Opinion ID: 3031327
Heading Depth: 2
Heading Rank: 2

Heading: The Shoes

Text: Because Foreman is permanently confined to a wheelchair, he has experienced a number of problems with his feet, including soft tissue damage, blisters, and decubiti on both heels. In light of these problems, the prison gave him permission to buy high-top sneakers from the commissary in April 2001 and March 2003. The medical staff also authorized Foreman to receive shoes from an outside source. His medical records indicate that after receiving permission to purchase high-tops in April 2001, he reported foot problems on three occasions.1 In March 2004, Foreman filed an informal complaint, claiming that he had been authorized to obtain shoes from his mother, but was later informed that he would not be allowed to receive them. In response to Foreman’s complaint, the Associate Warden explained that the prison had recently changed its procedures for packages entering the institution, and FCI Fairton would obtain the proper shoes for him. When this did not occur, in June 2004, Foreman purchased a pair of high-tops from the prison commissary. 1 On July 11, 2001, during a routine clinical visit, Foreman reported that he was experiencing pain in one of his toes because of pressure from his shoes. A physician examined the foot and noted that there was a light scar over the toe but no tenderness, redness, or swelling. On December 13, 2002, the physician noted that Foreman had a blister with soft tissue on his left foot. He was not sure if Foreman’s sneakers fit him properly, and recommended that he obtain hard or soft protective footwear that would keep his feet warm without applying pressure. The doctor also suggested that heel protectors should be used at night to prevent decubiti. He believed that lotion and Vaseline would suffice to treat the blister as long as the skin remained closed, but the blister should be carefully monitored. Finally, on October 17, 2003, while being examined for a urinary tract infection, Foreman reported a small, round wound over his left heel. The doctor treated it with oral medication and an antibiotic ointment. 5 Foreman now contends that Health Services failed to provide him with the proper medical shoes, and the lack of protective footwear has caused serious injury to his feet, which could lead to severe decubiti. Defendants contend that Foreman has not exhausted his administrative remedies for this claim.