Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 1 of 129

•

IN THE UNITED STATES DISTRICT COURT

FOR THE SOUTHERN DISTRICT OF TEXAS

HOUSTON DIVISION

\lED S1 AlES COURTS

SuON1UH", aN

DISIRICT
FILED

Of

TEXAS

ROBERT ARTHUR HALL

§

Plaintiff,

§

§

VS.

§

§

Sheriff Tommy B. Thomas, Major K.W. Berry §

Deputy Marcorif Thomas, Dr. Mike Seale,

§

Major M.W. Quinn, Dr. C. Trinh, Dr. D.

§

Klein, Dr. Mark Chassay, Nurse K. Howard, §

Dr. M. Guice, Dr. A. Phi, Dr. Kham Luu,

§

Dr. Pamela Wilson,

§

Defendants

CIVIL ACTION CV-H-97-

MAR 1 8 1997

H- -

PLAINTIFF'S ORIGINAL COMPLAINT

TO SAID JUDGE OF THIS HONORABLE COURT,

Comes now, ROBERT ARTHUR HALL, Plaintiff, by and through his Attorney of record, Thomas J. Bevans, and files his Original Complaint against Defendants, alleging violations of his Constitutional Rights under "color oflaw" by Sheriff Tommy B. Thomas, et ai., and pursuant to Title 42, United States Code, Section 1983. Plaintiff seeks declaratory judgment, injunctive relief and monetary damages. A trial by jury is also requested. In support of his complaint the Plaintiff will show as follows:
I
JURISDICTION
This is a Civil Rights Action under Federal Statutes 42 United States Code, Section 1983 and 42 United States Code, Section 12132. First, Fifth, Eighth and Fourteenth Amendments pursuant to 28 United States Codes, Section 1343.
II
VENUE
Venue lies within the Southern District of Texas where Plaintiff's claim arose.

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Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 2 of 129
III PARTIES
A) Plaintiff, Robert Arthur Hall, (Harris County Sheriff's Department prisoner number 615184; United States Marshal's Service prisoner number 38261-079), is a citizen of the United States and currently a federal prisoner in the custody of the United States Attorney General. At all times mentioned in this complaint, Plaintiff Hall was a federal prisoner in the Harris County Sheriff's Department, Detention Bureau-Jail Division, 1301 Franklin Street, Houston, Texas 77002.
B) Defendant Tommy Thomas was at all times mentioned in this complaint the appointed Sheriff of the Harris County Sheriff's Department (HCSD) who oversees and directs the operation of the HCSD Detention Bureau's jail facilities located at 1301 Franklin Street and 701 N. San Jacinto, both of which are located in Houston, Texas 77002. Defendant Thomas is named in this action in his individual and official capacities. Defendant Tommy Thomas can be served at 1301 Franklin, Houston, Texas 77002;
Defendant K.W. Berry was at all times mentioned in this complaint a HCSD Major assigned as the supervisor to the HCSD Inmate Housing Bureau as an employee of the HCSD and may be served at 1301 Franklin, Houston, Texas 77002. Defendant Berry is named in this action in his individual and official capacities;
Defendant Marcorif Thomas was at all times mentioned in this complaint employed by the HCSD as a Deputy Sheriffin the Classification Bureau of the HCSD and may be served at 1301 Franklin, Houston, Texas 77002. Defendant Thomas is named in this action in his individual and official capacities;
Defendant Dr. Mike Seale was at all times mentioned in this complaint employed as the Medical Director of the HCSD-Medical Division (HCSD-MD) and may be served at 1301 Franklin, Houston, Texas 77002. Dr. Seale is named in this action in his individual and official capacities;
Defendant M.W. Quinn was at all times mentioned in this complaint employed as a HCSD Major assigned as the Hospital Administrator of the HCSD-MD and can be served at 1301 Franklin, Houston, Texas 77002. Defendant Quinn is named in this action in his individual and
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Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 3 of 129
official capacities; Defendant Dr. C. Trinh was at all times mentioned in this complaint employed by the
HCSD-MD as a physician who treated HCSD jail inmates' medical problems and may be served at 1301 Franklin, Houston, Texas 77002. Defendant Trinh is named in this action in his individual and official capacity;
Defendant Dr. D. Klein was at all times mentioned in this complaint employed by the HCSD-MD as a physician who treated HCSD jail inmates' medical problems and may be served at l301 Franklin, Houston, Texas 77002. Defendant Klein is named in this action in his individual and official capacities;
Defendant Dr. Mark Chassay was at all times mentioned in this complaint employed by the HCSD-MD as a physician who treated HCSD jail inmates' medical problems and may be served at 1301 Franklin, Houston, Texas 77002. Dr. Chassay is named in this action in his individual and official capacities;
Defendant Nurse K. Howard was at all times mentioned in this complaint employed by the HCSD-MD as a Licensed Vocational Nurse (LVN) who treated HCSD jail inmates' medical problems and may be served at 1301 Franklin, Houston,Texas 77002. Defendant Howard is named in this action in her individual and official capacities;
Defendant Dr. M. Guice was at all times mentioned in this complaint employed by the HCSD-MD as a physician who treated HCSD jail inmates' medical problems and may be served at 1301 Franklin, Houston, Texas 77002. Defendant Guice is named in this action in his individual and official capacities;
Defendant Dr. A. Phi was at all times mentioned in this complaint employed by the HCSD-MD as a physician who treated HCSD jail inmates' medical problems and may be served at 1301 Franklin, Houston, Texas 77002. Defendant Phi is named in this action in his individual and official capacities.
Defendant Dr. Kahm Luu was at all times mentioned in this complaint employed by the HCSD-MD as a physician who treated HCSD jail inmates' medical problems and may be served at 1301 Franklin, Houston, Texas 77002. Dr. Luu is named in this action in his individual and official capacities;
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Defendant Dr. Pamela Wilson was at all times mentioned in this complaint as a medical doctor on the Lyndon B. Johnson General Hospital (LBJGH) Urology Staff which treated HCSD jail inmates referred to her by HCSD-MD Consultation Request and may be served at 5656 Kelley Street, Houston, Texas 77026. Defendant Wilson is named in this action in her individual and official capacities.
IV FACTS OF CLAIM
(A) On 9/8/93 Plaintiff was released from the custody of the Federal Bureau of Prisons (BOP) and paroled to the custody of the United States Parole Commission (USPC) to the supervision ofMr. Louis Brewster, Chief Probation Officer, Southern District of Texas. Direct supervision of Plaintiff was delegated to Mr. Frank Flanigan, U.S. Probation Officer, Conroe,
Texas. At the time of release BOP, USPC and u.s. Probation Office records adduce an ongoing
history of serious physical and mental conditions that legally designated Plaintiff as a disabled person pursuant to definitions found in the Americans With Disabilities Act. (See 42 U.s.c. Section 12102 (2) (A) (B); and 28 Code of Federal Regulations Section 35.104 et seq.). These disabilities include, but are not limited to: neurological (brain damage at birth); epilepsy; musculoskeletal; hyperthyroidism; chronic kidney dysfunction (renal calculi); diabetes; mental and emotional illnesses oflife long nature such as bipolar disorder (manic depressive); clinical major depression and split personality. (See records attached as Exhibits 58-64). Plaintiff's case history and mental condition warranted Mr. Brewster's office to seek and receive as a condition of release a "Special Mental Health Aftercare Condition" which stipulated "you shall participate in an inpatient or an out-patient mental health program as directed by your probation officer." (See 5/23/95 letter attached as Exhibit 58).
(B) In early 1994 Plaintiff experienced severe kidney problems. Being indigent Plaintiff applied at the Harris County Hospital District Regional Eligibility Center for a Patient 10 card known commonly as the "Gold Card." Plaintiff received the gold card and was designated to the Acres Home Community Health Center. At the center tests were conducted and it was discovered that Plaintiff had traces of blood and ketones in a urine sample which prompted the center to refer the case to Lyndon B. Johnson General Hospital (LBJGH). At LBJGH it was
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determined that with a chronic kidney infection that Plaintiff had developed a kidney stone (renal

calculi). The LBJGH Urology Stafftriaged Plaintiff's case to Hermann Hospital for "Lithotripsy"

to remove the kidney stone in July 1994.

(C) Plaintiff physically weakened by months of infection and constant pain from the

kidney condition, and not receiving the therapy and treatment as ordered under the USPC Special

Mental Health Aftercare Condition supposedly due to laking government funds, went into major

depression. The depression caused Plaintiff to seek other avenues of the much needed

psychotherapy and psychiatric treatment. In September 1994, Plaintiff made contact with the

Mental Health Mental Retardation Association (

) in Humble, Texas. The

diagnosed Plaintiff with Major Depression/Organic Mood Disorder, prescribed the psychotropic

medication Elavil but was unable to provide individual counseling with a psychiatrist. (See

record attached as Exhibits 64,65) Still suffering from the chronic kidney condition and

untreated major depression, Plaintiff was arrested on a USPC parole violator warrant and placed

in the Harris County Jail (HCJ) as a federal prisoner on 2/21/95 under sheriff's prisoner number

615184. (See MHMR record attached as Exhibits 64, 65). Still suffering from the chronic kidney

condition and untreated major depression, Plaintiff was arrested by the Houston Office of the

United States Marshals Service on a USPC parole violator warrant. The Marshals Service had

the Plaintiff placed in the Harris County Jail (HCJ) as a federal prisoner on 2121195 under Sheriff's

Prisoner Number (SPN) 615184.

(D) HARRIS COUNTY SHERIFF'S DEPARTMENT (HCSD)

I.) After being placed in the HCSD-

Jail Division (HCSD-JD) 1301 Franklin Jail facility (1301 facility) a medical screening health

questionnaire was incorrectly completed by Defendant Deputy Marcorif Thomas. (See 2/22/95

record attached as Exhibit 49) Three correct answers were glossed over which directly influenced

classification criteria and these three omissions discriminated against the Plaintiff's disabled status

by depriving him of both immediate and needed physical and psychiatric medical attention that

date and at later dates in this complaint. The incorrect answers are (a) as to question number one:

only hours after the questionnaire was completed the HCSD-Medical Division (HCSD-MD) and

LBJGH medical records indicate Plaintiff was taken to LBJGH at the consulting request of

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Defendant Dr. C. Trinh as Plaintiff was in extreme pain from the chronic kidney infection and

dysuria. (See 2122/95 records attached as Exhibits 1,50). (b) as to questions ten and eleven:

answer to twelve states yes, the Plaintiff had previously been in the HCJ on 5-18-1988. Deputy

Thomas omitted or ignored the proper HCSD policy, procedure, program or plan of reviewing

the 1988 HC} incarceration. Verification of the 1988 jail record would have stated that Plaintiff

was admitted to the same HCJ 1301 facility in 1986 and placed on the

jail floor and

considered a suicide risk at that time. The record further reflects that Plaintiff attempted suicide in

the Harris County Jail in 1975. (See 2/22/75 record attached as Exhibit 59) The health

questionnaire is the primary medical screening of incoming inmates for potential psychiatric

attention. The glossing over and indifferent answering techniques of the classification deputy, as

in this instance, lead to a permanent set of misinformation facts to become a permanent part of

Plaintiffs HCSD-'MD Medical Record (MR). This adversely effected Plaintiffs immediate and

subsequent treatment as a disabled person in not being able to realize any accomodations in the

HCJ because the initial medical screening is declaring no to mental health problems when clearly

the present records and the past jail records historically state the opposite. Should the questions

been correctly answered then theoretically with a yes answer to either question it should have

activated a "Red Flag" for the Plaintiff to have been interviewed by the

staff at the HCJ.

2.) On 2/23/95 a second health questionnaire was completed after Plaintiff returned from LBJGH

and repeated the same mistakes as on the 2/22/95 questionnaire. (See 2/23/95 record attached as

Exhibit 55) Plaintiff, after admitting to feeling suicidal, was not sent to the

floor, but

rather classified to the fifth floor of the HCJ 1301 facility, to be housed in a single man

segregation cell in cellblock 5B5. The 2/22/95 questionnaire states a yes to question seven in that

Plaintiff was taking seizure medications for his epileptic condition. Plaintiff with the handicaps of

epilepsy, hyperthyroidism, kidney dysfunction and life long mental illness was not classified

correctly. Instead of being placed in a "hospital cellblock" on the

floor, he was instead

placed in the more severe setting of administrative segregation. The SBS cells were designated for

minimal contact with other humans. These cells consist of four solid surrounding concrete walls

with a recessed metal sliding door with a five inch slit window that does not pelmit outside visual

inspection of the cells total interior area. Approximately one-third of the cell's interior is out of

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the visual sight line of the supervising HCSD Deputy Sheriff and it is in this section that the wall-

mounted steel bunk is located. (See example drawing attached as Exhibit 32) It is in this

unobservable section of the cell that Plaintiff has been forced to sleep or sit for more than a year.

It is against the dictates of reasonable correctional/jail motiffs in the safe and orderly operation of

the institution, for an epileptic or any seizure related medically diagnosed inmate to be classified

and housed alone and out of the sight of all medical and security personnel that could render

assistance/aid to the usually repetitive cycle with seizure disorders. 3) On 2/27/95 the HCSD

classification officers made another error in Plaintiffs case by transferring him from the 1301

facility to the 701 N. San Jacinto facility (701 facility). The HCSD policy, procedure, program,

or plan on classification was to keep all "inmate medical cases" similar to Plaintiffs at the 1301

facility where the main HCSO-MD clinic is located. On 3/9/95, eleven days later, the

classification officers at the request of the HCSD-MD 701 facility clinic corrected the mistake and

returned Plaintiff as a "medical case" back to the 1301 facility. Though the classification officers

now clearly recognized the medical status of Plaintiff the classification officers did not place

Plaintiff in a hospital cellblock or on the medical floor, but rather continued in the deprivation of

Plaintiffs serious medical needs by classifYing him back to 5B5-09 administrative segregation. 4)

On 4/18/96 HCSD grievance #96-03 was partially sustained to Plaintiffs allegations that the

administration has allowed the "overall conditions" of administrative segregation cell block 5B5-

09, where Plaintiff as a disabled person had been confined in a segregation cell for over a year, to

become "punitive" through discrimination and the loss of Plaintiffs privileges without due process

oflaw. (See 3/6/96 Inmate Grievance Form attached as Exhibit 71). The promised administrative

reliefto the granted grievance was never forthcoming. (See 4/18/96 IGB-004 Form attached as

Exhibit 72) 5) The permanent misinformation of Deputy Thomas in the two health

questionnaires of 2122/95 and 2123/95 are still part of Plaintiffs active MR and this prevented the

HCSD-MD from making the same type accomodation referral to the HC}

Forensic Unit

concerning Plaintiffs clinical depression. In paragraph C supra the Plaintiff was diagnosed at

on 9/0 I /94 with major depression and so had a medical history and MR readily

available to the Vll"\.n Forensic Unit at the HCl Had not Deputy Thomas, through negligence

and deliberate indifference to Plaintiffs serious medical needs as a disabled person, glossed over

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the answers to the health questionnaire, thus defeating its design and purpose, then Plaintiff would

have been referred to

and his case picked up and treatment for his depression been

provided for. Ironically Plaintiffs MR at

at Humble, Texas shows the H'.LLLH

searching for Plaintiff from 1110/95 to 3117/95 which was one (1) month after his incarceration in

the HCJ. (See MHMRA record attached as Exhibit 65) Nearly a year later Dr. Guice documents

Plaintiffs ongoing "mild depression" in the MR. (See 1/10/96 MR entry attached as Exhibit 18)

The record supports that Plaintiff has suffered life-long depression; was suffering major

depression on 9/01/94; admitted to feeling suicidal on being booked into the HCI on 2/22/95; and

a general practioner notes a year later on 1/10/96 that Plaintiff appeared to be suffering "mild

depression." The record is silent to any accomodation of mental health treatment by any agency,

especially the MHMRA, during Plaintiffs entire incarceration in the HCI from 2122/95 to 7112/96.

(E) The physical and mental suffering of Plaintiff from 2/22/95 to 7/12/96 in the HCI

was the proximate result of Defendant M. Thomas' egregrious failure to properly classify the

Plaintiff as a disabled person and to provide an adequate jail housing assignment as an

accomodation that kept the Plaintiff from harm, injury or reasonable fear thereof, and that this

callous disregard of and deliberate indifference to the rights, personal safety and medical needs to

the Plaintiff as a disabled person and was the direct result of a pattern and practice of the hiring of

unqualified and incompetent security personnel to work in the HCSD classification section, the

maintenance of inadequate security measures and procedures to insure proper classification of

inmates in the HCI and these described circumstances and conditions were deliberately and

knowingly maintained by the Defendants T. Thomas, Berry, and M. Thomas and each of them,

and in total callous disregard of and deliberate indifferences to the rights and personal safety and

well-being of the Plaintiff thereby subjecting Plaintiff, and/or causing him to be subjected to an

unfit and dangerous living enviornment and conditions pervaded with a high level of injury, the

unnecessary and wanton infliction of pain that denied him due process, was cruel and unusual

punishment and a denial of equal protection of the law that resulted in Plaintiff being in diminished

mental and debilatative physical states of health for seventeen (17) months during which time

Plaintiff was compelled to stand federal trial in Cause No. H-95-201 on November 29, 1995, in

said states of health, and all of the foregoing in violation of Plaintiff's federally protected rights as

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delineated in the succeeding paragraphs.
(F) HCSD - Initial Medical Interview-Referral to Lyndon B. Johnson General Hospital
After the 2122/95 classification, and that same date, Plaintiff was taken to the HCSD-MD clinic in the 1301 facility for a regular physical evaluation given to all new arrivals in the HCJ system. At this evaluation the diagnosis arrived at was 1) Epilepsy, 2) Hyperthyroidsim, 3) history of Renal Calculi (kidney stones) and that Plaintiff had not urinated in some time and was in extreme discomfort with pain radiating from mid-back to groin. Treatment of the kidney dysfunction in 1994 was noted, and that the HCSD-MD staff had been unable to void Plaintiffs bladder with a straight catheter attempt. A request was made by Defendant Dr. C. Trinh, HCSDMD, to send Plaintiff to LBJGH by van for a urology evaluation. (See 2/22/95 MR entry attached as Exhibit 1) Prior to being taken to LBJGH, the HCSD-MD was able to obtain a small urine sample that tested to have "trace blood and small ketones." (See 2122/95 consultation request attached as Exhibit 50) The 2122/95 Consultation Request stated that Plaintiff had been evaluated and treated by the LBJGH Urology Staffin the past (1994).
(G) Kidney Dysfunction Treatment. 1) After the 2/22/95 consultation was issued
the Plaintiff was transported by the HCSD to LBJGH and arrived at 10:00 a.ill. on 2122/95. A HCHI) Emergency Department Record was completed on Plaintiff. (See 2122/95 HCRD Record attached as Exhibit 51) This record stated the chief complaint was "PainiDysuriaiSeizure Disorder. II The "Initial Assessment" category stated "Kidney stone crushed last July, pain, trace blood." The history category notes IlLithotripsy" in July 1994. At the bottom of the record is a drawing and description of Plaintiffs symptoms. Directly under the history is the IIDate/Time" that states 2/22195 at 12:45p.ill. the evaluations elapsed time in the overcrowded county hospital was two hours and forty-five minutes. The bottom left hand corner of the record bears the imprint from Plaintiffs "Gold Card" patient ID which proves that Dr. Pamela Wilson of the LBJGH Urology Staff was aware that it was the same patient that had been previously treated for Renal Calculi and kidney dysfunction a few months before in 1994. As a free indigent disabled person, Plaintiff had received moderately good medical attention from LBJGH In custody as an indigent disabled prisoner Plaintiff seemingly ceased to exist as a human being with civil rights by the
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Urology Staff, for the LBJGH medical record turns quiet to the needs of the Plaintiff for at 12:50 p.m. on 2122/95, Plaintiff was discharged by Dr. Wilson without receiving treatment whatsoever for the same condition that Plaintiff had been treated for at LBJGH. (See HCHD record attached as Exhibit 52) The disparity of the record becomes clear when Exhibits 50 and 51 are compared with the HCHI) emergency center discharge instructions of Exhibit 52. These instructions indicate the Plaintiff is to resume "normal activity" though the Urology Staff knew of the 1994 kidney condition treatment and of the instant complaint that date which urine samples showed "traces of blood and ketones." There is no follow-up written orders concerning the kidney complaint. The callous disregard, deliberate indifference and wanton infliction of pain by Dr. Wilson and the LBJGH Urology Staff against the disabled Plaintiffwas so blatant that a doctor signed in the "Patients Signature" space of Exhibit 52 and a copy was not given to the Plaintiff even though the record exhibits Plaintiff's "Patient ID", name and number. Plaintiff was dismissed by the LBJGH Urology Staff without comment. From this date forward there was no further follow-up orders or medical attention by Dr. Wilson and the LBJGH Urology Staffwhich resulted in Plaintiff continuing to suffer physical pain and experience extreme distress with this untreated kidney condition from 2122/95 to 7/12/96. 2) Plaintiff was taken from LBJGH to the HCSD-MD clinic at the 1301 facility. Ms. C. Ware, LVN, completed a "Master Problem List" which is part of the Plaintiff's MR. (See 2/22/95 Master Problem List attached as Exhibit 53) The Master Problem List is silent to Plaintiff's chronic kidney condition for it is not listed as a problem though this is the same HCSD-MD clinic that sent Plaintiff to LBJGH a few hours before with a consultation request issued by Dr. Trinh, HCSD-MD that states: "... renal calculi presents @ extreme back and abdo. discomfort, claims evaluated by LBJ Urology in the past, sip removal of kidney stone, currently c/o dysuria, backpain @ radiation to groin. Urine dip: trace of blood, small ketones... " (See exhibits I & 50). It is indicative of the deliberate indifference to Plaintiff's serious medical needs as a disabled person that Dr. Trinh sent Plaintiff to LBJGH based on the medical facts that: (a) The medical staff at first had been unable to obtain a urine sample with a "straight catheter attempt;" (b) once having obtained a small urine sample it tested positive for the presence of trace blood and small ketones; (c) the medical staff was apprised of the past history of kidney and urinary tract conditions and that Plaintiff stated he had been evaluated by the LBJ
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Urology Staff which was verified at LBJGH on 2122/95; (d) and that Plaintiff was exhibiting signs
of physical distress, pain and discomfort. Dr. Trinh neglected to provide proper medical care by a follow-up interview which would have exposed Plaintiffs' unchanged physical conditions and he would have seen by the HCB I) medical paperwork that Plaintiff had not been accomodated or treated at LBJGH but rather had been "shuflled" through by the indifferent Urology Staff and that Plaintiff, as a disabled person, was still in need of serious medical attention. This failure to provide proper medical care through Dr. Trinh's deliberate indifference, brought about the needless suffering and wanton infliction of pain to the Plaintiff. With nurse Ware's omission in the master problem list, and with Dr. Trinh's failure to follow-up on his own ordered consultation request, it is demonstrated, as with the foregoing health questionnaires in part D of this complaint, that there is a discernable pattern and practice, based on negligence of official HCSD Medical Records with omitted or missing information and over looked pertinent medical data, not making its way into Plaintiff's permanent HCSD-MD medical record. The policy, procedure, program, or plan that the HCSD-MD utilizes in accurate record keeping, as charged by law, is here demonstratably being departed from and which proved to be a contributing factor that detrimentally affected Plaintiff's health and well-being as a disabled person in the subsequent non-
treatment of Plaintiff's chronic kidney condition from 2/22/95 to 7112196. 3) The 3/30/95 Plaintiff's MR describes: "burning urination" and a 4/3195 M.D. appointment is set. The Plaintiff's MR at 4/3/95 describe: "chronic kidney stones." (See 4/3/95 MR entry attached as Exhibit 3) The
specific kidney complaint was overshadowed and completely forgotten by the misdiagnosis of the "Herpes." No further follow-up was ordered concerning the kidney condition and the resultant pain which the plantiff had suffered from the untreated ailment for forty-two (42) days. 4) The
4/14/95 Plaintiffs MR describes: "dysuria" and again the specific kidney/urinary condition was
overshadowed and completely forgotten by the ongoing misdiagnosis of "Herpes." No further follow-up was ordered concerning the "dysuria" and the resultant pain which the Plaintiff had now
suffered from for fifty-three (53) days. (See 4114/95 entry attached as Exhibit 5). 5) The 6/8/95 Plaintiff's MR describes: "back pain 6-8 wks." A 6119/96 M.D. appointment was scheduled for Plaintiff but was never kept by the HCSD-MD. (See 6/8/95 entry attached as Exhibit 7) Plaintiff
had now been in back and kidney pain for one-hundred and nineteen (119) days. 6) The 7/18/95
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Plaintiff's MR describes: "chronic back pain" (kidney area). Plaintiff realizing that no adequate medical care is going to be forthcoming after five (5) months of requests to the HCSD-MD, asks for an extra mattress and medications to stop the pain in his back. This patchwork medical request is granted and Plaintiff is given a "Special Needs Advisement" (SNA) for an extra mattress. (See 7/18/95 advisement attached as Exhibit 57) and a minor pain medication for fifteen (15) days. (See 7/18/95 MR entry attached as Exhibit 9) No further follow-up was ordered concerning the kidney related back pain which Plaintiff had now suffered with for one-hundred and forty-eight (148) days. 7) The 11127/95 Plaintiffs MR describes: "kidney pain." A 12/5/95 M.D. appointment was made for Plaintiff. The 12/5/95 Plaintiffs MR describes: "kidney pain, 1994 lithotripsy at LBJGH, a kidney stone was found .....Kidney stones x 2yrs." (See 12/5/95 MR entry attached as Exhibit 14) Plaintiff had been with kidney and back pain two-hundred and eighty-eight (288) days. This is the only M.D. appointment since Plaintiffs first admission to jail on 2122/95 that a urine test was ordered and actually performed by the HCSD-MD. (See 12/7/95 lab results attached as Exhibit 29) This test accidentally discovered a high glucose level that led to a diabetes diagnosis on 12/7/95. (See 12/7/95 MR entry attached as Exhibit 15) These test results had the same overshadowing effect as in other serious medical conditions described in this complaint in that the kidney pain complaint was forgotten as a specific issue to be treated by the HCSD-MD and negligently is no longer mentioned in Plaintiff's MR as late as the 6/4/96 MR entry and at which time Plaintiff had suffered kidney and back pain for over fifteen (15) months.
(H) This inadequate medical treatment of Plaintiffs serious kidney condition from
2/22/95 to 7112/96 by Defendants T. Thomas, Berry, Seale, Quinn, Trinh, Guice, Phi, Luu and Wilson has resulted in unnecessary physical suffering of Plaintiff for a period of over fifteen (15) months through an ongoing pattern and practice of arbitrary and capricious discrimination to the Plaintiff and all the proximate result of Defendants T. Thomas, Berry, Seale, Quinn, Trinh, Guice, Phi, Luu and Wilson's deliberate indifference to the serious medical needs of the Plaintiff amounting to the infliction of unnecessary pain that denied him due process, was cruel and unusual punishment, and a denial of equal protection under the law that resultted in Plaintiff being in diminished mental and debilitative physical states of health for seventeen (17) months and duringn which time Plaintiff was compelled to stand federal trial in Cause No. H-95-20 1 on
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November 29, 1995, in said states of health; and all of the foregoing in violation ofPlaintitrs federally protected rights delineated in the succeeding paragraphs.
(I) HCSD-MD TWO WEEK PHYSICAL AND MEDICALLY RESTRICTED USE OF LEG IRONS. 1) On 3/8/95, and while Plaintiff was still incorrectly housed by the HCSD
Classification Section to the 701 N. San Jacinto Facility (701 Facility), he was given a mandatory "two-week physical". A HCSD-MD "History & Physical Examination" record was completed and signed by S. O'Neall, R.N., and D. Klein, M.D. which states as a written medical order under "Comments" (See 3/8/95 history attached as Exhibit 56) Bilateral Achilles tendons surgery. "'75 (cannot wear leg irons for that reason) ... " In 1975 Plaintiff's achilles tendons had been severed in both legs, and the surgical reattachment left the tendons short and tight with minimal ankle rotation leaving Plaintiff with a physical orthopedic disability in both legs. Any contact or pressure from a foreign object to this area of the ankle causes pain, bruising, spraining, and/or temporary loss of foot control and impaired coordination. By the design nature and use, leg irons when used on Plaintiff, falls on the scar lines of both legs and the use of leg irons is painful and causes tenderness, soreness and partial lameness for days after their use. Nurse O'Neall and Dr. Klein both correctly identified the physical orthopedic disability, and the problems that it presented, and took appropriate and timely action by issuing the "Medical Restriction" on the use ofleg irons on Plaintiff as an attempt at accomodation. Dr. Klein then failed to fill out a Special Needs Advisement (SNA) which was the follow-up step in the HCSD-MD policy, procedure, program or plan that would have insured that the security personnel did not use the leg irons on Plaintiff. Dr. Klein's failure to follow-up is the cause of Plaintiff having to suffer over a year and three months of pain from the use of the leg irons and the deprivation of Plaintiff's rights and privileges as a prisoner in the HCl.
2) On 3/9/95 Plaintiff was transferred back to the HCJ 1301 facility wearing leg irons and was placed back in administrative segregation cellblock SB5-09. Since the implementation of this written medical restriction on the use of leg irons on 3/8/95, these legally given medical orders/instructions have been deliberately and totally disregarded by all HCSD personnel.
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3) In support of this part of the complaint the Plaintiff relates the following: (A) On 5/12/95 Plaintiff was placed in leg irons by HCSD Deputy
Lewellen and taken to the 1301 facility clinic for Plaintiff to receive some missed medications. At the clinic Plaintiff complained to Defendant Dr. Mark Chassay, HCSD-MD, that his ankles and tendons were swollen from the medically restricted use of leg irons. Plaintiff requested Deputy Lewellen to ask Dr. Chassay to verify in Plaintiffs MR the 3/8/95 entry on the History & Physical Examination Record wherein Dr. Klein and Nurse O'Neall had given and signed written orders/instructions, in the comment section that the leg irons were not to be used on Plaintiff. Deputy Lewellen made the request and Dr. Chassay and defendent K. Howard, LVN and J.
Lewis, w.e. briefly and indifferently leafed through Plaintiffs MR and because of their negligence
and deliberate indifference overlooked the legitimate entry of Dr. Klein and Nurse O'Neall on 3/8/95. Dr. Chassay then implied to Deputy Lewellen that Plaintiff was trying to deceive the deputy. Plaintiff protested that he was telling the truth and had personally witnessed the written instructions of 3/8/95 and the signature on the record by both Dr. Klein and Nurse O'Neall. Evidence of the ongoing pattern and practice of deliberate indifference to Plaintiff is here demonstrated in that Dr. Chassay did not need the medical record to resolve the complaint. As a licensed physician his own authority allowed him to issue medical orders, restrictions,and issue a Special Needs Advisement. Dr. Chassay having Plaintiff physically present needed only to examine Plaintiffs ankles and thereby resolve the issue of accomodation of the orthopedic disability. In total apathy to Plaintiffs needs, Dr. Chassay without any examination whatsoever, instructed Deputy Lewellen that he was done interviewing Plaintiff. Deputy Lewellen returned the Plaintiff to cellblock 5B5 where he was continually subjected to the painful use of the still medically restricted use of leg irons for the next one-year and three months.
(B) On 5122/95, Plaintiff requested Deputy David Davis, HCSDClassification that the use of leg irons be discontinued. Plaintiff explained to Deputy Davis that the HCSD-MD had on 3/8/95 ordered that leg irons not be used but somehow that order had not made its way to the Jail Division Officials. Deputy Davis informed Plaintiff that he would talk with HCSD-MD personnel and to Sgt. T. Roshto, HCSD-JD, Fifth floor Supervisor to see if Sgt. Roshto would on his own initiate the discontinuance of the leg irons. Deputy Davis was
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unsuccessful and the use of leg irons was enforced against the medical orderlinstructions not to use them on the disabled Plaintiff.
4) The use of leg irons continued from 2122/95 thru 4/17/96 as demonstrated by two separate letters to U.S. Marshal AI Solis from Plaintiff's attorney Mr. Thomas Bevans and which are respectively dated 4/8196 (See 4/8/96 Bevans letter attached as Exhibit 73) and 4117/96 (See 4117/96 Bevans letter attached as Exhibit 74) each letter shows service copy to US. District Judge Ewing Werlein, Jr; Defendant Tommy Thomas, Sheriff Harris County; and the Plaintiff. The 4/8/96 letter enumerates Plaintiff's medical complications as: (a) diabetic condition-problem with feet; (b) walking with cane (while wearing leg irons); (c) problems with achilles tendon. The Bevans letter requests the accomodations that Plaintiff's feet not be shackled and that the attorney himself had visually observed that the disabled Plaintiff was compelled to wear the medically restriced leg irons.
5) The 4117/96 Bevans letter documents that the HCSD-JD had been deliberately indifferent to the medical need of the disabled Plaintiff, even after being put on notice by the 4/8/96 Bevans letter by continuing to cause Plaintiffs needless suffering and the wanton infliction of pain and the deliberate indifference and callous disregard of Defendant Sheriff Tommy Thomas to deprive Plaintiff of his civil rights. This insensibility of Sheriff Thomas and Defendant Major. KS. Berry, HCSD, and Defendant Major M.W. Quinn is exemplified in a 4115/96 letter from Major Berry to Me Bevans that shows service copy to Major Quinn and states that Berry's office will do an immediate review of Plaintiff's classification and medical needs. (See 4/15/96 Berry letter attached as Exhibit 75) The MR of Plaintiff shows he was not directly seen by a HCSD-MD physician from 3/19/96 to 6/4196. Plaintiff's MR validates that Sheriff Thomas, Major Berry and Major Quinn took no actions and completely ignored the Bevan's letters requests for accomodation and for medical attention of 4/8/96 and 4117/96.
6) A review of Plaintiff's MR and a comparison of HCSD-MD policy, procedure, programs or plan statements indicate the primary causative factor in the"state of confusion" concerning the use of leg irons is traced back to the initial History and Physical Examination of 3/8/95. Dr. Klein failed to "follow-up" on the written orderslinstructions under the comments section of the record by failing to take the next HCSD-MD procedural step of filling out and
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signing a form M-I72 "Special Needs Advisement". (See example advisement attached as Exhibit 57) The SNA was specifically created to serve the very need of physical relief that Plaintiff's condition required and which Dr. Klein and Nurse ONeall readily admitted Plaintiff needed. Said failure of Dr. Klein to follow-up with this accomodation was deliberately indifferent to Plaintiff's serious medical needs as a disabled person and which resulted in one-year and three-months of needless suffering, duress, pain and injury to Plaintiff by his being forced to wear the admittedly painful leg irons.
7) The foregoing failure by Dr. Klein is exacerbated in that Plaintiff did seek to redress to the inadequate medical care by writing an informal letter to Nurse O'Neall on 3/13/95. (See 3/13/95 letter attached as Exhibit 66) The letter stated the indifferent attitude of Dr. Chassay, Nurse Howard, and Ms. Lewis at the 3/12/95 interview. This letter, as an informal link in the administrative remedy process was placed in plantiff's MR and yet no SNA form was filled out concerning the leg irons for accomodation of Plaintiff's disabled condition. Plaintiffs written plea for medical assistance was deliberately ignored by the HCSD-MD personnel with their full knowledge that it would lead to needless suffering and the wanton infliction of pain to the disabled Plaintiff.
(J) The medically restricted use ofleg irons by the HCSD-JD from 3/8/95 to 6/4/96,
and for fear of further infliction of suffering, pain, and injury prevented the Plaintiff from attending the Inmate Law Library, Church, prayer groups, and recreational activities as afforded and provided to all other inmates housed in Administrative Segregation cellblock 5B5. Because of this ongoing pattern and practice of the arbitrary and capricious discrimination the Plaintiff was compelled not to attend any Law Library period or recreational activity during this 3/8/95 to 6/4/96 period of incarceration. The HC] Administrations physically forced this deprivation of Plaintiff's civil rights through physical duress of the Plaintiff that kept him continuously incarcerated twenty-four (24) hours a day for over a year period in Administrative Segregation with the exceptions of attorney visits, clinic appointments and court appearances he was compelled to attend. The mental duress, suffering, pain and injury to Plaintiff by the use of the medically restricted leg irons from 3/8/95 in the HCSD-JD was the proximate result of Defendants, T. Thomas, Berry, Quinn, Seale, Klein and Chassay's egregrious failure to take the
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necessary steps to adequately protect the disabled Plaintiff from discrimination due to his disability and from harm, suffering, pain, injury, or the reasonable fear thereof, after having been put on notice in writing by the Plaintiff in his MR and by Plaintiffs attorney's written notice that suffering, physical pain and injury was befalling the Plaintiff and their deliberate indifference to the serious medical needs, civil rights, and personal safety of the Plaintiff and was the direct result of a pattern and practice of not following up on written medical orders/instructions by incompetent medical personnel, the maintenance of inadequate HCSD-MD policies, procedures, programs or plans to ensure that medical orders/insturctions are followed up on by medical and security personnel. These described circumstances and conditions were deliberately and knowingly maintained by Defendants T. Thomas, Berry, Quinn, Seale, Klein and Chassay, and in total callous desregard of and deliberate indifference to the well being, personal safety, serious medical needs and rights of the disabled Plaintiff thereby subjecting him, or causing him to be subjected to the prohibition of the free exercise of religion and to the unnecessary and wanton infliction of pain that denied him due process, was cruel and unusual punishment and a denial of equal protection of the law that resulted in Plaintiff being in a debilitative physical state of health for fifteen (15) months and during which time Plaintiff was compelled to stand federal trial in Cause No. H-95-201 on November 29, 1995, in said state of health; and all of the foregoing in violation of Plaintiffs rights as delineated in the succeeding paragraphs.
(K) SEIZURE DISORDER - MEDICAL NEGLECT AND MEDICAL MALPRACTICE
On 2/22/9) Ms. C. Ware, LVN, placed a HCSD-MD Special Need Treatment Plan (SNTP) for a seizure disorder in the Plaintiffs MR. (See 2/22/95 SNTP attached as Exhibit 54) The SNTP lays out the medical criteria for the treament of inmate/patients who have seizure disorders such as Plaintiffs epilepsy. In these terms the SNTP states the HCSD-MD goals was to keep Plaintiff seizure free as possible through the medications Dilantin(phenytoin) and Phenobarbital, that the type and frequency of diagnostic testing would be blood tests every three (3) months to check the levels of DilantiniPhenobarbital, and that the frequency of follow up medical evaluations of every three (3) months to check the effectiveness of medications and
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possible adjustment to plans. The SNTP is clear and concise that the HCSD-MD knew the correct and prescribed procedure to treat Plaintiffs seizure disorder. In Plaintiffs case to reach the SNTP goal of keeping Plaintiff seizure free as possible there were in Plaintiffs case three separate and distinct steps for medical personnel to follow and that was medication; diagnostic testing; and the adjustment of treatment modality based on diagnostic testing of the seizure medications found to be in Plaintiffs blood.
(L) MEDICATION During Plaintiffs incarceration in the HC] as a disabled federal prisoner he sought every available avenue of administrative relief to his obtaining the proper doses of the prescribed seizure disorder medications Dilantin and Phenobarbital. Seizure disorder medications are considered "controlled medications" by the HCSD-MD and are dispensed by HCSD-MD nurses, commonly referred to as "Med Cart Nurses", on two regulated AM. and P.M. rounds to the cell blocks located on each of the inmate housing floors of the HCl The nurses have a rolling medical cart (med cart) that they bring from the 1301 facility clinic to the respective inmate housing floors. The cellblocks are broken into four (4) alphabetically designated quads A-D. Each quad is broken up into cellblocks numbered 1-6. On each cellblock and/or cell the respective location letters and numbers are printed in characters ten inches (10") tall and are clearly visible and easy to read. Once on the desired floor, in the correct quad, and at the right cellblock and cell the Med Cart Nurse then refers to a Medication Administration Record (MAR) that is set up by location and which has each individual inmates name, number, type drug to be dispensed and time to be dispensed. (See MAR example attached as Exhibits 33-47). The MAR is designed that it shows the chronological order of delivery of the controlled medications in the month, day and AM. and P.M. delivery schedules as prescribed by the HCSD-MD Physicians. Ifa particular dispensation of controlled medications is made to the respective inmate then the Med Cart Nurse places his/her initials in the corresponding box for date, day and AM. or P.M. delivery. If dispensation was not made then the nurse either initials the corresponding box and draws a circle around the initials, or writes "no" and/or leaves the box unmarked altogether. The MAR system is part of the HCSDMD policy, procedure, program or plan to track and monitor the dispensation of ordered prescription medications to inmates and also for use in keeping a record in the inmates MR of all
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previous months that controlled medications have been dispensed. The MAR also serves the HCSD-MD Physicians in ascertaining if his/her patients are receiving the proper amount of medications.
(M)
A review of the MAR in Plaintiffs MR reflect that from 02122/95 to 03/01196 Plaintiff did
not receive the prescribed seizure medication doses for approximately one hundred and eighty (180) of the total amount of doses ordered by the HCSD-MD Physicians. (See MAR attached as Exhibits 33-47.) The MAR was indicating the inconsistency in dispensation by the HCSD-MD Med Cart Nurses. The HCSD-MD Medical personnel were not doing the customary follow-up by reviewing what the MAR was clearly indicating to all the physicians and nurses who reviewed Plaintiffs MR. Plaintiff as previously noted in this complaint on the use of medically restricted leg irons, and for that reason at all times in this complaint, was easy to locate within the HC] 1301 Facility. The use of leg irons prohibited Plaintiff from attending all jail activities except for the compelled clinic and court appearances. Even for the compelled appearances the HCSD-MD policy, procedure, program and plans provided that Plaintiff was to receive the seizure disorder
medication. At no time during Plaintiffs incarceration from 2122/95 to 7112/96 is there a reason
or excuse why the HCSD-MD Med Cart Nurses to not have dispensed to Plaintiff the daily prescribed AM. and P.M. seizure disorder medications as provided under the SNTP for seizure disorders.
(N)
Pursuant to the SNTP the second distinct step for the HCSD-MD in the "short and long teIm goals" of keeping Plaintiff as seizure free as possible is the objective of the type and frequency of diagnostic testing to assure proper medication levels which is accomplished by blood tests of Plaintiff at intervals of three (3) months. In Plaintiffs particular case the drugs being tested for are Phenobarbital and Phenytoin (Dilantin). The blood test itself is a uniform procedure used in general medicine. A small amount of blood is drawn from Plaintiff and then tested for the Phenobarbital and Phenytoin (PIP) levels found in the sample. The tests are then reported in writing on a HCSD-MD Laboratory (lab) Results form under the Therapuetic Drugs column. The
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nm mal ranges are numerically 15-40 for Phenobarbital and 10-20 for Phenytoin and are printed

on the form near each respective drug. (See lab results attached as Exhibits 22-28) When lab

technicians get a test result the numerical value is written on the provided line for each respective

drug tested. Since the nOlmal value ranges are printed adjacent to each respective therapuetic

drug, the Lab Technician can tell at a glance whether the respective therapuetic drug level is low,

nOlmal, or high. Any value outside the nonnal range is commonly referred to as a "panic level"

and is supposed to draw the attention of the attending physician. By keeping the PIP levels in the

nomal ranges then would in effect meet the SNTP goals of helping to keep Plaintiff as seizure free

as possible.

(0) LAB RESULTS. 1) On 3/30/95, Lab Results #1571 and #1572 showed that

Plaintiffs PIP levels were low enough for HCSD-MD Medical Director Dr. Mike Seale to make

·'

the 3/31/95 notation on the Lab fOlIn that states, "Refer (Plaintiff) to M.D. (medical doctor)."

(See 3/30/95 Lab Results attached as Exhibit 22) Twelve (12) days later on 4/12/95, 1. Fryer,

W.e., set an appointment for Plaintiff for 4/19/95, per Dr. Seale's request and notes "(See Lab
•
Form)" as the reason for the appointment. (See 4112/95 MR entry attached as Exhibit 4) The

4119/95 M.D. appointment was not kept by the HCSD-MD. On 4114/95, Fryer set another

appointment in place of the foregoing for 4/21/95 and this M.D. appointment was also not kept by

the HCSD-MD, and in deliberate indifference to plainiffs serious medical needs, and in violation

of the HCSD-MD prescribed SNIP for seizure disorders, the HCSD-MD completely dropped any

further attempts at following-up on the Medical Directors orders to see that Plaintiff was

medically interviewed by a HCSD-MD Physician for the low PIP levels. 2) On 6/2/95, and over

two months after the first PIP levels, Lab Results #3128 and #3129 showed that Plaintiffs PIP

levels were still low enough for Dr. Seale to make the 6/7/95 notation on the Lab form, "refer to

M.D." (See 6/2/95 Lab Results attached as Exhibit 23) On 6/8/95, 1. Lewis, W.C., set an

appointment for Plaintiff to see an M.D. on 6/19/95. (See 6/8/95 MR entry attached as Exhibit 7)

The 6119/95 M.D. appointment was not kept by the HCSD-MD. On 6/13/95,1. Fryer, W.e. set

an appointment for Plaintiff to see an M.D. on 6/20/95 at the request of Dr. Seale and cites, "

(See Lab form)" as the reference for the M.D. appointment. (See 6113/95 MR entry attached as

Exhibit 8) The 6/20/95 M.D. appointment was not kept by the HCSD-MD in deliberate

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indifference to Plaintiffs serious medical needs and in violation of the HCSD-MD prescribed

SNTP for seizure disorders, the HCSD-MD completely dropped any further attempts to follow-

up on the Medical Director's second order to have Plaintiff seen by a doctor for the low PIP

levels. These Lab Results document that the HCSD-MD knew beyond a doubt that Plaintiffs

seizure disorder medication levels had been in the low panic range for nearly three months and yet

took no action to get Plaintiff to an M.D. 3) On 7/7/95, Lab Results #3128 and #3129 showed
•
that Plaintiffs PIP levels were still low enough for Dr. Seale to make the 7/11/95 notation on the

Lab Form, "Refer to M.D." (See 7/7/95 Lab Results attached as Exhibit 24) The Lab Form

shows a handwritten notation by R Washington, W.C, that an appointment had been scheduled

for Plaintiff for 7/18/95, but failed to enter the reason ofthe appointment into Plaintiffs MR

Eleven (11) days later on 7/18/95, Washington was unable to relate to the M.D. who saw Plaintiff

.'

what the appointment was originally scheduled for. Plaintiff at this time was not privileged to any

of his MR or Lab Results and so could not infonll the M.D. of why Dr. Seales wanted the doctor

to see the Plaintiff. There is no mention of the low PIP Lab Results documented in Plaintiffs MR
,
that date. (See 7/18/95 MR entry attached as Exhibit 9) On 10/27/95 Lab Results #4938 and

#4939 showed that Plaintiffs PIP levels were low enough for Dr. Seale to make the 10/30/95

notation on the Lab Form, "Refer to MD" (See 10127/95 Lab Results attached as Exhibit 25)

This is the fourth and last attempt by Medical Director Dr. Seale to have Plaintiff seen by a

HCSD-MD Physician for the low PIP levels, which have now been documented as low for

approximately eight (8) months. On 10/31/95,1. Fryer, W.C set an M.D. appointment for

Plaintiff at Dr. Seale's request for 1113/95. (See 1113/95 MR entry attached as Exhibit 12) On

11/3/95 1. Lewis, W.C documents calling the Fifth Floor of the HC] three (3) times to have

Plaintiff brought to the 1301 Facility Clinic, but the HCSD Deputies would not bring Plaintiff to

the clinic and so she reset the appointment to 1116/95. (See 1113/95 MR entry attached as Exhibit

12) 5) On 1116/95 after four (4) attempts in eight (8) months the Plaintiff was interviewed by

Defendant Dr. Luu for his low levels of the PIP seizure disorder medications. Plaintiff explained

to Dr. Luu that he was not being dispensed a large part of the seizure disorder medications by the

HCSD-MD Med Cart Nurses. Dr. Luu confirmed in the MAR that Plaintiff was telling the truth

by looking at only one (1) page of the MAR In an unethical attempt to breakthrough the

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incompetency of the Med Cart Nurses, Dr. Luu nearly doubled the doses of seizure disorder

medications. (See 1116/95 MR entry attached as Exhibit 12) On 1118/95 Dr. Luu ordered Lab

Results #5132 to ascertain the PIP levels of the "double dose treatment technique." (See 1118/95

Lab Results attached as Exhibit 26) Dr. Luu failed to take into consideration that at the time of

the 11/6/95 prescription that the HCSD-MD had a policy, procedure, program or plan that filled

"new" prescriptions after two (2) days. Thus the 12/8/95 Lab test came before the new double

dose prescription had started. Dr. Luu nor Dr. Seale made any notations on the Lab form

concerning the 11/8/95 Lab Results. 6) On 1110/96 Lab Results #184, #185 showed that

Plaintiffs PIP levels were low. Dr. Guice initials the Lab Results. (See 1/10/96 Lab Results

attached as Exhibit 27) Dr. Guice notes the levels in Plaintiffs MR and orders a repeat test. (See

1/19/96 MR entry attached as Exhibit 18) Plaintiff was not interviewed by Dr. Guice on this

.'

matter of the consistently low PIP levels of Plaintiff 7) On 1/30/96 Lab Results #540, #541

showed that Plaintiffs PIP levels were low and Dr. Guice initials the results but makes no entry

into the Plaintiffs MR concerning the test. (See 1130/96 Lab Results attached as Exhibit 28)

•

Plaintiffs MR documents seven (7) blood tests taken to detellnine the proper PIP levels and all

tests showed low results and outside the normal range. For approximately seven (7) months the

Plaintiffs MR reflects that Medical Director Dr. Seale was ordering M.D. appointments for

Plaintiffs serious medical condition. Through incompetence and negligence, the HCSD-MD

Medical personnel assigned this duty failed to make the follow-up on Dr. Seale's orders. This

deprivation of the doctor ordered appointments through deliberate indifference and callous

disregard brought about the continuing unnecessary suffering, wanton infliction of pain and injury

to Plaintiff through the continuing pattern and practice of the denial of adequate medical attention

of the HCSD-MD Med Cart Nurses not consistently dispensing the prescribed seizure disorder

medication. Had any of the many missed M.D. appointments been kept Plaintiffs deprivation of

the prescribed medication could have come to light and thus a remedy to the problem could have

been effected by the HCSD-MD.

(P) ADJUSTMENT OF MODALITY. The HCSD-MI) was not monitoring the

MAR nor following through with follow-up medical evaluations even when confronted with the

lab result of the Diagnostic Testing that indicated Plaintiffs blood levels of PIP to be in the low

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panic range for one year in Plaintiffs case and therefore there could not have been any

"Adjustment of Treatment Modality" by the HCSD-MD.

(Q) In all three major areas of the HCSD-MD SNTP for seizure disorders in Plaintiffs

instant case, the HCSD-MD failed through incompetence, negligence and deliberate indifference

to Plaintiffs serious medical needs to see that Plaintiff as a disabled person: (a) received the

proper amount of seizure disorder medication at the proper time; (b) that proper diagnostic

testing was performed on Plaintiff with the proper follow-up on any abnormal test results; and (c)

and to make the necessary adjustment in Plaintiffs treatment modality once the low blood test

results led to the conclusion that the HCSD-MD Med Cart Nurses were being derelict in their

official medical duties. Plaintiffs MR documents daily seizure activity. (See MR entries 4/3/95

attached as Exhibit 3; 6/9/95 attached as Exhibit 8; 2/8/96 attached as Exhibit 19) Daily seizure
.'
activity can be directly contributable to the HCSD-MD not following the HCSD-MD SNTP for

Seizure Disorders. The mental duress suffered and the physical pain and injury that has befallen

Plaintiff by the HCSD-MD's failure to follow the SNTP from 2122/95 to 7112/96, was the

•

proximate result of Defendants T. Thomas, Berry, Seale, Quinn, Trinh, Guice, Howard, Phi and

Luu's egregious failure to follow the implemented steps and safeguards as provided for in the

HCSD-MD SNTP for Seizure Disorders. This caused any and all excessive amounts of seizure

activity for over one (1) year in the HCJ and was the proximate result of Defendant's T. Thomas,

Berry, Seale, Quinn, Trinh, Guice, Phi and Luu's deliberate indifference to the serious medical

needs of the Plaintiff amounting to the infliction of unnecessary pain and and suffereing that

denied him due process, was cruel and unusual punishment and a denial of equal protection of the

law that resulted in Plaintiff being in diminished mental and debilitative physical states of health

for over one (1) year and during which time Plaintiff was compelled to stand federal trial in Cause

No. H-95-201 on November 29, 1995, in said states of health; and all of the foregoing in violation

of Plaintiffs federally protected rights as delineated in the succeeding paragraphs.

(R) HERPES MISDIAGNOSISIDIABETES DIAGNOSIS 1) On 2/22/95 when

the Plaintiff was admitted to the HCJ he was initially interviewed by the HCSD-MD and referred

to the LBJGH Urology Staff for Dysuria, Renal Calculi, and complaints of extreme back pain in

Plaintiffs mid-back radiating to the groin. (See 2/22/95 MR entries attached as Exhibits 1,50,51)

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After a deliberately indifferent interview by the LBIGH Urology Staff, Plaintiff was returned to

the HCSD-MD, where complaints of physical pain and discomfort were treated with deliberate

indifference. He was medically cleared to be indifferently housed by HCSD-JD Classification

Section Deputies in Administrative cellblock 5B5-09. 2) On 3/8/95 the two-week physical

examination was performed on Plaintiff and because Plaintiff had lost a large part of his vision, it

is noted on the History and Examination Record that Plaintiff was having trouble with his vision

and needed to see an Optometrist. (See 3/8/95 History attached as Exhibit 56) 3) The 3/30/95

Plaintiff's MR described that Plaintiff had sores and a skin rash that would not heal. (See 3/30/95

MR entry attached as Exhibit 2) It was also stated by Plaintiff that he was still having trouble

with his vision this date. 4) The 4/3/95 Plaintiff's MR describes sores that won't heal; muscle

aches; and chronic kidney stones. Dr. Guice, from a mere visual observation, diagnosed the

"

unhealing open sores as "Herpes." Dr. Guice writes some prescriptions and ends the interview

with no other follow-up orders for diagnostic testing to verify if the sores/rash was in fact Herpes.

