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Bennett v. Care Correction Solution Medical Contracter, 15 Civ. 3746 (JCM). (2017)

Court: District Court, S.D. New York Number: infdco20170427879 Visitors: 5
Filed: Mar. 24, 2017
Latest Update: Mar. 24, 2017
Summary: OPINION & ORDER JUDITH C. McCARTHY , Magistrate Judge . Plaintiff Donald Mack Bennett, proceeding pro se, commenced this action pursuant to 42 U.S.C. 1983 1 alleging that Defendants Correct Care Solutions (sued herein as Care Correction Solution Medical Contracter [sic]) ("CCS"), 2 Dr. Raul Ulloa, Dr. Dolores Curbelo (sued herein as Delores Curbella), N.P. Linda Beyer, N.P. Michael Kelly, N.P. Diane Tufaro (sued herein as Diane Turfaro), L.P.N. Crystal Madigan (sued herein as Crystal
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OPINION & ORDER

Plaintiff Donald Mack Bennett, proceeding pro se, commenced this action pursuant to 42 U.S.C. § 19831 alleging that Defendants Correct Care Solutions (sued herein as Care Correction Solution Medical Contracter [sic]) ("CCS"),2 Dr. Raul Ulloa, Dr. Dolores Curbelo (sued herein as Delores Curbella), N.P. Linda Beyer, N.P. Michael Kelly, N.P. Diane Tufaro (sued herein as Diane Turfaro), L.P.N. Crystal Madigan (sued herein as Crystal Magigan) and Westchester County Jail/Liason [sic] (collectively, "Defendants") denied him adequate medical care in violation of his rights under the Eighth Amendment.3 (Docket No. 9 ("Am. Compl.")). The Court dismissed sua sponte all of Plaintiff's claims that accrued prior to May 5, 2012 as time-barred. (Docket No. 7 at 2-3). Plaintiff filed his Amended Complaint on August 5, 2015, and seeks $262,500,000 in total damages, including punitive damages.4 (Am. Compl. at 6). Defendants moved to dismiss the Amended Complaint pursuant to Rule 12(b)(6) of the Federal Rules of Civil Procedure on February 26, 2016.5,6 (Docket Nos. 43, 45 ("Def. Br.")). Defendants filed a Reply Memorandum on April 15, 2016. (Docket No. 48). Plaintiff filed an Opposition to Defendants' Motion to Dismiss on September 8, 2016, nearly six months after the March 30, 2016 Court-ordered deadline. (Docket Nos. 26, 68 ("Pl. Opp.")). The Court nevertheless has considered Plaintiff's Opposition.7 For the following reasons, Defendants' Motion to Dismiss is granted in its entirety.

I. BACKGROUND

For purposes of resolving the instant motion, this Court accepts as true the facts as stated in Plaintiff's Amended Complaint. Based on a liberal reading of the Amended Complaint, Plaintiff seems to allege that during the time he was incarcerated at the Westchester County Jail he received inadequate medical care and suffered "imminent serious dangerous physical injuries." (Am. Compl. at 1). In particular, Plaintiff claims that he had a facial cyst near his right eye, which he describes as an "imminent serious physical dangerous injury" that caused "excruciating pain." (Id. at 3 ¶ 1). Plaintiff underwent surgery on July 24, 2015 to have the cyst removed, but maintains that the surgery was originally scheduled for April 20, 2015, and complains of this three-month delay. (Id.). Plaintiff also claims that the cyst interfered with his vision, and summarily concludes that it could have been cancer and that the cancer could have spread because the surgery was delayed. (Id. at 3 ¶ 1, 5 ¶ 7). Plaintiff identifies a second cyst on his neck, which he describes as an "imminent serious physical dangerous threatening injury" and a "fatal medical issue." (Id.). He further complains that two of his medications were changed from pill form to liquid form, (Id. at 3 ¶ 1, 4 ¶ 6), and seems to argue that the cysts formed because of this change, (Pl. Opp. at 2-3). Additionally, Plaintiff claims that he contracted MRSA, an infection, when he had the surgery to remove the cyst near his eye, (Am. Compl. at 4-5 ¶¶ 6-7), and that his doctor stopped his blood thinner before his surgery and had not resumed it at the time of filing the Amended Complaint, (Id. at 3 ¶ 1). He also contends that the medical professionals at the facility gave him medication to which he was allergic and denied him prescription medication, but it is unclear from the submissions whether Plaintiff suffered any negative reactions. (Id. at 3 ¶¶ 2-3). Finally, Plaintiff complains that he was given the "wrong" medication for an infected knee, which took eight months to heal. (Id. at 4 ¶ 4). In sum, it appears that Plaintiff is arguing both about the medical treatment he received as well as the three-month delay in surgery on his cyst.

Plaintiff names as Defendants six individuals who were doctors, nurse practitioners or licensed practical nurses from whom he received the treatment described above, or with whom he otherwise interacted. His specific claims against each Defendant are outlined below.

Plaintiff's claims against Defendant CCS are brought together with his claims against Defendant Dr. Ulloa. (Am. Compl. at 3 ¶ 1). Plaintiff alleges that Defendant Dr. Ulloa postposed the surgery to remove the cyst from near his right eye by three months, from April 20, 2015 to July 24, 2015. (Id.). Plaintiff further maintains that Defendant Dr. Ulloa stopped his blood thinner on July 22, 2015, prior to the surgery, and had not put him back on it by July 30, 2015, thereby putting him at risk for a stroke, a grand mal seizure and a heart attack. (Id.). Plaintiff also avers that Defendant Dr. Ulloa changed two medications from pill form to liquid form, which Plaintiff claims caused him to suffer an upset stomach, vomiting and cold sweats. (Id.). Finally, Plaintiff claims that Dr. Ulloa committed medical malpractice. (Id. at 5(III)).

Plaintiff alleges that Defendant Dr. Curbelo falsified medical documents and mistakenly gave him Digioxon [sic], to which he claims he is allergic. (Am. Compl. at 3 ¶ 2).8 There is no information regarding why Plaintiff was taking Digioxon [sic] and what damages, if any, he suffered from this alleged error. Plaintiff further makes claims of medical malpractice against Defendant Dr. Curbelo. (Id. at 5(III)).

Plaintiff's complaints against Defendant N.P. Beyer are that she denied him his prescribed medications in January 2015, and has slandered and defamed his character. However, Plaintiff does not elaborate further. (Am. Compl. at 3 ¶ 3). He also alleges that she retaliated against him for filing grievances, but does not describe any retaliatory conduct.9 (Id.). Finally, Plaintiff alleges negligent infliction of emotional distress against Defendant N.P. Beyer. (Id. at 5(III); Pl. Opp. at 5).

It is unclear exactly what Plaintiff's claims are against Defendant N.P. Tufaro. The most generous interpretation is that Plaintiff contends that Defendant N.P. Tufaro prescribed the "wrong" medication sometime in 2013, 2014 or 2015 to treat a knee infection that was caused by an allergic reaction to a "sponge material." (Am. Compl. at 4 ¶ 4). He further claims that N.P. Tufaro knew about or should have remembered the infection, and that his leg took eight months to heal. (Id.).

Plaintiff alleges that Defendant Nursing Supervisor N.P. Michael Kelly slandered, libeled and defamed Plaintiff's character, but offers no further information regarding these allegations. (Am. Compl. at 4 ¶ 5). Plaintiff also appears to claim that he was "racially profiled" by Defendant N.P. Kelly, but does not explain what this means, nor does he provide any further detail to support this claim. (Id.).

Finally, Plaintiff accuses Defendant L.P.N. Crystal Madigan of changing his medication from pill to liquid form, causing injury to his kidney and liver. (Am. Compl. at 4 ¶ 6). Plaintiff further claims that Defendant Madigan started rumors, slandered his name and defamed his character. (Id.). Plaintiff provides no further information to support these allegations. He also claims negligent infliction of emotional distress against Defendant L.P.N. Madigan. (Id. at 5(III); Pl. Opp. at 5).

II. LEGAL STANDARDS

A. Motion to Dismiss Standard

Under Rule 12(b)(6) of the Federal Rules of Civil Procedure, a party may move to dismiss a complaint for "failure to state a claim upon which relief can be granted." Fed. R. Civ. P. 12(b)(6). First, a court deciding a motion to dismiss must accept all of the factual allegations in the complaint as true, and draw all reasonable inferences in favor of the non-moving party. Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) ("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.'") (quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007)); LaFaro v. N.Y. Cardiothoracic Grp., PLLC, 570 F.3d 471, 475 (2d Cir. 2009) ("On a motion to dismiss . . . we must accept all allegations in the complaint as true and draw all inferences in the non-moving party's favor.") (citations and internal quotation marks omitted)). The facts alleged must be more than legal conclusions. Iqbal, 556 U.S. at 678 ("Threadbare recitals of the elements of a cause of action, supported by mere conclusory statements, do not suffice.") (citing Twombly, 550 U.S. at 555 ("[A] plaintiff's obligation to provide the grounds of his entitlement to relief requires more than labels and conclusions, and a formulaic recitation of the elements of a cause of action will not do.") (alteration, citation and internal quotation marks omitted)).

Second, the court must determine whether the allegations, accepted as true, "plausibly give rise to an entitlement to relief." Iqbal, 556 U.S. at 679. "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. at 678 (citing Twombly, 550 U.S. at 556). Determining whether a complaint states a plausible claim to relief is "a context-specific task that requires the reviewing court to draw on its judicial experience and common sense." Id. at 679. "`[W]here the well-pleaded facts do not permit the court to infer more than the mere possibility of misconduct,' a complaint is insufficient under Fed. R. Civ. P. 8(a) because it has merely `alleged' but not `show[n] that the pleader is entitled to relief.'" 9 Recordings Ltd. v. Sony Music Entm't, 165 F.Supp.3d 156, 160 (S.D.N.Y. 2016) (quoting Iqbal, 556 U.S. at 679 (quoting Fed. R. Civ. P. 8(a)(2)) (internal quotation marks omitted)). If a plaintiff has "not nudged [his] claims across the line from conceivable to plausible, [the] complaint must be dismissed." Twombly, 550 U.S. at 570.

Pro se complaints should be liberally construed and "held to less stringent standards than those drafted by lawyers, even following Twombly and Iqbal." James v. Correct Care Solutions, No. 13-cv-0019 (NSR), 2013 WL 5730176, at *2 (S.D.N.Y. Oct. 21, 2013) (citation and internal quotation marks omitted);10 see also Erickson v. Pardus, 551 U.S. 89, 94 (2007); Hill v. Curcione, 657 F.3d 116, 122 (2d Cir. 2011) (noting that pro se complaints require "special solicitude" and the court should interpret the complaint to raise the strongest claims). "However, even pro se plaintiffs asserting civil rights claims cannot withstand a motion to dismiss unless their pleadings contain factual allegations sufficient to raise a right to relief above the speculative level." James, 2013 WL 5730176, at *2. (citations and internal quotation marks omitted).

On a Rule 12(b)(6) motion to dismiss, the Court may consider the allegations set forth in the complaint, any "`documents attached to the complaint as exhibits, and any documents incorporated in the complaint by reference.'" Id. at *3 (quoting McCarthy v. Dun & Bradstreet Corp., 482 F.3d 184, 191 (2d Cir. 2007)). In the instant case, Plaintiff refers to the grievances he filed as part of the jail's internal complaint procedure as required under the Prison Litigation Reform Act ("PLRA"). Although Plaintiff did not include these documents as exhibits to the Amended Complaint, he does refer to them and, therefore, incorporates them by reference. Id. Defendants included Plaintiff's grievances as an exhibit to their Motion to Dismiss. It is clear from a review of these grievances that Plaintiff is aware of these documents and the information contained in them because he signed the decisions to deny his grievances and requested appeals of the denials. "Where plaintiff has actual notice of all the information in the movant's papers and has relied upon these documents in framing the complaint the necessity of translating a Rule 12(b)(6) motion into one under Rule 56 is largely dissipated." Id. (quoting Cortec Industries, Inc. v. Sum Holding L.P., 949 F.2d 42, 48 (2d Cir. 1991)). Accordingly, this Court "will consider the grievance[s] as incorporated by reference into Plaintiff's [Amended C]omplaint in deciding the motion to dismiss." Id.; Whittle v. Ulloa, No. 15 CV 8875 (VB), 2016 WL 7351895, at *1 n.3 (S.D.N.Y. Dec. 19, 2016); see also Ellison v. Evans, No. 13 CIV. 885 (KBF), 2013 WL 5863545, at *1 n.5 (S.D.N.Y. Oct. 31, 2013), aff'd sub nom. Fuller v. Evans, 586 F. App'x 825 (2d Cir. 2014).

B. Standard for Eighth Amendment Claims

Plaintiff's Amended Complaint makes conclusory allegations of imminent serious physical danger and injuries, and recites a litany of complaints about the medical treatment he received while incarcerated at the Westchester County Jail. Although Plaintiff does not cite any federal law or constitutional provision on which his complaints are based, he repeats the phrases "imminent serious physical dangerous injury" and "deliberate indifference" throughout his Amended Complaint, which suggests that his claims are premised on the Eighth Amendment. See Idowu v. Middleton, No. 12 Civ. 1238 (BSJ) (KNF), 2012 WL 6040742, at *2 (S.D.N.Y. Dec. 4, 2012). The Eighth Amendment guarantees Plaintiff freedom from "cruel and unusual punishment." U.S. Const., amend. VIII. "To establish a constitutional claim arising out of inadequate medical care, an inmate must prove that prison or jail officials were deliberately indifferent to his serious medical needs." Gomez v. Cty. of Westchester, 649 F. App'x 93, 95 (2d Cir. 2016) (citing Smith v. Carpenter, 316 F.3d 178, 183 (2d Cir.2003)) (applying Eighth Amendment standard to pretrial detainee).11 This test has an objective and subjective component. "As an objective matter, the plaintiff must show that the alleged deprivation of medical care was `sufficiently serious' . . . [and] [t]he subjective showing is akin to criminal recklessness: that the defendant officials acted or failed to act `while actually aware of a substantial risk that serious inmate harm will result.'" Id. (quoting Salahuddin v. Goord, 467 F.3d 263, 279-80 (2d Cir. 2006)).

The objective component has two prongs. "The first prong is whether the prisoner was actually denied adequate medical care. . . . The second prong of the objective test is whether the alleged deprivation of medical care was sufficiently serious." James, 2013 WL 5730176, at *4-5 (citing Salahuddin, 467 F.3d at 279). To establish that the deprivation of medical care was sufficiently serious, "[a] prisoner must prove that his medical need was `a condition of urgency, one that may produce death, degeneration, or extreme pain.'" Johnson v. Wright, 412 F.3d 398, 403 (2d Cir. 2005) (quoting Hemmings v. Gorczyk, 134 F.3d 104, 108 (2d Cir.1998)); see also Chance v. Armstrong, 143 F.3d 698, 702 (2d Cir. 1998). Specifically, "[w]here the inadequacy alleged is in the medical treatment given, the seriousness inquiry is narrower. . . . [I]f the prisoner is receiving on-going treatment and the offending conduct is an unreasonable delay or interruption in that treatment, the seriousness inquiry focuses on the challenged delay or interruption in treatment rather than the prisoner's underlying medical condition alone." Stiehl v. Bailey, No. 08-CV-10498 (CS), 2012 WL 2334626, at *8 (S.D.N.Y. June 19, 2012) (alterations in original) (citations and internal quotation marks omitted).

The subjective element is comparable to criminal recklessness. See Salahuddin, 467 F.3d at 280; see also Gomez, 649 F. App'x at 95. "[R]ecklessness entails more than mere negligence; the risk of harm must be substantial and the official's actions more than merely negligent." Salahuddin, 467 F.3d at 280 (citation omitted). "[T]he official charged with deliberate indifference must act with a `sufficiently culpable state of mind.' . . . That is, the official must `know[] of and disregard[] an excessive risk to inmate health or safety; the official must both be aware of facts from which the inference could be drawn that a substantial risk of serious harm exists, and he must also draw the inference.'" Hill, 657 F.3d at 122 (alteration in original) (citation omitted) (quoting Farmer v. Brennan, 511 U.S. 825, 837 (1994)). The Second Circuit has further explained that "[t]o establish deliberate indifference, the plaintiff must prove that `the prison official knew of and disregarded the plaintiff's serious medical needs.'" Harrison v. Barkley, 219 F.3d 132, 137 (2d Cir. 2000) (quoting Chance, 143 F.3d at 703).

However, "`inadvertent failure to provide adequate medical care' or `negligen[ce] in diagnosing or treating a medical condition' does not constitute deliberate indifference on the part of the prison officials." Id. at 139 (alteration in original) (quoting Estelle v. Gamble, 429 U.S. 97, 105-06 (1976)). "`It is well-established that [neither] mere disagreement over the proper treatment,' . . . nor `[m]edical malpractice . . . become a constitutional violation merely because the victim is a prisoner.'" Stiehl, 2012 WL 2334626, at *9 (alterations in original) (quoting Chance, 143 F. 3d at 703; Estelle, 429 U.S. at 106). "Thus, disagreements over medications, diagnostic techniques[,] . . . forms of treatment, or the need for specialists or the timing of their intervention, are not adequate grounds for a Section 1983 claim." Sonds v. St. Barnabas Hosp. Corr. Health Servs., 151 F.Supp.2d 303, 312 (S.D.N.Y. 2001); see also Stiehl, 2012 WL 2334626, at *9. "Rather, to state an Eighth Amendment deliberate indifference claim, an inmate `must demonstrate that the defendants act[ed] or fail[ed] to act while actually aware of a substantial risk that serious inmate harm w[ould] result.'" Stiehl, 2012 WL 2334626, at *9 (alterations in original) (quoting Farid v. Ellen, 593 F.3d 233, 248 (2d Cir. 2010)).

III. DISCUSSION

A. Analysis

Plaintiff's claims are based both on the medical treatment he received as well as the three-month delay in surgery on his cyst. Defendants argue that Plaintiff fails to meet the two-prong test required to establish an Eighth Amendment claim for inadequate medical treatment.

1. Complaints Regarding Medical Treatment

Plaintiff lists a number of complaints regarding medical treatment he received separate from the surgery for his cyst. The Court notes that although Plaintiff summarily and repeatedly uses the phrase "imminent physical serious dangerous injuries" throughout his Amended Complaint, "[e]ven in a pro se case . . . threadbare recitals of the elements of a cause of action, supported by mere conclusory statements, do not suffice." Whittle, 2016 WL 7351895, at *2 (internal quotation marks and citation omitted). Moreover, "mere negligence in . . . treatment is insufficient to state a valid Eighth Amendment claim," Smith, 316 F.3d at 184 (citing Estelle, 429 U.S. at 105-06), and the "mere malpractice of medicine in prison does not amount to an Eighth Amendment violation," Harrison, 219 F.3d at 139.12 Likewise, the fact that Plaintiff might prefer a different form of treatment or may be disappointed in the level of treatment he received does not constitute deliberate indifference. See Sonds, 151 F. Supp. 2d at 312.

First, the Court finds that Defendants Dr. Ulloa and L.P.N. Madigan did not deny Plaintiff adequate medical care when they changed the form of Plaintiff's medication from pill to liquid form. See McNulty v. Yaneka, No. 11-CV-8320 (ER), 2013 WL 684448, at *7 ("Prison officials and medical officers have a wide range of discretion in treating prisoners . . . Accordingly, the determinations made by medical providers concerning the treatment of patients are given a presumption of correctness.") (internal quotation marks omitted) (citing Sonds, 151 F. Supp. 2d at 312). Next, Plaintiff claims that he suffered from a cyst on his neck, separate from the facial cyst that was surgically removed. (Am. Compl. at 5 ¶ 7). However, he does not allege that he was denied adequate medical care for the cyst on his neck. To the contrary, the facts in Plaintiff's Amended Complaint suggest that it was promptly treated. Plaintiff states that the "lump" on his neck "accumilated" [sic] one week prior to the surgery for his facial cyst — therefore, in mid-July, 2015 — and that he was "suffering strong sufficient pain." (Id.). Plaintiff further maintains that as of July 30, 2015, the date he signed the Amended Complaint, the hospital had "split open" the cyst on his neck to "take . . . all precautions," and that he was waiting to undergo several procedures to ensure that the cyst was not cancerous. (Id.). Thus, from the time the cyst appeared on Plaintiff's neck in mid-July to the date of his Amended Complaint, approximately two weeks later, it appears Plaintiff had received medical treatment. The Court therefore finds that Plaintiff was not denied adequate medical care for the cyst on his neck. See Gutierrez v. Peters, 111 F.3d 1364, 1374 (7th Cir. 1997) ("a plaintiff can plead himself out of court by alleging facts which show that he has no claim, even though he was not required to allege those facts. . . . Allegations in a complaint are binding admissions . . . and admissions can of course admit the admitter to the exit from the federal courthouse.") (alterations in original) (citation and internal quotation marks omitted).

Finally, Plaintiff makes the following additional complaints: (i) Defendant Dr. Ulloa did not resume his blood thinner medication promptly after surgery; (ii) Defendant Dr. Curbelo prescribed him a medication to which he was allergic; (iii) Defendant N.P. Beyer denied him medication that he was prescribed; (iv) Defendant N.P. Tufaro prescribed him the "wrong" medication for a knee infection, which took eight months to heal; and (v) he contracted MRSA after his cyst surgery. Plaintiff's Amended Complaint is silent as to what harm, if any, Plaintiff suffered from these alleged errors. The Court finds that even if the above incidents constitute denials of adequate medical care, they do not amount to "sufficiently serious" deprivations, because in each incident there is no indication that a "condition of urgency" existed. See Hemmings, 134 F.3d at 108 ("Objectively, the alleged deprivation must be sufficiently serious, in the sense that a condition of urgency, one that may produce death, degeneration, or extreme pain exists") (citation and internal quotation marks omitted); see also Chance, 143 F.3d at 703 ("mere disagreement over the proper treatment does not create a constitutional claim. . . . Moreover, negligence, even if it constitutes medical malpractice, does not, without more, engender a constitutional claim.")

Plaintiff's claims regarding the medical treatment he received, unrelated to the delay in surgery for his facial cyst, thus fail to meet the objective element required for a claim under the Eighth Amendment as they either do not amount to denials of adequate medical care or are not sufficiently serious deprivations. Nor does Plaintiff's Amended Complaint allege any facts that suggest Defendants acted with the deliberate indifference required to satisfy the subjective element in the treatment described above.13 Without more, Plaintiff's claims must fail.

2. Complaints Regarding Delay in Surgery

Plaintiff's allegations regarding the delay in surgery for his facial cyst require further analysis. Plaintiff alleges that the cyst was excruciatingly painful, that it interfered with his vision and that the delay caused him "imminent serious physical dangerous injury." (Am. Compl. at 3 ¶ 1).

i. Objective Element

The Court must first address the objective element of an Eighth Amendment claim: whether Plaintiff was actually denied adequate medical care and, if so, whether the deprivation was sufficiently serious. See Salahuddin, 467 F.3d at 279. There is no evidence to support the proposition that a three-month delay is a denial of adequate medical care. However, for the purposes of the instant motion and construing Plaintiff's allegations in the light most favorable to him, the Court finds that a three month delay in surgery, when Plaintiff was allegedly suffering from excruciating pain and blurry vision, may constitute a denial of adequate medical care.

Turning to the seriousness of the deprivation, "if the prisoner is receiving on-going treatment and the offending conduct is an unreasonable delay or interruption in that treatment, the seriousness inquiry `focus[es] on the challenged delay or interruption in treatment rather than the prisoner's underlying medical condition alone.'" Salahuddin, 467 F.3d at 280 (alteration in original) (citation omitted). "Moreover, `[w]here temporary delays or interruptions in the provision of medical treatment have been found to satisfy the objective seriousness requirement in [the Second Circuit], they have involved either a needlessly prolonged period of delay, or a delay which caused extreme pain or exacerbated a serious illness.'" Bell v. Jendell, 980 F.Supp.2d 555, 560 (S.D.N.Y. 2013) (alterations in original) (quoting Ferguson v. Cai, No. 11-CV-6181(PAE), 2012 WL 2865474, at *4 (S.D.N.Y. July 12, 2012)). Here, Plaintiff offers no evidence to support his complaints that he was in excruciating pain, but at the motion to dismiss stage the Court must accept all the allegations in the Amended Complaint as factually true. Consequently, reading the allegations in the light most favorable to Plaintiff, there is a facial plausibility that Plaintiff suffered a sufficiently serious injury. See James, 2013 WL 5730176, at *6.

ii. Subjective Element

The second component of an Eighth Amendment claim is the subjective test: the Defendants must have been deliberately indifferent and have acted with a "sufficiently culpable state of mind." See Hemmings, 134 F.3d at 108. To show deliberate indifference, Plaintiff must set forth sufficient evidence that, if taken as true, would show that "the prison official knew of and disregarded the plaintiff's serious medical needs." Harrison, 219 F.3d at 137 (citation and internal quotation marks omitted). This "requires allegations of the defendants' subjective state of mind." Dotson v. Fischer, 613 F. App'x 35, 38 (2d Cir. 2015).

Here, Plaintiff has not made any allegations regarding Defendants' subjective state of mind, nor has he alleged any conduct or behavior that would suggest the delay was caused by Defendants' deliberate indifference. See Bell, 980 F. Supp. 2d at 562 ("[T]his 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.") (collecting cases). Furthermore, "[a]lthough a lengthy, unjustifiable delay in providing necessary medical treatment might evidence deliberate indifference," Gomez, 649 F. App'x at 95, a three-month delay under the circumstances of this case does not amount to deliberate indifference.

Indeed, the grievances referenced in Plaintiff's Amended Complaint, and the responses thereto, indicate that the doctors and medical staff were monitoring Plaintiff's facial cyst and that he was timely referred to General Surgery. Although Plaintiff filed several grievances in April 2015, he did not mention the cyst until May 2015. (See Docket No. 44-5 at 5, 13). Plaintiff filed the first of two grievances regarding surgery for the cyst on May 19, 2015. (Docket No. 44-6 at 10). He complained that Dr. Ulloa was refusing to approve surgery for the "excruciating pain" near his right eye. (Id.). He indicated that he had been seen by a surgeon during the first week of May, approximately two weeks before he filed the grievance, and reported that the surgeon had told him that if the cyst was not removed it could lead to blindness or cancer.14 (Id.). Plaintiff also complained that Dr. Ulloa "never had me gone [sic] to my last scheduled [sic] on 4-20-15 being he said I was going home which I was not," but does not state what had been scheduled for April 20, 2015 — whether it was surgery, a cyst-related appointment, or something else entirely.15 (Id.) On May 22, 2015, Plaintiff received and signed the response to his grievance. (Docket No. 44-6 at 9). The response advised Plaintiff that his grievance was denied because it was unsubstantiated, and indicated that Dr. Ulloa had previously reviewed Plaintiff's case and "identified measurable perimeters to be met prior to referral for surgery." (Id.). Further, Plaintiff was informed that Dr. Ulloa would review his request for surgery, as well as the progress notes submitted after Plaintiff's early-May appointment, to determine whether surgery was indicated. (Id.). Plaintiff appealed the denial to the Assistant Warden. (Docket No. 44-6 at 6). The Assistant Warden informed Plaintiff, in a memorandum dated May 28, 2015, that it was "apparent that you have been seen multiple times for several medical issues including for your cyst," and that according to the medical record, Plaintiff was being "treated appropriately." (Id.). The Assistant Warden also indicated that Plaintiff was scheduled for an appointment the following week and confirmed that he was generally "being scheduled for treatment." (Id.). Finally, the Assistant Warden advised Plaintiff that it was "incumbent" on him "to cooperate with any and all procedures or tests related to the examination and/or treatment," and noted that Plaintiff had, in the past, "failed to cooperate" and that "accordingly [his] procedures ha[d] been either delayed or cancelled."16 (Id.). Despite these assurances that Plaintiff was already receiving and had been scheduled for additional treatment, he filed his second grievance regarding surgery for the cyst four days later, on June 1, 2015. (Docket No. 44-6 at 18). He again complained that Dr. Ulloa was delaying surgery, and claimed that this delay was causing him "excruciating pain." (Id.). The response to Plaintiff's grievance, which Plaintiff signed on June 8, 2015, noted that Dr. Ulloa had seen Plaintiff on the day his grievance was filed, and that Dr. Ulloa had "reviewed [Plaintiff's] medical record to ensure that he is receiving care for his facial cyst." (Docket No. 44-6 at 21.). Further, it indicated that Plaintiff was scheduled for an evaluation by General Surgery. (Id.). Plaintiff appealed, and his appeal was denied by the Assistant Warden in a memorandum addressed to Plaintiff and dated June 10, 2015. (Docket No. 44-6 at 24). The Assistant Warden wrote that it was "apparent that you are receiving adequate medical care," and that it was "also apparent that you do not agree," but noted that "without credible and logical evidenced based on medical proof," Plaintiff's "sentiment" could not compel the medical staff to provide care that was not "clinically indicated." (Id.). He also advised Plaintiff that "tests and procedures have been initiated and scheduled but again it appears that the swiftness of these may not be to your liking." (Id.).

This evidence fails to establish any intentional or reckless delay in medical treatment. Instead, it appears that Plaintiff's cyst was reasonably monitored and treated. See Stiehl, 2012 WL 2334626, at *6, 12 (finding that a "period of approximately seven months between Plaintiff's first complaint [of a cyst that allegedly was painful, caused blurry vision and was ultimately diagnosed as cancer], and Defendants' scheduling a biopsy or surgery" did not amount to deliberate indifference where "the reasons for those delays were reasonable and Plaintiff's mass was never ignored."); Gutierrez, 111 F.3d at 1373-74 (finding that plaintiff could not show deliberate indifference on a motion for judgment on the pleadings under Federal Rule of Civil Procedure 12(c), which is subject to the same standards as Rule 12(b)(6), despite a cyst with "a purulent draining infection accompanied by excruciating pain and, at times, fever in excess of 100 degrees," where plaintiff "repeatedly received treatment over [a] ten-month period and . . . at most he experienced an isolated occasion or two where he did not receive prompt treatment."); see also Arce v. Banks, 913 F.Supp. 307, 310 (S.D.N.Y. 1996) (dismissing claims under Rule 12(b)(6) where plaintiff refused to undergo surgery for cyst-removal in the manner prescribed by the surgeon and did not allege that he was unable to have the cyst removed); cf. Dotson, 613 F. App'x at (vacating dismissal and remanding to district court where plaintiff alleged that defendants ignored medical recommendation that plaintiff required urgent care and delayed surgery for removal of cyst by one year, which resulted in continued severe symptoms). Therefore, Plaintiff has failed to satisfy the subjective element of an Eighth Amendment claim, and his case must be dismissed.

3. Claims Against Westchester County

Plaintiff lists the Westchester County Jail/Liason [sic] in the caption of his Amended Complaint, and puts both the Westchester County Jail and the Westchester County Jail Department of Correction in the body of his Amended Complaint. (Am. Compl. at 1-2, 4). Defendants maintain that neither the Westchester County Jail nor the Westchester County Jail Department of Correction are proper legal entities and, therefore, both should be dismissed. (Docket No. 45 at 5 n.1). While the Court agrees that neither entity is a proper party, reading Plaintiff's Amended Complaint liberally, the Court instead construes it as raising a claim against the municipality of Westchester County. See Warren v. Westchester Cty. Jail, 106 F.Supp.2d 559, 561 n.1 (S.D.N.Y. 2000) (finding that where pro se plaintiff sued the Westchester County Jail, "the correct governmental defendant [was] Westchester County," and Plaintiff was "therefore deemed to have sued the municipality of Westchester County rather than the jail."). Plaintiff also appears to assert claims against Defendant Dr. Ulloa in his official capacity, (Docket No. 9 at 3), which further suggests that Plaintiff intended to sue Westchester County. See Whittle, 2016 WL 7351895, at *6.

However, even construing Plaintiff's Amended Complaint as raising a claim against Westchester County, "[m]unicipal liability under Section 1983 cannot be based on a theory of respondeat superior." Warren, 106 F. Supp. 2d at 566; see also Kucharczyk v. Westchester Cty., 95 F.Supp.3d 529, 538-40 (S.D.N.Y. 2015) (explaining that pursuant to Monell v. Dep't of Social Srvs. of the City of N.Y., 436 U.S. 658, (1978), "Congress did not intend municipalities to be held liable [under § 1983] unless action pursuant to official municipal policy of some nature caused a constitutional tort," and that "to survive a motion to dismiss, Plaintiffs cannot merely allege the existence of a municipal policy or custom, but must allege facts tending to support, at least circumstantially, an inference that such a municipal policy or custom exists.") (alteration in original) (citations and internal quotation marks omitted). Here, Plaintiff bases his claim against Westchester County on a theory of respondeat superior, (Docket No. 9 at 4), and has not alleged that any municipal policy or custom exists such that Westchester County may be held liable under Section 1983. Moreover, "[u]nless a plaintiff shows that he has been the victim of a federal law tort committed by persons for whose conduct the municipality can be responsible, there is no basis for holding the municipality liable [because] Monell does not create a stand-alone cause of action[.]" Askins v. Doe No. 1, 727 F.3d 248, 253 (2d Cir. 2013); see also Gomez, 649 F. App'x at 96 ("because [plaintiff] failed to plausibly allege an underlying constitutional violation, the district court properly dismissed his claims for municipal liability."). Here, Plaintiff's § 1983 claim against the individual Defendants is dismissed, and therefore there is no ground for holding Westchester County liable. Consequently, Plaintiff's claim against Westchester County is dismissed.

4. Federal Claims Against Defendant N.P. Kelly

Finally, Plaintiff fails to allege that Defendant N.P. Kelly was personally involved in the medical treatment or delay in surgery on which Plaintiff's Eighth Amendment claim is founded. This provides an additional reason why Plaintiff's § 1983 claim against Defendant N.P. Kelly is dismissed. Bell, 980 F. Supp. 2d at 559 ("`[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.'") (alterations in original) (quoting Grullon v. City of New Haven, 720 F.3d 133, 138 (2d Cir. 2013)). Turning to Plaintiff's claim that he was "racially profiled" by Defendant N.P. Kelly, Plaintiff has failed to allege any facts that would support a federal claim based on Plaintiff's race.17 Furthermore, the Court notes that "yelling, cursing, or even race-baiting does not violate any constitutionally protected rights." Arce, 913 F. Supp. at 309 (dismissing claims under Rule 12(b)(6) and collecting cases that held that racial insults and abusive language do not violate the Constitution or form the basis for claims under § 1983). Plaintiff's state law claims against Kelly sounding in defamation are discussed infra Section III(B).

B. State Law Claims

The Court interprets Plaintiff's claims for negligence, malpractice, negligent infliction of emotional distress and defamation — both slander and libel18 — as state law claims.19 These claims do not present a federal question, nor does Plaintiff allege diversity of citizenship with respect to any of the Defendants. See 28 U.S.C. §§ 1331, 1332. Therefore, the Court would only retain jurisdiction over these claims based on supplemental jurisdiction. See id. § 1367. However, because Plaintiff's federal claim under § 1983 is dismissed, the Court declines to exercise supplemental jurisdiction over Plaintiff's state law claims. See Matican v. City of New York, 524 F.3d 151, 154-55 ("[I]f [plaintiff] has no valid claim under § 1983 against any defendant, it is within the district court's discretion to decline to exercise supplemental jurisdiction over the pendent state-law claims."); Bell, 980 F. Supp. 2d at 563-64 (declining to exercise supplemental jurisdiction over plaintiff's state law claim for "medical negligen[ce]."). As a general rule, the Second Circuit and the Supreme Court "have held that when the federal claims are dismissed the `state claims should be dismissed as well.'" In re Merrill Lynch Ltd. Partnerships Litig., 154 F.3d 56, 61 (2d Cir. 1998) (quoting United Mine Workers v. Gibbs, 383 U.S. 715, 726 (1966)).

