Williams v. Guzman

346 F. App'x 102
Court of Appeals for the Seventh Circuit·Decided October 2, 2009·No. No. 08-2167·Published·Cited by 10 cases

Opinion

ORDER

Sylvester Williams filed suit under 42 U.S.C. § 1983, claiming that medical staff at the DuPage County Jail were deliberately indifferent to his serious medical needs in violation of the Eighth Amendment. The district court granted summary judgment to the defendants, and we affirm.

This case centers on Williams’ problems with the medical treatment he received while in jail. The first condition for which he claims he received inadequate care was severe pain in his feet. Before arriving at the jail in April 2005, he had been diagnosed with peripheral neuropathy in his lower extremities and prescribed Amitriptyline for neuropathic pain. Williams informed the jail’s medical staff of his need for Amitriptyline. Nurse Kathe Pava verified Williams’ Amitriptyline prescription with his neurologist and noted in his medical chart that the next nurse on duty should follow up with a jail physician because only physicians have authority to order prescriptions. Later, Dr. Evaristo Aguinaldo, a part-time physician at the jail, examined Williams and found his symptoms to be consistent with neuropa[104] thy of the feet. But because he was unfamiliar with peripheral neuropathy, Dr. Aguinaldo decided to get records from Williams’ neurologist before prescribing any medication.

In May 2005, after examining Williams and speaking with his neurologist, Dr. Geraldo Guzman, the jail’s Medical Director, ordered Amitriptyline. When he still had not received Amitriptyline one month later, Williams submitted a written grievance, seeking use of a wheelchair and complaining that the jail’s medical staff was ignoring his foot pain. Deputy Martin Manion,1 a grievance officer at the jail, relied on Dr. Guzman’s assessment that Williams did not need a wheelchair and denied the request. Dr. Guzman, upon learning that Williams had not received the Amitriptyline, resubmitted his order. Williams did not receive his first dose of Amitriptyline until late June or early July 2005.

The second condition for which Williams claims he received inadequate care was an injury to his left eye. In April 2005, Nurse Barbara Fanta examined Williams after he complained of falling in his cell and injuring his left eye, but she found no sign of eye injury. In the following weeks, Dr. Guzman, Dr. Aguinaldo, and Nurse Pava also found no problem with his left eye. Nonetheless, in May 2005, Dr. Guzman referred Williams to the Wheaton Eye Clinic because of his persistent complaints of vision problems in his left eye. In July 2005, an ophthalmologist at the Wheaton Eye Clinic diagnosed Williams with a partially dislocated left lens and performed surgery to remove the lens. The record does not reveal why Williams was not seen at the clinic until July, but the ophthalmologist opined that the outcome of the procedure would have been the same regardless of when Williams received treatment.

In late 2006, Williams sued Dr. Guzman, Dr. Aguinaldo, Nurse Pava, Nurse Fanta, and Deputy Manion for being deliberately indifferent to his foot pain and eye injury. He claimed, first, that the defendants did not give him Amitriptyline until late June or early July 2005 despite knowing since April 2005 that he needed this medication to control severe neuropathic pain in his feet. Second, Williams claimed that the defendants knew that he had injured his left eye but nonetheless delayed providing necessary ophthalmic care.

The district court granted summary judgment to the defendants, concluding that there was nothing in the record, either regarding Williams’ Amitriptyline prescription or his eye appointment, that reflected deliberate indifference. The court found that Deputy Manion reasonably relied on the opinion of medical staff in resolving Williams’ grievance; that the nurses had insufficient involvement in Williams’ medical care, and lacked knowledge that he was not receiving Amitriptyline; that Williams did not establish a serious medical need for Amitriptyline to necessitate Dr. Aguinaldo ordering the medication; and that Dr. Guzman did not know either that Williams was not receiving Amitriptyline after he ordered it in May 2005, or that his appointment with the Wheaton Eye Clinic was delayed.

We review the district court’s decision de novo, construing all factual inferences in Williams’ favor. See Hayes v. Snyder, 546 F.3d 516, 522 (7th Cir.2008); Greeno v. Daley, 414 F.3d 645, 651 (7th Cir.2005). Summary judgment is appropriate “if the pleadings, the discovery and disclosure materials on file, and any affidavits show that there is no genuine issue as to any [105] material fact and that the movant is entitled to judgment as a matter of law.” Fed R. Civ. P. 56(c); Dale v. Poston, 548 F.3d 563, 568-69 (7th Cir.2008).

On appeal, Williams argues that the district court incorrectly rejected his deliberate-indifference claim by concluding that he did not have a serious medical need for Amitriptyline. He points to deposition testimony by his neurologist and Dr. Guzman as confirmation that he needed Amitriptyline to treat severe neuropathic pain in his feet. Although we have no precise test to assess when a plaintiffs medical need is sufficiently serious, our standard contemplates a condition that has been diagnosed by a doctor as requiring treatment or one that is so obvious that even a lay person would perceive the need for medical treatment. Greeno, 414 F.3d at 653; Gutierrez v. Peters, 111 F.3d 1364, 1373 (7th Cir.1997). Given his neurologist’s prescription for Amitriptyline to treat the pain associated with peripheral neuropathy, we do not question Williams’ serious medical need for the medication.

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Williams v. Guzman, 346 F. App'x 102 (7th Cir. 2009).

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