Thayer v. Adams , 364 F. App'x 883 ( 2010 )


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  •      Case: 08-20817     Document: 00511020913          Page: 1    Date Filed: 02/04/2010
    IN THE UNITED STATES COURT OF APPEALS
    FOR THE FIFTH CIRCUIT  United States Court of Appeals
    Fifth Circuit
    FILED
    February 4, 2010
    No. 08-20817                    Charles R. Fulbruge III
    Clerk
    WILLIAM JAMES THAYER,
    Plaintiff - Appellant
    v.
    MARY ADAMS, Nurse Manager; KRISTI FLISOWSKI, LVN; MARGIE
    GONZALES, LVN; KATHLEEN A ROGERS,
    Defendants - Appellees
    Appeal from the United States District Court
    for the Southern District of Texas
    USDC No. 4:07-CV-920
    Before GARZA, DeMOSS, and CLEMENT, Circuit Judges.
    PER CURIAM:*
    Plaintiff William James Thayer appeals the district court’s entry of
    summary judgment in favor of Defendants Mary Adams, Kristi Flisowski and
    Margie Gonzales on Thayer’s deliberate indifference claim arising under 42
    U.S.C. § 1983. Thayer is an inmate in the custody of the Texas Department of
    Criminal Justice (TDCJ). He alleges that defendants inflicted wanton and
    unjustifiable pain and suffering upon him by failing to respond to his serious
    *
    Pursuant to 5TH CIR . R. 47.5, the court has determined that this opinion should not
    be published and is not precedent except under the limited circumstances set forth in 5TH CIR .
    R. 47.5.4.
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    No. 08-20817
    medical needs in violation of the Eighth Amendment to the U.S. Constitution.
    For the reasons stated herein, we affirm the district court’s decision.
    I. FACTS AND PROCEDURE
    Thayer’s Allegations
    Thayer was scheduled to have knee replacement surgery on March 28,
    2005, while in custody of TDCJ. The procedure was halted and Thayer was
    discharged from the University of Texas Medical Branch (UTMB) because he
    had an anaphylactic response to a medication. Thayer received 23 staples in his
    knee and was remanded to the Ellis Unit of TDCJ. Upon arriving at Ellis Unit
    on the evening of March 28, Thayer was assigned to a cell up a flight of stairs
    and was given no blankets or sheets.       He required the assistance of other
    inmates to reach his cell because he could not climb stairs alone. He could not
    sleep because he was cold and in pain. The next day, March 29, Thayer went to
    the infirmary for “emergency treatment,” but stated that he was denied
    treatment by defendants Flisowski and Gonzales, who were nurses employed by
    TDCJ.    Thayer was able to receive pain medication from the pill window.
    Thayer alleged, however, that he received inadequate treatment or no treatment
    at all between March 29, 2005, and April 2, 2005. He says his pain medication
    was discontinued at the direction of defendant Adams. He sued, alleging that
    Flisowski, Gonzales, and Adams acted with deliberate indifference to his pain
    and legitimate medical needs. Thayer sought declaratory and injunctive relief,
    as well as punitive damages. He moved for appointment of counsel, which the
    district court denied.
    The Attorney General advised the court that defendants Flisowski and
    Gonzales were no longer employed by UTMB.            Adams answered, denied
    wrongdoing, and asserted her entitlement to official immunity, immunity under
    the Eleventh Amendment, and qualified immunity. Adams moved for summary
    judgment, stating that she was not the nurse manager of the Ellis Unit while
    2
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    Thayer was housed there. Rather, she was manager of the Estelle Unit, and had
    no responsibility over the Ellis Unit until she was transferred there on August
    1, 2005. She also stated that she never received Thayer’s emergency grievances.
    Adams submitted personnel records and a sworn affidavit in support of these
    assertions.
