GEORGE L. RUSSELL, III, District Judge.
THIS MATTER is before the Court on Plaintiff Gregory Marshall's Motion for Reconsideration of the January 21, 2015 Memorandum and Order denying Marshall's request for emergency preliminary injunctive relief (ECF No. 31) and Motion to Amend Complaint (ECF No. 37), and Defendants' Motion to Dismiss or, in the Alternative, Motion for Summary Judgment (ECF Nos. 23, 38). The Motions are ripe for disposition. No hearing is necessary.
As previously discussed in the Memorandum of January 21, 2015, although barred from civil filings under the "three strikes" provisions of the Prison Litigation Reform Act, 28 U.S.C. § 1915(g) (2012), this Court permitted Marshall's Complaints against corrections personnel and contractual medical personnel to proceed. (ECF No. 29). Marshall is seeking injunctive relief mandating his transfer from NBCI to a Maryland Division of Correction facility closer to the University of Maryland Medical Center ("UMMC") so that he can resume radiation treatment for prostate cancer. Because the allegations in the Complaint demonstrated a possibility that Marshall would suffer imminent harm if preliminary injunctive relief were not granted, the cases proceeded; claims not directly related to the alleged lack of medical treatment were dismissed. The cases were then consolidated. (ECF No. 19).
Injunctive relief was denied upon a finding that Marshall is not likely to succeed on the merits, because he did not show that he suffered deliberate indifference to a serious medical need in violation of the Eighth Amendment. (ECF No. 29). In denying injunctive relief, the Court found that to treat his prostate cancer, Marshall was regularly monitored by oncologists and radiologists at UMMC and, on June 12, 2013, began receiving radiation and hormone therapy. (
Thereafter, Marshall was provided psychiatric examination to evaluate whether he was able to make sound and responsible decisions concerning his health and general welfare. In December 2013, the evaluation was completed and it was determined that Marshall was competent to decide to refuse radiation therapy. (
In denying injunctive relief, the Court further found that despite Marshall's continued assertions that his prostate cancer is spreading, there has never been any diagnostic evidence demonstrating that his prostate cancer has metastasized or that his disease is recurrent. Marshall's various scans were negative for metastases and acute disease, including mass or lesion. (
Marshall seeks reconsideration of the denial of his request for emergency injunctive relief. He seeks a hearing, appointment of a medical expert to provide a second opinion, and additional testing "to determine [his] cancer status at this time." (ECF No. 31).
The Court's denial of injunctive relief was premised in part on a determination that Marshall's misconduct led to the termination of radiation therapy and diagnostic evidence failed to demonstrate that his prostate cancer has metastasized or that his disease is recurrent. (ECF No. 29). To the extent that Marshall has appealed this ruling (ECF No. 34), his request for reconsideration is governed by Federal Rule of Civil Procedure 59(e) and "need not be granted unless the district court finds that there has been an intervening change of controlling law, that new evidence has become available, or that there is a need to correct a clear error or prevent manifest injustice."
At best, Marshall relies on a National Cancer Institute ("NCI") information sheet stating that a PSA test alone cannot determine conclusively whether there are any cancer cells in the body, but is used to monitor for potential recurrence of the prostate cancer. (ECF No. 31-1). The information sheet indicates that a "Gleason score for prostate cancer is a way of determining the grade of the cancer. Grade refers to how likely the cancer is to be aggressive." (
On February 12, 2015, Marshall filed a Complaint concerning his prostate cancer against Bon Secours Hospital physicians Dr. Ravi K. Krishnan and Dr. Laurence H. Scipio, and prison physicians Dr. Mahboob Ashraf and Defendant Ottey.
In his Motion to Amend, Marshall states that, on January 28, 2015, he underwent a cystoscopy at Bon Secours performed by Dr. Scipio. Scipio told Marshall that the procedure would be limited to an examination of the urinary tract to detect cancer. Marshall now complains that the procedure was unnecessary. Instead, Marshall states that a biopsy is needed, based on a November 18, 2014 report by Dr. Krishnan indicating that Marshall's PSA level had risen from 0.147 to 0.264. (ECF No. 37). He further claims that, in February of 2015, he met with Ottey and Ashraf, who advised him of the rise in his PSA score, but refused to order a biopsy. (ECF Nos. 37, 41).
Federal Rule of Civil Procedure 15(a)(2) provides that a party may amend its pleading only with the opposing party's written consent or the court's leave. The rule further specifies that the court should freely give leave when justice so requires. However, "a district court may deny leave if amending the complaint would be futile — that is, if the proposed amended complaint fails to satisfy the requirements of the federal rules."
Marshall's claims that Dr. Scipio performed an unnecessary procedure and Dr. Krishnan failed to conduct a biopsy are at best claims of malpractice, which are not cognizable here.
"When matters outside the pleading are presented to and not excluded by the court, the 12(b)(6) motion shall be treated as one for summary judgment and disposed of as provided in Rule 56."
In reviewing a motion for summary judgment, the Court must draw all justifiable inferences in the non-moving party's favor.
A "material fact" is one that might affect the outcome of a party's case.
Defendants seek summary judgment, arguing that Marshall has failed to demonstrate that they have provided constitutionally inadequate care for his prostate disease. To state a claim for a federal constitutional deprivation related to a prisoner's medical care, Marshall must show that he has suffered deliberate indifference to a serious medical need.
As stated above, despite Marshall's continued assertions that his prostate cancer is spreading, there has never been any diagnostic evidence demonstrating that his prostate cancer has metastasized or that his disease is recurrent. Marshall's various scans were negative for metastases and acute disease. Marshall states that his PSA has risen from 0.147 to 0.264, and that a biopsy must be performed to determine whether he needs additional radiation therapy. (ECF No. 37). At best, Marshall is second-guessing the medical experts. Marshall has been provided additional tests and follow-up care to monitor his condition. (
For the forgoing reasons, the Court will deny Marshall's Motion for Reconsideration (ECF No. 31) and Motion and Notice to Amend Complaint (ECF No. 37) and grant Defendants' Motion for Summary Judgment (ECF No. 23) and close this case.
A separate Order follows.