Opinions and documents
IN THE UNITED STATES DISTRICT COURT
FOR THE MIDDLE DISTRICT OF ALABAMA
NORTHERN DIVISION
JOHN ANDREW KISTER, )
AIS 264274, )
)
Plaintiff, )
)
v. ) CASE NO. 2:20-CV-758-CSC
)
RUTH NAGLICH, et al., )
)
Defendants. )
MEMORANDUM OPINION
I. Introduction
Pro se Plaintiff John Kister is confined at the Bibb Correctional Facility in Brent,
Alabama. Kister filed this 42 U.S.C. § 1983 action on the allegation that his federally
protected rights were violated through a failure to provide adequate medical care. Doc. 1
at 3–4. Kister names former Associate Commissioner Ruth Naglich as a defendant. Doc. 1
at 1, 3. Also named are Patrice Jones, the Warden at the Bullock Correctional Facility at
all relevant times, and Wexford employee Dr. Tahir Siddiq, the Medical Director at
Bullock. Id. & Doc. 5. For relief, Kister requests the Alabama Department of Corrections
(ADOC) be ordered to send him to an eye doctor and that he be awarded $10,000 in
damages from each defendant for delayed medical care. Doc. 1 at 5. Kister also requests
trial by jury. Doc. 33.
Defendants filed Answers and Special Reports, along with relevant evidentiary
materials (e.g., affidavits and prison documents). Docs. 13, 15, 18, 21. The court in turn
directed Kister to file a written response supported by affidavits or other statements made
under penalty of perjury. Doc. 23 at 1–2. Kister thereafter filed a declaration and responsive
materials. Docs. 28–32.
The parties previously were given notice that “the court may at any time [after
expiration of the time for Kister to file a response] and without further notice to the parties
(1) treat the [special] reports and any supporting evidentiary materials as motions for
summary judgment, and (2) after considering any response …, rule on the motions for
summary judgment in accordance with the law.” Doc. 23 at 2. Pursuant to that disclosure,
the undersigned now deems it appropriate to treat the reports filed by Defendants as
motions for summary judgment and resolves the motions in favor of Defendants.
II. Summary Judgment Standard
Summary judgment is appropriate when the movant shows that there is no genuine
dispute as to any material fact and that it is entitled to judgment as a matter of law. Fed.
R. Civ. P. 56(a). A dispute “is ‘genuine’ if the record as a whole could lead a reasonable
trier of fact to find for the nonmoving party … . [A fact] is ‘material’ if it might affect the
outcome of the case under the governing law.” Redwing Carriers, Inc. v. Saraland
Apartments, 94 F.3d 1489, 1496 (11th Cir. 1996) (quoting Anderson v. Liberty Lobby, Inc.,
477 U.S. 242, 248 (1986)).
The party seeking summary judgment always bears the initial responsibility of
informing the court of the basis for its motion. See Celotex Corp. v. Catrett, 477 U.S. 317,
323 (1986). Once the movant has satisfied that burden, the nonmovant is required to cite
portions of the record showing a genuine dispute of material fact. Id. at 324. The
nonmovant, however, “must do more than simply show that there is some metaphysical
doubt as to the material facts.” Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S.
574, 586 (1986). To establish a genuine dispute of material fact, the nonmovant must
produce evidence such that a reasonable trier of fact could return a verdict in its favor. See
Waddell v. Valley Forge Dental Assocs., Inc., 276 F.3d 1275, 1279 (11th Cir. 2001).
In determining whether a genuine dispute of material fact exists, the court must view
all the evidence in a light most favorable to the nonmovant and draw all justifiable
inferences from the evidence in the nonmovant’s favor. See McCormick v. City of Fort
Lauderdale, 333 F.3d 1234, 1243 (11th Cir. 2003); see also Fed. R. Civ. P. 56(a).
Nonetheless, “[w]hen opposing parties tell two different stories, one of which is blatantly
contradicted by the record, so that no reasonable jury could believe it, a court should not
adopt that version of the facts for purposes of ruling on a motion for summary judgment.”
Scott v. Harris, 550 U.S. 372, 380 (2007). Summary judgment also should be entered
“against a party who fails to make a showing sufficient to establish the existence of an
element essential to that party’s case, and on which that party will bear the burden of proof
at trial.” Celotex, 477 U.S. at 322.
III. Relevant Facts1
Kister commenced this pro se action challenging Defendants’ alleged failure to
provide constitutionally adequate medical care during his incarceration at the Bullock
Correctional Facility. Kister, who filed this action on September 21, 2020, maintains the
challenged conduct began in June of 2020 and was ongoing when he filed the Complaint.
