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Loss of Prisoner's Dentures and Heart Medication Valid Claims

The court of appeals for the Seventh circuit has held that a guard's intentional loss of a prisoner's dentures and heart medication is actionable under 42 U.S.C. § 1983 as two separate claims for deliberate indifference to serious medical needs in violation of the Eighth Amendment.

Sylvester Wynn, an Indiana state prisoner, filed a civil rights action under 42 U.S.C. § 1983 alleging a guard violated his due process rights and the constitutional prohibition against cruel and unusual punishment when he deliberately misplaced Wynn's dentures and heart medication. The incident occurred when Wynn was being transferred from general population to the Isolation Detention Unit (ISU). When Wynn asked permission to take his dentures and heart medication with him, a guard assured him that he would personally pack Wynn's property. A week later, still in ISU and without dentures or heart medication despite repeated requests, Wynn filed a grievance over the heart medication stating that he was suffering from heart flutters. Wynn also filed an interview request form regarding the missing dentures. The response to the form noted Wynn signed a receipt for all of his property.

In his suit, Wynn alleged he was still without his dentures and suffered bleeding, headaches, inability to chew food, humiliation, shame, and disfigurement due to the loss of his dentures. The suit also complained about the loss of the heart medication and alleged that the signature on the property receipt was a forgery.

On its own motion, the district court dismissed Wynn's suit for failure to state a claim, finding that Wynn had an adequate state post-deprivation remedy to redress the loss of property in the Indiana Tort Claims Act, Indiana Code § 34-13-3-1. This would bar a claim for loss of property under § 1983. Wynn appealed.

Reviewing the dismissal de novo, the Seventh Circuit held that the district court properly dismissed the case based on the loss of property. Additionally, the district court properly dismissed all claims against the Indiana State Prison, Indiana Department of Corrections, and prison officials in their official capacities because the were entitled to immunity under the Eleventh Amendment. However, the district court failed to analyze Wynn's Eighth Amendment claims against guards in their individual capacities.

The Seventh Circuit held that guards deliberately depriving a prisoner of dentures or heart medication could state a claim of deliberate indifference to serious medical needs in violation of the Eighth Amendment. Thus, the Seventh Circuit affirmed the dismissal of the due process claims and the claims against state departments and state officials in their official capacities and vacated the district court's dismissal of the Eighth Amendment claims against the guards in their individual capacities, returning the case to the district court for further proceedings on those claims.

Readers should note that this is not a decision on the merits. See: Wynn v. Southward, 251 F.3d 588 (7th Cir. 2000).

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Related legal case

Wynn v. Southward

SYLVESTER E. WYNN, Plaintiff-Appellant, v. DONNA SOUTHWARD, et al., Defendants-Appellees.

No. 00-2271

UNITED STATES COURT OF APPEALS FOR THE SEVENTH CIRCUIT

251 F.3d 588; 2001 U.S. App.

March 7, 2001, Argued
March 29, 2001, Decided
June 11, 2001 n1, Opinion Filed


n1 Pursuant to Circuit Rule 53, this opinion was originally issued as an unpublished order on March 29, 2001. The court, upon request of the parties, issues this decision as an opinion.


SUBSEQUENT HISTORY: [**1] The Publication Status of this Document has been Changed by the Court from Unpublished to Published May 10, 2001.

PRIOR HISTORY: Appeal from the United States District Court for the Northern District of Indiana, South Bend Division. No. 3:00cv172RM. Robert L. Miller, Jr., Judge.

DISPOSITION: Dismissal of all claims against Indiana State Prison and Indiana Department of Corrections, all claims against Triggs and Southward in their official capacities, and Wynn's Fourteenth Amendment claims AFFIRMED. Dismissal of Wynn's Eighth Amendment claims against Triggs and Southward in their individual capacities VACATED and case REMANDED.




COUNSEL: For SYLVESTER E. WYNN, Plaintiff - Appellant: F. Neil MacDonald, SKADDEN, ARPS, SLATE, MEAGHER & FLOM, Chicago, IL USA.

For DONNA SOUTHWARD, OFFICER TRIGGS, INDIANA STATE PRISON, INDIANA DEPARTMENT OF CORRECTIONS, Defendants - Appellees: Jon B. Laramore, OFFICE OF THE ATTORNEY GENERAL, Indianapolis, IN USA.

JUDGES: Before Diane P. Wood, Evans, and Williams, Circuit Judges.

