Rimer v. State of Nevada ex rel Nevada Department of Corrections et al
Filing
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ORDER Granting Defendants' 235 Motion for Summary Judgment. The Clerk of Court is instructed to close this case. Signed by Judge Richard F. Boulware, II on 9/21/017. (Copies have been distributed pursuant to the NEF - SLD)
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UNITED STATES DISTRICT COURT
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DISTRICT OF NEVADA
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Stanley Rimer,
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Plaintiff,
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Case No. 2:14-cv-00889-RFB-CWH
v.
ORDER
Defendant’s Motion for Summary Judgment,
ECF No. 235
Dwight Neven, et al.
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Defendants.
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I.
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Before the Court is Defendants’ Motion for Summary Judgment (ECF No. 235). For the
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INTRODUCTION
reasons stated below, the Court Grants Defendants’ motion.
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II.
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Plaintiff’s Amended Complaint, filed on June 30, 2014, alleges six causes of action against
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24 defendants. Subsequent to this Court’s screening order and decision on the Motion to Dismiss
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in this case, the following causes of action against the following defendants remain: a claim for
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deliberate indifference to serious medical need, in violation of the Eighth Amendment, pursuant
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to 42 U.S.C. 1983, against Defendants Dwight Neven, Harold Wickham, Jennifer Nash, Timothy
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Filson, Frank Dreesen, Jerry Howell, Joseph Hanson, Romeo Aranas, Cynthia Sablica, and Linda
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Adams.
BACKGROUND
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Defendants filed their Motion for Summary Judgment on January 30, 2017. (ECF No. 235).
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Plaintiff was granted an extension of time to respond until April 6, 2017. (ECF No. 243). Plaintiff
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did not file a Response at that time, and instead filed another Motion to Extend Time to Respond
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(ECF No. 245), which Defendants opposed. Plaintiff’s Reply to that opposition also included
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responsive arguments to the Motion for Summary Judgment (ECF No. 247). The Court granted
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the Motion to Extend Time, and construed Plaintiff’s Reply (ECF No. 247) as, additionally, a
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Response to the Motion for Summary Judgment.
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On July 14, 2017, the Court held a hearing as to Defendants’ Motion for Summary
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Judgment.
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III.
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Summary judgment is appropriate when the pleadings, depositions, answers to
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interrogatories, and admissions on file, together with the affidavits, if any, show “that there is no
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genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.”
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Fed. R. Civ. P. 56(a); accord Celotex Corp. v. Catrett, 477 U.S. 317, 322 (1986). In ruling on a
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motion for summary judgment, the court views all facts and draws all inferences in the light most
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favorable to the nonmoving party. Johnson v. Poway Unified Sch. Dist., 658 F.3d 954, 960 (9th
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Cir. 2011).
LEGAL STANDARD
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Where the party seeking summary judgment does not have the ultimate burden of
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persuasion at trial, it “has both the initial burden of production and the ultimate burden of
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persuasion on a motion for summary judgment.” Nissan Fire & Marine Ins. Co., Ltd. v. Fritz
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Companies, Inc., 210 F.3d 1099, 1102 (9th Cir. 2000). “In order to carry its [initial] burden of
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production, the moving party must either produce evidence negating an essential element of the
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nonmoving party’s claim or defense or show that the nonmoving party does not have enough
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evidence of an essential element to carry its ultimate burden of persuasion at trial.” Id. If the
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movant has carried its initial burden, “the nonmoving party must produce evidence to support its
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claim or defense.” Id. at 1103. In doing so, the nonmoving party “must do more than simply show
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that there is some metaphysical doubt as to the material facts . . . . Where the record taken as a
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whole could not lead a rational trier of fact to find for the nonmoving party, there is no genuine
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issue for trial.” Scott v. Harris, 550 U.S. 372, 380 (2007) (alteration in original) (internal quotation
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marks omitted). However, the ultimate burden of persuasion on a motion for summary judgment
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rests with the moving party, who must convince the court that no genuine issue of material fact
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exists. Nissan Fire, 210 F.3d at 1102.
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IV.
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The Court incorporates its findings of undisputed facts articulated during the hearing on
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UNDISPUTED FACTS
July 14, 2017.
