FanFan v. M.C.C.

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK --------------------------------------------------------------X : JIMMY FANFAN, : Plaintiff, : : 21 Civ. 704 (LGS) -against- : : ORDER DR. DANIEL KAUFMAN, : Defendant. : ------------------------------------------------------------- X LORNA G. SCHOFIELD, District Judge: I. AUGUST 9, 2021 ORDER DIRECTING DEFENDANT TO ANSWER WHEREAS, the Court granted Plaintiff’s oral application to file, by May 31, 2021, an amended complaint alleging any additional facts as to Defendants Joaquin Y. and Cheryl Ancrum and attaching his relevant medical records. Dkt. No. 15. WHEREAS, on August 9, 2021, the Court issued an Order stating that Plaintiff did not file an amended complaint and directing Dr. Daniel Kaufman to answer, move or otherwise respond to the Complaint by August 30, 2021. Dkt. No. 17. WHEREAS, the Court subsequently received by mail Plaintiff’s May 18, 2021, letter supplement to the Complaint, which is attached as Exhibit A and construed together with the Complaint as the Amended Complaint. See Brooks v. Westchester Cnty. Jail, No. 19 Civ. 10901, 2019 WL 6735607, at *1 (S.D.N.Y. Dec. 11, 2019) (construing a complaint and amended complaint together). It is hereby ORDERED that, the deadline to answer the operative complaint -- now the Amended Complaint -- is ADJOURNED sine die and, for the reasons stated below, will be rescheduled once the U.S. Marshal’s Services has effected service of the Amended Complaint on both Dr. Kaufman and Defendant Joaquin Y. II. BIVENS CLAIMS WHEREAS, the Prison Litigation Reform Act requires that federal courts screen complaints brought by prisoners who seek relief against a governmental entity or an officer or employee of a governmental entity. See U.S.C. § 1915(a). The Court must dismiss a prisoner’s IFP complaint, or any portion of the complaint, that is frivolous or malicious, fails to state a claim upon which relief may be granted or seeks monetary relief from a defendant who is immune from such relief. 28 U.S.C. §§ 1915(e)(2)(B), 1915A(b); see Harnage v. Lightner, 916 F.3d 138, 140 n.1 (2d Cir. 2019). WHEREAS, the Court is obliged to construe pro se pleadings liberally and interpret them to raise the strongest claims that they suggest. Costabile v. N.Y.C. Health and Hosp. Corp., 951 F.3d 77, 80 (2d Cir. 2020); see also Triestman v. Fed. Bureau of Prisons, 470 F.3d 471, 477 (2d Cir. 2006) (“There are many cases in which we have said that a pro se litigant is entitled to special solicitude; that a pro se litigant’s submissions must be construed liberally; and that such submissions be read to raise the strongest arguments that they suggest.” (internal quotation marks omitted)). But this “special solicitude” in pro se cases, Triestman, 470 F.3d at 477, has its limits -- to state a claim, pro se pleadings still must comply with Rule 8 of the Federal Rules of Civil Procedure, which requires a complaint to make a short and plain statement showing that the pleader is entitled to relief. WHEREAS, the Supreme Court has held that under Rule 8, a complaint must include enough facts to state a claim for relief “that is plausible on its face.” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007). A claim is facially plausible if the complaint pleads enough factual detail to allow the Court to draw the inference that the defendant is liable for the alleged misconduct. Id. at 556. In reviewing the complaint, the Court must accept all well-pleaded 2 factual allegations as true. Ashcroft v. Iqbal, 556 U.S. 662, 678-79 (2009). WHEREAS, because Plaintiff alleges that employees of the federal government violated his constitutional rights, his claims are construed as arising under Bivens v. Six Unknown Named Agents of FBI, 403 U.S. 388, 389-90 (1971) (considering whether a complaint stated a federal cause of action under the Fourth Amendment for damages, where the complaint alleged agents of the Federal Bureau of Narcotics, acting under color of federal law, made a warrantless entry); see Iqbal, 556 U.S. at 675-76 (“[Bivens] is the federal analog to suits brought against state officials under [] 42 U.S.C. § 1983.”) (internal citation omitted). WHEREAS, the Amended Complaint purports to allege Bivens claims against Robert