1 UNITED STATES DISTRICT COURT 2 DISTRICT OF NEVADA 3 DAVID MORTON, Case No.: 3:24-cv-00402-MMD-CSD
4 Plaintiff Report & Recommendation of United States Magistrate Judge 5 v. Re: ECF No. 5, 6 6 KENNETH WILLIAMS, et al.,
7 Defendants
8 This Report and Recommendation is made to the Honorable Miranda M. Du, United 9 States District Judge. The action was referred to the undersigned Magistrate Judge pursuant to 28 10 U.S.C. § 636(b)(1)(B) and the Local Rules of Practice, LR 1B 1-4. 11 Before the court is Plaintiff’s motion for a temporary restraining order (TRO) and a 12 preliminary injunction (PI). (ECF No. 5, 6.) Defendants filed a response. (ECF Nos. 15, 17-1 to 13 17-14.) Plaintiff filed a reply. (ECF No. 22.) 14 After a thorough review, it is recommended that Plaintiff’s motion for a TRO or PI be 15 denied without prejudice. 16 I. BACKGROUND 17 Plaintiff is an inmate in the custody of the Nevada Department of Corrections (NDOC), 18 proceeding pro se with this action pursuant to 42 U.S.C. § 1983. (Compl., ECF No. 7-1.) The 19 events giving rise to this action took place while Plaintiff was incarcerated at Lovelock 20 Correctional Center (LCC), Southern Desert Correctional Center (SDCC), Warm Springs 21 Correctional Center (WSCC), and Northern Nevada Correctional Center (NNCC). (Id.) 22 The court screened Plaintiff’s Complaint and allowed him to proceed with: (1) an Eighth 23 Amendment deliberate indifference to serious medical needs claim: against Brian Williams, 1 Wickham, S. Austin, Dr. Marks, Mrs. Pritchard, Dr. J. Benson, Dr. Vosse, Gallardo, Kenneth 2 Williams, and James Dzurenda related to the alleged failure to provide him with recommended 3 treatment for his chronic foot condition; and (2) a First Amendment retaliation claim against 4 Mrs. Pritchard. (ECF No. 7.)
5 Plaintiff filed a motion for a TRO or PI seeking an order to (1) provide him with 6 evaluation and treatment with a foot specialist/podiatrist for his foot problem; (2) a full 7 hematology cancer panel and immediate flesh biopsy, and shipment of the flesh to specialists for 8 review, and (3) a non-slip shower stool. (ECF No. 5, 6.) 9 Defendants oppose the motion, arguing that Plaintiff seeks injunctive relief he has either 10 been provided, relief that is beyond the jurisdiction of the court, or relief that is outside the scope 11 of the pleadings. (ECF No. 15 at 9-10.) Defendants further argue that Plaintiff failed to meet the 12 standard for a preliminary injunction. (Id. at 10-20.) 13 Plaintiff replied, arguing: (1) his motion is not moot because he was scheduled for an 14 MRI; (2) a biopsy and full hematology blood panel for cancer is “viable and routine for
15 NDOC[;]” (3) his request for personal non-slip ADA shower stool is an essential request because 16 of his foot; (4) his “requests are not particular or special, but routine and essential” in this 17 situation; and (5) he submitted medical kites about the requests made in his motion for a TRO or 18 a PI. (ECF No. 22.)1 19 II. LEGAL STANDARD 20 The purpose of a preliminary injunction or temporary restraining order is to preserve the 21 status quo if the balance of equities so heavily favors the moving party that justice requires the 22
23 1 Plaintiff’s reply was late, however, the court reviewed its contents and evaluated Plaintiff’s arguments. 1 court to intervene to secure the positions until the merits of the action are ultimately determined. 2 University of Texas v. Camenisch, 451 U.S. 390, 395 (1981). 3 Injunctions and temporary restraining orders are governed procedurally by Federal Rule of 4 Civil Procedure 65, but case law outlines the substantive requirements a party must satisfy to obtain
5 an injunction or restraining order. See Grupo Mexicano de Desarrollo S.A. v. Alliance Bond Fund, 6 Inc., 527 U.S. 308, 319 (1999) ("[T]he general availability of injunctive relief [is] not altered by 7 [Rule 65] and depend[s] on traditional principles of equity jurisdiction."). 8 A preliminary injunction is an “extraordinary and drastic remedy” that is “never awarded 9 as of right.” Munaf v. Geren, 553 U.S. 674, 689-90 (2008) (citations omitted). Instead, in every 10 case, the court “must balance the competing claims of injury and must consider the effect on each 11 party of the granting or withholding of the requested relief.” Winter v. Natural Resources Defense 12 Council, Inc., 555 U.S. 7, 23 (2008) (internal quotation marks and citation omitted). The instant 13 motion requires the court determine whether Plaintiff has established the following: (1) he is likely 14 to succeed on the merits; (2) he is likely to suffer irreparable harm in the absence of preliminary
