Enow v. Baucum et al
MEMORANDUM OPINION. Signed by Judge Paul W. Grimm on 5/24/2017. (c/m 05/24/2017 jf3s, Deputy Clerk)
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF MARYLAND
NDOKEY ENOW, #435845, 1990859
SHARON L. BAUCOM, M.D.
WARDEN KATHLEEN S. GREEN,
WEXFORD HEALTH SOURCES, INC.,
BEN OTEYZA, M.D.,
Civil Action No. PWG-16-4042
This matter is before me on self-represented plaintiff Ndokey Enow’s Motion for a
Temporary Restraining Order (“TRO”), ECF No. 3. He claims that he is blind in his right eye
and the vision in his left eye is blurry due to a cataract. Pl.’s Mem. 2–3, ECF No. 3-1. He seeks
“a medically appropriate course of eye examination and treatment . . . to restore and maintain the
full functioning” of his vision in both eyes, including and an examination “by a qualified eye
specialist.” Pl.’s Mot. 1–2.1 Because Enow has not shown a likelihood of irreparable harm, I
will deny his Motion.
The parties fully briefed Plaintiff’s Motion. ECF Nos. 3-1, 25, 28, 29. Enow filed a
Declaration in support of his Motion, ECF No. 3-2, and verified his Reply, Pl.’s Reply 14.
Defendants filed Declarations from Sharon L. Baucom, M.D., ECF No. 25-1, and Ben E. Oteyza,
M.D., ECF No. 25-2, and Enow filed his medical records, ECF Nos. 28-2, 29-2. A hearing is not
necessary. See Loc. R. 105.6.
In addition to the claim based on his alleged eye injuries, the other claim moving forward
in this case is Plaintiff’s allegation that he suffered a concussion on November 19, 2015, when a
fellow inmate struck him in the head with a hard object, and he has blackouts, constant cluster
migraine headaches, and neck and back pain as a result. Compl. 6, ECF No. 1; see Order, ECF
No. 5 (directing Defendants to respond to this claim as well as Plaintiff’s Motion for a TRO).
The briefing of Plaintiff’s Motion also addresses the merits of Plaintiff’s claims of injury from a
concussion. Also pending are Enow’s Motion for Summary Judgment, ECF No. 14; Wexford
Enow is incarcerated at Eastern Correctional Institution in Westover, Maryland. He
claims that he “was physically assaulted by a fellow inmate” on January 13, 2015, and “the
inmate injured [his] right eye and rendered [him] partially blind.” Pl.’s Decl. ¶ 1. He asserts that
on January 15, 2015, Sandra Cremers, M.D., an ophthalmologist, diagnosed him with “traumatic
iritis” and “conjunctival hemorrhage” of the right eyes and cataracts in both eyes and
recommended that he remain under medical supervision. Pl.’s Mem. 1–2; see Pl.’s Decl. ¶ 2. He
also claims that he was referred for an eye examination on March 5, 2015 because his vision was
blurry in his left eye, and he was blind in his right eye. Pl.’s Mem. 2. On March 12, 2015, he
requested an eye examination for the “traumatic irititis [he] suffered on that eye since
01/13/2015,” as well as the pain and he experienced and the conjunctival hemorrhage. Sick Call
Request, ECF No. 28-2, at 3.
According to Enow, he was seen on March 18, 2015 by
optometrist Dr. Alesha Spellman-Smith, who agreed with Dr. Cremers and prescribed eyeglasses
for him. Pl.’s Reply ¶ 3.
On March 31, 2015, he again sought an eye examination for his blurry vision. Sick Call
Request, ECF No. 28-2, at 4. Dr. Spellman-Smith examined his right eye again on April 8, 2015,
id., and “diagnosed the plaintiff as legally blind in his right eye with a MAC scar.” Pl.’s Reply
¶ 4. Then, on April 20, 2015, Dr. Spellman-Smith, “made [a] procedure/test request based on
and Oteyza’s Motion to Dismiss or, in the Alternative, Cross-Motion for Summary Judgment and
Opposition to Plaintiff’s Motion for Summary Judgment, ECF No. 22, and Defendants former
Warden Kathleen Green and Baucom’s Motion to Dismiss or, in the Alternative, for Summary
Judgment, ECF No. 31. I will address the merits of Plaintiff’s claims when the pending motions
all are ripe.
In her Declaration, Baucom, states that she, as Director of Clinical Services for the
Maryland Department of Public Safety and Correctional Services (“DPSCS”), does not have
supervisory authority over the staff of the private health care providers that DPSCS contracts
with to provide medical care to inmates (including Enow) housed in its facilities. Baucom Decl.
¶¶ 1–2, 4.
trauma” he experienced in January 2015. Pl.’s Reply ¶ 5. But, he claims, he has not received
“any course of further eye examination despite his repeated requests.” Id.; see Pl.’s Mem. 2;
Pl.’s Decl. ¶ 4. The medical records Plaintiff submitted show that he received a routine eye
examination on-site on October 29, 2015. Med. Rec., ECF No. 29-2, at 10.
Enow claims to suffer recurrent pain from his eye injury, macular degeneration, cataracts,
blurry distance vision, eye fatigue, light sensitivity, cluster migraine headaches and watery,
burning, and itching eyes. Pl.’s Mem. 2; Pl.’s Reply ¶ 5. Further, he alleges that he is in danger
of permanent loss of vision in both eyes unless his Motion is granted. Pl.’s Mem. 4; Pl.’s Decl.