OPINION:
Per Curiam. [*590]
Sylvester Wynn filed a complaint pursuant to 42 U.S.C. § 1983 [**2] against the Indiana Department of Corrections, the Indiana State Prison, and two corrections officials, alleging that his Eighth and Fourteenth Amendment rights were violated when one of the officials deliberately misplaced his dentures and heart medication and a second official later tried to conceal the wrongdoing. The district court dismissed the complaint sua sponte for failure to state a Fourteenth Amendment claim on which relief could be granted, see 28 U.S.C. § 1915A, but did not consider whether Wynn's allegations were sufficient to support an Eighth Amendment claim. We affirm in part, vacate in part, and remand for further proceedings.

I. Background
During the fall of 1999, Wynn was incarcerated at Indiana State Prison at Michigan City, Indiana. On September 1, 1999, he was moved from the general prison population to the Isolation Detention Unit ("IDU"). When Wynn requested that he be allowed to take his dentures with him to the IDU, a prison official named Triggs informed Wynn that he would pack Wynn's personal property during his shift on the morning of September 2, 1999. Wynn's signature appears on a Segregation Property Form, dated [**3] September 3, 1999, indicating that he received the itemized property, including a set of dentures.
Notwithstanding his signature on the property form, Wynn claimed after his move to the IDU that he did not receive all of his personal property, including, among [*591] other things, his dentures and his heart medication. He promptly initiated grievance procedures. First, he filed a grievance form on September 8, 1999, requesting his heart medication, dentures, and denture adhesive. On the grievance form, Wynn stated that he needed these items "immediately" and that he had requested them from IDU officials and Sergeant Donna Southward for a week, but to no avail. As a result of not having his medication, Wynn stated further, his heart had been "fluttering" and he warned that he might begin to experience "heavy chest pains" if he did not resume taking his medication. Also on September 8, Wynn submitted an interview request form concerning his dentures and other personal hygiene items that he said he did not receive. The bottom of the interview form contains what appears to be an official notation concerning Wynn's signature on the September 3, 1999 Segregation Property Form: "To Sgt. Southward [**4] per O/C Scott: Please note the date of 9-3-99 that Mr. Wynn signed for his property."
In his form complaint, n2 Wynn alleged that he was still without his dentures, and as a result has suffered bleeding, headaches, inability to chew his food, humiliation, shame, and "disfigurement." Apparently suggesting that Southward forged his signature on the Segregation Property Form, Wynn alleged that the notation on the interview form is evidence that Southward "committed forgery" concerning his missing dentures. Wynn alleged that, as a result of the officers' deliberate misplacement of his dentures, subsequent forgeries and falsification of property records, and disregard of his requests for his dentures, he suffered cruel and unusual punishment in violation of the Eighth Amendment and was deprived of his property without due process in violation of the Fourteenth Amendment. Wynn focused his complaint primarily on the injuries resulting from the loss of his dentures, but he also referenced a 1998 lawsuit involving claims that prison officials were deliberately indifferent to his heart condition. In addition, Wynn attached to his complaint the interview form and grievance form describing his [**5] requests for his heart medication and the harmful effects of the lapse in medication.

n2 Wynn submitted his original handwritten complaint on March 14, 2000. In compliance with the district court's order for a more definite statement, Wynn resubmitted his complaint on April 12, 2000 on the district court's standard form for § 1983 actions.

The district court, addressing some but not all of Wynn's claims, dismissed the complaint sua sponte under 28 U.S.C. § 1915A for failure to state a claim. With regard to Wynn's Fourteenth Amendment claims, the district court found that because the Indiana Tort Claims Act, Indiana Code § 34-13-3-1 et seq., provided an adequate post-deprivation remedy to redress the accidental or intentional deprivation of his property, his § 1983 claim was barred by the United States Supreme Court's decisions in Parratt v. Taylor, 451 U.S. 527, 68 L. Ed. 2d 420, 101 S. Ct. 1908 (1981), overruled in part on other grounds, Daniels v. Williams, 474 U.S. 327, 88 L. Ed. 2d 662, 106 S. Ct. 662 (1986), [**6] and Hudson v. Palmer, 468 U.S. 517, 82 L. Ed. 2d 393, 104 S. Ct. 3194 (1984). The district court dismissed the complaint without addressing Wynn's Eighth Amendment claims.

