Emmett v. Williams et al
Filing
131
OPINION ON DISMISSAL granting 70 Motion for Summary Judgment. All claims against defendants Dr. Betty Williams, Shanta Crawford and Dr. Denise DeShields are DISMISSED. Plaintiff's claims against all other defendants in this case are DISMISSE D as legally frivolous; denying as moot 87 Motion to Strike; denying 88 Motion for Leave to File; denying 88 Plaintiff's Motion for Summary Judgment; denying as moot 96 Motion to Amend; denying as moot 97 Motion for Leave to File; deny ing as moot 98 Motion to Appoint ; denying as moot 103 Motion for Leave to File; denying as moot 104 Motion for Leave to File; denying as moot 106 Motion for Leave to File; denying as moot 111 Motion to Dismiss; denying as moot 118 Motion for Leave to File; denying as moot 119 Motion to Quash; denying as moot 122 Motion; denying as moot 129 Motion for Leave to File. Plaintiff's state law claim is DISMISSED without prejudice. All other pending motions are DENIED, AS MOOT. This complaint is DISMISSED WITH PREJUDICE. (Signed by Judge Melinda Harmon) Parties notified.(htippen, )
IN THE UNITED STATES DISTRICT COURT
FOR THE SOUTHERN DISTRICT OF TEXAS
HOUSTON DIVISION
BARRY PATRICK EMMETT,
TDCJ-CID NO. 1383329,
Plaintiff,
v.
DR. BETTY WILLIAMS, et al.,
Defendants.
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§
§
§
§
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CIVIL ACTION H-10-3610
OPINION ON DISMISSAL
Plaintiff, a state inmate proceeding pro se and in forma pauperis, filed a
complaint pursuant to 42 U.S.C. § 1983, alleging that defendants Dr. Betty Williams, Ex-Warden
Eileen Kennedy, Practice Manager Shanta Crawford, UTMB-Texas Tech Executive Medical
Director Dr. Denise DeShields, and Texas Department of Criminal Justice Executive Director
Brad Livingston acted with deliberate indifference to his serious medical needs by failing to
provide him with the appropriate corrective lenses. (Docket Entry No.1). He also alleges that
defendants’ conduct violates the Eighth Amendment’s prohibition against cruel and unusual
punishment, “loss of enjoyment of life, equal protection, substantive due process clauses of the
14th Amend. U.S.C.” (Id., page 4).
The Court ordered that defendants Williams, DeShields, and Crawford be served
with process and granted plaintiff’s motion to add an unnamed Allred Unit optometrist as a
defendant. (Docket Entry No.9). The Court later granted plaintiff’s motions to add as parties the
Texas Department of Criminal Justice (“TDCJ”), Texas Tech University (“TTU”), the University
of Texas Medical Branch (“UTMB”), Correctional Managed Care (“CMC”) (Docket Entry
No.28), UTMB Director Dr. Callendar, and CMC Director Dr. Allen Hightower in their official
capacities. (Docket Entry No.81).
1
Defendants Williams, DeShields, and Crawford have filed a motion for summary
judgment (Docket Entry No.70), to which plaintiff has filed a late response. (Docket Entries
No.84, No.85). Plaintiff has also filed a motion for leave to file a motion for summary judgment
(Docket Entry No.88), to which defendants have filed a response.
(Docket Entry No.94).
Plaintiff has further filed numerous other motions, which the Court will deny for reasons to
follow.
After a thorough review of the pleadings, the entire record, and the applicable
law, the Court will grant defendants’ motion for summary judgment, deny plaintiff’s motion for
summary judgment, deny all pending motions, and dismiss all claims against all defendants.
I.BACKGROUND
Plaintiff claims in mid-2007, he put in a request to receive state-issued eyeglasses.
(Docket Entry No.1, page 4). Plaintiff’s medical records reflect that in January 2008, while
incarcerated at the Beto Unit of TDCJ Correctional Institutions Division, he told a health
provider that he needed eyeglasses. (Docket Entry No.71-1, page 4). Plaintiff submitted a sick
call request for glasses in March 2008. (Id., page 10). Plaintiff was given a Visual Acuity Test
(“VAT”) on March 10, 2008. (Docket Entry No.1, page 15). He told medical providers at that
time that his free-world eyeglasses had been stolen. (Id.).
After he transferred to the Allred Unit, plaintiff submitted three other sick call
requests for glasses in March, April, and May 2008. (Id., pages 12-15). On April 1, 2008, he
was given his first VAT on the Unit, but he did not show for a second scheduled VAT. (Docket
Entry No.1, pages 17-18, 20). On May 28, 2008, medical providers administered an optometry
evaluation. (Id., page 19). In mid-June 2008, plaintiff was given another optometry evaluation
and referred to optometry. (Docket Entries No.1, pages 21- 22; No.71-1, page 16). In June and
2
November 2008, he submitted two more sick call requests about his optometry appointment.
(Docket Entries No.1, pages 23-24; No.71-1, pages 17-18). On November 21, 2008, plaintiff
was evaluated by an optometrist and prescribed eyeglasses. (Docket Entry No.71-1, page 19).
