(PC) Renfro v. Clark-Barlow

CourtDistrict Court, E.D. California
DecidedSeptember 25, 2019
Docket2:15-cv-00632
StatusUnknown

This text of (PC) Renfro v. Clark-Barlow ((PC) Renfro v. Clark-Barlow) 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) Renfro v. Clark-Barlow, (E.D. Cal. 2019).

Opinion

1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 FOR THE EASTERN DISTRICT OF CALIFORNIA 10 11 RAY RICHARD RENFRO, No. 2:15-cv-0632 DB P 12 Plaintiff, 13 v. ORDER AND 14 LISA CLARK-BARLOW, FINDINGS AND RECOMMENDATIONS 15 Defendant. 16 17 18 Plaintiff, a state prisoner proceeding pro se, has filed this civil rights action seeking relief 19 under 42 U.S.C. § 1983. This matter proceeds against a single defendant, Family Nurse 20 Practitioner (“FNP”) Lisa Clark-Barlow, on an Eighth Amendment medical indifference claim. 21 Defendant now moves for summary judgment, and plaintiff has filed a motion for leave to file a 22 tardy motion for summary judgment. Because the Court finds that there is no dispute of material 23 fact as to whether defendant violated plaintiff’s rights, the undersigned will recommend that 24 defendant’s motion be granted. Plaintiff’s motion for leave to file a tardy summary judgment 25 motion will be denied. 26 //// 27 //// 28 1 I. Plaintiff’s Allegations 2 In 1998 (prior to incarceration), plaintiff was diagnosed as having endobronchial carcinoid 3 tumor, which was not removed at the time due to circumstance. Plaintiff was then sentenced to 4 imprisonment in 2004, and he arrived at Mule Creek State Prison (“MCSP”) in Ione, California, 5 in November 2004. 6 Upon his arrival at MCSP, plaintiff was examined by an intake doctor, Dr. Galloway, who 7 made a medical notation that plaintiff suffers from chronic obstructive pulmonary disease 8 (“COPD”), a heart condition, and diabetes. At this appointment and later during several other 9 interactions with medical staff, plaintiff asked for removal of the tumor, but he was told either 10 that “You’re being seen for something else” or “You’re an inmate. Inmates cannot diagnose 11 themselves or demand treatment.” After multiple denials, plaintiff “became afraid of mentioning 12 his tumor to medical staff.” 13 On December 27, 2005, plaintiff asked a MCSP physician, Dr. Hashimoto, for surgery to 14 remove the tumor. While Dr. Hashimoto made note of plaintiff’s tumor and COPD on an 15 interdisciplinary progress note, he did not refer plaintiff to surgery. Following this interaction, 16 plaintiff had other interactions with medical staff that caused plaintiff to fear that if he mentioned 17 the tumor again, he would not receive treatment for it or his other medical conditions. 18 On April 30, 2014, plaintiff was seen by defendant FNP Lisa Clark-Barlow. When he 19 informed her of his need for an inhaler and the carcinoid tumor, she refused to treat him. Instead, 20 she accused plaintiff of lying and told him that she is not prescribing an inhaler for his COPD and 21 not getting “involved in your imaginary cancer.” 22 II. Undisputed Facts1 23 At all relevant times, plaintiff was a state inmate housed at MCSP. Compl. 1 ¶ 2. 24 Defendant was employed at MCSP as a family nurse practitioner. Decl. of L. Clark-Barlow Supp. 25 of Def.’s Mot. Summ. J. (ECF No. 18) ¶ 1. As a FNP, defendant’s responsibilities included 26 examination of patients and diagnosing illnesses, prescribing medication, and administrating 27 medical treatment. Clark-Barlow Decl. ¶ 3. She also provided comprehensive examination,