(See 4/3/95 MR entry attached as Exhibit 3) 5) The 4114/95 Plaintiff's MR describes: "herpes
•
getting worse; states sores worse and dysuria." Dr. Trinh notes: "Here for gentiallesions,

treated for herpes" and offers the second opinion based solely on visual observation, that the

condition is a "probable chancroid." Dr. Trinh orders some medications and ends the interview

with no follow-up orders for diagnostic testing to determine what these sores/rash of nearly a two

(2) month duration are. (See 4114/95 MR entry attached as Exhibit 5) The 4/19/95 Plaintiff's MR

describes: "Groin lesion appears unchanged." Dr. Guice orders some medications but makes no

other follow-up orders for diagnostic tests to detellnine what these sores/rash of two (2) months

are (See 4119/95 MR entry attached as Exhibit 6) 6) On or about 8115/95, Reverend Ronald

Cloutier, HCSD Catholic Chaplain made his first attempt to obtain adequate medical attention for

the Plaintiff with the HCSD-MD, due to the overall appearance ofPlaintiff with sores that would

not heal and a physical state that was indicative of declining health. The HCSD-MD did not heed

his request for Plaintiffs MR is silent to any action taken on behalf of Plaintiff by the HCSD-MD'

that date. 7) The 8/28/95 Plaintiffs MR describes: "Swollen glands; states he has swollen

glands for months; painful urination; left side of testicles swollen, reddish." The doctor notes:

"swelling; dysuria" and orders some medications but makes no other follow-up orders for

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. .

diagnostic testing to deteIlnine the cause of the swollen glands, sores and dysuria, which has now

been documented in the Plaintiffs MR for over half a year. (See 8/28/95 MR entry attached as

Exhibit 10) The 9/26/95 Plaintiffs MR describes: "swollen testicles; open sores on scrotal sac;

also nm. (numerous) open sores" and makes a third guess diagnosis that this condition is

"epididimitis." The doctor prescribes some medications but makes no follow-up orders for

diagnostic tests to determine what is causing the eight (8) month long condition of open sores that

will not heal. (See 9/26/95 MR entry attached as Exhibit 11) 8) On or about 10/02/95, Rev.

Ronald Cloutier made a second attempt to obtain treatment for Plaintiffs debilitated condition of

open sores; loss of vision and other symptoms that needed immediate medical attention from the

HCSD-MD. Rev. Cloutier was unsuccessful in getting the HCSD-MD to treat Plaintiffs serious

medical needs, for Plaintiffs MR is silent this date to any medical help being forthcoming to the

"

Plaintiff from the HCSD-MD that month. 9) The 11127/95 Plaintiffs MR describes: "Kidney

pain" which led to the 12/05/95 appointment with Dr. Guice who describes in Plaintiffs MR.:

"Kidney pain; kidney stones; overweight" and orders some medications and for the first time in

,

•

nine months of complaints, orders a common urine test. (See 11127/95 and 12/5/95 MR entries

attached as Exhibit 14) The Plaintiffs MR indicates the Urine Test Results were returned to Dr.

Guice on 12/7/95 with the glucose at 336, when the normal range was 60-110. (See 12/7/95 Lab

Results attached as Exhibit 29) 10) The 12/7/95 Plaintiffs MR describes that Plaintiff was

brought to the 1301 Facility Clinic based on the discovery of the high glucose level. Dr. Guice

then had a common glucose test of a "finger stick" performed on Plaintiff which showed a high of

380 which is nearly three (3) times the normal level. Dr. Guice then told Plaintiff he was a

diabetic and ordered some medications, other follow-up tests and a diabetic diet for Plaintiff (See

12/7/95 MR entry attached as Exhibits 15,16) Subsequent treatment with diabetic medications

resulted in the sores on Plaintiffs body disappearing, his glands became unswollen, part of his

vision returned, the thirst for liquids and dysuria came under better control.

(S) TREATMENT OF DIABETES 1) On 12/7/95, Dr. Guice infonned Plaintiff that

the HCSD-MD would perform regular glucose testing on Plaintiff to monitor glucose levels in the

Plaintiffs blood. From 12/7/95 to 7112/96 only two such tests were performed. (See 12/8/95

glucose test attached as Exhibit 30 and 1/6/96 glucose test attached as Exhibit 31) 2) Dr. Guice

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also informed Plaintiff that the HCSD- MD would see that Plaintiff was placed on a diabetic diet.

On 12/19/95 Plaintiffs MR describes an interview with Ms. C. Nichols, RD.lLD. wherin Plaintiff

was placed on a diabetic diet. (See 12119/95 MR entry attached as Exhibits 16,17) From

12119/95 to 7/12/96 Plaintiffs diabetic diet was sporadically delivered to Administrative

Segregation cellblock 5B5-0 1. Plaintiff was compelled by HC SD Deputies to accept a regular

main line diet when his diabetic diet· was not forthcoming to the fifth floor of the HC] 1301

Facility. On 3120/96 Plaintiff wrote a letter to Ms. Nichols seeking administrative reliefin

obtaining his ordered diabetic diet. There was no response to Plaintiff from Ms. Nichols office.

3) Plaintiffs attorney, Mr. Thomas Bevans, directed a 4117/96 letter to US. Marshal, AI Solis

with service copy to Sheriff Thomrny Thomas. This letter addressed the overall continuing decline

of Plaintiffs general health but was never answered by the HCSD-Administration. (See 4117/96

Bevans letter attached as Exhibit 74) 4) On 6/4/96, in an interview at the 1301 Facility Clinic,

Plaintiff stated to Medical Director, Dr. Mike Seale since the diagnosis of diabetes on 217/95 that

subsequently a medically needed diabetic diet had been ordered but the full benefits of the diet had

•

not been realized, as often diet trays were not delivered and/or scheduled sandwiches and milk

were stolen by inmate floor workers and that the HCSD Deputies of the fifth floor of the HC]

1301 Facility were apathetic and did not intervene in such thefts or provide proper supervision

over meal distribution to the inmates housed in Administrative Segregation cellblock 5B5-01. Dr.

Seale asked Plaintiff had a grievance been filed in the matter and Plaintiff produced the 3/20/96

letter directed to Ms. C. Nichols, RD.IL.D. and which was referenced "Dietary needs not being

met by HCSD." Dr. Seale said that the Nichols letter (written two months prior) had as yet

crossed his desk. Dr. Seale suggested to Plaintiff to file a grievance on the matter for the

preparation and delivery of diets was beyond his controL

(T) The causative factors in Plaintiffs misdiagnosis of Herpes and the resultant

suffering with uncontrolled diabetes for over nine (9) months are 1) The failure of the HCSD-MD

to set and keep scheduled medical doctor appointments with Plaintiff; 2) The failure of the

HCSD-MD to follow policy, program, procedure or plans in the treatment of open wounds and

sores that will not heal as was in Plaintiffs case; 3) The failure of the HCSD-MD physicians of

upon seeing the open soreslrash that would not heal that was accompanied by chronic swollen

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glands to order diagnostic testing or to have referred Plaintiff to a hospital in the HCHI) to determine the cause of these symptoms; 4) The failure of the HCSD-MD physicians to order any follow-up treatment for Plaintiff's disease of a nine (9) month duration, such as appointments to see if the chronic condition had come under control due to the effectiveness of their last medical orders and respective treatment plans; 5) The failure of the HCSD-MD physicians to adequately read Plaintiff's MR and note that the unhealed open sores had plagued Plaintiff for months and had been visually misdiagnosed three separate times (Herpes, Chancroids, Epiditimitis) and to thereby have ordered lab tests in a timely manner; 6) The failure of the HCSD-MD physicians,
•
due to all the foregoing, to properly diagnose one of the most common diseases of diabetes, especially in the light of all the symptoms that were readily present and visible in Plaintiff's case, i.e, dysuria, excessive thirst, unhealed sores, and loss of vision; 7) The failure of Lyndon B.
• •
Johnson General Hospital to have given adequate medical attention to Plaintiff on 2/22/95 and the failure to have ordered follow-up appointments for examinations and tests as the Plaintiff had a readily indentifiable medical history of genitourinary and thyroid problems prior to 2/22/95.
(U) This inadequate medical treatment by Defendants T. Thomas, Berry, Seale, Quinn, Trinh, Chassay, Guice, Howard, Phi, Luu, and Wilson has resulted in that Plaintiff suffered mentally for nine (9) months thinking he had contracted an incurable social disease; and suffered the physical loss of vision and the painful covering of sores and the internal discomfort of swollen glands and organs for months due to the extensively long period of time that Plaintiff endured the uncontrolled disease of diabetes and as a result his vision did not completely return to normal and Plaintiff now walks with a cane due to poor circulation and resultant numbness to the lower legs. All of this pain, suffering and injury was the proximate result of Defendants T. Thomas, Berry, Seale, Quinn, Trinh, Chassay, Guice, Howard, Phi, Luu and Wilson's deliberate indifference to the serioius medical needs of the Plaintiff that denied him due process, was cruel and unusual punishment and a denial of equal protection of the law that resulted in Plaintiff being in diminished mental and debilitative states of health for over nine (9) months and during which time Plaintiff . was compelled to stand federal trial in Cause No. H-95-201 on November 29, 1995, in said states of health; and all of the foregoing in violation of Plaintiff's federally protected rights delineated in the succeeding paragraphs.
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(V) ADMINISTRATIVE REMEDY - MEDICATIONS AND MEDICAL

ATTENTION

Plaintiff, with the disability as a life long epileptic, was aware that the needed medications

were not being properly dispensed to him by the HCSD-MD Med Cart Nurses. The Defendants

documented into Plaintiff's MR a year long effort by the Plaintiff to verbally, through letters,

family phone calls, personal intervention by a HCSD Catholic Chaplain, and by grievance

procedures to seek from the HCSD both informal and formal administrative remedy and relief in

efforts to obtain adequate medical care and specifically the serious medical need of receiving the

much needed epilepsy medications as an accomodation to his disability at the proper time each

day. These informal and fOllnal attempts by the Plaintiff and others acting on his behalf are as

follows: 1) On 3/12/95 Plaintiff was taken to the 1301 Facility Clinic where he informed Dr.

Chassay that in the first twenty (20) days of incarceration in the HC} that he had not been

dispensed twenty-two separate AM and P.M. doses of epilepsy medication by the Med Cart

Nurses. (See 2/22/95 MAR attached as Exhibit 33) Dr. Chassay ordered a double dose (600mg.)

•

ofDilantin be given to Plaintiff for a makeup remedy. (See 3/12/95 MR entry attached as Exhibit

2) Though the MAR substantuated Plaintiffs complaint of the twenty-two (22) missing doses, Dr.

Chassay made no note in the MR, was not concerned about the potentially dangerous situation

and with deliberate indifference to Plaintiffs serious medical needs, returned Plaintiff to

Administrative Segregation Cellblock 5B5. 2) On 4/3/95 Plaintiff was taken to the 1301 Facility

Clinic where he infOlmed Dr. M. Guice that he had missed a lot of his epilepsy medication. Dr.

Guice documented in the record "... 8-9 day of meds x = 30 days." (See 4/3/95 MR entry attached

as Exhibit 3) Dr. Guice had Plaintiffs MR before him and should have looked at the MAR of

2/22/95 (Exhibit 33) and he would have realized that in the first twenty-eight (28) days of the

SNTP for Seizure Disorders that Plaintiff had not been dispensed thirty-four (34) separate doses

of the A.M. and P.M. Seizure Disorder Medications by the Med Cart Nurses. Dr. Guice noted 8-9

days had been missed and then made no further entry into Plaintiffs MR about medical concerns .

to this deliberate indifference by the Med Cart Nurses to dispense prescribed Seizure Disorder

Medications correctly. 3) On 6/1/95 and 6/13/95 Plaintiff complained to Nurse O'Quinn that he

was not getting his Seizure Medications as ordered. (See Daily Segregation Rounds Record

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attached as Exhibit 48) Plaintiff had been in the HC] approzimately one-hundred and eleven (111)

days and the MAR for this period showed the nurses had failed to dispense to Plaintiff sixty (60)

separate doses of the prescribed Seizure Disorder Medications. On 6/14/95 Nurse K. Howard,

L VN, responding to Plaintiffs complaint to Nurse O'Quinn of 6/13/95 deliberately made a false

entry into Plaintiffs MR that date that stated" Pt (patient) has received all doses of this med

(medication)." It is clear that Nurse Howard was basing such a conclusion of the review of the

MAR in Plaintiffs MR which indicated that there were sixty (60) of the missed doses of Seizure

medication. (See 6/14/95 MR entry attached as Exhibit 9 and compare to MAR attached as

Exhibits 33-38) Plaintiffs MR demonstrates that it is this same Nurse Howard that documented

the 3/12/95 interview with Dr. Chassay (Exhibit 2). The interview where the "double dose" of

Seizure Medications were given to Plaintiff to make up for the twenty-two (22) doses that were
.'
missed in the first twenty (20) days of incarceration. Nurse Howard's own documentation into the

record of the 3/12/95 interview states awareness and knowledege of Plaintiffs problem in not

receiving the proper amount of doses of seizure medication. The 6/14/95 entry signals an "at all

•

cost" conspiracy to cover up any wrong doing or medical neglect by the HCSD-MD in the

previous months. 4) On 6/8/95 and between the two complaints ofPlaintiff to Nurse O'Quinn of

6/1/95 and 6/8/95, Plaintiff was interviewed by Nurse K. Howard wherein it was documented into

the Plaintiffs MR that "meds (medications) being missed by Med Cart Nurse "and" missed meds

medications." (See 6/8/95 MR entry attached as Exhibit 7) Nurse Howard felt on 6/8/95 that the

problem was serious enough to warrant Plaintiff seeing a Medical Doctor and so requested in the

6/8/95 entry. Six (6) days later this is the same Nurse Howard who stated in Plaintiffs MR in

reply to Plaintiffs complaints that "patient has received all doses of this medication." 5) On

6/9/95 Plaintiffs MR reflects he had a seizure and was carried by stretcher to the 1301 Facility

Clinic where he was seen by W. Nelson, L VN. Nurse Nelson documented into the MR that

Plaintiff was having seizure activity in Administrative Segregation due to not getting the

prescribed Seizure Disorder Medications. Nurse Nelson referred Plaintiff to Defendant Dr. A. Phi

to whom Plaintiff repeated the same complaint about not receiving all the epilepsy medications in

a routine manner by the Med Cart Nurses. Dr. Phi stated that this was something he could not

control and he sent Plaintiff back to Administrative Segregation without making any references to

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the source of the complaint. Dr. Phi's entry into Plaintiffs MR is directly below Nurse Nelson's

entry on the same page yet Dr. Phi's entry is void of any comment of the possible wrongdoing of

the other HCSD-MD personnel. (See 6/9/95 MR entry attached as Exhibit 8) 6) On or about

8/15/95 Reverend Ronald Cloutier, HCSD Catholic Chaplain, and due to the overall appearance

of Plaintiff that was indicative of declining health, personally interceded with the HCSD-MD to

obtain adequate medical attention for the Plaintiff HCSD-MD personnel did not heed his request,

for Plaintiffs MR is silent as to any action taken on behalf of Plaintiff by the HCSD-MD this date.

The MAR of Plaintiffs MR reflects on this date that Plaintiff had been deprived of ninety-six (96)

separate doses of his ordered seizure medication by the HCSD-MD Med Cart Nurses. 7) On

8/23/95 Plaintiff sent a letter to the HCSD-MD Hospital Administrator that stated" ... sent multiple

requests... " some of which concerned his seizure disorder medications not being properly

.'

dispensed by the HCSD-MD nurses and" I have become increasingly ill while your department

has been indifferent to my valid needs." Plaintiff at the time of this letter was being made to wear

the medically restricted leg irons that had a crippling effect, was stilI untreated for the original

•

kidney complaint, had been deprived of ninety - six (96) doses of epilepsy medications in a six

month period, was covered in open sores that would not heal, and looked so physically

deteriorated that a Catholic Chaplain was alarmed enough to make a personal trip to the 1301

Facility Clinic on Plaintiff's behalf to obtain adequate medical attention for his serious medical

needs. All of which caused Plaintiff to write his first letter for assistance to the Hospital

Administrator (Defendant Major M. W. Quinn). Plaintiffs letter was not answered by the Hospital

Administrator. There is evidence that the 8/23/95 letter invoked the concern of Mr. John

Goodejohn who answers grievances for the HCSD-MD Administration. 8) On 8/25/95 Mr.

Goodejohn filled out a "Complaint Reply Form" (CRF) and placed it in Plaintiffs MR without

giving Plaintiff a copy. (See 8/25/95 CRF attached as Exhibit 68) The CRF blatantly falsified the

facts of Plaintiffs treatment by stating "Inmate has received care consistent to special needs

treatment plan for seizure disorder... " signed by Mr. Goodejohn and most condemnably of all by

HCSD-MD Medical Director Mike Seale who noted "Reviewed; agree with above" who also

signed the CRF. On the date of Dr. Seale's agreement with Mr. Goodejohn that the SNTP for

Plaintiffs seizure order had been met the Plaintiffs MAR in their respective possession for review

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indicated there had been one-hundred (l00) missed seizure medication dispensations in Plaintiff's

case in one-hundred and eighty-three (183) days of incarceration. 9) On 9/20/95 Plaintiff having
not received adequate medical attention by the HCSD-MD wrote a letter to u.s. Marshall Ray

Bright which was made part of Plaintiffs MR. (See 9120/95 Bright letter attached as Exhibit 69)

The letter stated the ongoing pattern and practice of deliberate indifference to the serious medical

need of Plaintiff and listed that Plairitiffhad written seven (7) Inmate Requests and three (3)

grievance letters to the HCSD-MD in the seven (7) months of his incarceration (2/22/95-9/20/95)

and as to that date had not received adequate medical attention from the Defendant's. 10) On or

about 10/2/95 Rev. Ron Cloutier, HCSD Catholic Chaplain made a second attempt to obtain

adequate medical care, for Plaintiffs physical condition was visually growing worse. As with the

first attempt on 8115/95, he again failed to obtain the needed medical care for Plaintiffs serious

medical needs from the HCSD-MD. 11) On 11/6/95, Plaintiff was taken to the 1301 Facility

Clinic to be interviewed by Defendant Dr. Luu. Plaintiff had been called by Dr. Luu in reference

to a lab test that showed Plaintiffs blood to have low levels of the needed Seizure Disorder

•

medications Dilatin (phenytoin) and Phenobarbital. (See 10/27/95 Lab results attached as Exhibit

25) Plaintiff referred Dr. Luu to the MAR sheets in his MR that on that date indicated one-

hundred and twenty-two (122) missed doses of these prescribed medications. (See MAR attached

as Exhibit 33-43) Dr. Luu reviewed the MAR and then noted in Plaintiffs MR that his "review

(ot) records pt. (patient) missed his med. (medications)." Dr. Luu stated to Plaintiff that he could

not make the HCSD-MD nurses consistently deliver Plaintiffs medications because this was an

area out of his control. In a dangerous and highly illegal and unethical patchwork medical

treatment plan, Dr. Luu said that the only medical procedure he could utilize to overcome the

negligent and incompetent Med Cart Nurses not consistently dispensing AM. and P.M. seizure

disorder medications was to double the daily doses and perhaps the extra over-medication process

would make up for the missed medications. Dr. Luu then doubled the Phenobarbital to an AM.

and P.M. delivery and added and extra 200mg. ofDilantin in the P.M. to the existing 300mg.

A.M. dosage. (See 11/6/95 MR entry attached as Exhibit 12) This practice was extremely

dangerous for the Plaintiff then found himself at times overmedicated. Ovennedication can, like

undellnedication, trigger seizure activity. With Dr. Luu's unethical treatment plan, Plaintiff found

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himself on a "Roller-coaster ride" of under, nonnaI, and ovennedicated days that lasted from

11/6/95 to 7/12/96. 12) On or about 12/1195, Plaintiff having been denied medical treatment by

having missed six (6) doctors appointments at the HCSD-MD 1301 Facility Clinic (See medical

records entries at: 4/12/95 attached as Exhibit 4; 4/14/95 attached as Exhibit 5; 6/19/95 attached

as Exhibit 7; 6120/95 attached as Exhibit 8; 1113/95 attached as Exhibit 12; 12/01195 attached as

Exhibit 13) through incompetent scheduling and follow-up by HCSD-MD personnel then filed

grievance #95-1083 against 1. Lewis, W.e. (ward clerk), HCSD-MD, who in the presence of

Plaintiff deliberately cancelled the 12/01195 scheduled doctor's appointment and then misled the

Plaintiff by saying that she would recall him to the 1301 Facility Clinic later that date to see the

doctor. The recall appointment was not forthcoming and this was a deliberate pattern and

practice of the HCSD MD of denying Plaintiff adequate medical care as demonstrated by the five

.'

(5) previous recall appointments of 4112/95 thru 11103/95 that also were not forthcoming as is

documented in Plaintiffs MR. 13) On 3113/96, U.S. Marshall Lisa Griffis sent a fax of a

Government Memorandum to Major M. W. Quinn and Linda Parker, HCSD-MD, requesting them

•

to look into complaints concerning Plaintiffs medications. (See 3/13/96 memorandum attached as

Exhibit 70) Six (6) days later on 3/19/96 Plaintiff was seen by Dr. Guice who makes no entry in

Plaintiffs MR about missed seizure disorder medications. (See 3/19/96 MR entry attached as

Exhibit 21) The MAR in Plaintiffs MR indicated that one-hundred and eighty (180) separate

doses of seizure disorder medications had been missed by the Med Cart Nurses in approximately

one year. 14) On 4/15/96, in answer to Plaintiffs attorney's letter of 4/08/96, Major K. W. Berry

directed a letter to Plaintiffs attorney that stated " This office will have an immediate

review.... medical needs.... if there is a need ... make special arrangements.....due to medical

reasons." (See 4/15/96 Berry letter attached as Exhibit 75) Service copy was sent to Major M. W.

Quinn-Hospital Administrator, HCSD-MD. The Plaintitrs MR demonstrates the ill will and

deliberate indifference of Berry and Quinn had towards the disabled Plaintiff and his serious

medical needs in this systematic, arbitrary and capricious denial of medical attention, in that the

next entry in Plaintiffs MR is 5/24/96, and that for a blood test wherein he did not see a HCSD-

MD Physician. Had Major Berry or Major Quinn reviewed Plaintitrs MR on 4/15/96, as the

Berry letter suggests, they would have found that the disabled Plaintiff was being made to wear

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the medically restricted leg irons, that a number of M.D. appointments had been scheduled and

not kept, and that the MAR indicated over one-hundred and eighty (180) missed doses of seizure

disorder medication in Plaintiffs case. 15) On 4/17/96, Plaintiffs attorney sent a second letter to

US. Marshal, Al Solis in support of his first letter of 4/08/95 citing Plaintiffs declining health and

his epileptic condition. (See 4/8/96 and 4117/96 Bevans letters attached as Exhibits 73,74)

Neither the US. Marshal's service nor the HCSD gave any kind of response of relief to Plaintiffs

serious medical needs as a disabled person. 16) On 6/4/96, Plaintiff was taken to the l301 Facility

Clinic wherein the Plaintiff spoke at two separate interviews with Defendants Dr. M. Seale and

Dr. A Phi, concerning his low blood levels of Phenobarbital and Phenytoin. At each interview the

Plaintiff showed both doctors in the MAR that he had missed about ninety (90) days and one-

hundred and eighty (180) doses of the seizure medications and not being able to consistently

• •

receive the seizure medications prescribed pursuant to the SNTP on seizure disorders was the

probable cause for the blood tests to regularly show low levels of these medications. Dr. Seale nor

Dr. Phi made any suggestions or offered any remedies how this medical problem of not receiving

•

the prescribed seizure medications from the Med Cart Nurses could be solved. (See 6/4/96

affidavit attached as Exhibit 76) 17) The foregoing sixteen (16) references portray Plaintiff, and

others acting on the behalf of Plaintiff, making persistent and reasonable efforts to obtain his

needed seizure disorder medication for sixteen (16) months. It is remarkable that the Defendants

themselves documented into Plaintiffs MR. eleven (11) entries pertaining to where Plaintiff either

spoke with HCSD-MD doctors and nurses; wrote letters; had administrative replies placed in the

MR.; or U S. Marshal's sent fax messages. Outside the .MR is Plaintiffs grievance #95-1083 and

Plaintiffs attorney's two letters of 4/8/96 and 4117/96 and the two personal attempts by Fr. Ron

Cloutier. All these concerted efforts to break through the medical neglect and deliberate

indifference to the serious medical needs of the Plaintiff by the HCSD-MD that resulted in the

suffering and wanton infliction of pain and callous disregard for the health and well being of the

Plaintiff.

v.
LEGAL CLAIMS
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(A) The facts related above disclose a concerted and systematic effort by the Defendants and their agents to deprive Plaintiff of constitutionally guaranteed rights, privileges and immunities, including, but not limited to, those enumerated in the succeeding paragraphs;

VI.

FIRST CAUSE OF ACTION·

(A) The Defendants T. Thomas, Berry and M. Thomas, and each of them, breached

their legal duty, under color oflaw, that is owed to the Plaintiff, a disabled person, by unqualified

and incompetent security personnel being allowed to work in the HCSD Classification Section

and by the maintaining of inadequate security measures and prodecures to ensure that proper

Classification and Medical Screening policy is followed in the intake process on new prisoners to
•
the HCSD Jail Division, thereby subjecting Plaintiff, or causing him to be subjected to an unfit and

dangerous living environment and conditions of confinement for seventeen (17) months in

deliberate indifference to Plaintiffs serious medical needs as a disabled person in that the

•

Defendants classified Plaintiff into Administrative Detention and made no accomodations for

Plaintiffs mental and physical disabilities such as classification of Plaintiff to a hospital section

and/or medical cellblock of the HCSD Jail Division. This deliberate indifference in the

classification of the Plaintiff caused him needless mental duress, suffering, physical illness and

wanton infliction of pain and injury in not being seen by proper mental health personnel, and

resulted in extended and untreated depression; and by not being housed in a hospital section or

medical cellblock having then to suffer excessive seizure activity; and the further denial of due

process rights and discrimination against a disabled person by Plaintiff being compelled to stand

criminal trial in the case styled, the United States vs. Robert Arthur Hall, Cause No. H-95-201, on

November 29, 1995, in the Honorable Ewing Werlein's Federal District Court of the Southern

District of Texas, while Plaintiff was in this diminished mental and debilitative state, in violation of

his rights secured by the Fifth, Sixth, Eighth and Fourteenth Amendments to the United States

Constitution, 42 United States Code, Section 1983 and 42 United States Code, Section 12132.

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VII

SECOND CAUSE OF ACTION

(B) The Defendant's, T. Thomas, Berry, Seale, Quinn, Trinh, Guice, Phi, Luu, and

Wilson, and each of them, breached their legal duty, under color oflaw, owed the Plaintiff, a

disabled peson, by deliberate indifference to his serious medical needs by subjecting Plaintiff, or

causing him to be subjected to, needless mental duress, suffering, physical illness and wanton

infliction of pain and injury by not adequately treating Plaintiffs chronic kidney disorder for

seventeen (17) months which resulted in a critical diminishment of Plaintiff's overall physical and

mental health amounting to a denial of equal protectio of the law and the further denial of due

process rights and discrimination against a disabled person by Plaintiff being compelled to stand

criminal trial in the case styled, the United States vs. Robert Arthur Hall, Cause No. H-95-201, on
•
November 29, 1995, in the Honorable Ewing Werlein's Federal District Court of the Southern

District of Texas, while Plaintiff was in this diminished mental and debilitative state, in violation of

his rights secured by the Fifth, Sixth, Eighth and Fourteenth Amendments to the United States

•

Constitution, 42 United States Code, Section 1983 and 42 United States Code, Section 12132.

VIII THIRD CAUSE OF ACTION
(C) The Defendants, T. Thomas, Berry, Quinn, Seale, Trinh, Chassay, Guice, Howard, Phi and Luu, and each of them, breached their legal duty, under color of law, owed to Plaintiff, a disabled person, by deliberate indifference to his serious medical needs by subjecting Plaintiff, or causing him to be subjected to, needless mental duress, suffering, physical illness and wanton infliction of pain and injury by compelling Plaintiff to wear leg irons for fifteen (15) months and that said use of leg irons had been medically restricted due to Plaintiffs orthopedic disability. The use of leg irons by the Defendants prevented Plaintiff from the free exercise of his religion in not being able to attand religious services and the exercise of his due process rights in having meaningful access to the courts by not being able to atend law library periods and by further denial of due process rights and discrimination against a disabled person by Plaintiff being compelled to stand criminal trial in the case styled, the United States vs. Robert Arthur Hall,
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Cause No. H-95-201, on November 29, 1995, in the Honorable Ewing Werlein's Federal District

Court of the Southern District of Texas, while wearing the medically restricted leg irons in

violation of Plaintiffs rights secured under the First, Fifth, Sixth and Fourteenth Amendments to

the United States Constitution, 42 United States Code, Section 1983 and 42 United States Code,

Section 1213 2.

IX

FOURTH CAUSE OF ACTION

(D) The Defendants, T. Thomas, Berry, Quinn, Seale, Trinh, Chassay, Guice, Howard,

Phi and Luu, and each of them, breached their legal duty, under color oflaw, owed to Plaintiff, a

disabled person, by deliberate indifference to his serious medical needs by subjecting Plaintiff, or

causing him to be subjected to, needless mental duress, suffering, physical illness and wanton

•

infliction of pain and injury by not adequately following the established HCSD-MD Special Needs

Treatment Plan for Seizure Disorders for seventeen (17) months which resulted in excessive

seizure activity that the Plaintiff as a disabled person was forced to endure and which kept the

•

Plaintiff in a disoriented, lethargic and depressed state during said seventeen months amounting to

a denial of due process rights, cruel and unusual punishment, and equal protection of the law and

the further denial of due process rights and discrimination of a disabled person by Plaintitfbeing

compelled to stand trial in the case styled, the United States vs. Robert Arthur Hall, Cause No. H-

95-201, on November 29, 1995, in the Honorable Ewing Werlein's Federal District Court of the

Southern District of Texas, while Plaintitfwas in this diminished mental and debilitative state, in

violation of his rights secured by the Fifth, Sixth, Eighth and Fourteenth Amendments to the

United States Constitution, 42 United States Code, Section 1983 and 42 United States Code,

Section 12132.

X FIFTH CAUSE OF ACTION (E) The Defendants, T. Thomas, Berry, Seale, Quinn, Trinh, Chassay, Guice, Howard, Phi, Luu and Wilson, and each of them, breached their legal duty, under color oflaw, owed to Plaintiff, a disabled person, by deliberate indifference to his serious medical needs by subjecting
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Plaintiff, or causing him to be subjected to, needless mental duress, suffering, physical illness and

wanton infliction of pain and injury by not rendering adequate medical treatment including

diagnosing and performing follow-up diagnostic tests to correctly identify Plaintiffs out of control

diabetes, which resulted in the partial loss of vision, having to use a cane when he walks and being

kept in a diminished mental and physical state for ten (10) months amounting to a denial of due

process rights, cruel and unusual punishment, and a denial of equal protection of the law and the

further denial of due process rights and discrimination against a disabled person by Plaintiff being

compelled to stand trial in the case styled, the United States vs. Robert Arthur Hall, Cause No. H-

95-201, on November 29, 1995, in the Honorable Ewing Werlein's Federal District Court of the

Southern District of Texas, while Plaintiff was in this diminished mental and debilitative state, in

violation of his rights secured by the Fifth, Sixth, Eighth and Fourteenth Amendments to the

• •

United States Constitution, 42 United States Code, Section 1983 and 42 United States Code,

Section 12132.

•

XI

RELIEF

WHEREFORE, Plaintiff prays that this Court enter a judgment granting him:

(a) A Declaratory Judgment that the Defendants' acts, policies, practices, and omissions

described and complained of herein violated Plaintiffs rights, privileges and immunities

guaranteed under the Constitution, 42 United States Code, Section 1983 and 42 United States

Code, Section 12132;

(b) A Preliminary and Permanent Injunction and Restraining Order prohibiting the

Defendants, their agents, employees and other persons in active concert with them, from

punishing, threatening, harassing, intimidating, discrminating or retaliating against Plaintiff

because Plaintiff filed this action, or against any person or persons that assist Plaintiff in

prosecuting this action, or against any person or persons who offer evidence favorable to the

Plaintiff in this action;

(c) A Preliminary Injunction and Order that Plaintiff as a federal prisoner be placed in the

immediate custody of the Sheriff of Montgomery County, Texas to be housed in the federal

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holding facility of the Montgomery County Jail for protective custody purposes during the

litigation of this civil complaint;
(d) Compensatory Damages in the amount of Fifty-Thousand Dollars ($50,000,00) against

Defendant SheritfTommy B. Thomas, in his individual capacity; a separate but equal amount

against Defendant Major KW. Berry in his individual capacity; a separate but equal amount

against Deputy Marcorif Thomas in his individual capacity; a separate but equal amount against

Defendant Dr. Mike Seale in his individual capacity; a separate but equal amount against

Defendant Major M.W. Quinn in his individual capacity; a separate but equal amount against

Defendant Dr. C. Trinh in his individual capacity; a separate but equal amount against Dr. D.

Klein in his individual capacity; a separate but equal amount against Defendant Dr. Mark Chassay

in his individual capacity; a separate but equal amount against Defendant Nurse K Howard in her

"

individual capacity; a separate but equal amount against Defendant Dr. M. Guice in his individual

capacity; a separate but equal amount against Defendant Dr. A. Phi in his individual capacity; a

separate but equal amount against Defendant Dr. Kham Luu in his individual capacity; and a

•

separate but equal amount against Defendant Dr. Pamela Wilson in her individual capacity;

Compensatory Damages in the amount of One Hundred and Fifty Thousand Dollars

($150,000.00) against Defendant SheritfTommy B. Thomas in his official capacity; a separate but

equal amount against Defendant Major KW. Berry in his official capacity; a separate but equal

amount against Deputy Marcorif Thomas in his official capacity; a separate but equal amount

against Defendant Dr. Mike Seale in his official capacity; a separate but equal amount against

Defendant Major M. W. Quinn in his official capacity; a separate but equal amount against

Defendant Dr. C. Trinh in his official capacity; a separate but equal amount against Dr. D. Klein in

his official capacity; a separate but equal amount against Defendant Dr. Mark Chassay in his

official capacity; a separate but equal amount against Defendant Nurse K. Howard in her official

capacity; a separate but equal amount against Defendant Dr. M. Guice in his official capacity; a

separate but equal amount against Defendant Dr. A. Phi in his official capacity; a separate but

equal amount against Defendant Dr. Kham Luu in his official capacity; and a separate but equal

amount against Defendant Dr. Pamela Wilson in her official capacity;

38

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Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 39 of 129

•

•

For a total Compensatory Damage amount of Two Million Six Hundred Thousand Dollars

($2,600,000.00) from the above named Defendants.

(e) Punitive Damages in the amount of Twenty Thousand Dollars ($20,000.00) against

Defendant Sheriff Tommy B. Thomas, in his individual capacity; a separate but equal amount

against Defendant Major KW. Berry in his individual capacity; a separate but equal amount

against Deputy MarcorifThomas in his individual capacity; a separate but equal amount against

Defendant Dr. Mike Seale in his individual capacity; a separate but equal amount against

Defendant Major M.W. Quinn in his individual capacity; a separate but equal amount against
•
Defendant Dr. C. Trinh in his individual capacity; a separate but equal amount against Dr. D.

Klein in his individual capacity; a separate but equal amount against Defendant Dr. Mark Chassay

in his individual capacity; a separate but equal amount against Defendant Nurse K Howard in her

.'

individual capacity; a separate but equal amount against Defendant Dr. M. Guice in his individual

capacity; a separate but equal amount against Defendant Dr. A. Phi in his individual capacity; a

separate but equal amount against Defendant Dr. Kham Luu in his individual capacity; and a

•

separate but equal amount against Defendant Dr. Pamela Wilson in her individual capacity;

Punitive Damages in the amount of Thirty Thousand Dollars ($30,000.00) against

Defendant Sheriff Tommy B. Thomas in his official capacity; a separate but equal amount against

Defendant Major K W. Berry in his official capacity; a separate but equal amount against Deputy

Marcorif Thomas in his official capacity; a separate but equal amount against Defendant Dr. Mike

Seale in his official capacity; a separate but equal amount against Defendant Major M.W. Quinn in

his official capacity; a separate but equal amount against Defendant Dr. C. Trinh in his official

capacity; a separate but equal amount against Dr. D. Klein in his official capacity; a separate but

equal amount against Defendant Dr. Mark Chassay in his official capacity; a separate but equal

amount against Defendant Nurse K Howard in her official capacity; a separate but equal amount

against Defendant Dr. M. Guice in his official capacity; a separate but equal amount against

Defendant Dr. A. Phi in his official capacity; a separate but equal amount against Defendant Dr.

Kham Luu in his official capacity; and a separate but equal amount against Defendant Dr. Pamela Wilson in her official capacity;

For a total Punitive Damage amount of Six Hundred Fifty Thousand Dollars

39

ClibPDF - www.fastio.com

Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 40 of 129 •

($650,000.00);
(f) Reasonable attorney fees from the Defendants to the Plaintiff under the Civil Rights
Attorneys Fees Award Act of 1976 as codified in 42 United States Code, Section 1988 and United States code, Section 794(a);
(g) Trial by jury on all issues triable by jury; Plaintiff costs of this suit and for other general and special relief as this court deems just, proper and equitable.

•

Signed this f ~ d,

dayof h1~

, 1

Respectfully submitted,

Thomas 1.

Attorney for Plaintiff

Federal ill #6624

•

16000 Memorial Drive, Suite 230

Houston, Texas 77079

Phone (281) 497-7701

Fax (281) 597-9483

•,-
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LABORATORY RESULTS

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HEPATITIS A VIRAL TOTAL AS:----------------
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HEPATITIS C ANTIBODY: _________________________

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pH (6.0): _______________
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Glucose: ----------------------
Ketone: ________________________
Bilirubin: ---------------------
Blood: ________________________

MICROBIOLOGY

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CEPHALOTHIN: ______

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AMYLASE: _____________
30-170
GLUCOSE: _____________ 65-115

HEPATITIS SURVEY
HEPATITIS A ACUTE IgM:------------------
HEPATITIS A VIRAL TOTAL AB: _________________
HEPATITIS B SURFACE ANTIGEN: HEPATITIS B CORE IgG: HEPATITIS B SURFACE ANTIBODY: HEPATITIS C ANTIBODY: _______________

MICROBIOLOGY

source: _________________

STREP A: ___________

155 (2/91)

AMPICILLIN: CEPHALOTHIN: ERYTHROMYCIN:
,
NITROFURANTOIN:

PENICILLIN:
TETRACYCLINE:
TRIMETHOPRIM: SULFAMETHOXAZOLE

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UA MICROSCOPIC Sp. Gravity(l.025) : _ _ _ _ __ pH (6.0) : _ _ _ _ _ _ _ _ __ Protein: Glucose: Ketone: Bilirubin: Blood: ________________
Nitrite: -----------------
Urobilinogen: ______________ Leukocytes: _________________

WBC:

IHPF

RBC:

IHPF

BACTERIA:

CRYSTALS:

EPITHELIAL CELLS:--_______!HPF
..,..';)-

Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 64 of 129
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HARRIS COUNTY SHERIFF'S DEPARTMENT DETENTION BUREAU MEDICAL DIVISION

I,

., - {

I SPN. Number ,

jJt

Date of Birth

5- t/:ye

hereby authorize

the Medical Division of the Harris County Sheriff's Depart-

ment to release copies of medical records as requested or

upon transfer to medical or other Detention facilities for

the purpose of determining medical needs or continuity of

care.

I may revoke this consent at any time except to the extent that action has been taken in reliance there on.

./ -.Inma Signature
\
Witness

'3

~

l

< /r

Date

-

-,

~
~

M-l77 (3/88)

,
,
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Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 65 of 129

PLAINTIFF'S EXHIBIT
.;tS
LABORATORY
- - NAME:
SPN' :_ _ _ _-1c,.a...-L.L_'j...L...-... 'ju!C~Sk~_
LOCATION:, _ _ _ _ _ _ _ _ _ _~~~~~~s____
_ _....;fastinq

•

2565

LAB.:.__2_5_6_6_ _

DATE :_---"'CL-...-.:<'o.....-_9'.!:.-L)_~__

TIME: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

DOCTOR :'_--1..::..1;';;;'
_ _ _~14 Day PA

STD/OB PANEL RPR: ____________________ GC SMEAR: ___________________ GC CULTURE: _________________ CHLAMYDIA: ______________'____ BHCG: __________________~ RUBELLA IgG: ______________

THKRAPEUTIC DRUGS
,
CARBAMAZEPINE: ________ 4-10

,
CHRMIS11UES
AMYLASE: ___________ 30-170

... ..". PHENOBARBI TAL: Cf- f,t~1tJ!~-Ij GLUCOSE : _ _ _ __

15-40

7

,

/pHENYTOIN :___-.-,;:::?~.-:J~~7'__4

65-115
l

10-20

THEOPHYLLINE :__________ 8-20

TOXO IgG: ___________________

HEPATITIS A ACUTE IgM: _____________________
• •
HEPATITIS A VIRAL TOTAL AB: ______________
HEPATITIS B SURFACE ANTIGEN: ______________
,
HEPATITIS B CORE IgG: ____________________
HEPATITIS B SURFACE ANTIBODY: ____________
HEPATITIS C ANTIBODY: __~._________________

MICROBIOLOGY
STREP A:
•
AMPICILLIN: CEPHALOTHIN: ERYTHROMYCIN: NTTROFURANTOIN:

source: _________________
PENICILLIN: TETRACYCLINE: TRIMETHOPRIM: SULFAMETHOXAZOLE

,

UA MICROSCOPIC Sp. Gravity(1.025): _________ pH (6.0) :_ _ _ _ _ _ _ _ _ __ Protein: ______________________ G1ucose: ______________________ Ketone: _______________________ Bilirubin: ____________________ Blood: _______________________ Nitrite: ______________________

Urobilinogen: ________________

Leukocytes:

,

waC:

/HPF

RBC:

/HPF

BACTERIA:

CRYSTALS:

ttl

PtH"'~PT,T Il. r. CELLS: - - - - - · / H P I

Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 66 of 129

z PLAINTIFF'S EXHIBIT
::;5

DATE: Ie" ~:l.. 7-9 ..;-

HARRIS COUNTY SHERIFF'S DEPARTMENT Medical Division

4938
4939

LABORATORY RESULTS

LAB -#: ----------

TIME:_ _ _ __
LOCATION: ':;--6;;-
Fasting,_ __

PHYSICIAN:_--.looS.c...:¢~If:~~<S_"'_ __
•
Random,_ _ _ 14 Day HA_ _ __

SID/OB PANEL
RPR:- - - - - - - -
CHLAMYDIA:_ _ __ BHCG: _ _ _ _ __ RUBELLA IgG:_ __ TOXO IgG:_ _ _ __

CHEMISTRIES

CARBAMAZEPINE (10-20):_ _ __

,AMYLASE (30-170):_ _ __

Yf,7 ""PHENOBARBITAL (15-40): ~.

~ ,LUCOSE (65-115):_ __

VPHENYTOIN (1 0-20):_-..:~=..;.'·_' ~ -....,., f,..,......-1
./

THEOPHYLLINE (8-20):_ _ _ __

STREP A :_ _ _ _ _ __

HEPATITIS SURVEY HEPATITIS A ACUTE IgM:_ _ _ _ _ _ _ __ HEPATITIS A VIRAL TOTAL AB:_ _ _ _ __ HEPATITIS B SURFACE ANTIGEN:_ _ _ _ _ __ HEPATITIS B CORE IgG:___________ HEPATITIS B SURFACE ANTIBODY:_ _ _ _ __ HEPATITIS C ANTIBODY:_ _ _ _ _ _ __

UA MICROSCOPIC Sp. Gravity (1.025):_ __
pH (6.0):_ _ _ _ __
Protein:_ _ _ _ _ __
Glucose: _ _ _ _ _ __
, Ketone:_ _ _ _ _ _ __ Bilirubin:_ _ _ _ _ __ Bloo~:------Nitrite:_ _ _ _ _,____ Urobilinogen:_ _ _ __ Leukocytes:_ _ _ __
M-l (6/95)
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wa - C: - - - _ .IHPF
- RBC: - - - - 'IHPF
Bacteria:,_ _ _ __
Crystals:_ _ _ __
Epithelial Cells:_ _~/HPF

-:-:--~':::!. ~"--_-+ :.:o:...:b=-~C"~-C--'--___
NAME

SPN

DATE OF BIRTH

Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 67 of 129
.. PLAINTIFF'S EXHIBIT

DATE: ) !, '
TIME:_ _ _ __ LOCATION'

HARRIS COUNTY SHERIFF'S DEPARTMENT

Medical Division

LABORATORY RESULTS

5132

LAB -#: ----------

Fasting:...-_ _ Random

1 - PHYSICIAN:

\..A LA

\

14 Day HA._ _ __

STD/OB PANEL
- RPR: - - - - - -
CHLAMYDIA:_ _ __ BHCG:_ _ _ _ __ RUBELLAlgG: _ _ _ __ TOXO IgG:._ _ _ __

THERAPEUTIC DRUGS

CHEMISTRIES

CARBAMAZEPINE (10-20):

AMYLASE (30-170):_ _ __

Y 1'/ tv HENOBARBITAL(15-40):

¥V<iLUCOSE(65-115):_ __

PHENYTOIN (10-20):

I,Cr~W~1
::;

THEOPHYLLINE (8-20):_ _ _ __

STREP A :_ _ _ _ _ __

HEPATITIS SURVEY HEPATITIS A ACUTE IgM:_ _ _ _ _ _ _ __ HEPATITIS A VIRAL TOTAL AB: _ _ _ _ __ HEPATITIS B SURFACE ANTIGEN:_ _ _ _ _ __ HEPATITIS B CORE IgG:_ _ _ _ _ _ __

HEPATITIS B SURFACE ANTIBODY:_ _ _ _ __ HEPATITIS C ANTIBODY:_ _ _ _ _ __

,
UA MICROSCOPIC Sp. Gravity (1.025):_ __ pH (6.0):_ _ _ _ __
Protein:_ _ _ _ _ __

,VlEDICAL RECORDS

- waC: -----...:IHPF
. RBC: _---_.IHPF

:~OV 1 0 1995

Baderia:,_ _ _ __

Glucose:_ _ _ _ __ , Ketone:_ _ _ _ _ __
Bilirubin:_ _ _ _ __
Blood:_ _ _ _ _ __

Crystals:_ _ _ __
Epithelial Cells:_ _.....;/HPF

Nitrite:_ _ _ _' _ __

Urobilinogen:_ _ _ __
Leukocytes:_ _ _ __

b

SPN

DATE OF BIRTH

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Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 68 of 129

EXHIBIT

HARRIS COUNTY SHERIFF'S DEPARTMENT
Medical Division

184

DATE: 0 r ~ I D· Ib

LASORATORY RESULTS

185 - LAB#: --------------

TIME:_ _ _ __ LOCATION:

PHYSICIAN:~:::::1..::::!../~~"~C=S2~::::.""_

Fasting,_ __ Random,_ _ _ _ 14 Day HA:-_ __

CHLAMYDIA_ _ __ BHCG:_ _ _ _ __ RUBELLA IgG:_ __ TOXO IgG:._ _ _ __

THERAPEUTIC DRUGS

CAR MAZEPINE (10-20):

MYLASE (30-170):_ _ __

q- t);)~, ~UCOSE - PHENOBARBITAL (15-40):

11

(65-115):_ __

\,,1 YTO,IN (10-20): :£+,:5) ~§\

THEOPHYLLINE (8-20):_ _ _ __

STREP A :_ _ _ _ _ __

HEPATITIS SURVEY HEPATITIS A ACUTE IgM:_ _ _ _ _ _ _ __ HEPATITIS A VIRAL TOTAL AB:._ _ _ _ __ HEPATITIS B SURFACE ANTIGEN:_ _ _ _ _ __ HEPATITIS B CORE IgG:_ _ _ _ _ _ __ HEPATITIS B SURFACE ANTIBODY:_ _ _ _ __ HEPATITIS C ANTIBODY:_ _ _ _ _ _ __

UA MICROSCOPIC Sp. Gravity (1.025):_ __
pH (6.0):_ _ _ _ __
Protein:_ _ _ _ _ __
Glucose:_ _ _ _ __
•
Ketone:_ _ _ _ _ __
Bilirubin:_ _ _ _ __
•
Blood:_ _ _ _ _ __
•
Nitrite:_ _ _ _ _ __
Urobilinogen:_ _ _ __
Leukocytes:_ _ _ __
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- waC: - - - - -IHPF - RBC: - - - -IHPF
Bacteria:_ _ _ __
Crystals:_ _ _ __
Epithelial Cells:____/HPF

(
SPN

DATE OF BIRTH

Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 69 of 129
• PLAINTIFF'S EXHIBIT
ol.8

HARRIS COUNTY SHERIFF'S DEPARTMENT Medical Division

540

•
0{ DATE: -30

LABORATORY RESULTS

541
LAB #:- - - - - - - - - -

TIME: _ _ _ __
B.... LOCATION S'"

Fasting_ _ __ Random

14 Day HA,_ _ __

SIOIOB PANEL
- RPR: - - - - -
CHLAMYDIA_ _ __ BHCG: _ _ _ _ __ RUBELLA IgG:_ _ __ TOXO IgG:_ _ _ __

THERAPEUTIC DRUGS

CHEMISTRIES

CARBAMAZEPINE (10-20):

~MYLASE (30-170):_ _ __

I ,~LI f

,,. , HENYTOIN (10-20): ~ "~'/" 'u,' Ih~,

J

THEOPHYLLINE (8-20):_ _ _ __

STREP A :_ _ _ _ _ __

HEPATITIS SURVEY

HEPATITIS A ACUTE IgM: _ _ _ _ _ _ _ _ __ HEPATITIS A VIRAL TOTAL AB: _ _ _ _ __

HEPATITIS B SURFACE ANTIGEN:_ _ _ _ _ __ HEPATITIS B CORE IgG:_ _ _ _ _ _ __

HEPATITIS B SURFACE ANTIBODY:_ _ _ _ __

HEPATITIS C ANTIBODY:_ _ _ _ _ _ __

VA MICROSCOPIC Sp. Gravity (1.025):_ __ pH (6.0):_ _ _ _ _ __ Protein:_ _ _ _ _ __ Glucose:_ _ _ _ __ Ketone: _ _ _ _ _ __ Bilirubin:_ _ _ _ __ Blood: _ _ _ _ _ __ Nitrite:_ _ _ _ _ __ Urobilinogen: _ _ _ __ Leukocytes: _ _ _ _ __
.. 1 'k/ac;\
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wec:- - - - - - -IHPF
RBC:- - - - - - 'IHPF
Bacteria:_ _ _ __
Crystals:_ _ _ __
Epithelial Cells:_ _ _/HPF

NAME
6/~ I
SPN

DATE OF BIRTH

Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 70 of 129

PLA.NTIFF' !I
EXHIBIT
~9

DAMON/METWEST a CORNING Clinical Labo'rato'ry 8300 Esters Blvd. SLlite 900 Irving, Texas 75063-2201
Harris COUllty Jail 1 31 0 F'r ank 1 in P.O. 0322321 HOLlston, TX 77002-0000
n.• _ . ' . ' "; ....:',,'. e'", n' .,'51;;...... _.

HJ"403033-6 HALL. ROBERT

(57431 ?AG),
,
615184

03790358-0

M Fst NG

GUICE

89080

Fillal Rep 12/06/95,

12 .. ' :- '. /06/9'

. _ _.

" . , J "-"""~.,..

12/07 /9~

-._ . - '-.::.0"_ •

.

..,..,... .--,'

." . . . _ _ • _ _ ...... ·,e •.

Basic Chem:

Glucose

mg/dL

60-110

U'ric Acid

.. -

3.'3 mg/dL

3.8-8.7

BUN

8 mg/dL

8-22

C'reat i ni ne

0.B mg/dL

0.5-1.7

Sodillm

141 mEq/L

135-145

Potassium

If.2 mEq/L

3.5-5.3

Ch 10'r ide

104 mEq/L

94-108

Calcium

'3.6 mg/dL

8.5-10.7

Inorg. ~lhosphorLls

3.3 mg/dL

2.5-4.6

Tota 1 P"rote i n

7.7 gm/dL

6.4-8.4

Albumin

4.4 g/dL

3.0-5.5

Globulin

3.3 gm/dL

1. 9-4. 0

A/G Ratio

1.3

1. 1-2. 3

Tot<.'\l Bili-rltbin

0.B mg/dL

0.3-1.6

Alk. Phosphatase

82 U/L

(136

SGOT (AST)

32 U/L

(4'3

SGPT (AL T>

44 U/L

(54

GGT

146 H

U/L

(66

LD (LDH)

157 U/L

(231

I'ron

12'3 ug/dL

45-180

T'ri 9 lyee'rides

289 H

mg/dL

0-150

Cholesterol

176 mg/dL

120-199

----------------------------------------------------------------------

CEC wDiff:

WBC

5.6 K/uL

3.9-10.6

REC

5.02 M/uL

4.5-5.'3

Hgb

16.1 gOl/dL

13.5-17.5

Hct

44. '3 %

40.0-52.0

MCV

90 fL

80-101

MCH MCHC

MED 'CAL !

,)

,c.",)e"~'.r~(r1-',-,:-l,\'.l·~ 3362

pg
gOl/dL

27-34 31-36

RDW
MPV

Dt.G v '-

.,_.•..,• 12.1+

.,.J"'; .....

9.0

fL

11.5-14.5 7.4-10.4

Platelets

155 K/uL

150-450

. " Nell t'roph i 1s Lymphocytes

54.1

3 .r:.::-:J.

