Jacqueline Jones v. Arnold Mathews

In the United States Court of Appeals For the Seventh Circuit ____________________ No. 19-2629 JACQUELINE JONES, Independent Administrator of the Estate of Toya D. Frazier, Deceased, Plaintiﬀ-Appellant, v. ARNOLD MATHEWS, et al., Defendants-Appellees. ____________________ Appeal from the United States District Court for the Central District of Illinois. No. 16-cv-02364 — Eric I. Long, Magistrate Judge. ____________________ ARGUED DECEMBER 7, 2020 — DECIDED JUNE 21, 2021 ____________________ Before SYKES, Chief Judge, and BRENNAN and ST. EVE, Cir- cuit Judges. ST. EVE, Circuit Judge. On November 30, 2015, Toya Frazier reported to the Champaign County Satellite Jail to begin serv- ing a 42-month sentence for felony theft. She died in her cell less than 36 hours later. 2 No. 19-2629 Jacqueline Jones is Frazier’s sister and the Independent Administrator of Frazier’s estate. She filed this action pursu- ant to 42 U.S.C. § 1983 against Sergeant Arnold Mathews, a correctional oﬃcer at the jail, alleging that he caused Frazier’s death by acting with deliberate indiﬀerence to Frazier’s symp- toms of heroin withdrawal.1 The district court granted sum- mary judgment in favor of the defendants, and we aﬃrm. I. Background A. Factual Background Frazier reported to the Champaign County Satellite Jail around 8:45 a.m. on November 30, 2015. Shortly after her ar- rival, an oﬃcer at the jail conducted Frazier’s intake inter- view. Frazier, who was 45 years old at the time, informed the oﬃcer that she was epileptic, subject to black-outs and faint- ing spells, had high blood pressure, had a history of substance abuse, and over the course of 2015 had experienced a stroke and undergone knee surgery. Frazier also reported that she had used heroin the night before, though she was not experi- encing withdrawal at the time of the intake. The oﬃcer gave Frazier a “medical designation” because she required a cane to walk and had high blood pressure. The medical designa- tion meant that an oﬃcer would check on Frazier at least every fifteen minutes. Because of the designation, Frazier was assigned to cell F2 in the booking area with one cellmate. Later that day, around 1:00 p.m., a nurse at the jail con- ducted Frazier’s health evaluation. Nurse Beth Novak noted, 1 Jones also sued Champaign County, Illinois, and other jail staﬀ mem- bers, but there are no issues on appeal pertaining to any party other than Mathews. No. 19-2629 3 among other things, that Frazier had experienced drug with- drawal once before, three years prior. Frazier informed Nurse Novak of her prior night’s heroin use but did not report expe- riencing any pain or withdrawal symptoms at the time. Nurse Novak described Frazier’s mental state at the time of the eval- uation as “appropriate” in all respects. Frazier informed Nurse Novak of several medications she was prescribed and taking at the time, though Frazier had not brought any of her medications with her to the jail. Because of Frazier’s high blood pressure, Nurse Novak contacted a doctor who pre- scribed Frazier a blood pressure medication and Tylenol. Nurse Novak conducted a second health evaluation later that afternoon at 4:00 p.m., this time to gauge whether Frazier was experiencing any withdrawal symptoms. Nurse Novak completed a Clinical Opiate Withdrawal Scale (“COWS”) scoresheet, and assigned Frazier a COWS score of 0, meaning that she was not experiencing any withdrawal symptoms. At approximately 6:45 p.m., correctional oﬃcer Jessica Burgener escorted Frazier from her booking cell to the shower room to conduct a strip search. She inspected Frazier’s cloth- ing, cane, and knee brace and did not find any contraband. Burgener then escorted Frazier back to her holding cell. Be- cause of Frazier’s medical designation, Burgener checked on Frazier approximately every twelve minutes. Each time Fra- zier reported that she was “feeling okay.” That night, Mathews began his shift at 11:35 p.m. In gen- eral, Mathews serves as the jail’s direct supervisor while on site. During his shifts, he is responsible for having a pulse on everything happening at the jail