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UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK TYRON DUMEL, Plaintiff, -v- No. 19-CV-2161 (KMK) WESTCHESTER COUNTY, et al., OPINION & ORDER Defendants. Appearances: Tyron Dumel Elmira, NY Pro Se Plaintiff Jane H. Felix, Esq. Westchester County Attorneyâs Office White Plains, New York Counsel for Defendant KENNETH M. KARAS, District Judge: Plaintiff Tyron Dumel (âPlaintiffâ), a pretrial detainee at Westchester County Jail at the time of the allegations, brings this Action under 42 U.S.C. § 1983 against Sergeant Matthew Kitt (âKitt,â âSgt. Kitt,â or âDefendantâ). (See Am. Compl. at 1, 3 (Dkt. No. 33).)1 1 Plaintiffâs Amended Complaint also named Westchester County, Correct Care Solutions, LLC, Medical Director Dr. Raul Ulloa, Commissioner Joseph Spano, Nurse Vladimir Asseauguste, and Dr. Alexis Gendell as Defendants, but the Court previously dismissed Plaintiffâs claims against them. (See Op. & Order (â2021 Op.â) (Dkt. No. 67).) Throughout this Opinion, the Court refers to Sgt. Kitt as âDefendantâ when discussing the papers filed with the Court or any position he has taken in them as âKittâ or âSgt. Kittâ when discussing his interactions with Plaintiff as disclosed by the record. Before the Court is Defendantâs Motion for Summary Judgment (âDefendantâs Motionâ), (see Not. of Mot. for Summ. J. (âNot. of Mot.â) (Dkt. No. 93)). For the reasons that follow, the Motion is denied. I. Background A. Factual Background The following facts are taken from Defendantâs statements pursuant to Local Civil Rule 56.1, (Defâs Rule 56.1 Statement (âDefâs 56.1â) (Dkt. No. 99); Plaintiffâs Amended Complaint (Am. Compl.); and Plaintiffâs Letter in Response to Defendantâs Motion for Summary Judgment dated September 13, 2022 (âPlaintiffâs Letterâ), (Plâs Letter in Response to Defâs Summ. J. Mot. (âPlâs Letterâ) (Dkt. No. 103)).2 2 The Court construes Plaintiffâs Letter â[i]n response to defendant Kittâs Summary Judgment motionâ as a brief in opposition to Defendantâs Motion. (Plâs Letter at 1.) Local Civil Rule 56.1(a) requires the moving party to submit a âshort and concise statement, in numbered paragraphs, of the material facts as to which the moving party contends there is no genuine issue to be tried.â Local Civ. R. 56.1(a). The nonmoving party, in turn, must submit âa correspondingly numbered paragraph responding to each numbered paragraph in the statement of the moving party, and if necessary, additional paragraphs containing a separate, short[,] and concise statement of additional material facts as to which it is contended that there exists a genuine issue to be tried.â Id. at 56.1(b). âIf the opposing party . . . fails to controvert a fact set forth in the movantâs Rule 56.1 statement, that fact will be deemed admitted pursuant to the local rule.â Baity v. Kralik, 51 F. Supp. 3d 414, 418 (S.D.N.Y. 2014) (citation omitted); see also T.Y. v. N.Y.C. Depât of Educ., 584 F.3d 412, 418 (2d Cir. 2009) (adopting the same rule). ââPro se litigants are not excused from meeting the requirements of Local Rule 56.1,â and â[a] nonmoving partyâs failure to respond to a Rule 56.1 statement permits the court to conclude that the facts asserted in the statement are uncontested and admissible.ââ Thomas v. DeCastro, No. 14-CV-6409, 2021 WL 5746207, at *1 n.1 (S.D.N.Y. Dec. 1, 2021) (quoting Freistat v. Gasperetti, No. 17-CV-5870, 2021 WL 4463218, at *1 (E.D.N.Y. Sept. 29, 2021); then quoting T.Y., 584 F.3d at 418); see also Biberaj v. Pritchard Indus., Inc., 859 F. Supp. 2d 549, 553 n.3 (S.D.N.Y. 2012) (adopting the same rule). Plaintiff failed to provide a statement of facts that complies with the requirements of Local Rule 56.1. However, in light of the âspecial solicitudeâ afforded to pro se litigants âwhen confronted with motions for summary judgment,â Graham v. Lewinski, 848 F.2d 342, 344 (2d Cir. 1988), the Court has âin its discretion opt[ed] to conduct an assiduous review of the recordâ when deciding the instant Motion, Holtz v. Rockefeller & Co., 258 F.3d 62, 73 (2d Cir. 2001) (citation and quotation marks omitted); see also Thomas, 2021 WL 5746207, at *1 n.1 1. Plaintiffâs Chlamydia Infection Plaintiff arrived at the Westchester County Jail (âWCJâ) for pretrial detention on September 25, 2018, whereupon he requested to be tested for sexually transmitted infections (âSTIsâ). (Defâs 56.1 ¶ 2; Am. Compl. 2.)3 On September 26, 2018, Plaintiff was tested for STIs. (Am. Compl. 2; Defâs Decl. in Supp. of Mot. (âDefâs Decl.â) Exh. C (âPlâs Medical Records Pt. 3â) 129â30 (Dkt. No. 100-5).) Two days later, test results indicated that Plaintiff had Chlamydia, (Defâs 56.1 ¶¶ 2â3; Am. Compl. 2; Plâs Medical Records Pt. 3 at 129), âa common [sexually transmitted disease]â that can cause considerable discomfort in men, including âa burning sensationâ when urinating. See Ctrs. for Disease Control & Prevention (âCDCâ), Chlamydia â CDC Basic Fact Sheet 1 (June 12, 2022), https://www.cdc.gov/std/chlamydia/stdfact-chlamydia.htm.4 The same day, a doctor and nurse (collecting cases); Houston v. Teamsters Local 210, Affiliated Health & Ins. Fund-Vacation Fringe Benefit Fund, 27 F. Supp. 3d 346, 349 (E.D.N.Y. 2014) (âAlthough [the] plaintiffs did not file a Rule 56.1 statement, the [c]ourt has independently reviewed the record to ensure that there is uncontroverted evidence to support the paragraphs referenced in [the] defendantsâ Rule 56.1 [statement].