    Declarations by Thayer and Other Inmates
    In response to Adams’s motion, Thayer filed a declaration reiterating the
    assertions from his complaint. Thayer stated that, on the morning of March 29,
    2005, he presented himself, with the help of fellow inmates, to the infirmary,
    where Flisowski and Gonzales were working. After Thayer explained to them
    his condition, including his return from the hospital, his cell assignment, and
    “being in severe pain,” both said that they were too busy to help, even though
    “all they were doing was sitting at the desk talking.”          Thayer then filed
    emergency grievances. The next day, March 30, 2005, Thayer went to the pill
    window, “and was told [his] medication had been discontinued.” He went to the
    infirmary, where Flisowski told him Adams had ordered his medication
    discontinued. Thayer explained his situation once more to Flisowski and asked
    her to look into his file. She did so, but said she could do nothing for him at that
    time. Thayer next states: “I was helped back to my cell which I stayed in
    because I couldn’t get around and the pain I was in was so severe. Inmates gave
    me food because I couldn’t make it to the chow hall.” Finally, Thayer was
    examined on April 2, 2005, by a nurse Connell, who is not a defendant. Connell
    called a doctor, who reinstated Thayer’s pain medication. Thayer’s dressing was
    changed for the first time on April 2, 2005. He had swelling and bruises on his
    leg, but no infection.
    Thayer also submitted the declaration of Marc Ashbrook, a fellow TDCJ
    inmate, who repeated many of Thayer’s assertions. Ashbrook said that on
    March 29, Flisowski and Gonzales were too busy to help Thayer, even though
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    both were just “sitting at the desk at the infirmary.” On March 30, Ashbrook
    overheard Flisowski tell Thayer that Adams had discontinued Thayer’s pain
    medication.   Ashbrook stated: “Plaintiff was in so much pain he couldn’t
    understand why they, the nurses and medical staff, were doing this to him when
    it was so obvious that he needed medical attention.” Thayer also submitted
    medical records to the district court, which confirmed that he was scheduled for
    a knee replacement at UTMB. The operation was halted because Thayer had a
    “possible anaphylactic reaction” and became “severely hypotensive” after he was
    placed under general anesthesia and an incision was made on his leg. The
    records also show that Thayer was prescribed Tylenol with Codeine when he was
    discharged from UTMB. Notes from his April 2, 2005, examination reflect his
    assertion that “pain medication was discontinued and motrin ordered.” The
    records also show that Thayer’s surgery was rescheduled for the following week,
    and reflect his assertion that he “ha[d] been told not to take anything with
    motrin and aspirin prior to surgery.” His “[i]ncision line [was] clean and dry,”
    but he had swelling and bruises from the knee to the ankle.
    The district court considered Adams’s motion and Thayer’s response, and
    held that summary judgment was inappropriate. The court concluded that “a
    fact issue remains about whether Nurse Adams had any personal involvement
    in the discontinuation of Thayer’s pain medication or in the supervision of others
    who were charged with providing him with medical care.” The court also noted
    that Flisowski and Gonzales had not been served and that neither had filed an
    answer. Because they no longer worked for TDCJ, these defendants could not
    be represented by the Attorney General without their express consent. The
    court stated it would order service on Flisowski and Gonzales separately.
    Finally, the court allowed Thayer to correspond with three inmates who had
    witnessed Thayer’s treatment for the purpose of obtaining a declaration or
    affidavit.
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    Thayer then filed a request for production of documents. He asked to be
    provided with copies of grievances, complaints, and related documents filed
    against the defendants, their work histories, policies, a health care manual,
    “[a]ny and all orders Medical Supervisor Mary Adams made during her
    employment with UTMB & TDCJ,” the grievance manual, and several other
    similar documents. Adams opposed the motion. The district court denied the
    motion because Thayer had not requested leave to conduct additional discovery,
    because he had not shown how his requests related to his claims, and because
    Adams had asserted the defense of qualified immunity.
    Flisowski answered. She denied refusing to treat Thayer, or that she had
    any role in discontinuing his pain medication.       She raised, inter alia, the
    defenses of sovereign immunity under the Eleventh Amendment and qualified
    immunity.
