NOT FOR PUBLICATION                           FILED
                    UNITED STATES COURT OF APPEALS                       MAY 12 2020
                                                                      MOLLY C. DWYER, CLERK
                                                                       U.S. COURT OF APPEALS
                           FOR THE NINTH CIRCUIT

RENO FUENTES RIOS,                              No. 19-16127

                Plaintiff-Appellant,            D.C. No. 1:12-cv-01334-LJO-SKO

 v.
                                                MEMORANDUM*
EDGAR CLARK, et al.,

                Defendants-Appellees.

                   Appeal from the United States District Court
                       for the Eastern District of California
                   Lawrence J. O’Neill, District Judge, Presiding

                             Submitted May 6, 2020**

Before:      BERZON, N.R. SMITH, and MILLER, Circuit Judges.

      California state prisoner Reno Fuentes Rios appeals pro se from the district

court’s summary judgment in his 42 U.S.C. § 1983 action alleging deliberate

indifference to his serious medical needs. We have jurisdiction under 28 U.S.C.

§ 1291. We review de novo. Albino v. Baca, 

, 1168 (9th Cir. 2014)



      *
             This disposition is not appropriate for publication and is not precedent
except as provided by Ninth Circuit Rule 36-3.
      **
             The panel unanimously concludes this case is suitable for decision
without oral argument. See Fed. R. App. P. 34(a)(2).
(en banc) (failure to exhaust); Toguchi v. Chung, 

, 1056 (9th Cir.

2004) (deliberate indifference). We affirm.

      The district court properly granted summary judgment on Rios’s claim

related to his dental care because Rios failed to exhaust his administrative remedies

and failed to raise a genuine dispute of material fact as to whether administrative

remedies were effectively unavailable to him. See Woodford v. Ngo, 

,

90 (2006) (“[P]roper exhaustion of administrative remedies . . . means using all

steps that the agency holds out, and doing so properly (so that the agency addresses

the issues on the merits).” (citation and internal quotation marks omitted));

McKinney v. Carey, 

, 1199-1200 (9th Cir. 2002) (requiring inmates

to exhaust administrative procedures prior to filing suit in federal court).

      The district court properly granted summary judgment on Rios’s claims

related to his asthma and chronic pain because Rios failed to raise a genuine

dispute of material fact as to whether defendants were deliberately indifferent to

his serious medical needs. See 

(holding deliberate

indifference is a “high legal standard” requiring a defendant be aware of and

disregard an excessive risk to an inmate’s health; medical malpractice, negligence,

or a difference of opinion concerning the course of treatment does not amount to

deliberate indifference).




                                           2                                    19-16127
      The district court did not abuse its discretion in denying Rios’s motion for

appointment of counsel because Rios failed to demonstrate “exceptional

circumstances” warranting the appointment of counsel. See Palmer v. Valdez, 

, 970 (9th Cir. 2009) (setting forth standard of review and “exceptional

circumstances” standard for appointment of counsel).

      The district court did not abuse its discretion by denying Rios’s motion for

the appointment of a medical expert because Rios failed to show that such an

appointment was necessary. See Walker v. Am. Home Shield Long Term Disability

Plan, 

, 1070-71 (9th Cir. 1999) (setting forth standard of review and

noting that district court has discretion to appoint an expert where such an

appointment is necessary).

      We reject as meritless Rios’s contention that the district court erred by

failing to consider his summary judgment materials.

      We do not consider matters not specifically and distinctly raised and argued

in the opening brief, or arguments and allegations raised for the first time on

appeal. See Padgett v. Wright, 

, 985 n.2 (9th Cir. 2009). We do not

consider documents not presented to the district court. See United States v. Elias,

, 874 (9th Cir. 1990).

      AFFIRMED.




                                          3                                       19-16127