Doc. 1 at 3. The facts identified by Kister in support of his claims for relief are as follows:
1. I am experiencing blurry vision in my right eye. I also can see a red
“splotch” in this same eye.
2. I have requested to see an eye doctor at 2 different institutions—
Elmore Corr. Fac. And Bullock Corr. Fac.
3. Both prisons utilize the same eye doctor—Dr. Bradford.
4. I was told at both prisons that Dr. Bradford was not seeing prisoners
due to Covid 19.
5. The Alabama Dept. of Corrections has an obligation to provide timely
health care to prisoners.
6. It has been months since I first complained of a problem with my right
eye.
7. I need to see an eye doctor as soon as possible.
Doc. 1 at 4.2
1Where facts are in dispute, “the evidence of the non-movant is to be believed, and all justifiable
inferences are to be drawn in his favor.” Tipton v. Bergrohr GMBH-Siegen, 965 F.2d 994, 999
(11th Cir. 1992). Accordingly, the “facts” set forth herein are merely for purposes of resolving
summary judgment and may not be the actual facts. See Cox v. Adm’r U.S. Steel & Carnegie, 17
F.3d 1386, 1400, opinion modified on reh’g, 30 F.3d 1347 (11th Cir. 1994) (citation omitted)
(explaining that “what we state as ‘facts’ . . . for purposes of reviewing the rulings on the summary
judgment motion [] may not be the actual facts.”)
2 Kister signed his Complaint and his Declaration of Evidence under penalty of perjury (Doc. 1 at
5; Doc. 32 at 1). Therefore, the court will treat the Complaint and Declaration of Evidence as
Dr. Tahir Siddiq is a licensed physician employed as the Medical Director at
Bullock. Doc. 15-1 at 1; Doc. 21-1 at 2. Dr. Siddiq is aware of Kister’s allegations
regarding blurry vision and a “splotch” in his right eye and affirms there has been no delay
or denial of necessary medical care regarding Kister’s vision issues. Doc. 15-1 at 3. Kister’s
prison medical records show he was evaluated on September 21, 2020, by Dr. Bradford,
an optometrist, who conducted a vision eye exam. Doc. 15-2 at 3; Doc. 15-1 at 2. Kister
reported “having problems with [his] eyes and [he] need[ed] new glasses.” Doc. 15-2 at 3.
Dr. Bradford evaluated Kister’s vision which included dilation of his eyes. Id. Dr. Bradford
determined that Kister did not have glaucoma or cataracts. Id. Following the exam, Dr.
Bradford ordered eyeglasses for Kister which he received on October 2, 2020. Doc. 15-2
at 1, 6; Doc. 15-1 at 2. After receiving his glasses Kister informed the medical staff at
Bullock that the eye glasses were not helpful and that he was dissatisfied with Dr.
Bradford’s services. Doc. 15-1 at 2. In his October 30, 2020, Declaration, Dr. Siddiq
testified that arrangements were being made for Kister to be seen at the Dothan Eye Clinic.
Id. at 3; see also Doc. 21-1 at 2–3.
evidence when ruling on the motions for summary judgment. Sears v. Roberts, 922 F.3d 1199,
1206 (11th Cir. 2019). Kister’s opposition responses (Docs. 28, 29, 30, 31), however, are unsworn
and not signed with an averment they were made under penalty of perjury. See 28 U.S.C. § 1746.
Therefore, the court does not treat their factual assertions as evidence on summary judgment.
Sears, 922 F.3d 1206; see also Roy v. Ivy, 53 F.4th 1338, 1347 (11th Cir. 2022) (citing Carr v.
Tatangelo, 338 F.3d 1259, 1273 n. 26 (11th Cir. 2003), as amended, (Sept. 29, 2003) (noting that
“[u]nsworn statements may not be considered by a district court in evaluating a motion for
summary judgment.”); see also Mosley v. MeriStar Mgmt. Co., LLC, 137 F. App’x 248, 252 n.3
(11th Cir. 2005) (noting that “the complaint was unverified and therefore could not be considered
evidence supporting [plaintiff’s] claim” on summary judgment); Gordon v. Watson, 622 F.2d 120,
123 (5th Cir. 1980) (explaining that unsworn statements, even by pro se parties, should not be
“consider[ed] in determining the propriety of summary judgment”).
IV. Discussion
Dr. Siddiq denies Kister’s claims of deliberate indifference. Docs. 13, 15.
