NONPRECEDENTIAL DISPOSITION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 May 11, 2020*
                                  Decided May 11, 2020

                                         Before

                           DIANE P. WOOD, Chief Judge

                           MICHAEL B. BRENNAN, Circuit Judge

                           MICHAEL Y. SCUDDER, Circuit Judge

No. 19‐2851

THOMAS MCNEAL,                                 Appeal from the United States District
    Plaintiff‐Appellant,                       Court for the Northern District of Illinois,
                                               Eastern Division.

      v.                                       No. 18 CV 5064

PRESENCE CHICAGO HOSPITALS                     Ronald A. Guzmán,
NETWORK,                                       Judge.
     Defendant‐Appellee.
                                       ORDER

      Thomas McNeal sued his former employer, Presence Chicago Hospitals
Network, contending that it fired him because of his disabling leg pain, in violation of
the Americans with Disabilities Act, 42 U.S.C. § 12112. The district court entered
summary judgment for Presence, concluding that McNeal was not disabled and that, in
any case, Presence demonstrated that it fired him because of an inappropriate note he



      *  We have agreed to decide the 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. See FED. R. APP. P. 34(a)(2)(C).
No. 19‐2851                                                                        Page 2

wrote in a patient’s chart. McNeal failed to provide evidence that Presence discharged
him because of his alleged disability, so we affirm.

       McNeal treated inpatient psychiatric patients as a mental health counselor. As
part of his job, he regularly had to restrain patients and physically protect himself from
their violent outbursts. And for the first eight years of his employment, McNeal had no
trouble meeting the physical demands of his work environment. But in 2017, he
developed osteoarthritis and spinal stenosis, two conditions that caused him to
experience pain while walking. McNeal’s pain worsened until he had trouble staying on
his feet for an entire shift, at which point he took a four‐month medical leave of absence.
He eventually returned to work without any restrictions.

       Shortly after his return, one of McNeal’s coworkers complained to their
supervisor, Margaret Graham, that McNeal was using a Dynamap (a wheeled machine
that takes vital signs) to help himself walk. Graham and another supervisor reviewed
surveillance video and confirmed that McNeal was using the machine as a cane for
most of his shift. The supervisors were concerned that this posed a safety risk because a
patient could knock McNeal off balance by kicking the device, so they required McNeal
to seek physical evaluations to determine if he could perform his job. McNeal was
allowed to keep working while the evaluations were pending, and two physicians
eventually cleared him for work without restrictions.

       Two months later, a different coworker discovered a derogatory note that
McNeal had written in a patient’s medical chart. McNeal referred to the patient as a
“moron” and derided the patient for lack of improvement. He also criticized the
treating physician’s decision to discharge the patient as “inexplicabl[e].” Graham was
on leave, so the employee reported the note to Graham’s supervisor, the operations
manager. The manager was hesitant to make a disciplinary recommendation because
she was unfamiliar with McNeal and his work history, so she forwarded the complaint
to Presence’s human resources department.

      A human resources manager recommended discharge. She believed that
discharge was necessary because the note was cruel, unprofessional, exhibited disdain
towards a patient, and inappropriately criticized a physician’s treatment decisions.
McNeal also had a history of disciplinary issues, including two incidents in which he
No. 19‐2851                                                                          Page 3

had received a “final written warning,” the harshest discipline short of discharge under
Presence’s progressive discipline policy. The operations manager agreed with the
recommendation, as did Graham when she returned from leave.

       McNeal sued Presence, alleging that it fired him because of his physical
impairments in violation of the Americans with Disabilities Act. The district court
entered summary judgment for Presence, concluding that McNeal had failed to put
forth evidence that he was disabled, or that his employer regarded him as disabled,
within the meaning of the Act. Even if McNeal were disabled, the court continued, he
could not show that his physical impairments were the cause of his discharge.

