Parham v. Johnson ( 1997 )


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  •                                                                                                                            Opinions of the United
    1997 Decisions                                                                                                             States Court of Appeals
    for the Third Circuit
    9-17-1997
    Parham v. Johnson
    Precedential or Non-Precedential:
    Docket
    95-3623
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    Recommended Citation
    "Parham v. Johnson" (1997). 1997 Decisions. Paper 220.
    http://digitalcommons.law.villanova.edu/thirdcircuit_1997/220
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    Filed September 17, 1997
    UNITED STATES COURT OF APPEALS
    FOR THE THIRD CIRCUIT
    No. 95-3623
    PAUL LAMONT PARHAM,
    Appellant
    v.
    MARSHALL JOHNSON, JR., Medical Doctor;
    CHARLES J. KOZAKIEQICZ;
    TOM FORESTER, Commissioner;
    JOSEPH MAZURKIEWICZ, Ph.D.
    ON APPEAL FROM THE
    UNITED STATES DISTRICT COURT
    FOR THE WESTERN DISTRICT OF PENNSYLVANIA
    (D.C. No. 90-cv-00726)
    Argued: February 14, 1997
    Before: COWEN, MCKEE, and JONES,* Circuit Judges.
    (Filed: September 17, 1997)
    Fred T. Magaziner, Esq. (argued)
    Dechert Price & Rhoads
    4000 Bell Atlantic Tower
    1717 Arch Street
    Philadelphia, PA 19103
    COUNSEL FOR APPELLANT
    _________________________________________________________________
    *The Honorable Nathaniel R. Jones, Senior Circuit Judge, United States
    Court of Appeals for the Sixth Circuit, sitting by designation.
    Vincent A. DeFalice, Esq. (argued)
    DeFalice & Douglas, P.C.
    4th Floor, 816 Fifth Avenue
    Pittsburgh, Pennsylvania 15219
    COUNSEL FOR APPELLEE
    OPINION OF THE COURT
    JONES, Circuit Judge.
    Paul Lamont Parham ("Parham") filed suit against his
    prison physician, Dr. Marshall Johnson ("Dr. Johnson"),
    claiming that Dr. Johnson was deliberately indifferent to
    his medical needs. The magistrate judge found that
    Parham's claim may have merit and ordered that counsel
    be appointed for Parham pursuant to 28 U.S.C. S 1915.
    This order was never adhered to. Two years later, Parham,
    still without counsel, petitioned the district court to appoint
    him an attorney. The district court acknowledged that
    Parham's claim had merit, but denied his request. Parham
    was then forced to try his claim pro se. The district court
    directed a verdict for Dr. Johnson because Parham failed to
    present an expert witness. Parham then filed a timely
    appeal and petitioned this court to appoint him counsel.
    This court granted his motion for counsel.1
    Upon review, we find that the magistrate judge's order
    should have been complied with and Parham should have
    had counsel below. Accordingly, we reverse and remand.
    I.
    On November 15, 1989, Parham experienced a high-
    pitched ringing noise in his left ear. Parham expressed this
    concern to Dr. Johnson and told him that it may be an
    actual ringing noise in the prison, but he was unsure. Dr.
    Johnson diagnosed Parham's condition as tinnitus.
    _________________________________________________________________
    1. We take this opportunity to note that appellant's court-appointed
    counsel did an excellent job in this case, and we appreciate their time
    and effort.
    2
    Tinnitus is a "subjective noise sensation heard in one or
    both ears." Mosby's Medical Dictionary 1559 (Kenneth N.
    Anderson ed., 4th ed. 1993). This condition is generally not
    diagnosed without a comprehensive diagnosis, Linda M.
    Luxon, Tinnitus: Its Causes, Diagnosis, and Treatment, 306
    British Med. J. 1490 (1993); yet, Dr. Johnson diagnosed it
    after a simple exam.
