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Davis v. Wahl

United States District Court, Seventh Circuit

November 20, 2013

JOSEPH DAVIS, #K-60509 Plaintiff,
NURSE WAHL, et al., Defendants.



This matter comes before the Court on Defendant Jill Wahl’s motion for summary judgment (Doc. 111). Plaintiff Davis has filed his response[1] (Doc. 114). Wahl has also filed her reply (Doc. 116). Davis has filed a sur-reply. (Doc. 117). For the following reasons, the Court grants Wahl’s motion for summary judgment.


Davis is currently incarcerated at Pinckneyville Correctional Center. Defendant Wahl is employed by Wexford Health Sources, Inc., as a traveling physician. Wahl, among others, treated Davis while he was incarcerated in Pinckneyville during 2010 and 2011. This Court will relate the facts as they pertain to Wahl.

On July 19, 2011, Davis filed his Renewed Second Amended Complaint pursuant to 42 U.S.C. § 1983 asserting that defendants were deliberately indifferent to his serious medical needs when they failed to provide adequate care for Davis’s “continued, severe, chronic and excessive bleeding from his rectum during each bowel movement” (Doc. 15, pg. 2). This Court divided Davis’s pro se complaint into two counts, Count One being “Deliberate Indifference to Serious Medical Needs, ” and Count Two being “Soy Diet Complaints.” (Doc. 16). The Court then dismissed Count Two. Id.

Davis makes the following claims in his complaint. On April 20, 2010, Davis submitted sick call requests, asking to be seen regarding “severe, chronic, and excessive bleeding from his rectum during each bowel movement.” (Doc. 15, pg. 2). Davis brought his “severe problematic condition” to the attention of Wahl and the other Defendants and did not receive a “thorough examination.” Id. Months passed “without any genuine treatment, ” and Davis experienced “chronic escruciating [sic] pain and blood streaming from his rectum” each time he attempted a bowel movement or passed gas. Id.

Davis states that he went to the prison health care facility and was examined by Wahl on August 12, 2010. On that date, Wahl told Davis “he had ‘gas’ and didn’t need to see a Doctor.” (Doc. 15, pg. 3). However, a Grievance Officer’s Report attached to Davis’s complaint suggests that this incident occurred exactly one year earlier and with an unidentified nurse. (See Doc. 15, pg. 14). The report states, “[g]rievant claims he was seen on NSC on 8/12/09 and after explaining his symptoms to the nurse (unidentified) she said he had gas and didn’t need to see a doctor.” Id. The report also states, “[p]er C. Fenton ‘[t]he nurse followed protocol per your reports to her. You stated to her you had gas, not pain and were given Maalox to assist with your issues.’” Id. It seems that this incident occurred on August 12, 2009, and not August 12, 2010, as Davis states in his complaint. Therefore, although Davis argues that prison officials were deliberately indifferent to his medical needs in 2009 and 2010, (See Doc. 114, pg. 5), Davis has not alleged, and the record does not reflect, that Davis sought medical attention for treatment of his rectal bleeding during 2009.

In their various filings with this Court, Davis and Wahl agree on the following facts. Davis has suffered rectal bleeding and pain since April of 2010. On April 19, 2010, Davis noticed he had rectal bleeding. Wahl examined Davis on April 20, 2010. The prison medical records show on this date that Wahl noted Davis might suffer from rectal prolapse.[2] (See Doc. 112-3, pg. 4). Wahl examined Davis again on April 23, 2010, and prescribed suppositories, blood work, and stool tests. The suppositories helped to stop Davis’s rectal bleeding at times. On May 26, 2010, Wahl examined Davis, and Davis tested positive for H. Pylori, an infection.[3]Wahl prescribed Prilosec[4], bismuth subsalicylate[5], and antibiotics. On July 6, 2010, Wahl found that Davis had no blood in his stool and ordered more stool tests. On August 25, 2010, Wahl examined Davis and found that Davis tested negative for an H. pylori infection. In September of 2010, Davis told a nurse that Wahl had previously suggested Davis have a colonoscopy. In September of 2010, Dr. Shepherd examined Davis, found that Davis tested positive for H. pylori, and prescribed Zantac[6] and hemoccult tests[7]. In November of 2010, Davis again experienced rectal bleeding. Shepherd prescribed various medications and sitz baths. Davis concedes that sitz baths provide him relief for his condition. Wahl last treated Davis on January 4, 2011.

