Christina Paylan, M.D. v. Scott Teitelbaum

CourtCourt of Appeals for the Eleventh Circuit
DecidedJanuary 7, 2020
Docket18-14531
StatusUnpublished

This text of Christina Paylan, M.D. v. Scott Teitelbaum (Christina Paylan, M.D. v. Scott Teitelbaum) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eleventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Christina Paylan, M.D. v. Scott Teitelbaum, (11th Cir. 2020).

Opinion

Case: 18-10886 Date Filed: 01/07/2020 Page: 1 of 18

[DO NOT PUBLISH]

IN THE UNITED STATES COURT OF APPEALS

FOR THE ELEVENTH CIRCUIT ________________________

Nos. 18-10886 ; 18-14531 Non-Argument Calendar ________________________

D.C. Docket No. 1:15-cv-00159-MW-GRJ

CHRISTINA PAYLAN, M.D.,

Plaintiff-Appellant,

versus

SCOTT TEITELBAUM, M.D. in his individual and official capacities, UNIVERSITY OF FLORIDA BOARD OF TRUSTEES, a state operated entity,

Defendants-Appellees,

UNIVERSITY OF FLORIDA, A state university, et al.,

Defendants.

________________________

Appeals from the United States District Court for the Northern District of Florida ________________________

(January 7, 2020) Case: 18-10886 Date Filed: 01/07/2020 Page: 2 of 18

Before JORDAN, GRANT, and TJOFLAT, Circuit Judges.

PER CURIAM:

Christina Paylan, proceeding pro se, appeals the district court’s order

granting summary judgment in favor of Scott Teitelbaum on her 42 U.S.C.

§ 1983 claims for fabrication of evidence, unlawful detention, and unreasonable

search and seizure, and her state law claims for false imprisonment and fraud.

Additionally, she brings a host of other challenges to the proceedings below.

Finding no error, we affirm.

I.

Because we write only for the benefit of the parties, we limit our recitation

of facts to those relevant to the analysis.

Paylan, a physician from Tampa, Florida, was arrested for trafficking in

illegal drugs and possession of controlled substances on June 09, 2011.1 The

Florida Department of Health (the Department) investigated, and recommended

that she contact the Professional Resource Network (PRN) for a substance abuse

evaluation. Paylan was uncooperative, initially refused to provide a hair sample

for testing, and refused to stop practicing medicine even though it was

recommended.

1 These charges were later dismissed. 2 Case: 18-10886 Date Filed: 01/07/2020 Page: 3 of 18

Paylan was again arrested on July 1, 2011 at the Atlanta Airport. Although

Paylan testified that the arrest warrant was based on suspicion that she was “fleeing

the country,” a PRN report indicated that the arrest occurred because she wrote

multiple Demerol prescriptions for a patient that were actually picked up by her

fiancé (who was also her employee). On the date of her second arrest, the Medical

Director of PRN sent Paylan a letter informing her that, unless she scheduled a

substance abuse evaluation within three days, PRN would refer her case to the

Department for disciplinary action against her medical license.

Paylan presented herself to Dr. David Myers for an evaluation on July 13,

2011. He collected a hair sample, which tested positive for “metabolites of

Demerol at the high extreme of the labs quantitative scale.” Myers was unable to

complete his evaluation, however, because Paylan stopped cooperating. Still, he

was able to conclude that she met the criteria for opioid abuse and that it was not

safe for her to practice medicine.

The Department then requested that Paylan submit to a multi-day inpatient

evaluation for substance abuse at the Florida Recovery Center, a clinic operated by

the University of Florida. Paylan was scheduled for an evaluation on July 20,

2011, but she failed to arrive at the Clinic until 2:00 a.m. on July 21 and left

without completing an evaluation. She then failed to appear at multiple other

scheduled evaluations. Because Paylan continued to avoid her scheduled

3 Case: 18-10886 Date Filed: 01/07/2020 Page: 4 of 18

evaluations and also continued to practice medicine, PRN informed the

Department that Paylan was “a serious and immediate danger to the citizens of the

State of Florida.”

On August 1, 2011, Paylan finally arrived at the Clinic for an inpatient

evaluation by Dr. Teitelbaum, the individual defendant in this case. When Paylan

reported to the facility, she had bruises on both of her arms that she explained were

the result of injecting weight loss medication. She signed a voluntary admission

application. Among other things, this paperwork explained—and required a

separate signature acknowledging—that any request for discharge would be

granted within 24 hours of the request. The application also explained that the

facility might take custody of personal effects when required for medical or safety

reasons. When Paylan was admitted, her belongings were searched and several of

her personal effects were taken into custody by the staff.

Paylan spent the night of August 1st in the Clinic. According to Paylan, the

next morning she demanded to see Teitelbaum at 7:30 a.m. She was told that he

was unavailable, but that she would be able to speak to him at 2:30 p.m. She was

directed to a group therapy session in the meantime. But when Paylan heard the

group therapy participants introducing themselves as drug addicts, she refused to

participate. She demanded to be allowed to wait in the reception area and, when

her personal effects were not immediately returned, called the police. According

4 Case: 18-10886 Date Filed: 01/07/2020 Page: 5 of 18

to Nancy Goodwin, a secretary at the Clinic, Paylan was “very loud” and angry

during this time.

After the police arrived, Teitelbaum instituted an involuntary emergency

admission under the Marchman Act. That Florida law allows for the involuntary

hospitalization of an individual if there is a good-faith reason to believe that she

has lost self-control due to substance abuse and may cause harm to herself or

others or, alternatively, is in need of substance-abuse services. Fla. Stat.

§ 397.675.

In addition to his own observation and evaluation, Teitelbaum had access to

records relating to Paylan at the time the emergency admission decision was made.

He had received Myers’ evaluation of Paylan, including her refusal to complete the

initial assessment and his finding that she suffered from opioid abuse. Teitelbaum

was also aware of her positive drug test result, and had access to a Department of

Health report describing Paylan’s arrests for drug trafficking and other drug

crimes. The report also referenced a video of Paylan and her fiancé “in a stupor,”

with “track marks” on their arms, and with “bottles of Demerol and needles strewn

around the house.”2

2 Although the alleged video is described in the report, Teitelbaum never saw it and stated in a deposition that he did not rely on it in forming his conclusions about Paylan. 5 Case: 18-10886 Date Filed: 01/07/2020 Page: 6 of 18

The Marchman Act document—which was signed by Dr. Joel Abraham but

also listed Teitelbaum as a certifying physician—explained that both justifications

for the Marchman Act were present. The certificate stated that Paylan was likely

to inflict physical harm on herself or others and that she was incapable of

appreciating her need for care. In the narrative section, the certificate referenced

the evaluation by Myers, the photos and videos described in the Department of

Health report, the fact that Paylan was actively practicing medicine, and the

conclusion that she was incapable of appreciating the need for assessment,

stabilization, and possible treatment. During his deposition, Teitelbaum explained

that the purpose of the involuntary admission was for him to complete the

substance abuse evaluation.

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Christina Paylan, M.D. v. Scott Teitelbaum, Counsel Stack Legal Research, https://law.counselstack.com/opinion/christina-paylan-md-v-scott-teitelbaum-ca11-2020.