus relief,
and compensatory damages.1
Both Tewelde and the DOC filed Motions to Dismiss or for Summary Judgment. (ECF Nos.
13 & 24). Plaintiff has filed multiple Oppositions (ECF Nos. 15, 18-20, 27-28, 31) and a Motion to
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Plaintiff has also filed Supplements to his Complaint, which contain letters to various prison and agency
administrators regarding his eligibility for a medical parole and hip replacement surgery and his receipt of hip
x-rays. (ECF Nos. 4 & 6).
Appoint Counsel (ECF No. 34).2 This case may be determined without oral argument. See Local
Rule 105.6. (D. Md. 2011). For reasons that follow, Defendants’ motions, construed as motions for
summary judgment, shall be granted. Plaintiff’s motion to appoint counsel shall be denied.
FACTUAL BACKGROUND
Defendant Dr. Zerabruck Tewelde is a physician at the Baltimore City Correctional Center
(“BCCC”). The Plaintiff is a sixty-year-old male with a chronic history of hypertension and pain in
the left hip. (Tewelde Motion to Dismiss or for Summary Judgment, ECF No. 13, (“Tewelde Mot.”)
at 5). Exhibits attached to Tewelde’s Motion show that Plaintiff had suffered from hip problems for
some time. (See, e.g., Tewelde Mot., Ex. 1 at 1, 3-4 (discussing October, 2012 medical visit with
pain management specialist regarding steroid injections)).
On December 19, 2012, Tewelde saw Plaintiff in the Chronic Care Clinic (“CCC”) for
complaints of pain in the left hip. Plaintiff was diagnosed with osteoarthritis and records show that
he was instructed on important lifestyle modifications relating to exercise and weight management.
(Tewelde Mot., Ex. 1 at 1, 3-4).
Tewelde again saw Plaintiff on January 10, 2013, due to a report that Plaintiff had been
pushed, fell down two steps, and had landed on his thigh. Plaintiff reported that he did not feel any
worse than before the fall, but he wanted the doctor to note the fall in his record. Tewelde Mot. at 5.
Tewelde observed no contusions or injuries. Tewelde states that Plaintiff did not request x-rays, and
even if he had, given the lack of clinical findings suggesting an injury, an x-ray would have been
2
On August 29, 2013, Plaintiff filed a Surreply to Defendant Tewelde’s Reply, seeking review under Rule
56(f) to include “extraneous” material related to the fall he experienced in January 2013, and a May 31, 2013
consultation with Dr. Jennings. (ECF No. 32). In effect, Plaintiff seeks discovery, which he seemingly
claims will show the injury he experienced from the January 2013 fall and Dr. Tewelde’s inactions in failing
to schedule him for x-rays and follow-up care. Counsel for Defendant Tewelde has filed an Opposition to
commencing discovery. (ECF No. 33). The Court will decide the motions based on the record before it and
will not permit discovery.
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inappropriate. At that visit, Tewelde made an adjustment to the Plaintiff’s hypertension medication.
(Id., Ex. 1 at 5). On January 21, 2013, Tewelde conducted a follow-up assessment regarding the
medication. Plaintiff raised no complaints regarding his hip during this encounter. The Plaintiff was
then transferred out of BCCC and Tewelde did not treat Plaintiff again. (Id.)
Defendant DOC’s Motion for Summary Judgment also thoroughly documents the treatment
given to and accommodations made for the Plaintiff. For example, in January 2012, Plaintiff was
provided with a lower bunk because of his medical problems. (DOC Motion to Dismiss or for
Summary Judgment, ECF No. 24 (“DOC Mot.”), Ex. 1 at 70). In June, 2012, Plaintiff received xrays, treatment and an evaluation. In July, administrators assigned Plaintiff to “feed in” because of
his use of a cane, indefinitely excused him from work, and assigned him to bed rest, with no heavy
lifting or courtyard and gym activities. (Id., Ex., 1 at 79-80 & 83). Plaintiff was treated at Bon
Secours Hospital in September, 2012 and received cortisone injections that fall. (Id., Ex. 1 at 97,
103-113). On December 12, 2012, Plaintiff filed a sick-call request claiming that he needed a hip
replacement. (Id. at 89). Plaintiff was treated by doctors on February 25, 2013 and March 30,
2013. (Id. at 11).
