Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-caed-2_22-cv-00415/USCOURTS-caed-2_22-cv-00415-3/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) FILE AN AMENDED 

COMPLAINT; OR

(2) STAND BY HIS COMPLAINT 

SUBJECT TO A 

RECOMMENDATION THAT IT BE 

DISMISSED

ECF No. 22

THIRTY-DAY DEADLINE

Plaintiff Richard Armenta, a state prisoner proceeding without counsel in this civil rights 

action under 42 U.S.C. § 1983, alleges that defendants violated his Eighth Amendment right to 

adequate medical care. ECF No. 22. I previously screened plaintiff’s complaint and found that 

his allegations failed to state a cognizable claim for relief. ECF No. 21. His first amended 

complaint fares no better. I will give plaintiff one final opportunity to cure the defects in his 

complaint before recommending that his complaint be dismissed without leave to amend. 

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 

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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)).

Analysis

Plaintiff, an inmate at California Medical Facility (“CMF”), alleges that medical personnel 

were deliberately indifferent to his serious medical needs. ECF No. 22 at 4. In January 2022, he 

began to experience severe abdominal pain and was taken to Banner Medical Center. Id. After 

staff conducted a CAT scan and X-Rays of his abdomen, defendant Shah, a surgeon, informed 

plaintiff that he had appendicitis and sought his consent to perform an appendectomy. Id. After 

Shah performed the surgery—assisted by defendants Theobald, an anesthesiologist, and Taylor, a 

registered nurse—he informed plaintiff that it had been successful and completed a report that 

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detailed the removal of plaintiff’s appendix. Id. at 7, 38-39. Theobald also allegedly checked on 

plaintiff and stated that the surgery had gone well. Id. at 7.

Nevertheless, plaintiff alleges that for several days following the surgery, he experienced

continued vomiting and severe pain in his abdomen. Id. He alleges that he informed defendant 

Kuliyev Faud—another doctor at Banner whose involvement with plaintiff’s surgery is not 

precisely alleged—that he was experiencing pain in his abdomen and that Faud refused to alter 

his IV. Id. After three days of monitoring and medical assistance, hospital staff discharged him

back to CMF. Id. He alleges that “nothing was given to [him] for pain . . . , nor recommended to 

the prison.” Id. He further states that upon his return to CMF, he was evaluated by a doctor—not 

named as a defendant—and declined the doctor’s offer to be admitted to the prison infirmary for 

further treatment or monitoring. Id. 

Ten days later, defendant Shah contacted plaintiff through medical personnel at CMF to 

explain that “he thought he removed plaintiff’s appendix, but it was tissue.” Id. at 8. He added 

that, in fact, “he [had] not f[ou]nd the appendix,” and that “plaintiff’s appendix was fine.” Id. 

Plaintiff includes with his complaint a “surgical pathology report” of the tissue that had been 

removed during the surgery. Id. at 42. This report contained a “final diagnosis” that read: 

“mature adipose tissue with an apparent serosal surface with acute and chronic inflammation and 

necrosis. No definite appendix identified.” Id. 

In the earlier screening order, I found that plaintiff’s allegations were insufficient to show 

that defendants acted with deliberate indifference in their initial—possibly erroneous—decision 

to perform an appendectomy, in their failure to remove his appendix, or in the misreporting of the 

appendectomy as successful when it had not been. ECF No. 21 at 3. In short, I found that his 

allegations at most amounted to negligence, since they failed to identify any “purposeful act or 

failure to respond to [plaintiff’s] pain or possible medical need.” Id. (citing Jett v. Penner, 439 

F.3d 1091, 1096 (9th Cir. 2006)). Because the allegations in his first amended complaint are 

substantially unchanged, I reach the same conclusion. 