    Thayer then filed declarations by Michael Hooks and William E. Hancock,
    Jr. Hooks said he helped Thayer to the pill window, where “the pill window
    nurse” told him that his medication had been discontinued. Hooks then repeated
    many of the same assertions that Thayer and Ashbrook made, including that
    Flisowski and Gonzales did not treat Thayer on March 29, despite not being busy
    at the time; that Flisowski stated on March 30 that Adams had ordered Thayer’s
    pain medication discontinued; and that Thayer was in obvious pain. Hancock’s
    declaration provided general assertions that Flisowski and Gonzales did not
    provide adequate medical treatment to inmates. Hancock stated that he once
    spoke with Thayer while Thayer was in the infirmary; Thayer told Hancock that
    “his knee was always hurting him badly and she would give him Ibuprofin for
    the pain, but refused to give him anything stronger.” Hancock did not state
    when this conversation took place.
    The district court then ordered the office of the Attorney General of Texas,
    counsel for defendants Adams and Flisowski, to file a report under Martinez v.
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    Aaron, 
    570 F.2d 317
    (10th Cir. 1978), or in the alternative, to file a motion for
    summary judgment within 60 days.
    Defendants’ Summary Judgment Motion and Thayer’s Response
    Adams and Flisowski then moved for summary judgment.1                           They
    submitted Thayer’s medical records and an affidavit from Nurse Mary Gotcher
    in support of the motion. Defendants asserted that Thayer was prescribed
    Tylenol #3 with Codeine when he was discharged from UTMB, and that this
    drug must be picked up from the pill window. When Thayer arrived at the Ellis
    Unit on March 28, 2005, UTMB physician Dr. Glenda Adams changed his
    medication from Tylenol #3 to Motrin. Inmates are allowed to keep Motrin with
    them and are not required to go to the pill window to get this drug. Medical
    personnel examined Thayer on April 2, 2005, and noted that his incision was
    “clean and dry.” Thayer complained about the change in medication. A member
    of the nursing staff contacted a doctor, who ordered that the prescription for
    Tylenol #3 be reinstated. Thayer underwent surgery on April 15, 2005, and was
    discharged with prescriptions for Tylenol #3 and a blood thinner. He received
    these medications. The defendants argued that they were entitled to qualified
    immunity because they were not personally involved with changing Thayer’s
    prescription, his assignment to a certain cell, or his not receiving blankets and
    sheets.    They alternatively argued that these actions did not amount to
    deliberate indifference.       They contended that Thayer’s suit was barred by
    Eleventh Amendment immunity to the extent he sought to recover against them
    in their official capacities.
    1
    Gonzales did not join in this motion. The Attorney General’s office stated that “this
    office has not been in contact with Margie Gonzales, despite our efforts to do so. She has not
    requested representation, and to our knowledge, has not been served with process.” The
    Attorney General reiterated these assertions in its letter brief on behalf of Appellees Adams
    and Flisowski.
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    The documents submitted by the defendants supported their factual
    assertions. Medical records show that Thayer was admitted to UTMB on March
    21, 2005, and was discharged on March 28, 2005, with a prescription for Tylenol
    with Codeine (Tylenol #3). Dr. Adams prescribed Motrin for him when he
    arrived at the Ellis Unit and discontinued the Tylenol #3. Thayer had surgery
    in April 2005 and was discharged with prescriptions for Tylenol #3 and
    injections of Lovenox, an anticoagulant.
    Gotcher was the Nursing Director at UTMB, Correctional Managed Care,
    and she supervised nursing personnel at 43 TDCJ facilities. She reviewed
    Thayer’s records before giving her affidavit, and she was familiar with UTMB
    policies and procedures concerning nursing care.        Gotcher confirmed that
    “Adams did not work at the Ellis Unit during the time frame of this lawsuit and
    would have had no personal involvement in the medical care of an inmate at the
    Ellis Unit.” Rather, Adams was the Cluster Nurse Manager of the Estelle Unit
    at this time.   Because Flisowski and Gonzales were LVNs, their “scope of
    practice” did not include ordering “any treatment or medication for any patient.”
    Gotcher noted that Dr. Adams changed Thayer’s prescription from Tylenol #3
    four times a day to Motrin as needed, and Dr. Adams’s order specified that
    Thayer was to be permitted to keep Motrin on his person. This change allowed
    Thayer to keep his medication with him, rather than having to ambulate to the
    pill window. “The Dr. Adams referred to in Thayer’s medical record is Dr.