15 relief; (3) the balance of equities tips in his favor; and (4) an injunction is in the public interest. Id. 16 at 20 (citations omitted).). The Ninth Circuit has held that “serious questions going to the merits 17 and a hardship balance that tips sharply toward the plaintiff can support the issuance of an 18 injunction, assuming the other two elements of the Winter test are also met.” Alliance for the Wild 19 Rockies v. Cottrell, 632 F.3d 1127, 1132 (9th Cir. 2011) (citation and quotation marks omitted). 20 There are two types of preliminary injunctions: (1) a mandatory injunction that orders a 21 responsible party to act; and (2) a prohibitory injunction that prohibits a party from acting and 22 preserves the status quo pending a determination of the action on the merits. Arizona Dream Act 23 Coalition v. Brewer, 757 F.3d 1053, 1060 (9th Cir. 2014) (quoting Marlyn Nutraceuticals, Inc. v. 1 Mucos Pharma GmbH & Co., 571 F.3d 873, 878–79 (9th Cir. 2009)). A more stringent standard 2 is applied where mandatory, as opposed to prohibitory preliminary relief is sought. The Ninth 3 Circuit has noted that although the same general principles inform the court’s analysis, “[w]here a 4 party seeks mandatory preliminary relief that goes well beyond maintaining the status quo
5 pendente lite, courts should be extremely cautious about issuing a preliminary injunction.” Martin 6 v. International Olympic Committee, 740 F.2d 670, 675 (9th Cir. 1984) (citation omitted). Thus, 7 an award of mandatory preliminary relief is not to be granted unless both the facts and the law 8 clearly favor the moving party and extreme or very serious damage will result. See Anderson v. 9 United States, 612 F.2d 1112, 1115 (9th Cir. 1979) (citations omitted). “[I]n doubtful cases” a 10 mandatory injunction will not issue. Id. 11 The Prison Litigation Reform Act (PLRA) mandates that prisoner litigants must satisfy 12 additional requirements when seeking preliminary injunctive relief against prison officials. The 13 PLRA provides, in relevant part: 14 Preliminary injunctive relief must be narrowly drawn, extend no further than necessary to correct the harm the court finds requires 15 preliminary relief, and be the least intrusive means necessary to correct that harm.
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1 UNITED STATES DISTRICT COURT 2 DISTRICT OF NEVADA 3 DAVID MORTON, Case No.: 3:24-cv-00402-MMD-CSD
4 Plaintiff Report & Recommendation of United States Magistrate Judge 5 v. Re: ECF No. 5, 6 6 KENNETH WILLIAMS, et al.,
7 Defendants
8 This Report and Recommendation is made to the Honorable Miranda M. Du, United 9 States District Judge. The action was referred to the undersigned Magistrate Judge pursuant to 28 10 U.S.C. § 636(b)(1)(B) and the Local Rules of Practice, LR 1B 1-4. 11 Before the court is Plaintiff’s motion for a temporary restraining order (TRO) and a 12 preliminary injunction (PI). (ECF No. 5, 6.) Defendants filed a response. (ECF Nos. 15, 17-1 to 13 17-14.) Plaintiff filed a reply. (ECF No. 22.) 14 After a thorough review, it is recommended that Plaintiff’s motion for a TRO or PI be 15 denied without prejudice. 16 I. BACKGROUND 17 Plaintiff is an inmate in the custody of the Nevada Department of Corrections (NDOC), 18 proceeding pro se with this action pursuant to 42 U.S.C. § 1983. (Compl., ECF No. 7-1.) The 19 events giving rise to this action took place while Plaintiff was incarcerated at Lovelock 20 Correctional Center (LCC), Southern Desert Correctional Center (SDCC), Warm Springs 21 Correctional Center (WSCC), and Northern Nevada Correctional Center (NNCC). (Id.) 22 The court screened Plaintiff’s Complaint and allowed him to proceed with: (1) an Eighth 23 Amendment deliberate indifference to serious medical needs claim: against Brian Williams, 1 Wickham, S. Austin, Dr. Marks, Mrs. Pritchard, Dr. J. Benson, Dr. Vosse, Gallardo, Kenneth 2 Williams, and James Dzurenda related to the alleged failure to provide him with recommended 3 treatment for his chronic foot condition; and (2) a First Amendment retaliation claim against 4 Mrs. Pritchard. (ECF No. 7.)