and ensuring the safety of everyone at the facility. He does not typically conduct indi- vidual cell checks but will do so when correctional oﬃcers 4 No. 19-2629 responsible for the task are otherwise occupied. Medical pro- fessionals are not on site during the night shift. The first few hours of Mathews’s shift were uneventful. At approximately 2:30 a.m., however, Frazier began moaning and groaning loudly from her cell. Mathews and other correc- tional oﬃcers approached Frazier to find out what was wrong, but Frazier did not explain the source of her discom- fort. From Mathews’s perspective, Frazier “did not appear to be in any medical distress” and was physically capable of speaking, despite choosing not to. Frazier continued to loudly moan. Sometime around 2:50 a.m., Mathews relocated Frazier to another cell within the booking area, reasoning that Frazier “may be more comfortable in her own cell, her new cell could still be easily monitored by correctional oﬃcers,” and the move “may reduce her ability to disturb the detainees at the jail.” Video surveillance of the cell shows Frazier rocking back and forth on the ground, dry heaving, and using the toilet sev- eral times over the course of the next few hours. At approximately 4:40 a.m., Frazier began kicking the cell door from her sleeping mat on the ground. Mathews and other correctional oﬃcers responded to Frazier several times, but Frazier did not articulate what, if any, issues she was ex- periencing. Mathews instructed a correctional oﬃcer to pull Frazier’s sleeping mat away from her cell door so that she could not continue to kick it. According to Mathews, he wor- ried that Frazier “may hurt herself if she kept kicking it (given her knee brace/cane),” and “her kicks were disturbing other inmates.” But once the oﬃcers left Frazier’s cell, she dragged the sleeping mat back toward the front of the cell and again began kicking the cell door. Twice more the oﬃcers returned No. 19-2629 5 to Frazier’s cell, moved the sleeping mat away from the door, only for Frazier to return the mat to its original location and again begin kicking the cell door. During these encounters, Frazier did not report any symptoms to the oﬃcers or other- wise tell them what was wrong. At approximately 6:30 a.m., Frazier told Mathews that her stomach hurt.2 Frazier told Mathews a total of three times that she was experiencing stomach pain, but only the third time, at approximately 6:45 a.m., did she mention heroin as the cause. Mathews told Frazier he would tell the nurse about her stomach pain. He did so approximately twenty minutes later at 7:05 a.m. in a one-sentence email to the medical depart- ment: “This evening inmate Frazier was complaining of stom- ach pain due from withdrawing from heroin use can you see her at your early convenience.” Mathews did not directly in- teract with Frazier again. Before the end of his shift, however, Mathews personally encountered a nurse whom he informed of Frazier’s heroin-related stomach pains. Mathews’s shift ended at 8:30 a.m. on December 1, 2015. Around 9:00 a.m., a nurse spoke with Frazier about her stomach pains. Frazier did not voice any complaints at that time, nor did she display any signs or symptoms of distress, according to medical staﬀ. The nurse then administered Fra- zier’s blood pressure medication and Tylenol. Around 11:00 a.m., jail medical staﬀ conducted a second COWS assessment. This time, Frazier reported that she was suﬀering from 2 The parties dispute the exact time at which Frazier reported having stomach pains. They agree, however, that she first told Mathews of her pains sometime between 6:30 a.m. and 7:00 a.m. The exact time is imma- terial for our discussion. 