     Case: 12-50227       Document: 00512214660         Page: 1     Date Filed: 04/19/2013




           IN THE UNITED STATES COURT OF APPEALS
                    FOR THE FIFTH CIRCUIT  United States Court of Appeals
                                                    Fifth Circuit

                                                                            FILED
                                                                           April 19, 2013
                                     No. 12-50227
                                   Summary Calendar                        Lyle W. Cayce
                                                                                Clerk

PATRICK WAYNE BELL,

                                                  Plaintiff-Appellant

v.

PATRICIA O’BRIEN, Nurse Practitioner in her Individual and Official Capacity,

                                                  Defendant-Appellee


                   Appeals from the United States District Court
                         for the Western District of Texas
                              USDC No. 5:10-CV-742


Before SMITH, PRADO, and HIGGINSON, Circuit Judges.
PER CURIAM:*
       Patrick Wayne Bell, Texas prisoner # 1190375, appeals the district court’s
summary judgment for the defendant, Nurse Practitioner Patricia O’Brien, on
grounds of qualified immunity. Bell does not challenge the determination of the
magistrate judge (MJ), accepted by the district court, that O’Brien was immune
from suit in her official capacity and could not be held liable under a theory of
respondeat superior for the conduct of nurses under her supervision. Nor does
he challenge the district court’s dismissal of his claims against Nathaniel

       *
         Pursuant to 5TH CIR. R. 47.5, the court has determined that this opinion should not
be published and is not precedent except under the limited circumstances set forth in 5TH CIR.
R. 47.5.4.
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                                  No. 12-50227

Quarterman, the director of the Texas Department of Criminal Justice,
Institutional Division, and his successor, Rick Thaler. Bell’s motion to hold
ruling in this case pending a decision in another suit he filed is DENIED.
      Bell asserts that rulings by the MJ show that the MJ was biased against
him. These assertions do not establish that the MJ was biased or show that the
MJ’s partiality should otherwise be questioned. See Liteky v. United States, 510
U.S. 540, 555 (1994).
      Bell did not file objections to the MJ’s report and recommendation to grant
O’Brien’s motion for summary judgment, even though the MJ advised Bell of the
consequences of failing to do so. As a consequence, we review the factual
findings and legal conclusions accepted by the district court for plain error. See
Douglass v. United Servs. Auto. Ass’n, 79 F.3d 1415, 1428-29 (5th Cir. 1996) (en
banc); Puckett v. United States, 556 U.S. 129, 135 (2009). Because O’Brien
asserted qualified immunity, Bell bore the burden of rebutting that defense by
establishing a genuine dispute as to whether O’Brien’s conduct violated a
constitutional right of Bell’s and whether that right was clearly established at
the time of the violation. Brown v. Callahan, 623 F.3d 249, 253 (5th Cir. 2010).
      Bell contends that the district court should have considered the following
issues of material fact that would have precluded summary judgment:
(1) O’Brien delayed or denied him access to a hospital and to personnel capable
of diagnosing and treating his condition and (2) O’Brien delayed or denied him
access to appropriately qualified health care personnel.       In support of his
arguments, Bell cites deposition testimony of three nurses and attaches
transcripts of the depositions to his appellate brief.      Because the nurses’
deposition testimony was not submitted to the district court and is not found in
the record, we may not consider it. Theriot v. Parish of Jefferson, 185 F.3d 477,
491 n.26 (5th Cir. 1999).      The MJ considered and rejected Bell’s arguments
that O’Brien delayed or denied him access to qualified health care personnel and
delayed or denied his access to a hospital. Bell did not present any summary

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                                  No. 12-50227

judgment evidence, and the record contains none, showing that O’Brien was not
“qualified healthcare personnel.” He does not point to any evidence in the record
that would establish that O’Brien deliberately delayed his access to treatment,
see Mendoza v. Lynaugh, 989 F.2d 191, 195 (5th Cir. 1993), “refused to treat him,
ignored his complaints, intentionally treated him incorrectly, or engaged in any
similar conduct that would clearly evince a wanton disregard for any serious
medical needs,” Domino v. Tex. Dep’t of Crim. Justice, 239 F.3d 752, 755 (5th Cir.
2001) (internal quotation marks omitted). Accordingly, he has not shown that
the district court erred, plainly or otherwise, in granting O’Brien’s motion for
summary judgment. See Puckett, 556 U.S. at 135.
      For the first time, Bell contends in his appeal that the district court should
have considered that O’Brien failed in her duty as a “gatekeeper” by delaying his
access to a hospital and to qualified health care personnel capable of treating his
condition. He also raises the following arguments for the first time on appeal:
O’Brien did not carry out discharge orders for a follow-up doctor’s visit or to give
him a certain medicine for his lung infection; O’Brien ignored his EKG and heart
condition, resulting in the need for a catheter to relieve pressure on his heart;
although O’Brien averred that she believed her treatment of Bell was effective,
she admitted that she was not a pulmonologist and does not diagnose or treat
such conditions; O’Brien stated falsely that she did not refer Bell to
rheumatology until December 4, 2008, because his sedimentation rate was up,
when the medical records show that his sedimentation rate was up on November
21, 2008, and that he should have been referred to rheumatology or sent to the
hospital sooner. Although Bell raised similar arguments in the district court, he
did not raise these specific issues in his complaint, his questionnaire responses,
or in his response to O’Brien’s motion for summary judgment. Accordingly, we
do not review these arguments. See Varnado v. Lynaugh, 920 F.2d 320, 321 (5th
Cir. 1991).
      AFFIRMED; MOTION DENIED.



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