â); Pagan v. Corr. Med. Servs., No. 11-CV-1357, 2013 WL 5425587, at *2 (S.D.N.Y. Sept. 27, 2013) (explaining that â[t]he [c]ourt ha[d] considered the [motions for summary judgment] in light of the entirety of the record to afford [the pro se] [p]laintiff the special solicitude to which he [was] entitledâ where the plaintiff failed to submit a Rule 56.1 response); Cherry v. Byram Hills Cent. Sch. Dist., No. 11-CV-3872, 2013 WL 2922483, at *1 (S.D.N.Y. June 14, 2013) (â[W]here a pro se plaintiff fails to submit a proper . . . Rule 56.1 statement in opposition to a summary judgment motion, the [c]ourt retains some discretion to consider the substance of the plaintiffâs arguments, where actually supported by evidentiary submissions.â (citation and italics omitted)); Hayes v. County of Sullivan, 853 F. Supp. 2d 400, 406 n.1 (S.D.N.Y. 2012) (âIn light of [the] [p]laintiffâs pro se status, the Court overlooks his failure to file a Local Rule 56.1 Statement and conducts its own independent review of the record.â). 3 Unless otherwise noted, page references to Plaintiffâs submissions refer to the ECF stamp at the top of the page. 4 The Court notes that symptoms of Chlamydia in men include, among others, â[a] burning sensation when peeing[,] [as well as] a fever and pain in the tubes attached to the testicles.â Chlamydia â CDC Fact Sheet 2. told Plaintiff about the infection, and the doctor ordered medication, a single dose of 2-4 antibiotic pills, to treat Plaintiffâs infection. (Defâs 56.1 ¶ 3; Am. Compl. 2; Defâs Decl. Exh. C (âPlâs Medical Records Pt. 2â) at 135 (Dkt. No. 100-4); Defâs Decl. Exh. C (âPlâs Medical Records Pt. 4â) at 1 (Dkt. No. 100-6).) When the nurse came to Plaintiffâs cell to pass out medication, she told Plaintiff that she had forgotten the medication and would return with it later; however, the nurse never returned. (See Defâs 56.1 ¶ 3.) At this time, Plaintiff was experiencing a single symptom of a slight tingling after he urinated. (Defâs Decl. Exh. B (âPlâs Dep.â) 28:23â 29:16 (Dkt. No. 100-2).) Over the next several months, Plaintiff spoke to WCJ medical staff often about getting medication to treat his Chlamydia infection. (See Defâs 56.1 ¶¶ 4â6; Am. Compl. 2.) During October and early November 2018, WCJ medical staff told Plaintiff that he would be treated at some point for his infection, but starting at the end of November, the staff told him that he would not receive treatment because he had refused it. (See Plâs Dep. 77:13â78:2.) Plaintiff denies that he ever refused treatment for Chlamydia. (See Plâs Letter 3; Am. Compl. 3.)5 While his infection remained untreated, Plaintiffâs symptoms worsened and included swollen and tender testicles, debilitating headaches, nausea, and severe burning when urinating. (See Plâs Letter 1â2; Am. Compl. 2; Plâs Dep. 70:16â71:2.) On December 31, 2018, Plaintiff reported to WCJ medical staff that he had been tested for Chlamydia in September and had not 5 The Court notes that, according to records made by WCJ medical staff who treated Plaintiff on more than 50 occasions between September 28, 2018 and December 30, 2018, Plaintiff did not report his untreated Chlamydia infection during any of those interactions. (See Plâs Medical Records Pt. 2 at 25â153; Defâs 56.1 ¶ 10.) Additionally, Plaintiffâs medical records indicate that he did refuse medication on multiple occasions from September 2018 to January 2019. (See Defâs 56.1 ¶ 12.) In particular, Plaintiff repeatedly rejected antibiotics prescribed after a dental procedure in October 2018. (See Medical Records Pt. 4 at 48â54.) However, there is no record of Plaintiff ever refusing antibiotics for Chlamydia. (See Plâs Letter 15â16.) received treatment. (See Plâs Medical Records Pt. 2 at 27.) Plaintiff filed a grievance with jail officials the following day (Plâs Letter 13), and his infection was treated on January 2, 2019, (Plâs Medical Records Pt. 2 at 20; Am. Compl. 3). 2. Plaintiffâs Interactions with Sgt. Kitt Plaintiff did not regularly see or interact with Kitt during his time at WCJ. (See Plâs Dep. 63: 5â7; Defâs 56.1 ¶ 8.) In fact, Plaintiff interacted with Kitt on only two occasions. First, Plaintiff spoke to Kitt directly about his infection. (See Plâs Dep. at 56:7â9; 65:19â 21.) Kitt claims that Plaintiff approached him in December 2018. (See Defâs 56.1 ¶ 8; Plâs Dep. 65:19â21.) Plaintiff argues that he doesnât recall when he had the conversation with Kitt. (See Plâs Letter 2; Plâs Dep. 56:7â9.) Plaintiff and Kitt had a brief conversation. Kitt, relying on Plaintiffâs deposition testimony, takes the position that Plaintiff told Kitt that he had a medical condition that needed to be taken care of, but never explicitly informed Kitt that he had Chlamydia or described any symptoms. (See Plâs Dep. 61:6â13, 16â19; 63:18â24; Defâs 56.1 ¶ 7.) Plaintiff, relying on his Amended Complaint, claims that he informed Kitt that he had recently tested positive for Chlamydia while in WCJ and that WCJ medical staff had not provided any form of treatment despite their knowledge of his infection. (See Am. Compl. at 2.) Whatever Plaintiff told Kitt, Kitt responded âwow, youâre burning, dude,â which Plaintiff understood to be a reference to his Chlamydia infection. (See Plâs Dep. 61:19â21; Am. Compl. at 3.) Kitt then told Plaintiff that he âwas going to speak with [the] medical [staff] and [would] be back in a few minutesâ (Id. at 61:22â24; Am. Compl. at 3; Defâs 56.1 ¶ 8). Kitt never returned. (See Plâs Dep. 61:22â62:3; Defâs 56.1 ¶ 8.) Plaintiff did not speak to Kitt about his infection again. (See Plâs Dep. 63:3â5, 12â15; Defâs 56.1 ¶ 8.) Plaintiff also overheard Kitt comment on his infection while speaking with another officer. In his Amended Complaint, Plaintiff stated that âseveral days [after I told Kitt about my infection] I overheard Kitt laughing with [Sgt]. Carrozza about my Chlamydia condition.