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Sc\  `&Times New RomanS7Z(X7&  d dK)1dxd8dl6TypewriterKb<6X9`(Courier NewKSc\  `&Times New RomanS<:zTop of For7O(X7  ?d%2A`Arial?  Sc\  `&Times New RomanS7Z(X7K)2dxd0KS.SampleKb<6X9`(Courier NewKSc\  `&Times New RomanS0.Strong (|G2$ !.8Ldd8         0  ´42Variable: 8HTML MarkupB      2 0CommentB   d(O$(|3$ !.8Ldd8     VVVV'dxd)!dxdx( $ Figure  1  (#$  0  ^_X`YE<<CLevel 1Level 2Level 3Level 4Level 5(|3$ !.8Ldd8     ($$   1  X[Z&OLE 2.0 Box <=8C HKKKK<6X9`(Courier New\  `&Times New Roman%2A`Arial- - e  R$      1  д   _ԀThecasewastransferredtotheMadisonCountyCircuitCourtbyorderofApril11,2001.  R$      2  д   _ԀMr.ButlerscomplaintstatesthatheinformedDr.Ballardthathe[Butler]hadexperiencedsimilarsymptoms  duringhismilitaryservicein197172.Furthermore,Butlerrequestedtobemovedtoahospitalormentalhealthfacility.@hQ-s ],3|x UHP LaserJet 4 Plus,,,,,,0 !.8dd8     _  8;XXdd8  @ INTHECOURTOFAPPEALSOFTENNESSEE  @%ATJACKSON# #Ԉ ,   OnBriefsJuly23,2002 X X;X #XX;#RODNEYM.BUTLERv.MADISONCOUNTYJAIL,etal.X;X   ` @@ ADirectAppealfromtheCircuitCourtforMadisonCounty  h @@No.C01125TheHonorableDonaldH.Allen,Judge  X @@*AV) ` dE< ` A  8  @@TTNo.W200102822_COA_ԄR3CVFiledOctober17,_2002_ 7  AV) ` dE<` A      XXXX;  Inmatesuedsheriff,county,andphysician,claimingdeprivationofconstitutionalrightsunder   42U.S.C.1983inconnectionwithallegedlydelayedandsubstandardmedicaltreatment.The  CircuitCourtofMadisonCountygrantedsummaryjudgmentforsheriff,county,andphysician,and  deniedinmatesrequesttoamendcomplaintandforextensionoftimetoconductdiscovery.Inmate  appeals.Weaffirm.#X;XXX##XX;s#X;X v  Tenn.R.App.P.3;AppealasofRight;JudgmentoftheCircuitCourtAffirmed  R   #X;4#X;X.W.FrankCrawford,P.J.,W.S.,deliveredtheopinionofthecourt,inwhichAlanE._Highers_, 2 J.andHollyKirby_Lillard_,J.,joined. "r RodneyM.Butler,ProSe R JamesI.Pentecost,AndrewV.Sellers,Jackson,ForAppellees,MadisoncountyJailandSheriff 2 David_Woolfork_ " TimothyG._Wehner_,L.Michelle_Greenway_,Jackson,ForAppellee,Kelly_Ballard_,M.D.    OPINION #XX;#X;X "! #XX; #X;X  e.8XXdXXd8fO   Plaintiff,RodneyButler( Butler, Plaintiff,or Appellant),actingprose,filedsuit r$# againstdefendants,SheriffDavidWoolfork( Woolfork),inhisofficialcapacityasSheriffof b% $ MadisonCounty,MadisonCountyJail( Jail),andDr.KellyBallard,M.D.( Ballardand,together R&!% withWoolforkandJail, Defendantsor Appellees),g \#  1      ׀claimingdeprivationofhisconstitutional B'"& rightsunder42U.S.C.1983.ButlerallegesthatDefendantsviolatedhiscivilrightsbydelaying 2(#' medicalcareand/orprovidingsubstandardcarewhilehewasaninmateintheMadisonCountyJail. ")r$( ButlerappealstheTrialCourtsgrantofsummaryjudgmentinfavorofWoolfork,Jail,andBallard, *b%) andthedenialofButlersrequesttoamendhiscomplaintandforextension. +R&* Ї  OnJanuary2,2001,ButlerwasreceivedasaninmateattheMadisonCountyJail.Uponhis  admissiontotheJail,Butlerreceivedaphysicalexaminationthatincludedatestfortuberculosis.  