Ben E. Oteyza, M.D., who is a physician licensed by the State of Maryland’s Board of
Physicians, is employed by Wexford Health Sources, Inc. (“Wexford”), to provide physician
services to inmates in the DPSCS system. Oteyza Decl. ¶ 1. In his Declaration,2 Oteyza states
that Enow “has a history of blurry distance vision in his left eye for which he has prescription
eyeglasses.” Id. ¶ 4. Enow did not complain about headaches or vision problems during his
December 18, 2015 physical examination or afterwards. Id. ¶¶ 8, 10.
Indeed, Enow had
submitted a sick call request for a “normal headache” on July 6, 2015, but after that, Enow did
not submit any sick call requests for headaches, dizziness or blackouts until December 27, 2016.
Id. ¶ 9.
Oteyza notes that, in May 2016, Plaintiff did ask to see an ophthalmologist regarding his
allegedly worsening vision due to cataracts, but he did not complain about “any other eye
The Declaration is identical to Oteyza’s Declaration filed on April 25, 2017 with Oteyza and
Wexford’s Motion to Dismiss or, in the Alternative, Cross-Motion for Summary Judgment. ECF
No. 22-5. In support of their motion, Oteyza and Wexford also filed 73 pages of Enow’s medical
records, ECF No. 22-4, which Oteyza summarized in the Declaration. These medical records
were not resubmitted with the Response to the Motion for a Temporary Restraining Order,
presumably because they are already part of the record.
problems or headaches.” Id. ¶ 11. “Plaintiff was seen by optometry on December 8, 2016, but
there is no indication Plaintiff reported any complaints of headaches, dizziness, or blackouts.” Id.
Oteyza asserts that, while Enow submitted a sick call request on December 27, 2016,
complaining that he “was involved in an altercation” the day before, “[t]here is no medical
documentation that Enow was assaulted on December 26, 2016.” Id. ¶ 9. When Enow “was
evaluated by a nurse at sick call for complaints of headaches, nose bleeding, body pain and
dizziness on December 28, 2016,” his “sclera was red, but Plaintiff was otherwise alert and
oriented, with no signs of nasal bleeding.” After his December 28, 2016, examination, Enow did
not submit any additional sick call slips for headaches, dizziness, or blackouts. Id. ¶ 10. Oteyza
states that Plaintiff’s one complaint about “vision problems” since November 19, 2015 was in
January 2017, when he asked for “new prescription eyeglasses because his cellmate allegedly
broke them.” Id.
Enow states that on May 3, 2016, he consulted with Nicole Frey, RN regarding his vision
problems. Pl.’s Reply ¶ 6. Specifically, he stated that he had “medical records stating [his]
diagnosis of blindness and need[ed] to see opthomology [sic].” Med. Rec., ECF No. 29-2, at 15.
He claims that, on May 31, 2016, he consulted Deborah Tabulov, NP in the chronic care clinic
and she “placed a specialty service request to optometry for a general eye exam,” but it was
ignored. Id. ¶ 7. According to Enow, he had had an eye examination on April 8, 2015, but did
not receive another one until his May 8, 2017 “optometry eye examination for prescription
eyeglasses at the on-site clinic.” Id. ¶ 8.
Motion for a Preliminary Injunction
A preliminary injunction is distinguished from a TRO only by the difference in notice to
the nonmoving party and by the duration of the injunction. U.S. Dep’t of Labor v. Wolf Run
Mining Co., 452 F.3d 275, 281 n.1 (4th Cir. 2006) (comparing Fed. R. Civ. P. 65(a) with Fed. R.
Civ. P. 65(b)). Defendants have received notice and I will treat the Motion as one for a
The purpose of a preliminary injunction is to “protect the status quo and to prevent
irreparable harm during the pendency of a lawsuit, ultimately to preserve the court's ability to
render a meaningful judgment on the merits.” In re Microsoft Corp. Antitrust Litig., 333 F.3d
517, 525 (4th Cir. 2003). As a preliminary injunction is “an extraordinary remedy,” it “may only
be awarded upon a clear showing that the plaintiff is entitled to such relief.” Winter v. Nat. Res.
Def. Council, Inc., 555 U.S. 7, 22 (2008). To obtain a preliminary injunction, Enow must
“establish that (1) he is likely to succeed on the merits, (2) he is likely to suffer irreparable harm
in the absence of preliminary relief, (3) the balance of equities tips in his favor, and (4) an
injunction is in the public interest.” Id. at 20; see also Dewhurst v. Century Aluminum Co., 649
F.3d 287, 290 (4th Cir. 2011). In the prison context, courts should grant preliminary injunctive
relief only under exceptional and compelling circumstances. See Taylor v. Freeman, 34 F.3d
266, 269 (4th Cir. 1994).
I do not take Enow’s medical concerns lightly. Yet, Enow acknowledges that he recently
was seen in the optometry clinic for his vision concerns. And, he has not submitted any proof of
irreparable harm to substantiate his claims of medical urgency. Without such proof, I cannot
conclude that Enow will be irreparably harmed. Under these circumstances, Enow does not meet
his burden to show that he is likely to succeed on the merits or that he faces irreparable harm; nor
has he presented exceptional and compelling circumstances to tip the balance of equities in his
favor or met his burden to show that granting an injunction will serve the public interest. Enow
fails to sustain the heavy burden required for preliminary injunctive relief, and the Motion will
be denied in a separate order.
May 24, 2017
Paul W. Grimm
United States District Judge
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