Beaudoin, Cheryl Ancrum and Joaquin Y. See Exhibit A. WHEREAS, to state a claim for relief under Bivens, a plaintiff must allege facts that plausibly show that: (1) the challenged action was attributable to an officer acting under color of federal law, and (2) such conduct deprived him of a right, privilege, or immunity secured by the Constitution. See Thomas v. Ashcroft, 470 F.3d 491, 496 (2d Cir. 2006) (citing Bivens, 403 U.S. at 389); accord Dubois v. City of White Plains, 16 Civ. 07771, 2018 WL 6025868, at *3 (S.D.N.Y. Nov. 16, 2018). WHEREAS, Bivens relief is available only against federal officials who are personally liable for the alleged constitutional violations. Ziglar v. Abbasi, 137 S. Ct. 1843, 1860 (2017); Turkmen v. Hasty, 789 F.3d 218, 233 (2d Cir. 2015) (citing Iqbal, 556 U.S. at 676-77). A plaintiff must allege facts showing the defendants’ direct and personal involvement in the alleged constitutional deprivation. See Spavone v. N.Y. State Dep’t of Corr. Serv., 719 F.3d 127, 135 (2d Cir. 2013) (“It is well settled in this Circuit that personal involvement of defendants in [the] alleged constitutional deprivations is a prerequisite to an award of damages under § 1983.”) 3 (internal quotation marks omitted); accord Nguedi v. Caulfield, 813 F. App’x 1, 3 (2d Cir. 2020) (summary order) (affirming dismissal of claims brought against a former police commissioner for failure to allege personal involvement). “[A] plaintiff must plead and prove the elements of the underlying constitutional violation directly against [each defendant].” Tangreti v. Bachmann, 983 F.3d 609, 620 (2d Cir. 2020). WHEREAS, the Eighth Amendment protects federal pretrial detainees from deliberate indifference to their serious medical needs. See Charles v. Orange Cnty., 925 F.3d 73, 85 (2d Cir. 2019). To state a claim for inadequate medical care, a plaintiff must plead facts showing that (1) the deprivation of medical care is objectively “sufficiently serious” in light of a medical condition “that may produce death, degeneration, or extreme pain”; and (2) the defendant-official “knew . . . or should have known that failing to provide the omitted medical treatment would pose a substantial risk to detainee’s health.” Id. at 86-87. WHEREAS, the Amended Complaint states a Bivens claim against Joaquin Y. The Amended Complaint alleges that Plaintiff made numerous complaints to Joaquin Y. about his jaw injury and that despite Plaintiff’s requests and pain, Joaquin Y. did not call a doctor. The Amended Complaint does not allege specific facts sufficient to support Bivens claims against Cheryl Ancrum or Robert Beaudoin. It is hereby ORDERED that any claims against Cheryl Ancrum or Robert Beaudoin are DISMISSED. III. VALENTIN ORDER WHEREAS, under Valentin v. Dinkins, a pro se litigant is entitled to assistance from the district court in identifying a defendant. 121 F.3d 72, 76 (2d Cir. 1997); accord Genao v. City of New York, No. 20 Civ. 8721, 2020 WL 7360650, at *1 (S.D.N.Y. Dec. 15, 2020). 4 WHEREAS, in the Complaint and Amended Complaint, Plaintiff supplies sufficient information to permit the United States Attorney for the Southern District of New York to identify Joaquin Y. See Exhibit A. It is hereby ORDERED that, the United States Attorney for the Southern District of New York, who is the attorney for and agent of the BOP, shall ascertain the service address for Joaquin Y., and provide this information to Plaintiff and the Court within sixty days of the date of this Order. Thereafter, the Court will issue an order directing the Clerk of Court to complete a USM-285 form with the address for Joaquin Y. and deliver all documents necessary to effect service on Joaquin Y. to the U.S. Marshals Service. IV. UPDATED ADDRESS WHEREAS, the Court received by mail Plaintiff’s August 2, 2021, letter, attached as Exhibit B. The August 2, 2021, letter states that Plaintiff is moving to the Metropolitan Detention Center and that his new address is as follows: Jimmy FanFan (#90863-053) Metropolitan Detention Center 80 29th Street Brooklyn, NY 11232 V. CONCLUSION All claims against Robert Beaudouin and Cheryl Ancrum are DISMISSED with prejudice. The Clerk of Court is respectfully directed to mail a copy of this Order and the Amended Complaint (Dkt. Nos. 2 and Exhibit A) to the Civil Division of the Office of the United States Attorney for the Southern District of New York at 86 Chambers Street, 3rd Floor, New York, New York 10007. 