DOE v. THE HOSPITAL OF UNIVERSITY OF PENNSYLVANIA

CourtDistrict Court, E.D. Pennsylvania
DecidedJune 29, 2021
Docket2:19-cv-02881
StatusUnknown

This text of DOE v. THE HOSPITAL OF UNIVERSITY OF PENNSYLVANIA (DOE v. THE HOSPITAL OF UNIVERSITY OF PENNSYLVANIA) 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
DOE v. THE HOSPITAL OF UNIVERSITY OF PENNSYLVANIA, (E.D. Pa. 2021).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA

JANE DOE, CIVIL ACTION

Plaintiff, NO. 19-2881-KSM v.

THE HOSPITAL OF UNIVERSITY OF PENNSYLVANIA, et al.,

Defendants.

MEMORANDUM MARSTON, J. June 29, 2021

Plaintiff Jane Doe sued the Hospital of University of Pennsylvania (“HUP”), the Trustees of the University of Pennsylvania (the “Trustees”), the University of Pennsylvania (“Penn”), the University of Pennsylvania Health System (“Penn Health System”), Dr. Octavia Pickett-Blakely, Medical Personnel John Does 1–10, and Penn Police Officers Richard Roes 1–10, after receiving a colonoscopy at HUP and experiencing allegedly discriminatory treatment during her post- surgery recovery. (Doc. Nos. 1 & 19.) Doe, a transgender (“trans”) woman and HUP employee, alleges that she has a sensitivity to anesthesia and became disoriented after her surgery, and that the Penn Police Officer Defendants restrained her, threw her into a wheelchair, handcuffed her, and wheeled her—topless—through the hospital. (Id.) Presently before the Court is Doe’s Motion for Leave to File a Second Amended Complaint. (Doc. No. 36.) For the reasons discussed below, the Court denies Plaintiff’s motion. I. Factual Background Accepting all allegations in the proposed Second Amended Complaint as true, the relevant facts are as follows. Jane Doe is a transgender woman. (Doc. No. 36-1, Ex. D at ¶¶ 1, 40.) Doe has been diagnosed with gender dysphoria (“GD”). (Id. at ¶ 48.) According to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, (“DSM-V”), GD is a diagnosis “‘associated with clinically significant distress or impairment in social, occupational, or other important areas of functioning’ for the trans person.” (Id. at ¶ 45.) In short, trans individuals are

diagnosed with GD when they experience “clinically significant distress” associated with being trans. (Id. at ¶ 46.) Doe was a Certified Nursing Assistant (“CNA”) at HUP and was “out as a trans woman” at HUP. (Id. at ¶¶ 1–2.) On February 20, 2018, Doe went to HUP as a patient for a routine diagnostic colonoscopy, which was performed by Dr. Pickett-Blakely. (Id. at ¶¶ 3, 61.) Doe’s friend, Mary Roe, accompanied her to HUP that day. (Id. at ¶ 63.) They parked in Penn’s garage and arrived at the reception desk around noon. (Id.) From that moment forward, Doe was misgendered.1 (Id. at ¶ 65.) For example, when checking Doe in, the receptionist used Doe’s old male name

(i.e., her “dead name”) and used masculine pronouns to refer to her. (Id.) The receptionist also advised Doe that she could not sign the medical paperwork with her female name; rather, she had to use her dead name. (Id.) Doe’s identification (“ID”) band also had her old name on it. (Id.) When Doe was moved to the procedure area, providers and staff repeatedly used her male name. (Id.) This upset Doe so much that she grabbed a Sharpie pen out of her bag and wrote her female first name on the ID band. (Id.) “She was desperately trying to get them to stop . . . call[ing] her by her male first name and/or ‘Mr.’ and her last name.” (Id.) Even though Doe did

1 “Mis-gender means using the person’s non-trans gender—the one they no longer use because they are trans.” (Id. at ¶ 54.) In addition, “misgendering means using the wrong names and pronouns for the trans person.” (Id. at ¶ 55.) not cover any of the other information on her ID band, “the staff objected to her claiming her female identity” and attempted to remove the band from her wrist; Doe refused to allow them to do so. (Id.) Doe then learned that they had the wrong code for her procedure,2 which increased her anxiety. (Id. at ¶ 67.) Doe has a history of waking up scared, confused, and combative from anesthesia, and

