The opinion of the court was delivered by: Kendall J. Newman United States Magistrate Judge
Plaintiff is a state prisoner, incarcerated at High Desert State Prison ("HDSP"), who proceeds in forma pauperis with a Fourth Amended Complaint alleging violation of his civil rights under 42 U.S.C. § 1983.*fn1 (Dkt. No. 19.) Also pending is plaintiff's request for appointment of a medical expert witness. (Dkt. No. 15.) Plaintiff has consented to the jurisdiction of the undersigned magistrate judge for all purposes. 28 U.S.C. § 636(c); Local Rule 305(a). (See Dkt. No. 5.)
The court is required to screen complaints brought by prisoners seeking relief against a governmental entity or officer or employee of a governmental entity, and to dismiss a complaint or portion thereof if the asserted claims are legally "frivolous or malicious," fail to state a claim upon which relief may be granted, or seek monetary relief from a defendant who is immune from such relief. 28 U.S.C. § 1915A(a), (b)(1),(2).
Plaintiff challenges the medical treatment he has received for his hepatitis. The court's screening of plaintiff's complaints has been routinely difficult due to plaintiff's illegible handwriting, and largely dependent on the court's construction of the attached exhibits. In dismissing plaintiff's Third Amended Complaint, the court noted plaintiff's lack of compliance with accepted pleading standards (the complaint was comprised of a brief statement of alleged facts, and ten separate sworn declarations by plaintiff alleging essentially the same facts against each of ten defendants), and plaintiff's apparent failure to exhaust his administrative remedies before initiating this action. (Dkt. No. 17.)
In his Fourth Amended Complaint, plaintiff alleges that he first tested positive for Hepatitis C Virus ("HCV") in 2002, when tested by Dr. Smith at Mule Creek State Prison ("MCSP"), who allegedly failed to treat plaintiff for the illness. Plaintiff was transferred to Deuel Vocational Institution ("DVI") in 2007, where Dr. Zachariah also allegedly failed to treat plaintiff's HCV. Plaintiff names both Dr. Smith and Dr. Zachariah as defendants in this action. However, as addressed below, such claims are legally inadequate and plaintiff apparently never exhausted any such claims against these defendants.
Plaintiff was transferred to HDSP on April 11, 2011. On September 30, 2011, plaintiff's HCV was treated with Interferon and Ribavirin. (Dkt. No. 19 at 12.) Plaintiff alleges that he received 36 weeks of treatment after an undated liver biopsy, which included a puncture to plaintiff's lung, but the treatment was deemed a failure, and terminated, on July 3, 2012. Plaintiff alleges that he has received no HCV treatment since July 2012. He seeks to obtain treatment with "two drugs, called Boceprevir and Telaprevir," that can allegedly provide "sustained viral suppression, effectively a cure," in patients who failed to respond to initial therapy, and asserts that these drugs have "tripled the odds of bringing the virus under control." (Dkt. No. 19 at 6.) Plaintiff generally alleges that the following HDSP health care staff have been deliberately indifferent to his medical needs, and are therefore named as additional defendants in this action: Drs. Bonnie Lee, D. Swingle, Abdur-Rahman, J. Rohlfing, Kim, D. Windsor, and Pomonaz (spelling is unclear), and physician's assistant ("PA") Robertson.
The attachments to plaintiff's Fourth Amended Complaint include two Third Level Decisions addressing each of plaintiff's relevant administrative appeals. The first decision, issued November 4, 2011, notes, in pertinent part, plaintiff's August 2011 complaints that it had "been two months since you had a liver biopsy and your lung got punctured; . . . and you still haven't had any HEP C treatment." (Log No. HDSP-11-10781.) (Dkt. No. 19 at 11-2.) The decision, issued on behalf of L.D. Zamora, Chief of the California Correctional Health Care Services, noted in pertinent part that plaintiff had recently commenced HEP C treatment on September 30, 2011, and concluded that "there is no compelling evidence that warrants intervention at the Director's Level Review as your medical condition has been evaluated by licensed clinical staff and you are receiving treatment deemed medically necessary." (Id. at 12.)
The second relevant decision, issued December 14, 2011, addressed plaintiff's requests that his prescription for methadone be reordered, that plaintiff be classified as totally disabled (based on his HCV, brain trauma, back pain, foot injury, and mobility impairment), and, generally, that Dr. Abdur-Rahman be required to provide plaintiff with proper medical care. (Log No. HDSP-11-10941.) (Dkt. No. 19 at 14-5.) The Director's Level decision, also issued on behalf of L.D. Zamora, Chief of the California Correctional Health Care Services, noted in pertinent part that plaintiff 's medical "care related to your appeal issues was adequate, as you received medical treatment and medication was provided as deemed appropriate for your condition." (Id. at 15.)
Review of the additional attachments to plaintiff's Fourth Amended Complaint fail to reflect exhaustion of any other relevant administrative grievance.
The court finds no potentially cognizable claim against any named defendant in plaintiff's Fourth Amended Complaint. The allegations of the complaint challenging plaintiff's treatment prior to his transfer to HDSP are too general and remote to state a claim against MCSP physician Dr. Smith prior to 2007, or against DVI physician Dr. Zachariah during the period 2007 to 2011. Plaintiff's attachments indicate that CDCR was unable to provide plaintiff with hepatitis medications prior to his transfer to HDSP. As set forth in the December 8, 2010 First Level Response to one of plaintiff's apparently unexhausted appeals, DVI Chief Physician and Surgeon Michael Fox, M.D. explained (Dkt. No. 19 at 43):
You are requesting to get medical treatment to treat your Hepatitis
C. [¶ ] Your appeal has been received and reviewed. You are being following by your Primary Care Physician (PCP) Dr.
Zachariah regarding your chronic condition. Your lab tests regarding your liver function have been evaluated to monitor your disease. Please be informed that treatment for Hepatitis cannot be started at an "RC" institution. The reason is that this is a very long and inflexible treatment started only at a Mainline Institution. If you were to start treatment at an RC facility and then were transferred, this would interfere in the consistency of delivery of medications causing the treatment to be ineffective. It could also cause you to become resistant to the treatment whereby you no longer could be treatable (symptom managed). Therefore, your request to receive treatment for your Hepatitis C is denied due to the reason hereby stated.
Four months later, on April 11, 2011, plaintiff was transferred to HDSP, where he commenced treatment for his HCV on September 30, 2011, which ended on July 3, 2012. The allegations of plaintiff's complaint challenging his care at HDSP after July 3, 2012, are unsupported by any evidence of a relevant and exhausted administrative appeal. Thus, plaintiff's claims that defendants Lee, Swingle, Abdur-Rahman, Rohlfing, Kim, Windsor, Pomonaz, and Robertson, have been deliberately indifferent to plaintiff's medical needs during his incarceration at HDSP, demonstrated by plaintiff's inability to obtain a second trial of HCV medications, are not properly before this court. Moreover, as noted ...