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

In 1988, Department of Professional Regulation investigator visited Gekas, a Springfield, Illinois dentist, and expressed concern that Gekas had administered nitrous oxide to a child. He ordered Gekas to provide information on all prescriptions on a continuing basis. Gekas contacted Deputy Governor Riley for assistance. After a meeting, the Department imposed less onerous requirements. In 2002, a Department investigator raided Gekas’ offices, with the assistance of the Federal Drug Enforcement Agency. After failed negotiations, the Department issued a cease and desist order against Gekas for the unlicensed practice of medicine and prescribing controlled substances while not a licensed physician and sought to have his license suspended, on grounds that Gekas had prescribed 4,600 doses of Hydrocodone and Vicoprofen to a patient. Gekas contacted his Senator. In 2008, the cease-and-desist was vacated and the complaint dismissed. Gekas submitted a FOIA request concerning the administrative complaint. The Department responded that no public documents were available. In 2009, Gekas filed suit; it was dismissed by stipulation in 2010. Meanwhile, a Chairman on the Illinois Board of Dentistry issued subpoenas against Gekas, stating that there was reasonable cause to believe that Gekas had violated the Illinois Dental Practice Act. Gekas filed suit, alleging First Amendment retaliation. The district court granted defendants summary judgment, finding no evidence of retaliatory motive. The Seventh Circuit affirmed. View "Gekas v. Vasiliades" on Justia Law

While Latoya was pregnant with Arianna, she received prenatal care during 12 visits at the Will County Community Health Center, which received grant funding from the U.S. Public Health Service, 42 U.S.C. 254b. On September 2, 2008, Latoya entered Silver Cross Hospital emergency room, suffering from abdominal pain. In the labor and delivery unit, Dr. Marsheh decided to induce labor. Although Dr. Marsheh was also affiliated with the Health Center, he did not treat Latoya during her prenatal care appointments. During the delivery, Arianna became stuck in the birth canal. Arianna was born on September 4 and weighed 11.7 pounds. Arianna taken to the Intensive Care Unit; her right arm was put in a splint, having sustained an injury during birth. Before leaving the hospital, Arianna was diagnosed with Erb’s Palsy, involving the weakness of the arm as a result of an injury to the brachial plexus, the nerves surrounding the shoulder. On May 4, 2011, Latoya, filed suit under the Federal Tort Claims Act. Finding the claims not timely under the FTCA’s statute of limitations, the district court granted the defendants summary judgment. The Seventh Circuit affirmed, rejecting all of Latoya’s claims of equitable tolling. View "Blanche v. United States" on Justia Law

On December 24, 2009, inmate Conley’s hand was examined by a prison nurse, who described Conley’s symptoms to Dr. Birch over the phone; throbbing pain, severe swelling, discoloration, and loss of function throughout the entire hand. The nurse concluded in his treatment notes that Conley suffered from a “possible/probable fracture.” Dr. Birch ordered a regimen of ibuprofen and ice but did not order an x-ray until almost five days later. The x-ray revealed that Conley’s hand was fractured, and years later, he continues to suffer from chronic pain and limited mobility. In 2011, Conley brought suit under 42 U.S.C. 1983, alleging deliberate indifference to his serious medical needs in the days following his injury. The Seventh Circuit reversed summary judgment in favor of Dr. Birch, stating that a reasonable jury could find that, based on the information conveyed to her in her December 24 telephone conversation, Dr. Birch strongly suspected that Conley’s hand was fractured. Dr. Birch’s uncontroverted testimony was sufficient to permit a jury to conclude that, by declining to order an x-ray of Conley’s hand at such a crucial point in the healing process, she exacerbated his lasting injuries. View "Conley v. Birch" on Justia Law

Illinois prisoner Petties was climbing stairs when he felt a “pop” and extreme pain in his left ankle. At the prison infirmary, the examining physician prescribed Vicodin and crutches and a week of “meals lay-in.” The medical director, Dr. Carter, noted in the file that Petties had suffered an “Achilles tendon rupture” and modified the instructions, directing that Petties be scheduled for an MRI and examination by an orthopedist as an “urgent” matter. Prison lockdowns resulted in cancelation of three appointments. Eight weeks passed before he received an orthopedic boot. Petties claimed that more than a year later, he still experienced “serious pain, soreness, and stiffness” in his ankle. Petties argued that Carter was deliberately indifferent by failing to immobilize his ankle with a boot or cast immediately and that a physician he saw later was deliberately indifference in not ordering physical therapy despite a recommendation. The court granted the doctors summary judgment, reasoning that waiting before immobilizing Petties’s ankle could not have constituted deliberate indifference because several physicians held different opinions and that a jury could not reasonably find that rejection of the recommendation for physical therapy constituted deliberate indifference. The Seventh Circuit affirmed. A jury could not reasonably find that the treatment of Petties’s ankle rose to the level of a constitutional violation. View "Petties v. Carter" on Justia Law

Reed claims that during a 2012 stay at the hospital, its staff ignored her requests, treated her poorly, refused to consult with her regarding her care, and physically injured her when she was forcibly discharged. An amended complaint alleged an unelaborated claim of “retaliation,” a violation of the ADA, and state-law claims. The judge dismissed, without prejudice, after considering whether any of her claims asserted a violation of the Rehabilitation Act, 29 U.S.C. 794 or the retaliation provision of the ADA, 42 U.S.C. 12203. Reed filed a second case, asserting that she suffers from tardive dyskinesia plus post-traumatic stress disorder, bipolar disorder, and acute anxiety; she uses a computer to communicate. The complaint alleged specific instances of mistreatment and various constitutional violations 42 U.S.C. 1983. The court dismissed, finding that her claims were precluded by the dismissal of her earlier suit and that neither the ADA nor the Rehabilitation Act could offer her any remedy. The Seventh Circuit vacated, finding that the complaint stated viable claims. View "Reed v. Columbia St. Mary's Hosp." on Justia Law

