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3 4 5 UNITED STATES DISTRICT COURT EASTERN DISTRICT OF WASHINGTON 6
7 RALPH HOWARD BLAKELY, NO: 2:18-CV-0081-TOR 8 Plaintiff, ORDER GRANTING DEFENDANTS’ 9 v. MOTION FOR SUMMARY JUDGMENT 10 PATRICK PETERSON, PA-C, and DR. DEBORAH J. TONHOFER, 11 Defendants. 12 13 14 BEFORE THE COURT is Defendant Patrick Peterson and Dr. Deborah J. 15 Tonhofer’s Motion for Summary Judgment (ECF No. 45). The matter was 16 submitted without a request for oral argument. Plaintiff is represented Jeffry K. 17 Finer. Defendants are represented by Candie M. Dibble. The Court has reviewed 18 the record and files therein, and is fully informed. For the reasons discussed 19 below, Defendants’ Motion is granted. 20 1 BACKGROUND 2 Plaintiff Ralph Blakely is an 83-year-old inmate of the Washington State
3 Department of Corrections housed at the Airway Heights Corrections Center 4 (“AHCC”). ECF No. 45 at 2. Defendants Patrick Peterson and Dr. Deborah J. 5 Tonhofer are medical staff working at AHCC.
6 In short, Plaintiff was “authorized to use a wheelchair due to instability and 7 pain in his back and lower limbs” sometime around 2014. ECF No. 32 at 2, ¶ 3.2. 8 However, “[o]n or about January 23, 2018, Defendant Tonhofer and Defendant 9 Peterson discontinued Mr. Blakely’s authorization for a wheelchair.” ECF No. 32
10 at 3, ¶ 3.4. Plaintiff was provided with a wheeled walker, instead.1 Plaintiff 11 asserts that, without a wheelchair, moving about causes “undue pain” and puts him 12 at risk of permanent injury from falls. ECF No. 32 at 2-3. According to Plaintiff,
13 this constitutes cruel and unusual punishment and Defendants are liable under 42 14 U.S.C. § 1983. 15
16 1 Plaintiff complains that his walker was removed when its authorization 17 expired. ECF No. 32 at 6, ¶ 3.20. Plaintiff’s Response only asserts “[t]his suit 18 seeks an order to issue [Plaintiff] a medical order for a wheelchair” and does not 19 raise the issue of the walker being taken away. ECF No. 52 at 2. Accordingly,
20 Plaintiff has waived this claim. 1 Plaintiff filed this suit, pro se, on March 5, 2018, requesting the Court order 2 the return of his wheelchair. ECF No. 1. Plaintiff has since obtained counsel and
3 filed a second amended complaint. See ECF No. 32. Plaintiff seeks damages and 4 injunctive relief in the form of a court ordered wheelchair. Id. Defendants now 5 move for summary judgment against Plaintiff’s claims. ECF No. 45. This Motion
6 is now before the Court. 7 STANDARD OF REVIEW 8 A movant is entitled to summary judgment if “there is no genuine dispute as 9 to any material fact and that the movant is entitled to judgment as a matter of law.”
10 Fed. R. Civ. P. 56(a). A fact is “material” if it might affect the outcome of the suit 11 under the governing law. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 12 (1986). An issue is “genuine” where the evidence is such that a reasonable jury
13 could find in favor of the non-moving party. Id. The moving party bears the 14 “burden of establishing the nonexistence of a ‘genuine issue.’” Celotex Corp. v. 15 Catrett, 477 U.S. 317, 330 (1986). “This burden has two distinct components: an 16 initial burden of production, which shifts to the nonmoving party if satisfied by the
17 moving party; and an ultimate burden of persuasion, which always remains on the 18 moving party.” Id. Summary judgment will thus be granted “against a party who 19 fails to make a showing sufficient to establish the existence of an element essential
20 to that party’s case, and on which that party will bear the burden of proof at trial.” 1 Id. at 322. 2 Only admissible evidence may be considered. Orr v. Bank of America, NT
3 & SA, 285 F.3d 764 (9th Cir. 2002). The nonmoving party may not defeat a 4 properly supported motion with mere allegations or denials in the pleadings. 5 Liberty Lobby, 477 U.S. at 248. The “evidence of the non-movant is to be
6 believed, and all justifiable inferences are to be drawn in [the non-movant’s] 7 favor.” Id. at 255. However, the “mere existence of a scintilla of evidence” will 8 not defeat summary judgment. Id. at 252. 9 DISCUSSION
10 Defendants assert that Plaintiff cannot show Defendants acted with 11 deliberate indifference or that Plaintiff is suffering from a serious medical 12 condition. ECF No. 45. Plaintiff argues there is a genuine issue of material fact as
13 to whether Plaintiff needs a wheelchair due to his pain when walking and standing 14 and that Defendants “deliberately ignored” his “likely level of pain . . . when 15 making their medical recommendations.” ECF No. 52 at 6. 16 “Prisoners can establish an eighth amendment violation with respect to
17 medical care if they can prove there has been deliberate indifference to their 18 serious medical needs.” Sanchez v. Vild, 891 F.2d 240, 242 (9th Cir. 1989) 19 (quoting Hunt v. Dental Dept., 865 F.2d 198, 200 (9th Cir. 1989)). This is a
20 stringent standard: 1 [A] prison official cannot be found liable under the Eighth Amendment for denying an inmate humane conditions of confinement unless the official 2 knows of and disregards an excessive risk to inmate health or safety; the official must both be aware of facts from which the inference could be 3 drawn that a substantial risk of serious harm exists, and he must also draw the inference. . . . [A]n official’s failure to alleviate a significant risk that he 4 should have perceived but did not, while no cause for commendation, cannot under our cases be condemned as the infliction of punishment. 5
6 Farmer v. Brennan, 511 U.S. 825, 837-38 (1994). 7 The plaintiff may show the “defendant’s response to the need was 8 deliberately indifferent . . . by showing (a) a purposeful act or failure to respond to 9 a prisoner’s pain or possible medical need and (b) harm caused by the 10 indifference.” Jett v. Penner, 439 F.3d 1091, 1096 (9th Cir. 2006) (citation 11 omitted). Indifference “may appear when prison officials deny, delay or 12 intentionally interfere with medical treatment, or it may be shown by the way in 13 which prison physicians provide medical care.” Id. (citation omitted). However, a 14 mere “difference of opinion does not amount to a deliberate indifference to [the 15 inmate’s] serious medical needs.” Vild, 891 F.2d at 242 (quoting Randall v. 16 Wyrick, 642 F.2d 304, 308 (8th Cir. 1981)). 17 Plaintiff alleges that “Defendants consciously or with reckless disregard of 18 the consequences did not recognize Mr. Blakely’s reasonable medical need for a 19 wheelchair” because “medical professionals determined Plaintiff had shown signs
20 of malingering in the past”. ECF No. 32 at 4-5, ¶¶ 3.11-3.13. Plaintiff asserts that 1 Defendants know this is not enough to discredit Plaintiff’s claimed need of a 2 wheelchair. ECF No. 32 at 4-5, ¶¶ 3.12-3.13. In other words, Plaintiff contends
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3 4 5 UNITED STATES DISTRICT COURT EASTERN DISTRICT OF WASHINGTON 6
7 RALPH HOWARD BLAKELY, NO: 2:18-CV-0081-TOR 8 Plaintiff, ORDER GRANTING DEFENDANTS’ 9 v. MOTION FOR SUMMARY JUDGMENT 10 PATRICK PETERSON, PA-C, and DR. DEBORAH J. TONHOFER, 11 Defendants. 12 13 14 BEFORE THE COURT is Defendant Patrick Peterson and Dr. Deborah J. 15 Tonhofer’s Motion for Summary Judgment (ECF No. 45). The matter was 16 submitted without a request for oral argument. Plaintiff is represented Jeffry K. 17 Finer. Defendants are represented by Candie M. Dibble. The Court has reviewed 18 the record and files therein, and is fully informed. For the reasons discussed 19 below, Defendants’ Motion is granted. 20 1 BACKGROUND 2 Plaintiff Ralph Blakely is an 83-year-old inmate of the Washington State
3 Department of Corrections housed at the Airway Heights Corrections Center 4 (“AHCC”). ECF No. 45 at 2. Defendants Patrick Peterson and Dr. Deborah J. 5 Tonhofer are medical staff working at AHCC.
6 In short, Plaintiff was “authorized to use a wheelchair due to instability and 7 pain in his back and lower limbs” sometime around 2014. ECF No. 32 at 2, ¶ 3.2. 8 However, “[o]n or about January 23, 2018, Defendant Tonhofer and Defendant 9 Peterson discontinued Mr. Blakely’s authorization for a wheelchair.” ECF No. 32
10 at 3, ¶ 3.4. Plaintiff was provided with a wheeled walker, instead.1 Plaintiff 11 asserts that, without a wheelchair, moving about causes “undue pain” and puts him 12 at risk of permanent injury from falls. ECF No. 32 at 2-3. According to Plaintiff,
13 this constitutes cruel and unusual punishment and Defendants are liable under 42 14 U.S.C. § 1983. 15
16 1 Plaintiff complains that his walker was removed when its authorization 17 expired. ECF No. 32 at 6, ¶ 3.20. Plaintiff’s Response only asserts “[t]his suit 18 seeks an order to issue [Plaintiff] a medical order for a wheelchair” and does not 19 raise the issue of the walker being taken away. ECF No. 52 at 2. Accordingly,
20 Plaintiff has waived this claim. 1 Plaintiff filed this suit, pro se, on March 5, 2018, requesting the Court order 2 the return of his wheelchair. ECF No. 1. Plaintiff has since obtained counsel and
3 filed a second amended complaint. See ECF No. 32. Plaintiff seeks damages and 4 injunctive relief in the form of a court ordered wheelchair. Id. Defendants now 5 move for summary judgment against Plaintiff’s claims. ECF No. 45. This Motion
6 is now before the Court. 7 STANDARD OF REVIEW 8 A movant is entitled to summary judgment if “there is no genuine dispute as 9 to any material fact and that the movant is entitled to judgment as a matter of law.”
10 Fed. R. Civ. P. 56(a). A fact is “material” if it might affect the outcome of the suit 11 under the governing law. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 12 (1986). An issue is “genuine” where the evidence is such that a reasonable jury
13 could find in favor of the non-moving party. Id. The moving party bears the 14 “burden of establishing the nonexistence of a ‘genuine issue.’” Celotex Corp. v. 15 Catrett, 477 U.S. 317, 330 (1986). “This burden has two distinct components: an 16 initial burden of production, which shifts to the nonmoving party if satisfied by the
17 moving party; and an ultimate burden of persuasion, which always remains on the 18 moving party.” Id. Summary judgment will thus be granted “against a party who 19 fails to make a showing sufficient to establish the existence of an element essential
20 to that party’s case, and on which that party will bear the burden of proof at trial.” 1 Id. at 322. 2 Only admissible evidence may be considered. Orr v. Bank of America, NT
3 & SA, 285 F.3d 764 (9th Cir. 2002). The nonmoving party may not defeat a 4 properly supported motion with mere allegations or denials in the pleadings. 5 Liberty Lobby, 477 U.S. at 248. The “evidence of the non-movant is to be
6 believed, and all justifiable inferences are to be drawn in [the non-movant’s] 7 favor.” Id. at 255. However, the “mere existence of a scintilla of evidence” will 8 not defeat summary judgment. Id. at 252. 9 DISCUSSION
10 Defendants assert that Plaintiff cannot show Defendants acted with 11 deliberate indifference or that Plaintiff is suffering from a serious medical 12 condition. ECF No. 45. Plaintiff argues there is a genuine issue of material fact as
13 to whether Plaintiff needs a wheelchair due to his pain when walking and standing 14 and that Defendants “deliberately ignored” his “likely level of pain . . . when 15 making their medical recommendations.” ECF No. 52 at 6. 16 “Prisoners can establish an eighth amendment violation with respect to
17 medical care if they can prove there has been deliberate indifference to their 18 serious medical needs.” Sanchez v. Vild, 891 F.2d 240, 242 (9th Cir. 1989) 19 (quoting Hunt v. Dental Dept., 865 F.2d 198, 200 (9th Cir. 1989)). This is a
