O'Connor v. McArdle

SUMMARY ORDER Plaintiff-appellant Robert O’Connor, an inmate in the custody of the New York State Department of Correctional Services, appeals from a judgment of the District Court entered February 22, 2006, granting summary judgment in favor of defendants-appellees and dismissing plaintiffs claim under 42 U.S.C. § 1983 for violation of his Eighth Amendment rights. We assume the parties’ familiarity with the facts and procedural history of the case. We review de novo the District Court’s grant of summary judgment, and we draw all ambiguities and reasonable inferences in plaintiffs favor. Harrison v. Barkley, 219 F.3d 132, 136 (2d Cir.2000). Plaintiff alleges that defendants acted with “deliberate indifference to [his] serious medical needs” in violation of the Eighth and Fourteenth amendments, Estelle v. Gamble, 429 U.S. 97, 104, 97 S.Ct. 285, 50 L.Ed.2d 251 (1976), by failing to provide him with a replacement fixed bridge, either at the State’s or his own expense. To establish an Eighth Amendment claim arising out of inadequate medical care, a plaintiff must prove (1) that he suffered from an objectively serious medical condition, see [83] Chance v. Armstrong, 143 F.3d 698, 702 (2d Cir.1998), and (2) that the defendant acted with a subjectively culpable state of mind, “know[ing] of and disregarding] an excessive risk to inmate health or safety,” id. (quoting Farmer v. Brennan, 511 U.S. 825, 837, 114 S.Ct. 1970, 128 L.Ed.2d 811 (1994)). We agree with the District Court that, even if plaintiff could show that his requests for a replacement bridge had been prompted by a serious medical condition, he has not adduced evidence sufficient for a reasonable jury to find that defendants were deliberately indifferent to that condition. This case does not involve “(1) a flat refusal of medical treatment for a condition that if left untreated is serious and painful; or (2) a conditional refusal of such treatment, subject to [plaintiffs] consent to undergo an unwanted medical procedure.” Harrison, 219 F.3d at 137. Rather, as the District Court pointed out, when Dr. Ahmed discovered that plaintiffs existing bridge wiggled slightly due to caries on plaintiffs number 7 tooth, defendants offered to cut the crown on that tooth from the bridge, extract the tooth, and replace it with a removable partial denture. Although “[i]n certain instances, a physician may be deliberately indifferent if he or she consciously chooses ‘an easier and less efficacious’ treatment plan” than otherwise available, Chance, 143 F.3d at 703 (quoting Williams v. Vincent, 508 F.2d 541, 544 (2d Cir.1974)), failure to provide the more efficacious treatment—even where, as here, a doctor recommends the treatment at plaintiffs insistence—does not, without more, rise to the level of deliberate indifference, cf. Johnson v. Wright, 412 F.3d 398, 400 (2d Cir.2005) (vacating grant of summary judgment on Eighth Amendment claim, where “defendants reflexively applied DOCS policy in the face of the unanimous, express, and repeated—but contrary—recommendations of plaintiffs treating physicians, including prison physicians” (emphasis added)); Chance, 143 F.3d at 700, 704 (reversing dismissal of Eighth Amendment claim under Fed.R.Civ.P. 12(b)(6), where plaintiff alleged that defendants recommended extraction of teeth, rather than less invasive procedures, based on personal monetary gain); Williams, 508 F.2d at 543-44 (reversing dismissal of Eighth Amendment claim for failure to state a cause of action, where prison doctors sewed up the stump of plaintiffs severed ear, rather than trying to reattach it, after telling plaintiff “he did not need his ear” and throwing the severed ear away in front of him). We have considered all of plaintiffs arguments and find them to be without merit. The District Court’s judgment is AFFIRMED.