Illinois prisoner Wheeler sued the prison’s medical director, Dr. Talbot, for alleged deliberate indifference to serious medical needs, 42 U.S.C. 1983. Wheeler claims that he experiences excruciating pain from “large and protruding” keloids (growths of scar tissue) on his chest, hips, and legs; that he tested positive for a stomach infection caused by the bacterium helicobacter pylori; and that Dr. Talbot ignored both conditions. The district court allowed the keloid claim to proceed but dismissed the h. pylori claim because the blood-test results that Wheeler attached to his complaint establish that he tested negative for the infection. The court then denied a motion requesting an order requiring Dr. Talbot to refer Wheeler immediately to “a suitable doctor.” The Seventh Circuit affirmed. Even ignoring the lack of advance notice to Dr. Talbot, there was enough in the record to demonstrate that immediate referral was unwarranted. The limited evidence established neither that Wheeler will experience irreparable harm without a preliminary injunction nor that his deliberate-indifference claim against Dr. Talbot has a reasonable likelihood of success.View "Wheeler v. Talbot" on Justia Law

E.Y., a child, was diagnosed with diplegic cerebral palsy. His mother alleges that E.Y.’s illness resulted from medical malpractice by the federally-funded Friend Family Health Center, where she received her prenatal care, and the private University of Chicago Hospital, where she gave birth. Federal law makes a suit against the Center a suit against the United States under the Federal Tort Claims Act (FTCA) that had to be filed within the FTCA’s two-year statute of limitations, 28 U.S.C. 2401(b). The district court granted summary judgment for the government, finding that the suit was filed about two weeks too late. The mother argued that although she was aware she might have a claim against the University Hospital more than two years before filing this suit, she remained unaware that the Friend Center might be involved until she received a partial set of medical records on December 14, 2006, making her suit timely. The Seventh Circuit reversed. A reasonable trier of fact could find that Ms. Wallace the mother was unaware and had no reason to be aware of the Friend Center’s potential involvement in her son’s injuries until less than two years before she filed suit. View "E. Y., v. United States" on Justia Law

In 2008, Shields, an Illinois prisoner was lifting weights and ruptured the pectoralis tendon in his left shoulder. Although he received some medical attention, he did not receive the prompt surgery needed for effective treatment. Due to oversights and delays by those responsible for his medical care, too much time passed for surgery to do any good. He has serious and permanent impairment that could have been avoided. After his release from prison, Shields filed suit under 42 U.S.C. 1983, alleging that several defendants were deliberately indifferent to his serious medical needs and violated his rights under the Eighth Amendment to the Constitution. The district court granted summary judgment in favor of the defendants. The Seventh Circuit affirmed, reasoning that Shields was the victim not of any one person’s deliberate indifference, but of a system of medical care that diffused responsibility for his care to the point that no single individual was responsible for seeing that he timely received the care he needed. As a result, no one person can be held liable for any constitutional violation. Shields’ efforts to rely on state medical malpractice law against certain private defendants also failed. View "Shields v. IL Dep't of Corrs." on Justia Law

Chhibber, an internist, operated a walk‐in medical office on the south side of Chicago. For patients with insurance or Medicare coverage, Chhibber ordered an unusually high volume of diagnostic tests, including echocardiograms, electrocardiograms, pulmonary function tests, nerve conduction studies, carotid Doppler ultrasound scans and abdominal ultrasound scans. Chhibber owned the equipment and his staff performed the tests. He was charged with eight counts of making false statements relating to health care matters, 18 U.S.C. 1035, and eight counts of health care fraud, 18 U.S.C. 1347. The government presented witnesses who had worked for Chhibber, patients who saw him, and undercover agents who presented themselves to the Clinic as persons needing medical services. Chhibber’s former employees testified that he often ordered tests before he even arrived at the office, based on phone calls with staff. Employees performed the tests themselves with little training, and the results were not reviewed by specialists; normally, the tests were not reviewed at all. Chhibber was convicted of four counts of making false statements and five counts of health care fraud. The Seventh Circuit affirmed, rejecting challenges to evidentiary rulings. View "United States v. Chhibber" on Justia Law

In 2013, the Governor of Wisconsin signed into law a statute that prohibits a doctor, under threat of heavy penalties, from performing an abortion unless he has admitting privileges at a hospital no more than 30 miles from the clinic in which the abortion is performed. Wis. Stat. 253.095(2). Planned Parenthood and others challenged the law under 42 U.S.C. 1983. The district court entered a preliminary injunction against enforcement of the law. The Seventh Circuit affirmed. The court noted that the seven doctors affected by the law had applied for, but after five months, had not been granted, admitting privileges; that all Wisconsin abortion clinics already have transfer agreements with local hospitals to facilitate transfer of clinic patients to the hospital emergency room. A hospital emergency room is obliged to admit and to treat a patient requiring emergency care even if the patient is uninsured, 42 U.S.C. 1395dd(b)(1). Had enforcement of the law, with its one-weekend deadline for compliance, not been stayed, two of the state’s four abortion clinics would have had to shut down and a third clinic would have lost the services of half its doctors. View "Planned Parenthood of WI v. Van Hollen" on Justia Law