6 No. 19-2629 abdominal pain at a ‘2’ level on a scale of 0–5 and that she felt restless at a ‘5’ level on a scale of 0–5, for a total COWS score of 7 out of 48, which placed Frazier in the “mild withdrawal” category. Nurse Novak contacted a doctor who prescribed heroin withdrawal medications for Frazier and instructed the nurses to administer the medication immediately, and during both morning and afternoon “med passes” from that point forward. Later that day, at approximately 2:30 p.m., Frazier asked Nurse Novak when she would be receiving the next dose of withdrawal medication. Nurse Novak informed Frazier that she would receive her next dose when she made her afternoon medication administration rounds. Frazier, however, never received her next dose of withdrawal medication. At 3:23 p.m., security footage shows Frazier remove several small items (later discovered to be pills) from a tissue in her toiletry bag and place them in her mouth one at a time. At 3:50 p.m., Frazier had a seizure and stopped moving. A correctional of- ficer found Frazier unresponsive at 5:11 p.m. and immedi- ately called emergency personnel who transported Frazier to the hospital where she was pronounced dead. A coroner con- ducted an autopsy and determined that Frazier died of “di- phenhydramine toxicity due to or as a consequence of di- phenhydramine misuse.”3 The pills Frazier ingested were later determined to be Advil PM, Aleve PM, or a combination 3 As the district court pointed out, it is not entirely clear from the rec- ord whether “diphenhydramine toxicity” in this case means that Frazier died of a diphenhydramine allergy or overdose. The diﬀerence is imma- terial for our analysis, however, because it is undisputed that Frazier smuggled the medication into the jail and ingested the pills on her own volition. No. 19-2629 7 of the two, both of which contain diphenhydramine, and had not been given to her by jail staﬀ members. B. Procedural Background Jones filed this action against Mathews in the wake of her sister’s death. Jones alleges a claim of constitutional depriva- tion pursuant to 42 U.S.C. § 1983 and a wrongful death claim under Illinois law.4 Defendants filed a motion for summary judgment on May 15, 2019, which the district court granted on August 9, 2019. Jones timely appealed. II. Discussion Jones argues on appeal that the district court erred in granting summary judgment on her § 1983 and state law wrongful death claims because it failed to construe the record in the light most favorable to her as the non-movant. We re- view the district court’s grant of summary judgment de novo and draw all inferences in favor of the non-moving party. Es- tate of Simpson v. Gorbett, 863 F.3d 740, 745 (7th Cir. 2017). Fra- zier’s death is unfortunate. But Jones has not demonstrated that Mathews acted with deliberate indiﬀerence to deprive Frazier of a constitutional right. We aﬃrm the district court’s grant of summary judgment. A. Deliberate Indiﬀerence Claim It is well established that “[p]rison oﬃcials violate the Eighth Amendment’s proscription against cruel and unusual punishment when their conduct demonstrates ‘deliberate 4Jones alleged eight additional claims in the operative complaint, in- cluding a claim for violation of the Americans with Disabilities Act, 42 U.S.C. § 12132, which are not relevant to this appeal. 8 No. 19-2629 indiﬀerence to serious medical needs of prisoners.’” Gutierrez v. Peters, 111 F.3d 1364, 1369 (7th Cir. 1997) (quoting Estelle v. Gamble, 429 U.S. 97, 104 (1976)). Jones contends that Mathews caused Frazier’s death by acting with deliberate indiﬀerence to Frazier’s heroin withdrawal. To assert a claim for deliberate indiﬀerence, Jones must demonstrate (1) Frazier had an objec- tively serious medical condition, and (2) that Mathews was deliberately indiﬀerent to Frazier’s health or safety. See Or- lowski v. Milwaukee Cnty., 872 F.3d 417, 423 (7th Cir. 2017). “This inquiry includes an objective and subjective compo- nent.” Jackson v. Illinois Medi-Car, Inc., 300 F.3d 760, 764 (7th Cir. 2002). In general, a plaintiﬀ satisfies the objective component of the deliberate indiﬀerence inquiry with evidence that a phy- sician has diagnosed a medical condition as requiring treat- ment, “or the need for treatment would be obvious to a lay- person.” Lockett v. Bonson, 937 F.3d 1016, 1022–23 (7th Cir. 2019) (quotations and citations omitted). “A condition can be ‘obvious’ to a layperson even where he or she is unable to di- agnose or properly identify the cause of an observed ailment.” Orlowski, 872 F.3d at 423. When Frazier