MENKINS v. LETIZIO

District Court, E.D. Pennsylvania·Decided September 26, 2025·No. 2:24-cv-05258·Unknown

Opinion

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

RYAN MENKINS, : Plaintiff, : : v. : CIVIL ACTION NO. 24-CV-5258 : DEPARTMENT OF CORRECTIONS, : et al., : Defendants. :

MEMORANDUM SÁNCHEZ, J. SEPTEMBER 26, 2025 Ryan Menkins, a convicted prisoner incarcerated at SCI Phoenix, filed this pro se civil rights action pursuant to 42 U.S.C. § 1983 and state law naming the Department of Corrections (“DOC”), Wellpath Health Care Services (“Wellpath”), Superintendent Terra, Deputy Superintendent Sipple, Dr. Anninio, and Medical Director Dr. Letizio as Defendants. The Court previously granted Menkins leave to proceed in forma pauperis and granted his request to file an amended complaint.1 Menkins’s Amended Complaint is now before the Court on statutory screening. For the following reasons, the Amended Complaint will be dismissed. Menkins will be given an opportunity to file a second amended complaint. I. FACTUAL ALLEGATIONS2

1 Menkin’s initiated this case by filing a pro se Complaint on October 1, 2024, and subsequently requested to proceed in forma pauperis. On December 19, 2024, the Court stayed all proceedings in this case after taking judicial notice of the filing of a voluntary petition for relief pursuant to Chapter 11 of the Bankruptcy Code by Wellpath Holdings, Inc. in the United States Bankruptcy Court for the Southern District of Texas, Houston Division, see In Re Wellpath Holdings, Inc., No. 24-90533 (Bankr. S.D. Tx.) (the “Wellpath Bankruptcy case”), and the Orders of the Bankruptcy Court enforcing the automatic stay under 11 U.S.C. § 362(a). (ECF No. 15.) On May 21, 2025, the Court lifted the stay. (ECF No. 21.) Menkins subsequently asked to amend his Complaint. (ECF No. 24.)

2 Menkins’s Amended Complaint (“Am. Compl.”) consists of fifteen typewritten pages. (ECF No. 28). He attached three-hundred and sixty pages of exhibits to his Amended Complaint, Menkins alleges that he has “been under the custody, and in the care of the Department of Corrections and their medical provider,” Defendant Wellpath. (Am. Compl. at 1.) He asserts that he has been “subjected to a very extraordinary series of acts of medical neglect” that has left him with an “even more complex medical problem.” (Id. at 2.) He filed an initial grievance on August

25, 2023, “after having a very disturbing visit” with Wellpath employees related to a medical visit for his back injuries. (Id.) He attached this grievance to his Amended Complaint, which reflects that on August 24, 2023, he went to a sick call and was seen by Defendant Dr. Annino. (See ECF No. 28-1 at 338-339.) Menkins alleges in his grievance that Dr. Annino refused to treat him and told him that he can buy Tylenol in the commissary even though he had previously been prescribed Amitriptyline at the Federal Detention Center (“FDC”) Pain Clinic for deteriorating discs and spacing in his spine. (Id. at 339.) He mentions he has been at SCI Phoenix since May 16, 2023, but the medical staff has not received his medical records from the FDC. (Id.) He states in his grievance that he attached copies of a CAT scan of his back and his medical reports, but he did not attach those documents to the Amended Complaint. (Id.)

On September 19, 2023, he alleges “he received the initial review and response back from the grievance coordinator.” (See Am. Compl. at 2.) He attached this response denying his grievance to the Amended Complaint, which reflects that, per the DOC, Dr. Anninio reviewed a

mainly consisting of documents in the Wellpath Bankruptcy case, (see ECF No. 28-1 at 1-241), and documents involving a suspension of Defendant Dr. Letizio’s medical license (see id. at 242- 336). He also attached a copy of his August 25, 2023, inmate grievance, medical requests, and SCI Phoenix’s responses to his grievance that appear to be more relevant to his allegations than the preceding exhibits. (See id. at 337-356.) The Court considers the entirety of the submission to constitute the Amended Complaint and adopts the sequential pagination assigned by the CM/ECF docketing system. The factual allegations set forth in this Memorandum are taken from Amended Complaint. Where the Court quotes from the Amended Complaint, punctuation, spelling, and capitalization errors will be cleaned up. copy of Menkin’s lumbar spine X-rays that he brought with him to the appointment. (See ECF No. 28-1 at 340.) The response notes that he has tried Tylenol, naproxen, and ibuprofen without relief. (Id.) After Dr. Anninio informed Menkins that Amitriptyline would not be prescribed, she attempted to discuss over-the-counter options with him, but he became argumentative and walked

out of the medical visit prematurely. (Id.) The response also reflects that Dr. Anninio discussed the visit with Defendant Dr. Letizio and subsequently notes “Amitriptyline Denied.” (Id.) Menkins appealed the grievance denial on September 26, 2023, (see Am. Compl. at 2), and attached his appeal and the appeal response to the Amended Complaint. (See ECF No. 28-1 at 341-343.) In his appeal, he denied walking out of the visit and claimed that Dr. Anninio said Amitriptyline would not be prescribed “due to cost.” (Id. at 341.) According to the response to the grievance appeal, Defendant Superintendent Terra denied his appeal based on his finding that Menkins received appropriate medical care, and medications are prescribed “at the discretion of the medical provider.” (Id. at 343.) Menkins then claims that on December 5, 2023, he “received a grievance referral notice indicating that they submitted this appeal for further review.” (Am.

Compl. at 2.) The final appeal decision response attached to the Amended Complaint reflects that after a review of his medical records and determining that reasonable medical care was provided, SCI Phoenix’s decision was upheld by the Secretary’s Office Inmate Grievances and Appeals. (See ECF No. 28-1 at 345.) Menkins alleges that this decision “was nothing but a prefabricated story.” (Am. Compl. at 2.) The Court notes these recited factual allegations about what actually happened during the August 24 visit with Dr. Anninio come from the attached documents related to the grievances, and Menkins does not allege a majority of these facts in the body of his Amended Complaint. Menkins asserts that after he filed the grievance on August 24, he filed numerous sick call requests, requests to the staff, and grievances, which “did not help” even though he did “everything per their policies.” He further claims the DOC and their employees did “absolutely nothing to rectify the situation in regard to [his] back injuries.” (Id.) He claims that he has tried “on numerous

levels to be properly treated by medical,” but has not “received any medical treatment despite requesting it.” (Id. at 3.) For instance, he filed eight sick call requests between August 29, 2023, and January 10, 2024, but “was never seen or attended to.” (Id. at 3.) He attached six of these requests to his Complaint, reflecting that he requested medical care for his back pain on August 29, September 15, October 6, November 19, December 5, 2023, and January 10, 2024. (ECF No. 28-1 at 347-352.) In the requests, he states that his medical requests were continually ignored. (Id.) He further claims that he filed thirteen “request to staff slips to various employees within the [DOC] trying to get some kind of medical attention in order to rectify [his] ongoing medical issues.” (Am. Compl. at 3.) He attached three of these requests to his Amended Complaint, two of which were addressed to Dr. Letizio, requesting that Dr. Letizio review his medical records and

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