RICHARD L. BOURGEOIS, Jr., Magistrate Judge.
This matter comes before the Court on the Motions to Dismiss of defendants Paul Toce, Stephanie Lemartiniere, James LeBlanc, Chadwick Hardy, Mary Labatu, TeQuilla Parker, Morris Smith and Patricia Simmons (R. Docs. 23 and 42). These motions are opposed.
The pro se plaintiff, an inmate incarcerated at the Louisiana State Penitentiary ("LSP"), Angola, Louisiana, filed this action pursuant to 42 U.S.C. § 1983 against Dr. Paul Toce and Ass't Warden Stephanie Lamartiniere, complaining that his constitutional rights were violated, commencing in November, 2013, through deliberate indifference to his serious medical needs. Specifically, the plaintiff complains that in November, 2013, he was seen by defendant Dr. Toce, at which time the defendant declined to refer the plaintiff for an appointment with a specialist to address the plaintiff's alleged continuing complaints of back pain. The plaintiff further complains that although Dr. Toce advised the plaintiff on that date that an alternative pain medication would be prescribed for him, the plaintiff never received the prescribed medication. Finally, the plaintiff complains that his attempts at obtaining redress through the prison grievance process have been unsuccessful. Pursuant to an amendment to his Complaint, see R. Docs. 18 and 37, the plaintiff added as defendants herein Secretary James LeBlanc, LSP pharmacist Mary Labatu, and LSP pharmacy personnel Lt. Chadwick Hardy, Sgt. Morris Smith, Patricia Simmons and TeQuilla Parker, asserting a claim regarding the failure of the pharmacy department to provide the prescribed medication.
In the instant Motions, the defendants first seek dismissal on jurisdictional grounds, pursuant to Rule 12(b)(1) of the Federal Rules of Civil Procedure, of the plaintiff's claim asserted against them in their official capacities for monetary damages.
With regard to the plaintiff's claims that are not subject to dismissal on the basis of Eleventh Amendment immunity, the defendants next assert, pursuant to Rule 12(b)(6) of the Federal Rules of Civil Procedure, that the plaintiff has failed to state a claim upon which relief may be granted. In Bell Atlantic Corp. v. Twombly, 550 U.S. 544 (2007), and Ashcroft v. Iqbal, 556 U.S. 662 (2009), the Supreme Court clarified the standard of pleading that a plaintiff must meet in order to survive a motion to dismiss pursuant to Rule 12(b)(6). Specifically, "[f]actual allegations must be enough to raise a right to relief above the speculative level." Bell Atlantic Corp. v. Twombly, supra, 550 U.S. at 555. "To survive a motion to dismiss, a complaint must contain sufficient factual matter, accepted as true, to `state a claim to relief that is plausible on its face.'" Ashcroft v. Iqbal, supra, 556 U.S. at 678, quoting Bell Atlantic Corp. v. Twombly, supra. "A claim has facial plausibility when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged." Id. It follows that, "where the well-pleaded facts do not permit the court to infer more than the mere possibility of misconduct, the complaint has alleged — but it has not `show[n]' — `that the pleader is entitled to relief.'" Id. at 679. "Where a Complaint pleads facts that are `merely consistent with' a defendant's liability, it `stops short of the line between possibility and plausibility of entitlement to relief.'" Id. at 678 (internal quotation marks omitted).
On a motion to dismiss for failure to state a claim under Rule 12(b)(6), the Court "must accept as true all of the factual allegations contained in the Complaint." Erickson v. Pardus, 551 U.S. 89, 94 (2007). Further, "[a] document filed pro se is `to be liberally construed' . . . and `a pro se Complaint, however inartfully pleaded, must be held to less stringent standards than formal pleadings drafted by lawyers.'" Id. (citation omitted). Notwithstanding, the court need not accept "a legal conclusion couched as a factual allegation," Papasan v. Allain, 478 U.S. 265, 286 (1986), or "naked assertions [of unlawful conduct] devoid of further factual enhancement." Ashcroft v. Iqbal, supra, 556 U.S. at 678 (internal quotation marks omitted).
