McCray v. MDOC et al

Filing 94

MEMORANDUM OPINION re 93 Judgment. Signed by District Judge Michael P. Mills on 6/13/17. (rel)

IN THE UNITED STATES DISTRICT COURT
FOR THE NORTHERN DISTRICT OF MISSISSIPPI
OXFORD DIVISION
OTIS OLIVER MCCRAY

PLAINTIFF

v.

No. 3:15CV154-MPM-RP

MDOC, ET AL.

DEFENDANTS

MEMORANDUM OPINION
This matter comes before the court on the pro se prisoner complaint of Otis Oliver McCray,
who challenges the conditions of his confinement under 42 U.S.C. § 1983. For the purposes of the
Prison Litigation Reform Act, the court notes that the plaintiff was incarcerated when he filed this suit.
The plaintiff has brought the instant case under 42 U.S.C. § 1983, which provides a federal cause of
action against “[e]very person” who under color of state authority causes the “deprivation of any
rights, privileges, or immunities secured by the Constitution and laws.” 42 U.S.C. § 1983. The
plaintiff alleges that the defendants violated the Eighth Amendment prohibition against cruel and
unusual punishment by failing to provide him with adequate medical care. The defendants have
moved [79] for summary judgment; the plaintiff has responded to the motion, and the defendants have
replied. The matter is ripe for resolution. For the reasons set forth below, the motion [79] by the
defendants for summary judgment will be GRANTED, and judgment will be entered for the
defendants.
Summary Judgment Standard
Summary judgment is appropriate if the “materials in the record, including depositions,
documents, electronically stored information, affidavits or declarations, stipulations (including those
made for purposes of the motion only), admissions, interrogatory answers, or other materials” show
that “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) and (c)(1). “The moving party must show that if the evidentiary
material of record were reduced to admissible evidence in court, it would be insufficient to permit the
nonmoving party to carry its burden.” Beck v. Texas State Bd. of Dental Examiners, 204 F.3d 629,
633 (5th Cir. 2000) (citing Celotex Corp. v. Catrett, 477 U.S. 317 (1986), cert. denied, 484 U.S. 1066
(1988)). After a proper motion for summary judgment is made, the burden shifts to the non-movant to
set forth specific facts showing that there is a genuine issue for trial. Anderson v. Liberty Lobby, Inc.,
477 U.S. 242, 249, 106 S. Ct. 2505, 2511, 91 L. Ed. 2d 202 (1986); Beck, 204 F.3d at 633; Allen v.
Rapides Parish School Bd., 204 F.3d 619, 621 (5th Cir. 2000); Ragas v. Tennessee Gas Pipeline
Company, 136 F.3d 455, 458 (5th Cir. 1998).
Substantive law determines what is material. Anderson, 477 U.S. at 249. “Only disputes over
facts that might affect the outcome of the suit under the governing law will properly preclude the entry
of summary judgment. Factual disputes that are irrelevant or unnecessary will not be counted.” Id., at
248. If the non-movant sets forth specific facts in support of allegations essential to his claim, a
genuine issue is presented. Celotex, 477 U.S. at 327. “Where the record, taken as a whole, could not
lead a rational trier of fact to find for the non-moving party, there is no genuine issue for trial.”
Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587, 89 L. Ed. 2d 538 (1986);
Federal Savings and Loan, Inc. v. Krajl, 968 F.2d 500, 503 (5th Cir. 1992). The facts are reviewed
drawing all reasonable inferences in favor of the non-moving party. Allen, 204 F.3d at 621; PYCA
Industries, Inc. v. Harrison County Waste Water Management Dist., 177 F.3d 351, 161 (5th Cir.
1999); Banc One Capital Partners Corp. v. Kneipper, 67 F.3d 1187, 1198 (5th Cir. 1995). However,
this is so only when there is “an actual controversy, that is, when both parties have submitted evidence
of contradictory facts.” Little v. Liquid Air Corp., 37 F.3d 1069, 1075 (5th Cir. 1994); see Edwards v.
Your Credit, Inc., 148 F.3d 427, 432 (5th Cir. 1998). In the absence of proof, the court does not

