(PC) Bivins v. Ju

CourtDistrict Court, E.D. California
DecidedApril 14, 2020
Docket2:16-cv-00389
StatusUnknown

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

Bluebook
(PC) Bivins v. Ju, (E.D. Cal. 2020).

Opinion

1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 FOR THE EASTERN DISTRICT OF CALIFORNIA 10 11 JOSEPH BIVINS, No. 2:16-cv-0389 MCE KJN P 12 Plaintiff, 13 v. ORDER AND FINDINGS AND RECOMMENDATIONS 14 DR. JEU, et al., 15 Defendants. 16 17 I. Introduction 18 Plaintiff is a state prisoner, proceeding without counsel. Plaintiff seeks relief pursuant to 19 42 U.S.C. § 1983, and is proceeding in forma pauperis. Defendant Borges’ motion for summary 20 judgment is before the court.1 As discussed below, defendant Borges’ motion should be granted. 21 II. Plaintiff’s Allegations 22 In his second amended complaint (ECF No. 52), plaintiff alleges that Dr. Borges was 23 deliberately indifferent to plaintiff’s serious medical needs by denying plaintiff Harvoni 24 medication treatment for Hepatitis C virus, by applying guidelines and criteria not applicable to 25 Harvoni, and by relying on outdated criteria to find plaintiff should only receive interferon, which 26 plaintiff alleges is known to cause complications in African Americans. 27 1 By order filed July 19, 2018, Dr. Jeu was dismissed from this action without prejudice, and 28 plaintiff was granted leave to file an amended complaint against Dr. Borges. 1 III. Undisputed Facts2 (“UDF”) 2 1. Plaintiff is an inmate in the custody of the California Department of Corrections and 3 Rehabilitation (“CDCR”) who was incarcerated at Folsom State Prison, California at all times 4 relevant to this lawsuit. 5 2. Plaintiff was born in 1953 and is currently 66 years old. (ECF No. 71-3 at 40 6 (McCaslin Decl.).) 7 3. Plaintiff has been incarcerated in CDCR custody since 1975. (Pl.’s Dep. 13-14.) 8 4. In his deposition, plaintiff confirmed that the instant allegations relate only to 9 November of 2015. (Pl.’s Dep. 25, 31.) 10 5. Defendant Dr. Borges is a licensed physician employed by the CDCR at Folsom State 11 Prison since 2001. (ECF No. 71-5 at 1-2 (Dr. Borges Decl.).) 12 6. On May 21, 2015, plaintiff completed a CDC 7362 Health Services Request Form 13 requesting to have a liver biopsy and to treat his HCV condition with Harvoni. (ECF Nos. 71-3 at 14 37; 71-4 at 3 (Dr. Feinberg Decl.); 71-5 at 2.) 15 7. Plaintiff has had Hepatitis C for twenty years. (ECF No. 78 at 3.) 16 8. Harvoni is a direct-acting antiviral agent that treats the Hepatitis C Virus (“HCV”). 17 (ECF Nos. 71-4 at 3; 71-5 at 2.) 18 9. Plaintiff was seen by defendant Borges on June 4, 2015. (ECF Nos. 71-4 at 3; 71-5 at 19 2.) At this visit, the Primary Care Provider Progress Note indicates plaintiff’s FIB 4 score3 was 20 1.37. Based on California Correctional Health Care Services (“CCHCS”) Care Guide: Hepatitis 21 C, treatment for plaintiff’s HCV was deferred. (ECF No. 71-3 at 8.) 22 //// 23

24 2 For purposes of summary judgment, the undersigned finds these facts are undisputed following review of ECF document numbers 28-2, 29, 30-1 and 30-2 and documents referenced therein. 25 Where plaintiff has failed to properly address defendants’ assertion of fact as required, the undersigned considers the fact undisputed. See Fed. R. Civ. Pro. 56(e)(2). 26