,~
"j

";'(

46.0-77.0 16.0-43.0

• Monocytes Eosinoph1ls Basophils Neut'rophils-Abs.

6.4 3.2
1.0
2.90

"""K/uL

0. 0-1I1i. 0
8.0-6.0
0.0-2.0
1. 8-7. 3

Lymphocytes-Abs. Mo• nocytes-Abs.

2.00
0 • .(+0

K/uL 1(/uL

1. 2-4. 0
0.00-0.95

Eosinophils-,Abs.

0.20 K/llL

0.00-0.35

Basophils-Abs.

0.10 K/\JL

0.08-8.15

/' .V -----------------------------------------~ -----------n---------------

Tests O"rde'red: BC+CBC

/Y...Q.L'-~ C:~'-'l.d '-.

End of Report (.~ALL,ROBERT
-- -.-

-- 03790358-0)

53

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Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 71 of 129
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RECEI.\". '

En HARRIS COUNTY . GLUCOSETEsnNG/INSWN

;~A' n\'i\~lnl'~

MF..D1Aii 'FEB MAR APR MAY ruN JUL AUG

DEPARTMENT
RECORD

r;:r '- "-.-r'I.\.\C. ~, \~('\c'­
'( j

SEP ocr NOV DEC

(CRCLE)

.
SflCKS

PnnJ

'.

I

I·. I

I

I

ItI~

i?nrs times I

\"51 / days

SUDING

• •

FSG

FSG 61-1G NO INSUUN

0-60
150-200 _ u REG INSULIN

rl.·.··
, ','
" ' . .

<-:.-.'
-:.-
. .

201

_uREGINSU~

251..,.300 _ u REG INSUlJ',I

301-3150 _ u REG INSUL.III >350 NOl1FYMD

•

~
.", ,

'.'.'

.'

.

- 1·.Ee t .. c. c_ =-- '--'rT'.~~_~~~, •.• oe:ciF-_ • Z .t-"'LU:::S~.,.. ~..... .~

f!>ZW~tl= =t"

.

.
.-:'
.. ' . .
.'
' .

I S I "6~

J?-.>~

•
•
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."
111 __
><!!
' - "D ::-ZI-::'Zt-
- .,... -t.,.. CIt

.
r I·

-,-.

N

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•

~.

-r+

-

•

•

•

Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 72 of 129
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-~..--..,
~AN

HARRIS COUNlY Sf£RlFPS DEPARTMENT
UCOSE TESTING ,.NSUUN ADMINlSTRATlON RECORD

IOAlBT
A1/ FINGER STICKS
~ q J l hrs times

,... , c ; ; j : ' 0900

',", t,4, 1 5 7 I 8:19JU I ,:

' "

<\1. \, ~

~'. )

,

. .

'::l't... l'l,i~.r~V: :,,:; :::lb:,:

""",::,'

',.. .".'

. "

.','. :

':' ' ;:,~
{(..
..... , . . d

,.. _ , '
., ,.
. . .','

n

-;',

•

", .

,

'.::' •.•......

1~ 1
_ _ days

1500

~~~

~~~ .

.. .

,
. .

...., : . .
:.'

....: .• . , .,;:'.•.. ,.

....

;.:.: : --I~

I

, 2 0 0 0 : i ' :'.. '... : · . : . ' : · . i < · . , "

-

SUDING SCAI E :

FSG 0-60

NOTIFY MD

201-250

u REG INSUlIN

301-350

u REG INSUlt&

FSG 61--149
r-:--- ~--...-.., ,~_._. ____ . _

NO INSULIN
__ _ _ _ _

I..",..;.~-t ~---- •. ~_::c;::::;.:...:

~.' , * - . -...

---

•
-~-. ---~------

~. - -

150-200
__....

u REG INSULIN

_

.

F

251-300

u REG INSUUN

___

•

> 350
.
".',-

NOTIFY MD
-I

.~-

,

. , ..

. .

-

~;

==~---='-+=r--+-+-+=l-~-+-~.-=+-==l~4--=t==+=ln=o+-+=f:.=-t-

,.

.. ,. .

n,·n

' •

: ',i.. ;;

'.

. .

'" .

. , .. >

.. '.

.,

:"i" '.

..

'.'

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=,*=*==*.=i='*=*=t==I=:f=*=*~1===

'..... ,

!

PlllGAD-tor-....
.,
...... m:>:<z:r~:
- - ~ ii :
" -t •

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fit

--
f,.".__=__ .__

_ __ ._ '_. ___ ._

_

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DlAOlIIOS/!I
"
1:> M

GENERATED

htJlCE

. .-
..

_

._

.

~

BlRnfDA1E
~-4-'f8

stHNO.
&/518'1-

"';'.

'. '

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"

...

"'.:.

'

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.

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lfUlS!f.rchI..UtS·· ."

,

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HALL f KOB£IZT

- ..... LOG' .
-

Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 73 of 129
PLAINTIFF'S
EXHIBIT
.32.

,

"oj

Cell 5135-01 ()V~f{VI-'::'vJ

l)oot.

~ l..1 /:::>e.:.

~

I

"

•

.......

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U)ALI...

"- ,

........
........
· .........:Jr e
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"--<,""",'..... ...... - ....... ..... "- ...

~T.:e.1..
1l... IJ "-

"-

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, .........

"-
'- ,

S~v.;~~
J

.
T 1I>.t.1C:

:) /10.1 Ie-

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.

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de S I ~i tV I ~ hI, r-x:Y sr+- ~.t~A-Lc dJ

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c..o-..) (c9 t,J","-

\-+

.v, () I~ ,

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0 It /Nt Q

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Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 74 of 129
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o JAN.
I D~TE

t1 FEB.

D MAR.
MEDICATION

HAHHIS l.;UUN I Y ~Hl

~ Uct-'AH IIVlc'" I

MEDICATION ADMINk _.ATION RECORD

0 D D D D 0 D 0 0 APRIL

MAY

JUNp

JULY

AUG.

SEPT.

OCT.

NOV,

DEC,

1°1 11 U2J 13114115 611711811912iJilY2U3 2~11:11~ IJ7J28129130131

aL)' ,~) {)cu_-p
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',"

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·C I {' I-:-f--+--+--+--t--

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RECEIVED BY 701

TIME

'

'd-f 't15' _---'-_ _~tfl

~--~DI~AG~N--O~S~IS----~--~~~~~~~~~~~~--~~N-U~RS-IN~G-A~L-EA-T~S~--~~~-+~~~~~~AL~L~EA~G~IE~S~~~~~

GENERATED
.L~<I~·lL'

BIRfH DATE

SPN NO.

9-0 0'Y &/~/N

./
LOCATION
-- . 7<e<#';-'
~p.., ...-

t'c)

dA71 •

. \

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Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 91 of 129

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Harris County Sheriffs Cepartment

Medical Divisio n

Consu~tation Request

Name: _ _:.....:.........; :"';:::'-'_I---:'_~

aka ( if known): _ _ _ _ _ _ _ _ _ _ _ __

SPN#:_ _-....

..... -" -,.- -- -- .-

Harris County Hospital District # :_ _ _ _ _ _ _ _ _ _ __
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Location: Atacosita 301 701

( circle one)

~onsulti~g

-. Physician:

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Bay~or Radiotberapy

HeZlzzann Eye

LBJGH linic: _ _ _ _ _-_._ _ _ _ _ __
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"llCSD clinic: HIV General Surgery Plastic Surgery

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• 11 our e ort to proVl e greater contl1llllty 0 care, eoples 0 t e ongln e Inle notes or ace s eel,
with the results ofany laboratory or radiologic tests, are required PRIOR to the inmate's return
transportation We also ask that consultants do not write prescriptions, proViding only their written suggested medications 011 the retu':11 documellfs.

• ' The copies of the requested medical data to be returned with the inmate ;s conside-red confidential;
therefore, these materials are to be given on(y to the returning transportation deputies. Deputies will not

transport the patient back to the Harris COUllty Sheriffs Department without the reqUired paperwork

•

•

.

• Please cOlltact the HCSD office ofthe Medical Director [ 755-6541 I with any questions related to the care .

ofthe patient.

,

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Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 92 of 129

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1
EXHIBIT

HARRIS COUNTY HOSPITAL DISTRICT

5/

& TIME ARRIVAL

, ,

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o OUTPAT,

-VF;;

o HOME

o EXPIRED

o
o TRANSFER TO:

ADMIT SERVICE
o

UNIT

ON DISCHARGE; ,

o 0 0 0 GOOD

FAIR

POOR

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THE AMUETDHIOCARLITAIENSDO/OFRT~:e~~~i~~~~~~~~H~O~SP~;IT~TAH~eLYJDDISETERMICNTEACNEDSTSHAERVMAENDDICTAOL

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IN THIS REPORT TO THE

PHYSICIAN "NO/OR LAw

ENFORic~I~E.:.~E~N~Tr~APGAENRCA'ETSRWATHAEMNIENNETCOE. SSARY,

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.'Rcle A LAS AUTORIOAoes DEL
LLEVAA A CABO CUALOUIER

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PATIENT (MINOR'S

RELATIVE NATURE NOT VALID)

WITNESS/TRANSLA

Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 93 of 129

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HARRIS COUNTY HOSPITAL DISTRICT

., - EMERGENCY CENTER: DISCHARGE INSTRUCTIONS/CENTRO DE EMERGENCIA:
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,.,--_. ._-- ------ DE ALTA-.

ACTIVITY/ACTIVIDAD

DI ET/DI ETA

FOLL;\lVi),l.(,ONTt·UAR SUTR" . AMIENTO

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o NORMAL
NORMAL

NORMAL NORMAL

BEN TAUS CIINIC _____ ._. _ _ _ _ _ _ _ _ _ __
ClINICA DE lEN r AUll

o o I~BED REST

CLEAR LIQUIDS

COMMUNITY :UNIC

__

CLINICA DE l.A COMUNIDAC . - - - - - - - - - - -

REPOSO EN CAMA ,_ BED REST WITH BATHROOM PRIVILEGES

UQUIDOS CLAROS
o SALT RESTRICTED

o PRIVATE PH' SIC IAN -:-::-_ _ _ _ _ _ _ _ _ _ _ __

REPOSA EN CAMA CON PRIVILEGIOS DE BA

RESTRICION DE SAL

o DOCTOR PARTICULAR PUBLIC HEAL TH

'LJOTHER OTRO

o OTHER OTRO

ClINICA (:IE SALUD P OTHER

D ANIMAL BITES MORDIDAS DE ANIMALES
DBACK PAIN DOLOR DE ESPALDA
DBURN QUEMADURAS
o OTHER CONDITIONS OTRAS CONDICIONES
DASTHMA ASMA
o EAR INFECTION INFECCION DEL 0100

D FRACTURES/SPRAINS FRACTURAS/TORCEDURAS
o HEAD INJURY TRAUMA DE LA CA8EZA
o HEPATITIS o HEPATITIS
SKIN INFECTION INFECCION DE LA PIEL
o DIARRHEA DIARREA
o SEIZURE
CONVULSION

DNOSE BLEED

o THREATENED ABORTION

HEMORRAGIA DE LA NARll

AMENAlA DE ASORTO

o D PELVIC INFLAMMATORY DISEASE

UPPER RESPIRATORY INFECTION

INFLAMACION DE LAS TROMPAS

INFECCION RESPIRATORIA

o SUTURElWOUND CARE

o URINARY TRACT INFECTION

SUTURASICUIDADO DE HERIDAS

INFECCION DEL TRACTO URINARIO

r..; •...u: OJ ~ MEDICATIONITREATMENT.:" ,,)':':;-y "--~--r«

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MEDICACIONITRATAMIENTO

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ONONE (NINGUNO)

:-z-::_1,.r, ,,\7 .924, ( j) PHYSICIAN SIGNATURE/FIRMA DEL MEDICO

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o The above I~~ ~tions have

.

~I to me and I understand them.

o Las

m• struccl•ones/papel

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ariba me an sido explicadas y las he comprendido.

PATIENT'S SIGNATUR :,;:;:::: FIRMA DE PACIENTE

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)tiol1S given to: PatienVPaciente
r'-I Family/Familia
o Friend/Amistad

NURSE'S SIGNATURE FIRMA DE LA ENFERMERA

YOU MUST HAVE A CURRENT CARD BEFORE YOU CAN OBTAIN A CLINIC APPOINTMENT OR SEE A PHYSICIAN.

PARA VER AL MEDICO TIENE QUE OBTENER UNA CITA A LA CLiNICA. UD DEBE POSEER UNA TARJETA DORADA DEL HOSPITAL VALIDA.

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Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 94 of 129
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HARRIS C( )UNTY SHEF'"(IIFF'S uEPARTMENT
MEDICAL DIVISION

SPECIAL NEEDS TREATMENT PLAN
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SEIZURE DISORDER

SHORT AND LONG TERM GOALS:

•

Inmate to remain as seizure free as possible.

MEDICATION (S):

LDila.n..t.i

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hen~§Cbita!, Tegreto!, Depakote.

DIET:

Regular.

EXCERCISE:

As tolerated.

TYPE AND FREQUENCY OF DIAGNOSTIC TESTING:

Blood test every three (3) months for Diiantin/PhenobarbitaU DepakotelTegretollevels.

FREQUENCY OF FOLLOW-UP MEDICAL EVALUATION AND ADJUSTMENT OF TREATMENT MODALITY:

Every three (3) months for evaluation of effectiveness of medications
. and possible adjustment to plan.

__ c" '.. " . , .. 1
Qualified Health Practitioner
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Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 96 of 129
EXHIBIT
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Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 97 of 129

HARRIS COUNTY SHERIFF'S DEPAR MEDICAL DIVISION

EXHIBIT

51.tJ HISTORY & PHYSICAL EX

----==---==---- ""-

Location: 301 1301

Rehab

~_ ../ -1./j'
Date

L/-(P
Age

ame

3~~'SOr~3~S_~~3__~~~~~__~~~

SOCl ecunty o.

Sex Race

History and

of Systems

Remarks

1. Head Injury

yes no-=.

2. Eye Problems

yes~o_

3. Ear, DOse or throat troubles

yes_ no~~

4. Sinusitis

.

.

5. Mental Problems (institutional care)

6. Asthma, SOB

7. Chest pain

8. Tuberculosis

9. Heart trouble

yes no

yes no /
yes n0--.L

~5

, C(

toto yes

0 /"

yes.-:;... no_

i. .f'\.'r) Iq

yes_ no ~.....r

10. High blood pressure

yes._ no-..:::!.

11. Hepatitis

yes_ no~

12. Hernia
13. Operations (within last 6 mos)

yes,_ no--=

yes

no,~

14. Skin disease

yes no_ ........r-

15. Broken bones

yes no--,

16. Venereal disease
17. Diabetes Mellitus
18. Seizure disorders

o

yes nO:~/T

yes yes

~on o__

D:, \ ... ,,~(~ ~ p,D~

•
,

Fallales Only
19. Treated for female disorder 20. Change in menstrual pattern
21. Pregnancies

__yes_ no_ yes no_ yes no_

Habits ~ .......
Alcohol

,. /
,
- Tobacco

•
r.
Drugs
::z

Family History

Hypertension

• °

\.

, - - . . . . , 4--4--1. _

~ '-----

Renal Disease ---h

Other

,
Heart Disease - . - - ~L-b.'4:.~--
Tuberculosis --~

,
Diabetes M.
Cancer

12e12

a//-
• •

Chief Complaint

-:; Oe
•

•

:2f}-:fr C:..\
o & qC6 ,2" Helght ---..) 0

If
Weight

I
U , Temp

0
Resp--=-./--L..£....._ Pulse

~: ·~~C7-. ·-,

J 'I, ,'":,,1, ~ {,

:=:::::::::"'--=:::jL~.,t"\L...._....~-.'>-. =-" _-~"=~::::::::~

Interviewer

9-. ~

BP_ _...L-_-=--_ 'hCG_:_"_O__

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Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 98 of 129

N=

Findinp

Medium
Thin
Ambularory/ Wbeelcb'ir
Nose
Deviated
Mucosal edema Od1er lesions

Skin
Icterus
c / TurKor
Other
Throat
Tonsils Other lesions

Murmur
Irregular
-
Ccmments

Lungs
Rales Wheezes

Abnonnai Findings

Ai-

Eyes
Conjunctivae Red Pale Scle,ae Icteric
Neck
Stiff Thyroid Lymph nodes Mass
Abdomen Tender
Hard
Bowel sounds

NA

• 'plicable

Pupils Unequal Non-reactive Other lesions

Discharges Infected Other lesions

Mouth
Caries Gingivae Teeth Other

Chest

Discharge

Mass

,, '

Other lesions

Enlarged liver Other
1-

Varicosities
- Range of motion _ _

1.
L Hygiene h. Neat c. Eye Contact

•

•JJ l.c
good,"""", marginal ~r_
yes~o,_
good c-pOOr"::;; none,_

ATUSEXAM
7.Emot.io~

appropriate,_ constricted angry_ frigbtened,_

I. Thought PI OCeo'iS

loose (disorgani~)_
Bemg: yes

no,_

4. Comciousness
5. Attitude 6. Speech
.-.

alert ~wsy_
cooperative_--U;;cooperative_
productive--,
mute rapid,_ soft._

Thought Content
Do you hear voices? Are people out to get you?
Do you want to burt yourself?
Do you want to hurt others?

y~­ n o /
- , yes noV • yes_ no~ yes,_ 1107

10. Semorium
•. Oriented to b. Confused
c. Clear
c. Memory

person ~Iace ~ ~
yes 110 "/
/00-

MENTAL RETARDATION SCIU:ENING

I. Did you finish eiemeotary school? if 00, last grade completed __
2. Did you finish inte. mediate school? if DO, last grade completed _ ,_
J, Did you finish hir-h school?
if DO, last gr.&de completed ~

yes ~ no._
yes ~o_

4. Can you read?

5. Can you write?

6. Were you in special classes?

7. Have you ever

called ·slow·?

yes.00_

- yes --00
yes no~

yes

DO » ......-

Comments

Bx & PA reviewed ),-
by me. D

by f'!"IC. D. Klein,,, 'M.D.

s.

.'"

RN

DATE

MD

DATE

• •
•
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Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 99 of 129
EXHIBIT
HARRIS COUNTY SHERIFF'S DEPARTMENT DETENTION BURE.A... ..U MEDICAL DIVISION
SPECIAL NEEDS ADVISEMENT DATJ?:=_ -.
WATCH COMMANDER
I n m a t e , S P N ,_:....'--.... has a medica psychiatric problem which will require

•
,

This medical/psychiatric problem will be re-evaluated
•
as needed but no later than thirty (30) days from the above date.

Please adhere with this request and notify the Medical

Division immediately of any concerns.

•

Physicia

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M-l72 (7/88)

U.S D, ~artment of Justice U niled States Parole Commission 10220 North Executive Hills Boulevard North Pointe Tower, Suite 700

Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 100 of 129

Notice of Actio

EXHIBIT

RECE\VEO
"~V~3~'O·tfJ5

Name: HALL, Robert Arthur Register Number: 38261-079

Institution: Local, Houston, TX

In the case of the above-named parole action was ordered:

Revoke Parole. Time spent from date of release until February 3, 1995 shall becredited. Continue to expiration with the Special Drug, Mental Health and Alcohol Aftercare Conditions. You shall participate as instructed by your U.S.
Probation Officer in a program approved by the Parole Commission for the treatment of narcotic addiction or drug and/or a12chcl dep2nd€ncy, which ~ay include testing and examination to determine if you have reverted to the use of drugs or alcohol. You shall also abstain from the use of alcohol and/or all other intoxicants during and after the course of treatment. You shall participate in an in-patient or an out-patient mental health program as directed by your U.S. Probation Officer.

cc: Dola Young Federal Public Defender P.O. Box 61508 Houston, TX 77208

FINDINGS OF FACT:

The Commission finds as a fact that you violated cond i t ions of release as charged as indicated below:

Charge No. 2 - FAILURE TO SUBMIT SUPERVISION REPORTS.

Basis:

Testimony

provided

by

USPO

Flanagan

and

information

contained

.
1.n

"n1.S

letter dated 2-17-95.

Charge No. 3 - FAILURE TO REPORT CHANGE IN RESIDENCE.

BaS1• S:

Testimony provided by USPO Flanagan and his letter dated February 17, 1995.

Appeals Procedure: The above decision is appealable tD the National Appeals Board under 28 C.F.R. L~li:

May 23, 1995

North Central Region Commissioner: Carol Pa yi\ack Gt:lty

Docket Clerk: cew

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Pctl!e I I)f :2

Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 101 of 129

•
A presumptive parole date is conclitioned upon your maintaining good institutional conduct and the development of a suitable
release plan. Prior to release your case will be subject to review to ascertain that these conclitions have been fulfilled.

You may obtain appeal fOlIllS from your caseworker and they must be filed with the Commission within thirty days of the date this Notice was sent. Copies of this Notice are sent to your institution andlor your probation officer. In certain cases copies may also
he sent to the sentencing court. You are responsible for advising any others, if you so wish.

SALIENT FACTOR SCORE (SFS-81)

ITEM A PRIOR CONVICTIONS/ADJUDICATIONS (ADULT OR JUVENILE)
None = 3; One = 2; Two or three = 1; Four or more = 0

ITEM B. PRIOR COMMITMENTS OF MORE THAN THIRTY DAYS (ADULT OR JUVENILE)

None = 2; One or two = 1; Three or more = 0

ITEM C. AGE AT COMMENCEMENT OF THE CURRENT OFFENSFJPRIOR COMMITMENTS OF MORE THAN THIRTY DAYS (ADULT OR ,JUVENILE)
Age at commencement of the current offense: 26 years of age or more = 2***; 20-25 years of age = 1***; 19 years of
age or less = 0

*** EXCEPTION: Iffive or more prior commitments of more than thirty days, (adult or juvenile), place an
'x' here ( ) and score this item ... = 0

ITEM D. RECENT C011MITMENT FREE PERIOD (THREE YEARS)

No prior commitment of more than thirty days (adult or juvenile), or released to the community from last such
commitment at least three years prior to the commencement of the current offense = 1; Otherwise = 0

ITEM E. PROBATIONIPAROLElCONFINEMENTIESCAPE STATUS VIOLATOR THIS TIME

Neither on probation, parole, confinement, or escape status at the time of the current offense; nor committed as a
probation, parole, confinement, or escape status violator this time = 1; Otherwise = 0

ITEM F. HISTORY OF HEROIN/OPIATE DEPENDENCE
No history of heroin or opiate dependence = 1; Otherwise = 0

MOST FREQUENT SPECIAL CONDITIONS

Special Drug Aftercare Condition: You shall participate as instructed by your probation officer in a program approved by the Parole Commission for treatment of narcotic addiction or drug dependency, which may include testing and examination to determine if you have reverted to the use of drugs.

Special Alcohol Aftercare Condition: You shall participate in a community based program for the treatment of alcoholism as directed by your probation officer.

Special Mental Health Aftercare Condition:

You shall participate in an in-patient or an out-patient mental health program as directed by your probation

officer.

. ...

•

Special Community Treatment Center Condition:

You shall reside in and participate in a program of the Community Corrections Center as instructed until

discharge

by

the

Center

Director,

but

no

later

than

120

days

from

a

dm

i

s

s

i

o.

n
. .

.

.

.- ... •

.

. '- ... .

. .

'. _ I ,

u.s OCt

OOnRNllXN'TPR.ll'fTINO OTTIC!: 19S)· )Ol-HO - il~'91./o1'

•

Parole FOlIlI H-7(a)

Nov 93

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• T'''. Of" ..... 'YAt
-

Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 102 of 129

( . ··......

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EXHIBIT

Nty DISTRICT ~J,·. OSPITAL
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INFORMATION:
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[ ... , ,.[BY G""Nt PI[A""'I~5!OH TO THE "UlHORIT'E~ OF HA"""'5 COUNT" 1-405... ,T ... 1.. DIS'"
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STRUCTlONS TO PATIENTS

ffil'nrgl' fti. llIamrulwul. VIr. m.
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Clinical History Robert Hall Attempted suicide o£ 2-22-75 bilateral achilles tendons

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EMERGENCV SERVICE TREATMENT SHEET
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Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 103 of 129
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Clinical History Robert Hall
TDC Diagnotic Unit 9-8-75
Both Achilles tendons cut in self-mutilation. Confinnation of epilepsy.

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Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 104 of 129
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Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 105 of 129

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Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 106 of 129

EXHIBIT

•
. H• AKE: Hall, Robert
•

PROGRESS REPORT (continued)
REG. NO.: 38261-079

I \TE: 10-29-91

H. Physical\Kental Health:

•

The Medical Department of the institution has reported Mr. Hall can be

assigned to regular duty with the medical restriction of a psychiatric •
disorder and no food service work. At the present time, he is being

prescribed the psychotropic-medication Xanax.

:'. :

•

. '" -

I. financial Responsibility:

The Judgment and Commitment Order from the Southern District of Texas, dated
January 7, 1988, indicates Mr. Hall is to pay an assessment of S50.00. An "active:participant in the Inmate Financial Responsibility Program, Mr. Hall completed his financial obligation to the court on October 17, 1991.

RELEASE PLANNIHG

Prior to his release from confinement, Mr. Hall would desire a relocation of parole supervision from the Southern District of Texas to the Eastern District of Wisconsin, as he plans on becoming a religious brother at a monastery in Wisconsin. In addition, his father's permanent address is in Antigo, Wisconsin.

A. RESIDENCE:

Priest and Brothers·of the Sacred Heart Monastery Post Office Box 206 Hales Corner, Wisconsin 53130-0206

B. EKPLOYKENt: Religious Brother

•
C. USPo:

Sentencing District

Louis G. Brewster, Chief

•

u.s. Probation Officer

1205 u.s. Courthouse and Federal Building

515 Rusk Avenue

Houston, Texas 77002

•
•

.
District of Proposed Relocation Trudy A. Schmitt, Chief u.S. Probation Officer 620 Federal Building 517 East Wisconsin Avenue
Milwaukee, Wisconsin 53202-4502

•
•
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Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 107 of 129

EXHIBIT

•

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MASTER SERVICE PLAN INDIVIDUAL PROBLEM SHEET

Consume(s Name:

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PROBLEM # PROBLEM NAME

Case #: / 5 3 7 'I ',,-
====::::=:::-
P19 Major DepressioI

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DESCRIPTION

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This consumer identifies with the symptoms associated with Major Depression as listed in the DSMIII-R including depressed mood. This consumer has experienced depressed mood concurrently with at least four other depressive symptoms for at least a two week period.

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This consumer has expressed willingness to comply with treatment plan by attending scheduled appointments and taking prescribed medication.

GOAL STATEMENT (A general statement about the expected or desire<:! change)

This consumer will be free of all depressive symptoms within one year .

OBJECTIVES
(What the consumer expects to achieve In behavioral & measurable teulls)

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Consumer will attend a minimum of one medication follow-up appointment with Jim Joiner, M.D. every three months at the Humble MH Clinic.

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Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 108 of 129

EXHIBIT

Mental Health MenIal Retardation
AUlhorily of Harris County

C.ONSUMER NAME: f::t.I=/..!:~c.!:::L-'-f-I-+lLJr...L..CA t!2._ _ _ _ _ CASE #;--:r:

NTRY REQUIRES

SIGNA.TU ~EL!.[T.!.!IT.!o:lE~-_ _ _ _ _ _ _ _ _ _-,

DATE TIUE KEY CODE

NOTES

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77.022 (Revised

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Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 111 of 129

COMPLAINT REPLY FORM

INMATE NAME: ~:, 14"" ,

DATE RECEIVED:_2----E!!.

SPN#: (P15rrsq·

LOCATION: __________________

COMPLAINT: (;ABe.

FINDING: _____________

EXHIBIT

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Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 115 of 129

II::XHIBIT

OPTIONAL FORM" t·
FAX TRAN
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,VlITTAL

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DATE: March 13, 1996

REPLY TO

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ATTN OF: Li•• G~iffi., Acting Chi.! n..u~y

To: Major Quinn/Linda Parker

Subject: Federal Prisoner Robert Hall SPN 61S184/Cell 585-01

I received a telephone call from Ann Barthlow, sister of R. •

She advised that HALL is a diabetic and is having problems with

thalack of monitoring of his medication closes, and that he is

losing circulation in his' feet. Could you please look in to th1s

complaint and let our office know of

'. medical atatus?

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Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 116 of 129

HARRI::, COUNTY SHERIFF'S DEPARTMENT

EXHIBIT

DETENTION BUREAU

INMATE GRIEVANCE FORM

FORMA PARA QUEJAS DE LOS PRESOS

o Control #:

J_ - /)3
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Nombre Del Preso
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Jail Facility: --,!,-_.;.;;3t",-c-=_/ _f/--=·-/",-i'..;./~-,,"y...:;1:1,-1_//..;:.l"_'_ _
Local de Careel
Date of Incident: ~3 - cQ ' 9&
Fecha De Incidente

Inmate SPN # --....:::f.tJ~1S---,-I_J-"<f_~____
Numero Del SPN Preso
Housing Assignment: -5 /35 "- 0 I
Vivienda Asignada
Time of Incident: 10 ~ 00 11,'(1 '
Tiempo de incidente

Specify how and whef) informal resolution was attempted I Especifique como y euando trato de hallar una solucion informal:

J Deputy: "--:VA ,J ,

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STATE GRIEVANCE (Include documentation, name of any witnesses supporting your claim and date of incident.
Attach additional pages if necessary") I ESPEClFlQUE LA QUEJA (Incluya documentacion, nombre de eualquier testigo que
certiiique su queja y fecha del incidente" Agregue paginas adicionales si es necessaria") Only one Issue is to be presented on each form. (Soiamente sa puada presentar un asunto en cada lorma")

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HCJ - 180 REV. (6/92)
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Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 120 of 129

T () :

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SPI\I: 615184

CLE3f( 5--8-5

From:

Reference: CrievancI::: '#96-03, fLL<';:d on Oll/l13/96

The Inrnate Grievance

whict, you initiated.

Bo c"-"j 011.....

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JM

Board lJporl

met tt,e

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EXHIBIT

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( ) The Grievance is foy"wdlded to tIle Inmate

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r~ousing Comma)lder for review.

Sgt. G. P. Hanka,
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a1 , R
If you wish to APPEAL the decision of th!3 Inmate Grievance Board you may do ~so. i)l writing, witl,in five (5) working days to:
~1ajor K. E3erry Detention Bureau Commander . 1301 Franklin Hou:ston, Texas 77002
Your APf)EAL. Sllou1d be mailed througll the regular U.S. Mail to the Major.

( F~e\/. 04/91)

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Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 121 of 129
THOMAS J. BEVANS
ATTORNEY AT LAW
16000 MEMORIAL DRIVE. SUITE 230 HOUSTON. TEXAS 77079..tO08 PHONE (713) 497-7701
FAX (713) 697
April 8, 1996

EXHIBIT
PRACTICE LIMITED TO FEDERAL PRACTICE

Mr. AI Solis U. S. Marshall 515 Rusk, 10th Floor Houston, Texas 77002

Re: Robert A. Hall CR H-95-201 My File #95-

Dear Mr. Solis:

I have been appointed by the Court to represent the interests ofMr. Robert A. Hall.

Mr. Hall is presently incarcerated in the Harris County Jail under Spin 00615184, USM#38261-079 and housed in Cell Block 5-B-5. Since Mr. Hall has been incarcerated he has developed diabetes, has developed problems with his feet and has been given a cane to walk because of swelling of his feet. Mr. Hall has also developed problems with his achilles tendon.

The purpose of this letter is to request that Mr. Hall's feet not be shackled while being transported by the U. S. Marshall service and/or within the Harris County Jail.

On each occasion that I have visited Mr. Hall in the Harris County Jail his feet have been shackled when moving from his cell to the area in which attorney visits are held.

Mr. Hall has an escaped attempt in the past, some 20 years ago. Mr. Hall is an "old con,"

"he knows the drill" and if we treat Mr. Hall with common courtesy and give him the respect due

him, he will respond in kind. I do not believe Mr. Hall is an escape risk, therefore I believe the

use of shackles are not necessary in the Harris County Jail and/or in transporting Mr. Hall. I

request that feet shackles not be used on Mr. Hall and that your office convey this request to the

proper authorities in the Harris County Sheriffs Office.

, ,

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, !
Thank you for your time and cooperation.

Yours,

:1
I

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Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 122 of 129

Icc: U. S. District Judge Ewing Werlein, Jr. 515 Rusk Houston, Texas 77002
Icc: Mr. Tommy Thomas SheriffHarris County Texas 1301 Franklin Houston, Texas 77002
1cc: Mr. Robert Hall Spin 00615184 Cell 5-B-5 1301 Franklin Houston, Texas 77002

EXHIBIT

,

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Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 123 of 129
IEXHIBIT
THOMAS J. BEVANS
ATIORNEY AT LAW
16000 MEMORIAL DRIVE. SUITE 230 HOUSTON. TEXAS 77079-4008 PHONE (713) 497-7701 FAX (713)
== = = = = = = = = = = = = = = = = = = = = = = =., ....._. • _..._._...= _"••0_" ___ = = = = = = = = =
PRACTICE LIMITED TO FEDERAL PRACTICE
April 17, 1996

Mr. AI Solis US. Marshall 515 Rusk, 10th Floor Houston, Texas 77002

Re: Robert A. Hall

CR H-95-201

/

My File #95-

Dear Mr. Solis:

Please make reference to my letter of which a copy is attached.

On 4/15/96 I visited Mr. Hall at the Harris County Jail at which time his feet were again in shackles.

Mr. Hall entered the Harris County Jail on 2/22/95. On or about 12/5/95 after numerous complaints concerning his health Mr. Hall was diagnosed a diabetic. The diabetes is in addition to his seizure disorder and hyperthyroidism.

When Mr. Hall entered the Harris County Jail his weight was 228 pounds and his weight last recorded in his medical record on 3/19/96 was 278 pounds.

Mr. Hall does not look well to me. I am not a medical doctor but it is generally known that a diabetics blood sugar should be monitored on a regular basis, some diabetics blood sugar is monitored daily and some more than once daily. Since Mr. Hall was diagnosed a diabetic on 12/5/95 his medical record reflects that his blood sugar was monitored on two occasions.

Based on the fact that Mr. Hall is an epileptic, has hyperthyroidism and has been diagnosed a diabetic I don't belive he should be housed in an isolation cell 5-B-5-1 but should be housed on a medical floor and/or medical facility. Your office is responsible for the case of Mr. Hall and you have contracted this responsibility away to the Harris County Sheriffs Office. Mr. Hall is not receiving proper medical care in the Harris County Jail. lfthe Harris County Sheriffs Office cannot provide Mr. Hall proper medical care I ask that he be transferred to a Federal Medical facility.

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Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 124 of 129

EXHIBIT

Thank you for your time and cooperation. Yours,

gj.

TJBlhg enclosure

Icc: U. S. District Judge Ewing Werlein, Jr. 515 Rusk Houston, Texas 77002

Icc: I

Mr. Tommy Thomas Sheriff Harris County Texas 1301 Franklin Houston, Texas 77002

1cc: Mr. Robert Hall Spin 00615184 Cell 5-B-5 1301 Franklin Houston, Texas 77002

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Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 125 of 129

II, I " : ' "OJ _ ,,-- ••" ..

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TOMMY B. THOl\ tAS
Sheriff of Harris Count ,;
1301 FRANKLIN HOUSTON, TEXAS 77002 ·1978
April 15, 1996

Thomas .J. Beyans
Attol"lW\ At Law •
1600 ::\lemnrial Dr-in', Suite 230 HOllston, Texas 77079-..lO08

Re: Robert .\.. Hall

.-.

CH H-95-201

Dear .\If. Bevans:
This office is in receipt of your letter to Sheriff Thomas dated April 8, 1996, with regards to
your client, Inmate Robert A. Hall who is presently incarcerated in the Harris County Jail.
It goes ~ithout saying that your concern for your client is appreciated by all responsihle for his care and custody. In response to your concerns are as follow...:
1. \Ve have no jurisdictional control owr your client when he is in {-.S. \.larshall's custod\ .
•
2. This otlice will have an immediate review of the classification and medical needs of
your client to determine if there is a need to re..c1assify him or make special arrangeml'nts for him due to medical reasons.
'-
In conclusion, you will be notified in writing once this reassessment is completed.

KWB:ch cc: Major \1. \V. Quinn
Captain .J.L. Albt.'rs Lieutenant G.L. Moore
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..\Y. BelTv, \la'or Imate Housing Bureau

Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 126 of 129
-- ""
,
,

TOMMY B. THOMAS
Sheriff of Harris County
1301 FRANKLIN
HOUSTON, TEXAS 77002-1978
April 15, 1996

Thomas J. Be\'ans
.\Uornev At Law •
1600 Memorial Driw. Suite 230 Houston, Texas '77079--W08

Re: Robert A. Hall

.-,

CR H-9~-2(11

Dear \lr. Bevans:
This office is in receipt of your letter to Sheriff Thomas dated April 8, 1996, with regards to your client, Inmat(' Robert A. Hall who is presently incarcerated in the Harris County Jail.
It goes without saying that your concern for your client is appreciated by all responsible for his care and custody. In response to your concerns are as follows:
1. We have no jurisdidional control oYer your client when he is in es. "Marshall's
custod•".
2. This office will have an immediate review of the classification and medical needs of your client to detenl1ine if there is a need to re-classify him or make special arrangements for him due to medical reasons.
In conclusion, you will be notified in writing once this reassessment is completed.

KWB:ch cc: \tajor \,tW. Quinn
Captain J.L. Albers Lieutenant G.L. Moore
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.\V. Ben'\", \la'or 1mate Housing Bureau
'.

Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 127 of 129

THE STATE OF TEXAS THE COUNTY OF HARRIS

EXHIBIT
AFFIDAVIT

COMES NOW, Robert Arthur Hall, hereinafter affiant, who now deposes and states the following:
Affiant is currently a federal prisoner housed in the ministerial custody of the Harris County Sheriffs Department (HCSD), Detention Bureau, Jail Division, under Sheriff Prisoner Number (SPN) 615184, and has been so confined continually from 2/22/95 to date,
Affiant is now, and has life-long been a handicapped person pursuant to 28 c.F.R. Section 39, 103 definitions,

MEDICAL INTERVIEW
On June 4, 1996, atnant was taken from Administrative Segregation Cell block 5B5-0 1 to the HCSD-Medical Division clinic located on the second floor of the HCSD, 1301 Franklin Jail Facility (1301 Facility), Upon arrival at the clinic affiant was placed in a curtained inmate patient interview area in the main room of the clinic.
Standing nearby were, Dr. M. Seale, HCSD Medical Director, and Mr. Andrew Johnson, third year medical student - University of Texas, Dr. Seale and Mr. Johnson had affiant's medical record (MR) open and Dr. Seale was explaining to Mr. Johnson that affiant's last blood test, taken by C.D, Ware, LVN, on 5/24/96, had came back with phenobarbital and phenytoin (epilepsy seizure medications) below normal levels and near and in the panic value ranges, Since the low levels of this type test have been a sixteen month long problem, apparently Dr. Seale was going to have Mr. Johnson talk with affiant about this ongoing problem.
Affiant asked to talk with Dr. Seale that he might shed light on the source of the problem of the chronic low drug levels of seizure medications, Dr. Seale was shown by affiant that the Administrative Medical Records (AMR) in affiant's MR showed that the probable cause of the low test results was that in the previous year period that the HCSD-Medical Division Drug Cart Nurses, who dispense controlled medications, had not been delivered for approximately ninety (90) of those days and which represented approximately one-hundred and eighty (180) doses of seizure medication. After reviewing an AMR page, that confirmed the 90 day/180 dose scenario, Dr, Seale was at a loss to explain how the medical record supported affiant's claim, and made no suggestions or offered any remedies how the problem might be resolved by his office,
Affiant then related to Dr. Seale that on 3/8/95, Dr. 0, Klein, M.D, had signed orders that affiant not be made by the HCSD to wear leg irons because of a bilateral achilles tendon operation

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Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 128 of 129
EXHIBIT
performed on affiant by Ben Ie Ib Hospital in 1971) P fiant then related to Dr. Seale that after the written order Dr. Klein had tnrgot to follow up an( fill out a "Special Needs Advisement." This resulted in affiant having t ' wear leg irons fnr the )revious sixteen( 16) months and which was a contributing factor in affi lOt having to walk wid the assistance of a cane. Dr. Seale was at a loss to explain the reason Dr. Klein had failed to foH( w up with the Special Needs Advisement and which resulted in needless .ain to affiant.
Affiant further explained to Dr. Seale that the l\1R documented for ten months affiant was erroneously treated for a "herpes" condition that was based solely on visual diagnosis with no supporting diagnostic testing. The misdiagnosed herpes condition could not be brought under control until by accident it was discovered that affiant was, and had been for the previous two years, suffering from diabetes. Dr. Seale was at a loss to explain why affiant had not received proper medical tests so as the HCSD Medical Division could have reached the correct diagnosis and have prevented needless pain and suffering to affiant.
Affiant finally stated to Dr. Seale that since the diagnosis of diabetes on 1217/95 that a medically ordered diabetic diet had been ordered but the full benefits of the diet had not been realized as often diet trays were not delivered and/or scheduled sandwiches and milk were stolen by inmate floor workers and that the floor deputies were apathetic and did not intervene in such thefts. Dr. Seale asked affiant had he filed a grievance in the matter. Affiant produced a March 20, 1996 letter written to Ms. C. Nichols, R.D.lL.D. and is referenced "Dietary needs not being met by HCSD." Dr. Seale said that the Nichols' letter had as of yet crossed his desk. Dr. Seale suggested to affiant to file a grievance on the matter for the preparation and delivery of diets was beyond his control.
Dr. Seale left and Mr. Johnson came over to talk to affiant concerning the low test results of seizure medications. Again affiant referred Mr. Johnson to the AMR and the 90 day/I80 dose variable of missing seizure medications. Mr. Johnson candidly agreed that in his opinion that this would certainly be the cause for low blood levels of seizure medications in the test results.
Dr. Phi (pronounced Fee) came quickly over and took the interview away from Mr. Johnson. Dr. Phi was then shown the AMR with the 90 day/I 80 dose variable of missing medications. To drive the point home affiant produced a "Laboratory Results - Therapeutic Drugs" example page that give the average offive similar tests on blood levels for seizure medications dated 3/30/95 to 11/08/95 that all tested out for low blood levels of seizure medication due to the lack of affiant not receiving the prescribed medication. Dr. Phi was unable to expalin why affiant did not at times receive his legally prescribed medication while housed in 5B5-01 of the Harris County Jail.
Affiant explained to Dr. Phi that Dr. Luu had doubled the doses of seizure medication on 1116/95, in an attempt to "break through" and overmedicate affiant enough to compensate for the irregularly delivered seizure medication. Dr. Phi pointed out that such a policy of overmedication brings on high toxitity that can bring on seizures and therefore can be as harmful as affiant not receiving enough medication. Dr. Phi inquired what affiants present daily seizure rate was that was being experienced. Affiant stated daily petite mol and irregular grand mol seizuires. Affiant
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Case 4:97-cv-00874 Document 1 Filed in TXSD on 03/18/97 Page 129 of 129

l '",,'Ci-
,

EXHIBI'''II"

described to Dr. Phi and Mr. Johnson In e II. rlllm: rative segregation cell he was in that he was primarily, because of the constmction designimd al rangement of the cell, out of view of all HCSD personnel and inmates, and therefore, was dlone when he suffered seizures, and had to do for himself and make the best of a bad classification hou'ling assignment
AffIant summarized to Dr. Phi and Mr. Johnson that for over a year that he had not received seizure medication a large portion of the time while suffering from the undiagnosed and untreated diabetes and at that instant was not receiving his diabetic needs which had caused a serious bodily weight increase. The MR in their hands ret1ected that affiant had went from 228 pounds to 284 pounds that date. Dr. Phi indifferently told atnant that when medications were not given or diets not delivered to tell a floor Deputy Sheriff. Affiant told Dr. Phi and Mr. Johnson that he had tried that avenue of relief but the Deputies did not care and stated it was not their problem. Dr. Phi nodded his head that he understood and smiled knowingly and said that he was done with the interview.

,
Arthur Hall

STATE OF TEXAS
COUNTY OF HARRIS
SUBSCRIBED AND SWORN TO BEFORE ME on the _ oay of---l----.c..::._--. -, 1996.

•

~otary
the State of Texas

for
,

. .
•

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 Case 4:97-cv-00874 Document 35 Filed in TXSD on 08/28/97 Page 1 of 10

UNITED STATES COlr'TS
SOUTHERN DISlRlCl OF TEXAS

IN THE UNITED STATES DISTRICT COURT

FILED

FOR THE SOUTHERN DISTRICT OF TEXAS AUG 2 8 1997 1<0

HOUSTON DIVISION

Michael N. Milby, 0/erk ot (;ourt

ROBERT ARTHUR HALL,

§

Plaintiff,

§

§

VS.

§

CIVIL ACTION NO. H-97-874

§

SHERIFF TOMMY B. THOMAS, et al

§

Defendants.

§

MOTION FOR SUMMARY JUDGMENT OF MAJOR MICHAEL QUINN
IN HIS INDIVIDUAL CAPACITY

Defendant Major Michael W. Quinn ("Major Quinn"), in his individual capacity, now files his Motion for Summary Judgment pursuant to Rule 56, Federal Rules of Civil Procedure, and would respectfully show this Court as follows:
BACKGROUND 1. This is an action brought pursuant to 42 U.S. C. section 1983 by Plaintiff Robert Arthur Hall ("Plaintiff'), a former federal prisoner in the Harris County Jail. Plaintiff, alleges that Major Quinn violated his constitutional rights by improperly classifying him, by not rendering adequate medical care, and by requiring him to wear leg irons. Plaintiff also apparently asserts a claim pursuant
to the Americans With Disabilities Act, 42 Us.c. 12111, ct. seq ("the ADA"). Plaintiff has sued
Major Quinn in both his official and individual capacities. 2. Major Quinn is entitled to judgment on Plaintiffs Section 1983 against him in his
individual capacity because Plaintiff has failed to meet the heightened pleading standard required as a result of Major Quinn's assertion of the qualified immunity defense, and because Plaintiff has failed to

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Case 4:97-cv-00874 Document 35 Filed in TXSD on 08/28/97 Page 2 of 10

allege that Major Quinn was personally involved in the constitutional deprivation. Major Quinn is also entitled to judgment on Plaintiffs ADA claim because an individual may not be held liable under the ADA and because his qualified immunity shield defeats Plaintiffs cause of action. There is no genuine issue of material fact, and Major Quinn is entitled to judgment as a matter of law.
THE SUMMARY JUDGMENT STANDARD
3. A movant seeking a summary judgment in federal court must initially inform the court of the basis for his motion and point out those portions of the pleadings, depositions, answers to interrogatories, and admissions on file which demonstrate the absence of a genuine issue of material fact and show that he is entitled to judgment as a matter of law. See FED. R. CIv. PRO. 56(C); Celotex Corp. v. Catrett, 477 U.S. 317, 323 (1986). The movant need not negate the opposing party's claims nor produce evidence showing an absence of a genuine factual issue, but may rely on the absence of evidence to support essential elements of the opposing party's claims. See International Association of Machinists & Aerospace Workers, Lodge No. 2504 v. Intercontinental Mfg. Co., 812 F.2d 219,222 (5th Cir. 1987).
4. The burden then shifts to the non-movant to set forth specific facts and competent summary judgment evidence to raise a genuine issue of material fact on each essential element of any claim on which he bears the burden of proof at trial. FED. R. CIv. P. 56(c). The substantive law governing the suit identifies the essential elements of the claims at issue and therefore indicates which facts are material. See Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986). The non-moving party may not rest on mere allegations or denials in his pleadings but must produce affirmative evidence and specific facts. Anderson, 477 U.S. at 256-56. He meets this burden only ifhe shows that

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Case 4:97-cv-00874 Document 35 Filed in TXSD on 08/28/97 Page 3 of 10

a "reasonable jury could return a verdict for the non-moving party". A mere scintilla of evidence will not preclude granting of a motion for summary judgment. Id. at 252.
ARGUMENT AND AUTHORITIES A. Plaintiffs Section 1983 Claim
5. Plaintiff contends that Major Quinn, in his individual capacity, violated his constitutional rights by improperly classifying him, by not rendering adequate medical care, and by requiring him to wear leg irons. The distinction between a suit against a government official in his individual capacity and one in his official capacity is not merely a pleading device. Rather, the distinction impacts the requirements for pleading and proving a cause of action. See Hafer v. Melo, 502 U.S. 21,112 S. Ct. 3581,116 L.Ed.2d 301 (1991); Kentucky v. Graham, 473 U.S. 159, 105 S.Ct. 3099, 87 L.Ed.2d 114 (1985).
6. When a plaintiff sues a public official under Section 1983, the district court must insist on heightened pleading from the Plaintiff. See Morin v. Caire, 77 F.3d 117, 121 (5th Cir. 1996), citing Schultea v. Wood, ("Schultea II") 47 F.3d 1427 (5th Cir. 1995) (en banc). The Fifth Circuit held in Morin that the Court "... must first demand that a plaintiff file a short and plain statement of his complaint, a complaint that rests on more than conclusions alone." Morin at 121.
7. Further, because individual capacity suits seek to impose personal liability on public officials for actions taken under color of law, they can only be established by a showing that the official, acting under color of law, caused the deprivation of a federal right. Graham, supra. Thus, Major Quinn can only be found liable in his individual capacity if he were personally involved in the acts causing a deprivation of Plaintiffs constitutional rights, or if a causal connection exists between his acts and a constitutional violation. See Baker v. Putnal, 75 F.3d 190, 199 (5th Cir. 1996);

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Case 4:97-cv-00874 Document 35 Filed in TXSD on 08/28/97 Page 4 of 10

Thompkins v. Belt, 828 F.2d 298 (5th Cir. 1987). Plaintiffs Complaint does not make either of these showings, and should be dismissed for those reasons.
8. First, Plaintiff has completely failed to comply with the Fifth Circuit's requirement that he present a specific, factual pleading which gives fair notice of the basis upon which Plaintiff seeks to hold Major Quinn liable. While Plaintiffs extremely voluminous and repetitive complaint mentions Major Quinn, the allegations are of a highly conclusory nature, which is clearly inadequate under Morin and Schultea II. Plaintiff mentions Major Quinn in the factual allegations section of the Complaint in five places. He contends that Major Quinn: (1) engaged in a pattern and practice of not following up on written medical orders and instructions by incompetent medical personnel (page 17); (2) egregiously failed to follow the steps and safeguards for the treatment of seizure disorders (page 23); (3) provided inadequate medical treatment of sores (page 27); (4) did not answer a letter written by Plaintiff (page 30); and (5) received a fax from the United States Marshal's Office and a copy of a letter from Plaintiffs attorney (page 32). Plaintiff does not allege that Major Quinn, whom he describes in the Complaint as the Hospital Administrator, treated any of Plaintiffs maladies, that he himself directed certain treatment, withheld treatment or failed to follow up on medical instructions. He does not allege the manner in which Major Quinn was allegedly involved in providing inadequate medical treatment of sores or seizure disorders. Additionally, he does not allege that a causal connection exists between Major Quinn's conduct and the constitutional violation.
9. The Complaint is devoid of any allegation whatsoever that Major Quinn was personally involved with determining Plaintiffs classification status. Similarly, Plaintiff makes no specific allegations as to the manner in which Major Quinn was involved in the requirement that he wear leg irons, although he pleads in a conclusory manner that Major Quinn was deliberately

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Case 4:97-cv-00874 Document 35 Filed in TXSD on 08/28/97 Page 5 of 10

indifferent to his condition. This is simply unacceptable under the heightened pleading standard set out
by the Fifth Circuit in Schultea IL and Major Quinn is entitled to judgment as a matter of law.
10. In addition to the above, Major Quinn's qualified immunity shield protects him from any liability. Government officials performing discretionary functions are shielded from liability for civil damages insofar as their conduct does not violate "clearly established statutory or constitutional rights of which a reasonable person would have known." Harlow v. Fitzgerald, 457 U.S. 800, 102 S. Ct. 2727, 2738, 73 L. Ed. 2d 396 (1982); Jacquez v. Procunier, 801 F. 2d 789, 791 (5th Cir. 1986); Elliot v. Perez, 751 F. 2d 1472, 1477 n. 13 (5th Cir. 1985).
11. A two step analysis is employed when applying the qualified immunity defense. Siegert v. Gilley, 500 U.S. 226, 111 S. Ct. 1789, 1793, 114 L. Ed. 2d 277 (1991); Salas v. Carpenter, 980 F. 2d 299, 305 (5th Cir. 1992). The court first determines whether the plaintiff has alleged the violation of a clearly established constitutional or statutory right. Siegert, 111 S. Ct. at 1793; Salas at 305; King at 656. If so, the court analyzes whether the defendant's conduct was objectively unreasonable, because "even if an official's conduct violates a constitutional right, he is entitled to qualified immunity if the conduct was objectively reasonable." Salas, at 305-6. Whether the conduct of which a plaintiff complains violated clearly established law presents an essentially legal question. Mitchell v. Forsyth, 472 U.S. 511, 105 S. Ct. 2806, 86 L. Ed. 2d 411 (1985). Officials and officers are immune from suit unless the law clearly proscribes the action they took. Mitchell, 105 S. Ct. at 2816.
12 Although Plaintiffs claim is inadequate under the heightened pleading requirement set out by the Fifth Circuit, Plaintiff has alleged the violation of clearly established constitutional rights. The analysis then proceeds to a determination of the objective reasonableness of the conduct.