In his Complaint, as amended, the plaintiff alleges that on November 14, 2013, he was examined by defendant Dr. Paul Toce for complaints relative to alleged continuing back pain, at which time the plaintiff advised the defendant that the plaintiff was not receiving adequate treatment by the LSP medical department. According to the plaintiff, Dr. Toce responded by stating that a review of the plaintiff's x-rays did in fact reveal that the plaintiff's spine was "not normal." Dr. Toce declined, however, to refer the plaintiff for an evaluation by an outside specialist, allegedly stating that if the plaintiff wanted better medical treatment, the plaintiff would need to obtain it after a release from LSP. Notwithstanding, the plaintiff acknowledges that Dr. Toce advised the plaintiff at that time that the defendant would order a new medication, "Mobic," for the plaintiff's complaints and that the plaintiff's then-prescribed medication, "IBU" (presumably Ibuprofen), would be discontinued. The plaintiff asserts, however, that he was never provided with the prescribed "Mobic" and, instead, for a period of approximately six (6) months, until May, 2014, he continued to receive the "IBU" that defendant Toce had indicated would be discontinued. The plaintiff also asserts that, when he complained to prison officials regarding the problem with his medication and treatment, through correspondence and through the filing of an administrative grievance, his complaints were not properly investigated or resolved. Finally, the plaintiff complains that the LSP pharmacist, defendant Mary Labatu, and other LSP pharmacy personnel who are charged with filling prescriptions and dispensing medication to inmates, have not been properly trained in the handling of inmates' medications and, as a result, failed to ensure that he received the medication ordered by Dr. Toce.
In addressing the substance of the plaintiff's claims, the defendants first assert that the plaintiff has failed to adequately allege the personal involvement of certain of the defendants in the events of which the plaintiff complains. In this regard, in order for a prison official to be found liable under § 1983, the official must be shown to have been personally and directly involved in conduct causing an alleged deprivation of an inmate's constitutional rights, or there must be shown to be a causal connection between the actions of the official and the constitutional violation sought to be redressed. Lozano v. Smith, 718 F.2d 756, 768 (5
Applying the foregoing standard in connection with the plaintiff's claims, the Court concludes that, with the exception of defendant Toce, the plaintiff has failed to sufficiently allege that any defendant has been personally involved in conduct that may be characterized as a violation of the plaintiff's constitutional rights. First, with regard to defendants James LeBlanc and Stephanie Lamartiniere, the plaintiff's allegations make clear that these defendants are supervisory employees who do not have personal responsibility for providing medical care to the plaintiff. Specifically, as the Secretary of the Louisiana Department of Corrections and as the Assistant Warden of Health Services at LSP, respectively, these defendants are neither physicians nor qualified health care providers, and they are neither authorized to provide medical care nor generally capable of evaluating the care provided or the discretion exercised by competent physicians. At most, the plaintiff alleges that these defendants are charged with "remedy[ing] any unconstitutional conditions" or "address[ing] any sort of problems" with the provision of medical care at the penitentiary. These allegations of supervisory responsibility, however, do not meet the requirement that the defendants be directly and personally involved in the constitutional deprivations alleged. Further, prison officials who are not trained health care providers are generally entitled to rely upon the expertise of competent medical personnel in evaluating the medical needs of inmates. See Huff v. Thaler, 2012 WL 2120569, *9 (S.D. Tex. May 1, 2012). See also Miltier v. Beorn, 896 F.2d 848, 854-55 (4
Similarly, whereas the plaintiff has named pharmacist Mary Labatu and other LSP pharmacy personnel as defendants herein, the plaintiff has failed to allege facts sufficient to support a conclusion that any of these defendants were deliberately indifferent to the plaintiff's serious medical needs. All that the plaintiff has alleged relative to these defendants is that the defendant pharmacist was "responsible for filling prescribed . . . medication order[s] by Dr. Paul Toce," and that the pharmacy defendants nonetheless "provided incorrect medication" to the plaintiff. The plaintiff does not allege, however, that any of these defendants intended to cause the plaintiff harm, were consciously or callously indifferent to his medical needs, or were personally aware that a mistake had been made in the plaintiff's medication. To the contrary, it appears likely from the plaintiff's allegations that his failure to receive the medication ordered by Dr. Toce ("Mobic") and his continued receipt of the previously prescribed medication ("IBU"), that was supposed to be discontinued, were the result of mere negligence or inadvertence on the part of LSP medical personnel and, as noted above, claims of mere negligence or inadvertence do not rise to the level of deliberate medical indifference and are not actionable under § 1983. Thus, the plaintiff has not shown through his allegations that there is any legal or factual basis for his claim asserted against the LSP pharmacy personnel, and these defendants are entitled to dismissal of the plaintiff's claims asserted against them.
