Lloyd v. City of New York (246 F. Supp. 3d 704, 2017)

MEMORANDUM OPINION AND ORDER

GREGORY H. WOODS, United States District Judge:

Ms. Alyssa Lloyd worked for a number of years coordinating appointments for escorts. She asserts that the liaisons that she arranged were not sexual, but nonetheless, she was caught up in an undercover sting targeting suspected prostitution in her workplace. The officers who rushed in to arrest her and others did not know at first that Ms. Lloyd was a recovering breast cancer survivor. They did not know when they pushed her to the ground that her breasts had recently been removed, and that her surgical breast reconstruction had not healed and was fragile. Ms. Lloyd says that the officers did know those facts, however, when they handcuffed her behind her back, tearing the stitches in her chest. In this case, Ms. Lloyd brings a claim of excessive force against the officers who pushed her to the ground and handcuffed her. She also claims that the officers, and the doctor who later evaluated her in jail, were indifferent to her medical needs. Because there are disputed issues of fact regarding the circumstances of her arrest and the officers’ handcuffing of Plaintiff, the officers’ motion for summary judgment for her claims of excessive force are denied. Ms. Lloyd’s constitutional claims related to deliberate indifference to her medical needs, however, are dismissed, principally because the officers offered her treatment after her arrest which she declined.

I. BACKGROUND

A. Factual Background

1. Ms. Lloyd’s Cancer Diagnosis and Treatment

Plaintiff, Ms. Alyssa Lloyd, worked “arranging dates” for women who advertised their services as escorts — booking appointments by telephone. At the time of the events in this case, she was in her early 40s. She had arrived at her job as a liaison between escorts and their customers after a long path, dropping out of New York University, taking massage classes, and working for some time as a nanny in West-chester.

Ms. Lloyd’s life changed in August 2012, when she was diagnosed with breast cancer. Plaintiffs Response to Medical Defendants’ Local Rule 56.1 Statement (Dkt. No. 111) (“Pl. Med. 56.1”) ¶¶ 88-90. After her diagnosis in late 2012, Ms. Lloyd was treated with chemotherapy, which significantly improved her condition. Id. ¶¶ 91-92. However, in order to treat her cancer, Ms. Lloyd also decided to undergo a double mastectomy — surgical removal of both of her breasts. Id. ¶ 96.

In the early summer of 2013, with her mastectomy approaching, Ms. Lloyd began to consult with a plastic surgeon about options to reconstruct her breasts. On June 6, 2013, Ms. Lloyd met for the first time with her plastic surgeon, Dr. Cherry. Chang, M.D. Id. ¶¶ 93, 96. After conferring with Dr. Chang, Ms. Lloyd decided to reconstruct her breasts immediately after their. removal, using surgically-implanted breast expanders which would be inflated through injections of saline. Id. ¶¶ 101, 112. Breast implantation, like any surgery, comes with risks. And Dr. Chang reviewed the risks associated with breast reconstruction generally, and particularly the issues associated:with breast implants. The risks were significant: infection, wound healing issues, unfavorable scarring, asymmetry, implant failure, and the possibility of requiring future corrective surgery, among others. Id. ¶¶ 103-06. Because Ms. Lloyd would also need radiation therapy even after the mastectomy, she was at risk for Still further complications. Id. ¶ 107.

Ms. Lloyd’s breasts were removed during an operation on June 17, 2013. Id. ¶ 108. During the same surgery, Dr. Chang inserted two tissue expanders and implants into her breasts — the first of many steps in Plaintiffs breast reconstruction. Id. ¶ 109. The next step — inflation of the tissue expanders using saline injections — began in July 2013 and continued through September 2013. Id. ¶¶ 112-137. Unfortunately, early in her treatment, Ms. Lloyd began to experience complications from the procedure. Beginning in early August 2013, Plaintiff began to complain that saline was leaking from her right tissue expander. Id. ¶ 114. Dr. Chang reacted promptly; in a surgical procedure on August 23, he removed Ms. Lloyd’s right implant and exchanged her right tissue expander. Id. ¶¶ 129-30.

Following the surgery, Ms. Lloyd was allowed to exercise “a little.” Plaintiffs Response to City Defendants’ Local Rule 56.1 Statement (“Pl. City 56.1”) ¶ 218. But the repair proved fragile. In mid-September, the stitphes in. Ms. Lloyd’s chest ripped while she was making her bed, doing nothing more than stretching her arm to spread a comforter. Pl. City 56.1 ¶ 219. Sticky, salty fluid that Ms. Lloyd believed to be saline leaked from the wound, irritating her skin. Id. ¶ 220.

So only four weeks after the, replacement of her right expander, on September 17, Plaintiff was back in Dr. Chang’s office. Pl. Med. 56.1 ¶ 138. That very morning, Plaintiff had noticed some leakage from her right breast incision. Id. ¶ 139. During her visit, Dr. Chang found that some of Ms. Lloyd’s sutures were coming apart, and, perhaps, some leakage. Dr. Chang sutured the incision closed. Id. ¶ 140. He also prescribed Cefadroxil, an antibiotic. Ms. Lloyd was directed to take two pills of the medication per day over the course of one week. Id. ¶¶ 142-43.

But the problems did not end. Ms. Lloyd returned to Dr. Chang’s office two days later, on September. 19, 2013, again reporting persistent saline leakage. Id. ¶ 144-45. Dr. Chang decided that an operation was necessary to again. replace Ms. Lloyd’s right tissue expander. Id. ¶ 146. He scheduled the surgery to take place four days later — September 23, 2013. Id. ¶ 149. Ms. Lloyd would not make it to her surgery that day. Instead, because of the events that unfolded next, she would be on Rikers Island,

2. The Events of September 20, 2013

a. Plaintiffs Arrest

Detective James Rufle worked for the New York City Police Department Vice Major Case Squad. As its name suggests, the squad targets prostitution and vice-related crimes. In September 2013, Detective Rufle was investigating Ms. Lloyd and the business where she worked at 408 East 64th Street in Manhattan. Pl. City. 56.1 ¶¶ 1-2. As described above, Ms. Lloyd worked as a liaison, connecting men and women who, occasionally, met at her workplace. The police suspected that Ms. Lloyd was running a website that was promoting prostitution. Id. ¶ 3. On September 20, 2013, the police organized a “buy and bust” tactical operation at Ms. Lloyd’s place of work. The team assembled for the operation included Detective Rufle, together with Detectives Paul Byrne and David Mills, Sergeant Gregory Graves, and one undercover officer — known here only by his eodename, UC 137. Id. ¶¶ 4-5.

Early in the operation, UC 137 called Ms. Lloyd using a number provided by Detective Rufle. Id. ¶ 11. The parties dispute whether UC 137 and Plaintiff discussed exchanging sex for money, or whether they merely discussed a paid arrangement for non-sexual companionship. It is undisputed, however, that Ms. Lloyd made an appointment for UC 137 to meet with a woman in the apartment on East 64th Street where Ms. Lloyd worked the phones. Id. ¶ 12.