    To treat the tinnitus, Dr. Johnson prescribed Cortisporin
    ear drops. Cortisporin is an antibiotic solution for the
    treatment of "superficial bacterial infections of the external
    auditory canal . . . ." Physicians' Desk Reference ("PDR")
    768 (43rd ed. 1989).2 The warnings in the PDR indicate
    that Cortisporin "should be used with care when the
    integrity of the tympanic membrane is in question because
    of the possibility of ototoxicity . . . [and because] [s]tinging
    and burning have been reported when this drug has gained
    access to the middle ear." Id. Moreover, the manual says
    nothing about using Cortisporin for tinnitus. Dr. Johnson
    never referred to the PDR. In fact, his testimony was in
    direct contrast to the warnings in the PDR; he testified that
    if the Cortisporin gets in the inner ear a patient probably
    would not experience burning and stinging, but may
    experience dizziness.
    Parham returned to Dr. Johnson several times after
    receiving this prescription and complained of burning and
    stinging sensations in his ear. Dr. Johnson, however,
    continued to prescribe Cortisporin. The PDR states that
    "[t]reatment should not be continued for longer than ten
    days." PDR at 768 (emphasis added).3 It further provides
    that if "sensitization or irritation occurs, medication should
    be discontinued promptly." Id. Dr. Johnson inexplicably
    continued the treatment for 114 days.
    On January 10, 1990, Parham returned to Dr. Johnson
    because his ear was now oozing with blood and his hearing
    was becoming impaired. The physician assistant noticed a
    laceration in Parham's tympanic membrane. Parham
    _________________________________________________________________
    2. The PDR is currently in its 51st edition. We, however, refer to the
    43rd
    edition because it was the edition available to Dr. Johnson in 1989.
    3. Dr. Johnson testified that someone could stay on this medication for
    more than ten days if there were no adverse side effects. J.A. at 279-80.
    3
    requested that he be allowed to see an ear specialist, but
    Dr. Johnson declined this request and continued treating
    Parham with the same prescription. Even when Parham
    lost total hearing in his left ear in February, Dr. Johnson
    refused to recommend a specialist and continued along the
    same course.
    In January and February 1990, Parham saw Dr. Johnson
    at least five to six times. Each time Parham requested to be
    allowed to see an ear specialist, and each time Dr. Johnson
    declined his request.
    Finally, towards the end of February, Dr. Johnson
    allowed Parham to see an ear specialist. On March 6, 1990,
    an ear specialist examined Parham and confirmed that he
    had severe hearing loss in his left ear. The ear specialist
    recommended a battery of tests.
    After these events, Parham decided to file suit against Dr.
    Johnson and various other defendants.4 Parham then filed
    five separate motions requesting that counsel be appointed.
    On January 6, 1992, the magistrate judge entered an order
    directing the clerk of court to appoint counsel for Parham.
    Two years later, the clerk still had not appointed counsel.
    Parham once again petitioned the district court to
    appoint counsel for him. The district court recognized that
    Parham's claim was "arguably meritorious in fact and law,"
    but denied his request for counsel. District Court Order,
    June 27, 1994. The district court reasoned that since no
    expert testimony was involved Parham could competently
    try the case without the assistance of counsel. Id.
    Consequently, Parham tried the case pro se to a jury. At
    the end of the Parham's presentation of the evidence, the
    district court directed a verdict for Dr. Johnson. The
    district court stated that a reasonable juror could not find
    that Dr. Johnson was deliberately indifferent to Parham's
    medical problem. The district court reasoned that every
    time Parham sought attention from Dr. Johnson, Dr.
    Johnson listened to his complaint and responded to it.
    More importantly, the district court found that Parham did
    _________________________________________________________________
    4. The other defendants were eventually dismissed, and this appeal does
    not concern any of the defendants other than Dr. Johnson.
    4
    not present evidence of the causal connection between his
    pain and suffering and Dr. Johnson's actions. The district
    court held that in order to present sufficient evidence to
    withstand a directed verdict, Parham had to present the
    testimony of an expert witness to show "that your
    [Parham's] condition was caused by the treatment that Dr.
    Johnson gave to you or treatment which he failed to
    reasonably give to you; you haven't produced that kind of
    evidence." Finally, the district court found that Parham
    failed to present evidence that his condition was "serious."