5 Plaintiff filed a motion for a TRO or PI seeking an order to (1) provide him with 6 evaluation and treatment with a foot specialist/podiatrist for his foot problem; (2) a full 7 hematology cancer panel and immediate flesh biopsy, and shipment of the flesh to specialists for 8 review, and (3) a non-slip shower stool. (ECF No. 5, 6.) 9 Defendants oppose the motion, arguing that Plaintiff seeks injunctive relief he has either 10 been provided, relief that is beyond the jurisdiction of the court, or relief that is outside the scope 11 of the pleadings. (ECF No. 15 at 9-10.) Defendants further argue that Plaintiff failed to meet the 12 standard for a preliminary injunction. (Id. at 10-20.) 13 Plaintiff replied, arguing: (1) his motion is not moot because he was scheduled for an 14 MRI; (2) a biopsy and full hematology blood panel for cancer is “viable and routine for
15 NDOC[;]” (3) his request for personal non-slip ADA shower stool is an essential request because 16 of his foot; (4) his “requests are not particular or special, but routine and essential” in this 17 situation; and (5) he submitted medical kites about the requests made in his motion for a TRO or 18 a PI. (ECF No. 22.)1 19 II. LEGAL STANDARD 20 The purpose of a preliminary injunction or temporary restraining order is to preserve the 21 status quo if the balance of equities so heavily favors the moving party that justice requires the 22
23 1 Plaintiff’s reply was late, however, the court reviewed its contents and evaluated Plaintiff’s arguments. 1 court to intervene to secure the positions until the merits of the action are ultimately determined. 2 University of Texas v. Camenisch, 451 U.S. 390, 395 (1981). 3 Injunctions and temporary restraining orders are governed procedurally by Federal Rule of 4 Civil Procedure 65, but case law outlines the substantive requirements a party must satisfy to obtain
5 an injunction or restraining order. See Grupo Mexicano de Desarrollo S.A. v. Alliance Bond Fund, 6 Inc., 527 U.S. 308, 319 (1999) ("[T]he general availability of injunctive relief [is] not altered by 7 [Rule 65] and depend[s] on traditional principles of equity jurisdiction."). 8 A preliminary injunction is an “extraordinary and drastic remedy” that is “never awarded 9 as of right.” Munaf v. Geren, 553 U.S. 674, 689-90 (2008) (citations omitted). Instead, in every 10 case, the court “must balance the competing claims of injury and must consider the effect on each 11 party of the granting or withholding of the requested relief.” Winter v. Natural Resources Defense 12 Council, Inc., 555 U.S. 7, 23 (2008) (internal quotation marks and citation omitted). The instant 13 motion requires the court determine whether Plaintiff has established the following: (1) he is likely 14 to succeed on the merits; (2) he is likely to suffer irreparable harm in the absence of preliminary
15 relief; (3) the balance of equities tips in his favor; and (4) an injunction is in the public interest. Id. 16 at 20 (citations omitted).). The Ninth Circuit has held that “serious questions going to the merits 17 and a hardship balance that tips sharply toward the plaintiff can support the issuance of an 18 injunction, assuming the other two elements of the Winter test are also met.” Alliance for the Wild 19 Rockies v. Cottrell, 632 F.3d 1127, 1132 (9th Cir. 2011) (citation and quotation marks omitted). 20 There are two types of preliminary injunctions: (1) a mandatory injunction that orders a 21 responsible party to act; and (2) a prohibitory injunction that prohibits a party from acting and 22 preserves the status quo pending a determination of the action on the merits. Arizona Dream Act 23 Coalition v. Brewer, 757 F.3d 1053, 1060 (9th Cir. 2014) (quoting Marlyn Nutraceuticals, Inc. v. 1 Mucos Pharma GmbH & Co., 571 F.3d 873, 878–79 (9th Cir. 2009)). A more stringent standard 2 is applied where mandatory, as opposed to prohibitory preliminary relief is sought. The Ninth 3 Circuit has noted that although the same general principles inform the court’s analysis, “[w]here a 4 party seeks mandatory preliminary relief that goes well beyond maintaining the status quo
