Arce v. Wexford Health Services

CourtDistrict Court, S.D. Illinois
DecidedMarch 24, 2022
Docket3:18-cv-01348
StatusUnknown

This text of Arce v. Wexford Health Services (Arce v. Wexford Health Services) is published on Counsel Stack Legal Research, covering District Court, S.D. Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Arce v. Wexford Health Services, (S.D. Ill. 2022).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF ILLINOIS MARIO ARCE, Plaintiff, v. Case No. 3:18-CV-1348-NJR WEXFORD HEALTH SERVICES, BLUM, L.P.N., and DR. BUTALID, Defendants. MEMORANDUM AND ORDER ROSENSTENGEL, Chief Judge: Pending before the Court is a motion for summary judgment filed by Defendants

Blum, Dr. Butalid, and Wexford Health Services (“Defendants”) (Doc. 112). Also pending before the Court are two motions to strike, one filed by Plaintiff Mario Arce (Doc. 111), and one filed by Defendants (Doc. 118). The Court grants the motion for summary judgment and denies as moot both motions to strike. INTRODUCTION On July 2, 2018, Plaintiff Mario Arce, a prisoner in custody of the Illinois

Department of Corrections (“IDOC”), filed this action pro se pursuant to 42 U.S.C. § 1983 alleging his constitutional rights were violated while he was incarcerated at Pinckneyville Correctional Center (“Pinckneyville”) (Doc. 1). Arce alleges that Defendants Wexford Health Services, Nurse Practitioner Blum, and Dr. Butalid were deliberately indifferent to his serious medical needs by failing to treat his leg injury for compartment syndrome,

failing to properly treat his ongoing pain, and disregarding recommendations from outside specialists, which purportedly caused potentially life-threatening blood clots and permanent damage (Id.). Specifically, as to Wexford, Arce claims that Wexford employed

an unconstitutional policy or practice for limiting specialist treatment and prioritizing cost-savings, and that Wexford’s utilization management process, collegial review, was defective (Id.). Defendants initially asserted Arce’s failure to exhaust his administrative remedies as an affirmative defense and subsequently moved for summary judgment regarding the same issue (Docs. 34, 35, 37, 65). That summary judgment motion was denied as to each

of the remaining defendants (Doc. 85). Arce is proceeding on three counts of deliberate indifference under the Eighth Amendment, one against each defendant (Doc. 1). Defendant Dr. Butalid is a licensed medical doctor and was the Medical Director at Pinckneyville from April 2017 to July 2018 (Doc. 30-1). Defendant Blum is a licensed Nurse Practitioner (“NP”) and worked at Pinckneyville beginning in May 2017—with an

extended leave of absence starting in April 2018 (Doc. 113-2). In their motion for summary judgment (Doc. 112), Defendants argue that the undisputed facts demonstrate Arce received adequate medical attention, and Defendants were not deliberately indifferent to Arce’s leg injury. FACTUAL BACKGROUND At the time of the underlying events, from June 2017 to July 2018, Arce resided at

Pinckneyville (Doc. 1). While playing soccer on June 18, 2017, Arce sustained a leg injury (Id.). Dr. Butalid examined Arce after this incident and sent him to the emergency room at Pinckneyville Hospital (Id.). At the hospital, the treating physician diagnosed a contusion of the right thigh and wanted to test Arce for compartment syndrome1 (Doc. 21-1, pp. 103-124). To test for compartment syndrome, Arce was transferred to Saint

Louis University Hospital (“SLUH”) (Id.). The SLUH emergency room physician requested an orthopedist to assess Arce’s leg (Id. at p. 142). The orthopedist performed the diagnostic test for compartment syndrome, a strike test, on Arce’s leg (Id. at p. 146). According to the emergency department notes by the treating physician, the orthopedist cleared Arce for discharge after performing two strike tests, and Arce was discharged with a recommended outpatient primary care physician

follow-up in a week (Id. at p. 138). The emergency department notes by the discharge nurse, however, stated that follow-up should be scheduled with Affinia Healthcare Murphy O’Fallon within two days (Id. at p. 142). Arce was released from SLUH with a final emergency department diagnosis of a contusion of his right thigh, no prescriptions, and a recommended follow-up appointment (Id. at pp. 138, 142).