IV. CONCLUSION

For the foregoing reasons, Defendants' Motion to Dismiss is granted in its entirety and Plaintiff's Amended Complaint is dismissed. The Clerk is respectfully requested to terminate the pending motion (Docket No. 43) and close the case.

SO ORDERED.

2013 WL 5730176 Only the Westlaw citation is currently available. United States District Court, S.D. New York. Alvern JAMES, Plaintiff, v. CORRECT CARE SOLUTIONS, Aramark Corporation and Westchester County, Defendants. No. 13-cv-0019 (NSR). Oct. 21, 2013.

OPINION AND ORDER

NELSON S. ROMÁN, District Judge.

1 Plaintiff Alvern James ("Plaintiff") brings this action pursuant to 42 U.S.C. § 1983 alleging that Defendants Correct Care Solutions, LLC ("CCS") and Aramark Correctional Services, LLC1 ("Aramark") violated his constitutional rights while he was confined at Westchester County Jail ("WCJ"). Before this Court are the Motions to Dismiss of Defendant Aramark and Defendant CCS pursuant to Federal Rule of Civil Procedure 12(b)(6).

1 Aramark was erroneously sued under the name Aramark Corporation. Def. Aramark Mem. 1.

I. Background

For purposes of this motion, this Court accepts as true the facts as stated in Plaintiff's Second Amended Complaint. Defendant CCS administers medical services at WCJ. Def. CCS Mem. 2-3. Defendant Aramark is employed by Westchester County to provide food services at WCJ. Def. Aramark Mem. 3-4. Plaintiff alleges that on October 28, 2012 at approximately 5 a.m., while he was working in the kitchen at WCJ, an Aramark employee told him to move a cart containing several stainless steel pots of hot grits. Second Am. Compl. 3. While pushing the cart, a wheel of the cart became jammed because of a loose "diamond plated manmade saddle" in the floor and caused the container of hot grits to spill onto Plaintiff's body. Id. Some of the hot grits spilled onto Plaintiff's exposed left forearm, which caused Plaintiff's skin to burn. Id. Plaintiff alleges that after the grits spilled, his burn went untreated for 5 or 6 hours.2 Id at 3-4.

2 In Plaintiff's handwritten potion of the complaint, it appears that he states that five hours passed between injury and treatment. Second Am. Compl. 3. However, on the typewritten page of the complaint, Plaintiff states that six hours passed between injury and treatment. Id at 4.

According to Plaintiff, he was not seen by medical personnel until 6 hours after the accident, and he was never taken to the hospital. Plaintiff received treatment for his burn at WCJ from CCS employees. Def. CCS Mem. 2. Plaintiff alleges that in the weeks that followed the accident, his bandages were not changed on 6 days: October 30 and 31, and November 1, 15, 16, and 17. He further claims that he was given inadequate medical attention, including being asked to wait while a nurse practitioner ate her lunch before seeing Plaintiff and that medical personnel failed to wear gloves when treating him.

Plaintiff filed a grievance against CCS with the jail on October 31, 2012 in which he claimed that 8 hours passed between his accident and the administration of treatment. CCS Mot. to Dismiss Ex. D. The grievance includes a written statement signed by Plaintiff at 8:25 a.m. on October 28, 2012 — less than 4 hours after the accident — in which he states that he had already seen a nurse who "didn't do anything" but told him to "put ice on [the burn]." Id at 9. The Grievance report provides that Plaintiff was taken to the nurse again at 8:15 a.m., where the nurse practitioner applied silvedene cream (an antimicrobial cream), dressed Plaintiff's wound, and ordered daily follow-up consultations until the burned healed. Also included in the grievance is an officer's report, which recounts Plaintiff as saying that the "injury occurred approx. 0500" and that Plaintiff was "advised to apply ice to affected area" after being escorted to the nurse by another officer.

*2 Plaintiff alleges that a kitchen worker3 informed him that Aramark was aware that the floor plate was loose prior to the accident. Plaintiff also states that he was not trained to move the equipment he handled, and that Aramark's equipment was improperly maintained. No internal grievance was filed by Plaintiff at the WCJ with respect to Aramark or the loose floor saddle.

3 It is unclear from Plaintiff's complaint whether the named kitchen worker was an Aramark employee.

II. Legal Standard

On a motion to dismiss for "failure to state a claim upon which relief can be granted," Fed.R.Civ.P. 12(b) (6), dismissal is proper unless the complaint "contain[s] sufficient factual matter, accepted as true, to `state a claim to relief that is plausible on its face.'" Ashcroft v. Iqbal, 556 U.S. 662, 678, 129 S.Ct. 1937, 173 L.Ed.2d 868 (2009) (quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570, 127 S.Ct. 1955, 167 L.Ed.2d 929 (2007)); accord Hayden v. Paterson, 594 F.3d 150, 160 (2d Cir.2010). "Although for the purposes of a motion to dismiss [a court] must take all of the factual allegations in the complaint as true, [it is] `not bound to accept as true a legal conclusion couched as a factual allegation.'" Iqbal, 556 U.S. at 678 (quoting Twombly, 550 U.S. at 555).

When there are well-pleaded factual allegations in the complaint, "a court should assume their veracity and then determine whether they plausibly give rise to an entitlement to relief." Id. A claim is facially plausible when the factual content pleaded allows a court "to draw a reasonable inference that the defendant is liable for the misconduct alleged." Id. at 678. Ultimately, determining whether a complaint states a facially plausible claim upon which relief may be granted must be "a context-specific task that requires the reviewing court to draw on its judicial experience and common sense." Id. at 679.

"Pro se complaints are held to less stringent standards than those drafted by lawyers, even following Twombly and Iqbal." Thomas v. Westchester, No. 12-CV-6718 (CS), 2013 WL 3357171 (S.D.N.Y. July 3, 2013). The court should read pro se complaints "`to raise the strongest arguments that they suggest,'" Kevilly v. New York, 410 F. App'x 371, 374 (2d Cir.2010) (summary order) (quoting Brownell v. Krom, 446 F.3d 305, 310 (2d Cir.2006)). See also Harris v. Mills, 572 F.3d 66, 72 (2d Cir.2009) ("even after Twombly, though, we remain obligated to construe a pro se complaint liberally."). "However, even pro se plaintiffs asserting civil rights claims cannot withstand a motion to dismiss unless their pleadings contain factual allegations sufficient to raise a right to relief above the speculative level." Jackson v. N.Y.S. Dep't of Labor, 709 F.Supp.2d 218, 224 (S.D.N.Y.2010) (quoting Twombly, 550 U.S. at 555) (internal quotation marks omitted). Dismissal is justified, therefore, where "the complaint lacks an allegation regarding an element necessary to obtain relief," and therefore, the "duty to liberally construe a plaintiff's complaint [is not] the equivalent of a duty to rewrite it." Geldzahler v. New York Medical College, 663 F.Supp.2d 379, 387 (S.D.N.Y.2009) (internal citations and alterations omitted).

*3 The materials that may be considered on a motion to dismiss are those "asserted within the four corners of the complaint, the documents attached to the complaint as exhibits, and any documents incorporated in the complaint by reference." McCarthy v. Dun & Bradstreet Corp., 482 F.3d 184, 191 (2d Cir.2007). One way a document may be deemed incorporated by reference is where the complaint "refers to" the document. EQT Infrastructure Ltd. v. Smith, 861 F.Supp.2d 220, 224 n. 2 (S.D.N.Y.2012). Especially important to the inquiry of whether to consider a document outside the complaint is whether plaintiff has notice of the documents outside the complaint. Cortec Indus., Inc. v. Sum Holding L.P., 949 F.2d 42, 48 (2d Cir.1991) ("[T]he district court . . . could have viewed [the documents] on the motion to dismiss because there was undisputed notice to plaintiffs of their contents and they were integral to plaintiffs' claim."). Conversely, when the defendant includes documents that do not fall into these categories, "a district court must either exclude the additional material and decide the motion on the complaint alone or convert the motion to one for summary judgment . . . and afford all parties the opportunity to present supporting material." Friedl v. City of N. Y., 210 F.3d 79, 83 (2d Cir.2000) (internal quotation marks omitted). "In addition, because a pro se plaintiff's allegations must be construed liberally, it is appropriate for a court to consider factual allegations made in a pro se plaintiff's opposition memorandum, as long as the allegations are consistent with the complaint." Brooks v. Jackson, No. 11 Civ. 6627(JMF), 2013 WL 5339151, at *3 (S.D.N.Y. Sept.23, 2013).

Here, Defendant CCS included Plaintiff's grievance report ("Grievance") as an exhibit to its motion to dismiss. The Grievance was submitted to the warden of the WCJ as part of internal complaint procedure as required under the Prison Litigation Reform Act ("PLRA") before a plaintiff may bring certain actions to court.4 Plaintiff filed the grievance on October 31, 2012 and was denied on November 21, 2012. CCS Mot. to Dismiss Ex. D. The Grievance includes a Grievance Investigation Form, a Special Report, including officers' reports, and a Report of Inmate Injury completed by Plaintiff. Id. In his complaint, Plaintiff specifically refers to the grievance by noting that the attempted administrative channels before filing this suit. Although Plaintiff did not include the grievance as an exhibit, Plaintiff nonetheless incorporated the grievance by reference.5 Further, Plaintiff is clearly aware of the existence of the document and all of the information contained within given that he signed the decision to deny his grievance. Second Am. Compl. 6. "Where plaintiff has actual notice of all the information in the movant's papers and has relied upon these documents in framing the complaint the necessity of translating a Rule 12(b) (6) motion into one under Rule 56 is largely dissipated." Cortec Industries, Inc. v. Sum Holding L.P., 949 F.2d 42, 48 (2d Cir.1991). Therefore, the court will consider the grievance as incorporated by reference into Plaintiff's complaint in deciding the motion to dismiss.

4 The relevant section of the PLRA, 42 U.S.C. § 1997e(a), provides: "No action shall be brought with respect to prison conditions under section 1983 of this title, or any other Federal law, by a prisoner confined in any jail, prison, or other correctional facility until such administrative remedies as are available are exhausted." 5 The pro forma complaint provides that documents "related to the exhaustion of [] administrative remedies" may be attached as exhibits. Second Am. Compl. 7.

*4 Defendant Aramark also included documents with its motion to dismiss that are outside the complaint. Namely, Aramark included the agreement between Aramark and Westchester County to provide food services to WCJ. Aramark submitted a motion to dismiss to the court but asks, in the alternative, that the court translate its motion to a motion for summary judgment in the instance that the court considers documents outside the pleadings. The court finds no reason to convert Aramark's motion to dismiss to a motion for summary judgment so that the agreement may be considered. As the agreement is not incorporated by reference nor integral to Plaintiff's claim, it is inappropriate for consideration on a motion to dismiss. Cortec Indus., 949 F.2d at 48. Accordingly, the court will exclude consideration of the additional document included by Aramark and instead, consider only the facts in Plaintiff's complaint and Plaintiff's Grievance.

III. Defendant CCS's Motion to Dismiss

The Cruel and Unusual Punishments clause of the Eighth Amendment forms the basis of a convicted prisoner's claim that he or she is not being provided adequate medical care.6 Caiozzo v. Koreman, 581 F.3d 63, 69 (2d Cir.2009). To establish an Eighth Amendment claim arising from inadequate medical treatment, a prisoner must show that there was a "deliberate indifference to [a] serious medical need." Estelle v. Gamble, 429 U.S. 97, 104, 97 S.Ct. 285, 50 L.Ed.2d 251 (1976). Under this standard, prison officials are required to ensure that prisoners receive adequate medical attention. Farmer v. Brennan, 511 U.S. 825, 832, 114 S.Ct. 1970, 128 L.Ed.2d 811 (1994). However, but "not every lapse in medical care is a constitutional wrong." Salahuddin v. Goord, 467 F.3d 263, 279 (2d Cir.2006). To determine if the prisoner's Eighth Amendment rights were violated, courts apply a test with a subjective and an objective component. Id. The test requires plaintiff to show first, that the alleged deprivation of medical care was "sufficiently serious [and] result[ed] in the denial of the minimal civilized measure of life's necessities," Farmer v. Brennan, 511 U.S. 825, 834, 114 S.Ct. 1970, 128 L.Ed.2d 811 (1994) (internal citations omitted), and second, that the prison official acted with a sufficiently culpable state of mind. Salahuddin, 467 F.3d at 280.

6 Plaintiff does not specify in his complaint whether he was a pre-trial detainee or a convicted and sentenced prisoner at the time of the alleged conduct. The result, however, is the same. "Although a deliberate indifference claim must be brought under different constitutional provisions depending on the Plaintiff's status-the Eighth Amendment for convicted prisoners and the Fourteenth Amendment for pre-trial detainees-the standard for evaluating claims of deliberate indifference is the same under both amendments." Thomas v. Westchester County, No. 12-CV-6718 (CS), 2013 WL 3357171, at *3 n. 9 (S.D.N.Y. July 3, 2013); see also Caiozzo v. Koreman, 581 F.3d 63, 69 (2d Cir.2009).

a. Objective Test

The first requirement for a showing of an Eighth Amendment violation is that there was a deprivation of care that was sufficiently serious, which is determined by an objective test with two prongs. The first prong is whether the prisoner was actually denied adequate medical care. Salahuddin, 467 F.3d at 279. "[T]he prison official's duty is only to provide reasonable care," id, and thus, "prison officials who act reasonably [when responding to an inmate] cannot be found liable under the Cruel and Unusual Punishments Clause," Farmer, 511 U.S. at 845. Conversely, liability may result where prison officials fail "to take reasonable measures" in response to a medical need. Id at 847.

*5 The second prong of the objective test is whether the alleged deprivation of medical care was sufficiently serious. Salahuddin, 467 F.3d at 279. "[T]he prisoner must prove that his medical need was a condition of urgency, one that may produce death, degeneration, or extreme pain." Johnson v. Wright, 412 F.3d 398, 403 (2d Cir.2005) (internal quotation marks omitted); see also Chance v. Armstrong, 143 F.3d 698, 702 (2d Cir.1998) ("The standard for Eighth Amendment violations contemplates a condition of urgency that may result in degeneration or extreme pain.") (internal quotation marks omitted). Relevant factors regarding the seriousness of the condition include: "(1) whether a reasonable doctor or patient would perceive the medical need in question as `important and worthy of comment or treatment,' (2) whether the medical condition significantly affects daily activities, and (3) `the existence of chronic and substantial pain.'" Brock v. Wright, 315 F.3d 158, 162 (2d Cir.2003) (quoting Chance v. Armstrong, 143 F.3d 698, 702 (2d Cir.1998). The inquiry is "fact-specific" and "must be tailored to the specific circumstances of each case," Smith v. Carpenter, 316 F.3d 178, 185 (2d Cir.2003), meaning that "[i]n cases where the inadequacy is in the medical treatment given, the seriousness inquiry is narrower." Salahuddin, 467 F.3d at 280. For instance, where a prisoner claims that the care provided was adequate but that there was a delay or interruption in administration, courts may "focus on the challenged delay or interruption in treatment rather than the prisoner's underlying medical condition alone." Smith, 316 F.3d at 185.

Plaintiff alleges that he was denied treatment for five or six hours after the initial incident7 and that he was denied proper follow-up treatment by not having his bandages properly changed or his wound properly cleaned. The first allegation is based on the delay in treatment, which requires focusing on the delay rather than the underlying condition alone.

7 In his complaint, Plaintiff alleges that five and six hours passed between his injury and treatment. Second Am. Compl. 3, 4. In his grievance, Plaintiff alleges that the time lapse was 8 hours. Grievance 3. In the grievance, however, plaintiff signed a "Statement Form" on 8:25 a.m. on October 28, 2012, the date of the accident. In his own words, Plaintiff writes that the accident occurred "around 5 am" and that he was taken to the nurse who told him "to put ice on it." CCS Mot. to Dismiss Ex. D, at 11 (non-paginated exhibit). Given that he signed this statement at 8:25 a.m. and stated himself that he had already been seen by the nurse, it is impossible that 5 hours passed between his injury and treatment. However, reading the complaint liberally, it may be the case that Plaintiff is referring to the fact that 5 or 6 hours passed between the accident and when he returned to the nurse for the second time, after a blister had formed on his arm. At the second visit, the nurse wrapped Plaintiff's wound and administered antimicrobial cream. For purposes of this motion, the court will take Plaintiff's claim to refer to the second visit after his burn formed a blister.

Plaintiff claims that the prison officials were notified immediately after the accident of Plaintiff's injury, but did not adequately respond for several hours. However, by Plaintiff's own admission, he was seen by a nurse shortly after the accident and when it became clear a few hours later that the injury required further treatment, Plaintiff's burn was treated further. Even allowing for a few hours of lapse, "[c]ourts in this Circuit have repeatedly held that pain experienced for even longer than two to three hours does not rise to the level of an Eighth Amendment violation." Mitchell v. New York City Dept. of Corrections, No. 10 CV 0292(RJH), 2011 WL 503087, at *4 (S.D.N.Y. Feb.14, 2011) (listing cases where up to 8 to 9 hours of lapse between injury and treatment was not considered serious); Heredia v. Doe, 473 F.Supp.2d 462, 464 (S.D.N.Y.2007) (adopting recommendation to dismiss claim where jail staff did not send plaintiff to hospital after slipping and falling on his back until the day after the fall); Rodriguez v. Mercado, No. 00-CV-8588, 2002 WL 1997885, at *9 (S.D.N.Y. Aug.28, 2002) (dismissing claim where plaintiff was seen within eight or nine hours of the incident by a nurse who prescribed him Tylenol).

*6 The injury Plaintiff sustained encompassed an area "about 8 inches by 6 inches" and caused him extreme pain. Second Am. Compl. 3. The burn was characterized as "third-degree" in the Grievance, although Plaintiff does not allege the severity of his burn in the Complaint. Although this court determined that second degree burns sustained from spilling hot coffee and that resulted in blistering the size of "a couple of fingers" was not serious, Pressley v. Green, No. 02 Civ. 5261(NRB), 2004 WL 2978279 (S.D.N.Y. Dec.21, 2004). However, the severity and size of the burn is more significant in this case. While there was no threat of death or degeneration from Plaintiff's injury, Plaintiff did allege that his wound caused him extreme pain, as a serious burn likely would.

Further, "the failure to provide treatment for an otherwise insignificant wound may violate the Eighth Amendment if the wound develops signs of infection, creating a substantial risk of injury in the absence of appropriate medical treatment." Smith, 316 F.3d at 186; accord Odom v. Kerns, No. 99-CV-10668, 2008 WL 2463890, at *7 (S.D.N.Y. June 18, 2008) (cuts and open wounds that eventually became infected could be serious medical needs). If Plaintiff's bandages were not changed on six different occasions in the weeks following his burn as alleged, such failure might result in infection. In fact, in his Grievance, Plaintiff states that his burn was "infested with bacteria from puss discharge not being cleaned with disinfectans [sic] and wrapping has a foul odor." Grievance at 4. Therefore, reading the complaint in the light most favorable to the pro se Plaintiff, there is a plausible allegation of a serious injury in Plaintiff's Complaint.

i. Subjective Test

The second requirement for an Eighth Amendment violation is a subjective test that asks whether the accused Eighth Amendment violator acted with a "sufficiently culpable state of mind." Salahuddin, 467 F.3d at 280. In Eighth Amendment prison-conditions cases, a sufficiently culpable state of mind is "deliberate indifference to inmate health or safety." Farmer v. Brennan, 511 U.S. 825, 834, 114 S.Ct. 1970, 128 L.Ed.2d 811 (1994) (internal quotation marks and citation omitted). A prison official may only be found liable if "the official knows of and disregards an excessive risk to inmate health or safety." Id. at 837. "This `deliberate indifference' element is equivalent to the familiar standard of `recklessness' as used in criminal law." Phelps v. Kapnolas, 308 F.3d 180, 186 (2d Cir.2002) (quoting Farmer, 511 U.S. at 839-40). In order to meet this standard, the "charged official [must] act or fail to act while actually aware of a substantial risk that serious inmate harm will result." Farmer, 511 U.S. at 836-37. Mere negligence on the part of a prison official is not sufficient to constitute deliberate indifference. Id. at 835-37.

Even if Plaintiff's burn is a serious medical condition, Plaintiff must also show that "defendants acted or failed to act while actually aware of a substantial risk that serious inmate harm would result." Farid v. Ellen, 593 F.3d 233, 248 (2d Cir.2010) (alterations and internal quotation marks omitted). In examining the facts, even in the light most favorable to the Plaintiff, there is no indication that defendant CCS acted with the requisite state of mind. None of CCS's activities could be deemed to reach the level of criminal recklessness. First, the Grievance makes clear that the Plaintiff saw a nurse soon after his accident, and subsequently followed up with a nurse a few hours later. "The bare fact of delay suggests at most negligence, and the Supreme Court in Estelle cautioned that mere negligence is insufficient to state a claim under § 1983." Linden v. Westchester County, No. 93 Civ. 8373(MBM), 1995 WL 686742, at *3 (S.D.N.Y.1995). Even if Plaintiff's wounds were not changed on six occasions over the course of three weeks as alleged, there is nothing more in Plaintiff's complaint that makes a plausible claim that defendants knew and consciously disregarded an excessive risk to Plaintiff's health and safety. His burn was bandaged within hours of the accident and treated thereafter.

*7 At best, Plaintiff makes out a claim for negligence, which has long been held to be insufficient to sustain a claim under the Eighth Amendment. See Estelle v. Gamble, 429 U.S. 97, 106, 97 S.Ct. 285, 50 L.Ed.2d 251 (1976) ("[A] complaint that a physician has been negligent in . . . treating a medical condition does not state a valid claim of medical mistreatment under the Eighth Amendment. Medical malpractice does not become a constitutional violation merely because the victim is a prisoner."); Chance, 143 F.3d at 703 ("negligence, even if it constitutes medical malpractice, does not, without more, engender a constitutional claim."); Hill v. Curcione, 657 F.3d 116, 123 (2d Cir.2011) ("Medical malpractice does not rise to the level of a constitutional violation unless the malpractice involves culpable recklessness-an act or a failure to act by a prison doctor that evinces a conscious disregard of a substantial risk of serious harm.") (alteration and internal quotation marks omitted). "While not changing [] bandages daily may potentially amount to negligence," occasional failure to change bandages, without the accompanying state of mind, is not sufficient to state a claim. Thomas v. Westchester, No. 12-CV-6718 (CS), 2013 WL 3357171, at *5 (S.D.N.Y. July 3, 2013).

Plaintiff also argues that he should have been taken to the hospital to determine the severity of his burns. Failure to seek outside medical advice alone is not sufficient to allege deliberate indifference because "mere disagreement over the proper treatment does not create a constitutional claim." Chance v. Armstrong, 143 F.3d 698, 703 (2d Cir.1998). "The prisoner's right is to medical carenot the type or scope of medical care which he personally desires." Gonzales v. Wright, 665 F.Supp.2d 334, 337 (S.D.N.Y.2009) (quoting U.S. ex rel. Hyde v. McGinnis, 429 F.2d 864, 867 (2d Cir.1970)). CCS employees did not believe that Plaintiff's injury warranted a hospital visit, and even if Plaintiff disagreed, such disaccord is not actionable. Thus, Plaintiff has not plausibly alleged that CCS had the requisite state of mind in order to state a claim for deliberate indifference.

For the reasons stated above, Defendant CCS's motion to dismiss is granted with respect to Plaintiff's Eighth Amendment deliberate indifference claim.

b. Defendant Aramark's Motion to Dismiss

Plaintiff also brings this action against Aramark, a food service provider for the WCJ, under 42 U.S.C. § 1983 for "failure to train, no proper protective equipment, old, rundown and not maintained equipment." Second Am. Compl. 5. Plaintiff was working in the kitchen under the instruction of Aramark employees at the time the accident occurred. Plaintiff's claims are that Aramark, through its employees, did not fix a dangerous condition that caused an accident, and that Plaintiff was not properly trained to handle the cart he was asked to push. Reading the complaint liberally, as afforded a pro se plaintiff, it seems that Plaintiff's claim is that Aramark failed to protect Plaintiff from a risk of harm in violation of his Eighth Amendment right to be free from cruel and unusual punishment. With a failure to protect claim, plaintiff must show that he is "incarcerated under conditions posing a substantial risk of harm," Farmer v. Brennan, 511 U.S. 825, 834, 114 S.Ct. 1970, 128 L.Ed.2d 811 (1994), and that prison officials "kn[ew] of and disregard[ed] an excessive risk to inmate health or safety." Id. at 837. "Whether . . . prison official[s] had the requisite knowledge of a substantial risk is a question of fact subject to demonstration in the usual ways, including inference from circumstantial evidence, and a fact finder may conclude that . . . prison official[s] knew of a substantial risk from the very fact that the risk was obvious." Farmer, 511 U.S. at 842. Plaintiff alleges that Aramark, though its employees, was aware of the loose diamond plate in the floor that caused the accident in which he was injured and that Aramark did nothing to remedy the situation. However, the court need not reach the issue of whether Plaintiff properly alleges notice and failure to protect because Aramark is not subject to liability under 42 U.S.C. § 1983 due to the fact that it is not a state actor.

i. State Actor

*8 Aramark, a private defendant, may only be held liable under § 1983 if it acted "under the color" of state law. Section 1983 states:

Every person who, under color of any statute, ordinance, regulation, custom, or usage, of any State or Territory or the District of Columbia, subjects, or causes to be subjected, any citizen of the United States or other person within the jurisdiction thereof to the deprivation of any rights, privileges, or immunities secured by the Constitution and laws, shall be liable to the party injured in an action at law, suit in equity, or other proper proceeding for redress. . . .

42 U.S.C. § 1983. A private defendant may be considered a state actor through the application of one of three tests: the close nexus test, the state compulsion test, and the public function test.

To find state action under the close nexus test, "there [must be] a sufficiently close nexus between the State and the challenged action of the [] entity so that the action of the latter may be fairly treated as that of the State itself." Blum v. Yaretsky, 457 U.S. 991, 1004, 102 S.Ct. 2777, 73 L.Ed.2d 534 (1982) (internal citation omitted). Being regulated by the state alone does not elevate the status of a non-state actor to that of a state actor. Id. This test ensures that constitutional standards apply only to action for which the state is "responsible," so that the entity may fairly be treated as the state. Id.

The state compulsion test requires a showing that the state actor has "exercised coercive power or has provided such significant encouragement, either overt or covert, that the choice must in law be deemed to be that of the State." Blum v. Yaretsky, 457 U.S. 991, 1004, 102 S.Ct. 2777, 73 L.Ed.2d 534 (1982).

To show state action under the public function test, the action must be "so clearly governmental in nature as to amount to a public function." Jordan v. Federal Bureau of Prisons, No. 09 Civ. 8561(ALC), 2013 WL 1143617, at *12 (S.D.N.Y. Mar.19, 2013). "The public function test as applied is quite stringent and under the doctrine an extraordinarily low number of functions have been held to be public." Doe v. Harrison, 254 F.Supp.2d 338, 343 (S.D.N.Y.2003) (quoting Ruhlmann v. Ulster County Dept. of Social Services, 234 F.Supp.2d 140, 166 (N.D.N.Y.2002)) (internal quotation marks omitted). "Acts of prison employees will [] almost certainly be considered acts of the State whatever the terms of their employment." Horvath v. Westport Library Ass'n, 362 F.3d 147, 151 (2d Cir.2004). However, the Supreme Court held that the negligent acts of a private physician working under contract to provide medical services to prison inmates was considered state action. West v. Atkins, 487 U.S. 42, 54-57, 108 S.Ct. 2250, 101 L.Ed.2d 40 (1988). Further, "[t]he mere fact that a private actor is paid by state funds, or is hired by a state actor, is insufficient to establish state action." Emanuel v. Griffin, No. 13 Civ. 1806(JMF), 2013 WL 5477505, at *5 (S.D.N.Y. Oct.2, 2013).

*9 In addition, a private employer is not liable under § 1983 for injury committed by its employees unless such action is taken in furtherance of an official policy or custom.8 Monell v. Dep't of Social Serv. of the City of New York, 436 U.S. 658, 691, 98 S.Ct. 2018, 56 L.Ed.2d 611 (1978) ("it is when execution of a government's policy or custom, whether made by its lawmakers or by those whose edicts or acts may fairly be said to represent official policy, inflicts the injury that the government as an entity is responsible under § 1983."); see also Mora v. Camden County, Civil No. 09-4183(JBS), 2010 WL 2560680, at *10 (D.N.J. June 21, 2010) ("in order for an entity such as Aramark to be liable under § 1983, Plaintiffs must show that the entity had a relevant policy or custom, and that the policy caused the constitutional violation."). A policy is made "where the decisionmaker possesses final authority to establish municipal policy with respect to the action ordered." Pembaur v. City of Cincinnati, 475 U.S. 469, 481, 106 S.Ct. 1292, 89 L.Ed.2d 452 (1986) (plurality opinion). A custom is an act "that has not been formally approved by an appropriate decisionmaker," but that is "so widespread as to have the force of law." Bd. of County Commis of Bryan County, Oklahoma v. Brown, 520 U.S. 397, 404, 117 S.Ct. 1382, 137 L.Ed.2d 626 (1997).

8 "Although Monell dealt with municipal employers, its rationale has been extended to private businesses." Rojas v. Alexander's Dept. Store, Inc., 924 F.2d 406, 408 (2d Cir.1990).

There is nothing in the complaint that suggests that Aramark should be treated as a state actor. Further, other than conclusory statements that Aramark was apprised of the condition of the floor, Plaintiff makes no allegations that there was systematic failure on Aramark's part to fix potential hazards in the kitchen area that could harm prisoners in violation of the Eighth Amendment. There are no facts to make a plausible claim that Aramark's failure to prevent this accident was due, even in part, to the furtherance of a policy or custom.

IV. State Law Claims

In construing the complaint liberally, Plaintiff's complaint could be read as asserting claims under state law for negligence and/or medical malpractice. Pursuant to 28 U.S.C. § 1367(c)(3), a district court may decline to exercise supplemental jurisdiction over state law claims where it has dismissed all federal claims over which it had original jurisdiction. Having dismissed all of Plaintiff's federal claims under Rule 12(b)(6), it would be inappropriate to adjudicate his state law claims, and thus the Court declines to exercise supplemental jurisdiction over any purported state law claims.

V. Conclusion

For the foregoing reasons, Defendant Aramark's Motion to Dismiss and Defendants CCS's Motions to Dismiss are GRANTED. The Clerk is respectfully directed to terminate the pending Motions, (Doc. 50 & Doc. 44), and terminate CCS and Aramark from the case.

SO ORDERED:

All Citations

Not Reported in F.Supp.2d, 2013 WL 5730176

2016 WL 7351895 Only the Westlaw citation is currently available. United States District Court, S.D. New York. Avery Whittle, Plaintiff, v. Dr. Ulloa, N.P. Uszynski, Warden Volmer, Grievance Coordinator Smiley, Defendants. 15 CV 8875 (VB) Signed 12/19/2016

Attorneys and Law Firms

Avery Whittle, Collins, NY, pro se.

James Christopher Freeman, Kent Hazzard, LLP, Syma B. Funt, White Plains, NY, for Defendants.

OPINION AND ORDER

Briccetti, United States District Judge

*1 Plaintiff Avery Whittle, proceeding pro se, brings this Section 1983 prisoner civil rights action alleging defendants N.P. Uszynski, Dr. Raul Ulloa, Captain W. Smiley, and Warden Volmer (the last two of whom will be collectively referred to herein as the "County defendants") were deliberately indifferent to plaintiff's medical needs in both their personal and official capacities. Liberally construed, the amended complaint (Doc. #17) also asserts state law claims for medical malpractice and negligence against all defendants.

Now pending are defendants' motions to dismiss the amended complaint. (Docs. ##27, 43). For the following reasons, the County defendants' motion and Dr. Ulloa's motion are GRANTED in their entireties. N.P. Uszynski's motion is GRANTED in part and DENIED in part.

The Court has subject matter jurisdiction under 28 U.S.C. § 1331.

BACKGROUND

In deciding the pending motions, the Court accepts as true all well-pleaded allegations in the amended complaint and draws all reasonable inferences in plaintiff's favor. The following facts are taken from the amended complaint and the document attached thereto,1 plaintiff's opposition to defendants' motions to dismiss,2 and Parts I and II of the grievance form.3

1 Plaintiff filed his original complaint on November 10, 2015, asserting claims against a Jane Doe defendant, as well as Dr. Ulloa, Capt. Smiley, and Warden Volmer. (Doc. #1). After being informed of the identity of the John Doe defendant, plaintiff filed an amended complaint on April 4, 2016, replacing the Jane Doe defendant with N.P. Uszynski. (Doc. #17). The amended complaint is filed as one eleven-page document containing a completed Complaint form and a three-page summary of plaintiff's allegations. For ease of reference, the Court will cite to the page number as stamped by the ECF filing system at the top of each page. 2 In liberally construing a pro se plaintiff's complaint, it is generally appropriate to consider allegations made in plaintiff's opposition papers. See Samuels v. Fischer, 168 F.Supp.3d 625, 645 n.11 (S.D.N.Y. 2016). 3 Along with their motions to dismiss, defendants submitted plaintiff's grievance form, which includes plaintiff's grievance (Part I) and the written denial of his grievance (Part II). (Docs. ##29-3, 45-2). Defendants notified plaintiff that in light of the additional materials, the Court may convert the instant motion to dismiss into a motion for summary judgment. (Docs. ##30, 39). However, in deciding a motion to dismiss, this Court may consider documents external to the complaint without converting the motion into one for summary judgment when "there [is] undisputed notice to [plaintiff] of [the documents'] contents and [the documents] were integral to [plaintiff's] claim." Cortec Indus., Inc. v. Sum Holding L.P., 949 F.2d 42, 48 (2d Cir. 1991). Here, plaintiff signed both Part I and Part II and referenced both his own grievance and the denial of the grievance several times throughout his amended complaint. Accordingly, the Court may consider these documents in deciding the instant motion. For the same reasons, the necessity of translating this motion to dismiss into a motion for summary judgment on the basis that defendants rely on documents other than the amended complaint is "largely dissipated," and the Court will not do so. See id.

*2 Plaintiff was detained at Westchester County Jail ("WCJ") at all relevant times. According to the amended complaint, on or about December 14, 2014, Dr. Aaron Roth, who is not a party to this lawsuit, surgically removed a cyst from the left side of plaintiff's neck at Montefiore Mt. Vernon Hospital in Mount Vernon, New York. Dr. Roth closed the surgical incision with thirty-six staples, and provided written instructions for WCJ staff to change plaintiff's bandages daily and to give plaintiff antibiotics and pain medication.

Upon returning to WCJ, N.P. Uszynski, a nurse at WCJ, read Dr. Roth's instructions and removed plaintiff's bandages. However, N.P. Uszynski allegedly failed to replace plaintiff's bandages, leaving plaintiff's stapled incision exposed to open air. Plaintiff alleges that from December 14, 2014, through January 6, 2015, he was seen only twice by WCJ medical staff, and that his bandages were not changed during this period because the medical department claimed to be short-staffed due to the holidays. Plaintiff alleges the failure to properly treat his incision caused it to become infected and severely swollen, resulting in severe pain.

On January 3, 2015, plaintiff filed an administrative grievance alleging the medical department did not provide him with proper treatment or create an adequate post-surgery treatment plan. In response to this grievance, plaintiff states he was seen by Dr. Ulloa, the medical director of WCJ, who ordered that plaintiff's dressing be changed and plaintiff be given more effective medication. Plaintiff further alleges that Capt. Smiley, the grievance coordinator, denied plaintiff's grievance, and Warden Volmer, the warden of WCJ, denied plaintiff's appeal of Capt. Smiley's denial.

