Monfiston v. Wetterer

CourtDistrict Court, M.D. Florida
DecidedMarch 25, 2020
Docket2:15-cv-00662
StatusUnknown

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

Bluebook
Monfiston v. Wetterer, (M.D. Fla. 2020).

Opinion

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA FORT MYERS DIVISION

FRANKLIN MONFISTON,

Plaintiff,

v. Case No.: 2:15-cv-662-FtM-38MRM

HOWARD WETTERER and S.E. PUGH,

Defendants. / OPINION AND ORDER1 Before the Court is Defendant Howard Wetterer, M.D.’s Motion for Summary Judgment (Doc. 64) and pro se Plaintiff Franklin Monfiston’s response in opposition (Doc. 66). For the reasons below, the Court grants in part and denies in part the motion. BACKGROUND This case involves a deliberate indifference claim under the Eighth Amendment. Monfiston is a prisoner at the Charlotte Correctional Institute, which is owned and operated by the Florida Department of Corrections. On July 19, 2015,2 Monfiston fell from a step stool and injured his right arm and wrist. He immediately went to the prison’s medical unit. The nurse told Monfiston that his arm “looked fractured.” (Doc. 64-2 at 14:14-16). She did not call Dr. Wetterer, the prison’s Chief Health Officer, but gave Monfiston 2-3 tablets of Ibuprofen for his pain (which he rated an 8 out of 10), an ice bag,

1 Disclaimer: Documents hyperlinked to CM/ECF are subject to PACER fees. By using hyperlinks, the Court does not endorse, recommend, approve, or guarantee any third parties or the services or products they provide, nor does it have any agreements with them. The Court is also not responsible for a hyperlink’s availability and functionality, and a failed hyperlink does not affect this Order.

2 Unless stated otherwise, all dates occurred in 2015. and an ACE bandage. (Doc. 64-3). She also gave him a pass to return the next morning. (Doc. 64-3). At the follow-up appointment, Monfiston saw a nurse practitioner. She ordered an x-ray because the arm looked fractured. (Doc. 64-2 at 16:20-25; Doc. 64-4). She also prescribed Naproxen for the pain. (Doc. 64-2 at 35:22-24).

On July 21—two days after the fall—Monfiston’s arm was x-rayed. (Doc. 64-6). The Radiology Report found a “mildly displaced comminuted fracture of the distal radial shaft,” soft tissue swelling, a normally articulated wrist and elbow, and “no radiopaque foreign bodies.” (Doc. 64-6). Following the x-ray, Dr. Wetterer saw Monfiston for the first time. (Doc. 64-2 at 20:8-10). The parties tell different stories about their interaction. Monfiston paints a picture of indifference. After finishing the x-ray, Monfiston waited in the hallway for the technician to get Dr. Wetterer. (Id. at 18:15-21). The doctor arrived, grabbed Monfiston’s medical chart, and went into the x-ray room without a word. (Id. at 19:4-12). After Dr. Wetterer left the x-ray room, Monfiston “had to call out to him

and ask him what was going on. Dr. Wetterer just told [Monfiston] that it was a simple fracture and that [he] could leave.” (Doc. 68 at 2). Monfiston then asked Dr. Wetterer about a splint or sling to immobilize his arm and reduce the pain. (Id.). Dr. Wetterer told him “that they did not have materials for a splint and sling.” (Id.; Doc. 64-2 at 20:1-13). When Monfiston requested more pain medicine because he ran out, Dr. Wetterer told him “to ask the nurse on [his] way out.” (Doc. 68 at 2). A nurse then instructed Monfiston to put in a sick-call for Ibuprofens, so he left without any medicine. (Id.). Monfiston says Dr. Wetterer never examined his arm to assess the extent of his injury. (Id.). Dr. Wetterer provides a narrative of more attentive care. He says that he consulted with Monfiston after he confirmed the fracture. Dr. Wetterer describes the consultation as follows: 5. After review of the X-Rays, I determined Mr. Monfiston’s arm fracture was of the type where immobilization was necessary but immediate splint and sling was not necessary because the arm was not dislocated.

