Ragland v. Corizon Health Inc.

CourtDistrict Court, W.D. Michigan
DecidedSeptember 30, 2021
Docket1:19-cv-00523
StatusUnknown

This text of Ragland v. Corizon Health Inc. (Ragland v. Corizon Health Inc.) is published on Counsel Stack Legal Research, covering District Court, W.D. Michigan primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ragland v. Corizon Health Inc., (W.D. Mich. 2021).

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF MICHIGAN SOUTHERN DIVISION

KEVIN RAGLAND #191565,

Plaintiff, Hon. Janet T. Neff

v. Case No. 1:19-cv-523

CORIZON MEDICAL PROVIDERS, INC., et al.,

Defendants. ____________________________________/

REPORT AND RECOMMENDATION This matter is presently before me on Defendant Corizon Health, Inc.’s Motion for Summary Judgment (ECF No. 101), and Plaintiff’s Motion for Summary Judgment. (ECF No. 103.) The motions are fully briefed and ready for decision. Pursuant to 28 U.S.C. § 636(b)(1)(B), I recommend that Corizon’s motion be GRANTED, that Plaintiff’s motion be DENIED, and that Plaintiff’s claim against Corizon be dismissed with prejudice. I. Background Plaintiff, a prisoner incarcerated with the Michigan Department of Corrections (MDOC), sued Corizon and several medical providers pursuant to 42 U.S.C. § 1983, alleging claims based on the lack of, or insufficient, medical care while Plaintiff was housed at the Lakeland Correctional Facility (LCF). Plaintiff’s remaining claim is that Corizon denied him adequate treatment for his back pain, including not timely scheduling Plaintiff’s six-week follow-up visit with his neurologist and failing to provide him a pain reliever that his physician recommended. On June 22, 2017, Dr. Harish Rawal, M.D., performed an elective L4-L5 lumbar decompression and lumbar fusion on Plaintiff at Henry Ford Allegiance Health. Plaintiff’s discharge instructions included a follow-up with Dr. Rawal in six weeks and a follow-up with a nurse practitioner in two weeks for a wound check. (ECF No. 101-2 at PageID.589–90.) Plaintiff was discharged from Henry Ford and admitted to Duane Waters Hospital (DWH) on June 25, 2017, where he was prescribed Tylenol, Flomax, Dulcolax, Hydrocodone-acetaminophen, Albuterol Sulfate, Excedrin Migraine, Latanoprost, and Protonix. On admission to DWH, it was

noted that Plaintiff was scheduled for a six-week follow-up with Dr. Rawal and was to wear his back brace at all times while out of bed. (Id. at PageID.592, 596.) On June 26, 2017, Dr. Larson met with Plaintiff and ordered medications and assistive devices to help with Plaintiff’s recovery. Dr. Larson also submitted a request for a six-week follow-up appointment with Dr. Rawal, which was approved by Corizon’s utilization manager on June 27, 2017. (Id. at PageID.599–603.) On June 27, 2017, P.A. Alford saw Plaintiff for a provider visit. Plaintiff was taking morphine every four hours but requested “what I was on before” because it was not enough pain medication. Plaintiff had been given an increased dosage of morphine on June 26 and was informed that he was able to take Tylenol and to utilize ice packs. (Id. at PageID.605–06.)

On June 28, 2017, Plaintiff advised P.A. Alford that he believed his surgery “went wrong” since he was having pain. P.A. Alford advised Plaintiff that post-surgical pain, swelling, and mobility limitation was part of the healing process and there was no indication of complications following the surgery. P.A. Alford agreed to prescribe a small dose of Neurontin for pain. (Id. at PageID.609.) On June 30, 2017, Dr. Larson requested an outside consultation for physical therapy for Plaintiff. The request was approved for an evaluation while Plaintiff was a patient at DWH or C unit. (Id. at PageID.613–14.) Plaintiff was seen for his physical therapy evaluation on July 5, 2017. He presented with decreased lumbar range of motion but was noted to be “doing better overall.” His rehab potential was “good.” (Id. at PageID.615–16.) On July 11, 2017, P.A. Alford spoke to Plaintiff about factors keeping him at DWH, which included follow-up with Dr. Rawal, tapering from pain medication, and clearance from physical therapy. (Id. at PageID.618.) P.A. Alford saw Plaintiff again on July 27, 2017. She ordered Neurontin 100 mg and noted that Plaintiff had taken himself off narcotics and was functioning well on low-dose Neurontin. She also indicated that Plaintiff would likely be able to return to

