Justia U.S. 7th Circuit Court of Appeals Opinion Summaries

Scholz was honorably discharged following her 2006-2008 Army tour of duty in Iraq but the mental and physical toll of her service continued. Scholz required a range of medical treatments. Scholz sought two courses of inpatient mental health treatment at the Tomah VA Medical Center in 2011. Later, while receiving outpatient mental health treatment through the Tomah VAMC, she consulted surgeons at the Zablocki VA Medical Center about elective breast reduction surgery. An unrelated psychological assessment performed at Zablocki VAMC raised concerns about Scholz’s mental health. Zablocki VAMC surgeons performed elective breast reduction surgery in 2012, igniting multiple complications. Scholz continued to receive outpatient mental health treatment, including prescription medications, from various VA providers through late 2018.Scholz has two lawsuits pending against the government under the Federal Tort Claims Act (FTCA), 28 U.S.C. 1346(b), 2671–2680. The government argued that the second suit on the same, or essentially the same, operative facts, was precluded on claim-splitting grounds. The Seventh Circuit affirmed the dismissal of the suit. Scholz’s theory amounts to “arbitrarily splitting the treatment timeline.” In both suits, she mentions her treatment for mental health issues, her breast reduction surgery, the unsafe prescribing of medications, and improper record handling. Both suits arise out of Scholz’s treatment at various VA locations in 2011-2018 and mention the same alleged incidents. View "Scholz v. United States" on Justia Law

Dean, incarcerated since 2012, developed kidney cancer. Seven months after he first presented symptoms, Dean had kidney-removal surgery. The cancer had already spread to his liver, Dean remains terminally ill. Dean sued his doctors and their employer, Wexford, a private corporation that contracts to provide healthcare to Illinois inmates, alleging deliberate indifference to his serious medical needs in violation of the Eighth Amendment. Dean cited delays in his diagnosis and treatment, caused by his doctors’ failure to arrange timely off-site care, and on a policy that requires Wexford’s corporate office to pre-approve off-site care.A jury awarded $1 million in compensatory damages and $10 million in punitive damages, which was reduced to $7 million. The Seventh Circuit reversed. Dean has endured great suffering, but he did not produce enough evidence to hold any of the defendants liable for violating the Eighth Amendment. Dean’s claim against Wexford hinged on two expert reports from another case that critique the medical care, and process for medical care, that Illinois provides, through Wexford, to its prisoners. Those reports are hearsay, but the district court allowed Dean to use them for a non-hearsay purpose: to prove that Wexford had prior notice of the negative assessments of its review policy. One report postdated all events relevant to Dean and could not have given Wexford prior notice. The other report alone was insufficient to hold Wexford liable under the exacting “Monell” requirements in this single-incident case. View "Dean v. Wexford Health Sources, Inc." on Justia Law

Vargas received extensive medical care from the Veterans Administration. In his suit under the Federal Tort Claims Act, 28 U.S.C. 2671–80, he argued that a VA nurse was negligent in failing to order additional tests after receiving the results of urinalysis in October 2015. More testing, Vargas contended, would have revealed that he suffered from a urinary tract infection; failure to diagnose that infection led to a heart attack, which led to extended hospitalization, which led to pain and inflammation.The Seventh Circuit affirmed the rejection of his claims, upholding the district judge’s decision to allow testimony from a board-certified urologist. Federal Rule of Evidence 702 governs the admissibility of expert evidence in suits under the FTCA. The district judge was entitled to consider the urologist’s view that the applicable standard of care did not require follow-up testing to look for a urinary tract infection. If even a board-certified urologist would not have seen anything in the test result calling for further lab work, then a nurse practitioner’s identical decision cannot be negligent. Illinois does not hold nurses to the higher standard of specialists. View "Love v. United States" on Justia Law

Stark had surgery in 2007 to implant a pelvic mesh device. The surgery was not successful, and she had follow-up surgeries that also were not successful. In 2018, she learned for the first time that her problems with the pelvic mesh device might have resulted from a defect in the product itself. She consulted a lawyer and later that year filed this suit against the manufacturer. The district court concluded that Stark should have realized much earlier that the product might have been defective and granted summary judgment based on the two-year statute of limitations.The Seventh Circuit reversed. The statute of limitations began to run only when Stark should have realized that her mesh-related complications might have been wrongfully caused by another person. As a general rule, the failure of a medical procedure or product to cure a patient does not necessarily signal that anyone acted wrongfully, particularly when the patient experiences known complications that do not necessarily result from tortious actions. In addition here, Stark’s medical history included Ehlers-Danlos syndrome, which two of her doctors told her could explain her continued problems. The combination of that general principle and her specific circumstances could allow a reasonable jury to decide that this suit was timely. View "Stark v. Johnson & Johnson and Ethicon, Inc." on Justia Law