A short time later, UC 137 arrived at the apartment. Ms. Lloyd let him in. Id. ¶ 14. Soon thereafter, UC 137 signaled to the other members of the field team, likely by text message, that there was an agreement to exchange sex for money, although as noted, Plaintiff disputes that she ever entered into any such an agreement., Id. ¶ 16.

Triggered by UC 137’s signal, a number of officers entered the apartment to secure the undercover officer and make their arrests. How the police entered the apartment, and what they did upon entry are the subject of material dispute. The officers take the position that they knocked on the door, announced that they were police, and made numerous requests that the tenants of the. apartment open the door.. Because no one opened the door voluntarily, the officers forcibly breached the door using a ram. Id. ¶¶ 18-20. As Sergeant Graves testified at his deposition “whoever was behind the door, refused to open.... We heard movement inside. At that.point our undercover’s safety was in question” so he “instructed Detective Mills” to “breach the door” with a heavy breaching ram. Deposition of Gregory Graves, annexed as Ex. C to Jacobs Decl., at 37:24-38:6.

Ms. Lloyd, on the other hand, asserts that the ramming began immediately, at the same time police announced themselves. In her version of events, Ms. Lloyd told the officers repeatedly that she would open the door if they would only stop ramming it. But the officers continued to ram the door until it broke. Pl. City 56.1 ¶¶ 19-20. Ms. Lloyd’s accqunt is supported by her deposition testimony. There, she testified that she went to open the door to the apartment, and that “right before I opened the door, the door slammed, and they said, this is the police.” Deposition of Alyssa Lloyd, annexed as Ex. A to Declaration of Elissa B. Jacobs (Dkt. No. 87) at 141:15-17. “They took the ram and they smashed the door” but Ms. Lloyd “kept saying, listen, I’m behind the door, there’s not — not much room, if you want me to open it, you need to stop slamming the door.” Id. at 141:22-142:2.

As much as the parties dispute how the officers entered the apartment, they disagree about what happened afterward— particularly about where Ms. Lloyd and the undercover officer were at various times after the named officers entered the apartment. According to Sergeant Graves, Ms. Lloyd obstructed him after he entered. Sergeant Graves testified that after the officers breached the door and entered the apartment, “we encountered a female who was in the hallway in close proximity to the front door....” He “entered further with this female in front of me and observed in the back more movement of an unknown person in a back room.” Graves Dep. at 38:16-24. “I was trying to make my way to the ... back of the apartment” but the “tfjemale in front of me would not allow me to pass.... ” Id. at 39:12-17. Sergeant Graves claims that he did not know where UC 137 was after he entered the apartment and was concerned about his safety, testifying that after his interaction with Ms. Lloyd, he “continue[d] on to the back room, at that time [I] did not know the location of the undercover.” Id. at 39:21-23.

Ms. Lloyd says that she knew the location of the undercover. In her telling, UC 137 was standing near her, in plain sight of any officer entering: Sergeant Graves must have seen UC 137 when he entered and known that he was safe. PI. City 56.1 ¶ 22, She testified as much at her deposition. She said that throughout the time officers were slamming on the door, UC 137 was “standing by the door, watching me ... Yelling at the people.” Lloyd Dep. at 142:7-10. She has also submitted an affidavit stating that “UC 137 was standing near to me in plain sight of any officer entering the apartment” and that “Sergeant Graves must have seen UC 137 on entry to the apartment and known UC 137 was safe. Indeed, Sergeant Graves rushed past UC 137 to reach me.” Affidavit of Alyssa Lloyd (Dkt. No. 102) (“Lloyd Aff.”) ¶¶ 7, 9.

Ms. Lloyd disputes' Sergeant Graves’ contention that she obstructed him as the officers entered the apartment. Much to the contrary, she asserts in her response to the City Defendants’ 56.1 statement, she “had stepped back and to the side, into the kitchen area beyond the hallway, before the officers entered the apartment.” Pl. City 56.1 ¶ 23. And in her deposition, Ms. Lloyd testified that when officers opened the door “I stepped away in the little hallway and my—they smashed the door.” Lloyd Dep. at 142:11-14. Previous testimony by Ms. Lloyd pursuant to New York General Municipal Law § 50-H was consistent: When police were attempting to enter the apartment, she “stood in the kitchen with my hands up and waited for them to open the door” and that she “stayed in the kitchen area, hallway area, with my hands up waiting for them to open the door with the battering ram;” she “didn’t want to be next to the door in case they hit me with it.” 50-H Hearing, annexed as Ex. Q to Declaration of Ana Maria Vizzo (Dkt. No. 91), at 29:9-22; see also Lloyd Aff. ¶ 6.

It is undisputed, however, that after Sergeant Graves entered the apartment he pushed Ms. Lloyd’s right arm. As a result, she fell to the ground, where she remained for approximately one minute. Id. ¶¶ 28-29. Ms. Lloyd asserts that the push injured her; it “caused a further rip in the stitches on the right side of my chest, aggravating the saline leakage from my right expander, which, in turn, further irritated my skin.” Lloyd Aff. ¶ 11.

After she was pushed down, Plaintiff told the officers repeatedly that she had cancer. She even showed them the bandaged area around her chest. Pl. City 56.1 ¶ 31. Now, for the first time, Sergeant Graves was aware of Ms. Lloyd’s breast cancer diagnosis. Id. ¶ 32. Once the officers saw Ms. Lloyd’s condition, they helped her up and put her on a bed. Id. ¶ 38. She was then placed under arrest. Ms. Lloyd did not know it yet, but she had been arrested for promotion of prostitution — a felony. Id. ¶ 34.

Ms. Lloyd was then handcuffed by an unidentified officer. Id. ¶ 35. The officers were now aware of her medical condition. As a result, rather than using one set of handcuffs to cuff her hands behind her back, the officers used at least two sets of handcuffs. The parties refer to that practice as “double cuffing,” and the Court will adopt the term. Id. ¶ 36. The Court presumes that double cuffing allows an officer to link two sets of handcuffs in series, creating more space between an arrestee’s hands, and reducing the strain on her chest and shoulders when her arms are pulled behind her back. Whatever its palliative effect, from Ms. Lloyd’s perspective, double cuffing was not enough. She protested even double cuffing behind her back because of her medical condition, and asked that the officers handcuff her in front with single handcuffs. Id. ¶¶ 235-36. Ms. Lloyd asserts that the rear double cuffing caused stitches on the right side of her chest to rip further, aggravating the saline leakage from her right expander and further irritating her skin. Id. ¶ 237.

b. The 19th Precinct

Officers transported Ms. Lloyd to the 19th Precinct station house. There, the rear handcuffs were removed, and she was secured by one wrist to a bench. Id. ¶ 44. Ms. Lloyd’s purse was also brought to the 19th Precinct. It contained antibiotics and dressing changes to treat her chest. Id. ¶ 242. While waiting on the bench, Ms. Lloyd asked several officers if she could take her medication, and also asked too if she could change her bandages. Id. ¶ 45, The officers told Plaintiff to wait for her arresting officers. Id. ¶ 46.