28 1 All facts are undisputed unless noted otherwise. 1 evaluation, and treatment of patients; interpreted labs and imaging results; prescribed 2 medications; took part in the institutional pain management committee; diagnosed; and referred to 3 other specialists for higher level of care treatment. Id. ¶ 3. 4 In October 1997 (prior to his incarceration), plaintiff was seen at Tucson Medical Center 5 Hospital in Tucson, Arizona with a problem list that included “[h]istory of chronic obstructive 6 pulmonary disease.” Compl. Ex. (ECF No. 1 at 21-25). During an evaluation, a carcinoid type 7 lesion was noticed on his lung. 8 Plaintiff arrived at MCSP on November 4, 2004. See Pl.’s Opp’n Ex. 3. Plaintiff’s early 9 medical records at MCSP refer to lung cancer and COPD. For example, the medical intake form 10 following plaintiff’s November 2004 arrival at MCSP included a notation for “Lung Ca ‘97” and 11 “? Hx Carcinoid Tumor…” A November 18, 2004, medical note included “? Carcinoid tumor?” 12 Id. A December 27, 2005, medical note referenced “carcinoid tumor … 1997” and “COPD.” See 13 id. A December 2005 medication record included an inhaler. See id. 14 FNP Clark-Barlow was assigned as plaintiff’s primary care provider (“PCP”) from July 15 2011 through most of 2013. Clark-Barlow Decl. ¶ 6. During that time, FNP Clark-Barlow saw 16 plaintiff for hypertension, diabetes, gastric reflux disease, coronary artery disease, hiatal hernia, 17 H-Pylori, angina, headache, obesity, benign prostate hypertrophy, and hyperlipoidemia. Id. ¶ 8. 18 She has never seen him for COPD or prescribed him an inhaler. Id. ¶ 7. The inhaler was not 19 listed, either, on any of plaintiff’s medication sheets from 2005-2006 or from 2011-2014.2 Id. ¶ 20 10. Lastly, none of plaintiff’s hospitalization records while defendant was his PCP mentioned 21 COPD or an inhaler on his medication list. Id. ¶ 9. 22 In late 2013, FNP Clark-Barlow began working in the Treatment Triage Area (“TTA”) 23 where she saw plaintiff periodically. Clark-Barlow Decl. ⁋ 6. In the TTA, FNP Clark-Barlow 24 mainly addressed inmates’ urgent medical needs and not chronic medical issues. Id. 25 On April 30, 2014, FNP Clark-Barlow saw plaintiff for diabetes mellitus type 2, 26 hypertension, lower urinary tract symptoms, and chronic care provider follow-up. Clark-Barlow 27

28 2 There is no mention of plaintiff’s medication sheets from 2007-2010. 1 Decl. ¶ 12, Ex. A (ECF No. 18 at 35). Per defendant’s notes of that appointment, “Pt. states he 2 has lung cancer since 1995. CT of chest done in 1997 negative per problem list.” Id. His problem 3 list did not include COPD, history of lung cancer, or the endobronchial tumor, and he denied any 4 shortness of breath. Id. ¶ 11, Ex. A (ECF No. 18 at 35). 5 On May 4, 2014, plaintiff filed a Patient / Inmate Health Care Appeal complaining about 6 FNP Clark-Barlow’s alleged refusal to treat his COPD and lung cancer. Compl. Ex. (ECF No. 1 7 at 10-12). As a result, Dr. James Jackson interviewed plaintiff on May 22, 2014, and noted a need 8 for a work up of possible carcinoid tumor involving the endobronchial tree. Clark-Barlow Decl. 9 Ex. A (ECF No. 18 at 36, 38). Possible COPD was also noted, and an inhaler was prescribed. Id. 10 Plaintiff’s appeal was then granted in part at the first level of review. 11 On July 28, 2014, plaintiff was seen at the San Joaquin General Hospital by a 12 pulmonologist, Dr. Jamal Sadik. Clark-Barlow Decl. Ex. A (ECF No. 18 at 42-43). Dr. Sadik 13 diagnosed plaintiff with endobronchial carcinoid tumor and determined that the location and size 14 of the tumor could only be determined via a flexible fiberoptic bronchoscopy. 15 Plaintiff’s grievance was granted in part at the second level of review on August 1, 2014. 16 Compl. Ex. (ECF No. 1 at 15-17) 17 Defendant saw plaintiff again on August 12, 2014. Clark-Barlow Decl. Ex. A (ECF No. 18 18 at 39). Based on Dr. Sadik’s examination and recommendation, FNP Clark-Barlow submitted 19 a request for service for a fiberoptic flexible bronchoscopy. Clark-Barlow Decl. ¶ 13, Ex. A (ECF 20 No. 18 at 40-41). 21 On November 18, 2014, Plaintiff’s appeal was denied at the third level of review. Compl. 22 Ex. (ECF No. 1 at 18-19). 23 A November 24, 2014, Primary Care Provider Progress Note completed by Dr. Jackson 24 noted that plaintiff was not interested in a bronchoscopy at that time due to a risk of 25 complications that could lead to death. Clark-Barlow Decl. Ex. A (ECF No. 18 at 44-45). 26 On April 27, 2016, he finally agreed to the bronchoscopy, which was performed at the San 27 Joaquin General Hospital. Clark-Barlow Decl. Ex. A (ECF No. 18 at 48-49).

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Bluebook (online)
(PC) Renfro v. Clark-Barlow, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pc-renfro-v-clark-barlow-caed-2019.