Plaintiff complains that he was deprived of his right to adequate medical treatment and
further claims that he has been transferred to an “inappropriate place of confinement.”3 (ECF No.
15). He claims that when confined at the Eastern Correctional Institution-Annex from March
through October 2012, he experienced frequent pain in his left hip that made walking difficult. (Id.)
He states that he was promised transfer to an institution near a hospital in exchange for signing off
and dropping Administrative Remedy Procedure grievances. (Id.). He complains that after falling
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Plaintiff complains about exposure to the chemical “deuce/K” and claims that his transfer to BCCC
subjected him to a risk of falling because of his inability to negotiate steps at BCCC. (ECF Nos. 15 & 28).
He states he should have been transferred to the Jessup Pre-Release Unit which has a unit designated for
special needs inmates. (Id.).
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down steps at the BCCC in January, 2013 he did not receive adequate emergency medical care from
Dr. Tewelde as he was not provided x-rays and the medications he was given did not relieve his hip
and back pain. Plaintiff alleges that he has not received a pain injection since January, 2013, no
follow-up care from his October, 2012 steroid injection, and no further action has been taken despite
the degeneration of his hip. (ECF Nos. 15, 20, & 28).
In additional filings, Plaintiff complains that the medical documentation provided by
Tewelde is incomplete. He requests records of medical referrals, consults, and medications ordered
in May and July of 2013, and medical and incident reports reflecting a fall he took in July, 2013.
(ECF No. 27). In an additional Opposition, he states that he continued to complain of pain and
reported that his medications did not provide him effective pain management. Plaintiff states that in
May and July of 2013, he was handcuffed and forced to walk, causing him to fall. (ECF No. 31).
STANDARDS OF REVIEW
1.
Motion to Dismiss
A motion to dismiss pursuant to Rule 12(b)(6) tests the sufficiency of a complaint. Edwards
v. City of Goldsboro, 178 F.3d 231, 243 (4th Cir. 1999). To survive a motion to dismiss, “a
complaint must contain sufficient factual matter, accepted as true, to state a claim to relief that is
plausible on its face.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (internal quotations omitted). “A
claim has facial plausibility when the plaintiff pleads factual content that allows the court to draw
the reasonable inference that the defendant is liable for the misconduct alleged.” Id.; see also
Simmons & United Mortg. & Loan Invest, 634 F.3d 754, 768 (4th Cir. 2011) (“On a Rule 12(b)(6)
motion, a complaint must be dismissed if it does not allege enough facts to state a claim to relief that
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is plausible on its face.”) (quotation and emphasis omitted). “Thus, ‘[i]n reviewing a motion to
dismiss an action pursuant to Rule 12(b)(6) . . . [a court] must determine whether it is plausible that
the factual allegations in the complaint are enough to raise a right to relief above the speculative
level.’” Monroe v. City of Charlottesville, 579 F.3d 380, 386 (4th Cir. 2009) (quoting Andrew v.
Clark, 561 F.3d 261, 266 (4th Cir. 2009)).
2.
Motion for Summary Judgment
Summary judgment should be rendered if “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); see Celotex Corp.
v. Catrett, 477 U.S. 317, 322 (1986). “A material fact is one ‘that might affect the outcome of the
suit under the governing law.’” Spriggs v. Diamond Auto Glass, 242 F.3d 179, 183 (4th Cir. 2001)
(quoting Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986)). Disputes of material fact are
genuine if, based on the evidence, “a reasonable jury could return a verdict for the nonmoving
party.” Anderson, 477 U.S. at 248.