II. Analysis
This court reviews de novo the district court's dismissal of a complaint pursuant to § 1915A. See Sanders v. Sheahan, 198 F.3d 626, 626 (7th Cir. 1999). We accept all well-pleaded facts alleged in the complaint as true and draw all inferences [*592] in Wynn's favor. See DeWalt v. Carter, 224 F.3d 607, 612 (7th Cir. 2000). The district court properly dismissed Wynn's complaint for failure to state a claim only if "no relief could be granted 'under any set of facts that could be proved consistent with the allegations.'" Nance v. Vieregge, 147 F.3d 589, 590 (7th Cir. 1998) (quoting Hishon v. King & Spalding, 467 U.S. 69, 73, 81 L. Ed. 2d 59, 104 S. Ct. 2229 (1984)). In addition, because Wynn filed his complaint without the assistance of counsel, we construe his complaint liberally. See Hudson v. McHugh, 148 F.3d 859, 864 (7th Cir. 1998).
A. Immunity
In its April 27, 2000 dismissal order, the district [**7] court found that Wynn did not bring his action against a "defendant who is immune from a suit for money damages." Although the parties do not mention it, this finding is erroneous because the Eleventh Amendment, which precludes a citizen from suing a state for money damages in federal court without the state's consent, bars Wynn's claims against the Indiana State Prison and the Indiana Department of Corrections, both state agencies. See Higgins v. Mississippi, 217 F.3d 951, 953 (7th Cir. 2000). This principle also applies to suits for money damages against state officials in their official capacities; thus, to the extent that Wynn sues Southward and Triggs in their official capacities, those claims are similarly barred. See Gossmeyer v. McDonald, 128 F.3d 481, 487 (7th Cir. 1997). Accordingly, Wynn is precluded from asserting claims against the Indiana State Prison, Indiana Department of Corrections, and Southward and Triggs in their official capacities.
Wynn does not specify whether he sued the officers in their official or individual capacities. His omission of the phrase "individual capacity," however, does not necessarily render this solely an [**8] official capacity suit. See Hill v. Shelander, 924 F.2d 1370, 1373 (7th Cir. 1991); see also Miller v. Smith, 220 F.3d 491, 494 (7th Cir. 2000) (rejecting presumption that § 1983 plaintiffs who fail to designate whether defendant is sued in individual or official capacity intended official capacity suit). Wynn does not allege, for instance, that an official policy or custom violated his constitutional rights; he does not even mention any official custom or policy. See Miller, 220 F.3d at 494. Rather, he complains specifically about the unconstitutional acts of two officials: Triggs' packing and misplacing his dentures and heart medication, Southward's deliberate falsification of prison documents, and both officials' disregard of his requests for redress. Furthermore, his request for punitive damages suggests an intent to sue the officers in their individual capacities. See Hill, 924 F.2d at 1374. Considering these factors in light of Wynn's pro se status, we conclude that Wynn may assert claims against Southward and Triggs in their individual capacities. See id Hill, 924 F.2d at 1373.
B. Fourteenth [**9] Amendment Claims
The district court properly dismissed Wynn's Fourteenth Amendment claims for deprivation or destruction of personal property. The officers' acts did not deprive Wynn of life, liberty or property protected by the Fourteenth Amendment, see Daniels, 474 U.S. at 330-31 (holding that negligent act by state official cannot deprive individual of life, liberty or property under the Fourteenth Amendment), even if those acts were intentional, see Hudson, 468 U.S. at 533 (holding that intentional deprivation of property does not violate due process so long as adequate state post-deprivation remedies are available). [*593] Wynn has an adequate post-deprivation remedy in the Indiana Tort Claims Act, and no more process was due. See Wilson v. Civil Town of Clayton, Indiana, 839 F.2d 375, 383 (7th Cir. 1988) (holding that Indiana Tort Claims Act provides prisoners with adequate post-deprivation remedies for lost property). Accordingly, we affirm the district court's dismissal of Wynn's Fourteenth Amendment claims.
C. Eighth Amendment Claims