State-issued eyeglasses were dispensed to plaintiff on December 12, 2008. (Docket Entries
No.1, page 25; No.71-1, page 20). A notation on the form dispensing the glasses reflects that
plaintiff had free-world glasses, which were not found when his cell was searched. (Id.).
By letter dated March 8, 2009, plaintiff’s mother requested a copy of plaintiff’s
eye-glass prescription. (Docket Entry No.1-1, page 20). On March 12, 2009, plaintiff missed a
clinic visit due to lack of staff; his appointment was rescheduled. (Docket Entry No.1, pages 2627). On the same day, plaintiff filed Step 1 Grievance 2009118890, in which he complained that
the medical department had not honored his request to disclose his medical records to his mother
and particularly, his eye-glass prescription. (Docket Entry No.10, page 34). On March 13, 2009,
a TDCJ representative responded to plaintiff’s mother regarding the requested copy. (Docket
Entry No.1-1, page 25). Thereafter, plaintiff wrote to Dr. DeShields, the Texas Tech Executive
Medical Director for Correctional Managed Health Care, complaining that his efforts to obtain a
copy of his eyeglass prescription had been blocked. (Docket Entry No.1-1, page 15). Her office
responded by letter on April 29, 2009, that he should address his complaints to medical staff
through an informal process or by grievance. (Docket Entry No.1-1, page 14).
On June 11, 2009, plaintiff requested permission to have free-world glasses sent to him in
prison. He was told that he could not have free-world glasses. (Docket Entries No.1, page 28;
No.71-1, page 21). On June 25, 2009, plaintiff complained by a sick call request that he was
having trouble seeing up close, which was a new problem. (Docket Entries No.1, page 29;
No.71-1, page 22). On June 26, 2009, plaintiff was given another optometry evaluation; the
3
provider noted that plaintiff was wearing glasses but not the state-issued glasses. (Docket
Entries No.1, page 30; No.71-1, page 23). A nurse administered another VAT on July 16, 2009.
(Docket Entries No.1-1, page 3; No.71-1, page 25). The same day, an Allred Unit practice
manager requested medical personnel to check plaintiff’s glasses to make certain that he was
wearing his own glasses. (Docket Entries No.1-1, page 4; No.71-1, page 24). The medical
provider scheduled an appointment for plaintiff with an optometrist. (Docket Entries No.1-1,
page 5; No.71-1, page 26). She reported to the practice manager on August 6, 2009, that when
she went to pick up plaintiff’s glasses for a prescription check, he had his free-world glasses on
his head and did not have his state-issued glasses; a search of his cell yielded no state-issued
glasses.1 (Docket Entries No.1-1, pages 9-10; No.71-1, pages 28-29).
After his transfer to the Ellis Unit, plaintiff was advised by Dr. Betty Williams on
September 16, 2009, that he may have free-world glasses sent from his family if the Unit Warden
approved. (Docket Entries No.1-1, page 11; No.71-1, page 30). Apparently, Warden Eileen
Kennedy did not approve his request. (Docket Entry No.1, page 6).
On October 6, 2009, plaintiff’s mother submitted the TDCJ eyeglass prescription
to a free-world provider, who compared the prescription to an old prescription issued in 2003.
(Docket Entry No.1, page 10). His mother noted that the store manager indicated that the new
prescription was grossly stronger that the 2003 prescription and “most probably is not your
prescription at all but someone else’s entirely.” (Id.). The new prescription was also stronger
than his 2005 prescription from another free-world provider. (Docket Entries No.1, pages 10-11;
No.71-2, page 77).
1
Plaintiff later told an Ellis Unit medical provider on April 6, 2010, that his state-issued glasses were taken during a
shake-down. (Docket Entry No.71-1, page 37).
4
At a sick call examination on February 26, 2010, plaintiff asked Dr. Williams if
he could have new state-issued glasses made from free-world refraction; she advised him that
this was not possible. (Docket Entry No.71-1, pages 31-32). She ordered another VAT and
referred him to the TDCJ Optometry Department; Williams warned plaintiff that he would most
likely have to wait two years to see an optometrist. (Id.). Plaintiff filed Step 1 Grievance
Number 2010135689 on April 13, 2010, requesting an expedited eye appointment. (Docket
Entry No.10, pages 8-9).
On March 22, 2010, plaintiff submitted a sick call request in which he complained
that he had been given the wrong prescription by the Allred Unit optometrist. (Docket Entry
No.10, page 3; No.71-1, page 33). He refused a VAT on March 24, 2010. (Docket Entry No.711, pages 35-36). Notations in a chart review dated April 6, 2010, summarized plaintiff’s chief
complaints and requested a routine optometry referral for new glasses. (Id., page 37). In midApril, he requested another VAT. (Docket Entries No.10, page 4; No.71-1, page 38). On April
22, 2010, plaintiff was given another VAT. (Docket Entry No.71-1, pages 40-41). On April 26,
2010, the optometry referral was denied because plaintiff had not met the criteria. (Docket Entry
No.71-1, pages 43, 45). On April 28, 2010, plaintiff’s grievance was denied with a notation that
his referral to optometry had been denied. (Docket Entry No.10, page 9).
On May 17, 2010, plaintiff wrote to Dr. DeShields, stating that he was unable to
see with his state-issued glasses and that Allred medical personnel had been unresponsive to his
complaints because they believed he was “making all this up.” (Docket Entry No.1-1, page 19).
