Thomas v. Cox et al
Filing
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ORDER. IT IS HEREBY ORDERED that 2 Motion to Appoint Counsel is DENIED. IT IS FURTHER ORDERED that Thomas's complaint is DISMISSED in its entirety with leave to amend. Amended Complaint deadline: 5/28/2016. The Clerk of Court is instructed to send Thomas an approved form for filing a § 1983 complaint, instructions for the same, and a copy of her 6 complaint. Signed by Judge Jennifer A. Dorsey on 4/28/16. (Copies have been distributed pursuant to the NEF - TR)
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UNITED STATES DISTRICT COURT
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DISTRICT OF NEVADA
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Cassandra Thomas,
2:16-cv-00080-JAD-CWH
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Plaintiff
Order Screening Complaint and
Denying Motion for Appointment of
Counsel
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v.
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James G. Cox, et al.,
[ECF Nos. 2, 6]
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Defendants
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Nevada state prisoner Cassandra Thomas sues prison officials and medical staff under 42
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USC § 1983 for failing to provide her with adequate medical treatment.1 Thomas also asks the court
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to appoint her counsel.2 Having screened Thomas’s complaint under the Prison Litigation Reform
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Act (PLRA),3 I dismiss her claims without prejudice and give Thomas until May 28, 2016, to file an
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amended complaint curing the deficiencies outlined in this order, and I deny Thomas’s motion for
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appointment of counsel.
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Background
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Thomas sues multiple defendants for events that took place while she was incarcerated at
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Nevada’s Florence McClure Women’s Correctional Center (“FMWCC”).4 Thomas sues the NDOC
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Director James G. Cox, Warden Jo Gentry, Dr. James Holmes, Nurse Beebe Clark, Nurse John B.
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Faulkner, Dr. Dulce Kaybotay, and Medical Director Romeo Aranas.5 Thomas alleges three counts
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ECF No. 6.
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ECF No. 2.
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ECF No. 6 at 1.
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Id. at 2–4.
28 U.S.C. § 1915A.
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and seeks declaratory and injunctive relief and damages.6
Thomas alleges that she is a chronic Hepatitis C patient.7 She has been diligently seeking
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treatments for the disease since she learned about the Hepatitis C cure,8 but defendants have
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consistently denied her the cure due to “cost saving measures.”9 Since March 2014, Thomas has
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suffered from headaches, fatigue, abdominal and joint pain, mental and emotional turmoil,
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depression with anxiety, and stress.10
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In response to a medical grievance, defendant Nurse Clark told Thomas that “very limited
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cases of hep C have success with treatment and few have been treated by the NDOC; specific
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qualifications and rules would apply.”11 Faulkner has told Thomas that her condition is “being
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managed in accordance with NDOC protocols.”12 Thomas asserts that defendants have committed
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due-process violations, medical malpractice, deliberate indifference, conspiracy to violate rights, and
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negligent infliction of emotional distress.13 I construe Thomas’s allegations as a claim for deliberate
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indifference to serious medical needs and screen this claim under the PLRA.
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Id. at 8, 12.
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Id. at 4.
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Id.
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Id.
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Id. at 5.
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Id. at 11.
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Id.
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Id. at 6–8.
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Discussion
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Screening standards
The PLRA directs federal courts to conduct a preliminary screening of any case in which a
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prisoner seeks redress from a governmental entity or officer or an employee of a governmental
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entity.14 In its review, the court must identify any cognizable claims and dismiss any claims that are
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frivolous, malicious, fail to state a claim upon which relief may be granted, or seek monetary relief
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from a defendant who is immune from monetary relief.15 To state a claim under 42 U.S.C. § 1983, a
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plaintiff must allege two essential elements: (1) the violation of a right secured by the Constitution or
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laws of the United States, and (2) that the alleged violation was committed by a person acting under
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color of state law.16 Pro se pleadings must be liberally construed.17
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Dismissal of a complaint for failure to state a claim upon which relief can be granted is
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permitted by FRCP 12(b)(6), and the court applies the same standard under 28 USC § 1915 when
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reviewing the adequacy of a complaint. When a court dismisses a complaint under § 1915(e), the
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plaintiff should be given leave to amend the complaint with directions for curing its deficiencies,
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unless it is clear from the face of the complaint that the deficiencies could not be cured by
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amendment.18
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B.
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Deliberate indifference to serious medical needs
A prison official violates the Eighth Amendment when he acts with “deliberate indifference”
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to the serious medical needs of an inmate.19 “To establish an Eighth Amendment violation, a
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plaintiff must satisfy both an objective standard—that the deprivation was serious enough to
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See 28 U.S.C. § 1915(a).
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See 28 U.S.C. § 1915A(b)(1)(2).
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See West v. Atkins, 487 U.S. 42, 48 (1988).
