Martinez v. Gamboa

CourtDistrict Court, N.D. California
DecidedMarch 9, 2023
Docket3:21-cv-02744
StatusUnknown

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

Bluebook
Martinez v. Gamboa, (N.D. Cal. 2023).

Opinion

1 2 3 4 UNITED STATES DISTRICT COURT 5 NORTHERN DISTRICT OF CALIFORNIA 6 7 RONALD F. MARTINEZ, Case No. 21-cv-02744-EMC

8 Plaintiff, ORDER DISMISSING FIRST AMENDED COMPLAINT IN PART; 9 v. RESOLVING MOTIONS; AND ESTABLISHING BRIEFING 10 L. GAMBOA, et al., SCHEDULE 11 Defendants. Docket Nos. 69, 71, 73, 75, 78, 89

12 13 14 I. INTRODUCTION 15 Ronald F. Martinez, a prisoner at High Desert State Prison, filed this pro se civil rights 16 action under 42 U.S.C. § 1983 alleging deliberate indifference to a serious medical need by 17 officials at Salinas Valley State Prison (“SVSP”). See Docket No. 1 (“Complaint”). The Court 18 screened the Complaint and concluded that, while its allegations “[lay] close to the line of medical 19 negligence,” when the allegations were liberally construed Mr. Martinez had sufficiently alleged a 20 deliberate indifference claim. See Docket No. 16 at 5-6. The Court ordered Defendants to 21 respond to the Complaint. See generally, id. 22 Mr. Martinez subsequently sought, and was granted, leave to amend his allegations. See 23 Docket Nos. 45, 51. Mr. Martinez’s First Amended Complaint is now before the Court for 24 screening. See Docket No. 70. 25 For the reasons stated below, the Court concludes that the FAC states a cognizable claim 26 against Defendant Gamboa, who shall respond to the FAC. The FAC fails to state a claim as to all 27 other Defendants, and they are dismissed. 1 II. BACKGROUND 2 Mr. Martinez sues the following individuals: Dr. Gamboa, Mr. Martinez’s primary care 3 physician at SVSP; Dr. Hack, a physician at SVSP; Dr. Bright, the Chief Physician and Surgeon at 4 SVSP; and Drs. Gordon and Hrobko, dermatologists who treated Mr. Martinez. See FAC at 2. 5 Mr. Martinez alleges the following in the FAC: 6 In June 2016, Mr. Martinez noticed a lesion on his left nostril. See id. at 4. He submitted 7 health requests regarding this lesion. See id. at 5. 8 On January 9, 2017, Mr. Martinez met with Dr. Gordon, a dermatologist, via Telemed, a 9 system that allows for remote video consultations. See id. at 5. Mr. Martinez informed Dr. 10 Gordon that Mr. Martinez’s family had a history of skin cancer. See id. Dr. Gordon diagnosed the 11 lesion as a seborrheic keratosis, which he informed Mr. Martinez was a sort of rash. See id. at 6. 12 Mr. Martinez challenged Dr. Gordon and asked how he could be sure of a diagnosis made through 13 a video consultation. See id. at 7. Dr. Gordon adhered to his initial diagnosis. See id. Mr. 14 Martinez asked for a second opinion and was told Dr. Gordon was the only available 15 dermatologist at that time. See id. 16 On or around this same date, Mr. Martinez had a medical appointment with non-defendant 17 Dr. Abraham. See id. at 8. Mr. Martinez informed Dr. Abraham that Mr. Martinez’s family had a 18 history of skin cancer. See id. In the FAC, Mr. Martinez represents that Dr. Abraham requested a 19 biopsy for Mr. Martinez, and that this was approved by Dr. Gamboa. See id. However, the 20 exhibits Mr. Martinez provided with the FAC, and to which he refers, see id., show that this was 21 not so. Rather, Dr. Abraham “request[ed] a dermatology consult for biopsy/ treatment” of a lesion 22 on Mr. Martinez’s “left temple.” FAC, Ex. A at 28.1 Thus, Dr. Gamboa did not approve a biopsy, 23 but rather a referral to a dermatologist for further evaluation. Mr. Martinez’s exhibits show that 24 Mr. Martinez received the consultation requested by Dr. Abraham and approved by Dr. Gamboa. 25 See id. at 29. 26 On February 14, 2017, Mr. Martinez received cryotherapy from Dr. Gordon for the lesions 27 1 on his nose and on his left temple. See FAC at 9. Although Mr. Martinez raised the subject of a 2 biopsy in that appointment, he confirmed to Dr. Gordon that he wished to receive cryotherapy. 