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“assume that the nonmoving party could or would prove the necessary facts.” Little, 37 F.3d at 1075
(emphasis omitted).
The very purpose of summary judgment is to “pierce the pleadings and assess the proof
in order to see whether there is a genuine issue for trial.” Advisory Committee Note to the 1963
Amendments to Rule 56. Indeed, “[t]he amendment is not intended to derogate from the
solemnity of the pleadings. Rather, it recognizes that despite the best efforts of counsel to make
his pleadings accurate, they may be overwhelmingly contradicted by the proof available to his
adversary.” Id. The non-moving party (the plaintiff in this case), must come forward with proof
to support each element of his claim. The plaintiff cannot meet this burden with “some
metaphysical doubt as to the material facts,” Matsushita, 475 U.S. at 586, 106 S.Ct. at 1356,
“conclusory allegations,” Lujan v. National Wildlife Federation, 497 U.S. 871, 871-73, 110 S.Ct.
3177, 3180 (1990), “unsubstantiated assertions,” Hopper v. Frank, 16 F.3d 92 (5th Cir. 1994), or
by a mere “scintilla” of evidence, Davis v. Chevron U.S.A., Inc., 14 F.3d 1082 (5th Cir. 1994). It
would undermine the purposes of summary judgment if a party could defeat such a motion
simply by “replac[ing] conclusory allegations of the complaint or answer with conclusory
allegations of an affidavit.”
In considering a motion for summary judgment, once the court “has determined the relevant
set of facts and drawn all inferences in favor of the nonmoving party to the extent supportable by the
record, [the ultimate decision becomes] purely a question of law.” Scott v. Harris, 550 U.S. 372, 381
(2007) (emphasis in original). “When opposing parties tell two different stories, one of which is
blatantly contradicted by the record, so that no reasonable jury could believe it, a court should not
adopt that version of the facts for purposes of ruling on the motion for summary judgment.” Id. at
380.

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The Plaintiff Has Altered Documents Before
Submitting Them to the Court
Before setting forth the undisputed facts, the court must note that Mr. McCray has altered
some of the documents he has presented to the court. There are instances where the date or content of
the plaintiff’s copy of a document differs from that found in the certified copy. Though the plaintiff
alleges that the defendants have altered the dates and, perhaps, the content of some documents, the
nature of the changes make clear that the plaintiff, himself, altered the documents in his possession
before submitting them to the court. The plaintiff clearly gained possession of an incomplete
document, then filled in the blank spaces with statements more favorable to his positions in this case.
An example of this deception can be found when comparing the certified copy of the First
Step Response Form to Grievance Number MCCF-15-315 (an exhibit to the defendants’ motion for
summary judgment [Doc. 90-2 at 18]) with the version attached to McCray’s Response to that motion
[Doc. 86 at 39]. One of McCray’s claims in this case is that he did not receive a medication prescribed
by a doctor to treat prostate trouble.
The Certified First Step Response
In the certified document, Nurse Darnell states:
You were seen by the specialist on 6/11/15 and the medication the specialist ordered
was KOP’d to you on 6/16/15.
The term KOP means “keep on person;” thus, medical personnel simply handed the medication to him
so that he could take it when needed, rather than waiting for the nurse to come by his cell several times
per day to dispense it. In response, Mr. McCray acknowledges that he received the medication, but
only after he told the doctor that the prescription was not initially in the computer:
Nurse Gale & crew did not put the presribtion in the computer, after I came from the
uroxlist, 3 months later when the sick call I place, to c the doctor that’s when it
happen.
Check ur constulation report, the medication was not in the computer 7-15-15. If I had
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not toll the doctor on the 7-15-15; it would have been 3 months late.
Doc. 90-2 at 18 (errors in original). On the next page is a document showing that Mr. McCray
received the medication on June 16, 2015. He complains in that document that he got the medication
only after the consult:
This was after; the constulation. Report will show the misconduct. Ask the Doctor
what happen!! (unless the dates was change) U know Birds of a Feather Flock
Together
Id. (errors in original). In the next line he threatens to alter medical documents in the future:
I’m change some dates to c what happen; Imagine THAT!!
Id. McCray signed the certified copy and wrote the date: “Oct 7 2015.”
Uncertified Document
Parts of the uncertified First Step Response Form No. MCCF-15-315 are identical to the
certified version – the parts filled in by medical personnel. It is Mr. McCray’s responses that differ.
The plaintiff’s statements in the uncertified copy attached to his response are seemingly unrelated to
those in the uncertified copy:
Darnell change date of complaint.
What happen to the remedy, for Nurse Gale, Nurse Mayson, Nurse Jackson, and
Dental Clerk Burch, Not satisfied with this Adminstrative Remedy Program at
(MCCF) **
Doc. 86 at 39 (errors in original). Also, in the uncertified document, McCray did not sign or date his
reply to the First Step Response. The Second Step Response, drafted by Dr. Kpabitey, was identical in
both versions:
You were seen by the Urologist and he ordered a medication that is not on the
Centurion formulary. These medications have to be first viewed by the Medical
Director and a request for approval of the medication must be sent to the appropriate
people for review and approval. Due to the process, these specialty medications
cannot be available immediately. I will do all I can on my part to expedite this process
and ensure that my clients receive their medication as quickly as possible.

