Monroe v. Koren

District Court, E.D. Wisconsin·Decided December 30, 2021·No. 2:20-cv-00229·Unknown

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF WISCONSIN

DARRIUS MONROE, Plaintiff,

v. Case No. 20-C-229

DR. CYNTHIA KOREN and DR. MARK ROBERT SCHICK, Defendants.

DECISION AND ORDER Pro se plaintiff Darrius Monroe, who is confined at the Green Bay Correctional Institution (“Green Bay”), filed this civil rights case alleging that the defendants violated his constitutional rights. The plaintiff is proceeding on an Eighth Amendment claim against Dr. Cynthia Koren and Dr. Mark Robert Schick based on his allegations that their treatment decisions after the plaintiff injured his Achilles tendon playing basketball were so inadequate given the plaintiff’s injury that no minimally competent profession would have responded that way under the circumstances. ECF No. 10 at 16. Before me now are the defendants’ motions for summary judgment in which they contend that the plaintiff failed to exhaust his administrative remedies.1 I. FACTUAL BACKGROUND A. Plaintiff’s Claim Against Dr. Koren and Dr. Schick In his complaint, the plaintiff alleges that on May 30, 2018, he was playing basketball when he felt a pop in his left Achilles tendon, followed by intense pain. ECF

1 The defendants are represented by separate counsel and each defendant filed his or her own motion for summary judgment. No. 1, ¶ 17. On June 1, 2018, defendant Dr. Cynthia Koren spoke to defendant Dr. Mark Robert Schick from Prevea Orthopedic. Id. ¶ 19. Dr. Schick advised Dr. Koren to place the plaintiff in a non-walking boot and give him crutches. Id. Dr. Schick took the plaintiff’s name in order to see the plaintiff the week of June 4, 2018. Id.

Dr. Koren saw the plaintiff on June 6, 2018 and issued him a CAM boot (a walking boot) for his foot and Tramadol for his pain. Id. ¶ 22. A follow-up appointment was scheduled for June 13, 2018. Id. Dr. Koren allegedly spoke to Dr. Schick on June 14, 2018. Id. The plaintiff alleges that an MRI was scheduled “to be done ideally within 1-2 weeks.” Id. The plaintiff says, however, that the MRI was not done until July 18, 2018, because Dr. Schick did not specify when it should be done; he says that on July 10, Dr. Koren “noted the MRI as scheduled was fine.” Id. ¶ 23. The plaintiff asserts that before the July 18, 2018 MRI, he wrote health services at least five request slips complaining about intense pain and the ineffectiveness of the medication he was on, asking when the MRI was going to be done, and asking what

medical attention he was going to get to “fix his achilles.” Id. ¶ 24. The plaintiff alleges that health services staff saw him the day before he had his MRI, and that he told them the Tylenol and Meloxicam helped with the headache but not with the pain in his Achilles tendon. Id. ¶ 25. The plaintiff says that the MRI was done on July 18, 2018. Id. ¶ 26. He asserts that he wrote health services several requests asking what the MRI showed. Id. He also asked for a renewal of his ice bag accommodation and for pain medication, noting that he had endured pain in the Achilles for three weeks without pain medication. Id. The plaintiff says he felt positive that the MRI showed something wrong with his Achilles. Id. The plaintiff 2 was informed that “an off-site appointment was scheduled and to continue with APAP1 and meloxicam.” Id. The plaintiff alleges that on July 23, 2018, Dr. Koren told him that he would have a follow-up appointment with Dr. Schick in one to two weeks. Id. ¶ 27. On August 8, 2018,

Dr. Schick recommended that the plaintiff continue to bear weight in his walking boot for two weeks, then use regular shoes with heel lifts for one month. Id. The plaintiff alleges that Dr. Schick told him that there would be no surgery because of the significant amount of scar tissue that had developed as a result of Green Bay’s delayed response. Id. The plaintiff says that the MRI showed a “near complete rupture of [the plaintiff’s] left achilles tendon that left a 4 cm gap between retracted ends.” Id. He asserts that his prescription for Meloxicam was discontinued because he reiterated that it was ineffective in dealing with the pain. Id. The plaintiff alleges that on August 15, 2018, he was taken out of the walking boot and given shoe wedge lifts. Id. ¶ 31. He says that that same day, Dr. Koren sought a

second opinion. Id. The plaintiff explains that he was in the boot for approximately 70 days. Id. ¶ 32. On October 1, 2018, the plaintiff went to see defendant Dr. Eric Nelson for a second opinion. Id. ¶ 33. The plaintiff says that Dr. Nelson was “against surgery” because it was not his practice to operate on “inmates” with Achilles tendon ruptures and that Dr. Nelson recommended that the plaintiff continue with rehab. Id. ¶¶ 33, 35. The plaintiff explains that he had a limp at the time of the second opinion and that he still has a limp in the morning hours and when he stands too long. Id. ¶ 36. He says he still has extreme pain in the tendon after activities and does not have the same use of his foot as he had before. Id. 3 Chief Judge Pamela Pepper screened the complaint and explained that the plaintiff’s claims fall into two categories. The first category is that Health Services Unit staff (former defendants Lutsey and Blair) were deliberately indifferent to the pain the plaintiff suffered as a result of the ruptured Achilles tendon. The court did not allow the

plaintiff to proceed on a claim regarding his allegations of deliberate indifference to his pain. ECF No. 10 at 8-11. The second claim category has to do with the plaintiff’s belief that the delay in performing the MRI allowed scar tissue to develop, preventing a surgery that the plaintiff believes would have prevented him from having a limp and the other issues he says he continues to suffer from. Id. at 8. The court allowed the plaintiff to proceed on a claim against Dr. Koren and Dr. Schick based on his assertions that they knew that surgery on a ruptured achilles had to be performed within one to two weeks after the initial injury and that the “Cam Boot” was not an approved treatment for this kind of injury. Id. at 11-14. Thus, the court allowed the plaintiff to proceed against Dr. Koren and Dr. Schick on a claim that “their decisions in giving the plaintiff the boot, requiring an

MRI, approving the timing of the MRI and scheduling the follow-up were so inadequate given the plaintiff’s injury that no minimally competent professional would have responded that way under the circumstances.” Id. at 16. B. Plaintiff’s Inmate Complaint The plaintiff has been confined at Green Bay since 2008. It is undisputed that he was aware of, and utilized, the Inmate Complaint Review System at Green Bay. The plaintiff filed inmate complaint GBCI-2018-16844, which was received by Green Bay’s institution complaint examiner’s office on August 7, 2018. ECF No. 54-1 at 7. The inmate complaint form instructs inmates to write “who or what is the ONE issue, of 4 this complaint” and the plaintiff wrote, “HSU should have renewed my pain meds.” Id. The inmate complaint form also asks for the details surrounding the complaint, to which the plaintiff wrote: On May 30, 2018 I injured myself and needed immediate medical attention. At HSU the male nurse that examined me suspected that I had a ruptured Achilles tendon and needed to be seen by the doctor. Two days later I saw the doctor. Doctor Koren the doctor prescribed Meloxicam 7.5 mg and [ ] . The doctor also scheduled me for an off-site appointment.

After taking the prescribed meds for a week I informed Doctor Koren I was still in pain. The meds did not work. Doctor Koren prescribed some effective meds for 30 days. In those 30 days I went off-site, and the Doctor ordered/recommended an MRI. While waiting for the MRI the 30 days expired. I requested to have the pain meds renewed and was denied. Instead, I was given [ ] and ordered to continue with the [ ] pills.

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