Defendants Naglich and Jones (collectively “the correctional defendants”) argue that
because Kister’s Complaint fails to submit any evidence or assert any allegations that they
personally participated or had any responsibility for his medical care, he fails to state a
deliberate indifference claim against them nor can liability be imposed on them based on a
claim for negligence or a theory of respondeat superior. See Docs. 18, 21. The correctional
defendants also assert immunity in their official and individual capacities.3 See id.
A. Sovereign Immunity
Kister seeks money damages on his claims for relief. In response, the correctional
defendants assert Kister’s suit against them, to the extent they are sued in their official
capacities, is barred by the Eleventh Amendment immunity. Official capacity lawsuits are
“in all respects other than name, . . . treated as a suit against the entity.” Kentucky v.
Graham, 473 U. S. 159, 166 (1985). The Eleventh Circuit has held:
[T]he Eleventh Amendment prohibits federal courts from entertaining suits
by private parties against States and their agencies [or employees]. There are
two exceptions to this prohibition: where the state has waived its immunity
3 Dr. Siddiq also asserts sovereign and qualified immunity. Doc. 13. The party’s briefing indicates
that Dr. Siddiq works for Wexford, the prison healthcare contractor. Doc. 15 at 2. As an employee
of the contract healthcare provider, Dr. Siddiq’s qualified immunity argument is foreclosed by
Hinson v. Edmond, 192 F.3d 1342, 1345 (11th Cir.1999), amended, 205 F.3d 1264 (11th Cir.
2000). In Hinson, the Eleventh Circuit relied upon the reasoning of Richardson v. McKnight, 521
U.S. 399 (1997), where the Supreme Court declined to extend qualified immunity to privately
employed prison guards, to hold that qualified immunity may not be extended to privately
employed prison physicians. Based upon Hinson, Dr. Siddiq cannot claim the protection of
qualified immunity. In addition, for similar reasons that the Hinson, Edwards and Richardson
courts declined to extend the doctrine of qualified immunity, Dr. Siddiq is not entitled to sovereign
immunity as such is reserved for the State and its employees.
or where Congress has abrogated that immunity. A State’s consent to suit
must be unequivocally expressed in the text of [a] relevant statute. Waiver
may not be implied. Likewise, Congress’ intent to abrogate the States’
immunity from suit must be obvious from a clear legislative statement.
Selensky v. Alabama, 619 F. App’x 846, 848–49 (11th Cir. 2015) (quotation marks and
citation omitted). Thus, a state official may not be sued in his official capacity unless the
State has waived its Eleventh Amendment immunity, see Pennhurst State Sch. & Hosp. v.
Halderman, 465 U.S. 89, 100 (1984), or Congress has abrogated the State’s immunity, see
Seminole Tribe of Fla. v. Fla., 517 U.S. 44, 59 (1996). “Alabama has not waived its
Eleventh Amendment immunity in § 1983 cases, nor has Congress abated it.” Holmes v.
Hale, 701 F. App’x 751, 753 (11th Cir. 2017) (citing Carr v. City of Florence, Ala., 916
F.2d 1521, 1525 (11th Cir. 1990)); Ala. Const. Art. I, § 14. Thus, to the extent Kister sues
the correctional defendants in their official capacities, as state actors, they are entitled to
sovereign immunity under the Eleventh Amendment for claims seeking monetary
damages. Selensky, 619 F. App’x at 849; Jackson v. Georgia Dep’t of Transp., 16 F.3d
1573, 1575 (11th Cir. 1994).
B. Qualified Immunity
Regarding Kister’s claims against the correctional defendants in their individual
capacities, they argue that they are entitled to qualified immunity. Qualified immunity
offers complete protection from civil damages for government officials sued in their
individual capacities if their conduct does not violate “clearly established statutory or
constitutional rights of which a reasonable person would have known.” Hope v. Pelzer, 536
U.S. 730, 739 (2002) (quoting Harlow v. Fitzgerald, 457 U.S. 800, 818 (1982)). Qualified
immunity is not merely a defense against liability but immunity from suit, and the Supreme
Court “repeatedly [has] stressed the importance of resolving immunity questions at the
earliest possible stage in litigation.” Pearson v. Callahan, 555 U.S. 223, 231–32 (2009)
(quotation marks and citation omitted). To receive qualified immunity, the public official
must first prove he was acting within the scope of his discretionary authority when the
allegedly wrongful acts occurred. Lee v. Ferraro, 284 F.3d 1188, 1194 (11th Cir. 2002).