Butlertestedpositivefortuberculosisandelectedacourseofmedicationashistreatment.The  treatmentwastocontinuefortwomonthsandButlerbegantakingthemedicationonJanuary18,  2001.Beforebeginningthemedicine,Butlerwasinformedofpossiblesideeffectsandhe,inturn, p informedthemedicalstaffthathehadamentalhealthhistoryandhadrecentlybeenprescribed `  medicationforanxiety.Butleralsoconfidedthathewasaheavydrinkerbeforehisincarceration. P  OnoraboutFebruary9,2001,Butlerbegantocomplaintotheguardofdizziness,anxiety,inability @  tosleep,andpressureinhishead.OnFebruary13,2001,Butlersawthenursewhoinformedhim 0  thatthetuberculosismedicationcouldnotcausethesideeffectshewasexperiencing.Nonetheless,  p  Butlerrefusedtotakethemedication.OnFebruary14,2001,ButlersawDr.Ballard.Butler `  informedBallardthatthemedicationwascausingpsychiatricproblemssimilartothoseButlerhad P  previouslyexperienced.Atthispoint,Dr.BallardconcludedthatButlerwasexperiencingalcohol @  withdrawalandhetoldButlertocontinuewiththetuberculosismedication.OnFebruary15,2001, 0  ButlertookhistuberculosismedicationbutwrotealettertoDr.Ballardfurtherexplaininghis   symptomsandfeelingsofclaustrophobiaandanxiety.Thatafternoon,Butlerwasseenbythenurse  tohaveblooddrawnformonitoring.Butlerinformedthenursethathewouldnottakehis  medicationandnobloodtestwasdone.FromFebruary14,2001untilFebruary20,2001,Butlerwas  monitoredandhissleephabitswererecorded.    ButlerscomplaintallegesthatonoraboutFebruary9,2001,hesufferedan eventrelated p tothebrainorofapsychiatricnature.Symptomsallegedlyincludeddizziness,pressure,fever, ` headache,irritability,paranoia,memoryloss,andclaustrophobia.Mr.Butlernotifiedthestaffof P hisconditionandrequestedimmediatemedicalattention.Mr.Butlercomplainsthathewasnot @ allowedtoseeDr.BallarduntilFebruary14,2001and,eventhen,didnotreceivethetreatmenthe 0 requested.h \#  2      ׀OnMarch21,2001ButlerfiledanInmateRequest,whereinheagaincomplainedof  p havinga psychiatricepisodeandrequestedtoseeaphysicianandtobesentforevaluationand ` treatmentatamentalhealthinstitute.Dr.BallardsawButleragainonMarch26,2001and P prescribedmedicationforhisanxiety.Mr.ButlersbloodwascollectedandtestedonMarch28, @ 2001.Thetestswerenormalexceptforelevatedcholesterol.WhenDr.BallardagainsawMr. 0 ButleronApril2,2001,ButlerinformedBallardthathe[Butler]washavinga gooddayandthat   themedicationwasworking. !   OnAugust8,2001,amotionforsummaryjudgmentwasfiledonbehalfofDefendants #! SheriffDavidWoolforkandMadisonCountyJail.OnAugust20,2001,amotionforsummary $" judgmentwasfiledonbehalfofDefendantDr.KellyBallard.Thehearingonthesummary % # judgmentmotionswassetforOctober5,2001andAppellantwasdulynotified.OnAugust22, p&!$ 2001,Appellantfiledamotionforextensionoftimeinwhichtoconductdiscoverytoopposethe `'"% summaryjudgmentmotionsand,onAugust28,2001,Appellantfiledarequesttoamendhis P(#& complaint.AppellantdidnotfilearesponsetoDefendantsMotionsforSummaryJudgment,nor  didhefileanaffidavitinoppositiontothemotion.OnOctober5,2001,ahearingwasheldonall  pendingmotionsandbyorderfiledOctober26,2001,thecourtgrantedDefendantsmotionsfor  summaryjudgmentanddeniedAppellantsmotionstoamendthecomplaintandforadditionaltime  toconductdiscovery. p   Appellantappealsandwefindthefollowingissuesforreview:(1)WhethertheTrialCourt P  erredingrantingAppelleesmotionsforsummaryjudgment;(2)WhethertheTrialCourterredin @  notgrantingtheAppellantsmotiontoamendthecomplain;and(3)WhethertheTrialCourterred 0  innotappointingaguardianadlitemfortheAppellant.  