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Balistreri v. Pacifica Police Dep’t, 901 F.2d 696, 699 (9th Cir. 1990).
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See Cato v. United States, 70 F.3d 1103, 1106 (9th Cir. 1995).
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Farmer v. Brennan, 511 U.S. 825, 828 (1994).
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constitute cruel and unusual punishment—and a subjective standard—deliberate indifference.”20
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“A difference of opinion between a prisoner-patient and prison medical authorities regarding
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treatment does not give rise to a § 1983 claim.”21 To establish that a difference of opinion amounted
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to deliberate indifference, the prisoner “must show that the course of treatment the doctors chose was
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medically unacceptable under the circumstances” and “that they chose this course in conscious
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disregard of an excessive risk to [the prisoner’s] health.”22 “[A] complaint that a physician has been
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negligent [or even grossly negligent] in diagnosing or treating a medical condition does not state a
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valid claim of medical mistreatment under the Eighth Amendment.”23
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C.
Thomas fails to state a claim for deliberate indifference to her serious medical needs.
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The crux of Thomas’s allegations is that she disagrees with the prison medical staff’s course
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of treatment for her Hepatitis C. Based on the alleged grievance responses, the prison medical staff
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appear to state that the Hepatitis C cure does not work on everyone and that patients need to meet
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specific qualifications to qualify for that treatment. Thomas’s disagreement with the prison medical
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staff’s course of treatment does not give rise to a constitutional claim because she pleads no facts to
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show that denying her the cure is medically unacceptable under the circumstances or that prison
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medical staff chose to deny her this cure in conscious disregard of an excessive risk to her health. I
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therefore dismiss Thomas’s claim with leave to amend.
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Thomas is instructed that, if she chooses to file an amended complaint, she should follow the
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directions in the form complaint and “[s]tate the facts clearly, [and] in [her] own words . . . describe
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exactly what each specific defendant (by name) did to violate [her] rights.” Thomas is also
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instructed that her amended complaint should provide more details about her communications with
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prison medical staff about receiving the Hepatitis C cure, including their explanation for denying it.
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Snow v. McDaniel, 681 F.3d 978, 985 (9th Cir. 2012).
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Franklin v. State of Or., State Welfare Div., 662 F.2d 1337, 1344 (9th Cir. 1981).
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Jackson v. McIntosh, 90 F.3d 330, 332 (9th Cir. 1996).
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Estelle v. Gamble, 429 U.S. 97, 106 (1976); see also Toguchi v. Chung, 391 F.3d 1051, 1060 (9th
Cir. 2004).
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Thomas should also describe the treatment she is currently receiving for her Hepatitis C.
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Thomas is advised that an amended complaint supersedes the original complaint and thus the
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amended complaint must be complete in itself without reference to the original complaint. Thomas
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is cautioned that her amended complaint must contain all claims, defendants, and factual allegations
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that she wishes to pursue in this action. Thomas must file her amended complaint on this court’s
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approved prisoner civil-rights form and it must be entitled “First Amended Complaint.” If Thomas
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chooses to file an amended complaint, she must do so by May 28, 2016. If Thomas does not file an
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amended complaint by this deadline, this case will be dismissed without prejudice and without
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further notice, and it will be closed.
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D.
Motion for appointment of counsel
Thomas also moves for court-appointed counsel.24 There is no constitutional right to
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appointed counsel in § 1983 actions.25 A court may, in its discretion “request an attorney to
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represent any person unable to afford counsel.”26 But a court should appoint counsel for indigent
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civil litigants only in “exceptional circumstances.”27 No exceptional circumstances exist in this case
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to warrant appointment of counsel, so Thomas’s motion for appointment of counsel is denied.
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Conclusion
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Accordingly, IT IS HEREBY ORDERED that Thomas’s motion for appointment of
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counsel [ECF No. 2] is DENIED.
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IT IS FURTHER ORDERED that Thomas’s complaint is DISMISSED in its entirety with
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leave to amend. If Thomas chooses to file an amended complaint curing the deficiencies
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outlined in this order, she must do so by May 28, 2016. If Thomas fails to file an amended
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complaint curing the deficiencies outlined in this order by this deadline, this action will be dismissed
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with prejudice and without further notice, and this case will be closed.
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ECF No. 2.
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Storseth v. Spellman, 654 F.2d 1349, 1353 (9th Cir. 1981).
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28 U.S.C. § 1915(e)(1).
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Palmer v. Valdez, 560 F.3d 965, 970 (9th Cir. 2009).
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The Clerk of Court is instructed to send Thomas an approved form for filing a § 1983
complaint, instructions for the same, and a copy of her original complaint [ECF No. 6].
Dated this 28th day of April, 2016.
_________________________________
_____________________
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Jennifer A. Dorsey
nnife A Dorsey
fer
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United States District Judge
ited States
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ct ud
ct Judge
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