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Plaintiff is an inmate in the custody of the Nevada Department of Corrections (“NDOC”)
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and is currently housed at Lovelock Correctional Center in Lovelock, Nevada. On or about May
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17, 2013, while housed at High Desert State Prison in Indian Springs, Nevada, Plaintiff submitted
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a “third request for dental treatment” complaining of an abscessed tooth and/or broken crown. In
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response to that request, prison dental staff informed Plaintiff that they had not received any other
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kites or requests related to the requested treatment, and that Plaintiff would be seen by the dental
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provider in the order in which his request was received.
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On July 4, 2013, Plaintiff submitted another request for dental treatment stating that he had
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“teeth that need repaired, filling, crown.” In response to Plaintiff’s July 4, 2013 request, prison
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dental staff informed Plaintiff that he would be seen when his name came up chronologically on
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the list of prisoner requests.
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On July 16, 2013, Plaintiff was examined and treated by Defendant Hanson, a dentist
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employed by the NDOC at High Desert. During the July 16, 2013 appointment, Dr. Hanson
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extracted Plaintiff’s tooth. On July 17, 2013, Plaintiff submitted another request for dental
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treatment stating that he needed a filling for a molar. On July 30, 2013, Plaintiff was again
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examined by Dr. Hanson. During the July 30, 2013 appointment, Dr. Hanson determined that
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Plaintiff’s tooth was non-restorable, and offered to extract it. Plaintiff declined the offer.
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Plaintiff submitted a first and second-level grievance for not receiving adequate care
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related to his dental issues. The first-level grievance responder found that Mr. Rimer had been
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examined by medical staff on multiple occasions in 2013. His second-level grievance was denied
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by Dr. Aranas on December 26, 2013, based on his having been seen by a dental provider twice in
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July 2013.
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Dr. Aranas also examined Plaintiff twice in 2012, in response to complaints about a
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ringing/pulsating noise in his ear, as well as a skin condition. In each instance, Dr. Aranas
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determined there was no need for treatment. During an August 2012 examination, he tested
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Plaintiff’s blood pressure and found it to be within acceptable limits.
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On or about January 23, 2014, Plaintiff was transferred to Lovelock Correctional Center.
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Plaintiff’s Amended Complaint asserts that he was treated with beta blockers in February 2014 at
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Lovelock, for his ear ringing, and was told that his blood pressure was the cause. Rimer also asserts
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that he was subjected to psychological damage from being prescribed Risperdal.
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V.
DISCUSSION
A. Legal Standards
1. Eighth Amendment
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The Eighth Amendment’s prohibition against cruel and unusual punishment protects
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prisoners not only from inhumane methods of punishment but also from inhumane conditions of
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confinement. Morgan v. Morgensen, 465 F.3d 1041, 1045 (9th Cir. 2006), opinion amended on
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reh’g, No. 04-35608, 2006 WL 3437344 (9th Cir. Nov. 30, 20016). “A prisoner claiming an Eighth
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Amendment violation [for conditions of confinement] must show: (1) that the deprivation he
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suffered was objectively, sufficiently serious; and (2) that prison officials were deliberately
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indifferent to his safety in allowing the deprivation to take place.” Id. (internal citations and
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quotation marks omitted). “Although the routine discomfort inherent in the prison setting is
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inadequate to satisfy the objective prong of an Eighth Amendment inquiry, those deprivations
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denying the minimal civilized measure of life’s necessities are sufficiently grave to form the basis
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of an Eighth Amendment violation.” Johnson v. Lewis, 217 F.3d 726, 731 (9th Cir. 2000). “Prison
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officials have a duty to ensure that prisoners are provided adequate shelter, food, clothing,
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sanitation, medical care, and personal safety,” and the “circumstances, nature, and duration of a
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deprivation of these necessities must be considered in determining whether a constitutional
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violation has occurred.” Id.
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2. Qualified Immunity
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“The doctrine of qualified immunity protects government officials from liability for civil
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damages insofar as their conduct does not violate clearly established statutory or constitutional
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rights of which a reasonable person would have known.” Pearson v. Callahan, 555 U.S. 223, 231
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(2009). Qualified immunity is an immunity from suit rather than a defense to liability, and “ensures
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that officers are on notice their conduct is unlawful before being subjected to suit.” Tarabochia v.
