Patricio Flores v. United States ( 2012 )


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  •                   United States Court of Appeals
    For the Eighth Circuit
    ___________________________
    No. 11-2222
    ___________________________
    Patricio Flores; Jose Encalada, as Co-Trustees and Personal Representatives for the
    next-of-kin of Maria Iñamagua Merchan
    lllllllllllllllllllll Plaintiffs - Appellants
    v.
    United States of America; U.S. Department of Homeland Security, Immigrations
    and Customs Enforcement ("ICE"); Scott Baniecke, individually and in his official
    capacity as Field Officer, ICE; Unknown Number of Unnamed and Unknown
    Agents of ICE; County of Ramsey, Minnesota; Robert Fletcher, individually and in
    his official capacity as Sheriff of Ramsey County; Ramsey County Adult Detention
    Center; Ramsey County Sheriff's Department; Ramsey County Department of
    Health; Robert W. Fulton, Director of Ramsey County Department of Health;
    "XYZ" Family Practice Clinic, Ramsey County Adult Detention "Family Practice
    Clinic" and Unidentified Medical Clinics I-V; Drs. John or Jane Does I-V,
    Unidentified Jail or Contract Medical Doctors; Robert Moxley-Goldsmith,
    individually and in his capacity as Head Nurse; R.N. Ericka Thompson,
    individually and in her capacity as Jail Nurse; Chris Strand, individually and in her
    capacity as Jail Nurse; Kelli LNU, Unidentified Jail Nurse; John or Jane Roe,
    Unidentified Jail Nurses I-V; Mary Roby, individually and in her capacity as
    Ramsey County Housing Sergeant; Jill Jones, individually and in her capacity as
    Ramsey County Corrections Officer; T. Bennet, individually and in his capacity as
    Ramsey County Corrections Officer; Cheryl Caumiant, individually and in her
    capacity as Ramsey County Corrections Officer; John or Jane Poes I-V
    lllllllllllllllllllll Defendants - Appellees
    ____________
    Appeal from United States District Court
    for the District of Minnesota - Minneapolis
    ____________
    Submitted: May 15, 2012
    Filed: August 20, 2012
    ____________
    Before WOLLMAN, BEAM, and LOKEN, Circuit Judges.
    ____________
    WOLLMAN, Circuit Judge.
    Maria Iñamagua Merchan, an Ecuadorean woman, died on April 12, 2006,
    while in custody awaiting deportation. Her husband, Patricio Flores, and her uncle,
    Jose Encalada, (plaintiffs) filed suit against several defendants, alleging state law tort
    claims and violations of Iñamagua’s federal constitutional rights. Following lengthy,
    complicated pretrial proceedings, the district court1 dismissed the case and entered
    final judgment against plaintiffs.
    Plaintiffs appeal from the adverse judgment, arguing that the district court erred
    in dismissing their medical malpractice claim for failure to timely comply with certain
    filing requirements and in dismissing their Federal Tort Claims Act (FTCA) claim for
    lack of jurisdiction. Plaintiffs further argue that they set forth sufficient evidence to
    survive summary judgment on their claims of constitutional violations. We affirm.2
    1
    This case involved the following district and magistrate judges from the
    District of Minnesota: The Honorable James M. Rosenbaum, now retired, and the
    Honorable Ann D. Montgomery, United States District Judges; the Honorable Susan
    Richard Nelson, then United States Magistrate Judge; and the Honorable Janie S.
    Mayeron and the Honorable Steven E. Rau, United States Magistrate Judges.
    2
    We have considered and now deny plaintiffs’ motion to supplement the
    appellate record.
    -2-
    I. Background
    A. Factual Background
    Iñamagua was arrested in Minneapolis, Minnesota, as a deportable alien on
    February 24, 2006. An Immigration and Customs Enforcement (ICE) agent
    questioned Iñamagua in Spanish, her only language, and asked if she had any health
    concerns or medications. She did not indicate any. Pursuant to an intergovernmental
    agreement, Iñamagua was transferred to Ramsey County Adult Detention Center
    (Detention Center) to await removal proceedings. Although ICE standards require a
    physical examination within fourteen days of a detainee’s arrival at a facility,
    Iñamagua was not examined.
