Gibbs v. Utilization Review Committee

CourtDistrict Court, D. Connecticut
DecidedDecember 4, 2020
Docket3:20-cv-01119
StatusUnknown

This text of Gibbs v. Utilization Review Committee (Gibbs v. Utilization Review Committee) is published on Counsel Stack Legal Research, covering District Court, D. Connecticut primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Gibbs v. Utilization Review Committee, (D. Conn. 2020).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF CONNECTICUT

DAVID GIBBS, Plaintiff,

v. No. 3:20-cv-1119 (JAM)

UTILIZATION REVIEW COMMITTEE MEMBERS JOHN DOE 1-7 et al., Defendants.

INITIAL REVIEW ORDER PURSUANT TO 28 U.S.C. § 1915A Plaintiff David Gibbs is a prisoner in the custody of the Connecticut Department of Correction (“DOC”). He has filed a complaint pro se and in forma pauperis under 42 U.S.C. § 1983 against numerous DOC employees and entities, principally alleging that they were deliberately indifferent to his serious medical needs, retaliated against him, and discriminated against him in violation of his constitutional rights, and that they denied him rights in violation of the Americans with Disabilities (“ADA”) and the Rehabilitation Act. He seeks damages, declaratory relief, and injunctive relief in connection with his claims. For the reasons set forth below, I will allow one of Gibbs’s claims against one of the defendants to proceed after my initial review. BACKGROUND Gibbs names 18 defendants: seven John Doe members of the Utilization Review Committee (“URC”), Dr. Fedus, Health Services Administrator (“HSA”) Lightner, HSA Fury, Dr. Mazzocca, John Doe #8, Dr. Pillai, APRN Tawana Furtique, APRN Victoria Stork, LPN Kevin, UCONN Health Services, and Nurse Rose.1 Doc. #1 at 1-4. Each defendant is sued in

1 Gibbs spells the names of several defendants differently throughout the complaint. For simplicity, I refer to each defendant throughout this ruling using their name as spelled in the case caption. their individual and official capacities. Ibid. The following facts are alleged in Gibbs’s complaint and are accepted as true for purposes of initial review only. After being arrested for murder in 1993, Gibbs injured his right ankle while in pretrial custody at Harford Correctional Institution. Id. at 5 (¶ 16). He had serious

foot pain through 1998, when he was convicted and transferred to MacDougall-Walker Correctional Institution (“MWCI”). Ibid. (¶ 17). He immediately requested to see a foot doctor because of “excruciating pain in [his] right ankle which made ambulating very difficult.” Ibid. Despite his pain, the only treatment Gibbs received was low level pain medication and instructions to exercise regularly, even though exercise would cause his ankle to swell. Ibid. (¶¶ 18-19). Gibbs was eventually diagnosed with degenerative joint disease. Id. at 6 (¶ 20). Gibbs’s pain persisted and he requested that his doctors provide an MRI, but the URC refused on several occasions to authorize Gibbs to see an orthopedic doctor or to have an MRI performed because it was “not a medical necessity, and [] the current treatment appears appropriate.” Ibid. (¶¶ 21-24). The URC’s refusal to authorize further treatment was “solely to

save the UCONN Health Center money,” which Gibbs alleges was consistent with the URC and UCONN Health Center’s practices compromising prisoner healthcare for financial gain that were later revealed publicly. Id. at 6-9 (¶¶ 23, 25-32). Gibbs also alleges that white inmates “are routinely given better medical care, and are more likely to be seen by a specialist” than black inmates because black inmates “are considered to be able to tolerate more pain.” Id. at 8 (¶ 30). At some point, Gibbs met with podiatrist Dr. Fedus, who relied on old reports to diagnose Gibbs with degenerative joint disease and osteoarthritis, while ignoring diagnostic reports that suggested Gibbs’s ankle injuries were trauma-related. Id. at 9 (¶¶ 33-35). At one visit, Dr. Fedus told Gibbs he should wait until he got home to have an MRI because of the cost; after Gibbs told Dr. Fedus he was serving a life sentence, Dr. Fedus said that “he does not think that the Department should be paying for inmates to have an MRI done.” Id. at 10 (¶¶ 36-37). The condition of Gibbs’s ankles continued to worsen, and he was in “constant pain every day.” Ibid. (¶ 38). Over the years, the condition of other areas of his body continued to worsen,

