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Alexander v. Egli

United States District Court, D. Kansas

December 9, 2014

RON EGLI, et al., Defendants.


SAM A. CROW, Senior District Judge.

This pro se civil complaint was filed pursuant to 42 U.S.C. § 1983 by a federal prisoner while he was confined at the United States Penitentiary, Terre Haute, Indiana (USPT).[1] Mr. Alexander complained that in March 2010 during earlier confinement at the Leavenworth Detention Center, Leavenworth, Kansas (LDC) he was denied proper medical treatment for chest pains and other heart attack symptoms. The LDC is a private prison facility operated by the Corrections Corporation of America (CCA). Upon screening the complaint, the court found it "subject to being summarily dismissed" for two main reasons: (1) failure to state a claim for relief under § 1983 because none of the LDC-CCA employees alleged to have denied treatment acted "under color of state law, " and (2) the complaint appeared to be time barred. Plaintiff was ordered to show cause why this action should not be dismissed.[2] This matter is before the court upon "Plaintiff's Reply to this Court's Order to Show Cause" (Doc. 3) and plaintiff's Motion for Issuance of Summons (Doc. 9). Having examined all materials in the file, the court finds that plaintiff has failed to show good cause why the complaint should not be dismissed. Accordingly, this action is dismissed pursuant to 28 U.S.C. § 1915A(b) for the reasons stated in the court's prior Order and herein, including failure to state a claim.


Plaintiff's response is entitled "Plaintiff's Reply to this Court's Order to Show Cause" (Doc. 3)(hereinafter "Reply"). In a single sentence within this Reply, plaintiff "moves this Court to allow him to amend the action before the court." The Federal Rules of Civil Procedure require that motions set out "with particularity" the grounds for the motion. Fed.R.Civ.P. 7(b)(1). Furthermore, "a request for leave to amend must give adequate notice to the district court... of the basis of the proposed amendment" before the court is required to recognize the motion. Calderon v. Kansas Dept. of Social & Rehab. Svcs., 181 F.3d 1180, 1186-87 (10th Cir. 1999). Even though pro se pleadings are held to less stringent standards than pleadings drafted by lawyers, pro se litigants must follow the same procedural rules as other litigants. Hughes v. Rowe, 449 U.S. 5, 9 (1980); see Murray v. City of Tahlequah, 312 F.3d 1196, 1199 n. 3 (10th Cir. 2002). Plaintiff's Reply is not even captioned as a motion and is certainly not a conventional Motion to Amend. Nor did plaintiff submit a complete Amended Complaint[3] with his imbedded request.

Nonetheless, plaintiff proceeds in his 12-page Reply as if it is not only his response to the show cause order but an amendment to his complaint as well. He repeats allegations from his original complaint and presents new allegations. He reargues his Eighth Amendment claims and presents new arguments. He even refers to a new defendant and attempts to add allegations concerning events that occurred later than those in the original complaint. Generally, an Amended Complaint completely supersedes the prior complaint. Plaintiff's Reply is not itself a complete amended complaint. It does not contain a caption with all the prior defendants and the new defendant named therein. It fails to provide additional information for the old and new defendants to facilitate service and lacks other information that is required in the court's form complaint. Consequently, it would be difficult to treat plaintiff's Reply, standing alone, as his Amended Complaint.

On the other hand, prior to service, a plaintiff may amend his complaint as a matter of course pursuant to Rule 15 of the Federal Rules of Civil Procedure. The court has resolved this matter by fully considering the original complaint together with plaintiff's Reply and attached exhibits, and allowing these two filings together to serve as plaintiff's Amended Complaint. As a result, the court has also fully considered all the additional allegations and claims made by plaintiff in his Reply that are his attempt to cure the deficiencies in his original complaint.

To the extent that plaintiff attempts in his Reply to raise new claims based upon events that allegedly occurred after the filing of the original complaint, the proper method was to file a motion to supplement. Fed.R.Civ.P. 15(d)(events occurring since date of complaint are proper for inclusion in a supplemental pleading). Nevertheless, the court has fully considered these supplemental allegations and claims.