    On March 5, 2006, Iñamagua submitted an Inmate Medical Request Slip, which
    stated that she “want[ed] to see the Doctor because I have migrane [sic] headaches and
    Tylenol or Asprin [sic] don’t do anything for me.” According to the doctor’s progress
    notes, Iñamagua was seen by a doctor the next day. The doctor, later identified as Dr.
    Greg Salmi, diagnosed Iñamagua as suffering from muscle contractions and
    prescribed a pain reliever and muscle relaxant. Iñamagua later submitted another slip,
    which indicated that she had a rash and that the lotion she had been given did not help.
    On March 23, Nurse Chris Strand evaluated Iñamagua’s lower extremities and
    diagnosed it as a rash “secondary to pant uniform rubbing on skin.” Strand advised
    Iñamagua to wear long underwear or wash her pants in Dreft soap. She also
    prescribed Benadryl and hydrocortisone cream. Progress notes indicate that on March
    31, 2006, Iñamagua complained again of the rash, which was now on her arms and
    lower extremities. Nurse Erica Thompson prescribed Benadryl and ibuprofen.
    Iñamagua fell from the top bunk bed in her cell on April 3, 2006. At 2:30 p.m.,
    Iñamagua’s roommate called Correctional Officer Cheryl Caumiant to the cell. When
    Caumiant arrived, Iñamagua was holding her head between her hands, crying.
    -3-
    According to Caumiant’s report, “Iñamagua Merchan had complained of a bad
    headache all day and had retired to her cell early to lay down.” Caumiant inspected
    Iñamagua’s head and discovered a “small lump on the back of it, no cuts or bleeding.”
    Caumiant gave Iñamagua an ice pack and a cold washcloth. Thereafter, Caumiant
    called the nurse and explained what happened. According to Nurse Thompson’s April
    3, 2006, progress notes, at 4:00p.m.,
    Inmate came to the window during med rounds crying hysterically. Per
    interpreter inmate fell off top bunk and hit back of head at 1430. Inmate
    presents . . . ½ golf ball sized lump on back of head. 0 O/As. Inmate
    [complained of] nausea. Denies vomiting. [Complained of headache]
    and dizzyness [sic]. At 0x3. Inmate however confused when returning
    to cell (walked the wrong way down the hall). Hand grasps equal,
    strong. Pupils PERRLA. Ibuprofen + ice pack given. Memo sent to pod
    to awaken inmate Q2N for 24N and if appears confused or is unable to
    easily arouse to call nurse or send to Regions.
    Thompson’s notes indicate that at 7:30 p.m. that evening, she again saw Iñamagua in
    her pod. Iñamagua was unable to walk to Thompson. Iñamagua’s complexion was
    pale and she had purple coloration under her eyes. She was not responsive to
    commands, her hand grasps were not equal, and she had been vomiting. Nurse Mary
    Logan (identified as Nurse Kelly) also assessed Iñamagua’s condition and checked her
    vital signs. Following their evaluation, Iñamagua was sent to the emergency room at
    Regions Hospital (Regions). The progress notes indicate that at 9:00 p.m., Regions
    reported that a CT scan showed “something” and that Regions planned to intubate
    Iñamagua and complete another CT scan. Regions further reported that Iñamagua was
    not responsive to voice commands. Iñamagua remained hospitalized and died on
    April 12, 2006, from neurocysticercosis, a tapeworm infestation that causes cysts in
    the brain and central nervous system.
    -4-
    B. Procedural Background
    Two days before Iñamagua’s death, plaintiffs’ attorney Christopher Walsh
    requested records from Ramsey County relating to Iñamagua’s detention. Walsh
    reiterated his request on August 25, 2006. That same day, a Ramsey County claims
    administrator responded by forwarding copies of several documents, including the
    nurses’ progress notes detailed above. On April 2, 2007, Walsh sent a third letter,
    notifying the claims administrator of “Mr. Flores’ legal claims for damages regarding
    the wrongful death of his wife.” Walsh sent no further letters until April 6, 2009,
    when he wrote to the claims administrator and listed certain documents that Ramsey
    County had failed to produce. Six additional pages of medical records were provided
    to Walsh on May 4, 2009.
    On April 21, 2008, the Department of Homeland Security (DHS) received an
    administrative tort claim from plaintiffs. On October 9, 2008, the DHS denied the
    claim as untimely and sent notification to plaintiffs’ attorney.