DISCUSSION

I. Standard of Review

In deciding a Rule 12(b)(6) motion, the Court evaluates the sufficiency of the operative complaint under the "two-pronged approach" articulated by the Supreme Court in Ashcroft v. Iqbal, 556 U.S. 662, 679 (2009). First, plaintiff's legal conclusions and "[t]hreadbare recitals of the elements of a cause of action, supported by mere conclusory statements," are not entitled to the assumption of truth and are thus not sufficient to withstand a motion to dismiss. Id. at 678; Hayden v. Paterson, 594 F.3d 150, 161 (2d Cir. 2010). Second, "[w]hen there are well-pleaded factual allegations, a court should assume their veracity and then determine whether they plausibly give rise to an entitlement to relief." Ashcroft v. Iqbal, 556 U.S. at 679.

To survive a Rule 12(b)(6) motion, the allegations in the complaint must meet a standard of "plausibility." Ashcroft v. Iqbal, 556 U.S. at 678; Bell Atl. Corp. v. Twombly, 550 U.S. 544, 564 (2007). A claim is facially plausible "when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged." Ashcroft v. Iqbal, 556 U.S. at 678. "The plausibility standard is not akin to a `probability requirement,' but it asks for more than a sheer possibility that a defendant has acted unlawfully." Id.

The Court must liberally construe submissions of pro se litigants, and interpret them "to raise the strongest arguments that they suggest." Triestman v. Fed. Bureau of Prisons, 470 F.3d 471, 474 (2d Cir. 2006) (per curiam) (internal quotation marks and citation omitted). Applying the pleading rules permissively is particularly appropriate when, as here, a pro se plaintiff alleges civil rights violations. See Sealed Plaintiff v. Sealed Defendant, 537 F.3d 185, 191 (2d Cir. 2008). "Even in a pro se case, however . . . threadbare recitals of the elements of a cause of action, supported by mere conclusory statements, do not suffice." Chavis v. Chappius, 618 F.3d 162, 170 (2d Cir. 2010) (internal quotation marks and citation omitted). Nor may the Court "invent factual allegations" plaintiff has not pleaded. Id.

II. Deliberate Indifference to Medical Needs Claim

*3 Plaintiff alleges N.P. Uszynski was deliberately indifferent to his medical needs in violation of his constitutional rights. To assert a claim for constitutionally inadequate medical care, plaintiff must allege "acts or omissions sufficiently harmful to evidence deliberate indifference to serious medical needs." Estelle v. Gamble, 429 U.S. 97, 106 (1976). This test has both an objective and a subjective component: plaintiff must plead facts showing (i) the alleged deprivation of medical care is "sufficiently serious," and (ii) the officials in question acted with a "sufficiently culpable state of mind." Salahuddin v. Goord, 467 F.3d 263, 279-80 (2d Cir. 2006).

A. Objective Component

The objective component has two subparts. "The first inquiry is whether the prisoner was actually deprived of adequate medical care," keeping in mind that only "reasonable care" is required. Salahuddin v. Goord, 467 F.3d at 279 (citing Farmer v. Brennan, 511 U.S. 825, 839-40 (1970)). "Second, the objective [inquiry] asks whether the inadequacy in medical care is sufficiently serious" by examining "how the offending conduct is inadequate and what harm, if any, the inadequacy has caused or will likely cause the prisoner." Salahuddin v. Goord, 467 F.3d at 280 (citing Helling v. McKinney, 509 U.S. 25, 32-33 (1993)). "A serious medical need arises where the failure to treat a prisoner's condition could result in further significant injury or the unnecessary and wanton infliction of pain." Woods v. Goord, 2002 WL 731691, at *4 (S.D.N.Y. April 23, 2002) (quoting Chance v Armstrong, 143 F.3d 698, 702 (2d Cir. 1998)) (internal quotation marks omitted).4

4 Plaintiff will be provided with copies of all unpublished opinions cited in this ruling. See Lebron v. Sanders, 557 F.3d 76, 79 (2d Cir. 2009).

Regarding the first subpart, plaintiff has sufficiently alleged he was "actually deprived of adequate medical care." Of course, medical care is not inadequate simply because a plaintiff disagrees with the treating official's medical judgment. See Bolden v. Cnty. of Sullivan, 523 Fed. Appx. 832, 834 (2d Cir. 2013). Here, however, plaintiff does not simply disagree with the medical treatment rendered. According to the amended complaint, Dr. Roth provided specific written instructions for plaintiff's post-operative care, and N.P. Uszynski's treatment was allegedly blatantly deficient. Dr. Roth ordered that plaintiff be provided "antibiotics, pain relievers, and the daily changing of the bandages" to cover the "thirty-six staples to close the wound" left from the removal of a "large cyst lodged on the left side of his neck." (Am. Compl. at 8). Instead of following Dr. Roth's orders, N.P. Uszynski allegedly removed plaintiff's bandages and did not apply a new bandage, "leaving the plaintiff's recently stapled wound exposed." (Am. Compl. at 8). Whether N.P. Uszynski provided antibiotics at this time is also unclear. Accordingly, plaintiff has sufficiently alleged that N.P. Uszynski's failure to replace his bandages deprived him of "reasonable care." See Salahuddin v. Goord, 476 F.3d at 279.

Regarding the second subpart, "[t]he failure to provide treatment for an otherwise insignificant wound may violate the Eighth Amendment if the wound develops signs of infection, creating a substantial risk of injury in the absence of appropriate medical treatment." Smith v. Carpenter, 316 F.3d 178, 186 (2d Cir. 2003); see also Odom v. Kerns, 2008 WL 2463890, at *7 (S.D.N.Y. June 18, 2008) (holding a nurse's failure to adequately treat cuts that later became infected was sufficiently serious to satisfy the objective prong).

*4 Plaintiff alleges N.P. Uszynski's deficient treatment caused his "wound to become infected and severely swollen with puss oozing out of the wound," which was so painful that it was difficult or impossible for plaintiff to sleep during the three weeks he was not treated according to Dr. Roth's orders. (Am. Compl. at 9). Moreover, the location of the infection on plaintiff's neck further supports the inference that the infection resulted in significant risk of further injury and pain for plaintiff. Cf. Laguna v. Kwan, 2015 WL 872366, at *5 (S.D.N.Y. Jan. 28, 2015) ("The type of pain associated with a broken finger, and an infection in that finger, is not sufficiently serious."). As such, plaintiff has plausibly alleged he experienced a serious medical need sufficient to satisfy the second subpart.

Accordingly, plaintiff has satisfied both subparts of the objective prong.

B. Subjective Component

"[A] deliberate indifference claim can lie where prison officials deliberately ignore the medical recommendations of a prisoner's treating physicians." Johnson v. Wright, 412 F.3d 398, 404 (2d Cir. 2005) (citing Gill v. Mooney, 824 F.2d 192, 196 (2d Cir. 1987)). Moreover, "a physician may be deliberately indifferent if he or she consciously chooses an easier and less efficacious treatment plan." Chance v. Armstrong, 143 F.3d at 703 (internal quotation marks and citation omitted).

Plaintiff has sufficiently alleged N.P. Uszynski was deliberately indifferent to his medical needs. Plaintiff alleges N.P. Uszynski disregarded Dr. Roth's instructions to change his bandages, and plaintiff's amended complaint indicates no medical justification for doing so. Moreover, although defendants argue N.P. Uszynski disregarded Dr. Roth's instructions based on her medical judgment, this argument is contrary to plaintiff's allegation that, after plaintiff complained about his deficient treatment, plaintiff was told that he could not receive the ordered treatment because "it was the holidays and there was only a skeleton crew on, also that the doctor was not [at the jail]." (Am. Compl. at 9). Thus, according to the amended complaint, N.P. Uszynski diverged from Dr. Roth's instructions because doing so was easier than implementing the instructions as written. Liberally construed, plaintiff has alleged N.P. Uszynski was deliberately indifferent by choosing an "easier and less efficacious treatment plan." Chance v. Armstrong, 143 F.3d at 703 (internal quotation marks and citation omitted).

Accordingly, plaintiff has sufficiently pleaded facts that, if proven true, could satisfy both prongs of the deliberate indifference to medical needs standard.

III. Personal Involvement of Dr. Ulloa, Capt. Smiley, and Warden Volmer

To state a claim under Section 1983, plaintiff "must plead that each Government-official defendant, through the official's own individual actions, has violated the Constitution." Ashcroft v. Iqbal, 556 U.S. at 676.

Prior to Ashcroft v. Iqbal, a supervisor's personal involvement in a claimed constitutional violation could have been established by providing evidence of any one or more of the following five methods:

(1) the defendant participated directly in the alleged constitutional violation, (2) the defendant, after being informed of the violation through a report or appeal, failed to remedy the wrong, (3) the defendant created a policy or custom under which unconstitutional practices occurred, or allowed the continuance of such a policy or custom, (4) the defendant was grossly negligent in supervising subordinates who committed the wrongful acts, or (5) the defendant exhibited deliberate indifference to the rights of inmates by failing to act on information indicating that unconstitutional acts were occurring.

*5 Colon v. Coughlin, 58 F.3d 865, 873 (2d Cir. 1995) (citations omitted). After Ashcroft v. Iqbal, however, district courts within this circuit have been divided as to whether claims alleging personal involvement under the second, fourth, and fifth of these methods remain viable. See Marom v. City of N.Y., 2016 WL 916424, at *15 (S.D.N.Y. Mar. 7, 2016) (collecting cases). The Second Circuit has yet to resolve this dispute. Id.

Nevertheless, even assuming the validity of all five Colon methods, plaintiff's allegations fail adequately to plead the personal involvement of Dr. Ulloa, Capt. Smiley, and Warden Volmer for the following reasons.

A. Dr. Ulloa

Plaintiff alleges that, as "head medical Doctor at Valhalla Dept. of Corrections," Dr. Ulloa "had an obligation to accommodate the plaintiff with proper medical attention post-surgery or delegate one of his subordinate[s] to do so." (Am. Compl. at 9). Plaintiff appears to seek the imposition of supervisory liability based on "[t]he bare fact that [Dr. Ulloa] occupies a high position" at WCJ, which is insufficient to plead Dr. Ulloa's personal involvement. Colon v. Coughlin, 58 F.3d at 873-74.

Moreover, plaintiff asserts Dr. Ulloa "intentionally delayed access to medical care by deliberately delaying treatment that was prescribed by Dr. Roth." (Am. Compl. at 9). However, plaintiff does not describe any specific actions or statements to support this allegation. Accordingly, this conclusory assertion is not entitled to the presumption of truth afforded well-pleaded allegations, Ashcroft v. Iqbal, 556 U.S. at 678, and thus fails to establish Dr. Ulloa's personal involvement under any of the five Colon methods.

In his opposition to defendants' motions to dismiss, plaintiff also alleges Dr. Ulloa personally treated him on January 3, 2015. However, plaintiff acknowledges that Dr. Ulloa ordered plaintiff's dressing to be changed and provided him more effective pain medication after treating him. Plaintiff does not claim this treatment was inadequate. Plaintiff has therefore failed to allege that these actions deprived him of a constitutional right.

Accordingly, plaintiff has failed to allege Dr. Ulloa's personal involvement in any inadequate medical care under any of the Colon methods.

B. County Defendants

Liberally construed, plaintiff alleges Capt. Smiley and Warden Volmer personally deprived plaintiff of his constitutional rights by denying plaintiff's administrative grievance, which "informed [them] of the violation through a report or appeal, [but] failed to remedy the wrong." Colon v. Coughlin, 58 F.3d at 873. These allegations fail to state sufficient personal involvement.

Courts in this circuit disagree over whether an allegation that a prison official received and denied an inmate's administrative grievance, without more, is sufficient to establish personal involvement. Sharma v. D'Silva, 157 F.Supp.3d 293, 304 (S.D.N.Y. 2016) (collecting cases). Nevertheless, in determining whether such a denial establishes a defendant's personal involvement in a claim of deliberate indifference to medical needs, many courts have considered "(i) the precise nature of a defendant's response to a grievance letter and (ii) the nature of the defendant's employment (including the degree of oversight over the patient associated with the defendant's position)." Id. As such, a non-medical administrator's pro forma denial of a grievance based on deference to the opinions of medical staff does not establish that non-medical administrator's personal involvement. See Joyner v. Greiner, 195 F.Supp.2d 500, 506 (S.D.N.Y. 2002). Conversely, "[a] supervisor's detailed, specific response to a plaintiff's complaint suggests that the supervisor has considered the plaintiff's allegations and evaluated possible responses," and may therefore establish personal involvement. Mateo v. Fischer, 682 F.Supp.2d 423, 430-31 (S.D.N.Y. 2010). The Court finds this reasoning persuasive.

*6 Applying this reasoning, plaintiff's allegations fail to establish the County defendants' personal involvement. Plaintiff does not allege the County defendants provided a detailed or specific response. Instead, plaintiff claims the County defendants "in cahoots chose to deny the plaintiff's grievance without due diligence" and "without proper and an impartial investigation." (Am. Compl. at 9). This purported lack of investigation suggests the County defendants' denials were pro forma, and not sufficiently detailed or specific to establish personal involvement. Moreover, Part II of the grievance form, incorporated by reference in plaintiff's amended complaint, plainly indicates that a medical staff member was delegated to investigate plaintiff's grievance. The only indication either County defendant participated in this denial is Capt. Smiley's signature at the bottom of the form. This further shows that the County defendants' involvement, as non-medical personnel, was pro forma and deferential to the opinions of medical staff.

Accordingly, plaintiff has failed to allege the County defendants' personal involvement.

IV. Claims Against Defendants in Their Official Capacities

Plaintiff asserts that he wishes to sue each defendant "in his or her official capacity." (Am. Compl. at 8). In Hafer v. Melo, 502 U.S. 21, 25 (1991), the Supreme Court specified two types of lawsuits in which government officials are named as defendants. The first type, "official-capacity suits[,] generally represent only another way of pleading an action against an entity of which an officer is an agent." Id. at 25 (internal quotation marks and citations omitted). "Personal-capacity suits, on the other hand, seek to impose individual liability upon a government officer for actions taken under color of state law." Id. Plaintiff's attempt to sue defendants in their official capacities appears to be claims of the former type.

Nevertheless, plaintiff has not named Westchester County as a defendant. Moreover, a municipality such as the County may be held liable under Section 1983 only "when execution of [its] policy or custom, whether made by its lawmakers or by those whose edicts or acts may fairly be said to represent official policy, inflicts the injury." Monell v. Dep't of Soc. Servs., 436 U.S. 658, 694 (1978). Plaintiff has not alleged his injury was in any way related to the execution of a policy or custom. Accordingly, this Court will not construe plaintiff's amended complaint as raising a claim against Westchester County because plaintiff does not appear to have even attempted to state such a claim, despite suing defendants in their official capacities.

V. State Law Claims

Liberally construed, plaintiff's amended complaint contains state law tort claims for negligence and medical malpractice. However, this Court does not have subject matter jurisdiction over these claims because plaintiff has failed to allege he served a notice of claim in compliance with N.Y. Gen. Mun. Law § 50-e(1), as required by id. § 50-i. See Nieblas-Love v. N.Y.C. Hous. Auth., 165 F. Supp. 3d. 51, 76 (E.D.N.Y. 2016) (finding the failure to comply with N.Y. Gen. Mun. Law § 50-e(1) with respect to state law claims requires dismissal of the state law claims for lack of subject matter jurisdiction). Accordingly, the Court dismisses these claims sua sponte.

VI. Leave to Amend

The Court should freely grant leave to amend a complaint "when justice so requires." Fed. R. Civ. P. 15(a). Moreover, when a pro se plaintiff fails to state a cause of action, the Court "should not dismiss without granting leave to amend at least once when a liberal reading of the complaint gives any indication that a valid claim might be stated." Cuoco v. Moritsugu, 222 F.3d 99, 112 (2d Cir. 2000) (internal quotation marks and citation omitted).

However, even upon a liberal reading of the amended complaint, this Court finds no indication that a valid claim might be stated against Capt. Smiley, Warden Volmer, or Dr. Ulloa. Accordingly, plaintiff is not granted leave to amend his claims against these defendants.

CONCLUSION

*7 The motions of defendants Ulloa, Smiley, and Volmer to dismiss are GRANTED in their entireties.

The motion of defendant N.P. Usznyski to dismiss is GRANTED as to the state law claims, and DENIED as to the Section 1983 claim.

The Clerk is instructed to terminate the motions (Docs. ##27, 43) and to terminate defendants Ulloa, Smiley, and Volmer.

The Court certifies pursuant to 28 U.S.C. § 1915(a)(3) that any appeal from this order would not be taken in good faith, and therefore in forma pauperis status is denied for the purpose of an appeal. See Coppedge v. United States, 369 U.S. 438, 444-45 (1962).

SO ORDERED.

All Citations

Slip Copy, 2016 WL 7351895

2013 WL 5863545 Only the Westlaw citation is currently available. United States District Court, S.D. New York. Christopher ELLISON; Edwin Fuller; Benedict Torres; Jonathan Hurley, Plaintiffs, v. Andrea EVANS, Chairperson of the NYS Board of Parole; Brian Fischer, Commissioner, NYS Department of Corrections and Community Supervision; Hon. Eric T. Schneiderman, NYS Attorney General; Patricia Johnson, SORC, DOCCS; Hon. Andrew Cuomo, Governor of the State of New York, Defendants. No. 13 Civ. 885(KBF). Oct. 31, 2013.

OPINION & ORDER

KATHERINE B. FORREST, District Judge.

*1 Pro se plaintiffs1 Christopher Ellison, Edwin Fuller, Benedict Torres, and Jonathan Hurley brought this action on February 6, 2013 pursuant to, inter alia, 42 U.S.C. §§ 1983, 1985(3), and 1986 against several New York state entities and officials seeking various forms of declaratory and injunctive relief related to the rules and regulations governing the parole release consideration process. (Compl. ¶ 27, ECF No. 7.) Plaintiffs are currently incarcerated at Woodbourne Correctional Facility ("Woodbourne") in the custody of the New York State Department of Corrections and Community Supervision ("DOCCS"). The remaining defendants in this action are all individuals who are being sued in their official capacity: Chairwoman of the New York State Parole Board Andrea Evans, DOCCS Commissioner Brian Fischer, New York State Attorney General Eric Schneiderman, New York Governor Andrew Cuomo, and DOCCS Senior Offender Rehabilitation Counselor Patricia Johnson.2

1 Pro se plaintiff Sebastian Ventimiglia was dismissed without prejudice by order of this Court on June 20, 2013 after requesting such relief by letter dated June 17, 2013. (ECF Nos. 47-48.) 2 Defendants New York State Board of Parole, Kings County Supreme Court Justice Hon. Hubert Kramer, and Sullivan County Court Justice Hon. Frank J. LaBuda were dismissed as defendants by order of this Court on February 21, 2013. (ECF No. 14.)

On March 28, 2013, plaintiffs filed a motion for a preliminary injunction pursuant to Federal Rule of Civil Procedure 65(a) seeking, in substance, much of the same injunctive relief they seek in the complaint related to the parole release consideration process. (ECF Nos. 29-30.) Defendants opposed the motion and cross-moved to dismiss the complaint, on May 13, 2013, for lack of subject matter jurisdiction under Rule 12(b)(1) and for failure to state a claim on which relief can be granted under Rule 12(b)(6). (ECF Nos. 39-41.) Plaintiffs filed their combined reply in support of their motion for a preliminary injunction and opposition to defendants' motion to dismiss on August 14, 2013.3 (ECF No. 56.) Defendants filed their reply brief in support of their motion to dismiss on September 30, 2013, at which point the motions were fully briefed.4 (ECF No. 59.)

3 Following three requests for extensions of time, which the Court granted (see ECF Nos. 43-44, 50-52), plaintiffs' submitted a brief that was 268 pages in length — well in excess of the already-excessive 100 pages the Court granted plaintiffs. (ECF No. 46.) Upon receipt, the Court permitted plaintiffs an opportunity to resubmit the brief within the page limitations specified by the Court, or else the Court would only consider the first 100 pages. (ECF No. 55.) Plaintiffs declined to do so. (ECF No. 577.) Though the Court thus only considers the first 100 pages of the brief (see ECF No. 58), it notes that it has reviewed the entire submission and finds that the remainder does not raise any new arguments that are material to the disposition of the pending motions. 4 On October 16, 2013, plaintiffs filed an additional 15-page submission related to the pending motions without leave of the Court. (ECF No. 60.) Though the Court will not consider this submission — a sur-reply — in its decision on the pending motions, it notes that this submission also does not raise any new arguments that are material to the disposition of the pending motions.

Because plaintiffs' preliminary injunction motion requires that they demonstrate "either . . . a likelihood of success on the merits or . . . sufficiently serious questions going to the merits to make them a fair ground for litigation," Salinger v. Colting, 607 F.3d 68, 79 (2d Cir.2010) (quotations and citations omitted), the Court first considers defendants' motion to dismiss under Rule 12.

For the reasons set forth below, defendants' motion to dismiss is GRANTED. Plaintiffs' preliminary injunction motion is thus DENIED and this action is dismissed.

STANDARD OF REVIEW

Defendants move to dismiss the complaint under Rules 12(b)(1) and 12(b)(6).5 Under Rule 12(b)(1), a case may be dismissed for lack of subject matter jurisdiction when the district court "lacks the statutory or constitutional power to adjudicate it." Makarova v. United States, 201 F.3d 110, 113 (2d Cir.2000) (citing Fed.R.Civ.P. 12(b)(1)). To overcome a Rule 12(b)(1) motion to dismiss, a plaintiff has the burden of proving jurisdiction by a preponderance of the evidence. Id. (citing Malik v. Meissner, 82 F.3d 560, 562 (2d Cir.1996)).

5 Plaintiffs argue that defendants' motion to dismiss is also a motion for summary judgment under Rule 56 (see, e.g., Def.'s Reply/Opp. at 6-7, ECF No. 56) because defendants submitted a three-paragraph declaration from Karen Bellamy, Director of the Inmate Grievance Program at DOCCS that attaches plaintiff Ellison's grievance against defendant Johnson as well as a print-out of the status of the appeals related to that grievance. (ECF No. 40.) Because these documents are either explicitly referred to or incorporated by reference in plaintiffs' complaint (see Compl. ¶ 319), the Court may consider them on defendants' motion to dismiss under Rule 12. See Roth v. Jennings, 489 F.3d 499, 509 (2d Cir.2007). In any event as discussed infra, the Court need not and does not consider the Bellamy Declaration in deciding the pending motions.

*2 To survive a Rule 12(b)(6) 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, 556 U.S. 662, 678, 129 S.Ct. 1937, 173 L.Ed.2d 868 (2009) (quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570, 127 S.Ct. 1955, 167 L.Ed.2d 929 (2007)); see also Ferranti v. Heinemann, 468 F. App'x 85, 85 (2d Cir.2012) (applying the Twombly standard to a pro se complaint). This is not a "probability requirement"; the standard asks for "enough fact to raise a reasonable expectation that discovery will reveal evidence of [the misconduct]." Twombly, 550 U.S. at 556. That is, "[f]actual allegations must be enough to raise a right to relief above the speculative level." Id. at 555.

In reviewing a motion to dismiss under either Rules 12(b)(1) or 12(b)(6), the Court "must accept all factual allegations in the complaint as true and draw inferences from those allegations in the light most favorable to the plaintiff." Jaghory v. New York State Dep't of Educ., 131 F.3d 326, 329 (2d Cir.1997). Moreover, "[i]t is well established that the submissions of a pro se litigant must be construed liberally and interpreted to raise the strongest arguments that they suggest." Triestman v. Federal Bureau of Prisons, 470 F.3d 471, 474 (2d Cir.2006) (citations and internal quotation marks omitted). At the same time, the court must "limit itself to a consideration of the facts that appear on the face of the complaint." Vollinger v. Merrill Lynch & Co., Inc., 198 F.Supp.2d 433, 437 (S.D.N.Y.2002) (citations and internal quotation marks omitted) (quoting Ryder Energy Distrib. Corp. v. Merrill Lynch Commodities Inc., 748 F.2d 774, 779 (2d Cir.1984)).

DISCUSSION

Plaintiffs state that their complaint "presents over 66 causes of action . . . and require at least 60 different permanent and preliminary injunctions." (ECF No. 46.) The vast majority of these claims concern the processes of parole board hearings regulated by New York Executive Law § 259-i(2) — the New York state parole statute. (See, e.g., Compl. ¶¶ 42-45, 58-70, 578-580, 583.) Plaintiffs allege they were all considered for and denied parole release (id. ¶ 70) but also concede that they are not challenging these past denials (id. ¶¶ 42, 50). In sum, plaintiffs allege that the various ways in which the New York state parole system is set up and administered violate 42 U.S.C. §§ 1983, 1985, and 1986, and the Due Process6 and Equal Protection Clauses of the Fourteenth Amendment.

6 Plaintiffs' various arguments as to why the New York parole statute and accompanying regulations are vague are also properly considered as claims under the Due Process Clause. See Farrell v. Burke, 449 F.3d 470, 485 (2d Cir.2006) ("The vagueness doctrine is a component of the right to due process.").

The Court first analyzes plaintiffs' federal constitutional claims, and then turns to their related federal statutory claims-because both sets of claims fail as a matter of law, the Court grants defendants' motion to dismiss the complaint.

I. Due Process

Plaintiffs argue that the New York parole scheme is deliberately misapplied and misconstrued by the individuals who administer it, and also that the governing statutes and regulations are unconstitutionally vague, in violation of their rights under the Due Process Clause. (See, e.g., Compl. ¶¶ 52, 66, 578-80, 582-84.)

*3 The Due Process Clause provides that no state shall "deprive any person of life, liberty, or property, without due process of law." U.S. Const. amend. XIV, § 1. "In order for a state prisoner to have an interest in parole that is protected by the Due Process Clause, he must have a legitimate expectancy of release that is grounded in the state's statutory scheme." Barna v. Travis, 239 F.3d 169, 170 (2d Cir.2001). It is well settled in the Second Circuit, however, that there is no federal due process right to parole under New York's parole scheme. Barna, 239 F.3d at 171; see also Graziano v. Pataki, 689 F.3d 110 (2d Cir.2012). The Barna court held, "In order for a state prisoner to have an interest in parole that is protected by the Due Process Clause, he must have a legitimate expectancy of release that is grounded in the state's statutory scheme. Neither the mere possibility of release, nor a statistical probability of release, gives rise to a legitimate expectancy of release on parole." Barna, 239 F.3d at 170-71 (citations omitted). As a result, the Barna court held, "The New York parole scheme is not one that creates in any prisoner a legitimate expectancy of release," and that "the protections of the Due Process Clause are inapplicable." Id. at 171.

Contrary to plaintiffs' argument (see Pl.'s Sur-Reply at 6, ECF No. 60), the Second Circuit's decision in Barna is not "outdated" in light of subsequent amendments to the New York parole statute, it (along with cases like Graziano that post-date these changes) is binding precedent on this Court. Accordingly, plaintiffs' claims which assert violations of the Due Process Clause in connection with the administration of the New York parole system must fail.

II. Equal Protection

The complaint, liberally construed, alleges that plaintiffs are first-time violent offenders who were impermissibly treated differently under the New York parole scheme than other offenders.7 (See Compl. ¶¶ 48-49, 578-79, 582-84.)

7 Plaintiff Ellison pled guilty to first degree manslaughter and second degree criminal possession of a weapon, as well as "some misdemeanors." (Compl.¶ 48.)

The Equal Protection Clause provides that no state shall "deny to any person within its jurisdiction the equal protection of the laws." U.S. Const. amend. XIV, § 1. The Equal Protection Clause directs that "all persons similarly situated should be treated alike." City of Cleburne v. Cleburne Living Ctr., 473 U.S. 432, 439, 105 S.Ct. 3249, 87 L.Ed.2d 313 (1985). Courts "uphold forms of state action under the Equal Protection Clause so long as the classification at issue bears some rational relationship to a legitimate state interest. On the other hand, where a suspect class or a fundamental right is at issue in the classification, [courts] apply a more searching form of scrutiny." Haydon v. Paterson, 594 F.3d 150, 169 (2d Cir.2010).

Prisoners, "either in the aggregate or specified by offense," are not a suspect class whose disparate treatment is subject to strict scrutiny by the courts. See Lee v. Governor of the State of N.Y., 87 F.3d 55, 60 (2d Cir.1996). To that end, courts have consistently held that the different eligibility requirements for parole for different types of offenders in the New York parole system bear a rational relationship to the legitimate state interest in public safety. See Mathie v. Dennison, No. 06 Civ. 3184(GEL), 2007 WL 2351072, at *8 (S.D.N.Y. Aug.16, 2007) ("A history of violent crime is the very opposite of a morally irrelevant, immutable trait: it reflects a voluntary choice by the offender to commit a dangerous and harmful criminal act when he could have complied with the law. Thus, disparate treatment by the state in granting parole to violent and nonviolent prisoners is presumed constitutional and need only be rationally related to a legitimate state interest.") (internal quotation marks omitted); see also Whaley v. Lopez, 2012 WL 3137900, at *10 (E.D.N.Y. July 30, 2012); Kasiem v. Paterson, No. 10 Civ. 2627(WHP), 2011 WL 723G12, at *2 (S.D.N.Y. Feb. 18, 2011).

*4 As a result, plaintiffs Equal Protection Clause claims, which are based on the disparate treatment of violent offenders in the New York parole system, are without merit and must be dismissed.

III. Sections 1983, 1985, and 1986

Because plaintiffs have failed to properly allege federal constitutional violations,8 plaintiffs' claims under 42 U.S.C. §§ 1983, 1985, and 1986 must also be dismissed.

8 Though plaintiffs reference the First Amendment right to petition the government and access to the courts at various points in the complaint (see, e.g., Compl. ¶¶ 579, 582-83), the Court also finds these bare allegations insufficient to survive the instant motion to dismiss.

"To state a claim under § 1983, a plaintiff must allege the violation of a right secured by the Constitution and laws of the United States, and must show that the alleged deprivation was committed by a person acting under color of state law." Feingold v. New York, 366 F.3d 138, 159 (2d Cir.2004) (citations and internal quotation marks omitted); see 42 U.S.C. § 1983. As set forth above, plaintiffs have failed to allege any such right. For the same reasons, plaintiff's conspiracy claim under 42 U.S.C. § 1985(3) also fails absent an underlying federal constitutional violation, see, e.g., Beckles v. City of N.Y., No. 08 Civ. 3687(RJH), 2011 WL 722770, at *6 (Feb. 25, 2011), and plaintiff's claim under 42 U.S.C. § 19869 fails because such a claim must be predicated on a valid § 1985 claim. See Thomas v. Roach, 165 F.3d 137, 147 (2d Cir.1999).

9 "Section 1986 provides a cause of action against anyone who having knowledge that any of the wrongs conspired to be done and mentioned in section 1985 are about to be committed and having power to prevent or aid, neglects to do so." Thomas v. Roach, 165 F.3d 137, 147 (2d Cir.1999).

IV. Defendant Ellison's Individual Claims

To the extent plaintiff Ellison brings claims against defendant Johnson in her official capacity separate from the other claims described above (see Compl. ¶¶ 168, 308-313, 571, 584), these claims are dismissed on the grounds of Eleventh Amendment sovereign immunity.

"The Eleventh Amendment prohibits suits against a state or one of its agencies in federal court absent the state's consent or a valid abrogation of its sovereign immunity by an act of Congress." Rothenberg v. Stone, 234 F.Supp.2d 217, 221 (citing Pennhurst State School & Hosp. v. Halderman, 465 U.S. 89, 100-01, 104 S.Ct. 900, 79 L.Ed.2d 67 (1984) ("The Eleventh Amendment bars a suit against state officials when the state is the real, substantial party in interest.") (citations and internal quotation marks omitted)). Section 1983 does not constitute such an abrogation. See Quern v. Jordan, 440 U.S. 332, 343, 99 S.Ct. 1139, 59 L.Ed.2d 358 (1979). The Ex Parte Young doctrine permits a plaintiff to sue a state official in his or her official capacity, notwithstanding the Eleventh Amendment, if the plaintiff "(a) alleges an ongoing violation of federal law and (b) seeks relief properly characterized as prospective." In re Deposit Ins. Agency, 482 F.3d 612, 618 (2d Cir.2007).

Ellison fails to meet either prong of the Ex Parte Young exception to Eleventh Amendment sovereign immunity. For the reasons set forth above, plaintiffs have failed to allege any ongoing violations of federal law. Additionally, plaintiffs concede in their opposition papers that, because Johnson no longer works at Woodbourne, any prospective relief they seek against Johnson is now moot, though they claim she should still be held accountable for past violations of the law. (See Reply/Opp. at 36-37.) Such retrospective relief, however, is not available under the Ex Parte Young doctrine in this suit brought against Johnson in her official capacity. See Ward v. Thomas, 207 F.3d 114, 119 (2d Cir.2000). Ellison's claims against Johnson are thus dismissed on Eleventh Amendment grounds.

V. State Law

*5 Because the remaining causes of action in the complaint are properly construed as claims under state law appropriate for resolution in state courts,10 the Court declines to exercise supplemental jurisdiction under 28 U.S.C. § 1367 in the absence of any remaining federal claims.

10 The Court notes that, according to the complaint, plaintiff Ellison appears to have already litigated many of these same issues in other state court lawsuits. (See Compl. ¶¶ 34-40.)

CONCLUSION

For the reasons set forth above, defendants' motion to dismiss is GRANTED and plaintiffs' preliminary injunction motion is DENIED. The Clerk of Court is directed to close the motions at ECF Nos. 29 and 39, and to terminate this action.

SO ORDERED.

All Citations

Not Reported in F.Supp.2d, 2013 WL 5863545

2012 WL 6040742 Only the Westlaw citation is currently available. United States District Court, S.D. New York. Michael IDOWU, Plaintiff, v. Gary MIDDLETON, John Supple, Joseph Avanzato, Charlotte Peterson, Defendants. No. 12 Civ. 1238(BSJ)(KNF). Dec. 4, 2012.

MEMORANDUM and ORDER

KEVIN NATHANIEL FOX, United States Magistrate Judge.

*1 Plaintiff Michael Idowu ("Idowu"), proceeding pro se and in forma pauperis, brought this action, pursuant to 42 U.S.C. § 1983 seeking redress for injuries allegedly sustained as a result of medical treatment received at New York's Fishkill Correctional Facility. Before the Court is Idowu's application for the Court to appoint counsel to represent him. The motion is unopposed.

BACKGROUND

According to Idowu, on September 21, 2011, he was "admitted to the medical unit at Fishkill Correctional Facility because [he] passed out in [his] cell and bumped [his] head." Idowu avers that he was examined by Dr. John Supple ("Dr.Supple"), who indicated that Idowu might have suffered a seizure. Idowu maintains that, on September 22, 2011, he was seen by Dr. Gary Middleton ("Dr.Middleton") who, after what Idowu describes as a "brief inspection," opined that Idowu had experienced a seizure. Idowu asserts that he informed Dr. Middleton that he did not have a history of seizures. Notwithstanding that assertion, Idowu avers that Dr. Middleton prescribed him 500 mg of "Divalproex (Depakote)," to be taken twice, daily. Idowu contends that Nurse Charlotte Peterson ("Nurse Peterson"), began administering Divalproex to him on the same day. Idowu maintains that, on September 25, 2011, he "started complaining to Nurse Peterson and other Nurses about feeling ill." Specifically, Idowu recalls that he complained about "suffering stomach pains, vomiting, dizziness, insomnia, loss of co-ordination [sic], memory loss and difficulty speaking (stammering)." According to Idowu, in response to his complaints, Nurse Peterson told him, on several occasions, that the symptoms he was experiencing were side effects of taking Divalproex, and that the side effects "would fade gradually."