p    1.WhethertheTrialCourterredingranting P  Appelleesmotionforsummaryjudgment @      Amotionforsummaryjudgmentshouldbegrantedwhenthemovantdemonstratesthat   therearenogenuineissuesofmaterialfactandthatthemovingpartyisentitledtoajudgmentas  amatteroflaw. See Tenn.R.Civ.P.56.04.Thepartymovingforsummaryjudgmentbearsthe  burdenofdemonstratingthatnogenuineissueofmaterialfactexists. SeeBainv.Wells ,936  S.W.2d618,622(Tenn.1997).Onamotionforsummaryjudgment,thecourtmusttakethe  strongestlegitimateviewoftheevidenceinfavorofthenonmovingparty,allowallreasonable  inferencesinfavorofthatparty,anddiscardallcountervailingevidence. Seeid. In Byrdv. p Hall ,847S.W.2d208(Tenn.1993),ourSupremeCourtstated: `   8  8`   Onceitisshownbythemovingpartythatthereisnogenuineissue @ ofmaterialfact,thenonmovingpartymustthendemonstrate,by 0 affidavitsordiscoverymaterials,thatthereisagenuine,materialfact  p disputetowarrantatrial.Inthisregard,Rule56.05[now56.06] ` providesthatthenonmovingpartycannotsimplyrelyuponhis P pleadingsbutmustsetforthspecificfactsshowingthatthereisa @ genuineissueofmaterialfactfortrial.0` x` x ) Id .at21011(citationsomitted)(emphasisinoriginal). !   Summaryjudgmentisonlyappropriatewhenthefactsandthelegalconclusionsdrawn #! fromthefactsreasonablypermitonlyoneconclusion. SeeCarvellv.Bottoms ,900S.W.2d23, $" 26(Tenn.1995).Sinceonlyquestionsoflawareinvolved,thereisnopresumptionof % # correctnessregardingthetrialcourtsgrantofsummaryjudgment. SeeBain ,936S.W.2dat622. p&!$ Therefore,ourreviewofthetrialcourtsgrantofsummaryjudgmentis denovo ontherecord `'"% beforethisCourt. SeeWarrenv.EstateofKirk ,954S.W.2d722,723(Tenn.1997). P(#&   TurningtoButlers42U.S.C.1983claimagainstBallard,wefirstdeterminethe 0*%( correctstandardfordeterminingaviolationofaprisonersrighttomedicalcare.TheUnited  +p&) StatesSupremeCourtarticulatedthestandardfordeterminingwhetheraprisonersconstitutional ,`'* righttomedicalcareundertheEighthAmendmentoftheU.S.Constitutionhasbeenviolatedin   Estellev.Gamble ,429U.S.97,10405(1976).TheSupremeCourtstatedinpertinentpart:    8  8`   Wethereforeconcludethatdeliberateindifferencetoseriousmedical  needsofprisonersconstitutesthe unnecessaryandwantoninfliction p ofpain,proscribedbytheEighthAmendment.Thisistruewhether `  theindifferenceismanifestedbyprisondoctorsintheirresponseto P  theprisonersneedsorbyprisonguardsinintentionallydenyingor @  delayingaccesstomedicalcareorintentionallyinterferingwiththe 0  treatmentonceprescribed.Regardlessofhowevidenced,deliberate  p  indifferencetoaprisonersseriousillnessorinjurystatesacauseof `  actionunder1983.P ` x` x a1 Estelle ,429U.S.at10405(1976)(citationomitted). 0    AsnotedbytheSixthCircuit,theEstellestandardconsistsoftwocomponents,one  objectiveandonesubjective: (1)asufficientlygravedeprivation,suchasmedicalneeds;and(2)  asufficientlyculpablestateofmind. Berrymanv._Rieger_,etal ,150F.3d561,566(6thCir.  1998).Whenaprisonersufferspainneedlesslyandreliefisreadilyavailable,theyhaveacause  ofactionagainstthosewhosedeliberateindifferenceisthecauseofsuffering. Borettiv.  