The opinion of the court was delivered by: Sandra M. Snyder United States Magistrate Judge
FINDINGS AND RECOMMENDATIONS RECOMMENDING PLAINTIFF'S MOTION FOR A PRELIMINARY INJUNCTION BE DENIED
THIRTY-DAY OBJECTION DEADLINE
Findings and Recommendations on Motion for Preliminary Injunction
I. Summary of Proceedings
Plaintiff Roberto A. Sotelo, a state prisoner proceeding pro se and in forma pauperis, filed this civil rights action pursuant to 42 U.S.C. § 1983 on September 10, 2008. This action is proceeding on Plaintiff's amended complaint, filed February 24, 2009, against Defendants Birring, Das, Diep, and Coleman for acting with deliberate indifference to Plaintiff's medical needs, in violation of the Eighth Amendment. On July 15, 2010, Plaintiff filed a motion seeking a preliminary injunction requiring Defendants to place him back on his previous morphine dosage, and on July 16, 2010, Plaintiff filed a supplement to the motion. Defendants Birring and Das did not file a response.*fn1
Plaintiff allegedly suffers from chronic, severe neck and back pain caused by bone spurs in his neck and a herniated disc in his lower back. Plaintiff's condition was confirmed by numerous tests and Plaintiff was placed on a pain management plan under which he began receiving thirty milligrams of morphine in the morning and fifteen milligrams of morphine in the afternoon. On this protocol, Plaintiff's pain was managed sufficiently to allow him to stand and walk, and to sleep at night.
In his motion, Plaintiff claims that his morphine dosage was cut in half on June 3, 2010, by Dr. Green, who told Plaintiff he was only given morphine by other doctors because they were weak and intimidated by the prisoners into prescribing such medication. Dr. Green told Plaintiff he was not weak and Plaintiff only needed aspirin. Plaintiff was informed that his morphine dosage was going to be cut in half and then eliminated entirely. Dr. Green then issued an order cutting Plaintiff's dosage in half.
Plaintiff contends that Dr. Green acted without reviewing his medical file, examining Plaintiff, or conducting any tests. Plaintiff states that he has been on pain management for two years, he had other tests including MRIs done, he was on many different medications, and he won his medical appeal, which led to his placement on a pain management plan. Plaintiff contends that he has tried to appeal the incident with Dr. Green, but his appeals are being screened out and he is being denied access to his medical file. Plaintiff alleges that he is in extreme pain and will end up in intolerable pain once his medication is discontinued entirely.
"A preliminary injunction is an extraordinary remedy never awarded as of right." Winter v. Natural Resources Defense Council, Inc., 129 S.Ct. 365, 376 (2008) (citation omitted). "A plaintiff seeking a preliminary injunction must establish that he is likely to succeed on the merits, that he is likely to suffer irreparable harm in the absence of preliminary relief, that the balance of equities tips in his favor, and that an injunction is in the public interest." Id. at 374 (citations omitted). An injunction may only be awarded upon a clear showing that the plaintiff is entitled to relief. Id. at 376 (citation omitted) (emphasis added).
For each form of relief sought in federal court, Plaintiff must establish standing. Mayfield v. United States, 599 F.3d 964, 969 (9th Cir. 2010), petition for cert. filed, 79 U.S.L.W. 3007 (U.S. Jun. 22, 2010) (No. 09-1561). This requires Plaintiff to "show that he is under threat of suffering an 'injury in fact' that is concrete and particularized; the threat must be actual and imminent, not conjectural or hypothetical; it must be fairly traceable to challenged conduct of the defendant; and it must be likely that a favorable judicial decision will prevent or redress the injury. Summers v. Earth Island Institute, 129 S.Ct. 1142, 1149 (2009) (citation omitted); Mayfield, 599 F.3d at 969 (citation omitted).
In addition, any award of equitable relief is governed by the Prison Litigation Reform Act, which provides in relevant part, "Prospective relief in any civil action with respect to prison conditions shall extend no further than necessary to correct the violation of the Federal right of a particular plaintiff or plaintiffs. The court shall not grant or approve any prospective relief unless the court finds that such relief is narrowly drawn, extends no further than necessary to correct the violation of the ...