DALE A. DROZD, District Judge.
On August 13, 2019, the court conducted a final pretrial conference. Plaintiff Abel Reyes ("plaintiff") appeared telephonically and pro se. Deputy Attorney General Matthew Roman appeared telephonically as counsel for defendant M. Flores, LVN ("defendant"). Having considered the plaintiff's objections, the court issues this final pretrial order.
Plaintiff is a state prisoner proceeding in forma pauperis in this civil rights action brought pursuant to 42 U.S.C. § 1983. Plaintiff claims that defendant knowingly denied him constitutionally adequate medical treatment and was deliberately indifferent to his serious medical needs in violation of the Eighth Amendment.
Jurisdiction is predicated on 28 U.S.C. §§ 1331, 1343. Jurisdiction is not contested. Venue is proper pursuant to 28 U.S.C. § 1391. Venue is not contested.
Both parties have demanded a jury trial. The jury will consist of seven jurors.
1. In January 2014, plaintiff was incarcerated at California State Prison-Corcoran ("CSP-Corcoran").
2. Following a history of treatment for various urinary symptoms, the plaintiff was admitted into the Delano Regional Medical Center for transurethral resection of the prostate ("TURP") surgery on January 21, 2014.
3. Plaintiff was discharged and returned to CSP-Corcoran on January 23, 2014.
4. On January 26, 2014, at approximately 7:00 a.m., plaintiff was pushed in his wheelchair to the C window of the 3-B Clinic to obtain his morning medications. Plaintiff told defendant that he was in severe pain and that he had a medical emergency. Defendant stated that it was not a medical emergency and told plaintiff to submit a health care services request form to be seen.
5. At approximately 11:30 a.m., plaintiff returned to the 3-B Clinic where he was seen by defendant. Plaintiff told defendant of his continuing pain, and that he was unable to urinate, had thick blood clots come out of his penis, and that he had just had surgery and needed medical attention. Defendant assessed plaintiff and concluded that he did not need immediate medical attention.
6. At approximately 3:45 p.m., plaintiff again returned to the 3-B Clinic. At that time, another nurse examined plaintiff and again concluded that he did not require emergency treatment.
7. Later that evening, plaintiff was examined in the Acute Care Hospital at CSP-Corcoran by Dr. Julian Kim.
8. Thereafter, plaintiff was sent to the Mercy Hospital Emergency Room, where he was examined by Dr. Noor Jaber. Plaintiff had a catheter inserted and was admitted to the hospital. Plaintiff was discharged from the hospital on January 29, 2014.
1. Whether defendant was deliberately indifferent to the plaintiff's medical needs.
2. Whether the plaintiff suffered any medical complications as a result of the alleged delay in providing him medical care.
The parties have not yet filed motions in limine. The court does not encourage the filing of motions in limine unless they are addressed to issues that can realistically be resolved by the court prior to trial and without reference to the other evidence which will be introduced by the parties at trial. The parties anticipate filing the motions in limine below. Any motions in limine counsel elects to file shall be filed no later than
1. Motion in limine to bar defendant from presenting evidence of or making reference to plaintiff's criminal history, the criminal history of plaintiff's witnesses, plaintiff's history of administrative appeals and litigation unrelated to this instant lawsuit, and any documents not previously disclosed to plaintiff.
2. Motion in limine to bar testimony of defendant's expert witnesses if it is revealed through deposition that their opinions are based in whole or in part on materials that should have been produced during discovery and which were withheld from plaintiff.
3. Plaintiff anticipates objecting to defendant's proposed trial exhibits.
1. Defendant states that he objects to the introduction of testimony by plaintiff including but not limited to, type of treatment, rationale for treatment, and appropriateness of treatment, and causation of subsequent medical conditions.
Special factual information pursuant to Local Rule 281(b)(6) is not applicable to this action.
Plaintiff seeks compensatory damages in the amount of $300,000.00 and punitive damages in the amount of $100,000.00.
The claims and defenses in this case arise under federal law. All of plaintiff's claims are brought against defendant M. Flores.
Trial briefs addressing the points of law implicated by these remaining claims shall be filed with this court no later than
None.
