BRISTOW MARCHANT, Magistrate Judge.
This action has been filed by the Plaintiff,
The Defendants filed a motion to dismiss and/or for summary judgment on July 11, 2017. As the Plaintiff is proceeding
However, notwithstanding the specific warning and instructions as contained in the Court's
Initially, as Plaintiff failed to respond to the Defendants' motion for summary judgment or to contact the Court in any way, notwithstanding the specific warning and instructions as set forth in the Court's
Even if Plaintiff's claims are not dismissed for failure to prosecute and are considered on the merits, the Defendants are still entitled to summary judgment in this case. First, Plaintiff's failure to respond to the motion for summary judgment by itself may be considered as a basis on which to grant the Defendants' motion.
Plaintiff alleges that on or about June 27, 2015, while housed at the Charleston County Detention Center, he was placed in the "time out box". Plaintiff alleges that there was water on the floor in the time out box, and that he slipped and fell, catching himself with his fist. Plaintiff alleges that later that night he saw a "Nurse Jennings" because his hand had begun to swell up. Plaintiff alleges that he subsequently had x-rays taken, which showed he had two small bones broken in his right hand/pinky finger. Plaintiff alleges that he then asked to see an orthopedist to make sure that his hand healed up correctly, but that although he was placed on the "outside Dr. list for MUSC Orthopedic", he was not ultimately sent to the orthopedist until August 2015. Plaintiff alleges that he was then seen by "two doctors", both of whom told him that his hand had healed "improperly", with one telling him that he should nevertheless be able to use it regularly, while the other one told him he would need surgery. Plaintiff complains that it is now a year later, that his hand is becoming "more and more immobile", and that he now has a "physical deformity".
As noted, Plaintiff has not submitted any affidavits, medical documents, or any other evidence to support his claim that he was provided constitutionally deficient medical care for his injury. Conversely, in support of summary judgment, the Defendants have provided not just copies of numerous medical records and documents showing the medical care and treatment Plaintiff received, but also affidavits from two medical professionals attesting that the medical care Plaintiff received was within the applicable standard of care. Dr. Theodolph Jacobs attests in an affidavit that he is a licensed physician employed by the Defendant CCOH as the medical supervisor at the Charleston County Detention Center, and that Plaintiff presented to the infirmary on or about June 26, 2015 complaining of a swollen right hand following a fall. Dr. Jacobs attests that Plaintiff was evaluated and treated by a licensed practical nurse and given medication for his complaints of pain, and was then seen again the following day, where he was again assessed and treated by a licensed practical nurse. Dr. Jacobs attests that during his medical visits it was observed that Plaintiff had swelling in the area of the fourth and fifth digits of his right hand, but that he had active motion in all fingers. X-rays were taken, revealing that Plaintiff had an acute fracture to his fourth and fifth metacarpal bones. Plaintiff's hand was splinted, and an outside referral to MUSC Orthopedics was requested by PA Karen Huffman for further evaluation and treatment, if necessary. Dr. Jacobs attests that Plaintiff was thereafter examined again (by PA Huffman) two days later, on June 29, 2015, at which time the medical notes show that Huffman removed the splint and observed that Plaintiff had good range of motion in his fourth and fifth digits with moderate swelling. Plaintiff was diagnosed as having "Boxers" fractures, and his hand was placed in an ulnar gutter splint. Plaintiff was also prescribed some pain medication, with a followup x-ray ordered for July 20, 2015 and a followup visit in four weeks.
Dr. Jacobs attests that Plaintiff was thereafter transferred out of the Detention Center on July 7, 2015 to the custody of the South Carolina Department of Corrections. Although Dr. Jacobs attests that Plaintiff's transfer would have likely resulted in the automatic cancellation of any pending outside referrals (since he was no longer an inmate at the Detention Center), the appropriate documentation noting the fracture to Plaintiff's fourth and fifth digits as well as his current medications was sent to the SCDC upon his transfer. Dr. Jacobs further attests, however, that for some unknown reason, Plaintiff was returned to the Detention Center the following day, July 8, 2015, at which time a new medical intake screening was performed and the request for him to be seen at MUSC Orthopedics was renewed. Dr. Jacobs attests that he himself wrote a cover letter to the doctor at MUSC on July 10, 2015 which would have accompanied the renewed referral request, and (according to the paperwork) MUSC Orthopedics then rescheduled Plaintiff's appointment for July 31, 2015.
