CIRINO v. THE UNITED STATES OF AMERICA

CourtDistrict Court, E.D. Pennsylvania
DecidedMay 17, 2022
Docket5:18-cv-03565
StatusUnknown

This text of CIRINO v. THE UNITED STATES OF AMERICA (CIRINO v. THE UNITED STATES OF AMERICA) is published on Counsel Stack Legal Research, covering District Court, E.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
CIRINO v. THE UNITED STATES OF AMERICA, (E.D. Pa. 2022).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA RALPH J. CIRINO, Plaintiff, CIVIL ACTION v. NO. 18-3565 THE COUNTY OF LEHIGH, PENNSYLVANIA, et al., Defendants. PAPPERT, J. May 17, 2022 MEMORANDUM After medical personnel at the Lehigh County Jail decided to manage Ralph Cirino’s asthma with nebulizer treatments instead of an inhaler, he suffered several asthma attacks that went untreated because he was unable to summon help. Proceeding pro se, Cirino sued the county, several jail officials, the company that provides medical care at the jail, its CEO, and the physician assistant who prescribed nebulizer treatments.1 He alleged negligence, intentional infliction of emotional distress, and violations of the United States and Pennsylvania Constitutions. The Defendants moved for summary judgment on all claims. The Court grants summary judgment on Cirino’s federal claims and declines to exercise supplemental jurisdiction over his state law claims.

1 At Cirino’s request, the Court referred his case to the Prisoner Civil Rights Panel on April 23, 2019. (ECF 19.) The referral expired without any lawyer accepting the case on May 24, 2019. (Id.) On June 8, 2020, the Court referred Cirino’s case to the Panel for a second time. (ECF 40.) Again, no lawyer accepted the case. The Court removed it from the Panel on September 23, 2020. (ECF 41.) I On October 12, 2017, the U.S. Marshals Service transferred Cirino from FDC Philadelphia to the Lehigh County Jail in advance of a plea colloquy before United States District Court Judge Edward G. Smith. (Am. Compl. at 1–2, ECF 31);2 see also

Notice of Change of Plea Hearing, United States v. Cirino, No. 17-355 (E.D. Pa. Oct. 5, 2017), ECF 17. The marshals also brought Cirino’s medications, including an albuterol inhaler he used to treat his asthma. (Pl.’s Resp. Lehigh Cnty.’s Mot. Summ. J., Ex. A, ECF 63.) Cirino carried a second inhaler with him in the van. (Am. Compl. at 2.) But jail staff confiscated the inhaler as soon as he arrived, explaining that jail policy prohibited inmates from possessing inhalers. (Am. Compl. at 2.) During an initial medical screening later that day, a medical assistant documented Cirino’s asthma diagnosis and verified his medications, including his albuterol inhaler. (PrimeCare Defs.’ Statement of Undisputed Facts, Ex. E., ECF 51-6 at 6); (Pl.’s Response to PrimeCare Defs.’ Mot. Summ. J., Exs. B–C, ECF 72 at 31, 33).

The assistant reiterated that inmates were not allowed to keep inhalers. (Am. Compl. at 3.) When Cirino objected, a nurse informed him he could keep an inhaler only if the jail’s medical staff ordered it. (Id.) Eventually, someone contacted one of the jail’s physicians, who ordered an inhaler. (Id.); see also (Pl.’s Response to PrimeCare Defs.’ Mot. Summ. J., Ex. D, ECF 72 at 35). Cirino was allowed to keep his inhaler that night. (Am. Compl. at 3.)

2 The Court treats Cirino’s verified complaint, which was signed under penalty of perjury, as an affidavit in opposition to summary judgment. See Porter v. Pennsylvania Dep’t of Corr., 974 F.3d 431, 443 (3d Cir. 2020). The following day, Cirino was seen by Megan Hughes, a certified physician assistant. (PrimeCare Defs.’ Statement of Undisputed Facts ¶¶ 7, 21, ECF 51.) She confirmed his asthma diagnosis, but replaced his inhaler with an albuterol nebulizer. (Id. ¶¶ 22, 26–28.) She explained that a nebulizer would allow staff to monitor how