â (Am. Compl. at 3.) During his deposition, Plaintiff testified that Kitt was aware of his Chlamydia infection a few days after September 28 because around that time he overheard Kitt making a commentââthat guyâs burningââto another corrections officer while laughing. (See Plâs Dep. 52:16â53:8.) Plaintiff emphasized that he was certain that he overheard this conversation before speaking to Kitt because it was his belief that Kitt was already aware of his infection that caused him to discuss it directly with Kitt and ask for his assistance speaking to medical staff. (See Plâs Dep. 61:6â21.) B. Procedural Background Plaintiff filed his initial Complaint on March 8, 2019, naming Kitt, Westchester County (the âCountyâ), Correct Care Solutions, LLC (âCorrect Careâ), Medical Director Dr. Raul Ulloa (âUlloaâ), Commissioner Joseph Spano (âSpanoâ), Dr. Alexis Gendell (âGendellâ), and âNurse Jane Doeâ as Defendants. (Compl. 1 (Dkt. No. 2).)6 The Court granted Plaintiffâs request to proceed in forma pauperis on May 21, 2019, (see Dkt. No. 5), and, on June 24, 2019, issued an Order of Service directing Correct Care to aid Plaintiff in ascertaining the identity of Nurse Jane Doe and to inform Plaintiff of this personâs identity, (see Dkt. No. 9). The Order of Service also directed Plaintiff to file an amended complaint within 30 days of learning the nurseâs identity. (Id.) On August 7, 2019, counsel for Defendants identified the nurse as Vladimir Asseauguste (âAsseaugusteâ). (Letter from Paul A. Sanders, Esq., to Court (Aug. 7, 6 The Court refers to the County and Correct Care as âMunicipal Defendantsâ; Ulloa, Gendell, and Asseauguste as âMedical Defendantsâ; Spano and Kitt as âCorrectional Defendantsâ; and all Defendants collectively as âDefendants.â 2019) 1 (Dkt. No. 18).) The following day, the Court again directed Plaintiff to file an amended complaint naming Asseauguste as a Defendant. (See Dkt. No. 19.) After Plaintiff failed to file an amended complaint, the Court issued an Order on November 8, 2019 directing Plaintiff to show cause why the claims against âNurse Jane Doeâ should not be dismissed. (See Order To Show Cause 2 (Dkt. No. 24).) Plaintiff responded on December 4, 2019, (see Dkt. No. 28), and, after receiving several extensions from the Court, (see Dkt. Nos. 29, 32), Plaintiff filed his Amended Complaint on March 4, 2020, (see Dkt. No. 33). Pursuant to a briefing schedule set by the Court, (see Dkt. No. 40), Municipal Defendants and Medical Defendants filed a Motion To Dismiss on May 26, 2020, (see Not. of Mot. (Dkt. No. 42)), and the County and Correctional Defendants filed a separate Motion To Dismiss on June 2, 2020, (see Not. of Mot. (Dkt. No. 46)). Meanwhile, on May 29, 2020, Plaintiff filed a letter in response to arguments outlined by counsel for Defendants in their respective pre-motion letters. (See Letter from Tyron Dumel to Court (May 29, 2020) 1 (Dkt. No. 47).) Municipal and Medical Defendants filed their Reply on July 8, 2020. (See Reply Mem. of Law in Further Supp. of Defs.â Mot. To Dismiss (Dkt. No. 48).) On July 13, 2020, Plaintiff filed a short document styled as an âAffidavit in Response to [Defendantsâ] Motion[s] To Dismiss,â in which Plaintiff requested âtime for discovery,â averring that Defendants were in possession of âcrucial documentsâ needed to oppose the Motions to Dismiss. (See Aff. in Resp. to Mot. To Dismiss ¶¶ 5â6 (Dkt. No. 51).) The Court denied the request on July 16, 2020, explaining that â[d]iscovery at this point in the proceedings would be premature,â (see Dkt. No. 54), and County and Correctional Defendants filed their Reply on July 21, 2020, (see Reply Mem. of Law in Further Supp. of Mot. To Dismiss (Dkt. No. 55)). On August 24, 2020, Plaintiff filed a letter with the Court requesting additional time to file an Opposition to Defendantsâ Motions. (See Letter from Tyron Dumel to Court (Aug. 18, 2020) (Dkt. No. 56).) On August 27, 2020, the Court gave Plaintiff until September 30, 2020 to file any additional Opposition papers, (see Dkt. No. 57), but Plaintiff failed to do so. The Court issued an Opinion & Order on February 25, 2021 dismissing all Defendants except for Kitt. (See 2021 Op.) The Parties concluded discovery concerning Plaintiffâs deliberate indifference claim on June 21, 2022. (See Dkt. (minute entry for May 21, 2022).) On July 1, 2022, Defendant filed a letter motion seeking leave to file a Motion for Summary Judgment. (See Dkt. No. 89.) The Court set a briefing schedule on July 13, 2022. (See Dkt. No. 90.) Defendant submitted his Motion for Summary Judgment on August 11, 2022. (See Defâs Not. of Mot. (Dkt. No. 93); Defâs 56.1; Defâs Decl.; Defâs Mem of Law in Supp. of Summ. J. (âDefâs Mem.â (Dkt. No. 101); Not. to Pro Se Litigant (Dkt. No. 102).) On September 11, 2022, Plaintiff filed a Response. (See Plâs Letter.) Defendant filed his Reply on October 5, 2022. (See Reply Mem. of Law in Supp. of Summ. J. (âDefâs Replyâ) (Dkt. No. 104).) II. Discussion A. Standard of Review Summary judgment is appropriate where the movant shows that âthere is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.â Fed. R. Civ. P. 56(a); see also Psihoyos v. John Wiley & Sons, Inc., 748 F.3d 120, 123â24 (2d Cir. 2014) (same). âIn determining whether summary judgment is appropriate,â a court must âconstrue the facts in the light most favorable to the non-moving party and . . . resolve all ambiguities and draw all reasonable inferences against the movant.â Brod v. Omya, Inc., 653 F.3d 156, 164 (2d Cir. 2011) (quotation marks omitted); see also Borough of Upper Saddle River v. Rockland Cnty. Sewer Dist. No. 1, 16 F. Supp. 3d 294, 314 (S.D.N.Y. 2014) (same). âIt is the movantâs burden to show that no genuine factual dispute exists.