“[T]o maintain an Eighth Amendment claim based on prison medical treatment, an inmate 

must show ‘deliberate indifference to serious medical needs.’” Jett, 439 F.3d at 1096 (quoting 

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Estelle v. Gamble, 429 U.S. 97, 104 (1976)). The deliberate indifference standard requires 

plaintiff to allege “(a) a purposeful act or failure to respond to a prisoner’s pain or possible 

medical need and (b) harm caused by the indifference.” Id. at 1096. “Deliberate indifference is a 

high legal standard.” Toguchi v. Chung, 391 F.3d 1051, 1060 (9th Cir. 2004). “Under this 

standard, the prison official must not only ‘be aware of the facts from which the inference could 

be drawn that a substantial risk of serious harm exists,’ but that person ‘must also draw the 

inference.’” Id. at 1057 (quoting Farmer v. Brennan, 511 U.S. 825, 837 (1994)). “If a prison 

official should have been aware of the risk, but was not, then the official has not violated the 

Eighth Amendment, no matter how severe the risk.” Id. (quoting Gibson v. Cnty. of Washoe, 290 

F.3d 1175, 1188 (9th Cir. 2002)).

Plaintiff’s allegations show that defendants evaluated him on intake and rendered a 

medical determination that an appendectomy was necessary to treat his apparent appendicitis. 

ECF No. 22 at 4. The allegations indicate that defendant Shah misdiagnosed plaintiff and, instead 

of removing his appendix, removed “inflamed and necroti[c]” tissue from the region near his 

appendix. Nothing in the complaint indicates either that Shah knew that plaintiff did not have an 

appendicitis or that he had not removed plaintiff’s appendix during surgery. Plaintiff’s current 

allegations indicate, at most, negligence, which is insufficient to state a claim of deliberate 

indifference. See Toguchi, 391 F. 3d at 1060 (“[E]ven gross negligence is insufficient to establish 

a constitutional violation.”). The allegations against the other defendants fail for the same 

reasons. There is no indication, beyond plaintiff’s speculation, that any had knowledge that 

plaintiff did not require an appendectomy or that Shah had failed to remove his appendix.

Even if plaintiff could somehow show that Shah deliberately misreported the success of 

the surgery, he fails to show how the misreporting caused him harm. Cf. Jett, 439 F.3d at 1096

(requiring a showing of “harm caused by the indifference”). His first amended complaint adds 

that he is still, nearly a year later, awaiting appendix surgery. Whether or not this suggestion is 

plausible, plaintiff fails to provide any factual basis for believing that such a surgery was 

medically necessary at the time of the events in question.

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Finally, the allegation that he was not provided pain relievers upon discharge is

insufficiently pled. It departs from the prior bases for his claim and includes few supporting 

facts. In the final post-surgical report, defendant Shah noted that plaintiff “[o]ffers no 

complaints” and was in “no acute distress,” ECF No. 22 at 35, and plaintiff fails to allege facts 

showing that defendants Shah, Theobald, or Taylor knew that he needed medication that he was 

not receiving. Moreover, he alleges that he declined an offer of further medical treatment upon 

returning to CMF, indicating that he did not need additional medication. Id. at 7. Only his 

related allegation against defendant Faud indicates that any defendant had knowledge that he was 

experiencing pain, but these allegations are too vague to show anything more than a difference of 

opinion as to his treatment. Id. See Franklin v. Oregon, 662 F.2d 1337, 1344 (9th Cir. 1981) (“A 

difference of opinion between a prisoner-patient and prison medical authorities regarding 

treatment does not give rise to a § 1983 claim.”).

Accordingly, as currently pled, plaintiff’s allegations do not state a cognizable Eighth 

Amendment claim. I will give plaintiff one final chance to amend his complaint before 

recommending that this action be dismissed. If plaintiff decides to file an amended complaint, the 

amended complaint will supersede the current one. See Lacey v. Maricopa Cnty., 693 F. 3d 896, 

907 n.1 (9th Cir. 2012) (en banc). This means that the amended complaint must 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 both prior complaints, plaintiff will need to assert each claim and allege each 

defendant’s involvement in sufficient detail. The amended complaint should be titled “Second 

Amended Complaint” and refer to the appropriate case number. If plaintiff does not file an 

amended complaint, I will recommend that this action be dismissed. 

Accordingly, it is ORDERED that:

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

complaint or advise the court he wishes stand by his current complaint. If he selects the latter 

option, I will recommend that this action be dismissed. 

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

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3. The clerk’s office is directed to send plaintiff a complaint form.

IT IS SO ORDERED.

Dated: December 16, 2022 

JEREMY D. PETERSON

UNITED STATES MAGISTRATE JUDGE

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