Terry Wagner v. Thomas Baker
Opinion
NONPRECEDENTIAL DISPOSITION To be cited only in accordance with Fed. R. App. P. 32.1
United States Court of Appeals For the Seventh Circuit Chicago, Illinois 60604
Submitted September 2, 2021 * Decided September 3, 2021
Before
FRANK H. EASTERBROOK, Circuit Judge
DIANE P. WOOD, Circuit Judge
MICHAEL B. BRENNAN, Circuit Judge
No. 19-1468
TERRY WAGNER, Appeal from the United States District Plaintiff-Appellant, Court for the Central District of Illinois.
v. No. 14-3393
THOMAS BAKER, Harold A. Baker, Defendant-Appellee. Judge.
ORDER
Terry Wagner, an Illinois inmate, believes that his doctor, Thomas Baker, was deliberately indifferent to his sleep apnea, gastroesophageal reflux disease (GERD), constipation, and frequent urination. The district court entered summary judgment for Dr. Baker on most of these claims, and a jury later found in the doctor’s favor on the one
*
We have agreed to decide this case without oral argument because the briefs and record adequately present the facts and legal arguments, and oral argument would not significantly aid the court. FED. R. APP. P. 34(a)(2)(C).
claim—concerning Wagner’s sleep apnea—upon which the case proceeded to trial. We affirm.
I. Background
This appeal concerns the treatment that Wagner received from Dr. Baker between 2012 (when Wagner was transferred to the Western Illinois Correctional Facility in Mount Sterling, Illinois) and 2015 (when Dr. Baker left his position as medical director). Because Wagner challenges the district court’s summary-judgment ruling and the jury’s verdict for Dr. Baker, we report the facts in the light most favorable to Wagner and in a manner that is consistent with the jury’s verdict. See Frey v. Coleman, 903 F.3d 671, 674 (7th Cir. 2018). At Wagner’s first visit in August 2012, Dr. Baker noted his history of GERD, hypertension, and benign prostatic hyperplasia (an enlarged prostate). Dr. Baker also noted that Wagner reported that he was coughing or spitting up blood because of his GERD and needed to see a gastroenterologist, but no doctor at his prior prison had recommended or approved a referral. To treat Wagner’s GERD, Dr. Baker prescribed pantoprazole (a proton-pump inhibitor). He also ordered a chest x-ray and ran tests to check for blood loss or the presence of blood in Wagner’s lungs. Based on repeated rounds of those tests, Dr. Baker concluded two months later—as had the doctors at Wagner’s previous prison—that Wagner was not actually coughing or spitting up blood.
In early 2013, Wagner told Dr. Baker that he was experiencing additional problems related to his GERD. He said he again was coughing or spitting up blood and now complained of difficulty swallowing. Dr. Baker repeated the earlier tests, which came back normal. Attributing Wagner’s swallowing troubles to a sinus problem, Dr. Baker prescribed a mucus thinner and an antihistamine. After Wagner said that the medication was not working, Dr. Baker ordered a swallow study, which turned out normal. Two months later, Wagner again reported coughing up blood, prompting more tests. These too were unremarkable, so Dr. Baker concluded that no further testing or treatment was needed. Wagner continued to receive pantoprazole for his GERD.
Wagner also complained of constipation. In 2012, Dr. Baker told him to raise the issue first at sick call. Wagner did and was prescribed a fiber supplement and stool softeners. Two years later, when Wagner reported continuing constipation, Dr. Baker renewed those prescriptions and ordered lactulose (a laxative). Three times over the next year, Wagner reported that these measures were not working. Dr. Baker responded by ordering additional x-rays (which showed constipation but no cause), adjusting the timing and dosage of the lactulose, prescribing another laxative and a medication to
No. 19-1468 Page 3
reduce gas, and discontinuing one of the stool softeners. A CT-scan ordered by Dr. Baker in August 2015 detected no sign of constipation.
Wagner also dealt with frequent urination. In fall 2014, Dr. Baker prescribed finasteride (a medication used to shrink an enlarged prostate) and ordered a battery of tests and x-rays that all came back normal. After Wagner reported no improvement, Dr. Baker prescribed an antibiotic for a possible prostate infection. In spring 2015, Dr. Baker referred Wagner to a urologist, who opined that Wagner’s frequent urination was related to his constipation and might warrant a visit to a gastroenterologist for laxatives. At his last visit with Williams that August, Dr. Baker prescribed a bladder relaxant recommended by the urologist.
Wagner further suffers from sleep apnea. At summary judgment and at trial, the parties presented conflicting testimony and evidence on the treatment Wagner received for this condition. Wagner asserted that he was diagnosed with sleep apnea in 2010 and told Dr. Baker upon his arrival at Western that he would stop breathing at night, but Dr. Baker refused to treat him for over a year. For his part, Dr. Baker asserted that Wagner’s medical records contained no sleep-apnea diagnosis. Further, Dr. Baker asserted that Wagner first complained to Western staff about difficulty breathing at night in late 2013, at which point Dr. Baker ordered a sleep study that diagnosed Wagner with the condition and then ordered Wagner a continuous positive airway pressure (CPAP) machine.
Wagner sued Dr. Baker (along with other prison officials and staff and several Illinois elected officials) for deliberate indifference to his serious medical needs, in violation of his rights under the Eighth Amendment.
The district court granted in part and denied in part the defendants’ motions for summary judgment. The court entered summary judgment against Wagner on his claims relating to the treatment of his GERD, constipation, and frequent urination. The court explained that no rational juror could find that the defendants were deliberately indifferent to these issues, given the extensive array of tests, x-rays, and medicines that they ordered in response to Wagner’s reports of ongoing symptoms. And, though Wagner insisted that his symptoms persisted and that he needed to see a gastroenterologist, he provided no evidence that the defendants’ determinations about his treatment departed from accepted professional judgment. But the court denied summary judgment on Wagner’s claim concerning his sleep apnea. Noting that Dr. Baker had not addressed Wagner’s assertions that he told the doctor of his trouble
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sleeping for a year before he received treatment, the court determined that a reasonable juror could find that Dr. Baker deliberately delayed the sleep study and later treatment.
The case proceeded to trial on the sleep-apnea claim. Wagner testified that he had reported sleep troubles to Dr. Baker as soon as he arrived at Western and that he had submitted several grievances on the issue before fall 2013. Dr. Baker also testified, pointing out that there was no record that Wagner reported sleep issues to him or to anyone else at Western through the grievance process before September 2013. The jury found for Dr. Baker, and the court entered judgment in his favor.
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