THOMAS E. ROGERS, III, Magistrate Judge.
This action has been filed by the Plaintiff, pro se, pursuant to 42 U.S.C. § 1983, alleging that Defendant violated his constitutional rights by being deliberately indifferent to his serious medical needs. Presently before the court is Defendant's Motion for Summary Judgment (No. 24). Because Plaintiff is proceeding pro se, he was advised pursuant to
Plaintiff, who at the times relevant to this action, was a pretrial detainee at the Spartanburg County Detention Facility, alleges that he was taken to Spartanburg Regional Medical Center on October 16, 2016, due to severe acid reflux and was given a special prescription, including a refill, due to the severity his condition, but "due to cuts by Defendant Kathy White" he has not received the medication, but only over-the-counter antacid pills. He also alleges that he has been denied treatment as a result of budget cuts. As a result, he has suffered trouble sleeping, problems keeping his food down, weight loss, and damage to the lining of his throat.
Plaintiff's medical records reveal that he was taken to the emergency department at the Spartanburg Regional Medical Center on October 8, 2016, rather than October 16, 2016. Med. Records (ECF No. 24-4, pp. 3, 7). On that day, Plaintiff complained to medical staff at the detention center of chest pain, shortness of breath, and vomiting, and was transported to the hosptial via EMS. Med. Records (ECF No. 24-4, p. 3). At the hospital, Plaintiff was diagnosed with gastroesophageal reflux disease without esophagitis and constipation. Med. Records (ECF No. 24-4, p. 7). He was prescribed aluminum-magnesium hydroxide 200-200 mg/5 ml suspension every six hours as needed for heartburn up to ten days, and famotidine 20 mg tablet (commonly known as Pepcid) twice a day, and was given no refills for either medication. Med. Records (ECF No. 24-4, pp. 3, 5-7). After noting the medications Plaintiff was prescribed at the hospital, Plaintiff's SCDC medical records state "NP to advise." Med. Records (ECF No. 24-4, pp. 3).
Plaintiff's Medication Administration Records (MAR) reveal that he did not begin taking the prescribed medication as soon as he returned from the hospital. MAR (ECF No. 24-6, p. 18). Plaintiff returned to the medical staff on October 10, 2016, complaining of chest pain related to indigestion and acid reflux. Med. Records (ECF No. 24-4, p. 3). He was given two packs of antacid and returned to the pod. Med. Records (ECF No. 24-4, p. 3). Plaintiff was seen again on October 13, 2016, with complaints of acid reflux, and the Nurse Practitioner ordered that he be given two ranitidine 150 mg tablets then and scheduled him to receive one ranitidine 150 mg tablet twice daily. Med. Records (ECF No. 24-4, p. 3). Plaintiff's MAR shows that Plaintiff indeed began taking the ranitidine twice daily on October 13, 2016, and continued to take it as prescribed through February of 2018. MAR (ECF No. 24-6, pp. 6-18). In addition, Plaintiff began taking the aluminummagnesium hydroxide that was prescribed by the hospital physician on October 17, 2016, and took it for seven days. MAR (ECF No. 24-6, p. 18). Plaintiff did not take the other medication, famotidine, that was prescribed by the hospital physician. However, once he began taking the ranitidine, his medical records reveal no complaints of acid reflux, heartburn, or any other related issues until February of 2018, approximately sixteen months later. Med. Records (ECF No. 24-4, pp. 2-3).
On February 28, 2018, Plaintiff complained that the ranitidine was no longer working, and the nurse indicated that she would check with the Nurse Practitioner to see if Plaintiff could be given something different. Med. Records (ECF No. 24-4, p. 2). Plaintiff was issued eight packs of antacids for discomfort. Med. Records (ECF No. 24-4, p. 2). On March 1, 2018, the Nurse Practitioner prescribed Plaintiff with famotidine (Pepcid) 20 mg to see if it would work better for him. Med. Records (ECF No. 24-3, p. 16). The ranitidine was discontinued and Plaintiff started taking the famotidine on March 4, 2018, and continued taking it until March 20, 2018. MAR (ECF No. 24-6, p. 4).
On March 20, 2018, Plaintiff complained of vomiting after breakfast and supper and stated that there were dots of blood in his vomit. Med. Records (ECF No. 24-3, p. 16). His medication was changed from the famotidine to omeprazole (Prilosec). Med. Records (ECF No. 24-3, p. 16); MAR (ECF No. 24-6, p. 4). Plaintiff continued taking the omeprazole and had no complaints of acid reflux, heartburn, or any other related condition for approximately six months until September 16, 2018, when he asked to be seen about his stomach/acid reflux issues. Med. Records (ECF No. 24-3, p. 16); MAR (ECF No. 24-6, pp. 1-3; ECF No. 24-5, pp. 7-18). Plaintiff was seen on September 26, 2018, and his omeprazole was increased from 20 mg to 40 mg. Med. Records (ECF No. 24-3, p. 16); MAR (ECF No. 24-6, p. 10).
