Lucas Guggenheimer v. Wellpath, LLC

CourtDistrict Court, M.D. Pennsylvania
DecidedOctober 27, 2025
Docket3:24-cv-02242
StatusUnknown

This text of Lucas Guggenheimer v. Wellpath, LLC (Lucas Guggenheimer v. Wellpath, LLC) is published on Counsel Stack Legal Research, covering District Court, M.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lucas Guggenheimer v. Wellpath, LLC, (M.D. Pa. 2025).

Opinion

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF PENNSYLVANIA

LUCAS GUGGENHEIMER,

Plaintiff, CIVIL ACTION NO. 3:24-cv-02242

v. (SAPORITO, J.)

WELLPATH, LLC, .,

Defendants.

MEMORANDUM Lucas Guggenheimer, a prisoner litigating , proceeds on an amended complaint alleging that he received inadequate medical care for his urological issues, causing permanent damage to his bladder. Before the Court are defendants’ motions to dismiss the complaint (Docs. 21, 31); defendants’ motions to strike Guggenheimer’s proposed Certificates of Merit for his medical negligence claims (Docs. 25, 41); and Guggenheimer’s motions for appointment of counsel (Docs. 30, 37). For the foregoing reasons, Guggenheimer’s complaint will be dismissed, but he will be permitted to file an amended complaint within 30 days of this order, and to file an amended Certificate of Merit within 60 days of filing an amended complaint. I. BACKGROUND AND PROCEDURAL HISTORY Guggenheimer filed his initial complaint on December 26, 2024. On

January 29, 2025, this case was stayed due to a petition for Chapter 11 bankruptcy filed by Wellpath Holdings, Inc. in the United States Bankruptcy Court for the Southern District of Texas. (Doc. 14). The

stay was lifted on May 29, 2025, following the approval of a bankruptcy plan. (Doc. 19). Defendants then filed a motion to dismiss the complaint for failure to state a claim. (Doc. 21). On July 10, 2025, Guggenheimer

filed a response brief (Doc. 26) and an amended complaint, which is now the operative complaint (Doc. 27). note 2.

A. Amended Complaint In brief, Guggenheimer alleges that he received inadequate care for two related medical problems while in the custody of the Pennsylvania Department of Corrections. First, he suffered difficulty urinating due to

“urinary obstructions” and other unknown causes. Second, he was given catheters to urinate, but the lubricant for the catheters was painful, and he was not offered a replacement lubricant. He alleges that because of

his pre-existing urinary issues and the lack of appropriate catheter lubricant, he was unable to properly urinate for an extended period and sustained permanent damage to his bladder.

Specifically, the complaint alleges as follows: On February 25, 2022, Guggenheimer had surgery to remove polyps in his urethra. On April 5, 2022, he told Dr. Phillips, an outside urologist, that he was still having

issues urinating despite the surgery. On April 26, he submitted a sick call form: “I’m having serious problems urinating again! I need to see the urologist again and catheters with lubricant that doesn’t burn!” (Doc. 27-

1 at 10). Because the lubricant burned, Guggenheimer was “only able to use a little bit” of the lubricant, which made catheterization more painful. The lubricant’s warning label directed: “If irritation is experienced,

discontinue use and notify a physician.” On May 22, Guggenheimer wrote another sick call form: “I still have not been to see the urologist again or gotten catheter lubricant that doesn’t burn! I have polyps that grow in

my urethra and need to be removed ASAP!” ( . at 15). Four days later, Guggenheimer met with defendant PA Maepearl St. George. He alleges that St. George was “well aware” of his prior

surgery, his catheter issues, and “that [his] urinary struggles were due to obstructions.” St. George was allegedly “indifferent” to his complaints about catheter lubrication, but scheduled him for a urology consultation, which was held on July 27, approximately 60 days later. According to

Guggenheimer, a 60-day wait reflects that St. George requested a consultation with “routine” urgency, although he contends that his condition warranted more immediate attention. At the July 27

consultation, urologist Dr. Phillips recommended surgery, and on September 12, Guggenheimer had a second surgery to remove additional polyps and a “polyp-like lesion.”

The second surgery did not resolve Guggenheimer’s urinary issues, and he continued to require catheters. On October 20, CRNP Tiffany Sottile told Guggenheimer that there is “a ‘softer’ lubricant, but it[’]s on

back order.” On November 22, Guggenheimer told Dr. Phillips that he was having “ongoing problems urinating and that the surgery didn’t help.” Dr. Phillips referred him to a “reconstructive urologist” to consider

further treatment options. (Doc. 27-1 at 35-38). On December 25, 2022, Guggenheimer wrote a sick call and asked when he would get the softer lubricant. St. George responded that the requested lubricant was

still on back order, but prescribed “EMLA cream,” which Guggenheimer alleges is “a product that said for External Use Only.” Four days later, Guggenheimer met PA Taylor Talasky, who told him to “discontinue use of EMLA cream for catheter insertion. Rx is for external use only.”

( . at 40-45). On February 22, 2023, he attended another sick call about the lack of a softer lubricant. According to his grievance filed on the same date, PA Gabby Nalley “said she looked and looked” but there was no

alternative product available. ( . at 57). On May 16, 2023, Guggenheimer underwent a cystoscopy ( . at 47- 49). After this test, Guggenheimer was allegedly told by the

reconstructive urologist “that [he] will have to use three catheters a day” and that he had permanent damage to his bladder for which “nothing else could be done.” Guggenheimer was told that his bladder is “like a plastic

bag that became overly stretched out from holding so much urine, and now doesn’t squeeze right.” Guggenheimer contends that his “not being able to catheterize more often due to the pain” of the lubricant prevented

him from emptying his bladder more frequently, causing the permanent damage to his bladder. Guggenheimer’s complaint asserts deliberate indifference and

negligence claims against “Wellpath, LLC” (“Wellpath”), the prison medical provider, and St. George. He seeks only monetary relief. B. Certificate of Merit On June 6, 2025, defendants filed a “Notice of Intention to Enter

Judgment of Non Pros” (Doc. 20) if Guggenheimer did not file a Certificate of Merit in support of his medical negligence claims within 30 days. Pa. R. Civ. Pro. 1042.7. Over the following months,

Guggenheimer made several attempts to file a Certificate of Merit or explain why he could not do so. On June 30, 2025, within the 30-day period, Guggenheimer filed

“[his] best attempt at a Certificate of Merit,” in which he “certif[ied] that to the best of my knowledge, information, and belief, the complaint I

wrote in [the above-captioned case] is meritorious and accurate.” Guggenheimer further argued that the Pennsylvania Rules of Civil Procedure are not among the rules listed in the Court’s prisoner

litigation packet, and that “state procedures aren’t relevant.” (Docs. 23, 24). Defendants moved to strike Guggenheimer’s certificate (Doc. 25) and ultimately filed a “Praecipe for Entry of Judgment of Non-Pros” for

failure to file a proper Certificate of Merit (Doc. 28). In response, Guggenheimer argued that as a prisoner, he had no access to a medical professional or other medical expert, which constituted a “reasonable excuse” for his failure to file the certificate

under applicable case law. (Docs. 34, 35, 36). He then filed a letter from “Nyree Baker, LPN” (Doc. 38), whose credentials and expertise are not otherwise explained. The letter reads as follows:

There is reasonable probability that the defendant’s conduct fell outside acceptable professional standards. Wellpath and Maepearl St. []George deviated from acceptable professional Standards by scheduling a Consultation with “Routine” urgency when Mr.

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