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Adkins, 766 F.3d 1115, 1121 (9th Cir. 2014). In deciding whether officers are entitled to qualified
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immunity, courts consider, taking the facts in the light most favorable to the nonmoving party,
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whether (1) the facts show that the officer’s conduct violated a constitutional right, and (2) if so,
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whether that right was clearly established at the time. See id. Under the second prong, courts
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“consider whether a reasonable officer would have had fair notice that the action was unlawful.”
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Id. at 1125 (internal quotation marks omitted). While a case directly on point is not required in
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order for a right to be clearly established, “existing precedent must have placed the statutory or
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constitutional question beyond debate.” Ashcroft v. al-Kidd, 131 S.Ct. 2074, 2083 (2011). This
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ensures that the law has given officials fair warning that their conduct is unconstitutional. Further,
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the right must be defined at “the appropriate level of generality… [the court] must not allow an
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overly generalized or excessively specific construction of the right to guide [its] analysis.”
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Cunningham v. Gates, 229 F.3d 1271, 1288 (9th Cir. 2000); see also al-Kidd, 131 S.Ct. at 2084.
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The plaintiff bears the burden of proving that the right was clearly established. Id. at 1125.
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B. Discussion
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Plaintiff alleges that Defendants were deliberately indifferent to his serious medical and
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dental needs. Specifically, Plaintiff alleges that Defendants ignored his requests for treatment, for
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two and a half months, regarding dental pain, a blood pressure condition, and a skin condition.
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1. Dr. Hanson
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Defendants argue that Dr. Hanson, an NDOC dental provider who attended to Plaintiff, is
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entitled to summary judgment on the merits of the Eighth Amendment claim, as well as on the
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basis of lack of personal participation, and qualified immunity.
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Plaintiff’s allegations related to Dr. Hanson are that Plaintiff submitted a legal notice to
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him in July 2013 regarding his inability to obtain dental treatment; that Dr. Hanson “refused to
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address treatment for Plaintiff’s second molar and bleeding gums” at a July 17, 2013 appointment;
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that he did not offer to do a filling or root canal on July 30, 2013; and that Dr. Hanson coordinated
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efforts to deny Plaintiff’s grievances.
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The Ninth Circuit has established a two-part test for deliberate indifference to a serious
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medical need: First, the plaintiff must establish a serious medical need, meaning that failure to
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treat the condition could result in “significant injury or the unnecessary and wanton infliction of
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pain.” Peralta v. Dillard, 744 F.3d 1076, 1081 (9th Cir. 2014) (citing Jett v. Penner, 439 F.3d 1091,
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1096 (9th Cir. 2006)). Second, the plaintiff must demonstrate the defendant’s deliberate
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indifference to the need, meaning that the prison official “knows of and disregards an excessive
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risk to inmate health.” Id. The defendant’s indifference must be intentional. Jett, 439 F.3d at 1096.
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Further, the plaintiff must show that harm resulted from the defendant’s indifference. Id.
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“[A] difference of opinion between a prisoner-patient and prison medical authorities
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regarding treatment does not give rise to a 1983 claim.” Franklin v. State of Or., 662 F.2d 1337,
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1344 (9th Cir. 1981). To the extent Plaintiff claims Dr. Hanson violated his rights by offering to
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extract his tooth rather than provide a root canal, based on his assessment of the appropriate
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medical options available, a difference of opinion in terms of Plaintiff’s view of the availability of
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a root canal remedy does not establish a valid Eighth Amendment claim. Plaintiff has admitted
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that Dr. Hanson did offer to extract his tooth, upon a determination that it was not restorable, and
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therefore he was not deliberately indifferent to any serious medical need.
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Alternatively, the Court finds that Dr. Hanson would be entitled to qualified immunity.
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Plaintiff has not point to any clearly established precedent that would show that declining to
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provide Plaintiff’s requested treatment, subsequent to a medical examination, would violate
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Plaintiff’s Eighth Amendment rights, and the Court is not aware of any such precedent. In fact,
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pursuant to Franklin, supra, Plaintiff has not raised any constitutional violation on Dr. Hanson’s
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part.
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Plaintiff also argues that Dr. Hanson is culpable for the denial or his grievances, and a 2.5-
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month delay in responding to his grievance. Dr. Hanson has stated in an affidavit that he was not
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involved in the process of coordinating or responding to inmate grievances, and Plaintiff has
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presented no evidence that he was personally involved in that process.