â Vt. Teddy Bear Co. v. 1-800 Beargram Co., 373 F.3d 241, 244 (2d Cir. 2004). âHowever, when the burden of proof at trial would fall on the nonmoving party, it ordinarily is sufficient for the movant to point to a lack of evidence to go to the trier of fact on an essential element of the nonmovantâs claim,â in which case âthe nonmoving party must come forward with admissible evidence sufficient to raise a genuine issue of fact for trial in order to avoid summary judgment.â CILP Assocs., L.P. v. Pricewaterhouse Coopers LLP, 735 F.3d 114, 123 (2d Cir. 2013) (alteration and quotation marks omitted). Further, â[t]o survive a [summary judgment] motion . . . , [a nonmovant] need[s] to create more than a âmetaphysicalâ possibility that his allegations were correct; he need[s] to âcome forward with specific facts showing that there is a genuine issue for trial,ââ Wrobel v. County of Erie, 692 F.3d 22, 30 (2d Cir. 2012) (emphasis omitted) (quoting Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 586â87 (1986)), âand cannot rely on the mere allegations or denials contained in the pleadings,â Guardian Life Ins. Co. v. Gilmore, 45 F. Supp. 3d 310, 322 (S.D.N.Y. 2014) (quotation marks omitted); see also Wright v. Goord, 554 F.3d 255, 266 (2d Cir. 2009) (âWhen a motion for summary judgment is properly supported by documents or other evidentiary materials, the party opposing summary judgment may not merely rest on the allegations or denials of his pleading . . . .â). âOn a motion for summary judgment, a fact is material if it might affect the outcome of the suit under the governing law.â Royal Crown Day Care LLC v. Depât of Health & Mental Hygiene, 746 F.3d 538, 544 (2d Cir. 2014) (quotation marks omitted). At this stage, â[t]he role of the court is not to resolve disputed issues of fact but to assess whether there are any factual issues to be tried.â Brod, 653 F.3d at 164 (quotation marks omitted). Thus, a courtâs goal should be âto isolate and dispose of factually unsupported claims.â Geneva Pharm. Tech. Corp. v. Barr Labs. Inc., 386 F.3d 485, 495 (2d Cir. 2004) (quotation marks omitted) (quoting Celotex Corp. v. Catrett, 477 U.S. 317, 323â24 (1986)). However, a court should consider only evidence that would be admissible at trial. See Nora Beverages, Inc. v. Perrier Grp. of Am., Inc., 164 F.3d 736, 746 (2d Cir. 1998). â[W]here a party relies on affidavits . . . to establish facts, the statements âmust be made on personal knowledge, set out facts that would be admissible in evidence, and show that the affiant . . . is competent to testify on the matters stated.ââ DiStiso v. Cook, 691 F.3d 226, 230 (2d Cir. 2012) (quoting Fed. R. Civ. P. 56(c)(4)). As a general rule, âdistrict courts may not weigh evidence or assess the credibility of witnesses at the summary judgment stage.â Jeffreys v. City of New York, 426 F.3d 549, 551 (2d Cir. 2005); see also Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 247 (1986) (noting that at the summary judgment stage, the court is not to âweigh the evidence and determine the truth of the matterâ); Vital v. Interfaith Med. Ctr., 168 F.3d 615, 622 (2d Cir. 1999) (âAssessments of credibility and choices between conflicting versions of the events are matters for the jury, not for the court on summary judgment.â (quotation marks omitted)). Even if the non-movantâs evidence is âthin, [a non-movantâs] own sworn statement is adequate to counter summary judgment.â Scott v. Coughlin, 344 F.3d 282, 290â91 (2d Cir. 2003) (holding that â[t]he credibility of [Plaintiffâs] statements and the weight of contradictory evidence may only be evaluated by a finder of fact.â). Finally, the Second Circuit has instructed that when a court considers a motion for summary judgment, âspecial solicitudeâ should be afforded a pro se litigant, see Graham, 848 F.2d at 344; accord Mercado v. Div. of N.Y. State Police, No. 96-CV-235, 2001 WL 563741, at *7 (S.D.N.Y. May 24, 2001) (same), and a court should construe âthe submissions of a pro se litigant . . . liberallyâ and interpret them âto raise the strongest arguments that they suggest,â Triestman v. Fed. Bureau of Prisons, 470 F.3d 471, 474 (2d Cir. 2006) (italics and quotation marks omitted). âNonetheless, proceeding pro se does not otherwise relieve a litigant of the usual requirements of summary judgment, and a pro se partyâs bald assertions unsupported by evidence . . . are insufficient to overcome a motion for summary judgment.â Houston v. Teamsters Local 210, Affiliated Health & Ins. Fund-Vacation Fringe Ben. Fund, 27 F. Supp. 3d 346, 351 (E.D.N.Y. 2014) (alterations, italics, and quotation marks omitted); see also Flores v. City of New York, No. 15-CV-2903, 2017 WL 3263147, at *2 (S.D.N.Y. My 31, 2017) (same). B. Sufficiency of Plaintiffâs Evidence As a threshold matter, Defendant argues that Plaintiff has not produced evidence sufficient to withstand summary judgment because he relies almost exclusively upon speculative and subjective deposition testimony and the allegations of his Complaint. (See Defâs Mem. at 3.) Defendant cites to several cases from this district and the Second Circuit to support his position, but the Court finds these cases are inapplicable here. In Deebs v. Alstom, 346 F. Appâx 654 (2d Cir. 2009), the Second Circuit affirmed the district courtâs decision to grant summary judgment against the plaintiff because plaintiff had âmade no attempt . . . to square their own speculative, and subjective, testimony with the hard evidence adduced during discovery.