Plaintiff informed her that the state prescription was incorrect and that Ellis Unit medical
providers refused to acknowledge the mistake and would not allow him to obtain a new
prescription until the end of the year per normal procedures. (Id.). Dr. DeShields’s office
5
responded on May 26, 2010, that plaintiff should attempt to resolve his issues through sick call
requests or by grievance. (Docket Entry No. 1-1, page 18).
Plaintiff was seen by medical providers on May 21, 2010, and July 27, 2010, for
numerous ailments; at both appointments, plaintiff requested an optometry referral. (Docket
Entry No.71-1, pages 46-47).
On September 24, 2010, plaintiff wrote to Brad Livingston complaining that he
had been given the wrong prescription and that he needed a new prescription to purchase stateissued glasses; he also informed Livingston that Livingston was directly responsible for the
faulty medical contracts. (Docket Entry No.10, page 14). The same day, plaintiff submitted
another sick call request for an optometry referral and was informed that he was scheduled for a
totally new examination. (Id., page 18).
Plaintiff executed the present complaint on September 24, 2010. (Docket Entry
No.1, page 5). He alleges that Dr. Williams, Warden Kennedy, Practice Manager Crawford,
Executive Medical Director DeShields, and Executive Director Brad Livingston were
deliberately indifferent to his serious medical needs in violation of the Eighth Amendment’s
prohibition against cruel and unusual punishment. He alleges that DeShields was responsible for
inadequate staffing and that Livingston was responsible for an inadequate medical contract. He
further alleges that Williams, Kennedy, and Crawford engaged in retaliation. (Docket Entry
No.1, page 3).
On December 27, 2010, plaintiff amended the original complaint to add the Allred
Unit optometrist, who issued the allegedly defective prescription. (Docket Entry No.7). He also
sought to increase compensatory damages and a medical furlough for corrective eye surgery.
(Id.).
6
On March 3, 2011, plaintiff added as defendants TDJC, TTU, UTMB, and CMC.
(Docket Entry No.13). On December 9, 2011, plaintiff requested to add Dr. Callendar, the
Director of UTMB on a claim of deliberate indifference to medical contract, deliberate
indifference to understaffing, and deliberate indifference to inadequate medical policies and
procedures. (Docket Entry No.77). On January 18, 2012, plaintiff amended his complaint to add
Dr. Allen Hightower, the Director of CMC, as a party on the ground of deliberate indifference to
an inadequate medical contract and ineffective policies. (Docket Entry No.78).
II. DISCUSSION
Title 42 U.S.C. § 1983 creates a cause of action against any person who, acting
under color of state law, causes another to be deprived of a federally protected constitutional
right. 42 U.S.C. § 1983; Gomez v. Toledo, 446 U.S. 635, 640 (1980). To state a cause of action
under Section 1983, a plaintiff must allege two elements. “First, the Plaintiff must allege that
some person has deprived him of a federal right. Second, he must allege that the person who has
deprived him of that right acted under color of state or territorial law.” Id. at 640.
To successfully plead a cause of action in a civil rights case, a plaintiff must enunciate a set of
facts that illustrate the defendant’s participation in the alleged wrong. Jacquez v. Procunier, 801
F.2d 789, 793 (5th Cir. 1986).
A. Defendants DeShields, Crawford, and Williams
Defendants Denise DeShields, Shandra Crawford, and Betty Williams move for
summary judgment on grounds that plaintiff has failed to demonstrate deliberate indifference on
the part of any defendant and has failed to overcome their entitlement to qualified and Eleventh
Amendment immunity. (Docket Entry No.70, page 7). Defendants also contend that plaintiff
has failed to exhaust his administrative remedies as to DeShields and Crawford. (Id.).
7
To be entitled to summary judgment, the pleadings and summary judgment
evidence must show that there is no genuine issue as to any material fact and the moving party is
entitled to judgment as a matter of law. FED. R. CIV. P. 56(c). The moving party bears the
burden of initially pointing out to the court the basis of the motion and identifying the portions of
the record demonstrating the absence of a genuine issue for trial. Duckett v. City of Cedar Park,
Tex., 950 F.2d 272, 276 (5th Cir. 1992). Thereafter, “the burden shifts to the nonmoving party to
show with ‘significant probative evidence’ that there exists a genuine issue of material fact.”
Hamilton v. Seque Software, Inc., 232 F.3d 473, 477 (5th Cir. 2000) (quoting Conkling v. Turner,
18 F.3d 1285, 1295 (5th Cir. 1994)). The Court may grant summary judgment on any ground
supported by the record, even if the ground is not raised by the movant. U.S. v. Houston Pipeline
Co., 37 F.3d 224, 227 (5th Cir. 1994).
“Qualified immunity is ‘an entitlement not to stand trial or face the other burdens
of litigation.’” Saucier v. Katz, 533 U.S. 194, 199-200 (2001) (quoting Mitchell v. Forsyth, 472
U.S. 511, 526 (1985)). Qualified immunity “provides ample protection to all but the plainly
incompetent or those who knowingly violate the law.” Malley v. Briggs, 475 U.S. 335, 341
(1986).