Plaintiff's medication was again changed on December 12, 2018, to an increased dosage of pantoprazole and the addition of metronidazole after Plaintiff complained of continuing symptoms. Med. Records (ECF No. 24-3, p. 10); MAR (ECF No. 24-5, p. 5). On February 12, 2019, Plaintiff complained of vomiting, and he was ordered to stay in medical for observation. Med. Records (ECF No. 24-3, pp. 8-9). His pantoprazole dosage was again increased at that time from two tablets once a day to two tablets twice a day. MAR (ECF No. 24-5, p. 3).
Defendant Kathy White is the Medical Administrator at the SCDF and is responsible for overseeing the administration of the medical department. White Aff. ¶¶ 1-2. She is not a nurse and does not render medical treatment. White Aff. ¶¶ 1-2. The SCDF has a Medical Director, Rob E. McDonald, M.D., who oversees the medical treatment of the inmates. White Aff. ¶ 3. White is also not involved in the decision making process as to the annual budget the SCDF receives and avers that budgetary considerations do not play a role in the medical care delivered to the inmates. White Aff. ¶ 4.
Under Fed.R.Civ.P. 56, the moving party bears the burden of showing that summary judgment is proper. Summary judgment is proper if there is no genuine dispute of material fact and the moving party is entitled to judgment as a matter of law. Fed.R.Civ.P. 56(a);
To show that a genuine dispute of material fact exists, a party may not rest upon the mere allegations or denials of his pleadings.
Plaintiff alleges that Defendant violated his constitutional rights by being deliberately indifferent to his serious medical needs and brings this action pursuant to 42 U.S.C. § 1983. Section 1983 "`is not itself a source of substantive rights,' but merely provides `a method for vindicating federal rights elsewhere conferred.'"
The standard for reviewing medical claims of pretrial detainees under the Fourteenth Amendment is essentially the same as that for a convicted prisoner under the Eighth Amendmentdeliberate indifference to serious medical needs.
Defendant White avers that she had no involvement in the medical care rendered to Plaintiff. Furthermore, Plaintiff fails to show that the medical care he received at SCDF was unconstitutional. He was consistently seen and treated whenever he complained of acid reflux. He was placed on various medications to treat his condition and went long periods of time without making any complaints regarding his reflux. Whenever his reflux problems started again, he was seen by the medical staff and he was either given a higher dosage, a new medication, or an additional medication. He was also given advice regarding lifestyle changes, such as remaining upright for one to two hours after eating and refraining from eating food from the canteen, to help lessen his reflux problems. When Plaintiff complained that his problems were caused by something other than reflux, he was tested for h. pylori and subsequently treated when the results returned positive. Plaintiff complains that he was not given the medication that was prescribed to him at the hospital. However, he was given one of those medications for seven days, and after he started the ranitidine, he had no complaints for over a year and a half. Each time his reflux started to cause problems again, his medication was altered in an effort to determine what worked best. Nevertheless, "[a]lthough the Constitution does require that prisoners be provided with a certain minimum level of medical treatment, it does not guarantee to a prisoner the treatment of his choice."
It is not clear from the record why Plaintiff was not given medication for his reflux when he first returned from the hospital on October 8, 2016. Nevertheless, it is clear that he was given two packs of antacids on October 10, 2013, and when he returned to medical on October 13, 2016, Plaintiff was given prescription medication which continued to alleviate his symptoms for over a year. This slight delay in receiving medication does not rise to the level of a constitutional violation. Deliberate indifference is a very high standard—a showing of mere negligence will not meet it.
For the reasons discussed above, it is recommended that Defendant's Motion for Summary Judgment (ECF No. 24) be granted and this case dismissed in its entirety.
The parties are advised that they may file specific written objections to this Report and Recommendation with the District Judge. Objections must specifically identify the portions of the Report and Recommendation to which objections are made and the basis for such objections. "[I]n the absence of a timely filed objection, a district court need not conduct a de novo review, but instead must `only satisfy itself that there is no clear error on the face of the record in order to accept the recommendation.'" Diamond v. Colonial Life & Acc. Ins. Co., 416 F.3d 310 (4th Cir. 2005) (quoting Fed. R. Civ. P. 72 advisory committee's note).
Specific written objections must be filed within fourteen (14) days of the date of service of this Report and Recommendation. 28 U.S.C. § 636(b)(1); Fed. R. Civ. P. 72(b); see Fed. R. Civ. P. 6(a), (d). Filing by mail pursuant to Federal Rule of Civil Procedure 5 may be accomplished by mailing objections to: