KENNETH M. KARAS, District Judge:
Plaintiff Amar Bell, proceeding pro se, brings this action against Drs. Alexis Gendell
Plaintiff's Complaint and accompanying documents can be read to allege the following facts. Plaintiff was incarcerated in Westchester County Jail from at least March 23, 2012, until at least April 2, 2012. (See Compl. at 3.) Prior to this period, Plaintiff suffered from "acid reflux," a medical condition for which Plaintiff had been prescribed Protonix. (See id.) On March 23, however, Plaintiff's prescription "had r[u]n out." (See id.) Two days later, on March 25, Plaintiff began to "put in multiple sick call request[s]" after experiencing a number of "acid reflux symptoms," including "shortness of breath[] and vommitting [sic] acid through [his] mouth/nose at the same time in [his] sleep." (Id.)
On March 28, three days after his first sick-call request, Plaintiff "met with [Defendant] Dr. Adler." (See id.) During the meeting, Plaintiff alleges that Dr. Adler "stated [that] he [would] renew the Protonix [prescription]." (Id.) But Plaintiff also alleges that Dr. Adler "was talking on his cell phone while examining [him]." (Id.) Thus, even though Dr. Adler "thought ... he [had] put the order in" soon after the March 28 meeting, Plaintiff "suffered [five] more days of acid reflux symptoms before receiving the Protonix" on April 2. (Id.) For this, Plaintiff seeks $9,000,000 in damages. (Id. at 5.)
On the morning of April 2, 2012, Plaintiff filed a grievance complaint informing the prison that he had not received his prescription refill. (See Compl. at 3; Mot. Ex. B ("Grievance") at unnumbered 2 (Grievance Form Part I).) The grievance was granted and Plaintiff received his medication.
On August 20, 2012, Plaintiff filed the instant Complaint, (see Compl. at 7), wherein Plaintiff alleges two claims-inadequate medical care and medical negligence. (See id. at 5.) The Court construes the former claim to allege a violation of the
The Supreme Court has held that "[w]hile a complaint attacked by a Rule 12(b)(6) motion to dismiss does not need detailed factual allegations, a plaintiff's obligation to provide the `grounds' of his [or her] `entitle[ment] to relief' requires more than labels and conclusions, and a formulaic recitation of the elements of a cause of action will not do." Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555, 127 S.Ct. 1955, 167 L.Ed.2d 929 (2007) (second alteration in original) (citations omitted). Instead, the Court has emphasized that "[f]actual allegations must be enough to raise a right to relief above the speculative level," id., and that "once a claim has been stated adequately, it may be supported by showing any set of facts consistent with the allegations in the complaint," id. at 563, 127 S.Ct. 1955. Plaintiffs must allege "only enough facts to state a claim to relief that is plausible on its face." Id. at 570, 127 S.Ct. 1955. But if a plaintiff has "not nudged [his or her] claims across the line from conceivable to plausible, the[] complaint must be dismissed." Id.; see also Ashcroft v. Iqbal, 556 U.S. 662, 679, 129 S.Ct. 1937, 173 L.Ed.2d 868 (2009) ("Determining whether a complaint states a plausible claim for relief will ... be a context-specific task that requires the reviewing court to draw on its judicial experience and common sense. But 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.'" (alteration in original) (citation omitted) (quoting Fed. R.Civ.P. 8(a)(2))).
In considering Defendants' Motion To Dismiss, the Court is required to consider as true the factual allegations contained in the Complaint. See Ruotolo v. City of New York, 514 F.3d 184, 188 (2d Cir.2008) ("We review de novo a district court's dismissal of a complaint pursuant to Rule 12(b)(6), accepting all factual allegations in the complaint and drawing all reasonable inferences in the plaintiff's favor." (internal quotation marks omitted)); Gonzalez v. Caballero, 572 F.Supp.2d 463, 466 (S.D.N.Y.2008) (same). Moreover, "[i]n adjudicating a Rule 12(b)(6) motion, a district court must confine its consideration to facts stated on the face of the complaint, in documents appended to the complaint or incorporated in the complaint by reference, and to matters of which judicial notice may be taken." Leonard F. v. Isr. Disc. Bank of N.Y., 199 F.3d 99, 107 (2d Cir.1999) (internal quotation marks omitted).