Wiscomb ,930F.2d1150,115455(6thCir.1991). p   AstheSupremeCourtnotedin Farmerv.Brennan ,511U.S.825(1994),aplaintiffmust P provethathismedicalneedsareseriousinordertoshowdeliberateindifference.A serious @ medicalneedhasbeendefinedas onethathasbeendiagnosedbyaphysicianasmandating 0 treatmentoronethatissoobviousthatevenalaypersonwouldeasilyrecognizethenecessityfor  p adoctorsattention. Laamanv._Helgemoe_ ,437F.Supp.269,311(D.N.H.1977).In ` consideringtheseriousnessofamedicalneed,courtsmustdeterminewhetherthedefendantsact P oromissionresultedinadenialof theminimalcivilizedmeasureoflifesnecessities. Rhodes @ v.Chapman ,452U.S.337,347(1981).Neithernegligencenorgrossnegligencewillsupporta 0 1983claim. Inordertostateacognizableclaim,aprisonermustallegeactsoromissions   sufficientlyharmfultoevidencedeliberateindifferencetoseriousmedicalneeds.Itisonlysuch ! indifferencethatcanoffendevolvingstandardsofdecencyinviolationoftheEighth "  Amendment. Estelle ,429U.S.at10506. #!   TherecordindicatesthatPlaintiffButlerfilednoaffidavitsorotherresponseto % # Defendantsmotionsforsummaryjudgment.Tenn.R.Civ.P.56.06clearlystatesthat: p&!$   8  8`   Whenamotionforsummaryjudgmentismadeandsupportedas P(#& providedbythisrule,anadversepartymaynotrestuponthemere @)$' allegationsordenialsoftheadversepartyspleadings,buthisorher 0*%( response,byaffidavitsorasotherwiseprovidedinthisrule,mustset  +p&) forthspecificfactsshowingthatthereisagenuineissuefortrial.If ,`'* theadversepartydoesnotsorespond,summaryjudgment,if  appropriate,shallbeenteredagainsttheadverseparty.` x` x o>Consequently,wemustrelysolelyuponthefactsaverredinDr.Ballardsaffidavitindeciding  thisissue.Dr.Ballardsaffidavitstatesinpertinentpartasfollows: p   8  8`   6.PursuanttothePoliciesandProceduresofSheriffWoolfork,upon P  hisadmissiontotheMadisonCountyJail,onoraboutJanuary2, @  2001,Mr.Butlerunderwentaphysicalexaminationthatincludeda 0  testfortuberculosis. p ` x` x 8  8`   7.Mr.Butlertestedpositivefortuberculosisinfectionandheopted P  tobetreatedbytakingmedication.@ ` x` x 8  8`   8.Mr.Butlerreceivedhismedicationonadailybasisuntilhebegan   refusingthemedicationonFebruary13,2001.` x` x 8  8`   9.OnFebruary14,2001,IpersonallyexaminedRodneyM.Butler.  Mr.Butlercomplainedofbeingnervous,walkingandpacing,unable  tosleeporthinkaboutthings.Mr.Butlersvitalsignswerestable.  Hismucusmembranesweremoist.Hiseyesandpupilswereequal p andreactedtolight.Hismouthandnosewereclear.Hisneckwas ` suppleandearswereexternallynormal.Hischestandlungswere P cleartoauscultation.Hisheartrateandrhythmwas[sic]regular @ withoutamurmur.Hisabdomenwassoftandnondistended.His 0 extremitieshadnoedemaandhisbackwasnormal.Mr.Butlerhad  p previouslybeenprescribedRifadinandPyrazinamideforhis ` tuberculosis.Icontinuedtheseprescriptionsandrequestedan P observationofhissleeppatterns.@` x` x 8  8`   10.Mr.Butlerwasbyhisownadmissionanabuserofalcoholbefore   enteringthejail,anditismyopinionthatMr.Butlermayhavebeen ! experiencingalcoholwithdrawal." ` x` x 8  8`   11.OnMarch14,2001,IexaminedMr.Butlerforasecondtime. $" Mr.Butlercomplainedofheadachesandhotfeelingsinthetopofhis % # headwhichwerehelpedbyaspirin.Mr.Butlerhadnocomplaintsof p&!