There is no dispute that the correctional defendants were acting within the course and scope
of their discretionary authority when the challenged conduct occurred. Kister must,
therefore, allege facts that, when read in a light most favorable to him, show that these
defendants are not entitled to qualified immunity. Cottone v. Jenne, 326 F.3d 1352, 1358
(11th Cir. 2003).
To satisfy his burden, Kister must show two things: (1) that a defendant committed
a constitutional violation and (2) that the constitutional right a defendant violated was
“clearly established.” Crosby v. Monroe Cnty., 394 F.3d 1328, 1332 (11th Cir. 2004). “To
be clearly established, a right must be sufficiently clear that every reasonable official would
[have understood] that what he is doing violates that right. . . . In other words, existing
precedent must have placed the statutory or constitutional question beyond debate.”
Reichle v. Howards, 566 U.S. 658, 664 (2012) (citations and quotation marks omitted)
(alteration in original). “Clearly established law” means (1) “a materially similar case has
already been decided;” (2) “a broader, clearly established principle that should control the
novel facts of the situation;” or (3) “the conduct involved in the case may so obviously
violate the constitution that prior case law is unnecessary.” Gaines v. Wardynski, 871 F.3d
1203, 1208–09 (11th Cir. 2017) (citations omitted). The controlling authority is from “the
Supreme Court of the United States, the Eleventh Circuit, or the highest court in the
relevant state.” Id. at 1209. “Qualified immunity gives government officials breathing
room to make reasonable but mistaken judgments, and protects all but the plainly
incompetent or those who knowingly violate the law.” Messerschmidt v. Millender, 565
U.S. 535, 546 (2012) (citations and quotation marks omitted). The Eleventh Circuit “has
stated many times that if case law, in factual terms, has not staked out a bright line, qualified
immunity almost always protects the defendant.” Gaines, 871 F.3d at 1210 (citations and
quotation marks omitted). “Exact factual identity with the previously decided case is not
required, but the unlawfulness of the conduct must be apparent from pre-existing law.”
Coffin v. Brandau, 642 F.3d 999, 1013 (11th Cir. 2011) (citation omitted). If a plaintiff
cannot establish both elements to satisfy his burden, the defendants are entitled to qualified
immunity, and the court may analyze the elements “in whatever order is deemed most
appropriate for the case.” Rehberg v. Paulk, 611 F.3d 828, 839 (11th Cir. 2010) (citing
Pearson, 555 U.S. at 241–42).
C. Deliberate Indifference
The Supreme Court determined in Estelle v. Gamble, 429 U.S. 97, 104 (1976), that
“deliberate indifference to serious medical needs of prisoners” violates the Eighth
Amendment. “To establish a deliberate indifference claim, a plaintiff must show: (1) a
serious medical need; (2) the defendant’s deliberate indifference to that need; and (3)
causation between the defendant’s indifference and the plaintiff’s injury.” Roy, 53 F.4th at
1346-47 (citation omitted).
A claim for deliberate indifference has both an objective and a subjective
component. The objective element requires Kister to demonstrate the existence of an
“objectively serious medical need.” Farrow v. West, 320 F.3d 1235, 1243 (11th Cir. 2003).
A serious medical need is “one that has been diagnosed by a physician as mandating
treatment or one that is so obvious that even a lay person would easily recognize the
necessity for a doctor’s attention.” Id. (quotation marks and citation omitted). The
subjective component of a deliberate indifference claim requires that a defendant have
subjective knowledge of the risk of harm and consciously disregard that risk. Farmer v.
Brennan, 511 U.S. 825, 837 (1994) (“We hold . . . that a prison official cannot be found
liable under the Eighth Amendment for denying an inmate humane conditions of
confinement unless the official knows of and disregards an excessive risk to inmate health
or safety…”). “[T]he official must both be aware of facts from which the inference could
be drawn that a substantial risk of serious harm exists, and he must also draw the inference.”
Id.; see also Farrow, 320 F.3d at 1246 (quotation marks and citation omitted) (holding that
“an official acts with deliberate indifference when he knows that an inmate is in serious
need of medical care, but he fails or refuses to obtain medical treatment for the inmate”).