general population shortly. (Id. at Page ID.619.) Plaintiff returned to see Dr. Rawal for his post-op visit on July 31, 2017. Plaintiff reported that he was doing great and that his pain was gone. (Id. at PageID.621.) His physical exam showed stable hardware and progress of fusion. Dr. Rawal noted that Plaintiff no longer needed to wear the brace. (Id.) At discharge from DWH on August 1, 2017, P.A. Alford noted that Dr. Rawal had recommended a follow-up in six weeks with one of his partners, although it was unclear whether the appointment would be necessary. The decision was deferred to the provider at Plaintiff’s new facility, St. Louis Correctional Facility (SLF). Neurontin was ordered for 30 days. (Id. at PageID.627–28.)

On August 2, 2017, Plaintiff was seen at SLF for complaints of persistent 8/10 pain. P.A. Buskirk added Tylenol for improved pain control. (Id. at PageID.629–31.) On August 15, 2017, Plaintiff was transferred to LCF. He requested an increased dose of Neurontin and a bottom bunk detail. (Id. at PageID.632.) On August 26, 2017, Dr. Davis requested a Pain Management Committee (PMC) consultation to increase the Neurontin for a period of time and ordered an x- ray exam of Plaintiff’s lower spine due to worsening of his pain since surgery. The PMC recommended Duloxetine/Cymbalta 30 mg. and discontinuation of the Neurontin. (Id. at PageID.634–36.) The x-ray findings were negative for acute disease in the lumbar spine. (Id. at PageID.637.) On September 7, 2017, Dr. Yarid saw Plaintiff for complaints of continuing mid-lower and right back pain. Plaintiff requested an increase in his pain medication. Dr. Yarid requested PMC approval for an increase in Cymbalta, a course of Ultram for five days, and a back brace. The PMC recommended Tylenol up to two grams/day, formulary NSAID of choice up to the maximum dose, self-massage, heat, range of motion and stretching exercises, and walking. The PMC also

recommended consideration of a neurosurgery follow-up if the condition worsened. The request for Ultram was deferred because three months had passed since Plaintiff’s surgery and narcotics were no longer indicated. (Id. at PageID.638–43.) Plaintiff saw Dr. Yarid again on September 28, 2017, reporting that he could not walk more than ten minutes and had pain throughout the lumbar and thigh areas. Dr. Yarid submitted a request for a neurology consultation due to Plaintiff’s worsening symptoms. Dr. Yarid’s request was deferred, and an alternate treatment plan was provided because the need for a return to neurosurgery was not demonstrated. It was noted that a neurologic and musculoskeletal exam was needed to determine whether the presentation was a return to prior pain or a new pathology and if

new findings indicated a need for urgent intervention. It was also noted that a conservative plan of treatment may be indicated depending on the results. (Id. at PageID.644–47.) On October 25, 2017, N.P. Kelly submitted a request for an MRI of the lumbar spine. The request was deferred, and an alternative treatment plan was provided because the need for an MRI was not demonstrated. It was noted that the patient still needed a neurologic and musculoskeletal exam. It was recommended that an x-ray be considered. (Id. at PageID.648–52.) An x-ray study on November 15, 2017, showed no acute osseous changes to the lumbar spine. (Id. at PageID.654.) On December 13, 2017, N.P. Kelley submitted another request for an MRI of the lumbar spine. The request was deferred, and a recommendation made for a follow-up with neurosurgery and an assessment of patient activity. (Id. at PageID.656–57.) On December 17, 2017, utilization management approved N.P.

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Ragland v. Corizon Health Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/ragland-v-corizon-health-inc-miwd-2021.