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Case 4:97-cv-00874 Document 35 Filed in TXSD on 08/28/97 Page 6 of 10

13. As set forth above, Plaintiff alleges broadly that Major Quinn provided inadequate medical treatment for his seizure disorder and sores, that he failed to follow up on written medical orders and instructions, and that he received copies of certain correspondence. Plaintiff cannot show, however, that Major Quinn's conduct was objectively unreasonable because he cannot show that Major Quinn engaged in any specific conduct. Plaintiffs broad allegations about Major Quinn's deliberate indifference are unsupported. His conduct can thus not be shown to be objectively unreasonable.
14. Similarly, Plaintiff claims broadly that Major Quinn was deliberately indifferent to his proper classification status and to the requirement that he wear leg irons. However, he raises absolutely no facts which would establish that deliberate indifference on either claim. Because there is no conduct to analyze from an objective reasonableness standard, Major Quinn is entitled to judgment as a matter of law by virtue of his qualified immunity shield.
B. Plaintiffs ADA Claim 15. Plaintiff also argues that his rights and this case arise under the ADA. Title II of
the ADA generally prohibits discrimination against the disabled by public entities. However, whether the provisions of the ADA apply to a county jail is not clear. See Torcasio v. Murray, 57 F.3d 1340 (4th Cir. 1995) (Any rights which inmates may have under the ADA were not clearly established at the time of suit since Congress has not specifically stated that the ADA applies to prisons and since courts are in disagreement over the ADA's application to prisons); Garrett v. Anselone, 940 F. Supp. 933 (W.D. Va 1996) (Defendants' conduct did not violate any clearly established right under the ADA and Defendants are entitled to qualified immunity.) While there is other case law which might support the application of the ADA to the Harris County Jail, there is no authority in the Fifth Circuit which

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Case 4:97-cv-00874 Document 35 Filed in TXSD on 08/28/97 Page 7 of 10

directly addresses this issue. Major Quinn asserts that the provisions of Title II of the ADA do not apply to the Harris County Jail.
16. Even assuming that the ADA applies to the Harris County Jail, however, there are two reasons Plaintiffs ADA claim against Major Quinn should be dismissed. First, the law under Title I of the ADA does not permit an action against an individual employee. The law under Title II of the ADA should be consistent with this principle. Alternatively, Major Quinn's qualified immunity shield bars any recovery by Plaintiff against him in his individual capacity. Each of these points will be considered in turn.
17. The courts have held under Title I of the ADA that the ADA provides only for employer liability, and not for individual liability. See Mason v. Stallings, 82 F. 3d 1007 (lIth Cir. 1996) (county commissioners could not be held liable in their individual capacities for ADA violations); Fernandez v. Community Asphalt, Inc., 934 F. Supp. 418 (S.D. Fla. 1996) (suit against individuals is not allowed under Title VII, the ADEA, or the ADA). This principle of liability should be applied consistently to an action under the ADA's Title II. The ADA claim against Major Quinn in his individual capacity should thus be dismissed.
18. In analyzing the application of Major Quinn's qualified immunity shield to the assertion of a statutory right, the Court undertakes the two step analysis set out Siegert, inquiring first whether there has been an allegation of a clearly established constitutional or statutory right. In this case, there is no violation by Major Quinn of a clearly established statutory right. Plaintiff apparently asserts his status as a disabled person under the ADA is based on his alleged chronic kidney condition, epilepsy, depression, and hyperthyroidismI. Any rights Plaintiff may have under the ADA with regard

I Plaintiff repeatedly contends throughout the Complaint that he had the condition of hyperthyroidism. Plaintiffs medical records clearly indicate that his condition was hypothyroidism.

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Case 4:97-cv-00874 Document 35 Filed in TXSD on 08/28/97 Page 8 of 10

to the application of the ADA to a county jail facility were not clearly established at the time of the incidents made the basis of Plaintiffs lawsuit, and are not established at this time. See Torcasio; Garrett, supra. Where there is no violation of a clearly established statutory right, qualified immunity applies, and operates to be Plaintiffs ADA claim.
CONCLUSION 19. There is no genuine issue of material fact on Plaintiffs claims against Major Quinn in his individual capacity, and Major Quinn is entitled to judgment as a matter oflaw. WHEREFORE, PREMISES CONSIDERED, Defendant Major Michael W. Quinn respectfully prays that this Court grant him summary judgment on Plaintiffs claim against him in his individual capacity, and for such other and further relief which to this Court shall seem just and proper.
Respectfully submitted,
MICHAEL P. FLEMING County Attorney
By_______________ _ ~_-~-._·· _I __,________
MARY E. BAKER State Bar No. 08534000 Assistant County Attorney 1001 Preston, Suite 634 Houston, Texas 77002 (713) 755-7166 (713) 755-8924 Fax
ATTORNEY FOR DEFENDANT MAJOR MICHAEL W. QUINN

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Case 4:97-cv-00874 Document 35 Filed in TXSD on 08/28/97 Page 9 of 10
CERTIFICATE OF SERVICE I hereby certify that on August ___, 1997, a true and correct copy of the foregoing Motion of Major Michael Quinn was served by certified mail, return receipt requested upon Thomas 1. Bevans, 16000 Memorial Drive, Suite 230, Houston, Texas 77079 and upon Ralph C. Longmire, Assistant Attorney General, P. O. Box 12548, Austin, Texas 78711-2548.
...•. , . (,
MARY E. BAKER Assistant County Attorney

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Case 4:97-cv-00874 Document 35 Filed in TXSD on 08/28/97 Page 10 of 10

IN THE UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF TEXAS
HOUSTON DIVISION

ROBERT ARTHUR HALL,
Plaintiff,
VS.
SHERIFF TOMMY B. THOMAS, et al
Defendants.

§ § § § CIVIL ACTION NO. H-97-874 § § §

ORDER
BE IT REMEMBERED that on the _ day of _ _ _ _, 1997 came on to be considered the Motion for Summary Judgment of Major Michael W. Quinn in his individual capacity. The Court, having considered the Motion, the Response, and the arguments of counsel, is of the opinion that the said Motion should be, in all respects, GRANTED. It is, therefore,
ORDERED, ADJUDGED AND DECREED that the Motion for Summary Judgment filed by Major Michael W. Quinn be, and hereby is, granted.

UNITED STATES DISTRICT JUDGE

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 Case 4:97-cv-00874 Document 36 Filed in TXSD on 08/29/97 Page 1 of 9

sou,~rrI!D STATES COURTS
ERN DISTRICT OF TEXAs
FftED

IN THE UNITED STATES DISTRICT COURT AUG 2 9 1qq7
FOR THE SOUTHERN DISTRICT OF TEXAS

HOUSTON DIVISION

Michael

hi •

fill/'lL..·
• II,",

t';. ''"",r.'r,,

.
Il"',,t(lOr!

ROBERT ARTHUR HALL,

§

Plaintiff,

§

§

VS.

§

§

SHERIFF TOMMY B. THOMAS, et al

§

Defendants.

§

CIVIL ACTION NO. H-97-874

MOTION FOR SUMMARY JUDGMENT OF SHERIFF TOMMY B. THOMAS IN HIS INDIVIDUAL CAPACITY
Defendant Sheriff Tommy B. Thomas ("Sheriff Thomas"), in his individual capacity, now files his Motion for Summary Judgment pursuant to Rule 56, Federal Rules of Civil Procedure, and would respectfully show this Court as follows:
BACKGROUND 1. This is an action brought pursuant to 42 U.S.C. Section 1983 by Plaintiff Robert Arthur Hall ("Plaintiff'), a former inmate of the Harris County Jail. Essentially, Plaintiff alleges that Sheriff Thomas violated his constitutional rights by improperly classifying him, by requiring the use of leg irons, and by denying him adequate medical care. Plaintiff also asserts a claim pursuant to the Americans With Disabilities Act ("ADA"), 42 U.S.C. 12111 et. seq. Plaintiff has sued Sheriff Thomas in both his official and individual capacities. 2. Sheriff Thomas is entitled to judgment on Plaintiffs claims against him in his individual capacity. First, Plaintiff has not plead his case against Sheriff Thomas with the standard of specificity required in a case, as this one, in which the Sheriff Thomas has raised his

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qualified immunity defense. Second, Plaintiff is not entitled to proceed against Sheriff Thomas on the basis of respondeat superior, and Plaintiff has not alleged the personal involvement which would be required to hold Sheriff Thomas personally liable under Section 1983. Additionally the ADA is not applicable to individuals. Finally, Sheriff Thomas' qualified immunity shield protects him from both Plaintiffs Section 1983 and his ADA claim. There is no genuine issue of material fact, and Plaintiff is entitled to judgment as a matter of law.
THE SUMMARY JUDGMENT STANDARD
3. A movant seeking a summary judgment in federal court must initially inform the court of the basis for his motion and point out those portions of the pleadings, depositions, answers to interrogatories, and admissions on file which demonstrate the absence of a genuine issue of material fact and show that he is entitled to judgment as a matter of law. See FED. R. ClY. PRO. 56(c); Celotex Corp. v. Catrett, 477 U.S. 317, 323 (1986). The movant need not negate the opposing party's claims nor produce evidence showing an absence of a genuine factual issue, but may rely on the absence of evidence to support essential elements of the opposing party's claims. See International Association of Machinists & Aerospace Workers, Lodge No. 2504 v. Intercontinental Mfg. Co., 812 F.2d 219,222 (5th Cir. 1987).
4. The burden then shifts to the non-movant to set forth specific facts and competent summary judgment evidence to raise a genuine issue of material fact on each essential element of any claim on which he bears the burden of proof at trial. FED. R. CIY. P. 56(c). The substantive law governing the suit identifies the essential elements of the claims at issue and therefore indicates which facts are material. See Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986). The non-moving party may not rest on mere allegations or denials in his pleadings but

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must produce affirmative evidence and specific facts. Anderson, 477 U.S. at 256-56. He meets this burden only if he shows that a "reasonable jury could return a verdict for the non-moving party". A mere scintilla of evidence will not preclude granting of a motion for summary judgment. Jd. at 252.
ARGUMENT AND AUTHORITIES A. Plaintiffs Section 1983 Claim
5. The distinction between the suit against a government official in his or her individual or official capacities is not merely a pleading device. Rather, the distinction impacts the requirements for pleading and proving a cause of action. See Hafer v. Melo, 502 U.S. 21, 112 S. Ct. 3581, 116 L.Ed.2d 301 (1991); Kentucky v. Graham, 473 U.S. 159, 105 S.Ct. 3099, 87 L.Ed.2d 114 (1985).
6. When a plaintiff sues a public official under Section 1983, the district court must insist on heightened pleading from the Plaintiff. See Morin v. Caire, 77 F.3d 117, 121 (5th Cir. 1996), citing Schultea v. Wood, ("Schultea II") 47 F.3d 1427 (5th Cir. 1995) (en banc). The Fifth Circuit held in Morin that the Court"... must first demand that a plaintiff file a short and plain statement of his complaint, a complaint that rests on more than conclusions alone." Morin at 121.
7. Because individual capacity suits seek to impose personal liability on public officials for actions taken under color of law, personal liability in Section 1983 actions can only be established by a showing that the official, acting under color of law, caused the deprivation of a federal right. Graham, supra. Further, Sheriff Thomas can only be found liable in his individual capacity if he were personally involved in the acts causing a deprivation of

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Plaintiffs constitutional rights, or if a causal connection exists between his acts and a constitutional violation. See Baker v. Putnal, 75 F.3d 190, 199 (5th Cir. 1996); Thompkins v. Belt, 828 F.2d 298 (5th Cir. 1987).
8. Plaintiffs Complaint does not make either of those showings. First, Plaintiff has completely failed to comply with the Fifth Circuit's requirement that he present a specific, factual pleading which gives fair notice of the basis upon which he seeks to hold Sheriff Thomas liable. Morin at 121. In the factual allegations portion of the Complaint, Plaintiff mentions Sheriff Thomas eight times, alleging that he: (1) engaged in a pattern and practice of the hiring of unqualified personnel to work in classification (page 8); (2) engaged in a pattern and practice, based on negligence, to omit or overlook medical data (page 11)1; (3) inadequately treated Plaintiffs kidney condition from February 22, 1995 to July 12, 1996 (page 12); (4) received copies of two letters to the United States Marshal's office from Plaintiffs counsel regarding Plaintiffs complaints (page 15); (5) failed to protect Plaintiff from discrimination due to his disability (page 16); (6) engaged in a pattern and practice of not following up on written medical instructions by incompetent medical personnel (page 17); (7) failed to follow the steps and safeguards necessary for the treatment of seizure disorders (page 23); and (8) inadequately treated Plaintiffs sores (page 27).
9. What is most noteworthy about Plaintiffs allegations against Sheriff Thomas is what he does not allege. Plaintiff does not allege that Sheriff Thomas himself overlooked medical data, or recommended, provided, or withheld medical treatment, whether as

I Sheriff Thomas is entitled to judgment on this issue, as to establish deliberate indifference, a plaintiff must present facts tending to demonstrate actual knowledge or awareness of the serious medical need on the part of the named defendant. See Farmer v. Brennan, 51 I U. S. 825, I 14 S. Ct. 1970, 128 L. Ed. 2d 81 I (1994).

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to Plaintiffs kidney condition, seizure disorder, or sores. He also does not allege that Sheriff Thomas was involved in any manner in his alleged improper classification, or in the requirement that Plaintiff wear leg irons. Plaintiff has failed to allege the type of personal involvement necessary to hold Sheriff Thomas individually liable. Baker at 199.
10. When Plaintiffs allegations about Sheriff Thomas are examined, it is clear that he is seeking to hold Sheriff Thomas liable on respondeat superior grounds. However, a supervisor such as Sheriff Thomas cannot be held vicariously liable for the actions of a subordinate under Section 1983. See Doe v. Taylor lSD, 15 F.3d 443,454-55 (5th Cir. 1994) (en bane).
11. In addition, Sheriff Thomas' qualified immunity shield protects him from any liability. Government officials performing discretionary functions are shielded from liability for civil damages insofar as their conduct does not violate "clearly established statutory or constitutional rights of which a reasonable person would have known." Harlow v. Fitzgerald, 457 U.S. 800, 102 S. Ct. 2727, 2738, 73 L. Ed. 2d 396 (1982); Jacquez v. Procunier, 801 F. 2d 789,791 (5th Cir. 1986); Elliotv. Perez, 751 F. 2d 1472, 1477 n. 13 (5th Cir. 1985).
12. A two step analysis is employed when applying the qualified immunity defense. Siegert v. Gilley, 500 U.S. 226, 111 S. Ct. 1789, 1793, 114 L. Ed. 2d 277 (1991); Salas v. Carpenter, 980 F. 2d 299,305 (5th Cir. 1992). The court first determines whether the plaintiff has alleged the violation of a clearly established constitutional or statutory right. Siegert, 111 S. Ct. at 1793; Salas at 305; King at 656. If so, the court analyzes whether the defendant's conduct was objectively reasonable, because "even if an official's conduct violates a constitutional right, he is entitled to qualified immunity if the conduct was objectively reasonable." Salas, at 305-6.

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Whether the conduct of which a plaintiff complains violated clearly established law presents an essentially legal question. Mitchell v. Forsyth, 472 U.S. 511,105 S. Ct. 2806, 86 L. Ed. 2d 411 (1985). Officials and officers are immune from suit unless the law clearly proscribes the action they took. Mitchell, 105 S. Ct. at 2816.
13. Although Plaintiffs claim is inadequate under the heightened pleading requirement set out by the Fifth Circuit, Plaintiff has alleged the violation of clearly established constitutional rights. Having met that standard, the Court must determine the objective reasonableness of the conduct. Salas at 305-6.
14. Plaintiff cannot demonstrate that Sheriff Thomas' conduct was objectively unreasonable because he cannot demonstrate that Sheriff Thomas engaged in any specific conduct at all. Plaintiffs claims against Sheriff Thomas are broad and conclusory. With regard to his deprivation of medical care claim, Plaintiff cannot show that Sheriff Thomas provided inadequate treatment, or that he personally failed to follow up on written medical orders.
15. Similarly, Plaintiff claims broadly that Sheriff Thomas was deliberately indifferent to his proper classification status and to the requirement that he wear leg irons. However, he raises absolutely no facts which would establish that deliberate indifference on either claim. Because Plaintiff has alleged no specifics, there is no conduct which can be detennined to have been objectively unreasonable. Sheriff Thomas is entitled to judgment on Plaintiffs Section 1983 claims by virtue of his qualified immunity shield.
B. Plaintiffs ADA Claim 16. Plaintiff also argues that his rights and this case arise under the ADA.
Title II of the ADA generally prohibits discrimination against the disabled by public entities.

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However, whether the provisions of the ADA apply to a county jail is not clear. See Torcasio v. Murray, 57 F.3d 1340 (4th Cir. 1995) (Any rights which inmates may have under the ADA were not clearly established at the time of suit since Congress has not specifically stated that the ADA applies to prisons and since courts are in disagreement over the ADA's application to prisons); Garrett v. Anselone, 940 F. Supp. 933 (W.D. Va 1996) (Defendants' conduct did not violate any clearly established right under the ADA and Defendants are entitled to qualified immunity.) While there is other case law which might support the application of the ADA to the Harris County Jail, there is no authority in the Fifth Circuit which directly addresses this issue. Sheriff Thomas asserts that the provisions of Title II of the ADA do not apply to the Harris County Jail.
17. Even assuming that the ADA applies to the Harris County Jail, however, there are two reasons Plaintiff s ADA claim against Sheriff Thomas should be dismissed. First, the law under Title I of the ADA does not permit an action against an individual employee. The law under Title II of the ADA should be consistent with this principle. Alternatively, Sheriff Thomas' qualified immunity shield bars any recovery by Plaintiff against him in his individual capacity. Each of these points will be considered in tum.
18. The courts have held under Title I of the ADA that the ADA provides only for employer liability, and not for individual liability. See Mason v. Stallings, 82 F. 3d 1007 (11 th Cir. 1996) (county commissioners could not be held liable in their individual capacities for ADA violations); Fernandez v. Community Asphalt, Inc" 934 F. Supp. 418 (S.D. Fla. 1996) (suit against individuals is not allowed under Title VII, the ADEA, or the ADA). This principle of liability should be applied consistently to an action under the ADA's Title II. The ADA claim against Sheriff Thomas in his individual capacity should thus be dismissed.

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19. In analyzing the application of Sheriff Thomas' qualified immunity shield to the assertion of a statutory right, the Court undertakes the two step analysis set out Siegert, inquiring first whether there has been an allegation of a clearly established constitutional or statutory right. In this case, there is no violation by Sheriff Thomas of a clearly established statutory right. Plaintiff apparently asserts his status as a disabled person under the ADA is based on his alleged chronic kidney condition, epilepsy, depression, and hyperthyroidism2• Any rights Plaintiff may have under the ADA with regard to the application of the ADA to a county jail facility were not clearly established at the time of the incidents made the basis of Plaintiff s lawsuit, and are not established at this time. See Torcasio; Garrett, supra. Where there is no violation of a clearly established statutory right, qualified immunity applies, and operates to bar Plaintiffs ADA claim.
CONCLUSION 20. There is no genuine issue of material fact, and Sheriff Thomas is entitled to judgment as a matter oflaw on Plaintiffs claims. WHEREFORE, PREMISES CONSIDERED, Defendant Sheriff Tommy B. Thomas respectfully prays that this Court grant him summary judgment, and for such other and further relief which to this Court shall seem just and proper.

2 Plaintiff repeatedly contends throughout the Complaint that he had the condition of hyperthyroidism. Plaintiffs medical records clearly indicate that his condition was hypothyroidism.

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Case 4:97-cv-00874 Document 36 Filed in TXSD on 08/29/97 Page 9 of 9

Respectfully submitted,
MICHAEL P. FLEMING County Attorney
By ,MARY E. BAKER State Bar No. 08534000 Assistant County Attorney 1001 Preston, Suite 634 Houston, Texas 77002 (713) 755-7166 (713) 755-8924 Fax
ATTORNEY FOR DEFENDANT SHERIFF TOMMY B. THOMAS

CERTIFICATE OF SERVICE I hereby certify that on August .,' I ,1997, a true and correct copy of the foregoing Motion for Summary Judgment by Sheriff Tommy B. Thomas was served by certified mail, return receipt requested upon Thomas J. Bevans, 16000 Memorial Drive, Suite 230, Houston, Texas 77079 and on Ralph C. Longmire, Assistant Attorney General, P. O. Box 2548, Austin, Texas 78711-2548.

,

)

. .,2' .J.. jt' .

MARY E. BAKER Assistant County Attorney

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 Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 1 of 246

United States Courts

Southern District of T!:)(il~

Ff LEO

'

IN THE UNITED STATES DISTRICT COURT
FOR THE SOUTHERN DISTRICT OF TEXAS OCT 1 0 1997 MW

HOUSTON DIVISION

MIchael f~. tWltby, (;llII'k of CiJurt

ROBERTARTHUR HALL,

§

Plaintiff,

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v.

§

Civil Action No. H-97-874

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SHERIFF TOMMY B. THOMAS,

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ET AL.,

§

JURY

Defendants.

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DEFENDANTS SEALE, GUICE, TRINH, PHI, LUU, CHASSAY, AND KLEIN'S MOTION FOR SUMMARY JUDGMENT AND BRI.:F IN SUPPORT

TO THE HONORABLE JUDGE OF THE DISTRICT COURT: NOW COME Doctors Michael Seale, Marcus Guice, Cuong Trinh, Anthony Phi, Kham Luu,

Mark Chassay, and Donald Klein, Defendants herein, by and through the Attorney General of Texas,

and pursuant to Rule 56 Fed. R. Civ. P. file this motion for summary judgment in the above

referenced case. In support thereof, Defendants would show as follows:

I.

STATEMENT OF THE CASE

Plaintiff, Robert Arthur Hall, a fonner prisoner confined in the Harris County Jail in Houston,

Texas, filed this lawsuit pursuant to 42 U. S. C. § 1983. 1 In this action, Plaintiff claims that the

Defendant doctors violated his Eighth Amendment right to be free from cruel and unusual

punishment, in that the doctors were deliberately indifferent to Plaintiff's serious medical needs. Plaintiff sues the Defendants in both their official and individual capacities. 2

I Plaintiff states he was arrested on a federal parole violator warrant and placed in the Harris County Jail as a federal prisoner on February 21, 1995. Plaintiffs Original Complaint, p. 5.

2 During the period oftime relevant to Plaintiff's allegations, the Defendants were employed by the University of Texas Health Science Center at Houston Medical School (UT-H MS) and were providing medical services to inmates in the Harris County Jail pursuant to a contract between UT-H MS and Harris County.

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Plaintiffs voluminous complaint asserts what is essentially four separate claims of deliberate indifference against the Defendant doctors. First, Plaintiff claims that the doctors failed to provide him with adequate medical care for a chronic kidney condition. Second, Plaintiff alleges that the doctors were deliberately indifferent to his medical needs because Plaintiff did not receive all of his seizure medications from the medical cart nurses. Third, Plaintiff claims that he had a medical restriction against wearing leg restraints and that certain Defendant doctors failed to prevent security personnel from forcing Plaintiff to wear leg irons in violation of this medical restriction. Finally, Plaintiff complains that an open sore was mis-diagnosed as "herpes" when in fact Plaintiff was suffering from diabetes.
In their original answers, the Defendants have denied Plaintiff's allegations of deliberate indifference and have asserted their entitlement to qualified immunity.
II.
MOTION FOR SUMMARY JUDGMENT Pursuant toPED. R. CIv. P. 56(b), Defendants now move for summary judgment. Plaintiff's allegations are insufficient to carry his evidentiary burden of establishing a genuine issue of material fact for trial.
III. SUMMARY JUDGMENT EVIDENCE Defendants attach the foHowing as summary judgment evidence: Exhibit A - Affidavit of Dr. Michael Seale. Exhibit B - Plaintiff's Harris County Sheriff's Department medical records.

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IV.
SPECIFIC CLAIMS In his original complaint, Plaintiff makes the following specific allegations of deliberate indifference against the individual Defendant doctors. A. Chronic Kidney Condition Plaintiff claims that when he was placed in the Harris County Jail, he was suffering from a chronic kidney condition. Plaintiff's Original Complaint, p. 5. Plaintiff claims that from February 22, 1995, to July 12, 1996, doctors Seale, Trinh, Guice, Phi, and Luu failed to provide him with adequate treatment for this alleged serious medical problem. Plaintiff's Original Complaint, p. 12. Plaintiff finds particular fault with Dr. Trinh, claiming that Dr. Trinh was deliberately indifferent to this serious kidney condition because he did not order a follow-up exam after referring Plaintiff to LBJ General Hospital for further evaluation of this alleged kidney problem. Plaintiff's Original Complaint, p. 11. B. Missed Seizure Medications Plaintiff complains that doctors Seale, Trinh, Phi, Guice, Chassay, and Luu were deliberately indifferent to his serious medical needs because the medical cart nurses did not assure that Plaintiff received all of his seizure disorder medications. Plaintiff's Original Complaint, p. 28 & 33. Plaintiff fmds fault with doctors Seale and Phi because they allegedly offered no solutions as to how to remedy the problem of the medical cart nurses allegedly not delivering all of Plaintiff's seizure medications. Plaintiff's Original Complaint, p. 29 & 33. Plaintifffinds fault with Dr. Guice because Plaintiff told him that he was not getting all of his seizure medications and Dr. Guice allegedly showed no concern about this problem. Plaintiff's Original Complaint, p. 28.

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Plaintifffinds fault with Dr. Chassay who, after ordering a double dose of seizure medication in an effort to increase the level of these drugs in Plaintiff's system, failed to make any notes in Plaintiff's medical records regarding this problem. Plaintiff's Original Complaint, p. 28.
Plaintiff finds fault with Dr. Luu who ordered that Plaintiff's seizure medications be increased after the doctor confinned that Plaintiff did not have the prescribed level of these drugs in his system. Plaintiff's Original Complaint, p. 31. Plaintiff complains that this increase in his seizure medications was dangerous and resulted in Plaintiff being over medicated. Plaintiff's Original Complaint, p. 31.
C. Medical Restriction Against Wearing Leg Irons
Plaintiff states that although Dr. Klein correctly determined that Plaintiff should not wear leg irons due to a prior surgery to Plaintiff's Achilles tendon, and although Dr. Klein issued an appropriate medical restriction against Plaintiff wearing these security restraints, the doctor was nonetheless deliberately indifferent to Plaintiff's serious medical needs because the doctor failed to insure that security personnel did not force Plaintiff to wear leg irons. Plaintiff's Original Complaint, p. 13. Plaintiff asserts that Dr. Klein should have followed-up on his purported written orders and instructions that Plaintiffwas not to wear leg irons by filling out a "Special Needs Advisement" which would have become part of Plaintiff's medical records. Plaintiff's Original Complaint, p. 15 & 16.
Plaintiff alleges that Dr. Chassay was deliberately indifferent to this serious medical need when the doctor "briefly and indifferently" looked through Plaintiff's medical records and missed seeing Dr. Klein's purported medical restriction that Plaintiff was not to wear leg irons. Plaintiff's Original Complaint, p. 14. Plaintiff also finds fault with Dr. Chassay because Plaintiff believes that the doctor should have performed an independent medical examination which would have shown that Plaintiff should not wear leg irons. Plaintiff's Original Complaint, p. 14.

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D. Mis-diagnosis of "Herpes."
Plaintiff claims that Dr. Guice mis-diagnosed an open sore as "herpes" when in fact Plaintiff was suffering from diabetes. Plaintiff's Original Complaint, p. 24. Plaintiff also complains that Dr. Guice did not diagnose his diabetes for approximately nine (9). Plaintiff's Original Complaint, p. 25.
V.
STATEMENT OF FACTS
The following facts are supported by Defendants' summary judgment evidence.
A. The Alleged Chronic Kidney Condition
1. When Plaintiff entered the Harris County Jail on or about February 22, 1995, Dr. Trinh performed a "new house evaluation" of Plaintiff. As part of this intake evaluation, Dr. Trinh assessed Plaintiff's complaint ofurinary problems. Dr. Trinh referred Plaintiff to specialty care at LBJ General Hospital on the same day through the emergency room so that Plaintiff's subjective complaints ofurinary problems could be thoroughly evaluated. Exhibit A, p. 1; and Exhibit B, p. 36.
2. The physician at LBJ Hospital performed a urinalysis, the results of which were normal. As a result, the LBJ physician did not diagnose any type of kidney or urinary problems and therefore did not recommend any specific treatment or follow-up evaluations. This decision was based upon LBJ Hospital's medical history of Plaintiff, their physical examination of Plaintiff, and their laboratory test results. Exhibit A, p. 2; and Exhibit B, p. 189, 191, & 192.
3. At his 14-day health assessment on March 8, 1995, Plaintiff did not complain about any kidney or urinary problems. Plaintiff had ample opportunity to make such a complaint as evidenced by the fact that Plaintiff did state a history of positive TB skin test, a seizure disorder, a thyroid condition, a history of leg surgery, and a request for an evaluation by an eye doctor. This
history was noted in Plaintiff's medical records. Exhibit A, p. 2; and Exhibit B, p. 7-8.

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4.

On March 30, 1995, Plaintiffwas given a nursing triage evaluation. Plaintiff described

to the nurse a sore in his groin area and a rash. Plaintiff did not mention any kidney or urinary

problems despite having the opportunity to do so. In fact, when asked specific questions regarding the sore and rash, Plaintiff told the nurse that he was not having any burning when he urinated.3

Exhibit A, p. 2; and Exhibit B, p. 34.

5. On April 3, 1995, Plaintiff was seen by Dr. Guice who diagnosed the groin sore as

herpes. Dr. Guice prescribed Zovirax for this condition. Dr. Guice also noted PlaintiiP s statement

of a past history of kidney stones. Again, Plaintiff made no specific complaint about current urinary

or kidney problems. Exhibit A, p. 2 & 3; and Exhibit B, p. 33.

6.

On April 14 and 19, 1995, PlaintiiPs genital skin lesion was further evaluated. Dr.

Trinh's assessment on April 14, 1995, was that the lesion represented a chancroid. Dr. Guice

reevaluated the skin lesion on April 19, 1995, and although Plaintiff stated that the lesion was better,

Dr. Guice documented that the lesion appeared unchanged. Plaintiff was still taking the medications

prescribed by Dr. Trinh. Again, Plaintiff voiced no specific complaints about kidney problems.

Exhibit A, p. 3 & 8; and Exhibit B, p. 30 & 31.

7. Between April and September of 1995, Plaintiff was seen by the medical staff several

times for various medical complaints. It was not until September 20, 1995, that Plaintiff again

complained of urinary difficulties. This was the first complaint of this problem since PlaintiiPs initial

intake evaluation on February 22, 1995. Exhibit A, p. 3; and Exhibit B, p. 26.

3 In his complaint, Plaintiff mistakenly interprets the March 30, 1995, entry as stating that Plaintiff did complain of ''burning urination" on this date. Plaintiff's Original Complaint, p. 11. Plaintiff, however, fails to realize
that the symbol "0" which immediately precedes the words "burning urination" is a medical abbreviation meaning "no."
Exhibit B, p. 34.

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8. On this date, September 20, 1995, Plaintifftold a triage nurse that his glands had been swollen for a month and that he had painful urination and testicular swelling. The nurse referred Plaintiffto Dr. Phi for further evaluation of these complaints. Exhibit A, p. 3; and Exhibit B, p. 26.
9. Dr. Phi examined Plaintiff that very day, September 20, 1995. At this evaluation, Plaintiff told Dr. Phi that his testicle had been swollen for three (3) months but denied any painful urination. Dr. Phi diagnosed the problem as infection in the soft tissue, not a urinary problem, and prescribed appropriate medications. Exhibit A, p. 3; and Exhibit B, p. 26.
10. Plaintiffwas again evaluated for testicular swelling and skin lesions six (6) days later on September 26, 1995. The doctor who examined Plaintiff made a diagnosis of epididymitis (inflammation of the epididymis which overlies the testicle) and prescribed further medications. Exhibit A, p. 3; and Exhibit B, p. 25.
11. The next complaint of kidney pain by Plaintiff was on November 27, 1995, at which time Plaintiff also stated that his urination was painful. A doctor's appointment was scheduled for Plaintiff for further evaluation of this complaint. This appointment was scheduled for December 1, 1995. Exhibit A, p. 3; and Exhibit B, p. 23.
12. On December 1, 1995, Plaintiffwas called three (3) times for his doctor's appointment but did not show up for this scheduled examination. Dr. Guice rescheduled Plaintiff's appointment to December 5, 1995. Exhibit B, p. 22.
13. Dr. Guice examined Plaintiff on December 5,1995. As part of his examination to evaluate Plaintiff's claim of urinary problems, Dr. Guice ordered an x-ray to look for urinary tract stones, blood work to assess Plaintiff's kidney function, and a urinalysis to assess whether the urine was infected or bloody due to damage from possible urinary tract stones. Dr. Guice also prescribed antibiotics in case Plaintiff did have a urinary tract infection. The interpretation of the abdominal x-

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ray showed no abnormality. The urinalysis was significant for glucose, not blood, which led to a diagnosis of diabetes. Plaintiff was not diagnosed with any type of urinary or kidney problems. Exhibit A, p. 4; and Exhibit B, p. 20,21,23,47,48,49,50, & 51.
14. As shown by the medical records, Plaintiff had multiple evaluations by multiple health care providers during the remainder of his stay in the Harris County Jail. After December 5, 1995, Plaintiff never again complained of urinary or kidney problems. Plaintiff was given ample opportunities to access the medical system at the Harris County Jail and did in fact bring other complaints to the attention of the medical staff. Plaintiff, however, was never diagnosed with a chronic urinary or kidney condition despite being seen and evaluated by medical personnel on
numerous occasions. Exhibit A, p. 4. B. The Missed Seizure Medications
15. The Medication Administration Record (MAR) is a form used in the Harris County Jail to document the administration of prescribed non-keep-on-person medications. The MAR also documents which doses of medication an inmate misses and why. Exhibit A, p. 4.
16. Inmates in the Harris County Jail are responsible for responding to the medication cart nurses as they make their rounds on each housing floor. Occasional doses are missed if the patient
is in court or is otherwise outside the jail. Ifthe inmate does not respond to three (3) medication calls
by the cart nurses, no medication can be given and the lack of timely administration is noted in the
MAR. Exhibit A, p. 4 & 5.
17. Plaintiff's MAR documents that Plaintiff failed to respond on multiple occasions to the cart nurses' medication calls. The MAR further documents that Plaintiff actually refused appropriate medication for his seizure disorder on the following twenty-eight dates: February 24, 1995, February 27, 1995, March 1, 1995, November 27, 1995, November 28, 1995, December 1,

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1995, December 2, 1995, December 3, 1995, December 9, 1995, December 10, 1995, December 11, 1995, December 12,1995, December 15,1995, December 16,1995, December 17, 1995, December 18, 1995, December 22, 1995, January 5, 1996, January 7, 1996, January 12, 1996, January 13, 1996, April 2, 1996, April 5, 1996, April 7, 1996, April 8, 1996, April 9, 1996, April 10, 1996, and April 12, 1996. Exhibit A, p. 5; and Exhibit B, p. 60 - 173.
18. The medical personnel could not force Plaintiff to take the medication prescribed by the physicians. Plaintiff's own noncompliance with the prescribed medication regimen adversely impacted the medical staff's ability to keep his medication levels within the therapeutic range. Exhibit A, p. 5.
19. In increasing Plaintiff's medication dosage, Dr. Chassay and Dr. Luu simply made an effort to adjust the regimen to compensate for missed medications and sub-therapeutic levels, respectively. Dr. Luu even ordered a repeat medication level one week after adjustment of the medication regimen to determine the appropriateness of the dosing. The adjustment of Plaintiff's seizure medications by Dr. Chassay and Dr. Luu was reasonable. The adjustments were not dangerous as Plaintiff claims in his complaint. Nor is there any evidence that these adjustments ever
resulted in Plaintiff being over medicated as Plaintiff claims. Exhibit A, p. 5.
20. Throughout his stay at the Harris County Jail, Plaintiff's medication levels were frequently monitored. This often prompted a follow-up physician evaluation in an effort to adjust the regimen or otherwise detennine the reason for sub-optimal medication levels. This monitoring and the follow-up physician evaluations and adjustments are well documented in Plaintiff's medical records. Again, at no time were Plaintiff's medication levels inappropriately high. At the last physician evaluation by Dr. Phi on June 4, 1996, Plaintiff had "no complaints" and stated that his last seizure had occurred some eight months previously. Exhibit A, p. 5 & 6; and Exhibit B, p. 13.

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21. Even assuming that the medical cart nurses were purposefully not giving Plaintiff all of his seizure medications--a claim that is refuted by the MAR--the Defendant doctors would have had no responsibility for these improper actions. There is no evidence nor does Plaintiff even allege that the Defendant doctors directed or approved any such practice. Exhibit A, p. 6.
C. The Purported Medical Restriction Against Wearing Leg Irons
22. On March 8, 1995, a medical history of Plaintiff was taken which resulted in a health assessment form being completed. Dr. Klein reviewed this health assessment form but did not actually examine Plaintiff The nurse who took the history and completed the health assessment form noted that Plaintiff described a past history of bilateral Achilles tendon repair in 1975. The nurse further noted that Plaintiff claimed that he could not wear leg irons because of this surgery that was performed some twenty (20) years ago. Again, this history was presented by Plaintiff and was Plaintiff's own subjective conclusion as to whether he was physically able to wear leg restraints.
Exhibit A, p. 6; and Exhibit B, p. 7 & 8.
23. This was not an objective diagnosis nor an opinion expressed by either the nurse or Dr. Klein.4 In fact, the nurse who assessed Plaintiff noted that Plaintiff had not had any type of surgery within the past six (6) months and that Plaintiff's extremities (i.e. feet, legs, hands, and aIms) were nonnal. Plaintiff's chief complaint to the nurse at the health assessment on March 8, 1995, was that he wanted to see an eye doctor. Plaintiff had an eye examination two (2) days later on March
10, 1995. Exhibit A, p. 6; and Exhibit B, p. 7 - 8 and 203 - 204.
24. If Dr. Klein had determined through his review of the information on the health assessment form that Plaintiff required a Special Needs Advisement or physician follow-up regarding whether Plaintiffwas physically able to wear leg restraints, the doctor would have documented these

4 In his complaint, Plaintiff mistakenly interprets the health assessment form to read that Dr. Klein ordered that Plaintiff be medically restricted from wearing leg restraints. Plaintiff's Original Complaint, p. 14 -16.

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instructions in the medical records. He did not. Therefore, in Dr. Klein's medical judgment, no further action was necessary. This judgment was based on the information before Dr. Klein in the health assessment, including the information that Plaintiff had not had surgery within the past six (6) months and that Plaintiff's extremities were normal. Exhibit A, p. 6 - 7; and Exhibit B, p. 7 - 8.
25. Despite Plaintiff's claim, Dr. Chassay could not have been deliberately indifferent to Plaintiff's serious medical needs because he missed seeing Dr. Klein's restriction prohibiting Plaintiff from wearing leg restraints. There was no such restriction for Dr. Chassay to miss. Despite having multiple opportunities to access medical personnel and having had multiple evaluations during which other medical issues were addressed, Plaintiff did not again express any concern about wearing leg restraints until a year later on March 19, 1996. On that date, Plaintiff described to Dr. Guice a history of previous leg injuries. Dr. Guice examined Plaintiff and merely recommended that Plaintiff be issued a cane. Despite this independent medical evaluation of Plaintiff's leg complaints, Dr. Guice
did not recommend that Plaintiff be restricted from wearing leg restraints. Exhibit A, p. 7; and
Exhibit B, p. 15.
D. The Alleged Herpes Mis-diagnosis
26. There is no support in the medical records for Plaintiff's claim that Dr. Guice misdiagnosed an open sore as "herpes" when in fact it was related to diabetes. In fact, Dr. Guice made the diagnosis of diabetes as a result of his ordering a blood work-up for Plaintiff's alleged history of
kidney disorder. Exhibit A, p. 7; and Exhibit B, p. 20, 21, 23, 47, 48, 49, 50, & 5l.
27. At nursing triage on March 30, 1995, Plaintiff described a sore and rash in the groin area and a history of unprotected sex some months previously. Dr. Guice's note on April 3, 1995, documents that Plaintiff admitted to having this unprotected sex with a prostitute. The history and lesion were consistent with herpes infection according to Dr. Guice's note. Based on this history and

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the appearance of the lesion, Dr. Guice appropriately prescribed Zovirax to treat the herpes lesion.
Exhibit A, p. 7; and Exhibit B, p. 33 - 34.
28. Given the history ofunprotected sex with a prostitute and a skin lesion on exam, Dr. Guice's diagnosis was consistent with a sexually-transmitted disease and not diabetes. A visual diagnosis of herpes without confitming laboratory tests is common and completely reasonable. This
is especially so where a patient presents the type of history as presented by Plaintiff Exhibit A, p.
7 - 8. 29. On follow-up with Dr. Trinh on April 14, 1995, Plaintiff stated the Zovirax was not
providing him with relief Given the lack of response to Zovirax, Dr. Trinh's assessment was that the
lesion represented chancroid. Dr. Trinh adjusted Plaintiff's medication accordingly. Exhibit A, p. 8; and Exhibit B, p. 31.
30. On follow-up on April 19, 1995, Dr. Guice reevaluated the skin lesion, and although Plaintiff stated that the lesion was better, Dr. Guice documented that the lesion appeared unchanged. At that point, Plaintiff was still taking the medications as prescribed by Dr. Trinh. Exhibit A, p. 8; and Exhibit B, p. 30.
31. Plaintiff did not again complain of genital issues for some five (5) months. On September 20, 1995, Plaintiff described a one month history of swollen glands and testicular swelling. This complaint was evaluated by Dr. Phi on the same day. Dr. Phi diagnosed the condition as cellulitis of the scrotum and prescribed antibiotics. Exhibit A, p. 8; and Exhibit B, p. 26.
32. Plaintiff was seen in follow-up by Dr. Schilder six (6) days later on September 26, 1995. Dr. Schilder noted that in addition to the swollen testicle, Plaintiff had small open sores on the left scrotal sac which appeared "secondary to mechanical irritation." Dr. Schilder diagnosed the swollen testicle as epididymitis and appropriately changed Plaintiff's antibiotics at this time. Given

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that there was no definitive diagnosis of the initial genital lesion, it is inaccurate to characterize the

diagnosis made by Dr. Guice as a mis-diagnosis. Exhibit A, p. 8; and Exhibit B, p. 25.

33. Moreover, during the eight month period of time between the initial complaint of the

genital lesion and the diagnosis of diabetes, Plaintiff never presented the typical symptoms of a person

with diabetes mellitus. (i.e. excessive thirst, excessive urination, excessive hunger, weight loss and

fatigue). If a patient has no typical symptoms of diabetes mellitus, the diagnosis must be made based

on routine laboratory screening. In Plaintiff's case, Dr. Guice was able to make the diagnosis only

as a result ofthe laboratory tests that Dr. Guice had ordered to further evaluate Plaintiff's complaint

ofa kidney problem. Exhibit A, p. 8 - 9; and Exhibit B, p. 20, 21, 23, 47, 48, 49, 50, & 51.

VI.

LEGAL ISSUES

1.

The Defendants' summary judgment evidence establishes that Plaintiff received an

abundance of medical care and that there is no genuine issue of material fact as to Plaintiff's claim that

the Defendant doctors were deliberately indifferent to Plaintiff serious medical needs.

2.

The Defendants are entitled to qualified immunity against Plaintiff's claims, as Plaintiff

has failed to produce competent summary judgment evidence that the Defendants' actions in

examining and treating Plaintiffwere objectively unreasonable.

3. Because no genuine issue of material fact exist for trial, the Defendant doctors are

entitled to summary judgment.

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VII. BRIEF IN SUPPORT A. The Standard for Summary Judgment FED. R. ClV. P. 56(c) provides that a summary judgment shall be rendered if "there is no genuine issue as to any material fact and . . . the moving party is entitled to a judgment as a matter of law." FED. R. ClV. P. 56(s). By its very terms, the rule permits summary judgment even if the parties disagree as to some facts. Anderson, 477 US at 247-248, 106 sect. at 2510. Summary judgment is precluded under Rule 56(c) only when the facts in dispute might affect the outcome of the suit under governing law and the dispute is genuine. Anderson, 477 US at 248, 106 S.Ct. at 2510. Where the record would preclude a rational trier offact from finding for the non-moving party, there is no genuine issue for trial. Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 US. 574, 587, 106 S.Ct. 1348, 1356 (1986). Should it appear that there is no genuine issue of material fact and that the moving party is entitled to judgment as a matter oflaw, the district court should grant summary judgment. Speaks v. Trikora Lloyd P. T, 838 F.2d 1436, 1438-39 (5th Cir. 1988). The movant need not disprove the non-moving party's claim in order to secure a summary judgment. Summary judgment is proper whenever the movant demonstrates "an absence of evidence
to support the non-moving party's case." Celotex Corp. v. Catrett, 477 US. 317, 106 S.Ct. 2548, 2554 (1986); accord Slaughter v Allstate Ins. Co., 803 F.2d 857, 860 (5th Cir. 1986). Thus, the
defendants are entitled to summary judgment when the plaintiff "fails to make a showing sufficient to establish the existence of an element essential to the plaintiffs case, and on which [the plaintifl], will bear the burden of proof at trial." Celotex, 477 US. at 322, 106 S.Ct. at 2552; accord Matsushita Elec. Indus. Co., 475 US. at 587 (the burden is not on the moving party to produce

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evidence showing the absence of genuine issue of material fact). See Reese v. Anderson, 926 F. 2d
494, 498 (5th Cir. 1991); International Ass'n ofMachinists and Aerospace Workers No. 2504 v.
InternationalMfg. Co., 812F.2d219, 222 (5thCir. 1987). To avoid summary judgment, the non-moving party must produce admissible evidence which
creates a fact issue concerning the existence of every essential component of that party's case; unsubstantiated assertions of actual dispute will not suffice. Thomas v. Price, 975 F.2d 231,235 (5th Cir. 1992), citing Celotex Corp. v. Catrett, 477 U.S. 317, 323, (1986). The Supreme Court's key teaching in Celotex is that the party responding to a motion for summary judgment must support his response with specific, non-conclusory affidavits or other competent summary judgment evidence.
Reese v. Anderson, 926 F.2d 494,495 (5th Cir. 1991). Mere conclusory allegations are insufficient
to create a genuine issue of material fact, as the summary judgment stage requires evidence. Id at 496. See Slaughter v. Allstate Ins. Co., 803 F.2d 857,860 (5th Cir. 1986). Not only must the nonmovant produce competent summary judgment evidence, he must also articulate the "precise manner" in which the evidence supports his claim. Forsyth v. Barr, 191527, 1537 (5th Cir. 1994) cert. denied, 115 S. Ct. 195 (1994).
In the instant case, the summary judgment evidence submitted by the Defendant doctors negates Plaintiff s claim that the Defendants were deliberately indifferent to his serious medical needs. Thus, the Defendants are entitled to judgment as a matter of law.
B. Official Capacity Claims Plaintiff has sued the Defendant doctors under 42 U.S.c. § 1983 in both their official and
individual capacities. Section 1983 provides that, "Every person who ... shall be liable to the party injured in an action at law, suit in equity, or other proper proceeding for redress." (Emphasis added.)

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Considering this language, the United States Supreme Court has held that neither a state nor its
officials while acting in their official capacities are "persons" who may be liable under § 1983. Will
v. Michigan Dept. ofState Police, 491 US. 58, 71 (1989). Thus, the Defendant doctors are entitled
to summary judgment as to any claims for damages that Plaintiff purports to bring against the doctors in their official capacities. 5
C. Deliberate Indifference Claims
It is well established that no recovery may be had under §1983 absent proof of deprivation
of a right secured by the Constitution or laws of the United States. Baker v. McCollan, 443 US.
137, 140 (1979). Thus, the first inquiry in any suit brought under 42 U.S.C. § 1983 is whether the
Plaintiff has been deprived of a federally secured right. Baker, 443 US. at 140.
To state a cognizable medical claim under § 1983 and the Eighth Amendment, a Plaintiff must
allege acts or omissions sufficiently harmful to evidence deliberate indifference to a serious medical
need. Estelle v. Gamble, 429 U.S. 97,106,97 S.Ct. 285, 292 (1976); Cay v. Estelle, 789 F.2d 318
(5th Cir. 1986). The state of mind necessary to support a claim of deliberate indifference was
identified by the Supreme Court in Farmer v. Brennan, 511 US. 825,114 S.Ct. 1970 (1994).
5 While state officials can be sued under § 1983 in their official capacities, the relief sought must be for prospective injunctive relief to prevent a continuing violation of federal law. Green v. Mansour, 474 U.S. 64,68 (1985); and Edelman v. Jordan, 415 U.S. 651,666-68 (1974). In the instant case, Plaintiff seeks injunctive relief to prohibit the Defendants from retaliating against Plaintiff and to have Plaintiff placed in the custody of the sheriff of Montgomery County, Texas. Plaintiff's Original Complaint, p. 37 - 38. Because Plaintiff is no longer incarcerated in the Harris County Jail, his claim for injunctive relief is moot. Furthermore, even if Plaintiff were still confined in the Harris County Jail, he offers no evidence that the Defendants are taking any adverse action against Plaintiff for bringing this lawsuit. Plaintiff therefore fails to show a continuing violation of federal law to justify his request for injunctive relief. For these reasons, summary dismissal of Plaintiff's official capacity claims for injunctive relief is appropriate.

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While Justice Souter noted that the official need not act with "the very purpose of causing harm or with the knowledge that harm will result," it was also made clear that the standard requires
"something more that mere negligence." Farmer, ] 14 S.Ct. at ]978. The Court settled on
recklessness as the appropriate standard, holding that a prison official cannot be found liable under the Eighth Amendment unless the official knows of and disregards an excessive risk to the inmate's health or safety. Again, the official must both be aware offacts from which the inference could be
drawn that a substantial risk of serious harm exists, and he must also draw that inference. Farmer,
114 S.Ct. at 1979. In the case at bar, Defendants' summary judgment evidence shows that Plaintiff's medical
complaints were throughly addressed with an abundance of medical evaluations and treatments. Thus, the summary judgment evidence establishes that the Defendant doctors were not deliberately indifferent to Plaintiff's serious medical needs.
Plaintiff's claim of deliberate indifference to an alleged chronic kidney condition fails because the summary judgment evidence shows that Plaintiff never actually had a serious kidney or urinary
tract condition. Banuelos v. McFarland, 41 F.3d 232,235 (5th Cir. 1995)(trial court properly
dismissed inmate's claim of deliberate indifference where evidence showed the complained of medical condition was not serious). Nowhere is it documented that Plaintiff ever had any type of chronic kidney condition. On February 22, 1995, LBJ General Hospital examined Plaintiff and performed a urinalysis at Dr. Trinh's request. The results of the examination and urinalysis were negative for urinary or kidney problems.

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Despite having ample opportunities to do so, Plaintiff did not complain of kidney problems again until November 27, 1995. In response to this complaint, Dr. Guice ordered an x-ray to look for urinary tract stones, blood work to assess Plaintiff's kidney function, and a urinalysis to assess whether the urine was infected or bloody due to damage from possible urinary tract stones. Dr. Guice also prescribed antibiotics as a precaution against a possible urinary tract infection. The interpretation of the abdominal x-ray showed no abnormality. The urinalysis was significant for glucose, not blood. This led to a diagnosis of diabetes, not urinary or kidney problems. Plaintiff made no further complaints ofurinary problems and no such diagnosis was ever made. Thus, Plaintiff has failed to show a serious medical condition with respect to his claim of deliberate indifference to an alleged chronic kidney problem. Moreover, as the medical records document, the doctors were not deliberately indifferent to Plaintiff's complaints of urinary problems. Rather, these claims were thoroughly evaluated by the medical staff.
Plaintiff has also failed to show a serious medical condition with respect to his claim that he was forced to wear leg irons in violation of his medical restrictions. Dr. Klein reviewed Plaintiff's health assessment on March 8, 1995, and, based on the information contained therein, found no reason to medically restrict Plaintiff from wearing leg restraints. In fact, a year later when Plaintiff described a history of leg injuries to Dr. Guice, Dr. Guice examined Plaintiff and merely recommended that Plaintiff be issued a cane.
Neither Dr. Guice nor any other health care provider at the Harris County Jail ever recommended that Plaintiff not wear leg restraints. Plaintiff's assertion that Dr. Chassay was deliberately indifferent because he missed seeing such a restriction in Plaintiff's medical records is wholly without merit. There was no such restriction and this claim is based on nothing more than

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Plaintiffs misinterpretation ofthe medical records. Dr. Chassay therefore did not act with deliberate indifference.
Furthermore, there is no evidence that Dr. Guice mis-diagnosed Plaintiff's open sore as "herpes" when in fact the sore was a symptom of Plaintiff's diabetes. The symptoms and history presented by Plaintiff were entirely consistent with a sexually-transmitted disease. They were not consistent with diabetes. In fact, during the period of time between Plaintiff's initial complaint of the genital sore and the diabetes diagnosis, Plaintiff never presented the typical symptoms of diabetes. Dr. Guice diagnosed Plaintiff as a diabetic only as a result of the blood work that the doctor had ordered to evaluate Plaintiff's claim of urinary problems. Thus, this claim of deliberate indifference against Dr. Guice is without merit.
Finally, Plaintiff's claim of deliberate indifference based on his complaint that he did not receive all of his seizure medications is without merit. The summary judgment evidence submitted by the Defendants shows that when Plaintiff missed his medication, it was because Plaintiff failed to respond to the medical cart nurses as they made their medication rounds. 6 Moreover, the medical records document that on twenty-eight occasions Plaintiff outright refused appropriate medication from the nurses. The medical staff could not force Plaintiff to take the medications that the doctors had prescribed.
The upward adjustments ofPlaintiff' s seizure medications by Dr. Chassay and Dr. Luu were not dangerous as Plaintiff subjectively concludes. The adjustments were made in an effort to compensate for the lower level of medications in Plaintiff's blood stream which was a result of

6 Even ifthe medical cart nurses were purposefully refusing Plaintiff his medications--a claim that is refuted by the medical records--the defendant doctors would have had no responsibility for these improper actions. Plaintiff has not alleged nor is there any evidence that the defendant doctors condoned any such alleged practice.