Plaintiff's witnesses shall be those listed in
Joint exhibits are listed in
Plaintiff's exhibits are listed in
The parties must lodge the sealed original copy of any deposition transcript to be used at trial with the Clerk of the Court no later than
1. Defendant's answers to plaintiff's Requests for Admissions, Set One, numbers 1-19;
2. Defendant's answers to plaintiff's First Request for Production of Documents, numbers 1-8;
3. Defendant's answers to plaintiff's First Special Interrogatories, numbers 1-5;
4. Plaintiff's objections and responses to defendant's First Set of Request for Production of Documents, numbers 1-7;
5. Plaintiff's objections and responses to defendant's First Set of Special Interrogatories;
6. Transcript of plaintiff's deposition.
Plaintiff anticipates filing a motion for the attendance of incarcerated witness, motion for appointment of counsel, and motions in limine. Defendant does not anticipate further discovery motions. The court notes that under the scheduling order in this case, both discovery and substantive law and motion is now closed.
None.
None.
A settlement conference was held before Magistrate Judge Jennifer L. Thurston on May 17, 2019, but the parties did not reach a settlement. The court will not require the parties to participate in another court-supervised settlement conference but would schedule a further settlement conference prior to trial if both parties agreed such a conference might be productive and requested that one be set.
The court has drafted the following neutral statement of the case to be read to the prospective jurors:
None.
Plaintiff requests that the court appoint an impartial expert in this action to provide expert testimony regarding the physical injuries to his kidney and problems with a cyst and physical injuries to his testicular epididymal cysts and a sudden swelling in both testicles.
The court has discretion pursuant to Federal Rule of Evidence 706 "to appoint a neutral expert on its own motion, or on the motion of any party" after evaluating "such factors as the complexity of the matters to be determined and the court's need for a neutral, expert review." Honeycutt v. Snider, No. 3:11-CV-00393-RCJ, 2011 WL 6301429, at *1 (D. Nev. Dec. 16, 2011). "[T]he most important question a court must consider when deciding whether to appoint a neutral expert witness is whether doing so will promote accurate factfinding." Gorton v. Todd, 793 F.Supp.2d 1171, 1179 (E.D. Cal. 2011.) The appointment of a neutral expert witness under Rule 706 is intended to benefit the trier of fact, and not a particular litigant. Faletogo v. Moya, No. 12cv631 GPC (WMC), 2013 WL 524037, at *1 (S.D. Cal. Feb. 12, 2013); Bontemps v. Lee, No. 2:12-cv-0771 KJN P, 2013 WL 417790, at *3-4 (E.D. Cal. Jan. 31, 2013); Honeycutt, 2011 WL 6301429, at *1.
Here, the issues presented at trial do not appear to be sufficiently complex to warrant the appointment of a neutral medical expert to aid the trier of fact. The magistrate judge's findings and recommendations with respect to defendant's motion for summary judgment found that "triable issues of fact exist as to whether Defendant could have and should have called an RN [registered nurse] or physician during their interactions at the C-window, and whether Defendant properly relayed all of Plaintiff's symptoms and vital statistics as reflected in the 7362 form to the RN on the phone on January 26, 2014 . . . ." (Doc. No. 48 at 16.) This court's docket is comprised of an overwhelming number of civil rights cases filed by prisoners proceeding pro se and in forma pauperis, and the facts of this case are similar to many cases now pending before the court. See Wilds v. Gines, No. C 08-03348 CW (PR), 2011 WL 737616, at *4 (N.D. Cal. Feb. 23, 2011); Honeycutt, 2011 WL 6301429, at *1 ("The appointment of experts in deliberate indifference cases is rare, and such requests should be granted sparingly, particularly given the large volume of cases in which indigent prisoners allege claims under the Eighth Amendment related to medical care, and the substantial expense defendants may have to bear if courts were to appoint experts in such cases.") Therefore, plaintiff's request for the court to appoint a neutral medical expert to assist the trier of fact is denied.
Currently, plaintiff is representing himself pro se and is not entitled to move for an award of attorney fees if he prevails. See Gonzalez v. Kangas, 814 F.2d 1411, 1411 (9th Cir. 1987) (pro se prisoner, who is not an attorney, may not obtain an award of attorneys' fees in his 42 U.S.C. § 1983 action).