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Doc. 90-2 at 43. Dr. Kpabitey signed the document on December 7, 2015; Mr. McCray on December
21, 2015.
Parts of Another Document Obliterated
As another example, in an uncertified Second Step Response Form (Doc. 86 at 42), Mr.
McCray has obliterated the grievance number, leaving only the “MCCF” portion, a designation for the
Marshall County Correctional Facility. The court can tell the grievance number was obliterated
because: (1) that number (MCCF-15-02) can be found on the certified copy of the form, Doc. 90-2 at
7; and (2) though most of the text present on the certified form is missing on McCray’s copy, a small
part on his copy trailed up into the line above, between the words “Remedy” and “Program.” Thus,
the text clearly existed on an original copy, and was partially obliterated on Mr. McCray’s copy. It
appears that Mr. McCray has tried to match up MDOC responses to one grievance with a separate,
unrelated grievance. There is no valid reason for doing this.1
McCray’s Past Presentation of Misleading Documents
Indeed, Mr. McCray has a history of presenting false or misleading documents to courts.
When pursuing post-conviction collateral relief in the Mississippi Court of Appeals, he argued that his
indictment was defective because it was signed only by the District Attorney. In support of his
argument, he presented a copy of his indictment that only the prosecutor had signed. The Mississippi
Court of Appeals reviewed this claim – first, holding that it was procedurally barred, then reviewing
the merits of the claim:
McCray contends that his indictment was defective because it was not signed by either
1

The court has reviewed Mr. McCray’s extensive medical record and notes that doctors have
prescribed him a variety of psychotropic medications to treat mental illness. For the present, the court
will attribute McCray’s alterations of documents as a manifestation of mental illness – and will not
issue a show-cause order regarding the propriety of sanctions for attempting to mislead the court.
However, if in the future the court discovers alterations of documents in this case or others, such a
show-cause order will issue
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the foreman of the grand jury or the circuit clerk. McCray attached a copy of his
indictment, signed by the district attorney only, to his brief on appeal.
...
[W]e find no merit to McCray’s [defective indictment] claim. The only support he
offers is a copy of the indictment that has been attached to his brief on appeal. In
reviewing this case we are limited to the appellate record, and a party cannot make
something part of the record by simply binding it with his brief. McCullough v. State,
47 So.3d 1206, 1211 (¶ 18) (Miss.Ct.App.2010). McCray also ignores the certified
copy of his indictment, found on the first page of the record, that is both signed by the
grand jury foreman and stamped filed in the circuit court. The fact that an unsigned
copy of the indictment exists somewhere has no effect on the fully executed
indictment in the record.
McCray v. State, 107 So. 3d 1042, 1044–45 (Miss. Ct. App. 2012) (emphasis added).
The Court Will Not Consider the Documents Submitted by the Plaintiff
As Mr. McCray has obviously altered the documents he submitted in response to the
defendants’ motion for summary judgment, the court will not consider them in the instant
memorandum opinion.
Undisputed Material Facts
The facts set forth below are either admitted by the plaintiff or may be found in the relevant
medical and dental records. On September 8, 2015, Otis Oliver McCray (“McCray”), a pro se litigant
currently incarcerated at the Marshall County Correctional Facility (“MCCF”) for receiving stolen
property, robbery, and manslaughter, filed a complaint under 42 U.S.C. § 1983. Doc. 1. McCray’s
complaint alleges that, while incarcerated at MCCF, defendants Gale, Mason, and Jackson, for two
months, withheld medication prescribed to him by a “free-world” physician. McCray contends that,
as a result, the defendants were deliberately indifferent to his medical needs relating to prostate cancer.
Id. McCray’s medical records show that he suffers from chronic prostate pain; however, no diagnosis
of prostate cancer appears in his medical record.