Dr. Jacobs attests that over the course of the next few weeks Plaintiff inquired about his outside appointment, and was informed that his appointment was upcoming. Additionally, per PA Huffman's previous order, Plaintiff's right hand was again x-rayed on July 20, 2015, which showed no significant changes from the previous x-rays taken on June 27, 2015. Thereafter, Plaintiff was seen at MUSC on July 31, 2015 by Dr. Kyle Kokko. X-rays were again obtained, which showed a "healing fracture of the distal 4
Dr. Jacobs concludes his affidavit by attesting that, in his clinical judgment, PA Huffman and the CCOH nursing staff responded, treated and managed Plaintiff's care reasonably, and well within the medical standard of care; that Plaintiff's medical issues were managed and treated appropriately in Dr. Jacobs' clinical judgment as a physician with thirty-five years experience; and that he has seen no evidence that any medical professional ever denied or otherwise ignored Plaintiff's need for medical care of which they were aware.
PA Karen Huffman has also provided an affidavit wherein she attests that she is a graduate of the Medical University of South Carolina and is a certified physician assistant, employed by CCOH as a medical provider at the Charleston County Detention Center. PA Huffman attests to the same medical history and treatment of Plaintiff's complaint and condition as did Dr. Jacobs, including confirming that she requested an outside referral to MUSC Orthopedics for further evaluation and treatment of Plaintiff's hand, if necessary, as well as that she personally examined the Plaintiff on June 29, 2015. PA Huffman attests that on that date she observed moderate swelling over Plaintiff's 4
PA Huffman attests that, in the interim, Plaintiff's right hand had been x-rayed again on July 20, 2015, which showed no significant change from the previous x-ray on June 27, 2015, while x-rays taken at MUSC on July 31, 2015 showed Plaintiff had a healing fracture of the distal 4
PA Huffman attests that, in her clinical judgment, CCOH medical staff responded, treated and managed Plaintiff's care reasonably, and well within the medical standard of care, and that in her clinical judgment as a physician assistant with fifteen years experience, Plaintiff was treated appropriately.
In addition to these affidavits, the Defendants have submitted copies of numerous medical records showing and confirming the statements made in their affidavits with respect to the care and treatment Plaintiff received for his hand injury.
In order for Plaintiff to avoid summary judgment and proceed with his claim for denial of medical care as a constitutional violation, the evidence must be sufficient to create a genuine issue of fact as to whether any named Defendant was deliberately indifferent to Plaintiff's serious medical needs.
Plaintiff's complaint is quite simply that he believes he should have been seen by an orthopedic specialist earlier in the process than he was. Even with respect to this assertion, however, Plaintiff has failed to show that any delay in his being seen at MUSC (assuming the court were to even find that there was an undue delay under the facts of this case) resulted in any constitutional violation, as the evidence fails to show he suffered any remedial injury as a result.
In sum, Plaintiff has presented no evidence, by way of medical records or findings or testimony from any medical professional, to show that the medical care and treatment he received was contrary to any established medical duty of care, and he cannot simply allege in a conclusory fashion that he did not receive constitutionally adequate medical care or attention, otherwise provide no supporting evidence, and expect to survive summary judgment, particularly when the Defendants have submitted medical documents and testimonial evidence showing that Plaintiff was regularly seen and evaluated by medical personnel for his complaints, and which refute Plaintiff's claims.
Plaintiff may, of course, pursue a claim in state court if he believes that the medical care provided to him constitutes malpractice. However, that is not the issue before this Court.
Based on the foregoing, it is recommended that the Defendants' motion for summary judgment be
The parties are referred to the Notice Page attached hereto.
The parties are advised that they may file specific written objections to this Report and Recommendation with the District Judge. Objections must specifically identify the portions of the Report and Recommendation to which objections are made and the basis for such objections. "[I]n the absence of a timely filed objection, a district court need not conduct a de novo review, but instead must `only satisfy itself that there is no clear error on the face of the record in order to accept the recommendation.'" Diamond v. Colonial Life & Acc. Ins. Co., 416 F.3d 310 (4
Specific written objections must be filed within fourteen (14) days of the date of service of this Report and Recommendation. 28 U.S.C. § 636(b)(1); Fed. R. Civ. P. 72(b); see Fed. R. Civ. P. 6(a), (d). Filing by mail pursuant to Federal Rule of Civil Procedure 5 may be accomplished by mailing objections to: