Michael A. McCann v. Sondra Moreno and Vicky Crumbliss

CourtCourt of Appeals of Texas
DecidedJuly 21, 2016
Docket13-15-00563-CV
StatusPublished

This text of Michael A. McCann v. Sondra Moreno and Vicky Crumbliss (Michael A. McCann v. Sondra Moreno and Vicky Crumbliss) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Michael A. McCann v. Sondra Moreno and Vicky Crumbliss, (Tex. Ct. App. 2016).

Opinion

NUMBER 13-15-00563-CV

COURT OF APPEALS

THIRTEENTH DISTRICT OF TEXAS

CORPUS CHRISTI - EDINBURG

MICHAEL A. McCANN, Appellant,

v.

SONDRA MORENO AND VICKY CRUMBLISS, Appellees.

On appeal from the 36th District Court of Bee County, Texas.

MEMORANDUM OPINION

Before Justices Rodriguez, Benavides, and Perkes Memorandum Opinion by Justice Rodriguez Appellant Michael A. McCann sued appellees Sondra Moreno and Vicky

Crumbliss, two nurses at the prison facility where McCann is an inmate, along with other

several members of the medical staff. 1 McCann claimed that appellees wrongfully

1McCann’s original petition named as defendants “Theresa Whitt, M.D.,” “Jane and/or John Does at McConnell Unit that have conspired to withhold filing of this suit,” “U.T.M.B. Director – John or Jane Doe,” “Doctor Morris – Director of McConnell Unit Infirmary,” and “LVN’s Moreno, Villareal, Crumbless [sic], lowered the amount of insulin he received as treatment for diabetes and wrongfully altered

his insulin distribution time. McCann alleged that by entering these changes, appellees

retaliated against him, were deliberately indifferent to his basic needs for sleep and

medical care, and impinged upon his religious liberties. McCann also alleged that

appellees committed fraud by filing false paperwork related to the alterations. Appellees

filed a motion for summary judgment, which the trial court granted without specifying

grounds. By his first issue on appeal, McCann contends that the trial court erred in

granting summary judgment against his retaliation, free exercise, and deliberate

indifference claims.2 By his second issue, McCann asserts that the trial court erred in

denying him discovery concerning his claims. We affirm in part and reverse and remand

in part.

I. BACKGROUND

McCann is an inmate at the William G. McConnell Unit, a facility located in Beeville

County, Texas. McCann is a type-one diabetic who receives daily medication and insulin

injections from McConnell’s medical personnel, as well as daily “finger-stick” blood

glucose tests and quarterly “A1C” exams, which indicate how well a patient’s blood

glucose is controlled over a period of eight to twelve weeks.

McCann filed the instant suit in 2013 concerning a change in his medical care that

was made on November 4, 2011. It is undisputed that Dr. Theresa Whitt, a physician at

Pharmacy of TDCJ-CID.” McCann’s first amended petition nonsuited the “Jane and/or John Does at McConnell Unit that have conspired to withhold filing of this suit,” and McCann named as additional defendants “Erick Echavarry,” “Megan R. Gozales [sic],” and “Donna Randall.” However, only Crumbliss and Moreno are parties to this appeal.

2 McCann does not contest the grant of summary judgment against his state-law fraud claim.

2 the McConnell unit, reduced McCann’s daily insulin injections from three to two,

cancelling McCann’s regular 10:00 AM injection. The record is not clear as to when

McCann had been scheduled to receive his other two injections prior to the change;

however, it is undisputed that after Dr. Whitt changed her care plan in November 2011,

McCann was thereafter scheduled for injections at 3:00 AM and 6:00 PM. McCann’s suit

contends that this change left him deprived of sleep and insulin, caused his blood glucose

to rise dangerously in the absence of insulin control, and thus caused multiple “severe

medical conditions.”

This was not the first time such a change had been made in McCann’s regimen.

Appellees submitted McCann’s medical records as summary judgment evidence; the

records showed that eight months earlier, at an appointment on March 17, 2011, McCann

complained to registered nurse Lori Hudson that his insulin regimen had been reduced

from three injections per day to two. 3 Hudson responded to McCann’s complaint by

restoring his three-per-day injection schedule, but informed McCann that this was subject

to change if his next blood glucose test was not improved from a previous “high” result.

According to the affidavit of Dr. Steven Bowers, McConnell’s department administrator,

McCann had been 90% compliant with his scheduled injections up to this point.

Appellees also submitted a log of McCann’s daily insulin injections and blood

glucose levels from October 2011 to May 2014 (the logs). The logs revealed that in

October 2011, just prior to the alteration of his schedule, McCann received most 10:00

AM and 6:00 PM insulin injections, but did not receive any early-morning injections.

3 According to Hudson’s chart, McCann’s records bore no indication of why the change was made.

3 On November 4, 2011, Dr. Whitt altered McCann’s treatment regimen noting that

three-per-day insulin was “not showing any improvement in glycemic control.” Dr. Whitt

cancelled McCann’s 10:00 AM injection and ordered that McCann receive stronger doses

of insulin at 3:00 AM and 6:00 PM.

On November 6, 2011, McCann complained about the change to his treatment

plan. Erick Echavarry, a physician’s assistant, reported that he “educated [McCann] on

the importance of him [making] an effort to come in the AM for his insulin but patient flat

out refuses to try; he stated that he should receive his insulin twice a day at noon and in

the PM clinic.”

On November 19, McCann filed a complaint with the Texas Board of Medical

Examiners concerning Dr. Whitt’s alteration of his treatment plan. The appellate record

shows that this complaint was scheduled for hearing, but does not show the outcome.

On November 22, McCann saw Dr. Whitt and requested that his 3:00 AM injection be

rescheduled to 10:00 AM or that he be given Lantus, an alternative medication. After Dr.

Whitt denied McCann’s request, McCann agreed to try to attend the 3:00 AM injection.

The logs show that over the course of the next year, McCann attended many of

the scheduled 3:00 AM injections, but also missed several. Over the same period,

McCann’s evening blood glucose readings increased.

Medical records indicate that McCann developed multiple infections over this

period: an eye infection; infection-related abdominal pain, which intensified despite

treatment with antibiotics; and a urinary tract infection which was treated with two

additional courses of antibiotics.

Additionally, Dr. Bowers’s affidavit states that on February 15, 2012, Echavarry 4 diagnosed McCann with another urinary tract infection following McCann’s complaints

that his “kidneys were killing him.” However, the medical records for these and all

subsequent clinic visits are absent from the summary judgment record; only Dr. Bowers’s

affidavit addresses McCann’s medical history in 2012 and 2013. According to Dr.

Bowers, Echavarry ordered antibiotics and noted that McCann was not receiving insulin

in the mornings. Echavarry also referred McCann to an endocrinologist, ordered the

3:00 AM injections stopped, and made “adjustments” to compensate for the stoppage.

However, Dr. Bowers did not specify what adjustments were made.

Dr. Bowers’s affidavit further stated: that on March 8, 2012, Dr. Whitt reviewed

McCann’s chart and entered orders, though Dr. Bowers’s affidavit was not clear what

these orders were; that McCann refused or failed to attend scheduled medical treatment

multiple times in 2012, including refusing to board a bus for a visit to an endocrinologist

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