    Glenda Adams, not Cluster Nurse Manager Mary Adams.” Thus, “[i]f someone
    informed Mr. Thayer that his medications had been changed by ‘Adams,’ that
    reference would be to Dr. Glenda Adams, who did change his Tylenol #3
    prescription to Motrin.”   Due to the change in medications ordered by Dr.
    Adams, Flisowski and Gonzales could not have given Thayer Tylenol #3.
    Thayer responded to the motion for summary judgment and offered his
    own declaration and medical records in support of the response as well as
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    declarations from Ashbrook, Hooks, Hancock, and inmate Daniel Straw. Thayer
    insisted that the defendants “refused [him] all and any kind of medical
    treatment” and thus acted with deliberate indifference.
    The District Court’s Ruling
    The district court granted defendants’ motion for summary judgment and
    dismissed Thayer’s suit. The district court first determined that the defendants
    were entitled to Eleventh Amendment immunity insofar as Thayer sought
    damages against them in their official capacities. The court next concluded that
    the defendants were entitled to qualified immunity. The district court noted
    that Thayer’s “chief complaint” was that Nurse Adams denied him pain
    medication by changing his prescription from Tylenol #3 to Motrin, and that
    Thayer also complained that Nurses Flisowski and Gonzales “denied him care
    for pain after his prescription was changed” and did not give him fresh
    bandages.   The court concluded that “the record shows that none of the
    defendants named in the complaint were involved in the decision to change
    Thayer’s medication.” Rather, the decision was made by Dr. Glenda Adams.
    The district court noted that Thayer had submitted a copy of a grievance that he
    filed on March 31, 2005. In this grievance, he averred that someone in the
    infirmary told him that “Dr. Adams at U.T.M.B. discontinued medication.” The
    court held that Thayer’s claim concerning the defendants’ alleged interference
    with his “prescribed medication regime” failed because the evidence showed that
    the defendants were not personally involved with that decision.
    The district court recounted that Thayer’s records showed that, upon
    discharge from UTMB on March 28, 2005, he was to use crutches, follow up with
    UTMB in two weeks, maintain a regular diet, and get Tylenol #3. No orders
    were given for any particular follow up care at Ellis Unit; no restrictions were
    placed upon Thayer’s cell assignment; no order was made for a dressing or
    bandage change; and no order was given for an anticoagulant. Dr. Adams then
    8
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    changed the pain medication to Motrin. The court concluded that the defendants
    did not have the power to override Dr. Adams’s orders and that they did not act
    with deliberate indifference to Thayer’s serious medical needs with respect to his
    medication.
    Insofar as Thayer complained that his wound was not examined and his
    bandages were not changed, the district court concluded that he had not shown
    that the defendants were deliberately indifferent. Thayer’s wound was clean
    and dry on April 2, 2005, and his surgery was successfully performed that same
    month. Thayer did not show that he suffered any harm due to the defendants’
    failure to change his bandages or examine his wound. The court also concluded
    that the evidence did not show that defendants’ actions were objectively
    unreasonable. Rather, “the medical records reflect that Thayer was treated
    according to the discharge instructions issued by UTMB on March 28, 2005.”
    The district court further noted that, although Gonzales was not served
    and had not answered, the same analysis that applied to Thayer’s claims against
    the other defendants likewise applied to Thayer’s claims against her. See Lewis
    v. Lynn, 
    236 F.3d 766
    , 768 (5th Cir. 2001) (allowing non-answering defendants
    to benefit from grant of appearing defendants’ summary judgment motion). The
    district court thus dismissed Thayer’s claims against Gonzales. Thayer filed a
    timely notice of appeal.
    II. DELIBERATE INDIFFERENCE CLAIMS
    We review the grant of a motion for summary judgment de novo. Xtreme
    Lashes, LLC v. Xtended Beauty, Inc., 
    576 F.3d 221
    , 226 (5th Cir. 2009).
    Summary judgment is appropriate if the record discloses “that there is no
    genuine issue as to any material fact and that the movant is entitled to
    judgment as a matter of law.” F ED. R. C IV. P. 56(c)(2). The proponent of the
    motion typically bears the burden of showing a lack of evidence to support his
    opponent’s case. Celotex Corp. v. Catrett, 
    477 U.S. 317
    , 323 (1986). If the
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    movant meets his initial burden, the burden shifts to the nonmovant to set forth
    specific facts showing the existence of an issue for trial.      