Doe and her friend Roe reminded the staff and providers of this aspect of her medical history. (Id. at ¶ 68.) In particular, Doe recalls making the admitting nurse, Dr. Pickett-Blakely (who performed the colonoscopy), Dr. Newman (the anesthesiologist), the transporting nurse, and the procedure staff aware of her sensitivity to anesthesia “and the plan for managing it.” (Id. at ¶ 69.) Before the procedure, Doe’s fear and anxiety escalated, and she repeatedly asked the staff to “give her something for her anxiety,” but no one treated her for it. (Id. at ¶ 70.) Doe brought a stuffed animal with her to the procedure to help alleviate her anxiety. (Id. at ¶ 71.) Doe recalls clutching the animal and being terrified as they anesthetized her. (Id.)

Doe does not recall the procedure itself. (Id. at ¶ 72.) However, she recalls waking up in the HUP recovery room in fear. (Id.) And even though Doe had asked that her stuffed animal and Roe be present in the recovery room with her when she woke up, neither was there. (Id.) Moreover, even when Doe stood for help, the staff and John Doe Defendants ignored her, and her disorientation grew worse. (Id. at ¶ 73.) For example, Doe did not know the time or where she was (id.), and she eventually stripped off her gown and stood completely naked (id. at ¶ 74).

2 Defendants got the code wrong, despite the fact that Doe had previously alerted them to this issue. (Id. at ¶ 62.) On either February 15 or 19, Doe reviewed her upcoming procedure on her MyPennMedicine account and viewed the “appointments and visits” chart. (Id.) When she noticed the “Procedure” field had the wrong code, she called the Endoscopy Department to notify them. (Id.) The Endoscopy Department then assured her that it was corrected. (Id.) Ultimately, Doe had a panic attack from post-sedation delirium. (Id. at ¶ 75.) Typically, in a post-sedation delirium situation, the medically indicated procedures include hard restraints, medication, and re-intubation, if necessary. (Id. at ¶ 77.) In fact, Doe had previously used those procedures in her capacity as a CNA at HUP. (Id. at ¶ 78.) Nonetheless, Defendants did not use these procedures on Doe. (Id. at ¶ 79.) In short, they

denied Doe medical treatment. (Id.) Instead, a nurse in the recovery room called security. (Id.) Officers Nicholas Cattolico, Jenvoir Chin, Christopher Denschuick, John Alexander, and Nick DiPallo then arrived, entered the room, grabbed Doe, handcuffed her, and threw her into a wheelchair. (Id.) Because they had thrown her into the wheelchair sideways, her left arm was behind the chair, with her armpit over the handle. (Id. at ¶ 80.) One of the officers repeatedly sat on Doe, leaving her unable to breathe. (Id.) Doe recalls screaming that she could not breathe and struggling to get the officers to let up enough so that she could take another breath. (Id.) In addition, Doe remembers the handcuffs being very tight, resulting in her feeling extreme pain in her wrists and losing feeling

in her fingers. (Id.) Doe felt “like she was about to die in that chair from their mistreatment.” (Id.) Doe also recalls one of the officers asking a medical staff member if they wanted to press charges and another officer taking “great joy dangling the handcuff keys” in front of her. (Id. at ¶¶ 80, 82.) Cattolico, Chin, Denschuick, Alexander, and DiPallo then put Doe into pants, left her topless, shoeless, and handcuffed, and wheeled her away. (Id. at ¶ 81.) At this point, Doe was “still in a panic and now bruised and bloody from the treatment” she received at the hands of the officers. (Id.) Once they arrived at the garage, where Roe was waiting with the car, Doe was brought out from the elevator bay, still without a shirt, a bra, or shoes on, and handcuffed. (Id. at ¶ 83.) The officers took the handcuffs off so that Doe could get into the car. (Id.) Doe was delirious and fearful and struggled to get into the passenger seat. (Id. at ¶¶ 83–84.) At this point, Roe took Doe to another medical institution for care for the physical injuries inflicted on her at HUP.

(Id.

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DOE v. THE HOSPITAL OF UNIVERSITY OF PENNSYLVANIA, Counsel Stack Legal Research, https://law.counselstack.com/opinion/doe-v-the-hospital-of-university-of-pennsylvania-paed-2021.