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McCray’s medical records, however, reflect that he received all medications prescribed to
him, including Flomax, during the relevant time period of June to August 2015. On June 12, 2015,
McCray was seen and evaluated by Dr. Stallworth, a physician at MCCF. See Medical Records
attached to the defendants’ motion for summary judgment as Exhibit A at 4-5. The same day,
McCray was transported from MCCF for an off-site trip to a urology appointment. Id. at 6. The
urology report completed at that time noted that McCray probably had a prostate infection. Id. at 5.
The urologist prescribed Flomax and requested that McCray return for a follow-up visit in one month.
Id. Gale updated McCray’s medical records upon his return from the urology appointment, including
documenting McCray’s prescription for Flomax with instructions for McCray to take one capsule by
mouth daily. Id. at 7. McCray’s medical chart shows that the medications prescribed to McCray at
that time included Flomax. Id. at 19. Defendant Gale also documented that McCray was to have a
follow-up appointment with the urologist in one month. Id. at 7.
Following his off-site urology appointment, McCray submitted several sick-call requests
during the relevant time period. None of these sick call requests included the complaints that the
defendants withheld prescription medication following McCray’s June urology appointment. For
example:
<

June 13, 2015 Sick-Call Request: McCray submitted a sick-call request due for symptoms of
head congestion, nasal and ear drainage, and a cough. Id. at 9, 11. He was evaluated by
medical staff the same day. Id.

<

June 24, 2015 Sick-Call Request: McCray submitted another sick-call requesting to see a
doctor and have his medications refilled. Id. at 14. He was evaluated by medical staff on June
27, 2015 at which time he requested a renewal of his Neurontin for his back pain. Id. at 15.

<

July 2, 2015 Sick-Call Request: McCray submitted a sick-call requesting to see a doctor for
his back pain and medication refill. Id. at 22. On July 3, 2015, McCray was advised he had
an appointment scheduled with a doctor in response to his sick call. Id. at 22-23.

<

July 4, 2015 Sick-Call Request: McCray submitted another sick-call requesting medication
refill for his back pain. Id. at 25. McCray was evaluated by medical staff on July 5, 2015 for
complaints of cold and sinuses and for his request medication refill for his back pain. Id. at
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26. The medical provider prescribed medication for his cough advised McCray that he has a
scheduled appointment with a doctor for his back pain. Id. McCray was evaluated by Dr.
Kpabitey on July 10, 2015 in response to his sick-calls relating to his back pain and request for
medication refills for Neurontin, Flexeril and psych medications. Id. at 29. Dr. Kpabitey
renewed his prescription for Neurontin and prescribed him an antibiotic shot. Id. at 29-31.
Defendant Jackson updated his medications per Dr. Kpabitey’s orders the same day. Id. at 32.
<

July 12, 2015 Sick-Call Request: McCray submitted a sick-call request seeking psychological
treatment stating that he was hearing chains falling and requested a medication refill. Id. at 34.
McCray was evaluated by mental health providers on July 14, 2015. Id. at 46-48.
On July 13, 2015, McCray was seen by the off-site urologist for his one-month follow-up