    Id. at 324.
      The
    nonmovant cannot satisfy his summary judgment burden “with conclusory
    allegations, unsubstantiated assertions, or only a scintilla of evidence.”
    Hathaway v. Bazany, 
    507 F.3d 312
    , 319 (5th Cir. 2007) (internal quotation
    marks and citations omitted).
    We approach summary judgment differently when qualified immunity is
    at issue. See 
    id. In this
    context, “[t]he moving party is not required to meet its
    summary judgment burden for a claim of immunity.” 
    Id. (internal quotation
    marks and citation omitted). Rather, the movant need only plead her good-faith
    entitlement to qualified immunity, whereupon “the burden shifts to the plaintiff
    to rebut it.” 
    Id. (internal quotation
    marks, citation, and emphasis omitted); see
    also Gates v. Texas Dep’t of Protective & Regulatory Servs., 
    537 F.3d 404
    , 419
    (5th Cir. 2008) (noting that, when a government official pleads qualified
    immunity, the plaintiff must “rebut the defense by establishing that the official’s
    allegedly wrongful conduct violated clearly established law and that genuine
    issues of material fact exist regarding the reasonableness of the official’s
    conduct”).
    A.
    Thayer argues that the evidence shows that the defendants were
    personally involved in denying him care and acted with deliberate indifference
    by “refusing any kind of medical treatment.” He reiterates his contention that
    Adams did not respond to his emergency grievance and discontinued his Tylenol
    #3. The defendants contend that the district court properly granted judgment
    in their favor.
    Thayer does not address, and has thus abandoned, the issue whether the
    district court erred by determining that the defendants were entitled to Eleventh
    Amendment immunity. See Longoria v. Dretke, 
    507 F.3d 898
    , 901 (5th Cir. 2007)
    10
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    (noting that even pro se litigants must brief arguments in order to preserve
    them). Thayer thus has shown no error in connection with the district court’s
    determinations that the defendants were entitled to immunity with respect to
    his claims against them in their official capacities and that their motion for
    summary judgment should have been granted as to these claims. See 
    id. B. To
    determine whether officials are entitled to qualified immunity for a
    constitutional violation, we conduct a familiar two-step analysis. See Saucier v.
    Katz, 
    533 U.S. 194
    , 201 (2001), overruled in part by Pearson v. Callahan, 129 S.
    Ct. 808, 813 (2009); see also Collier v. Montgomery, 
    569 F.3d 214
    , 217 (5th Cir.
    2009). We first determine whether the plaintiff has alleged a violation of a
    constitutional right; “if so, we turn to whether the officers’ conduct was
    objectively reasonable in light of clearly established law at the time the
    challenged conduct occurred.” Tarver v. City of Edna, 
    410 F.3d 745
    , 750 (5th Cir.
    2005) (citing Anderson v. Creighton, 
    483 U.S. 635
    , 639 (1987)). We apply an
    objective standard, “based on the viewpoint of a reasonable official in light of the
    information then available to the defendant and the law that was clearly
    established at the time of the defendant’s actions.” Freeman v. Gore, 
    483 F.3d 404
    , 411 (5th Cir. 2007). We have the discretion to decide which qualified
    immunity prong to address first, “in light of the circumstances in the particular
    case at hand.” 
    Collier, 569 F.3d at 217
    .
    Prison officials violate the Eighth Amendment’s prohibition against cruel
    and unusual punishment when they demonstrate deliberate indifference to a
    prisoner’s serious medical needs, constituting an “unnecessary and wanton
    infliction of pain.” Wilson v. Seiter, 
    501 U.S. 294
    , 297 (1991) (internal quotation
    marks, citation, and emphasis omitted). A prison official acts with deliberate
    indifference if he “knows of and disregards an excessive risk to inmate health or
    safety; the official must both be aware of facts from which the inference could be
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    drawn that a substantial risk of serious harm exists, and he must also draw the
    inference.” Farmer v. Brennan, 
    511 U.S. 825
    , 837 (1994); see also Gobert v.