The deliberate indifference standard requires a plaintiff to demonstrate that the
conduct complained of entailed more than mere negligence or “an inadvertent failure to
provide adequate medical care.” Estelle, 429 U.S. at 105; Farmer, 511 U.S. at 835. “Delay
in access to medical attention can violate the Eighth Amendment . . . when it is tantamount
to unnecessary and wanton infliction of pain.” Hill v. Dekalb Reg’l Youth Det. Ctr., 40 F.3d
1176, 1187 (11th Cir. 1994) (quotation marks and citations omitted). “Cases stating a
constitutional claim for immediate or emergency medical attention have concerned medical
needs that are obvious even to a layperson because they involve life-threatening conditions
or situations where it is apparent that delay would detrimentally exacerbate the medical
problem.” Id. But medical treatment does not need to be “perfect, the best obtainable, or
even very good,” and “[a] prisoner brining a deliberate-indifference claim has a steep hill
to climb.” Keohane v. Fla. Dep’t. of Corr. Sec’y, 952 F.3d 1257, 1266 (11th Cir. 2020)
(quotation marks and citation omitted). Only medical treatment that is “so grossly
incompetent, inadequate, or excessive as to shock the conscience or to be intolerable to
fundamental fairness” violates the Eighth Amendment. Id. (quotation marks and citation
omitted). An inmate who received care but disagrees with the course of treatment provided
or desired another type of treatment cannot, without more, demonstrate deliberate
indifference. Hamm v. DeKalb Cnty., 774 F.2d 1567, 1575 (11th Cir. 1985). Thus, “a
simple difference in medical opinion between the prison’s medical staff and the inmate as
to the latter’s diagnosis or course of treatment [fails to] support a claim of cruel and unusual
punishment.” Keohane, 952 F.3d at 1266 (quotation marks and citation omitted) (alteration
in original). Deliberate indifference requires that a defendant intentionally failed to provide
medical care. See McElligott v. Foley, 182 F.3d 1248, 1255 (11th Cir. 1999).
1. Defendants Naglich and Jones
Kister files this action against former Associate Commissioner Naglich and Warden
Jones challenging the adequacy of treatment provided for his vision-related issues. Doc. 1
at 4. The correctional defendants argue they had no responsibility for Kister’s medical care
during his incarceration at Bullock and that they are entitled to sovereign and qualified
immunity. The correctional defendants also argue they cannot be held liable in this action
under a theory of respondeat superior and because (1) they make no decisions related to
inmate medical care and relied on the medical expertise and medical professionals at
Bullock to provide medical care to inmates including Kister, (2) they had no personal
familiarity with the provision of Kister’s vision needs or care, and (3) they defer to the
professionals employed by the prison medical care provider regarding the health care needs
of Kister during his incarceration. See Doc. 18; Docs. 21, 21-1, 21-2.
Kister presents no facts which create a triable issue regarding his claim that the
correctional defendants acted with deliberate indifference to his medical needs. It is clear
from the pleadings, declarations, and prison records that Defendants Naglich and Jones are
not personally familiar with Kister’s healthcare needs and made no decisions regarding his
vision care and treatment. There is no evidence that the correctional defendants were
responsible for determining the level of necessary medical care for Kister, that they
impeded his access to medical care, that they attempted to intercede, overrule, or influence
decisions made by medical personnel regarding Kister’s medical care, or that they
personally participated in or had any direct involvement with the medical treatment
provided to him for his vision needs. See Doc. 15-2 at 1–6, Doc. 21-1, Doc. 21-2.
In the event Kister seeks to hold the correctional defendants liable for the treatment
provided by medical professionals, he is likewise entitled to no relief:
The law does not impose upon correctional officials a duty to directly
supervise health care personnel, to set treatment policy for the medical staff
or to intervene in treatment decisions where they have no actual knowledge
that intervention is necessary to prevent a constitutional wrong. See
Vinnedge v. Gibbs, 550 F.2d 926 (4th Cir. 1977) (a medical treatment claim
cannot be brought against managing officers of a prison absent allegations
that they were personally connected with the alleged denial of treatment).
Moreover, “supervisory [correctional] officials are entitled to rely on medical
judgments made by medical professionals responsible for prisoner care. See,
e.g., Durmer v. O’Carroll, 991 F.2d 64, 69 (3d Cir. 1993); White v. Farrier,
849 F.2d 322, 327 (8th Cir. 1988).” Williams v. Limestone County, Ala., 198
Fed.Appx. 893, 897 (11th Cir. 2006).
Cameron v. Allen, 525 F. Supp. 2d 1302, 1307 (M.D. Ala. 2007). See Spruill v. Gillis, 372
F.3d 218, 236 (3d Cir. 2004) (absent a reason to believe, or actual knowledge, that medical
staff is administering inadequate medical care, non-medical prison personnel are not
chargeable with the Eighth Amendment scienter requirement of deliberate indifference).
