Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-caed-2_22-cv-00415/USCOURTS-caed-2_22-cv-00415-4/pdf.json

Nature of Suit Code: 550
Nature of Suit: Prisoner - Civil Rights (U.S. defendant)
Cause of Action: 42:1983 Prisoner Civil Rights

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UNITED STATES DISTRICT COURT

FOR THE EASTERN DISTRICT OF CALIFORNIA

RICHARD ARMENTA,

Plaintiff,

v.

SHAH, et al.,

Defendants.

Case No. 2:22-cv-00415-JDP (PC)

SCREENING ORDER THAT PLAINTIFF:

(1) STAND BY HIS SECOND AMENDED 

COMPLAINT SUBJECT TO A

RECOMMENDATION THAT IT BE 

DISMISSED; OR 

 (2) FILE AN AMENDED COMPLAINT

ECF No. 28

THIRTY-DAY DEADLINE

Plaintiff, a state prisoner, alleges that defendants violated his Eighth Amendment rights by 

denying him adequate medical care. On August 8, 2022, I found that plaintiff’s initial complaint

was deficient insofar as it did not comply with federal pleading standards and did not present a 

cognizable claim for medical deliberate indifference. ECF No. 21. I gave him leave to amend, 

and plaintiff has now filed both a first and a second amended complaint, the latter of which is 

operative. ECF Nos. 22 & 28. That complaint is plagued by the same deficiencies as its 

predecessor. I will give plaintiff one final opportunity to amend before recommending this action 

be dismissed. 

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Screening Order

I. Screening and Pleading Requirements

A federal court must screen a prisoner’s complaint that seeks relief against a governmental 

entity, officer, or employee. See 28 U.S.C. § 1915A(a). The court must identify any cognizable 

claims and dismiss any portion of the complaint that is frivolous or malicious, fails to state a 

claim upon which relief may be granted, or seeks monetary relief from a defendant who is 

immune from such relief. See 28 U.S.C. §§ 1915A(b)(1), (2).

A complaint must contain a short and plain statement that plaintiff is entitled to relief, 

Fed. R. Civ. P. 8(a)(2), and provide “enough facts to state a claim to relief that is plausible on its 

face,” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007). The plausibility standard does not 

require detailed allegations, but legal conclusions do not suffice. See Ashcroft v. Iqbal, 556 U.S. 

662, 678 (2009). If the allegations “do not permit the court to infer more than the mere 

possibility of misconduct,” the complaint states no claim. Id. at 679. The complaint need not 

identify “a precise legal theory.” Kobold v. Good Samaritan Reg’l Med. Ctr., 832 F.3d 1024, 

1038 (9th Cir. 2016). Instead, what plaintiff must state is a “claim”—a set of “allegations that

give rise to an enforceable right to relief.” Nagrampa v. MailCoups, Inc., 469 F.3d 1257, 1264 

n.2 (9th Cir. 2006) (en banc) (citations omitted). 

The court must construe a pro se litigant’s complaint liberally. See Haines v. Kerner, 404 

U.S. 519, 520 (1972) (per curiam). The court may dismiss a pro se litigant’s complaint “if it 

appears beyond doubt that the plaintiff can prove no set of facts in support of his claim which 

would entitle him to relief.” Hayes v. Idaho Corr. Ctr., 849 F.3d 1204, 1208 (9th Cir. 2017). 

However, “‘a liberal interpretation of a civil rights complaint may not supply essential elements 

of the claim that were not initially pled.’” Bruns v. Nat’l Credit Union Admin., 122 F.3d 1251, 

1257 (9th Cir. 1997) (quoting Ivey v. Bd. of Regents, 673 F.2d 266, 268 (9th Cir. 1982)).

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II. Analysis

As before, plaintiff alleges that the four named defendants, all of whom are nurses or 

physicians at Banner Medical Hospital, violated his Eighth Amendment rights when they failed to 

treat treated his abdominal pain which was diagnosed, perhaps incorrectly, as appendicitis. ECF 

No. 28 at 7-9. These allegations are deficient for two reasons. First, as with the first complaint, 

plaintiff has not put forth a “short and plain statement” of his claims as contemplated by the 

federal rules of civil procedure. Federal Rule of Civil Procedure 8(a). Instead, the complaint, 

which runs to seventy pages including attached exhibits, consists in relevant part of roughly thirty 

hand-written pages that are unbroken by paragraphs or cogent headings. Many of these pages, as 

best I can tell, repeat the same allegations again and again in different ways. If plaintiff’s claims 

are straightforward, there is no need to artificially lengthen a complaint. 

Second, the allegations in the complaint, despite being cast as implicating deliberate 

indifference, appear to amount only to negligence. Plaintiff alleges that defendants told him they 

would perform an appendectomy. ECF No. 28 at 7. Afterwards, he alleges that he learned that 

other tissue, but not his appendix, had been removed. Id. at 9. Plaintiff claims that he continued 

to experience abdominal pain and vomiting and concludes that defendants falsified the 

documentation showing that an appendicitis was performed. Id. at 8-9. To the extent plaintiff’s 

claims are based on the failure of the appendectomy procedure, nothing in the complaint indicates 

that this should be viewed as deliberate indifference rather than negligence. Mere medical 

malpractice is not actionable under section 1983. See Estelle v. Gamble, 429 U.S. 97, 106 (1976). 

The allegation that defendants tried to hide the truth from plaintiff after the fact might present a 

closer call if it did not directly conflict with the content of plaintiff’s first complaint. There, 

plaintiff alleges that the surgeon, Dr. Shah, ultimately phoned him at the prison and admitted that 

he had failed to find the appendix during the procedure. ECF No. 1 at 7. It makes little sense, as 

plaintiff alleges, that defendants went through the trouble of falsifying documents only to readily 

admit the fact they sought to hide. And the medical documents attached to the complaint appear 

to support the notion that surgeon had, at least initially, believed that the operation was a success. 

A sealed pouch with the removed “appendix” was sent for testing and, only after those tests were 

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completed, was it revealed that no appendix could be “grossly identified” therein. ECF No. 28 at 

45. If defendants were deliberately trying to hide their failure to remove plaintiff’s appendix, it 

would make little sense to send the tissue for testing. 

I will offer plaintiff one final opportunity to file an amended complaint that addresses 

these shortcomings. If he decides to do so, the amended complaint will supersede the current 

complaint. See Lacey v. Maricopa County, 693 F. 3d 896, 907 n.1 (9th Cir. 2012) (en banc). 

This means that the amended complaint will need to be complete on its face without reference to 

the prior pleading. See E.D. Cal. Local Rule 220. Once an amended complaint is filed, the 

current complaint no longer serves any function. Therefore, in an amended complaint, as in an 

original complaint, plaintiff will need to assert each claim and allege each defendant’s

involvement in sufficient detail. The amended complaint should be titled “Third Amended 

Complaint” and refer to the appropriate case number.

Accordingly, it is ORDERED that:

1. Within thirty days from the service of this order, plaintiff must either file an amended 

complaint or state his intent to stand by the current complaint, subjecting to a recommendation of 

dismissal for failure to state a claim. 

2. Failure to comply with this order may result in the dismissal of this action. 

3. The Clerk of Court is directed to send plaintiff a complaint form.

IT IS SO ORDERED.

Dated: April 7, 2023 

JEREMY D. PETERSON

UNITED STATES MAGISTRATE JUDGE

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