Steed, Robert v. Hoffmann, Karl

CourtDistrict Court, W.D. Wisconsin
DecidedJanuary 6, 2021
Docket3:19-cv-00609
StatusUnknown

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

Bluebook
Steed, Robert v. Hoffmann, Karl, (W.D. Wis. 2021).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF WISCONSIN

ROBERT STEED,

Plaintiff, v. OPINION and ORDER

KARL HOFFMAN, FERN SPRINGS, 19-cv-609-jdp and MINDY HAMS,

Defendants.

Plaintiff Robert Steed, appearing pro se, is a prisoner at New Lisbon Correctional Institution. Steed alleges that defendant prison officials delayed in arranging for him to have cortisone injections for his severe spinal pain that were recommended by an outside specialist. Steed brings claims under the Eighth Amendment to the United States Constitution and Wisconsin negligence and medical malpractice law. Two of the defendants, Karl Hoffmann and Mindy Hams, are represented by the attorney general’s office. These defendants, who I’ll refer to as the “state defendants,” have filed a motion for summary judgment. Dkt. 27. The third defendant, Fern Springs, has filed her own motion for summary judgment. Dkt. 35. I will grant those motions on Steed’s Eighth Amendment claims and a portion of his state-law claims, because Steed released part of his claims by signing a settlement agreement in another lawsuit, he otherwise fails to provide evidence showing that defendants disregarded his health regarding the injection treatment, and he failed to comply with Wisconsin’s notice-of-claim statute. I will decline to exercise supplemental jurisdiction over Steed’s remaining state-law claims. PRELIMINARY MATTER I begin with a motion filed by Steed. He submitted a letter stating that the state defendants would not provide him with imaging results from July 2018 and March 2020, which he says would help prove the progression of his neck and back injuries. Dkt. 50. He says that

when he asked his medical provider for those records, the provider stated that he would have to get them from his institution, but the state defendants told him that the images are not in his prison medical file and instead he must get them from his provider. Steed asks for default judgment. The state defendants respond that the Department of Corrections (DOC) currently has a CD with images from Steed’s July 2018 appointment, but at the time of its response it did not have the images from the March 2020 appointment because they were in the hands of a clinic that is reviewing the images for a consultation. The state defendants say that prison HSU

staff do not ordinarily have access to the program used to view those images anyway, although they might be able to arrange to view them. They say that Steed himself would have no use for the images, because he doesn’t have the expertise to interpret them. They argue that all parties should rely on the written radiologists’ reports that interpret the images, just as HSU medical staff do in providing prisoners’ treatment. Whether I consider Steed’s motion to be one to compel discovery or for default judgment, I’ll deny it. In theory, Steed has the right to view his medical imaging as discovery materials under the control of the state defendants. The state defendants are correct here that

Steed would have little practical use for the actual images given that he does not have the expertise necessary to interpret the images but he has access to radiologists’ reports interpreting the images. If this case were going to trial, I’d consider requiring the state defendants to give Steed access to the images. But the case is not going to trial. Even if Steed could use the images to prove the progression of his injures for purposes of damages, that progression isn’t relevant to the claims

at hand: there isn’t a material dispute over whether Steed continued to feel severe pain from his injuries, and the case ultimately comes down to issues that don’t rely on the extent of his injuries as might be proven through imaging. So there is no reason to grant the motion to compel or to grant default judgment against the state defendants.

UNDISPUTED FACTS Plaintiff Robert Steed is a prisoner at New Lisbon Correctional Institution (NLCI). Defendants worked in the Health Services Unit (HSU) at NLCI. Defendant Karl Hoffmann is a physician employed by the DOC. Defendant Dr. Fern Springs is a physician who was

employed by Premiere Physician Services and who worked as an independent contractor for the DOC on a periodic basis in several prisons in northeastern Wisconsin. Defendant Mindy Hams is a “medical program assistant–associate” employed by the state. Hams is responsible for scheduling the offsite provider appointments for inmates. She is not a medical professional. Steed has chronic pain in his neck and back stemming from a 2006 car accident. On February 26, 2018, Hoffmann saw Steed for complaints of low back pain and neck pain with numbness in his left arm. Steed did not report any pain, numbness, or tingling in his legs, which Hoffmann would expect to see if Steed had a pinched nerve or something more serious

causing the lower back pain. Hoffmann placed an order for Steed to have a physical therapy consultation for suspected left thoracic outlet syndrome. Hoffmann also placed an order for Steed to get x-rays of his cervical spine (the part of the spine in one’s neck) and to follow up with Hoffmann in three months for the low back pain and left arm numbness. Steed’s x-rays showed degenerative disk disease in his neck at C5 and C6. On May 25, 2018, Hoffmann saw Steed for a follow up of his neck pain, now with right

arm numbness, and low back pain. Steed had undergone physical therapy for his neck pain with modest improvement. He had plateaued and was discharged from physical therapy. Hoffmann advised Steed to continue stretching and exercising his neck. Hoffmann placed an order for Steed to get an MRI of his cervical spine for potential consideration to see a neurosurgeon. In July 2018, Steed went offsite for an MRI: it showed degenerative facet changes at multiple levels, as well as neural foraminal narrowing (a reduction in size of the opening in the spinal column through which the spinal nerve exits) at several spots in his cervical spine.

Hoffmann referred Steed to the neurosurgery clinic at Gundersen Hospital for a consultation. On October 29, 2018, Steed had his appointment with the neurosurgeon, Dr. Douglas Hughes. Hughes noted that Steed had “pain complaints all over his back, but the reason he is here to see me today is his neck.” Dkt. 43-2, at 295. Hughes noted the MRI showing degenerative disease at the C4–C7 vertebrae. Based on his examination and assessment, Hughes did not recommend surgical intervention for Steed because Steed did not have a specific radiculopathy and his complaint was mainly of neck pain. Hughes recommended that Steed undergo “injections.” Id. Hughes also noted that Steed did get benefit from ibuprofen

but that Steed was worried that continued use of ibuprofen could harm his kidneys. The injections needed to be performed by an outside specialist. For a DOC prisoner to get an appointment with an outside provider, a DOC advanced care provider (such as a doctor or nurse practitioner) must make a referral. On November 6, 2018, defendant Springs submitted a “request for prior authorization” for Steed to go offsite for “Pain Clinic appointments for injections,” with a diagnosis of “Chronic neck pain with radicular symptoms.” Id. at 106. On November 16, Dr. Paul Bekx, the DOC medical director, approved the request.

On November 26, 2018, Springs entered an order for Steed’s offsite appointment “for consideration of steroid injections” for “Cervical radiculopathy.” Dkt. 40-3, at 2. Defendant Hams then gathered Steed’s medical information and faxed the request for appointment to Black River Memorial Hospital. In December 2018 and January 2019, Hams communicated back and forth with hospital staff to schedule Steed’s appointment. Hams does not have any control over the calendar of offsite providers.

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