THOMAS N. O'NEILL, Jr., District Judge.
While plaintiff was imprisoned in the Philadelphia prison system, with which defendant Corizon Health, Inc. contracts to provide health care, he underwent a biopsy of his prostate for diagnostic purposes. He then waited three-and-a-half months before defendants scheduled him a follow-up visit with the surgeon who had performed the biopsy. Plaintiff brings a claim under 42 U.S.C. § 1983 against Corizon and Elmeadas Frias, a health care administrator employed by Corizon, for violation of his Eighth Amendment right to medical care, Dkt. No. 21 (First Am. Compl.), and defendants move for summary judgment, Dkt. No 30. Plaintiff, now proceeding pro se, has not filed a response.
While incarcerated in the Philadelphia prison system from April 5, 2012 to July 18, 2013, plaintiff had a series of health issues related to his prostate. Dkt. No. 30, Ex. B (Beard Dep.) at 7:3-6 (giving the dates of his incarceration in Philadelphia). After several in-prison doctors' visits and an appointment with a urology specialist outside the prison, plaintiff was scheduled to receive a biopsy on his prostate with Dr. Walter Gerber of the Urological Consultants of Southeastern Pennsylvania at Einstein Hospital.
After the biopsy, plaintiff attempted to learn the results of the test. Beard Dep. at 54:21-18; 46:18-47:3. He requested the results on April 23, 2013 by submitting a sick call request. Beard Dep. at 55:2-18; Dkt. No. 30, Ex. E (Sick Call Request, April 23, 2013). He saw a nurse two days later and again inquired about the biopsy result. Dkt. No. 30, Ex. C, 66 (Prison Medical Record April 25, 2013). He was told that his biopsy showed that his tissue was noncancerous.
On June 3, 2013, plaintiff received a letter from Urological Consultants of Southeastern Pennsylvania which stated that the organization had been trying to get in touch with him by phone. Beard Dep. at 49:4-10; Dkt. No. 30, Ex. F (Letter from Urologic Consultants to Beard, May 24, 2013). The letter—a form letter with blanks for plaintiff's name and the date filled in by hand—explains that "[i]t is important to be followed after a surgical procedure to prevent any complications. Please call the office as soon as possible to schedule a follow up appointment."
On July 2, Frias met with plaintiff to discuss his grievance. Dkt. No. 30, Ex. G, 2 (Phila. Prison System Finding of the Inmate Grievance, July 2, 2013); Beard Dep. at 14:20-15:19. She told him she already had a copy of Dr. Gerber's letter describing his need for a follow-up appointment. Beard Dep. at 12:6-13. She claimed to have spoken with plaintiff's doctor and told plaintiff that it might be difficult to schedule his follow-up visit because he was soon to return to state jail. Phila. Prison System Finding of the Inmate Grievance, July 2, 2013; Beard Dep. at 14:20-15:1. The same day, Dr. Blatt completed a referral form to request plaintiff's follow-up appointment with Dr. Gerber. Dkt. No. 30, Ex. C, 84 (Utilization Management Referral Review Form, July 2, 2013).
The appointment was scheduled for July 22, 2013. Dkt. No. 30, Ex. C, 85 (Utilization Management Referral Form with Note, July 22, 2013). This was four days after plaintiff's scheduled transfer out of the Philadelphia prison system. Beard Dep. at 100:6-11. Plaintiff was not told about this appointment. Beard Dep. 97:20-98:2. After leaving the Philadelphia prison system—and therefore leaving Corizon's care—plaintiff was transferred to several different state and county jails and prisons. Beard Dep. at 32:16-20, 100:12-15, 106:21-107:10, 108:10-19. On August 16, 2013, he met with a nurse and explained that he had had prostate surgery and had not had a follow-up appointment. Dkt. No. 30, Ex. H, 2 (Pa. Prison System Medical Records, August 16, 2013). He ultimately underwent prostate surgery on October 20, 2014. Beard Dep. at 109:8-110:6; Dkt. No. 30, Ex. H, (Pa. Prison System Medical Records) 24-26.