Idowu contends that, at some point between September 22 and 26, 2011, a referral was submitted by Dr. Middleton to Dr. Joseph Avanzato ("Dr. Avanzato"), requesting that an electroencephalograph ("EEG") test be performed on him. Idowu maintains that it is "standard procedure to refer all [patients with] chronic care protocols i.e. diabetes, convulsive disorders [and] cardiac [sic]," for an EEG test. According to Idowu, the EEG test was scheduled for October 5, 2011, and was complete on December 7, 2011. Idowu alleges that the EEG revealed that he did not "suffer from any type of convulsive disorder."1 Therefore, Idowu asserts that he should not have been prescribed Divalproex.

1 It is unclear from Idowu's submissions when he stopped being treated with Divalproex; however, it appears that he stopped receiving the medication when the results of his EEG test were revealed to him, which occurred on or about, December 7, 2011.

Idowu maintains that in his capacity as the "Facility Health Care Director," Dr. Avanzato "is responsible for reviewing all referrals and evaluating the urgency of the treatment required." Idowu alleges that Dr. Avanzato acted with deliberate indifference to his serious medical needs by failing to "correctly apply the urgency needed for my treatment," because the EEG test was not "performed in a timely manner" and, as a consequence, according to Idowu, this caused him to suffer the side effects occasioned by Divalproex.

*2 Idowu contends that Dr. Supple acted with deliberate indifference to his serious medical needs when he diagnosed him, "falsely," with having suffered a seizure. Idowu alleges that Dr. Middleton acted with deliberate indifference to his serious medical needs, and committed medical malpractice, when he diagnosed him with having experienced a seizure, and then "erroneously" proscribed Divalproex for him. Idowu alleges that, had either doctor inspected his medical history, he would have discovered that Idowu did not have a history of seizures and, presumably, would not have made a seizure diagnosis. Additionally, Idowu contends that Nurse Peterson acted with deliberate indifference to his serious medical needs because she failed to act, on three different occasions, when he reported to her that he was experiencing the side effects of Divalproex. Idowu maintains that Nurse Peterson was "obligated to refer [his] side effects symptoms to the medical doctor instead of minimizing [his] condition."

DISCUSSION

Civil litigants have no constitutional right to counsel. See United States v. Coven, 662 F.2d 162, 176 (2d Cir.1981). However, 28 U.S.C. § 1915(e)(1) authorizes a district court to "request an attorney to represent any person unable to afford counsel." "In deciding whether to appoint counsel, [a] district [court] should first determine whether the indigent's position seems likely to be of substance." Hodge v. Police Officers, 802 F.2d 58, 61 (2d Cir.1986). An indigent's claim is likely to be of substance if it has merit and "appears to have some chance of success[.]" Id., 802 F.2d at 60-61.

Where the claim satisfies the threshold "test of likely merit," a court should then proceed to consider "secondary criteria." Cooper v. A. Sargenti, Co., Inc., 877 F.2d 170, 172-73 (2d Cir.1989). These criteria include: (1) the plaintiff's ability to investigate the crucial facts; (2) whether conflicting evidence implicating the need for cross-examination will be the major proof presented to the fact-finder; (3) the plaintiff's ability to present the case; (4) the complexity of the legal issues; and (5) any special reason in that case why appointment of counsel would be more likely to lead to a just determination. See Hodge, 802 F.2d at 61-62.

Pleadings drafted by a pro se litigant, such as Idowu, are to be construed liberally and interpreted to raise the strongest arguments they suggest. See Burgos v. Hopkins, 14 F.3d 787, 790 (2d Cir.1994). In reviewing Idowu's amended complaint, the Court has applied this standard. Idowu does not make citation to any specific federal law or constitutional provision in his complaint. However, he recites the phrase "deliberate indifference to [his] medical needs," repeatedly, which suggests to the Court that his claims are premised on the Eighth Amendment's proscription against cruel and unusual punishment, as "deliberate indifference to serious medical needs of prisoners constitutes the unnecessary and wanton infliction of pain proscribed by the Eighth Amendment." Estelle v. Gamble, 429 U.S. 97, 104, 97 S.Ct. 285, 291 (1976) (internal quotation marks and citation omitted).

Whether Idowu's Claims are Likely of Substance

*3 To state a claim under section 1983, a plaintiff must allege that: "(1) the defendant acted under color of state law; and (2) as a result of the defendant's actions, the plaintiff suffered a denial of her federal statutory rights, or her constitutional rights or privileges." Annis v. County of Westchester, 136 F.3d 239, 245 (2d Cir.1998). In the case at bar, the prison medical personnel identified in the complaint were acting under the color of state law when they treated Idowu — as they rendered medical services to him on behalf of New York State, which incarcerated Idowu following his conviction for a crime — and Idowu contends that the prison medical personnel violated his constitutional rights. The Constitution requires prison officials to "ensure that inmates receive adequate food, clothing, shelter and medical care," Farmer v. Brennan, 511 U.S. 825, 832, 114 S.Ct. 1970, 1976 (1994), and "[t]he treatment a prisoner receives in prison . . . [is] subject to scrutiny under the Eighth Amendment." Helling v. McKinney, 509 U.S. 25, 31, 113 S.Ct. 2475, 2480 (1993).

"In order to establish an Eighth Amendment claim arising out of inadequate medical care, a prisoner must prove deliberate indifference to [his] serious medical needs." Smith v. Carpenter, 316 F.3d 178, 183 (2d Cir.2003) (internal quotation marks omitted and citations omitted). This standard has objective and subjective elements. See id. "The objective `medical need' element measures the severity of the alleged deprivation, while the subjective `deliberate indifference' element ensures that the defendant prison official acted with a sufficiently culpable state of mind." Id. at 183-84. (internal citations omitted). "Deliberate indifference describes a mental state more blameworthy than negligence; but a plaintiff is not required to show that the defendant acted for the very purpose of causing harm or with knowledge that harm will result." Hernandez v. Keane, 341 F.3d 137, 144 (2d Cir.2003) (internal quotation marks and citations omitted). A plaintiff may establish a prison medical official's deliberate indifference to the plaintiff's serious medical needs by demonstrating that the prison medical official was "totally unconcerned with his welfare." Hathaway v. Coughlin, 37 F.3d 63, 69 (2d Cir.1994) (internal citations and quotation marks omitted). However, "[a]bsent a showing of the unnecessary and wanton infliction of pain, the proper forum for a prisoner's medical grievance is a state court action for medical malpractice." Id. (citations omitted).

Inasmuch as "the Eighth amendment is not a vehicle for bringing medical malpractice claims, nor a substitute for state tort law, not every lapse in prison medical care will rise to the level of a constitutional violation." Smith, 316 F.3d at 184. Accordingly, negligence "in diagnosing or treating a medical condition does not state a valid claim of medical mistreatment under the Eighth amendment[,] and medical malpractice does not become a constitutional violation merely because the victim is a prisoner." Estelle, 429 U.S. at 106, 97 S.Ct. at 292. "Moreover, a prisoner's disagreement with the diagnostic techniques or forms of treatment employed by medical personnel does not itself give rise to an Eighth Amendment claim. Nor does an allegation of misdiagnosis or faulty judgment state [an Eighth Amendment] claim. Troy v. Kuhlmann, No. 96 Civ. 7190, 1999 WL 825622, at *6 (S.D.N.Y. Oct. 15, 1999) (internal quotation marks and citations omitted).

Drs. Middleton and Supple

*4 Idowu alleges that Drs. Middleton and Supple were deliberately indifferent to his serious medical needs and violated his Eighth Amendment right to be free from cruel and unusual punishment, because each physician misdiagnosed him as having experienced a seizure. In addition, Idowu contends that Dr. Middleton committed medical malpractice by prescribing Divalproex for him, which subsequent diagnostic testing demonstrated he did not need. Idowu's allegations against Drs. Middleton and Supple are, in essence, that they acted negligently in diagnosing and treating him. However, negligence "in diagnosing or treating a medical condition does not state a valid claim . . . under the Eighth Amendment." Estelle, 429 U.S. at 106, 97 S.Ct. at 292.

Dr. Avanzato

Idowu maintains that Dr. Avanzato exhibited deliberate indifference to his serious medical needs because the EEG test was not completed in a timely manner. Accordingly to Idowu, Dr Avanzato ordered the EEG test on October 5, 2011 — in response to a referral request Dr. Middleton submitted to him sometime between September 22 and 26, 2011 — and the test was completed on December 7, 2011. Idowu does not allege that Dr. Avanzato performed the test himself and did so in a leisurely manner, or that he controlled the speed at which the test was performed. Rather, Idowu contends that Dr. Avanzato, as "Facility Health Care Director," was responsible "for reviewing all referrals, and evaluating the urgency of the treatment required." The factual allegations in the complaint do not demonstrate that Dr. Avanzato was "totally unconcerned with [Idowu's] welfare," and, thus, was deliberately indifferent to Idowu's serious medical needs. Hathaway, 37 F.3d at 69. Instead, the factual allegations in the complaint show that, shortly after Dr. Middleton submitted a referral to Dr. Avanzato in late September 2011, requesting an EEG test for Idowu, Dr. Avanzato showed his concern for Idowu's welfare by approving the referral and scheduling the test for October 5, 2011. Nothing about Dr. Avanzato's response to Dr. Middleton's referral request, as described by Idowu in his complaint, appears to have violated Idowu's Eighth Amendment Rights.

Nurse Peterson

Idowu contends that Nurse Peterson was deliberately indifferent to his serious medical needs because, after he reported to her that he was experiencing stomach pains, vomiting, dizziness, insomnia and other conditions that Nurse Peterson told him were temporary side effects of the medication he was prescribed, she failed to refer him to a physician. Whether Nurse Peterson's alleged negligence in failing to refer Idowu to a physician — as he believes she should have — nor any alleged exercise of poor judgment on her part in failing to make such a referral gives rise to an Eighth Amendment violation. See Troy, 1999 WL 825622, at *6. As Idowu's Eighth Amendment claims do not appear likely to have merit, he has failed to satisfy the threshold requirements set forth in Hodge; consequently, the Court finds that granting his request for appointed counsel is not warranted.

CONCLUSION

*5 For the foregoing reasons, Idowu's application for the Court to appoint counsel to represent him, in this action, is denied. This order resolves Docket Entry No. 28.

SO ORDERED.

All Citations

Not Reported in F.Supp.2d, 2012 WL 6040742

2012 WL 2334626 Only the Westlaw citation is currently available. United States District Court, S.D. New York. John H. STIEHL, Plaintiff, v. Gail BAILEY, M.D., "John" Baccay, M.D., June Yazzo, "John" Himmerdinger, M.D., Westchester County Health Care Corporation and the County of Westchester, New York, Defendants. No. 08-CV-10498 (CS). June 19, 2012.

Attorneys and Law Firms

Jonathan Lovett, Law Office of Jonathan Lovett, Hawthorne, NY, for Plaintiff.

Irma W. Cosgriff, Westchester County Attorney's Office, White Plains, NY, for Defendants.

OPINION AND ORDER

SEIBEL, District Judge.

*1 Before the Court is the Motion for Summary Judgment of Defendants Gail Bailey, M.D., Francis "John" Baccay, M.D., June Yozzo,1 Steven "John" Hemmerdinger, M.D.2 (collectively, the "Individual Defendants"), Westchester County Health Care Corporation ("WCHCC"), and the County of Westchester (collectively, with the Individual Defendants, the "County Defendants"), (Doc. 45), seeking dismissal of Plaintiff John H. Stiehl's Second Amended Complaint ("SAC"), (Doc. 33). For the following reasons, the Motion is GRANTED.

1 Plaintiff's and Defendants' papers do not spell Defendant Yozzo's name consistently. The SAC caption and Plaintiff's Memorandum of Law reflect that it should be spelled "Yazzo," while Defendants refer to her as "Yozzo." For purposes of this Opinion, I spell her name as Defendants do. 2 Likewise, Plaintiff's and Defendants' papers do not spell Defendant Hemmerdmger's name consistently. The SAC caption reflects that it should be spelled "Himmerdinger," Plaintiff refers to this Defendant as "Hemmendinger" in his Memorandum of Law, and Defendants refer to him as "Hemmerdinger." For purposes of this Opinion, I also spell this name as Defendants do.

I. BACKGROUND

All facts are undisputed unless otherwise noted.

Plaintiff was incarcerated at the Westchester County Department of Corrections ("WCDOC") from September 2007 through September 5, 2008. (Ds' 56.1 ¶ 3.)3 During that time, Plaintiff suffered from various medical ailments for which he sought medical attention, including the condition underlying the instant action. (See generally Cosgriff Decl. Ex. C (medical forms and evaluations).)4 Among the individuals who administered the challenged medical care to Plaintiff during the term of his incarceration are Bailey, the Medical Director for Correctional Health Services,5 whose job it was, among other things, to review the notes of all medical consultations for appropriateness and to make referrals as necessary; Baccay, a general surgeon who provided care to inmates at WCDOC; Yozzo, a licensed nurse and the Health Services Coordinator at WCDOC; and Hemmerdinger, an Ear Nose and Throat ("ENT") specialist at Westchester Medical Center, who also treated WCDOC inmates. (Ds' 56.1 ¶¶ 4, 6-8.) The County of Westchester is legally responsible for the provision of medical care to inmates incarcerated at WCDOC, and WCHCC, a public benefit corporation,6 and the Individual Defendants provide medical care to WCDOC inmates under a contract with the County of Westchester. (SAC ¶¶ 8-9.)

3 "Ds' 56.1" refers to the County Defendants' Rule 56.1 Statement. (Doc. 46.) 4 "Cosgriff Decl." refers to the Declaration of Irma W. Cosgriff in support of Defendants' Motion for Summary Judgment. (Doc. 58.) 5 "[WCDOC] has designated Correctional Health Services as the health authority responsible for health care services. The Director of Correctional Health Services is designated as the responsible health authority. The responsibility for providing and coordinating all health care services, including medical and mental health, rests with Correctional Health Services and is defined by written contract," (Cosgriff Decl. Ex. M, at 10 (emphasis in original); see also Examination Before Trial of Gail Bailey-Wallace ("Bailey Dep."), (Cosgriff Decl. Ex. E; Affirmation of Jonathan Lovett in Opposition to Defendants' Motion for Summary Judgment ("Lovett Aff."), (Doc. 50), Ex, 7), 7 (Correctional Health Services is "the agency which is contracted [through Westchester Medical Center] to provide healthcare to inmates.").) 6 Neither party provides much information concerning WCHCC or its role in providing health care to inmates at WCDOC, but the Second Circuit described WCHCC in another case as a public benefit corporation created by the state of New York in 1997 to perform the `essential public and governmental function' of operating the Westchester County Medical Center ("WMC"), a hospital in Valhalla, New York. See N.Y. Pub. Auth. Law §§ 3300[-3321], WCHCC's enabling statute endowed it with broad and comprehensive powers, as well as the flexibility to provide health and medical services for the public either directly or by agreement with other entities or individuals, and to determine its own internal policies, including those governing the practice of medicine within WMC. Id. LaFaro v. N.Y. Cardiothoracic Grp., PLLC, 570 F.3d 471, 474 (2d Cir.2009).

WCDOC inmates are able to access routine and urgent medical attention at the facility by completing "sick call request" forms, which are collected each day by WCDOC staff members. (Ds' 56.119; see Cosgriff Decl. Ex. M, at 7-8; Cosgriff Decl. Ex. N, at 118-20.) The sick call requests are then triaged by a mid-level medical service provider who determines whether inmates should be seen on an immediate or a routine basis. (Ds' 56.1 ¶ 10.) During his incarceration at WCDOC, Plaintiff filed myriad sick call requests, and medical care providers evaluated him for various conditions, including for his eyesight, an injured foot, a "neck boil," insomnia, a sinus infection, pain in his waist, and a growth on his face. (See Ds' 56.1 ¶¶ 11-17; see generally Cosgriff Decl. Ex, C.)

On or about January 8, 2008, Plaintiff submitted a sick call request regarding a sinus infection, and Nurse Practitioner Matthew Cichon treated Plaintiff on or about January 9, 2008 for the condition. (P's 56.1 ¶ 48;7 Cosgriff Decl. Ex. C, at 000066.) Unrelated to the sinus infection, Cichon noted on the sick call request form that Plaintiff had a "1 cm mobile, nontender . . . mass" on the right side of his nose, and that Plaintiff was told "to monitor the size of [the] mass and to RTC [return to the clinic] if pain or increase in size." (Cosgriff Decl. Ex. C, at 000066.) The mass was situated on Plaintiff's face approximately one inch from his right eye. (P's 56.1 ¶ 48; P's Aff. ¶ 2.8)

7 "P's 56.1" refers to Plaintiff's 56.1 Statement and Counterstatement. (Doc. 52.) 8 "P's Aff." refers to Plaintiff's Affidavit in Opposition to Defendants' Motion for Summary Judgment. (Doc. 53.)

*2 On or about February 2, 2008, Plaintiff submitted another routine sick call request that stated, "I have a growth on my face that's painful and is blurring my vision." (Ds' 56.1 ¶ 18; Cosgriff Decl. Ex, C, at 000065.) Plaintiff was seen by Nurse Practitioner Tracy James on February 11, 2008 who measured the growth and classified Plaintiff's malady as "1 cm soft cyst like appearance on Rt side of face. Mild pain . . . . no color changes. No Vision changes." (Ds' 56.1 ¶ 18; Cosgriff Decl. Ex. C, at 000065.) She determined that "no intervention [was needed] at th[at] time," and that Plaintiff should "RTC for worsening symptoms." (Ds' 56.1 ¶ 18; Cosgriff Decl. Ex. C, at 000065.)

Nearly two months later, on or about March 25, 2008, Plaintiff submitted another sick call request regarding a "Movable cyst right side of nose. Getting Big," and James evaluated Plaintiff the next day. (Ds' 56.1 ¶ 19; Cosgriff Decl. Ex. C, at 000068.) After the consultation, James noted on Plaintiff's sick call request form, "1 ½ cm mobile, non-tender, soft cyst between right side of nose and cheeck [sic]. Above cyst was only 1 cm in 2/08. [Increas]ing in size," and that Plaintiff should be referred for a "surgical consult." (Ds' 56.1 ¶ 19; Cosgriff Decl. Ex. C, at 000068.) Bailey, whose job it was to look at consultation notes and to determine and/or approve next steps, decided that the surgical consult should be deferred. (Ds' 56.1 ¶ 20; Bailey Dep. 30.) Although Bailey does not remember James's specific referral for a surgical consult relating to Plaintiff's growth, her "routine is that if someone puts in a consult and the information on the consult is not enough, then [Bailey] will call the practitioner to get some clarification." (Bailey Dep. 29.) Bailey believes that she discussed this referral with James and "[c]hances are whatever [Bailey] was told was not sufficient to warrant the referral" at that time. (Bailey Dep. 30; see Cosgriff Decl. Ex. C, at 000094 (Bailey's notes stating, "Lesion not cystic. No need for surgical referral."); P's 56.1 ¶ 59 (same).)

On or about April 7, 2008, Plaintiff submitted another sick call request claiming, "I've got a growth on the side of my nose that bothers my being. I've made numerous request [sic] to no help. Lawyer time," and was seen the next day by Nurse Practitioner Jean Kadel. (Ds' 56.1 ¶ 21; Cosgriff Decl. Ex. C, at 000069.) Plaintiff told Kadel that he wanted the cyst removed, but Kadel advised Plaintiff that the previous surgical consult had been denied and to return to the clinic if the cyst changed or enlarged. (Ds' 56.1 ¶ 21; Cosgriff Decl. Ex. C, at 000069.) Plaintiff claims that during this consultation, Kadel told him that removing the mass "would cost $150,000 to fix and it wasn't worth it." (P's 56.1 ¶ 69; Lovett Aff. Ex. 15, at 12.) Kadel denied making such a representation to Plaintiff, stating that she did not even know how much the surgery would have cost. (Kadel Dep. 10.)9

9 "Kadel Dep." refers to the Examination Before Trial of Jean R. Kadel. (Cosgriff Decl. Ex. J; Reply Declaration of Irma W. Cosgriff ("Reply Decl."), (Doc. 55), Ex. Y; Lovett Aff. Ex. 9.)

*3 On or about April 18, 2008, Plaintiff submitted an urgent sick call request, this time stating, "I have a bump to the R side of my face. It blocks my vision now. Its [sic] grown in the last 2½ weeks." (Ds' 56.1 ¶ 22; P's 56.1 ¶ 71; Cosgriff Decl. Ex. C, at 000071.) At the examination completed by Nurse Practitioner Salina N. Nordstrom, Plaintiff denied any recent skin disorders or trauma to, or drainage or tenderness in, the affected area. (Cosgriff Decl. Ex. C, at 000071.) Nordstrom noted that Plaintiff suffered from an approximately three centimeter raised mass that was purplish in color with an irregular border. (Ds' 56.1 ¶ 22; Cosgriff Decl. Ex. C, at 000071.) Nordstrom's plan for Plaintiff was to order an ultrasound of the area to determine the extent and size of the cyst. (Ds' 56.1 ¶ 22; Cosgriff Decl. Ex. C, at 000071.)

Plaintiff submitted his next sick call request on May 15, 2008, this time stating that the mass was starting to hurt his right eye. (Ds' 56.1 ¶ 23; Cosgriff Decl. Ex. C, at 000073.) Nordstrom examined Plaintiff and subsequently, as documented in her notes, recommended to Bailey that Bailey set up a surgery consult for further evaluation of Plaintiffs mass. (Ds' 56.1 ¶ 23; Cosgriff Decl. Ex. C, at 000073.)

On or about May 28, 2008, Plaintiff submitted a sick call request stating, "I want this growth on my nose Biopsyed [sic] ultrasound anything. I've been denied treatment." (Ds' 56.1 ¶ 24; Cosgriff Decl. Ex. C, at 000075.) Although it is unclear from the notes whether Nordstrom examined Plaintiff again, her notes state that she saw Plaintiff in the hallway and told him that the medical staff had set up a surgery consult and an ultrasound for him on June 12, 2008. (Ds' 56.1 ¶ 24; Cosgriff Decl. Ex. C, at 000075; see id. at 0000006.)

Yozzo, who was employed as a "medical contract monitor" at WCDOC,10 (Yozzo Dep. 7), first got involved with Plaintiff when she received a phone call on May 29, 2008 from Plaintiff's counselor from the Solutions Program-an alcohol and drug program for inmates — about Plaintiff's concerns regarding the mass on his nose and the medical care he was receiving, (Ds' 56.1 ¶ 7 n.5; Yozzo Dep. 13-14). After she received that call, Yozzo reviewed Plaintiff's medical records from the time he was incarcerated up until May 29, determined that she needed to find out whether Plaintiff had received proper medical care and whether he was being referred to other doctors if necessary, and then met with Plaintiff in his housing unit on May 29. (See Yozzo Dep. 14-17.) Yozzo told Plaintiff that she would follow up with him and would be available in the event that he needed her assistance. (Id. at 17.) The next day, the Commissioner of WCDOC, Rocco Pozzi, gave Yozzo a letter from Plaintiffs girlfriend, Lisa Clark, in which Clark complained about the level of care that Plaintiff was receiving.11 (P's 56.1 ¶ 72; see Yozzo Dep. 12, 17-18; P's March 2 Dep. 65-66.) Yozzo told Commissioner Pozzi that she had met with Plaintiff the previous day, and that she would check with Bailey to determine the status of Plaintiff's medical care. (Yozzo Dep. 18.) From May 29, 2008 to September 2008, Yozzo periodically looked at Plaintiff's medical records, followed up with Plaintiff's Solutions counselor, met with Baccay, and spoke with Plaintiff approximately ten times concerning his growth and the medical care he was receiving. (Id. at 22, 24.)12

10 Yozzo explained that her job responsibilities included, among other things, ensuring that the WCHCC complied with its contract with the County of Westchester, and acting as a liaison for inmates' attorneys and family members. (Examination Before Trial of June Yozzo ("Yozzo Dep."), (Cosgriff Decl, Ex. G; Lovett Aff. Ex. 6), 7-8.) 11 Plaintiff alleges that Yozzo advised him, "if you can stop writing letters, we will get you some help, we will get you some medical treatment," (P's 56.1 ¶ 72; Plaintiff's March 2, 2010 Examination Before Trial ("P's March 2 Dep."), (Cosgriff Decl. Ex. D; Reply Decl. Ex. S; Lovett Aff. Ex. 16), 66), but Yozzo stated that she told Plaintiff that if he had further concerns, he should direct his letters to her, rather than to Commissioner Pozzi, (see Yozzo Dep. 23). 12 Although Yozzo is a registered nurse, she did not partake in any medical decisions or direct provision of medical care to Plaintiff, but rather acted as a liaison between Plaintiff and those engaged in Plaintiff's medical care. (See Ds' 56.1 ¶ 7.)

*4 On or about June 4, 2008, Plaintiff submitted another routine sick call request and was seen on June 6, 2008 by Nurse Practitioner Maria Taylor who determined that Plaintiff's mass was a neoplasm13 that did not have an irregular border, and noted on the sick call request form that a surgical consult had previously been scheduled. (Ds' 56.1 ¶ 25; P's 56.1 ¶ 70; Cosgriff Decl. Ex. C, at 000077; Lovett Aff. Ex. 13, at 13-14.)

13 Taylor explained that a neoplasm could be malignant or benign. She defined a neoplasm by stating, "It could be a cyst. It could be a tumor. It could be anything. It's new. It's something that's new and hadn't been there in the past." (Lovett Ex. 13, at 15.)

On or about June 12, 2008, Baccay completed a surgical consult on Plaintiff. (Ds' 56.1 ¶ 26; see Cosgriff Decl. Ex. C, at 000078, 000098.) Plaintiff claims that Baccay told him during this consult that the mass "looks like cancer in your face, and by the way, it is near your brain, so the likelihood is that it will spread to your brain and you will end up dying," (P's 56.1 ¶ 57; P's March 2 Dep, 72.) Baccay denies that he ever made those statements. (Baccay Aff. ¶ 7.)14 Baccay's notes from the consult include a hand-drawn picture of the positioning of the mass on Plaintiff's face, supplemented by descriptors of the mass, including its size (1.5 × 1.5 cm) and other relevant information (skin intact; purplish hue). (Cosgriff Decl. Ex. C, at 000098.) Based on Plaintiff's representations that the mass was getting bigger and not going away, Baccay's plan for Plaintiff was (1) surgical oncology, (2) plastic surgery, and then (3) return to Baccay as the need arises. (Id.) Baccay believed that if the mass had to be removed, "[d]ue to the location of the lesion, it was out of [his] realm of surgical knowledge to be able to handle th[e] procedure." (Lovett Aff. Ex. 10, at 14-15; see Bailey Dep. 37 (Bailey aware that Baccay was uncomfortable performing excision on Plaintiff's face).)

14 "Baccay Aff." refers to the Affidavit of Francis Baccay, M.D. in support of Defendants' Motion for Summary Judgment. (Reply Decl. Ex. V.)

On or about June 14, 2008, Plaintiff submitted an urgent sick call request. (Ds' 56.1 ¶ 27; Cosgriff Decl. Ex. C, at 000079.) According to the sick call notes, after the clinician determined that there had been no significant change to the mass and that there was no discharge from it, Plaintiff was sent back to the jail to await notice from Oncology or Plastic Surgery ("Plastics"). (Ds' 56.1 ¶ 27; Cosgriff Decl. Ex. C, at 000079.)

On or about June 16, 2008, Bailey signed off for Plaintiff to see a specialist for further evaluation. (See Bailey Dep. 56-57; Cosgriff Decl. Ex. C, at 000098.) Lisa Zacchio, Quality Care Coordinator at Westchester Medical Center, called Dr. Ahmed of Oncology to arrange an appointment for Plaintiff, but Ahmed advised Zacchio that Plaintiff should be seen by an ENT before seeing a doctor in Oncology. (Ds' 56.1 ¶ 28; Cosgriff Decl. Ex. C, at 000079.) According to the notes, Zacchio spoke with Hemmerdinger's office that same day and obtained an appointment with Hemmerdinger, an ENT, on June 24, 2008. (Ds' 56.1 ¶ 28; Cosgriff Decl. Ex. C, at 000079; see id. at 000005.)

On or about June 24, 2008, in preparation for Plaintiff's ENT appointment, Kadel administered various blood tests on Plaintiff, which tests appeared within normal limits, thereby enabling Plaintiff to be scheduled for a CT Scan with IV contrast. (Ds' 56.1 ¶ 29; Cosgriff Decl. Ex. C, at 000081.) On that same day, Hemmerdinger examined Plaintiff and found a "2 cm mass . . . mobile nontender," evaluated Plaintiff's complaint that he had difficulty breathing, and ordered a CT scan with IV contrast for July 3, 2008 to determine the type of growth that was on Plaintiff's face. (Ds' 56.1130; P's 56.1 ¶ 58; Cosgriff Decl. Ex. C, at 000083, 000101, 000105; Kadel Dep. 14; see also Hemmerdinger Dep. 2415 (Hemmerdinger reading his consult notes, which stated "Follow up CT, no extension, 1.5 centimeter right nasal facial groove cyst consistent with right facial sebaceous cyst. . . . Field solid, not completely fluid filled. . . . IMP, or impression, for excision, booked and consented, right facial cyst.").) Hemmerdinger determined that Plaintiff's difficulty breathing likely related to a deviated septum, not the mass, because "[n]o intranasal mass was seen." (Hemmerdinger Aff. ¶ 5.)16

15 "Hemmerdinger Dep." refers to the Examination Before Trial of Dr. Steven Hemmerdinger. (Lovett Aff. Ex. 8.) 16 "Hemmerdinger Aff." refers to the Affidavit of Steven Hemmerdinger, M.D. in support of Defendants' Motion for Summary Judgment. (Reply Decl. Ex. T.)

*5 Yozzo ensured that on or about June 27, 2008 Plaintiff had blood drawn in preparation for his CT scan, (Yozzo Dep. 25; Ds' 56.1 ¶ 31; Cosgriff Decl. Ex. C, at 000084), and then that on July 2, 2008 Plaintiff was admitted to the WCDOC infirmary so that he did not eat or drink anything before the CT scan, (Ds' 56.1 ¶ 32; Yozzo Dep. 25; Cosgriff Decl. Ex. C, at 000084), which was completed on July 3, 2008, (Ds' 56.1 ¶ 33; Cosgriff Decl. Ex. C, at 000085). The radiologist who read the CT scan concluded that Plaintiff "probably" had "a sebaceous gland cyst," (Ds' 56.1 ¶ 33; Cosgriff Decl. Ex. C, at 000126), and Hemmerdinger noted that the mass had no obvious connection to the intransal area, the orbit, or the brain, (Hemmerdinger Aff. 18).

Kadel saw Plaintiff on or about July 7, 2008 regarding the "probable sebaceous gland cyst" and requested in her notes to Bailey, "Please do an Aspiration Biopsy if possible," to determine whether there were malignant cells in the cyst. (Cosgriff Decl. Ex. C, at 000106; Kadel Dep. 19.) On July 15, 2008, Bailey apparently denied Kadel's request; according to Yozzo, Bailey told her on that date that there was "[n]othing to be done," (P's 56.1 ¶ 66; Yozzo Dep. 61), but Bailey did not recall having a conversation with Yozzo about this request, (Bailey Dep. 107-08). Sometime shortly after July 15, 2008, Yozzo followed up with Commissioner Pozzi, who, along with the Board of Legislators, had been inquiring about the medical attention that WCDOC practitioners had been giving to Plaintiff's growth. (Yozzo Dep. 61-62.) Yozzo explained to Jeannie Cloidt, Commissioner Pozzi's secretary, that per Bailey's recommendation, nothing was going to be done at that time. (Id. at 62.)

On or about July 20, 2008, Plaintiff submitted another sick call request, which stated, "I'm in need of medical attention, [t]his groth [sic] is Bothrring [sic] my right eye." (Ds' 56.1 ¶ 34; Cosgriff Decl. Ex. C, at 000087.) The next day Kadel ran into Plaintiff, who inquired about whether he was going to have a biopsy, and Kadel advised him that a surgical consult was "in the works." (Ds' 56.1134; Cosgriff Decl. Ex. C, at 000087.)

Even though Bailey seemingly had denied Kadel's biopsy request on July 15, 2008, she nonetheless scheduled an appointment with Baccay, who examined Plaintiff again on or about July 30, 2008. (Ds' 56.1 ¶ 35; Yozzo Aff. ¶ 10 n.3.17) Bailey knew Baccay would not do an excision but thought he might do an aspiration (needle) biopsy if the growth was only a cyst. (Bailey Dep. 37-39; see Kadel Dep. 14 (Kadel thought general surgeon (Baccay) would do an aspiration biopsy because the CT scan report indicated the growth was a cyst).) Baccay's notes from that consultation reveal that he determined that Plaintiff had been seen by an ENT and had a sebaceous cyst, and that "[g]iven [the] location of [the] lesion on [the] face," Baccay would "defer further treatment to . . . ENT/Plastics." (Ds' 56.1 ¶ 35; Cosgriff Decl. Ex. C, at 000106; see Yozzo Dep. 37-38 (Yozzo met with Baccay, during which meeting Baccay told her that because he was only a general surgeon without expertise in facial cysts, it would be a liability for him to perform the procedure).) Plaintiff claims that Baccay said that "he would not touch John Stiehl insofar as doing a needle-biopsy aspiration," (P's 56.1 ¶ 57 (internal quotation marks omitted)), but Baccay states that he never reported that he would not touch Plaintiff, (Baccay Aff. ¶ 8; see also Bailey Dep. 38-39 (Baccay never said that he would not touch Plaintiff; "Baccay, he's a general surgeon. There are things he can do, but in our setting he's less likely to do certain things because patients are very litigious and he is not comfortable exposing himself.")). Rather, Baccay claims that "[s]ince the mass was located in [Plaintiff's] facial area near his nose, [he] did not have the expertise to perform the biopsy so [he] referred [Plaintiff] to surgical oncology or plastic surgery." (Baccay Aff. ¶ 8; see also Yozzo Dep. 37 (In Yozzo's opinion, when Baccay declined to perform the biopsy, "he[] defend[ed] it to ENT or plastics, the more appropriate avenue.").) The August 1, 2008 notes of Nurse Practitioner Sandy George state that Plaintiff had been "[s]een by surgery [who was] unable to remove sebaceous cyst. Referred to ENT as per surgery recommendations." (Cosgriff Decl. Ex. C, at 000088; see id. at 000108 (same).)

17 "Yozzo Aff." refers to the Affidavit of June Yozzo in support of Defendants' Motion for Summary Judgment. (Reply Decl. Ex. R.)

*6 On or about August 5, 2008, Hemmerdinger examined Plaintiff again. (Ds' 56.1 ¶ 36; Cosgriff Decl. Ex. C, at 000109; see id. at 000089.) Hemmerdinger's notes from his evaluation of Plaintiff reveal that for the first time, a doctor found that the mass was "stable, fe[lt] solid. Not completely fluid filled." (Ds' 56.1 ¶ 37; Cosgriff Decl. Ex. C, at 000109.) Although Hemmerdinger did not do anything at that time to ascertain whether the mass was malignant, he did schedule Plaintiff for surgery. (P's 56.1 ¶ 58; Hemmerdinger Dep. 24-25, 27.) But because Hemmerdinger did not believe that Plaintiff required emergency surgery, (Hemmerdinger Aff. ¶ 12), the coordinator for surgery told Nordstrom that she would call within two weeks to schedule Plaintiff's surgery, (Ds' 56.1 ¶ 36; Cosgriff Decl. Ex. C, at 000089, 000162). On the same day, Bailey was also informed that WCDOC would receive a call within two weeks with a possible date for Plaintiff's surgery. (Cosgriff Decl. Ex. C, at 000109.)