“To rebut the qualified immunity defense, the plaintiff must show: (1) that he has
alleged a violation of a clearly established constitutional right, and (2) that the defendant’s
conduct was objectively unreasonable in light of clearly established law at the time of the
incident.” Waltman v. Payne, 535 F.3d 342, 346 (5th Cir. 2008) (footnote omitted). The Court
has discretion “in deciding which of the two prongs of the qualified immunity analysis should be
addressed first in light of the circumstances in the particular case at hand.” Pearson v. Callahan,
555 U.S. 223, 236 (2009).
8
1. Deliberate Indifference
The Eighth Amendment’s prohibition against cruel and unusual punishment
forbids deliberate indifference to the serious medical needs of prisoners. Estelle v. Gamble, 429
U.S. 97, 104 (1976). The plaintiff must prove objectively that he was exposed to a substantial
risk of serious harm. Farmer v. Brennan, 511 U.S. 825, 834 (1994). The plaintiff must also
show that prison officials acted or failed to act with deliberate indifference to that risk. Id. The
deliberate indifference standard is a subjective inquiry; the plaintiff must establish that the prison
officials were actually aware of the risk, yet consciously disregarded it. Id. at 837, 839; Lawson
v. Dallas County, 286 F.3d 257, 262 (5th Cir. 2002).
Deliberate indifference to serious medical needs may be manifested by prison
doctors in their response to the prisoner’s needs or by prison guards in intentionally denying or
delaying access to medical care or intentionally interfering with the treatment once prescribed.
Estelle, 429 U.S. at 104-05. “[F]acts underlying a claim of ‘deliberate indifference’ must clearly
evince the medical need in question and the alleged official dereliction.” Johnson v. Treen, 759
F.2d 1236, 1238 (5th Cir. 1985). “The legal conclusion of ‘deliberate indifference,’ therefore,
must rest on facts clearly evincing ‘wanton’ actions on the part of the defendants.”
Id.
Assertions of inadvertent failure to provide medical care or negligent diagnosis, however, are
insufficient to state a claim. Wilson v. Seiter, 501 U.S. 294, 297 (1991).
The “failure to alleviate a significant risk that [the official] should have perceived,
but did not” is insufficient to show deliberate indifference. Farmer, 511 U.S. at 838. Moreover,
an incorrect diagnosis does not state an Eighth Amendment claim because the deliberate
indifference standard has not been met. Domino v. Texas Dep’t of Crim. Justice, 239 F.3d 752,
756 (5th Cir. 2001) (citation omitted). The same is true regarding the decision to treat an inmate
9
in the Unit’s medical department rather than to send him to outside medical providers or
specialists. See Alfred v. Texas Department of Criminal Justice, 80 Fed. App’x 926, 927–28 (5th
Cir. 2003). The question of whether “additional diagnostic techniques or forms of treatment is
indicated is a classic example of a matter for medical judgment.” Estelle, 429 U.S. at 107; see
also Gobert v. Caldwell, 463 F.3d 339, 346 (5th Cir. 2006).
Moreover, an inmate does not have a constitutional right to the treatment of his
choice. See Dean v. Coughlin, 804 F.2d 207, 215 (2d Cir. 1986) (citing Ruiz v. Estelle, 679 F.2d
1115, 1150 (5th Cir.), vacated in part as moot, 688 F.2d 266 (5th Cir. 1982)).
Mere
disagreement with prison medical providers about what constitutes appropriate care does not rise
to the level of a constitutional violation. Varnado v. Lynaugh, 920 F.2d 320, 321 (5th Cir. 1991);
see also Smith v. Allen, 288 Fed. App’x 938 (5th Cir. 2008) (disagreement about treatment for
shoulder injury).
a. Dr. Betty Williams
Plaintiff alleges Dr. Williams refused to refer him to optometry for new glasses.
(Docket Entry No.1, page 6). As documented supra, the record shows that plaintiff was afforded
regular medical attention and care for his eyes on the Ellis Unit, where Dr. Williams is the Unit
physician, thus, defeating his claim of deliberate indifference. See Banuelos v. McFarland, 41
F.3d 232, 235 (5th Cir. 1995) (noting that “medical records of sick calls, examinations,
diagnoses, and medications may rebut an inmate’s allegations of deliberate indifference”). He
was examined and treated for numerous ailments by Dr. Williams, numerous physician’s
assistants, and several nurses on the Ellis Unit, who administered vision tests and optometric
10
evaluations. Contrary to plaintiff’s allegation, Dr. Williams referred him to the Optometry
Department for new glasses but the referral was denied.2 (Docket Entry No.70-8, pages 1-2).