6. After determining he had a right arm fracture, I placed an immediate medical hold on Mr. Monfiston to prevent him from having to do physical activities. I also drew up paperwork referring Mr. Monfiston to an orthopedic specialist. The purpose of that referral was to have a specialist examine the nature of the fracture and if necessary, cast or sling the fracture and if necessary, perform surgery. I also made sure that Mr. Monfiston’s pain was managed by reviewing medical records and medications being administered to Mr. Monfiston’s at that time.

7. In meeting with Mr. Monfiston, I advised that as long as he kept the arm immobilized and his pain was managed, there was no heightened medical risk or risk of exacerbating his condition by not placing his arm in a sling or cast immediately. In other words, I determined it was medically safe for Mr. Monfiston to wait to see a specialist to be fitted for a sling and soft case.

(Doc. 64-1 at 3-4). Monfiston’s medical records confirm that a request for an orthopedic consultation was made on July 21 and approved the next day. (Doc. 64-7). A few days later, Monfiston signed consent paperwork to see the specialist. (Doc. 64-2 at 22:17-21:3). On July 27—eight days after the fall—Monfiston met with the orthopedic physician. Before the appointment, Dr. Wetterer told Monfiston that the specialist was putting a cast on his arm and “if he had the materials, he would have done it himself.” (Doc. 68 at 3; Doc. 64-2 at 23:14-22). New x-rays were taken, and Monfiston was diagnosed with a “Galeazzi fracture complex with butterfly fragment and a long oblique type fracture of the radius with dislocation of distal radial ulnar joint” that required urgent surgery. (Doc. 64- 7; Doc. 64-8). Monfiston says the orthopedic commented, “I bet you are in a lot of pain.” (Doc. 68 at 4). The orthopedic gave him a soft cast, which immediately helped. (Id). Monfiston returned to the prison that same day and saw Dr. Wetterer in the lobby.

According to Monfiston, “Dr. Wetterer looked surprised that [he] did not have a hard-cast on [his] arm. [He] told him what the doctor had said about the injury and surgery and Dr. Wetterer looked shocked and could not respond to that.” (Id.). Monfiston also learned the Naproxen had arrived. ( Id. at 3). He got 28 tablets with no refill. (Doc. 64-5). On July 29—ten days after the fall—Dr. Wetterer approved the surgery for the next day. (Doc. 64-7). The procedure was successful, but the orthopedic described Monfiston’s fracture as “quite complex” and noted the procedure was not without difficulties. (Doc. 64-8). Ultimately, the orthopedic believed Monfiston would see good results. (Id.).

During these events, Monfiston filed an internal grievance about his medical care. He complained of “deliberate indifference to [his] medical needs” because he only received an ace bandage for his broken arm. (Doc. 66-7 at 3). The grievance reads, I went back to medical where I was seen by the doctor. He also acknowledged that my arm was fractured. However, I have not been taken to a hospital to have my arm reset, I have not gotten x-rays, and I have not received a cast or sling for my arm. It has been two days and the only treatment that I’ve received from medical for my broken arm has been some pain medication and an ace bandage.

(Id.). Dr. Wetterer responded nine days later: Your arm has been X-rayed and your fracture is of the type that is immobilized is what is needed since it is not dislocated. I am presently waiting to have you brought to me so I can place your arm in a splint as well as the wrapping. You are scheduled for orthopedic consult for casting. As long as you keep your arm stable and not fall again, there is no risk for you until you are seen for a cast.

(Id. at 2). Monfiston’s post-surgery care is also at issue. Monfiston returned to prison on the same day of his surgery. A nurse sent him to general population, where he had been reassigned to an upper bunk. (Doc. 68 at 4). A guard tried to help him, but without a lower bunk pass, he could do nothing. (Id.).

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Monfiston v. Wetterer, Counsel Stack Legal Research, https://law.counselstack.com/opinion/monfiston-v-wetterer-flmd-2020.