On or about August 7, 2008, Plaintiff submitted another sick call request, which said, "I have chronic headaches. This growth on my nose is getting bigger, I would appreciate some treatment." (Ds' 56.1 ¶ 38; Cosgriff Decl. Ex. C, at 000091.) Cichon saw Plaintiff on August 11, 2008, measured the mass as "1.5 cm × 1.5 cm," noted that Plaintiff denied that he had blurred or double vision, and prescribed Motrin for Plaintiff's headaches. (Ds' 56.1 ¶ 38; Cosgriff Decl. Ex. C, at 000091.)

On or about September 2, 2008, Dr. Randy Goldberg received a packet of information by fax concerning the need for medical clearance for Plaintiff's surgery scheduled with Hemmerdinger on September 15, 2008, (see Cosgriff Decl. Ex. C, at 000164-75), and Yozzo advised Plaintiff that that surgery had been scheduled, (P's March 2 Dep. 81), but Plaintiff was not apprised of the exact date, (see Yozzo Aff. ¶ 12 n.4 ("For security reasons, inmates are not informed in advance of any off site visits")). On September 5, 2008, prior to the surgery, Plaintiff was released from WCDOC. (Ds' 56.1 ¶ 39.) The record contains no indication that Plaintiff's doctors were aware that he would be discharged prior to his September 15, 2008 surgery date. (See Hemmerdinger Aff. ¶ 10 ("Stiehl was scheduled for an excisional biopsy and I intended to request a frozen section on September 15, 2008. I was never advised that [Plaintiff] was soon to be released or actually released from custody on or about September 5, 2008."); Yozzo Dep. 20-21 (Yozzo was not aware of Plaintiff's release date but understood that Plaintiff had been scheduled for a biopsy that did not occur because he was released prior to the scheduled date).)

Approximately two weeks after his release from WCDOC, Plaintiff went to a private physician, Dr. Mermelstein, concerning the growth. (Ds' 56.1 ¶ 40; P's 56.1 ¶ 81; P's March 2 Dep. 40.) At this first appointment, Mermelstein prescribed "a heavy antibiotic because the growth was very large and infected, and he believed that that would help bring down the infection." (Ds' 56.1 ¶ 40; P's 56.1 ¶ 75; P's March 2 Dep. 40-41.) At Plaintiffs second visit with Mermelstein, the doctor determined that Plaintiff should get a biopsy. (Ds' 56.1 ¶ 40; P's March 2 Dep. 41.) Plaintiff could not recall if he saw Mermelstein one or two more times before he underwent that biopsy on November 3, 2008. (Ds' 56.1 ¶ 40; P's March 2 Dep. 41.) The biopsy revealed that Plaintiff's growth was a basal cell carcinoma, a "slow growing" form of cancer that "rarely metastasizes, and [is] usually not life-threatening," (Lovett Aff. Ex 5; Ds' 56.1 ¶ 41; P's 56.1 ¶ 49; Davis Dep. 818), although on "rare occasions" metastasis can occur if the cancer reaches the orbit of the eye, (P's 56.1 ¶ 50; Davis Dep. 8-9). Mermelstein determined that the mass had to be removed, and Plaintiff scheduled surgery with Dr. Ira Davis, a board certified dermatologist specializing in Mohs micrographic surgery,19 who excised the approximate "1.4 by 1.07" centimeter growth on January 21, 2009. (Ds' 56.1 ¶ 42; Davis Dep. 16.) The procedure took between five and six hours, including time during which some of the removed tissue was analyzed for cancerous cells. (P's 56.1 ¶ 54; Davis Dep. 13, 15.) Plaintiff was then transported to the office of Dr. Samuel Baran, a reconstructive plastic surgeon, who completed an additional approximately two-hour surgery on Plaintiff. (See P's March 2 Dep. 56-58.) Beran removed pieces of Plaintiff's facial bone that tested positive for cancer, (P's 56.1 ¶ 56; P's March 2 Dep. 56-58.) Ten days after surgery, Baran completed a follow-up consultation with Plaintiff to remove sutures and to look at the incision, and noted that he expected Plaintiff to "have an excellent result." (Cosgriff Decl. Ex. Q.)

18"Davis Dep." refers to the Examination Before Trial of Dr. Ira C. Davis. (Cosgriff Decl. Ex. I; Lovett Aff. Ex. 14.) 19 Dr. Davis described the training required for "Mohs micrographic surgery" — "a technique to take off certain kinds of skin cancers" — as "a fellowship sometime after dermatology residency that's approved by the American College of Mohs Surgery and Cutaneous Oncology. . . . There's fellowship training in this procedure." (Davis Dep. 7.)

*7 Plaintiff filed a Complaint in this Action on December 3, 2008, against the County Defendants and some additional individuals, (Doc. 1), and Plaintiff subsequently amended the Complaint twice, (Docs.19, 33). Between the various amendments, the parties stipulated to dismissing certain previously named Defendants, (Docs.10, 29), and Plaintiff named certain other Defendants who were not sued in the initial Complaint. Plaintiff brings one claim against all the County Defendants for the "intentional and/or reckless refusal to provide Plaintiff with proper medical care [which] violated his rights as guaranteed by the Eighth Amendment to the United States Constitution, 42 U.S.C. § 1983." (SAC ¶ 41.)

II. DISCUSSION

A. Summary Judgment Standard

Summary judgment is appropriate when "the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law." Fed.R.Civ.P. 56(a), "[T]he dispute about a material fact is `genuine' . . . if the evidence is such that a reasonable jury could return a verdict for the nonmoving party." Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986). A fact is "material" if it "might affect the outcome of the suit under the governing law . . . . Factual disputes that are irrelevant or unnecessary will not be counted." Id. On a motion for summary judgment, "[t]he evidence of the non-movant is to be believed, and all justifiable inferences are to be drawn in his favor." Id. at 255. The movant bears the initial burden of demonstrating the absence of a genuine issue of material fact, and, if satisfied, the burden then shifts to the non-movant "to present evidence sufficient to satisfy every element of the claim." Holcomb v. Iona Coll., 521 F.3d 130, 137 (2d Cir.2008). "The mere existence of a scintilla of evidence in support of the [non-movant's] position will be insufficient; there must be evidence on which the jury could reasonably find for the [non-movant]." Anderson, 477 U.S. at 252. Moreover, the non-movant "must do more than simply show that there is some metaphysical doubt as to the material facts," Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 586 (1986), and he "may not rely on conclusory allegations or unsubstantiated speculation," Fujitsu Ltd. v. Fed. Express Corp., 247 F.3d 423, 428 (2d Cir.2001) (internal quotation marks omitted).

"A party asserting that a fact cannot be or is genuinely disputed must support the assertion by . . . citing to particular parts of materials in the record, including depositions, documents, electronically stored information, affidavits or declarations, stipulations (including those made for purposes of the motion only), admissions, interrogatory answers, or other materials . . . . "Fed.R.Civ.P. 56(c)(1). Where, as here, an affidavit is used to support or oppose the motion, it "must be made on personal knowledge, set out facts that would be admissible in evidence, and show that the affiant . . . is competent to testify on the matters stated." Fed.R.Civ.P. 56(c)(4); see Major League Baseball Props., Inc. v. Salvino, Inc., 542 F.3d 290, 310 (2d Cir.2008). In the event a party "fails to properly address another party's assertion of fact as required by Rule 56(c), the court may," among other things, "consider the fact undisputed for purposes of the motion" or "grant summary judgment if the motion and supporting materials-including the facts considered undisputed-show that the movant is entitled to it." Fed.R.Civ.P. 56(e)(2), (3).

B. Eighth Amendment Deliberate Indifference Claim Against Individual Defendants

*8 "A convicted prisoner's claim of deliberate indifference to his medical needs by those overseeing his care . . . arises from the Eighth Amendment's prohibition of cruel and unusual punishment." Caiozzo v. Koreman, 581 F.3d 63, 69 (2d Cir.2009) (internal quotation marks omitted); see West v. Atkins, 487 U.S. 42, 48 (1988) (Eighth Amendment claim of deliberate indifference actionable under 42 U.S.C. § 1983). While the Eighth Amendment imposes a duty upon prison officials to ensure that inmates receive adequate medical care, Farmer v. Brennan, 511 U.S. 825, 832 (1994), "not every lapse in medical care is a constitutional wrong. Rather, `a prison official violates the Eighth Amendment only when two requirements' "— one objective and one subjective — "`are met.'" Salahuddin v. Goord, 467 F.3d 263, 279 (2d Cir.2006) (quoting Farmer, 511 U.S. at 834).

First, the prisoner must prove, objectively, that he was "actually deprived of adequate medical care[,] . . . [as] the prison official's duty is only to provide reasonable care," id. at 279 (citing Farmer, 511 U.S. at 844-47), and "that the alleged deprivation of medical treatment [wa]s . . . `sufficiently serious' — that is, the prisoner must prove that his medical need was a condition of urgency, one that may produce death, degeneration, or extreme pain," Johnson v. Wright, 412 F.3d 398, 403 (2d Cir.2005) (internal quotation marks omitted); see Williams v. Raimo, No. 10-CV-245, 2011 WL 6026115, at *3 (N.D.N.Y. July 22, 2011) ("no distinct litmus test" for determining whether medical condition is "serious," but court may look at non-exhaustive list of factors, including whether (1) impairment is one that reasonable doctor would find important and worthy to treat, (2) condition affects individual's daily life, and (3) prisoner suffers from chronic and substantial pain). Where the inadequacy alleged "is in the medical treatment given, the seriousness inquiry is narrower. . . . [If] the prisoner is receiving on-going treatment and the offending conduct is an unreasonable delay or interruption in that treatment, the seriousness inquiry focuses on the challenged delay or interruption in treatment rather than the prisoner's underlying medical condition alone." Goris v. Breslin, 402 F. App'x 582, 584-85 (2d Cir.2010) (summary order) (internal citation and quotation marks omitted); see Smith v. Carpenter, 316 F.3d 178, 186-87 (2d Cir.2003) (among other things, court must look at reasons for and effect of delay in treatment).

Second, the prisoner must prove, subjectively, that the charged official acted with a sufficiently culpable state of mind. Salahuddin, 467 F.3d at 280-81; see Farmer, 511 U.S. at 835 ("[D]eliberate indifference entails something more than mere negligence . . . [but] it is satisfied by something less than acts or omissions for the very purpose of causing harm or with knowledge that harm will result."). The prisoner must prove that the charged official knew of and disregarded "`an excessive risk to inmate health or safety; the official must [have] both be[en] aware of facts from which the inference could be drawn that a substantial risk of serious harm exist[ed], and . . . must also [have] draw[n] the inference.' "Johnson, 412 F.3d at 403 (quoting Farmer, 511 U.S. at 837); see Phelps v. Kapnolas, 308 F.3d 180, 186 (2d Cir.2002) (per curiam) (equating "deliberate indifference" with criminal "recklessness").

*9 "It is well-established that [neither] mere disagreement over the proper treatment," Chance v. Armstrong, 143 F.3d 698, 703 (2d Cir.1998), nor "[m]edical malpractice . . . become a constitutional violation merely because the victim is a prisoner," Estelle v. Gamble, 429 U.S. 97, 106 (1976); see Sonds v. St. Barnabas Hosp. Corr. Health Servs., 151 F.Supp.2d 303, 312 (S.D.N.Y.2001) ("[D]isagreements over medications, diagnostic techniques (e.g., the need for X-rays), forms of treatment, or the need for specialists or the timing of their intervention, are not adequate grounds for a Section 1983 claim. These issues implicate medical judgments and, at worst, negligence amounting to medical malpractice, but not the Eighth Amendment."); cf. Choice v. Blackwell, No. 01-CV-1931, 2002 WL 32079466, at *7 (D.S.C. Mar. 29, 2002) ("[A]lthough the provision of medical care by prison officials is not discretionary, the type and amount of medical treatment is discretionary."). Rather, to state an Eighth Amendment deliberate indifference claim, an inmate "must demonstrate that the defendants act[ed] or fail[ed] to act while actually aware of a substantial risk that serious inmate harm w[ould] result." Farid v. Ellen, 593 F.3d 233, 248 (2d Cir.2010) (alterations in original) (internal quotation marks omitted). "[P]rison officials . . . may be found free from liability if they responded reasonably to the risk, even if the harm ultimately was not averted." Farmer, 511 U.S. at 844.

The County Defendants do not claim that Plaintiff's medical condition was not "serious" within the meaning of the Eighth Amendment. Rather, they argue that

[t]o the extent that there was any delay in scheduling Stiehl for a biopsy, it was based upon sound medical principles and not deliberate indifference. Notably, even after Stiehl was released from WCDOC, Dr. Mermelstein . . . did not order a biopsy until the second or third visit as it was not at all evident that [Plaintiff] was suffering from slow moving basal cell carcinoma.

(Ds' Mem. 6.)20 They claim that "the treatment was adequate in all respects" and thus "it is undisputed that County Defendants did not evince a conscious disregard of a substantial risk of serious harm in their provision of medical care to [Plaintiff]." (Id. at 7.) Plaintiff argues that "[t]he record shows that he was placed on a medical merry-go-round that lead [sic] no where [sic]. There was no interrupted treatment, for there was no treatment at all. There was no unreasonable delay since no treatment was accorded [him]." (P's Mem. 14.)21 Further, Plaintiff claims that "Bailey and her medical subordinates knew and/or had to know when [he] was to be released from custody so they simply delayed necessary medical treatment until his incarceration ended." (Id.)

20"Ds' Mem." refers to the Memorandum of Law in Support of County Defendants' Motion for Summary Judgment. (Doc. 57.) 21 "P's Mem." refers to Plaintiffs Memorandum of Law in Opposition to Defendants' Motion for Summary Judgment. (Doc. 51.)

Neither Plaintiff's medical records nor the rest of the record in this case supports Plaintiff's claim that his medical providers deliberately disregarded a risk of serious harm by failing to act. Rather, from January 2008 through September 2008, Plaintiff was seen by doctors or nurse practitioners regarding his growth approximately sixteen times, and other practitioners discussed Plaintiff's case with each other, set up consultations with specialists, procured necessary tests, and scheduled Plaintiff for an excision biopsy. Over these eight months, the medical providers were monitoring the size, shape, and color of the mass, as well as any medical issues relating to it. Although Plaintiff's CT scan was not conclusive on the issue of whether the mass was cancerous, the results were not alarming to these medical providers. Upon Plaintiff's further complaints, he was channeled to Baccay, a general surgeon who, based on his lack of expertise related to Plaintiff's condition,22 then sent Plaintiff to Hemmerdinger, an ENT, for a consult that was required before Plaintiff was able to see an oncology specialist. After Kadel suggested that Plaintiff undergo an aspiration biopsy and Hemmerdinger determined that Plaintiff should undergo an excision biopsy, Plaintiff was scheduled for surgery with Hemmerdinger on September 15, 2008. Plaintiff's discharge from WCDOC ten days before the scheduled excision biopsy, (Hemmerdinger Aff. ¶ 10) — notably, a procedure that Dr. Davis performed over four months later, which undermines Plaintiff's claim as to the urgency for it — precluded the County Defendants from completing Plaintiff's medical care as planned.

22 Considering Dr. Davis's representations regarding the training that is required for a physician to complete a Mohs surgery, it appears to the Court that Baccay made a sensible medical decision not to biopsy or excise the cyst.

*10 In fact, aside from Bailey's decision to defer the surgical consult in late March 2008 — a determination that she made early on with respect to Plaintiff's medical condition after apparently speaking with the nurse practitioner who evaluated Plaintiff at a time when the mass was movable, soft, and non-tender — Plaintiff received increasing care as his condition worsened and he required more specific testing. Bailey approved a CT scan and surgical consults with Baccay and Hemmerdinger. Once Hemmerdinger saw a change in the make-up of the mass from soft and non-tender (suggesting a cyst) to stable and solid (possibly suggesting something else), (see Ds' 56.1 ¶ 37; Cosgriff Decl. Ex. C, at 000109; Hemmerdinger Dep, 24-25), Bailey ordered the biopsy. That it took a few weeks from the time Bailey signed off on the biopsy to the date it was scheduled does not evince a deliberate indifference to Plaintiff's medical needs,23 and Plaintiff fails to set forth evidence to demonstrate that the delay was a result of deliberate indifference.

23 Although not dispositive on this issue, it is informative that Mermelstein — Plaintiff's private doctor — waited until at least the third, and possibly the fourth, office visit to complete the biopsy.

Further, Dr. Davis testified that when he first evaluated Plaintiff in November 2008, two months after Plaintiff was discharged from WCDOC, he did not consider the condition an emergency, (see Davis Dep. 20 ("He had basal cell carcinoma for a year. These are slow-growing lesions."; not unusual to go to Plastics doctor for consultation and to look into other options)), which substantiates Hemmerdinger's statement to the same effect, (see Hemmerdinger Aff. 112 ("If I had thought Stiehl required emergency surgery (which I didn't) I would have sent him to the Emergency Room on August 5, 2008 or requested immediate surgical scheduling.")).

Additionally, Plaintiff's claims in the SAC, his 56.1 Statement, and his Affidavit that the mass caused him to "endure excruciating pain and suffering," (SAC ¶ 39; see also P's 56.1 ¶¶ 76-80 (mass caused difficulty breathing, migraines, and sharp pain; pain in right eye "was apparently caused by the cancer impinging on a nerve"); P's Aff. ¶ 2 ("persistent pain to my right eye"; "extreme headaches and migraines"; "When the tumor was not being touched, it exerted a profound and disconcerting pressure on my right cheek, the right side of my nose and my right eye."; "During sleep, if I moved in a manner that resulted in the tumor coming into contact with the bed and/or pillow, it caused me sharp pain in my right eye. . . ."), are largely belied by the record. Although Plaintiff did submit sick call requests complaining of some pain and/or of being bothered by the mass, the complaints were more mild than his current version of the events suggests, (see, e.g., Cosgriff Decl. Ex. C, at 000065, 000069, 000073, 000087, 000091), and his own deposition testimony does not substantiate a claim that he was in excessive pain that would have raised red flags to the medical providers so as to suggest deliberate indifference, (see P's March 2 Dep. 30 ("It was very discomforting. It started to feel like someone was poking the side of my nose with their finger. . . ."); id. at 33-34 ("Q; Were you in any pain? A: I was in discomfort. My vision was bothering me. My sinuses were bothering me."); id. at 43 ("It was like I said, pressure and . . . it was total discomfort."); id. at 61 ("discomfort"; "just a weird feeling")). Because Plaintiff may not submit an affidavit in connection with a motion for summary judgment that conflicts with earlier deposition testimony, see Ramos v. Baldor Specialty Foods, Inc., No. 10-CV-6271, 2011 WL 2565330, at *4 (S.D.N.Y. June 16, 2011) (disregarding declaration that contradicted plaintiff's deposition testimony because it had not been subject to cross-examination and ran afoul of rule that party may not create material issue of fact on summary judgment by submitting contradictory declarations); see also Bickerstaff v. Vassar Coll., 196 F.3d 435, 455 (2d Cir.1999) ("It is beyond cavil that a party may not create an issue of fact by submitting an affidavit in opposition to a summary judgment motion that contradicts the affiant's previous deposition testimony.") (alteration and internal quotation marks omitted), I must disregard the conflicting portions of Plaintiff's Affidavit and 56.1 Statement concerning Plaintiff's level of pain.24

24 Further, the doctors' notes are consistent with Plaintiffs deposition testimony and his sick call requests, which suggests that although Plaintiff may have been in some pain and discomfort, it did not rise to the level of "excruciating" such that a reasonable jury could find that the medical providers deliberately disregarded an excessive risk to Plaintiffs health or safety.

*11 Viewing the facts in the light most favorable to Plaintiff and drawing every reasonable inference in his favor, the evidence as to the medical care rendered, the diagnostic tools used, and the pace in scheduling diagnostic tests for Plaintiff — including the delay caused by Bailey's initial judgment that the surgical consult (which ultimately was scheduled less than two months later) was not warranted, see Gardner v. Zaunbrecher, No. 95-CV-1543, 1997 WL 602333, at *2 (N.D.N.Y. Sept. 22, 1997) (doctors disagreed about whether they should perform biopsy on prisoner's cystic mouth lesions, but "existence of a disagreement as to the proper care and treatment . . . does not give rise to a constitutional claim"), the delay caused by Baccay's determination that he was not the appropriate doctor to handle Plaintiff's condition, see Hernandez v. Keane, 341 F.3d 137, 146-47 (2d Cir.2003) (decision to perform or not to perform a surgery is one of "medical judgment" and "is precisely the sort of issue that cannot form the basis of a deliberate indifference claim"), and the delay between Hemmerdinger requesting the biopsy and it being scheduled, see Pabon v. Wright, No. 99-CV-2196, 2004 WL 628784, at *8 (S.D.N.Y. Mar. 29, 2004) ("[A] delay in treatment does not violate the constitution unless it involves an act or failure to act that evinces a conscious disregard of a substantial risk of serious harm. . . . The Second Circuit has reserved such a classification for cases in which, for example, officials deliberately delayed medical care as a form of punishment, ignored a life threatening and fast-degenerating condition for three days, or delayed major surgery for over two years.") (internal citation and quotation marks omitted) — "implicate medical judgments and, at worst, negligence amounting to medical malpractice," Sonds, 151 F.Supp.2d at 312, by the practitioners, which is insufficient to support Plaintiff's Eighth Amendment claim.25 Compare Victor v. Milicevic, No. 03-CV-1294, 2008 WL 907319, at *4 (N.D.N.Y. Mar. 31, 2008) (no finding of deliberate indifference where there was ten-month delay in receiving liver biopsy that had previously been recommended by one clinician, but was determined not to be necessary according to another doctor, and Plaintiff had been treated in ways other than biopsy in interim), aff'd, 361 F. App'x 212, 215 (2d Cir.2010) ("delay was due to conflicting opinions from consulting doctors on the proper course of treatment; once the doctors were in agreement that a liver biopsy was safe, such a biopsy was ordered and performed"), with Price v. Reilly, 697 F.Supp.2d 344, 361-62 (S.D.N.Y.2010) (denying defendants' motion for summary judgment because rational jury could find that defendants acted with deliberate indifference based on over-nine-month delay in arranging kidney transplant test that plaintiff requested, defendants' failure to respond to plaintiff's requests, and statement to plaintiff that defendants had "other priorities right now").

25 The Court does not suggest that malpractice occurred. The record here contains support for Defendants' assertion that there was no deprivation of adequate care. I need not reach that issue definitively, however, because the record so convincingly demonstrates that no Defendant consciously disregarded any excessive risk to Plaintiff's health from their decisions.

*12 Moreover, with respect to Yozzo, although "[n]on-medical personnel may engage in deliberate indifference if they intentionally deny or delay access to medical care," Jean v. Barber, No. 09-CV-430, 2011 WL 2975218, at *5 (N.D.N.Y. July 21, 2011); accord Hodge v. Coughlin, No. 92-CV-622, 1994 WL 519902, at *11 (S.D.N.Y. Sept. 22, 1994) ("[P]laintiff must prove that [nonmedical] prison personnel intentionally delayed access to medical care when the inmate was in extreme pain and has made his medical problems known to the attendant prison personnel or that the inmate suffered a complete denial of medical treatment."), the record is devoid of evidence of any conduct by Yozzo that denied or delayed Plaintiff's access to medical care, let alone that shows she consciously intended that result, (see, e.g., Yozzo Dep. 37 (Yozzo believed Baccay's deferral to ENT or Plastics made sense, as these specialists were "the more appropriate avenue"); id. at 42 ("quite self-explanatory as to why [Baccay] wouldn't do the biopsy . . . [and Plaintiff] was referred to ENT Hemmerdinger, who ordered the CAT scan"); id. at 61-62 (Yozzo monitored Plaintiff's medical care and passed on information to the Board of Legislators that Bailey denied Plaintiff a biopsy on July 15, 2008), and Plaintiff's own testimony supports such a finding, (see P's March 2 Dep. 75-76 ("I don't think Ms. Y[o]zzo tried to prevent me from getting help at the jail. . . . I wouldn't say that she was putting her foot down and trying to trip me from getting help, but I wasn't getting any results.")), That Yozzo personally felt that something did not look right with the mass on Plaintiff's face, (Yozzo Dep. 79), does not mean that she denied or delayed Plaintiff's access to medical care. On the contrary, Yozzo, in her administrative role, was tracking Plaintiff's situation and deferred to the medical providers, who initially disagreed about the course of treatment required for Plaintiff and who later marshaled Plaintiff through a diagnostic process and ultimately the referral to a surgeon for an excision biopsy scheduled for September 15, 2008.

The facts and evidence before the Court simply do not support the type of egregious lack of medical care needed to establish a claim of deliberate indifference by any of the Individual Defendants. On the contrary, although the record demonstrates short periods of delay in the provision of certain diagnostic tests, and a total period of approximately seven months between Plaintiffs first complaint and Defendants' scheduling a biopsy or surgery, the reasons for those delays were reasonable, and Plaintiff's mass was never ignored. Rather, WCDOC medical providers and referred clinicians attended to Plaintiff on a regular basis between February 2008 and his discharge from the facility in September 2008. Although Plaintiff would have wished for the surgery to have been performed sooner, Plaintiff has failed to contradict the extensive record that shows that the evaluation of Plaintiff's condition was continuous and conscientious, and a rational jury thus could not find that the Individual Defendants evinced a deliberate indifference to his condition or that their conduct amounted to anything more than negligence or medical malpractice. Cf. Thomas v. Wright, No. 99-CV-2071, 2002 WL 31309190, at *9 (N.D.N.Y. Oct. 11, 2002) (doctors may have failed "to diagnose or even detect [plaintiff's] cancer, [but] the record does not show that they did so deliberately"; plaintiff was seen numerous times by doctors and given pain medication, and the doctors ordered tests that showed normal results). For these reasons, Defendants' Motion for Summary Judgment is granted with respect to the Individual Defendants.

C. Municipal Liability

*13 Plaintiff brings the same Eighth Amendment claim against WCHCC and the County of Westchester as he does against the Individual Defendants. "It is well settled that a municipality may not be held liable where there is no underlying constitutional violation by a municipal official." Levy v. Alfano, 47 F.Supp.2d 488, 498 (S.D.N.Y.1999); accord Gonzalez v. City of N.Y., No. 99-CV-9128, 2000 WL 1678036, at *10 (S.D.N.Y. Nov. 8, 2000) ("Because [plaintiff] has failed to show that any of his constitutional rights were violated, all of his claims against the City must fail."). Because none of the Individual Defendants' conduct rose to the level of deliberate indifference within the meaning of the Eighth Amendment, there is no independent constitutional violation, and thus no basis for municipal liability. See Segal v. City of N.Y., 459 F.3d 207, 219 (2d Cir.2006) ("Because the district court properly found no underlying constitutional violation, its decision not to address the municipal defendants' liability under Monell was entirely correct."); cf. Collins v. City of Barker Heights, Tex., 503 U.S. 115, 120 (1992) ("[P]roper analysis requires us to separate two different issues when a § 1983 claim is asserted against a municipality: (1) whether plaintiff's harm was caused by a constitutional violation, and (2) if so, whether the city is responsible for that violation."). Accordingly, Defendants' Motion for Summary Judgment is also granted with respect to WCHCC and the County of Westchester.

III. CONCLUSION

For the foregoing reasons, Defendants' Motion for Summary Judgment is GRANTED. The Clerk of Court is respectfully directed to terminate the pending Motion, (Doc. 45), enter judgment in Defendants' favor, and close the case.

SO ORDERED.

All Citations

Not Reported in F.Supp.2d, 2012 WL 2334626

2013 WL 684448 Only the Westlaw citation is currently available. United States District Court, S.D. New York. Thomas J. McNULTY, Plaintiff, v. Nurse YANEKA, Registered Nurse, Norma Cruz, Registered Nurse, Lee Isabel, Medical Director, Correction Medical Care Inc., Adrain (Butch) Anderson, Dutchess County Sheriff, Correction Medical Care Inc., Private Medical Care Corporation at the Dutchess County Jail, Defendants. No. 11-CV-08320 (ER). Feb. 25, 2013.

OPINION AND ORDER

RAMOS, District Judge.

*1 Plaintiff Thomas J. McNulty ("McNulty"), appearing pro se, brings this action pursuant to 42 U.S.C. § 1983 against five defendants whom he alleges violated his constitutional rights while he was incarcerated at the Dutchess County Jail. Specifically, Plaintiff alleges that the defendants deprived him of his Eighth Amendment right to medical care by providing inadequate treatment for an infection on his abdomen and rejecting his requests to be hospitalized.

Plaintiff has asserted claims against one organization and four individuals: (1) Correction Medical Care Inc. ("CMS"), (2) Registered Nurse Yaneka Alaimalo (named in the Complaint as "Nurse Yaneka" and referred to herein as "Yaneka"), (3) Registered Nurse Norma Cruz ("Cruz"), (4) Medical Director of CMS, Lee Isabel ("Isabel"), and (5) Dutchess County Sheriff, Adrain (Butch) Anderson ("Anderson"). (Compl. at 1.) McNulty sues each of the natural person defendants in their individual capacities. (Id. ¶¶ 42-45.)

All Defendants move for judgment on the pleadings pursuant to Rule 12(c). Additionally, Defendants Yaneka and Cruz move to dismiss the Complaint for insufficient service of process pursuant to Rule 12(b)(5). Although the Court finds that service was not properly effected on Defendants Yaneka and Cruz, because Plaintiff can show good cause why service was not made, their motion to dismiss for insufficient service of process is DENIED. However, for the reasons discussed below, because Plaintiff fails to state a claim against Defendants Yaneka and Cruz, Plaintiff is denied additional time to effect service. Defendants' motion for judgment on the pleadings is GRANTED.

I. Factual Background

A. Plaintiffs Allegations Regarding Improper Medical Treatment by Defendants Yaneka, Cruz, and Isabel

On July 18, 2011, Plaintiff was admitted to the Dutchess County Jail as an inmate. (Compl. ¶ 1.) Upon Plaintiff's admission, an initial medical assessment was performed by Nurse May. (Id.) Plaintiff informed Nurse May that he was HIV-positive, and Nurse May recorded that fact and the names of Plaintiff's HIV medications in Plaintiff's medical file. (Id.) On July 21, 2011, Plaintiff was examined by Defendant Isabel pursuant to a policy that inmates with serious medical conditions, such as HIV, be seen within five days of their admission to the prison. (Id. ¶ 2.) During the examination, Isabel advised Plaintiff that he should wash his hands regularly, as there were a high number of staph infections within the inmate population, and such an infection could be detrimental to Plaintiff's health in light of his HIV-positive status. (Id.) From the time of his admission to the prison on July 18, 2011 until August 12, 2011, Plaintiff did not require any medical treatment. (Id. ¶ 4.)

On August 13, 2011, at 7:59 p.m., Plaintiff informed an officer at the prison that he had an infected boil the size of a softball on his stomach, that he was in severe pain, and that he required medical attention. (Id. ¶ 5.) The officer notified the medical department of Plaintiff's condition, and was informed that the medical department was too busy to see Plaintiff at the moment, and that Plaintiff would be called down to the medical department after the diabetic check for the inmate population had been completed. (Id. ¶ 6.) At 9:38 p.m., after two more calls to the medical department, Plaintiff was escorted to the department and seen by Defendant Cruz. (Id. ¶ 7.) Plaintiff alleges that Cruz made a "cursory inspection" of the infection and gave Plaintiff two aspirins before sending him back to his housing unit. (Id. ¶ 8.)

*2 Upon returning to his housing unit, Plaintiff requested to see Sergeant Burke ("Burke"), the area supervisor, in order to file an inmate grievance complaint against Cruz "for her complete lack of medical treatment." (Id. ¶ 9.) When Burke reported to Plaintiff's housing unit, Plaintiff informed him that he was in extreme pain and needed medical attention due to his body's inability to fight off infections. (Id. ¶ 10.) After Burke inspected Plaintiff's infection, he told Plaintiff to "sit tight" while he went to speak to Cruz. (Id. ¶ 11.) Plaintiff alleges that after returning to the housing unit, Burke informed Plaintiff that he had advised Cruz that Plaintiff intended to file an inmate grievance complaint against her, and that he told Cruz that the infection "doesn't look good at all." (Id. ¶ 12.) Burke informed Plaintiff that Cruz agreed to reevaluate him, but advised Plaintiff that regardless of what should happen upon Cruz's reevaluation, should Plaintiff get a fever, he should report his condition to the housing officer immediately. (Id. ¶¶ 12-13.)

At 11:00 p.m., Plaintiff was escorted down to the medical department to be reevaluated by Cruz. (Id. ¶ 13.) After speaking with Plaintiff about his condition, Cruz advised him that she was unaware that he was HIV-positive during her first examination, and that she had called Isabel, who had ordered antibiotics for Plaintiff. (Id. ¶ 14.) Plaintiff informed Cruz that the prescription of antibiotics "amounted to putting a band-aid on a gunshot wound" and that he needed to go to the hospital to have the infection lanced and drained. (Id.) After Cruz informed Plaintiff that he would be "ok," Plaintiff advised her that "she was out of her mind" and that he would not be "ok." (Id. ¶ 15.) Plaintiff begged Cruz to call Isabel back and inform him as to the seriousness of Plaintiff's condition. (Id.)

The following day, at 7:25 p.m., Plaintiff reported to Officer Stroka, the housing unit officer, and informed him that he was in severe pain, had a "blazing fever," and needed emergency medical care. (Id. ¶ 17.) Officer Stroka informed Plaintiff that he was a part-time EMT worker and was aware of Plaintiff's condition. (Id.) Officer Stroka requested to see the infection site and, upon examining it, stated "you have got to [be] kidding me." (Id. ¶ 18.) Officer Stroka then called the medical department and spoke to Yaneka. (Id.) Officer Stroka told Yaneka that Plaintiff needed emergency medical treatment and asked if he could send Plaintiff down to the medical department to be evaluated. (Id. ¶ 20.) Yaneka informed Officer Stroka that she would not see Plaintiff because he had already been seen by Cruz the night before, and that there was nothing else she "could or would" do for him, as he was already receiving antibiotics for his condition. (Id. ¶¶ 20-21.)

At 3:30 a.m., after Plaintiff had returned to his cell, Plaintiff was found "hooked over his toilet appearing to be throwing up and in a lot of pain" by the officer on duty, Officer Ortero. (Id. ¶ 23.) Officer Ortero immediately called the medical unit, and at 3:56 a.m., Cruz came to Plaintiff's cell to examine him. (Id. ¶¶ 23-24.) Upon examining Plaintiff, Cruz made the following assessment: "fever °102 degrees, body chills, diaphoresis and increased pain and swelling to the abdominal site." (Id. ¶ 25.) Cruz informed Officer Ortero that it appeared that Plaintiff had gone "septic" and that she feared that the infection was leaking into his bloodstream. (Id.) After learning of Plaintiff's condition from Cruz, Isabel gave orders to have him transported to Vassar Brothers Medical Center ("VBMC"). (Id. ¶ 26.) At 4:38 a.m., Plaintiff was rushed to VBMC "via life support unit." (Id. ¶¶ 26-27.) Upon admission to the hospital, Plaintiff was diagnosed with Methicillin-Resistant Staphylococcus Aureus ("MRSA") and administered morphine for his pain as the infection was lanced and drained. (Id. ¶ 27.) Plaintiff was then informed by the doctor on duty that if he was left untreated for any further period of time, his condition could have easily resulted in death. (Id.)

*3 During Plaintiff's five-day hospitalization, he was put on an antibiotic drip and underwent surgery to remove the infection. (Id. ¶ 28.) Plaintiff was released from the hospital on August 19, 2011, and was instructed to take oral antibiotics for the next five days. (Id.)