27 3 FIB 4 scoring estimates the likelihood of liver fibrosis in the patient. A FIB 4 score of less than 1.45 predicts it is unlikely the patient will have significant fibrosis. (ECF No. 71-4 at 3 (Decl. of 28 Dr. Feinberg.) 1 10. On June 4, 2015, defendant Borges prescribed to plaintiff the following medications: 2 (1) hydrocortisone topical cream (for rash); and (2) hydroxyzine (for itching). (ECF Nos. 71-3 at 3 40; 71-4 at 3; 71-5 at 2.) 4 11. Plaintiff was seen by defendant Borges on June 25, 2015. At this visit, the Primary 5 Care Provider Progress Note indicates plaintiff’s FIB 4 score was 1.37. Based on CCHCS Care 6 Guide: Hepatitis C, treatment for plaintiff’s HCV was deferred. (ECF Nos. 71-3 at 40; 71-4 at 3; 7 71-5 at 2.) 8 12. Plaintiff treated with Dr. M. Jeu, M.D. on November 10, 2015, and was prescribed 9 TAC (triamcinolone acetonide) topical cream for a rash. (ECF Nos. 71-3 at 46-51; 71-4 at 3; 71- 10 5 at 3.) 11 13. Plaintiff treated with Dr. M. Jeu, M.D. on November 17, 2015, with the medical 12 record noting in the History of Present Illness (“HPI”) section, 13 62 y/o male with HCV Infection and Chronic LBP (low back pain) is here for CCP f/u. He argued with me on the subject of hepatitis C 14 treatment. Dr. Borges told him that he is not qualify for the treatment. He has an issue with this. He did not stay for the exam & 15 walked out. 16 (ECF No. 71-3 at 57; see also ECF Nos. 71-4 at 3; 71-5 at 3.) 17 14. Aside from the reference to Dr. Borges recorded in the HPI section on November 17, 18 2015, that, “Dr. Borges told him that he is not qualify for the treatment,” there is no reference to 19 Dr. Borges treating plaintiff in the medical records after June 4, 2015, to the present. (ECF Nos. 20 71-3 at 54-59; 71-4 at 4; 71-5 at 3.) 21 15. California Correctional Health Care Services (“CCHCS”) mandates treatment 22 protocols for HCV at CDCR medical facilities through the CCHCS Care Guide: Hepatitis C. 23 (ECF Nos. 33 at 12-28; 71-3 at 4-35; 71-4 at 4; 71-5 at 3.) 24 16. The treatment protocol from June 2015 to November 2015 for an HCV patient with a 25 FIB 4 score of less than 1.45 was to defer treatment and clinically reassess annually. (ECF Nos. 26 33 at 12-28; 71-3 at 4-35; 71-4 at 4; 71-5 at 3.) 27 17. Defendant Borges is mandated by CCHCS to treat plaintiff according to the CCHCS 28 Care Guide: Hepatitis C. (ECF Nos. 33 at 12-28; 71-3 at 4-35; 71-4 at 4; 71-5 at 3.) 1 18. Defendant Borges was mandated to follow CCHCS protocols, including the CCHCS 2 Care Guide: Hepatitis C, when he treated plaintiff on June 4, 2015, and June 25, 2015. (ECF 3 Nos. 33 at 12-28; 71-3 at 4-35; 71-4 at 4; 71-5 at 3.) 4 19. Defendant Borges followed CCHCS protocols when he treated plaintiff’s HCV on 5 June 4, 2015, by deferring treatment based on plaintiff’s FIB 4 score being 1.37. (ECF Nos. 33 at 6 12-28; 71-3 at 4-35; 71-4 at 4; 71-5 at 3.) 7 20. FIB 4 scoring measures the likelihood of liver fibrosis in the patient. A FIB 4 score 8 of less than 1.45 predicts it is unlikely the patient will have significant fibrosis. (ECF Nos. 33 at 9 12-28; 71-3 at 4-35; 71-4 at 4; 71-5 at 2.) 10 21. Based on plaintiff’s FIB 4 score of 1.37, treatment with Harvoni would not be 11 indicated based on CCHCS protocols in the CCHCS Care Guide: Hepatitis C. (ECF Nos. 33 at 12 12-28; 71-3 at 4-35; 71-4 at 4; 71-5 at 2.) 13 22. In reviewing plaintiff’s pertinent medical records for the period of time from May 14 2015 to February 2016, plaintiff was not prescribed interferon, or any other medication of a 15 similar nature to interferon. (ECF Nos. 71-4 at 4; 71-5 at 3.) 16 23. Defendant Borges did not prescribe interferon, or any similar medication, in the 17 period from May 2015 to February 2016. (ECF Nos. 71-4 at 5; 71-5 at 4.) 18 IV. Legal Standard for Summary Judgment 19 Summary judgment is appropriate when it is demonstrated that the standard set forth in 20 Federal Rule of Civil Procedure 56 is met. “The court shall grant summary judgment if the 21 movant shows that there is no genuine dispute as to any material fact and the movant is entitled to 22 judgment as a matter of law.” Fed. R. Civ. P. 56(a).4 23 Under summary judgment practice, the moving party always bears the initial responsibility of informing the district court of the basis 24 for its motion, and identifying those portions of “the pleadings, depositions, answers to interrogatories, and admissions on file, 25 together with the affidavits, if any,” which it believes demonstrate the absence of a genuine issue of material fact. 26

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Bluebook (online)
(PC) Bivins v. Ju, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pc-bivins-v-ju-caed-2020.