and it became difficult for him to do minor tasks requiring minimal lifting. Ibid. After Gibbs complained about his worsening condition, Dr. Fedus fabricated statements in Gibbs’s reports to prevent him from getting the help he needed. Id. at 10-11 (¶ 39). Dr. Fedus also submitted URC reports in a manner that he knew was insufficient to obtain a favorable review. Id. at 12 (¶ 45). In 2008, Gibbs met with Dr. Mazzocca, who diagnosed Gibbs’s ankle injuries and stated nothing further could be done about his right ankle absent an operation. Id. at 13 (¶¶ 47-49). Dr. Fedus delayed the process by “continually ordering frivolous X-rays,” and the defendants “continued to provide substandard treatment in the form of pills and shoe inserts for years.” Ibid. (¶ 48). Gibbs’s ankles became so swollen that his foot would no longer fit into his shoes, but he received threats of disciplinary action if he arrived at the medical unit wearing flip-flops. Ibid.

(¶¶ 49-50). Thus, Gibbs was forced wear shoes that caused open wounds on his foot. Ibid. Gibbs wrote to HSA Lightner about his issues in February 2011, and she said he would be sent to a different podiatrist and she would oversee the process to ensure Gibbs did not have the same issues he had with Dr. Fedus. Id. at 11 (¶¶ 40-41). Gibbs met with that podiatrist once, but he was then told the podiatrist had stopped working at the facility and was again assigned to Dr. Fedus. Ibid. (¶¶ 41-42). Lightner did not oversee the process, ignored Gibbs’s further complaints about Dr. Fedus, and stated that it did not matter to her that Gibbs was unsatisfied with his medical services. Id. at 11-12 (¶¶ 42-43). Both HSA Lightner and HSA Fury failed to ensure that Gibbs received proper medical care. Id. at 12 (¶ 43). In October 2017, Gibbs had an MRI on his left ankle “after more than two decades of needless suffering[,]” which showed a number of injuries that led to a surgery in November 2017. Id. at 14 (¶¶ 51-52). After the surgery, Gibbs was placed in the prison infirmary with a “Cam Walker Boot.” Ibid. (¶ 53).2

In December, Gibbs was told to remove the boot to start the weight bearing process, but he was not given personal training or rehabilitation instructions. Ibid. He met with Dr. Pillai when his foot became swollen a week later and requested a follow-up with the UCONN Health Center, but Dr. Pillai stated the issue was the breaking of scar tissue and that it was not infected, so no request would be made to the URC. Id. at 14-15 (¶¶ 53-54). A nurse stated “his foot doesn’t look good at all,” and Dr. Pillai agreed to schedule a follow-up, but none ever occurred. Id. at 15 (¶ 55). Dr. Pillai “denied [Gibbs] rudimentary treatment which was contrary to good medical practice[,]” although he did provide a wedge to elevate Gibbs’s foot. Ibid. (¶ 56). When Gibbs complained that the issue was more severe than the breaking of scar tissue,

Dr. Pillai allegedly retaliated by demanding that the nurse take his crutches, provide him with a cane, and discharge him from the infirmary. Ibid. (¶ 57). Gibbs was unable to walk with the cane, and he asked a nurse for crutches, which she provided. Id. at 16 (¶ 58). Long-term use of wedges, crutches, and other medical devices is not allowed, as there are not enough to go around. Ibid. In January 2018, LPN Kevin berated Gibbs for allegedly having a Cam boot, even though it had been returned when Gibbs was discharged from the infirmary. Ibid. (¶ 59). After a nurse confirmed Gibbs no longer had the boot, Gibbs asked if he could request the follow-up Dr. Pillai

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Bluebook (online)
Gibbs v. Utilization Review Committee, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gibbs-v-utilization-review-committee-ctd-2020.