Paramedics rushed Millicent to Franciscan, a designated acute‐stroke‐ready hospital. Franciscan transferred her to its intensive care unit. Three days later, Millicent suffered a stroke. Her condition deteriorated and she was put on life support. The family expressed concern about the adequacy of care and sought to transfer Millicent to another facility. Franciscan assisted in submitting transfer paperwork to two other hospitals. Both declined the requests for insurance reasons. While a third transfer request was pending, Franciscan advised the family that Millicent was brain dead and that it had decided to stop treatment. Nearly two years later, Nartey reviewed Millicent’s medical records, which she claimed lacked the transfer paperwork and test results.Nartey, acting pro se, sued. The court grouped Nartey’s complaint into claims that Franciscan violated the federal Emergency Medical Treatment and Active Labor Act (EMTALA) by failing to provide adequate care or to transfer Millicent, 42 U.S.C. 1395dd; that Franciscan violated Title VI, which prohibits federally funded programs from discriminating on the basis of race, color, or national origin, 42 U.S.C. 2000d, and that Franciscan fraudulently concealed test results, preventing Nartey from timely bringing a medical malpractice claim.The Seventh Circuit affirmed the dismissal of the suit. Although Nartey missed filing deadlines, the court addressed the merits. EMTALA is not a malpractice statute covering treatment after an emergency patient is screened and admitted. While Nartey presented some statistical evidence that hospital transfers are less common among racial minorities, Franciscan was not responsible for Millicent remaining there. A reasonable inquiry would have discovered the alleged concealment. View "Nartey v. Franciscan Health Hospital" on Justia Law

Inmate Robinson was offered new medication. Unaware of any prescription, he questioned the officer who gave it to him and followed up with the health services manager and others. Despite learning that there was no record of any new prescription for him, Robinson took the medication. Days later, Robinson passed out. A nurse advised him to keep taking the medication. Robinson then was sent to an outside hospital, where doctors surmised that he might be allergic to the medication. The prescription was meant for a different inmate. Robinson sued. The defendants moved for summary judgment; 20 days after his deadline for filing a brief in opposition, Robinson filed a brief to support his own request for summary judgment, supplemented by a proposed statement of facts. He did not respond to the defendants’ statement of facts. The district court granted the defendants summary judgment.The Seventh Circuit affirmed. The district court permissibly applied Eastern District of Wisconsin Local Rule 56(b)(4) to deem the defendants’ facts unopposed, regardless of Robinson’s later filings. Based on those facts, no reasonable jury could find deliberate indifference to a serious medical risk. Nor could a jury conclude that the health‐services manager violated his constitutional rights by failing to intervene. Robinson’s state‐law negligence claims were barred by Wisconsin’s notice‐of‐claim statute. The defendants were not entitled to summary judgment based only on Robinson's failure to timely respond. View "Robinson v. Waterman" on Justia Law

Woodson received prenatal treatment from Dr. Ramsey at NorthShore Health Centers. Ramsey informed Woodson that she would likely need to deliver her baby by C-section. Ramsey delivered P.W. vaginally at Anonymous Hospital. Woodson noticed immediately that something was wrong with P.W.’s left arm. P.W.’s arm did not improve.NorthShore is a Federally-qualified health center (FQHC) that receives federal money (42 U.S.C. 1396d(l)(2)(B)); its employees are deemed Public Health Service employees, covered against malpractice claims under the Federal Tort Claims Act (FTCA), 42 U.S.C. 233(g). NorthShore appears in the federal government's online public database of federal funding recipients whose employees may be deemed Public Health Service employees. Woodson’s attorney, Sandoval, failed to recognize NorthShore’s status as an FQHC. Sandoval reviewed the Indiana Department of Insurance (IDOI) and Indiana Patient’s Compensation Fund online databases and learned that Ramsey and Anonymous Hospital were “qualified” providers under the Indiana Medical Malpractice Act. The IDOI forwarded Woodson’s complaint to Ramsey and his insurance carrier. Those claims remain pending.On December 16, 2015, NorthShore informed Sandoval that NorthShore was a federally funded health center. Woodson filed administrative tort claims, which were denied. Nearly three years after P.W.’s birth, Woodson filed suit against the government and Anonymous Hospital. The Seventh Circuit affirmed that the claims accrued on December 7, 2013, the day P.W. was born, and were untimely under the FTCA’s two-year statute of limitations. Woodson had enough information shortly after P.W.'s birth to prompt her to inquire whether the manner of delivery caused P.W.’s injury. The FTCA savings provision does not apply because the IDOI never dismissed the claims. Neither Ramsey nor NorthShore had a duty to inform Woodson of their federal status. View "P.W. v. United States" on Justia Law