Although defendants' motion is unopposed, I must review the merits of its motion to determine whether the defendants are entitled to summary judgment. Fed. R. Civ. P. Rule 56(c);
The party moving for summary judgment bears the burden of demonstrating 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). Summary judgment will be granted "against a party who fails to make a showing sufficient to establish the existence of an element essential to that party's case, and on which that party will bear the burden of proof at trial."
To establish "that a fact cannot be or is genuinely disputed," a party must:
Fed. R. Civ. P. 56(c)(1). The "existence of disputed issues of material fact should be ascertained by resolving all inferences, doubts and issues of credibility against" the movant.
Plaintiff brings this case under 42 U.S.C. § 1983, alleging violation of his Eighth Amendment right to medical care. U.S. Const. amend. VIII,
I will grant defendants' motion for summary judgment because, first, plaintiff presents no evidence that Corizon had a policy or custom that violated his rights as required to establish liability under
Defendant Corizon operates under the direct control and supervision of the City of Philadelphia.
A policy exists "when a decisionmaker possess[ing] final authority to establish municipal policy with respect to the action issues a final proclamation, policy or edict."
Plaintiff has not offered any evidence that Corizon has a custom or policy that caused his rights to be violated. The only evidence before me describes the isolated treatment of plaintiff in particular. It does not show that Corizon promulgated a policy, that Corizon itself violated federal law, or that Corizon failed to act in the face of an obvious need to prevent its agents from violating inmates' constitutional rights. Therefore, I will grant defendants' motion for summary judgment with respect to plaintiff's claim against Corizon.
The question before me is whether defendant Frias's handling of plaintiff's health care— specifically the delay between the date plaintiff requested that Frias schedule him a follow-up appointment and the date she did so—amounts to deliberate indifference to plaintiff's serious need for medical treatment. Because there is no evidence showing that Frias acted with knowledge that plaintiff faced a substantial risk of serious harm from the delay, I hold that it does not.
"Negligence in the administration of medical treatment to prisoners is not itself actionable under the Constitution."
Although defendant Frias's delay of one month in scheduling plaintiff's follow-up visit is not exemplary, it does not amount to deliberate indifference to a serious need for medical care. Plaintiff does not present evidence showing that he faced a substantial risk of serious harm from not receiving a follow-up appointment.
Plaintiff testifies that he would not have needed his 2014 prostate surgery had defendants properly treated him while he was in the Philadelphia prison system, including giving him medications that would have reduced his prostate problems. Beard Dep. 11:18-25. But this testimony is not sufficient to defeat defendant's motion for summary judgment for two reasons: first, plaintiff does not claim that defendant Frias's failure to schedule a prompt follow-up appointment—rather than the behavior of some other actor not named as a defendant—caused his later need for surgery, and second, there is no medical evidence in the record supporting plaintiff's conjecture about the effects of his treatment or any delay. Therefore, I will grant defendants' motion for summary judgment with respect to plaintiff's claims against Frias.
An appropriate Order follows.
Plaintiff saw a physician's assistant on December 20, 2012. Beard Dep. at 72:24-73:6; Dkt. No. 30, Ex. C, 35 (Prison Medical Charts, Dec. 20, 2012). On January 9, plaintiff's lab tests were reviewed and a physician noted that he may need a biopsy of his prostate. Dkt. No. 30, Ex. C (Prison Medical Charts, Jan. 9, 2013) 35. On January 22, 2013, he met with Dr. Blatt, who submitted a form to request an out-of-prison specialist appointment for plaintiff with a urologist. Beard Dep. at 75:22-76:3; Dkt. No. 30, Ex. C, 36-38 (Prison Medical Charts, Jan. 22, 2013). Corizon approved the request the next day and plaintiff was seen by Dr. Gerber on February 14, 2013. Beard Dep. at 77:4-11; Dkt. No. 30, Ex. C, 39-40 (Prison Medical Charts, Feb. 14, 2013). Dr. Gerber recommended a cystoscopy and a prostate biopsy.