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Plaintiff not responding to the medical cart nurses calls and Plaintiff's outright refusal to take all of his medication. These adjustments were reasonable under the circumstances and did not, as Plaintiff alleges, result in Plaintiff being over medicated.
The documented medical records of the Defendant doctors examining, diagnosing, and providing appropriate treatment to Plaintiff negates a showing of deliberate indifference to serious medical needs. Bass v. Sullivan, 550 F.2d 229 (5th Cir. 1977); see also McCord v. Maggio, 910 F.2d 1248, 1251 (5th Cir. 1990) (neither deliberate indifference to medical needs nor wanton infliction of pain is shown when there exist medical records documenting assessment and treatment of an inmate's
medical compJaints);Martinez v. Griffin, 840 F.2d 314 (5th Cir. 1988) (dismissal appropriate where
evidence reflected that prisoner received adequate medication and treatment). Moreover, any disagreement that Plaintiff might have with the doctors' diagnoses and treatment of his medical
complaints is not actionable under § 1983. Banuelos v. McFarland, 41 F.3d 232, 235 (5th Cir.
1995)(disagreement between inmate and his physician concerning whether certain medical care was
appropriate is actionable under § 1983 only under exceptional circumstances).
Even assuming arguendo that the Defendant doctors were somehow negligent in providing
Plaintiff with medical care, claims of negligence are not actionable under § 1983. Daniels v. Williams, 474 U.S. 326, 331-34, 106 S.Ct. 662, 664-7 (1986); Davidson v. Cannon, 474 U.S. 344,
347-48, 106 S. Ct. 668, 670-71 (1986). There is no basis for Plaintiff's self-serving, conclusory allegations of deliberate indifference. The Defendant doctors and other medical personnel at the Harris County Jail provided Plaintiff with an abundance of medical care. The Defendants are therefore entitled to summary judgment.

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D. The Defendants Are Entitled to Qualified Immunity
Defendants are entitled to the defense of qualified immunity in actions brought under 42
US.C. § 1983. Harlow v. Fitzgerald, 457 US. 800, 818, 102 S.Ct. 2727, 2738 (1983). "The
doctrine of qualified immunity shields public officials like the respondents from damages actions
unless their conduct was unreasonable in light of clearly established law." Elder v. Holloway, 510
US. 510, 114 S.Ct. 1019 (1994). Once a defendant official asserts this defense, the burden shifts to
the plaintiff to overcome it. Whatley v. Philo, 817 F.2d 19 (5th Cir. 1987). In order to overcome
this defense, the defendant official's conduct must be shown to have violated "clearly established statutory or constitutional rights of which a reasonable person would have known." Harlow, 457
US. at 818, 102 S.Ct. at 2738; Anderson v. Creighton, 483 US. 635, 641, 107 S.Ct. 3034, 3042 (1987); Bennett v. City of Grand Prairie, 883 F.2d 400,408 (5th Cir. 1989).
The first hurdle a plaintiff must clear, however, is to state a claim of constitutional dimension. Siegert v. Gilley, 111 S.Ct. 1789,1793 (1991). As set out above, Plaintiff has not cleared that hurdle. Therefore, this Court need not further address the question of qualified immunity. Even so, assuming arguendo that the actions of one or more of the Defendant doctors could somehow be construed as a constitutional violation, the competent summary judgment evidence shows that the doctors' actions did not violate "clearly established statutory or constitutional rights of which a reasonable person would have known." Harlow, 457 US. at 818,102 S.Ct. at 2738.
The appropriate standard for detennining qualified immunity is the objective reasonableness
of an official's conduct as measured by reference to clearly established law. Anderson v. Creighton,
483 U.S. at 641,107 S.Ct. at 3040; Bigfordv. Taylor, 896 F.2d 972,974 (5th Cir. 1990); Pfannstiel v. City ofMarion, 918 F.2d 1178, 1182 (5th Cir. 1990). This standard requires that a court first

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determine ifthe plaintiffhas alleged a violation of a clearly established constitutional right, and if such an allegation is found, then decide whether the public official's actions could reasonably have been thought consistent with the constitutional right. Rankin v. Klevenhagen, 5 F.3d 103 (5th Cir. 1993); Enlow v. Tishomingo County, Mississippi, 962 F.2d 501,508 (5th Cir. 1992).
It is Plaintiff's burden to overcome the Defendant doctors' entitlement qualified immunity.
Salas v. Carpenter, 980 F.2d 299 (5th Cir. 1992); Elliott v. Perez, 751 F.2d 1472, 1476-79 (5th Cir.
1985). Plaintiffs are held to heightened pleading standards and must allege with particularity all material facts establishing their right to recovery, including facts which negate the official's qualified
immunity defense. Jacquez v. Procunier, 801 F.2d 789, 791 (5th Cir. 1986); Elliott v. Perez, 751
F.2d 1472, 1478-79,1482 (5th Cir. 1985).7 In the instant case, Plaintiffhas failed to show a violation of a clearly established constitutional
right. However, even if such a violation were assumed, there must also exist evidence sufficient to create a genuine issue as to whether the Defendant doctors' actions were objectively unreasonable.
Rankin,S F.3d at 105; Salas v. Carpenter, 980 F.2d 299,310 (5th Cir. 1992). It is Plaintiff's burden
to come forward with evidence, not mere conclusory allegations, that the diagnoses and treatment
by the Defendant doctors was objectively unreasonable. Salas v. Carpenter, 980 F.2d 299 (5th Cir.

7 Leathennan v. Tarrant County Narcotics Unit, 507 U.S. 163, 113 S.Ct. 1160 (1993) (unanimous decision), is not to the contrary. Leatherman struck down the heightened pleading requirement in cases against municipalities,
which are not entitled to the official immunity defense. Id. at 1162. The Supreme Court explicitly refused to strike down the heightened pleading requirement in cases involving qualified immunity. Id. The Court, moreover removed heightened pleading in municipal liability cases because it conflicted with Federal Rule of Civil Procedure 8(a), which
requires only notice pleading. !d. at 1163. This justification cannot apply in cases involving the substantive defense of innnunity because the Rules Enabling Act does not pennit the Rules of Procedure to "abridge, enlarge or modifY any substantive right." 28 U.S.C. § 2072(b). In cases involving official immunity from suit, heightened pleading standards are the immune official's substantive right, designed to effectuate the policies of immunity from suit. See Jacquez v. Procunier, 801 F.2d 789 (5th Cir. 1986); Elliott v. Perez, 751 F.2d 1472 (5th Cir. 1985). Hence, heightened pleading standards are still appropriate in cases involving qualified immunity in this Circuit, if not in all Circuits. See also Burns-Toole v. Byrne, 11 F.2d 1270 (5th Cir. 1994).

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1992) (plaintiffs have the burden to come forward with summary judgment evidence sufficient to create a genuine issue as to whether the defendant official's conduct was objectively unreasonable
in light of clearly established law) citing Pfannstiel v. City ofMarion, 918 F.2d 1178, 1183 (5th Cir.
1990). On motion for summary judgment, a court must determine whether a given action is
objectively legally reasonable "in light of clearly established law and the information the ... [official] possessed." Anderson, 483 U.S. at 641, 107 S.Ct. 3040; see also Saldana v. Garza, 684 F.2d 1159, 1163 n.14 (5th Cir. 1982) (explaining burdens of pleading and proof for qualified immunity), cert. denied, 460 U.S. 1012 (1983). The summary judgment evidence submitted by the Defendants shows
that Plaintiff received an abundance of medical care and that the Defendant doctors's actions in providing this health care were objectively reasonable. On the other hand, Plaintiff has offered nothing more than self-serving, conclusory allegations as evidence of the unreasonableness of the Defendants' actions. Moreover, these allegations are based in large part on Plaintiff's misinterpretation ofhis medical records. Thus, because the summary judgment evidence shows that the Defendant doctors' actions were objectively reasonable, they are entitled to qualified immunity against Plaintiff's claims of deliberate indifference.
VII. CONCLUSION
Defendants have produced evidence showing that no genuine issue of material fact exists in this case. Plaintiff's allegations of deliberate indifference are insufficient to carry his evidentiary burden of establishing a genuine issue of material fact for trial. Moreover, Plaintiff has failed to produce evidence to defeat the Defendants' entitlement to qualified immunity.

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ACCORDINGLY, Defendants pray that their motion for summary judgment be granted.
Respectfully submitted,
DAN MORALES Attorney General of Texas
JORGE VEGA First Assistant Attorney General
DREW DURHAM Deputy Attorney General for Criminal Justice
ANN KRAATZ Assistant Attorney General Chief, Law Enforcement Defense Division
,
• •
RALPHC. Assistant Attorney General State Bar No. 00794184 Southern District Admission No. 20417
P.O. Box 12548, Capitol Station Austin, Texas 78711 (512) 463-2080 (512) 495-9139 (FAX)
ATTORNEYS FOR DEFENDANTS SEALE, GUICE, TRINH, PHI, LUU, CHASSAY, AND
KLEIN

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NOTICE OF SUBMISSION Plaintiffis hereby notified that the undersigned attorney will bring the foregoing Defendants Seale, Guice, Trinh, Phi, Luu, Chassay, and Klein's Motion for Summary Judgment and Brief in Support before the Court on this the 9th day of October, 1997, or as soon as the business of the
Court will permit.
C
GMIRE Assistant Attorney General
CERTIFICATE OF SERVICE
I, Ralph C. Longmire, do hereby certify that a true and correct copy of the above and
foregoing Defendants Seale, Guice, Trinh, Phi, Luu, Chassay, and Klein's Motion for Summary Judgment and Brief in Support has been served by placing same in the United States mail, postage
prepaid, on this the 9th day of October, 1997, addressed to: Thomas J. Bevans Federal ID #6624 16000 Memorial Drive Suite 230 Houston TX 77079
,
RAL H C. ONGMIRE
Assistant Attorney General

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EXHIBIT
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AFFlnAVIl' OF MICHAEL SEAl ·E

§

§

COUN'l'YOPBAJUUS

§

BEFORE MB, the undersigned authority,
me duly sworn. deposed as follows:
My name is Michael Seale. I am at leut

whO,

by

•
years of aae. of sound mind, capable of

this affidavit, and have personal knowledge of the facts herein stated.

lam

as a physician and faculty m

ofThe University ofTex~1 Health

at Houston Medical School (UT·HMS). I wri.ting tlUI affidavit in lesponsc to a

civil riahta lawsuit now

in the United

District Court fbr the Southetn District ofTexaB.

•

Houston DivisioD, styled RobeTt Arthur Hall \I. Shm,6

B. Thoma.r~ et aI., Civil Action No.

•

H-97-874. Al the time ofthe allegations

in Mr. Hall's complaint, I served as the Directo.tt

of Medical Services at the HaniA Connty Jail under the

of a contract

ur-HMS ami

Ibave

Mr. Hall·, complaint and

tbat Mr. Hall is

was an

in the Harris COUDty Jail, myself and otbel' ur-HMS doctors

that while he
deliberately

to his serious medical needs. In particlllar, Mr. Hall claims he did not receive

adequate medical care for a

kidney condition, that he did not receive au. of hilli 5ei.zure

medications, that seeurity perJQ!:Jnel forced bim to wear leg irons in contravention of his medical

diabetes.
Bued upon a rmew ofMr.

as"hetpes"

infacthewu

from
•

's Harris County

s Depaxljjlen1 medical recorda, Mr.

1

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L.1. .IlL J.) .L. \..- ~'"\.1.J f1 \..-..J
LAW ENF DEF'ENSE

an

ofnwdical. care and tr eDt for the complainta that he

voiced.

CondltloD

Mr. first

the . County Jail on or about Pebnzaty ll, 1995, Dr. Trinh

a "new house evaluation" of Mr. Hall. AI a result of this evaluation, Dr. Trinh

aBlCued Mr. '5

Or. Trinh refened Mr.

H·Dto

care at I.B]

Hospital on the same day

the

room so that

his

of a urinary problem eould be

evaluated.

Th@ physician It T,BJ Hospital performed a urinalysia, the results of which. were

•
As

a result, the

did not recommend arry specific treatment or follow-up evaluations This

decision was bued upon LBJ Hospital's

history of Mr, Hall, their

ex.amination of

Mr,

and

•

At the

laboratory test results. 14-day health

on March 8, 1995, Mr. Hall did not compl.in~

about any kidney or urinary

Mr. Hall had ample opportunity to make such a complaint as

of evidenced by the fact that Mr. Hall mentioned a history positive TB skin test, a seizure disorder,

a thyroid

a history ofleg surgery, and a request for an

by an eye doctor. all of

which were noted in Mr. ·s medical records.

On March 30, 1995. Mr. HaJ) wu given a nuraiag triage evalllation Mr. Hall described to

the nurse a sore in his groin. area and a rash.

no mention ofkidney or urinary

despite

the opportunity to do so. In fact. when uked. Mr. }fall stated that he was

not

any

when be urinated. .

On April 3. 1995. Mr. wu by Dr. Guice who

the groin sore as herpes

Dr. Guice

Zovirax for this condition. Dr. Guice wo noted Mr. HaW.

ofa

2

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Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 29 of 246
o n 1. lH.::'.u.L. \,.. ('\ I..... 'v -.J
LAW ENF DEF&NSE

ofkidney stones.

Mr. Hall no

about

uri:Daty or kidney
•

On Apri114 and 19, 1995. Mr. HaU's

.
skin lelion was further evaluated. Again, Mr.

Hall voiced DO

about urinary or kidney

.. despite

the opportunity to do so.

April and September of 1995. Mr. was by the medical sta1f several times

forvarioWl
ofurinaty

ItWUDOt

20, 1995, Mr. Han

This was the first complaint of this

•
since Mr. Hall', initial intake

On this date, September 20, 1995. Mr. Hall told a tril8"= nurse that his glands had been

swoUcfor a morrtb and he had painfUl urination and

swelling. the nurse retcned Mr.

Hall to Dr. Phi for t\.uther evaluation of these problems.
•

Dr. Phi :

Mr. HaJl that very day.

20. 1995. At this evah1ation, Mr.

told Dr. Phi that his testicle bad

swollen for three (3) montb& but

any paiDful urination

(i.e. no dyauia). Dr. Phi

the problem as

in

the

soft

•
tissue.

not

a

urinary

problem .

and prescribed appro~ medications.

Mr.

was again evaluated for

.. six (6) days later on

September 26, 1995. The doctor who

Mr.

of apt'did"y11"tiS

of the

which overlies the testicle) and prescribed further medications.

The

.at ofkidney pain by Mr. wason

27, 1995. at which time Mr.

Hen also stlted that his urination was painfUl. A doctor's

for Mr. Hall

for further evaluation ofthis

Dr. Guice examined Mr. Hall on

5, 1995. As pan ofbis

Dr. Guice

3

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U1 ,U.£.U i vt\L nvv
LAW ENF DEFENSE

~ uo)
~OOSJOI0

1

an" ray to

wolkto

and urinalysis

to

whether the urine wu JIU

or was bloody due to

from po.sible urinary

Dr. Guice

antibiouCl for a po86ib1e urinary

of tile
whid1led to •

no
of

. lbe Mr. Hall wu I10t

wu

for alucoae, not blood,

with uriDary or kidney problems.

evaluationa by

d1.1rlqtbc

ofbia stay

in the

Jail, Mr.

complained

or

It is

Mr. was

to

the

system

alth.

Jail. Mr.

other

to the attendoD of the

&A, and

addtasaed appropriately aDd completely, and no

chronic

wu eva' docu~nted.

•
M.iJHd Seizure Medl"tiolY

The

Adml,m..ttali.On

~) is a COlin UI~ in the Ha'lis CO\.Ulty lail to

doC' mm It the

of

persoll

by our physicialls .

The MAR clearly shows which dole. of

wer'em u well asaa

rcgardina

the reason for not

the

)Il. ifappropriate.

Jail are

for respOJ1dina to the

nun_

u they

their round. Of! each

floor.

court. at 1m ouUide appointment, or otherwise

arc

if the patient is in

Ifthe inmate does not respond to three

(3) requests by the medication c:1lt

no

can be given and the lack of ti.a

is J10ted in the MAR.

Mr.

did not respond

the medication nurses'

4

•
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Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 31 of 246
LAW ENF DEf'ENSE

>Cu v I
IiI007/010

previously .

that the medical DurseS were purposefWly not giving Mr. Hall all

albia seizure medications--.. claim that is uu

by the MAR-the doctors that Mr.

Halt hu sued would have haduo responsibility for thae improper

as they

did not

approve any such practice.

Mldlcal ReltrlctiOD Apia't WariDa Lea IroftJ

Dr. Klein reviewed the 14.day

but did 110t

Mr. Han. The

muse who pel £o"ned the health

bilatenI

. in 1975 aDd

noted on the fOlm that Mr.

•

•

described a history of

Mr.

that for this

be could

not

le8 iron•.

thi•. lie m

by Mr. IDd was his own

U to whether he could wear leg itoM.

•
'I'm, wu oot aD 0

nor an OPJ•O•lOD

bytbe

or Dr.

fact, the J1UIX who performed the assessment noted that Mr. Hall had not had my type of surgery

within the past six (6) montha and that Mr. 's

(ie. feet, le,8, hands, end IUms) were

Mr. 's chief compJaint to the nurse was T.Il. he wanted to see an eye doctor.

IfDr. Klein

through his

ofthe

on the health

form that Mr. Hall

a

Needs Advisement or

follow-up regarding whether

Mr. wu physically able to

1es iroDJ, he would have

these

in the

medical records. He did not.

in Dr. . '. medical

~.,. no further action was

. I his

. wu

Dr. Klein i.D the health assessment,

the

that Mr. HIIJ bad had no surgery within the past six (6) months and that Mr.

Hall'.

were docnmented as nOli 1181.

6

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1IS1248S9139

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 32 of 246
LAW ENF DEFENSE

'l/,j v 0
IiIOOS/OlO

Despite Mr. Han',

Dr.

was not delibeRtely indiff'C'8!1t

he mjssed

• Dr. Klein', reatliotion

Mr. Hall from wearing leg irou. There was no such

for Dr.

to

Despite having

episodes ofacceu to medical

not aiRr•n

8ValuationJ duriD8 wbich other .....

issues were addressed, Mr. Hall did

his concern regarding the leg iron issue unul March 19, 1996. On that date, Mr.

Hall described to Dr. Guice multiple pravious leg injuries. Dr. Guice

Mr. Hall and

recommMded that Mr. Hall be

a

•

I . H I ) ] ' .

Dr. Guice did not

Despite this .

medical evaluation of Mr.

against the use ofles irons.

Mll-diapolil ofHerpes

is no support in the medical records for Mr. s claim that Dr. Guice mis-diagnoaed

an open sore as "harpe'"

in fact it wu related to diabetes. In fact, Dr. Guice

the

•
of

at a reault of bia orderiDS a blood work-up for Mr. •s alleged history o(

kidney disorder.
At mn'lina triaae on Match 30. 1995. Mr. Hall

•
• sore and rub in the groin area

abistcuy

months previously. Dr. Gui~'. note on April 3, 1995, doewnentl

that Mr. admitted to

thi.

lex. with a prostitute.

lesion was consistent

to Dr. Guice'. note. Bued on this history and the appearance of the

.on, Dr. Guiee appropriately prescribed Zovirax to treat the

laion.

or Given the history

. . with.

a skin

on m I that

consistent with •

and not

A visual

ofbmpes without

laboratory 11 common and c:ompletaly reasonable. This

I• I

90

• patient

the type ofbiItory as

by Mr.

7

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L 1. JIJ:'U 1. v["\L n~-.J
LAW ENF DEFENSE

i(4j Uli
~009/010

On fellow-up with Dr. Trinh on April 14, 1995, Mr. Hall stated he had

no relief

o(response to Zovira:x, Dr. T.iuh's

~ wu loll. that the lesion

chancroid. Dr. Trinh adjusted Mr. 's medication ac:cordinaly.

Upon fbllow-up 011 Apri119, 1995, Dr. Guice reevaluated the skill

and although Mr.

HaJJ

that the lesion wu

Dr. Ouice

that the lesion appeared

At

that'point, Mr. was still

the

u prescribed by Dr. Trinh

Mr. dicinot comp1ainot

UlUel until

20, 1995. at which time he

described a OI month history of swollen gland, UId

This coJltplaint was

by Dr. Phi on the

day. Dr. Phi

the

•

and prescribed

of the

Mr. was IUD in follow-up by Dr. Sc:bildar on

26, 1995. Dr. SehiJ.der Doted

•
that in addition to the swollen

Mr. had

open sorel on the left tcrota!

appeared

to rT1l ;n

.
J.LL" Dr. Schilder

Mr. 's

Inh'bioties at tl•rne.

Mr.

the typical complaints of a person with

m8llitua (excessive

. urination,

, -waRht 101. and fatigue)

the eight mouth period

of time

the initial

oftha

lesioll and the diaanosia of diabetes mellitus.

Givmthat

walDO

ofm. jrririll

lemoD, it is inaccurate to

byOr-.

u.

If.

has no typical symptom, of

myst be

00 routine laboratory

as wa.s

by

Dr. Guice to fbrtJ:uIl'

Mr.

complaint of a

8

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Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 34 of 246
n"'" L i .!I.!:.!) i "n.L
LAW ENF DEFENSE

CODdukn.

Aft... thorough f4'Yiew ofMr. HaIPs medical records, it is that Mr. Hall received an

of
including

for the compliUnts that he voiced. The actions of the

doaors,

not only

,

but

&ppropriate. There d no evidence from these

that any ofthe Defendant doctors were

indifferent to Mr. Hall's medical IU:

ntsa~not.

SUBSCRIBED

MICHAF.T· SEAJ-B SWORN TO before me, this

c1ay of

.BOBBY O. D4vts
• Nocwy Pubftc. SIIIIt at ....
My CammillIon ~
NOVERMSER 2, 2000.

NOTARY
My
--

State of

-
9
I
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Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 35 of 246

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EXHIBIT

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 36 of 246

IN THE UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF TEXAS
HOUSTON DIVISION

ROBERT A. HALL

§

§

v.

§

§

SHERIFF TOMMY B. THOMAS, ET AL.

§

CIVIL ACTION NO. H-97-874

THE STATE OF TEXAS § §
COUNTY OF HARRIS §
AFFIDAVIT AS TO RECORDS OF THE HARRIS COUNTY SHERIFFS DEPARTMENT
BEFORE ME, the undersigned authority, on this day personally appeared JAMES C. FAULKNER who, in his capacity stated hereinbelow, being known to me and by me irst duly sworn, did state and depose the following:
''My name is James c. Faulkner. I am over eighteen (18) years of age, competent and
capable to make this affidavit, and have personal knowledge of the facts stated herein. I am currently employed by the Harris County Sheriff's Department in the position of Special Assistant to Harris County Sheriff Tommy Thomas, and have been employed by the Sheriff's Department since July 1989. In such capacity, I often review records of the Harris County Sheriff's Department which pertain to inmates. Such records include those reflecting the inmate's criminal history record information, booking and release information, classification records, incident reports, grievance records, disciplinary records, and records reflecting medical care received. For purposes of this affidavit, I have been designated by Sheriff Thomas as a custodian of records for the Sheriff's Department.
"I have reviewed medical records of the Harris County Sheriff's Department pertaining to inmate Robert Arthur Hall, SPN 00615184. The originals of these records, a true and correct copy of which accompany this affidavit, are kept by the Harris County Sheriff's Department in the regular course of business. It was the regular course of business of the Harris County Sheriff's Department for an employee or employees of the Department, or an independent contractor-physician acting pursuant to an agreement with Harris County to provide medical services to inmates, with knowledge of the act, event, condition, diagnosis, or opinion recorded, to make the records or to transmit information thereof to be included in

AFf1DAVS\JCF-HAi~'"

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•

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 37 of 246
Affidavit of James C. Faulkner, Page
such records. Such records were made at or near the time or reasonably soon thereafter. "Further affiant saieth not."

~..., C. F

Special Assistant

County Sheriff's Department

SUBSCRIBED AND SWORN TO before me this which witness my hand and seal of office.

JANA J. REED
Notary PubliC, State Of Texas My Commission Expires
AUGUST 22, 1997
•
•

,

I

,

tary ublic, S

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Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 38 of 246

HARRIS COUNTY SHERIFF'S DEPARTMENT
Medical DiviSion

"1...( -(<1--
DATE \ Ij ') 7 I

•

~

,(1

riU~-
,
~~ ~ \

MASTER PROBLEM/MEDICATION LIST

JJ..A' I:: )EN' lE t:.l.l. ..QA..t;. R

'~'.L

(l..(\J (71

SIG1::iA"U=<F AND L

~

)

r I\

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&M.Q!JN- QU I:: r= E~ENCY

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P-() ?< lu ..I

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ALLERGIES:

{;r \

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NAME
LQ \"i

\~~--)L:

SPN

q-L\-~6
DATE OF BIRTH
r. (, ri (! ,);'1 1

M-1S4 Rev. 06/91

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 39 of 246
- - --... .'

NO.

-~
Problem

Title

\ 5~ - b-tl) - - - - - -
, ,
V - - -•I - - - - -

-=--

- - ---- ----

,

•

- - - • - - - -• - - -

Date (1) Onset

Date (2) Active

Resolution of Problem (3)

Date, C

t & Initials

2--\ t t..l, " (
•

, .

.r'
\\"6~
•

I1, 't1..-)<.'( '-<--

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------ - ---

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MASTER PROBLEM LIST
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SPN

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DATE OF BIRTH

I

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 40 of 246

HARRIS COUNTY SHERIFF'S DEPARTMENT Medical Division
SPECIAL NEEDS TREATMENT PLAN
SEIZURE DISORDER

SHORT AND LONG TERM GOALS:

Inmate to remain as seizure free as possible.

• •

Maintain therapeutic anticonvulsant levels.

MEDICATION(S):
R en t'in, fienobarbital, primidone, divalproex sodium, carbamazepine

DIET:

•

Regular.

•

EXERCISE: Aerobic exercise as tolerated.

TYPE AND FREQUENCY OF DIAGNOSTIC TESTING: Blood test for anticonvulsant levels two weeks after initiating or changing dosing regimen; thereafter every three months.
FREQUENCY OF FOLLOW-UP MEDICAL EVALUATION AND ADJUSTMENT OF TREATMENT MODALITY: Medical evaluation every three months for consideration of effectiveness of medications and possible adjustment to plan.

,
Qualified Health Practitioner
M-34 (7/95)
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NAME SPN

c,-L{ - 4 ~
DATE OF BIRTH
(JU(JQuu3

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 41 of 246

DATE..-,;l::.::;o_-_t_S_-'1..::.::-f,--
•

HARRIS COUNTY SHERIFF'S DEPARTMENT Medical Division
SPECIAL NEEDS TREATMENT PLAN
THYROID DISORDERS

SHORT AND LONG TERM GOALS:

Inmate to maintain optimum hormone balance.

• •

•

MEDICATION(S): Levothyroxine

DIET:
Regular'
•

EXERCISE: Aerobic exercise as tolerated. Encourage weight loss if applicable.

TYPE AND FREQUENCY OF DIAGNOSTIC TESTING: Thyroid panel three weeks after initiating or changing therapy; thereafter every three months.

FREQUENCY OF FOLLOW-UP MEDICAL EVALUATION AND ADJUSTMENT OF TREATMENT MODALITY:
Medical evaluation every six months for consideration of effectiveness of medications and possible adjustment to plan.

~<
Qualified Health:::;p;:r=act=itl=o'=ne=r=-
M-31 (7/95)
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NAME SPN

C1-l{; - Y!:r
DATE OF BIRTH
OOuUuu4
I

\
•

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 42 of 246
•
. ..... .~
HARRIS COUNTY SHERIFF'S DEPARTMENT
MEDICAL DIV1SION

SPECIAL NEEDS TREATMENT PLAN

co
•'\i

SEIZURE DISORDER

SHORT AND LONG TERM GOALS:

.

•

•

. •
.

Inmate to remain as seizure free as possible.

MEDICATION (S):

~nti

-

DIET:

,-grtlital, Tegretol, Depakote.

,

Regular.

•

•
EXCERCISE:

As tolerated.

TYPE AND FREQUENCY OF DIAGNOSTIC TESTING:

Blood test every three (3) months for Diiantin/Phenobarnital/ DepakotelTegretollevels.

FREQUENCY OF FOLLOW-UP MEDICAL EVALUATION AND ADJUSTMENT OF TREATMENT MODALITY:

Every three (3) months for evaluation of effectiveness of medications . and possible adjustment to plan.

"'(,.\'j~ ........ --,j
Qualified Health Practitioner
(
•
000UJu5

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Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 43 of 246

HARRlS COUNTY SHERIFF'S DEPARTMENT MEDICAL DIVISION
SPECIAL NEEDS TREATM ENT PLAN
.~..
f IIYPO / HYPERTIlYROIDISM

SHORT AND LONG TERM GOALS:
• •
Inmate to maintain an optimum hormone balance.
MEDICATION (S):
Synthroid. (SEE PHARMACY HANDOUT)
DIET:
Regular.
•
EXERCISE:
As tolerated. (encourage weight loss if applicable)
TYPE AND FREQUENCY OF DIAGNOSTIC TESTING:
•
Blood test every three (3) months for Thyroid Hormone level.
FREQUENCY OF FOLLOW-UP MEDICAL EVALUATION and ADJUSTMENT OF TREATMENT MODALITY:
Every three (3) months for evaluation of effectiveness of medications and possible adjustment to plan.

c- l-."· 4_ --, ,\·1 ~'I -•. "4.° 0.

.....

Qualified Health Practitioner

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OOuuJu6

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 44 of 246

ARRIS COUNTY SHERIFF'S DEPARTMENT MEDICAL DIVISION

Location: 301 1301

Rehab

1St

lrst Name

Date

Cellb ock

.rth Date

Sex Race

Allergies

----------------~~.~------------~~------r_----------------------~----------------

:edical History and Review of Systems

Head Injury

Eye Problems

Ear, nose or throat troubles

Sinusitis

Mental Problems (institutional care)

Asthma, SOB

Chest pain

Tuberculosis

Heart trouble

I. High blood pressure

. Hepatitis

:. Hernia

I. Operations (within last 6 mos)

'. skin disease

•

I, Broken bones

•

I. Venereal disease

'. Diabetes Mellitus

:. Seizure disorders

yes oo.--=:.

yes~o_

yes

no-=:::~

yes_ no ~ .

yes._ no / " yes_ no~

yes _/10-..:.../
yes V no_

yes no.-=.

yes no

yes no

yes

00

yes 00

yes no

yes

yes no

yes

n. o

yes ...--00

Remarks

males Only
'. Treated for female disorder I. Change in menstrual pattern . Pregnancies

u-_--yes- no_ yes_ no_ yes_ 00._

o n , lbits
cohol

r
Tobacco _

/
~ -

roily History
rperte~sion _ _-+ ~_ (J.-~--­
:nal Disease ---H---J~ :.--J'-----
her - - - -

Heart Disease - - -
Tuberculosis _ __

r
Drugs

Diabetes M. .

./2 8

Cancer

_ _'..L.7~2t9~12-,- _ _ __

lief Complaint
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Weight

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y- Temp CZ6 . 2, RcSP-:..../~-'-_ Pu[s~ ~ BP liZ 7 ri2- .,-- hCG____ --

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N = Normal Findinas

A Medium Obese
Thin
Ambulacory I WheelclWr

Skin
Icterus Turgor Lesions
Other

Nose
DeVIated Mucosal edema Other lesions

Throat
Inflamed
Tonsils
.-# Other lesions f

Heart
MUlmur Irregular
-
Comments

Lungs
Rales Wheezes

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 45 of 246

Abnonnai Findings
Eyes
Conjunctivae Red Pale Sclerae Icteric
Neck
Stiff Thyroid Lymph nodes Mass
Abdomen
Tender
Hard
Bowel sounds
• •

NA

, tpliable

Pupils Unequal Non-reactive Other lesions

Fen
Discharges Infected Other lesions

Mouth Caries Gingivae Teeth Other

Chest
Breasts Discharge Mass Other lesions
•

/V

Enlarged liver Mass
Other
I,....,

EdC'ma
Varicosities Range of motion __

•

•
\~ M

a• J 1

,
STATUS EXAM

1. Appearana
•• Hygiene
b. Neat
c. Eye Contact

good

marginal p<Xlr_
yes~o_

good~r

none_

7. Emotioll!5

appropriate

- lIlappropnate

constricted angry_ frightened_

8. Thought PIOCe;s

loose (disorganized)_ coherent

2. Attention

•
. - distractable pre-occupied_ OK--=___i _ 9. Thought Content

raclIlg: yes

no-:-
~

3. Unusual Behavior

yes no

if yes, restless hyperactive_ slow combatlve,_

•. Do you hear voices? b. Are people out to get you?

ycs_ no/
yes_ no t:/

biza"c, yes • specify
4. Consciousness

alert ~wsy_

c. Do you want to hurt yourself? d. Do you want to hurt others?

ycs_ nOL
yes__ nod

S. Attitude

cooperative ~cooperative_

10. Sensorium
a. Oriented to b. Connlsed

~
~
yes no /

6.

productive

productive,_

mute rapid soft_

c. Clear c. Memory

OKLXes /no decreased'-

I. Did you finish elementary school? if no, last grade completed _ _
2. Did you finish intel mediate school? if no, last grade completed _ _
3. Did you finish high school?
if no, last grade completed ~

- MENTAi RETARDATION SCJU:ENING

yes - no-

4. Can you r~?

yes ~o_

5. Can you write?
6. Were you in special classes?

- yes~'

7. Have you ever been called "slow"?

.yes 00_

- yes -no

yes

no~

yes no...,.....--

Comments

examined bv• me. D

examined bv ,.,c. D. Klein, M.D.

-~'~J

• •

RN

DATE

MD

DATE

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Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 46 of 246 •

HARRIS COUNTY SHERIFF'S DEPARTMENT DETENTION BUREAU MEDICAL DIVISION

I,

:..-._____ , SPN. Number---..,;

Date of Birth

hereby authorize

the Medical Division of the Harris County Sheriff's Depart-

ment to release copies of medical records as requested or

upon transfer to medical or other Detention facilities for

the purpose of determining medical needs or continuity of

care.

I may revoke this consent at any time except to the extent that action has bee taken in reliance there on.

S i g n a t ......

•
Date

Witness

•
M-l77 (3/88)
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, "'EN

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 47 of 246
s

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DATE

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Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 48 of 246

CONSENT FOR TREATr ( .

I consent to dental services, treatment and diagnostic proceaures by the Hams County

Sheriffs Department. Dental SectIon. as ordered by a dentist.

•

-

The conditions of care and service listed below control the type of care I will receive.

CONDITIONS OF CARE AND SERVICES

Care: The patiem IS under the care and supervision of a dentist. it is the responsibility of the dental section and It'S staf7 to carry out the instructions of the dentist.
~
•~-
Services: The consent to Dental care includes permission for X-ray examinations. laboratory procedures, Injections. medications and clinic services rendered the patient under general ana special instructions of the dentist. It is clinic policy that the patient have the opportunity to discuss procedures with the dentIst beforehand. The patient has the right to consent or refuse to consent to procedures.
• •
Surgical comolicatlons may include (but not limited to): pain: dry socket: infection; swelling; unusual bleeding; tingling; numbness of the lips, tongue, chin, cheeks, teeth; restricted mouth opening; or SinUS Involvement.

CHECK YES OR NO

.
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!

YES

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NO

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YES/REClUIRES A COMMENT

!
·

ARE YOU PRESE~l Y UNDER A PHYSICIAN'S

,/

CARE (LIST CONDITION)

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ARE YOU PRESENTLY TAKING: ANTIBIOTICS

V-

ANTICOAGULANTS

........

~

DILANTJN

"7

INSULlNlORINASE

4/" •

NJTROGl YCERINIDIGITALIS

L--'

OTHERS HAVE YOU HAD THE FOLLOWING. HEART ATTACK OR HEART DISEASE

J. ( , '.1:...' c::.s: S t
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HEART MURMUR: ARTIFICIAL VALVE

I

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KIDNEY DISORDERS

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RADIATION TREATMENT/CHEMOTHERAPY

,
I

TUMORS OR GROWTH

ARE YOU CURRENTLY PREGN,O.,',T?

VO (SYPHILIS. GONORRHEA) OR OTHER STO'S

ARTIFICIAL JOINT

ALLERGIES TO: CHEMICAL OR DRUGS

, I

•

DO YOU HAVE A DISEASE. CONDITION. OR

, I

I PROBLEM NOT LISTED' IF YES. PLEASE LIST.

LIST ANY MEDICATIONS CURRENTLY TAKING.

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My signature aCKnowledges that I have been given the opcortunlty to sallsfy myself by aSKmg 'questIons about the consent form

I voluntanly give my consent to clinic care and I accept the conditions of care ana servrce. A photocopy of thIs authonzatlon shall

be considered as

ana valid as the ongmal.

SJGNATUR "_";'" (JNMATEIPATIEN
W1TNESS:._~=- :::~~:1

N#: & ( S-ISV DOS:
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Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 50 of 246

HARRIS COUNTY SHERIFF'S DEPARTMENT
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Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 75 of 246
1 ,

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HARRIS COUNTY SHERIPP'S DEPT •

3128

LABORATORY RESULTS

LABt: 3129

NAME: --~
SPNt :_ _ _-"'b~/~....,...L-.-....I'_"PJ._....Y.'_______

- LOCATION: ________~wt3~-~~---

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TIME:_____________________

R E C r .~A- E I V E OOCTOR

:

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--~~~~~-------

______~14 Day PA

STD/OB PANEL RPR: GC S•MEAR: GC CULTURE:

1'8 ERAPEUTIC DRUGS

. ,
CARBAMAZEPINE:

4-10

L- PHENOBARBITAL
15-40

7 . dC>~L /1

AMYLASE:
30-170
- GLUCOSE: 65-115

CHLAMYDIA: _______________·____

BHCG: _______________________

RUB• ELLA

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G

:
•

--------

----

----

TOXO I gG : ___________________

. PHENYTOIN:-lr---'-"
10-20
THEOPHYLLINE: ____________
8-20

HEPATITIS SURVEY
HEPATITIS A ACUTE IgM:---------------------HEPATITIS A VIRAL TOTAL AB: -----------------
HEPATITIS B SURFACE ANTIGEN: ________________
HEPATITIS B CORE IgG: -----------------------
HEPATITIS B SURFACE ANTIBODY: ________________
HEPATITIS C ANTIBODY: -----------------------

MICROBIOLOGY

source: ___________________

STREP A: ________________

-155 (2/91)

AMPICILLIN: CEPHALOTHIN: ERYTHROMYCIN: NITROFURANTOIN:

PENICILLIN:
TETRACYCLINE: TRIMETHOPRIM: SULFAMETHOXAZOLE
U~ U. l.1V';"U' .:su'"

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UA MICROSCOPIC
Sp. Gravity(1.02Sl: __________ pH (6.0): ___________________ Protein: _____________________ G1ucose: _____________________
Ketone: ----------------------
Bilirubin: ___________________ Blood: _______________________
Nitrite: ---------------------
Urobilinogen: ________________ Leukocytes: __________________

WBC: RBC: BACTERIA: CRYSTALS: EPITHELIAL CELLS;

/HPF /HPF
/HPF

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 76 of 246
,

HARRIS COUNTY SHERIFF'S DEPARTMENT Medical Services Bureau Laboratory 1301 Franklin Houston TX 77002 LABORATORY RESULTS

2 4 6 3 LAB#:----..,;.~:...::.....::..---

~~, PERSON PERFORMING TEST:,________ P~DE~ING PHYSICIAN:'_--l..:lS~cZ'~'1\-'!s:d.:.1.:!:~.=---_ M~'( i,·u,\:"J IJ Fasting,_ __ Random,_ __

STDIOB PANEL

THERAPEUTIC DRUGS

CHEMISTRIES

- RPR: - - - - -
CHLAMYDIA_ _ __

CARBAMAZEPINE (4-10):_ _ __ PHENOBARBITAL (15-40): _ _ __

AMYLASE (12-80):,_ _ __ GLUCOSE (75-115):_ __

BHCG:_ _ _ _ __

PHENYTOIN (10-20):_ _ _ _ __

RUBELLA IgG:_ __

THEOPHYLLINE (8-20):_ _ _ __

TOXO IgG:--=-._ _ __

STREP A :_ _ _ _ _ _....,

•

\

•

-ALL PANIC VALUES REPORTED TO ON-DUTY CLINIC PHYSICIAN-

HEPATITIS SURVEY HEPATITIS A ACUTE IgM:_ _ _ _ _ _ _ __ HEPATITIS B SURFACE ANTIGEN: _ _ _ _ __ HEPATITIS B SURFACE ANTIBODY:._ _ _ _ _ __

HEPATITIS A VIRAL TOTAL AB:_ _ _ _ __ HEPATITIS B CORE IgG:_ _ _ _ _ _ __ HEPATITIS C ANTIBODY:._ _ _ _ _ _ __

UA MICROSCOPIC Sp. Gravity (1.025): pH (6.0): Protein: Glucose: Ketone: Bilirubin: Blood;,_ _ _ _ _ __ Nitrite:_ _ _ _ _ __ Urobilinogen:_ _ _ __ Leukocytes:_ _ _ __
M-1 (11/95)
ClibPDF - www.fastio.com

WBC: RBC: Bacteria: Crystals: Epithelial Cells:

IHPF IHPF
IHPF

COMMENTS/OTHER:

41 CQlfts g~ 8'8'

% d-ic

.
70/'/-

er4 t.J 7~'"'

Gt/8
/fi~

( fLir 8:.. 7.8---' ,+. '-f - &'. ~

NAME SPN

DATE OF BIRTH
000liUJ.J

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 77 of 246
,

HARRIS COUNTY SHERIFF'S OEPARTMENT

Medical Services Bureau Laboratory

1301 Franklin Houston TX 77002

2399

LABORATORY RESULTS

2398 DATE TEST REPOR... TED: -~.... -d tf -yt,
. PHYSICIAN:--=~~~~<J-~ PERSON PERFORMING TEST:,__________

ORDERING

- LAB#: - - - - - - -
__

Fasting,_ __ Random,_ __

STD/OB PANEL

THERAPEUTIC DRUGS

CHEMISTRIES

RPR:- - - - - -
CHLAMYDIA:_ _ __ BHCG: _ _ _ _ __ RUBELLA IgG:_ __

CARBAMAZEPINE (4-10):

f AMYLASE (12-80):_ _ __

-t:iPHENYTOIN (10- 0):

'J ,x'

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-:-:,

~~,,'

, "'I, \ I
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THE0 PHYLLINE (8-'"'.Q.L:==---====:::::::.._ _

: TOXO IgG:--:...._ _ __

, STREP A :_ _ _ _ _ _......

•
-ALL PANIC VALUES REPORTED TO ON-DUTY CLINIC PHYS/CIAN-

HEPATITIS SURVEY
HEPATITIS A ACUTE IgM:_ _ _ _ _ _ _ _ __ HEPATITIS A VIRAL TOTAL AB: _ _ _ _ __
HEPATITIS B SURFACE ANTIGEN:_ _ _ _ __ HEPATITIS B CORE IgG:_ _ _ _ _ _ __ HEPATITIS B SURFACE ANTIBODY:,_ _ _ _ __ HEPATITIS C ANT/BODY:,_ _ _ _ _ __

UA MICROSCOPIC Sp. Gravity (1,025):,_ __ pH (6.0):,_ _ _ _ __
Protein:,_ _ _ _ _ __
Glucose:_ _ _ _ __ Ketone:_ _ _ _ __ Bilirubin:_ _ _ _ __ Blood:_ _ _ _ _ __ Nitrite:,_ _ _ _ _ __ Urobilinogen:_ _ _ __ Leukocytes:_ _ _ __
M-l (11/95)
ClibPDF - www.fastio.com

WBC:' - - - - -IHPF RBC:' - - - - -IHPF
Bacteria:,_ _ _ __
Crystals:_ _ _ __
Epithelial Cells:_ _--"HPF

COMMENTS/OTHER:

,
,..----" NAME
SPN

~-L\ -ltB
DATE OF BIRTH
OUtJi.Hj~O

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 78 of 246

C'ORN1NG Clinical

(5743/)

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03946729-5 REQ HJ406351
HALL,ROBERT
DOB II

Ha'rris County Jail
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Fi11<.'\l Report
03/16/96, 06:15 AM

P.O. 0322321 HOLlst011, TX 77002-0000

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Free Thyrox. Index TSH

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2~45
1. 33

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4.5-12.0 ug/dL
1.1-4.2 Index 0.40-4.20 uIU/mL

TSH result is thi'rd generation with sensitivity <0.01 uIU/ntL.
------_._----------------------------------------... ------------_ .... _--_.---

Tests O'rde·red:l~ypothy'roid ~Irf

End of Report (~!ALL,ROBERT - 03946729-5 )

•
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M~OiCAL MEcortC~ MAR 15 \~tC'~

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Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 79 of 246
; ,

HARRIS COUNTY SHERIFF'S DEPARTMENT

Medical Services Bureau Laboratory 1301 Franklin

775

Houston TX 77002

.. O~ DATE TEST REPORTED:

LASORATORY RESULTS
\'3 - cr .6

LA.B -#: - - - - -7-7-6

t.
PERSON PERFORMING TEST:,_ _ _ _ _ _ _ _ __

ORDERING PHYSICIAN:~2L:~~::::==_

Fasting,_ __ Random,_ __

STOIOR PANE!

THERAPEUTIC· DRUGS

CHEMISTRIES

RPR:' - - - - - -
CHLAMYDIA_ _ __

CARBAMAZEPINE (4-10):_ _ __
1+! PHENOBARBITAL (15-40): ("d- l

AMYLA.SE (12-80):_ _ __

BHCG:_ _ _ _ __

HENYTOIN (10-20):_ _ _ _ __

RUBELLA IgG:_ __

THEOPHYLLINE (8-20):_ _ _ __

. TOXO IgG:_o_ _ __

, STREP A :_ _ _ _ _ __

•
-ALL PANIC VALUES REPORTED TO ON-DUTY CLINIC PHYSICIAN- ,

HEPATITIS SURVEY HEPATITIS A ACUTE IgM:_ _ _ _ _ _ _ _ __ HEPATITIS A VIRAL TOTAL AB:_ _ _ _ __ HEPATITIS B SURFACE ANTIGEN:_ _ _ _ _ __ HEPATITIS B CORE IgG:_ _ _ _ _ _ __ HEPATITIS B SURFACE ANTIBODY:,_ _ _ _ __ HEPATITIS C ANTIBODY:,_ _ _ _ _ __

UA MICROSCOPIC Sp. Gravity (1.025):,_ __ pH (6.0):,_ _ _ _ __ Protein:,_ _ _ _ __ GJucose:_ _ _ _ __ Ketone: _ _ _ _ __ BiJirubin:_ _ _ _ __ Blood:_ _ _ _ _ __ Nitrite:,_ _ _ _ _ __ Urobilinogen:_ _ _ __ Leukocytes:_ _ _ __
M-l (11/9S)
ClibPDF - www.fastio.com

- WBC: - - - -IHPF
- RBC: - - - -IHPF
Bacteria:_ _ _ __
CrystaI5:,_ _ _ __
Epithelial Cells:_ _--:/HPF

COMMENTS/OTHER

NAME
{
SPN

DATE OF BIRTH
OUlJl'u42

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 80 of 246

e( DATE: -3'0 - TIME _ _ _ _..J..';_
6 LOCATION: S. .

HARRIS COUNTY SHERIFF'S DEPARTMENT Medical Division

540

LASORATORY RESULTS

541
LAB #:- - - - - - - -

- = _ PHYSICIAN:~a=~:::1-.~-~::C::Q-

SID/OB PANEL

Fasting,_ _ __ Random,_ _ _ _ 14 Day HA._ _ __
•
•
THERAPEUTIC DRUGS

- RPR: - - - - -
CHLAMYDIA_ _ __

CARBAMAZEPINE (10-20):_ _ __

BHCG: _ _ _ _ __

RUBELLA IgG:_ _ __
, •
TaXa IgG:_ _ _ _ _•

STREP A :_ _ _ _ _ __

HEPATITIS SURVEY HEPATITIS A ACUTE IgM:_ _ _ _ _ _ _ _ __ HEPATITIS A VIRAL TOTAL AB:_ _ _ _ __ HEPATITIS B SURFACE ANTIGEN:_ _ _ _ _ __ HEPATITIS B CORE IgG:_ _ _ _ _ _ __ HEPATITIS B SURFACE ANTIBODY: _ _ _ _ __ HEPATITIS C ANTIBODY:_ _ _ _ _ _ __

UA MICROSCQPIC Sp. Gravity (1.025):,_ __ pH (6.0):,_ _ _ _ __ Protein:,_ _ _ _ _ __ Glucose:,_ _ _ _ __ Ketone:_ _ _ _ _ __ Bilirubin:_ _ _ _ __ Blood:,_ _ _ _ _ __ Nitrite:_ _ _ _ _ __ Urobilinogen:_ _ _ __ Leukocytes:_ _ _ __
M-l (6/95)
ClibPDF - www.fastio.com

- WBC: - - - -IHPF
RBG:' - - - - -IHPF
Bacteria:_ _ _ __
Crystals:,_ _ _ __
Epithelial Cells:,_ _ _/HPF

SPN

DATE OF BIRTH

OU(}(jti43

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 81 of 246

DATE: t -t ~ ~,6

HARRIS COUNTY SHERIFF'S DEPARTMENT Medical Services Bureau Laboratory 1301 Franklin Houston TX 77002
LABORATORY REQUEST
PHYSICIAN:.-...::~=:::::..._ __

~~ A-'0<1-
~-<- "'-- _ !;.. A......~,(..
£'("-"<'. ~ n··foJ7

S LOCATION: Pj5 .

Fasting,_ __ Random____

IN-HOUSE

REFERENCEIAR

MICROBIOLOGY

___AMYLASE, RIG __CARBAMAZEPINE, RIG

__SMAC, RIG
•
_ _CBC, P•

source:_ _ _ _ _ _ __ __CULTURE & SENSITIVITY

__CREATINE KINASE, RiG

__COOMBS, INDIRECT, R

__CHLAMYDIA, swab

__GLUCOSE, RIG

__FSH, RIG

__STREP A, swab

__ GLYCATED HEMOGLOBIN, P

__IRON & TIBC, RIG

__UA micro, urine

__HEMOGLOBIN, P
•
__ HEPATITIS SURVEY, RIG

__ LH, RIG __LITHIUM, R

__TB CULTURE & SMEAR sputum

__ OB PANEL, RIG & P & R

__MHA-TP, RIG

__PHENOBARBITAL, RIG

__RHEUMATOID PANEL, RIG (RA LATEX, ASO, ANA)

__RPR, RIG __PHENYTOIN, RiG __PREGNANCY TEST, RIG __PREGNANCY TEST, urine

__SED RATE, P __PROLACTIN, RiG
_ _PTT, B

- - - _

. . . ~-::---

-, - - :
'.,

. -

~_. - - I

~.

•. I

J

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. -

•
__RETICULOCYTE COUNT, P

__PROTHROMBIN TIME, B

__PAP SMEAR, slide

__RUBELLA, RIG

:""_" _U...J-J- 010 PANEL, RIG (T3, T4, T7 & TSH)

__THEOPHYLLINE, RIG

__TSH, RIG

__TOXO IgG, RIG

__T4 CELL COUNT, PlY

OTHER TESTS:_ _ __

NOTE: RIG = red/gray top

__DIGOXIN, R

= P purple top

__VALPROIC ACID, R

= B blue top

__PSA, RlG

R = red top
-ALL SAMPLES MUST BE PROPERL YLABELED-

/

NAME

i

01 ~--l

M-18 (11/95)

SPN

~-4- <£'2
DATE OF BIRTH

ClibPDF - www.fastio.com

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 82 of 246

DATE: 0 l' .)-5 --q 10
- .'
TIME: _ _ _--'·,L--
L0 CATION:--'""--+<--",""","""-=S

HARRIS COUNTY SHERIFF'S DEPARTMENT

Medical Division

LASORATORY RESULTS

410
LAB #:_ _ _---lli4...11_11--._

PHYSICIAN:

,
~ CQ

Fasting_ __ Random,_ _ _ 14 Day HA,_ _ __

STD/OB PANEL

•
•
THERAPEUTIC DRUGS

CHEMISTRIES

RPR- - - - - -
CHLAMYDIA_ _ __
BHCG: _ _ _ _ __
, RUBELLA IgG:_ __
•
TOXO IgG:_ _ _ _ _,

CARBAMAZEPINE (10-20):____ ,AMYLASE (30-170): _ _ __

/ ' 7 ~ ~ VPHENOBARBITAL (15-40):_",,---,II'-Ltn\Y-!.-1

LUCOSE (65--115):_ __

0 ~\p r I t,.-p/HENYTOIN (10-20): •

\i'-'\, '.