Unfortunately, the district court did not address Wynn's claims that the conduct of [**10] Triggs and Southward constituted deliberate indifference to his serious medical needs. Prison officials' conduct demonstrating deliberate indifference to serious medical needs of prisoners constitutes the "'unnecessary and wanton infliction of pain'" and violates the Eighth Amendment's prohibition of cruel and unusual punishment. Estelle v. Gamble, 429 U.S. 97, 104, 50 L. Ed. 2d 251, 97 S. Ct. 285 (1976) (quoting Gregg v. Georgia, 428 U.S. 153, 182-83, 49 L. Ed. 2d 859, 96 S. Ct. 2909 (1976)); Garvin v. Armstrong, 236 F.3d 896, 898 (7th Cir. 2001). To state an Eighth Amendment claim, a prisoner must show that (1) he had a serious medical need, and (2) the defendants were deliberately indifferent to it. See Garvin, 236 F.3d at 898. An objectively 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.'" Zentmyer v. Kendall County, Illinois, 220 F.3d 805, 810 (7th Cir. 2000) (quoting Gutierrez v. Peters, 111 F.3d 1364, 1373 (7th Cir. 1997)). Deliberate [**11] indifference entails more than "mere negligence," Farmer v. Brennan, 511 U.S. 825, 836, 128 L. Ed. 2d 811, 114 S. Ct. 1970 (1994), and requires the prisoner to show that the prison official was subjectively aware of the prisoner's serious medical needs and disregarded an excessive risk that a lack of treatment posed to the prisoner's health or safety. Id.at 837; Zentmyer, 220 F.3d at 811.
1. Dentures
Wynn has established the first prong of a deliberate indifference claim with respect to his dentures. Indeed, "dental care is one of the most important medical needs of inmates." Ramos v. Lamm, 639 F.2d 559, 576 (10th Cir. 1980). Wynn alleges that he has been unable to chew his food without his dentures, significantly impeding his ability to eat, and that he has suffered bleeding, headaches, and "disfigurement." These allegations are sufficient to demonstrate that Wynn has a serious medical need for his dentures. See Cooper v. Schriro, 189 F.3d 781, 783-84 (8th Cir. 1999) (reversing dismissal of complaint where prisoner alleged defendants refused to treat his decayed and [**12] cracked teeth); Chance v. Armstrong, 143 F.3d 698, 703 (2d Cir. 1998) (reversing dismissal of complaint where prisoner alleged extreme pain, deterioration of teeth and inability to eat properly); Hunt v. Dental Dep't, 865 F.2d 198, 200 (9th Cir. 1989) (reversing grant of summary judgment for defendants where prisoner alleged that prison's refusal to replace his lost dentures led to bleeding and infected gums, brittle teeth and pain due to his inability to eat properly).
Although it is a closer question whether Triggs and Southward knew of and deliberately disregarded Wynn's dental needs, at this stage it does not appear "beyond doubt" that Wynn (whose pro se pleadings deserve liberal construction) can prove no set of facts consistent with his complaint that would entitle him to relief. Hishon, 467 U.S. at 73. [*594] None of Wynn's allegations rules out the possibility that Triggs and Southward acted deliberately, so his complaint should not have been dismissed even if it is more likely that their acts constituted negligence. See Nance, 147 F.3d at 590 (explaining that court must await summary judgment before determining [**13] that prison officials more likely than not acted deliberately). His allegations sufficiently put Triggs and Southward on notice of his Eighth Amendment claim as to his dentures, and that is all he must do at this stage. See DeWalt, 224 F.3d at 612; see also Donald v. Cook County Sheriff's Dep't, 95 F.3d 548, 555 (7th Cir. 1996) (allegations that prisoner begged to keep medication, officers responded rudely, and prisoner suffered serious medical complications due to lack of medication stated Eighth Amendment claim). Accordingly, the district court erred in dismissing Wynn's Eighth Amendment claim with respect to his dentures. At a minimum, the court should have given him leave to amend his complaint. See Donald, 95 F.3d at 554-56; Fed. R. Civ. P. 15(a).
2. Heart Medication
Wynn also alleges facts sufficient to state an Eighth Amendment claim as to his heart medication. In the grievance form, which, as an attachment to the complaint, is effectively incorporated as part of the complaint, see Fed. R. Civ. P. 10(c), Wynn states that he repeatedly told prison officials that he needed his heart medication "immediately," that the [**14] officials did not respond to his requests, that he made two written requests to Southward for his medication, that his heart had been "fluttering" due to the lapse in medication, and that he risked "heavy chest pains" if he did not resume taking his medication. These allegations adequately state an Eighth Amendment claim that the officers were deliberately indifferent to Wynn's serious medical need for his heart medication. See Ralston v. McGovern, 167 F.3d 1160, 1162 (7th Cir. 1999) (reversing grant of summary judgment for defendants where prison official deliberately refused to administer prescribed pain medication); Donald, 95 F.3d at 555 (reversing dismissal of Eighth Amendment claim where prisoner alleged two-day deprivation of heart medication resulted in heart attack and hospitalization).

III. Conclusion
We AFFIRM the dismissal of all claims against the Indiana State Prison and the Indiana Department of Corrections, all claims against Triggs and Southward in their official capacities, and Wynn's Fourteenth Amendment claims. We VACATE the dismissal of Wynn's Eighth Amendment claims against Triggs and Southward in their individual capacities [**15] and REMAND to the district court for further proceedings consistent with this order.