5 pendente lite, courts should be extremely cautious about issuing a preliminary injunction.” Martin 6 v. International Olympic Committee, 740 F.2d 670, 675 (9th Cir. 1984) (citation omitted). Thus, 7 an award of mandatory preliminary relief is not to be granted unless both the facts and the law 8 clearly favor the moving party and extreme or very serious damage will result. See Anderson v. 9 United States, 612 F.2d 1112, 1115 (9th Cir. 1979) (citations omitted). “[I]n doubtful cases” a 10 mandatory injunction will not issue. Id. 11 The Prison Litigation Reform Act (PLRA) mandates that prisoner litigants must satisfy 12 additional requirements when seeking preliminary injunctive relief against prison officials. The 13 PLRA provides, in relevant part: 14 Preliminary injunctive relief must be narrowly drawn, extend no further than necessary to correct the harm the court finds requires 15 preliminary relief, and be the least intrusive means necessary to correct that harm. The court shall give substantial weight to any 16 adverse impact on public safety or the operation of a criminal justice system caused by the preliminary relief and shall respect the 17 principles of comity set out in paragraph (1)(B) in tailoring any preliminary relief. 18 18 U.S.C. § 3626(a)(2). Thus, the PLRA limits the court’s power to grant preliminary injunctive 19 relief to inmates. See Gilmore v. People of the State of California, 220 F.3d 987, 998 (9th Cir. 20 2000). “Section 3626(a) therefore operates simultaneously to restrict the equity jurisdiction of 21 federal courts and to protect the bargaining power of prison administrators—no longer may courts 22 grant or approve relief that binds prison administrators to do more than the constitutional 23 minimum.” Id. at 999. 1 A temporary restraining order is appropriate when irreparable injury may occur before 2 the court can hold a hearing on a motion for preliminary injunction. See 11A The Late Charles 3 Alan Wright & Arthur R. Miller, et. al., Federal Practice and Procedure, § 2951 (3d ed. 1999). 4 The standard for issuing a temporary restraining order is identical to the standard for a
5 preliminary injunction. See Stuhlbarg Int'l Sales Co., Inc. v. John D. Brush and Co., Inc., 240 6 F.3d 832, 839 n. 7 (9th Cir. 2001); see also 11A The Late Charles Alan Wright & Arthur R. 7 Miller, et. al., Federal Practice and Procedure, § 2951 (3d ed. 1999) ("When the opposing party 8 actually receives notice of the application for a restraining order, the procedure that is followed 9 does not differ functionally from that on an application for preliminary injunction and the 10 proceeding is not subject to any special requirements."). A temporary restraining order "should 11 be restricted to serving [its] underlying purpose of preserving the status quo and preventing 12 irreparable harm just so long as is necessary to hold a hearing, and no longer." Granny Goose 13 Foods, Inc. v. Bhd. of Teamsters & Auto Truck Drivers Local No. 70, 415 U.S. 423, 439 (1974). 14 III. DISCUSSION
15 To obtain injunctive relief, along with demonstrating a likelihood of irreparable harm, the 16 balance of equities tips in his favor and injunctive relief is in the public interest, Plaintiff must 17 demonstrate he is likely to succeed on the merits of his Eighth Amendment claims. 18 "The government has an 'obligation to provide medical care for those whom it is 19 punishing by incarceration,' and failure to meet that obligation can constitute an Eighth 20 Amendment violation cognizable under § 1983." Colwell v. Bannister, 753 F.3d 1060, 1066 (9th 21 Cir. 2014) (citing Estelle v. Gamble, 429 U.S. 97, 103-05 (1976)). 22 A prisoner can establish an Eighth Amendment violation arising from deficient medical 23 care if he can prove that prison officials were deliberately indifferent to a serious medical need. 1 Estelle, 429 U.S. at 104. A claim for deliberate indifference involves the examination of two 2 elements: "the seriousness of the prisoner's medical need and the nature of the defendant's 3 response to that need." McGuckin v. Smith, 974 F.2d 1050, 1059 (9th Cir. 1992), rev'd on other 4 grounds, WMX Tech, Inc. v. Miller, 104 F.3d 1133 (9th Cir. 1997).