began expressing physical discomfort, she had not been diagnosed by a physi- cian as suﬀering from heroin withdrawal. But we will assume for our discussion that Jones has met the objective component of the deliberate indiﬀerence inquiry, because even assuming that Frazier’s medical condition was suﬃciently serious, Jones has not demonstrated the subjective component. To satisfy the subjective element, Jones must demonstrate that Mathews was “both ‘aware of facts from which the infer- ence could be drawn that a substantial risk of serious harm exists,’ and that [he] actually drew the inference.” Orlowski, No. 19-2629 9 827 F.3d at 424 (quoting Farmer v. Brennan, 511 U.S. 825, 837 (1994)). “[D]eliberate indiﬀerence describes a state of mind more blameworthy than negligence,” Farmer, 511 U.S. at 835, and it is Jones’s burden to show that Mathews acted with a “suﬃciently culpable state of mind.” Estate of Simpson, 863 F.3d at 747. A prison oﬃcial acts with a suﬃciently culpable state of mind when he is aware of a substantial risk of serious harm, and “eﬀectively condones the harm by allowing it to happen.” Eagan v. Dempsey, 987 F.3d 667, 693 (7th Cir. 2021). Jones argues that based on his training and years of expe- rience as a correctional oﬃcer, Mathews knew that Frazier was experiencing opiate withdrawal, and knew that with- drawal poses a substantial risk of serious harm to someone suﬀering from the condition. We are not so sure that the evi- dence supports this argument. First, when Mathews began his shift, Frazier’s health records documented only that she had used heroin the night before, and that as of 4:00 p.m. that af- ternoon, Frazier was not experiencing any symptoms of with- drawal. Frazier was given a medical designation because of her knee problems and high blood pressure, not because of her drug use. Second, when Frazier began moaning and groaning, Mathews asked her what was wrong. Frazier would not answer despite being capable of speaking, and did not appear to be in medical distress. We need not decide, how- ever, whether there is enough evidence to support a jury de- termination that Mathews knew that Frazier was experienc- ing withdrawal, because Jones faces an even bigger hurdle. There is no evidence establishing that Mathews was aware of the risk of substantial harm that Frazier ultimately suﬀered— death from diphenhydramine toxicity. 10 No. 19-2629 It is undisputed that Frazier died from “diphenhydramine toxicity due to or as a consequence of diphenhydramine mis- use,” not heroin withdrawal. Frazier’s diphenhydramine mis- use occurred when she—hours after Mathews’s shift ended— ingested numerous pills that she smuggled into the jail with- out Mathews’s knowledge. Jones nonetheless contends that Mathews was aware of this precise harm, because he is “a spe- cialist with knowledge that inmates may smuggle items,” and therefore “should reasonably have foreseen the risk that Fra- zier would smuggle in prohibited medication and misuse it.” There is nothing in the record, however, to support this con- tention. Before Mathews’s shift began, Frazier had already spent several hours at the jail. She had been strip searched, and the correctional oﬃcer who conducted the search deter- mined that Frazier did not possess contraband. Jones has not produced any evidence to suggest that Mathews had any rea- son to question the accuracy of the search performed before his shift began, and cites only Mathews’s general training as a correctional oﬃcer in which he was taught to recognize symptoms of withdrawal. Even if Jones can establish that Mathews recognized that Frazier was experiencing with- drawal, there is no evidence from which a jury could reason- ably determine that Mathews knew that there was a substan- tial risk that Frazier would die of diphenhydramine toxicity from ingesting smuggled pills. If no reasonable jury could find that Mathews was aware of that risk, then it follows that he could not have consciously disregarded that risk. Jones’s deliberate indiﬀerence claim thus fails. Rice ex rel. Rice v. Correctional Medical Services, 675 F.3d 650 (7th Cir. 2012) is instructive. Rice