Watkins v. Cape May County Correctional Center ( 2007 )


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  •                                                                                                                            Opinions of the United
    2007 Decisions                                                                                                             States Court of Appeals
    for the Third Circuit
    7-23-2007
    Watkins v. Cape May Cty Corr
    Precedential or Non-Precedential: Non-Precedential
    Docket No. 06-4540
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    Recommended Citation
    "Watkins v. Cape May Cty Corr" (2007). 2007 Decisions. Paper 706.
    http://digitalcommons.law.villanova.edu/thirdcircuit_2007/706
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    NOT PRECEDENTIAL
    UNITED STATES COURT OF APPEALS
    FOR THE THIRD CIRCUIT
    NO. 06-4540
    ________________
    FRED L. WATKINS, JR.,
    Appellant
    v.
    CAPE MAY COUNTY CORRECTIONAL CENTER (Medical Dept.); PRISON
    HEALTH SERVICES; COUNTY OF CAPE MAY
    ____________________________________
    On Appeal From the United States District Court
    For the District of New Jersey
    (D.C. Civ. No. 04-cv-04967)
    District Judge: Honorable Noel L. Hillman
    _______________________________________
    Submitted Under Third Circuit LAR 34.1(a)
    June 20, 2007
    Before:   SLOVITER, MCKEE AND AMBRO, CIRCUIT JUDGES
    (Filed: July 23, 2007)
    _______________________
    OPINION
    _______________________
    PER CURIAM
    Appellant, Fred L. Watkins, Jr., proceeding pro se, appeals an order of the United
    States District Court for the District of New Jersey granting the motion for summary
    judgment filed by the defendants named in Watkins’ civil rights complaint. We will
    affirm.
    From November 2003 to December 2004, Watkins was incarcerated at the Cape
    May County Correctional Center as a pretrial detainee. Shortly after his arrival at the
    correctional facility, Watkins began experiencing arm, leg, and back pain, which he
    believed was symptomatic of a previously diagnosed nerve disorder. Watkins submitted a
    medical request slip and received an appointment with Allan B. Martin, M.D., a physician
    employed at the facility. Dr. Martin ordered x-rays of the affected areas, prescribed
    medication, and referred Watkins to neurologist Manish K. Singh, M.D. Dr. Singh
    examined Watkins in January 2004, and recommended that an M.R.I. and several other
    diagnostic tests be performed. Dr. Singh also prescribed three medications, including
    Bextra, a pain reliever. Dr. Martin examined Watkins on two occasions in the weeks
    following his visit with the neurologist. Based on these examinations, Dr. Martin decided
    not to order an M.R.I. and not to refill Watkins’ depleted supply of Bextra, even though
    the neurologist’s prescription authorized refills of that medication. Watkins continued to
    take the other medications prescribed by Dr. Singh as needed, but he claims that his
    symptoms did not improve.
    In October 2004, Watkins filed a pro se action under 42 U.S.C. § 1983 against the
    Cape May County Correctional Center and Prison Health Services, Inc., the entity
    responsible for providing medical care for the inmates at the jail. Watkins claims that the
    defendants violated his constitutional rights by not providing medical treatment in
    accordance with Dr. Singh’s recommendations. The District Court granted the
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    defendants’ motion for summary judgment, and Watkins now appeals.
    We have jurisdiction under 28 U.S.C. § 1291. Our review of a District Court’s
    grant of summary judgment is plenary. Hamilton v. Leavy, 
    117 F.3d 742
    , 746 (3d Cir.
    1997). Summary judgment is appropriate where the evidence submitted by the parties
    demonstrates that there is no genuine issue of material fact and that the moving party is
    entitled to judgment as a matter of law. FED. R. CIV. P. 56(c); Saldana v. Kmart Corp.,
    
    260 F.3d 228
    , 232 (3d Cir. 2001). In opposing a summary judgment motion, a non-
    moving party may not rely solely upon the allegations raised in the pleadings, but must
    set forth specific facts demonstrating the existence of a genuine issue of material fact for
    trial. FED. R. CIV. P. 56(e); Tillman v. Lebanon County Corr. Facility, 
    221 F.3d 410
    , 420
    n.10 (3d Cir. 2000).
    A claim by a pretrial detainee challenging the conditions of confinement in a state
    detention facility is analyzed under the Due Process Clause of the Fourteenth Amendment.
    See Hubbard v. Taylor, 
    399 F.3d 150
    , 157-58 (3d Cir. 2005). Where the challenge
    concerns medical care received at the facility, the applicable standard is the one set forth in
    Estelle v. Gamble, 
    429 U.S. 97
    (1976). See Natale v. Camden County Corr. Facility, 
    318 F.3d 575
    , 582 (3d Cir. 2003). Under this standard, “plaintiffs must demonstrate (1) that
    the defendants were deliberately indifferent to their medical needs and (2) that those needs
    were serious.” Rouse v. Plantier, 
    182 F.3d 192
    , 197 (3d Cir. 1999) (citing 
    Estelle, 429 U.S. at 106
    ). To show deliberate indifference, a plaintiff must do more than simply allege
    medical malpractice or express disagreement regarding the treatment provided. See
    3
    Monmouth County Corr. Inst. Inmates v. Lanzaro, 
    834 F.2d 326
    , 346 (3d Cir. 1987). A
    physician does not act with deliberate indifference merely by disagreeing with the
    professional judgment of another doctor if the challenged treatment is one of several
    acceptable ways of addressing the patient’s medical needs. See White v. Napoleon, 
    897 F.2d 103
    , 110 (3d Cir. 1990).
    After concluding that Watkins had sufficiently shown that he suffered from a
    serious medical need at the time that he sought treatment, the District Court proceeded to
    analyze his claim that medical personnel at the correctional facility were deliberately
    indifferent to that need. We agree with the District Court that Watkins has failed to
    establish that a genuine issue of fact exists as to whether medical personnel acted with
    deliberate indifference in not following the recommendations of the neurologist, Dr.
    Singh. Dr. Martin, who is not a party to this action, submitted an affidavit stating that he
    decided not to order an M.R.I. and not to refill Watkins’ Bextra prescription because he
    believed, within a reasonable degree of medical certainty, that such actions were not
    medically necessary. Watkins has not countered Dr. Martin’s testimony with any evidence
    showing that the doctor’s decision to withhold the desired treatment was not a valid
    exercise of professional judgment. Indeed, there is no indication from the neurologist’s
    diagnosis sheets or any other evidence in the record that performance of an M.R.I. and
    continued intake of Bextra were necessary to effectively treat Watkins’ symptoms. It
    appears that there were multiple opinions among examining physicians regarding the
    proper treatment, and there is no basis in the record for concluding that Dr. Martin’s
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    decision not to render treatment exactly in accordance with the specialist’s
    recommendations is indicative of deliberate indifference.
    As the evidence does not sufficiently show that a constitutional violation took
    place, we need not address Watkins’ argument that the defendants should be held liable
    because the alleged wrongful actions took place pursuant to an official policy or custom.
    For the foregoing reasons, we will affirm the judgment of the District Court.
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