In the event Kister asserts a claim of negligence against the correctional defendants,
settled law holds that mere negligence is insufficient to support a § 1983 claim for
deliberate indifference. Negligence, neglect, or medical malpractice does not rise to the
level of a constitutional violation. Estelle, 429 U.S. at 106 (explaining that “[m]edical
malpractice does not become a constitutional violation merely because the victim is a
prisoner.”); Farmer, 511 U.S. at 835 (finding that a complaint alleging negligence in
diagnosing or treating “a medical condition does not state a valid claim of medical
mistreatment under the Eighth Amendment[,]” nor does it establish the requisite reckless
disregard of a substantial risk of harm so as to demonstrate a constitutional violation.).
Finally, if Kister seeks to hold the correctional defendants liable under a theory of
respondeat superior or vicarious liability, the law is settled that liability in a 42 U.S.C. §
1983 action may not be based on either of these theories. Ashcroft v. Iqbal, 556 U.S. 662,
676 (2009) (finding that “[g]overnment officials may not be held liable for the
unconstitutional conduct of their subordinates under the theory of respondeat superior.”);
Cottone, 326 F.3d at 1360 (holding that “officials are not liable under § 1983 for the
unconstitutional acts of their subordinates [or co-workers] on the basis of respondeat
superior or vicarious liability.”). “[E]ach Government official, his or her title
notwithstanding, is only liable for his or her own misconduct.” Iqbal, 556 U.S. at 677.
Even if supervisory liability under § 1983 cannot be established by the supervisor’s
personal participation in the complained acts, liability may be shown by “the existence of
a causal connection linking the supervisor’s actions with the violation.” Lewis v. Smith,
855 F.2d 736, 738 (11th Cir. 1988). “Although § 1983 requires a connection between the
official’s acts or omissions and the plaintiff’s injury, an official also may be liable where a
policy or custom that he established or utilized resulted in deliberate indifference to an
inmate’s constitutional rights. [Marsh v. Butler Cnty., Ala., 268 F.3d 1014, 1059 (11th Cir.
2001) ].” Salas v. Tillman, 162 F. App’x. 918, 922 (11th Cir. 2006). A plaintiff can establish
a causal connection only when
[A] history of widespread abuse puts the responsible supervisor on notice of
the need to correct the alleged deprivation, and he fails to do so.
Alternatively, the causal connection may be established when a supervisor's
custom or policy ... result[s] in deliberate indifference to constitutional rights
or when facts support an inference that the supervisor directed the
subordinates to act unlawfully or knew that the subordinates would act
unlawfully and failed to stop them from doing so.”
Harrison v. Culliver, 746 F.3d 1288, 1298 (11th Cir. 2014) (citation omitted).
Although aware that Kister had been seen by both Dr. Siddiq and Dr. Bradford
regarding his vision needs, the correctional defendants testify to having no personal
knowledge or familiarity with Kister’s vision care or vision needs. Docs. 15-1, 21-2.
Further, there is no evidence the correctional defendants are or were involved with the daily
medical treatment provided to inmates, including vision care and treatment, and rely on the
medical expertise of the medical professionals employed by the prison health care provider.
See id.
There is no allegation by Kister nor evidence in the record which shows the
correctional defendants had any involvement in his allegedly deficient vision care and
treatment. Moreover, there is no evidence any of the correctional defendants is an official
having responsibility for the challenged action which is necessary to show a connection to
the alleged unconstitutional acts at issue. See Luckey v. Harris, 860 F.2d 1012, 1015–16
(11th Cir. 1988). There is no evidence the correctional defendants had decision-making
authority regarding the treatment provided for his vision needs or took any action in that
regard. The correctional defendants indicate they had no personal involvement in or
awareness of the health care provided to Kister. Kister has also not produced evidence
that the correctional defendants had any notice of a history of abuse regarding medical
policies, that they were involved in establishing a specific custom or policy related to
medical care, or that they directed subordinates to act unlawfully or failed to stop them
from acting unlawfully regarding medical care. See Harrison, 746 F.3d at 1298.
Here, in the event Kister seeks to hold the correctional defendants liable in their
supervisory roles for medical decisions made by their subordinates—in this case the
medical professionals—involved in the provision of his vision care and treatment, Kister
has not produced sufficient evidence to establish a genuine dispute of material fact that the
correctional defendants took any action related to his vision care and treatment or that they
had any knowledge of his vision-related issues. See Williams, 198 F. App’x at 897;
Cameron, 525 F. Supp. 2d at 1307. Accordingly, Defendants Naglich and Jones are entitled
to qualified immunity on Kister’s claims against them and their motion for summary
judgment is due to be granted. See Celotex Corp., 477 U.S. at 322.
