Christina Paylan, M.D. v. Scott Teitelbaum

Court of Appeals for the Eleventh Circuit·Decided January 7, 2020·No. 18-14531·Unpublished

Opinion

[DO NOT PUBLISH]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)

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.

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

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

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.

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. He further explained that he was “greatly concerned” that Paylan would go back and see patients, and that he instituted the Marchman Act to make sure that he could report his findings to the Department of Health— the agency with the power to suspend Paylan’s medical license.

Shortly after the Marchman Act was invoked, Paylan was taken across the street, to Shands Hospital, where she was held for between four and six hours. Teitelbaum himself came to complete her evaluation. Paylan asserts that Teitelbaum’s subsequent evaluation only consisted of inquiring into whether she was suicidal, and that he took no further diagnostic steps. She also claims that

Teitelbaum authorized her discharge after she told him that she was not suicidal and would not harm anyone.

That same day, Teitelbaum reported his conclusion—that Paylan was not safe to practice medicine—to the Department of Health. The agency suspended Paylan’s medical license on August 5, 2011.

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