After her wait on the bench, officers again placed Ms. Lloyd in handcuffs, then escorted her to the station’s squad room to be interviewed. Id. ¶ 48. Two of her arresting officers, Detective Mills and Detective Rufle, met Ms. Lloyd inside the squad room. Detective Rufle removed Ms. Lloyd’s handcuffs “because she had an injury.” Id. ¶¶ 49-50. Ms. Lloyd asked Detective Rufle to let her take her medication. Detective Rufle told Ms. Lloyd that he was unable to administer medicine because he was not a doctor. Id. ¶¶ 51-52.

It is undisputed that the detective also told her, however, that she could go to the hospital to have her medication administered. Id. ¶ 52. It is also undisputed that Ms. Lloyd elected to continue being processed in her criminal proceeding, rather than go to the hospital to have her medication administered. Check Id. ¶ 55. But Ms. Lloyd asserts that she decided not to go to the hospital because she was told by the officers that a trip to the hospital would delay her criminal processing and her release from jail. As Ms. Lloyd asserts in an affidavit, Detective Rufle told her a trip to the'hospital would “delay my arraignment and release on my own recognizance on a misdemeanor charge, in time to make my surgery.” Lloyd Aff. ¶ 21; accord Lloyd Dep. at 161:7-9; 162:8-13.

Believing that she would be released on her own recognizance on a misdemeanor charge in time to make her scheduled surgery, Ms. Lloyd declined to visit the hospital and opted to continue with processing. Id. ¶ 55. She even signed a medical treatment of prisoner form, indicating her refusal to obtain medical treatment and go to the hospital, although Plaintiff again asserts that she did so in reliance on officers’ false assurances that she would be released on her oyra recognizance on a misdemeanor charge in time to make her scheduled surgery. Id. ¶ 56.

At some point during her time in the 19th Precinct, Ms. Lloyd explained to Detectives Rufle and Mills that, she needed to change the dressing on her chest to stave off and limit infection. Id. ¶ 247. In response, Detective Mills allowed Plaintiff to use the restroom to '“address something with her chest.” Ms. Lloyd replaced dressing on her chest, now soaked with saline, with sanitary napkins she found in the restroom. Id. ¶ 249, An officer also “snuck” her an antibiotic from her purse. Id. ¶ 246.

c. Plaintiffs Arraignment

Late in the evening of September 20, 2013, Ms. Lloyd was again placed in rear double cuffs for transport from the 19th Precinct to Central Booking. Id. ¶ 61. Ms. Lloyd remained in rear double cuffs for three to five hours during the trip to Central Booking, and while she stood in line there. Id. ¶ 252. She complained repeatedly to Detectives Byrne and Mills about pain and discomfort from the handcuffs. But they ignored her complaints. Id. ¶ 263.

The parties dispute whether Ms. Lloyd received treatment during her stop at Central Booking. The officers assert that Ms. Lloyd was seen by EMS at Central Booking and refused to be treated. Id. ¶ 64. Ms. Lloyd rejects that version of events, and states in her affidavit that “[h]ad someone from EMS seen me, he or she would have removed the sanitary napkins from my chest and replaced them with a proper dressing.” Lloyd Aff. ¶ 31. Ms. Lloyd asserts that the intake officer at Central Booking “refused to take” her because she had.an open wound on her chest, telling Detectives Byrne and Mills that she needed to go to a hospital. PI. City 56.1 ¶ 254. Instead, the detectives brought Ms. Lloyd to the 7th Precinct, to be held overnight until her arraignment. Id. ¶¶ 65, 255.

On September 21, 2013, Ms. Lloyd was arraigned in New York City Criminal Court on' charges of promoting prostitution in the third degree, a felony, and permitting prostitution, a misdemeanor. Id. ¶ 257. The presiding judge set bail at $10,000 bond or $5,000 cash. Pl. Med. 56.1 ¶ 156. The Court presumes that Ms. Lloyd was unable to meet those requirements for release, because later that day, she was transported again — this time to Rikers Island.

d. Rikers Island

Plaintiff was transferred to Rikers Island in the evening of September 21, 2013. Pl. Med. Id. ¶ 157. Early the next morning, a nurse evaluated Ms. Lloyd, taking her vitals and administering a series of tests. Id. ¶ 158. Later, Ms. Lloyd was seen by Dr. Mohammad Alam, M.D., who performed a “new admission” examination. Id. ¶ 160. Dr. Alam documented Ms. Lloyd’s preexisting medical conditions and treatment, in particular her breast cancer diagnosis, chemotherapy, mastectomy, and reconstructive surgery. Id. ¶¶ 161-62, Ms. Lloyd told Dr. Alam that she was taking oral antibiotics and required daily dressing changes. She also told the doctor that she had a follow-up procedure scheduled with Dr. Chang the following day. Id. ¶¶ 163-64.

The parties dispute whether Dr. Alam examined Plaintiffs breasts. Id. ¶¶ 168-69. Dr. Alam cites to- a portion of his deposition -where he testified, when asked if Plaintiff “at any point pull[ed] up her shirt to show you what was underneath” that “I opened it and I looked at what is there.” Deposition of Mohammed Alam, M.D. (annexed as Ex. T to Vizzo Decl.) at 38:9-13. He also cites to his physical examination notes which reflect that he recorded that Ms. Lloyd had a suture in place on her right breast with redness around the tape site, and mild discharge on the dressing. Vizzo Decl., Ex. E at 9. On the other hand, Ms. Lloyd maintains that she lifted her shirt to show Dr. Alam “the sanitary napkins covering my chest, which by now were not only saline-soaked but also pus-filled” but that “Dr. Alam did not examine my chest.” Affidavit of Alyssa Lloyd (Dkt. No. 107) (“Lloyd Aff. 2”) ¶¶ 17, 19.

Ms. Lloyd maintains .that she “asked Dr. Alam for antibiotics and a dressing change immediately,” but he did not do so, and that she did not. “hear Dr. Alam ask or instruct” anyone to provide her with the same. Lloyd Aff. 2 ¶¶ 20-22 (emphasis added). But it is undisputed that during his examination and thereafter, Dr. Alam took a number of steps to provide future treatment for Ms. Lloyd. Dr. Alam made referrals to Plastic Surgery and Oncology at Elmhurst Hospital. Pl. Med. 56.1 ¶ 174. He directed that Plaintiffs dressing’s be changed daily for séven days. He prescribed a number of additional medications and treatments: hydrocortisone cream for dermatitis of the right breast to be applied twice daily, and Librium as a replacement for Diazepam, which Plaintiff had been taking outside of jail for muscle spasms under her breasts. Id. ¶ 175. Dr. Alam realized that the antibiotic she had been taking prior to her arrest was not available in the facility’s pharmacy. Id. ¶ 171. He prescribed a “STAT” dose of Keflex as an alternative antibiotic. Id. ¶ 172. Ms. Lloyd does not dispute these facts, but points out that Dr. Alam did not electronically sign his notes until 3:46 p.m., which was several hours after he physically examined her. Vizzo Decl., Ex. E at 12.