B. Plaintiffs Allegations Regarding CMC and Anderson

Plaintiff alleges that CMC is the healthcare provider at the Dutchess County Jail pursuant to a contract with Anderson. (Id. ¶ 32.) Plaintiff claims that since CMC contracted with Anderson, the number of instances of prisoners being deprived of medical treatment has been "systematic." (Id. ¶ 34.) Plaintiff further alleges that within the last year, two inmates have committed suicide, and another inmate has attempted suicide. (Id. ¶ 35.) CMC is responsible for referring inmates with mental health problems to mental health services. (Id.) Plaintiff appears to allege that CMC has failed to refer such inmates to mental health services because the cost of doing so would be deducted from the total amount of money CMC is paid under its contract. (Id.) Thus, according to Plaintiff, CMC is making medical decisions based on cost, rather than the medical needs of the inmates. (Id.) Additionally, Plaintiff alleges that Defendants CMC and Isabel have an unwritten policy that inmates will not be provided pain medication under any circumstance. (Id. ¶ 29.) Plaintiff also claims that Defendants made certain decisions with respect to his medical treatment based on cost rather than his actual medical needs, including placing Plaintiff on oral antibiotics rather than taking him to the hospital. (Id. ¶¶ 36, 38.)

Plaintiff further alleges that Defendant Anderson owes a duty of care to the inmates at the Dutchess County Jail, and that such duty is non-delegable. (Id. ¶¶ 32-33.) Plaintiff claims that Anderson "knew or should have known" that CMC's "level of treatment would diverge from [the] public interest" because, unlike public employees, CMC's employees are "compelled" to make decisions to benefit CMC, without consideration of what is in the best interest of the inmates. (Id. ¶ 34.) Plaintiff alleges that the two suicides and one attempted suicide within the last year should have been a "red flag" for Anderson that CMC was making medical decisions based on cost. (Id. ¶ 35.) Plaintiff claims that "if by way of discovery," he can prove that CMC had a policy of making medical decisions based on cost, then both Defendants CMC and Anderson become liable. (Id. ¶ 37.)

II. Rule 12(b)(5) Motion to Dismiss

In considering a motion to dismiss pursuant to Rule 12(b)(5) for insufficient service of process, a court may look to matters outside the complaint to determine whether it has jurisdiction. Mende v. Milestone Tech., Inc., 269 F.Supp.2d 246, 251 (S.D.N.Y.2003). "Conclusory statements that a defendant was properly served are insufficient to overcome a defendant's sworn affidavit that he was never served with process." Id. (quotation marks and citation omitted). When a defendant challenges the sufficiency of service pursuant to Rule 12(b)(5), the plaintiff bears the burden of proving its adequacy. Id.

*4 The Second Circuit has held that Federal Rule of Civil Procedure 4 is to be construed liberally "`to further the purpose of finding personal jurisdiction in cases in which the party has received actual notice.'" Romandette v. Weetabix Co., Inc., 807 F.2d 309, 311 (2d Cir.1986) (quoting Grammenos v. Lemos, 457 F.2d 1067, 1070 (2d Cir.1972)). Incomplete or improper service may lead a court to dismiss an action "`unless it appears that proper service may still be obtained.'" Id. (quoting Grammenos, 457 F.2d at 1070). Thus, a court may dismiss an action when it appears that "there is simply no reasonably conceivable means of acquiring jurisdiction over the person of the defendant." Id. (quoting Stanga v. McCormick Shipping Corp., 268 F.2d 544, 554 (5th Cir.1959)).

Defendants Yaneka and Cruz move to dismiss the action for improper service of process. The docket for this Court indicates that service was effected upon Yaneka and Cruz by the U.S. Marshals, (Docs.27, 28), however, Defendants argue that service was improper under New York Civil Practice Law and Rules ("CPLR") 308(2). (Defs.' Aff. in Supp. at 5-6.) Plaintiff disputes that service was made pursuant to CPLR 308(2). However, because none of the methods of service articulated in Rule 4(e)(2) are applicable here, the Court will assume that service was attempted pursuant to CPLR 308(2), which provides that service may be effected by personal delivery to defendant's actual place of business, with a follow-up mailing to defendant's last known residence or his or her actual place of business.1

1 Rule 4(e) provides that service on an individual within a judicial district of the United States may be made pursuant to the law of the state in which the district court sits or by doing any of the following: (1) delivering a copy of the summons and the complaint to the individual personally; (2) leaving a copy at the individual's dwelling or usual place of abode with someone of suitable age and discretion who resides there; or (3) delivering a copy of each to an agent authorized to receive service of process on behalf of the individual. Fed.R.Civ.P. 4(e). Here, service was not made at a residence, but rather at the Dutchess County Jail. (Docs.27, 28.) Accordingly, it appears that service was made pursuant to New York state law, and not pursuant to any of the other articulated modes of service in Rule 4(e).

CPLR 308(2) requires that service be made at the defendant's business address at the time of service, and not when the cause of action arose. Jackson v. Cnty. of Nassau, 339 F.Supp.2d 473, 478 (E.D.N.Y.2004) (citing Simmons v. Boro Med., P.C., 270 A.D.2d 477 (2d Dep't 2000)); see also Leab v. Streit, 584 F.Supp. 748, 759 n. 12 (S.D.N.Y.1984) (holding that compliance with CPLR 308(2) "is tested at the time of service"). Defendants argue that neither Yaneka nor Cruz were employees of CMC on March 23, 2012, the date of delivery to the Dutchess County Jail. (Defs.' Aff. in Supp. at 5.) Factual support for Defendants' argument has been submitted in the form of an affidavit of the Health Services Administrator for CMC, Rebecca Oyoo, R.N. (Doc. 36.) Ms. Oyoo's affidavit states that Yaneka's last day of employment by CMC was January 2, 2012, and that Cruz's last day of employment was January 12, 2012. (Id.) Plaintiff has offered no evidence to rebut Defendants' contention regarding the termination date of Yaneka's and Cruz's employment by CMC. Accordingly, because the evidence suggests that Defendants were no longer employed by CMC as of the date of service, service cannot be sustained pursuant to CPLR 308(2).

Although service was not effected within 120 days after the filing of the Complaint, as mandated by Rule 4(m), dismissal is not required if the plaintiff can show "good cause" why service was not made. Fed.R.Civ.P. 4(m). Here, Plaintiff timely directed the U.S. Marshals Service to effect service on Defendants Yaneka and Cruz at CMC on January 16, 2012. (Docs. 27, 28.) Thus, at the time Plaintiff requested that service be effected, Defendants' employment at CMC had only recently concluded and Plaintiff therefore had good cause to direct the U.S. Marshals to serve Defendants at CMC. Although Defendants were no longer employees of CMC at the time service was made, there is nothing in the record to suggest that Plaintiff did not act diligently in his attempt to serve Yaneka and Cruz. Accordingly, the Court finds that dismissal is not mandated by Plaintiff's failure to effect service. Because the Court finds that dismissal of Plaintiff's claims against Defendants Yaneka and Cruz is appropriate under Rule 12(c), however, the Court declines to extend the time for service pursuant to Rule 4(m).

III. Rule 12(c) Motion to Dismiss

A. Standard of Review

*5 Rule 12(c) provides that "[a]fter the pleadings are closed — but early enough not to delay trial — a party may move for judgment on the pleadings." Fed.R.Civ.P. 12(c). The Court applies the same standard of review to a Rule 12(c) motion as it does to a motion to dismiss for failure to state a claim upon which relief can be granted under Rule 12(b)(6). Cleveland v. Caplaw Enters., 448 F.3d 518, 521 (2d Cir.2006).

When ruling on a motion to dismiss pursuant to Rule 12(b)(6), district courts are required to accept as true all factual allegations in the complaint and to draw all reasonable inferences in the plaintiff's favor. Famous Horse Inc. v. 5th Ave. Photo Inc., 624 F.3d 106, 108 (2d Cir.2010). However, this requirement does not apply to legal conclusions, bare assertions or conclusory allegations. Ashcroft v. Iqbal, 556 U.S. 662, 678, 681 (2009) (citing Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555 (2007)). In order to satisfy the pleading standard set forth in Rule 8 of the Federal Rules of Civil Procedure, a complaint must contain sufficient factual matter to state a claim to relief that is plausible on its face. Iqbal, 556 U.S. at 678 (citing Twombly, 550 U.S. at 570). "Threadbare recitals of the elements of a cause of action, supported by mere conclusory statements, do not suffice." Id. Accordingly, a plaintiff is required to support its claims with sufficient factual allegations to show "more than a sheer possibility that a defendant has acted unlawfully." Id. "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. (quoting Twombly, 550 U.S. at 557) (internal quotation marks omitted).

The same standard applies to motions to dismiss pro se complaints. Mancuso v. Hynes, 379 F. App'x 60, 61 (2d Cir.2010). However, the Court remains obligated to construe a pro se complaint liberally, Hill v. Curcione, 657 F.3d 116, 122 (2d Cir.2011), and to interpret apro se plaintiff's claims as raising the strongest arguments that they suggest. Triestman v. Fed. Bureau of Prisons, 470 F.3d 471, 474 (2d Cir.2006). In order to survive a motion to dismiss, a plaintiff's pleadings must contain "more than an unadorned, the-defendant-unlawfully-harmed-me accusation." Iqbal, 556 U.S. at 678. A complaint that "tenders naked assertions devoid of further factual enhancement" will not suffice. Id. (quoting Twombly, 550 U.S. at 557) (internal quotation marks and brackets omitted); see also Triestman, 470 F.3d at 477 ("[P]ro se status `does not exempt a party from compliance with relevant rules of procedural and substantive law.'") (quoting Traguth v. Zuck, 710 F.2d 90, 95 (2d Cir.1983)).

B. Plaintiffs Allegations Against Defendants Yaneka, Cruz, and Isabel

The Eighth Amendment protects individuals from "cruel and unusual punishments." U.S. Const. amend. VIII "[C]ruel and unusual punishments" include punishments that "involve the unnecessary and wanton infliction of pain." Hernandez v. Keane, 341 F.3d 137, 144 (2d Cir.2003) (quoting Chance v. Armstrong, 143 F.3d 698, 702 (2d Cir.1998)) (internal quotation marks omitted). Although "society does not expect that prisoners will have unqualified access to health care," a prisoner can nevertheless succeed on an Eighth Amendment claim arising out of the medical care he or she received by demonstrating that a prison official acted with "deliberate indifference to the inmate's serious medical needs." Id. (internal quotation marks and citations omitted). The "deliberate indifference" standard embodies an objective and subjective prong. Farmer v. Brennan, 511 U.S. 825, 838-39 (1994). A prisoner's claim must be dismissed unless both prongs are satisfied. Sonds v. St. Barnabas Hosp. Correctional Health Servs., 151 F.Supp.2d 303, 310 (S.D.N.Y.2001).

1. Sufficiently serious condition.

*6 The objective component of the "deliberate indifference" standard requires that the alleged deprivation be "sufficiently serious." Hathaway v. Coughlin, 37 F.3d 63, 66 (2d Cir.1994) (internal quotation marks and citations omitted). A deprivation of medical care is "sufficiently serious" if two prongs are satisfied: (1) the prisoner was actually deprived of adequate medical care; and (2) the inadequacy in medical care was sufficiently serious. Salahuddin v. Goord, 467 F.3d 263, 279-80 (2d Cir.2006). Prison officials who act "reasonably" in response to an inmate's health risk will not be found liable under the Eighth Amendment because the official's duty is only to provide "reasonable care." Id. (citing Farmer, 511 U.S. at 844-47). The inadequacy in medical care is sufficiently serious if "a condition of urgency . . . that may produce death, degeneration, or extreme pain" is present. Johnson v. Wright, 412 F.3d 398, 403 (2d Cir.2005) (internal quotation marks and citations omitted). Relevant factors to this inquiry include "the existence of an injury that a reasonable doctor or patient would find important and worthy of comment or treatment; the presence of a medical condition that significantly affects an individual's daily activities; or the existence of chronic and substantial pain." Chance, 143 F.3d at 702 (internal quotation marks, brackets, and citations omitted).

If the inadequate care complained of consists of a failure to provide any medical care, courts must examine whether the prisoner's underlying medical condition itself is "sufficiently serious." Salahuddin, 467 F.3d at 280 (citing Smith v. Carpenter, 316 F.3d 178, 185-86 (2d Cir.2003)). Alternatively, when a prisoner complains not about the failure to treat, but rather about the inadequacy in the treatment that was actually provided or a temporary delay in the provision of otherwise adequate medical treatment, the seriousness inquiry is "narrower," id, and focuses on the "particular risk of harm faced by a prisoner due to the challenged deprivation of care, rather than the severity of the prisoner's underlying medical condition." Smith, 316 F.3d at 186. Thus, even in cases where an inmate "suffers from an admittedly serious medical condition," if the alleged deficiencies in treatment are "minor and inconsequential," those deficiencies will not sustain an Eighth Amendment claim. Id. "[T]he actual medical consequences that flow from the alleged denial of care will be highly relevant to the question of whether the denial of treatment subjected the prisoner to a significant risk of serious harm." Id. at 187. Although there is no precise metric to determine when a prisoner's medical need is sufficiently serious, the standard contemplates a "condition of urgency" that may result in "degeneration" or "extreme pain." Bellotto v. Cnty. of Orange, 248 F. App'x 232, 236 (2d Cir.2007) (internal quotation marks and citations omitted).

*7 Here, Plaintiff alleges that the medical treatment he received at the prison was inadequate, and that there was an unreasonable delay in the provision of sufficient treatment. Accordingly, the Court must focus on the risk of harm from the challenged deprivation of care in analyzing whether the alleged deprivation was sufficiently serious.2 Plaintiff alleges that he was examined twice while at the prison but was only prescribed oral antibiotics, which he argued was insufficient to address his serious medical condition. Plaintiff further alleges that as a result of Defendants' one-day delay in providing adequate medical care, he developed a fever of 102 degrees, experienced "increased pain" and swelling to his abdomen, and went "septic" due to the infection leaking into his bloodstream. Plaintiff was ultimately transported to the hospital, where he underwent surgery to remove the infection and spent a total of five days.3 Moreover, Plaintiff alleges that upon his admission to the hospital, his treating doctor informed him that if he was left untreated for any further period of time, his condition could have easily resulted in death.

2 Plaintiff argues in his opposition papers that "there is no question" that MRSA is an "objective serious medical need." (Pl.'s Mem. L. at 7.) While the Court does not dispute that MRSA is a serious health condition, because Plaintiff complains that the medical treatment he received was inadequate, the Court must focus on the risk of harm caused by the challenged deprivation, rather than the severity of Plaintiff's underlying condition. See Smith, 316 F.3d at 186. 3 While Plaintiff indicates in the Complaint that he only underwent one surgery, Compl. ¶ 28, in his opposition papers, Plaintiff suggests that he actually underwent two surgeries to remove the infection. (Pls.' Mem. L. at 10, 20.)

The Court finds that Plaintiff's allegations are sufficient to demonstrate that the alleged deprivation of medical care was "sufficiently serious." Plaintiff has alleged that after being prescribed oral antibiotics, he developed a high fever, experienced increased pain and ultimately had to undergo surgery to remove the infection. Thus, accepting all factual allegations as true and drawing all reasonable inferences in Plaintiff's favor, the Court finds that the alleged deprivation in treatment subjected Plaintiff to a "significant risk of serious harm."

2. Sufficiently culpable state of mind.

The subjective component of the "deliberate indifference" standard requires that the prison official acted with a "sufficiently culpable state of mind." Chance, 143 F.3d at 702 (internal quotation marks and citation omitted). The "deliberate indifference" standard "requires more than negligence, but less than conduct undertaken for the very purpose of causing harm." Hathaway, 37 F.3d at 66 (citing Farmer, 511 U.S. at 835). A prison official does not act with "deliberate indifference" to an inmate's medical needs unless the official "knows of and disregards an excessive risk to inmate health or safety; the official must both be aware of facts from which the inference could be drawn that a substantial risk of serious harm exists, and he must also draw the inference." Id. (quoting Farmer, 511 U.S. at 837). This is "equivalent to the familiar standard of `recklessness' as used in criminal law." Smith, 316 F.3d at 184 (quoting Phelps v. Kapnolas, 308 F.3d 180, 186 (2d Cir.2002) (per curiam)).

A difference of opinion between a prisoner and prison officials regarding the appropriate course of medical treatment does not, as a matter of law, constitute "deliberate indifference." Sonds, 151 F.Supp.2d at 311 (citing Chance, 143 F.3d at 703). Moreover, that an inmate might prefer an alternative treatment, or feels that he did not get the level of medical attention he desired, does not evidence a "sufficiently culpable state of mind." Id. Prison officials and medical officers have wide discretion in treating prisoners, and federal courts are generally hesitant to second-guess medical judgments and to constitutionalize claims which sound in tort law. Id. (citing Dean v. Coughlin, 804 F.2d 207, 215 (2d Cir.1986)). Accordingly, the determinations made by medical providers concerning the treatment of patients are given a "presumption of correctness." Id. at 312 (internal quotation marks and citation omitted).

a. Defendants Cruz and Isabel.

*8 Plaintiff alleges that he was examined by Cruz within two hours of his initial request for medical attention, and was seen again by Cruz approximately one hour after the original evaluation. During the second examination, Cruz advised Isabel of Plaintiff's condition, and Isabel then ordered that Plaintiff be placed on oral antibiotics for his infection. Although Plaintiff disagrees with this course of treatment, arguing that the prescription of oral antibiotics "amounted to putting a band-aid on a gunshot wound," negligence in diagnosis and treatment or mere disagreements between a prisoner and the treating medical provider over the appropriate course of treatment does not rise to the level of deliberate indifference.4 Sonds, 151 F.Supp.2d at 311. Moreover, within approximately one hour after Plaintiff's condition was discovered to have worsened the following night, he was reexamined by Cruz and "rushed" to an outside facility for inpatient treatment. (Compl. ¶¶ 23-27.)

4 Plaintiff argues in his opposition papers that "it is a well-known fact" in the medical field that Bactrim, the antibiotic Plaintiff was prescribed by Isabel, is "clearly inappropriate and ineffective." (Pl.'s Mem. L. at 17.) However, both the Complaint and the opposition papers are devoid of any factual allegations to support Plaintiff's assertion that Bactrim is "well-known" to be ineffective for treating MRSA. The Complaint merely includes conclusory allegations that taking oral antibiotics for Plaintiff's infection would be "useless." (Compl. ¶ 15.) Mere disagreement over choice of treatment, or even negligence or medical malpractice, does not create a constitutional claim. Stevens v. Goord, 535 F.Supp.2d 373, 384 (S.D.N.Y.2008). Moreover, Plaintiff has not shown that Isabel's prescription of Bactrim for Plaintiff's infection was "`contrary to accepted medical standards.'" Id. at 385 (citation omitted). Accordingly, Plaintiff cannot make out an Eighth Amendment violation on this basis.

There is no indication that Defendants Cruz or Isabel acted with the requisite culpable state of mind akin to criminal recklessness or deliberately delayed taking action for the purpose of causing Plaintiff pain or prolonging his suffering. Plaintiff was examined shortly after requesting medical attention, was placed on antibiotics for his infection, and was rushed to the hospital after his symptoms worsened. Plaintiff simply has not demonstrated that Defendants Cruz or Isabel acted with deliberate indifference to Plaintiff's medical needs.5 See McCluskey v. Vincent, No. 11-2736, 2012 WL 5974215, at *3 (3d Cir. Nov. 30, 2012) (holding that plaintiff could not establish Eighth Amendment violation for failure to promptly send plaintiff to hospital for skin boils where plaintiff was provided treatment for his boils and where plaintiff was sent to the hospital for surgery after treatment proved ineffective); c.f., Liscio v. Warren, 901 F.2d 274, 277 (2d Cir.1990) (holding that defendant's actions could be found to constitute deliberate indifference where defendant failed to examine plaintiff over a three-day period), overruled on other grounds, Caiozzo v. Koreman, 581 F.3d 63 (2d Cir.2009).

5 Plaintiff argues that Defendant Isabel was deliberately indifferent to Plaintiff's medical needs because he directed a course of treatment for Plaintiff without directly examining him. (Pl.'s Mem. L. at 16.) However, the Court finds that it was reasonable for Isabel to rely on the assessment of Plaintiff's condition provided to him by Cruz, a registered nurse employed by CMC. Even assuming that Isabel's failure to examine Plaintiff prior to prescribing antibiotics amounted to negligence or malpractice, such an allegation is insufficient to sustain an Eighth Amendment claim.

b. Defendant Yaneka.

Plaintiff alleges that Defendant Yaneka refused Plaintiff all medical attention. (Compl. ¶ 21.) The Court finds that Plaintiff has failed to demonstrate that Yaneka acted with "deliberate indifference" to Plaintiff's medical needs. Plaintiff alleges that Yaneka was informed that he had "an infection on his stomach the size of a softball" and had a "blazing fever." (Id. ¶ 20.) Yaneka was thus aware of "facts from which the inference could be drawn that a substantial risk of serious harm exists." Hathaway, 37 F.3d at 66. However, Plaintiff has failed to allege that Yaneka actually drew the inference that a substantial risk of serious harm existed. Id. Plaintiff claims that Yaneka would not see him because he had been seen by Cruz less than 24 hours earlier, and because Plaintiff was already receiving antibiotics and there was therefore nothing further she "could or would" do for him. (Compl. ¶¶ 20-21.) Yaneka's determination that Plaintiff did not require medical attention in light of his recent examination by Cruz and ongoing treatment does not rise to the level of criminal recklessness. At most, Yaneka's decision not to examine Plaintiff constitutes mere negligence or malpractice, and therefore cannot form the basis of an Eighth Amendment violation.6 See Gutierrez v. Peters, 111 F.3d 1364, 1374-75 (7th Cir.1997) (holding that plaintiff failed to allege deliberate indifference where plaintiff endured isolated delays in treatment for a condition for which plaintiff had already been examined and been ordered a course of treatment).

6 The cases that Plaintiff relies upon in his opposition papers do not compel a different outcome. In Archer v. Dutcher, 733 F.2d 14 (2d Cir.1984), the Second Circuit reversed the district court's grant of summary judgment for the defendant because there was a dispute "as to whether legitimate medical claims were deliberately disregarded as punishment for past breaches of the disciplinary code." Id. at 17. The district court in Johnson v. Wright, 234 F.Supp.2d 352, 362 (S.D.N.Y.2002), held that the plaintiff stated an Eighth Amendment claim where he alleged that he was denied his prescribed treatment for 15 months pursuant to a policy denying Hepatitis C treatment to prisoners who had tested positive for drugs. Id. at 362. Here, Plaintiff has failed to allege facts from which the inference could be drawn that he was purposely denied treatment as punishment for past behavior or pursuant to a policy of CMC, or for any other reason. Rather, as in Gutierrez, Yaneka made a determination, rightly or wrongly, that he had already been examined and ordered an appropriate course of treatment. Gutierrez, 111 F.3d at 1374-75.

C. Plaintiffs Allegations Against Defendant CMC

*9 A municipality cannot be held liable under § 1983 for the acts of its employees solely on a theory of respondent superior. Monell v. New York City Dep't of Soc. Servs., 436 U.S. 658, 691 (1978).7 A § 1983 claim against a municipality can only be sustained if the action that is alleged to be unconstitutional was the result of an official policy or custom. Id. at 690-94. Thus, a plaintiff must allege that such a municipal policy or custom is responsible for his or her injury. Bd. of Cnty. Comm'rs of Bryan Cnty. v. Brown, 520 U.S. 397, 403 (1997), reh'g denied, 520 U.S. 1283 (1997).

7 CMC, as a private company providing medical care to prisoners at the Dutchess County Jail on behalf of the County, may be liable under a municipal liability theory if it maintains a custom or policy that causes a violation of a prisoner's constitutional rights, and is found to be acting under the color of state law. Shomo v. City of New York, 579 F.3d 176, 185 n. 3 (2d Cir.2009) (allowing prisoner to replead municipal liability claim against private medical provider to determine if it was acting under color of state law); see also Sybalski v. Indep. Group Home Living Program, Inc., 546 F.3d 255, 257-58 (2d Cir.2008) (per curiam) (explaining the circumstances under which the actions of a private actor "are attributable to the state" and can be considered state action for purposes of Section 1983). Because Plaintiff has failed to allege that such a policy exists, however, the Court does not address the question of whether Plaintiff alleged facts sufficient to show that CMC acted under color of state law.

The Second Circuit has established a two prong test for § 1983 claims brought against a municipality. First, the plaintiff must prove "`the existence of a municipal policy or custom in order to show that the municipality took some action that caused his injuries beyond merely employing the misbehaving [official].'" Johnson v. City of New York, No. 06 Civ. 09426(GBD), 2011 WL 666161, at *3 (S.D.N.Y. Feb. 15, 2011) (quoting Vippolis v. Vill. of Haverstraw, 768 F.2d 40, 44 (2d Cir.1985)). Second, the plaintiff must establish a causal connection between the policy or custom and the alleged deprivation of his constitutional rights. Id.

To satisfy the first prong of the test on a motion to dismiss, a plaintiff must allege the existence of:

(1) a formal policy which is officially endorsed by the municipality; (2) actions taken or decisions made by government officials responsible for establishing municipal policies which caused the alleged violation of the plaintiff's civil rights; (3) a practice so persistent and widespread that it constitutes a custom or usage and implies the constructive knowledge of policy-making officials; or (4) a failure by official policy-makers to properly train or supervise subordinates to such an extent that it amounts to deliberate indifference to the rights of those with whom municipal employees will come into contact.

Moray v. City of Yonkers, 924 F.Supp. 8, 12 (S.D.N.Y.1996) (internal citations and quotation marks omitted); see also Brandon v. City of New York, 705 F.Supp.2d 261, 276-77 (S.D.N.Y.2010) (quoting Moray and updating citations to cases).

Here, Plaintiff claims that CMC is liable under § 1983 under two theories: (1) that CMC failed to properly train, supervise, and control its employees; and (2) that CMC had a policy of making medical decisions based on cost and encouraged its employees to do the same.8 (Pl.'s Mem. L. at 19.)

8 Plaintiff appears to allege a Monell claim against Defendant Anderson as a result of his contractual relationship with CMC. However, because Plaintiff brings his claims against Anderson "in his individual capacity," (Compl. ¶ 45), the Court will address Plaintiff's allegations against Anderson under the theory of "supervisory liability." Davis v. Cnty. of Nassau, 355 F.Supp.2d 668, 675 (E.D.N.Y.2005) (noting that "[p]ersonal-capacity suits seek to impose personal liability upon a government official for actions he takes under color of state law," whereas "[o]fficial-capacity suits, in contrast, `generally represent only another way of pleading an action against an entity of which an officer is an agent'") (quoting Kentucky v. Graham, 473 U.S. 159, 165 (1985)).

Even on a liberal reading of the Complaint, Plaintiff has failed to allege a failure by CMC to properly train or supervise its employees "to such an extent that it amounts to deliberate indifference" to the rights of the prisoners. Similarly, Plaintiff's speculative and conclusory allegations of an unlawful custom or practice are insufficient to support a claim of municipal liability against CMC. Plaintiff's theory that CMC has a policy of making medical decisions based on cost is based on mere conjecture. Even accepting as true Plaintiff's allegation that the number of suicides and deprivations of medical treatment has increased since CMC became the medical provider at the prison, Plaintiff has failed to allege any factual nexus between these incidents and any alleged policy or custom by CMC. Moreover, Plaintiff may not satisfy the pleading standard required by Rule 8 by alleging that if "by way of discovery" he can prove that CMC has a policy of making medical decisions based on cost, then both CMC and Defendant Anderson become liable. (Compl. ¶ 37.) Where a plaintiff's complaint is deficient under Rule 8, "he [or she] is not entitled to discovery." Iqbal, 556 U.S. at 686. Accordingly, Plaintiff has failed to satisfy the first prong of the municipal liability test and dismissal is therefore required.

D. Plaintiffs Allegations Against Defendant Anderson

*10 Because Plaintiff brings his action against Defendant Anderson "in his individual capacity," (Compl. ¶ 45), the Court will address Plaintiff's allegations against Anderson under the theory of "supervisory liability." See Davis, 355 F.Supp.2d at 675. To sustain a § 1983 claim against a government official, a plaintiff must plead that the official had "personal involvement" in the alleged deprivation of the plaintiff's constitutional rights. Garcia v. Watts, No. 08 Civ. 7778(JSR), 2009 WL 2777085, at *12 (S.D.N.Y. Sept. 1, 2009). The Second Circuit has held that liability of a supervisor under § 1983 can be shown in one or more of the following ways:

1) actual direct participation in the constitutional violation, (2) failure to remedy a wrong after being informed through a report or appeal, (3) creation of a policy or custom that sanctioned conduct amounting to a constitutional violation, or allowing such a policy or custom to continue, (4) grossly negligent supervision of subordinates who committed a violation, or (5) failure to act on information indicating that unconstitutional acts were occurring.

Hernandez v. Keane, 341 F.3d 137, 145 (2d Cir.2003) (citing Colon v. Coughlin, 58 F.3d 865, 873 (2d Cir.1995)).

Plaintiff does not allege any facts upon which Defendant Anderson could be found to have been personally involved in the alleged constitutional violation. Plaintiff does not claim that Anderson actually participated in the medical treatment of Plaintiff or that he failed to remedy the alleged wrong or act on information suggesting that the alleged deprivation was occurring. Moreover, Plaintiff does not allege that Anderson supervised the Defendants involved in Plaintiff's medical care. Finally, to the extent that Plaintiff alleges that Defendant Anderson acquiesced to CMC's alleged policy or custom of making medical decisions based on cost, the Court has already found that Plaintiff has failed to allege that any such policy existed. Accordingly, Plaintiff's claims against Defendant Anderson must be dismissed.

IV. Conclusion

For the reasons set forth above, Defendants Yaneka's and Cruz's motion to dismiss for insufficient service of process is DENIED. Defendants' motion for judgment on the pleadings is GRANTED. The Clerk of the Court is respectfully directed to terminate the motion and close this case. (Doc. 34.)

It is SO ORDERED.

All Citations

Not Reported in F.Supp.2d, 2013 WL 684448

KeyCite Yellow Flag — Negative Treatment Distinguished by Bell v. Jendell, S.D.N.Y., October 31, 2013 2012 WL 2865474 Only the Westlaw citations is currently available. United States District Court, S.D. New York. Kwame FERGUSON, Plaintiff, v. Officer CAI (19546) and City of New York, Defendants. No. 11 Civ. 6181(PAE). July 12, 2012.

OPINION & ORDER

PAUL A. ENGELMAYER, District Judge.

*1 Plaintiff Kwame Ferguson, an inmate formerly housed at the Otis Bantum Correctional Center ("OBCC"), brings this action pro se under 42 U.S.C. § 1983, alleging that the defendants, Correction Officer Cai and the City of New York, were deliberately indifferent to his medical needs during his incarceration, in violation of the Eighth Amendment. Defendants move to dismiss pursuant to Rule 12(b) (6) of the Federal Rules of Civil Procedure. For the reasons that follow, the motion to dismiss is granted.

I. Factual Background1

1 The facts which form the basis of this Opinion are drawn solely from the Amended Complaint. On a motion to dismiss, the Court accepts all factual allegations in the Amended Complaint as true. Unless otherwise noted, no further citation will be provided.

Ferguson is an inmate formerly housed at the OBCC, a New York City correctional facility on Rikers Island. Ferguson is a diabetic. His claims arise out of a single incident involving one prison official, Correction Officer Cai.

On August 2, 2011, at approximately 9:20 p.m., Ferguson informed Officer Cai that he was a diabetic and needed to go to the medical clinic. In response to this request, Officer Cai told Ferguson that he would call for an escort. The medicine that Ferguson required, Lantus, is taken only at night. After waiting approximately one hour, Ferguson again approached Officer Cai, and explained that he needed to go to the clinic because he needed his insulin medication. Ferguson alleges that, around the time of the second request, he knew that his blood glucose level was elevated because he began "going in and out of con[s]ciousness," and was experiencing "temporary blindness, neuralgia pain from neuropathy and swelling in [his] left leg." Am. Compl. at ECF 4. Ferguson then took "a few metformin hydrochloride 500mg" because he "didn't want to fall into a hyperglycemia coma." Id. Ferguson was not escorted to the clinic that night.

The following morning, Ferguson woke up at approximately 5:00 a.m., suffering "severe pain." Id. Ferguson alleges that later on the evening of August 3, 2011, he questioned Officer Cai about his failure to provide an escort to the clinic. Officer Cai responded that "he forgot to call." Id.

II. Procedural History

On August 24, 2011, Ferguson filed his original Complaint. On December 22, 2011, defendants filed a motion to dismiss. On January 10, 2012, Ferguson filed an Amended Complaint which materially amended his pleading in several respects.

On January 30, 2012, the Court issued an Order alerting the parties that, upon review of the parties' submissions, it had identified a threshold issue. The Court noted that although Ferguson alleged in his Amended Complaint that the grievance procedures at the OBCC do not cover his claim, the Inmate Grievance Resolution Program, which governs all grievance procedures at OBCC, appeared to cover claims like Ferguson's, which arose out of incidents involving Department of Correction employees. The Court's Order instructed:

By February 8, 2012, defendants are directed to submit to the Court an amended motion to dismiss, limited to the narrow issue of whether a grievance procedure exists that covers plaintiff's claim, and whether plaintiff properly exhausted those procedures. The Court will then evaluate the motion to dismiss limited to the issue of administrative exhaustion. If the Court determines that such a ground is not dispositive, the Court will afford the defendants the opportunity to move to dismiss on other grounds.

*2 January 30, 2012 Order at 1 (Dkt. 17).

In a letter dated February 7, 2012, defendants explained the circumstances surrounding Ferguson's attempts to satisfy available grievance procedures. Defendants explained:

DOC's grievance procedure does, indeed, cover Plaintiff's claims, and Plaintiff's failure to proceed through all the required steps ordinarily would require dismissal of his claims based on his failure to exhaust his administrative remedies. In the present case, however, DOC responded to Plaintiff's grievance by mistakenly advising him that his claim was not grievable. Under these circumstances, Plaintiff's failure to exhaust likely would be excused, either because DOC's response to Plaintiff's attempts to grieve, albeit incorrect, would estop DOC from asserting the exhaustion defense because DOC led Plaintiff to believe his administrative remedies were not available, or because DOC's response presents a "special circumstance" which would justify non exhaustion. . . . Accordingly, Defendants do not wish to seek dismissal based on Plaintiff's failure to exhaust.

February 8, 2012 Order at 2-3 (Dkt. 18) (citing Rivera v. Goord, 253 F.Supp.2d 735, 746-47 (S.D.N.Y.2003)). In an Order dated February 8, 2012, the Court authorized defendants to file a new motion to dismiss the Amended Complaint on other grounds. Id. at 1.

III. Legal Standard

To survive a motion to dismiss under Rule 12(b)(6), a complaint must plead "enough facts to state a claim to relief that is plausible on its face." Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570, 127 S.Ct. 1955, 167 L.Ed.2d 929 (2007). Accordingly, in considering a motion to dismiss, a district court "must accept as true all well-pleaded factual allegations in the complaint, and `draw[] all inferences in the plaintiff's favor.'" Brown v. Kay, No. 11-cv-7304, 2012 WL 408263, at *7 (S.D.N.Y. Feb. 9, 2012) (quoting Allaire Corp. v. Okumus, 433 F.3d 248, 249-50 (2d Cir.2006)).