This record supports the uncontroverted affidavit testimony given by defendants’
expert, Dr. Steven Bowers, that the actions taken by Dr. Williams were appropriate and within
the standard of care and scope of her authority. (Docket Entry No.72-1, page 4). Because the
summary judgment record is wholly void of evidence that Dr. Williams acted with deliberate
indifference to plaintiff’s medical need, plaintiff fails to defeat her entitlement to qualified
immunity. Defendants are entitled to summary judgment on this claim.
b. Practice Manager Shanta Crawford
Plaintiff also claims that Practice Manager Shanta Crawford refused to refer him
to optometry for new glasses. Crawford attests that she does not have the authority to make a
clinical decision concerning a referral to a specialty clinic such as optometry . . . [or] to receive
glasses from outside vendors.” (Docket Entry No.70-7, page 3). Her responsibilities include
“assuring that inmates receive medical care according to policy and procedure, supervising
clerical and administrative staff, acting as liaison to family members, answering informal (I-60’s)
2
The record shows that on September 16, 2009, Dr. Williams advised plaintiff that he may have free-world glasses
sent from his family if the Unit Warden approved. (Docket Entries No.1-1, page 11; No.71-1, page 30). On
February 26, 2010, Dr. Williams advised plaintiff that he could not have new state-issued glasses made from freeworld refraction; she ordered another vision examination and referred him to the Optometry Department but warned
him he would most likely have to wait two years to see an eye doctor. (Docket Entry No.71-1, pages 31-32). On
April 26, 2010, the optometry referral was denied because plaintiff had not met the criteria. (Docket Entry No.71-1,
pages 43, 45). Plaintiff was seen by medical providers on May 21, 2010, and July 27, 2010, for numerous ailments;
at both appointments, plaintiff requested an optometry referral. (Docket Entry No.71-1, pages 46-47). Providers
noted that an optometry examination had been denied by the Optometry Department. (Id.).
The record also shows that after plaintiff filed the pending suit, Dr. Williams ordered another VAT per plaintiff ‘s
sick call request. (Docket Entry No.71-1, page 49). She referred plaintiff to optometry and scheduled the
appointment for December 6, 2010. (Id., pages 52-53). Plaintiff was transferred to the Coffield Unit in October
2010.
The record further shows, as Dr. Bowers attests, that plaintiff was diagnosed with a progressive eye disease by Dr.
Appel on June 24, 2011. (Docket Entries No.71-1, page 84; No.72-1, page 4). On August 5, 2011, plaintiff was
fitted with new eye wear prescribed by Dr. Appel. (Docket Entries No.70-1, page 92; No.72-1, page 4).
11
and formal grievances, and performing unit audits on patient care, etc.” (Id., pages 2-3). See
Cooper v. Johnson, 353 Fed. App’x 965, 968 (5th Cir. 2009) (noting that a practice manager
employed by the University of Texas Medical Branch in the Texas prison system does not have
the authority to diagnose a medical condition or determine treatment); Berry v. Fitts, Civil
Action No.C-09-3, 2010 WL 345750, *9 (S.D. Tex. Jan. 22, 2010) (noting that a unit practice
manager is not a direct care provider and does not get involved in giving clinical advice or
diagnoses; a practice manager responds to grievances in addition to other responsibilities of daily
operations).
The record shows that Crawford corresponded with plaintiff’s family about his
attempt to acquire new glasses.3 (Docket Entry No.70-3, pages 13-14). She responded in a
timely manner to plaintiff’s grievance. (Docket Entry No.71-2, page 6). She investigated
plaintiff’s complaints about the medical treatment provided by Dr. Williams per plaintiff’s
grievance. (Id., page 13). To the extent that plaintiff contends that the responses to any
grievance by Crawford, or any other defendant, constitutes deliberate indifference or retaliation,
such contention is without merit. Plaintiff does not have a federally protected liberty interest in
having grievances resolved to his satisfaction. Geiger v. Jowers, 404 F.3d 371, 374 (5th Cir.
2005).
In light of this record, which is void of evidence showing Crawford’s deliberate
indifference to plaintiff’s serious medical need, the Court finds that Crawford is entitled to
qualified immunity and defendants are entitled to summary judgment on this claim.
3
Crawford wrote that plaintiff’s medical records do not show that the allegedly defective glasses prescribed by the
Allred Unit optometrist were sent back while plaintiff was at the facility for an incorrect prescription or repair.
(Docket Entry No.70-3, page 13). She further wrote that after his assignment to the Ellis Unit on September 11,
2009, plaintiff made several attempts to have free-world glasses sent in from his family, but he made no attempt to
have the staff send his TDCJ glasses back to optometry for repair until April 19, 2010. (Id.). The record also
showed that plaintiff “did not offer to purchase a pair or send the glasses back to optometry.” (Id.). Plaintiff’s
referral to optometry was denied due to the two-year stipulation per CMC policy. (Id.).
12
c. Dr. Denise DeShields
Plaintiff claims that Dr. DeShields refused to correct the prescription entered by
the Allred optometrist. (Docket Entry No.1, page 6). He also claims that she was deliberately
indifferent to understaffing. (Id., page 3). Dr. DeShields is the Executive Medical Director for
Texas Tech Correctional Managed Health Care, which includes the Allred Unit. (Docket Entry
No.70-9, page 1).
As previously noted, plaintiff twice wrote to Dr. DeShields. In the first letter, he
complained that his efforts to obtain a copy of his eyeglass prescription had been blocked.
(Docket Entry No.1-1, page 15). Her office responded by letter on April 29, 2009, that he should
address his complaints to medical staff through an informal process or by grievance. (Docket
Entry No.1-1, page 14).
After plaintiff transferred to the Ellis Unit, he was no longer incarcerated in a unit
subject to Dr. DeShields’s jurisdiction. (Docket Entry No.70-9, page 2). Nevertheless, plaintiff
wrote to DeShields on May 17, 2010, after the referral to the optometry department was denied.
