Rivera v. Quiros

CourtDistrict Court, D. Connecticut
DecidedJanuary 31, 2024
Docket3:23-cv-00227
StatusUnknown

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

Bluebook
Rivera v. Quiros, (D. Conn. 2024).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF CONNECTICUT

NOEL RIVERA, Plaintiff,

v. No. 3:23cv227 (OAW)

ANGEL QUIROS, et al., Defendants.

INITIAL REVIEW ORDER

The plaintiff is a pro se sentenced inmate who is in the custody of the Department of Correction (“DOC”) at MacDougall-Walker Correctional Institution (“MacDougall”).1 ECF No. 1. On May 16, 2023, Plaintiff filed the operative amended complaint2 alleging violations of 42 U.S.C. § 1983 against eight DOC employees in connection with his treatment at MacDougall and Hartford Correctional Center (“HCC”): Warden Dougherty, APRN Akina Richards, Dr. Pilah, Regional Chief Operating Officer Jennifer Cruz, Dr. Kevin McCrystal, Disability Rights Coordinator Colleen Gallagher, Nurse Supervisor Tawana, and CSW Madeline. Plaintiff requests both damages and injunctive relief. The Prison Litigation Reform Act requires that federal courts review complaints brought by prisoners against a governmental entity, officer, or employee. 28 U.S.C. § 1915A(a). Upon review, the court must dismiss a complaint, or any portion of a complaint, that is frivolous or malicious, that fails to state a claim upon which relief may be granted,

1 The court may “take judicial notice of relevant matters of public record.” Giraldo v. Kessler, 694 F.3d 161, 164 (2d Cir. 2012). The publicly available information on the DOC website shows that Plaintiff was sentenced on November 30, 2022, to a term of incarceration that has not yet expired. See “Connecticut State Department of Correction: Inmate Information,” available at http://www.ctinmateinfo.state.ct.us/ detailsupv.asp?id_inmt_num=327592 [https://perma.cc/ZRB3-G7TZ] (last visited Jan. 31, 2024). 2 Plaintiff filed a first amended complaint in March 2023, and then amended the complaint again thereafter in May 2023. Although he did not seek leave before filing the second amended complaint, the court accepts the May filing as the operative pleading. or that seeks monetary relief from a defendant who is immune from such relief. 28 U.S.C. §§ 1915(e)(2)(B), 1915A(b). Accordingly, the court has reviewed all factual allegations in the amended complaint and has conducted an initial review of the allegations therein.

I. ALLEGATIONS3

The court will not exhaustively recount the allegations from the amended complaint but instead will summarize the alleged facts simply to provide context for this initial review. Plaintiff has small bowel syndrome, a medical condition that began before his current incarceration.4 He asserts that he needs certain medicines and nutrients, and specifically, that he requires Total Parenteral Nutrition (“TPN”), which is a liquid that can completely replace any other form of diet, and which typically is administered to individuals who cannot absorb nutrients from food.5 TPN must be administered via specialized equipment through a peripherally-inserted central catheter (“PICC”) line.6

On April 7, 2022, Plaintiff entered HCC on pretrial detention, where the medical staff was aware of a medical device in his chest,7 and where he was placed in the infirmary for evaluation and treatment. Infirmary staff members were provided with Plaintiff’s

3 All factual allegations are drawn from the amended complaint and exhibits thereto and are considered true for the purpose of this initial review. 4 Plaintiff’s medical condition is not fully explained in the amended complaint itself, but additional detail can be found in the grievance forms attached thereto. The court relies upon those attachments for clarity. 5 See Mayo Clinic, “Home Parenteral Nutrition,” available at https://www.mayoclinic.org/tests- procedures/total-parenteral-nutrition/about/pac-20385081 [https://perma.cc/7SKD-KMWM] (last visited Jan. 31, 2024). 6 Generally, a PICC line “is a long, thin tube that's inserted through a vein in [an individual’s] arm and passed through to the larger veins near [the] heart.” Mayo Clinic, “Peripherally inserted central (PICC) line,” available at https://www.mayoclinic.org/tests-procedures/picc-line/about/pac-20468748 [https://perma.cc/SQM3-M5WE ] (last visited Jan. 31, 2024). It provides a “doctor access to the large central veins near the heart … [and is] used to give medications or liquid nutrition.” Id. 7 It appears this device is the outlet for the PICC line. diagnosis and treatment plan, but HCC did not have the correct equipment to provide him with TPN, and so Plaintiff was forced to do without it.8 Plaintiff claims that Dr. McCrystal should have done more to provide for his medical needs while he was at HCC. Plaintiff was sent to MacDougall on December 8, 2022, where the medical facility also was not equipped to administer TPN. He complains that Warden Dougherty, Dr.

Pilah, and APRN Richards failed to make any effort to obtain the medicine or equipment despite his requests. More specifically, he asserts that Dr. Pilah failed to consult with a gastroenterologist and ordered the removal of Plaintiff’s PICC line without Plaintiff’s permission and prior to Plaintiff being sufficiently recovered from his illness. Plaintiff also asserts that APRN Richards denied him a bottom bunk pass, which he contends he requires because, as a result of his condition, he needs easy and frequent access to a toilet. Finally, he asserts that Warden Dougherty was deficient in making the medical staff tend to Plaintiff’s medical needs. Plaintiff was discharged from the MacDougall infirmary in January 2023, which he

asserts was premature. He states that he is experiencing anxiety stemming from being in the general population, and that he has requested emergency mental health treatment on numerous occasions without receiving assistance. CSW Madeline apparently responded to one request, but it is not clear what her response was.9 In January 2023, Plaintiff wrote to RCOO Cruz (who oversees the medical unit) about his medical condition and alleged denial of treatment. He complains that she has

8 Plaintiff actually asserts only that he was deprived of necessary treatment, but the court gathers that this is a reference to the TPN. 9 Another nurse also apparently stated that she could only put him on medical watch, or that he could refuse housing. As this nurse is not a party to this action, this detail is not relevant to this discussion. permitted medical staff to act recklessly and dangerously, and that she has failed to provide the correct medical equipment or supplies for Plaintiff. On February 12, 2023, Plaintiff requested a reasonable accommodation of a single cell due to his medical condition. He claims that placing him on double-cell status puts him in danger and is a violation of his rights under the Health Insurance Portability and

Accountability Act (“HIPAA”) because he will have to explain his medical conditions to his cellmate, who is not a medical staff member. Coordinator Gallagher denied his request. On March 16, 2023, Plaintiff was called to the medical unit for his daily treatment and reported to the nurses that he had numbness in his right foot and leg and a painful, swollen wrist. He was not examined until the next day, at which point he was sent to the emergency room.10 Plaintiff later wrote to Nurse Supervisor Tawana about the nurses’ initial failure to provide Plaintiff medical treatment, but he never received a response. In addition to damages, Plaintiff asks the court to order that he be provided with immediate medical care (as directed by his own gastroenterologist), a single cell,11 a

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Rivera v. Quiros, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rivera-v-quiros-ctd-2024.