5 "Deliberate indifference is a high legal standard." Toguchi v. Chung, 391 F.3d 1051, 1060 6 (9th Cir. 2004). Deliberate indifference entails something more than medical malpractice or even 7 gross negligence. Id. Inadvertence, by itself, is insufficient to establish a cause of action under 8 section 1983. McGuckin, 974 F.2d at 1060. Instead, deliberate indifference is only present when 9 a prison official "knows of and disregards an excessive risk to inmate health or safety; the 10 official must both be aware of the facts from which the inference could be drawn that a 11 substantial risk of serious harm exists, and he must also draw the inference." Farmer v. Brennan, 12 511 U.S. 825, 837 (1994); see also Akhtar, 698 F.3d at 1213 (citation omitted). 13 Deliberate indifference exists when a prison official "den[ies], delay[s] or intentionally 14 interfere[s] with medical treatment, or it may be shown by the way in which prison officials
15 provide medical care." Crowley v. Bannister, 734 F.3d 967, 978 (9th Cir. 2013) (internal 16 quotation marks and citation omitted). Where delay in receiving medical treatment is alleged, a 17 prisoner must demonstrate that the delay led to further injury. Stewart v. Aranas, 32 F.4th 1192, 18 1195 (9th Cir. 2022) (citing Shapley v. Nev. Bd. of State Prison Comm’rs, 766 F.2d 404, 407 (9th 19 Cir. 1985)); McGuckin, 974 F.2d at 1060. 20 A difference of opinion between medical professionals concerning the appropriate course 21 of treatment generally does not amount to deliberate indifference to serious medical needs. See 22 Toguchi v. Chung, 391 F.3d 1051, 1059–60 (9th Cir. 2004); Sanchez v. Vild, 891 F.2d 240, 242 23 (9th Cir. 1989). To establish that a difference of opinion amounted to deliberate indifference, the 1 prisoner “must show that the course of treatment the doctors chose was medically unacceptable 2 under the circumstances” and “that they chose this course in conscious disregard of an excessive 3 risk to [the prisoner’s] health.” See Jackson v. McIntosh, 90 F.3d 330, 332 (9th Cir. 1996), 4 overruled in part on other grounds by Peralta v. Dillard, 744 F.3d 1076, 1083 (9th Cir. 2014).
5 A. Foot Evaluation/Treatment 6 In his motion for a TRO and a PI, Plaintiff requests that Defendants be ordered to allow 7 him to go and be seen and evaluated by a foot specialist/podiatrist as NDOC “already has him 8 scheduled on a list to be seen, evaluated, [and] treated by” a specialist. 9 Defendants argue that Plaintiff’s motion should be denied because he has already been 10 seen by outside foot specialists or orthopedic surgeons three times and has been referred to, and 11 is being scheduled to see, an orthopedic oncologist. (ECF No. 15 at 2.) 12 On February 1, 2023, Dr. Benson requested Plaintiff be seen by a podiatrist for 13 “Morton[’]s neuroma excision” with the note that the service was requested “ASAP[.]” The 14 details section of the request form notes that Plaintiff has “severe pain from neuroma” and was
15 seen by a podiatrist on July 26, 2022, who recommended surgical excision. (ECF No. 17-5 at 7 16 (sealed).) 17 On September 28, 2023, Plaintiff was seen for an outside consultation with a podiatrist 18 and surgeon, Dr. Card, who recommended another MRI of his foot. (ECF No. 15 at 8 (citing 19 ECF No. 17-9 at 2 (sealed)).) 20 On March 25, 2024, Plaintiff underwent an MRI of his foot. (ECF No. 17-10 at 2 21 (sealed).) The MRI report notes the presence of a possible liposarcoma and recommends an 22 orthopedic consultation. (Id.) 23 1 On May 6, 2024, Plaintiff was seen by Dr. Card to review the MRI results. (ECF No. 17- 2 11 (sealed).) Dr. Card states that “[g]iven the extent of his lesion and possible cancers 3 differentiation[,] I will refer him to an orthopedic oncologist.” (Id.) 4 Without deciding whether Plaintiff’s treatment was delayed causing further injury, it is
5 clear Plaintiff has received medical attention and treatment for his condition. Plaintiff states in 6 his sworn declaration that he “has been examined [on] several occasions by medical providers, 7 and recommended, approved for surgery by orthopedic, which [he has] never received for [his] 8 condition of Morton’s toe.” (ECF No. 22 at 20.) Defendants have provided evidence to show that 9 Plaintiff has been referred to see an orthopedic oncologist. (ECF No. 17-12 at 2 (sealed).) 10 Here, as Plaintiff seeks a mandatory injunction because he seeks Defendants be ordered 11 to send him to be evaluated by a foot specialist, the court must be “extremely cautious about 12 issuing a preliminary injunction.” Arizona Dream, 757 F.3d at 1060; Martin, 740 F.2d at 675. To 13 grant injunctive relief concerning serious risks to the inmate’s safety, the court must find that at 14 the time the relief will be granted there is still a serious, present risk to the inmate and that the
