Bowens v. Schrubbe

CourtDistrict Court, E.D. Wisconsin
DecidedJuly 13, 2020
Docket2:17-cv-01124
StatusUnknown

This text of Bowens v. Schrubbe (Bowens v. Schrubbe) is published on Counsel Stack Legal Research, covering District Court, E.D. Wisconsin primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bowens v. Schrubbe, (E.D. Wis. 2020).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF WISCONSIN

JAMIE BOWENS,

Plaintiff,

v. Case No. 17-C-1124

BELINDA SCHRUBBE et al.,

Defendants.

DECISION AND ORDER

Plaintiff Jamie Bowens, a prison inmate serving a state prison sentence, brought this civil rights action pursuant to 42 U.S.C. § 1983 on Eighth Amendment claims for cruel and unusual punishment, as well as state law claims for negligence and medical malpractice. Bowens alleges that Defendants were deliberately indifferent to his serious medical needs after he tore his Achilles tendon while incarcerated at Waupun Correctional Institution. For the reasons that follow, Defendants’ motion for summary judgment will be granted. BACKGROUND At the time of his injury, Bowens was incarcerated at Waupun Correctional Institution (Waupun). Def.’s Proposed Findings of Fact (DPFF), ¶ 1, Dkt. No. 38. At all times relevant to this case, Defendants were employed at Waupun: Kristine DeYoung and Crystal Messerole as nurse clinicians; Belinda Schrubbe as Health Services Manager; and Dr. Jeffrey Manlove as a physician. Id. at ¶ 2. On September 26, 2013, Bowens was working as a tier tender when he fell after missing a step on the stairs. Id. at ¶¶ 4–5. Bowens believes the fall tore his Achilles tendon; he heard his right leg “pop” as he fell. Pl.’s Proposed Findings of Fact (PPFF), ¶ 1, Dkt. No. 54. A prison official brought Bowens to Waupun’s Health Services Unit (HSU) in a wheelchair after his fall. Id. at ¶¶ 2–3. Between 30 to 60 minutes after his injury, Nurse DeYoung performed a physical exam on

Bowens in the HSU. DPFF, ¶¶ 4, 6–7. Nurse DeYoung observed Bowens’ right ankle pain, tenderness to palpation in his right Achilles, “throbbing pain” that felt like a “10/10,” and a limited range of motion. PPFF, ¶ 4. She noted that Bowens could bear weight when walking only on his heel area. DPFF, ¶ 8. According to Bowens, he was unable to put any weight on his injured foot and Nurse DeYoung assumed that he had torn his Achilles tendon. PPFF, ¶¶ 5, 19. At this time, Nurse DeYoung rendered a nursing assessment: Bowens sustained an “alteration” in both mobility and comfort “related to his ankle/foot injury.” DPFF, ¶ 9. She prescribed Tylenol and Ibuprofen, told Bowens to rest, ice, compress, and elevate his injury, and provided him with an Ace bandage wrap and crutches. Id. at ¶¶ 11–13. Nurse DeYoung put Bowens on a no-work restriction and scheduled him for a nursing follow-up appointment four days later on September 30, 2013. Id. at

¶¶ 17–18. By that time, Nurse DeYoung felt Bowens’ swelling would decrease and his injury could be further evaluated. Id. at ¶¶ 19–20. She also advised Bowens that he could submit a health request form if there was no improvement in his condition. Id. at ¶ 18. Bowens was seen by Nurse Messerole and Dr. Manlove on September 30, 2013. Bowens arrived at the scheduled follow-up appointment with crutches and was non-weightbearing. Id. at ¶¶ 25–26. Nurse Messerole observed swelling and edema where Bowens was injured and also noted he had range of motion limitations, could not bear weight, and had no dorsi or plantar flexion. Id. at ¶ 29. Based on her observations, she requested a physician consult for Bowens. Id. at ¶ 30. According to the medical records, Dr. Manlove saw Bowens no more than thirty minutes after Bowens arrived for his appointment at HSU on September 30, 2013. Id. at ¶ 32. Although Dr. Manlove did not feel a definite palpable defect in Bowens’ tendon, he did observe some swelling and tenderness near the right Achilles and performed a Thompson’s test, which was