    Ultimately, the district court held that Parham's failure to
    produce expert testimony led to the necessity of a judgment
    as a matter of law.
    II.
    On appeal, Parham claims that the district court
    improperly denied him counsel after first ordering the clerk
    of courts to appoint him counsel.5 The Supreme Court has
    not recognized nor has the court of appeals found a
    constitutional right to counsel for civil litigants. See, e.g.,
    Lavado v. Keohane, 
    992 F.2d 601
    , 605 (6th Cir. 1993)
    ("Appointment of counsel in a civil case is not a
    constitutional right.") (internal quotations and citations
    omitted); Fowler v. Jones, 
    899 F.2d 1088
    , 1096 (11th Cir.
    1990) (same); United States v. 30.64 Acres of Land, 
    795 F.2d 796
    , 801 (9th Cir. 1986) ("There is normally. . . no
    constitutional right to counsel in a civil case.").
    Additionally, civil litigants do not even have a statutory
    right to appointed counsel. Tabron v. Grace, 
    6 F.3d 147
    ,
    153 (3d Cir. 1993). Despite the lack of a constitutional right
    to counsel, section 1915(e)(1) provides that "[t]he court may
    request an attorney to represent any person unable to
    employ counsel." Such appointment is discretionary, and
    thus, we review the district court's decision to deny counsel
    for an abuse of discretion. Tabron, 
    6 F.3d at 158
    .
    _________________________________________________________________
    5. Parham also argues that the district court erred in granting the
    Defendant's motion for judgment as a matter of law. Defendant's counsel
    agreed at oral argument that this case must be remanded if we find that
    the district court abused its discretion when it denied Parham counsel.
    Because we find that the district court erred in not appointing Parham
    counsel, we need not reach the directed verdict issue.
    5
    A.
    While all of the circuits agree that appointment of
    counsel is discretionary, not all of the circuits agree when
    counsel should be appointed. Several circuits have held
    that counsel can be appointed only in "exceptional
    circumstances," but the Second, Third, Seventh, and
    Eighth Circuits have chosen not to read such a requirement
    into the statute. Compare United States v. $292,888.04 in
    United States Currency, 
    54 F.3d 564
    , 569 (9th Cir. 1995)
    ("Under section 1915(d), counsel may be designated only in
    `exceptional circumstances.' ") (citation omitted); Lavado,
    
    992 F.2d at 605-6
     (holding that appointment of counsel is
    a privilege justified only by exceptional circumstances)6;
    Fowler, 
    899 F.2d at 1096
     (same); Cookish v. Cunningham,
    
    787 F.2d 1
    , 2 (1st Cir. 1986) ("[A]n indigent litigant must
    demonstrate exceptional circumstances in his or her case
    to justify the appointment of counsel."); with Tabron, 
    6 F.3d at 155
     (rejecting "exceptional circumstances" test); Rayes v.
    Johnson, 
    969 F.2d 700
    , 703 (8th Cir. 1992) ("The
    appointment of counsel should be given serious
    consideration . . . if the [indigent] plaintiff has not alleged
    a frivolous or malicious claim and the pleadings state a
    prima facie case.") (internal quotation and citations
    omitted); Hodge v. Police Officers, 
    802 F.2d 58
    , 61 (2d Cir.
    1986) (rejecting the "exceptional circumstances" rationale
    and adopting factors enunciated in Maclin v. Freake, infra);
    Maclin v. Freake, 
    650 F.2d 885
    , 887-88 (7th Cir. 1981) (per
    curiam) (delineating factors courts should consider in
    appointing counsel including merits of claim, chance of
    success, complexity of factual evidence and legal issues,
    _________________________________________________________________
    6. I recognize that I previously authored Lavado in the Sixth Circuit,
    which endorsed the "exceptional circumstances" test. However, after a
    thorough review of the rationale behind Judge Becker's decision in
    Tabron and the cases he followed, I have re-evaluated my position. I now
    agree that Congress did not intend nor did they state that appointment
    of counsel is only justified in "exceptional circumstances"; rather, this
    standard is one of judicial creation. In recanting my previous view, I
    invoke the statement of Justice Felix Frankfurter, "Wisdom too often
    never comes, and so one ought not to reject it merely because it comes
    late." Henslee v. Union Planters Bank, 
    335 U.S. 595
    , 600 (1949)
    (Frankfurter, J., dissenting).