In his original § 1983 complaint, Mr. Alexander named the following defendants: Ron Egli, Physician Assistant (PA), LDC-CCA; Dr. Stewart Grote, LDC-CCA; Warden, LDC-CCA; and United States Department of Justice. He claimed that his Eighth Amendment right to be free from cruel and unusual punishment was violated because defendants failed to provide him with proper medical treatment. In his Reply, plaintiff adds some allegations as to his treatment at the LDC-CCA. The court finds from plaintiff's original complaint together with his Reply, that Mr. Alexander has alleged the following to support his claim. On March 19, 2010, at the LDC-CCA, Mr. Alexander was taken to the medical department "via emergency for complaints of severe chest pains, uncontrollable coughing, " vomiting and nausea. He was seen by defendant PA Elgi who diagnosed him with a "bad case of heartburn" and prescribed medication for that ailment. Defendant Elgi failed to check plaintiff's "proper vital statistics, " and generally failed to follow proper protocol for a patient with severe chest pain. Plaintiff was returned to his cell. If Elgi had followed proper protocol, he would have discovered that plaintiff "was suffering an acute heart attack."[4] On March 23, 2010, at 8:15 a.m., plaintiff again suffered severe chest pains and shortness of breath and went to medical. He was given a breathing treatment and returned to his cell per Egli's orders. At 10:30 a.m., he was rushed to the medical unit with uncontrollable coughing, "decreased wind peak flow, " vomiting, and diarrhea. Egli checked his wind peak flow, diagnosed him with bronchitis, and he returned to his cell. On March 24, 2010 at 4:30 p.m., plaintiff returned to the medical department "via emergency" with the "same complaints". He was also experiencing shooting pains in his left arm and jaw area.[5] He "was seen by Amanda Whistance (LPN), who took the plaintiff's vital signs and then called defendant Stewart Grote for orders." Plaintiff was given breathing treatments and kept overnight for observation. He was seen by LPN Ashley the following morning and informed Ashley "that at the present time he was filling (sic) much better." That day, he was also seen by Dr. Grote. Dr. Grote informed plaintiff that he would order an x-ray and asked plaintiff "for permission to the (USMS) to have a gallbladder ultrasound done." Instead of following through with the x-ray and ultrasound, Dr. Grote and defendant Egli cleared plaintiff for transfer to the Oklahoma Federal Transfer Center (OFTC). Defendant Grote failed to "forward the proper medical documentation" or inform medical staff at the OFTC of plaintiff's serious medical issues. The United States Marshals Service (USMS) transported plaintiff "without properly ascertaining the facts" regarding plaintiff's medical condition.

Plaintiff claims that he suffered for several days with symptoms and eventually had a heart attack. He also claims that "because of" Elgi's action, he suffered severe heart damage and required a pacemaker. He asserts that Dr. Grote should have cancelled the transfer and determined the cause of plaintiff's chest pains by having the x-ray and ultrasound completed or performing an EKG. He complains that Dr. Grote instead did nothing to insure that plaintiff's serious medical needs would be handled properly before his transfer or at the next institution, and that as a result plaintiff suffered irreversible damage to his heart. He further claims that the BOP was "never notified properly" of his medical condition. Plaintiff holds the CCA Warden responsible for the actions of his medical staff. He seeks compensatory, punitive, and actual damages for personal injury and mental, emotional damage.

In his Reply, plaintiff adds the following allegations regarding events that occurred after his transfer out of the LDC-CCA and during his brief stay at the OFTC. He arrived at the OFTC on March 25, 2010. While at the OFTC "[t]he Defendant in Oklahoma Richard Hutchinson like the other two Defendant's (sic)"[6] failed to order more tests, and improperly diagnosed his symptoms on March 28, 2010, as asthma rather than congestive heart failure. On April 1, 2010, he was transferred from the OFTC to the United States Penitentiary-McCreary in Pine Knot, Kentucky (USPM).

Plaintiff further adds in his Reply the following allegations concerning events after he arrived at the USPM. Once he arrived, he was no longer experiencing symptoms. Then on April 26, 2010, he went to sick-call complaining of abdominal pain persisting for four days. On May 3, he returned to sick-call complaining of a dry, hacking cough persisting for a week, and explained all his prior symptoms and treatments to "Bennett-Baker, K. (FNP/ACNP)."[7] An EKG was done that day. Bennett-Baker's recorded comments included "CXR done today. Left ventrical hypertrophy with brochial cuffing. Cardiomegally." Bennett-Baker found, among other things, that plaintiff was "desaturated with exertion, " "dyspneic with exertion, " had "new onset of pitting edema in bilateral lower extremities, " diminished breath sounds, and reported "experiencing chest pressure/tightness off and on' for several days approximately 6-8 weeks ago." Bennett-Baker assessed plaintiff with presumptive "congestive heart failure, unspecified" and commented: "needs emergent cardiology evaluation." That day she sent plaintiff to the local hospital to be examined by a cardiologist. Doc. 3-1 at 14. Plaintiff's Exhibit G indicates that on May 6, 2010, Bennett-Baker talked with Cardiologist Dr. Iqbal and was informed of Iqbal's diagnosis of "Cardiomyopathy"[8] and prognosis that "if no improvement with medication, he will need to have an implanted defibrillator." Id. at 21. Plaintiff was given medications for cardiomyopathy and blood tests. Id. He was discharged from the hospital on May 6, 2010, with instructions for "medical management with ace inhibitor, beta blocker, and antiarrhythmic X 3 months, then needs to return for outpatient echocardiogram." Plaintiff exhibits additional medical records from Springfield dated November 10, 2010, in which Dr. Hare records: "ICD placed yesterday, no problems with procedure." Id. at 2.

Plaintiff concludes that his complaint should not be dismissed. He includes a "Relief Requested" segment, in which he ...

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