Because Plaintiff is proceeding pro se, the Court must construe his pleadings liberally and "interpret them to raise the strongest arguments that they suggest." Maisonet v. Metro. Hosp. & Health Hosp. Corp., 640 F.Supp.2d 345, 347 (S.D.N.Y.2009) (internal quotation marks omitted); see also Triestman v. Fed. Bureau of Prisons, 470 F.3d 471, 474-75 (2d Cir.2006). This admonition "applies with particular force when a plaintiff's civil rights are at issue." Maisonet, 640 F.Supp.2d at 348; see also McEachin v. McGuinnis, 357 F.3d 197, 200 (2d Cir.
Defendants argue that Plaintiff has not sufficiently alleged Dr. Gendell's personal involvement in his claims. (See Mot. at 2-4.) Indeed, "[i]t is well settled that, in order to establish defendant's individual liability in a suit brought under § 1983, a plaintiff must show ... the defendant's personal involvement in the alleged constitutional deprivation." Grullon v. City of New Haven, 720 F.3d 133, 138 (2d Cir. 2013). In his Opposition to Defendants' Motion, Plaintiff concedes that his "claims against [Dr. Gendell] should be ... dismissed." (See Opp. at unnumbered 1.) Thus, the Court grants Defendants' Motion with respect to the § 1983 claim against Dr. Gendell.
Plaintiff claims that Dr. Adler provided inadequate medical care. In the Complaint, Plaintiff does not indicate whether he was a convicted prisoner or a pre-trial detainee during the relevant time period. A convicted prisoner's claim is analyzed under the Eighth Amendment. See Weyant v. Okst, 101 F.3d 845, 856 (2d Cir.1996) (noting that the Eighth Amendment governs medical claims of convicted persons because of that Amendment's prohibition of "cruel and unusual punishment"). In the case of a pre-trial detainee, the same claim is analyzed under the Due Process Clauses of the Fifth Amendment for federal detainees and the Fourteenth Amendment for state detainees. Compare Caiozzo v. Koreman, 581 F.3d 63, 69 (2d Cir.2009) (applying Fourteenth Amendment to state detainee), with Cuoco v. Moritsugu, 222 F.3d 99, 103, 106 (2d Cir. 2000) (applying Fifth Amendment to federal detainee). However, Plaintiff's status is of no moment for these purposes, because "[c]laims for deliberate indifference to a serious medical condition ... should be analyzed under the same standard irrespective of whether they are brought under the Eighth or Fourteenth Amendment." Caiozzo, 581 F.3d at 72.
While prison officials should provide adequate medical care to prisoners, "not every lapse in medical care is a constitutional wrong." Salahuddin v. Goord, 467 F.3d 263, 279 (2d Cir.2006). To make out a constitutional claim "arising out of inadequate medical care," a plaintiff must demonstrate a defendant's "`deliberate indifference to [his] serious medical needs.'" Jones v. Vives, 523 Fed.Appx. 48, 49 (2d Cir.2013) (alteration in original) (quoting Estelle v. Gamble, 429 U.S. 97, 104, 97 S.Ct. 285, 50 L.Ed.2d 251 (1976)); see also Smith v. Carpenter, 316 F.3d 178, 183 (2d Cir.2003). Thus, to avoid dismissal under Rule 12(b)(6), "an inmate must allege that: (1) objectively, the deprivation the inmate suffered was sufficiently serious"; and "(2) subjectively, the defendant official acted with a sufficiently culpable state of mind." Walker v. Schult, 717 F.3d 119, 125 (2d Cir.2013) (internal quotation marks omitted).