often Cirino needed treatment. (Am. Compl. at 3.) She told him he could contact an officer if he felt he needed a breathing treatment. (PrimeCare Defs.’ Statement of Undisputed Facts ¶¶ 27–28.) Cirino claims he told Hughes he often experienced asthma attacks at night and worried he would have no way to summon help, but Hughes confiscated his inhaler nevertheless. (Am. Compl. at 3.) Cirino had an asthma attack that night which left him unable to call for help; his attempts to attract attention by banging on his cell door proved fruitless. (Id.) Indeed, Cirino claims he saw the officer on duty asleep at his station, and the same thing happened each of the next three nights. (Id.) The parties vigorously dispute whether Cirino ever made jail officials or medical

staff aware of these attacks. Cirino maintains he submitted sick calls each morning. (Id.) In a sick call request from October 14, the day after the first attack, he wrote “I had a severe asthma attack because I didn’t have my inhaler. Can you plz get it to me?” (Pl.’s Resp. to Lehigh Cnty’s Mot. Summ. J., Ex. D, ECF 63 at 21.) The form indicates it was “received in medical” the following day. (Id.) The response was “will be seen.” (Id.) Cirino put in another sick call request on October 15. (Id. at 22.) It read, “Please send my inhaler with night meds. I had another asthma attack last night and I get them at night and how do you expect me to breathe with no inhaler?” (Id.) Again, the response simply said, “will be seen.” (Id.) It was purportedly “received in medical” on October 17, two days after Cirino made the request. (Id.) Cirino also claims he submitted “requests to staff” (informal grievances) during this time. (Decl. Ralph Cirino, ECF 63 at 35.) In an October 15 request he wrote “I

have asthma. I came with 2 inhalers. You took both. I keep having asthma attacks and your [sic] not doing anything. I put 2 sick calls already please do something.” (Pl.’s Resp. to Lehigh Cnty’s Mot. Summ. J., Ex. D, ECF 63 at 19.) The response, dated October 16, was “please fill out sick call.” (Id.) Cirino submitted another informal grievance the next day. He wrote, “Please ask medical to send my inhalers. I have asthma and no one is doing anything about it. This is life and death I can’t breathe at night.” (Id. at 20.) The response instructed him not to make duplicate requests. (Id.) He also contends he filed “formal administrative complaints” the morning after each attack, all of which were ignored. (Am. Compl. at 3.) After Cirino’s proceeding before Judge Smith on October 18, Smith requested the

Marshals return Cirino to FDC Philadelphia. (Am. Compl. at 4.) Cirino left the Lehigh County Jail on October 26, 2017. (Pl.’s Resp. to Lehigh Cnty’s Mot. Summ. J., Ex. H, ECF 63 at 30.) His medical records indicate the only nebulizer treatment he received at the jail was administered the morning of October 17. (PrimeCare Defs.’ Statement of Undisputed Facts ¶¶ 32–33.) Cirino maintains that because of his asthma attacks at the jail, he experiences pain when breathing, must use a CPAP machine at night, suffers from post-traumatic stress disorder and fears confined spaces. (Am. Compl. at 3.) After returning to federal custody, Cirino sued Lehigh County and PrimeCare Medical, Inc., the company that provides medical services at Lehigh County Jail. See (Am. Compl. at 2); (Lehigh Cnty.’s Statement of Undisputed Facts ¶¶ 5–6, ECF 53). He also sued Prime Care’s CEO, Thomas Webber, Physician Assistant Hughes, “Warden”

Dan Miesel and “Assistant Warden” Janine Donate in their individual and official capacities. (Am. Compl. at 2.) He alleged the Defendants violated the Fourteenth Amendment through their deliberate indifference to his medical needs and the First Amendment by ignoring his grievances. He also brought state law claims for negligence, intentional infliction of emotional distress and violating the Pennsylvania Constitution. II Summary judgment is proper if the movant proves “there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.” Fed R. Civ. P. 56(a). A fact is material if it may affect the outcome of the suit “under the

governing law.” Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986). A genuine dispute exists “if the evidence is such that a reasonable jury could return a verdict for the nonmoving party.” Id.

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CIRINO v. THE UNITED STATES OF AMERICA, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cirino-v-the-united-states-of-america-paed-2022.