5 The Clerk of Court is also respectfully directed to update Plaintiffs address on the docket and to mail a copy of this Order to pro se Plaintiff and to Dr. Daniel Kaufman, at the following address: Discreet Plastic Surgery; 1599 East 15th Street Brooklyn, NY 11230. The Court certifies under 28 U.S.C. § 1915(a)(3) that any appeal from this order would not be taken in good faith, and therefore in forma pauperis status 1s denied for the purpose of an appeal. Cf Coppedge v. United States, 369 U.S. 438, 444-45 (1962) (holding that an appellant demonstrates good faith when he seeks review of a non-frivolous issue); accord United States v. Kosic, 944 F.3d 448, 449 (2d Cir. 2019). Dated: August 13, 2021 New York, New York LORNA G. Sciornb UNITED STATES DISTRICT JUDGE i HAL Hom Tudne Loewe G Schofield, i weitin Dw in 2 ference _e¢ ave □ | zl Civ aa)! This re ~Hhe Suppulmen to Pl ale ADD □ 4 _ Dapp Points S421 tt ew \Judge Keane. G SehaFicl, at Tiny ne Fan * 90h 9-063 , ~The v3 whe sepontrvenT | eo £00 rhese LUA ydere 1S hae fe ON Aty □□□□□□□ a Lease , bebe] Beou , Chery acta Of. 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Lp oe _ Rave fluPencr | Aemege yoy Ca □ {/ / 0 eS S Fa #90 9b2£053 56 Park Ko er — Defendant: Danie] Key Fans First Name Last Name Doe dor Current Job Title other identifying information) Oreaw A ve. Current Work Address (or other address where defendant may be served) Liss 6 County, Gty State Zip Code Ill. STATEMENT OF CLAIM Place(s) of occurrence: M-¢.¢ Metropolitan Coreechiona] centers, Date(s) of occurrence: 2°22-2n , 3, 40°20 4-3:20 FACTS: State here briefly the FACTS that support your case. Describe what happened, how you were harmed, and what each defendant personally did or failed to do that harmed you. Attach additional pages if needed. Complamed +o Medical STa ff off fu IY¥o Sy ecPrtonss to Medical, Staff ignored complaint on 2'°2%20 [om flu bie Su eg proms i Pas S eal out, Hedice | claim, there. as othing Wren, with Compolatined & an a lof £ an pan rhe Gr v\ oui ot 42 (A (4) 2 ot The KA) 2 HOC Aud explained Loulh oP? oye he Pain in le mw AW wad them look at me On 3°2:20 they Sail woul of net X-Ray's this was what Toa vin _cstated . had to mate Hultpule Lemplain\s {= get to xX Ark when 14-20 - Showed “ad 2 frature’s in left Ja O 23:20 ord pare pias cmoveel sk usag torture. fe cut ae ques Dy Cau Fran te Reyoued pe Serews with out Page 5 Ar7nch. Exibht fy) 2 Orne. Sedat Bens the lain LZ pA 80 Much ai. Z fell Afte 20850 G Mf + The apfr cees Sha] □□□□ MLE. Late So fol ie." (Heutn hp She. Chad ‘e A ‘ MN famce; Khe {LAL Af 06-23 TPE “fd eg) ANG oO fale fe Q lrr§ (Le a flex AA tical Ww, a7 e. W [tere ‘C52 There Was EX preapre._ (ain, lind Bly Given 2 Wren Wed Ce D0 Oh) 5-71 20 Le Ao eS {74 40 MEP phch ws loom of 'tethectone , INJURIES: if you were injured as a result of these actions, describe your injuries and what medical treatment, if any, you required and received. O) Mandibular left angle fracture anef 2) mandbuhr left loud cond|y lar fracture o£ go7 an Oeccatoy Fo__fene my fa with Scere , wires and 2 metal” plaves en ny Courts □ □ IV. RELIEF State briefly what money damages or other relief you want the court to order. iso _tullisn Lollers, 4 2,000. 00D ps Labet Fy See PF os ee a Page 6 | exbhD Cay patyjou Sede vate He Das li aioe □□□ ALT ne a to fold pe | 4 carte lb & WL Donel K awe Wt Cit. Ne he, Chad (er Wr. Kae tlt Ie ee S pom gig ee Gufhch coe oy Stee rag fy 4 □□ Bing □□□ B. Defendant Information To the best of your ability, provide addresses where each defendant may be served. If the correct information is not provided, it could delay or prevent service of the complaint on the defendant. Make sure that the defendants listed below are the same as those listed in the caption. Attach additional pages if needed. Defendant 1: Robect Beaudouin te D First Name Last Name Vector Current Job Title (or other identifying information) \So Yack Pow , brew Yor Current Work Address (or other address where defendant may be served) Kivw c hss oo County, & Stat Zip Code Defendant 2: | JS Da 4 LAr RS First Name Last