WOOD, Chief Judge.

Anthony Wheeler, an Illinois prisoner, filed this civil-rights suit against his prison's medical director, Dr. Paul Talbot, for alleged deliberate indifference to two serious medical needs. See 42 U.S.C. § 1983. (Otherand claims are irrelevant to this appeal.) Wheeler first alleges that he experiences excruciating pain from "large and protruding" keloids (growths of scar tissue) on his chest, hips, and legs. He also alleges that he tested positive for a stomach infection caused by the bacterium helicobacter pylori. Dr. Talbot, according to Wheeler, ignored both conditions. The district court allowed the keloid claim to proceed but dismissed the h. pylori claim because the bloodtest results that Wheeler attached to his complaint establish that he tested negative for the infection. The court then denied a motion from Wheeler that requested a "temporary restraining order and preliminary injunction" requiring Dr. Talbot to refer Wheeler immediately to "a suitable doctor." The court's order denying the motion states in full: "TEXT ORDER denying Motion for Preliminary Injunction. This court concludes that there is no basis for injunctive relief in this case." Wheeler appeals the denial under 28 U.S.C. § 1292(a)(1).

Despite its explicit reference to a preliminary injunction, the district court's order might be read as denying only Wheeler's motion for a temporary restraining order. One reason to do so is that a court may not issue a preliminary injunction without advance notice to the adverse party, FED.R.CIV.P. 65(a)(1), and Dr. Talbot had not yet been served when the district court acted on Wheeler's motion.1 Another is that the district court must provide reasons for denying preliminary injunctive relief, see FED.R.CIV.P. 52(a)(2); CIR. R. 50, but the court did not do so here. If the better understanding of the court's order is that it denied only the portion of Wheeler's request that sought a temporary restraining order, then, as our dissenting colleague points out, we would be required to dismiss this appeal for lack of jurisdiction. See Cnty., Mun. Emps.' Supervisors' & Foreman's Union Local 1001 v. Laborers' Int'l Union of N. Am., 365 F.3d 576, 578 (7th Cir.2004).

We think it best, however, to take the district court at its word. The court certainly knew the difference between a TRO and a preliminary injunction, and its order specified that it was denying Wheeler's motion for a "preliminary injunction" because there was no basis for "injunctive relief." This understanding of the district court's order is not undermined by Rule 65(a)'s requirement that adverse parties receive notice before preliminary injunctions are issued, for Wheeler's motion was denied. See Kellas v. Lane, 923 F.2d 492, 496 (7th Cir.1990) (concluding that lack of notice to adverse parties was a "non-issue" because the motion for preliminary injunctive relief was denied). Construed as the denial of a preliminary injunction, this is an order that properly may be appealed immediately. See 28 U.S.C. § 1292(a)(1).

As we mentioned, the district court failed to supply reasons for denying preliminary injunctive relief. Ordinarily we would remand the case and require the court to supply those reasons. See Books v. Chater, 91 F.3d 972, 978 (7th Cir.1996); Sims v. Lucas, 9 F.3d 1293, 1294 (7th Cir.1993); DiLeo v. Ernst & Young, 901 F.2d 624, 626 (7th Cir.1990). But that step is not necessary here because, even ignoring the lack of advance notice to Dr. Talbot, there is enough in this record to demonstrate that the requested relief — immediate referral to another doctor — is unwarranted. Wheeler's h. pylori claim provides no basis for a preliminary injunction because the lab results on which he relies refute that claim. Nor has Wheeler presented evidence that could support an immediate referral to treat his keloids. He asks us to rely on the medical records attached to his brief, but those records, which relate to two appointments with the prison's medical staff, do not help him. The records reflect that Wheeler told the staff that his keloids hurt and "periodically ooze[] puss [sic]." But the staff noted in those records that he showed no "obvious discomfort" and observed that his "skin integrity is intact" and his keloids are "small." Staff also instructed Wheeler to take acetaminophen for pain relief and to return if his symptoms got worse. This evidence, which is all that he supplied, shows neither that Wheeler will experience irreparable harm without a preliminary injunction nor that his deliberate-in-difference claim against Dr. Talbot has a reasonable likelihood of success. Because Wheeler does not meet the requirements for preliminary relief, see Munaf v. Geren, 553 U.S. 674, 690, 128 S.Ct. 2207, 171 L.Ed.2d 1 (2008); Stuller, Inc. v. Steak N Shake Enters., 695 F.3d 676, 678 (7th Cir. 2012), the district court did not abuse its discretion in denying Wheeler's motion.

AFFIRMED.

RIPPLE, Circuit Judge, dissenting.

I cannot agree with the majority's determination that the district court's July 23, 2013, order denying "injunctive relief" was the denial of a motion for a preliminary injunction. Given the context in which the order was issued and the district court's earlier acknowledgment of the steps that would be necessary before entering a preliminary injunction, I believe that we must construe the district court's ruling as a denial of a temporary restraining order. Because it is well established that we do not have appellate jurisdiction to review a district court's denial of a temporary restraining order, I would dismiss the appeal for lack of jurisdiction.

The procedural context in which a district court addresses a request for injunctive relief is always important. Under 28 U.S.C. § 1915A, a district court must review the complaint in all civil actions in which a prisoner seeks redress from a governmental entity, officer or employee. The court is tasked with identifying cognizable claims and dismissing those that fail to state a claim upon which relief may be granted. It was during the § 1915A screening process that the district court considered Mr. Wheeler's motion.

Mr. Wheeler filed his initial complaint on October 23, 2012. In a November 1, 2012, order, the district court outlined the procedure it would utilize to complete the screening process under § 1915A. The court notified Mr. Wheeler that, during an upcoming video conference with the court, he would be required to identify each of his claims and to identify each of the defendants.