    On April 10, 2009, plaintiffs filed suit in federal district court, alleging six
    counts against a number of defendants.3 Relevant to this appeal are plaintiffs’ state-
    law claim for medical malpractice and their federal causes of action under the FTCA,
    42 U.S.C. § 1983, and Bivens v. Six Unknown Named Agents of Federal Bureau of
    3
    We will refer to the defendants as the Federal defendants, the Ramsey County
    defendants, and the Advance Practice Solution (APS) defendants. The Federal
    defendants are the United States of America, the DHS, Immigration and Customs
    Enforcement (ICE), and ICE agent Scott Baniecke. The Ramsey County defendants
    are Ramsey County, Sheriff Robert Fletcher, Ramsey County Adult Detention Center,
    Ramsey County Sheriff’s Department; Ramsey County Department of Health, and
    individuals Robert W. Fulton, Robert Moxley-Goldsmith, R.N. Erika Thompson,
    Chris Strand, Kelli LNU, Mary Roby, Jill Jones, T. Bennet, and Cheryl Caumiant.
    The APS defendants are Advance Practice Solutions and Dr. Salmi. The complaint
    also included allegations against a number of unnamed defendants.
    -5-
    Narcotics, 
    403 U.S. 388
    (1971). Plaintiffs’ medical malpractice claim was dismissed
    for failure to timely file certain expert affidavits that are required under Minnesota
    law. The FTCA claim was dismissed because plaintiffs failed to file their
    administrative claim within two years after the claim had accrued, thus depriving the
    district court of jurisdiction to hear the dispute. The district court held that the
    individual Federal defendants were entitled to qualified immunity on the Bivens and
    § 1983 claims and dismissed the § 1983 claim against the remaining defendants
    because they were acting under federal, not state law. Following early dispositive
    motions, the Federal defendants and a number of the Ramsey County defendants were
    dismissed from the suit.4
    The APS defendants and the remaining Ramsey County defendants later moved
    for summary judgment on the Bivens claim. With respect to the APS defendants, the
    magistrate judge determined that the Bivens action should be dismissed because such
    actions do not extend to private actors like Dr. Salmi and Advance Practice Solutions
    when adequate state tort remedies are available. Even if the Bivens action could be
    maintained, the magistrate judge found that plaintiffs “produced no evidence of
    deliberate indifference to decedent’s serious medical needs.” Report and
    Recommendation of Nov. 29, 2010, at 25. The magistrate judge’s report and
    recommendation was adopted in its entirety.
    The district court likewise granted summary judgment in favor of the remaining
    Ramsey County defendants on the Bivens claim. The magistrate judge identified
    4
    Defendants Roby, Jones, and Bennet were dismissed because Plaintiffs failed
    to serve process on them within the time limits set forth in Federal Rule of Civil
    Procedure 4. The Ramsey County Sheriff’s Department, the Ramsey County Adult
    Detention Center, and the Ramsey County Department of Public Health were
    dismissed because they are not legal entities capable of being sued. The FTCA claim
    and the state law tort claims against the Ramsey County Defendants, as well as the
    Bivens claim against the sheriff and Robert Fulton, were also dismissed.
    -6-
    Moxley-Goldsmith, Logan, and Jane Berg as defendants who had not treated
    Iñamagua and determined that plaintiffs had failed to allege in their complaint or
    disclose through discovery any direct involvement by the non-treating defendants.
    The magistrate judge further concluded that plaintiffs had failed to set forth sufficient
    evidence to show that the treating defendants—Caumiant, Strand, and
    Thompson—had deliberately disregarded Iñamagua’s serious medical needs. The
    magistrate judge also determined that plaintiffs had failed to establish a violation of
    Iñamagua’s equal protection rights. The district court adopted the magistrate judge’s
    report and recommendation and entered judgment against plaintiffs.
    II. Discussion
    A. Jurisdiction
    Given the number of defendants, claims, reports and recommendations, and
    orders in this case, we asked counsel to submit supplemental briefs regarding our
    jurisdiction to hear this appeal. Based upon our review of the record and plaintiffs’
    counsel’s representation that final judgment dismissing all claims against all
    defendants has been entered, we are satisfied that we have jurisdiction over the appeal.
    See 28 U.S.C. § 1291 (“The courts of appeals . . . shall have jurisdiction of appeals
    from all final decisions of the district courts of the United States . . . .”).