Cutchin’s wife and daughter were killed in an automobile accident that occurred when another driver, Watson, age 72, struck their vehicle. Cutchin alleges that Watson’s driving ability was impaired by medications she had been prescribed, including an opioid. Cutchin filed a malpractice suit against Watson’s healthcare providers, charging them with negligence for an alleged failure to warn Watson that she should not be driving given the known motor and cognitive effects of those medications. After the providers and their malpractice insurer agreed to a settlement of $250,000, the maximum amount for which they can be held individually liable under the Indiana Medical Malpractice Act (MMA), Cutchin sought further relief from the Patient’s Compensation Fund, which acts as an excess insurer. The Fund argued that the MMA does not apply to Cutchin’s claim and that he is barred from seeking excess damages from the Fund. The district court agreed.The Seventh Circuit certified to the Indiana Supreme Court the questions: Whether Ithe MMA prohibits the Fund from contesting the Act’s applicability to a claim after the claimant concludes a court‐approved settlement with a qualified healthcare provider, and whether the MMA applies to claims brought against individuals (survivors) who did not receive medical care from the provider, but who are injured as a result of the provider’s negligence in providing medical treatment to someone else. View "Cutchin v. Robertson" on Justia Law

In 2015, inmate Peterson suffered from genital warts. Davida, a Stateville Correctional Center physician employed by Wexford, prescribed a topical medication (Podocon-25), which is caustic and should be applied sparingly, then removed thoroughly. PODOCON-25's packaging states that “PODOCON-25© IS TO BE APPLIED ONLY BY A PHYSICIAN” and warns of multiple potential “ADVERSE REACTIONS.” Davida did not apply the Podocon-25, nor did the nurses, who instructed Peterson to apply the treatment himself. He did so and suffered personal injuries.In 2016, Peterson filed a pro se complaint against Davida, the nurses, and Illinois Department of Corrections officials under 42 U.S.C. 1983. He alleged that the officer-defendants destroyed his shower pass permits, issued as part of his treatment, or failed to intervene to correct the situation. The court granted Peterson leave to proceed in forma pauperis and dismissed his claims except as to three correctional officers. After obtaining counsel, Peterson filed an amended complaint, adding Wexford. The parties stipulated to dismissal without prejudice on January 25, 2018. On January 21, 2019, Peterson filed the operative complaint, claiming deliberate indifference under section 1983 and negligence under Illinois law against Davida, the nurses, and Wexford. The district court dismissed, finding that the complaint failed to sufficiently allege that the defendants had the requisite state of mind for deliberate indifference and that Peterson’s negligence claims were untimely because his 2016 complaint did not contain those allegations; the relation-back doctrine governs only amendments to a complaint, not a new filing.The Seventh Circuit affirmed the dismissal of the section 1983 claims but reversed as to the negligence claims. The court did not consider 735 ILCS 5/13-217, under which plaintiffs have an “absolute right to refile their complaint within one year” of its voluntary dismissal. View "Peterson v. Wexford Health Sources, Inc." on Justia Law

Donald has glaucoma and keratoconus, a thinning of the cornea that causes distorted vision. To treat his keratoconus, Donald had left-eye corneal transplant surgery in 2011. A few years later, Donald was convicted of drug crimes. He began his prison sentence at Illinois River Correctional Facility in 2014. His eye problems started flaring up, causing redness and poor vision. He was subsequently seen by Illinois River’s optometrists and at Illinois Eye Center several times. Ultimately, he was diagnosed with a rupture of the globe, an irreversible loss of vision in his left eye. After surgery, pathological tests revealed that the infection that led to the ruptured globe was caused by bacteria that can act very quickly and cause perforation in as few as 72 hours. Donald filed suit under 42 U.S.C. 1983 for deliberate indifference to a serious medical need.The district court granted the defendants summary judgment. The Seventh Circuit affirmed. The undisputed evidence shows that the defendants did not act with deliberate indifference toward an objectively serious medical condition and the district court appropriately exercised supplemental jurisdiction to dispose of the malpractice claim. View "Donald v. Wexford Health Sources, Inc." on Justia Law