2. Defendant Siddiq
Kister challenges the adequacy of treatment provided by Dr. Siddiq for his vision-
related issues. Doc. 1 at 4. Dr. Siddiq maintains that at all times Kister received appropriate
medical care and that at no time was medical care related to Kister’s vision issues delayed
or denied. Doc. 15-1 at 3.
Assuming, arguendo, Kister’s condition presents a serious medical need, he
presents no evidence sufficient to create a genuine issue of disputed fact regarding the
claim that Dr. Siddiq acted with deliberate indifference to his medical needs. As to Kister’s
allegations that Dr. Siddiq denied, delayed, or provided ineffective treatment of his vision
issues, “to recover on his claim[s] of inadequate medical care, [Kister] had to prove that
[Dr. Siddiq] engaged in acts or omissions sufficiently harmful to evidence deliberate
indifference to [his] serious medical needs.” Hamm, 774 F.2d at 1574-75 (internal quotation
marks and citation omitted); McElligott, 182 F.3d at 1255 (for liability to attach, the official
must know of and then disregard an excessive risk to the prisoner’s health or safety;
While Kister claims he should have received different medical care or should have
been seen earlier by an eye doctor for his vision-related concerns, his evidence supporting
these claims, is sparse. The only evidence concerning these allegations are Kister’s sworn
Complaint (Doc. 1) and his sick call requests and medical grievances (Docs. 32-1 – 32-4).
Kister’s evidence indicates the onset of his vision issues began in June 2020. Doc. 1 at 3.
On July 28, 2020, Kister submitted a sick call request requesting new glasses and stating
he was experiencing blurry vision in his right eye and saw what appeared to be a red splotch
on his right eye. Doc. 32-1. Kister submitted another sick call request on August 28, 2020,
stating his right eye was very bad and getting worse, he needed to see an eye doctor, and
noting he has previously submitted a sick call request in July about his vision complaints.
Doc. 32-2. On September 3, 2020, Kister completed a medical grievance explaining his
attempts to be seen by an eye doctor and stating that his vision problems constituted an
”urgent issue that need[ed] to be addressed immediately.” Doc. 32-3. In a response dated
September 11, 2020, medical staff informed Kister he would be scheduled for an evaluation
with Dr. Siddiq and that the eye doctor was not allowed to return to the facility at that time.
Id. Kister appealed the grievance response on September 12, 2020, stating he had not
received a response to his initial grievance. Doc. 32-4. Medical staff advised Kister in a
response dated September 17, 2020, that he would be seen by Dr. Siddiq that day. Id. The
record further shows Kister then had his eyes examined by Dr. Bradford on September 21,
2020, and the physician ordered eyeglasses for Kister on October 2, 2020. Doc. 15-2 at 1,
3, 5, 6.4 After Kister informed medical staff that his new glasses did not help him and he
was dissatisfied with Dr. Bradford, medical personnel began arrangements to schedule an
appointment for Kister with an outside eye clinic. Doc. 15-1 at 2–3.
Here, no evidence has been presented which indicates that Dr. Siddiq was
subjectively aware of any serious medical condition regarding Kister’s vision issues.
4 Pages 2 and 4 of Doc. 15-2 are blank pages. See Doc. 26.
Although Kister complains of a delay in seeing an eye doctor, the standard for deliberate
indifference requires that a defendant knows of and disregards a substantial risk of serious
harm to an inmate’s health or safety. Farmer, 511 U.S. at 837-38 ; see also Estelle, 429
U.S. at 105 (explaining that imperfect medical treatment, “although it may produce added
anguish, is not on that basis alone to be characterized as wanton infliction of unnecessary
pain.”). Rather than demonstrating deliberate indifference to his medical needs, Kister’s
allegations reflect only his disagreement with the medical treatment provided and when it
was provided. However, “[i]t is legally insufficient to sustain a cause of action for
deliberate indifference to serious medical needs simply because the inmate did not receive
the medical attention he deemed appropriate.” Abel v. Lappin, 661 F. Supp. 2d 1361, 1373
(S.D. Ga. 2009) (citing Harris v. Thigpen, 941 F.2d 1495, 1505 (11th Cir. 1991)).