â Id. at 656 (alteration in original). Here, Plaintiffâs account of the events at issue, while not always consistent, has never been speculative, and Defendant has conceded, while disputing certain details, that the events actually occurred. See supra Section 1.A. Similarly, Defendantâs citation to New World Sols., Inc. v. NameMedia Inc., 150 F. Supp. 3d 287 (S.D.N.Y. 2015), is inapposite because the plaintiff in that case relied exclusively on his deposition testimony about historical events related to the use of a trademark plaintiff claimed, (id. at 326), while here there is evidence in Plaintiffâs medical records that substantiates portions of Plaintiffâs statements in his deposition. See supra Section 1.A. Finally, George v. Rockland State Psychiatric Ctr., No. 10- CV-8091, 2014 WL 5410059 (S.D.N.Y. Oct. 23, 2014), is inapplicable because the plaintiffâs evidence in that case was a portion of his deposition that did not provide any support for his claim, (see id. at *7), while here Plaintiff testified in his deposition at length about the facts in dispute. See supra Section 1.A. Plaintiffâs account of events has somewhat thin support in the record, but the Second Circuit has been clear that, at summary judgment, it is not for this Court to make determinations as to any discrepancies. See Scott, 344 F.3d at 289â90 (âBy finding against [the plaintiff] on the basis of the disparity between some of [plaintiff]'s medical records and statements. . . , the district court made an impermissible credibility determination and weighed contradictory proof. The credibility of [the plaintiff's] statements and the weight of contradictory evidence may only be evaluated by a finder of fact.â). The Court finds that that the evidence Plaintiff has marshalled is sufficient to require Defendant to demonstrate his entitlement to summary judgment. C. Analysis Plaintiffâs sole claim is that Defendant was deliberately indifferent to his medical needs. Because Plaintiff was a pretrial detainee at the time he was allegedly denied medical care, Plaintiffâs claim falls under âthe Due Process Clause of the Fourteenth Amendment, rather than the Cruel and Unusual Punishments Clause of the Eight[h] Amendment.â Darnell v. Pineiro, 849 F.3d 17, 29 (2d Cir. 2017). A pretrial detaineeâs rights are âat least as great as the Eighth Amendment protections available to a convicted prisoner.â Id. (quoting City of Revere v. Mass. Gen. Hosp., 463 U.S. 239, 244 (1983)). â[W]hile in custody, a pretrial detainee has a Fourteenth Amendment substantive due process right to care and protection . . . .â Case v. Anderson, No. 16-CV-983, 2017 WL 3701863, at *8 (S.D.N.Y. Aug. 25, 2017) (quoting Kelsey v. City of N.Y., 306 F. Appâx 700, 702 (2d Cir. 2009)). To establish a claim for deliberate indifference to medical needs under the Due Process Clause of the Fourteenth Amendment, a pretrial detainee must establish two elements: first, that the âdeprivation of medical care . . . [was] âsufficiently serious,ââ and second, that the defendant âacted or failed to act with âa sufficiently culpable state of mind.ââ Smith v. Outlaw, No. 15-CV-9961, 2017 WL 4417699, at *2 (S.D.N.Y. Sept. 30, 2017) (first quoting Salahuddin v. Goord, 467 F.3d 263, 279 (2d Cir. 2006); then quoting Farmer v. Brennan, 511 U.S. 825, 834 (1994)). The first element âis evaluated the same way under both the Eighth Amendment and Fourteenth Amendment.â Ackridge v. Aramark Corr. Food Servs., No. 16-CV-6301, 2018 WL 1626175, at *19 n.19 (S.D.N.Y. Mar. 30, 2018) (citing Darnell, 849 F.3d at 30). This requirement is âobjective: the alleged deprivation of adequate medical care must be sufficiently serious.â Spavone v. N. Y. State Depât of Corr. Servs., 719 F.3d 127, 138 (2d Cir. 2013) (citation and quotation marks omitted). âThere is no static test to determine whether a deprivation is sufficiently serious; instead, the conditions themselves must be evaluated in light of contemporary standards of decency.â Darnell, 849 F.3d at 30 (citation and quotation marks omitted). Analyzing this objective requirement involves two inquiries: â[t]he first inquiry is whether the [detainee] was actually deprived of adequate medical care,â Salahuddin, 467 F.3d at 279, and the second âasks whether the inadequacy in medical care is sufficiently serious.â id. at 280 (quotation marks and citation omitted). To meet the objective requirement, âthe inmate must show that the condition[] . . . pose[d] an unreasonable risk of serious damage to his health.â Walker v. Schult, 717 F.3d 119, 125 (2d Cir. 2013). âThere is no settled, precise metric to guide a court in its estimation of the seriousness of a [detaineeâs] medical condition.â Brock v. Wright, 315 F.3d 158, 162 (2d Cir. 2003). Nevertheless, the Second Circuit has presented the following non-exhaustive list of factors to consider when evaluating a detaineeâs medical condition: â(1) whether a reasonable doctor or patient would perceive the medical need in question as important and worthy of comment or treatment, (2) whether the medical condition significantly affects daily activities, and (3) the existence of chronic and substantial pain.â Id. (quotation marks omitted) (quoting Chance v. Armstrong, 143 F.3d 698, 702 (2d Cir. 1998)); see also Morales v. Fischer, 46 F. Supp. 3d 239, 247 (W.D.N.Y. 2014) (same), appeal dismissed, No. 14-3881 (2d Cir. June 18, 2015). Generally, the condition must be ââa condition of urgencyâ that may result in âdegenerationâ or âextreme pain.ââ Grimmett v. Corizon Med. Assocs. of N.Y., No. 15-CV- 7351, 2017 WL 2274485, at *3 (S.D.N.Y. May 24, 2017) (quoting Chance, 143 F.3d at 702)). Where the alleged inadequacy is a delay in treatment, the seriousness inquiry should focus on âthe severity of the temporary deprivation alleged by the prisoner [because] it[] [i]s the particular risk of harm faced by a prisoner due to the challenged deprivation of care, rather than the severity of the prisonerâs underlying medical condition, considered in the abstract, that is relevant[.]