Na Current Job Title (or other identifying information) \bo Part Vow Current Work Address (or other address where defendant may be served) Neu) hw DOO County, Ci State Zip Code Defendant 3: { hery | / | □□□ First Nam Last Name \ Deyn. | tS { - Current Job Title (or other identifying information) 150 > ar ke Fou! Current Work Address (or other address where defendant may be served) ew or dbo County, Ci Sta Zip Code Page 4 If the defendant is an individual: The defendant, bec] f eau do. is a citizen of the State of {Defendant's name) □ or, if not lawfully admitted for permanent residence in the United States, a citizen or subject of the foreign state of the defendant is a corporation: The defendant, , is incorporated under the laws of the State of and has its principal place of business in the State of or is incorporated under the laws of (foreign state) and has its principal place of business in . If more than one defendant is named in the complaint, attach additional pages providing information for each additional defendant. . Il, PARTIES A. Plaintiff Information Provide the following information for each plaintiff named in the complaint. Attach additional pages if needed. aT i Q: First Name Middle Initial Last Name 1950 Hoe K Kou ) Me Pro Lol □□□ fore. CenTer. Street Address ew \ oe bd County, City State Zip Code (4224-129 Telephone Number Email Address (if available} Page 3 I. BASIS FOR JURISDICTION Federal courts are courts of limited jurisdiction (limited power). Generally, only two types of cases can be heard in federal court: cases involving a federal question and cases involving diversity of citizenship of the parties. Under 28 U.S.C. § 1331, a case arising under the United States Constitution or federal laws or treaties is a federal question case. Under 28 U.S.C. § 1332, a case in which a citizen of one State sues a citizen of another State or nation, and the amount in controversy is more than $75,000, is a diversity case. In a diversity case, no defendant may be a citizen of the same State as any plaintiff. What is the basis for federal-court Jurisdiction in your case? iW vederal Question 1 Diversity of Citizenship A, If you checked Federal Question Which of your federal constitutional or federal statutory rights have been violated? +h CA Mend men (ain ard : : RSs sERR & 5 4 8 F SH > ro eS ©} + SIR sya □□ x af □□ ULINCS 90863053 - FANFAN, JIMMY - Unit: NYM-I-N OM: Dental 90863053 BJECT: RE:***Inmate to Staff Message*™ 08/12/2026 12:37:03 PM. a complex fracture (multiple areas). If you are having any issues with the surgery, you need to go back to the special Surgeon) who did it, at least once, so he can take other types of x-rays, as needed, evaluate and address your concerns x-ray taken at MCC NY was not for on site diagnosis or determination of treatment outcome. Pain meds will be renewed up to the Oral Surgeon to determine if they will be needed long term. The dentist at MCC NY is not a specialist, cannc your questions and cannot provide any further guidance in this matter Again, it is highly advised that you return to the Surgeon, that did the initial surgery, for follow up. you ready to be set up with a follow up appointment for the Oral Surgeon? Please respond with a return email, Unti then, form you signed on 6/3/2020 remains in effect. Again, when you return to the facility, you will be put in quarantine | per COVID-49 protocol. ~AVEANFAN ~4IJIMMY" 8/11/2020 2:48 PM >>> vate Work Assignment: inmate comp. y would i go to the dentist that mess up my jaw in the first place?plus i ask you the results from the x-ray.aiso □ nave to stay h the pain i guess? i did not refuse 3 times NYM/InmateToDental - 67714453-ea25-493, -908e-adel 6Gefab5fc —_ jen ae Se Le From: NYM/InmateToDental | To: -~AIFANFAN, ~AUIMMY □□ Subject: □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ ee Your name is on the dental schedule to be seen by the Dentist for the dental discomfort you mentioned to Medical. . ode, : eo; bo Response by Dental Assistant oo bd >>> ~APFANFAN, ~AUIMMY" 5/25/2020 10:02 AM >>> To: dental oe inmate Work Assignment: inmate comp. bo ATTENTION*™ EP Please cut and paste the message indicator below neg sherbet fine; only this indicator can be in.the subject line, a [ 1f453-ea25-4933-908e-ade1 GefabSfc □□ Your response must come from the departmental mail 90x. Responses from personal mailboxes WILL NOT be delivered to the inmate. □□ *«*Inmate Message Below*** can i please get a tooth cleaning.ive been asking for alinost iwo yeals.... □ Rs oe i elo . Pl . . et oe | Boi . me . iad glo □□□□ □□□□ Bureau pt rilsons 4 im |e Health Services Clinical =ncounter Inmate Name: FANFAN, JIMMY ee Reg #: 90863-053 Date of Birth: 10/20/1971 Sex: , aM Face: BLACK Facility: NYM Encounter Date: 02/09/2020 16:26 _ Provider: | pingh, Mandeep PA-C Unit: KO1 : —— Mid Level Provider - Evaluation encounter performed at Healt {setviges: SUBJECTIVE: : mo. | t COMPLAINT 1 Provider: Singh, Mandeep PAG) | | . □ Chief Complaint: Cold or Flu Symptoms a 2 Subjective: 48 y/o M presented during pill line for sof throat. Pt, states it started x3 days ago. He states he has pain and hoarseness. Denies drai ing, yysenagia, throat closing, sob, CP, cough, fever, chills, NAV/D. Pain: Not Applicable OBJECTIVE: □ Temperature: : a Date Time Fahrenheit Celsius; Locgtion Provider 02/09/2020 16:26 NYM 98.0 36,7. Oral | Singh, Mandeep PA-G Pulse: | 2 Date . Time Rate Per Minute Locatig} ' Rhythm Provider baal RO! 02/09/2020 16:26 78 ViaMaghine | Singh, Mandeep PA-C : a, : . Blood Pressure: . Date Time Value _— Location Posific | | Cuff Size Provider 02/09/2020 16:26 NYM_ Unavailabi a Singh, Mandeep PA-C S$a02: a | 2 Date Time Value(%) Air a Provider 02/09/2020 16:26 NYM 98 RoomAir , || | Singh, Mandeep PA-C Gen: A and 0 x3, NAD, gat normal, Hoarseness noted withicom unication ‘ Throat Injected w/ exudates, + tonsillar LAD. neg all others: Lungs: clear. Dd □ ASSESSMENT: Acute laryngopharyngitis, JO60 - Current □□ us : aS i | | PLAN: Due ot New Medication Orders: i Pa Medication □ od. Order Date Azithromycin Tablet 02/09/2020 16:26 Prescriber Order: as directed on Z pack Orally - daily day(s) -- Please dispense Z pack or tablets according to z pack dosing. : ba: ee, Indication: Acute laryngopharyngitis a . Disposition: | | : Follow-up at Sick Call as Needed Return immediately if Condition Worsens Generated 02/09/2020 16:36 by Singh, Mandeep PA-C Bureau of Foor -\NYM Page 1 of 2 4 wept ‘ Bureau cf Prisons Health fhervices Clinical Eincdunter ee Inmate Name: FANFAN, JIMMY TT Reg#: 90863-053 Date of Birth: 10/20/1971 Sex: 41. Race: BLACK Facility: NYM Encounter Date: 02/22/2020 08:00 Provider: loaquin, Y. MLP Unit KO1 Mid Level Provider - Evaluation encounter performed at Heclth Senices. SUBJECTIVE: ea COMPLAINT 1. Provider: Joaquin, Y.MLP Chief Complaint: Other Problem : : Subjective: Called for a "Medical Emergency" in 14 north. | : Inmate Fanfan was conveniently laying di. wn of the floor by the commorn/TV area. When questioned of why he was in the floor he zesponded: "because | have flu-like symptoms for 2 days", he get up immediately when instrutted oy this clinician. Pain: No pe ET OBJECTIVE: : □□ Temperature: Date Time Fahrenheit Celsius” Lociition - Provider 02/22/2020 08:00 NYM 938.6 37.0 Oral, : Joaquin, Y. MLP Pulse: Date Time Rate Per Minute Location Rhythm Provider 02/22/2020 08:00 90 Via Maghine | Regular Joaquin, Y. MLP Respirations: 4 pa Date Time Rate Per Minute eel ider 02/22/2020 08:00 NYM 16 Joa uin, Y. MLP Blood Pressure: ! Date Time Value Location Postion Cuff Size Provider 02/22/2020 08:00 NYM 111/65 Right Arm _Sittltg Aduitregular Joaquin, Y. MLP Blood Glucose: □ ! | Date Time Value (mg/dl) Type | : Regular Insulin Provider 02/22/2020 08:00 403 Random 2 Joaquin, Y. MLP $a02: | 2 | 2 Date Time Value(%) Air Provider 02/22/2020 08:00 NYM 400 Room Air Joaquin, Y. MLP Exam: : a 2 General Affect 2 4 : Yes: Cooperative | . Appearance Yes: Appears Well, Alert and Oriented x 3» □ i | No: Appears Distressed, Cachectic, Jaundiced, tyneonscious, Lethargic, Obtunded, Stuporous, Dyspneic, Appears in Pain, Pale, Cyanotic, Diaphoretic, Digneveled : Skin General Yes: Within Normal Limits Generated 02/22/2020 11:02 by Joaquin, Y. MLP Bureau of Prisons NYM Page 1 of 2 Inmate Name: FANFAN, JIMMY 8 Reg #: 90863-053 Date of Birth: 10/20/1971 . Sex!) Ad Race: BLACK Facility: NYM Encounter Date: 02/22/2020 08:00 Provider: oaquin, Y. MLP Unit: KO1 Exam: | Ears [ Tympanic Membrane | oR - Yes: Within Normal Limits ob a □ Canal | Yes: Within Normal Limits □ - External Ear Yes: Within Normal Limits oo Pulmonary boo Auscultation | Yes: Clear to Auscultation, Vesicular Breath Sours Bilaterally No: Crackles, Inspiratory-Crackles, Rhonchi, Whitezing Cardiovascular Auscultation Poo Yes: Regular Rate and Rhythm(RRR) io Exam Comments 7 a Inmate evaluated after a call from Ops lieutenant. | a Inmate was not in distress. He was laying down on the floc "because he had flu-like symptoms for 2 days", "| wanted to see medical", . Inmate was not coughing, no fever, normal vitals. Did not lik in any pain or distress. Lungs were clear and well ventilated. ae ASSESSMENT: foo Counseling, unspecified, 2719 - Current - R/O malingering a | Disposition: Follow-up at Sick Call as Needed | . Patient Education Topics: Date Initiated Format HandoulTop |i, Provider Qutcome 02/22/2020 Counseling Access {o Cart Joaquin, Y. Verbalizes | i Understandir Copay Required: Yes Cosign Required: Yes Telephone/Verbal Order: No | i Completed by Joaquin, Y. MLP on 02/22/2020 11:02 i Requested to be cosigned by Beaudouin, Robert MD. | Cosign documentation will be displayed on the following page. | pe Generated 02/22/2020 11:02 by Joaquin, Y. MLP Bureau of Prisons - NYM Page 2 of 2 - j ie I ies op + Inmate Name: FANFAN, JIMMY | Reg# 90863-053 Date of Birth: 10/20/1971 Sex:, fi | Race: BLACK Facility: NYM Encounter Date: 03/02/2020 13:07 Provider: sloaquin, Y. MLP Unit: KO1 : a Yi i Date Time Value(%) Air || | Rrovider Bei a! Exam: ob General » □ a? Affect aad Yes; Cooperative CG Appearance . 2 □ | Yes: Appears Well, Alert and Orientedx3 0 No: Appears Distressed, Appearsin Pain a | Exam Comments : Patient complaining of pain on left lower jaw. a To the examination: No malalignment of his bite. No deformities. patient describes getting pain on Ptemporomandibular joiry; | . Patient evaluated by Dr. Cho who recommended evaluation with x-rays of his jaw. : ee oF PF ASSESSMENT: Jaw pain, R6884 - Current : | | eee PLAN: a | : New Medication Orders: 7 . Rx# Medication . 4 oy Order Date ies I : Acetaminophen 325 MG Tabiet ay | i 03/02/2020 13:07 Prescriber Order: Two tablets Orally: tree times a day PRN x 5 day(s) ~ As needed for Left jawpain Take itwith food.., Indication: Jaw pain : □ New Radiology Request Orders: Details Frequency a End Date Due Date Priority | tee General Radiclogy-Mandible-General [Left] One Time i 03/03/2020 Routine Specific reason(s) for request (Complaints and an i): | Left jaw pain(pain on Left Temporomandibular Jen) | □□ Disposition: : i Dae t : Follow-up at Sick Call as Needed 4 PE Patient Education Topics: : 784 Loy Date Initiated Eormat Handout afl Pi Provider Qutcome 03/02/2020 Counseling Access to Cale Joaquin, Y. Verbalizes ou | PO Understanc Copay Required: No Cosign Required: Yus ! Telephone/Verbal Order: No Completed by Joaquin, Y. MLP on 03/02/2020 13:23 | oi Requested to be cosigned by Beaudouin, Robert MD. a Cosign documentation will be displayed on the following page| Generated 03/02/2020 13:23 by Joaquin, Y. MLP Bureau offPrisons|- NYM Page 2 of 2 Bureau f Prisons Health Services Clinical Encounter inmate Name: FANFAN, JIMMY Reg# 90863-053 Date of Birth: 10/20/1971 Sex: “M Race: BLACK Facility. NYM Encounter Date: 03/02/2020 13:07 Provider: _ Joaquin, Y, MLP Unit: KO1 Mid Level Provider - Evaluation encounter performed at Housi'g Unit. . SUBJECTIVE: Oo COMPLAINT 1 Provider: Joaquin, Y. MLP Chief Complaint: Pain Subjective: My left jaw hurts. Last time.hit my jaw with the floor. It is very difficult to chew the food. Pain: Yes | ibe Pain Assessment Date: 03/02/2020 13:09 | : Location: Jaw oo Quality of Pain: Aching Pain Scale: 8 | intervention: None | Trauma Date/Year: Mechanism: : □ Onset: 1-2 Weeks | a. Duration: 1-2 Weeks foe Exacerbating Factors: Chewing food | Relieving Factors: Do not know. Foo: Reason Not Done: | i , Comments: | OBJECTIVE: i og Temperature: Date Time Fahrenheit Gelsius| Locjtion Provider 03/02/2020 13:10 NYM 98.1 36.7 Ora Joaquin, Y. MLP Pulse: 2 Date . Time Rate Per Minute Locatiqn Rhythm Provider . 