visit. Id. at 36, 38-41. The urologist noted that McCray’s “chief complaint” was that McCray did not
believe that the Flomax trial was helping his symptoms. Id. at 38-39. The urologist then prescribed
Uroxatral to McCray. Id. at 40. Upon his return to MCCF, McCray advised medical staff that he was
prescribed a new medication. Id. at 44. Uroxatral was added to McCray’s medication list and a onemonth follow-up was scheduled if his symptoms did not improve. Id. On August 12, 2015, McCray
was seen by Dr. Kpabitey, a doctor at MCCF, for a sick-call request for pain medication renewal and a
urology follow-up. Id. at 60. Dr. Kpabitey added new medications for McCray’s symptoms. Id.; see
also Doc. 18 at 2.
McCray was seen by Dr. Kpabitey again on October 13, 2015 for complaints of difficulty
passing urine and because he had finished the medication prescribed by the urologist. Id. at 119.
Because his symptoms had not subsided, Dr. Kpabitey requested a urology follow-up appointment for
McCray on October 14, 2015. Id. at 122.
McCray submitted another sick-call request on November 11, 2015, complaining of prostate
pain. Id. at 143. He was evaluated by defendant Gale on the same day, who advised him that Dr.
Kpabitey had already requested a urology appointment for his chronic prostate pain. Id. at 145.
McCray was seen by the outside urologist again on November 20, 2015. Id. at 156. McCray was
continued on the Uroxatral medication. Id. at 157. Dr. Kpabitey requested the prescribed Uroxatral as
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a non-formulary medication request. Id. at 164. The medical records note that this medication had to
be approved on instructions of a specialist on December 1, 2015. Id. at 166.
On September 1, 2016, Plaintiff was seen by a different “free-world” urologist, who scheduled
an operative procedure cystoscopy for Thursday, September 8, 2016. Id. at 359, 362. Between
September 1 and September 8, McCray continued to have prostate problems and was granted a “layin” related to those problems. Id. at 372-391. Medical staff performed various evaluations and tests
on McCray relating to his complaints of prostate pain in September 2016. Id. McCray underwent
surgery off-site on September 8, 2016, to treat his prostate condition. Id. at 394-95.
Upon returning to MCCF, he received his first dose of the medications ordered by the
urologist. Id. at 420. He was seen by the off-site urologist for additional procedures and follow-ups
on September 13, 2016, and September 20, 2016. Id. at 438, 447. The offsite urologist recommended
follow-up in one-year. Id. at 447.
Plaintiff’s Alleged Denial of Dental Care
With respect to his dental care, McCray has continuously been evaluated and treated by
medical staff and dentists during his incarceration. Defendant Burch is a dental assistant. McCray
submitted a sick-call request on September 21, 2015 requesting to see a dentist regarding tooth pain.
Id. at 80. He was seen by a registered nurse the next day. Id. at 81. The nurse indicated that
McCray’s left front tooth was broken almost in half and referred him to the first available dental
appointment. Id. McCray submitted another sick-call request on September 26, 2015 again
complaining of tooth pain and requesting that his denture plate be refitted. Id. at 89. McCray was
seen by a registered nurse the next day, who noted that he had a dental appointment scheduled. Id. at
90-91. McCray was seen by a dentist on September 30, 2015. Id. at 98. McCray executed an oral
surgery treatment consent form and had dental surgery to extract his tooth. Id. at 97-98; 104-07.

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About a week later, McCray was seen by a registered nurse on October 8, 2015, with
continued complaints of tooth problems. Id. at 115. He was referred to the dentist again. Id. He was
triaged again on October 18 regarding his request for a tooth to be added to an existing partial plate (a
partial denture consisting of a replacement tooth attached to a gum-colored base). Id. at 126. McCray
was told he had a dentist appointment scheduled. Id. McCray had a consultation for a repair of his
partial plate on February 20, 2016. Id. at 240. The dentist noted that McCray had an existing partial,
but had lost an abutment tooth. Id. The dentist recommended McCray receive a new partial, or tooth
and clasp to be added to the existing partial. Id. McCray requested a follow-up dental consultation on
February 26, 2016, and he was referred to dental by medical staff. Id. at 246.
On March 30, 2016, McCray executed a consent for dental treatment. Id. at 292-93. The
treating dentist made impressions of McCray’s teeth, smoothed a sharp edge on one of his teeth, and
put in an order for the repair of McCray’s partial. Id. at 295-96. McCray was provided with his
repaired partial on April 6, 2016. Id. at 310.
McCray was seen by a different dentist on April 30, 2016 for his regular two-year dental visit.
Id. at 316. No follow-up or additional work was noted relating to McCray’s dental care at this time.
Id.
McCray submitted a sick-call request for another broken tooth on July 25, 2016. Id. at 319.
He was seen by registered nurse on July 26 and referred to the dentist. Id. In August, McCray
submitted another request to be seen by a dentist. Id. at 367. McCray was treated by a dentist on
September 2, 2016. Id. at 371; 374. The dentist noted that if his tooth remained symptomatic, he
should return for extraction. Id. at 374. McCray requested his tooth to be extracted on September 21,
2016. Id. at 453. He was treated by a dentist on September 23, 2016. Id. at 454.
McCray’s Grievance File.