J'

THEOPHYLLINE (8-20):_ _ _ __

STREP A :_ _ _ _ _ __

HEPATITIS SURVEY HEPATITIS A ACUTE IgM:_ _ _ _ _ _ _ __ HEPATITIS B SURFACE ANTIGEN: _ _ _ _ __ HEPATITIS B SURFACE ANTIBODY:_ _ _ _ __

HEPATITIS A VIRAL TOTAL AB: _ _ _ _ __ HEPATITIS B CORE IgG:._ _ _ _ _ _ __ HEPATITIS C ANTIBODY:_ _ _ _ _ __

UA MICROSCOPIC Sp. Gravity (1 .025):_ __
pH (6.0):_ _ _ _ __
Protein:_ _ _ _ __ Glucose:_ _ _ _ __
Ketone:_ _ _ _ __ Bilirubin:_ _ _ _ __ Blood:_ _ _ _ _ __
Nitrite:_ _ _ _ _ __
Urobilinogen:_ _ _ __
Leukocytes: _ _ _ __
M-l (6/95)
ClibPDF - www.fastio.com

- WBC: - - - - -IHPF
- RBC: - - - -IHPF
Bacteria:_ _ _ __
Crystals:_ _ _ __
Epithelial Cells:_ _ _./HPF

,f '"" .' I,
NAME

rf!-£~ '-

h (S ) S- L.j-

SPN

I

•

DATE OF BIRTH
Ofi0(,:j45

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 83 of 246

•

HARRIS COUNTY SHERIFF'S DEPARTMENT
Medical Division

184

r DATE: 0

4

I D. "I~

.. TIME:_ _ _-r-!_

LOCATION:-=--- ~

Fasting_ __

LASORATORY RESULTS

185
LAB -#: - - - - - - -

PHYSICIAN:~::::1..:::!.~\~C::::9~:::...~_
Random_ _ _ 14 Day HA_ _ __

•
•
THERAPEUTIC DRUGS

CHEMISTRIES

MAZEPINE (10-20): _ _ __

CHLAMyDIA_ _ __

PHENOBARBITAL (15-40):

BHCG: _ _ _ _ __

ENYTOIN (10-20):_t::t;:.~~..c;~

RUBELLA IgG:_ __
•
•
TOXO IgG:_ _ _ _·_

THEOPHYLLINE (8-20): _ _ _ __

STREP A :_ _ _ _ _ __

HEPATITIS SURVEY HEPATITIS A ACUTE IgM:_ _ _ _ _ _ _ __ HEPATITIS B SURFACE ANTIGEN: _ _ _ _ __ HEPATITIS B SURFACE ANTIBODY:_ _ _ _ __

HEPATITIS A VIRAL TOTAL AB:_ _ _ _ __ HEPATITIS B CORE IgG:_ _ _ _ _ _ __ HEPATITIS C ANTIBODY:_ _ _ _ _ _ __

UA MICROSCOPIC Sp. Gravity (1.025): _ __
pH (6.0): _ _ _ _ __ Protein:_ _ _ _ _ __ Glucose:_ _ _ _ __ Ketone:_ _ _ _ _ __ Bilirubin:_ _ _ _ __ Blood:_ _ _ _ _ __ Nitrite:_ _ _ _ _ __ Urobilinogen:_ _ _ __ Leukocytes:_ _ _ __
M-l (6/95)
ClibPDF - www.fastio.com

- WBC: - - - _ .IHPF
RBC: _ _ _ _~/HPF
Bacteria:_ _ _ __ Crystals:_ _ _ __
Epithelial Cells:_ _ _./HPF

AME
SPN

DATE OF BIRTH
OUUuu45

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 84 of 246

,

,

-
HARRIS COUN'I 3HERIFF'S DEPARTMENT - MEDk.,L DIVISION

RADIOLOGY

\ L- o~ 1\
DATE--
NAME: ~~A--* \~: U

C3(/( '( P(d,r;;;+l-

LOCATION

NEWHOUSE

1~

701

301

SPN: b(~ I ~f

CEI l ,BLOCK

S()\

DOB: V~ IJ ~ \{~

M SEX:

ROUTINE [ t'---

SfAT [ ]

SCREENING [

REHAB
]

EXAMINATION(S):

CLINICAL INFO:

REFERRING PHYSICIAN:

NURSE:

,
,

CHEST

[ ] NO SIGNIFICANT ABNORMALITY [ ] NO SIGNIFICANT ABNORMALITY 1

LUNG FIELDS

[ ] ABNORMAL SEI J A TIJRCICA

2

------------------~[ ] SWELLING

3

FRACl1JRE

WHERE:

4

--------------t::--;-;:;~;_;;,;:;;:;_;;:;;::__-----__j [ ]

[ ]

NO SIGNIFICANT ABNORMALll Y SWElLING

C, ARDIAC SILHOUETIE
[ ] NORMAL'

[ ] NO SIGNIFICANT ABNORMALIl'Y [ ] FRACIURE
[ ] SWEllING

AGE:

[ ] UPPER LIMITS OF NORMAL [ ] ENLARGED
COSTOPHRENIC ANGLE

f-L-....L-..;;..FRA..:..;;:..:-,-CI:...;:U:,.:.R...::E_ _WH---'.::I!.:..::RP:;;,.."- - - - 4 [ ] PROXIMAL SHAFT
~;;-;:::-;::;;:;;::-;~_ _ _ _ _ _--j [ ] MID SHAFT
[ ] DISfAL SHAFT

[ ] OLD [ ] NEW

- - - - - - - - - - - - - - 1 [ ] NO SIGNIFICANT

.- _ ORIENTATION

- - - - - - - - - - - - - - - - l [ ] MUCUS

[::1,' h,1;:;;-: ;1_' _ _ •

TRANSFERSE

BONY STRUCTURES

(J ' - I--_ _WH_ERE:_'_ _ _' -_.-_--"_-_--._.-'-.,--=-----l [

OBLIQUE

---------------1~~~~~~-~;~-~~~-~,.,--___j[ ] COMMU~rED

. ~ '-

DISPLACEMENT OF

SPINE SERIES

[ ] NO SIGNIFICANT ABNORMALITY

[ 1 1 CERVICAL [

THORACIC

[] SWEIl./NG

[

( J LUMBAR [ ] SACRUM/COCCYX f-L--,--_F_RA_C_IU_R_E_ _ _WH_I!_JlI!:;;,..'_ _~ [

( J NO SIGNIFICANT ABNORMALI'l Y

[

DISTAL SEGMENT
1 ANTERIOR
] POslERIOR
] MEDIAL

[ ] FRAClURE

[ ] LATERAL

[ ] INI'ERSPACENARROWING

[ ] NO SIGNIFICANT ABNORMALIl'Y

[ ] SPUR FORMATION

[ ] SWElLING

[ ] SPONDYLOLIS

FRACIURE

WHeRE:

( ] SPONDYLOLISTIiESIS
ABDOMEN
M NO SIGNIFICANT ABNORMALII '{

[ ] NO SIGNIFICANT ABNORMALITY

( ] ABNORMAL CALCIFICATIONS
[ 1 SOFT TISSUE PLANES

FRACIURE

WHERE:

DILATED LOOPS

ClibPDF - www.fastio.com

f..r-

~-----------------------------

KAMINSKY. MD

GALIN LEWIS. MD

tJOQGu47

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 85 of 246

DAI'IOI-.J /METW EST a CORNING Clinical La bo'ra to'ry 8300 Esters Blvd. Suite 900
I'rving, Texas 75063-2201

,:( E 11 1-, 0

h. ,,+0Jlt~7-tS

(5743/ ""'9

HALL., ROBERT

61518,4

03795260-7

U Fst NG

12/08/ ':.-l

Ha'r'ris County Jail 1310 F'ranklin

GUICE

89080

12/09/':;

1='.0. 0322321

HOLlston,

TX
.• , • i

...... ....--- .'',' 77002-0000

''-'W

",. ~'
,

. -

•• ~~ __

-~

..-. -- --- --.-- .... . ~

~.'.?

.~ . . . .' . . . -~,~.---

~ .j~,.-

Final Rep 12/08/95,

Basic Chem: Glucose

@2 ty

ntg/dL

60-110

Uric Acid

3.0 L

mg/dL

3.8-8.7

BUN

7 L

mg/dL

8-22

Creatinine BUN/C'reat. Ratio

7.8 L

• • 0. '3
•

mg/dL

0.5-1.7
10.0-20.0

Sodium

13~:;

mEq/L

135-145

Potassium

4.6 mEq/L

3.5-5.3

Ch lo'r i de

100 mEq/L

94-108

Calciunl

9.5 mg/dL

8.5-10.7

Ino'rg. 1="1ospho'rus

3.1 mq/dL

2.5-4.6

Tot a 1 /=, 'r 0 t e i n Albumin

"7.6
+. ~~j

gm/dL g/dL

6.4-8.4 3.0-5.5

Globulin

3.3 gm/dL

1. 9-4. 0

A/G Ratio Total Bi•lirubin

1.3
0.6 mg/dL

1. 1-2.3 0.3-1.6'

Al~~. I='hosphatas~

79 U/L

( 136

SGOT (AST)

44 U/L

(49

SGPT (AL T)

53 U/L

(54

GGT

135 H

U/L

(66

LD (LDH)

176 U/L

(231

I'ron

89 Llg/dL

45-180

T 'r i 9 1 Yc e 'r ides
ChoI est e 'r 0 1

_~ _

_

H
_ V

.

mg/dL
185 OJ 9 Id,L

0-150 120-199

----------------------------------------------------------------------

CBC wDiff:

•

WBC

5.3 K/uL

3.9-10.6

\;:BC

1'1/uL

't. 5-5. 9

Hgb

15.3 gm/dL

13.5-17.5

Hct
MCV

" 44.5 90 fL

40.0-52.0 80-101

I'1CH

31 pg

27-34

MCHC

34 gm/dL

31-36

RDW

12.2

11.5-14.5

MPV

9.2 fL

7.4-10.4

Platelets

163 K/uL

150-450

Neut'rophils Lymphocytes rlonocytes Eosinopl1ils

61.2
,~ j 0 .:rJ.-
6.2 1. '3

" " "

46.0-77.0 16.0-43.0 0.0-10.0
0.0-6.0

Basophils Neut'ro ph i 1 s-A bs.

" 0.2
3.30

K/uL

0.0-2.0 1. 8-7. 3

Lymphocytes-Abs.

1. 60 K/LIL

1.2-4.0

l'1onocytes-A bs.

0.30 K/uL

0.00-0.95

Eosinophils-Abs.

0. 10 IVLtL

0.00-0.35

-B-a-s-o-p-h-i-l

s---A- -b-s-.

-

-

-

-

-

--_

.

-_. -

-.

-.

_-

-

-

-

-

-

-

-

-

-

.0--.0-0-

----

K/l.l
---

L
-

-

-

-

-

-

-

-

-

-

-

-

-

-

-0-.0-

-0--

0-

.15
'''--~

f'-

~.v.u

I,

,-., T,'''

' .. 1.,

,,·1

q.....

1 (-,J .,.C•, ,':~"1c'1 (,.71 .(..,' •n.' .'I'.r

,~: . .'

,•lo•t

·l1·

(". • .r.~ ,•.... I .

',1.,

.--,~"-t,"..,"I',-." ,.•_(.C'),'

OOGGU48

ClibPDF - www.fastio.com

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 86 of 246
, ,
-

HARRIS COUNTY SHERIFF'S DEPARTMENT Medical Division

DATE: ( C> 02(
TIME: _ _ _ _ _ _ _- _
LOCATION: ,,:>""'-•-~£
Fasting,_ __

LASORATORY RESULTS

LAB - #: - - - - - - -

PHYSICIAN:_ _ _ _ _ _ __ Random,_ _ _ 14 Day HA_ _ __

SIP/OB PANEL
- RPB: - - - - -
CHLAMYDIA_ _ __ BHCG. _ _ _ _ __

-
THERAPE! mc DRUGS

CHEMISTRIES

CARBAMAZEPINE (10-20):_ _ __

AMYLASE (30-170):_ _ __

PHENOBARBITAL (15-40):_ _ __ PHENYTOIN (10-20):_ _ _ _ __

GLUCOSE (65-115):_ __
-

RUBELLA IgG:_ __ TOXO IgG:_-_ _ __
-

THEOPHYLLINE (8-20):_ _ _ __

STREP A :_ _ _ _ _ _..,..

HEPATITIS SURVEY HEPATITIS A ACUTE IgM:_ _ _ _ _ _ _ __ HEPATITIS B SURFACE ANTIGEN:_ _ _ _ __

HEPATITIS A VIRAL TOTAL AB:_ _ _ _ __ HEPATITIS B CORE IgG:_ _ _ _ _ _ __

HEPATITIS B SURFACE ANTIBOOY:_ _ _ _ __ HEPATITIS C ANTIBODY:_ _ _ _ _ _ __

UA MICROSCOPIC Sp. Gravity (1.025):_ __ pH (6.0): Protein:
Glucose:
Ketone: Bilirubin: Blood:_ _ _ _ _ __ Nitrite:_ _ _ _ _ __
Urobilinogen:_ _ _ __ Leukocytes: _ _ _ __
M-l (6/95)
ClibPDF - www.fastio.com

wec:- - - - - 'IHPF

RBC: Bacteria:

IHPF
•

I~,c)

R~?F~

Crystals: Epithelial Cells:

Gt-l B: '-/. ~. 7,8
IHPF 11-:1. ~ ~ 'f.<-f G,t

NAME

6/---
SPN

Ie-L.:::J~-

DATE OF BIRTH
OOtJuu40

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 87 of 246

,

DA 1'1 0 N/I'1 ETWE S T

REll "I()

403033-6

(57431 PAG~

,

a CORNING Clinical Laboratory

-.

~

.. .

8300 Este'rs Blvd. Suite 900

HALL, ROBERT

615184

Irving, Texas 75063-2201

Harris County Jail

03790358-0 , ,

M Fst NG

12/06/'::

1310 F'ranklin

GUICE

89080

12/07/S

P. O. 0322321

HOLlston, Basic Chem:

TX
J
1
• •

77002-01211210 .:¥, ':~""';,.::'="'~~:'-'(::'."'~.:'":''':' . . --,-,~,,;.:.:..--." , Z., 01.:.,'1':""' _ _, - __ _

Final Rep 12/06/95,

Glucose U'r i c Ac i d BUN C'rea tin i ne

3.9 8
• • 0.8

mg/dL mg/dL mg/dL mg/dL

60-110 3.8-8.7
8-22 0.5-1.7

Sodium

• 141 mEq/L

135-145

Potassium

't.2 mEq/L

3.5-5.3

Chlo'ride

11214 mEq/L

94-108

Calcium

':3.6 mg/dL

8.5-10.7

I1'1org. Phospho'rLls

3.3 mg/dL

2.5-4.6

Total P'rotei n

7.7 gm/dL

6.4-8.4

Albumin

4.4 g/dL

3.0-5.5

GlobLtl in

3. ;3 gm/dL

1.9-4.0

A/G Ratio

1.3

1.1-2.3

, Total Bilinlbin Alk. Phasphatase

0.8 mg/dL 82 U/L

0.3-1.6
<136 ~

SGOT (AST)

.

32 U/L

<49

SGPT (ALT>

44 U/L

<54

GGT

146 H

U/L

<66

LD (LDH)

157 U/L

{231

I'ron

12':3 Llg/dL

45-180

T'ri glyce'rides

289 H

mg/dL

0-150

Ch 0 1 este'ro I

176 mg/dL

120-199

----------------------------------------------------------------------

CBC wDiff:

WBC

5.6 K/LlL

3.9-10.6

RBC

5.02 M/uL

4 . W 1:"_. .1,:"J .CJ

Hgb

16.1 gm/dL

13.5-17.5

Hct MCV

.It 4 • ':3 9121

"fL

40.0-52.121 80-101

MCH MCHC

MEDICAL RECO;:nS ~~

pg
gm/dL

27-34 31-36

RDW I'1PV

.., , 12.4

DeL.: v 9.0 1..'

, , . -,~
~-

fL

11.5-14.5 7.4-10.4

Platelets

155 K/uL

150-450

I-.Jeu t'ro ph i 1 s Lymphocytes Monocytes Eosi1'1ophils Basophils Nell t'ro ph i 1 s-Abs.

54.1 35.3
6.4 3.2 1.0 2.90

"""""K/uL

46.0-77.0 16.0-43.0 0. 0-HI. 0
0.0-6.121 121.0-2.0 1.8-7.3

Lymphocytes-Abs.

2.121121 K/uL

1.2-4.121

Monocytes-Abs.

121.40 K/uL

0.121121-0.95

Eosinophils-Abs.

0.20 K/uL

121.1210-121.35

B,:-\soph i I s-Abs.

0.10 K/lJL

0.0121-121.15

-----------------------------------------y -----------1=:;,](----------

Tests O'rdered: BC+CBC

End of r<epClTt ( HALL,ROBERT -- 0379121358-0)

I r ~_ I...'1." : ••1 't') ·"v',"·."i(()"il.,q.·\ ._.,:' '+1·~<' ',

'..",: (._~.' "I·I·,-·'· '",:...

tH)tJuu~O

ClibPDF - www.fastio.com

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 88 of 246

HARRIS COUNTY SHERIFF'S DEPARTMENT Medical Division

LASORATORY RESULTS

LAB #:_ _--'5~4..L.13u..6'____

-,
TIME:_ _ _ _-i-~-
LOCATION: i~:J:--t,•:,?) ,'>r

PHYSICIAN:_..:::: -' \,) ~• c. ti""'

Fasting,_ _ __ Random._ _ _ _ 14 Day HA._ _ __

SIDIOB PANEL

-.
CHEMISTRIES

- RPR - - - - -
CHLAMYDIA_ _ __

CARBAMAZEPINE (10-20):_ _ __ PHENOBARBITAL (15-40):_ _ __

AMYLASE (30-170):_ _ __ GLUCOSE (65-115):_ __

BHCG:_ _ _ _ __

PHENYTOIN (10-20):_ _ _ _ __

RUBELLA IgG:_ _ __

THEOPHYLLINE (8-20):_ _ _ __

TOXO IgG:_'_ _ __
•

STREP A :-------l~

HEPATITIS SURVEY

HEPATITIS A ACUTE IgM:_ _ _ _ _ _ _ __ HEPATITIS A VIRAL TOTAL AB: _ _ _ __

HEPATITIS B SURFACE ANTIGEN:_ _ _ _ __ HEPATITIS B CORE IgG:_ _ _ _ _ _ __

HEPATITIS B SURFACE ANTIBODY:_ _ _ _ __ HEPATITIS C ANTIBODY:_ _ _ _ _ _ __

Sp. Gravity (1.025): ,I; eJI ')-
G.... pH (6.0): _ _ I"-.·....).'---__

Protein:

Glucose: -3- '-I-r:.---.J;;......._

"'-:::=

4 c . . Ketone:

c &_ _

, ,

12... Bilirubin: "A.:" .;> /' 0

~'\j ~

(

BIOOd: _ _ _ _-f-_ _

Nitrite:_ _ _---i~_ _
Urobilinogen:_---lC2...:;...~,.:.::)~
-
Leukocytes:_ _ _ _ __
M-l (6/95)

ClibPDF - www.fastio.com

WBC: -...-:.....:.,.
Baderia.·_ _ .1--_ _
Crystals:_ _ Epithelial Cells: )( c,-,'t.I.LHPF

SPN

DATE OF BIRTH

(HitJl;u51

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 89 of 246

,

PATIENT NAME

PAGE

I

. PATIENTlIl

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Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 90 of 246

,

DATE: I!. ~ ~ -1'

HARRIS COUNTY SHERIFF'S DEPARTMENT

Medical Division

LASORATORY RESULTS

5132

LAB - #: - - - - - -

TIME:

-

•

S- LOCATION:.s-6

Fasting,_ __

1 - PHYSICIAN:

\.A LA

(

Random,_ _ _ 14 Day HA,_ _ __

STDIOB PANEL
RPR- - - - - -
CHlAMYDIA_ _ __ BHCG._ _ _ _ __

CHEMISTRIES

CARBAMAZEPINE (10-20):,_ _ __

Y 1'1 HENOBARBITAL (15-40):

PHENYTOIN (10-20):

I I Cf ';;;

AMYLASE (30-170):_ _ __
I.
- - - - - ....-4llUCOSE (65-115):
~ ~1

RUBELLA IgG:____

THEOPHYLLINE (8-20):_ _ _ __

TOXO IgG:_'_ _ __
•

STREP A :_ _ _ _ _ _.~...

HEPATITIS SURVEY

HEPATITIS A ACUTE IgM:_ _ _ _ _ _ _ __ HEPATITIS A VIRAL TOTAL AB:_ _ _ _ __

HEPATITIS B SURFACE ANTIGEN:_ _ _ _ __ HEPATITIS B CORE IgG:_ _ _ _ _ _ __

HEPATITIS 8 SURFACE ANTIBODY:_ _ _ _ __ HEPATITIS C ANTIBODY:_ _ _ _ _ _ __

UA MICROSCOPIC Sp. Gravity (1.025):_ __ pH (6.0):._ _ _ _ _ _ __ Protein:_ _ _ _ __

.vIEDICAL RECORDS

WBC:' - - - - -IHPF
. RBC: _ - - - -IHPF
Baderia:,_ _ _ __

:IJO V 1 0 1995

Glucose:_ _ _ _ __

Crystals:._ _ _ __

Ketone:,_ _ _ _ _ __

Epithelial Cells:_ _ _/HPF

BiJirubin:_ _ _ _ __

Blood:- - - - - - -
Nitrite:,_ _ _ _ _ __

UrobiJinogen:_ _ _ _ __ Leukocytes:_ _ _ __
M-l (6/95)
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b

SPN

DATE OF BIRTH

.. . - (

..

UlJUUu~3

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 91 of 246

DATE:

HARRIS COUNTY SHERIFF'S DEPARTMENT Medical Division

4938
4939

LASORATORY RESULTS

LAB #:- - - - - - - -

TIME: _ _ _ _ _7 _
LOCATION: '::>-6•• s-
Fasting,_ __

PHYSICIAN:_......s..L.£..~~_ __
•
Random,_ _ _ 14 Day HA._ _ __

STO/OS PANEL
RPR:- - - - - -
CHLAMYDIA_ _ __ BHCG._ _ _ _ __

• •
THERAPE! mc E2RUGS

CHEMISTRIES

CARBAMAZEPINE (10-20):_ _ __

AMYLASE (30-170):,_ _ __

VPHENYTOIN (10-20):

,LUCOSE (65-115):_ __
7 '
.:3" 7 7 ~ I~~

RUBELLA IgG:_ __

THEOPHYLLINE (8-20):,_ _ _ __

TOXO IgG:-.:...._ _ __
•
HEPATITIS SURVEY

, STREP A : - - - - - - - r

HEPATITIS A ACUTE IgM:_ _ _ _ _ _ _ __ HEPATITIS A VIRAL TOTAL AB: _ _ _ _ __

HEPATITIS B SURFACE ANTIGEN:_ _ _ _ __ HEPATITIS B CORE IgG:_ _ _ _ _ _ __

HEPATITIS B SURFACE ANTIBODY:_ _ _ _ __ HEPATITIS C ANTIBODY: _ _ _ _ _ __

UA MICROSCOPIC Sp. Gravity (1.025):_ __ pH (6.0):,_ _ _ _ __ Protein:_ _ _ _ __ Glucose:_ _ _ _ __ Ketone:,_ _ _ _ _ __
Bilirubin:_ _ _ _ __ Blood:_ _ _ _ _ __ Nitrite:,_ _ _ _ _ __ Urobilinogen:_ _ _ __ Leukocytes:_ _ _ __
M-l (6/95)
ClibPDF - www.fastio.com

- weC: - - - - -IHPF
' RBC: - - - - -IHPF
Baderia:_ _ _ __
Crystals:,_ _ _ __
Epithelial Cells:,_ _---'/HPF

NAME
SPN

DATE OF BIRTH

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 92 of 246

-
HARRIS COUNTY SHERIPP'S DEPT.
LABORATORY RESULTS

2565

NAME:- - -
SPNt : _ _ _ _---l...:C.~1_'j.J....--........I.)wR-~Sfr::::..--_

LOCATION,; __________~~~-~~~S~___

• •

_ _ _ _. f a s t i n g

DATE :_--'C"'"-----.c;.2"------.;9'-'>.L.-_-__
TIME: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _

DOCTOR :_--'~...:..LJ:::. ."rI.'.-.._.. _____

- - - - 'r a n d o m

____.14 Day PA

STDloB PANEL RPR: _______________________
GC SMEAR: ____________
GC CULTURE: _____________ CHLAMYDIA: _______________· ___ BHCG: _____________________
•
RUBELLA _ IgG:~.~ ______________

THERAPEUTIC DRUGS
. -
. -
CARBAMAZEPINE: ______ 4-10

CHEMISTRIES
AMYLASE: _________ 30-170

-- PHENOBARBITAL: 15-40
/PHENYTOIN: 10-20

q.;z I~ ---'-tJ GLUCOSE: ___________

/' I (

65-115

.3'.

•
/ n/-v_'

I. •

•

.,/ /

'

THEOPHYLLINE: -----
8-20

TOXO IgG: ________________

HEPATITIS SURVEY
HEPATITIS A ACUTE IgM:-----------------------
HEPATITIS A VIRAL TOTAL AB: _____________
HEPATITIS B SURFACE ANTIGEN: HEPATITIS B CORE IgG: HEPATITIS B SURFACE ANTIBODY: HEPATITIS C ANTIBODY: __~_____________________

MJ:CROBIOLOGY

source: _____________________

STREP A: __________________

(2/91) .., r-~
-J:J

AMPICILLIN: CEPHALOTHIN: ERYTHROMYCIN: NITROFURANTOIN:

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PENICILLIN:
TETRACYCLINE:
TRIMETHOPRIM: SULFAMETHOXAZOLE

UA MICROSCOPIC Sp. Gravity(1.025): ___________ pH (6.0): ___________________ Protein: Glucose: Ketone: Bilirubin: Blood: _______________________
Nitrite: -----------------------
Urobilinogen: ___________ Leukocytes: __________________

WBC: RBC: BACTERIA: CRYSTALS: EPITHELIAL CELLS:

IHPF IHPF
.-- O- l.j.Uv" u~:J
./HP::'

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 93 of 246

7 &'j508
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Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 94 of 246

HARRIS COUNTY SHERIPP'S DEPT. LABORATORY RESULTS
NAHE : _ _k-(jf;~t:J/'..L_~~::.t::::L

1571 1572 LAB,: ------------------
DATE : _ _ _--==3::::::...--.....-::J;,...;CJ=::'_-_9.L......;.\-::.-.

SPIl' :_ _ _G~!_~--~I~~_,/,---_

LOCATION: ______________________

-•
• •

_ _ _.fasting

TIME: _ _ _ _ _ _ _ _ _ _ _ _~-----
DOCTOR:__ :o. _'=c .S..;~=-"..~.,4..;;L..="'r-('--______

random
----'

_______14 Day PA

STDIOB PANEL RPR: _______________________ GC SMEAR: ___________________ GC CULTURE: __________________

THERAPEUTIC DRUGS
• •
CAR~AMAZEPINE:-----
4-10

CHKMISTRIES
AMYLASE: _________
30-170

15-40

~. GLUCOSE : ________

/' ,

65-115

CHLAMyDIA: ___________________ L...----"PHENYTOIN:

BHCG: _______________________

10-20

THEOPHyLLINE: ________

•

RUBELLA IgG: ---------------

8-20

•
TOXO IgG: _________________

HEPATITIS SURVEY

UA MICROSCOPIC

HEPATITIS A ACUTE IgM:--------------------
HEPATITIS A VIRAL TOTAL AB: _______________

Sp. Gravity(1.02S): ________
pH (6.0) : _____________

HEPATITIS B SURFACE ANTIGEN:

71. EC E.\'ie. ~ Protein: _____________________

G1ucose: ____________________

HEPAT I TI S B CORE I gG: _ _ _ _ _ _ _--'f..!.:l.P'-R_l_2 1995

Keto'ne: _______________________

HEPATITIS B SURFACE ANTIBODY: ________________

HEPATITIS C ANTIBODY: _______________________

Bilirubin: ------------------
B1ood: _______________________

MICROBIOLOGY

source: ___________________

Nitrite: ______________________ Urobilinogen: ________________

STREP A: ___________

Leukocytes: __________________

155 (2/91)

AMPICILLIN: ____ CEPHALOTHIN: _____ ERYTHROMYCIN: _____ NITROFURANTOIN: ____

PENICILLIN: _____ TETRACYCLINE: _ _
TRIMETHOPRIM: - - -
SULFAMETHOXAZOLE

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WBC: __________________/HPF

RBC:

/HPF

BACTERIA: _________________

CRYSTALS: _________________

EPITHELIAL CELLS:

/HPF

OOUVUJ7

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 95 of 246

~
HARRIS COUNTY SHBRIFF'S DEPT.
LABORATORY RESULTS

SPH' :_-=~:........:./-=S=--:..../_¥-+-C---t---

LOCATION':_--f:.i9--
I
•
f

_ _ _. f a s t i n g

LAB, :-..:-7''--- ~_ _ __
DATE :__.3-'--...........,F---tl:...:::~=_ _
TIMB: _ _ _ _ _ _~--~----
DOCTOR:__..L...._ ;;.....~
_ _-.!...'_.14 Day PA

r· .. , STD/OB PANEL

RPR:

_

_I'A_\,,lj_I-j..- .l.-_:.,".._; Iu~_'~_j

1r-
_P " ~_I~~

_

_

_ _

•

GC SMEAR: ______________

GC CULTURE: _________________

THBRAPEuTIC DRUGS
• •
CARBAMAZEPINE: _______
4-10

PHENOBARBITAL:

15-40

-------

CHLAMyDIA: _______________'___
BHCG: _____________________
RUBELLA IgG: ________________
•
TOXO IgG: _________________

PHENyTOIN: _____________
10-20
THEOPHyLLINE: __________
8-20

CHEMISTRIES
AMyLASE: ________
30-170
GLUCOSE: _____________ 65-115

HEPATITIS SURVEY
HEPATITIS A ACUTE IgM:------------------
HEPATITIS A VIRAL TOTAL AB: __________________
HEPATITIS B SURFACE ANTIGEN: HEPATITIS B CORE IgG: HEPATITIS B SURFACE ANTIBODY: HEPATITIS C ANTIBODY: _____________________

MICROBIOLOGY

source: ____________________

STREP A: _______________

UA MICROSCOPIC Sp. Gravity(l.025): ____________ pH (6.0) :_______________ Protein: Glucose: Ketone: Bilirubin: Blood: _________________________ Nitrite: ___________________ Urobilinogen: ______________ Leukocytes: _____________________

ClibPDF - www.fastio.com

\ ,
tj

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 96 of 246

•

v'\o

•

+ / HARRIS COUNTY SHERIFF'S DEPARTMENT

~q:j(3)

MEDICAL DIVISION

,

Tuberculosis Control Program

.,
,

Location:; 301 1301
'---""'"
Last Name
Spn # Social Security #

Cell bl ock:_--1.:LL.;.':::.J..._

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,

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First Name
'0; i.( - V'y
DOB
IrVJ
Sex

MI Telephone #
Race

Country of Origin

Date Arrived in U.S.

,

Reason for Testing: •

. 14 Day PA
2. Contact to New Case/Suspect 3. Symptoms 4. Other

DATE MANTOUX GIVEN: _ _ _ __
Nurses Signature
--- --------------- ---------------------------------------------------------.------------ --------

DATE MANTOUX READ: ___________

Results in mm_ _ __

or NOT READ

Referred for CXR YES

NO_ _

•

-
Nurses Signature

•
M - 013
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HARRIS BOUNTY SI-ERlFF"S DEPARTMENT

:~

GLUCOSE '"rESTING /INSUUN ADMINIS I RATION RECORD

~

:::>

FEB MAR APR MAY JUN JUL AUG SEP ocr NOV DEC

(CAClE)

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 97 of 246
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Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 213 of 246
THOMAS J. BEVANS
ATTORNEY AT LAW
16000 MEMORIAL DRIVE. SUITE 230 HOUSTON, TEXAS 77079-4008 PHONE (713) 497·7701
FAX (713) 597-9483
March 9, 1996

PRACTICE LIMITED TOFEDERALPRACnCE

Mr. Tommy Thomas

Sheriff Harris County Texas

• •

13 0 1 Franklin

•

Houston, Texas 77002

ATTN: Inmate Medical Records

Re: Robert Arthur Hall

Spin #00615184

C.R-H-95-202

•

My File #96-1

•

Dear Sheriff Thomas:

Please make reterence to my letter of2-22-96, a copy of which is attached.

In my letter of 2-22-96, I put the wrong Spin number for Mr. Hall. The correct Spin number is 00615184.

Please make any necessary corrections to my inquiry and please respond to my inquiry as soon as possible.

Thank you for your time and cooperation.

Yours,

TJBlbg
encl.

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Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 214 of 246
"'.
•
THOMAS J. BEVANS
ATTORNEY AT LAW
16000 MEMORIAl. ORNE, SUITE 230 HOUSTON, TEXAS n079~008 PHONE (713) "97·n01
FAX (7131591-9<483"
PRACTICE LIMITED TO FEDERAl. PRACTICE
February 22, 1996

Mr. Tommy Thomas

Sheriff Harris County Texas

•

1301 Franklin

•

Houston, Texas 77002

ATTN: Inmate Medical Records
J
Re: Robert Arthur Hall Spin 00615184
c.R. -H-95-202
• My File #96-1
•
I have been appointed by a U.S. District Judge to represent Mr. Robert Arthur Hall for sentencing, appeal and other past trial matters.

Enclosed is a release for jail medical records which has been executed by Mr. Hall. Mr. Hall is presently confined under Spin #00015184 in Cell 5B-5. Please make these records available to me at your most earliest convenience.

Thank you for your time and cooperation.

Yours,

-

•

TJBlbg Encl. cc: Mr. Robert Arthur Hall
Spin #00015184 Cell Block 5B-5 • 1301 Franklin Houston, Texas 77002
•
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UlJuli163

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 215 of 246

•

•

" ,

•

•

-

•

CONSENT FOR RELEASE OF CONFIDENTIAL tNFORMA nON
•

Robert Arthur Hall
I. ..........________________~--~~--~------------------(Name of PalIeni)

9-4-48
(Snthdalel

. 00 ~ 151 8'1
(Scclil Securtly N- um- ber- ; ­

, authon.ze Harris

County Sheriff's Office, •

1301

Franklin,

Houston , TX 77002 I0 d'ISCIose 10

. .

• •

(Name of facility whIch is to make the dISClOsureI

•
•

(Name and

of person or organization 10 wIIicII dlsctosure is to be made)

77079

the follOWing In'ormation:
o Discharge Summary
o - His:ory and Physical Exam
o Psychialrlc Assessmen( o Progress NOles

.
,
•
o Doctor'S Orders
o Social History
o Psychological Report
•
C Consultalion Reports

o LaboralOry Repons

o Radiology Repons

o Treatment Plan

I

OCI Olher (Llsi below)

My complete. Harris _ COl]nt_y~~J~a~j~l~M~e~d~j~c~a~]~R~e~c~oLr~d _ _ _ _ _ _ _ _....._ _ _ _....._ ....._ __

•

for the purpose 0':

IJ insurance claim

[l continued care by another phySIcian or health facility

o disability determination

XJ other (list below)

I, the undersigned, understand that I may revoke this consent al any time except to the extent that action has been taken in reliance on II and that in any event this consent shall expire ninety (90) days from when it is signed unless another date is specified below.

Specificalton of the date, event or condition upon which consent expires:

120 ~ays from the date of 2/20/96

______________________________________

To the Pany Receiving this tnformation: This informalion has been disclosed to you Irom records whose confidentiality is protected by federal law. Feoeral

regulations (042 CFR Part 2) prohibit you from making further disclosure of it without the specific written consent of the person to WtlOili it pertains. or

as

permitted by such regulations. A general authorization for the release of medical or other information is IlOl suffICient for Ihis

FOR PATIENT RECORDS APPUCASLE UNDER FEDERAL LAW 42 CFR Part 2.

Signature of Patient

Oal8

Signature of parent. guardian. or authorized representative

Date

... .- ., '."'''

DATE RECEIVED _ _ _ _ _ _ _ _ __
..

(FOR OFFICE USE ONlVI
•
DATE SENT ....._ _ _ _....._ __

Dale
SENDER'S INITIALS ....._ ....._ _
uIJUUlci4

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Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 216 of 246

•

7 DATE G "3 . L\ ~

r TIME

'f ~ 4./

<- r5 l;t'",

LOCATION •

=

HARRIS COUNTY SHERIFF'S DEPARTMENT
Medical Division
SPECIAL NEEDS ADVISEMENT

To the Watch Commander:
-
The inmate identified below has a me
• •

• •
•
which will require:
I

•

,

•

This medical problem will be re-evaluated as needed but no later than thirty (30) days from the above date.

Please adhere with this request and notify the Medical Division immediately of any concerns.

Physician signature _ _........,;---=~~_ _ _ _ _-.,;.~_ _

Original-Watch Commander
M-12 (6/95)
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pink copy-Medical Record
,

NAME
6r<;I~«
SPN

G7-G Y If
DATE OF BIRTH
uUu01S5

:.-- \ \ \y ".~-. ~ \ \ '

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 217 of 246

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Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 218 of 246
-. - - - .'-._,-,....'-__- -' "-""( .,'--"._. ~---,,'.-.-1J
OPTIONAL FORM ~8 ",

,

FAX TR .• SMITTAL

,A;;oney

o

.,'

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P.Ol/Cl

DATE: March 13, 1996

.
,

•

REPLY TO
ATTN :F: ~i •• Griffi., Aoting Chief Deputy
.. . ,._,., Major Quinn/Linda Parker

Subject: Federal Prisoner Robert Hall SPN 6151B4/Cell 5B5-01

,

I received a telephone call from Ann Earthlow, sister of R.HftTJL. She advised chat HALL is a diabetic and is having pro~lems with

the lack of monitoring of his medication doses, and that he is

losing circulation in his feet. Could you please look in to this

compla.int a.nd let our ottice know of HAI,I.' 8 medical status?

.

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MEMORANDUM
0 .. CALL

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av- U WEi1E CALLED

~VOU WERE VISIT D BY-

• cLrt-h or,,)

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Of:

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o WILl. CALL AGAIN

o

YOURC~LL :

,

o IffWArTlNG TO SEE YOU

.
GU...., -

.... bt.d·
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•
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Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 220 of 246
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Name: _~Icr-

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Harris County Sheriff's~Department Medical Division
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Consu~tation Request

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aka (if known): _ _ _ _..,.,_ _ _ _ _ _ _...;

SPN #:--~-+-.J.-I- U:*---~

Harris, County Hospital District # :,_ _ _ _...;...._ _ _ _ _ ____

Location: Atacosita 301' 701 30 ( circle one)

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Consulting Physician: _ _ _~-{_)?lL...J.l.Drv.L'~;It:·~-----·

Date of Request:

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13en Taub clinic: Neurosurgery Brace Shop Orth-o OT Other_ _ _ _, _ _ _ _ __

Baylor Radiotberapy

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HCSD clinic: HIV General Surgery

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with the results of any laboratory or radiologic tests, are required PRIOR to the inmate's retum '

transportation We also ask that consultams do not write prescriptions, providing only their written

suggested medications on the retum docume1lls.,

.

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• The copies ofthe requested medical data to be retllmed with the inmate is considered confidential;
therefore, these materials are to be given 01l~Y io the returning transportation deputies. Deputies will not •
transport the patient back to the Harris COlillty Sheriffs Department without the required paperwork.

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Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 221 of 246

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Harris County Sheriffs Department

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Medical Division

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Name: _--''-'---:''''';:~ _-'--

aka (if known): _~._ _ _ _ _ _ _ _ _ __

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Location: Atacosita

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301

Harris County Hospital District # :,_ _ _ _ _ _ _ _ _ _ __

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701

( circle one)

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Taubclinic: Neurosurgery
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HCSD clinic: HIV General Surgery Plastic Surgery OB/GYN Dental Forensic Psychiatry
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• n ollr e ort to proVl e greater contmlllty 0 care, copIes 0 t e ongm c mrc notes or ace sed,

'With the results ofany laboratory or radiologic tests, are required PRIOR to the inmate's return

transportation We a/so ask that consultants do not write prescriptions, providing ollly their written,

suggested medication..') Oil the return documents.

.

,

.. . .

,

•

• The copies of the reque. sted medical data to be returned with. the inmate ;, s considered confidential; ,"

therefore, '

Deputies will not

. transport the patient back 10 the Harris COllnty Sheriffs Department without the required puperwork. ..

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Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 223 of 246

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Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 224 of 246

HARRIS COUNTY HOSPITAL DISTRICT EMERGENCY CENTER: DISCHARGE INSTRUCTIONS/CENTRO DE EMERGENCIA: INSTRUCCIONES PARA SER DADA DE ALTA

ACTIVITY/ ACTIVIDAD

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Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 229 of 246

-:-
INMATE'S
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HARRIS COUNTY SHERIFF DEPT

MEDICAL REQoeST - INMATE MODIPIED DIET

MEDICAL DIFTICIAN

DEC 2 11995

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DATE

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 230 of 246

HARRIS COUNTY SHERIFF DEPT MEDICAL DIETICIAN
DEC 111995.

HARRIS COUNTY SHERIFF'S DEPARTMENT Medical Division

, •

- . . ..

_~.. .

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. "_~' , ... A',' •

••

CONSULTATION REQUEST

Harris County Hospital District #: _ _ _ _ _ __

- LOCATION: 1301 701 301 DIC (circle one) ../

Cellblock

<...2
Consulting Physician --'-_ =-~':::'::::::::::::::.!~-=-':"":::~"':-.:...'_ __
./

Destination (circle)

Ben Taub Clinic: (1) Neurosurgery (2) Brace Shop (3) Ortho (4) OT (5) Other _ _ _ _ __

Baylor Radiotherapy Clinic, Hermann Eye Clinic, M.D. Anderson Cancer Ctr.

LBJGH Clinic:_ _ _ _ _ _ _ _ _ __

LBJGH ER:_ _ _ _ _ _ __

o Clinic'- (1) HIV (2) General Surgery (3) Chronic Disease (4) OB/GYN (5) Dental

•

(6) STD (7) Forensic Psychiatry (8) Ortho (9) TBIC
,

O} Dietary

, ,.
Aliergies:_.!...Y_\'_/,-_\\_ _~ _ ~_~_ Current Medicatlons:___.

'lC-lrv

• In our effort to provide greater continuity of care, copies of the original clinical notes or E face sheet, with the results of any laboratory or radiological tests, are required PRIOR to the inmate's return. We also ask that consultants DO NOT WRITE PRESCRIPTIONS, providing only their written suggested medications on the return documents.

• The copies of the requested medical data to be returned with the inmate is considered CONFIDENTIAL; therefore,

,

Deputies will not transport the patient

back to the Harris County Sheriff's Department without the required paperwork.

• Please contact the HCSD office of the Medical Director (755-4597) with any questions related to the care of the

p~ent.

ijOU~J99

•

ORIGINAL DESTINATION
M-lS (6/95)
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COPY.' MEDICAL RECORD

\'\'H
I . ~-~~-~-----------
NAME
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SPN

DATE OF BIRTH

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 231 of 246

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DATE: \ "'L If:!i ,. \

TIME: \ ~ "'LJ

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HARRIS COUNTY SHERIFF'S DEPARTMENT
Medical Division
MODIFIED DIET REQUEST

HARRIS COUNTY SHERIFF DEPT MEDIC-AI nII=Tlr.1AN
DEC 111995
,

DIET TIME FRAME:
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SNACK TIME FRAME:

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[1 Q8
9 DIABETIC (House - 2000 ~~J..--' tests):

HIGH FIBER SNACKS: [] 11 1 afternoon [] 12 2 afternoon [ ] 13 1 evening [114 2 evening
SANDWICH SNACKS: [] 15 1 afternoon [] 16 2 afternoon [] 17 1 evening
[1 18 2 evening

SUPPLEMENT TIME FRAME:

(] Discontinue Supplement

[] X DAY(S)

7

[] X DAY(S)

StIPP! EMENT: [] 19 1 Daily [] 20 1 B.I.D.

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PHYSICIAN 1.0. NUMBER_ _-;z:.)~_ _ _ __

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[] 23 2 in AM +

1 in PM

[1 24 1 T.I.D. (T.I.D. is only available

[] 25 3 T.I.D. to infirmary patients)

•

[1 26 Request Commissary History

M-26 (6/95)
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NAME
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u~'~ L/(~~
DATE OF
lJUUL)"::~O

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 232 of 246

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HARRIS COUNTY SHERIFF'S DEPARTMENT

Medical Division

DATE \1.- ~'(l\

CONSULTATION REQUEST Harris County Hospital District #: _ _ _ _ _ _ __

( -C' '\. fj
TIME_ _-::;::::::::'_

S B f 301 ole (circle one) Cellblock

Consulting Physician -.J~....:sr=-':::::'~:=:::~~--=-':"":::....:..!:":"..:..'_ _ __
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Baylor Radiotherapy Clinic, Hermann Eye Clinic, M.D. Anderson Cancer Ctc

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o Clinic" (1) HIV (2) General Surgery (3) Chronic Disease (4) OB/GYN (5) Dental

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* In our effort to provide greater continuity of care, copies of the

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consultants DO NOT WRITE PRESCRIPTIONS, providing only their written suggested medications on the return

documents_

• The copies of the requested medical data to be returned with the inmate is considered CONFIDENTIAL; therefore, Deputies will not transport the patient
back to the Harris County Sheriffs Department without the required paperwork.

• Please contact the HCSD office of the Medical Director (755-4597) with any questions related to the care of the

patient

U() uG~ 0 1

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ORIGINAL DES TINA nON
M-15 (6/95)
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COPY,' MEDICAL RECORD

NAME

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OY{u\.rf\j~
DATE OF BIRTH

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 233 of 246

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Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 234 of 246

HARRIS COUNTY SHERIFF'S DEPARTMENT

OPTOMETRY
•
I~~at:i• patient__~\4__~_~_\~'__\~~~4~~~~~~_____________________

SPN#

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Cell block Date

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Please release from my Inmate Trust Fund $___

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Dollars to pay the cost of eyeglasses as prov, ed Texas

State Optical. Management.

Check should be made payable to MRT
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Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 235 of 246

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HARRIS COUNTY SHERIFF'S DEPARTMENT DETENTION BURE•A"• .•U MEDICAL DIVISION
SPECIAL NEEDS ADVISEMENT

.- •

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WATCH COMMANDER

, /-"/(O I nmate--f~ ;...., .,.. -. /..,:-- .. /1

has me

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HARRIS COUNTY SHERIFF'S DEPARTMENT

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WATCH COMMANDER

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has a medical~psychiatric problem which will require

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Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 242 of 246

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HARRIS COUNTY SHERIFF'S DEPARTMENT
DETENTION BURE.A"...U MEDICAL DIVISION

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SPECIAL NEEDS ADVISEMENT

WATCH COMMANDER

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DAT~:_

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has

ca psychiatric problem which will require

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as needed but no later than thirty (30) days from the above date. Please adhere with this request and notifi the Medical Division immediately of any concerns.
Physici

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M-l72 (7/88)

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 243 of 246

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M-299 9/'1

Case 4:97-cv-00874 Document 45 Filed in TXSD on 10/10/97 Page 246 of 246

TOMMY B. THOMAS

Sheriff of Harris County

1301 FRANKLIN

••
"

HOUSTON, TEXAS 77002-1978

MEMORANDUM

• •

TO:

Nancy Stanley, Medical Records Custodian

Medical Division,

Services Bureau (1301)

FROM:

Jim Faulkner, Special Terri S. Ellis, Paralegal Office of

ounsel

MEDiCAl. RECORDS

,
DATE: . February 27, 1996

FEB 2 ~ REC'O

•

SUBJECT: Request for Medical Records in Connection with:

o

TORA Recor~Reque from:

, \.

Thomas J. Bevans
Attorney at Law 16000 Memorial Drive, Suite 230 Houston, Texas 77079-4008 Office: (713) 497-7701 Fax: (713) 597-9~

We have recently received requests from the County Attorney's Office for copies of medical records of the following inrnate(s):

Robert Arthur Ball, SPN# 00015184
Inasmuch as these requests are being made in connection with pending litigation, where the inmate's medical condition is an issue, there is no need for a medical authorization/release.

At your earliest convenience, will you please have copies made of all such records and have them delivered to my office for review and forwarding? Thank you for your usual prompt attention to this matter.

JCF/jf
cc: File

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 Case 4:97-cv-00874 Document 65 Filed in TXSD on 01/15/98 Page 1 of 18
.,.
•
UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF TEXAS
ENTERED

,

ROBERT ARTHUR HALL, PLAINTIFF,
vs.
SHERIFF TOMMY B. THOMAS, ET AL.,
DEFENDANTS.

§ § § §
§ CIVIL ACTION NO. H-97-874
§
§
§
§

MEMORANDUM OPINION

I. INTRODUCTION
The plaintiff, Robert Arthur Hall ("Hall"), instituted the present action

against several employees ofthe Harris County Jail' and University of Texas Health Science Center at Houston Medical School2 asserting causes of action under 42 U.S.C. § 1983 ("Section 1983") and the Americans with Disabilities Act, 42 U.S.C. § 12132 ("ADA"). Currently pending before this Court are the Doctors' (Instrument # 45), Sheriff Thomas' (Instrument #43), and Quinn'S (Instrument #40) motions for summary judgment

and Berry's motion to dismiss (Instrument # 24). Having reviewed the motions, the

1

Specifically, SheriffTommy Thomas, Major K.W. Berry, Deputy Marcorif

Thomas, and Major M.W. Quinn.

2

Including, Michael Seale, Marcus Guice, Cuong Trinh, Anthony Phi, Kham

Luu, Mark Chassay, and Donald Klein (collectively, "Doctors").