He complained the Allred Unit optometrist’s prescription was incorrect and that Ellis Unit
medical providers refused to acknowledge the mistake and would not allow him to obtain a new
prescription until the end of the year per normal procedures. (Docket Entry No.1-1, page 19).
Dr. DeShields’s office again responded on May 26, 2010, that plaintiff should attempt to resolve
his issues through sick call requests or by grievance. (Docket Entry No. 1-1, page 18).
Neither letter reflects that Dr. DeShields had any personal involvement in
plaintiff’s medical care or that she failed to respond appropriately to his letters. Civil rights
claims must allege the personal involvement of the defendants. Thompson v. Steele, 709 F.2d
13
381, 382 (5th Cir. 1983). Without evidence showing such involvement, plaintiff fails to defeat
Dr. DeShields’ entitlement to qualified immunity.
To the extent that plaintiff sues Dr. DeShields in her capacity as a supervisor of
the Allred Unit optometrist, who allegedly provided plaintiff with an incorrect prescription, or
because of understaffing of medical personnel on the Allred Unit, he is not entitled to relief.
Under Section 1983, supervisory officials are not liable for subordinates’ actions on any
vicarious liability theory. Oliver v. Scott, 276 F.3d 736, 742 (5th Cir. 2002). A supervisor may
be held liable only for implementing a policy that repudiates constitutional rights and the policy
is the moving force of the constitutional violation. Id. Plaintiff does not allege any facts to show
that DeShields was personally responsible for alleged error or that she implemented deficient
policies that resulted in a wrong diagnosis or understaffing.
Defendants Williams, Crawford, and DeShields are entitled to summary judgment
on plaintiff’s deliberate indifference claims.
2. Sovereign Immunity
Defendants are correct that they are entitled to Eleventh Amendment immunity
for claims against them in their official capacity under § 1983.
Congress has not waived
sovereign immunity for § 1983 suits. Quern v. Jordan, 440 U.S. 332, 340–45 (1979); Will v.
Michigan Dept. of State Police, 491 U.S. 58, 71 (1989) (noting that “neither a state nor its
official acting in their official capacities are ‘persons’ under § 1983”); Oliver, 276 F.3d at 742
(holding that “the Eleventh Amendment bars recovering § 1983 damages from TDCJ officers in
their official capacities”). Defendants are employed as health care providers employed by
UTMB, and UTMB is a state agency, immune from a suit for money damages under the
14
Eleventh Amendment. Lewis v. University of Texas Medical Branch at Galveston, 665 F.3d 625,
630 (5th Cir. 2011).
Nor does the Ex Parte Young, 209 U.S. 123 (1908) exception for a claim against
defendants for prospective injunctive relief to prevent a continuing violation of federal law apply
here since plaintiff is no longer confined on the Allred or Ellis Units. Therefore, defendants
DeShields, Williams, and Crawford no longer have any control, authority, or responsibility over
plaintiff. See Herman v. Holiday, 238 F.3d 660, 665 (5th Cir. 2001). Plaintiff’s transfer back to
either facility is too speculative to warrant relief. Accordingly, his claims for equitable and
declaratory relief from these defendants are moot. Cooper v. Sheriff, Lubbock County, Tex., 929
F.2d 1078, 1084 (5th Cir. 1991).
Defendants are entitled to summary judgment on plaintiff’s claims against them in
their official capacities.
B. All Defendants
Because plaintiff is a prisoner, he is subject to the provisions of the Prison Litigation Reform
Act, which requires that the district court review a complaint in a civil action in which a prisoner
seeks redress from a governmental entity or officer or employee of a governmental entity. 28
U.S.C. § 1915A(a).
On review, the Court must identify cognizable claims or dismiss the
complaint or any portion thereof, if the court determines that the complaint is frivolous,
malicious, fails to state a claim upon which relief may be granted or seeks monetary relief from a
defendant who is immune from such relief. 28 U.S.C.§ 1915A(b); 1915(e)(2)(B).
§
A complaint may be dismissed as frivolous if it lacks any arguable basis in law or
fact. Neitzke v. Williams, 490 U.S. 319, 325 (1989). “A complaint lacks an arguable basis in law
if it is based on an indisputably meritless legal theory, such as if the complaint alleges violation
15
of a legal interest which clearly does not exist.” Harris v. Hegmann, 198 F.3d 153, 156 (5th Cir.
1999). A complaint may be dismissed for failure to state a claim if the plaintiff does not allege
enough facts to state a claim to relief that is “plausible” on its face. Bell Atlantic Corp. v.
Twombly, 550 U.S. 544, 570 (2007). A claim is facially plausible when a “plaintiff pleads
factual content that allows the court to draw the reasonable inference that the defendant is liable
for the misconduct alleged.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009). “The plausibility
standard is not akin to a ‘probability requirement,’ but it asks for more than a sheer possibility
that a defendant has acted unlawfully.” (Id.).
1. Deliberate Indifference
Plaintiff claims that Warden Eileen Kennedy and Executive Director Brad
Livingston were deliberately indifferent to his serious medical need for corrective lenses.