Moreover, Kister has not demonstrated that Dr. Siddiq or any other medical personnel
intentionally delayed the provision of medical treatment for a life-threatening or urgent
medical condition. Goebert v. Lee Cnty., 510 F.3d 1312, 1330 (11th Cir. 2007) (quoting
Lancaster v. Monroe Cnty., Ala., 116 F.3d 1419 (11th Cir. 1997) (“[A]n official acts with
deliberate indifference when he intentionally delays providing an inmate with access to
medical treatment, knowing that the inmate has a life-threatening condition or an urgent
medical condition that would be exacerbated by delay.”).
In sum, Kister presents no evidence showing the way Dr. Siddiq—or any medical
personnel—addressed his vision concerns or condition created a substantial risk to his
health that the attending health care personnel consciously disregarded. Nor has any
evidence been presented that the course of treatment undertaken by Dr. Siddiq was “so
grossly incompetent, inadequate, or excessive as to shock the conscience or to be
intolerable to the fundamental fairness.” Harris, 941 F.2d at 1505 (quotation marks and
citation omitted). Kister has not alleged or identified any specific facts on which a
reasonable jury could find that Dr. Siddiq knew the manner in which he provided treatment
to Kister created a substantial risk to his health and that with this knowledge consciously
disregarded such risk. Keohane, 952 F.3d at 1266. Consequently, Kister has failed to
submit sufficient evidence to establish that Dr. Siddiq violated his Eighth Amendment
rights. Dr. Siddiq is therefore entitled to summary judgment. See Celotex Corp., 477 U.S.
at 322.
V. Injunctive Relief
In addition to seeking damages against the named defendants, Kister also requests
injunctive relief. Doc. 1 at 5. However, the transfer or release of a prisoner renders moot
claims for injunctive or declaratory relief. See Los Angeles Cnty. v. Davis, 440 U.S. 625,
631 (1979). “Past exposure to illegal conduct does not in itself show a pending case or
controversy regarding injunctive relief if unaccompanied by any continuing, present injury
or real and immediate threat of repeated injury.” Cotterall v. Paul, 755 F.2d 777, 780 (11th
Cir. 1985) (citation and quotation marks omitted); see Church v. City of Huntsville, 30 F.3d
1332, 1337 (11th Cir. 1994) (citation and quotation marks omitted) (observing that
“[l]ogically, a prospective remedy will provide no relief for an injury that is, and likely will
remain, entirely in the past.”). Because Kister is no longer incarcerated at Bullock his
request for equitable relief is moot.5
VI. Supplemental Jurisdiction
Although it does not appear that Kister alleged any state law claims along with his
federal claims under § 1983, construing the Complaint liberally, it implicates the state torts
of negligence or medical malpractice. However, these claims are subject to dismissal as
review is only appropriate upon exercise of the court’s supplemental jurisdiction. L.A.
Draper & Son v. Wheelabrator-Frye, Inc., 735 F.2d 414, 427 (11th Cir. 1984) (quotation
marks and citations omitted) (holding that “[t]o exercise [supplemental] jurisdiction over
state law claims not otherwise cognizable in federal court, the court must have jurisdiction
over a substantial federal claim and the federal and state claims must derive from a
“common nucleus of operative fact.”); see also United Mine Workers of Am. v. Gibbs, 383
U.S. 715, 726 (1966) (finding the exercise of supplemental jurisdiction is discretionary).
In the posture of this case, the exercise of supplemental jurisdiction is inappropriate based
on the court’s dismissal of all the claims over which the court has original jurisdiction. See
28 U.S.C. § 1367(c)(3) (allowing district courts to decline to exercise supplemental
jurisdiction over a claim where “the district court has dismissed all claims over which it
has original jurisdiction”).
An appropriate judgment will be entered.
5 Kister was transferred to other correctional facilities during the pendency of this action. See
Docs. 39, 41. He is currently housed at the Bibb Correctional Facility. Doc. 42.
Done, this 15th day of June 2023.
/s/ Charles S. Coody
CHARLES S. COODY
UNITED STATES MAGISTRATE JUDGE
Not legal advice. These patterns come from public court records, not ratings of judges as people. They may reflect the types of cases a judge handles, local procedures or other factors, and they do not account for the facts of any individual case. Past patterns do not predict future rulings. Records can be incomplete, months behind current activity, or matched to the wrong person; sealed and confidential cases are not included. Use this as one piece of information, never the sole basis for legal strategy or a recusal motion. Full disclaimer: https://judgefinder.io/legal/disclaimer Read the full disclaimer.