To avoid summary judgment, the nonmoving party “may not rest upon the mere allegations
or denials of his pleading, but must set forth specific facts showing that there is a genuine issue for
trial.” Id. at 256. While the court must view the evidence in the light most favorable to the
nonmoving party, Francis v. Booz, Allen & Hamilton, Inc., 452 F.3d 299, 302 (4th Cir. 2006), it
must also “prevent factually unsupported claims and defenses from proceeding to trial,” Drewitt v.
Pratt, 999 F.2d 774, 778–79 (4th Cir. 1993) (quoting Felty v. Graves–Humphreys Co., 818 F.2d
1126, 1128 (4th Cir. 1987)) (internal quotation marks omitted).
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ANALYSIS
The DOC seeks dismissal of the complaint or summary judgment arguing that as a state
agency, it is not a Aperson@ under 42 U.S.C. § 1983 and that it is entitled to Eleventh Amendment
immunity. The DOC is a state agency operating as a division of the Maryland Department of Safety
and Correctional Services. See Md. Code. Ann., Corr. Servs., Art., §§ 1-101(g) and 3-201. Neither
a state nor an agency of a state is a Aperson@ within the meaning of 42 U.S.C. ' 1983. See Will v.
Michigan Dep=t of State Police, 491 U.S. 58, 64-65 & 70-71 (1989). Moreover, state agencies are
immune from liability under the Eleventh Amendment from a § 1983 suit in federal court without
regard to the nature of the relief sought. See Pennhurst State School & Hospital v. Halderman, 465
U.S. 89, 101-01 (1984). Consequently, the complaint against DOC is subject to dismissal on these
grounds.
Alternatively, and with regard to the claims raised against Dr. Tewelde, summary judgment
is appropriate because of the detailed documentation and medical records before the Court. The
Eighth Amendment prohibits Aunnecessary and wanton infliction of pain@ by virtue of its guarantee
against cruel and unusual punishment. Gregg v. Georgia, 428 U.S. 153, 173 (1976). AScrutiny
under the Eighth Amendment is not limited to those punishments authorized by statute and imposed
by a criminal judgment.@ De=Lonta v. Angelone, 330 F. 3d 630, 633 (4th Cir. 2003). “The
Amendment also provides protection with respect to the treatment a prisoner receives in prison and
the conditions under which he is confined,” and “those conditions include the adequacy of medical
care that the prison provides.” Id. (internal quotations omitted).
In order to state an Eighth Amendment claim for denial of medical care, a plaintiff “must
demonstrate that the officers acted with ‘deliberate indifference’ (subjective) to the inmate's ‘serious
medical needs’ (objective).” Iko v. Shreve, 535 F.3d 225, 241 (4th Cir. 2008) (quoting Estelle v.
Gamble, 429 U.S. 97, 104 (1976)). One acts with deliberate indifference “only when [one] ‘knows
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of and disregards’ the risk posed by the serious medical needs of the inmate.” Id. (quoting Farmer v.
Brennan, 511 U.S. 825, 837 (1994)). The test requires Asubjective recklessness@ in the face of the
serious medical condition. Farmer, 511 U.S. at 839-40. ATrue subjective recklessness requires
knowledge both of the general risk, and also that the conduct is inappropriate in light of that risk.@
Rich v. Bruce, 129 F. 3d 336, 340 n. 2 (4th Cir. 1997). AActual knowledge or awareness on the part
of the alleged inflicter…becomes essential to proof of deliberate indifference >because prison
officials who lacked knowledge of a risk cannot be said to have inflicted punishment.=@ Brice v.