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Therefore, the Court grants summary judgment in favor of Defendant Hanson.
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2. Dr. Aranas
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Defendant Aranas is an NDOC medical provider and NDOC Medical Director. Plaintiff
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alleges that Dr. Aranas failed to act in response to Plaintiff’s dental grievances; that sometime in
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2012 Dr. Aranas examined Plaintiff but provided no treatment or testing for a ringing or pulsating
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ear noise Plaintiff experienced; and that Dr. Aranas was involved in coordinating efforts to deny
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Plaintiff’s grievances.
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The undisputed evidence shows that Dr. Aranas did examine Plaintiff, and conduct a test
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of Plaintiff’s blood pressure, in response to the complaints about ringing in his ear. Dr. Aranas
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determined that no treatment was necessary. This does not amount to deliberate medical
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indifference under the Eighth Amendment and Section 1983. Plaintiff has also presented no
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evidence that harm resulted from this course of treatment. He has merely alleged that different
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doctors, at a different facility, decided on a different assessment and course of treatment. Plaintiff
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has presented no evidence of Dr. Aranas’ involvement in coordinating review of grievances.
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Therefore, the Court grants summary judgment in favor or Dr. Aranas.
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3. Nurses Adams and Sablica
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Plaintiff alleges that Nurses Adams and Sablica were the staff receiving Plaintiff’s kites
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for medical and dental treatment, and that they refused to schedule appointments for Plaintiff’s
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dental needs promptly.
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The undisputed evidence shows that Nurse Adams responded to four informal-level
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medical or dental grievances submitted by Plaintiff. She denied two on the basis of Plaintiff having
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already received or been offered treatment for the complaint specified in his grievance. She denied
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a grievance related to medication that he had been taking for over a year, for which he had an
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opportunity to discuss the prescription with staff; and granted a grievance concerning a
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prescription he needed for a blood pressure medication.
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The undisputed evidence shows that Nurse Sablica reviewed one of the grievances related
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to Plaintiff wanting to discontinue a medication, Risperdal, based on her determination that
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Plaintiff had consented to take the medication in June 2011, had agreed to a dosage increase in
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September 2011, and had the right to refuse or stop taking the medication at any time.
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Therefore, the undisputed evidence shows no deliberate indifference or unconstitutional
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response to Plaintiff’s grievances. At the hearing on this motion, Plaintiff raised arguments about
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a 2.5-month delay in response to one of his grievances about his medical condition. Such a delay
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alone does not suffice to create a claim for deliberate indifference to a serious medical need,
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particularly when all of Plaintiff’s grievances were responded to and addressed in the order in
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which they were submitted, relative to other inmates’ requests.
4. Warden and Associate Warden Defendants: Neven, Wickham, Nash, Filson,
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Dreesen, Howell
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Remaining Defendants are custodial staff who were solely responsible for screening
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grievances for procedural defects. Plaintiff’s general allegations that these Defendants failed to act
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or intervene to provide him with dental or medical care do not amount to a claim of a constitutional
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deprivation. There is no evidence or specific allegation as to these Defendants tampering with or
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deliberately ignoring Plaintiff’s grievances, and on the undisputed facts, they were not responsible
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for providing any medical or dental treatment. Plaintiff only generally alleges delays in receiving
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treatment.
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In the alternative, Defendants Neven, Wickham, Nash, Filson, Dreesen, and Howell are
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entitled to qualified immunity, as Plaintiff has not established that they violated any of his clearly
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established constitutional rights.
Therefore, the Court grants summary judgment in favor of the remaining warden
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defendants.
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VI.
CONCLUSION
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Plaintiff has raised no evidence to contradict the evidentiary representations of Defendants.
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On the basis of the undisputed factual record, Plaintiff’s claims against all Defendants fail;
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furthermore, all Defendants are, in the alternative, entitled to qualified immunity, as Plaintiff has
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not established that they violated any of his clearly established constitutional rights.
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Therefore, the Court GRANTS Defendant’s Motion for Summary Judgment. ECF No. 235.
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The Clerk of Court is instructed to close this case.
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DATED: September 21, 2017.
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RICHARD F. BOULWARE, II
United States District Judge
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