3 See id. Mr. Martinez represents that his nose lesion was non-responsive to, and did not heal well 4 after, the cryotherapy. See id. at 10. However, the exhibits provided by Mr. Martinez show that 5 the temple lesion entirely resolved after cryotherapy, and the nose lesion partially resolved. See 6 FAC, Ex. A at 31. 7 On February 28, 2017, Mr. Martinez saw Dr. Gamboa for a follow-up appointment. See 8 FAC at 11. Mr. Martinez pointed out to Dr. Gamboa that the nose lesion was not entirely 9 resolved. See id. Dr. Gamboa explained that sometimes two cryotherapy sessions are necessary to 10 be effective, and Mr. Martinez agreed that this was true. See id. Mr. Martinez “reminded” Dr. 11 Gamboa that Mr. Martinez’s family had a history of skin cancer. Id. Mr. Martinez requested a 12 biopsy of the nose lesion. See id. at 12. Dr. Gamboa said that he would review Mr. Martinez’s 13 file to determine whether a biopsy was indicated and advised Mr. Martinez to cover his nose with 14 zinc oxide before any sun exposure. See id. 15 On June 11, 2017, Mr. Martinez had a Telemed appointment with a new dermatologist, Dr. 16 Hrobko. See id. at 13. Dr. Hrobko reached the same diagnosis as Dr. Gordon – that the lesion was 17 a seborrheic keratosis – and advised that it be frozen off with liquid nitrogen. See id. at 14. 18 Between June 23 and June 30, 2017, Mr. Martinez received a second cryotherapy 19 procedure, this time from Dr. Gamboa. See id. at 16. Dr. Gamboa told Mr. Martinez that if this 20 second cryotherapy procedure did not work, then he would “review a different course of treatment, 21 a biopsy.” Id. at 17. Mr. Martinez represents that the second cryotherapy procedure did not 22 resolve the lesion on his nose. See id. at 18. On July 23, 2017, Mr. Martinez submitted a request 23 for a biopsy. See id. 24 On August 8, 2017, Mr. Martinez had an appointment with Dr. Hack. See id. Dr. Hack 25 noted that Mr. Martinez’s nose still bore a lesion of 3mm x 4mm, see FAC, Ex. A at 37, and 26 ordered a biopsy, see FAC at 19. 27 Mr. Martinez alleges that Dr. Gamboa reviewed Dr. Hack’s request and “intentionally and 1 for a third cryotherapy procedure. Id. at 19. On August 18, 2017, Dr. Bright denied this request. 2 See id. at 20. Mr. Martinez argues that Dr. Bright should have ordered a biopsy rather than merely 3 dismissing the request for a third cryotherapy procedure. See id. 4 On or about August 30, 2017, during a medical appointment, Mr. Martinez asked Dr. 5 Gamboa the status of the biopsy requested by Dr. Hack. See id. Dr. Gamboa stated that the 6 request had been denied, and “conceal[ed]” from Mr. Martinez that Dr. Gamboa had “substituted . 7 . . his own” request for a third cryotherapy procedure in place of Dr. Hack’s request for a biopsy. 8 Id. Dr. Gamboa led Mr. Martinez to believe that the request for a biopsy, rather than the request 9 for a third cryotherapy procedure, had been denied. See id. 10 Through the remaining months of 2017, and the first half of 2018, Mr. Martinez continued 11 to complain about the lesion in medical appointments, and to request a biopsy. See id. at 22. In 12 July 2018, Mr. Martinez was transferred to Corcoran State Prison. See id. at 20. Medical staff at 13 that prison arranged for Mr. Martinez to meet with a dermatologist, who immediately ordered a 14 biopsy of the lesion. See id. The biopsy showed that the legion was squamous cell carcinoma. 15 See id. The lesion has been removed. See id. 16 III. DISCUSSION 17 A federal court must engage in a preliminary screening of any case in which a prisoner 18 seeks redress from a governmental entity or officer or employee of a governmental entity. See 28 19 U.S.C. § 1915A(a). In its review, the court must identify any cognizable claims, and dismiss any 20 claims which are frivolous, malicious, fail to state a claim upon which relief may be granted, or 21 seek monetary relief from a defendant who is immune from such relief. See id. at § 1915A(b).

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