    Caldwell, 
    463 F.3d 339
    , 346 (5th Cir. 2006). Failed treatments, negligence, and
    medical malpractice are insufficient to give rise to a successful claim of
    deliberate indifference to serious medical needs. 
    Gobert, 463 F.3d at 346
    . A
    prisoner who merely disagrees with the course of treatment provided, or
    contends that he should have received additional treatment, likewise does not
    raise a viable deliberate indifference claim. Id.; see also Domino v. Texas Dep’t
    of Criminal Justice, 
    239 F.3d 752
    , 756 (5th Cir. 2001).
    To prevail on a claim of deliberate indifference to medical needs, the
    plaintiff must establish that the defendant denied him treatment, purposefully
    gave him improper treatment, or ignored his medical complaints. 
    Gobert, 463 F.3d at 346
    ; 
    Domino, 239 F.3d at 756
    .            “Medical records of sick calls,
    examinations, diagnoses, and medications may rebut an inmate’s allegations of
    deliberate indifference.” 
    Gobert, 463 F.3d at 346
    n.24 (quoting Banuelos v.
    McFarland, 
    41 F.3d 232
    , 235 (5th Cir. 1995)). “Deliberate indifference is an
    extremely high standard to meet.” 
    Id. at 346
    (internal quotation marks and
    citation omitted). In a situation where the deficiencies in medical treatment
    were minimal, continuing pain alone does not constitute a constitutional
    violation. Mayweather v. Foti, 
    958 F.2d 91
    , 91 (5th Cir. 1992). A delay in
    treatment likewise does not violate the Eighth Amendment unless there has
    been deliberate indifference that results in substantial harm.        Mendoza v.
    Lynaugh, 
    989 F.2d 191
    , 195 (5th Cir. 1993).          Nevertheless, if a prisoner
    establishes deliberate indifference to his serious medical needs, he may recover
    damages for pain he suffered during the delay of treatment. See Easter v.
    Powell, 
    467 F.3d 459
    , 464-65 (5th Cir. 2006).
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    C.
    Thayer has not shown that the defendants acted with deliberate
    indifference to his serious medical needs concerning his cell assignment, lack of
    blankets, lack of Tylenol #3, lack of anticoagulant injections, or lack of bandage
    changes. A review of the record establishes that Nurse Mary Adams never saw
    Thayer and took no actions in relation to his treatment.                Adams was not
    assigned to the Ellis Unit and had no supervisory authority to respond to
    Thayer’s complaints or grievance forms, which would not have been submitted
    to her. To the extent that Thayer argues that a change to his medication was
    ordered by Nurse Adams, rather than Dr. Adams, the record refutes this
    assertion.2 See 
    Gobert, 463 F.3d at 346
    n.24. Thayer has not demonstrated that
    the district court erred in dismissing his claims against Adams.
    There was likewise no error in the district court’s dismissal of Thayer’s
    claims that Flisowski and Gonzales failed to treat him. We must conclude, after
    carefully reviewing the record, that Flisowski’s and Gonzales’s actions did not
    show deliberate indifference, and were not “objectively unreasonable in light of
    clearly established law at the time of the conduct in question.” See 
    Freeman, 483 F.3d at 411
    . Thayer says Flisowski and Gonzales denied him treatment and
    ignored his complaints of pain. However, they had no authority to prescribe
    drugs or embark on a different course of treatment.                Moreover, Thayer’s
    assertions are belied in part by his statement that Flisowski examined his
    records on March 30, 2005, and concluded that she could not give him Tylenol
    #3 in light of Dr. Adams’s orders. Thayer has never asserted that he asked the
    2
    To the extent Thayer avers that his declarations, when coupled with those of other
    inmates, raise a genuine issue of material fact as to his claim against Nurse Adams, he is
    mistaken. None of these individuals claims to have heard or otherwise witnessed Nurse
    Adams change Thayer’s medication. They either allege that they heard someone else aver that
    Nurse Adams had taken this action or assert that Nurse Adams took this action without
    explaining how they learned of Nurse Adams’s involvement. Thayer thus offers only hearsay
    and assertions lacking any indicia of personal knowledge.