Because plaintiff is proceeding pro se, the Court must construe liberally his Amended Complaint and any further pleadings, and "interpret them to raise the strongest arguments that they suggest." Cold Stone Creamery, Inc. v. Gorman, 361 F. App'x 282, 286 (2d Cir.2010) (summ.order) (internal quotation marks omitted). As a general rule, pro se complaints are held to less stringent standards than those drafted by lawyers. See Haines v. Kerner, 404 U.S. 519, 520-21, 92 S.Ct. 594, 30 L.Ed.2d 652 (1972); Boykin v. KeyCorp, 521 F.3d 202, 213-14 (2d Cir.2008). However, despite the more lenient standard, to survive a motion to dismiss, a pro se plaintiff must still plead enough facts to state a claim to relief that is plausible on its face. See Hill v. Curcione, 657 F.3d 116, 122 (2d Cir.2011). A claim will only have "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." Ashcroft v. Iqbal, 556 U.S. 662, 663, 129 S.Ct. 1937, 173 L.Ed.2d 868 (2009). Accordingly, dismissal of a pro se complaint is appropriate where a plaintiff has clearly failed to meet minimum pleading requirements. See Rodriguez v. Weprin, 116 F.3d 62, 65 (2d Cir.1997); Honig v. Bloomberg, No. 08-cv-541, 2008 WL 8181103, at *4 (S.D.N.Y. Dec. 8, 2008), aff'd, 334 F. App'x 452 (2d Cir.2009).

IV. Discussion

*3 The defendants move to dismiss the Amended Complaint on three grounds: (1) Ferguson fails to state a cause of action under the Eighth Amendment; (2) Ferguson fails to establish municipal liability; and (3) Officer Cai is entitled to qualified immunity. The Court addresses each argument in turn.

A. Eighth Amendment Claim

The Court construes plaintiff to claim deliberate indifference to a serious medical need, in violation of the Eighth Amendment.2 The Eighth Amendment protects prisoners from "cruel and unusual punishment" caused by prison officials. U.S. Const. amend. VIII. "To determine whether a punishment is cruel and unusual, courts must look beyond historical conceptions to `the evolving standards of decency that mark the progress of a maturing society.'" Graham v. Florida, 120 S.Ct. 2011, 2021 (2010) (quoting Estelle v. Gamble, 429 U.S. 97, 102, 97 S.Ct. 285, 50 L.Ed.2d 251 (1976)). To establish an Eighth Amendment violation, an inmate must show both objective and subjective components: The plaintiff must show first that the deprivation "is objectively, sufficiently serious that he was denied the minimal civilized measure of life's necessities"; and second, a "sufficiently culpable state of mind on the part of the defendant official, such as deliberate indifference to inmate health or safety." Jabbar v. Fischer, No. 11-3764, 2012 WL 2359639, at *2 (2d Cir. June 21, 2012) (slip op.) (citing Farmer v. Brennan, 511 U.S. 825, 832, 114 S.Ct. 1970, 128 L.Ed.2d 811 (1994)) (internal quotation marks omitted).

2 Although Ferguson's pleadings do not identify whether he was a pre-trial or post-trial detainee at the time of the incident-and, therefore, whether the violation he claims is of the Fourteenth or Eighth Amendment-the Court surmises that he was a pre-trial detainee because he was moved from Rikers Island to a New York State correctional facility sometime after the incident. However, this distinction does not affect the substantive analysis of Ferguson's claims because "[c]laims for deliberate indifference to a serious medical condition or other serious threat to the health or safety of a person in custody should be analyzed under the same standard irrespective of whether they are brought under the Eighth or Fourteenth Amendment." Caiozzo v. Koreman, 581 F.3d 63, 72 (2d Cir.2009); see also Santiago v. Pressley, No. 10-cv-4797, 2011 WL 6748386, at *2 n. 3 (S.D.N.Y. Dec. 23, 2011).

To establish an Eighth Amendment violation arising out of inadequate access to medical care, "a prisoner must prove `deliberate indifference to [his] serious medical needs.'" Chance v. Armstrong, 143 F.3d 698, 702 (2d Cir.1998) (quoting Estelle, 429 U.S. at 104). This standard incorporates both objective and subjective elements: "The objective `medical need' element measures the severity of the alleged deprivation, while the subjective `deliberate indifference' element ensures that the defendant prison official acted with a sufficiently culpable state of mind." Smith v. Carpenter, 316 F.3d 178, 183-84; see also Hathaway v. Coughlin, 99 F.3d 550, 553 (2d Cir.1996).

With respect to the objective element, there is no "static test" to determine whether a deprivation is sufficiently serious. Jabbar, 683 F.3d 54, 2012 WL 2359639, at *2. A serious medical need is generally characterized by "a condition of urgency, one that may produce death, degeneration, or extreme pain." Johnson v. Wright, 412 F.3d 398, 403 (2d Cir.2005) (citation omitted). Courts in this Circuit have considered various factors in determining the existence of a serious medical condition, including: (1) the "existence of an injury that a reasonable doctor or patient would find important and worthy of comment or treatment"; (2) "the presence of a medical condition that significantly affects an individual's daily activities"; (3) "the existence of chronic and substantial pain"; and (4) "adverse medical effects or demonstrable physical injury." Chance, 143 F.3d at 702; Smith, 316 F.3d at 187.

*4 Where a claim concerns the temporary delay or interruption in the provision of medical treatment — as is the case here — then "the focus shifts to the particular risk of harm faced by a prisoner due to the challenged deprivation of care, rather than the prisoner's underlying medical condition in the abstract." Edmonds v. Central N.Y. Psychiatric Ctr., No. 10-cv-5810, 2011 WL 3809913, at *4 (S.D.N.Y. Aug.25, 2011) (emphasis added); see also Erickson v. Pardus, 551 U.S. 89, 93-94, 127 S.Ct. 2197, 167 L.Ed.2d 1081 (2007) (per curiam) ("[a]cknowledging decisions by courts that have found Eighth Amendment violations when delays in medical treatment have involved `life-threatening situations and instances in which it is apparent that delay would exacerbate the prisoner's medical problems'"); Chance, 143 F.3d at 702; Smith, 316 F.3d at 186-87; Hill v. Dekalb Reg'l Youth Det. Ctr., 40 F.3d 1176, 1188-89 (11th Cir.1994) ("delay in medical treatment must be interpreted in the context of . . . whether the delay worsened the medical condition"). The Second Circuit has held that a short interruption of care, even if the underlying medical condition is serious, does not constitute a serious medical need where "the alleged lapses in treatment are minor." Smith, 316 F.3d at 186. On the other hand, "the failure to provide treatment for an otherwise insignificant wound may violate the Eighth Amendment if the wound develops signs of infection, creating a substantial risk of injury in the absence of appropriate medical treatment." See Chance, 143 F.3d at 702.

Here, Ferguson has failed to plead facts sufficient to plausibly claim that his injuries are objectively serious enough to fall within the ambit of the Eighth Amendment.3 Where temporary delays or interruptions in the provision of medical treatment have been found to satisfy the objective seriousness requirement in this Circuit, they have involved either a needlessly prolonged period of delay, or a delay which caused extreme pain or exacerbated a serious illness. See, e.g., Salahuddin v. Goord, 467 F.3d 263, 281 (2d Cir.2006) (presuming, for purposes of this appeal, that a five-month delay in treatment for Hepatitis C caused sufficiently serious harm); Chance, 143 F.3d at 702 (six-month delay in treatment for dental condition which led to infection and extreme pain); Hathaway, 37 F.3d at 65, 67 (two-year delay in treatment of broken pins in an inmate's hip which caused persistent pain).

3 In their motion, defendants urge that the Court not consider injuries pled in the Amended Complaint that conflict with statements in the original Complaint, which alleged that Ferguson suffered "no physical injury." Defs.' Mot. 6. Defendants argue that the new allegations "are blatantly designed to avoid dismissal." Id. at 7. Defendants are correct that the Court "need not accept as true allegations that conflict with a plaintiff's prior allegations." Green v. Niles, No. 11-cv-1349, 2012 WL 987473, at *5 (S.D.N.Y. Mar.23, 2012) (quoting Dozier v. Deutsche Bank Trust Co. Ams., No. 09-cv-9865, 2011 WL 4058100, at *2 (S.D.N.Y. Sept.1, 2011)); see also Colliton v. Cravath, Swaine & Moore LLP, No. 08-cv-400, 2008 WL 4386764, at *6 (S.D.N.Y. Sept.24, 2008) ("Where a plaintiff blatantly changes his statement of the facts in order to respond to the defendant['s] motion to dismiss . . . [and] directly contradicts the facts set forth in his original complaint a court is authorized to accept the facts described in the original complaint as true.") (internal quotation marks omitted)). Here, even taking into account the new allegations in the Amended Complaint, Ferguson fails to state an Eighth Amendment violation. The Court, therefore, has no occasion to address defendants' argument that the conflicting portions of the Amended Complaint should be disregarded.

Measured against these standards, Ferguson's pleadings are insufficient to meet the objective component of the Eighth Amendment standard. Officer Cai's single alleged failure — to call an official to escort Ferguson to the clinic — prevented him from receiving a single dose of insulin on a single occasion. Ferguson admits that the symptoms that resulted from this deficiency were temporary: He perceived that his blood glucose level was elevated, and he experienced temporary blindness, pain, and swelling in his leg. Ferguson does not allege that his pain or discomfort was prolonged — in fact, he does not even allege that it lasted past the next morning. Nor does he allege that the pain he suffered was extreme. He has not alleged that the single delay in treatment caused any symptoms of his underlying illness to worsen, nor that it materially altered the way in which his disease thereafter affected him. See Hill, 40 F.3d at 1188-89. Finally, Ferguson has not alleged, beyond making general conclusory statements, that the one-day delay in receiving his medicine put him at an "unreasonable risk of future harm." Smith, 316 F.3d at 188 (citing Helling v. McKinney, 509 U.S. 25, 35, 113 S.Ct. 2475, 125 L.Ed.2d 22 (1993)) (if plaintiff cannot show actual injury, he must prove that defendants' delay of medical treatment exposed them to "an unreasonable risk of future harm"). The circumstances Ferguson alleges are a far cry from those in which courts in this Circuit have held a temporary delay in treatment to rise to the level of an objective constitutional violation.

*5 Because Ferguson fails to satisfy the objective prong of the Eighth Amendment standard, the Court need not address the subjective prong. However, even if Ferguson had adequately alleged a serious deprivation of medical treatment, his claim would fail for the independent reason that he has failed to adequately allege that "the charged official[s acted] with a sufficiently culpable state of mind." Hathaway, 99 F.3d at 553.

The deliberate indifference standard requires "more than mere negligence." Farmer, 511 U.S. at 835. It is "equivalent to criminal recklessness, [where] the official `knows of and disregards an excessive risk to inmate health or safety.'" Hemmings v. Gorczyk, 134 F.3d 104, 108 (2d Cir.1998) (quoting Farmer, 511 U.S. at 837). "[A] prisoner must demonstrate more than `an inadvertent failure to provide adequate medical care' by prison officials to successfully establish Eighth Amendment liability." Smith, 316 F.3d at 184 (quoting Estelle, 429 U.S. at 105). Here, Ferguson alleges merely that he told Officer Cai that he suffered from diabetes and needed his medicine. He does not allege that he informed Officer Cai that he was experiencing any discomfort or pain due to the delay in receiving the medicine. He does not allege that Officer Cai — or any prison official, for that matter — was aware that depriving Ferguson of insulin on a single occasion would create a substantial risk of serious harm. Finally, Ferguson does not allege that Officer Cai actually disregarded any such known risks. In fact, Ferguson himself explained that Officer Cai "forgot to call," a lapse that falls well short of the high threshold for deliberate indifference.

The Eighth Amendment "is not a vehicle for bringing medical malpractice claims, nor a substitute for state tort law." Smith, 316 F.3d at 184. "[N]ot every lapse in prison medical care will rise to the level of a constitutional violation." Id. Here, Ferguson alleges neither facts sufficient to show that the delayed provision of insulin was a sufficiently serious deprivation, nor that the delay was caused by a prison official's deliberate indifference. Accordingly, his Eighth Amendment claim must be dismissed.

B. Municipal Liability

To state a § 1983 claim against a municipality, the plaintiff must allege that an officially adopted policy or custom caused his injury. See Monell v. Dep't of Soc. Servs. of the City of New York, 436 U.S. 658, 694, 98 S.Ct. 2018, 56 L.Ed.2d 611 (1978); see also Bd. of Cnty. Comm'r of Bryan Cnty. v. Brown, 520 U.S. 397, 403, 117 S.Ct. 1382, 137 L.Ed.2d 626 (1997) (plaintiff must demonstrate a "direct causal link between the municipal action and the deprivation of federal rights"). Where a plaintiff alleges a single incident, especially if that incident involved only actors below the policy-making level, plaintiff's allegation is "not sufficient to impose liability under Monell, unless proof of the incident includes proof that it was caused by an existing, unconstitutional municipal policy, which policy can be attributed to a municipal policymaker." Oklahoma City v. Tuttle, 471 U.S. 808, 823-24, 105 S.Ct. 2427, 85 L.Ed.2d 791, reh'g denied, 473 U.S. 925, 106 S.Ct. 16, 87 L.Ed.2d 695 (1985); see also Trevino v. Gates, 99 F.3d 911, 918 (9th Cir.1996), cert. denied, 520 U.S. 1117 (1997) (municipal liability cannot be "predicated on isolated or sporadic incidents; it must be founded upon practices of sufficient duration, frequency and consistency that the conduct has become a traditional method of carrying out policy").

*6 Even taking all facts pled in the Amended Complaint as true, Ferguson's single allegation that he was denied medical treatment is insufficient to raise an inference that there was a custom or policy under which OBCC would deny constitutionally-mandated medical treatment to prisoners with a need for such services. Ferguson does not allege that Officer Cai's failure to arrange for him to receive his insulin was an application of a municipal policy or custom; on the contrary, he explicitly alleges that Officer Cai "forgot to call" for the escort, implying that the act was at best accidental and at worst an anomaly. In either case, the single deficiency and the injury suffered were not a result of an official policy, and thus not cognizable under Monell.

In any event, the Court's holding that the Amended Complaint fails to allege a violation of the Eighth Amendment by any individual municipal agent independently defeat's Ferguson's claim of municipal liability. See City of Los Angeles v. Heller, 475 U.S. 796, 799, 106 S.Ct. 1571, 89 L.Ed.2d 806 (1986) (municipal liability requires that an individual municipal agent committed an underlying constitutional deprivation); Bunn v. City of Poughkeepsie, No. 10-cv-2297, 2012 WL 1621563, at *5 (S.D.N.Y. May 9, 2012). Because the Court has concluded that Ferguson's constitutional rights have not been violated, his claim of municipal liability pursuant to Monell is, a fortiori, also meritless.

C. Qualified Immunity

Defendants argue that the Amended Complaint must also be dismissed as to Officer Cai because he enjoys qualified immunity. Because the Court finds that Ferguson has failed to allege a constitutional violation, it has no occasion to address this alternative ground.

CONCLUSION

Defendants' motion to dismiss the plaintiff's Amended Complaint is GRANTED. The Court certifies, pursuant to 28 U.S.C. § 1915(a)(3), that any appeal from this Order would not be taken in good faith, and therefore in forma pauperis status is denied for the purpose of an appeal. See Coppedge v. United States, 369 U.S. 438, 444-45, 82 S.Ct. 917, 8 L.Ed.2d 21 (1962). The Clerk of Court is directed to terminate the motions at docket numbers 14 and 19, and to close the case.

All Citations

SO ORDERED.

Not Reported in F.Supp.2d, 2012 WL 2865474

2002 WL 31309190 Only the Westlaw citation is currently available. United States District Court, N.D. New York. Kevin THOMAS, Plaintiff, v. Dr. Lester WRIGHT, M.D., Deputy Commissioner; Dr. Lee, Physician at Clinton Corr. Facility, Dr. Wright1, Medical Doctor at Clinton Corr. Facility; Daniel A. Senkowski, Clinton Corr. Facility; and J. Mitchell, M.D., Clinton Corr. Facility, Defendants. 1 Service must be made upon a defendant within 120 days of filing the complaint or any claims against that defendant will be dismissed. Fed.R.Civ.P. 4(m). This court finds that since defendant Dr. Wright, Medial Doctor at the Clinton Correctional Facility, was never served and has never filed an answer, he is not a proper defendant in this action. The Clerk is ordered to strike this defendant from the docket. No. CIV.9:99CV2071FJSGLS. Oct. 11, 2002.

State prisoner brought § 1983 action against prison officials and medical staff alleging violation of his Eighth Amendment rights. Officials and staff moved for summary judgment. The District Court, Sharpe, United States Magistrate Judge, recommended that: (1) prisoner failed to exhaust his administrative remedies within meaning of Prison Litigation Reform Act (PLRA); (2) statute of limitations for state prisoner to bring § 1983 claim began to run at time prisoner was diagnosed with cancer; and (3) officials and staff were not deliberately indifferent to prisoner's serious medical needs for purposes of Eighth Amendment claim.

Report and recommendation issued.

West Headnotes (3)

Attorneys and Law Firms

Kevin Thomas, Plaintiff, Pro Se, Cape Vincent Correctional Facility, Cape Vincent, for the Plaintiff.

Hon. Eliot Spitzer, Attorney General of the State of New York, Syracuse, Maria Moran, Esq., Assistant Attorney General, for the Defendant.

REPORT-RECOMMENDATION

SHARPE, Magistrate J.

I. INTRODUCTION

*1 This matter was referred to the undersigned for a Report-Recommendation by the Hon. Frederick J. Scullin, Chief United States District Judge, pursuant to 28 U.S.C. § 636(b)(1)(B) and Local Rule 72.3(c). The defendants have filed a motion for summary judgment (Dkt. Nos. 22-25), and pro se plaintiff, Kevin Thomas ("Thomas") has failed to respond.2 Thomas brings this action under 42 U.S.C. § 1983 claiming that the defendants violated his rights under the Fifth,3 Eighth, and Fourteenth4 Amendments. He seeks declaratory relief as well as compensatory and punitive damages from each of the defendants. After reviewing Thomas' claims and for the reasons set forth below, the defendants' motion for summary judgment should be granted.

2 The Second Circuit has consistently held that "failure of a district court to apprise pro se litigants of the consequences of failing to respond to a motion for summary judgment is ordinarily grounds for reversal." Vital v. Interfaith Med. Ctr., 168 F.3d 615, 620 (2d Cir.1999). However, a district court is not required to explain the nature of summary judgment to a pro se litigant, in two circumstances: (1) where the pro se litigant's adversary "has already provided the litigant with requisite notice; or (2) where the record otherwise makes clear that the litigant understood the nature and consequences of summary judgment". Id. at 621. This court notes that Thomas was put on notice to his obligation by the defendants (see Dkt. No. 22). Moreover, in two subsequent letters to the court, Thomas acknowledges his obligation to respond and he received two extensions of time to file a response (see Dkt. Nos. 26 & 27). Nine months have elapsed since the last extension. 3 This court is uncertain of the facts which give rise to the alleged Fifth Amendment violation. 4 The Court notes that Thomas is suing under the due process and equal protection clause of the Fourteenth Amendment. The equal protection clause directs state actors to treat similarly situated people alike. See Cleburne v. Cleburne Living Ctr., 473 U.S. 432, 439, 105 S.Ct. 3249, 3254, 87 L.Ed.2d 313 (1985). "To prove an equal protection violation, claimants must prove purposeful discrimination directed at an identifiable or suspect class." Giano v. Senkowski, 54 F.3d 1050, 1057 (2d Cir.1995) (citations omitted). Here, Thomas presents no evidence that the policy discriminated against a particular class of inmates. Thus, Thomas' equal protection claim should be dismissed. On the issue of due process, Thomas again fails to state a viable claim. In order for a plaintiff to prevail on a § 1983 claim for denial of due process, he must establish: (1) that he possessed a liberty interest; and, (2) that the defendant(s) deprived him of that interest as a result of insufficient process." Giano v. Selsky, 238 F.3d 223, 225 (2d Cir.2001)(citation omitted). In this case, neither of these elements have been demonstrated and this claim should also be dismissed.

II. PROCEDURAL HISTORY

On November 29, 1999, Thomas filed a complaint claiming that the defendants violated his constitutional rights when they failed to provide adequate medical treatment for his colon cancer. The defendants move for summary judgment on the following grounds: (1) the complaint is time barred; (2) Thomas has failed to exhaust his administrative remedies; (3) the defendants did not violate his right; (4) the defendants were not personally involved in the alleged violation; and, (5) the suit is barred by the Eleventh Amendment against the defendants in their official capacities. The court shall address each of these issues seriatim.

III. FACTS5

5 With some necessary additions, the following facts were taken from the defendants' statement of undisputed material facts.

On April 30, 1996, Thomas was seen at the Clinton Correctional Facility's Ambulatory Health Clinic for rectal bleeding, occasional pain in his scrotal area, and constipation. Defs.['] Mot. for Summary Judgment Ex. A. Dr. Kang Lee ("Lee") examined Thomas' testicles and found no sign of inflammation, and after a rectal examination, found nothing abnormal. Id. Lee prescribed colance (a stool softener) and milk of magnesia for one week. Id. On June 4, 1996, Lee saw Thomas for a complaint that upon defecation, he had lower abdominal pain which went away after his bowel movement. Id. Lee did not prescribe any treatment at that time. Id. On July 30, 1996, Thomas was seen on an emergency sick call for complaints of a burning sensation upon urination. Id. The nurse on call noted that his urine was negative for the presence of blood. Lee prescribed Bactrim (an antibiotic) to treat any urinary tract infection, and ordered an urinalysis test to rule out an infection. Id.; Defs.['] Mot. for Summary Judgment Ex. B.

On August 20, 1996, Thomas was seen by a nurse with a complaint of constipation for the past two weeks. Defs.['] Mot. for Summary Judgment Ex. A. Thomas was prescribed colance, milk of magnesia and told to increase his fluids. Id. He was also scheduled to see Dr. Wright ("Wright").6 Id. On August 28, 1996, Thomas was examined by Wright and he prescribed metamucil. Id.

6 Dr. Wright, Medical Doctor at the Clinton Correctional Facility, is not a party to this action.

On September 23, 1996, Thomas was seen by Jean Carbone ("Carbone"), a Registered Nurse Practitioner. He complained of traces of blood in his urine, including his stool, and pain in his naval area. Id. He explained that he had a burning with the last drops of urine and an occasional brownish-yellow discharge from his penis. Id. Carbone ordered a urethral culture, a PSA (a marker of prostate cancer), a CBC (complete blood count), and an ACP (auto chemical panel), and noted that further work would be determined after the results of the tests were back. Id. On September 25, 1996, Carbone noted that an urinalysis test result indicated that Thomas had an infection. Id. He was prescribed Bactrim while the results of the other tests were pending. Id. It was noted that further urinalysis, culture and sensitivity tests were to be ordered in October. Id.

*2 On October 4, 1996, Carbone noted that urinalysis, culture and sensitivity tests were to be repeated. Defs.['] Mot. for Summary Judgment Ex. A. Another urinalysis was done on October 18, 1996. Id., Ex. B. On October 28, 1996, a renal ultrasound was ordered as well as a 24-hour urine collection to test for the presence of protein and creatinine. Id., Ex. A. It was recommended that Thomas be sent for an urology consultation. Id. On October 29, 1996, Thomas had a follow-up appointment where he complained of pain in his right side and testicles. Id. He described the pain as if something was holding it when he tries to urinate, and he had dribbling afterward. Id. Prior to a bowel movement, Thomas stated that he had pain in his navel. Id. He was prescribed Cipro 500 mg (an antibiotic) as well as multivitamin and iron supplements. Id.

On October 31, 1996, Thomas had a renal (kidney) ultrasound which was normal, and had a kidney/ureter/bladder x-ray which showed no abnormalities. Id., Ex. C. On November 4, 1996, Lee reviewed the results of the 24-hour urine collection, and noted that Thomas' white blood count was high, he had frequent urination, and that he was currently on Cipro. Id., Ex. A. Lee noted that if Cipro did not work, he would order a GU (genito urinary) consultation. Id., Ex. A.

On November 13, 1996, Lee examined Thomas for complaints of frequent urination and dysuria (painful urination). Id., Ex. A. Lee noted that Cipro and Bactrim did not work and the kidney sonogram was negative. Id., Ex. A. Lee ordered another urinalysis test and a consultation with a nephrology (kidney) specialist. Id., Ex. A.

On December 11, 1996, Thomas filed a grievance where he claimed that he was not getting proper treatment for his hernia. Id., Ex. J. The Inmate Grievance Resolution Committee ("I.G.R.C.") noted that Thomas was last seen by the medical staff on December 5, 1996, and that he was awaiting a nephrology consultation. Id., Ex. J. The I.G.R.C. recommended that Thomas be scheduled for another call out. Id., Ex. J. On December 13, 1996, Thomas indicated that he agreed with the I.G.R.C. recommendation and that he wished to appeal to the superintendent. Id., Ex. J. On December 18, 1996, a response from First Deputy Superintendent Thomas Ricks, on behalf of the superintendent, determined that Thomas had been seen by the medical staff for his concerns and that the consultation for an outside clinic had been approved. Id., Ex. J. Thomas did not appeal this decision to the Central Office Review Committee (C.O.R.C.).

On December 27 and 30, 1996, Thomas was treated for flu symptoms. Id., Ex. A. On January 9, 1997, Thomas was seen on an emergency sick call for complaints of burning and itching upon urination and he was referred to Lee. Id. His urine culture was negative. Id. Lee ordered a third urinalysis as well as urine, culture and sensitivity tests. Id. Lee also prescribed Pyridium, an analgesic used to treat urinary tract infections. Id. On January 13, 1997, Lee saw Thomas for complaints of excruciating pain in the supra-pubic area, diarrhea and abdominal pain since taking Pyridium so he prescribed Bentyl instead. Id.

*3 On or about January 13, 1997, Dr. George Eisele ("Eisele"), M.D. diagnosed Thomas with chronic prostatitis (swollen prostate). Id., Ex. D. Eisele prescribed Cipro 550 mg for three months. Id. On January 17, 1997, Eisele also ordered a CBC, chemical profile and blood work as well as an urinalysis. Id., Exs. A & B. On January 21, 1997, it was noted that Thomas was taking his medication and was prescribed colace for constipation. Id., Ex. A.

On January 29, 1997, Thomas was seen on an emergency sick call for increased hematuria in the past two days. Id. He was still having paraumbilical pains and chronic beige urethral discharge, and he had been having pain in his left scrotum for two days. Id. Thomas was admitted to the infirmary, and CBC and chemical profiles were ordered as well as an urinalysis and urethral discharge culture. Id., Ex. A. After a rectal exam, Wright discharged him from the infirmary. Id., Exs. A & E. On January 31, 1997, LabCorp found that Thomas had low hemoglobin and hematocrit levels. Id., Exs. A & B.

On February 5, 1997, Thomas was admitted to the Albany Medical Center Hospital and underwent a CT scan of his abdomen and pelvis which revealed findings consistent with a mass compressing the left side of his bladder. Id., Ex. F. Colorectal surgeons were consulted and surgery was recommended. Id. On February 7, 1997, Thomas underwent cystoscopy with left urethral stent placement and bladder biopsy, then a partial systoscopy of the dome of the bladder and removal of the entire tumor. Id. Placement of the suprapubic tube and foley catheter were then followed by anterior resection and descending colostomy and appendectomy. Id. Pathology results revealed that Thomas had colon cancer. He remained in the hospital until February 20, 1997. Id. He was kept in the infirmary until he was transferred to Coxsackie Correctional Facility's Regional Medical Unit on March 21, 1997. Id. Exs., A & G.

IV. DISCUSSION

A. Legal Standard

Summary judgment shall be granted "if the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits . . . show that there is no genuine issue as to any material fact and that the moving party is entitled to a judgment as a matter of law." Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 247, 106 S.Ct. 2505, 2510, 91 L.Ed.2d 202 (1986); accord F.D.I.C. v. Giammettei, 34 F.3d 51, 54 (2d Cir.1994). The moving party has the burden of demonstrating that there is no genuine issue of material fact. Celotex Corp. v. Catrett, 477 U.S. 317, 323, 106 S.Ct. 2548, 2552, 91 L.Ed.2d 265 (1986); Thomas v. Roach, 165 F.3d 137, 142 (2d Cir.1999). "When a motion for summary judgment is made and supported . . . an adverse party may not rest upon the mere allegations or denials of the . . . pleading, but the adverse party's response, by affidavits or as otherwise provided in [Federal Rule of Civil Procedure 56(e)], must set forth specific facts showing that there is a genuine issue for trial." St. Pierre v. Dyer, 208 F.3d 394, 404 (2d Cir.2000). "[T]he mere existence of some alleged factual dispute between the parties will not defeat an otherwise properly supported motion for summary judgment[.]" Rexford Holdings, Inc. v. Biderman, 21 F.3d 522, 525 (2d Cir.1994)(alternation in original)(citation omitted). However, it is well settled that on a motion for summary judgment, the court must construe the evidence in the light most favorable to the non-moving party. Tenenbaum v. Williams, 193 F.3d 581, 593 (2d Cir.1999).

*4 Furthermore, in a pro se case, the court must view the submissions by a more lenient standard than that accorded to "formal pleadings drafted by lawyers." Haines v. Kerner, 404 U.S. 519, 520, 92 S.Ct. 594, 596, 30 L.Ed.2d 652 (1972); see Estelle v. Gamble, 429 U.S. 97, 106, 97 S.Ct. 285, 292, 50 L.Ed.2d 251 (1976); Burgos v. Hopkins, 14 F.3d 787, 790 (2d Cir.1994) (a court is to read a pro se party's "supporting papers liberally, and . . . interpret them to raise the strongest arguments that they suggest"). Indeed, the Second Circuit has stated that "[i]mplicit in the right to self-representation is an obligation on the part of the court to make reasonable allowances to protect pro se litigants from inadvertent forfeiture of important rights because of their lack of legal training." Traguth v. Zuck, 710 F.2d 90, 95 (2d Cir.1983). Any ambiguities and inferences drawn from the facts must be viewed in the light most favorable to the non-moving party. Thompson v. Gjivoje, 896 F.2d 716, 720 (2d Cir.1990); see LaFond v. General Physics Serv. Corp., 50 F.3d 165, 171 (2d Cir.1995).

This liberal standard, however, does not excuse a pro se litigant from following the procedural formalities of summary judgment. Showers v. Eastmond, 2001 WL 527484, at *2 (S.D.N.Y. May 16, 2001). More specifically, Local Rule 7.1(a)(3) of this court specifically provides that "any facts set forth in the [moving party's] Statement of Material Facts shall be deemed admitted unless specifically controverted by the opposing party." Local Rule 7.1(a)(3) further requires that the "non-movant shall file a Statement of Material Fact which mirrors the movant's statement in matching numbered paragraphs and which set forth a specific reference to the record where the material fact is alleged to arise." The courts of the Northern District have adhered to a strict application of Local Rule 7.1(a)(3)'s requirement on summary judgment motions. Giguere v. Racicot, 2002 WL 368534, at *2 (N.D.N.Y. March 1, 2002)(inter alia citing Bundy Am. Corp. v. K-Z Rental Leasing, Inc., 2001 WL 237218, at *1 (N.D.N.Y. Mar. 9, 2001)).

Furthermore, this Circuit adheres to the view that nothing in Rule 56 imposes an obligation on the court to conduct a search and independent review of the record to find proof of a factual dispute. Amnesty America v. Town of West Hartford, 288 F.3d 467, 470 (2d Cir.2002). As long as the local rules impose a requirement that parties provide specific record citations in support of their statement of material facts, the court may grant summary judgment on that basis. Id. at 470-71.

In this case, Thomas failed to provide the court with a response and further, a separate statement of undisputed material facts in compliance with Local Rule 7.1(a) (3). Consequently, the court will accept the properly supported facts contained in the defendants' 7.1 statement as true for purposes of this motion.7 With this standard in mind, the court now turns to the sufficiency of Thomas' claims.

7 The court notes that this does not apply to the various conclusions of law contained in the defendants' 7.1 statement.

B. Eleventh Amendment

*5 The Eleventh Amendment provides that: "[t]he judicial power of the United States shall not be construed to extend to any suit in law or equity, commenced or prosecuted against one of the United States by Citizens of another State, or by Citizens or Subjects of any Foreign State." U.S. Const. Amend. XI. Although the Amendment does not specifically prohibit suits against a state by its own citizens, the Supreme Court has consistently applied that immunity to such cases. See Burnette v. Carothers, 192 F.3d 52, 57 (2d Cir.1999)(citing Edelman v. Jordan, 415 U.S. 651, 662-63, 94 S.Ct. 1347, 1355, 39 L.Ed.2d 662 (1974)). Moreover, it is well established that Eleventh Amendment immunity applies not only when a state is a named defendant, but when liability must be paid from state coffers. See New York City Health & Hosp. Corp. v. Perales, 50 F.3d 129, 134 (2d Cir.1995)(citing Edelman, 415 U.S. at 665, 94 S.Ct. at 1356-57)); Dawkins v. State of New York, 1996 WL 156764, at *2 (N.D.N.Y. Mar.28, 1996).

In this case, the defendants are being sued in their official and individual capacities. Since the Eleventh Amendment also applies to state officers, such as the defendants, it is recommended that Thomas' official capacity claims against the defendants should be dismissed.

C. Exhaustion: Prison Litigation Reform Act

[1] Before addressing the substance of Thomas' claims, the court must first consider whether he properly exhausted his administrative remedies. The Prison Litigation Reform Act ("PLRA") requires that suits brought by prisoners under 42 U.S.C. § 1983 must first exhaust their available administrative remedies.8 The Supreme Court has held that the PLRA requires administrative exhaustion even where the grievance process does not permit award of money damages and prisoner seeks only money damages, so long as the grievance tribunal has authority to take some responsive action. See Booth v. Churner, 531 U.S. 731, 741, 121 S.Ct. 1819, 1825, 149 L.Ed.2d 958 (2001).

8 "No action shall be brought with respect to prison conditions under Section 1983 of this title, or any other federal law, by a prisoner confined in any jail, prison, or other correctional facility until such administrative remedies as are available are exhausted." 42 U.S.C. § 1997e(a).

The New York State Inmate Grievance Program involves three steps. First, an inmate must submit a grievance to the clerk of the I.G.R.C. within 14 days of the alleged occurrence. 7 NYCRR § 701.7[a]. The I.G.R.C. is a five-member body consisting of two voting inmates, two voting staff members, and a non-voting chair. 7 NYCRR § 701.4. Next, a party to the grievance may appeal to the superintendent within four working days after receipt of the I.G.R.C.'s written response. As a general rule, the superintendent or his designee must issue a decision within ten working days of receipt of the appeal. 7 NYCRR § 701.7[b]. Then, a party to a grievance may appeal the superintendent's action to the C.O.R.C., which consists of the deputy commissioners or their designees. 7 NYCRR § 701.6.

In this case, it appears that Thomas has failed to exhaust his administrative remedies concerning the grievance he filed in December of 1996. The defendants have provided this court with documents which show that Thomas filed a grievance on December 11, 1996, claiming that he did not receive proper treatment for his hernia and blood clots. He appealed the determination of the I.G.R.C. to the superintendent, but did not appeal the determination of the superintendent's designee to the C.O.R.C. As such, this court finds that Thomas has failed to exhaust his administrative remedies. Accordingly, this court recommends that the complaint be dismissed for failure to exhaust.

D. Statute of Limitations

*6 [2] The defendants contend that the case is barred by statute of limitations. There is no federal statute of limitations for § 1983 actions. The federal court must "borrow" the limitations period from the most appropriate or analogous statute. See Board of Regents v. Tomanio, 446 U.S. 478, 483-84, 100 S.Ct. 1790, 1795, 64 L.Ed.2d 440 (1980). New York's three-year period for personal injury applies to § 1983 actions. Owens v. Okure, 488 U.S. 235, 251, 109 S.Ct. 573, 582, 102 L.Ed.2d 594 (1989)(holding that New York's three-year statute of limitations for general personal injury actions applies to constitutional tort claims under § 1983). However, the date of accrual of a § 1983 claim is governed by federal law. Morse v. University of Vermont, 973 F.2d 122, 125 (2d Cir.1992). Claims accrue when the plaintiff "knows or has reason to know of the injury which is the basis of his action." Singleton v. City of New York, 632 F.2d 185, 191 (2d Cir.1980).