03/02/2020 13:10 100 Via Mai hine Regular Joaquin, Y. MLP Respirations: | Date Time Rate Per Minute Prentider 03/02/2020 13:10 NYM 18 Jos gjuin, Y. MLP Blood Pressure: | Date ‘Time ~—Value_~—Location | Position Cuff Size Provider 03/02/2020 13:10NYM 136/83 Right Arm | Sitting Adult-regular Joaquin, Y. MLP $a02: | Date Time Value(%) Air | 2 Provider 03/02/2020 43:10 NYM 100 Room Air | Joaquin, Y. MLP Generated 03/02/2020 13:23 by Joaquin, Y. MLP Buieau of Prisons -NYM Page 1 of 2 bureau rie Health services : 4 ral i Dental Soap/Ajimir Encounter ot i $$ ae Inmate Name: FANFAN, JIMMY eo: Reg #: 90863-053 Date of Birth: 10/20/1971 Sex: | ; Race: BLACK Facility: NYM Encounter Date: 03/17/2020 15:19 Provider: Ancfum, Cheryi DDS Unit: 101 Reviewed Health Status: Yes 2 | Sick Call Visit encounter performed at Dental Clinic. SUBJECTIVE: COMPLAINT 1 Provider: Ancrum, Cheryl DDS a . ee Chief Trauma/Oral Injury | i Subjective: "I had the flu 4 weeks ago. | hadn't eaten for days. | was drinking fluids. Then { came out of my cell to watch TV. Other dudesisaid | passed out. They said that | fell on the left side of my face. The next morning my jaw hurt. | cijuldn't eat solid food. | couldn't sleep on that side.” Pain Location: Tooth/Teeth os Pain Scale: 8 Pain Throbbing (oe History of Trauma: Do Onset: 1-4 Weeks Ago . ati Hot Duration: . a Exacerbating Factors: a 2 □ Relieving Factors: 4 | Comments: Inmate indicates left jaw OBJECTIVE: i 7 eat l . : ee | : ASSESSMENTS: Fracture of mandible, S02609A - Current □ a Jaw pain, R6884-Current PROCEDURE: 7 ot Dental Procedures , : 4 Universal Protocel Followed: yes Mate als Discussed: yes Radiograph(s) Reviewed: | Pope a Dental Procedures In Process/Completed During This Encoujter Tooth/Area Procedure □□ Status General Examination, Lip ited Completed □ General Panorex | ul ! Completed a Comments: Referred from Dr. Beaudouin for Panorex to mani ibular fracture Findings: Left non-displaced mandibular angle fracture; nal in ocelu ion clinically but Panorex with stable occlusion □□ : Dr. Beaudoin/NapthCare to set up appt with Dr. Kauiman ft r evaluation PLAN: i ye Disposition: . : me ob do: Follow-up at Sick Call as Needed roa | . _ 03/17/2020 16:33 by Ancrum, Chery! DDS Bureau of Prisons -NYM Page 1 of 2 Bureau (jf Prisons . Health services Clinical Encounter « Administrative Note Inmate Name: FANFAN, JIMMY foe Reg # 90863-053 Date of Birth: 10/20/1974 Sek: = Race:BLACK Facility: © NYM Note Date: 03/18/2020 14:54 Provider:;' Beaudouin, Robert MD Unit: 101 Foe : Admin Note - Consultation encounter performed at Hesilth Services. Administrative Notes: | a ADMINISTRATIVE NOTE 4 Provider! Beaiidouin, Robert MD RE-WRITING CONSULT. | New Consultation Requests: Consultation/Procedure Target Date | Schiji uled Target Date Priority Translator Language Plastic Surgery 03/19/2020 03/11/2020 Routine No Subtype: □ OFFSITE poe Reason for Request: Per Dr. Kaufman, please send to ER to evvaluati 1) mandibular left angle fracture and 2) mandibular left low condylar fracture. og Patient is to be referred to KIMC - ER. | Please call Dr. Kaufman to inform him of datier/s arrival to the ER. Provisional Diagnosis: MANDIBULAR AMD LEFT CONDYLAR |FRAGTURE □ Copay Required: □□ Cosign Requited: ho Telephone/Verbal Order: No | oo Completed by Beaudouin, Robert MD on 03/18/2020 15:00 a | ok □□□ poe . po Generated 03/18/2020 15:00 by Beaudouin, Robert MD Burau of Esisons -NYM Page 1 of 1 Bureau o| Prisons wal Health Siervices Clinical Encounter ers Inmate Name: FANFAN, JIMMY mold: □□□ #: = 90863-0538 Date of Birth: 10/20/1971 Sex: Race: BLACK ° Facility: NYM Encounter Date: 04/02/2020 15:14 Provider: fleaudouin, Robert MD Unit: 104 Pe Physician - Medical Trip Return encounter performed at Health Services. SUBJECTIVE: as COMPLAINT 1 Provider: Beaudouin, Robert Mo. Chief Complaint: Other Problem es Subjective: MED TRI Fede, TURN S/P ORIF LT MANESBULAR ANGLE FX, CREF LEFT MANDIBULAR CONDY a ACTURE, MMF, EXCISIGIN OF BONY CHRONIC OSTEOID ON 3/20/20. pict: Magi yiguio PLUSENSURE, DIFLUCAN TEOMGG,Q WEEK ZANTACG 150 IG dag). □ Pain: Not Applicable OBJECTIVE: tl oF □□ ASSESSMENT: be Constipation, unspecified, K5900 - Current > Fracture, Zygomatic fracture, closed, S02402A - Current - a! □ 4 i EFT ANGLE OF MANDIBLE, CREF LEFT MANDIBULA CONDYLAR FRACTRE, END PLAN: 8 4 New Medication Orders: ( Sra Rut Medication a y Order Date Nutritional Supplement -Standard 1.0 Cal/Ml a 04/02/2020 15:14 Liq Fo YO Prescriber Order: 1 CAN Orally - □□□ Times a Day x dagP) Pill Line Only