On June 2, 2011, Dr. Schmidt examined Davis. (See Doc. 112-3, pg. 23). Schmidt found that Davis’s “examination was unremarkable” and that it was “unclear what is causing [Davis’s] problem.” Id. Schmidt recommended that Davis have stool studies, a blood screen, and possibly a colonoscopy. Id. On December 1, 2011, Dr. Mutch examined Davis. (See Doc. 112-3, pg. 25). Mutch found that Davis had full-thickness rectal prolapse. Id. Mutch recommended that Davis “undergo a colonoscopy” and then surgery for his prolapse, specifically “a sigmoid resection and rectopexy[8].” Id. On December 5, 2011, Davis signed a Medical Services Refusal form, refusing surgery to correct his prolapse. (See Doc. 112-3, pg. 24). Davis still has not had the surgery but concedes that he may have the surgery whenever he chooses to do so.

On June 21, 2013, Defendant Wahl filed her motion for summary judgment (Doc. 111). In Wahl’s motion, Wahl makes the following claims to support her argument that she was not deliberately indifferent to Davis’s medical needs. Wahl “provided adequate (if not good) medical care and treatment to the plaintiff for complaints of rectal bleeding and other stomach pains on at least 8 occasions.” (Doc. 111, pg. 3). Wahl prescribed “suppositories, antibiotics, and medications to ease [Davis’s] stomach complaints, various blood and stool tests, and sitz baths.” Id. Davis admitted that the suppositories and medications helped. Id. Davis “was sent to see an outside gastrointestinal specialist who recommended more blood and stool tests and a colonoscopy, both of which had been ordered or recommended by Dr. Wahl.” Id. The specialist found Davis’s “physical examination was unremarkable” and that it was “unclear what is causing his problem.” Id. Finally, Wahl notes that while a colo-rectal surgeon recommended to Davis that he have surgery, Davis refused surgery and has continued to refuse it. Id.

On July 23, 2013, Plaintiff Davis filed his response (Doc. 114) and a memorandum in support of his response (Doc. 115). In his memorandum, Davis makes the following arguments in an effort to show that Wahl was deliberately indifferent to his serious medical needs. Wahl failed to prescribe pain medication. Wahl denied Davis his sitz bath treatments that Dr. Shepherd had previously prescribed, and instead told Davis to perform his sitz baths in his cell using a washcloth and hot water. Davis’s cell was not clean enough for him to take a sitz bath, and Wahl failed to prescribe cleaning supplies with which to clean the cell. Davis’s cell did not have heat or hot water at this time. Davis states that by telling him he must give himself a sitz bath in his cell, “[Wahl] disregards an excessive risk to [Davis’s] health and safety….” (Doc. 115, pg. 6). Davis states that he “had to filed [sic] grievances on the defendants to get the sitz baths and medical treatments.” (Doc. 114, pg. 3). Finally, Davis seems to make the argument that Wahl should have sent him to a rectal specialist sooner. (See Doc. 114, pp. 2-3).

On July 30, 2013, Wahl filed her reply to Davis’s response (Doc. 116). Wahl correctly points out that Davis alleges that he was denied care in 2009 and 2010 even though he concedes that his rectal bleeding did not begin until April 19, 2010. Wahl states that she first examined Davis for his rectal bleeding on April 20, 2010, and that she last examined Davis on January 4, 2011. Wahl argues that she cannot be held liable for any deliberate indifference that occurred outside this timeframe. Wahl also argues that the medications she prescribed helped Davis’s rectal bleeding and stomach pain.

Davis has filed a sur-reply. However, “[u]nder no circumstances will sur-reply briefs be accepted.” S.D. Ill. L.R. 7.1(c). Therefore, the Court strikes the sur-reply (Doc. 117). The Court will now ...

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