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    defendants for Motrin, that they refused to give him this drug, or that they
    otherwise hampered his receipt of this medication. While Thayer complains that
    his dressing was not changed, this was not prescribed, and Thayer suffered no
    infection or lasting harm. Because Gonzales and Flisowski were not empowered
    to take action contrary to doctor’s orders, their inability to alleviate Thayer’s
    pain is not a grievance of constitutional magnitude. See 
    Gobert, 463 F.3d at 346
    ;
    cf. 
    Easter, 467 F.3d at 464-65
    (denying qualified immunity where nurse failed
    to follow a prescribed course of treatment that called for the administration of
    nitroglycerin to inmate when he experienced chest pain); Harris v. Hegmann,
    
    198 F.3d 153
    , 159-60 (5th Cir. 1999) (denying qualified immunity to doctor and
    nurses who ignored inmate’s “urgent and repeated requests for immediate
    medical treatment for his broken jaw and his complaints of excruciating pain”).
    III. DISCOVERY MATTERS
    Thayer says the district court hamstrung his ability to prove his case by
    denying his discovery request on the basis that defendants had invoked qualified
    immunity. “We review the district court’s decision to preclude further discovery
    prior to granting summary judgment for abuse of discretion.” Krim v. BancTexas
    Group, Inc., 
    989 F.2d 1435
    , 1441 (5th Cir. 1993) (citations omitted). Thayer has
    shown no error in connection with the district court’s discovery ruling. The
    defense of qualified immunity protects officials “from the concerns of litigation,
    including avoidance of disruptive discovery.” Ashcroft v. Iqbal, 
    129 S. Ct. 1937
    ,
    1953 (2009) (quotation omitted). In accordance with this principle, a defendant
    who invokes qualified immunity “is entitled to dismissal before the
    commencement of discovery” if the plaintiff’s assertions fail to “state a claim of
    violation of clearly established law.” Vander Zee v. Reno, 
    73 F.3d 1365
    , 1368
    (5th Cir. 1996) (internal quotation marks and citation omitted). Even limited
    discovery on the issue of qualified immunity “must not proceed until the district
    court first finds that the plaintiff’s pleadings assert facts which, if true, would
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    Case: 08-20817    Document: 00511020913      Page: 15    Date Filed: 02/04/2010
    No. 08-20817
    overcome the defense of qualified immunity.” Wicks v. Miss. State Employment
    Servs., 
    41 F.3d 991
    , 994 (5th Cir. 1995) (emphasis omitted). Thayer does not
    identify, and a review of his complaint does not reveal, allegations sufficient to
    raise a specific factual issue concerning the legality of the defendants’ behavior
    such that he would be entitled to discovery. Thayer has shown no error in
    connection with the district court’s discovery decision.
    IV. APPOINTMENT OF COUNSEL
    Finally, Thayer argues that he should have received appointed counsel
    because his case is complex and he is ignorant of the law. Indigent plaintiffs
    proceeding under § 1983 are not entitled to appointed counsel absent exceptional
    circumstances, and we review the denial of such a motion for a clear abuse of
    discretion. Baranowski v. Hart, 
    486 F.3d 112
    , 126 (5th Cir.), cert. denied, 128 S.
    Ct. 707 (2007); Williams v. Ballard, 
    466 F.3d 330
    , 335 (5th Cir. 2006). Factors
    used to determine whether the appointment of counsel is appropriate in a civil
    case include “the type and complexity of the case,” the plaintiff’s ability to
    present his case, the plaintiff’s ability to investigate his case, and the level of
    skill needed to present evidence and cross-examine witnesses. 
    Baranowski, 486 F.3d at 126
    (quotation omitted).      Thayer has not shown that his case is
    exceptional. He has investigated and presented the facts of his case well, and
    has ably identified the controlling legal standards. The district court did not
    abuse its discretion by declining to appoint counsel to represent Thayer. See id.;
    
    Williams, 466 F.3d at 335
    .
    V. CONCLUSION
    For the foregoing reasons, the judgment of the district court is
    AFFIRMED.
    15