Brown, Larry v. Bellile, Doug

District Court, W.D. Wisconsin·Decided May 6, 2021·No. 3:20-cv-00337·Unknown

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF WISCONSIN

LARRY J. BROWN,

Plaintiff, OPINION AND ORDER v. 20-cv-337-wmc DOUG BELLILE, DANIEL KATTENBRAKER, JOHN AND JANE DOE “SPECIAL NEEDS COMMITTEE MEMBERS,” LAURA THOMAS, LISA POUILLIE, SARA DONOVAN, JOSEPH SCHMELZLE, and DANIEL PARK,

Defendants.

Pro se plaintiff Larry J. Brown is proceeding under 42 U.S.C. § 1983 on claims that Sand Ridge Secure Treatment Center (“Sand Ridge”) staff members acted with deliberate indifference to his medical needs in violation of the Fourteenth Amendment. Specifically, Brown alleges that Sand Ridge staff are ignoring his ongoing trouble swallowing and esophageal pain, which worsens when staff leave him too little time to eat his meals, and are refusing to provide blankets that do not irritate his skin condition. (Dkt. ##34, 35, 47.) For the following reasons, the court will deny without prejudice Brown’s renewed request for counsel. (Dkt. #35.) However, in light of Brown’s recent assertions that he had to be hospitalized on April 17, 2021, the court will hold a video hearing on his renewed motion for a preliminary injunction. (Dkt. #27).1

1 Brown also seeks to compel defendants to respond to his discovery requests, apparently as a sanction for failing to respond within thirty days, and complains that defense counsel is trying to force Brown to pay postage due on a letter. (Dkt. #39.) Defense counsel promptly responded in a letter to Brown also filed with the court, indicating that the letter contained defendants’ discovery responses and was timely mailed, but apparently had not been properly weighed and stamped before mailing. (Dkt. #40.) Defense counsel apologized to Brown and represents that another copy of the discovery responses was sent. (Dkt. #40.) Since the court has no reason to believe that the I. Renewed Motion for Preliminary Injunctive Relief Brown seeks a preliminary injunction that would require Sand Ridge to allow him to eat smaller, more frequent meals in his room and at his own pace, and provide a

nighttime snack free-of-charge to ease his hunger at night, two extra pillows to elevate his head, and cotton blankets that will not irritate his skin condition. Defendants oppose such relief, and in response to the court’s February 12, 2021, order, filed materials requested by the court that relate to Brown’s current medical treatment. (Dkt. #32.) Brown responded, and has filled a letter with additional assertions about his current medical condition. (Dkt. ##34, 47.)

A. Record of Treatment at Sand Ridge2 Brown underwent a fundoplication in July 2017, a procedure to repair a hiatal

hernia and to treat gastroesophageal reflux disease. (Dkt. #33-2 at 102.) Ever since, Brown has reported abdominal pain and dysphagia. In September 2018, he was seen at the University of Wisconsin Digestive Health Center for these concerns, and he underwent an upper endoscopy approximately a month later that “showed esophagitis and intact

incorrect postage was anything other than a mistake, and defense counsel has promptly corrected the error, plaintiff’s motion to compel will be denied as moot. The court will also deny Brown’s request to sanction counsel, as counsel has provided a reasonable explanation for the delay, and Brown has not shown any prejudice.

2 The facts set forth here are largely derived from Brown’s treatment records produced by the state, and from Brown’s responses. (Dkt. ##33, 34, 47.) nissen fundoplication.”3 (Dkt. #33-2 at 100.) On July 23, 2019, Brown was admitted to Sand Ridge. A Sand Ridge doctor next submitted a consultation request on October 16, for Brown to see another provider at the

UW Digestive Health Center in response to an “ongoing complaint of abdominal pain and dysphagia.” (Dkt. #33-2 at 95.) Then, on November 12, 2019, Brown had a telemedicine visit with a nurse practitioner (“NP”), and told her that he was “still struggling” with abdominal pain and dysphagia, which he still believed were the result of his July 17 surgery. (Dkt. #33-2 at 100.) Brown also explained that his symptoms were worse when he was

not able to eat in his room, because he needed extra time to finish his meals. Although Brown denied nausea or vomiting, he further reported that food would feel like it was getting stuck in his throat if he ate it too quickly. The NP recommended that Brown either be allowed (1) more time to eat in the cafeteria or (2) to eat in his room. In addition, if possible, he seeks to be referred for a surgical consultation to explore whether his ongoing symptoms are in fact related to his

fundoplication, and whether the procedure could be reversed. The NP also recommended that Brown: 1. Have peppermints with each meal to help relax the esophageal muscle and potentially relieve symptoms; 2. Elevate the head of his bed at night, with extra pillows if necessary; 3. Eat smaller, more frequent meals if possible; 4. Follow up as needed; and 5. Contact the office sooner if symptoms worsen or persist.

3 A Nissen fundoplication is “a procedure to reinforce the lower esophageal sphincter” used to treat gastroesophageal reflux disease by “making it less likely that acid will back up in the esophagus.” “GERD surgery,” Mayo Clinic, https://www.mayoclinic.org/diseases- conditions/gerd/multimedia/gerd-surgery/img-20006950 (accessed May 6, 2021). (Dkt. #33-2 at 102-03.) Sand Ridge received this consultation note and recommendation from the telemedicine visit on December 18, 2019. Regarding these recommendations, defendants note that Brown has never asked

them to contact the Center for another visit.4 Moreover, Brown was referred for a surgical consultation, which took place on March 10, 2020, although Brown counters that there was “no recommendation, examination, nor evaluation” done that day because his medical records were unavailable. (Dkt. #34 at 1.) Defendants also allowed Brown to have a wedge pillow, which Brown confirms that he places under his mattress, but also maintains

he still needs additional, regular pillows to replace the “clothes, sheets, coats and sweaters” that he has been using to further elevate his head. (Dkt. #34 at 2.) Furthermore, while Brown can keep peppermints in his room, he complains about having to purchase them from the canteen because Sand Ridge follows “medication prescribing guidelines” that mirror those of “Medical Assistance in Wisconsin” and peppermints are “not a covered item.”5 (Dkt. #33 at 4.)

As for his meals, defendants assert that Brown can eat in his room and has been “encouraged to try eating smaller meals,” although they stress that actually eating smaller meals “is a patient responsibility.” (Dkt. #33 at 4.) Based on his unit progress notes from

4 In his response, Brown contends that the statement “Patient advised to contact the officer sooner if symptoms worsen or persist” was invented by defendants as it does not appear in the record. (Dkt. #34 at 2.) However, the nurse practitioner did represent in her consultation note that she advised Brown to “return to clinic as needed” and “to contact the office sooner if symptoms worsen or persist.” (Dkt. #33-1 at 103.)

5 Brown’s canteen food order receipts indicate that he ordered Starlite mints in November 2020. (Dkt. #33-3 at 3.) November 30, 2020, through February 14, 2021, Brown accepts and eats his meals, often in his room, and he routinely socializes with other patients, watches television, works on the computer, and goes to work.6 (Dkt. #33-2 at 11-68.) Although patients must dispose

of some uneaten foods from their state-provided meal trays, they can keep other food items, such as fruit, to eat later. Moreover, they can supplement their diets with foods from the canteen.

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