With respect to the brevity of Dr. Reddy's final examination of Domino, Gayle Haynes' report also reflects that she spent about five minutes evaluating Reddy. It wasn't new. Haynes' testimony, taken as a whole, does not support the conclusion that there was an obvious risk of suicide on August 2, 1996. Dr. Koson's expert report would be valuable in a medical malpractice suit to support an argument that Reddy made an incorrect diagnosis. But Koson's report does not support an inference that Domino was so obviously suicidal that Reddy must have known yet disregarded that risk.
Deliberate indifference is an extremely high standard to meet.
It is indisputable that an incorrect diagnosis by prison medical personnel does not suffice to state a claim for deliberate indifference. Suicide is inherently difficult for anyone to predict, particularly in the depressing prison setting. Reddy presented evidence that Domino had been a difficult, often uncooperative patient and concluded that Domino was threatening suicide to obtain secondary gain. He did not believe the threat was genuine. Reddy's diagnosis was wrong.