$ hallucinationsandnocomplaintsofparanoia.Mr.Butlersaidthathe `'"% wasmuchbetter.MyexaminationrevealedthatMr.Butlersvital P(#& signswerestableandmucusmembranesmoist.Hispupilswere @)$' equalandreactedtolight,extraocularmovementswereintact,and 0*%( fundiwithoutpapillaedema.Hisearswereexternallynormal.His  +p&) nasalturbinateswereslightlyswollenandhadsomecleardischarge. ,`'* Hismouthrevealedaclearpharynxandhisneckwassupplewithout  massorbruit.Hischestandlungswerecleartoauscultationand  percussion.Hisheartwasbeatingataregularrateandrhythm  withoutmurmur,ruborgallop.Hisabdomenwassoftandbowel  soundspositive.Hisextremitieshadnoedemaandhisbackhada p slightkyphoticposture.Hewasfullyalertandorientedtoperson, `  place,timeandsituationanddidnotappearparticularlyanxious.I P  prescribedBusparforMr.Butlerforanxiety.Mr.Butlerhad @  previouslydiscontinuedtheRifadinandPyrazinamidemedications.0 ` x` x 8  8`   12.OnMarch26,2001,IexaminedMr.Butlerforathirdtime.My `  examinationrevealedthatMr.Butlerwasfeelingnervousand P  anxious.HestatedthattheBusparhadhelpedhimsomebutnot @  enough.Hestatedthathewashavingtroublesleeping,had funny 0  thoughtsattimesandheadacheswhichwererelievedbyaspirin.   Therewerenothyroidmassesonhisneck.Hischestandlungswere  cleartoauscultationandpercussion.Hisheartwasbeatingata  regularrateandrhythmwithoutmurmur,ruborgallop.His  extremitieshadnoedema.Therewerenofocaldeficitsinhis  neurologicalexamination.Hiscranialnervesandmotorwereintact.  Itestedhisperiphery.Mr.Butlerhadwellorganizedthoughtsand p aboveaverageintellectualfunction.Hewasfullyalertandoriented ` toperson,place,time,andsituation.Idiagnosedhimwith P tuberculosisexposure,continuedtheprescriptionforBuspar, @ prescribedAtaraxforhisanxiety,orderedlaboratorytests,and 0 orderedhimtoreturntotheClinicinoneweek. p` x` x 8  8`   13.OnMarch30,2001,IreviewedtheresultsofMr.Butlers P laboratorytests.ThepanelrevealedthatMr.Butlersbloodpressure, @ kidneyfunction,thyroid,ironlevel,amountofblood,andtestsfor 0 inflamationandprostatecancerwereallnormal.Theonlyabnormal   findingswerethatMr.Butlerscholesterolwasslightlyhigherthan ! average,andhisalkalinephosphatesandcalciumwereabnormal,but "  theywereacceptable.#!` x` x 8  8`   14.OnApril2,2001,IexaminedMr.Butlerforafourthtime.Mr. % # Butlerexplainedthathewashavingagooddayandbelievedthe p&!$ medicinewashelping.Mr.Butlerstatedthatotherthanafewlittle `'"% achesandpainshefeltprettygood.Hedidnotcomplainofany P(#& hallucinations,troublesleeping,orheadaches.Hischestandlungs @)$' werecleartoauscultationandpercussion.Hisheartwasbeatingat 0*%( aregularrateandrhythm.Hisextremitieshadnoedema.Icontinued  +p&) Mr.Butleronhismedication.,`'*` x` x Ї   (6x38   ` ***   8  8`   18.AtnotimeduringmytreatmentofMr.ButlerdidIobserveany  mentalorphysicalconditionthatwarrantedtransferringMr.Butler  fromtheMadisonCountyJailtoamedicalfacility,suchasahospital p ormentalfacility.` ` x` x 8  8`   19.AtnotimeduringMr.ButlersincarcerationattheMadison @  CountyJail,didIactivelyparticipateorencourageanyactionor 0  inactiontowardshim. p ` x` x 8  8`   20.InevertreatedMr.Butlerwithdeliberateindifferenceorgross P  negligence.@ ` x` x 8  8`   21.IdidnotdisregardanymedicalconditionofMr.Butler. ` x` x 8  8`   22.IdidnotcauseorcontributetoanyinjurysufferedbyMr.Butler.  Noactoromissionofmyownwastheproximatecauseofanyinjury  allegedbyMr.Butler.