â Smith v. Carpenter, 316 F.3d 178, 186 (2d Cir. 2003) (citations omitted); see also Johnson v. City of N.Y., No. 12-CV-8265, 2014 WL 5393181, at *5 (S.D.N.Y. Oct. 21, 2014), report and recommendation adopted, No. 12-CV-8265, 2014 WL 6455162 (S.D.N.Y. Nov. 17, 2014), affâd, 633 F. Appâx 37 (2d Cir. 2016) (âWhere. . . the claim is that medical treatment has been improperly delayed, the inquiry with respect to the objective element focuses on the sequelae of the delay rather than the underlying condition itself.â). The second element âapplies differently to claims under the Eighth Amendment and the Fourteenth Amendment.â Howard v. Brown, No. 15-CV-9930, 2018 WL 3611986, at *4 (S.D.N.Y. July 26, 2018) (citing Darnell, 849 F.3d at 34â35). âPrior to the Second Circuitâs decision in [Darnell, 849 F.3d 17,] the second elementâwhether the defendant acted with a sufficiently culpable state of mindâwas evaluated subjectively,â regardless of whether the plaintiffâs claim arose under the Eighth Amendment (in the case of a convicted prisoner) or the Fourteenth Amendment (in the case of pretrial detainees). Ryan v. Cnty. of Nassau, No. 12-CV- 5343, 2018 WL 354684, at *3 (E.D.N.Y. Jan. 10, 2018). However, in Darnell, in light of the Supreme Courtâs decision in Kingsley v. Hendrickson, 576 U.S. 389 (2015), the Second Circuit held that when a claim arises under the Fourteenth Amendment, âthe pretrial detainee must prove that the defendant-official acted intentionallyâ in denying adequate medical care, âor recklessly failed to act with reasonable care . . . even though the defendant-official knew, or should have known, that the condition posed an excessive risk to health or safety.â Darnell, 849 F.3d at 35; see also Ryan, 2018 WL 354684, at *3 (same). âIn other words, the second element of a deliberate indifference claim under the Fourteenth Amendmentââthe so-called âmens rea prongââ is now ââdefined objectively,â and a plaintiff is not required to show subjective awareness by the defendant that â[his] acts (or omissions) have subjected the pre-trial detainee to a substantial risk of harm.ââ Ryan, 2018 WL 354684, at *3 (alteration in original) (quoting Darnell, 849 F.3d at 35).7,8 Despite the slightly lower standard articulated in Darnell, which is akin to objective recklessness, âany § 1983 claim for a violation of due process requires proof of a mens rea greater than mere negligence.â Smith, 2017 WL 4417699, at *3 (italics omitted) (quoting Darnell, 849 F.3d at 36); see also Ryan, 2018 WL 354684, at *3 (same); Grimmett, 2017 WL 2274485, at *4 (same). âA detainee must prove that an official acted intentionally or recklessly, and not merely negligently.â Darnell, 849 F.3d at 36. Courts in this district have held, relying on Eighth Amendment caselaw, that â[t]he same standards apply to a claim of deliberate indifference to serious medical needs on the part of nonmedical prison personnelâ as apply to medical personnel. Feliciano v. Anderson, No. 15-CV-4106, 2017 WL 1189747, at *13 (S.D.N.Y. Mar. 30, 2017) (quoting Hodge v. Coughlin, No. 92-CV-622, 1994 WL 519902, at *11 (S.D.N.Y. Sept. 22, 1994), affâd, 52 F.3d 310 (2d Cir. 1995)). 1. Sufficiently Serious Condition The Court must first assess whether Plaintiffâs Chlamydia infection posed an âunreasonable risk of damage to his healthâ and whether the harm he experienced because of the delay in treatment he experienced due to Kittâs failure to inform WCJ medical staff resulted in a sufficiently serious deprivation. Walker, 717 F.3d at 125. As to the first inquiry, the Court notes that no court in the Second Circuit has addressed whether Chlamydia is a condition that poses an unreasonable risk to a detaineeâs health. 7 The Second Circuit indicated in Darnell that, to prevent confusion, the second prong under the Fourteenth Amendment analysis should now be referred to as the âmens rea prong,â while the second prong under the Eighth Amendment analysis might still appropriately be referred to as the âsubjective prong.â See Darnell, 849 F.3d at 29 (italics omitted). 8 The Second Circuit has since confirmed that â[a]lthough Darnell did not specifically address medical treatment, the same principle appliesâ to such claims. Charles v. Orange Cnty., 925 F.3d 73, 87 (2d Cir. 2019) (citation omitted). However, applying the factors identified by the Second Circuit, it is clear that âa reasonable doctor or patient would perceive [Plaintiffâs] medical need . . . as important and worthy of comment or treatment,â Brock, 315 F.3d at 162 (quotation marks omitted). In fact, Plaintiffâs medical records show that the medical staff who reviewed Plaintiffâs STI test results in September 2018 found Plaintiffâs condition worthy of treatment because they prescribed oral antibiotics to treat it. (See Defâs 56.1 ¶ 3; Am. Compl. 2; Plâs Medical Records Pt. 2 at 135; Plâs Medical Records Pt. 4 at 1.) Second, Plaintiff has claimed that his condition caused severe pain during urination, thus âsignificantly affect[ing] [a] daily activit[y].â Brock, 315 F.3d at 162; cf. James v. Kaskiw, No. 13-CV-526, 2016 WL 770193, at *5 (N.D.N.Y. Jan. 28, 2016) (assuming that the plaintiffâs urinary tract infection and kidney stones, which caused various urinary complications, constituted serious medical conditions). And third, Plaintiff has repeatedly testified to âthe existence of chronic and substantial pain,â Brock, 315 F.3d at 162 (citation omitted), particularlyâalthough not exclusivelyâwhen urinating, (see Plâs Letter at 1â2; Am. Compl. at 2; Plâs Dep. at 70:16â71:2). Taken together, these factors indicate that Plaintiffâs condition âimplicate[d] a medical need sufficiently serious to satisfy the Fourteenth Amendmentâs objective prong.