was an inmate at the Elkhart County Jail who suﬀered from schizophrenia. He died from psychogenic polydipsia (excessive water drinking) at the jail No. 19-2629 11 while awaiting placement in a state psychiatric facility. His Estate filed an action pursuant to § 1983 alleging, in relevant part, that jail oﬃcials and medical personnel had been delib- erately indiﬀerent to Rice’s declining psychological condition. In the fifteen months that Rice spent at the jail, he had experi- enced several well-documented issues: he refused to take his medication, eat, or bathe, and on one occasion, he cut his own throat with a razor. Rice was in administrative segregation one night when a nearby inmate heard Rice “gulping water and vomiting in his cell.” Rice, 675 F.3d at 662. Inmates in the surrounding cells kicked their cell doors in an attempt to get someone’s attention, but no one showed up. Id. Jail staﬀ found Rice dead in his cell early the next morning. Id. In support of its deliberate indiﬀerence claim, Rice’s Estate argued that “there were fifteen months of warning signs prior to his death that Rice could not care for himself and suﬀered from self-destructive tendencies, and a jury could find that staﬀ members were subjectively aware of the substantial risk that Rice might harm himself fatally in some way.” Id. at 678. We rejected this claim because there was no evidence that any jail staﬀ had notice of the possibility that Rice might die from psychogenic polydipsia, a rare condition which had not be- fore been observed in Rice. Id. We explained that even if a jury could find that the jail guards “exhibited a generalized reck- lessness with respect to the safety of the inmates” housed in administrative segregation by not conducting more frequent cell checks, there was “no evidence that the guards were sub- jectively aware of the possibility that Rice might engage in a behavior such as compulsive water drinking that would cause him to die within a matter of hours and that they consciously disregarded that risk.” Id. at 679. Thus, we held, “no reasona- ble factfinder could find that [the guards] knew of, and were 12 No. 19-2629 deliberately indiﬀerent to, a risk that Rice might come to med- ical harm like cardiac arrhythmia brought on by water tox- icity.” Id. at 680. The guards’ knowledge of Rice’s schizophre- nia was not enough to establish their awareness of and indif- ference to the risk of Rice drinking so much water that he died. Jones’s argument here is similarly flawed. She argues that because Mathews was deliberately indiﬀerent to Frazier’s heroin withdrawal symptoms, Frazier was forced to self-med- icate with contraband Advil PM pills hours after Mathews had left the jail. But even if we assume that a reasonable fact- finder could conclude that Mathews recognized that Frazier was suﬀering from withdrawal, no reasonable factfinder could determine that Mathews knew of, and was indiﬀerent to, a risk that Frazier might die from diphenhydramine tox- icity from ingesting smuggled pain medication. See id. Mathews had no forewarning of this possibility, particularly when the event occurred long after his shift had ended, and after he had informed jail medical staﬀ of Frazier’s stomach pains. Alternatively, Jones argues that even if Mathews did not directly cause Frazier’s death, he caused her pain and suﬀer- ing (and Jones is thus entitled to damages) by failing to re- spond to Frazier’s withdrawal symptoms as soon as they be- gan. She contends that Mathews’s 7:05 a.m. email is evidence of his deliberate indiﬀerence to Frazier’s heroin withdrawal. Jones asserts that Mathews unreasonably delayed contacting medical personnel and when he finally did email jail medical staﬀ, he did not convey an appropriate level of urgency. Jones relies on Lewis v. McLean, 864 F.3d 556 (7th Cir. 2017), where we noted that a delay in treatment may constitute No. 19-2629 13 deliberate indiﬀerence in some circumstances. But there are two key factual distinctions between the plaintiﬀ’s circum- stances in Lewis and the circumstances leading up to Frazier’s death. First, Lewis immediately told prison oﬃcials that