` x` x A  Withthesefactsbeforeus,summaryjudgmentisstillonlyappropriatewhenthefactsand p thelegalconclusionsdrawnfromthefactsreasonablypermitonlyoneconclusion. SeeCarvell ` v.Bottoms ,900S.W.2d23,26(Tenn.1995).Asabovenoted,deliberateindifferencetoa P prisonersmedicalneedsisdeterminedthroughatwoparttest.First,theprisonermustshow a @ sufficientlygravedeprivation,suchasmedicalneeds... Berrymanv.Rieger,etal ,150F.3d561, 0 567(6thCir.1998).Fromthefactscontainedintherecord,Mr.Butlersufferedfromtuberculosis  p andsomesymptomsofanxiety.Thissatisfiesthefirstelement. `   ThesecondelementrequiresthatBallardactedwith sufficientlyculpablestateofmind. @  Berryman ,150F.3dat567.However,negligenceandgrossnegligencearenotenough. In 0 ordertostateacognizableclaim,aprisonermustallegeactsoromissionssufficientlyharmfulto   evidencedeliberateindifferencetoseriousmedicalneeds. Estellev.Gamble ,429U.S.97,106 ! (1976).Butlerhaspresentednoproofofactsoromissions.Onthefactsinrecord,itisclearthat "  ajurycouldonlyfindthatBallardsactionsdidnotrisetothelevelofculpabilityrequiredto #! makeoutaclaimfordeliberateindifferencetoButlersmedicalneeds.Therefore,thetrialcourt $" didnoterringrantingDefendantBallardsmotionforsummaryjudgment. % #   Likewise,ButlersclaimagainstSheriffWoolforkcannotsurvivesummaryjudgmenton `'"% a1983theorybaseduponrespondeatsuperior.42U.S.C.1983statesinpertinentpart: P(#&   8  8`   Everypersonwho,undercolorofanystatute,ordinance,regulation, 0*%( custom,orusage,ofanStateorTerritoryorDistrictofColumbia,  +p&) subjects,orcausestobesubjected,anycitizenoftheUnitedStatesor ,`'* otherpersonwithinthejurisdictionthereoftothedeprivationofany  rights,privileges,orimmunitiessecuredbytheConstitutionandlaws,  shallbeliabletothepartyinjuredinanactionatlaw,suitinequity,  orotherproperproceedingforredress.` x` x  Id.  `  h8  8`    ` x` x   In Monellv.DepartmentofSoc.Serv.ofN.Y. ,436U.S.658(1978),theUnitedStates @  SupremeCourtaddressed42U.S.C.1983anditsapplicabilitytoclaimsbasedonthetheoryof 0  respondeatsuperior.TheSupremeCourtconcluded:8 @   p    8  8`   [T]helanguageof1983,readagainstthebackgroundofthe... P  legislativehistory,compelstheconclusionthatCongressdidnot @  intendmunicipalitiestobeheldliableunlessactionpursuantto 0  officialmunicipalpolicyofsomenaturecausedaconstitutionaltort.   Inparticular,weconcludethatamunicipalitycannotbeheldliable  solelybecauseitemploysatortfeasor!or,inotherwords,a  municipalitycannotbeheldliableunder1983onarespondeat  superiortheory.` x` x l Monell ,436U.S.at691-92. p   WhiletheCourtsdecisioneradicated1983claimsbasedonarespondeatsuperior P liabilitycontinuedunder1983fordeprivationsoffederallyprotectedrightscausedbyaction @ taken pursuanttoofficialmunicipalpolicyofsomenature... Id .Inordertomaintainanaction 0 againstWoolfork,Butlermustallegethathisinjurieswerecauseddirectlybytheexecutionof  p someofficialpolicyorcustomasrequiredby Monell .ButlersComplaintallegesnopolicyor ` customofWoolforkthatcausedhisinjuries.Theonlyfactsintherecordconcerningpolicyare P thosecontainedinSheriffWoolforksaffidavitinsupportofhismotionforsummaryjudgment. @ Woolforksaffidavitreadsinpertinentpart: 0   8  8`   10.ItisthepolicyoftheMadisonCountySheriffthatallrequests ! madebyinmatesformedicaltreatmentbegiventheappropriate "  attentionandthattherequestinginmatebeprovidedaccesstoa #! treatingmedicalprofessionalifsaidmedicaltreatmentisnecessary.