    6
    whether conflicting testimony will be presented, and
    capability of litigant to represent himself ). In fact, this
    circuit has found "[n]othing in [the] clear language [of
    section 1915(e)(1)] suggests that an appointment is
    permissible only in some limited set of circumstances. Nor
    have we found any indication in the legislative history of
    the provision to support such a limitation." Tabron, 
    6 F.3d at 157
    .
    Consequently, the Tabron court delineated various factors
    to aid district courts in determining when it is proper to
    appoint counsel for an indigent litigant in a civil case. As a
    preliminary matter, the plaintiff's claim must have some
    merit in fact and law. Id.; see also Maclin, 
    650 F.2d at 887
    ("First, the district court should consider the merits of the
    indigent litigant's claim.").
    If the district court determines that the plaintiff 's claim
    has some merit, then the district court should consider the
    following factors:
    (1) the plaintiff's ability to present his or her own
    case;
    (2) the complexity of the legal issues;
    (3) the degree to which factual investigation will be
    necessary and the ability of the plaintiff to pursue
    such investigation;
    (4) the amount a case is likely to turn on credibility
    determinations;
    (5) whether the case will require the testimony of
    expert witnesses;
    (6) whether the plaintiff can attain and afford counsel
    on his own behalf.
    Id. at 155-56, 157 n.5. This list of factors is not exhaustive,
    but instead should serve as a guidepost for the district
    courts. Correspondingly, courts should exercise care in
    appointing counsel because volunteer lawyer time is a
    precious commodity and should not be wasted on frivolous
    cases. Id. at 157.
    7
    B.
    In this case, the magistrate judge originally granted
    Parham's motion for appointment of counsel and ordered
    that the clerk of courts appoint counsel for Parham. J.A. at
    97. After two years, however, nothing occurred. When
    Parham once again petitioned the district court to appoint
    him counsel, it denied his request. The district court
    conceded that Parham's case "is arguably meritorious in
    fact and law," J.A. at 191 (District Court's Order Denying
    Counsel June 27, 1994), but concluded that Parham was
    capable of representing himself, the legal issues were not
    difficult, the facts were manageable, and there was no
    indication that expert testimony would be presented. Id. at
    191-92. The district court provided no rationale for its
    conclusions.
    This court must determine whether the district court's
    decision to deny Parham's motion for appointment of
    counsel was an abuse of discretion. Tabron, 
    6 F.3d at 158
    .
    We agree with the district court that this case is"arguably
    meritorious." First, Dr. Johnson diagnosed tinnitus without
    a comprehensive diagnosis, even though a comprehensive
    diagnosis is recommended. See Luxon, 306 British Med. J.
    at 1490 ("Diagnosing the cause of tinnitus requires a
    detailed history and examination."). Second, Dr. Johnson
    prescribed Cortisporin ear drops. The PDR, however, says
    nothing about prescribing Cortisporin for tinnitus, see PDR
    at 768; yet Dr. Johnson never referred to the PDR.
    After using the Cortisporin, Parham complained of
    burning and stinging sensations in his ear, but Dr.
    Johnson said that Cortisporin would not cause such
    sensations. The PDR says otherwise--"If sensitization or
    irritation occurs, medication should be discontinued
    promptly." 
    Id.
     Parham returned to Dr. Johnson various
    times complaining of burning and stinging sensations, but
    Dr. Johnson nevertheless continued to prescribe
    Cortisporin. In fact, he prescribed it for an astronomical
    time period--114 days--even though the PDR warned
    against it being used for more than ten days. At one point,
    Parham came to Dr. Johnson with his ear oozing with blood
    and requested to see a specialist. Dr. Johnson rejected his
    request. He sent Parham back to his cell with the same
    8
    prescription. Even when Parham lost total hearing in his
    ear, Dr. Johnson refused to allow him to see a specialist.