To determine if a Plaintiff alleging inadequate medical treatment has satisfied the objective prong, the Court must "examine how the offending conduct is inadequate and what harm, if any, the inadequacy has caused." Salahuddin, 467 F.3d at 280. In a case like this, where Plaintiff alleges that a prison doctor's failure timely to refill his prescription constituted
With respect to the objective prong, Plaintiff alleges that he suffered five days of acid-reflux symptoms after his meeting with Dr. Adler, (see Compl. at 3), including "vommitting [sic] acid" while sleeping, (see id.). There is case law supporting Plaintiff's claim that these symptoms are extreme and/or serious. See, e.g., Lane v. Corizon Healthcare, No. 13-CV-519, 2013 WL 5348489, at *2 (N.D.Ind. Sept. 23, 2013) (finding that plaintiff with acid reflux "ha[d] alleged a serious medical need"); Dobbey v. Randle, No. 10-CV-3965, 2012 WL 3544769, at *2-3 (N.D.Ill. Aug. 16, 2012) (finding that plaintiff with GERD symptoms, such as abdominal pain and blood in his stool, "[met] the objective standard, at least at the pleading stage"). See generally Brock v. Wright, 315 F.3d 158, 163 (2d Cir.2003) ("We do not ... require an inmate to demonstrate that he or she experiences pain that is at the limit of human ability to bear, nor do we require a showing that his or her condition will degenerate into a life-threatening one."). Thus, taken as true for the purposes of this Motion, the Court is willing to assume that Plaintiff's allegations satisfy the objective prong's requirement that he suffered serious harm during the delay in his treatment.
With respect to the subjective prong, Plaintiff's Complaint alleges three facts relevant to Dr. Adler's culpability.
These facts, however, do not plausibly establish that Dr. Adler acted with "a sufficiently culpable state of mind." Walker, 717 F.3d at 125 (internal quotation marks omitted). To survive this Motion, Plaintiff must allege that Dr. Adler acted with "a mental state equivalent to subjective recklessness, as the term is used in criminal law." Salahuddin, 467 F.3d at 280; see also Jones, 523 Fed.Appx. at 50 ("[A]lthough a § 1983 claim can be based on a significant delay in receiving medical treatment, a plaintiff must allege that the individuals causing the delay had the requisite state of mind, which we have noted is the equivalent of criminal recklessness." (internal quotation marks omitted)). In other words, "the charged official [must] act or fail to act while actually aware of a substantial risk that serious inmate harm will result." Salahuddin, 467 F.3d at 280 (emphasis added). From the awareness requirement, it follows that "mere negligence is not actionable, nor is mere medical malpractice ... tantamount to deliberate indifference." Green v. McLaughlin, 480 Fed.Appx. 44, 48 (2d Cir.2012) (internal quotation marks omitted) (alteration in original); see also Salahuddin, 467 F.3d at 280 (noting that "recklessness entails more than mere negligence"). Moreover, "[t]he mere fact that an inmate feels that he did not receive adequate attention ... does not constitute deliberate indifference." Crique v. Magill, No. 12-CV-3345, 2013 WL 3783735, at *3 (S.D.N.Y. July 9, 2013).
Here, Plaintiff's claim that Dr. Adler's alleged carelessness caused the prescription-refill delay is not equivalent to alleging that Dr. Adler's behavior rises above the level of "mere negligence." Indeed, taken as true, Plaintiff's direct allegations indicate that Dr. Adler intended to submit the refill request, (see Compl. at 3 (indicating that Dr. Adler "stated [that] he thought ... he [had] put the order in")), but that he forgot to do so because he was distracted during the March 28 examination, (See id. (alleging that Dr. Adler "was talking on his cell phone while examining [Plaintiff]")). In fact, in his Opposition to Defendants' Motion, Plaintiff confirms this characterization when he writes that "Dr. Adler forgot and did not put the pres[c]ription in because he was examining me while playfully talking on his cell phone." (Opp. at unnumbered 2.)