20 stringent standard: 1 [A] prison official cannot be found liable under the Eighth Amendment for denying an inmate humane conditions of confinement unless the official 2 knows of and disregards an excessive risk to inmate health or safety; the official must both be aware of facts from which the inference could be 3 drawn that a substantial risk of serious harm exists, and he must also draw the inference. . . . [A]n official’s failure to alleviate a significant risk that he 4 should have perceived but did not, while no cause for commendation, cannot under our cases be condemned as the infliction of punishment. 5
6 Farmer v. Brennan, 511 U.S. 825, 837-38 (1994). 7 The plaintiff may show the “defendant’s response to the need was 8 deliberately indifferent . . . by showing (a) a purposeful act or failure to respond to 9 a prisoner’s pain or possible medical need and (b) harm caused by the 10 indifference.” Jett v. Penner, 439 F.3d 1091, 1096 (9th Cir. 2006) (citation 11 omitted). Indifference “may appear when prison officials deny, delay or 12 intentionally interfere with medical treatment, or it may be shown by the way in 13 which prison physicians provide medical care.” Id. (citation omitted). However, a 14 mere “difference of opinion does not amount to a deliberate indifference to [the 15 inmate’s] serious medical needs.” Vild, 891 F.2d at 242 (quoting Randall v. 16 Wyrick, 642 F.2d 304, 308 (8th Cir. 1981)). 17 Plaintiff alleges that “Defendants consciously or with reckless disregard of 18 the consequences did not recognize Mr. Blakely’s reasonable medical need for a 19 wheelchair” because “medical professionals determined Plaintiff had shown signs
20 of malingering in the past”. ECF No. 32 at 4-5, ¶¶ 3.11-3.13. Plaintiff asserts that 1 Defendants know this is not enough to discredit Plaintiff’s claimed need of a 2 wheelchair. ECF No. 32 at 4-5, ¶¶ 3.12-3.13. In other words, Plaintiff contends
3 that Defendants simply disregarded his complaints because he had a history of 4 lying, but the evidence does not support this theory. 5 Defendants did not simply ignore Defendant’s complaints because he had a
6 history of lying. Rather, medical staff deemed the wheelchair was not medically 7 necessary because Plaintiff exhibited conduct that was inconsistent with his claims 8 of pain. As succinctly explained in a response to a grievance filed by Plaintiff: 9 Your grievance concerning the denial of your wheelchair was investigated by HSM2 Evans and you were interviewed to gather the facts surrounding 10 this complaint. This investigation included a review of your medical file, electronic files (OMNI), and a case discussion with the AHCC Facility 11 Medical Director. Your statements of pain in various areas of your body to include knee, hip, shoulder, and ribs cannot be substantiated. Custody staff 12 notified Medical on 1/22/18 that you had an offender aid push you to the yard and then were observed walking without assistance during the entire 13 yard time (an hour) without instability or observable weakness. . . . Consequently, a wheelchair was deemed to be not medically necessary. . . . 14 You are encouraged to report any new or worsening symptoms if and as they occur[.] 15 ECF No. 54 at 322; see also ECF No. 56 (detailing numerous instances where 16 Plaintiff’s conduct was inconsistent with his complaints and instances where 17
18 2 The response further details incidents where Plaintiff exhibited an ability to 19 ambulate and allegedly faked falls, but these occurred after the complained-of 20 withholding of the wheelchair. 1 Plaintiff was on video faking falls). There is no evidence in the record that 2 Defendants did not, in good faith, believe Plaintiff’s witnessed mobility precluded
3 a finding that the wheelchair was medically necessary pursuant to Department of 4 Corrections criteria. See ECF No. 47-1 (August 2019 report maintaining position 5 that wheelchair was not medically necessary).