    Finally, after multiple visits, Dr. Johnson allowed Parham
    to see a specialist, who found that Parham suffered a
    severe hearing loss. We think these allegations, coupled
    with the evidence Parham has already established, present
    a meritorious case. Of course, at trial Parham will still have
    to show that Dr. Johnson's "[a]cts or omissions [were]
    sufficiently harmful to evidence deliberate indifference to
    serious medical needs." Estelle v. Gamble, 
    429 U.S. 97
    , 106
    (1976). We will leave that determination in the hands of the
    jury.7
    _________________________________________________________________
    7. We recognize the well-established law in this and virtually every
    circuit
    that actions characterizable as medical malpractice do not rise to the
    level of "deliberate indifference" under the Eighth Amendment. See, e.g.,
    Estelle v. Gamble, 
    429 U.S. 97
     (1976); Inmates of Allegheny County Jail
    v. Pierce, 
    612 F.2d 754
     (3d Cir. 1979). In Pierce, we said that
    "[a]lthough
    negligence in the administration of medical treatment to prisoners is not
    itself actionable under the Constitution, failure to provide adequate
    treatment is a violation of the Eighth Amendment when it results from
    `deliberate indifference to a prisoner's serious illness or injury.' " 
    612 F.2d at 762
     (quoting Estelle, 
    429 U.S. at 105
    )).
    We find that the facts here are sufficient that a jury could reasonably
    find that the care received by Parham while incarcerated rose to the level
    of Eighth Amendment deliberate indifference, and appointment of
    counsel was therefore appropriate. In clarifying the appropriate
    standard, we previously stated in Pierce:
    [T]his test affords considerable latitude to prison medical
    authorities
    in the diagnosis and treatment of the medical problems of inmate
    patients. Courts will "disavow any attempt to second-guess the
    propriety or adequacy of a particular course of treatment . . .
    [which]
    remains a question of sound professional judgment." Bowring v.
    Goodwin, 
    551 F.2d 44
    , 48 (4th Cir. 1977). Implicit in this
    deference
    to prison medical authorities is the assumption that such informed
    judgment has, in fact, been made. When, however, prison authorities
    prevent an inmate from receiving recommended treatment for
    serious medical needs or deny access to a physician capable of
    evaluating the need for such treatment, the constitutional standard
    of Estelle has been violated.
    Id. at 762 (emphasis added). Similarly, in White v. Napoleon, we held
    that "treat[ment] . . . with an inappropriate drug for no valid reason . .
    .
    is sufficient to state a claim for deliberate indifference to serious
    medical
    needs." 
    897 F.2d 103
    , 111 (3d Cir. 1990).
    9
    Finding that Parham has presented a meritorious case
    does not conclude our inquiry. We still must perform the
    requisite six-factor Tabron analysis.
    (1) The plaintiff's ability to present his or her own
    case.
    In considering this factor, courts should consider"the
    plaintiff's education, literacy, prior work experience, and
    prior litigation experience." Tabron, 
    6 F.3d at 156
    .
    Furthermore, courts must consider whether the plaintiff
    has access to necessary resources like a typewriter,
    photocopier, telephone, and computer. 
    Id.
     (citing Rayes,
    
    969 F.2d at 703-04
    ). While these factors will not always be
    determinative, they should be considered in each
    meritorious case.
    The Defendant argues that Parham's ability to present
    and respond to motions indicates he was fully capable of
    presenting his own case. Parham's ability to file and
    respond to motions does indicate that Parham had some
    legal knowledge and is literate; however, this fact alone
    does not conclusively establish that Parham was able to
    present his own case. In Tabron, the indigent prisoner filed
    interrogatories and responded to motions, but the court
    found this inconclusive. See id. at 152. Instead, the Tabron
    court found that the prisoners lack of legal experience and
    the complex discovery rules clearly put him at a
    disadvantage in countering the defendant's discovery
    tactics. Id. at 158.