15 prison officials are still acting with deliberate indifference to that risk. See Farmer, 511 U.S. at 16 845–47; see also Helling v. McKinney, 509 U.S. 25, 35–36 (1993) (discussing injunctive relief 17 where there is a threat of harm to inmate’s health). Consequently, given that Plaintiff has seen 18 orthopedic specialists on multiple occasions and is being scheduled to see an orthopedic 19 oncologist, it is recommended that Plaintiff’s motion for a TRO and a PI be denied without 20 prejudice as he has now secured the requested relief (evaluation by a foot specialist). 21 However, the court also recommends Defendants be directed to provide a status update, 22 under seal, when Plaintiff’s appointment to see the orthopedic oncologist is scheduled and again 23 when the appointment has occurred. In the event Defendants do not promptly follow through 1 with the orthopedic oncologist evaluation and subsequent treatment, if recommended, Plaintiff 2 may renew his motion for injunctive relief with respect to his foot evaluation and treatment. 3 B. Hematology and Cancer Panel 4 Next, Plaintiff requests the court order Defendants to provide a full hematology and
5 cancer panel and conduct an immediate flesh biopsy and send flesh out to appropriate specialist 6 to determine what flesh growths are between his toes. (ECF No. 5 at 7-8.) Again, Plaintiff seeks 7 the court impose a mandatory injunction because he seeks an action be taken, and the court must 8 be “extremely cautious about issuing a preliminary injunction.” Arizona Dream, 757 F.3d at 9 1060; Martin, 740 F.2d at 675. 10 Defendants argue that “the fact that [they] “cannot force outside specialists to conduct 11 those procedures does not amount to deliberate indifference.” (ECF No. 15 at 15, n. 7.) 12 Defendants also argue that Plaintiff’s request constitutes a difference of opinion concerning 13 appropriate medical care, which does not amount to deliberate indifference. (Id.) 14 As a threshold matter, courts may not rule on the rights of persons not currently before
15 them. Gurrier v. LeGrand, No. 3:10-cv-00719-LRH, 2012 WL 458617, at *3 (D. Nev. Jan. 4, 16 2012) (citing Zepeda v. U.S. Immigration Serv., 753 F.2d 719, 727 (9th Cir.1985) (“A federal 17 court may issue an injunction if it has personal jurisdiction over the parties and subject matter 18 jurisdiction over the claim; it may not attempt to determine the rights of persons not before the 19 court.”)). The Federal Rules of Civil Procedure permit injunctive relief to bind “only the 20 following [persons] who receive actual notice of it by personal service or otherwise: (A) the 21 parties; (B) the parties’ officers, agents, servants, employees, and attorneys; and (C) other 22 persons who are in active concert or participation with anyone described in Rule 65(d)(2)(A) or 23 (B).” Fed. R. Civ. P. 65(d)(2). In this case, Plaintiff has not named any outside specialists who 1 would perform a hematology and cancer panel or conduct an immediate flesh biopsy and thus the 2 court does not have jurisdiction to grant this requested relief. Gurrier, 2012 WL 458617 at *3. 3 As Plaintiff’s request is denied for lack of jurisdiction, the court need not address the 4 likelihood of success on this claim. However, Plaintiff is also unlikely to succeed on the merits
5 as to this portion of his claim because a difference of opinion between medical professionals 6 concerning the appropriate course of treatment generally does not amount to deliberate 7 indifference to serious medical needs. See Toguchi, 391 F.3d at 1059-60; Sanchez, 891 F.2d at 8 242. A review of the evidence shows that an outside specialist did recommend Plaintiff have a 9 surgical consultation for a biopsy and/or resection, however, when he was seen by an orthopedic 10 surgeon, the surgeon did not recommend or perform a biopsy but rather ordered an MRI and 11 referred Plaintiff to an orthopedic oncologist. (ECF No. 15 at 13, ECF No. 17-7 at 3 (sealed), 12 ECF No. 17-9 at 2 (sealed).) It seems Plaintiff was not denied a biopsy or cancer panel because 13 Defendants refused to so provide, but rather because the relevant outside specialists determined a 14 different course of treatment was proper or that a different specialist should be consulted.