he was experiencing pain and explained his symptoms. Lewis, 864 F.3d at 558–59. Second, despite recognizing that Lewis was in such severe pain that he was unable to move, prison oﬃcials waited an hour and a half before contacting the on- call physicians. Id. at 560. We have explained that “[w]hether the length of delay is tolerable depends upon the seriousness of the condition and the ease of providing treatment,” Perez v. Fenoglio, 792 F.3d 768, 778 (7th Cir. 2015), and in Lewis, where the plaintiﬀ’s condition was so severe that it rendered him im- mobile, we recognized that a jury might find that the defend- ants exhibited deliberate indiﬀerence by delaying his treat- ment. Lewis, 864 F.3d at 563–64. The circumstances here are quite diﬀerent. Unlike Lewis who promptly told jail staﬀ about his severe pain, Frazier did not explain her symptoms to Mathews until 6:30 a.m., four hours after her complaints began. When she finally did tell Mathews what was wrong, he contacted jail medical staﬀ shortly thereafter by sending an email and speaking to a nurse directly. Furthermore, even if a jury could reasonably find that Mathews knew Frazier was suﬀering from heroin with- drawal as early as 2:30 a.m., she, unlike Lewis, had not sud- denly become immobile or unconscious, and the need for ur- gent treatment was far less apparent. Instead, Frazier was con- scious, capable of speaking, and physically able to move her sleeping mat to position herself to repeatedly kick her cell door. Mathews and the other oﬃcers on duty monitored Fra- zier throughout the night and Frazier continued not to tell them what was wrong despite their repeated requests, and 14 No. 19-2629 once Frazier told Mathews what was wrong, he sought med- ical attention on Frazier’s behalf. No reasonable jury could conclude on this record that Mathews was deliberately indif- ferent to Frazier’s heroin withdrawal. See Earl v. Racine Cty. Jail, 718 F.3d 689, 692 (7th Cir. 2013) (“[T]he oﬃcer’s prompt call to the nurse undermines any suggestion that he acted with the reckless or malicious intent required to sustain a de- liberate-indiﬀerence claim.”). B. Wrongful Death Claim Jones’s wrongful death claim fails for the same reasons as her deliberate indiﬀerence claim. Under the Illinois Wrongful Death Act: Whenever the death of a person shall be caused by wrongful act, neglect or default, and the act, neglect or default is such as would, if death had not ensued, have entitled the party injured to maintain an action and recover damages in re- spect thereof, then and in every such case the per- son who or company or corporation which would have been liable if death had not ensued, shall be liable to an action for damages, notwith- standing the death of the person injured, and alt- hough the death shall have been caused under such circumstances as amount in law to felony. 740 ILCS 180/1. But under the Governmental Employees Tort Immunity Act, a public employee may not be liable for failure to provide medical care to an incarcerated person unless the oﬃcial, “through willful and wanton conduct, fails to take reasonable action to summon medical care.” 745 ILCS 10/4- 105. No. 19-2629 15 We have noted before that “the standard for assessing whether conduct is willful and wanton is ‘remarkably similar’ to the deliberate indiﬀerence standard.” Chapman v. Keltner, 241 F.3d 842, 847 (7th Cir. 2001) (quoting Payne for Hicks v. Churchich, 161 F.3d 1030, 1041 n.13 (7th Cir. 1998)). Because summary judgment was proper on Jones’s deliberate indiﬀer- ence claim, it was also proper on her wrongful death claim. Jones concedes this point, arguing only the Court should “overturn the District Court’s summary judgment on her Wrongful Death claim because it relies on an erroneous anal- ysis of Plaintiﬀ’s § 1983 claim’s deliberate indiﬀerence stand- ard.” Having determined that the district court properly granted summary judgment on Jones’s deliberate indiﬀerence claim, we therefore also conclude that summary judgment is warranted on Jones’s wrongful death claim. AFFIRMED.

Jacqueline Jones v. Arnold Mathews

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