Graham v. Cobb County

730 S.E.2d 439, 316 Ga. App. 738, 2012 Fulton County D. Rep. 2404, 2012 Ga. App. LEXIS 643
CourtCourt of Appeals of Georgia
DecidedJuly 11, 2012
DocketA12A0352
StatusPublished
Cited by24 cases

This text of 730 S.E.2d 439 (Graham v. Cobb County) is published on Counsel Stack Legal Research, covering Court of Appeals of Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Graham v. Cobb County, 730 S.E.2d 439, 316 Ga. App. 738, 2012 Fulton County D. Rep. 2404, 2012 Ga. App. LEXIS 643 (Ga. Ct. App. 2012).

Opinion

DOYLE, Presiding Judge.

This case arises from the death of an inmate, Justin Graham, in the Cobb County jail. The decedent’s family, led by his twin brother, Jason Graham, filed claims against several defendants, including Cobb County, Cobb County Sheriff Neil Warren in his official and individual capacities; Sandra Brocker, the medical contract compliance administrator at the Cobb County Adult Detention Center, in her official and individual capacities; Quest Medical, LLC; and WellStar Health Systems, Inc. (“WellStar”). The trial court denied Graham’s motion to compel and granted in part summary judgment against Graham, who now appeals.1 For the reasons that follow, we affirm.

Summary judgment is proper when there is no genuine issue of material fact and the movant is entitled to judgment as a matter of law. OCGA§ 9-11-56 (c). Adenovo standard of review applies to an appeal from a grant of summary judgment, and we view the evidence, and all reasonable conclusions and inferences drawn from it, in the light most favorable to the nonmovant.2

So viewed, the record establishes that the Cobb County Sheriff’s Office (“CCSO”) contracted with WellStar to provide medical care to detainees at the Cobb County jail. The contract explicitly stated that [739]*739“there [were] no third[-]party beneficiaries to th[e] Agreement,” and CCSO did not intend to exercise control over clinical decisions made by WellStar’s physicians, although WellStar was required to follow policies set forth by CCSO. Brocker’s role was to manage and oversee the medical facility at the jail.

On May 18, 2006, at 2:22 a.m., Justin was arrested for driving under the influence of alcohol after registering blood alcohol levels of 0.274 and 0.283 on a breath test. He was transported to the jail, and after being checked at the infirmary, he was sent to general population.

Later that day, at about 5:05 p.m., Justin suffered a seizure as he was being escorted by guards, who called a “Code Blue” and had him transported to the infirmary. Justin spent the night in the infirmary, where he was treated with alcohol detoxification and anti-seizure medications and found to have a high bilirubin level of 3.9 mg.3 After a few days of treatment, Dr. Clarence Hendrix, a doctor in the infirmary, deemed Justin’s treatment for alcohol withdrawal successful and sent him back to the general population on May 22, with instructions to continue medication and follow up in two weeks.

On May 23, Justin complained of back pain and constipation, and an infirmary nurse observed him to have a yellow tinge in his eyes and upper torso. Infirmary doctors ordered blood work and a hepatitis panel. This lab work evinced a bilirubin level of 17.0 mg, which could indicate liver damage and impending liver failure.

On May 25, Justin made another request for medical treatment. Later that day, guards called another “Code Blue” on him after he fainted, and he was taken by wheelchair to the infirmary. During this visit, a nurse examined Justin but did not contact a physician. On May 28, Justin showed some improvement, but his bilirubin level was still elevated at 16.5 mg, he was still jaundiced, and he still had an elevated pulse rate and other elevated lab values. Nevertheless, Justin was returned to general population. Over the following three days, he continued to complain of constipation, was given medication and vitamins, and had more blood tests scheduled.

On June 2, Justin had another blood test done, which returned a bilirubin level of 27.5 mg, indicating progressing liver disease and possible failure. By June 5, doctors observed that Justin was yellow and his abdomen was swollen, and Dr. Hendrix ordered him to be transported to the WellStar Cobb Hospital emergency room. Justin was diagnosed at the hospital with end stage liver disease, and he was placed on life support nine days later and, thereafter, died on July 7, [740]*7402006, at age 25 of complications from liver failure, including renal failure and myocardial infarction.

After hearings on various motions, the trial court granted summary judgment as to Cobb County, Sheriff Warren, Brocker, and Quest Medical and denied Graham’s motion to compel. This appeal followed.

1. Graham argues that the trial court erred by granting summary judgment to Cobb County, Sheriff Warren, and Brocker. We disagree.

(a) Federal claims.

Graham’s complaint alleged that the above-listed defendants failed to provide Justin with adequate medical care, thereby leading to his death in violation of the Eighth Amendment of the United States Constitution.

Under 42 USC § 1983, civil liability is imposed upon one “who, under color of any statute, ordinance, regulation, custom, or usage, of any State or Territory, subjects, or causes to be subjected, any citizen of the United States or other person within the jurisdiction thereof to the deprivation of any rights, privileges, or immunities secured by the Constitution and laws. . . .”4 5The first inquiry in any § 1983 suit, therefore, is whether the plaintiff has been deprived of a right “secured by the Constitution and laws.”6

To state an Eighth Amendment violation for inadequate medical care, a plaintiff must show that his medical treatment was “so grossly incompetent, inadequate, or excessive as to shock the conscience or be intolerable to fundamental fairness or [that] the medical care is so inappropriate as to evidence intentional maltreatment or a refusal to provide essential care.”6 Conduct that does not purport to be punishment at all, such as medical care, must involve more than lack of due care in order to be cruel and unusual punishment; it requires obduracy and wantonness, not inadvertence or error in good faith, to violate the prohibitions of the Cruel and Unusual Punishments Clause.7 Deliberate indifference to serious medical needs of prisoners constitutes an Eighth Amendment violation, while an inadvertent failure to provide adequate medical care does not.8 Moreover, this [741]*741Court has stated that to show an Eighth Amendment claim, “an inmate must show not only the infliction of cruel and unusual punishment [,] but also must show a culpable state of mind on the part of prison officials.”9

Even if all of Graham’s allegations are taken to be true, they do not show that Sheriff Warren and Brocker wantonly denied Justin medical care. Graham points to several facts that could show a difference of opinion with the defendants concerning the propriety of medical treatment rendered to Justin, such as a failure to send him to the hospital when his bilirubin levels failed to stabilize. Nevertheless, nothing in Graham’s allegations or in the record shows wantonness, deliberate indifference, or a culpable state of mind on the part of Sheriff Warren or Brocker.10 Indeed, in his brief, Graham repeatedly complains of inadequate medical care; this Court has previously stated that such a claim sounds in medical malpractice and is inadequate to maintain a § 1983 action. 11

In Epps,

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Bluebook (online)
730 S.E.2d 439, 316 Ga. App. 738, 2012 Fulton County D. Rep. 2404, 2012 Ga. App. LEXIS 643, Counsel Stack Legal Research, https://law.counselstack.com/opinion/graham-v-cobb-county-gactapp-2012.