Plaintiff had no further contact with Dr. Alam. Pl. Med. 56.1 ¶ 176. Records indicate that Dr. Henry Thurka, M.D., another doctor at the facility, changed Plaintiffs antibiotic from Keflex to Augmentin shortly after Dr. Alam’s consultation because. Keflex was not available in the facility’s pharmacy. Id. ¶ 177-178. There is a dispute regarding whether Ms. Lloyd received her antibiotic on September 22. Records from Pyxis, a medication dispensing system, state that a dose of Augmentin was distributed to Plaintiff at 10:12 p.m. on September 22, 2013. Id. ¶ 179. However, Plaintiff maintains that she never received antibiotics at Rikers on Sunday, September 22, 2013. Lloyd Aff. 2 ¶ 27. It is undisputed, however, that Ms. Lloyd received medical treatment, including the dressing .changes ordered by Dr. Alam, wound care, and antibiotics, on a daily basis throughout the rest of her period of detention on Rikers Island. Id. ¶¶ 181-83.

e. Release from Rikers Island

Ms. Lloyd was released from Rikers Island on September 26, 2013, six days after her arrest, and three days after her originally scheduled surgery date. Id. ¶ 193. Five days after her release, on October 1, 2013, Ms. Lloyd returned to Dr. Chang’s office. Id. ¶ 194. Dr. Chang’s notes documented the reason Ms. Lloyd had missed her operation as “due to sudden death of relative.” Id. Dr. Chang examined Ms. Lloyd and found that her surgical incision wound was in “breakdown” and noted drainage in her right breast. Id. ¶ 195. During that visit, Dr, Chang deflated Ms. Lloyd’s right tissue expander. Id. ¶ 197. But she needed additional surgery. On October 3, 3013, Ms. Lloyd went to New York Hospital Queens for a procedure to remove her right tissue expander and explore the reconstruction of her right breast. Id. ¶ 198. During the operation, Ms. Lloyd’s right breast was found to be infected, requiring that it be washed out with fluid and removal of the tissue expander. Id. ¶ 200.

Ms. Lloyd did not immediately pursue additional reconstructive surgery, in part because she was to commence radiation therapy. From December 2013 to May 2014, she received radiation treatment. Id. ¶ 208. Since completing radiation, Dr. Chang has recommended that Ms. Lloyd reconstruct her right breast using tissue from other parts of her body. Id. ¶ 211. But as of May 31, 2016, Ms. Lloyd had not yet undertaken additional reconstruction surgery. Id. ¶ 213.

B. Procedural History

The amended complaint in this matter was filed on May 14, 2015. Dkt. No. 15. On August 8, 2016, the parties entered into a Stipulation and Order of Dismissal, pursuant to which Plaintiff withdrew a number of claims asserted in the amended complaint, namely: false arrest under 42 U.S.C. § 1983 and under New York law, malicious prosecution under 42 U.S.C. § 1983 and under New York law, violation of the right to a fair trial under 42 U.S.C. § 1983, deliberate indifference to serious medical needs under New York law, negligent screening, hiring and retention under New York law, and negligent training and supervision under New York law. Dkt. No. 85.

Plaintiff also withdrew a number of claims to the extent they were asserted against Corizon Health, Inc. and Dr. Alam, and withdrew her claims under the Americans with Disabilities Act and Rehabilitation Act against all Defendants except the City of New York. Id. Finally, Plaintiff dismissed the following named defendants from this case: Achille Antoine, Yvette Avery-Hughes, Adrian Campos, Dominique Georges, Shalonda Gonzalez, Rachelle Hogans-Blair, Bernadette James, Cynthia Lallemand, Raquel Murphy, Esperance Ndayishimiye, Annie Pañis, Lisa Polite, Sean Ryan, Undercover Officer C146, and Scott Velasquez. Id.

The remaining Defendants are the City of New York, Sergeant Gregory Graves, UC 137, Detectives James Rufle, Paul Byrne, and David Mills, Corizon Health, Inc. and Dr. Mohammad Alam, The remaining claims against the City Defendants are: deliberate indifference to serious medical needs under 42 U.S.C. § 1983, excessive force under 42 U.S.C. § 1983, failure to intervene under 42 U.S.C. § 1983, municipal liability under 42 U.S.C. § 1983, claims under the Americans with Disabilities Act and Rehabilitation Act of 1973, assault and battery under New York law, respondeat superior liability under New York law, intentional infliction of emotional distress under New York law, negligent infliction of emotional distress under New York law, and negligence under New York law.

After entry of the stipulation and order, the remaining claims against Corizon Health, Inc. and Dr. Alam were: deliberate indifference to serious medical needs under 42 U.S.C. § 1983, intentional infliction of emotional distress under New York law, and negligent infliction of emotional distress under New York law. In Plaintiffs memorandum of law opposing the Medical Defendants’ motion for summary judgment, however, Plaintiff stated that she “withdraws her Section 1983 claim against Corizon Health, Inc. and her claims under New York law against Corizon Healthy Inc. and Dr. Alam.” Plaintiffs Memorandum of Law in Opposition to Medical Defendants’ Motion for Summary Judgment (Dkt. No. 106) at 13. Accordingly, the only remaining claim Plaintiff asserts against any of the defendants involved in the events that took place on Rikers Island is a claim for deliberate indifference to serious medical needs under § 1983, against Dr. Alam.

The City Defendants filed a motion for summary judgment on August 25, 2016 (Dkt. No. 93) (“City Def. Mem.”) which Plaintiff opposed on September 26, 2016 (Dkt. No. 101) (“Pl. City Mem.”). Dr. Alam filed a motion for summary judgment on August 29, 2016 (Dkt. No. 97) (“Med. Def. Mem.”), Plaintiff opposed that motion on September 26, 2016 (Dkt. No. 106) and Dr. Alam replied on October 11, 2016 (Dkt. No. 113).

II. LEGAL STANDARD

Under Federal Rule of CM Procedure 56(a), a party is entitled to summary judgment if it “shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.” Fed. R. Civ. P. 56(a); see Celotex Corp. v. Catrett, 477 U.S. 317, 322-23, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986). A genuine dispute exists where “the evidence is such that a reasonable jury could return a verdict for the nonmoving party,” while a fact is material if it “might affect the outcome of the suit under governing law.” Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986). The moving party bears the burden of showing that it is entitled to summary judgment. See id. at 256, 106 S.Ct. 2505.

In evaluating a motion for summary judgment, the Court must “resolve all ambiguities and draw all permissible factual inferences in favor of the party against whom summary judgment is sought.” Terry v. Ashcroft, 336 F.3d 128, 137 (2d Cir. 2003) (quoting Stern v. Trustees of Columbia Univ., 131 F.3d 305, 312 (2d Cir. 1997)). “[Ojnly admissible evidence need be considered by the trial court in ruling on a motion for summary judgment.” Presbyterian Church of Sudan v. Talisman Energy, Inc., 582 F.3d 244, 264 (2d Cir. 2009) (quoting Raskin v. Wyatt Co., 125 F.3d 55, 65 (2d Cir. 1997)). The Court’s job is not to “weigh the evidence or resolve issues of fact; it is confined to deciding whether a rational juror could find in favor of the non-moving party.” Lucente v. Int’l Bus. Machines Corp., 310 F.3d 243, 254 (2d Cir. 2002) (citing Anderson, 477 U.S. at 249, 106 S.Ct. 2505). “Summary judgment is improper if there is any evidence in the record that could reasonably support a jury’s verdict for the non-moving party.” Marvel Characters, Inc. v. Simon, 310 F.3d 280, 286 (2d Cir. 2002) (citing Pinto v. Allstate Ins. Co., 221 F.3d 394, 398 (2d Cir. 2000)).

