Opinion ID: 2717749
Heading Depth: 2
Heading Rank: 6

Heading: Dr. Bomber

Text: Dr. Bomber also saw Warren twice in the weeks before Warren’s death. On January 18, 2010, Bomber evaluated Warren and noted that Warren stated that he had “never had chest pain like this before.” Bomber ordered a cardiac stress test, and he requested that it be performed within one week, i.e., by January 25. Bomber asked the consulting cardiologist: “Is the patient’s chest pain from ASHD [i.e., arteriosclerotic heart disease]?” By January 27, however, Bomber 12 Shilling said: “Like I said, I may have known more of his history at that time in memory from taking care of him.” 21 was aware that the test had not been conducted. He spoke with Dr. Squire, a utilizationmanagement doctor at PHS, about the matter. Squire instructed Bomber to submit a new request for a test and to mark the request “urgent.” Bomber called a hospital and attempted to have Warren tested that day. He spoke with Dr. Magyar’s nurse, who informed Bomber that Dr. Magyar was unavailable that day. Bomber then spoke directly with Dr. Rao, who agreed to perform the test six days later, on February 2. Bomber evaluated Warren again on January 29, 2010. Bomber knew at this time that Warren now had an elevated blood pressure and a pulse of 105. Bomber knew that Warren was refusing prescribed medication. Bomber knew that Warren still had not received a stress test. Bomber, at the time of his deposition, stated that the symptoms that Warren reported to Pope on January 28 might be “worsening symptoms,” and he also stated that Shilling’s medical notes from that morning might indicate unstable angina, a condition that would necessitate an immediate visit to the emergency room. Although Bomber denied seeing Warren’s medical history when he evaluated him on January 29, 2010, the fact that Bomber saw Warren on the same day as Shilling and only one day after Pope is sufficient circumstantial evidence for a juror to conclude that Bomber was aware of Warren’s recent medical history. Ms. Warren need not offer direct evidence that Bomber saw Pope’s and Shilling’s notes. See Estate of Carter, 408 F.3d at 313. Whether Bomber, in fact, knew Warren’s recent medical history when he saw him on January 29 is a triable issue of material fact. In sum, based on a view of the facts most favorable to Ms. Warren, Bomber knew that Warren had a serious, life-threatening medical need. There is also sufficient evidence that Bomber disregarded the risk to Warren by not sending Warren to the hospital and not placing Warren on oxygen and medication, as Bomber would have done for a patient with unstable angina. 22