        On appeal, we first acknowledge Presence’s request to strike McNeal’s brief for
failure to comply with Federal Rule of Appellate Procedure 28. Although McNeal could
have done a better job of citing the record and relevant legal authorities, his brief clearly
articulates his contentions and contains enough information for us to discern what legal
authority and parts of the record he is relying on. And given his pro se status in this
court, we give him the benefit of the doubt. See Parker v. Four Seasons Hotels, Ltd., 

, 811 (7th Cir. 2017). We thus proceed to the merits of his appeal despite the lack
of total compliance with Rule 28. See, e.g., Wonsey v. City of Chicago, 

, 399
(7th Cir. 2019). We will not, however, consider any factual allegations not raised in the
district court. See Betco Corp., Ltd. v. Peacock, 

, 309 (7th Cir. 2017).

       On the merits, we agree with the district court that, even assuming McNeal was
disabled within the meaning of the Act, no reasonable juror could conclude that he
would have kept his job had he not been disabled but everything else remained the
same. See Graham v. Arctic Zone Iceplex, 

, 929 (7th Cir. 2019). McNeal relies
on two lines of evidence for his contention that Presence fired him because of his
difficulty walking, but neither is sufficient to create a genuine dispute of material fact.

        First, McNeal argues that a jury could infer discriminatory intent because
Graham required him to seek a physical evaluation and then acted unfriendly toward
him after he passed the examination. But this argument fails for several reasons. Most
significantly, two other supervisors recommended firing McNeal before Graham
agreed, and McNeal does not argue that either of them had a discriminatory motive.
See, e.g., Riley v. City of Kokomo, 

, 191 (7th Cir. 2018) (summary judgment
appropriate when no evidence showed that supervisor’s animus influenced different
No. 19‐2851                                                                         Page 4

supervisor’s discharge decision). Further, McNeal’s premise that Graham harbored
animus is unsupported. Employers can require employees to undergo medical
evaluations to determine if they can safely perform essential job functions. Freelain v.
Vill. of Oak Park, 

, 903 (7th Cir. 2018). And McNeal does not dispute that his
job required physical strength and mobility, nor that Graham ordered the evaluations
only after receiving a complaint about McNeal’s ability to perform the job safely and
viewing surveillance video that corroborated that complaint. As for Graham’s alleged
hostility, McNeal points only to his testimony that Graham failed to greet him in the
hallway. But isolated incidents of unfriendliness or “other subtle indicia of distaste” are
generally not evidence of discriminatory animus. Grigsby v. LaHood, 

, 358
(7th Cir. 2010).

       McNeal’s second line of evidence is the differential treatment of six non‐disabled
employees who, he says, engaged in similar conduct and were not discharged. But for
an employer’s differential treatment of employees to be evidence of discrimination, the
other employees must be directly comparable in all material respects. See Barbera v.
Pearson Educ., Inc., 

, 629 (7th Cir. 2018). And here, each of McNeal’s
proposed comparators is distinguishable in at least one of two crucial ways.

       First, most of the other employees lacked disciplinary histories similar to
McNeal’s. For some, the record simply lacks information about the length of their
tenure or whether they had incurred prior discipline—omissions that, as the district
court correctly pointed out, prevent any meaningful comparisons. See Simpson v.
Franciscan All., Inc., 

, 662 (7th Cir. 2016). For others, the record contains
information about their work histories that differentiates them from McNeal. For
example, one coworker received lenience specifically because, unlike McNeal, he had
no prior infractions. Another escaped discipline only because he quit the job before
Presence could fire him. No reasonable jury could infer that this differential treatment
resulted from discrimination.

        Second, the nature of McNeal’s misconduct differs from that of several of his
alleged comparators. For example, McNeal argues that Presence did not fire a nurse
who administered incorrect medication. But Presence has a policy against issuing
punitive discipline for medication errors so as not to discourage staff from reporting
their errors. McNeal also relies on several instances in which coworkers were merely
No. 19‐2851                                                                     Page 5

accused of misconduct. And the record shows that Presence investigated those
accusations but ultimately did not act on them because it found no corroborating
evidence. Because McNeal has not shown that these employees engaged in misconduct
of comparable seriousness, Presence’s failure to discharge them is not evidence of
discrimination. See Coleman v. Donahoe, 

, 850 (7th Cir. 2012).

       Since McNeal lacks evidence that Presence fired him because of his physical
impairments, we need not decide whether he could show that those impairments
qualify as a disability under the Act.

                                                                           AFFIRMED