Virginia Beach Correctional Center, 58 F. 3d 101, 105 (4th Cir. 1995), quoting Farmer, 511 U.S. at
844. Even if the requisite subjective knowledge is established, an official may avoid liability Aif [he]
responded reasonably to the risk, even if the harm ultimately was not averted.@ Farmer, 511 U.S. at
844. Reasonableness of the actions taken must be judged in light of the risk the defendant actually
knew of at the time. Inmates do not have a constitutional right to the treatment of their choice, Dean
v. Coughlin, 804 F.2d 207, 215 (2d Cir. 1986), and disagreements between medical staff and an
inmate over the necessity for or extent of medical treatment do not rise to a constitutional injury.
See Estelle, 429 U.S. at 105-06; Wright v. Collins, 766 F.2d 841, 849 (4th Cir. 1985).
There is no dispute that Plaintiff underwent a hip replacement over twenty years ago and
suffers from severe degeneration of his hip.
However, he has seen a number of medical
professionals and received significant medical accommodations on site at various prisons and at the
hospital. In addition, during the time he was under the medical care of Dr. Tewelde, Plaintiff saw
pain management personnel at the hospital, received x-rays, underwent a cortisone injection, and
received pain medications. While Plaintiff may be dissatisfied with the course of treatment and the
health care professionals, the care he received met the constitutional requirements. Accordingly,
Plaintiff has not demonstrated a violation of his Eighth Amendment rights.
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Additionally, many of Plaintiff’s claims relate to treatment (or alleged lack of treatment)
after he left BCCC and the treatment of Dr. Tewelde.4 Even though the DOC presented records
showing the care he did receive at these times, since the DOC is not an appropriate defendant and
since the Plaintiff has shown a documented medical problem, the Court will order the DOC to
provide a status report regarding the medical care and housing assignments received by the Plaintiff.
A federal district court’s power to appoint counsel in civil actions under
28 U.S.C. § 1915(e)(1) is a discretionary one, and may be considered where an indigent claimant
presents exceptional circumstances. See Cook v. Bounds, 518 F.2d 779, 780 (4th Cir. 1975); see
also Branch v. Cole, 686 F.2d 264, 266 (5th Cir. 1982). The question of whether such circumstances
exist in a particular case hinges on the characteristics of the claim and the litigant. See Whisenant v.
Yuam, 739 F.2d 160, 163 (4th Cir. 1984), abrogated on other grounds by Mallard v. U.S. District
Court, 490 U.S. 296, 298 (1989). Where a colorable claim exists but the litigant has no capacity to
present it, counsel should be appointed. Id. In this case, there is no indication at this time that the
Plaintiff has a colorable claim or that he has not had the capacity to represent himself in this action.
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To the extent that Plaintiff has attempted to subsequently name the BCCC Warden and Wexford Health
Services as Defendants by naming them in his additional filings, leave to amend shall be denied. There is no
showing that the Warden was personally involved in Plaintiff’s medical care or housing assignment while he
was incarcerated at BCCC. Plaintiff has also provided no evidence demonstrating supervisory liability on the
part of the Warden. See Shaw v. Stroud, 13 F.3d 791, 799 (4th Cir. 1994); Miltier v. Beorn, 896 F. 2d 848,
854 (4th Cir. 1990). Further, no claims may be raised against Wexford, which is a corporate entity and cannot
be held liable under 42 U.S.C. § 1983. A private corporation is not liable under § 1983 for actions allegedly
committed by its employees when such liability is predicated solely upon a theory of respondeat superior.
See Austin v. Paramount Parks, Inc., 195 F.3d 715, 727-28 (4th Cir. 1999); Powell v. Shopco Laurel Co., 678
F.2d 504, 506 (4th Cir. 1982); Clark v. Maryland Dep’t of Public Safety and Correctional Services, 316 Fed.
Appx. 279, 282 (4th Cir. 2009).
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CONCLUSION
For the aforementioned reasons, Defendants’ motions for summary judgment are granted.
Plaintiff’s motion to appoint counsel is denied. The case shall be administratively closed. A separate
Order follows.
Dated: March 19, 2014
/s/
ROGER W. TITUS
UNITED STATES DISTRICT JUDGE
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