Upon returning to Pinckneyville, Arce was placed in the infirmary for observation (and because he returned to the facility after hours) (Id. at pp. 4-7, 125). The following morning, treatment notes suggest that Arce reported the “swelling gone down” (Id. at p.7). NP Blum reviewed the notes as to Arce’s condition, prescribed Motrin and crutches,

1 Defendants offer the following definition for compartment syndrome, which Arce admits. Compartment syndrome occurs when there is increased pressure in a compartment of the body that results in insufficient blood supply to tissue. For an injury to the thigh that causes bleeding, the compartment can accommodate between 1-2 liters of blood. When looking at either acute or delayed compartment syndrome in the thigh, a provider looks for a continued progression of swelling, changes in sensation, numbness in the top of the foot, and significant pain. A decrease in these symptoms indicates there is no compartment syndrome. The treatment for compartment syndrome is emergent surgery to relieve the pressure, without surgery the pressure may result in tissue death (necrosis) (Docs. 113, 117). wrote a permit for low bunk and low gallery, and discharged Arce from the infirmary (Id. at pp. 6-7). Notes from the infirmary acknowledge the recommended follow-up in the

SLUH discharge paperwork of two days at Affinia Healthcare Murphy O’Fallon (Id. at pp. 4-7). Blum submitted a request for follow-up the same day to collegial review, Wexford’s medical management and approval process (Id. at p. 125). In the request, Blum wrote there was no evidence of compartment syndrome (Id.). The request for outside follow-up was denied on June 22, 2017, and onsite follow-up was ordered within three to four days (Id.).

Six days after the denial, Blum reassessed Arce’s injured leg. The assessment revealed a positive pulse, positive cap refill (regaining color after applied pressure), swelling, tenderness to touch, inability to bear weight, bruising, and calf pain (Id. at p. 9). Blum’s treatment plan called for a physical therapy evaluation, continued crutches, and Motrin for pain (Id.). He also referred Arce for an ultrasound to assess deep vein

thrombosis (“DVT”) due to the calf pain (Id.). Blum listed an orthopedic consult to rule out compartment syndrome as a potential treatment option (Id.). In collegial review, the ultrasound was approved, and the orthopedic consult was denied until after review of the results from the ultrasound (Id. at pp. 126, 132). An ultrasound was performed in early July revealing Arce had a specific type of blood clot2

that allows blood to still pass through the vein. (Id. at pp. 12, 158). Blum assessed Arce’s

2 Defendants contend, and Arce admits, there is no standard time for a blood clot to resolve. It can resolve within weeks or years, or it can remain and never fully dissolve. As there are risks with operating on a person with a blood clotting disorder, including the formation of additional blood clots, long-term anticoagulant treatment is the preferred course of treatment, and surgical intervention is rarely recommended (Docs. 113, 117). condition as right femoral DVT for which he prescribed anticoagulants and readmitted Arce to the infirmary for monitoring and bloodwork (Id. at pp. 12-14).

Two days later, Dr. Butalid saw Arce (Id. at p. 21). Arce stated that his leg still hurt (Id.). Dr. Butalid noted that the injury was making progress with less pain and swelling (Id. at pp. 21, 113-3). He also noticed tightness on the back of Arce’s leg and assessed that this was due to DVT (Id.). Dr. Butalid did not adjust the current treatment plan after this consultation (Id.).

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Arce v. Wexford Health Services, Counsel Stack Legal Research, https://law.counselstack.com/opinion/arce-v-wexford-health-services-ilsd-2022.