â Turner v. Correct Care Sols., No. 18-CV-3370, 2019 WL 1115857, at *9 (S.D.N.Y. Mar. 11, 2019). Additionally, Plaintiff suffered a serious deprivation due to the delay caused by Kittâs failure to inform WCJ medical staff of his condition. The Court is mindful of the Second Circuitâs guidance that it is âthe particular risk of harm faced by a prisoner due to the challenged deprivationâ that is relevant under these circumstances. Smith, 316 F.3d at 186. Reviewing the facts in the light most favorable to Plaintiff, he may have suffered a delay in treatment as long as two to three months due to Kittâs failure to inform WCJ medical personnel, a period during which Plaintiffâs symptoms intensified. (See Plâs Letter at 1â2; Am. Compl. at 2; Plâs Dep. at 70:16â71:2.)9 When faced with similar circumstances, the Second Circuit held that a multi- month delay in treatment of an STI is a sufficiently serious injury where the plaintiff suffered unnecessary harm. See Salahuddin, 467 F.3d at 281 (holding that a five-month postponement of Hepatitis C treatment constituted a sufficiently serious delay). While no court in the Second Circuit has addressed the question, courts in other circuits have found that a delay in treating Chlamydia can be a sufficiently serious deprivation. See Magee v. Williams, No. 16-CV-123, 2018 WL 1934072, at *1 (W.D. La. Apr. 24, 2018) (holding that plaintiff stated a claim for deliberate indifference where plaintiff allegedly had âsuffer[ed] ten months of pain from a[n] [untreated] [C]hlamydia infectionâ); Spears v. Brown, No. 11-CV- 299, 2012 WL 4514156, at *5 (E.D. Ark. July 9, 2012) (denying motion for summary judgment based on undisputed evidence that the plaintiffâs Chlamydia infection, which caused âsevere pain and discharge,â had gone untreated for 40 days), report and recommendation adopted in relevant part, 2012 WL 4514083 (E.D. Ark. Oct. 2, 2012); Harmon v. Johnson, No. 06-CV-740, 2007 9 Defendant argues that any delay in treatment attributable to Kitt was less than 30 days because, according to Plaintiffâs deposition testimony, he did not inform Kitt about his infection until December 2018. (Defâs Mem. 7.) As the Court has noted, the Parties dispute the timing of Plaintiffâs conversation with Kitt. Defendant argues the conversation occurred during December. (See Defâs 56.1 ¶ 8; Plâs Dep. 65:19â21.) Plaintiff counters that he is uncertain when the conversation occurred. (See Plâs Letter 2; Plâs Dep. 56:7â9.) Thus, the conversation may well have occurred prior to December 2018, and a longer delay could be attributable to Kitt. However, even assuming, arguendo, that the conversation did occur in December, up to a third of the delay in Plaintiffâs treatment would be attributable to Kittâs failure to communicate Plaintiffâs report to WCJ medical staff. Moreover, Plaintiffâs symptoms intensified over the period at issue from a slight tingling after urination to a severe burning sensation, along with severe headaches and nausea. (See Plâs Letter 1â2; Am. Compl. 2; Plâs Dep. 70:16â71:2.) The period of delay attributable to Kitt would also be the period during which Plaintiff suffered the most severe symptoms from his infection. (Id.) As a result, even if the conversation did occur in December, Kitt would still be responsible for the portion of the delay that resulted in the most severe pain to Plaintiff. WL 4463592, at *5 (E.D. Ark. Dec. 17, 2007) (concluding, for purposes of a summary judgment motion, that the plaintiff had established that he âsuffered from an objectively serious medical need,â namely, âpain in his right testicle and a tingling sensation when he urinatedâ); Jolly v. Klein, 923 F. Supp. 931, 945 (S.D. Tex. 1996) (concluding that the plaintiff had adequately alleged a serious medical need based on an undiagnosed and untreated Chlamydia infection that produced severe testicular pain and urinary problems, among other symptoms). The Court finds these cases persuasive and holds that there is an issue of material fact as to whether the pain Plaintiff suffered as the result of the delay in treating his Chlamydia infection is a sufficiently serious deprivation. 2. Mens Rea As noted, to establish mens rea, a âpretrial detainee must prove that the defendant-official acted intentionally to impose the alleged condition, or recklessly failed to act with reasonable care to mitigate the risk . . . even though the defendant-official knew, or should have known, that the condition posed an excessive risk to health or safety.â King v. Falco, No. 16-CV-6315, 2018 WL 6510809, at *9 (S.D.N.Y. Dec. 11, 2018) (alteration in original) (underlining omitted) (quoting Darnell, 849 F.3d at 35). â[A] [pretrial] detainee asserting a Fourteenth Amendment claim for deliberate indifference to his medical needs can allege either that the defendants knew that failing to provide the complained of medical treatment would pose a substantial risk to his health or that the defendants should have known that failing to provide the omitted medical treatment would pose a substantial risk to the detaineeâs health.â Charles, 925 F.3d at 87 (emphasis in original). The Court finds that there are issues of material fact as to whether Sgt. Kitt knew that a delay in treatment would âpose a substantial risk to [Plaintiffâs] health.â Id. Drawing all inferences in Plaintiffâs favor, Plaintiff spoke to Kitt about his Chlamydia infection and explained WCJ medical staff had not treated it. (See Am. Compl. 