Finally, turning to a consideration of the plaintiff's claim asserted against the remaining defendant, Dr. Paul Toce, the Court will address the defendant's contention that he is entitled to qualified immunity in connection with the plaintiff's claim. Specifically, the defendant contends that the plaintiff has failed to allege facts sufficient to support a "reasonable inference," greater than a "mere possibility," that the defendant has violated the plaintiff's constitutional rights through deliberate indifference to the plaintiff's serious medical needs. See Ashcroft v. Iqbal, supra, 556 U.S. at 678-79.
The qualified immunity defense is a familiar one and, employing a two-step process, operates to protect public officials who are performing discretionary tasks. Huff v. Crites, 473 Fed. Appx. 398 (5
Undertaking the qualified immunity analysis with respect to the plaintiff's claims, the Court finds that the motion to dismiss should be granted. Specifically, the Court concludes that the plaintiff has failed to state a viable constitutional claim of deliberate medical indifference in connection with defendant Dr. Toce.
In order for there to be liability in connection with a claim of deliberate medical indifference, an inmate plaintiff must be able to show that appropriate medical care has been denied and that the denial has constituted "deliberate indifference to serious medical needs." Estelle v. Gamble, 429 U.S. 97, 106 (1976); Johnson v. Treen, 759 F.2d 1236, 1237 (5
Applying the foregoing principles, it is clear that the plaintiff has failed to allege facts sufficient to support a claim of deliberate medical indifference on the part of defendant Dr. Toce. Specifically, the plaintiff refers in his Complaint only to a single interaction with Dr. Toce in November, 2013, on which date the defendant Toce admittedly examined the plaintiff, evaluated the plaintiff's symptoms, reviewed the plaintiff's x-rays, and prescribed substitute medication for the plaintiff's complaints. Although the plaintiff complains that he did not thereafter receive the substituted medication, and instead continued to receive the originally prescribed medication, there is nothing in the record to indicate that defendant Toce had any reason to know or suspect that the new medication had not been provided by LSP pharmacy personnel. Further, although the plaintiff complains that the defendant failed or refused to refer the plaintiff for an evaluation by a neurologist or orthopedic specialist, a decision to refer an inmate for additional treatment, tests or evaluation is a matter of professional medical judgment that the courts will not normally second-guess in the context of a claim of deliberate medical indifference. See Cuellar v. Livingston, 321 Fed. Appx. 373, 374 (5
To the extent that the plaintiff's allegations may be interpreted as seeking to invoke the supplemental jurisdiction of this court over potential state law claims, a district court may decline the exercise of supplemental jurisdiction if a plaintiff's state law claims raise novel or complex issues of state law, if the claims substantially predominate over the claims over which the district court has original jurisdiction, if the district court has dismissed all claims over which it had original jurisdiction, or for other compelling reasons. 28 U.S.C. § 1367. In the instant case, having considered the allegations of the plaintiff's Complaint and having recommended that the plaintiff's federal claims be dismissed, the Court further recommends that the exercise of supplemental jurisdiction be declined.
It is recommended that the Court decline the exercise of supplemental jurisdiction in connection with the plaintiff's potential state law claims and that the defendants' Motions to Dismiss (R. Docs. 23 and 42) be granted, dismissing the plaintiff's claims asserted herein, with prejudice, and that this action be dismissed.