In this case, Thomas alleges that the defendants failed to provide medical treatment between March of 1996 and January of 1997. The defendants maintain that since his injury occurred in March of 1996, the statute of limitations has expired. They contend that Thomas filed his complaint three years and ten months after the last date that the alleged incident occurred.

This court disagrees and finds that Thomas filed his suit within the statute of limitations. In analyzing the facts in the light most favorable to the non-moving party, Thomas could argue that his injury did not accrue until January of 1997, and that his suit would not be time barred. Thomas could argue that under the "continuous harm" rule he did not know or have reason to know of the injury which is the basis of his action until January of 1997 when he was diagnosed with cancer. "While no decision within this circuit has been found in which [the continuous harm] rule was applied to toll the statute of limitations for a deliberate indifference claim, the Second Circuit has recognized that the rule may apply in such a case." Cole v. Miraflor, 2001 U.S. Dist. LEXIS 1681, at *17 (S.D.N.Y. Feb. 21, 2001)(citing Pino v. Ryan, 49 F.3d 51, 54 (N.D.N.Y.1995)) (affirming sua sponte dismissal of prisoner's deliberate indifference claim "where . . . the injuries complained of occurred . . . well outside the applicable three-year limitations period . . . and plaintiff has alleged no facts indicating a continuous or ongoing violation of his constitutional rights"). Since Thomas' claims against the defendants could have accrued as late as January of 1997, dismissal based on this ground is not recommended.

E. Eighth Amendment Claim

[3] The defendants contend that Thomas has failed to state an Eighth Amendment claim. The Eighth Amendment does not mandate comfortable prisons, yet it does not tolerate inhumane prisons either, and the conditions of an inmate's confinement are subject to examination under the Eighth Amendment. Farmer v. Brennan, 511 U.S. 825, 832, 114 S.Ct. 1970, 1975, 128 L.Ed.2d 811 (1994). Nevertheless, deprivations suffered by inmates as a result of their incarceration only become reprehensible to the Eighth Amendment when they deny the minimal civilized measure of life's necessities. Wilson v. Seiter, 501 U.S. 294, 298, 111 S.Ct. 2321, 2324, 115 L.Ed.2d 271 (1991) (quoting Rhodes v. Chapman, 452 U.S. 337, 347, 101 S.Ct. 2392, 2399, 69 L.Ed.2d 59 (1981)).

*7 Moreover, the Eighth Amendment embodies "broad and idealistic concepts of dignity, civilized standards, humanity, and decency . . ." against which penal measures must be evaluated. See Estelle v. Gamble, 429 U.S. at 102, 97 S.Ct. at 290. Repugnant to the Amendment are punishments hostile to the standards of decency that "`mark the progress of a maturing society.'" Id. (quoting Trop v. Dulles, 356 U.S. 86, 101, 78 S.Ct. 590, 598, 2 L.Ed.2d 630 (1958). Also repugnant to the Amendment, are punishments that involve "`unnecessary and wanton inflictions of pain.'" Id. at 103, 97 S.Ct. at 290 (quoting Gregg v. Georgia, 428 U.S. 153, 173, 96 S.Ct. 2909, 2925, 49 L.Ed.2d 859 (1976)).

In light of these elementary principles, a state has a constitutional obligation to provide inmates adequate medical care. See West v. Atkins, 487 U.S. 42, 54, 108 S.Ct. 2250, 2258, 101 L.Ed.2d 40 (1988). By virtue of their incarceration, inmates are utterly dependant upon prison authorities to treat their medical ills and are wholly powerless to help themselves if the state languishes in its obligation. See Estelle, 429 U.S. at 103, 97 S.Ct. at 290. The essence of an improper medical treatment claim lies in proof of "deliberate indifference to serious medical needs." Id. at 104, 97 S.Ct. at 291. Deliberate indifference may be manifested by a prison doctor's response to an inmate's needs. Id. It may also be shown by a corrections officer denying or delaying an inmate's access to medical care or by intentionally interfering with an inmate's treatment. Id. at 104-105, 97 S.Ct. at 291.

The standard of deliberate indifference includes both subjective and objective components. The objective component requires the alleged deprivation to be sufficiently serious, while the subjective component requires the defendant to act with a sufficiently culpable state of mind. See Chance v. Armstrong, 143 F.3d 698, 702 (2d Cir.1998). A prison official acts with deliberate indifference when he "`knows of and disregards an excessive risk to inmate health or safety.'" Id. (quoting Farmer, 511 U.S. at 837, 114 S.Ct. at 1979). "`The official must both be aware of facts from which the inference could be drawn that a substantial risk of serious harm exists, and he must also draw the inference.'" Id. However, an Eighth Amendment claim may be dismissed if there is no evidence that a defendant acted with deliberate indifference to a serious medical need. An inmate does not have a right to the treatment of his choice. See Murphy v. Grabo, 1998 WL 166840, at *4 (N.D.N.Y. April 9, 1998) (citation omitted). Also, mere disagreement with the prescribed course of treatment does not always rise to the level of a constitutional claim. See Chance, 143 F.3d at 703. Moreover, prison officials have broad discretion to determine the nature and character of medical treatment which is provided to inmates. See Murphy, 1998 WL 166840, at *4 (citation omitted).

*8 While there is no exact definition of a "serious medical condition" in this circuit, the Second Circuit has indicated what injuries and medical conditions are serious enough to implicate the Eighth Amendment. See Chance, 143 F.3d at 702-703. In Chance, the Second Circuit held that an inmate complaining of a dental condition stated a serious medical need by showing that he suffered from great pain for six months. The inmate was also unable to chew food and lost several teeth. The Circuit also recognized that dental conditions, along with medical conditions, can vary in severity and may not all be severe. Id. at 702. The court acknowledged that while some injuries are not serious enough to violate a constitutional right, other very similar injuries can violate a constitutional right under different factual circumstances. Id.

The Second Circuit provided some of the factors to be considered when determining if a serious medical condition exists. Id. at 702-703. Factors that the court mentioned were "`[t]he existence of an injury that a reasonable doctor or patient would find important and worthy of comment or treatment; the presence of a medical condition that significantly affects an individual's daily activities; or the existence of chronic and substantial pain'" are highly relevant. Id. at 702-703 (citation omitted).

In this case, Thomas claims that the defendants did not take any steps to correct his medical problems, they refused to get close enough to examine him, and they did not provide him any medical treatment. For purposes of this motion, the defendants concede that Thomas had a serious medical need. They dispute the allegation that they did not provide medical treatment or that they were deliberately indifferent to his medical needs.

The defendants maintain that various references in the record show that they did provide adequate medical care. For instance, Lee treated Thomas on April 30, June 4, November 13, 1996, and on January 9 and 13, 1997. Lee ordered various medical tests and issued a variety of medications to alleviate Thomas' discomfort. He also reviewed Thomas' chart including lab results. Lee ordered medications and referred him to a nephrology specialist. Moreover, the nephrologist recommended a course of treatment which Lee had already prescribed.

In addition, during the same time period, Wright and Carbone provided medical care for Thomas. They ordered medical tests, prescribed courses of treatments, and monitored his laboratory and radiological reports. The defendants maintain that within days of discovering that his hemoglobin and hematocrit levels were low, the medical staff had Thomas admitted to the Albany Medical Center Hospital for treatment. Lastly, the defendants contend that since Lee was not present during the surgeries at the Albany Medical Center, Thomas cannot show that Lee was responsible for any of the physical damage and pain that he suffered as a result of the surgeries in February of 1997.

*9 This court finds that the record clearly shows that the defendants were not deliberately indifferent to Thomas' serious medical needs. Although they may have failed to diagnose or even detect his cancer, the record does not show that they did so deliberately. Furthermore, the record does not show that they disregarded his medical needs. He was seen numerous times and given various medications to alleviate his pain and suffering. Despite not diagnosing him properly, the defendants repeatedly ordered tests and continued to get normal results from the tests they ordered. Accordingly, as an additional ground to grant dismissal, this court recommends that the defendants' motion for summary judgment should be granted.

F. Other Defenses

The defendants contend that they were also entitled to dismissal for lack of personal involvement. Regardless of the merits of this defense, the court has already determined that all of Thomas' claims should be dismissed on other grounds. Consequently, the court need not address the defendants' other defenses and declines to do so.

WHEREFORE, for the foregoing reasons, it is hereby

RECOMMENDED, that the defendants' motion for summary judgment (Dkt. No. 22) be GRANTED since the suit attempts to sue the defendants in their official capacities and the Eleventh Amendment bars such claims; and it is further

RECOMMENDED, that the defendants' motion for summary judgment (Dkt. No. 22) be GRANTED since Thomas has failed to show that the defendants were deliberately indifferent to his serious medical needs in violation of the Eighth Amendment; and it is further

RECOMMENDED, that the defendants' motion for summary judgment (Dkt. No. 22) be GRANTED since Thomas failed to exhaust his administrative remedies; and it is further

ORDERED, that the Clerk of the Court serve a copy of this Report-Recommendation upon the parties by regular mail.

NOTICE: Pursuant to 28 U.S.C. § 636(b)(1), the parties may lodge written objections to the foregoing report. Such objections shall be filed with the Clerk of the Court within TEN days. FAILURE TO SO OBJECT TO THIS REPORT WILL PRECLUDE APPELLATE REVIEW. Roldan v. Racette, 984 F.2d 85 (2d Cir.1993); 28 U.S.C. § 636(b)(1); Fed.R.Civ.P. 72, 6(a), 6(e).

All Citations

Not Reported in F.Supp.2d, 2002 WL 31309190

2000 WL 1159553 Only the Westlaw citation is currently available. United States District Court, S.D. New York. Rufus GIBSON, Plaintiff, v. D. DiRUBBIO, R. Haight, Giavatto, Torres and John Doe(s) New York State Correction Officers at Fishkill Correctional Facility in Their Official and Personal Capacities, Defendants. No. 99 CIV. 3202(LAP) Aug. 16, 2000.

MEMORANDUM AND ORDER

PRESKA, District J.

*1 Plaintiff Rufus Gibson brings this pro se action seeking damages relating to events that took place during his incarceration at Fishkill Correctional Facility ("Fishkill"). Plaintiff brings a claim pursuant to 42 U.S.C. § 1983 alleging that defendants violated his rights under the Eighth Amendment by failing to take reasonable measures to guarantee his safety and to protect him from serious harm by other inmates. Plaintiff also brings state law claims of assault, battery, negligence, negligent infliction of emotional distress and intentional infliction of emotional distress.1 Defendants DiRubbio, Haight, Giavatto and Torres have moved to dismiss plaintiff's complaint pursuant to Fed.R.Civ.P. 12(b)(1) and (6) on the grounds that (1) there is no subject matter jurisdiction over defendants in their official capacities and (2) the complaint fails to state a claim as a matter of law. I note that while defendants purport to move to dismiss the entire complaint, (see Notice of Motion to Dismiss), they argue in their submission only for dismissal of the claim under 42 U.S.C. § 1983 and the claim for intentional infliction of emotional distress, (see Defs.' Mem. Supp. Motion to Dismiss). Thus, I consider those two claims only on this motion. For the reasons set forth below, defendants' motion to dismiss the section 1983 claim and the intentional infliction of emotional distress claim is granted.

1 I liberally construe the complaint to include an intentional infliction of emotional distress claim under state law. See Burgos v. Hopkins, 14 F.3d 787, 790 (2d Cir.1994) ("we read [the pro se party's] supporting papers liberally, and will interpret them to raise the strongest arguments that they suggest").

BACKGROUND

On September 30, 1998, plaintiff was involved in an altercation with one of his fellow inmates at Fishkill, Robert Masters. (See Compl. ¶ 1.) On October 1, 1998, a misbehavior report was filed and, at a hearing on October 2, 1998, plaintiff was found guilty of assault, fighting and disobeying a direct order and sentenced to 365 days keep-lock and lost privileges. (See id. ¶ 3, Exs. A, B.) As a result of the incident, plaintiff, Masters and a third inmate, Beckford, were transferred to Fishkill's special housing unit ("SHU"). (See id. ¶ 2.) Plaintiff and Masters were housed in separate units of the SHU; Beckford and Masters were housed in the same unit. (See id. ¶ 4.)

According to plaintiff, because he and Masters had "separations," they were supposed to be in the SHU yard for recreation on alternating days as a way to "avoid confrontations with acknowledged enemies." (Id. ¶ 5 n.C.) However, at some point between October 5 and October 13, 1998, Masters spoke to plaintiff during recreation in the yard. (See id. ¶ 6.) Masters started to approach plaintiff, but Officer DiRubbio, the escort officer on duty, intervened and informed plaintiff that plaintiff was not supposed to have recreation in the outside yard that day. (See id. ¶ 7.) Officer DiRubbio told plaintiff to go inside, saying, "I'll call up[stairs] and they'll give you gallery [indoor recreation]." (Id.)

On October 13, 1998, Officer Giavatto escorted plaintiff to the clinic, while Officers Haight and DiRubbio were on duty in the "bubble." (See id. ¶¶ 8, 9.) En route to the clinic, plaintiff crossed paths with Masters, who was being escorted from the clinic by Officer Torres, (see id. Ex. C), and the two "bumped heads" in the stairwell, (see id. ¶ 10). According to the inmate misbehavior report filed by Officer Giavatto after the incident took place, Masters leapt at plaintiff and struck him several times, pulling plaintiff down the stairs. (See id. Ex. C.) Officers Giavatto and Torres ordered the inmates to stop fighting, but plaintiff and Masters disregarded the order. (See id.) The officers separated the inmates; Officer Torres restrained plaintiff, and Officer Giavatto restrained Masters until another officer arrived on the scene. (See id.) Plaintiff allegedly sustained several minor injuries as a result of this incident for which he received x-rays and pain medication. (See id. ¶ 12, Ex. D.)

*2 On October 31, 1998, when plaintiff went outside for recreation, Beckford was in the outside yard and started to approach plaintiff. (See id. ¶ 14.) Officer DiRubbio again intervened, asked plaintiff if Beckford was the inmate he had a problem with, and then ordered Beckford to go to the far basketball court. (See id.) Officer DiRubbio then told plaintiff to go inside. (See id.)

Plaintiff filed a grievance on November 2, 1998 relating to the October 13, 1998 incident, contending that defendants failed to ensure that plaintiff and other inmates from whom he was to be kept separated did not cross paths and that Officer Torres used excessive force in restraining plaintiff after the altercation in the stairwell. (See id. ¶ 15, Ex. E. at 1-2.) The November 25, 1998 response from the inmate grievance program superintendent informed plaintiff that Officer Torres denied plaintiff's allegations of excessive force and stated that "[t]he escorting officers and the Central Clinic would not have knowledge of a separation order on inmates. And the officers . . . would not have knowledge that the Central Clinic staff called for both [plaintiff] and inmate Masters at different times (40 minutes apart)." (Id. Ex. E at 3.) The response also stated that "inmate Masters has been transferred." (Id.)

DISCUSSION

I. Standard Applicable to Motion to Dismiss

When deciding a motion to dismiss under Rule 12(b) (6), a court must accept as true all well-pleaded factual allegations of the complaint and must draw all inferences in favor of the pleader. See Mills v. Polar Molecular Corp., 12 F.3d 1170, 1174 (2d Cir.1993); City of Los Angeles v. Preferred Communications, Inc., 476 U.S. 488, 493 (1986); Miree v. DeKalb County, 433 U.S. 25, 27 n. 2 (1977) (referring to "well-pleaded allegations"). "`[T]he complaint is deemed to include any written instrument attached to it as an exhibit or any statements or documents incorporated in it by reference.'" International Audiotext Network, Inc. v. American Tel. and Tel. Co., 62 F.3d 69, 72 (2d Cir.1995) (quoting Cortec Indus., Inc. v. Sum Holding L.P., 949 F.2d 42, 47 (2d Cir.1991)). Dismissal is proper only when "it appears beyond doubt that the plaintiff can prove no set of facts in support of his claim which would entitle him to relief." Conley v. Gibson, 355 U.S. 41, 45-46 (1957); accord Cohen v. Koenig, 25 F.3d 1168, 1172 (2d Cir.1994). "The latter principle is to be applied with particular strictness when the plaintiff complains of a civil rights violation." Branum v. Clark, 927 F.2d 698, 705 (2d Cir.1991).

Because plaintiff filed this action pro se, I must judge his pleadings by a more lenient standard than that accorded to "formal pleadings drafted by lawyers." Haines v. Kerner, 404 U.S. 519, 520 (1972); Hanlin v. Mitchelson, 794 F.2d 834, 838-39 (2d Cir.1986) (pro se pleadings are given a liberal construction). Nevertheless, proceeding pro se does not altogether relieve plaintiff from the usual pleading requirements. See Kadosh v. TRW, Inc., No. 91 Civ. 5080, 1994 WL 681763, at *5 (S.D.N.Y. Dec. 5, 1994) ("work product of pro se litigants should be generously and liberally construed, but [the pro se's] failure to allege either specific facts or particular laws that have been violated, renders his attempt to oppose defendants' motion ineffectual"); Stinson v. Sheriff's Dep't, 499 F.Supp. 259, 262 (S.D.N.Y.1980) (liberal standard accorded to pro se pleadings "is not without limits, and all normal rules of pleading are not absolutely suspended").

II. Section 1983 Claim

*3 Plaintiff brought this § 1983 action against defendants in their individual and official capacities. However, in his opposition papers, plaintiff dropped his claim against defendants in their official capacities. (See Pl.'s Aff. ¶ 3.) Thus, plaintiff's claim against defendants in their official capacities is dismissed, and I will consider plaintiff's claim against defendants in their individual capacities only.2

2 While defendants argue that they are entitled to Eleventh Amendment immunity for actions taken in their official capacities, (see Defs.' Mem. Supp. Motion to Dismiss at 8-10), the Eleventh Amendment does not bar claims against state actors sued in their individual capacities, see Ying Jing Gan v. City of New York, 996 F.2d 522, 529 (2d Cir.1993); Farid v. Smith, 850 F.2d 917, 921 (2d Cir.1988).

The crux of plaintiff's § 1983 claim is that defendants violated his Eighth Amendment right to be free from cruel and unusual punishment by failing to protect him from assault by other inmates. (See Compl. ¶ 2.) The Eighth Amendment imposes on prison officials "a duty to protect prisoners from violence at the hands of other prisoners." Fischl v. Armitage, 128 F.3d 50, 55 (2d Cir.1997) (citing Farmer v. Brennan, 511 U.S. 825, 833 (1994). However, in order to state an Eighth Amendment claim under § 1983, the prisoner must allege actions or omissions sufficient to demonstrate that the officials acted with deliberate indifference to the safety of the prisoner; "mere negligence will not suffice." Hayes v. New York City Dep't of Corrections, 84 F.3d 614, 620 (2d Cir.1996).

A prisoner must demonstrate two elements, one objective and one subjective, in order to make out a claim of deliberate indifference. To satisfy the objective prong of the test, "the inmate must show that he is incarcerated under conditions posing a substantial risk of serious harm." Farmer, 511 U.S. at 834. That is, the deprivation "must be, in objective terms, `sufficiently serious.'" Hathaway v. Coughlin, 37 F.3d 63, 66 (2d Cir.1994) (quoting Wilson v. Seiter, 501 U.S. 294, 298 (1991). The standard "contemplates `a condition of urgency, one that may produce death, degeneration, or extreme pain.'" Id. (quoting Nance v. Kelly, 912 F.2d 605, 607 (2d Cir.1990)).

In the instant case, plaintiff's allegations do not establish that he was subjected to a substantial risk of serious harm. With respect to the first altercation between plaintiff and Masters-which resulted in the separation order and the inmates' being placed in SHU-plaintiff himself admits that he "assaulted" Masters, "sending [Masters] to the outside hospital for sutures to his forehead." (Compl. ¶ 1.) Plaintiff includes no mention of any injuries to himself as a result of this first encounter. As for the alleged attempt by Masters to approach plaintiff in the outside recreation area, plaintiff alleges no injuries as a result of this occurrence or as a result of a similar encounter with Beckford at a later date. Finally, with respect to the incident that took place while plaintiff was en route to the clinic, plaintiff suffered only minor injuries, not serious harm. Cf. King v. Dep't of Correction, No. 95 Civ. 3057, 1998 WL 67669, at *5 (S.D.N.Y. Feb. 18, 1998) (cut to plaintiff's face, neck and shoulder requiring 12-13 stitches satisfies objective requirement of Eighth Amendment claim); Byrd v. Abate, 945 F.Supp. 581, 585 (S.D.N.Y.1996) (loss of an eye sufficiently serious deprivation under Eighth Amendment); Knowles v. New York City Dep't of Corrections, 904 F.Supp. 217, 220 (S.D.N.Y.1995) (deep cut to plaintiff's face requiring sixty stitches satisfies objective element of Eighth Amendment claim).

*4 Moreover, plaintiff has not alleged any facts from which one can infer that the conditions under which he was incarcerated posed a substantial risk of serious harm. Plaintiff has alleged that after the first altercation with Masters, the conditions of his incarceration changed; plaintiff was housed in protective custody and was to be kept separated from Masters. Furthermore, plaintiff has alleged that Officer DiRubbio intervened in other circumstances where plaintiff and Masters or plaintiff and Beckford were in proximity to one another. Therefore, I find that the conditions under which plaintiff was incarcerated-where prison officials made a reasonable effort to lessen the risk of harm to plaintiff-negate any possible finding for plaintiff under the objective prong of the deliberate indifference test.

Even without so finding, "[t]he Constitution does not guarantee an assault-free prison environment; it promises only reasonable good faith protection." McGriff v. Coughlin, 640 F.Supp. 877, 880 (S.D.N.Y.1986). Plaintiff has not alleged that such protection was lacking at Fishkill; indeed, his allegations tend to show that the prison took steps to increase the degree of protection offered plaintiff. In sum, plaintiff has failed to satisfy the objective prong of the Farmer inquiry with respect to the conditions of his incarceration. Accordingly, I find that plaintiff has failed to allege a deprivation serious enough to state an Eighth Amendment claim.

Notwithstanding the objective prong, there can be no dispute that plaintiff's claim cannot survive the subjective prong of the deliberate indifference test. The Supreme Court has held that a deliberate indifference claim has a second, subjective component that examines the prison official's state of mind-to be liable, the official must have a sufficiently culpable intent. See Wilson v. Seiter, 501 U.S. 294 (1991). This subjective requirement, in turn, involves a two-tier inquiry. To be liable under the Eighth Amendment, a prison official must "know[] of and disregard[] an excessive risk to inmate health or safety; the official must both be aware of facts from which the inference could be drawn that a substantial risk of serious harm exists, and he must also draw the inference." Farmer, 511 U.S. at 837; see also Rivera v. Senkowski, 62 F.3d 80, 84-85 (2d Cir.1995) (deliberate indifference requires an objective component that the alleged deprivation is sufficiently serious, and a subjective component that the charged official, at a minimum, knew of and disregarded an excessive risk to inmate health or safety).

Under the strictures of Farmer, plaintiff has failed to allege that defendants had the requisite knowledge that escorting plaintiff to the clinic could expose plaintiff to a substantial risk of serious harm. Plaintiff contends that the officers on duty in the bubble, Haight and DiRubbio, knew of the separation order and failed to determine if plaintiff and Masters had been called to the clinic around the same time. (See Compl. ¶ 8.) Plaintiff further alleges that the escorting officers, Giovatto and Torres, failed to investigate if plaintiff and Masters should have been separated from each other. (See id. ¶ 9.) Accepting plaintiff's allegations as true, defendants could be faulted only for using poor judgment in exposing plaintiff to a potential risk. See Farmer, 511 U.S. at 838 ("an official's failure to alleviate a significant risk that he should have perceived but did not, while no cause for commendation," is not actionable under Eighth Amendment); Ayers v. Coughlin, 780 F.2d 205, 209 (2d Cir.1985) (per curiam) ("[a]n isolated omission to act by a . . . prison guard does not support a claim under § 1983 absent circumstances indicating an evil intent, or recklessness, or at least deliberate indifference to the consequences of his conduct for those under his control and dependent upon him") (citation omitted). The defendants' failure to anticipate a further threat to plaintiff and/or to prevent the attack by Masters in the stairwell was, at most, negligence, and therefore not actionable under the Eighth Amendment. See Hayes, 84 F.3d at 620.

*5 For example, plaintiff states that he "declined to go out [for recreation after the stairwell incident] due to the stress and anxiety associated with whether or not he would be victimized while out of his cell." (Compl.¶ 14.) However, plaintiff does not allege that he informed defendants of his fear of harm from other inmates or requested that any further protective action be taken.

Plaintiff also alleges that Officer DiRubbio was aware that plaintiff did not get along with some other inmate. (See id. ¶ 14 (referring to Beckford, DiRubbio asked plaintiff, "this the guy you got a beef with?"); see also id. ¶ 7 (referring to Masters, plaintiff told DiRubbio "that's the kid I bust in the head" and "you know if I go out there we gonna hafta get it on").) Although plaintiff's statements to Officer DiRubbio arguably might have caused a more conscientious official to investigate the matter further, plaintiff's allegations, at most, impute negligence to Officer DiRubbio.3 Plaintiff has alleged no facts providing a reasonable ground for inferring deliberate indifference-as opposed to negligence-on the part of Officer DiRubbio or any of the other defendants. Accordingly, plaintiff's § 1983 claim is dismissed.

3 Plaintiff quotes Officer DiRubbio as saying, "I don't care if you beat the shit out of each other, I go on vacation . . . tomorrow" with regard to plaintiff and Beckford. (Compl.¶ 14.) Whatever type of indifferent attitude this statement may or may not indicate, standing alone it is insufficient to rise to the level of deliberate indifference under the Eighth Amendment. Furthermore, the conduct of Officer DiRubbio alleged by plaintiff gives rise to no ground for an inference of deliberate indifference on his part.

III. Intentional Infliction of Emotional Distress

To maintain a claim for intentional infliction of emotional distress under New York law, a plaintiff must plead and prove the following four elements: (1) extreme and outrageous conduct; (2) intent to cause, or disregard of a substantial probability of causing, severe emotional distress; (3) a causal connection between the conduct and the injury; and (4) severe emotional distress. See Howell v. New York Post Co., 81 N.Y.2d 115, 121, 596 N.Y.S.2d 350, 612 N.E.2d 699 (1993); Bender v. City of New York, 78 F.3d 787, 789 (2d Cir.1996). Courts have relied on the "outrageous conduct" element to set reasonable bounds on this potentially limitless tort, see Howell, 81 N.Y.2d at 121, and have required that the plaintiff allege conduct "so outrageous in character, and so extreme in degree, as to go beyond all possible bounds of decency, and to be regarded as atrocious, and utterly intolerable in a civilized community," Murphy v. American Home Prods. Corp., 58 N.Y.2d 293, 303, 461 N.Y.S.2d 232, 448 N.E.2d 86 (1983).

Construing plaintiff's complaint liberally, plaintiff alleges no facts sufficient to establish that defendants' conduct was "outrageous." Accordingly, I find that plaintiff has failed to state a claim for intentional infliction of emotional distress.

III. Other State Law Claims

Plaintiff alleges several state law claims against defendants: (1) assault, (2) battery, (3) negligence and (4) negligent infliction of emotional distress. Defendants do not address these claims in their motion to dismiss, and I will not consider them here. Pursuant to 28 U.S.C. § 1367, I decline to exercise supplemental jurisdiction over these pendent claims.

CONCLUSION

*6 For the reasons set forth above, plaintiff's § 1983 claim and plaintiff's claim for intentional infliction of emotional distress are dismissed. The remaining claims are dismissed without prejudice.

The Clerk of the Court shall mark this action closed and all pending motions denied as moot.

SO ORDERED:

All Citations

Not Reported in F.Supp.2d, 2000 WL 1159553

FootNotes


1. Plaintiff also invokes the Americans with Disabilities Act ("ADA"). (Docket No. 9 ("Am. Compl.") at 4 ¶ 4). However, Plaintiff does not plead any facts that suggest he meets the definition of disability under the ADA. See 42 U.S.C. § 12102.
2. Although CCS is not named in Defendants' Motion to Dismiss, (Docket No. 43), or Memorandum of Law in support thereof, (Docket No. 45 ("Def. Br.")), CCS has not previously been dismissed from this action. Attorney James C. Freeman appeared on behalf of CCS on August 25, 2015. (Docket No. 11). However, CCS was not served until May 19, 2016, (Docket No. 54), nearly four months after Defendants filed their Motion to Dismiss. At oral argument on the instant motion on January 19, 2017, Mr. Freeman appeared on behalf of all Defendants. Furthermore, correspondence from Mr. Freeman makes clear that he intended to represent all Defendants in the Motion to Dismiss. (See, e.g., Docket No. 12 (writing to request a pre-motion conference regarding the Motion to Dismiss and advising the Court that Mr. Freeman is "counsel for Correct Care Solutions and represents the [individual] Defendants . . . collectively referred to . . . as the `CCS Defendants.'"); Docket No. 55 (writing on behalf of the "CCS Defendants," Mr. Freeman stated Defendants' intent to "rely on our previously filed Motion to Dismiss.")). Therefore, the Court considers CCS a Defendant for the purposes of this Opinion and Order.
3. Although Plaintiff does not specifically cite the Eighth Amendment, the Court interprets his claims under the Eighth Amendment for reasons explained infra Section II(B).
4. Notably, Plaintiff does not seek damages from Defendant CCS, (Am. Compl. at 6).
5. Defendants' Motion was electronically filed on ECF on April 15, 2016, the reply date. (Docket No. 26).
6. Defendants argue that Plaintiff's case should be dismissed in its entirety because Plaintiff was previously barred under 28 U.S.C. § 1915(g) from filing any future actions in forma pauperis ("IFP"). (Docket No. 45 at 8-10). Plaintiff continues to be barred from filing a civil action under the IFP statute while a prisoner, unless the allegations bring the complaint within the terms of the statute's "imminent danger" exception. See 28 U.S.C. § 1915(g). Here, the Court ordered the Plaintiff to show cause why he should be permitted to proceed IFP in this case. (Docket No. 4). Upon review of Plaintiff's response to the order to show cause, the Court granted Plaintiff leave to proceed IFP in the instant action. Accordingly, Plaintiff received permission to file the instant action so the Court will not dismiss the Amended Complaint on these grounds.
7. See James v. Correct Care Solutions, No. 13-cv-0019 (NSR), 2013 WL 5730176, at *3 (S.D.N.Y. Oct. 21, 2013) ("because a pro se plaintiff's allegations must be construed liberally, it is appropriate for a court to consider factual allegations made in a pro se plaintiff's opposition memorandum, as long as the allegations are consistent with the complaint.") (citation and internal quotation marks omitted). After receipt of Plaintiff's Opposition, the Court determined that the Motion was fully submitted. (Docket No. 70).
8. Plaintiff additionally asserts that Dr. Curbelo failed to perform a physical, take chest X-rays or have Plaintiff tested for tuberculosis in 2011, and that as a result he had to take nine pills twice a week for nine months to prevent tuberculosis. (Am. Compl. at 3 ¶ 2). He claims that this caused him "imminent serious physical danger injuries." (Id.). However, this complaint is time-barred because it concerns conduct that occurred before May 5, 2012. (See Docket No. 7 at 2-3).
9. To state a First Amendment claim for retaliation, Plaintiff must "allege that he engaged in protected conduct and that his conduct was a `substantial or motivating factor' for an adverse action taken by a prison official." Dotson v. Fischer, 613 F. App'x 35, 39 (2d Cir. 2015) (citation omitted).
10. In accordance with Lebron v. Sanders, 557 F.3d 76, 79 (2d Cir. 2009) and Local Civil Rule 7.2 of the Local Rules of the United States District Courts for the Southern and Eastern Districts of New York, a copy of this case and any others cited herein, only available by electronic database, accompany this Opinion and Order and shall be simultaneously delivered to Plaintiff, who is proceeding pro se.
11. In light of the Second Circuit's recent decision in Darnell v. Pineiro, 849 F.3d 17 (2d Cir. 2017), this Court refers to Gomez for the standard on a constitutional claim arising out of inadequate medical care, but not for the premise that the same standard applies to a pretrial detainee under the Fourteenth Amendment.
12. The Court does not suggest or rule on whether the Defendants acted negligently or committed malpractice. See infra Section III(B).
13. In fact, Plaintiff frequently describes Defendant's conduct as negligent or as malpractice. (See, e.g., Am. Comp. at 4 (stating "advertent and hazardous negligence" and malpractice in his cause of action), 5 (listing malpractice under the injuries he sustained); Pl. Opp. at 5-6, 8).
14. At oral argument on January 19, 2017, the Court asked Plaintiff several times whether the facial cyst had been diagnosed. Plaintiff repeatedly evaded the question and provided no evidence to suggest that it was cancer. Moreover, even if the cyst was cancer, it is clear from the grievances and responses thereto that Plaintiff was treated regularly. Therefore, a diagnosis of cancer would not change this Court's analysis. See Farmer, 511 U.S. at 844 ("prison officials . . . may be found free from liability if they responded reasonably to the risk, even if the harm ultimately was not averted."); see also Stiehl, 2012 WL 2334626, at *6, 12 (finding no deliberate indifference where surgery was delayed, despite ultimate diagnosis of cancer); Thomas v. Wright, No. 99-CV-2071, 2002 WL 31309190, at *9 (N.D.N.Y. Oct. 11, 2002) ("Although [medical staff] may have failed to diagnose or even detect [plaintiff's] cancer, the record does not show that they did so deliberately. Furthermore, the record does not show that they disregarded his medical needs.").
15. The Court nevertheless accepts as true, for the purposes of this Opinion and Order, Plaintiff's allegation that the surgery was originally scheduled for April 20, 2015.
16. Defendants opine that the surgery may have been delayed because Plaintiff "obstructed the medical staff from performing their duties." (Def. Br. at 15).
17. Reading Plaintiff's Amended Complaint liberally, the Court could construe Plaintiff's claim that he was "racially profiled" as an Equal Protection Claim under the Fourteenth Amendment. "`To prove a violation of the Equal Protection Clause . . . a plaintiff must demonstrate that he was treated differently than others similarly situated as a result of intentional or purposeful discrimination.'" Barnes v. Ross, 926 F.Supp.2d 499, 506 (S.D.N.Y. 2013) (quoting Phillips v. Girdich, 408 F.3d 124, 129 (2d Cir.2005)) (analyzing pro se plaintiff's Equal Protection claim alleging disparate treatment, based on race, of mentally ill prisoners). Here, Plaintiff has not pled any facts that suggest he was treated differently than other prisoners based on his race.
18. "`Defamation, consisting of the twin torts of libel and slander, is the invasion of the interest in a reputation and good name. Generally, spoken defamatory words are slander; written defamatory words are libel.'" Grogan v. Blooming Grove Volunteer Ambulance Corp., 917 F.Supp.2d 283, 289 (S.D.N.Y. 2013), aff'd, 768 F.3d 259 (2d Cir. 2014) (quoting Albert v. Loksen, 239 F.3d 256, 265 (2d Cir.2001)).
19. See, e.g., Smith, 316 F.3d at 184 ("[T]he Eighth Amendment is not a vehicle for bringing medical malpractice claims, nor a substitute for state tort law"); Lee v. Donnaruma, 63 F. App'x 39, 41 (2d Cir. 2003) ("Defamation alone is clearly not sufficient to create an action under Section 1983."); Bell, 980 F. Supp. 2d at 563-64 (treating "medical negligen[ce]" as a claim under state tort law); Gibson v. DiRubbio, No. 99 CIV. 3202 (LAP), 2000 WL 1159553, at *5 (S.D.N.Y. Aug. 16, 2000), aff'd, 12 F. App'x 26 (2d Cir. 2001) (declining to exercise supplemental jurisdiction over state law claim of negligent infliction of emotional distress).
Source:  Leagle

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