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Case 4:97-cv-00874 Document 65 Filed in TXSD on 01/15/98 Page 2 of 18
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,
responses, the record, and the applicable law, this Court is of the opinion that each of the motions should be granted.
II. THE DISPUTE
On February 21, 1995, the United States Marshals Service arrested Hall pursuant to a parole violator warrant. At the time of his arrest, Hall had a history of mental and physical disabilities including: neurological and musculoskeletal difficulties, epilepsy, hypothyroidism, chronic kidney dysfunction, diabetes, and several mental and emotional disorders (Le., bipolar disorder, clinical major depression, and split personality disorder).3 The plaintiff was assigned to the Harris County Jail. While housed at this facility, Hall claims that his constitutional rights were violated based on the defendants' failure to adequately treat his medical conditions. Furthermore, Hall claims that he is entitled to relief under the ADA.
3 As a condition of his prior release on September 8, 1993, Hall was ordered to participate in an in-patient or out-patient mental health program. Hall claims he was unable to comply with the Special Mental Health Aftercare Condition placed on his parole due to "la[c]king government funds." The plaintiff did receive some treatment at the Mental Health Mental Retardation Association.
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III. ANALYSIS AND DISCUSSION
A. Applicable Standards ofReview 1. Standard for Summary Judgment Summary judgment is proper "if the pleadings, depositions, answers to
interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to a judgment as a matter oflaw." Fed. R. Civ. P. 56(c). When reviewing the record upon which the moving party's motion for summary judgment is based, the Court must draw all inferences in favor of the non-moving party. Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587 (1986) (citing United States v. Diebold, Inc., 369 U.S. 654 (1962)). The moving party bears the initial burden of "informing the [Court] ofthe basis for its motion," and identifying those portions of the record "which it believes demonstrate the absence ofa genuine issue of material fact." Celotex Corp. v. Catrett, 477 U.S. 317, 323 (1986).
Once the moving party meets its burden, the nonmoving party must "go beyond the pleadings" and designate "specific facts" in the record "showing that there is a genuine issue for trial." Id. at 324. An issue is "genuine" ifthe evidence is sufficient for a reasonable jury to return a verdict for the nonmoving party. Anderson v. Liberty Lobby, Inc., 477 U.S. 242,247-49 (1986). A failure on the part of the nonmoving party to offer proof concerning an essential element of its case necessarily renders all other facts

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immaterial and mandates a finding that no genuine issue of fact exists. Saunders v. Michelin Tire Corp., 942 F.2d 299,301 (Sth Cir. 1991).
The primary inquiry here is whether the material facts present a sufficient disagreement as to require a trial, or whether the facts are sufficiently one-sided that one
party should prevail, as a matter oflaw. Anderson, 477 U.S. at 247. The substantive law of the case identifies which facts are material. Id. at 248. Only disputed facts potentially
affecting the outcome ofthe suit under the substantive law ofthe case preclude the entry
of summary judgment. Id.
2. Standard for Motion to Dismiss Pursuant to Fed. R. Civ. P. 12(b)(6), a Court is entitled to dismiss a complaint when it "fail[s] to state a claim upon which relief can be granted." In reviewing a Rule l2(b)(6) motion, the court must accept as true the factual allegations in
the complaint and view them in the light most favorable to the plaintiff. Scheuer v. Rhodes, 416 U.S. 232, 236 (1974); Colle v. Brazos County, 981 F.2d 237,243 (Sth Cir.
1993). Thus, a complaint must state specific facts, not simply legal and constitutional
conclusions in order to survive a motion to dismiss. Angel v. City ofFairfield, 793 F .2d
737, 739 (Sth Cir. 1986). A court should not grant a Rule l2(b)(6) motion simply because it disbelieves the complainant's factual allegations or considers recovery remote
or unlikely. Scheuer, 416 U.S. at 236; Columbia Natural Resources, Inc. v. Tatum, S8
F.3d 1101, 1109 (6th Cir. 1995). A motion to dismiss, however, shall be granted ifit 4
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appears beyond doubt that the plaintiff can prove no set of facts that will entitle him to relief, Conley v. Gibson, 355 U.S. 41,45-46 (1957), or there is simply no legal theory entitling the plaintiff to relief, Walker v. South Cent. Bell Tel. Co., 904 F.2d 275,277 (5th Cir. 1990).
B. The ADA and Qualified Immunity When acting in their official capacity, state employees performing
discretionary functions are granted qualified immunity "insofar as their conduct does not violate clearly established statutory or constitutional rights of which a reasonable person would have known." Harlow v. Fitzgerald, 457 U.S. 800, 818 (1982); Melear v. Spears, 862 F.2d 1177, 1184 n.8 (5th Cir. 1989). In order to constitute a "clearly established" right, a reasonable official must understand that what he is doing violates the right. Anderson v. Creighton, 483 U.S. 635,640 (1987). Thus, the assessment ofa qualified immunity defense requires an examination oftwo factors. First, the court must consider whether the plaintiff has alleged the violation of a clearly established right. Lampkin v. City ofNacogdoches, 7 F.3d 430,434 (5th Cir. 1993). Second, the court must consider whether the actions complained of, with reference to the law that existed at the time, were objectively reasonable. Rankin v. Klevenhagen, 5 F.3d 103, 108 (5th Cir. 1993).
In order to address the first step of the qualified immunity defense, this Court must determine if the provisions of the ADA apply to prisoners. The applicability ofthe ADA to state prisons has been a source of much consternation in the circuit courts.
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Several circuits have found the broadly worded text of the statute clearly applies to
prisons. Crawford v. Indiana Dep't ofCorrections, 115 F.3d 481,483-87 (7th Cir. 1997); Duffy v. Riveland, 98 F.3d 447,454-55 (9th Cir. 1996); Inmates ofthe Allegheny County Jail v. Wecht, 93 F.3d 1124 (3d Cir.), vacated and reh 'g en banc granted, 93 F.3d 1146 (1996); see also Harris v. Thigpen, 941 F.2d 1495, 1522 nAI (1Ith Cir. 1991) (noting in
dicta that Rehabilitation Act, a predecessor to the ADA, was applicable to prisoners). Others have refused to apply the statute to state prisons by virtue of the Eleventh
Amendment. Amos v. Maryland Dep 't ofPub. Safety and Correctional Servs., 126 F.3 d 589,594-607 (4th Cir. 1997); White v. Colorado, 82 F.3d 364, 367 (lOth Cir. 1996); see also Onishea v. Hopper, 126 F.3d 1323, 1350-51 n.61 (1Ith Cir. 1997) (Cox, J.,
concurring in part and dissenting in part) (questioning applicability ofRehabilitation Act to state prisons and arguing for en banc consideration of issue). The Fifth Circuit has not addressed this issue.
The Court's examination ofthe scope ofthe ADA must begin with the text of the statute itself. Title II of the ADA provides, in pertinent part,
[N]o qualified individual with a disability shall, by reason of such disability, be excluded from participation in or denied the benefits of the services, programs, or activities of a public entity, or be subjected to discrimination by any such entity.
42 U.S.C. § 12132. Under the ADA, a "public entity" is defined as "any State or local
government" and "any department, agency, special purpose district, or other
instrumentality ofa State or States or local Government." 42 U.S.C. § 12131(1).
Without a doubt, the language of the ADA speaks in broad, all-encompassing terms.
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In order to apply the ADA to state prisons, however, Congress must have clearly intended to alter the balance of power between the state and federal government. The constitutional system envisaged by the framers delineated powers between the federal and state governments. The Supreme Court has consistently recognized that Congress must speak in "unmistakably clear" language in order to alter this balance.
Atascadero State Hospital v. Scanlon, 473 U.S. 234, 242 (1985); Pennhurst State Sch. and Hospital v. Halderman, 465 U.S. 89,99 (1984); Rice v. Santa Fe Elevator Corp., 331 U.S. 218,230 (1947). As the Supreme Court stated in Will v. Michigan Dep't o/State Police, "[T]he requirement of clear statement assures that the legislature has in fact faced,
and intended to bring into issue, the critical matters involved in the judicial decision."
491 U.S. 58, 65 (1989) (citing United States v. Bass, 404 U.S. 336, 349 (1971)). When
faced with legislation potentially affecting traditional notions of federalism, a court must "be certain of Congress' intent before finding that federal law overrides" the previously
established balance of power between the federal and state governments. Gregory v. Ashcroft, 501 U.S. 452, 460 (1991) (quoting Atascadero State Hospital, 473 U.S. at 243).
The management of prisons is a governmental duty traditionally reserved to
states. As the Supreme Court noted in Procunier v. Martinez,
One of the primary functions of government is the preservation of societal order through enforcement ofthe criminal law, and the maintenance of penal institutions is an essential part of that task.
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416 U.S. 396,412 (1974), overruled on other grounds, Thornburgh v. Abbott, 490 U.S. 401,413-14 (1989). Recognizing the operation of prisons as a core government concern, the Supreme Court has also observed,
It is difficult to imagine an activity in which a State has a stronger interest, or one that is more intricately bound up with state laws, regulations, and procedures, than the administration of its prisons. Preiser v. Rodriguez, 411 U.S. 475, 491-92 (1973) (emphasis added). Thus, in order to interpret the breadth of the ADA, this Court must find that Congress considered and unambiguously intended to disrupt the previous balance of federal/state authority with respect to the operation and management of state prisons.
Unguided by the Fifth Circuit and unpersuaded by arguments to the contrary, this Court holds that Congress did not clearly intend that the ADA should apply in the context of state prisons. With respect to the treatment of prisoners housed therein, state prisons do not clearly fall within the proscription of the ADA. As noted by the Fourth Circuit, Title II of the ADA is entitled "Public Services" -- a designation not readily applied in the prison context where the public is purposefully excluded. Amos, 126 F.3d at 596 ("'Public Services' -- connotes a ban on discrimination in services provided to the public, not in the prison context where the public is excluded.") (quoting Torcasio v. Murray, 57 F.3d 1340, 1346-47 n.5 (4th Cir. 1995)).
Whether a prisoner falls within the ADA's definition of a "qualified individual" is ambiguous at best. Under the ADA, discrimination against a "qualified individual with a disability" who "meets the essential eligibility requirements for the
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receipt of services or the participation in programs or activities provided by a public entity" is forbidden. Both the Fourth and Tenth Circuits have refused to find that a prisoner can be characterized as a "qualified individual" for the purposes of the ADA. Amos, 126 F.3d at 596; White, 82 F.3d at 367 (adopting the reasoning of Williams v. Meese, 926 F.2d 994,997 (10th Cir. 1991) (holding federal prison was not a program or activity for the purposes of the Rehabilitation Act)); see also Bryant v. Madigan, 84 F.3d 246,248 (7th Cir. 1996) (questioning whether prisoner should be considered qualified individual under ADA); but see Crawford, 115 F.3d at 483 (rejecting Bryant "qualified individual" analysis in prisoner context). Finding the terms "eligible" and "participate" imply some degree ofvoluntariness, the Fourth Circuit found that Congress did not clearly intend that the ADA would apply in the context of correctional facilities where prisoners are held against their will. Amos, 126 F.3d at 596.
When examined in light of the entire statutory scheme, this Court is unable to clearly discern a congressional intention to include state correctional facilities within the ambit of Title II ofthe ADA. As such, the actions Hall attributes to the defendants could not have violated a "clearly established statutory right" and, thus, do not state a cause of action. In the alternative, due to the ambiguous language of the ADA, lack of guidance from the Fifth Circuit, and entrenched disagreement among the sister circuits, this Court finds that the defendants are entitled to qualified immunity for their actions with respect to Hall's ADA claim. Certainly, Hall's rights under the ADA were not so
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clearly established that a reasonable state prison official would have realized his actions constituted a violation of the ADA.4

C. Official Capacity Claims Under Section 19835 All claims for money damages against the defendants in their official
capacities are dismissed. The Eleventh Amendment precludes actions for damages against a state. Kentucky v. Graham, 473 U.S. 159, 169 (1985). Further, claims against state employees in their official capacities are the functional equivalent of suits against the state. Will, 491 U.S. at 71. Therefore, unless specifically abrogated by Congress, the Eleventh Amendment prohibits claims for monetary damages against state employees acting in their official capacity. Graham, 473 U.S. at 169 ("[A] judgment against a public servant 'in his official capacity' imposes liability on the entity that he represents."). Because Congress failed to explicitly override the Eleventh Amendment with respect to

4 The Court also notes that Hall's allegations merely amount to a claim for the wrongful denial ofmedical care. In Bryant, the Seventh Circuit refused to allow similar claims to proceed under the ADA, stating, "Even ifthere were (as we doubt) some domain of applicability ofthe [ADA] to prisoners, the [ADA] would not be violated by a prison's simply failing to attend to the medical needs of its disabled prisoners." 84 F.3d at 249.

5

Hall's status as a federal prisoner held in a state facility does not affect this

Court's analysis of the present dispute. A state does not become a federal actor for the

purposes of liability by agreeing to house state prisoners. See generally Harper v. United

States, 515 F.2d 576, 578 (5th Cir. 1975) (holding actions of state prison employees not

imputed to federal government by virtue of contractual relationship). As such, Hall must

establish liability against the accused officials in their capacity as state, not federal,

employees.

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Case 4:97-cv-00874 Document 65 Filed in TXSD on 01/15/98 Page 11 of 18
actions under Section 1983, Hall's claims against the defendants in their official capacities are, likewise, barred. Will, 491 U.S. at 64-71.
D. Hall's Constitutional Claims Under Section 1983 In order to set forth a cause of action under Section 1983, Hall must prove
that the defendants, acting under the color of state law, deprived him of a right, privilege, or immunity secured by the Constitution. Monell v. Dep 't o/Soc. Servs., 436 U.S. 658, 691-92 (1978). Mere conclusory allegations will not support a Section 1983 claim. Baker v. Putnal, 75 F.3d 190, 195 (5th Cir. 1996); Schultea v. Wood, 47 F.3d 1427, 1433 (5th Cir. 1995). Instead, Hall must allege facts specifying the individual defendant's personal involvement in the deprivation. Murphy v. Kellar, 950 F.2d 290,292 (5th Cir. 1992).
In Estelle v. Gamble, the Supreme Court recognized a prison's obligation to supply inmates with medical care. 429 U.S. 97, 104 (1976). However, in order to establish a violation ofthe prisoner's Eighth Amendment rights, the acts or omissions of the defendant must be "sufficiently harmful to evidence deliberate indifference to serious medical needs." Id. at 106. In order to constitute "an unnecessary and wanton infliction of pain," a prison official must have known of and disregarded an excessive risk to the prisoner's health or safety. Farmer v. Brennan, 511 U.S. 825, 844 (1994); Reeves v. Collins, 27 F.3d 174, 176 (5th Cir. 1994). Only under exceptional circumstances will an
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official's knowledge ofa substantial risk be inferred by the obviousness of the risk. Farmer, 511 U.S. at 842-43, 843 n.8; Reeves, 27 F.3d at 176.
Negligent failure to supply medical care, standing alone, does not rise to the level of a constitutional deprivation. Estelle, 429 U.S. at 105-06. Inadvertent failures to supply medical care or negligent diagnoses do not establish deliberate indifference. Id. Further, a decision by a prison doctor not to perform additional diagnostic tests or to prescribe other forms of treatment is a matter of medical judgment and does not constitute cruel and unusual punishment. Id. at 107-08. While deliberate indifference may be manifested by a doctor's failure to respond to a prisoner's needs or by prison guards intentionally denying or delaying access to medical treatment,6 the alleged facts must "clearly evince the medical need in question and the alleged official dereliction." Johnson v. Treen, 759 F.2d 1236, 1238 (5th Cir. 1985).

1. Hall's Claims Against the Doctors Even if Hall's allegations are taken as true, the acts and omissions ofthe Doctors do not amount to a constitutional deprivation of medical care. Although Hall claims six medical appointments were canceled, Hall was not denied access to medical care and consistently received medical attention throughout his incarceration. Hall's allegations with respect to missed seizure medications do not amount to deliberate

6

See id. at 104-05.

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indifference. Once apprised ofthe low levels of medication in the plaintiffs blood, the Doctors attempted to cure the deficiency through alternative approaches to Hall's treatment regimen. Hall's complaints of kidney problems were not dismissed by the Doctors. In fact, an inquiry into the cause of Hall's kidney condition lead to the detection and management of Hall's previously undiagnosed diabetic condition. Presented with a history consistent with herpes, the Doctors' misdiagnosis ofHall' s sores and rash fails to amount to a claim of constitutional proportions. When viewed in the light most favorable to the plaintiff, the Doctors' decision not to issue a Special Needs Advisement regarding the use of leg irons on the plaintiff constitutes a professional medical judgment that will not support a Section 1983 claim.
Although potentially negligent, the Doctors' alleged conduct was not deliberately indifferent to Hall's medical needs. Deliberate indifference stems from the knowledge of a substantial risk of harm and reckless disregard of the presented risk. When presented with Hall's myriad symptoms, the Doctors attempted to effectively diagnose and treat his conditions. The role of this Court is not to question the professional judgment of the medical doctors that treat inmates. Instead, this Court is bound to enforce the dictates of the Constitution. Hall's complaints do not amount to the "unnecessary and wanton infliction of pain" proscribed by Eighth Amendment and, as such, must be dismissed. Estelle, 429 U.S. at 105-06.

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2. Hall's Section 1983 Claims Against Sheriff Thomas and Quinn? Based on the allegations set forth in the original complaint and Court ordered Rule 7(a) reply, the plaintiff has failed state a claim under Section 1983 against Sheriff Thomas or Quinn. In order to assert a Section 1983 cause of action against an official in his individual capacity and overcome an asserted qualified immunity defense, a plaintiff must plead specific conduct on the part of each named defendant giving rise to an alleged constitutional violation. Schultea, 47 F.3d at 1434; Murphy, 950 F.2d at 292. Although Sheriff Thomas and Quinn may be held liable under Section 1983 for failure to properly train or supervise subordinates,8 Hall must support the allegations in his complaint with factual specificity. Schultea, 47 F.3d at 1434. The plaintiff has failed to allege individual conduct on the part of Sheriff Thomas or Quinn tending to establish improper supervision or failure to adequately train. The plaintiffs complaint merely states conclusory allegations of constitutional violations. See id. at 1433 ("[T]he district court must insist that a plaintiff suing a public official under § 1983 file a short and plain statement of his complaint, a statement that rests on

?

On July 7, 1997, the plaintiff tendered Requests for Production of

Documents to Sheriff Thomas and Quinn. Sheriff Thomas and Quinn returned responses

and objections to the plaintiffs requests on August 7, 1997. On August 20, 1997, Sheriff

Thomas and Quinn produced substantial records to the plaintiff. On August 19, 1997,

this Court entered a protective order (Instrument #33) pursuant to the stipUlations of

Sheriff Thomas, Quinn, Berry, and the plaintiff. In this protective order, the parties

agreed that no further discovery with respect to Sheriff Thomas, Quinn, or Berry would

occur until after the Court ruled on the defendants' dispositive motions.

8

Baker, 75 F.3d at 199.

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more than conclusions alone."). Although given the opportunity, Hall has twice refused to support the allegations found in his original complaint with specific evidence of constitutional violations. In response to Sheriff Thomas' and Quinn's motions for summary judgment, the plaintiff claimed that insufficient discovery had been completed and, as such, he was unable to support a proper reply. In light of the parties' stipulated protective order,9 this argument cannot preserve the plaintiffs action. The Court also offered the plaintiffthe protection of a Rule 7(a) reply with which to support his complaint. 10 Again, the plaintiff fell woefully short of any factual specificity. In fact, Hall merely asserted that SheriffThomas and Quinn were "generally familiar with the policies and procedures of the Harris County Sheriffs Department." As such, Hall's claims against Sheriff Thomas and Quinn are dismissed pursuant to Fed. R. Civ. P. 12
(b)(6).1l
3. Hall's Section 1983 Claim Against Berry When viewed as a whole, the plaintiff s claims against Berry amount to a claim of deliberate indifference to serious medical needs. Although Hall questions the

9

See supra note 7.

10 See December 18, 1997 Order (Instrument #56).

11 Although Sheriff Thomas and Quinn styled their pleadings as motions for summary judgment, this Court has not considered any evidence beyond the plaintiffs original complaint and Rule 7(a) reply in dismissing these claims.