6 Plaintiff contends that a wheelchair is medically necessary due to his level of 7 pain when walking and provided an opinion by a third-party physician from 8 September 2019, which could be read as suggesting the use of a wheelchair to 9 avoid “undue pain”. See ECF No. 54 at 51 (“If it is the patient’s choice, it seems
10 reasonable for the patient to utilize a wheelchair. . .”). Even medical necessity 11 does not create an Eighth Amendment violation on its own. Indeed, Defendants 12 concede that “a wheelchair may be medically appropriate [or reasonable], [but] it is
13 not medically necessary.” ECF Nos. 45 at 8; 56 at 4. Contrary to Plaintiff’s 14 contentions, this does not create a genuine issue of fact. At most, this may 15 establish a genuine issue as to whether Plaintiff suffers from a serious medical 16 issue, but it is not material because Plaintiff has not presented evidence that
17 Defendants were deliberately indifferent to Plaintiff’s needs. 18 In sum, the only evidence on the record is that Defendants withheld 19 Plaintiff’s wheelchair because Plaintiff exhibited conduct inconsistent with his
20 claimed pain. There is nothing to suggest Defendants were deliberately indifferent 1 to his needs—they just did not believe he had such needs because of his history of 2 lying and his documented and observed activities without a wheelchair. Without
3 any evidence of deliberate indifference, Defendants are entitled to summary 4 judgment. Rule 56(c) mandates the entry of summary judgment . . . against a party 5 who fails to make a showing sufficient to establish the existence of an element
6 essential to that party’s case, and on which that party will bear the burden of proof 7 at trial. Celotex Corp., 477 U.S. at 322. 8 Without an Eighth Amendment violation, injunctive relief is unavailable. 9 While Defendants also seek qualified immunity, without an Eighth Amendment
10 violation, that issue is moot. 11 Revocation of In Forma Pauperis Status 12 Pursuant to 28 U.S.C. § 1915(a)(3), “[a]n appeal may not be taken in forma
13 pauperis if the trial court certifies in writing that it is not taken in good faith.” The 14 good faith standard is an objective one, and good faith is demonstrated when an 15 individual “seeks appellate review of any issue not frivolous.” See Coppedge v. 16 United States, 369 U.S. 438, 445 (1962). For purposes of 28 U.S.C. § 1915, an
17 appeal is frivolous if it lacks any arguable basis in law or fact. Neitzke v. Williams, 18 490 U.S. 319, 325 (1989). 19 The Court finds that any appeal of this Order would not be taken in good
20 faith and would lack any arguable basis in law or fact. Accordingly, the Court 1 || hereby revokes Plaintiff’s in forma pauperis status. If Plaintiff seeks to pursue an 2|| appeal, he must pay the requisite filing fee. 3 ACCORDINGLY, IT IS HEREBY ORDERED: 4 1. Defendant Patrick Peterson and Dr. Deborah J. Tonhofer’s Motion for 5 Summary Judgment (ECF No. 45) is GRANTED. 6 2. The Court certifies pursuant to 28 U.S.C. § 1915(a)(3) that any appeal of 7 this Order would not be taken in good faith and would lack any arguable 8 basis in law or fact. Plaintiff's in forma pauperis status is hereby 9 REVOKED. 10 The District Court Clerk is directed to enter this Order, enter judgment for Defendants, provide copies to counsel, and close the file. 12 DATED January 27, 2020.
14 in 0 Kes Ne Xe THOMAS O. RICE 15 <> Chief United States District Judge 16 17 18 19 20