This is not a case where Dr. Adler personally denied Plaintiff's repeated requests for medication. Cf. Flournoy v. Ghosh, 881 F.Supp.2d 980, 989-90 (N.D.Ill.2012) (finding a genuine dispute of material fact as to whether a prison official's "failure to address [plaintiff's] repeated requests for medication and to ensure that the medical staff provided the medication without undue delay constituted deliberate indifference to his medical needs"). Moreover, Plaintiff has not alleged that Dr. Adler knowingly caused the prescription-refill delay. Cf. Ross v. Correct Care Solutions LLC, No. 11-CV-8542, 2013 WL 5018838, at *5 (S.D.N.Y. Sept. 13, 2013) (denying motion to dismiss a deliberate-indifference claim where defendant "was informed about [the plaintiff's] sleep apnea" but "deliberately refused to provide him with medical treatment ... on account of his prior complaint and lawsuits" (emphasis added)); Sprinkle v. Barksdale, No. 08-CV-430, 2009 WL 1956370, at *4 (W.D.Va. July 6, 2009) ("If [plaintiff] could prove that [defendants] ... knowingly delayed ordering a refill of his prescription, he would state a claim of deliberate indifference...." (emphasis added)). And far from alleging that Dr. Adler failed to order
Thus, in the end, this case is similar to other cases where prisoners merely allege a delay in the provision of medication or treatment, but fail to allege that the delay was either intentional or reckless. See, e.g., Ross, 2013 WL 5018838, at *4 (dismissing deliberate-indifference claim under Rule 12(b)(6) where plaintiff's theory that medical providers misinterpreted his statements could not satisfy plaintiff's burden to allege that the providers were "actually aware of a substantial risk [of] serious harm"); Crique, 2013 WL 3783735, at *3 (dismissing claim where plaintiff failed to show that defendant "knowingly or intentionally" delayed his treatment, and noting that "[w]hile delays in providing necessary medical care may in some cases demonstrate deliberate indifference, the Second Circuit has reserved those instances to cases when prison officials deliberately delayed care as a form of punishment, ignored a life-threatening and fast-degenerating condition ..., or delayed major surgery" (internal quotation marks omitted)); Thomas v. Westchester Cnty., No. 12-CV-6718, 2013 WL 3357171, at *5 (S.D.N.Y. July 3, 2013) (dismissing plaintiff's claim that prison officials occasionally delayed changing his bandages because, although "not changing Plaintiff's bandages daily may potentially amount to negligence, nothing alleged in the [complaint] ma[de] it plausible that [d]efendants knew of and consciously disregarded an excessive risk to [p]laintiff's health and safety"); Santos v. Nicholls, No. 10-CV-3159, 2013 WL 3305336, at *5 (S.D.N.Y. July 1, 2013) (dismissing claim after finding that prison officials' "failure to provide Motrin" while plaintiff experienced pain "[a]t most ... reflected negligence" because "there [was] no basis for the inference that [the officials] acted with the intent of causing [plaintiff] pain or that they were aware of any excessive risk posed to his health"); Vining v. Dep't of Corr., No. 12-CV-3267, 2013 WL 2036325, at *6 (S.D.N.Y. Apr. 5, 2013) (dismissing claim based on a delay in treatment where plaintiff did not allege that prison officials "intended or engineered" the delay, finding instead that "[p]laintiff's claim flow[ed] from scheduling errors and ... inadequate advocacy" for plaintiff's medical needs, and that plaintiff "fell victim to the impersonal dynamic of prison medical logistics"); Ferguson, 2012 WL 2865474, at *5 (dismissing claim where plaintiff alleged both that he informed a prison official that he "needed his medicine," but also that the official "forgot to call" officials who could procure the medication, a mistake that "[fell] well short of the high threshold for deliberate indifference"); Baskerville v. Blot, 224 F.Supp.2d 723, 735-36 (S.D.N.Y.2002) (dismissing claim based on prison nurse's "failure to obtain a refill of [plaintiff's] ... medication" where plaintiff's "assertions [did] not show that [the nurse] acted intentionally to withhold from him his prescribed medication or was in any way responsible for the delay in obtaining a refill").
In his Opposition to Defendants' Motion, Plaintiff cites three cases. (See Opp. at unnumbered 3.) However, none of these cases suggests a different result, and two of the cases actually support Defendants'
As previously explained, the Court interprets Plaintiff's claim for "medical negligen[ce]," (see Compl. at 5), as a claim also arising under state tort law. Because this claim does not present a federal question, see 28 U.S.C. § 1331, and because Plaintiff has not alleged that he is diverse with respect to either Defendant, See id. § 1332, the Court may entertain this claim only pursuant to a theory of supplemental jurisdiction, See id. § 1367. However, if the Court ultimately dismisses the federal claims against both Defendants, it need not exercise its discretion to maintain supplemental jurisdiction over the state-law claim. See id. § 1367(c)(3) ("The district
For the reasons stated herein, Defendants' Motion To Dismiss is granted for all claims and both Defendants without prejudice. The Clerk of Court is respectfully directed to terminate the pending Motion. (Dkt. No. 18.) The Plaintiff is given thirty days to submit an amended complaint.
SO ORDERED.