    B. Medical Malpractice Claim
    As mentioned above, the district court dismissed plaintiffs’ malpractice claim
    for failure to timely serve expert affidavits as required under Minnesota Statutes
    section 145.682. In a malpractice action against a health care provider in which
    “expert testimony is necessary to establish a prima facie case,” the plaintiff must serve
    two affidavits of expert review on the defendant at designated times. § 145.682 subd.
    2. The first must be served simultaneously with the summons and complaint. 
    Id. The -7- second
    must identify the experts to be called and must be served “within 180 days
    after commencement of the suit[.]” § 145.682 subds. 2, 4. Minnesota courts require
    strict compliance with the procedural requirements set forth in section 145.682.
    Broehm v. Mayo Clinic Rochester, 
    690 N.W.2d 721
    , 726 (Minn. 2005) (citing
    Lindberg v. Health Partners, Inc., 
    599 N.W.2d 572
    , 577-78 (Minn. 1999)).
    A plaintiff’s failure to provide an expert affidavit may be excused only if: (1)
    expert testimony is not needed to establish negligence; or (2) if the plaintiff shows
    excusable neglect in failing to timely serve the affidavits. See Minn. Stat. § 145.682
    subd. 2 (requiring expert affidavits when “expert testimony is necessary to establish
    a prima facie case”); § 145.682 subd. 4 (allowing the court to extend section 145.682’s
    time limits “for good cause shown”); see also Stern v. Dill, 
    442 N.W.2d 322
    , 324
    (Minn. 1989) (holding that the time for serving the affidavits required under section
    145.682 may be extended upon a showing of excusable neglect). Otherwise, the
    consequence of noncompliance is dismissal of the claim with prejudice. Minn. Stat.
    § 145.682 subd. 6.
    We conclude that the district court properly dismissed the malpractice claim for
    failure to comply with Minnesota Statutes section 145.682 and that the magistrate
    judge did not abuse her discretion in denying plaintiffs’ motion to extend deadlines
    to serve expert affidavits. See Stowell v. Huddleston, 
    643 F.3d 631
    , 633 (8th Cir.
    2011) (reviewing the district court’s interpretation of Minnesota statutes § 145.682 de
    novo); Elder-Keep v. Aksamit, 
    460 F.3d 979
    , 987 (8th Cir. 2006) (reviewing the
    denial of a motion to extend deadlines for abuse of discretion). The lawsuit was
    commenced on April 10, 2009, when plaintiffs filed the complaint, the service of
    which did not include the required affidavit of expert review. The second
    affidavit—the affidavit of expert identification—was due 180 days later, on October
    7, 2009. Plaintiffs did not file any affidavit purporting to satisfy either of the two
    affidavit requirements until the filing of an affidavit from Dr. Allan Ingenito on
    November 24, 2009, and an affidavit from Nurse Shelley Bhola on December 17,
    -8-
    2009, both of which were untimely under section 145.682. Plaintiffs have failed to
    show any excusable neglect for their failure to comply with the statute’s time limits.
    Despite plaintiffs’ arguments to the contrary, they possessed sufficient medical
    records and information to obtain the expert affidavits and serve them in a timely
    manner. Dismissal of plaintiffs’ malpractice claim thus was mandated under
    Minnesota Statutes section 145.682.
    C. Federal Torts Claims Act
    Plaintiffs also appeal from the district court’s order granting the Federal
    defendants’ motion to dismiss plaintiffs’ FTCA claim for lack of jurisdiction under
    Federal Rule of Civil Procedure 12(b)(1). We review de novo the question of subject
    matter jurisdiction. Allen v. United States, 
    590 F.3d 541
    , 544 (8th Cir. 2009). To the
    extent that the district court must resolve factual disputes to determine whether it has
    jurisdiction, “the trial court is free to weigh the evidence and satisfy itself as to the
    existence of its power to hear the case.” Osborn v. United States, 
    918 F.2d 724
    , 730
    (8th Cir. 1990). If the district court does so, “the appellate court must then review
    those findings under the ‘clearly erroneous’ standard.” 
    Id. The district court
    adopted the magistrate judge’s recommendation that the court
    was without jurisdiction to hear the FTCA claim because plaintiffs had failed to timely
    file their administrative claim with the DHS. “A federal district court does not have
    jurisdiction over an FTCA claim unless it was ‘first . . . presented to the appropriate
    federal agency . . . within two years of when the claim accrued.’” 
    Allen, 590 F.3d at 544
    (quoting Walker v. United States, 
    176 F.3d 437
    , 438 (8th Cir. 1999) (per
    curiam)); see 28 U.S.C. § 2401(b) (“A tort claim against the United States shall be
    forever barred unless it is presented in writing to the appropriate Federal agency
    within two years after such claim accrues . . . .”). The magistrate judge found that
    plaintiffs’ claim accrued on April 12, 2006, the date of Iñamagua’s death. Because
    -9-
    the DHS received plaintiffs’ administrative claim more than two years later, on April
    21, 2008, the magistrate judge concluded that the claim was untimely.
    Plaintiffs argue that the magistrate judge erred in determining the date the cause
    of action accrued. They contend that—at the earliest—the claim accrued in August
    2006, when Ramsey County provided certain medical records. Under the FTCA, a
    cause of action generally accrues when the plaintiff is injured, “but might not accrue
    until the plaintiff knows or reasonably should know of both an injury’s existence and
    its cause.” Garza v. United States Bureau of Prisons, 
    284 F.3d 930
    , 934 (8th Cir.
    2002) (internal citations omitted). We have said that in a wrongful death case “it is
    fair for the claim to accrue at the time of death.” Clifford by Clifford v. United States,
    
    738 F.2d 977
    , 980 (8th Cir. 1984).
    The magistrate judge did not clearly err in finding that plaintiffs’ claim accrued
    upon Iñamagua’s death. By that time, plaintiffs had retained an attorney and had
    demanded records from Ramsey County. In his April 10, 2006, letter, plaintiffs’
    attorney advised Ramsey County that he represented Flores and explained that
    Iñamagua had complained of headaches and lost weight while detained, that she had
    fallen out of her bunk and thereafter displayed symptoms of a head injury, and that
    Detention Center staff observed her for four hours before she was transferred to a
    hospital. Plaintiffs thus knew of Iñamagua’s injury and reasonably should have
    known of its cause in the days following her April 3, 2006, hospitalization. The
    information available to them on April 12, 2006, was sufficient to form the factual
    basis of plaintiffs’ administrative claim, which generally alleged that the Federal
    defendants had caused Iñamagua’s death by failing to provide her with medical care
    and treatment during her detention and by failing to provide her with immediate
    medical attention after she fell from her bunk. The magistrate judge thus did not err
    -10-
    in determining that a claim accrued on April 12, 2006, and that plaintiffs’ had failed
    to present their claim within two years of its accrual.5
    We find unpersuasive plaintiffs’ argument that their FTCA claim should have
    been equitably tolled. Assuming that the equitable tolling doctrine is applicable in this
    case, plaintiffs did not exercise diligence in preserving their legal rights. See Irwin
    v. Dep’t of Veterans Affairs, 
    498 U.S. 89
    , 96 (1990) (concluding that the principles
    of equitable tolling “do not extend to what is at best a garden variety claim of
    excusable neglect”). Accordingly, the district court properly dismissed the FTCA
    claim for lack of jurisdiction.
    D. Section 1983 Claim
    Although plaintiffs claim to appeal from the orders dismissing their § 1983
    cause of action, they have not alleged error in the district court’s determinations (1)
    that the defendants were acting under color of federal law, not state law, and (2)
    that the Federal defendants are entitled to qualified immunity.
    E. Bivens Claim
    Plaintiffs appeal from the district court’s order granting summary judgment in
    favor of the defendants on their constitutional claims brought under Bivens, in which
    the Supreme Court recognized an implied right of action for damages arising from
    5
    Even if the administrative claim had been timely filed, plaintiffs have failed to
    meet two additional FTCA requirements: presentment and filing of the civil action
    within six months of the date of mailing of the notice of final denial by the DHS. 28
    U.S.C. § 2675(a) (presentment requirement); § 2401(b) (six month statute of
    limitations); see Mader v. United States, 
    654 F.3d 794
    (8th Cir. 2011) (en banc)
    (holding that the FTCA’s presentment requirement is jurisdictional and that the
    claimant must present evidence of his or her authority to present the claim on behalf
    of the beneficiaries).
    -11-
    constitutional violations committed by officials acting under color of federal 
    law. 403 U.S. at 389
    .
    We review de novo the district court’s grant of summary judgment, viewing the
    evidence and the inferences that may be reasonably drawn from the evidence in the
    light most favorable to the nonmoving party. Rakes v. Life Investors Ins. Co. of Am.,
    
    582 F.3d 886
    , 893 (8th Cir. 2009). Summary judgment is appropriate if there are no
    genuine disputes of material fact and the moving party is entitled to judgment as a
    matter of law. Fed. R. Civ. P. 56(a). A dispute is genuine if the evidence is such that
    it could cause a reasonable jury to return a verdict for either party; a fact is material
    if its resolution affects the outcome of the case. Anderson v. Liberty Lobby, Inc., 
    477 U.S. 242
    , 248 (1986). After the moving party has made and supported its motion, the
    nonmoving party must produce enough evidence so that a reasonable jury could return
    a verdict for the nonmoving party. 
    Id. at 248-49. 1.
    Federal Defendants
    Plaintiffs contend that the individual Federal defendants are subject to liability
    under Bivens for violating Iñamagua’s rights to due process, to equal protection, and
    to be free from cruel and unusual punishment. The district court held that the
    individual Federal defendants were entitled to qualified immunity, a defense that
    plaintiffs failed to rebut in their briefs before the district court. As they did below,
    plaintiffs have not addressed the qualified immunity defense or pointed to any
    evidence to support their claim that the individual Federal defendants violated
    Iñamagua’s constitutional rights. We thus affirm the order dismissing the Bivens
    action against the Federal defendants.
    -12-
    2. APS Defendants
    In recommending that summary judgment be granted to the APS defendants on
    plaintiffs’ Bivens claim, the magistrate judge addressed “whether decedent’s
    representatives may pursue a Bivens action against a private physician employed by
    a private corporation that has contracted with the government to provide medical
    services to prison inmates.” Report and Recommendation of Nov. 29, 2010, at 12.
    The magistrate judge considered the circuit split on the issue, noting that this circuit
    had not yet addressed the question, and concluded that “a Bivens action should not
    extend to private employees of federal prisons where state tort law already provides
    a remedy.” 
    Id. at 16-17; see
    id. at 13 (comparing 
    Pollard v. The Geo Grp., Inc., 
    607 F.3d 583
    (9th Cir. 2010) (permitting an Eighth Amendment Bivens action against
    privately operated federal prison); with Alba v. Montford, 
    517 F.3d 1249
    (11th Cir.
    2008) (rejecting Eighth Amendment Bivens action against privately operated federal
    prison); and Holly v. Scott, 
    434 F.3d 287
    (4th Cir. 2006) (same)). The magistrate
    judge concluded that alternative remedies were available to plaintiffs in the form of
    state tort law and that a Bivens action should not be allowed.
    After final judgment was entered, the Supreme Court resolved the circuit split
    in Minneci v. Pollard, 
    132 S. Ct. 617
    (2012). The Court held that it could not “imply
    the existence of an Eighth Amendment-based damages action (a Bivens action)
    against employees of a privately operated federal prison” because “state tort law
    authorizes adequate alternative damages actions[.]” 
    Id. at 620. In
    light of the holding
    in Minneci, plaintiffs cannot maintain a Bivens action against Dr. Salmi and APS—a
    private citizen and a private corporation—because Minnesota law provides adequate
    alternative tort actions, including a wrongful death claim based on medical
    malpractice.
    -13-
    3. Ramsey County Defendants
    Plaintiffs contend that the district court made credibility determinations and
    failed to view the evidence in the light most favorable to them when it dismissed the
    deliberate-indifference Bivens claim against officer Caumiant, and nurses Strand,
    Thompson, Logan, and Moxley-Goldsmith.6 To establish deliberate indifference to
    serious medical needs, plaintiffs must show (1) an objectively serious medical need;
    and (2) the defendants actually knew of the need but deliberately disregarded it.
    Carpenter v. Gage, No. 11-2091, 
    2012 WL 3052832
    , at *5 (8th Cir. July 27, 2012).
    “Deliberate indifference includes something more than negligence but less than actual
    intent to harm, it requires proof of a reckless disregard of the known risk.” Holden v.
    Hirner, 
    663 F.3d 336
    , 341 (8th Cir. 2011) (quotations, alteration, and citation
    omitted).