(Docket Entry No.1, pages 3, 6). Plaintiff claims that Warden Kennedy refused to allow him to
have free-world glasses sent in after Dr. Williams approved the request, in retaliation for plaintiff
seeking a redress of grievances. (Id., page 6). He claims that “Brad Livingston is directly
responsible for the medical contract that is so inadequate as to amount to deliberate
indifference.” (Id.). He also claims that Livingston responsible for the patient liaison program
that refused to assist him in this matter. (Id.).
Plaintiff’s claims against Kennedy and Livingston are conclusory and without any
factual support in his pleadings. See Moody v. Baker, 857 F.2d 256, 258 (5th Cir. 1988)
(conclusory allegations are insufficient to state a claim). Therefore, these claims are subject to
dismissal.
A liberal construction of plaintiff’s pleadings reflects that he seeks relief from the
Allred Unit optometrist, who allegedly prescribed the wrong lenses. (Docket Entry No.7).
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Plaintiff, however, failed to plead any facts that would give rise to a claim of deliberate
indifference by this unnamed defendant. At most, he has alleged a claim of negligence, which is
not actionable under section 1983. Negligence and medical malpractice do not give rise to a §
1983 cause of action, and an inmate’s disagreement with his medical treatment does not establish
a constitutional violation. Varnado v. Lynaugh, 920 F.2d 320, 321 (5th Cir. 1991); Domino, 239
F.3d at 756 (an incorrect diagnosis does not state an Eighth Amendment claim because the
deliberate indifference standard has not been met). Accordingly, plaintiff’s claim against the
unnamed Allred Unit provider is subject to dismissal.
Likewise, plaintiff’s claims against Dr. Hightower and Dr. Callendar of deliberate
indifference with respect to the adequacy of medical contracts, staff training, policies and
procedures, and to understaffing (Docket Entries No.77, No.78) are conclusory and without
factual support in his pleadings. Therefore, plaintiff’s claims against Dr. Hightower and Dr.
Callendar are subject to dismissal.
2. Retaliation
Plaintiff claims that defendants Williams, Crawford, and Kennedy retaliated
against him because of the grievances that he filed or because of his recurring medical
complaints. (Docket Entry No.1, pages 3, 6). Claims of retaliation from prison inmates are
regarded with scepticism, lest federal courts embroil themselves in every adverse act that occurs
in penal institutions. Woods v. Smith, 60 F.3d 1161, 1166 (5th Cir. 1995)). To prevail on a claim
of retaliation a prisoner must establish the following elements: (1) the violation of a specific
constitutional right, (2) the defendant’s intent to retaliate against the prisoner for his exercise of
that right, (3) a retaliatory adverse act, and (4) causation. Jones v. Greninger, 188 F.3d 322, 32425 (5th Cir. 1999). Further, the inmate must allege more than his personal belief that he is the
17
victim of retaliation. Jones, 188 F.3d at 325. To demonstrate the requisite retaliatory intent on
the defendant’s part, the inmate must produce direct evidence of motivation or allege a
chronology of events from which retaliation may plausibly be inferred. Woods, 60 F.3d at 1166.
Plaintiff’s recitation of the chronology of events in this case does not give rise to
an inference that Dr. Williams, Practice Manager Crawford, or Warden Kennedy retaliated
against him because of the grievances that he filed or because of his recurring medical
complaints. Plaintiff states no facts showing that defendants acted with a retaliatory animus or
that they engaged in any retaliatory adverse act. To the extent that plaintiff contends that the
responses to any grievance by defendants give rise to a retaliation claim, such contention is
without merit. See Geiger v. Jowers, 404 F.3d 371, 374 (5th Cir. 2005) (an inmate does not have
a federally protected liberty interest in having grievances resolved to his satisfaction).
Plaintiff’s retaliation claims against defendants Williams, Crawford, and Kennedy
are legally frivolous and therefore, subject to dismissal.
3. Equal Protection and Due Process
Plaintiff states no facts in any of his pleadings to show that any defendant
engaged in purposeful or intentional discrimination that would give rise to an equal protection
claim. See Stefanoff v. Hays County, 154 F.3d 523, 526 (5th Cir. 1998) (noting to state an equal
protection claim, the movant must show that defendant treated two or more classifications of
similarly situated prisoners differently and that that such treatment had no rational relation to any
legitimate governmental objective); Woods v. Edwards, 51 F.3d 577, 580 (5th Cir. 1995) (noting
that movant must also demonstrate that defendant acted with a “discriminatory purpose”);
Johnson v. Rodriguez, 110 F.3d 299, 306 (5th Cir. 1997) (stating that “disparate impact alone
cannot suffice to state an Equal Protection violation; otherwise, any law could be challenged on
18
Equal Protection grounds by whomever it has negatively impacted”). “A constitutional violation
may not be established by a reliance upon unsupported assumptions.” Hovater v. Robinson, 1
F.3d 1063, 1068 (10th Cir. 1993). Mere conclusory allegations are insufficient to state a claim.
Moody, 857 F.2d at 258. Accordingly, plaintiff’s equal protection claims are subject to dismissal
as legally frivolous.