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McCray submitted a grievance relating to his urology medication in August 2015. See
Grievance Records attached to Defendants’ Motion as Exhibit B at 13. McCray’s request was
returned to him because it was unsigned and did not specify any relief sought. Id. McCray then
received his first-step response on October 5, 2015, which stated that the medication prescribed by the
specialist on June 11, 2015 (the Flomax) was ordered and “KOP’d” to him on June 16, 2015—i.e.,
delivered to him “keep on person” – in sufficient quantity that he could self-administer the Flomax for
a certain period of time. Id. at 14. McCray responded that he did not receive his medication until
three months later. Id. at 18. McCray’s second-step response from Dr. Kpabitey advised him that the
new medication ordered by the specialist on November 20, 2015, was not on the Centurion formulary
so it had to be reviewed and approved before it could be given to him. Id. at 20.
McCray never submitted a grievance through the ARP program regarding his complaints
about dental care. See id.
Exhaustion of Administrative Remedies
Congress enacted the Prison Litigation Reform Act (“PLRA”), 42 U.S.C. §1997e et seq.
– including its requirement that inmates exhaust their administrative remedies prior to filing suit
– in an effort to address the large number of prisoner complaints filed in federal courts. See
Jones v. Bock, 549 U.S. 199, 202 (2007). Congress meant for the exhaustion requirement to be
an effective tool to help weed out the frivolous claims from the colorable ones:
Prisoner litigation continues to ‘account for an outsized share of filings’ in federal
district courts. Woodford v. Ngo, 548 U.S. 81, 94, n. 4, 126 S.Ct. 2378 (2006) (slip op.,
at 12, n.4). In 2005, nearly 10 percent of all civil cases filed in federal courts
nationwide were prisoner complaints challenging prison conditions or claiming civil
rights violations. Most of these cases have no merit; many are frivolous. Our legal
system, however, remains committed to guaranteeing that prisoner claims of illegal
conduct by their custodians are fairly handled according to law. The challenge lies in
ensuring that the flood of non-meritorious claims does not submerge and effectively
preclude consideration of the allegations with merit. See Neitzke v. Williams, 490 U.S.
319, 327, 109 S.Ct. 1827, 104 L.Ed.2d 338 (1989).
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Congress addressed that challenge in the PLRA. What this country needs, Congress
decided, is fewer and better prisoner suits. See Porter v. Nussle, 534 U.S. 516, 524,
122 S.Ct. 983, 152 L.Ed.2d 12 (2002) (PLRA intended to “reduce the quantity and
improve the quality of prisoner suits”). To that end, Congress enacted a variety of
reforms designed to filter out the bad claims and facilitate consideration of the good.
Key among these was the requirement that inmates complaining about prison
conditions exhaust prison grievance remedies before initiating a lawsuit.
Jones v. Bock, 549 U.S. 199, 203 (2007).
The Prison Litigation Reform Act (“PLRA”), 42 U.S.C. §1997e(a), requires prisoners to
exhaust any available administrative remedies prior to filing suit under 42 U.S.C. §1983. The
exhaustion requirement protects administrative agency authority, promotes efficiency, and
produces “a useful record for subsequent judicial consideration.” Woodford v. Ngo, 548 U.S.81,
89 (2006). A prisoner cannot satisfy the exhaustion requirement “by filing an untimely or
otherwise procedurally defective administrative grievance or appeal” because “proper exhaustion
of administrative remedies is necessary.” Woodford v. Ngo, 548 U.S. 81, 83-84 (2006); see also
Johnson v. Ford, 261 F. App’x 752, 755 (5th Cir. 2008)( the Fifth Circuit takes “a strict
approach” to the PLRA’s exhaustion requirement)(citing Days v. Johnson, 322 F.3d 863, 866 (5th
Cir. 2003)); Lane v. Harris Cty.Med.Dep’t, No. 06-20935, 2008 WL 116333, at *1 (5th Cir.
Jan.11,2008)( under the PLRA, “the prisoner must not only pursue all available avenues of relief;
he must also comply with all administrative deadlines and procedural rules”). Indeed, “a
prisoner must now exhaust administrative remedies even where the relief sought – monetary
damages – cannot be granted by the administrative process.” Booth v. Churner, 532 U.S. 731,
739 (2001).
The requirement that claims be exhausted prior to the filing of a lawsuit is mandatory and
non-discretionary. Gonzalez v. Seal, 702 F.3d 785 (5th Cir.2012). “Whether a prisoner has
exhausted administrative remedies is a mixed question of law and fact.” Dillon v. Rogers, 596
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F.3d 260, 266 (5th Cir. 2010). As “exhaustion is a threshold issue that courts must address to
determine whether litigation is being conducted in the right forum at the right time, . . . judges
may resolve factual disputes concerning exhaustion without the participation of a jury.” Id. at
272. The Supreme Court has also recognized the need for a prisoner to face a significant
consequence for deviating from the prison grievance procedural rules:
The benefits of exhaustion can be realized only if the prison grievance system is given
a fair opportunity to consider the grievance. The prison grievance system will not
have such an opportunity unless the grievance complies with the system’s critical
procedural rules. A prisoner who does not want to participate in the prison grievance
system will have little incentive to comply with the system’s procedural rules unless
noncompliance carries a sanction . . . .
Woodford at 95.
Mississippi Code Annotated § 47-5-801 grants the Mississippi Department of Corrections
the authority to adopt an administrative review procedure at each of its correctional facilities.
Under this statutory authority, the Mississippi Department of Corrections has set up an
Administrative Remedy Program (“ARP”) through which an inmate may seek formal review of a
complaint or grievance relating to any aspect of his incarceration. This court approved the ARP
Program in Gates v. Collier, GC 71-6-S-D (N.D. Miss. Feb. 15, 1994). See also Marshall v.
Price, 239 F.3d 365, 2000 WL 1741549, at *1 (5th Cir. 2000). On September 19, 2010, the ARP
process was changed from a three steps to two. See Gates v. Barbour, No. 4:71CV6-JAD, Doc.
1242 (N.D. Miss. Aug. 19, 2010); Threadgill v. Moore, No. 3:10CV378-TSL-MTP, 2011 WL
4388832, at *3 n.6 (S.D. Miss. July 25, 2011).
The two-step ARP process begins when an inmate first submits his grievance in writing
to the prison’s legal claims adjudicator within thirty days of the incident. Howard v. Epps, No.
5:12CV61-KS-MTP, 2013 WL 2367880, at *2 (S.D. Miss. 2013). The adjudicator screens the
grievance and determines whether to accept it into the ARP process. Id. If accepted, the
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grievance is forwarded to the appropriate official who then issues a First Step Response to the
complaining inmate. Id. If the inmate is unsatisfied with the first response, he may continue to
the Second Step by completing an appropriate ARP form and sending it to the legal claims
adjudicator. Id. The Superintendent, Warden or Community Corrections Director will then issue
a final ruling, or Second Step Response – which completes the ARP process. Id. If the inmate is
unsatisfied with that response, he may file suit in state or federal court. Id.
In this case, Mr. McCray never filed a grievance regarding lack of dental care, and he did not
complete the grievance process regarding medical care for prostate trouble until after he filed the
instant suit. McCray filed the instant suit on September 8, 2015, and he completed the grievance
process regarding his prostate trouble on December 21, 2015, more than three months later. Thus, he
did not even initiate, much less complete, the administrative remedy process as to his denial of dental
care claim. Further, though he eventually completed the administrative remedy process as to his claim
regarding treatment for prostate trouble, he did not do so prior to filing suit. Thus, Mr. McCray did
not exhaust the grievance process as to either of his claims before filing suit, and this case must be
dismissed for failure to exhaust administrative remedies.
Denial of Medical Treatment
In addition, even if Mr. McCray had exhausted the grievance process, his claims are without
merit. In order to prevail on an Eighth Amendment claim for denial of medical care, a plaintiff must
allege facts which demonstrate “deliberate indifference to the serious medical needs of prisoners
[which] constitutes ‘unnecessary and wanton infliction of pain’ proscribed by the Eighth Amendment
. . . whether the indifference is manifested by prison doctors or prison guards in intentionally denying
or delaying access to medical care . . . .” Estelle v. Gamble, 429 U.S. 97, 104-105, 50 L. Ed. 2d 251,
260 (1976); Mayweather v. Foti, 958 F.2d 91, 91 (5th Cir. 1992). The test for establishing deliberate