III. DISCUSSION

A. Deliberate Indifference to Serious Medical Needs

A claim of deliberate indifference to serious medical needs has typically been analyzed under a two-pronged standard. “The first requirement is objective: ‘the alleged deprivation of adequate medical care must be ‘sufficiently serious.’” Spavone v. New York State Dep’t of Correctional Servs., 719 F.3d 127, 139 (2d Cir. 2013) (quoting Salahuddin v. Goord, 467 F.3d 263, 279 (2d Cir. 2006)). “The second requirement is subjective: the charged officials must be 'subjectively reckless in their denial of medical care.” Id. These claims, when brought by-pretrial detainees “are governed by the Due Process Clause of the Fourteenth Amendment, rather than the Cruel and Unusual- Punishments Clause of the Eighth Amendment.” Darnell v. Pineiro, 849 F.3d 17, 29 (2d Cir. 2017). This is because “pretrial detainees have not been convicted of a crime and thus may not be punished in any manner— neither cruelly and unusually nor otherwise.” Id. (citation and internal quotation marks omitted).

Prior to addressing the motions for summary judgment on Plaintiffs claims for deliberate indifference to serious medical needs, the Court will first review a recent change in the law applicable to such claims. In Caiozzo v. Koreman, 581 F.3d 63 (2d Cir. 2009), the Second Circuit held that the “the standard for deliberate indifference is the same under the Due Process Clause of the Fourteenth Amendment as it is under the Eighth Amendment.” Id. at 70; see also id. at 72 (“Claims for deliberate indifference to a serious medical condition or other serious threat to the health or safety of a person in custody should be analyzed under the same standard irrespective of whether they are brought under the Eighth or Fourteenth Amendment.”)- Consistent with that view, the Second Circuit held that to satisfy the second prong of a claim for deliberate indifference to serious medical needs, a pretrial -detainee would be required to prove “that the government-employed defendant disregarded a risk of harm to the plaintiff of which the defendant was aware,” Id. at 71 (emphasis added); see also Nielsen v. Rabin, 746 F.3d 58, 64 (2d Cir. 2014) (“Deliberate indifference is a mental state equivalent to subjective recklessness .... This mental state requires that the charged official act or fail to act while actually aware of a substantial risk .that serious inmate harm will result.”.) (quoting Salahuddin, 467 F.3d at 280).

Last month, however, the Second Circuit concluded that the Supreme Court’s decision in Kingsley v. Hendrickson, — U.S. -, 135 S.Ct. 2466, 192 L.Ed.2d 416 (2015) “has undercut the reasoning in Caiozzo.” Darnell, 849 F.3d at 33, Kingsley examined whether, to prove an excessive force claim under the Fourteenth Amendment, “a pretrial detainee must show that the officers were subjectively aware that their use of force was unreasonable, or only that the officers’ use of that force was objectively unreasonable.” 135 S.Ct. at 2470 (emphasis in original). The Supreme Court concluded that “excessive force claims brought under the Fourteenth Amendment do not require the same subjective intent standard as excessive force claims brought under the Eighth Amendment.” Darnell, 849 F.3d at 33. The Second Circuit reasoned in Darnell that, “ [following the Supreme Court’s analysis in Kingsley, there is no basis for the reasoning in Caiozzo that the subjective intent requirement for deliberate indifference .claims under the Eighth Amendment .,. must, apply to deliberate indifference claims under the Fourteenth Amendment.” Id. at 33-34. The Second Circuit therefore overruled Caiozzo “to the extent that it determined that the standard for deliberate indifference is the same under the Fourteenth Amendment as it is- under the Eighth Amendment.” Id. at 35.

Observing that the “subjective prong” of a deliberate indifference claim is “perhaps better classified as a ‘mens rea prong’ or ‘mental element prong,’ ” id. at 29, in Darnell the court of appeals instructed, in light of Kingsley, that a “pretrial detainee must prove that tlie defendant-official acted intentionally to impose the alleged condition, or recklessly failed to act with reasonable care to mitigate the risk that the condition posed to the pretrial detainee even though the defendant-official knew, or should have known, that the condition posed an excessive risk to health or safety.” Id. at 35. After Darnell, “deliberate indifference” is now “defined objectively,” and the “Due Process Clause can be violated, .when an official does not have subjective awareness that the official’s acts (or omissions) have subjected the pretrial detainee to a substantial risk of harm.” Id,

The reasoning of Darnell applies equally to claims of deliberate indifference to serious medical needs under the Fourteenth Amendment. Darnell involved claims of deliberate indifference in the context of a challenge to conditions of confinement. However, as the Second Circuit noted there, Caiozzo, the case which Darnell overruled in part

involved a claim for deliberate indifference to medial needs under the Fourteenth Amendment. Nevertheless, the Court’s interpretation of ‘deliberate indifference’ applied to any pretrial detainee claim for deliberate indifference to ‘serious threat to ,., health or safety’ — such as from unconstitutional conditions of confinement, or the failure-to-protect — because deliberate indifference means the same thing for each type of claim under the Fourteenth Amendment.

Id. at 33, n.9 (quoting Caiozzo, 581 F.3d at 68, 72). The Court therefore reads Darnell to require that the “mens rea prong” of deliberate indifference to serious medical needs claims under the Fourteenth Amendment be analyzed objectively: rather than ask whether the charged official “kn[ew] of and disregarded] an excessive risk to inmate health or safety,” courts are to instead determine whether the official “knew, or should have known” that his or her conduct “posed an excessive risk to health or safety.” Id. at 33, 35.

1. City Defendants

The City Defendants do not contest that the asserted deprivation in this case was “sufficiently serious,” only that the officers did not act with the requisite mens rea. City Def. Mem. at 6. Applying the standard clarified by the Second Circuit in Darnell to the facts of this case, the City Defendants are entitled to summary judgment on Plaintiffs claim of deliberate indifference to her serious medical needs, because Plaintiff cannot show that they knew or should have known that their acts or omissions posed an excessive risk to her health or safety.

A reasonable jury could not find that the City Defendants were deliberately indifferent to Plaintiffs serious medical needs, because they repeatedly offered her medical assistance. The undisputed facts show that on numerous occasions, the officers involved in Plaintiffs arrest and detention prior to her transfer to Rikers Island gave her the option to be taken to the hospital to take her antibiotics and to change her dressings. On each occasion, Plaintiff refused.