Neither party anticipates the need for a trial protective order.
None.
Jury trial is set for
As noted by the court during the pretrial conference, there are several other trials scheduled in the period of the current trial date in this case that take priority over this action either because they are criminal cases or civil cases filed before this one, thus presenting the likelihood that the starting date of this trial may be delayed. Counsel for defendant are directed to call Jami Thorp, courtroom deputy, at (559) 499-5652, one week prior to trial to ascertain the status of the trial date. Because plaintiff is incarcerated, the court will also issue minute orders in this case to update the parties on the status of the trial date.
The parties shall file any proposed jury voir dire
The court directs the parties to confer in an attempt to generate a joint set of jury instructions and verdicts. The parties shall file any such joint set of instructions
Counsel shall e-mail a copy of all proposed jury instructions and verdicts, whether agreed or disputed, as a Word document to dadorders@caed.uscourts.gov no later than
Objections to proposed jury instructions must be filed
As noted above, trial briefs are due
1. G. Andrade, Supervising Registered Nurse II, CSP-Cor, 4001 King Ave., Corcoran, CA 93212, (559) 992-8800
2. B. Whitfield, Licensed Vocational Nurse, CSP-Cor, 4001 King Ave., Corcoran, CA 93212, (559) 992-8800
3. S, Macelvaine, Supervising Registered Nurse III, CSP-Cor, 4001 King Ave., Corcoran, CA 93212, (559) 992-8800
4. Teresa Macias, CEO, CSP-Cor, 4001 King Ave., Corcoran, CA 93212, (559) 992-8800
5. Alford, Correctional Officer 2/W, CSP-Cor, 4001 King Ave., Corcoran, CA 93212, (559) 992-8800
6. J. Huewe, Correctional Officer 2/W, CSP-Cor, 4001 King Ave., Corcoran, CA 93212, (559) 992-8800
7. E. Cortez, Correctional Officer 3/W, CSP-Cor, 4001 King Ave., Corcoran, CA 93212, (559) 992-8800
8. Johnny Quezada, (incarcerated witness), CDC# V-42893
9. Julian Kim, M.D., CSP-Cor, 4001 King Ave., Corcoran, CA 93212, (559) 992-8800
10. Miss Campbell, Registered Nurse, Delano Regional Medical Hospital, 1401 Garces Highway, Delano, CA 93216, (661) 725-4800
11. Jaber Noor, M.D., CHW Central California, Mercy Hospital, 2215 Truxton Ave., Bakersfield, CA 93301
12. Mushtaq Ahmed, M.D., CHW Central California, Mercy Hospital, 2215 Truxton Ave., Bakersfield, CA 93301
13. Anthony H. Horan, M.D. (urologist surgeon), Delano Regional Medical Hospital, 1401 Garces Highway, Delano, CA 93216, (661) 725-4800
14. Abel P. Reyes, Plaintiff, CDC # P-55763
15. Perkin Hugh, M.D., Twin Cities Community Hospital, 1100 Las Tablas Rd., Templeton, CA 93465, (805) 434-3500
16. Ziomek, M.D., John J. ED Physician, San Joaquin Community Hospital, 2615 Chester Ave., Bakersfield, CA 93301, (661) 395-3000
