JACKSON L. KISER, Senior District Judge.
Lester Eugene Bowles, a Virginia inmate proceeding
Plaintiff presents three brief claims in the complaint. Plaintiff first writes, "Deliberat[e] indifference to a serious medical need. In Orientation Manuals[,] insulin is to be giv[en] to insulin dependent diabetics before chow at 5:00 to 6:00 am by night nurse." Plaintiff next writes, "Was told my insulin was changed per doctor signed by Nurse Wells. All papers show wrong doing on medical that is run by Nurse Wells to department is working on insulin problem for 22 month[s] now. Since I been here school chow is more important here than health." Lastly, Plaintiff writes, "Bathroom pass gave by doctor for medical reason and taken back by security not allowed to use pod restroom. Have had to stop taking three meds not allowed to use my toilet but ever[y] hour on the hour when at pod rec[reation] or at programs[.] Being a diabetic[,] I need to go a lot for fluid reasons as well as medical won't allow access to pod restroom at all." Plaintiff requests $50,000 and equitable relief.
In a letter attached to the complaint, Plaintiff complains,
Plaintiff also filed grievance records and an operating policy in support of the complaint. In sum, these documents reflect that Plaintiff believes the doctor should not have changed his insulin administration to 7:00 a.m., which was after breakfast instead of before breakfast. Plaintiff argues that "anyone who is a nurse should know you don't eat then take insulin cause[] you [have] to . . . take more."
Nurse Wells responded to an informal complaint in November 2015, noting the change in time and telling Plaintiff, "If you would like to discuss this with the doctor, please submit a request for service." On a request for services form from January 2016, a nurse noted that Plaintiff's insulin order "does not state give before you eat. The order reads just to be given in the morning. When the nurse arrives you have the option to show up or not to show up. This is your choice."
In an informal complaint dated, January 4, 2017, Plaintiff wrote, "For the past months, I've been getting my morning insulin sometimes hours after I've ate. It's hard for me to keep taking it this way. I'm getting dizzy, sick to my stomach, agitated with the highs and lows from taking insulin late in [morning]. . . . [H]aving nothing to eat makes me sick and agitated from highs and lows." Nurse Wells responded a few days later, stating, "A review of your past glucose recordings have shown your sugar to be stable with the exception of two occasions during the past 45 days. You may request sick call to discuss changing your regimen with the doctor."
In an informal complaint dated February 15, 2017, Plaintiff wrote:
Nurse Wells responded on March 1, 2017, noting, "The medical department is working with Dr. Stevens to initiate a new insulin and blood sugar schedule."
Plaintiff was informed via a grievance response that all bathroom passes were had been revoked on September 29, 2016. The prison's administration had determined that "[a]n overwhelming amount of offenders were abusing the use of their bathroom pass by entering and exiting their cells numerous times during pod recreation, trading their pass, exchanging passes, etc. placing an enormous burden on RNCC Security Staff."
In response to the motion to dismiss, Plaintiff filed an unverified four-page letter, prison administrative records, medical records, and product information sheets. Only several of the documents are noteworthy to the legal claims.
Plaintiff wrote an informal complaint on August 31, 2016, stating, "I've asked over and over for new inserts for my boots and shoes. They[ are] supposed to be exchanged every four months. They are way over due. They have broke down and need to be replaced. I was told you had to find a vendor to where you can get them. Still waiting for them." Nurse Wells responded two days later, stating, "You were told that the original mold to make your inserts was destroyed by the company. You were offered the option of a different vendor. You did not want to pursue."
Plaintiff wrote to Nurse Wells on April 1, 2017, explaining his dissatisfaction "with the results of [the] X rays. I would like a[n] MRI. Something is wrong with my wrist cause it keeps popping in and out and is swollen. Would like to get this checked and fixed." Nurse Wells responded on April 5, 2017, saying, "You will need to see the doctor. Submit a request if you want to be seen."
Plaintiff submitted an informal complaint on April 3, 2017, claiming a need for wrist straps for wrist pain and that the doctor ordered him a treatment for foot fungus. Nurse Wells responded on April 7, 2017, stating, "The wrist braces had to [be] specially ordered and are not here. The doctor did not order anything for foot fungus."
I must grant a defendant's motion to dismiss if I determine that the complaint fails to state a claim on which relief may be granted. Resolving this question under the familiar standard for a motion to dismiss under Federal Rule of Civil Procedure 12(b)(6) requires me to accept Plaintiff's factual allegations as true.
A plaintiff must describe how a defendant acted with deliberate indifference to a serious medical need to state a claim under the Eighth Amendment for the unconstitutional denial of medical assistance.
Deliberate indifference requires a state actor to have been personally aware of facts indicating a substantial risk of serious harm, and the actor must have actually recognized the existence of such a risk.
A health care provider may be deliberately indifferent when the treatment provided is so grossly incompetent, inadequate, or excessive as to shock the conscience or is intolerable to fundamental fairness.
There is nothing in Plaintiff's submissions indicating that Nurse Wells, personally, failed to timely administer the insulin or that Nurse Wells was ever responsible for personally rendering any health care treatment to Plaintiff. Accordingly, the motion to dismiss is granted to the extent Plaintiff seeks to hold Nurse Wells liable for any personal act or omission related to actually injecting insulin into Plaintiff.
Alternatively, the complaint generally alleges that Nurse Wells is responsible, as the nursing supervisor, for a policy or practice permitting insulin to be administered hours after breakfast.
Laypeople understand diabetics' need for insulin injections and the generally accepted practice of administering insulin to regulate blood sugar before meals versus a practice of trying to bring blood sugar levels down with extra insulin after meals. Given the perspectives required for a motion to dismiss, I cannot find that Plaintiff cannot present a plausible claim for relief about a nursing policy or practice, and I also cannot presently find that Plaintiff merely disagrees with medical personnel on the range of acceptable medical practice.
However, the motion to dismiss is granted as to the other claims. Plaintiff fails to state a claim against Nurse Wells about the bathroom pass, CPAP machine, or orthopedic shoes. Even when considering the various documents filed after the complaint, Plaintiff does not identify any way in which Nurse Wells was involved in the taking of his bathroom pass or was deliberately indifferent to his wrist or any compromised performance of the CPAP machine or footwear. Also, Nurse Wells' responses to administrative forms directed Plaintiff to consult with the doctor about these medical issues. Accordingly, Nurse Wells' motion to dismiss must be granted as to these allegations.
For the foregoing reasons, I grant in part and deny in part Nurse Wells' motion to dismiss.