Indication: Fracture, Zygomatic fractur?, closed | Chlorhexidine Gluc Oral Soin 0.12% (Non- 04/02/2020 15:14 Alcohol} mel Prescriber Order: 5 CC Orally - Tao Times a Day x 30 day(s) -- SWI ee" indication: Fracture, Zygomatic fracture, cloged Fluconazole Tablet □□ 04/02/2020 15:14 prescriber Order. ONE 150MG Orally, Weekly x 4 day(s) Indication: Fracture, Zygomatic fractul, closed. Docusate Sodium Capsule : 04/02/2020 15:14 Prescriber Order: TAKE ONE 100 NG CAP Orally - Two Times a Day x 30 day(s) indication: Constipation, unspecified | pp New Consultation Requests: Consultation/Procedure Target Date. Schiduled Target Date Priority Translator Language Plastic Surgery 04/20/2020 . 04/20/2020 Routine No Subtype: oa OFFSITE □ Reason for Request: a] 04/02/2020 15:46 by Beaudouin, Robert MD Bureay of Prisons -INYM Page 1 of 2 eer oneeaean Inmate Name: FANFAN, JIMMY Reg # 90863-053 Date of Birth: 10/20/1971 Sex:! ii Race: BLACK Facility: NYM Encounter Date: 04/02/2020 15:14 Provider: |ieaudouin, Robert MD Unit: 101 48 YR OLD MALE S/P ORIFLT MANDIBULAR AlsGLE FX, CRF LEFTMANDIBULAR CONDYLAR FRACTURE, MMF, EXCISIONOF BONY CHRNG C OSTEOID ON 3/20/20, GIVEN FOLLOW-UP FOR REMOVAL OF JAW WIRES WITH DR. KAUF MAN'S OFFICE IN OCEAN AVE IN BROOKLYN. Provisional Diagnosis: | ae S/P.ORIF OF LEFT MANDIBLE. fo be Diet Orders: 4 Start Date poe Expiration Date 04/02/2020 Clear Liquid [oon 05/02/2020 Disposition: , oa i et Gar ne | oe i Est i eB | ae 1 i | 3 poo Generated 04/02/2020 15:46 by Beaudouin, Robert MD Bureau of Ihisons ~NYM Page 2 of 2 bureau Gy Frio. Health tiervices Clinical &ncaunter Inmate Name: FANFAN, JIMMY | Reg #: 90863-053 Date of Birth: 10/20/1971 Sex: ‘|, Race: BLACK Facility. NYM Encounter Date: 04/02/2020 15:14 Provider. [jeaudouin, Robert MD Unit: 101 = i □ Physician - Medical Trip Return encounter performed at Health Servites. SUBJECTIVE: COMPLAINT 1 Provider: Beaudouin, RobertME Chief Complaint: Other Problem | Subjective: MED TRIRgBETURN S/P ORIF LT MANHIBULAR ANGLE FX, CREF LEFT MANDIBULAR CONDYL! a he ACTURE, MMF, EXCISION OF BONY CHRONIC OSTEOID ON 3/20/20. DIET: MaE¥R QUID PLUSENSURE, RX: COLNE ge co DIFLUCAN 8@6,.0 WEEK pola ZANTAC 150 IG ea Pain: Not Applicable Woy oe : _ ASSESSMENT: 7 fin oo Constipation, unspecified, K5900 - Current 7 7? 2 Fracture, Zygomatic fracture, closed, $02402A - Current - of! Se | EFT ANGLE OF MANDIBLE, CREF LEFT MANDIBULA CONDYLAR FRACTRE, -€ NP a Be PLAN: 8 2 New Medication Orders: Sra Rx# Medication Bebe cp a Order Date Nutritional Supplement -Standard 1.0 CaV/Ml 6 7 Ot 04/02/2020 15:14 Liq Boo, Prescriber Order: 1 CAN Orally - Two Times a Day x 30g) Bil Line Only Indication: Fracture, Zygomatic fracture: closed : Chlorhexidine Gluc Oral Soln 0.12% (Nom 04/02/2020 15:14 Alcohol) OE Prescriber Order: 5 CC Orally - Two Tinies a Day x 30 day(s) - SWI ve indication: Fracture, Zygomatic fracturd, closed | Fluconazole Tablet □□ 04/02/2020 15:14 Prescriber Order: ONE Ofilly ‘Weekly x 4 day(s) Indication: Fracture, Zygomatic fracturt, closed Docusate Sodium Capsule 04/02/2020 15:14 Prescriber Order: TAKE ONE 100 MIG CAP Orally - Two Times a Day x 30 day(s) Indication: Constipation, unspecified □ Pa New Consultation Requests: . □ Consultation/Procedure Target Date ‘Scheduled Target Date Priority Translator Language Plastic Surgery 04/20/2020 04/2(,/2020 Routine No Subtype: OFFSITE go! Reason for Request: et Generated 04/02/2020 15:46 by Beaudouin, Robert MD Bureau ¢! Prisoris -NYM Page 1 of 2 Bureau of Prisons Health Services Clinical Encounter ~ Administrative Note Inmate Name: FANFAN, JIMMY et Reg #: 90863-053 Date of Birth: 10/20/41 971 Sex: Y 2 lb sD eT OS x 3 . : eae □□ Oo. >= Be a 2 oy Ss a gp te Ho) | . Fn | #f seme { = A Lady. hoe ch hs el Che feeld pe weitiag to__ket the □□□□□ s pee Ao At eens preens 7 For i, ein S53 □ CASE 21 Civ. ve (463) 35 Atoving to M.D. & PEE Uy ee BOLE StreeP FO, na BI . 72 fp p00 yess flint oui Clete + Yyipese.fa___Ge 72 __Conees Qf? PD □□□□ the ALC @ 7 ue Pure. . ee “ie: Hh A of LP □□□□ | Les A . ve 6 oo TT en Od dn L a gy Fan Fa GORE BH OE RO 2 Ci 00 □□ DD You Rec.eve thy Medea} _________. Ke reeled th at LT @ ules! you % ™~, S N Ko i z Ql. > cp. ¢ o} ™ ch = Shei a, "ye a & es a N) pi WO. Us r . 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