Plaintiff concedes that she refused the offers made to her. However, she takes the position that, notwithstanding her decision to continue with her post-arrest processing rather than visit the hospital, the City Defendants were deliberately indifferent because they falsely assured her that she would be released on her own recognizance on a misdemeanor charge, in time to make her scheduled surgery. Pl. City Mem. at 8. Plaintiff maintains that, absent these “false assurances,” she would have chosen to go to the hospital. Id.

Plaintiffs assertions do not permit a reasonable jury to conclude that the officers were deliberately indifferent to her medical needs. Plaintiff concedes that officers provided her with the ability to visit the hospital to secure healthcare for her condition. Her complaint, therefore, is not that officers were deliberately indifferent to her medical needs; rather that officers provided her inaccurate information about the likely disposition of her criminal case. Based upon the evidence in the record, however, a reasonable jury could not conclude that the officers “knew, or should have known” that their provision of information to Plaintiff about her criminal case “posed an excessive risk” to Plaintiffs “health or safety,” even assuming that the information they provided to Plaintiff about the likely disposition of her criminal case was incorrect — they offered her treatment, which she refused. Darnell, 849 F.3d at 36.

The facts of this case are materially different from those in Hathaway v. Coughlin, 37 F.3d 63 (2d Cir. 1994), the principal case on which Plaintiff relies. In Hathaway, the Second Circuit concluded that a rational jury could find the defendant was deliberately indifferent to the plaintiffs medical needs where the defendant failed to inform the plaintiff; over a period of more than two years, that the plaintiff had two broken pins in his hip. 37 F.3d at 65. The Second Circuit reasoned that the plaintiffs failure to request surgery during that time period was “understandable, given that crucial information bearing on his condition was never disclosed to him,” because the “presence of broken pins in a hip is information that would give most people pause to consider surgery.” Id. at 67-68. Here, by contrast, Plaintiff was aware of her condition, and the City Defendants did not withhold or misrepresent information bearing upon her medical condition as in Hathaway. Unlike in Hathaway, the City Defendants were not responsible for, and did not contribute to, any ignorance on Plaintiffs part of her own condition or the need for treatment. Indeed, the City Defendants provided Plaintiff with the opportunity to go to the hospital to obtain treatment after learning of her medical condition. Summary judgment is granted to the City Defendants on Plaintiffs claim of deliberate indifference to serious medical needs.

2. Dr. Alam

Dr. Alam, the Rikers Island physician who treated Plaintiff on one occasion, when he performed her new admission examination, also seeks summary judgment on Plaintiffs claim of deliberate indifference to serious medical needs. First, he argues that Plaintiffs asserted deprivation of medical care was not sufficiently serious to prove such a claim. Second, Dr. Alam asserts that even if Plaintiff could show that the asserted deprivation was sufficiently serious, he did not act with the state of mind necessary to prove this claim. Med. Def. Mem. at 12, 18. The Court concludes that summary judgment in Dr. Alam’s favor is warranted because a reasonable jury could not conclude that Dr. Alam meted with the requisite state of mind.

In this case, Plaintiff asserts that Dr. Alam did not immediately provide her with antibiotics or a dressing change, or examine her chest, on September 22, 2013. It is undisputed, however, that Dr. Alam prescribed Keflex as an alternative antibiotic to Cefadroxil, made plastic surgery and oncology referrals, and ordered daily wound care. It is also undisputed that Plaintiff had no further contact with Dr. Alam after her new admission examination, and that she received antibiotics and wound care on a daily basis during the remainder of her detention at Rikers Island. Based upon the evidence in the record, a reasonable jury could not conclude that Dr. Alam “knew or should have known” that his actions or omissions pertaining to a single examination of Plaintiff “posed an excessive risk to [her] health or safety.” Darnell, 849 F.3d at 35.

Moreover, Plaintiff does not assert that she was deprived of treatment, only that her treatment was delayed by one day. This delay does not support the inference that Dr. Alam was deliberately indifferent to her medical needs. Assuming the delay was in any way attributable to Dr. Alam, this amounts to negligent conduct at most, and “negligence, even if it constitutes medical malpractice, does not, without more, engender a constitutional claim.” Chance v. Armstrong, 143 F.3d 698, 703 (2d Cir. 1998). Summary judgment is granted to Dr. Alam on Plaintiffs claim for deliberate indifference to serious medical needs.

B. Excessive Force

Plaintiff brings excessive force claims against the City Defendants based upon two principal incidents. First, she argues that Sergeant Graves used unconstitutional excessive force when he pushed her to the ground after officers entered the apartment where UC 137 came to meet K.B., and that UC 137 failed to intervene to prevent this use of force. Second, she argues that Detectives Mills and Byrne’s use of rear double handcuffs to restrain her subsequent to her arrest and prior to her transfer to Rikers Island was also an unconstitutional use of excessive force. Because both claims involve disputed issues of material fact relevant to a determination of whether the officers’ conduct was reasonable, the Court denies Sergeant Graves, Detective Mills, and Detective Byrne’s motions for summary judgment; however, UC 137’s motion for summary judgment on Plaintiffs failure to intervene claim will be granted.

“The Fourth Amendment prohibits the use of excessive force in making an arrest, and whether the force used is excessive is to be analyzed under that Amendment’s ‘reasonableness’ standard.” Brown v. City of New York, 798 F.3d 94, 100 (2d Cir. 2015) (quoting Graham v. Connor, 490 U.S. 386, 395, 109 S.Ct. 1865, 104 L.Ed.2d 443 (1989)) (internal quotation marks omitted). To determine whether the force used in a given arrest is reasonable, courts pay “careful attention to the facts and circumstances of each particular case,” and judge the “reasonableness” of the use of force “from the perspective of a reasonable officer on the scene, rather than with the 20/20 vision of hindsight.” Id. (quoting Graham v. Connor, 490 U.S. at 396, 109 S.Ct. 1865).

It is “well established that.law enforcement officers violate the Fourth Amendment if the amount of force they use is ‘objectively unreasonable’ in light of the facts and circumstances confronting them.” Rogoz v. City of Hartford, 796 F.3d 236, 246 (2d Cir. 2015) (citation omitted). Further,

[t]he calculus of reasonableness must embody allowance for the fact that police officers are often forced to make split-second judgments — in circumstances that are tense, uncertain, and rapidly evolving — about the amount of force that is necessary in a particular situation.

Id. (quoting Graham, 490 U.S. at 396-97, 109 S.Ct. 1865); accord Jones v. Parmley, 465 F.3d 46, 61 (2d Cir. 2006).

“The ‘reasonableness’ of . the amount of force used thus ‘must be judged from the perspective of a reasonable officer on the scene ... at the moment’ the force is used.” Rogoz, 796 F.3d at 246-47 (quoting Graham, 490 U.S. at 396, 109 S.Ct. 1865). “In sum, the ‘standard’ to be applied in determining whether ‘the amount of force’ used exceeded the amount that was ‘necessary’ in the particular circumstances is ‘reasonableness at the moment,’ ” Id. at 247 (quoting Graham, 490 U.S. at 396, 397, 109 S.Ct. 1865). Furthermore, “[n]ot every push or shove, even if it may later seem unnecessary in the peace of a judge’s chambers ... violates the Fourth Amendment.” Graham, 490 U.S. at 396, 109 S.Ct. 1865.