    Plaintiffs failed to submit evidence to contradict the Ramsey County
    defendants’ testimony that they were unaware of Iñamagua’s serious medical need.
    During her detention, Iñamagua’s symptoms included persistent headaches and skin
    rashes, and she was treated for the less serious conditions those symptoms might
    reflect. After Iñamagua fell from her bunk, Caumiant and Thompson assessed her
    condition, treating her for the lump on the back of her head. When Iñamagua’s
    condition deteriorated after the fall, she was transported by ambulance to the hospital,
    where her life-threatening condition of neurocysticercosis was diagnosed. There was
    6
    Plaintiffs also listed Jones as a defendant against whom their claim should have
    survived. Jones, however, was dismissed from the case because plaintiffs failed to
    serve her with the complaint. Plaintiffs have not appealed that ruling. The magistrate
    judge listed Logan as a non-treating defendant. Viewing the facts in the light most
    favorable to plaintiffs, the nurses’ progress notes seem to indicate that Logan assessed
    Iñamagua on April 3, 2006, immediately before Iñamagua was transferred to the
    hospital.
    -14-
    no evidence that Caumiant, Strand, Thompson, Logan, or Moxley-Goldsmith knew
    how seriously ill Iñamagua was.
    Plaintiffs argue that the district court should have considered the affidavits of
    Kayla Nygren and Quinn Henson, two inmates housed at the Detention Center during
    Iñamagua’s confinement there. Plaintiffs attempt to rely on those affidavits to show
    that Iñamagua’s serious medical need was obvious. Those affidavits, however, were
    submitted well after the magistrate judge recommended that the summary judgment
    motion be granted and after the deadline had passed for objecting to the report and
    recommendation. In light of these circumstances, the district court did not abuse its
    discretion in denying plaintiffs’ “Motion to Accept Documents.” Based on the record
    before the district court, no reasonable jury could return a verdict in favor of plaintiffs
    on this claim, and thus the district court properly granted summary judgment in favor
    of the Ramsey County defendants.
    4. Equal Protection
    Plaintiffs have also failed to identify any factual support for their claim that the
    defendants violated Iñamagua’s right to equal protection. We thus affirm the district
    court’s ruling on this issue.
    F. Discovery and Pretrial Rulings
    Plaintiffs ask that we “reverse the lower court’s discovery and pretrial rulings
    which affected the judgments of dismissal of all claims.” Appellant’s Br. 64. “Our
    review of a district court’s discovery rulings is both narrow and deferential. We will
    grant relief on the basis of erroneous discovery rulings only where the errors amount
    to a gross abuse of discretion resulting in fundamental unfairness.” Sallis v. Univ. of
    Minn., 
    408 F.3d 470
    , 477 (8th Cir. 2005) (internal quotations, alterations, and
    citations omitted).
    -15-
    Plaintiffs argue that the magistrate judge erred in finding that they were not
    diligent in seeking discovery. They claim that the defendants’ dispositive motions
    were submitted “before the completion and filing of 90% of the discovery conducted
    below.” Appellant’s Br. 37. Their appellate brief then relies heavily on the untimely
    filed affidavits of Dr. Ingenito, nurse Bhola, and inmates Nygren and Henson.
    Having reviewed the record and considered plaintiffs’ arguments, we find no
    abuse of discretion in the detailed rulings of the magistrate and district judges. In two
    reports and recommendations, Magistrate Judges Nelson and Rau provided an
    exhaustive procedural time line, setting forth plaintiffs’ counsel’s failure to meet
    deadlines and pursue discovery, as contemplated by the Federal Rules of Civil
    Procedure. See Report and Recommendation of Mar. 22, 2011, at 4-8; Report and
    Recommendation of Apr. 1, 2010, at 12-14. The Rules contemplate that parties will
    move for summary judgment before discovery closes, and they provide procedures for
    the nonmovant to dispute facts and pursue facts that are unavailable to the nonmovant.
    See Fed. R. Civ. P. 56. Counsel failed to utilize those procedures or to complete
    discovery in a timely manner. His failure to do so can be neither overlooked nor
    excused by the circumstances of Iñamagua’s untimely death or the gravity of this
    litigation. See D. Ct. Order of Aug. 12, 2010, at 2-3.
    III. Conclusion
    The judgment dismissing all claims against all parties is affirmed.
    ______________________________
    -16-