To the extent that plaintiff sets forth a substantive due process claim, such claim
is nothing more than a restatement of his Eighth Amendment deliberate indifference claims. The
Court notes that many of the rights guaranteed by the Eighth and Fourteenth Amendments are
congruous. See Whitley v. Albers, 475 U.S. 312, 327 (1986) ( finding “Due Process Clause
affords [] no greater protection than does the Cruel and Unusual Punishments Clause”); Berry v.
City of Muskogee, 900 F.2d 1489, 1494, n. 6 (10th Cir. 1990) (noting “with regard to the rights
of convicted prisoners, the legal standards under the Eighth and Fourteenth Amendments
generally are congruous”).
However, when a convicted prisoner alleges a violation of a
constitutional right secured by both the Eighth and the Fourteenth Amendments, the Eighth
Amendment’s explicit guarantee of prisoner rights controls over the Fourteenth Amendment’s
more general substantive due process protections. Austin v. Johnson, 328 F.3d 204, 210 n. 10
(5th Cir. 2003); Calhoun v. Hargrove, 312 F.3d 730, 735 (5th Cir. 2002) (stating that “claims
that are covered by such specific constitutional provisions must be analyzed under the standard
appropriate to that specific provision and not under the rubric of substantive due process”).
Because plaintiff has asserted claims that arise under the Eighth Amendment, and the Court has
addressed such claims under the Eighth Amendment, his substantive due process claim is subject
to dismissal.
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4. Supervisory Liability
Plaintiff’s pleadings fail to show the personal involvement of defendants Dr.
Denise DeShields, Warden Eileen Kennedy, Director Brad Livingston, Dr. Callendar, or Dr.
Hightower with respect to the medical treatment that plaintiff sought or received. Instead,
plaintiff seeks relief from these individuals in their supervisory capacities as administrators of
various state agencies, who are in some respect responsible for creating and implementing
policies and procedures, and hiring and managing staff.
Theories of vicarious liability, such as respondeat superior, cannot support a
cause of action under section 1983. Thompson v. Steele, 709 F.2d 381 (5th Cir. 1983). A
supervisory official “may be held liable if there exists either (1) personal involvement in the
constitutional deprivation, or (2) a sufficient causal connection between the supervisor’s
wrongful conduct and the constitutional violation.” Thompkins v. Belt, 828 F.2d 298, 304 (5th
Cir. 1987).
To state an actionable claim, a civil rights plaintiff must establish a causal
connection between the acts or omissions of the defendant and the resultant constitutional
deprivation. Reimer v. Smith, 663 F.2d 1316, 1323 (5th Cir. 1981).
Although plaintiff makes sweeping allegations against these defendants on
various grounds related to their administrative roles and to the creation and implementation of
various policies and procedures, he states no facts to support these allegations and no facts that
would give rise to a causal connection between the acts or omissions of these defendants and any
constitutional violation. (Docket Entries No.7, No.13, No.44, No.52, No.63, No.77, No.78). His
unsupported, conclusory allegations are insufficient to establish the denial of a constitutional
right. See Koch v. Puckett, 907 F.2d 524, 530 (5th Cir. 1990). Accordingly, plaintiff’s claims
20
against defendants Dr. Denise DeShields, Warden Eileen Kennedy, Director Brad Livingston,
Dr. Callendar, and Dr. Hightower are subject to dismissal as legally frivolous.
5. Sovereign Immunity
Plaintiff’s § 1983 claims for damages or injunctive relief against UTMB, TDCJ,
CMC, and TTU are barred by the state’s sovereign immunity. Governmental entities are not
“persons” within the meaning of § 1983. Will v. Michigan Dep’t of State Police, 491 U.S. 58, 71
(1989). UTMB, TDCJ, CMC, and TTU are state agencies, immune from a suit for money
damages under the Eleventh Amendment. Lewis, 655 F.3d at 630.
To the extent that plaintiff seeks monetary relief from the unnamed Allred Unit
optometrist, Dr. Callendar, or Dr. Hightower, who are employees of state agencies or any other
defendant in his or her official capacity in this case, such claims are also barred by the state’s
sovereign immunity. Id.
6. Loss of Enjoyment of Life
To the extent that plaintiff seeks to bring a state law claim regarding the loss of
enjoyment of life, the Court declines to exercise jurisdiction over this claim.
28 U.S.C. §
1367(c)(3).
III. CONCLUSION
Based on the foregoing, the Court ENTERS the following ORDERS:
1.
Defendants’ Motion for Summary Judgment (Docket Entry
No.70) is GRANTED. All claims against defendants Dr.
Betty Williams, Shanta Crawford, and Dr. Denise
DeShields are DISMISSED.
2.
Plaintiff’s claims against all other defendants in this case
are DISMISSED as legally frivolous pursuant to 28 U.S.C.§
1915(e)(2)(B).
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3.
Plaintiff’s state law claim is DISMISSED without
prejudice.
4.
Plaintiff’s Motion for Leave to File Motion for Summary
Judgment and his Motion for Summary Judgment (Docket
Entry No.88) are DENIED.
5.
All other pending motions are DENIED, AS MOOT.
6.
This complaint is DISMISSED WITH PREJUDICE.
The Clerk shall provide the parties with a copy of this Order.
SIGNED at Houston, Texas, this 20th day of September, 2012.
___________________________________
MELINDA HARMON
UNITED STATES DISTRICT JUDGE
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