positive. Id. at ¶¶ 33–34. As a result, Dr. Manlove believed Bowens likely tore his Achilles tendon; he ordered an MRI for confirmation. Id. at ¶ 35. On October 2, 2013, Bowens underwent an MRI at Agnesian Healthcare that showed the musculotendinous junction of his Achilles tendon had a “very severe partial tear.” PPFF, ¶ 39. Typically, MRI results are sent to HSU from the offsite provider one to two days after the MRI is performed; they are then sorted by a nurse and placed in Dr. Manlove’s inbox for his review. DPFF, ¶¶ 40–41. If there is an intervening weekend, three to five days might pass after MRI results are delivered to HSU before Dr. Manlove would review them. Id. at ¶ 41. Dr. Manlove reviewed Bowens’ MRI results before requesting authorization for Bowens to see an orthopedic specialist on October 8, 2013; however, he does not know the specific date of his review. Id. at ¶ 42. The

relevant committee approved Dr. Manlove’s request for an orthopedic specialist on October 9, 2013. Id. at ¶ 43. According to Bowens, Dr. Manlove reviewed his MRI on October 10, 2013 (after Bowens requested information about the results on October 7), and provided Bowens a mayoclinic.com handout about Achilles tendon tears to Bowens at that time. PPFF, ¶¶ 41, 43. Bowens was seen on October 22, 2013, by Margaret Anderson, an advance practice nurse prescriber (APNP) who worked under the supervision of Dr. Thomas Grossman, the orthopedic specialist at Agnesian Healthcare to whom Bowens was referred. Id. at ¶ 54. APNP Anderson noted a severe partial tear of Bowens’ Achilles tendon and recommended an orthopedic boot at this visit. Id. at ¶¶ 55–56. Bowens believes this is the first time his foot and ankle were immobilized; Defendants contend that an Ace bandage provides some immobilization. Id. at ¶ 58; Dkt. No. 61 at 14. APNP Anderson did not believe that surgery was viable at this point as Bowens’ Achilles was only partially torn and Bowens could walk on his leg. DPFF, ¶ 50. APNP Anderson suggested a follow-up appointment with Dr. Grossman, an orthopedic surgeon, in two to three

weeks to see if surgery was necessary. Id. at ¶ 52. Bowens accused HSU of forgetting to schedule an appointment with an orthopedic doctor and requested a second opinion on his torn Achilles tendon in a letter to Schrubbe on October 29, 2013. PPFF, ¶¶ 45–46. The parties dispute whether Dr. Manlove failed to refer Bowens to an orthopedic specialist (Dr. Manlove claims he did so “almost immediately” upon seeing the MRI results) and whether HSU actually forgot to schedule his appointment with an orthopedic doctor. PPFF, ¶ 44–45; Dkt. No. 61 at 11. Schrubbe denied Bowens’ request for a second opinion on November 5, 2013. DPFF, ¶ 68. Bowens saw Dr. Grossman, who is named by Bowens as a medical expert and is not a defendant in this action, on November 7, 2013. Id. at ¶ 54. Dr. Grossman recommended that

Bowens continue treating his Achilles tendon tear by wearing the orthopedic boot. Id. at ¶ 55. Because Bowens did not indicate pain and it appeared his Achilles tendon tear was healing, Dr. Grossman did not recommend surgery. Id. at ¶¶ 56–58. However, Dr. Grossman explained that an Ace bandage just provides compression; not immobilization. PPFF, ¶ 69. Bowens started physical therapy on December 26, 2013. Id. at ¶ 49. After physical therapy on February 6, 2014, Bowens felt his right foot was weaker. Id. at ¶ 50. Subsequently, Bowens was prescribed an ankle and foot orthotic brace. Id. at ¶ 51. In 2017, Bowens claims that it was determined physical therapy was no longer effective at improving his condition. He continues to experience atrophy of the right calf, antalgic gait, and persistent pain. Id. at ¶ 53. LEGAL STANDARD Summary judgment is appropriate when the moving party shows that there is no genuine dispute as to any material fact and that the movant is entitled to judgment as a matter of law. Fed. R. Civ. P. 56(a). The moving party has the burden of showing that there are no facts to support

the nonmoving party’s claim. Celotex Corp. v.

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Bowens v. Schrubbe, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bowens-v-schrubbe-wied-2020.