$"` x` x 8  8`   11.Itisnotthepolicy,norhasiteverbeenthepolicy,sinceIhave p&!$ beentheSheriffofMadisonCounty,todeliberatelydenyaninmate `'"% medicalattentionforaseriousmedicalneed.P(#&` x` x 8  8`   12.AtnotimehaveIimplementedapolicydenyingmedical 0*%( treatmenttoinmatesoftheMadisonCountyJail. +p&)` x` x  ,`'* 8  8`   13.Pursuanttomypolicy,jailers,employees,orotheragentsofthe  MadisonCountyJailwereneverinstructedortrainedtodenyany  inmateadequatemedicalattentionforaseriousmedicalneed.` x` x   Baseduponthesefactsintherecord,thepoliciesandprocedureswereadequatetoprotect p therightsofMr.Butlerandthesepolicieswerefollowed.Consequently,Mr.Butlerhasfailedto `  meetthe Monell pleadingrequirementsandhiscauseofactionagainstWoolforkcannotstand. P    Mr.ButleralsoappealstheTrialCourtsgrantofsummaryjudgmentinfavorofthe 0  DefendantMadisonCountyJail.WeaffirmonthebasisthatTheMadisonCountyjailisnotalegal  p  entitysubjecttosuit. SeeMatthewsv.Jones ,35F.3d1046,1049(6thCir.1994).Becausethe `  MadisonCountyJailisadepartmentofthecounty,MadisonCountywouldhavebeentheproper P  Defendantinthiscase. Id. Therefore,summaryjudgmentwasproper.   x  @  8  8`   2.WhethertheTrialCourterredinnotgrantingtheAppellants   motiontoamendthecomplain.` x` x     Leavetoamend shallbefreelygivenwhenjusticesorequires.Tenn.R.Civ.P.15.01.  Thegrantordenialofamotiontoamendiswithinthesounddiscretionofthetrialcourt,andthe  courtsactionwillbereversedonlyforanabuseofdiscretion. Merrimanv.Smith ,599S.W.2d  548(Tenn.Ct.App.1980).Here,theTrialCourtdeniedButlersmotiontoamendhiscomplaint p becausesuchanamendmentwouldhavebeenfutilegiventhefactthat,underTenn.R.Civ.P. ` 56.06,ButlercouldnothaverelieduponhiscomplainttoopposetheDefendantsmotionsfor P summaryjudgment.TheTrialCourtsholdingwasnotunjustnorwasitanabuseofdiscretion. @ Therefore,weaffirm.  0 8  8`   3.WhethertheTrialCourterredinnotappointingaguardianad ` litemforAppellant.P` x` x     Mr.Butlerassertsthatthetrialcourtshouldhaveappointedaguardianadlitemtoprotect 0 hisrightsandinterestsinthismatter.Tenn.R.Civ.P.17.03providesinpertinentpart:   8  8`   Thecourtshallatanytimeafterthefilingofthecomplaintappoint "  aguardianadlitemtodefendanactionforaninfantorincompetent #! personwhodoesnothaveadulyappointedrepresentative,or $" wheneverjusticerequires% #` x` x  Id. `'"%  0  ThereisnothingintherecordthatdefinitivelyindicatesthatMr.Butlerwasincompetent@)$'(#(# orofunsoundmind.Infact,hisabilitytowritehisownComplaintandtocorrespondverbally 0*%( andinwritingwithboththetrialcourtandhistreatingphysicianiscounterindicative.The  +p&) recordinthiscaseindicatesthattheplaintiff,whileactingprosefromtheverybeginning,was ,`'* fO  fe f  abletoclearlyrepresenthisclaimstothetrialcourtandtothisCourt.Moreover,therecord e reflectsthatMr.Butlerdidnotseektheappointmentofaguardianadliteminthetrialcourtand U raisessuchanissueforthefirsttimeonappeal.Issuesnotraisedorcomplainedofinthetrial E courtwillnotbeconsideredonappeal. TamcoSupplyv.Pollard ,37S.W.3d905,908(Tenn.Ct. 5 App.2000). %   Theorderofthetrialcourtisaffirmed.Costsoftheappealareassessedtotheappellant,   RodneyM.Butler,andhissurety,forwhichexecutionmayissue,ifnecessary.     #XX;} #X;X   `     h __________________________________________ @     `     h W.FRANKCRAWFORD,PRESIDINGJUDGE,W.S.