2.) Kitt responded by commenting on the severity of the infection and telling Plaintiff he would report Plaintiffâs infection to medical and be right back. (See Plâs Dep. 61:19â24; Am. Compl. 3.) Kitt never returned. (See Plâs Dep. 61:22â62:3; Defâs 56.1 ¶ 8.) Kitt also never spoke to Plaintiff about his infection again before Plaintiff was treated. (See Plâs Dep. 63:3â5, 12â15; Defâs 56.1 ¶ 8.) Plaintiff also overheard Kitt speaking with another officer about Plaintiffâs infection. (See Am. Compl. 3; Plâs Dep. 52:16â53:8.) It is true that Plaintiff has not provided a consistent account of when he overheard this interaction, but whether it was before or after his conversation with Kitt, it still supports an inference that Kitt knew that Plaintiff had an untreated infection. (Id.) While these two interactions provide only a limited factual basis to support Kittâs knowledge of or reckless disregard of the risk to Plaintiffâs health posed by his Chlamydia infection, courts have denied summary judgment under similar circumstances. See, e.g., Bookman v. Lindstrand, No. 15-CV- 1542, 2018 WL 3121688, at *13 (N.D.N.Y. Feb. 14, 2018), report and recommendation adopted, No. 15-CV-1542, 2022 WL 513929 (N.D.N.Y. Mar. 26, 2018) (denying summary judgment for defendant rehabilitation counselor where record demonstrated plaintiff had told defendant on three or four occasions over the course of several months that plaintiffâs medication was causing suicidal ideation and defendant failed to inform jail medical staff after any of the reports); Hernandez v. Cnty. of Nassau, No. 17-CV-1646, 2022 WL 513929, at *14 (E.D.N.Y. Feb. 20, 2022) (denying summary judgment where question of material fact existed as to whether plaintiff had told defendant guards, during their one interaction with plaintiff, that plaintiff required asthma medication due to difficulty breathing) . Defendant raises two challenges to the sufficiency of the record. First, Defendant claims that Plaintiff has adduced no facts that indicate that Kitt would have been aware that a delay in treatment would result in a substantial risk of harm, because Plaintiff and Kitt had only a single conversation and Plaintiff was not explicit about his infection. (Defâs Mem. at 8; Defâs Reply at 4.) Although the Court has found that there is a dispute as to what exactly Plaintiff said during his brief conversation with Kitt, this argument is undermined by the fact that Kitt responded to Plaintiffâs request for medical assistance, however phrased, with the comment, âwow, youâre burning dude.â (See Plâs Dep. at 61:19â21; Am. Compl. at 3.) Even if Plaintiff was not explicit about his Chlamydia infection, as Defendant argues, Kittâs response allows for the inference that he understood that Plaintiff was suffering from Chlamydia, a well-known symptom of which is a burning sensation during urination. Thus, even based on this single interaction, an inference could be drawn that Kitt was aware of the harm that would resultâcontinued pain during urinationâif Plaintiff did not receive medical assistance for his infection. Second, Defendant claims that he could not be responsible for any delay in treatment because Plaintiff had independent access to WCJ medical staff and discussed his infection with them. (Defâs Mem. at 8; Defâs Reply at 4.) The Court finds that this argument also fails. The focus of the deliberate indifference analysis is on Kittâs, rather than Plaintiffâs actions. See Charles, 925 F.3d at 87 (explaining that plaintiff must show that the âdefendant[] knew that failing to provide the complained of medical treatment would pose a substantial risk to his health or that the defendant[] should have known that failing to provide the omitted medical treatment would pose a substantial risk to the detaineeâs health.â) (emphasis in original). It is true that Plaintiff was independently seeking medical care and his requests were being denied. (See Defâs 56.1 ¶¶ 4â6; Am. Compl. 2; Plâs Dep. 77:13â78:2.) But it is also true that Kitt acknowledged the seriousness of Plaintiffâs condition to Plaintiff. (See Plâs Dep. 61:19â21; Am. Compl. 3.) A reasonable inference could be drawn that Kitt knew or should have known that he would be putting Plaintiffâs health at risk when he promised to bring Plaintiffâs infection to the attention of WCJ medical staff and then failed to do so. Faced with similar circumstances, courts in this district have denied summary judgment. See Benitez v. King, No. 17-CV-06230, 2020 WL 4933674, at *3 (W.D.N.Y. Aug. 24, 2020) (denying summary judgment for defendant-prison officials who had ignored plaintiffâs requests for medical care, even though plaintiff had also grieved lack of access); Bookman, 2018 WL 3121688, at *13 (denying summary judgment for defendant rehabilitation counselor who failed to inform jail medical staff of plaintiffâs complaints about his medication, even though plaintiff had also written letters to other officials seeking care). As there exist material questions of fact which must be resolved at trial, summary judgment is denied. III. Conclusion For the foregoing reasons, Defendantâs Motion for Summary Judgment is denied. The Clerk of Court is respectfully directed to terminate the pending Motion. (See Dkt. No. 93). The Clerk is also directed to mail a copy of the Courtâs Opinion to Plaintiff. A status conference will be held on April 5, 2023 at 3:30 PM. SO ORDERED. DATED: February 14, 2023 White Plains, New York ____________________________________ KENNETH M. KARAS UNITED STATES DISTRICT JUDGE
Case Information
- Court
- S.D.N.Y.
- Decision Date
- February 14, 2023
- Status
- Precedential