1. Excessive Force Claim Against . Sergeant Graves

There is no dispute that Sergeant Graves pushed Plaintiff to the ground after he entered the apartment. The only question is whether this use of force was excessive under the Fourth Amendment. Sergeant Graves argues that he is entitled to summary judgment on this claim because his use of force was “objectively reasonable.” City Def. Mem. at 10. In opposition, Plaintiff maintains that there are disputes “as to the material facts surrounding the circumstances of the push” and that while the City Defendants suggest that Plaintiff refused tó open the door to the apartment and that she was blocking access to the back room when officers entered, she actually did offer to open the door, was standing near to UC 137 “in plain sight of any officer entering the apartment,” and was “standing to one side, giving Sergeant Graves unimpeded access” to the back room. Pl. City Mem. at 12. Plaintiff also cites record evidence indicating that she had her hands up in the air when officers entered the apartment, see id. and that the push to the ground exacerbated the saline leakage from her right breast expander, increasing the irritation to her skin. Id. at 13.

Sergeant Graves argues that the push at issue was a non-actionable de minimis use of force and that summary judgment is appropriate on this basis alone. City Def. Mem. at 10. It is not entirely clear whether he intends to argue that Plaintiffs asserted injury from this use of force was de minimis, or that' the amount of force he employed was de minimis. As to Plaintiffs asserted injury, Sergeant Graves’ argument must be rejected. Sergeant Graves is correct that some courts require a plaintiff asserting a Fourth Amendment excessive force claim to show a greater than de minimis injury. See, e.g., Marlin v. City of New York, No. 15-cv-2235 (CM), 2016 WL 4939371, at *12 (S.D.N.Y. Sept. 7, 2016) (“De minimis injuries will not usually sustain a claim of excessive force.”). However, in this case, he does not dispute that the push, . which knocked Plaintiff to the ground, caused a further rip in her stitches and aggravated the saline leak in her right expander, which are certainly greater than de minimis injuries.

The essence of Sergeant Graves’ argument about the amount of force he used is that the amount of force used in a particular incident can be deemed de minimis as a matter of law, regardless , of the surr rounding circumstances. This contention is inconsistent with the standard applicable to , Fourth Amendment excessive force claims. As has been discussed, the reasonableness of a use of force is evaluated in light of the facts and circumstances facing the officer at the. scene. See, e.g., Adedeji v. Hoder, 935 F.Supp.2d 557, 566 (E.D.N.Y. Mar. 27, 2013) (“[Defendant’s] claim rests on the premise that there exists a threshold of force or injury below which, irrespective of the surrounding circumstances, an officers’ force is reasonable as- a matter of law. This approach to the question of excessive force, however, misunderstands the Fourth Amendment analysis.”).

The Court concludes that there are disputed issues of material fact that preclude a grant of summary judgment to Sergeant Graves. As noted, the reasonableness of the use of force is to be judged in light of the facts and circumstances.with which an officer is presented. And here, there are numerous disputes concerning what the circumstances confronting Sergeant Graves were, including: whether Plaintiff was compliant with officers’ requests that she open the apartment door, whether UC 137 was visible to Sergeant Graves as he entered the apartment, and whether Plaintiff was in Sergeant Graves’ way or whether she was standing to the side with her hands raised. Were a jury to credit Plaintiffs version of events, it could reasonably conclude that when. Sergeant Graves pushed Plaintiff to the ground, he used an objectively unreasonable amount of force. See Amnesty Am. v. Town of W. Hartford, 361 F.3d 113, 123 (2d Cir. 2004) (“Given the fact-specific nature of the inquiry, granting summary judgment against a plaintiff on an excessive force claim is not appropriate unless no reasonable factfin-der could conclude that the officers’ conduct was objectively unreasonable.”).

2. Qualified Immunity for Sergeant Graves

Sergeant Graves argues that, even if summary judgment is. precluded on Plaintiffs excessive force claim against him, he is nevertheless entitled, to qualified immunity on this claim. City Def. Mem. at 12. Because summary judgment on quali-fled immunity grounds is inappropriate where there are disputed issues of fact pertinent to a determination of the reasonableness of an officer’s conduct, however, Sergeant Graves’ motion for summary judgment on this basis must be denied.

Police officers are entitled to qualified immunity in § 1983 suits brought against them in their individual capacities if “their conduct does not violate clearly established statutory or constitutional rights of which a reasonable person would have known.” Harlow v. Fitzgerald, 457 U.S. 800, 818, 102 S.Ct. 2727, 73 L.Ed.2d 396 (1982). The Second Circuit has explained that “[e]ven where the plaintiffs federal rights and the scope of the official’s permissible conduct are clearly established, the qualified immunity defense protects a government actor if it was ‘objectively reasonable’ for him to believe that his actions were lawful at the time of the challenged act.” Lennon v. Miller, 66 F.3d 416, 420 (2d Cir. 1995) (quoting Anderson v. Creighton, 483 U.S. 635, 641, 107 S.Ct. 3034, 97 L.Ed.2d 523 (1987)); see also Weyant v. Okst, 101 F.3d 845, 857 (2d Cir. 1996) (“[P]ublic officials are entitled to qualified immunity if (1) their conduct does not violate clearly established constitutional rights, or (2) it was objectively reasonable for them to believe their acts did not violate those rights.”). “The objective reasonableness test is met — and the defendant is entitled to qualified immunity — if ‘officers of reasonable competence could disagree’ on the legality of the defendant’s actions.” Lennon, 66 F.3d at 420 (quoting Malley v. Briggs, 475 U.S. 335, 340-41, 106 S.Ct. 1092, 89 L.Ed.2d 271 (1986)).

The Second Circuit has held that when the factual record is not in serious dispute ...[,] [t]he ultimate legal determination whether ... a reasonable police officer should have known he acted unlawfully is a question of law better left for the court to decide.

Lennon, 66 F.3d at 421 (quoting Warren v. Dwyer, 906 F.2d 70, 76 (2d Cir. 1990)); accord Harris v. O’Hare, 770 F.3d 224, 239 (2d Cir. 2014) (same); Estate of Jaquez v. City of New York, 104 F.Supp.3d 414, 434 (S.D.N.Y. 2015) (question of whether a “reasonable police officer should have known he acted unlawfully” is a question of law for the court “[e]ven though a reasonableness inquiry traditionally is a question of fact for the jury”). Conversely, “summary judgment on qualified immunity grounds is not appropriate when there are facts in dispute that are material to a determination of reasonableness.” Husain v. Springer, 494 F.3d 108, 133 (2d Cir. 2007) (quoting Thomas v. Roach, 165 F.3d 137, 143 (2d Cir. 1999)).

The Court cannot conclude that Sergeant Graves is entitled to qualified immunity at this stage of the litigation because facts material to a determination of the reasonableness of his actions are in dispute. Given the disputed issues of material fact surrounding the circumstances of Sergeant Graves’ use of force against Plaintiff that bear on the objective reasonableness of his conduct, his request for summary judgment on this ground must be denied.