During the screening process, the district court held several "merit review hearings."1 The first hearing was held on November 15, 2012, after which Mr. Wheeler was instructed to amend his complaint to "specify[] what other defendants have done."2 On December 4, Mr. Wheeler filed his motion requesting a temporary restraining order or preliminary injunction. He filed his second amended complaint on December 11, and the court scheduled a second merit review hearing for January 28, 2013.

On January 25, 2013, the court issued an order disposing of nine pending motions. At that time, the court refrained from acting on Mr. Wheeler's motion for a temporary restraining order or preliminary injunction. The district court stated that, before it would award injunctive relief, it would allow the defendants to respond and receive evidence on the issue.3 Specifically, the district court referenced our decision in Wheeler v. Wexford Health Sources, Inc., 689 F.3d 680 (7th Cir.2012), and stated that, before it would rule on Mr. Wheeler's "Emergency Motion for Leave to File Temporary Restraining Order and Preliminary Injunction" and grant the "extraordinary step of awarding injunctive relief," it needed to hear from the defendants and receive evidence on the issue.4 Accordingly, the court took Mr. Wheeler's motion under advisement.

At the January 28 hearing, later changed to a status conference, the court directed Mr. Wheeler to consolidate his claims in a third amended complaint and indicated that it would complete its screening after the amended complaint was filed. The court held its final merit review hearing on March 27, 2013. On June 25, 2013, the court concluded that Mr. Wheeler's complaint failed to state a claim with regard to counts 1, 4, 5 and 7. On June 28, 2013, the court spoke with Mr. Wheeler by telephone, and the status of the case was discussed.

Six months after its January 25 order, without authorizing service of process to the defendants or conducting an evidentiary hearing, the district court entered its "text order" that simply stated that "[the] court concludes that there is no basis for injunctive relief in this case."5 The docket entry characterized the court's order as denying Mr. Wheeler's "Motion for Preliminary Injunction."

My colleagues rely on the wording of the text order. With great respect, I cannot accept the court's methodology or its resulting characterization of the district court's order as denying a preliminary injunction. First, we ought to note the precise nature of the action that the district court was asked to take. Pending before the district court, at a very early stage of the proceedings-before the defendants had even been served-was a motion for either a temporary restraining order or a preliminary injunction.6 Second, the majority's reliance on the docket entry's "explicit reference to a preliminary injunction"7 needs some refinement: The reference on which the majority relies is to the title of Mr. Wheeler's motion on the docket.8 It is not clear whether the district court or the clerk so titled the disposition of Mr. Wheeler's motion. The docket entry only provides that the district court did not think that there was a "basis for injunctive relief."9 But even if the district court were to have titled Mr. Wheeler's motion in the docket entry, the title's focus on the preliminary injunction does not alter the substance of the motion; the motion requested both a temporary restraining order and a preliminary injunction.

The ambiguity in the docket entry disappears, however, when it is considered in the context of the district court's earlier January 25 order. In that order, the district court specifically had stated that it would notify the defendants and receive evidence before ruling on the motion. At the time the court entered the July 23, 2013, order, the court had just completed its screening of the complaint. Indeed, the defendants would not be served with notice of the complaint until August 21, and at no point between January 25 and July 23, did the district court receive evidence. Interpreting the July 23 order as the denial of a preliminary injunction thus assumes that the experienced district court, although acutely aware of the steps necessarily antecedent to the entry of preliminary injunctive relief, nevertheless proceeded in a manner inconsistent with the settled law of this circuit10 and, indeed, of the Country,11 and inconsistent with its own prior statement of the proper method of proceeding.

In my view, we should rely not on an oversimplified docket entry by someone in the district court, but on the manifest intent of the experienced district court, acting in conformity with established law. It is far more sensible to conclude that the district court oversimplified the title of Mr. Wheeler's motion than to conclude that the court meant to issue a conflicting order.12 The district court focused on our admonition in Wheeler that it should receive evidence before denying a preliminary injunction. In Wheeler, the district court had denied the plaintiff's motion for a preliminary injunction before completing its screening of the complaint. See 689 F.3d at 682. We vacated the order and instructed the district court to authorize service of process to the defendants and conduct an evidentiary hearing to determine whether the plaintiff is entitled to relief before ruling on a motion for a preliminary injunction. See id. at 682-83. Here, the district court specified that it would do just that.

Moreover, the court's handling of the motion is consistent with ruling on a temporary restraining order. "Nomenclature does not determine whether an order is a preliminary injunction...." Doe v. Vill. of Crestwood, 917 F.2d 1476, 1477 (7th Cir. 1990); see also Fideicomiso De La Tierra Del Cano Martin Pena v. Fortuno, 582 F.3d 131, 133 (1st Cir.2009) (noting that characterizations by the district court or the parties are not dispositive and that "[u]nder our case law, an order has the practical effect of refusing an injunction if there has been a full adversary hearing, or, in the absence of review, further interlocutory relief is unavailable"). "The essence of a temporary restraining order is its brevity, its ex parte character and ... its informality." Geneva Assur. Syndicate, Inc. v. Med. Emergency Servs. Assocs. S.C., 964 F.2d 599, 600 (7th Cir.1992). Indeed, this proposition is so well established that we have usually articulated it in unpublished orders.13 Here, the district court did not serve the defendants with notice, hold a hearing or consider evidence. To borrow from an oft-quoted proverb, if it walks like a temporary restraining order and quacks like a temporary restraining order, it must be a temporary restraining order.14

Because the court's order is best interpreted as only addressing Mr. Wheeler's request for a temporary restraining order, I would hold that we lack jurisdiction over the appeal.