17. Snyder Alissa K. M.D., Mercy Hospitals of Bakersfield, 2215 Truxton Ave., Bakersfield, CA 93301.
1. Defendant's declaration dated December 19, 2017;
2. Plaintiff's deposition and all exhibits thereto;
3. Affidavit of IM Johnny Quezada;
4. Plaintiff's signature sample;
5. Plaintiff's complaint in this action;
6. Defendant's responses to discovery;
7. Delano Regional Medical Center, Discharge Instructions dated January 22, 2014;
8. Health Care Services Request Form # 0003276 dated January 26, 2014;
9. Matthew W. Roman correspondence dated November 8, 2017;
10. CSP-Cor Final Report of Laboratory Test dated January 26, 2014;
11. Triage & Treatment Services Flow Sheet dated January 26, 2014;
12. EKG dated January 26, 2014;
13. Triage & Treatment Area Progress Note by Julian Kim, M.D. dated January 26, 2014;
14. Emergency Room Report at Mercy Hospital in Bakersfield, CA, by Noor Jaber, M.D. Admit date January 26, 2014;
15. Mercy Hospital Laboratory Specimen Inquiry, Dated January 26, 2014, ORDERED: UA/CULT;
16. Mercy Hospital Laboratory Test, dated January 26, 2014, ORDERED: CBC Auto Diff.;
17. Mercy Hospital Laboratory Test, dated January 26, 2014, ORDERED: PT, PTT;
18. Inmate Consultation, date of consultation January 26, 2014;
19. Mercy Hospital Inmate Consultation, date of consultation January 27, 2014, by Shabbir Shakir, M.D.;
20. Mercy Hospital Inmate Discharge Summary, date of discharge January 29, 2014;
21. Mercy Hospital Physician Discharge Summary dated January 29, 2014;
22. Discharge to Infirmary;
23. California Correctional Health Care Services Physician's Admission Orders dated January 29, 2014;
24. Triage & Treatment Services Flow Sheet dated January 29, 2014 of CDCR 7403;
25. Corcoran State Prison Acute Care Hospital Nursing Assessment Form dated January 29, 2014;
26. Physician's Orders CDC 7221 dated January 29, 2014 through February 9, 2014;
27. CDC 7211 Graphic Record dated January 29, 2014 to February 2, 2014;
28. Nursing Care Records dated January 29, 2014 through February 11, 2014;
29. CA. State Prison-COR Final Report of Labs dated January 30, 2014;
30. Physician's Progress Notes dated January 30, 2014, February 1, 2014 — February 3, 2014, February 7, 2014, February 9, 2014 — February 11, 2014;
31. Patient Discharge Instructions at John D. Klarich Hospital Corcoran State Prison dated February 11, 2014 through February 12, 2014;
32. CA Correctional Health Care Services, Exam Name: US Scrotal, exam dates February 29, 2016 and January 12, 2017;
33. Correctional Health Care services Exam Name: US Bladder Post Void, exam dated October 24, 2016;
34. Plaintiff's CDCR 602 Health Care Appeal Log #: COR SC14001635 and COR HC14055491, date submitted: February 22, 2014;
35. CA. State Prison-Corcoran Final Report of Laboratory Test, UA/CULT dated April 9, 2014;
36. CSP-COR Final Report of Lab. Test, UA/CULT dated May 21, 2014;
37. Active Medications as of January 22, 2015;
38. Health Care Services Request Forms dated September 11, 2016, September 7, 2017, September 12, 2017, September 25, 2017, November 8, 2017, November 10, 2017, #5896015 dated November 19, 2017, #5907690 dated February 7, 2018, #5907691 dated February 21, 2018, #6988957 dated November 7, 2018;
39. Urology Consultation, Final report dated July 13, 2016;
40. Triage and Treatment Area Progress Note dated August 29, 2017;
41. Encounter Form dated September 14, 2017;
42. Interdisciplinary Progress Notes dated September 27, 2017;
43. Admit/Discharge/Transfer Forms Hospital Transfer Entered on November 10, 2017;
44. Mercy Hospital Bakersfield Emergency Room Visit on November 10, 2017;
45. Progress Notes dated November 28, 2017, November 27, 2018, October 22, 2018, November 13, 2018, and March 12, 2019;
46. Record from Adventist Health Bakersfield Emergency Room Visit on February 5, 2018;
47. California Correctional Health Care Services, Exam Name: US Scrotal, exam date October 30, 2018.
1. Declaration of Nurse M. Flores in support of motion for summary judgment and accompanying exhibits;
2. Prison medical records dated January 8, 2014;
3. Delano Regional Medical Center medical records dated January 21, 2014;
4. Prison medical records dated January 23, 2014;
5. Prison medical records dated January 24, 2014;
6. Prison medical records dated January 26, 2014;
7. Prison medical records dated January 30, 2014;
8. Prison medical records dated January 31, 2014;
9. Prison medical records dated February 6, 2014;
10. Prison medical records dated February 7, 2014;
11. Mercy Hospital Bakersfield medical records dated January 27, 2014;
12. Mercy Hospital Bakersfield medical records dated January 28, 2014;
13. Mercy Hospital Bakersfield medical records dated January 29, 2014;