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indifference is one of “subjective recklessness as used in the criminal law.” Farmer v. Brennan, 511
U.S. 825, 837 (1994). Under this standard, a state actor may not be held liable under 42 U.S.C. §
1983 unless plaintiff alleges facts which, if true, would establish that the official “knows of and
disregards an excessive risk to inmate health or safety; the official must both be aware of facts from
which the inference could be drawn that a substantial risk of serious harm exists, and he must also
draw the inference.” Id. at 838. Only in exceptional circumstances may a court infer knowledge of
substantial risk of serious harm by its obviousness. Id. Negligent conduct by prison officials does not
rise to the level of a constitutional violation. Daniels v. Williams, 474 U.S. 327, 106 S.Ct. 662 (1986),
Davidson v. Cannon, 474 U.S. 344, 106 S.Ct. 668 (1986). In cases such as this, arising from delayed
medical attention rather than a clear denial of medical attention, a plaintiff must demonstrate that he
suffered substantial harm resulting from the delay in order to state a claim for a civil rights violation.
Mendoza v. Lynaugh, 989 F.2d 191, 193 (5th Cir. 1993); Campbell v. McMillin, 83 F. Supp. 2d 761
(S. D. Miss. 2000).
A prisoner’s mere disagreement with medical treatment provided by prison officials does not
state a claim against the prison for violation of the Eighth Amendment by deliberate indifference to his
serious medical needs. Gibbs v. Grimmette, 254 F.3d 545 (5th Cir.2001), Norton v. Dimazana, 122
F.3d 286, 292 (5th Cir. 1997). “Deliberate indifference is not established when medical records
indicate that [the plaintiff] was afforded extensive medical care by prison officials.” Brauner v.
Coody, 793 F.3d 493, 500 (5th Cir. 2015). Nor is it established by a physician not
accommodating a prisoner’s requests in a manner he desired or the prisoner’s disagreement with
the treatment. Id.; Miller v. Wayback House, 253 F. App’x 399, 401 (5th Cir. 2007). To meet his
burden in establishing deliberate indifference on the part of medical staff, the plaintiff “must
show that [medical staff] refused to treat him, ignored his complaints, intentionally treated him