15 Plaintiff therefore did not “show that the course of treatment the doctors chose was medically 16 unacceptable under the circumstances” or “that they chose this course in conscious disregard of 17 an excessive risk to [the prisoner’s] health.” See Jackson, 90 F.3d at 332, overruled in part on 18 other grounds by Peralta, 744 F.3d at 1083. Thus, this request for injunctive relief should also be 19 denied because Plaintiff failed to establish he is likely to succeed on the merits. Winter, 555 U.S. 20 at 20. 21 C. Shower Stool 22 To obtain injunctive relief, along with demonstrating a likelihood of irreparable harm, the 23 balance of equities tips in his favor and injunctive relief is in the public interest, “there must be a 1 relationship between the injury claimed in the motion for injunctive relief and the conduct 2 asserted in the underlying complaint.” Pacific Radiation Oncology, LLC v. Queen's Medical 3 Center, 810 F.3d 631, 636 (9th Cir. 2015). “This requires a sufficient nexus between the claims 4 raised in a motion for injunctive relief and the claims set forth in the underlying complaint
5 itself.” Id. “The relationship between the preliminary injunction and the underlying complaint is 6 sufficiently strong where the preliminary injunction would grant ‘relief of the same character as 7 that which may be granted finally.’” Id. (quoting De Beers Consol. Mines v. United States, 325 8 U.S. 212, 220 (1945)). “Absent that relationship or nexus, the district court lacks authority to 9 grant the relief requested.” Id. 10 Defendants argue that Plaintiff is not entitled to injunctive relief on this final request 11 because there are no allegations in the underlying complaint that Plaintiff requested a non-slip 12 shower stool, that he was denied a non-slip shower stool, or that he is required to receive one 13 under the ADA. (ECF No. 15 at 2-3, 10.) 14 Critically, “[w]hen a plaintiff seeks injunctive relief based on claims not pled in the
15 complaint, the court does not have the authority to issue an injunction.” Pacific Radiation 16 Oncology, 810 F.3d at 633. Plaintiff does not mention a non-slip shower stool, or any difficulty 17 showering in his complaint. (See ECF No. 8.) In his prayer for relief, Plaintiff includes a request 18 to be seen by an outside foot/back specialist for diagnosis and treatment plan and a flesh biopsy 19 test and full hematology test, but he does not include any reference to a shower stool. (Id. at 14.) 20 Plaintiff also did not allege claims under the ADA in his complaint. 21 As the request for a non-slip shower stool does not have a nexus to the conduct asserted 22 in the underlying complaint, the court recommends that Plaintiff’s motion for a TRO and a PI be 23 denied as to this request because the court does not have authority to grant the relief requested. 1}| Pacific Radiation Oncology, 810 F.3d at 636 (quoting De Beers, 325 U.S. at 220); see Santacruz Daniels, 2024 WL 264081 (D. Nev. Jan. 24, 2024) (denying request for injunctive relief under the ADA where no ADA claim appeared in operative complaint). 4 IV. RECOMMENDATION 5 IT IS HEREBY RECOMMENDED that the District Judge enter an order DENYING 6] WITHOUT PREJUDICE Plaintiffs motion for a TRO and a PI (ECF No. 5, 6). 7 IT IS FURTHER RECOMMENDED that the District Judge enter an order directing 8]| Defendants to provide a status update, under seal, when Plaintiff's appointment to see an orthopedic oncologist is scheduled and again when the appointment has occurred. 10 The parties should be aware of the following: 11 1. That they may file, pursuant to 28 U.S.C. § 636(b)(1)(C), specific written objections to Report and Recommendation within fourteen days of being served with a copy of the Report 13]/ and Recommendation. These objections should be titled “Objections to Magistrate Judge’s 14]| Report and Recommendation” and should be accompanied by points and authorities for consideration by the district judge. 16 2. That this Report and Recommendation is not an appealable order and that any notice of 17] appeal pursuant to Rule 4(a)(1) of the Federal Rules of Appellate Procedure should not be filed until entry of judgment by the district court. 19 Dated: February 3, 2025. 21 Cc SS C ye Craig S. Denney 22 United States Magistrate Judge 23