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manner in which he was classified,12 the only individual conduct attributable to Berry for Section 1983 purposes relates to a letter sent to the plaintiffs attorney. In this letter, Berry promises to "review" the plaintiffs classification and medical needs. Hall claims that no "review" actually occurred and, as a consequence, Hall was deprived of adequate medical care.
Even when taken as true, the allegations in Hall's complaint fail to state a cause of action under Section 1983. At worst, Berry's failure to conduct a review of the
plaintiffs medical needs constituted mere negligence. Estelle, 429 U.S. at 105-06
(holding negligence alone does not rise to the level of deliberate indifference). Furthermore, the plaintiff offers no evidence that Berry's failure, if any, denied or delayed
the plaintiffs access to medical treatment. Estelle, 429 U.S. at 104-05. In fact, the record
is overwhelmingly clear that Hall has been given appropriate access to doctors and
medical treatment throughout his incarceration. See supra Section III.D.1. As such,
Hall's claim against Berry must be dismissed under Fed. R. Civ. P. 12(b)(6).
12 Hall also questions his initial classification and assignment to administrative segregation. However, a prisoner has no federally protected liberty
interest in "remaining in a particular prison or a particular unit within a prison." Mitchell v. Hicks, 614 F.2d 1016, 1018 (5th Cir. 1980) (emphasis added) (citing Meachum v. Fano, 427 U.S. 215 (1976) and Montanye v. Haymes, 427 U.S. 236 (1976)). As such, a
prisoner must resort to a state law entitlement in order to set forth a right protected by due process. Hall cites no state statute, prison regulation, or informal prison policy sufficient to create a constitutionally protected due process right with respect to his classification at
the Harris County Jail. Mitchell, 614 F.2d at 1019.
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IV. CONCLUSION
Although the plaintiff obviously suffers from severe mental and physical illnesses, this Court refuses to condemn the actions of the defendants. The plaintiff was not denied access to medical care, and the treatment prescribed by the Doctors was not inconsistent with the medical history presented by the plaintiff. As such factors are apparent from the record, the Doctors' motion for summary judgment is hereby GRANTED. As the plaintiff has failed to state a cause of action against Sheriff Thomas, Quinn, and Berry, their respective motions are also GRANTED.
Based on the foregoing, the plaintiffs Section 1983 claims against the Doctors, Sheriff Thomas, Quinn, and Berry, individually, are DISMISSED. The alleged conduct of the Doctors and Berry does not rise to the level of a constitutional violation. With respect to Sheriff Thomas and Quinn, the plaintiff has failed to specify individual conduct which caused a deprivation of a constitutional right.
The plaintiffs claims under the ADA, 42 U.S.C. § 12132, are DISMISSED with respect to all named defendants. The language ofthe ADA does not provide this Court with the clear congressional intention necessary to alter the existing federal and state balance of power in the prison context. Furthermore, the plaintiff has not shown that a reasonable prison official would have known that his actions constituted a violation of the ADA.
The plaintiffs official capacity claims under Section 1983 against all named defendants are DISMISSED to the extent the plaintiff requests money damages.
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As the plaintiff is presently incarcerated in the Montgomery County Jail, the plaintiff's request for injunctive relief under Section 1983 is DISMISSED AS MOOT. The Eighth Amendment and prison administrative procedures have adequately protected the prisoner thus far. Further, no evidence of potential retaliatory conduct has been presented to this Court. Based on these considerations, injunctive relief is, therefore, inappropriate.
The sole remaining claims in this dispute are the plaintiff's Section 1983 causes of action against Pamela Wilson, K. Howard, and MarcorifThomas, individually. The Court takes this opportunity, pursuant to Fed. R. Civ. P. 4(m), to advise the plaintiff that the time for serving Pamela Wilson and MarcorifThomas has expired. Barring the submission of memoranda, within ten days of this date, showing good cause for this failure, the plaintiff's claims against these two defendants will be dismissed for want of prosecution.
Signed this 15th day of January, 19 8.
~~~MK.~HOYT United States District Judge

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 Case: 4:97-cv-874 As of: 04/08/2011 07:51 PM CDT 1 of 7
U.S. District Court SOUTHERN DISTRICT OF TEXAS (Houston) CIVIL DOCKET FOR CASE #: 4:97−cv−00874

CLOSED

Hall v. Thomas, et al Assigned to: Judge Kenneth M. Hoyt Demand: $9,999,000 Case in other court: 98−20571 Cause: 28:1343 Violation of Civil Rights
Plaintiff
Robert Arthur Hall

Date Filed: 03/18/1997 Date Terminated: 06/05/1998 Jury Demand: Defendant Nature of Suit: 440 Civil Rights: Other Jurisdiction: Federal Question
represented by Thomas J Bevans Attorney at Law 1314 Texas Ave Ste 908 Houston, TX 77002 713−228−6141 Fax: 713−228−5657 Email: tombevanssr@yahoo.com LEAD ATTORNEY ATTORNEY TO BE NOTICED

V. Defendant Sheriff Tommy B Thomas TERMINATED: 01/15/1998
Defendant Major K.W. Berry TERMINATED: 01/15/1998
Defendant Deputy Marcorif Thomas TERMINATED: 02/06/1998 Defendant Dr Mike Seale TERMINATED: 01/15/1998

represented by Mary E Baker Office of Harris County Attorney 1019 Congress 15th Fl Houston, TX 77002 713−755−7166 Fax: 713−755−8924 Email: mary_baker@hctx.net TERMINATED: 01/15/1998 LEAD ATTORNEY ATTORNEY TO BE NOTICED
represented by Mary E Baker (See above for address) TERMINATED: 01/15/1998 LEAD ATTORNEY ATTORNEY TO BE NOTICED
represented by Ralph C Longmire Office of Attorney General 300 W 15th St 7th Fl Austin, TX 78701 512−463−2080 Fax: 512−495−9139 fax TERMINATED: 01/15/1998 LEAD ATTORNEY ATTORNEY TO BE NOTICED

Case: 4:97-cv-874 As of: 04/08/2011 07:51 PM CDT 2 of 7

Defendant Major M.W. Quinn TERMINATED: 01/15/1998
Defendant Dr C Trinh TERMINATED: 01/15/1998
Defendant Dr Donald Klein TERMINATED: 01/15/1998
Defendant Dr Mark Chassay TERMINATED: 01/15/1998
Defendant Nurse K Howard TERMINATED: 01/15/1998
Defendant Dr M Guice TERMINATED: 01/15/1998
Defendant Dr A Phi TERMINATED: 01/15/1998
Defendant Dr Kham Luu TERMINATED: 01/15/1998
Defendant Dr Pamela Wilson TERMINATED: 02/06/1998

represented by Mary E Baker (See above for address) TERMINATED: 01/15/1998 LEAD ATTORNEY ATTORNEY TO BE NOTICED
represented by Ralph C Longmire (See above for address) TERMINATED: 01/15/1998 LEAD ATTORNEY ATTORNEY TO BE NOTICED
represented by Ralph C Longmire (See above for address) TERMINATED: 01/15/1998 LEAD ATTORNEY ATTORNEY TO BE NOTICED
represented by Ralph C Longmire (See above for address) TERMINATED: 01/15/1998 LEAD ATTORNEY ATTORNEY TO BE NOTICED
represented by Mary E Baker (See above for address) LEAD ATTORNEY ATTORNEY TO BE NOTICED
represented by Ralph C Longmire (See above for address) TERMINATED: 01/15/1998 LEAD ATTORNEY ATTORNEY TO BE NOTICED
represented by Ralph C Longmire (See above for address) TERMINATED: 01/15/1998 LEAD ATTORNEY ATTORNEY TO BE NOTICED
represented by Ralph C Longmire (See above for address) TERMINATED: 01/15/1998 LEAD ATTORNEY ATTORNEY TO BE NOTICED

Case: 4:97-cv-874 As of: 04/08/2011 07:51 PM CDT 3 of 7

Date Filed 03/18/1997 03/18/1997
04/02/1997 04/16/1997 04/30/1997 04/30/1997 04/30/1997 04/30/1997 05/15/1997 05/15/1997 05/16/1997 05/16/1997 05/23/1997 05/27/1997 06/02/1997 06/02/1997 06/02/1997 06/02/1997 06/06/1997
06/09/1997
06/09/1997
06/09/1997

# Docket Text
1 COMPLAINT filed; FILING FEE $ 150.00 RECEIPT # 465702 (bchurchill) (Entered: 03/19/1997)
2 ORDER for Conf set initial pretrial and scheduling conference for 4:45 6/17/97 by telephone before Judge Kenneth M. Hoyt , entered; Parties notified. (bchurchill) (Entered: 03/19/1997)
Twelve SUMMONS issued (ltien) (Entered: 04/04/1997)
ONe SUMMONS/ORIGINAL COMPLAINT issued (fmremp) (Entered: 04/17/1997)
3 RETURN OF SERVICE executed as to Tommy B Thomas 4/21/97 filed Answer due on 5/11/97 for Tommy B Thomas (fmremp) (Entered: 05/02/1997)
4 RETURN OF SERVICE executed as to M Guice 4/21/97 filed Answer due on 5/11/97 for M Guice (fmremp) (Entered: 05/02/1997)
5 RETURN OF SERVICE executed as to M.W. Quinn 4/21/97 filed Answer due on 5/11/97 for M.W. Quinn (fmremp) (Entered: 05/02/1997)
6 RETURN OF SERVICE executed as to Mike Seale 4/21/97 filed Answer due on 5/11/97 for Mike Seale (fmremp) (Entered: 05/02/1997)
7 MOTION for leave to file out of time answer by Mike Seale filed; Motion Docket Date 6/4/97 [7−1] motion . (fmremp) (Entered: 05/15/1997)
8 ANSWER to Complaint by Mike Seale (Added attorney Ralph C Longmire), filed.; jury demand (fmremp) (Entered: 05/15/1997)
(1) SUMMONS issued with original complaint (fmremp) (Entered: 05/16/1997)
9 ANSWER to Complaint by Tommy B Thomas and M.W. Quinn filed; (Added attorney Mary E Baker). (fmremp) (Entered: 05/19/1997)
10 RETURN OF SERVICE executed as to C Trinh 5/8/97 filed Answer due on 5/28/97 for C Trinh (fmremp) (Entered: 05/23/1997)
11 RETURN OF SERVICE executed as to Mark Chassay 5/21/97 filed Answer due on 6/10/97 for Mark Chassay (fmremp) (Entered: 05/28/1997)
12 RETURN OF SERVICE executed as to A Phi 5/20/97 filed Answer due on 6/9/97 for A Phi (ltien) (Entered: 06/02/1997)
13 RETURN OF SERVICE executed as to K.W. Berry 5/8/97 filed (ltien) (Entered: 06/02/1997)
14 RETURN OF SERVICE executed as to Kham Luu 5/20/97 filed Answer due on 6/9/97 for Kham Luu (ltien) (Entered: 06/02/1997)
15 RETURN OF SERVICE executed as to K Howard 5/20/97 filed Answer due on 6/9/97 for K Howard (ltien) (Entered: 06/02/1997)
16 MOTION for continuance of pretrial/scheduling conference by Robert Arthur Hall filed; Motion Docket Date 6/26/97 [16−1] motion . (fmremp) (Entered: 06/06/1997)
17 ORDER granting Pltfs [16−1] motion for continuance of pretrial/scheduling conference. The scheduling conference is reset for 4:15 on 7/28/97 , entered; Parties notified. ( signed by Kenneth M. Hoyt ) (psmith) (Entered: 06/10/1997)
18 MOTION for leave to file answer out of time by C Trinh, Mark Chassay, M Guice, A Phi, and Kham Luu filed; Motion Docket Date 6/29/97 [18−1] motion . (fmremp) (Entered: 06/10/1997)
19 ANSWER to Complaint by C Trinh, Mark Chassay, M Guice, A Phi, and Kham Luu (Added attorney Ralph C Longmire), filed. (fmremp) (Entered: 06/10/1997)

Case: 4:97-cv-874 As of: 04/08/2011 07:51 PM CDT 4 of 7

06/09/1997 06/11/1997
06/13/1997 07/03/1997 07/10/1997 07/16/1997 07/16/1997 07/21/1997 07/30/1997
08/04/1997 08/06/1997 08/15/1997 08/15/1997 08/15/1997 08/15/1997 08/19/1997 08/22/1997 08/28/1997 08/29/1997 09/02/1997 09/15/1997

20 FIRST AMENDED ANSWER to Complaint by Tommy B Thomas and M.W. Quinn filed; amending [9−1] answer. (fmremp) (Entered: 06/10/1997)
21 ORDER entered GRANTING defts' [18−1] motion for leave to file answer out of time; RESETTING answer due for 6/12/97 for Kham Luu, A Phi, M Guice, Mark Chassay, and C Trinh . Parties notified. ( signed by Judge Kenneth M. Hoyt ) (fmremp) (Entered: 06/11/1997)
One SUMMONS/ORIGINAL COMPLAINT issued (fmremp) (Entered: 06/13/1997)
22 RETURN OF SERVICE executed as to K.W. Berry 6/28/97 filed Answer due on 7/18/97 for K.W. Berry (ltien) (Entered: 07/03/1997)
23 Report of Meeting and Joint Discovery/Case Management Plan by Robert Arthur Hall and defts Tommy B Thomas et al, filed. (fmremp) (Entered: 07/11/1997)
24 MOTION to dismiss by K.W. Berry in his individual capacity, Motion Docket Date 8/5/97 [24−1] motion , filed. (ltien) (Entered: 07/16/1997)
25 ORIGINAL ANSWER to Complaint by K.W. Berry (Added attorney Mary E Baker), filed.; jury demand (ltien) (Entered: 07/16/1997)
26 RETURN OF SERVICE executed as to D Klein 7/16/97 filed Answer due on 8/5/97 for D Klein (ltien) (Entered: 07/21/1997)
28 ORDER following Telephone Scheduling Conference held on 7/30/97. Apps: Bevans f/pltf; Baker and Longmire f/defts. New scheduling order deadlines: joining of parties, amended pleadings 9/15/97 ; Expert witness list submitted by 12/5/97 for pltf; 1/5/98 for deft; Discovery cutoff 1/31/98 ; Deadline for filing all dispositive motions 1/31/98 ; Pretrial order to be on or before 3/2/98 ; Docket call deadline 11:30 3/2/98 ; ETT: TBA/Jury; initial disclosures to be completed by 8/15/97 and granting Dr Michael Seale's [7−1] motion for leave to file out of time answer, terminated deadlines , entered; Parties notified. (signed by Judge Kenneth M. Hoyt ) (psmith) (Entered: 08/06/1997)
27 ANSWER to Complaint by Dr Donald Klein (Added attorney Ralph C Longmire), filed.; jury demand (psmith) (Entered: 08/05/1997)
29 RESPONSE by Robert Arthur Hall to Major K W Berry's [24−1] motion to dismiss , filed. (psmith) (Entered: 08/06/1997)
30 INITIAL DISCLOSURE pursuant to Order for Accelerated Discovery by K.W. Berry , filed. (psmith) (Entered: 08/18/1997)
31 INITIAL DISCLOSURE pursuant to Order for Accelerated Discovery by Tommy B Thomas , filed. (psmith) (Entered: 08/18/1997)
32 INITIAL DISCLOSURE pursuant to Order for Accelerated Discovery by M.W. Quinn , filed. (psmith) (Entered: 08/18/1997)
Rec'd Stipulated Protective Order, frwd to CRD (psmith) (Entered: 08/18/1997)
33 STIPULATED PROTECTIVE ORDER, entered. Parties ntfd. ( Signed by Judge Kenneth M. Hoyt ) (psmith) (Entered: 08/19/1997)
34 REPLY by K.W. Berry to pltf's response to Major Berry's [24−1] motion to dismiss , filed (fmremp) (Entered: 08/22/1997)
35 MOTION for summary judgment by M.W. Quinn, Motion Docket Date 9/17/97 [35−1] motion , filed. (bchurchill) (Entered: 08/29/1997)
36 MOTION for summary judgment by Tommy B Thomas, Motion Docket Date 9/18/97 [36−1] motion , filed. (psmith) (Entered: 09/02/1997)
37 NOTICE of Initial Disclosure, by Mike Seale, C Trinh, Mark Chassay, M Guice, A Phi, Kham Luu , filed (psmith) (Entered: 09/02/1997)
38 MOTION for protective order against plaintiff's discovery requests by Mike Seale, C Trinh, Donald Klein, Mark Chassay, M Guice, A Phi, Kham Luu, Motion

Case: 4:97-cv-874 As of: 04/08/2011 07:51 PM CDT 5 of 7

09/25/1997 09/25/1997 09/30/1997 10/02/1997 10/03/1997 10/03/1997 10/10/1997 10/30/1997 10/31/1997 11/19/1997 11/24/1997 11/25/1997 12/05/1997 12/05/1997 12/10/1997
12/17/1997 12/17/1997 12/18/1997 12/24/1997

Docket Date 10/5/97 [38−1] motion , filed. (fmremp) (Entered: 09/15/1997)
39 RESPONSE by Robert Arthur Hall to Sheriff Tommy Thomas' [36−1] motion for summary judgment , filed. (psmith) (Entered: 09/25/1997)
40 RESPONSE by Robert Arthur Hall to Major Michael Quinn's [35−1] motion for summary judgment , filed. (psmith) (Entered: 09/25/1997)
41 RESPONSE by Robert Arthur Hall to Deft Doctors' [38−1] motion for protective order against plaintiff's discovery requests , filed. (psmith) (Entered: 09/30/1997)
42 ORDER denying Defts [38−1] motion for protective order against plaintiff's discovery requests , entered; Parties notified. ( signed by Judge Kenneth M. Hoyt ) (psmith) (Entered: 10/02/1997)
43 REPLY by Tommy B Thomas to Pltfs response to his [36−1] motion for summary judgment , filed (psmith) (Entered: 10/03/1997)
44 REPLY by M.W. Quinn to Pltfs response to his [35−1] motion for summary judgment , filed (psmith) (Entered: 10/03/1997)
45 MOTION for summary judgment , and Brief in Support, by Mike Seale, C Trinh, Donald Klein, Mark Chassay, M Guice, A Phi, Kham Luu, Motion Docket Date 10/30/97 [45−1] motion , filed. (psmith) (Entered: 10/10/1997)
46 Pltf's UNOPPOSED MOTION to extend time to answer deft Doctors' motion for summary judgment by Robert Arthur Hall, Motion Docket Date 11/19/97 [46−1] motion , filed. (fmremp) (Entered: 10/30/1997)
47 ORDER granting Pltfs [46−1] motion to extend time to answer deft Doctors' motion for summary judgment , entered; Parties notified. ( signed by Judge Kenneth M. Hoyt ) (psmith) (Entered: 11/03/1997)
48 UNOPPOSED MOTION to extend time to respond to deft Doctors' motion for summary judgment by Robert Arthur Hall, Motion Docket Date 12/9/97 [48−1] motion , filed. (psmith) (Entered: 11/19/1997)
49 ORDER granting Pltfs [48−1] motion to extend time to respond to deft Doctors' motion for summary judgment , entered; Parties notified. ( signed by Judge Kenneth M. Hoyt ) (psmith) (Entered: 11/24/1997)
50 Pltf's RESPONSE by Robert Arthur Hall to deft Doctor's [45−1] motion for summary judgment , filed. (fmremp) (Entered: 11/25/1997)
51 Designation of EXPERT WITNESS LIST by Robert Arthur Hall filed. (psmith) (Entered: 12/05/1997)
52 MOTION to extend time to file reply to pltf's response to motion for summ jgm by defts Mark Chassay, M Guice et al filed; Motion Docket Date 12/25/97 [52−1] motion . (fmremp) (Entered: 12/05/1997)
53 ORDER granting Defts [52−1] motion to extend time to file reply to pltf's response to motion for summary judgment. Defts Reply to Pltfs Response to Motion set for 12/29/97 for [45−1] motion for summary judgment , entered; Parties notified. ( signed by Judge Kenneth M. Hoyt ) (psmith) (Entered: 12/10/1997)
54 Doctors' MOTION for leave to file their first amended answer and juryu demand by Mike Seale, C Trinh, M Guice, A Phi, Kham Luu, et al, Motion Docket Date 1/6/98 [54−1] motion , filed. (psmith) (Entered: 12/17/1997)
55 FIRST AMENDED ANSWER to Complaint by Mike Seale, M Guice, C Trinh, A Phi, et al; amends [19−1] answer, [8−1] answer , filed; jury demand (psmith) (Entered: 12/17/1997)
56 ORDER. Robert Arthur Hall is ordered to reply to the answers of the Defts, Sheriff Tommy Thomas, Major K.W. Berry, and Major Michael Quinn , entered; Parties notified. ( signed by Judge Kenneth M. Hoyt ) (fmremp) (Entered: 12/19/1997)
57 REPLY by Mike Seale, C Trinh, Donald Klein, Mark Chassay, M Guice, A Phi, Kham Luu to plaintiff's answer to [45−1] motion for summary judgment , filed

Case: 4:97-cv-874 As of: 04/08/2011 07:51 PM CDT 6 of 7

12/29/1997 12/31/1997 01/06/1998 01/06/1998 01/07/1998 01/08/1998 01/08/1998 01/15/1998
01/15/1998
01/21/1998 01/21/1998 01/23/1998 01/27/1998 01/29/1998 02/06/1998

(fmremp) (Entered: 12/30/1997)
58 MOTION to extend time to answer court order by Robert Arthur Hall, Motion Docket Date 1/18/98 [58−1] motion , filed. (fmremp) (Entered: 12/30/1997)
59 UNOPPOSED MOTION for extension of time in which to designate experts and file expert reports by Tommy B Thomas, M.W. Quinn, K.W. Berry, Motion Docket Date 1/20/98 [59−1] motion , filed. (fmremp) (Entered: 01/02/1998)
60 ORDER granting Pltfs [58−1] motion to extend time to answer court order , entered; Parties notified. ( signed by Judge Kenneth M. Hoyt ) (psmith) (Entered: 01/06/1998)
61 ORDER granting Defts [59−1] motion for extension of time in which to designate experts and file expert reports. Defts designation of expert witness due by 1/12/98 , entered; Parties notified. ( signed by Judge Kenneth M. Hoyt ) (psmith) (Entered: 01/06/1998)
62 Doctor's UNOPPOSED MOTION to stay the court's scheduling order , with Brief in Support, by Mike Seale, M Guice, C Trinh, A Phi, et al, Motion Docket Date 1/27/98 [62−1] motion , filed. (psmith) (Entered: 01/07/1998)
63 RESPONSE by Robert Arthur Hall to the Court's [56−1] Order of December 19, 1997, filed. (psmith) (Entered: 01/08/1998)
64 ORDER granting Deft Doctor's [62−1] motion to stay the court's scheduling order , entered; Parties notified. ( signed by Judge Kenneth M. Hoyt ) (psmith) (Entered: 01/08/1998)
65 MEMORANDUM OPINION: Doctors' [45−1] motion for summary judgment is GRANTED. Sheriff Thomas, Quinn and Berry's [36−1] motion for summary judgment; [35−1] motion for summary judgment; and [24−1] motion to dismiss are GRANTED. Pltfs claims under 42 USC 12132 are DISMISSED with respect to all named Defts. Pltfs claims under Section 1983 against all named Defts are DISMISSED to the extent the pltf requests monetary damages and injunctive relief. The remaining claims by Pltf against Pamela Wilson, K Howard and Marcorif Thomas, and the time for serving Wilson and Thomas has expired, entered. Parties notified. ( signed Judge Kenneth M. Hoyt ) (psmith) (Entered: 01/16/1998)
66 ORDER, entered; Parties notified. Pltfs claims against Sheriff Thomas, Major Berry, Major Quinn, Dr Seal, Dr Trinh, Dr Klein, Dr Chassay, Dr Guice, Dr Phi and Dr Luu are DISMISSED with prejudice. Pltf to submit a memorandum within 10 days of the entry of this order demonstrating good cause for failure to to serve Dr Wilson and Marcorif Thomas within 120 days of this action's commencement. If no good cause is shown, the pltfs claims against these two defts shall be dismissed without prejudice. ( signed by Judge Kenneth M. Hoyt ) (psmith) Modified on 01/22/1998 (Entered: 01/16/1998)
67 MOTION for entry of default judgment against K Howard by Robert Arthur Hall, Motion Docket Date 2/10/98 [67−1] motion , filed. (psmith) (Entered: 01/21/1998)
68 MEMORANDUM by Robert Arthur Hall in support of Pltfs [67−1] motion for entry of default judgment against K Howard , filed (psmith) (Entered: 01/21/1998)
69 ANSWER to Complaint by K Howard, filed.; jury demand (psmith) (Entered: 01/26/1998)
70 MOTION for leave to file out of time answer and response to pltfs motion for entry of default judgment by K Howard, Motion Docket Date 2/16/98 [70−1] motion , filed. (psmith) (Entered: 01/27/1998)
71 ORDER granting Deft K Howard's [70−1] motion for leave to file out of time answer and response to pltfs motion for entry of default judgment , entered; Parties notified. ( signed by Judge Kenneth M. Hoyt ) (psmith) (Entered: 01/29/1998)
72 ORDER OF DISMISSAL w/o prejudice for want of prosecution as to Marcorif Thomas and Dr Pamela Wilson, entered; Parties notified. ( signed by Judge Kenneth M. Hoyt ) (fmremp) (Entered: 02/10/1998)

Case: 4:97-cv-874 As of: 04/08/2011 07:51 PM CDT 7 of 7

02/09/1998
02/13/1998 02/18/1998
04/27/1998
05/01/1998 05/21/1998 06/05/1998
06/05/1998
06/05/1998 06/19/1998 06/25/1998 07/07/1998 07/10/1998 09/17/1998
11/30/1998
10/26/1999
10/26/1999 10/26/1999 10/28/1999

73 ORDER entered GRANTING deft's [54−1] motion for leave to file their first amended answer and juryu demand; Parties ( signed by Judge Kenneth M. Hoyt ) (fmremp) (Entered: 02/10/1998)
74 UNOPPOSED MOTION to stay scheduling order , by K Howard, Motion Docket Date 3/5/98 [74−1] motion , filed. (psmith) (Entered: 02/17/1998)
75 ORDER granting K Howard's [74−1] motion to stay scheduling order , entered; Parties notified. The Scheduling Order previously entered is stayed. ( signed by Judge Kenneth M. Hoyt ) (psmith) (Entered: 02/18/1998)
76 ORDER denying without prejudice Pltfs [67−1] motion for entry of default judgment against K Howard , entered; Parties notified. ( signed by Judge Kenneth M. Hoyt ) (psmith) (Entered: 04/27/1998)
77 MOTION for summary judgment by K Howard, Motion Docket Date 5/21/98 [77−1] motion , filed. (psmith) (Entered: 05/04/1998)
78 RESPONSE by Robert Arthur Hall to K Howard's [77−1] motion for summary judgment , filed. (psmith) (Entered: 05/21/1998)
79 SUPPLEMENTAL MEMORANDUM granting K Howard's [77−1] motion for summary judgment , entered. Parties notified. ( signed by Judge Kenneth M. Hoyt ) (psmith) (Entered: 06/09/1998)
80 FINAL JUDGMENT, entered. Parties ntfd. Pursuant to the Memorandum and Supplemental Memorandum, the pltf takes nothing by his suit. ( signed by Judge Kenneth M. Hoyt ) (psmith) (Entered: 06/09/1998)
Case closed (psmith) (Entered: 06/09/1998)
81 NOTICE OF APPEAL of [80−1] order, [79−1] order by Robert Arthur Hall , filed. Fee Status: paid Receipt #: 479537 (jdavenport) (Entered: 06/25/1998)
Notice of appeal and certified copy of docket transmitted to USCA: [81−1] appeal (jdavenport) (Entered: 06/25/1998)
NOTICE of Docketing NOA from USCA Re: [81−1] appeal USCA NUMBER: 98−20571 (jdavenport) (Entered: 07/07/1998)
Certificate of Readiness issued to 5th Circuit Court of Appeals. USCA NUMBER: 98−20571. Parties ntfd. (jdavenport) (Entered: 07/10/1998)
Received Request For Appellate File Zip Disk from Mike Seale, M Guice, C Trinh, A Phi, Kham Luu, Mark Chassay, Donald Klein . /attny Ralph Longmire (jdavenport) (Entered: 09/24/1998)
Certified and transmitted record on appeal consisting of 3 volumes of pleadings to U.S. Court of Appeals: [81−1] appeal . Circuit No. 98−20571 Parties ntfd. (jdavenport) (Entered: 11/30/1998)
82 JUDGMENT OF USCA (certified copy) 09/28/99 issued as mandate on 10/20/99 affirming the Judgment of the District Court Re: [81−1] appeal....FURTHER ORDERED that plaintiff− appellant pay to defendants−appellees the costs on appeal to be taxed by the Clerk of this Court , filed. CCA No. 98−20571 (mmapps) (Entered: 10/26/1999)
83 Copy of PER CURIAM by USCA, filed. CCA No. 98−20571 (mmapps) (Entered: 10/26/1999)
File to be returned. (mmapps) (Entered: 10/26/1999)
Record on appeal returned from U.S. Court of Appeals:Rec'd 3 vol of record, file reass'd fwd to fileroom. (mmapps) (Entered: 10/28/1999)

 
 REVISED SEPTEMBER 29, 1999 IN THE UNITED STATES COURT OF APPEALS
FOR THE FIFTH CIRCUIT
No. 98-20571
ROBERT ARTHUR HALL, Plaintiff-Appellant,
v. TOMMY B. THOMAS, Sheriff; ET AL.,
Defendants, TOMMY B. THOMAS, Sheriff; K.W. BERRY, Major; MIKE SEALE, Doctor; M.W. QUINN, Major; C. TRINH, Doctor; DONALD KLEIN, Doctor; MARK CHASSAY, Doctor; K. HOWARD, Nurse; M. GUICE, Doctor; A. PHI, Doctor; KHAM LUU, Doctor,
Defendants-Appellees. _______________________________ Appeal from the United States District Court for the Southern District of Texas _______________________________
September 28, 1999 Before POLITZ, DeMOSS and BENAVIDES, Circuit Judges. PER CURIAM:
Appellant Robert Arthur Hall (“Hall”) appeals the decision of the district court dismissing his 42 U.S.C. § 1983 and Americans with Disabilities Act (“ADA”), 42 U.S.C. § 12132, claims for failure to state a claim against appellees Sheriff Tommy B. Thomas (“Sheriff Thomas”), Major K.W. Berry (“Major Berry”), Major M.W. Quinn (“Major Quinn”) and Nurse K. Howard (“Nurse Howard”), and on the merits as to Drs. Mike Seale, C. Trinh, Donald Klein, Mark Chassay, M. Guice, A. Phi and Kham Luu

(collectively, “the doctors”). We affirm.

I.

Factual and Procedural Background

The United States Marshals arrested Hall on February 21,

1995, for a violation of the terms of his parole. They promptly

delivered Hall to the custody of the Harris County Jail (“HCJ”).

While incarcerated, Hall objected to the quality of the medical

treatment he received. So, on March 18, 1997, alleging that the

HCJ had violated § 1983 and the ADA, Hall filed suit. He averred

that the HCJ medical staff was deliberately indifferent to his

kidney condition, to his orthopedic pains, to his diabetes, and

to his epilepsy.

The district court granted summary judgment for the

defendants on January 15, 1998. In its opinion, the court found

that Hall had failed to state a claim against Sheriff Thomas,

Major Berry or Major Quinn because Hall had failed to specify any

conduct on the part of these individuals that contributed to a

deprivation of a constitutional right.1 With respect to the

doctors, the court held that Hall had not presented any evidence

of conduct that constituted deliberate indifference to a serious

medical need. The district court also dismissed the ADA claims

1

In a supplemental opinion dated June 5, 1998, the district court

dismissed Hall’s case against Nurse Howard on the grounds that Hall had not

set forth a claim against Nurse Howard that was not foreclosed by the January

15, 1998 opinion.

2

against all defendants because it held that the ADA did not apply

to prisons. Finally, the district court held that even if the

ADA did apply to prisons, the defendants would be qualifiedly

immune from suit thereunder because Hall’s rights under the ADA

were not clearly established at the time of the alleged

violations.

Hall filed a pro se appeal.

II.

Standard of Review

We apply de novo review to a district court’s decision to

grant summary judgment. See Prytania Park Hotel, Ltd. v. General

Star Indem. Co., 179 F.3d 169, 173 (5th Cir. 1999). Summary

judgment is proper if “the pleadings, depositions, answers to

interrogatories, and admissions on file, together with the

affidavits, if any, show that there is no genuine issue as to any

material fact and that the moving party is entitled to judgment

as a matter of law.” Fed. R. Civ. Proc. 56(c); see also Celotex

Corp. v. Catrett, 477 U.S. 317, 322 (1986). “Under this

standard, all fact questions must be viewed in the light most

favorable to the non-moving party, and questions of law are

reviewed de novo.” Horton v. City of Houston, 179 F.3d 188, 191

(5th Cir. 1999).

We likewise review the district court’s decision to dismiss

a complaint under Rule 12(b)(6) de novo. Lowrey v. Texas A & M

Univ. Sys., 117 F.3d 242, 246 (5th Cir. 1997). This disfavored

3

motion should not be granted unless “it appears beyond a doubt

that the plaintiff can prove no set of facts in support of his

claim which would entitle him to relief.” Conley v. Gibson, 355

U.S. 41, 45-46 (1957). In so determining, the district court

must liberally construe the complaint in favor of the plaintiff

and assume that all facts pleaded in the complaint are true. See

Brown v. Nationsbank Corp., — F.3d — (5th Cir. 1999), available

at 1999 WL 695692 (5th Cir. (Tex)), *4.

III.

The ADA Claim and Qualified Immunity

Hall argues that Pennsylvania Dep’t of Corrections v.

Yeskey, 118 S. Ct. 1952 (1998), mandates reversal of the district

court’s dismissal of his ADA claim. Moreover, Hall maintains

that the district court erred when it found the defendants were

entitled to qualified immunity. The defendants counter that,

though Yeskey alters one of the district court’s holdings, it

does not disturb the lower court’s alternative holding regarding

qualified immunity because Hall’s right to sue under the ADA was

not clearly established prior to Yeskey.

Yeskey squarely and unmistakably holds that “the ADA plainly

covers state institutions without any exception that could cast

the coverage of prisons into doubt.” Id. at 1953. Thus, the

district court did err, though understandably so, when it held

that the ADA did not apply to prisons.

Nevertheless, we need not reverse the outcome. The district

4

court correctly held that the defendants were entitled to qualified immunity. The wrongful act here alleged is the administration of medical care to Hall; this is a discretionary function. “[G]overnment officials performing discretionary functions generally are shielded from liability for civil damages insofar as their conduct does not violate clearly established statutory or constitutional rights of which a reasonable person would have known.” Harlow v. Fitzgerald, 457 U.S. 800, 818 (1982). To determine “reasonableness” for purposes of this standard, we look to the legal rules that were clearly established at the time of the alleged violation. Anderson v. Creighton, 483 U.S. 635, 639 (1987). “Objective reasonableness is a matter of law for the courts to decide[.]” Williams v. Bramer, 180 F.3d 699, 702 (5th Cir. 1999).
Under Siegert v. Gilley, 500 U.S. 226 (1991), we must apply a two pronged test to ascertain the viability of a defendant’s assertion of qualified immunity. First, we must examine whether Hall has pleaded an ADA violation. See id. at 232; see also Petta v. Rivera, 143 F.3d 895, 899 (5th Cir. 1998). The district court found that Hall had not stated a claim under the ADA. We agree. At no place in the complaint does Hall allege that a defendant’s specific, individual conduct discriminated against him because of his disability. In fact, Hall claims that an unserved defendant, Deputy Sheriff Marcorif Thomas, mistakenly
5

indicated that Hall was not disabled (or, at least, not as disabled as he was) upon his admission to HCJ in February, 1995. Thus, any alleged discriminatory conduct could not have been “because of” Hall’s disability, since the relevant actors were not apprised of Hall’s status as a disabled person.
Even if Hall had stated a claim under the ADA, however, the defendants would still be entitled to qualified immunity. Under the second prong of the Siegert test, we must ask whether the defendants’ conduct was objectively reasonable in light of “clearly established” law at the time of the alleged violation. Siegert, 500 U.S. at 231-32; see also Evans v. Ball, 168 F.3d 856, 860 (5th Cir. 1999). The clearly established law prior to Yeskey did not include the principle that the ADA applied to prisons because neither the Fifth Circuit nor the Supreme Court had spoken on the issue. See Gunaca v. State of Texas, 65 F.3d 467, 475 (5th Cir. 1995) (“The right . . . was not clearly established at the time [defendant] allegedly violated it because neither the Fifth Circuit nor the Supreme Court had addressed [it.]”). Moreover, a circuit split existed on the very question. Compare, e.g., Crawford v. Indiana Dep’t of Corrections, 115 F.3d 481, 487 (7th Cir. 1997) (ADA applies to prisons) with Amos v. Maryland Dep’t of Pub. Safety and Correctional Servs., 126 F.3d 589, 601 (4th Cir. 1997), judgment vacated by 118 S. Ct. 2339 (1998) (ADA does not apply to prisons). And we have consistently
6

and “decisively rejected the retroactive application of new legal standards to . . . claims involving qualified immunity.” Harper v. Harris County, Texas, 21 F.3d 597, 601 (5th Cir. 1994). Therefore, Hall’s right to be free from discrimination on the basis of his disability in prison was not clearly established at the time of the alleged violations, and the defendants could not reasonably have known that their actions might incur liability under the ADA. For these reasons, the defendants are entitled to qualified immunity, and we therefore affirm the decision of the district court on this point.

IV.

The § 1983 Claim

Hall argues that his complaint states an Eighth Amendment

claim because it alleges that the medical staff failed to

administer 180 doses of his seizure medicine over a one year

period, and that such a lapse evinces deliberate indifference to

a serious medical need.2 Hall further complains that Drs.

Chassay and Luu unethically doubled his dosage to compensate for

the missed medication. The doctors counter by arguing that Hall

himself refused to take his seizure medication on 28 separate

occasions, and, at other times, refused to appear when the nurse

2

Since Hall did not argue on appeal that the medical treatment he

received for his chronic kidney ailment, his orthopedic pain or his diabetes

constituted deliberate indifference to a serious medical need, he has

abandoned any claims he had with respect to these matters. See Yohey v.

Collins, 985 F.2d 222, 224-25 (5th Cir. 1993) (“[Appellant] has abandoned

these arguments by failing to argue them in the body of his brief.”).

7

arrived to dispense the medication. The doctors also argue that the double dosages of medication were not dangerous, that they adequately monitored Hall’s progress on the medicine, and that no evidence suggests that Hall was ever over-medicated.
The district court found that Hall’s allegations, even if true, did not describe deliberate indifference to a serious medical need. We agree. “To violate the Cruel and Unusual Punishment Clause, a prison official must have a ‘sufficiently culpable state of mind.’” Farmer v. Brennan, 511 U.S. 825, 834 (1994) (quoting Wilson v. Seiter, 501 U.S. 294, 297 (1991)). “In prison-conditions cases that state of mind is one of ‘deliberate indifference’ to inmate health or safety.” Id. “Deliberate indifference to serious medical needs of prisoners,” for instance, “constitutes the ‘unnecessary and wanton infliction of pain’ proscribed by the Eighth Amendment.” Estelle v. Gamble, 429 U.S. 97, 104 (1976) (quoting Gregg v. Georgia, 428 U.S. 153, 173 (1976), order vacated by 429 U.S. 875 (1976)). To be deliberately indifferent, a prison official must “know[] of and disregard[] an excessive risk to inmate health or safety[.]” Farmer, 511 U.S. at 837; see also Stewart v. Murphy, 174 F.3d 530, 533 (5th Cir. 1999). For this reason, allegations of malpractice or negligence will never state a claim under the Eighth Amendment. See Estelle, 429 U.S. at 105 (“[A] complaint that a physician has been negligent in diagnosing or treating a
8

medical condition does not state a valid claim of medical mistreatment under the Eighth Amendment.”); see also Stewart, 174 F.3d at 534 (“[A]lthough inadequate medical care may, at a certain point, rise to the level of a constitutional violation, malpractice or negligent care does not.”).
The summary judgment evidence reveals that Hall refused to take his seizure medicine on 28 occasions. Moreover, Dr. Seale testified that the efforts of Drs. Chassay and Luu to bring Hall’s medication levels within therapeutic limits were not dangerous, and that Hall was not over-medicated. Dr. Seale further testified that even if the nurses were intentionally refusing to dispense the seizure medication to Hall–a contention that Dr. Seale vigorously opposed–the doctors Hall sued were not responsible for these acts, since such conduct would have been in clear contravention of the prison’s policy and the doctors’ mandate. Finally, at a doctor’s appointment on June 4, 1996, Hall told Dr. Phi that he had “no complaints” with his seizure medication. Hall also confided that his last seizure occurred eight months prior, presumably in November, 1995, a month in which Hall refused to take his seizure medication for two days in a row. In response to this testimony, Hall cites only his own conclusory pleadings. Yet Hall’s subjective complaints, unsupported by evidence, are insufficient to defeat the doctors’ summary judgment evidence. See Morris v. Covan World Wide
9

Moving, Inc., 144 F.3d 377, 380 (5th Cir. 1998) (“[T]he nonmoving party may not rest upon the mere allegations or denials of its pleading, and unsubstantiated or conclusory assertions that a fact issue exists will not suffice.”).
The overwhelming evidence demonstrates that Hall had access to his doctors, who prescribed a helpful medication, the dosage of which varied, at least in part, because of Hall’s own conduct. Any additional causes for Hall missing his seizure medication cannot be attributed to Hall’s doctors. And despite the lower dosages, Hall was seizure free between November 1995 and June 1996. He even told his doctors he had “no complaints.” This is simply not a scenario consistent with deliberate indifference to a serious medical need. At its most egregious, Hall’s evidence may suggest negligence, but that is insufficient to support an Eighth Amendment claim. We therefore agree with the district court and affirm its grant of summary judgment to the doctors.

V.

Conclusion

The district court erred in finding that the ADA did not

apply to prisons, but we AFFIRM because the defendants are

entitled to qualified immunity. Moreover, we AFFIRM the grant of

summary judgment to the doctors because Hall did not present

evidence of facts consistent with a deliberate indifference to a

serious medical need.

10

AFFIRMED 11

 
 'J.i

L"

LT"

DoNot Remove FromRecordRoom
IN THE

-205

UNITED STATES COURT OF APPEALS

FOR THE FIFTH CIRCUIT

No. 98-20571 Hall v. Thomas USDC No. H-97-CV-874
ROBERT ARTHUR HALL Plaintiff-Appellant,

V.

Tommy B. Thomas, Sheriff, Defendants-Appellees.

ET AL

L!.S. COURT OF APPEALS
\.FILED
SEP 0.4 1998
LCHARL,_E ,FULBRUGEIII CLERK

Appeal from the United Stat( the Southern District of Te:

District Court for Houston Division

BRIEF OF

ROBERT

HALL

P.O.

P.M.B. ., GA 30315

TABLE OF COBTENTS

Table ef Authorities ........................................

ii, iii

Statement Statement

of Subject Matter and Appellate

Jurisdiction

...... I

of Issues Presented fer Review ....................

2

Statement

of the Case .......................................

2

A. Statement of Proceedings ............................

2

B. Statement of Facts ...................................

3

Summary of Argument .........................................

4

Arugment ....................................................

4

Point I ................................................

4

The District Court Sheuld_N_t

Plaintiff's

ADA Claim

Have_D_smi@se_f

Point 2 ................................................

7

The Complaint States a Claim Under the ADA

Point 3 ................................................

13

The District Ceurt Should Not Have Granted

Qualified

Immunity to the Defendants

Point 4 ................................................

14

The Complaint Amendment

States a Claim Under the Eighth

Conclusion ..................................................

22

Verification

................................................

22

Certificate

of Service ......................................

23

CASES

TABLE OF AUTHORITIES

PAGE

Pennsylvania

Dept of Corrections

v. Yeskey, 118 F.Sd

168 (3rd Cir. 1997), aff'd 1998 LEXIS 3888 ............

5, 14, 15

Melear v. Spears, 862 F.2d 1177, 1184 u.8 (5th Cir. 1989)..14

Estelle v. Gamble, 429 U.S. 97, 104 (1976) .................

14

McGuckin v. Smith, 974 F.2d 1050, 1060 (gth Cir. 1992) ..... 15, 16

Boretti v. Wiscomb, 930 F.2d 1150, 1154-55 (6th Cir. 1991).15

Johnson v. Busbee, 953 F.2d 349, 351 (8th Cir. 1991) ....... 15

Gaudreault

v. Muuicipalit 7 of Salem, Mass., 925 F.2d

203, 208 (Ist Cir. 1990) ..............................

15

Aswegan v. Bruhl, 965 F.2d 676, 677-78 (8th Cir. 1992) ..... 16, 20

rIill v. Marshall, 962 F.2d 1209, 1213-14 (6th Cir. 1992)...16,

20

Johnson v. fiaT, 931F.2d

456, 461 (8th Cir. 1991) .......... 16, 20

Ramos v. Lamm, 639 F.2d 559, 575 (10th Cir. 1980), cert.

denied, 450 U.S. 1041 (1981) ..........................

17

IIarris v. Thi%pen, 941F.2d

1495, 1505 (11th Cir. 1991) .... 17

DeGidio v. Puns, 920 F.2d 525, 535 (8th Cir. 1990) ......... 17

Hughes v. Joliet Correctional

Center, 931 F.2d 425,

428 (7th Cir. 1991) ...................................

18

White v. Napolean, 897 F.2d 103, 109 (Srd Cir. 1990) ....... 18

Kersh v. Derozier, 851F.2d

1509, 1510 (5th Cir. 1988) ..... 18

Fields v. Cit 7 of South Houston, Texas, 922 F.2d

1183, 1192 u.lO (5th Cir. 1991) .......................

19

Ro_ers Howell

v. Evans, v. Evans,

792 F.2d 1052, 1058 (llth Cir. 1986) ...... 21 922 F.2d 712, 719 (11th Cir. 1991) ........ 21

Smith v. Jenkins, 919 F.ad 90, 95 (8th Cir. 1990) .......... 21

ii

i

STATUTES

TABLE OF AUTHORITIES

Rule 56(c), Fed. R,Civ. P ....................................

28 U.S.C. Sectiou 1291 .....................................

28 C.F.R. Section 35.149..,.....;._

........................

42 U.S.C. Section 1983 .....................................

42 U.S.C. Section 12132 ....................................

PAGE
5
2
7
1, 2, 3, 22 I, 2, 3, 4, 5, 6, 7, 8,

First Ameudment Fifth Amendment Sixth Amendment

of the U;S_tC0nStitutionl of the U.S. Constitution of the U.S. Constitution

..... _ ...... ........ ................... ...................

Eighth Ameudment of the U.S. Constitution ..................

Fourteenth

Amendment of the U.S. Constitution ..............

2, 42, 4. 2, 42, 4, 15,16 2, 4

iii

,.

%

IN THE UNITED STATES COURT OF APPEALS
FOR THE FIFTH CIRCUIT

No. 98-20571 Hall v. Thomas, U_DC No. H-97-CV-874

et sl

ROBERT ARTHUR HALL, Plaintiff-Appellant

V.

TOMMY

B. THOMAS, Defendants

Sheriff,

ET AL

TOMMY B. THOMAS, Sheriff; K.W. BERRY, Major; M.W. QUINN, Major; C. TRINH, Doctor; DONALD

CHASSAY, Doctor; K. HOWARD, Doctor; KRAM LUU, Doctor.

Nurse;

M. GUICE,

MIKE SEALE, Doctor; KLEIN, Doctor; MARK
Doctor; A. PHI,

Defendants-Appellees.

BRIEF OF APPELLANT

Ststement of Subject Matter sud Appellamt Jurlsdlctlou

The district court bed subject mstter jurisdiction

under 42

U.S.C. Section 1985 and 42 U.S.C. Section 12132 becsuse the complaint raises s federal question, whether the defendants violated

the plsintiff's

rights under the U. S. Constitution

and the

Americsns with Dissbilities

Act (ADA). This Court hss sppellste

jurisdiction

under 28 U.S.C. Section 1291 becsuse the grsnt of

summary judgment is a final judgment.

Said finsl judgment wss

entered on June 9, 1998, sod the plaintiff's

Notice of Appesl was

filed on June 19, 1998.

Statement of Issues Presented 1. Whether the district

_or Review court, in grsnting

summsry judgment

sod motions to dismiss, improperly

decided that the ADA did not

spply to the pleintiff while he was s prisoner in the Hsrris

County Jail, Houston, Texas. 2. Whether the district

court, in grsnting

summary judgment

end motions to dismiss, improperly

decided factusl issues in .....

whether plaintiff hsd ststed s claim under the ADA.

3. Whether the district court improperly

granted qualified

immunity to the defendants. 4. Whether the district

court improperly

dismissed

plsin-

tiff's 42 U.S.C. SeCtion 1983 action because plaintiff's

factual

allegstions

of "deliberste

indifference

to his serious medical

needs by the defendants"

raised s material issue under the Eighth

Amendment snd subsequently

under the First, Fifth, Sixth and

Fourteenth

Amendments to the U.S. Constitution.

STATEMENT OF THE CASE

A. Ststement of Proceedings On _srch 18, 1997, the pleintiff

filed civil suit under 42

U.S.C. Sections 1983 and 12132 and slleges that his serious

medical needs, as a disabled person, were not met due to the

deliberate indifference

of the defendants.

On January 16, 1998,

the district

court in a Memorandum

Opinion (see Doc 65, pgs. 1-!8)

and Order (see Doc 66, pgs. I-2) granted summary judgment and

motions to dismiss for the defendants

on the following grounds:

I) The district court dismissed

with prejudice

plaintiff's

claims under the ADA (42 U.S.C. Section 12132) by ruling that the

provisions

of the ADA did not apply to the plaintiff

(See Doc. 65, pgs. 5-10 and Doc. 66, p.1)

2) The district court dismissed with prejudice

as a prisoner. plaintiff's

claims for relief under 42 U.S.C. Section 1983 against all the

named defendants

in their official capacities

by stating that the

defendants

medical treatment was "potentlally

negllgent"

but not

deliberately

indifferent

to plaintiff's

(See Doc. 65, pgs. 11-18)

serious medical needs.

B. Statement

of Facts

On February 21, 1995, U.S. Marshals arrested the plaintiff

on a parole warrant.

At the time the disabled plaintiff

had a

history of mental and physical disabilities

(See Doc. 65, p.2 at

THE DISPUTE).

The plaintiff was assigned to the Harris County

Jail in Houston, Texas.

While housed at that facility,

the dis-

abled plaintiff

claims that his Constitutional

rights were violated

based on the deliberate

indifference

of the defendants

to adequately

treat his serious medical conditions.

The plaintiff filed civil

suit under 42 U.S.C. Sections 1983 and 12132 seeking damages

against the named defendants.

On October 10, 1997, defendants Seale, Guice, Trinh, Phi,

Luu, Chassay and Klein filed a motion for summary judgment in this

action (See Doc. 45, pgs. 1-13). As an Exhibit Dr. Mike Seale

submitted an affidavit.

No other affidavits

were submitted, at

any other time, by any other defendant doctor in this action.

On November 25, 1997, the plaintiff

submitted an Answer to

Defendant Doctor's Motion for Summary Judgment. With the Answer

was a supporting notarized letter

Brief, Affidavit of Robert Arthur Hall an_ a of Dr. William J. Riley (See Doc. 50, pgs.

i-13; see also Exhibits A-C attached thereto).

Summary of Argument

The plaintiff's

affidavit

dicted the factual allegations

(Doc 50, Exhibit B) squarely contra-

of the defendants,

and the facts it

alleged would have supported a judgment for the plaintiff under the

Eighth Amendment

and subsequently

the First, Fifth, Sixth and Four-

teenth Amendments

and the Americans with Disabilities

Act. Summary

judgment was therefore
court.

improper

on the record before the district

• ARGUMENT

POINT I

THE DISTRICT COURT SHOULD NOT HAVE DISMISSED

PLAINTIFF"S

ADA CLAIM

Summary judgment is to be granted only if the record before the

court shows "that there is no genuine issue as to any material fact

and that the moving party is entitled to a judgment as a matter of

law." Rule 56(c), Fed.R.Civ.P.

Whether a party is entitled to

a summary judgment is a question of law over which this Court

exercises plenary review.

(See Tobey v. Extel/JWP,

Inc., 985

F.2d 330, 332 (7th Cir. 1993)

A. The district under the ADA.

court improperly

dismissed

plaintiff's

claims

(I) Plaintiff's

affidavit and brief (See Doc. 50, Exhibits

A and B) stated that the ADA applied to him while he was confined

as a prisoner in the Harris County Jail at the time of the com-

plaint and that there were a number of genuine issues as to

material fact when the complaint visions of the ADA.

was viewed in light of the pro-

(2) On January 16, 1998, the district court improperly

dis-

missed plaintiff's

claims as a prisoner under the ADA. (See Doc.

65, pgs. 5-10; and Doc. 66, p. I)

(3) On June 15, 1998, the U.S. Supreme Court issued a" unani-

mous ruling in Pennsylvania

Dept. of Corrections

v. Yeskey, 118

F.3d 168 (3rd Cir. 1997), aff'd 1998 LEXIS 5888. Affirming

that

"...the plain text of Title II of the ADA unambiguously

extends

to state prison inmates..." Justice Scalia stated:

Id. at 11. Writing for the Court,

"...the statues language unmistakeably

includes

state prisons and prisoners within its coverage.

Id. at 5

"...the
out any prisons that:

ADA plainly covers state institutions

with-

exception that could cast the coverage of

into doubt.

Title II of the ADA provides

"Subject to the provisions of this subchapter,

no qualified individual with a disability

shall,

by reason of such disability,

be excluded from

participation

in or be denied the benefits of

the services, programs, or activities of a pub-

lic entity, or be subjected to discrimination

by any such entity."

42 U.S.C. Section 12132.

State prisons fall squarely within the statutory

definition of public entity which includes "any

department,

agency, special purpose district,

or

other instrumentality

of a State or States or

local government."

Section 12131 (B).

Id. at 6

The statute defines theterm

to include anyone

with a disability...who...meets

the essential

eligibility

requirements

for the receipt of

services or the participation

in programs or

activities provided by a public entity." 42 U.S.C.

Section 12132 (2).

(4) Plaintiff's

complain_ describes that, due to the delibe-

rate indifference

of the defendants,

that as a "qualified

indivi-

dual with a disability"

that he was "excluded

in" and "denied the benefits of the services,

from participation programs, or acti-

vities of" the Harris County Sheriff's Department-Jail

Division

that were available to jail inmates.

Namely the medical services,

religious services, law library services and all recreational

activities

benefiting

inmates in the jail for a sixteen (16)

month period.

(See Doc. I, pgs. 13-16)

(5) The record supports that the defendants were informed

a number of times that the plaintiff had a physical disability

in both legs. (See Doc.1, pgs. 13-17; See Exhibits 56, 66, 74,

attached thereto)

With deliberate indifference

to the plaintiff's

serious medical needs, the defendants failed to accomodate his

disabled person in medical services, religious services and

recreational

activities

for a sixteen (16) month period in the

Harris County Jail and in violation of the Americans with Dis-

abilities

Act, 42 U.S.C. Section 12132. The district court

improperly dismissed plaintiff's

claims under the ADA in light

of the foregoing.

POINT 2 THE COMPLAINT STATES A CLAIM UNDER THE ADA

At 28 C.F.R. Section 35.149 Discrimination

prohibited,

it

states in part:

" ....no qualified individual with a disability

shall...be excluded from participation

in, or

be denied the benefits of the services, programs,

or activities of a public entity, or be subjected

to discrimination

by any such entity."

A. The plaintiff's

claim to being a "qualified individual"

under

the ADA.

(I) The plaintiff cites the Memorandum

Opinion of the dis-

trict court to establish his standing as a qualified individual

with a disablity.

In the Opinion (See Doc. 65, p.2) at part II.

THE DISPUTE the district court finds:

"At the time of his arrest, Hall had a history

of mental and physical disabilities

including;

neurological and musculoskeletal difficulties,

epilepsy, hypothyroidism,

chronic kidney dys-

function, diabetes, and several mental and emo-

tional disorders (i.e. bipolar disorder, clinical

major depression, and split personality disorder)."

The district court states at Doc. 65, p. 17:

"...the plaintiff

obviously suffers from severe

mental and physical illnesses..."

(2) The district court's descriptions above define the plaintiff's mental and physical conditions as severe (serious) and

qualify him as a "disabled person" under the ADA definitions in 28 C.F.R. Part 35 as follows:

found

Section 35.101 Purpose.

The purpose of this part is_oeffectuate

sub-

title A of Title II of the Americans with Dis-

abilities Act of 1990 (42 U.S.C. 12131), which

prohibits discrimination

on the basis of dis-

ability by public entities.

Section 35.104 Definitions.

Disability means, with respect to an individual,

a physical or mental impairment that substantially

limits one or more of the major life activities

of such individual;

a record of such impairment;

or being regarded as having such an impairment.

(I)(i)

The ph#ase physical or mental impairment

means-

(A) Any physiological disorder or condition...

affecting one or more of the following body systems:

Neurological, musculoskeletal...genitourinary...

(B) Any mental or psychoIQgical disorder_suchas.0 • emotional or mental illness...;

(3) The plaintiff

is a "qualified individual

who...meets the essential eligibility

requirements

with a disability for the receipt

of services or the participation

in programs or activities provided

by a public entity."

The plaintiff's

complaint, Brief and affidavit

has claimed, and supported with Exhibits, that the defendants et

al, who represented the Harris County Sheriff's Department as a

public entity, excluded the plaintiff

from participation

in, and

denied him the benefits of the services, programs, and activities

that were afforded to other inmates in the Harris County Jail and

this states a claim under the ADA.

B. A reasonable prison official would have known that his actions constituted a violation of the ADA.

The disabled plaintiff's

Original Complaint describes in

detail a sixteen (16) month period of incarceration

in the Harris

County Jail where: (a) The disabled plaintiff

was mis-classified

upon his entry

into the jail and placed in Administrative

Detention where the

defendants made no accomodations for his mental and physical dis-

abilities.

Such accomodations should have been the classification

of the plaintiff

to a hospital section and/or medical cellblock

in the jail.

(b) The mis,classification

of the plaintiff

by the defendants

resulted in:

I) the plaintiff

not being seen by proper mental health personnel;

2) the plaintiff

having extended and untreated depression;

3) the plaintiff

not receiving treatment for his bipolar disorder;

4) the plaintiff

having to suffer excessive seizure activity that

for the most part went unnoticed and untreated.

(c) The disabled plaintiff's

orthopedic and muscul0skeletal

disabilities

were not accomodated by his having to wear medically

restricted leg irons (See Doc. I, Exhibit 56). The use of the leg irons, and the pain and injury produced thereby, prevented the

plaintiff

from:

I) the free exercise

of his religion

in not being able to attend

religious services;

2) and from the exercise of plaintiff's

rights to having meaningful

access to the courts by his not being able to attend all library

periods for sixteen (16) months; 3) and from attending all recreational

activities

for sixtee_ (16)

months.

(d) While in Administrative

Detention, and during the six-

teen month period of the complaint, the plaintiff:

I) suffered an untreated kidney dysfunction for months; and

2) had a misdiagnosis of herpes and which after months of suffer-

ing was diagnosed as out of control diabetes;

3) the months that the out of control diabetes went undiagnosed.

left the plaintiff

covered in sores, with swollen glands and_ a

partial loss of vision and at the same time he was deprived of _ 180 doses of seizure medications which caused the plalntiffto

have excessive and dangerous seizure activity.

(e) A reasonable prison official would not have placed the

mentally disabled plaintiff,

who had a history of suicide attempts

in that jail system, had clinical depression,

bipolar disorder and

split personality

disorder in Administrative

Detention.

A reasonable

prison official would not have placed the physi-

cally disabled plaintiff,

who had orthopedic

and musculoskeletal

I0

difficulties,

epilepsy, hypothyroidim, chronic kidney dysfunction

and had swollen glands and was covered in sores in Administrative

Detention.

A reasonable prison official

would have accomodated

the mental

and physical disabilities

of the plaintiff by having him placed

in the mental health ward of the Harris County Jail and or in one

of the medical cellblocks designated for this purpose and also

found within the Jail. A reasonable prison official would have

seen that al___lmledications

prescribed

for the disabled plaintiff

were actually given to the plaintiff for the treatment of his

disabilities.

Unreasonablness

of Defendants Documented in Original Complaint

(f) In the plaintiff's

Medical Records, attached to the

Original

Complaint

(Doc. I), the defendants

have placed copies of

letters that the plaintiff,

and others acting on behalf of the

plaintiff,

sent to the Harris County Sheriff's Department-Medical

Division and U.S. Marshals Office, and which prove the defendants

knew the plaintiff was not receiving reasonable and adequate medi-

cal services follows:

from the defendants.

These letters are excerpted as

I) August _ 23, 1995, letter from plaintiff tor states:

to Hospital Administra-

"Having sent multiple requests...I

have become

increasingly

ill while your department has been

indifferent

to my needs." (Doc. I, Exhibit 67)

2) September 20, 1995, letter from plaintiff to U.S. Marshal Ray

Bright, and which was service copied to the defendants,

stated the

11

plaintiff

had attempted and failed to obtain medical attention on

ten (10) different dates and that even a Jail chaplain was also

trying to get the plaintiff

medical attention but without success.

(See Doc. I, Exhibit 69, pgs. I-3)

3) On March 13, 1996, a U.S. Government Memorandum was sent from

Acting Chief Deputy Lisa Griffis to defendant Major Quinn which stated that "Hall is a diabetic and is having problems with lack

of monitoring of his medication doses..." (See Doc. I, Exhibit 70)

The defendants were unreasonable for they knew the disabled

plaintiff

had been laying on a bunk for months, in a Administrative

Detention cell, (a) covered with sores, (b) with swollen glands,

(c) suffering untreated clinical depression, (d) suffering with

an untreated bipolar disorder (e) and suffering an un_reated

split personality

disorder.

The defendants also knew the plaintiff

was suffering pain from (f) his unaccomodated orthopedic and

musculoskelatal

difficulties,

(g) suffering from kidney dysfunc-

tion and (h) suffering excessive seizure activity through his not

receiving 180 doses of seizure medication for his disability

of

epilepsy.

The defendants, therefore, acted unreasonably and knew

their actions or inactions Violated the Americans with Disabilities

Act.

Plaintiff's

complaint stated a claim under the ADA. The

district

court improperly dismissed plaintiff's

claim under the ADA.

12

POINT 3

THE DISTRICT
QUALIFIED

COURT SHOULD NOT HAVE GRANTED IMMUNITY TO THE DEFENDANTS

A. The district court stated in its Memorandum

Opinion:

"Thus, the assessment of a qualified immunity

defense requires an examination

of two factors.

First, the Court must consider whether the

plaintiff has alleged the violation

of a

clearly established

right...Second,

the Court

must consider whether the actions complained

of

with reference to the law that existed at the

time, were objectively

reasonable.

In order to address the first step of the

qualified immunity defense, this Court must

determine if the provisions of the ADA apply

to prisoners."

(See Doc. 65, P.5)

The district court then erroneously

describes in the Opinion

how the ADA does not apply to prisoners and ends granting the

defendants

qualified immunity in the following tentative manner:

"When examined in light of the entire statutory

scheme, this Court is unable to clearly discern

a congressional

intention to include state cor-

rectional facilities within the ambit of Title

II of the ADA. As such, the actions Hall attributes to the defendants could not have violated

a "clearly established

statutory

do not state a cause of action.

right" and, thus, In the alternate,

due to the ambiguous language of the ADA, lack of

guidance from the Fifth Circuit, and entrenched

disagreement

among the sister circuits, this

Court finds that the defendants are entitled to

qualified immunity for their actions with respect

to Hall's ADA claim.

(See Doc. 65, p. 9)

The district court granted qualified immunity to the defendants

based solely on the wrong conclusion that the ADA did not apply to

prisonerssuch

as the plaintiff.

As cited in POINT I supra the

13

unanimous

Supreme Court ruling in Pennsylvania

Dept of Corrections

v. Yeske_, (citation omitted) affirmed that "...the plain text of

Title II of the ADA unambigously

extends to state prison inmates..."

Thus, in effect, removing the only claim the defendants had to

qualified ADA.

immunity from the plaintiff's

complaint brought under the

B. As demonstrated

in the complaint,

and in this appeal above,

over the months of the complaint the defendants had received a num-

ber of documented requests from the plaintiff, plaintiff's

family,

plaintiff's

attorney, a jail chaplain and a U.S. Marshal concern-

ing the complained

of deliberate

indifference

serious medical needs and then the defendants

to the plaintiff's failed to act as a

reasonable

person would in the instances complained of.

The above defeats the defendants

cliams to qualified

immunity

for state employees performing discretionary

functions in their

official capacity are granted qualified immunity only "insofar as

their conduct does not violate clearly established

statutory or

constitutional

rights of which a reasonable person would have

known."

Melear v. Spears, 862 F.2d 1177, 1184 n.8 (5th Cir. 1989)

POINT 4

THE COMPLAINT STATES A CLAIM UNDER THE EIGHTH AMENDMENT

The Supreme Court has ruled that "deliberate

indifference

to

serious medical needs of prisoners"

is cruel and unusual punishment."

(See Estelle v. Gamble, 429 U.S. 97, 104 (1976).

The plaintiff's

complaint

alleges facts that state a claim under this standard.

14

A. The plaintiff's

Eighth

Amendment.

claim to "serious

medical

needs"

under the

(I)

Courts

have acknowledged

nificant

pain are "serious

medical

that conditions

that cause sig-

needs."

(See McGuckin

v. Smith,

974 F.2d 1050, 1060 (9th Cir. 1992);

1150, I15_-55

(6th Cir. 1991)(needless

Boretti

v. Wiscomb,

pain is actionable

930 F.2d even if

there is no permanent

injury);

Dean v. Cou_hlin,

623 F, Supp. 392,

404 (S.D.N.Y.

1985)("conditions

that cause pain, discomfort,

or

threat

to good health"

are serious.)

This is true because

a chief

purpose

of the Cruel and Unusual

Punishment

Clause

is to prevent

the "unnecessary

and wanton

infliction

of pain."

Estelle

v. Gamble,

429 U.S. at 104 (citation

omitted)_

The plaintiff's

complaint,

brief,

and affidavit

alleges

that he suffered

significant

and re-

current

pain from his untreated

physical

and mental

disabilities

for a sixteen

(16) month period

due to the deliberate

indifference

of the defendants

to his serious

medical

needs.

than sufficient

to make the plaintiff's

medical

This pain is more needs "serious"

under an Eighth

Amendment

(2)

Courts

generally

application. agree that a medical

need is "serious"

if it "has been diagnosed

by a physician

as mandating

treatment..."

(See Johnson

v. Busbee,

953 F.2d 349, 351 (ath Cir. 1991);

see also

Gaudreault

v. Municipalit

Cir. 1990),.

Plaintiff's

Z of Salem i Mass.,

923 F.2d 203, 208 (Ist

claim,

replete

with attached

medical

records

(See Doc. I, Exhibits

1-21),

shows be had been "diagnosed

by a physician

as mandating

treatment"

on several

disabilities

and medical

conditions

that were "serious."

15

(3) A medical condition is serious if it "significantly

affects

an individuals

daily activitie%"

McGuckin v. Smith, supra.

The

plaintiff's

overall mental and physical conditions

that were ig-

nored and left untreated,

had serious consequences

for him. Be -_

sides pain and suffering,

the complaint

alleges that these condi-

tions were so serious that for sixteen (16) months they prevented

him from leaving his cell to participate

in services and activities

provided for inmates at the Harris County Jail. Thus, the serious

medical conditions activities.

"significantly

affected" the plaintiff's

daily

B. The defendants'

conduct amounts to deliberate

indifference

to

the plaintiff's

serious medical needs.

(I) The complaint alleges that the jail doctors prescribed

medications

to control the plaintiff's

epilepsy, and that in a

360'day period the plaintiff did not receive 180 doses of this

seizure medication

due to the defendant doctors deliberate

indif4

ference in not taking action once they were informed of the mis-

sed medications.

(See Doc. I, pgs. 17-23)

"Intentionally

inter-

fering with treatment once prescribed"

is one of the forms of

deliberate

indifference

cited by the Supreme Court.

Estelle v.

Gamble, 429 U.S. at 105. Many decisions have held that failing

or refusing to provide medication

prescribed

by physicians

con-

stitute deliberate

indifference.

(See Aswegan v. 8ruhl, 965 F.2d

676, 677-78 (8th Cir. 1992); Hill v. Marshal, 962 F.2d 1209, 1213-

14 (6th. Cir. 1992); Johnson 1991)

v. Hay, 931 F.2d 456, 461 (8th Cir.

16

(2) During the complained

of 360 day period and in reference

to the 180 missed seizure medications,

the plaintiff,

and others

acting on his behalf, spoke to or wrote the defendant doctors con L

cerning the ever growing number of missed seizure medications.

These efforts are graphically

described by Exbibits in the Original

Complaint with:

(See Doc. I, pgs. 28-33) which concludes at part 17)

"The foregoing sixteen (16) references

portray

Plaintiff,

and others acting on the behalf of : :

Plaintiff,

making persistent

and reasonable

efforts to obtain his needed seizure medication

for sixteen (16) months.

It is remarkable

that

the Defendants

themselves

documented

into

Plaintiff's

MR (medical record) eleven (II):

entries pertaining

to where Plaintiff either

spoke with HCSD-MD doctors and nurses, wrote

letters; had administrative

replies in the MR;

or U.S. Marshals sent fax messages.

Outside

tbe MR is Plaintiff's

grievance #95-1083 and

Plaintiff's

attorney's

two letters of 4/8/96

and 4/17/96 and the two personal attempts by

Fr. Ron Cloutier.

All these concerted efforts

to break through the medical neglect and deli-

berate indifference

to the serious medical

needs of the Plaintiff

by the HCSD-MD that

resulted in the suffering

and wanton infliction

of pain and callous disregard

for the health

and well being of the Plaintiff."

Several courts have held that "repeated examples of negligent acts

which disclose a pattern of conduct by the prison staff" may add

up to deliberate

indifference.

(See Ramos v. Lamm, 639 F.2d 559,

575 (lOth Cir. 1980), cert. denied, 450 U.S. 1041 (1981); accord,

Harris v. Thi_pen, 941 F.2d 1495, 1505 (llth Cir. 1991); DeGidio v.

Pung, 920 F.2d 525, 533, (8th Cir. 1990)(consistent

pattern of

reckless

or negligent

conduct establishes

deliberate

indifference.

17

The plaintiff

has demontrated above, that in his original com-

plaint that he, and others acting on his behalf, repeatedly over the months of the complaint, talked to and/or wrote the

defendant doctors describing to them a sixteen (16) month period

wherein 180 doses of seizure medicatin had not been given tO

the plaintiff

for his serious medical condition of epilepsy.

These long running examples of negligent acts disclosed a pat-

tern of conduct by thedefendant

doctors that adds up to

deliberate indifference to the plaintiff's

serious medical

needs and states a claim for the plaintiff Amendment.

under the Eighth

(3) Deliberate indifference

can be demonstrated by acts

or statements by prison personnel directly showing an indifferent

or hostile attitude towards prisoners' medical needs. (See Hughes

v. Joliet Correctional

Center, 931_F.2d 425, 428 (7th Cir. 1991);

White v. Napolean,

897 F.2d 103, 109 (3rd Cir. 1990); Kersh v.

Derozier,

851 F.Zd 1509, 1510, 1513 (Sth Cir. 1988).

In the

instant case, and over a sixteen (16) month period, the com-

plaint reflects that plaintff spoke directly to Medical Director

Mike Seale, and other defendant doctors, concerning

his serious

medical needs, including the 180 missed seizure medications.

However, Dr. Seale, and the other defendant doctors, were deli-

berately indifferent

to those needs and took little or no action

in each instance recorded.

(See Doc. l, pgs. 28-33)

(4) Courts focus on facts tha_ show that professional

judg-

ment was either not exercised

or was not followed after it was

18

exercised.

In those fact situations,

defense. AS one court stated:

good intentions are not a

"Deliberate indifference

can be proved by

showing a prison officials mental state.

But deliberate indifference

is also a stan-

dard for measuring the adequacy of prison

officials'

responses to the known medical

needs of inmates and their system for allow-

ing inmates to make their needs known."

Dean v. Cou6hlin, 623 F. Supp. 392 at 402

Plaintiff's

c0mplaint more than demonstrates

that "professional

judgment was ....not exercised

or was not followed

after it Was

exercised"

for the defendants'

response to the known serious

medical needs of the plaintiff was deliberate

indifference_tc

those needs.

(See_Doc. I, pgs. 28-33)

(5) There are several familiar fact patterns

have held constitute

deliberate

indifference:

that courts

(a) Delay or denial of access to medical attention.

(See Estelle

v. Gamble, 429 U.S. at 104: Fields v. City of South Houston, Texas,

922 F.2d 1183, 1192 n. 10 (5th Cir. 1991) The defendants

granted

a grievance

that plaintiff

filed on December 5, 1995, concerning

him not being seen by medical doctors for a number of months.

The

district court recognized

this claim but refused to see the serious

implications

of the ongoing pattern and practice of deliberate

in-

difference

manifested

by the defendants

failure to respond to the

plaintiff's

serious medical needs by the keeping

ments.

(See Doc. 65, p. 12)

of dcotor appoint-

(b) Failure to inquire into essential

facts that are necessary

to

19

make a professional

judgment.

As one court put it, "We will

defer to the informed judgment of prison officials as to an

appropriate

form of medical treatment.

But if an informed

Judgment has not been made, the court may find that an Eighth Amendment claim has been stated." Tillery v. Owens, 719 F. Supp. 1256 at 1308. The complaint now on appeal, states that the defendant doctors failed to inquire into essential facts

that were necessary to make a professional

judgment.

Plain-

tiff's complaint explained in detail to the district court how

the Medication

Administration

Record (MAR) worked.

(See Doc.

1, pgs. 18-19)

Copies of the MAR from plaintiff's

medical

records were attached to the Original Complaint as Exhibits 53-

47 for the district court to review and ascertain that indeed

180 doses of seizure medications

were not dispensed to the

plaintiff.

The "essential facts" that the defendant doctors

needed to "make a professional

judgment" were contained in the

MAR. However, the defendant doctors never reviewed the MAR in

deliberate

indifference

to the plaintiff's

serious medical needs

in having the doses of seizure medication monitored by the doctors

so as to keep him in safe ranges of this epilepsy medication.

(c) Failure to carry out medical orders.

Such cases often

involve the failure to provide prescribed

medications.

Aswegan v.

Bruhl, 965 F.2d at 677-78; Hill V. Marshal, 962 F.2d 1209, 1213 (6th Cir. 1992), cert. denied 113 8.Ct. 2992 (1993); Johnson v.

Hay, 931 F.2d 456, 461 (8th Cir. 1991) The defendants failed

2O

for sixteen (16) months, through deliberate indifference,

to

review the MAR of plaintiff's

medical records and ascertain

that he had missed 180 doses of the seizure medications.

The

defendants refused to review these records even after the

plaintiff,

plaintiff's

family, plaintiff's

attorney, a jail

chaplain and a U.S. Marshal reported the problem to them.

(See Doc. I, pgs. 28-33)

The Medication

Administration

Records present evidence,

documented

by the defendants,

that the plaintiff

was subjected

to an Eighth Amendment violation

through the "unnecessary

and

wanton infliction

of pain" by the defendants

deliberate

indif-

ference to the plaintiff's

serious medical needs of having his

seizure disorder treated correctly.

(d) Extreme cases of bad judgment by medical personnel

constitute

deliberate

indifference.

One federal appeals court

has held that treatment

"so grossly incompetent,

inadequate,

or

excessive as to shock the conscience"

or "so inappropriate

as

to evidence intentional

maltreatment"

violates the Eighth Amend-

ment. (See Rogers v. Evans, 792 F.2d 1052, 1058 (11th Cir. _1986)

(emphasis

supplied);

accord, Howell v. Evans, 922 F.2d 712,719

(11th Cir. 1991); Smith v. Jenkins, 919 F.2d 90, 93 (8th Cir.

1990 _) Plaintiff's

complaint of 180 doses of missed seizure medi-

cations while suffering kidney dysfunction,

orthopedic

problems

and out of control diabetes state an extreme case of bad judgment

by the defendants

and which constitutes

deliberate

indifference.

on the part of the defendants.

21

°

f

For the foregoing demonstrated

applications

of "deliberate

indifference"

the district court should not have dismissed

the

plaintiff's doctors.

42 U.S.C. Section 1983 action against the defendant•

CONCLUSION

Relief Requested For the foregoing reasons, the grant of summary judgment
and/or motions to dismiss should be reversed and the case should be remanded to the district court for trial.

Date:

August 28, 1998

T ARTHUR HALL / #38261-079 U.S. Penitentismy P.O. Box P.M.B. Atlanta, GA 30315
PLAINTIFF PRO SE

VERIFICATION

Pursuant to 28 U.S.C. Section 1746, I certify under penalty

of perjury that the foregoing

is true and correct.

Date:

August 28, 1998

22

j

@

CERTIFICATE

OF SERVICE

I certify that on August 28, 1998, a true and correct copy

of the above and foregoing BRIEF OF APPELLANT was served by

certified

mail, return receipt requested,

upon Mary E. Baker,

Assistant

County Attorney,

1019 Congress,

15th Floo r , Houston,

Texas, 77002 and Ralph C. Longmire, Assistant Attorney General,

P.O. Box 12548, Capitol Station:; Austin, Texas, 78711.

Pla_ntiff

HALS /

Pro Se

_"

23

 
 •

?

D,oNot Remove

98-20571

From

the Attorney General

N MORALES
ORNEY GENERAL

State of Texas LAW ENFORCEMENT DEFENSE
OFFICE (512) 463-2080 FAX (512) 495-9139
October 1, 1998

Mr. Charles R. Fulbruge III, Clerk United States Court of Appeals
For the Fifth Circuit 600 Camp Street, Room 102 New Orleans, Louisiana 70130

.U, S.. COURT OF APPEALS
FILED
OCT 0 6 1998

• . _It.ARLER_ ,FULBRUGIIEI

Re:

Robert Arthur Hall v. Tommy B. Thomas, Sheriff, et al.;

'

Fifth Circuit Appeal No. 98-20571 (Appeal from the Southern District_ot_l_xas,

Houston Division, No. H-97-CV-874).

DEFENDANT-APPELLEE'S

LETTER BRIEF

TO THE HONORABLE JUDGES OF THE COURT OF APPEALS:

COME NOW Doctors Michael Scale, Marcus Guice, Cuong Trinh, Anthony Phi, Kham Luia,

Mark Chassay, and Donald Klein, Defendants-Appellees,

("the Doctors") by and through their

attorney, the Attorney General for the State of Texas, and submit this Letter Brief _in response to the

brief filed by Plaintiff-Appellant

Robert Arthur Hall, ("Hall"). In support thereof, the Doctors

respectfully offer the following:

STATEMENT

I¢
OF THE ISSUE

Whether the district court properly granted summary judgment in favor of the Doctors.

t This letter brief is being filed in lieu of a formal brief. A formal brief will be filed should the Court so request. "R" will refer to the single volume record on appeal with reference to the docket entry number, followed by the page number of the specific document if necessary.

512/463-2100
PR,_A!f['?! _O_ _¢ECY_'f,_i_

l,,IPh'_t

P.O. BOX 12548

AUSTIN, TEXAS 78711-2548

JA'/'?./.JILl/l",_'Pfl

)l A,[#'_T (.Jt'i_f}R ;4 !_VtTY FA [pI {:' }Q: R

STATEMENT

II. OF THE CASE

Robert Arthur Hall, a prisoner confined in the Harris County Jail in Houston, Texas, filed this lawsuit pursuant to 42 U.S.C. § 1983 and the Americans With Disabilities Act (ADA) 42 U.S.C. § 12101 et. seq. 2 In this action, Hall claims that the Doctors were deliberately indifferent to his serious medical needs. Hall sued the Doctors in both their official and individual capacities)

Hall's voluminous complaint asserts what is essentially four separate claims of deliberate indifference against the Doctors. First, Hall claims that the Doctors failed to provide him with adequate medical care for a chronic kidney condition. Second, Hall alleges that he did not receive all of his seizure medications from the medical cart nurses. Third, Hall asserts that he had a medical restriction against wearing leg restraints and that certain Doctors failed to prevent security personnel from forcing him to wear leg irons in violation of this medical restriction. Finally, Hall complains that an open sore was mis-diagnosed as "herpes" when in fact Hall was suffering from diabetes.
In their original answers, the Doctors denied Hall's allegations of deliberate indifference and asserted their entitlement to qualified immunity.

III. ARGUMENT

This Court reviews a district court's grant of summary judgment under the same standard
applied by the district court and in a light most favorable to the non-moving party. Woods v. Edwards, et al., 51 F.3d 577, 580 (5th Cir. 1995). If the movant has shown that no genuine isst_e of material fact remains and that he is entitled to judgrnent as a matter of law, the non-movant must go beyond the pleadings and designate the specific facts showing that there is a genuine issue for trial. Id.

A.

The ADA and Qualified Immunity

The appropriate standard for determining qualified immunity is the objective reasonableness of an official's conduct as measured by reference to clearly established law. Anderson v. Creighton, 483 U.S. at 641, 107 S. Ct. at 3040; Bigford v. Taylor, 896 F.2d 972,974 (5th Cir. 1990); Pfannstiel
v. City of Marion, 918 F.2d 1178, 1182 (5th Cir. 1990). This standard requires that a court first determine if the Hall has alleged a violation of a clearly established constitutional right, and if such

2 Hall was arrested on a federal parole violator warrant and placed in the Harris County Jail as a federal prisoner on February 21, 1995. R 65, p. 2.
3 During the period of time relevant to Hall's allegations, the Doctors were employed by the University of Texas Health Science Center at Houston Medical School (UT-H MS) and were providing medical services to inmates in the Harris County Jail pursuant to a contract between UT-H MS and Harris County.

RCLI/hall.brf/Page

2

• ,; ,

: ."

an allegation is found, then decide whether the public official's actions could reasonably have been thought consistent with the constitutional right. Rankin v. Klevenhagen, 5 F.3d 103 (5th Cir. 1993); Enlow v. Tishomingo County, Mississippi, 962 F.2d 501,508 (5th Cir. 1992).

Hall has alleged a violation under 42 U.S.C. § 12132, the ADA. At the time of this suit, there was a split of authority among the Circuits as to whether the ADA applied to prison or jail inmates. At the time of the alleged incidents which form the basis of Hall's lawsuit, the Fifth Circuit and the Supreme Court had not yet addressed this issue. Thus, it was not "clearly established" that Hall, as an inmate, enjoyed any protection under the ADA.

The Fifth Circuit has directed the district courts to examine only Supreme Court and Fifth Circuit precedent in determining whether a right is "clearly established" for qualified immunity purposes. Brady v. Fort Bend County, 58 F.3d 173, 175-76 (5th Cir. 1995). Noting this disagreement among the circuits, and that the Fifth Circuit had not addressed the issue, the district court reasoned that "prisons do not clearly fall within the proscription of the ADA" and properly held that Hall did not clear the first hurdle under qualified immunity. R 65, p. 8.

Hall relies on Pennsylvania Department of Corrections v. Yeskey, for the proposition that prisoners enjoy protection under the ADA. Brief, p. 5. However, his reliance on this case is misplaced. Because Yeskey was decided in June of 1998, it does not support the notion that Hall had a clearly established right at the time of the alleged violation of his purported rights under the ADA. Pennsylvania Department of Corrections v. Yeskey, 118 S. Ct. 1952 (1998). Hall cannot rely on a retroactive application of this Supreme Court decision to overcome the Doctors entitlement to qualified immunity for claims brought under the ADA.

As the district court properly held, "Hall's rights were not so clearly established that'a reasonable state prison official would have realized his actions constituted a violation of the ADA." R 65, p. 9-10. Because Hall failed to produce authority showing that he had clearly established rights under the ADA, the Doctors were entitled to qualified immunity against this claim. Therefore, summary judgment was appropriately entered on this issue.

B.

Constitutional Claims Under 42 U.S.C. § 1983

It is well established that no recovery may be had under § 1983 absent proof of deprivation of a right secured by the Constitution or laws of the United States. Baker v. McCollan, 443 U.S. 137, 140 (1979). Thus, the first inquiry in any suit brought under 42 U.S.C. § 1983 is whether the Hall has been deprived of a federally secured right. Baker, 443 U.S. at 140.

To state a cognizable medical claim under § 1983 and the Eighth Amendment, a Hall must allege acts or omissions sufficiently harmful to evidence deliberate indifference to a serious medical need. Estelle v. Gamble, 429 U.S. 97, 106, 97 S. Ct. 285,292 (1976); Cay v. Estelle, 789 F.2d 318 (5 _ Cir. 1986). In Farmer v. Brennan, the Supreme Court stated that in a claim for deliberate indifference the proper test is whether a prison official knows of and consciously disregards an

RCLl&all.bffOa_3

•

_.•

J

excessive risk to the inmate's health or safety. 114 S. Ct. 1970, 1979 (1994). Further, the prison official must both be aware of facts from which the inference could be drawn that a substantial risk of serious harm exists, and he must draw that inference, ld.

In the case at bar, the Doctors' summary judgment evidence shows that Hall's complaints were thoroughly addressed with an abundance of medical evaluations and treatments. R 45, p. 2734. 4 Hall has failed to come forward with any competent evidence to the contrary:

Hall complained of a chronic kidney condition upon his intake into the Harris County Jail

on February 22, 1995. That same day, Dr. Trinh ordered Hall be admitted to LBJ General Hospital, where an examination and urinalysis were performed, the results of which were negative for urinary

or kidney problems. R 45, p. 73. Despite having several opportunities during subsequent medical

examinations, Hall did not reassert his belief that he had a kidney condition until November 27,

1995, some nine months later. R 45, p. 60. Dr. Guice responded by ordering an x-ray to look for

urinary tract stones, blood work to assess Hall's kidney function, and a urinalysis, ld. The results showed no indication of kidney or urinary conditions, but did reveal that Hall had diabetes. R 45,

p. 57, 58, 60, 84, 87, 88. Thus, the medical records document that the Doctors were not deliberately

indifferent staff.

to Hall's complaints.

Rather, these claims were thoroughly evaluated by the medical

Hall also failed to show a serious medical condition with respect to his claim that he was

forced to wear leg irons in violation of his medical restrictions:

Neither Dr. Guice, nor any other

health care provider at the Harris County Jail ever recommended that Hall not wear leg restraints. Hall's assertion that Dr. Chassay was deliberately indifferent because he missed seeing such a restriction in Hall's medical records is wholly without merit. There was no such restriction and this

allegation is based on nothing more than Hall's misinterpretation 52.

of medical records. R 45, p. 32,

Furthermore, there is no evidence to support Hall's contention that an open sore he claims was a symptom of diabetes, was mis-diagnosed by Dr. Guice as "herpes." Hall's symptoms and history were consistent with a sexually transmitted disease. R 45, p. 32. Hall did not exhibit any symptoms consistent with diabetes. As previously noted, Dr. Guice discovered Hall's diabetes as a result of blood work that the doctor had ordered to evaluate Hall's claim of urinary problems.

4 See also the Doctors motion for summary judgment for a detailed summary of Hall's medical evaluations and treamaents. R 45, p. 5-13.
5 Hall, in his brief, repeatedly points to his own complaint and affidavit as evidence to support his allegations. Brief, p. 4, 6-7, 8-9, 14, 15. However, Hall's subjective complaints and conclusory allegations as set forth in his pleadings are not competent summary judgment evidence. Morris v. Covan World Wide Moving, Inc., 144 F.3d 377, 380 (5 _ Cir. 1998) citing Anderson v. Liberty Lobby, Inc., 477 U.S. at 256, 106 S. Ct. at 2514.
6 Hall alleges in his brief that injury from wearing leg irons prevented him from "the free exercise of his religion," and "meaningful access to the courts." Brief, p. 10. To the extent that Hall purports to assert claims under the First and Sixth Amendments to the Constitution for the first time in this appeal, this Court has held that issues briefed
on appeal which were not raised in the district court are not considered by the reviewing court. U.S.v. AlleghenyLudlum Industries Inc., 517 F.2d 826, 840 (5 _ Cir. 1975).

RCL1/hall.brf/Page

4

Finally, Hall's claim of deliberate indifference based on the complaint that he did not receive all of his seizure medication is without merit. The Doctors' summary judgment evidence shows that

if Hall did not receive all of his medication, it was because Hall failed to respond to the medical cart

nurses as they made their rounds. 7 In fact, the medical records document twenty-eight instances of

Hall refusing medication from the nurses. R 45, p. 97-210. Doctors Chassay and Luu increased Hall's dosages to compensate for the low level of medication in Hall's bloodstream in an attempt to counter Hall's own refusal to take his medication. R 45, p. 18-19. 8 These adjustments were

appropriate in the professional medical judgment of the Doctors and reasonable under the

circumstances.

There is no basis for Hall's assertion that he was over medicated as result of the

Doctors attempt to compensate for Hall's own refusal to take his medication.

The documented medical records of the Doctors examining, diagnosing, and providing

appropriate treatment to Hall negates a showing of deliberate indifference to serious medical needs.

Bass v. Sullivan, 550 F.2d 229 (5th Cir. 1977); see alsoMcCordv.

Maggio, 910 F.2d 1248, 1251

(5th Cir. 1990) (neither deliberate indifference to medical needs nor wanton infliction of pain is shown when there exist medical records documenting assessment and treatment of an inmate's

medical complaints); Martinez v. Griffin, 840 F.2d 314 (5th Cir. 1988) (dismissal appropriate where

evidence reflected that prisoner received adequate medication and treatment). Moreover, any

disagreement that Hall might have with the Doctors' diagnoses and treatment of his medical

complaints is not actionable under § 1983. Banuelos v. McFarland, 41 F.3d 232, 235 (5th Cir.

1995)(disagreement

between inmate and his physician conceming whether certain medical care was

appropriate is actionable under § 1983 only under exceptional circumstances).

Even assuming arguendo that the Doctors were somehow negligent in providing Hall with medical care, claims of negligence are not actionable under § 1983. Daniels v. Williams, 474 U.S. 326, 331-34, 106 S. Ct. 662, 664-7 (1986); Davidson v. Cannon, 474 U.S. 344, 347-48, 106 S. Ct. 668, 670-71 (1986). There is no basis for Hall's self-serving, conclusory allegations of deliberate indifference. As evidenced by Hall's voluminous medical records, the Doctors and other medical personnel at the Harris County Jail provided Hall with an abundance of medical care.
The district court correctly stated that its function is not to question the professional medical judgment of Doctors who treat inmates, but to enforce the dictates of the Constitution. R 65, p. 13. Relying on Estelle, the district court properly held that, "Hall's complaints do not amount to the 'unnecessary and wanton infliction of pain' proscribed by the Eighth Amendment and as such, must be dismissed." 429 U.S. at 105-06. ld. Therefore, because the summary judgment evidence established there was no genuine issue of material fact for trial, the district court properly granted the Doctors' motion for summary judgment.

records, Doctors
at 5.

7 Even if the nurses purposefully refused to administer Hall's medication, a claim that is refuted by the medical the Doctors would not be responsible for the nurses' actions. Hall has not produced any evidence that the condoned this alleged practice. s This fact also appears in the Doctors' summary judgment evidence. Exhibit A, Affidavit of Dr. Michael Seale,

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r

In addition, the Doctors are entitled to qualified immunity from Hall's claims of constitutional deprivations. The competent summary judgment evidence shows the Doctors' actions did not violate "clearly established constitutional or statutory fights of which a reasonable person would have known." Harlow, 457 U.S. at 818, 102 S. Ct. at 2738. It is Hall's burden to come forward with evidence, not mere conclusory allegations, that the diagnoses and treatment by the Doctors was objectively unreasonable. Salas v. Carpenter, 980 F.2d 299 (5 th Cir. 1992) (Halls have the burden to come forward with summary judgment evidence sufficient to create a genuine issue as to whether the defendant official's conduct was objectively unreasonable in light of clearly established law) citing Pfannstiel v. City of Marion, 918 F.2d 1178, 1183 (5 _ Cir. 1990). Hall presented no evidence to defeat the Doctors entitlement to qualified immunity and the district court therefore properly granted summary judgment.
IV.

CONCLUSION

For the reasons set forth above, the Doctors request that the Court affirm summary judgment in their favor.

Respectfully submitted,

DAN MORALES Attorney General of Texas

JORGE VEGA First Assistant Attorney General

DREW T. DURHAM Deputy Attorney General for Criminal Justice

ANN KRAATZ Assistant Attorney General Chief, Law Enforcement Defense

Division

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Assistant Attorney General State Bar No. 00794184

T¸

P. O. Box 12548, Capitol Austin, Texas 78711 (512) 463-2080 (512) 495-9139 (FAX)

Station

ATTORNEYS FOR DOCTORS SEALE, GUICE, TRINH, PHI, LUU, CHASSAY, AND KLEIN

CERTIFICATE OF SERVICE

I, RALPH C. LONGMIRE, Assistant Attorney General, do hereby certify that a true and

correct copy of the above and foregoing Defendant-Appellee's

Letter Brief has been served by

placing same in the United States mail, postage prepaid, on this the 1st day of October, 1998, addressed to:

Robert Arthur Hall, P.O. Box P.M.B. Atlanta, GA 30315

# 38261-079

Assistant Attomey General

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