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incorrectly, or engaged in any similar conduct that would clearly evince a wanton disregard for
any serious medical needs.” Brauner, 793 F.3d at 498.
Mr. McCray has not met that burden in the present case. To the contrary, he was examined
and treated each time he filed a medical request form. Though there was a delay regarding provision
of one of the drugs used to treat Mr. McCray’s prostate pain, that delay arose because the medication
prescribed was not included in the ordinary medicines the prison pharmacy dispensed. Once the
medication was approved, Mr. McCray received it. Doctors and medical staff tried various treatments,
and, when one proved ineffective, they tried another. Finally, when none of the less invasive
treatments provided Mr. McCray relief, he was referred to a free world doctor for surgical
intervention. Clearly, Mr. McCray has not shown that “[medical staff] 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.” Id. Instead, Mr.
McCray received treatment on a regular basis culminating in surgery to correct his prostate
trouble. Mr. McCray’s dental treatment followed a similar pattern. As Mr. McCray was treated
for his conditions on an ongoing basis, his claim for denial of adequate medical care must be
dismissed.
Conclusion
For the reasons set forth above, the motion by the defendants for summary judgment will be
granted, and judgment will be entered for the defendants. A final judgment consistent with this
memorandum opinion will issue today.

SO ORDERED, this, the 13th day of June, 2017.
/s/ MICHAEL P. MILLS
UNITED STATES DISTRICT JUDGE
NORTHERN DISTRICT OF MISSISSIPPI
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