3. Failure to Intervene Claim Against UC 137

UC 137 seeks dismissal of Plaintiffs claim that he failed to intervene to prevent Sergeant Graves’ use of excessive force against her. Because Plaintiffs version of events, if credited, demonstrates that UC 137 did not have a realistic opportunity to prevent that use of force, his motion for summary judgment is granted.

“A police officer is under a duty to intercede and prevent fellow officers from subjecting a citizen to excessive force, and may be held liable for his failure to do so if he observes the use of force and has sufficient time to act to prevent it.” Figueroa v. Mazza, 825 F.3d 89, 106 (2d Cir. 2016) (citation omitted). However, “[i]n order for a law enforcement officer to be held liable for another officers’ use of excessive force, ‘there must have been a realistic opportunity [for the former] to intervene to prevent the harm from occurring.’” Rogoz, 796 F.3d at 261 (quoting Anderson v. Branen, 17 F.3d 552, 557 (2d Cir. 1994)).

Crediting Plaintiffs telling of the relevant events, the scene unfolded quickly and UC 137 had no opportunity to intervene to stop Sei-geant Graves. As Plaintiff states in her affidavit, “Sergeant Graves rushed past UC 137 to reach me.” Lloyd Aff. ¶ 9. To be sure, she also states that “UC 137 was standing near to me.” Id. ¶ 7. But the fact that UC 137 was standing near Plaintiff when Sergeant Graves rushed past him and pushed Plaintiff does not constitute sufficient evidence for a reasonable jury to conclude that UC 137 had a realistic opportunity to prevent Sergeant Graves from pushing Plaintiff to the ground. Cf. Scalpi v. Town of East Fishkill, No. 14-cv-2126 (KMK), 2016 WL 858944, at *14 (S.D.N.Y. Feb. 29, 2016) (no realistic opportunity to intervene where use of force occurred quickly). Accordingly, summary judgment is granted to UC 137 on Plaintiffs failure to intervene claim against him.

C. Excessive Force Claim Based Upon Rear Double Handcuffing 1. Liability

“Merely handcuffing a suspect and requiring her to place her hands behind her back is not a constitutional violation.” Washpon v. Parr, 561 F.Supp.2d 394, 407 (S.D.N.Y. 2008). However, “[c]ourts have found that handcuffing can give rise to a § 1983 excessive force claim where plaintiff suffers injury as a result.” Usavage v. Port Auth. of N.Y. and N.J., 932 F.Supp.2d 575, 592 (S.D.N.Y. 2013) (quoting Gonzalez v. City of New York, No. 98-cv-3084, 2000 WL 516682, at *4 (E.D.N.Y. Mar. 7, 2000)). “[I]n evaluating the reasonableness of handcuffing” courts typically consider “evidence that: 1) the handcuffs were unreasonably tight; 2) the defendants ignored the [plaintiffs] pleas that the handcuffs were too tight; and 3) the degree of injury to the wrists.” Case v. City of New York, 233 F.Supp.3d 372, 2017 WL 571530, at *7 (S.D.N.Y. Feb. 10, 2017) (quoting Lynch ex rel. Lynch v. City of Mount Vernon, 567 F.Supp.2d 459, 468 (S.D.N.Y. June 13, 2008)).

Most excessive force claims based upon the use of handcuffs in this Circuit are a “variation on ... [a] familiar theme” of handcuffs that are alleged to be excessively tight and which cause injury to the arrestee as a result of their tightness. Usavage, 932 F.Supp.2d at 594. This case, however, is not a variation on that theme. Plaintiff does not complain of excessively tight handcuffs, but rather, that the use of rear handcuffing as a method of restraint ripped stitches in her chest, causing significant injury.

“Courts in this Circuit have generally found that handcuffing does not suffice for an excessive force claim unless it causes some injury beyond temporary discomfort or bruising.” Omor v. City of New York, No. 13-cv-2439 (RA), 2015 WL 857587, at *7 (S.D.N.Y. Feb. 27, 2015). In this case, Plaintiff has submitted an affidavit stating that the “rear double cuffs were too tight and too heavy, causing my stitches to rip even more, aggravating the saline leakage from my right expander, and further irritating my skin.” Lloyd Aff. ¶ 17. This injury was more than just temporary discomfort or bruising.

The record evidence reflects that Plaintiff remained in rear double cuffs for three to five hours while en route to and while waiting in line at Central Booking. She also attests in her affidavit that she “repeatedly complained to Detectives Byrne and Mills about the pain and discomfort from the rear double-cuffing, to no avail.” Id. ¶ 30. A reasonable jury could find that this extended period of handcuffing for an arrestee who had not shown a propensity for violence, in view of Plaintiffs condition and the injuries Plaintiff claims that rear handcuffing caused, was not an objectively reasonable amount of force under the circumstances. Summary judgment is inappropriate on this claim.

2. Qualified Immunity

The City Defendants argue that nonetheless, they are entitled to qualified immunity on this claim and that summary judgment should be granted to them on that basis. City Def. Mem. at 13-14. However, because there are unresolved facts that bear upon the reasonableness of the officers’ conduct regarding the use of rear double handcuffs, summary judgment on qualified immunity grounds is inappropriate.

There are unresolved factual questions concerning what Detectives Mills and Byrne knew regarding the effect the rear handcuffing was having on Plaintiffs physical condition. These facts bear on the reasonableness of their conduct and preclude a grant of summary judgment on qualified immunity grounds. As already noted, Plaintiff attests in her affidavit that she repeatedly complained to them about the pain and discomfort from the rear cuffing. She also cites testimony, from her deposition suggesting that, during the period of three to five hours in which she was rear cuffed, the saline leak on her chest' was visibly worsening and that the two officers were aware of her deteriorating condition but did not remove the handcuffs or place her in front handcuffs. Lloyd Dep. at 98:16-23, 173:14-21. The City Defendants’ submissions are silent on the issue of what the officers knew, if anything, about whether or not the rear handcuffing was exacerbating Plaintiffs condition. Given the facts presented to the Court, the Court cannot conclude as a matter of law at this time that Detectives Mills and Byrne acted in an objectively reasonable manner. Ultimately, therefore, summary judgment on qualified immunity grounds is not appropriate because there are unresolved facts that are material to a determination of the reasonableness of the officers’ conduct.

The City Defendants cite to. Shen v. City of New York, No. 14-cv-7358 (KBF), 2016 WL 4126541 (S.D.N.Y. Aug. 2, 2016) in support of their position that the officers are entitled to qualified immunity on Plaintiffs handcuffing claim. In that case, the plaintiff brought a claim of excessive force because his arresting officers “placed him in rear [double] handcuffs even though they knew he had injured his right arm or shoulder.” Id. at *8. The court in that case noted that, even though the plaintiff “complained of his arm being broken and being in pain both before and after he was arrested,” there was no evidence in the record indicating that “after plaintiff was handcuffed, he told the officers that the double-linked cuffs exacerbated his arm pain.” Id. (emphasis in original). According to the court, “[t]hat the officers accommodated plaintiffs medical injury to his arm vitiates in favor of reasonableness” and “unquestionably demonstrates that