    In the case at bar, Parham did not appear to have the
    ability to present an effective case. This seems especially
    true considering the fact that Parham could not present a
    prima facie case below, even though he withstood summary
    judgment. Furthermore, just a cursory glance at the PDR
    indicates that if Parham was assisted by counsel his case
    probably would have reached the jury. This case, like
    Tabron, involved complex discovery rules that Parham was
    obviously not able to comprehend. See infra, section 2.
    These rules prevented Parham from presenting an effective
    case below.
    (2) The complexity of the legal issues.
    Where the legal issues are complex, it will probably serve
    everyone involved if counsel is appointed. See Tabron, 6
    10
    F.3d at 156; Maclin, 
    650 F.2d at 889
     ("[W]here the law is
    not clear, it will often best serve the ends of justice to have
    both sides of a difficult legal issue presented by those
    trained in legal analysis."). In this case, the ultimate issue
    appears relatively simple--whether Dr. Johnson was
    deliberately indifferent to Parham's serious medical needs.
    A lay person, like Parham, should be able to comprehend
    what he has to prove when the legal issue is
    understandable.
    However, comprehension alone does not equal ability to
    translate that understanding into presentation. While the
    ultimate issue may be comprehensible, courts must still
    look to the proof going towards the ultimate issue and the
    discovery issues involved. In this case, Parham was not
    able to do a simple authentication of the Cortisporin bottle,
    was not able to take depositions, and was not represented
    at his own deposition. Parham's inability to introduce the
    Cortisporin bottle exemplifies the fact that counsel was
    needed in this case.
    During trial, Parham attempted to introduce into
    evidence the Cortisporin bottle. When he did so, the
    Defendant objected and claimed that the label on the bottle
    was inadmissible hearsay. The district court sustained the
    objection and stated the following:
    That is hearsay. It's inadmissible hearsay. Not only
    that, documents such as that have to be authenticated.
    . . . somebody . . . must testify that the document,
    which is being offered, is, in fact, what it purports to
    be.
    J.A. at 237-238. Parham could not even begin a simple
    authentication procedure; this authentication procedure
    was especially simple since Parham ostensibly could have
    authenticated the bottle as the one Dr. Johnson prescribed
    to him. Second, the label probably was not hearsay. Federal
    Rule of Evidence 801 defines hearsay as a "a statement,
    other than one made by the declarant while testifying at the
    trial or hearing, offered in evidence to prove the truth of the
    matter asserted." Parham could have argued that he did
    not offer the warning label on the bottle for the "truth of the
    matter asserted," but instead to show that Dr. Johnson had
    11
    notice of the warning label. Consequently, the warning label
    would not be hearsay. 5 Jack B. Weinstein, Weinstein's
    Federal Evidence S 801.03(1), at 801-11 (2d ed. 1997) ("If
    . . . Declarant's statement is not offered for its truth, the
    inability to assess Declarant's credibility is immaterial, and
    the statement is not hearsay.") (internal footnote omitted).
    Ultimately, these factors weigh in favor of appointment of
    counsel.
    (3) The degree to which factual investigation will be
    necessary and the ability of the plaintiff to
    pursue such investigation.
    The Tabron court noted that courts should consider a
    prisoner's predicament in attempting to obtain facts, i.e.
    the confines of prison. 
    6 F.3d at 156
    ; see also Rayes, 
    969 F.2d at 704
     (noting the difficulties prisoner plaintiffs with
    meritorious cases may have with discovery). Further, courts
    should be aware that it may be difficult for indigent
    plaintiffs to understand the complex discovery rules.
    Tabron, 
    6 F.3d at 156
    . A medical malpractice case involves
    complex facts and medical records that even most lawyers
    struggle to comprehend. Hence, most of these cases require
    expert testimony.
    In this case, the district court ultimately granted the
    Defendant's motion for judgment as a matter of law
    because Parham did not have an expert witness. J.A. at
    315. A lawyer conducting discovery would probably have
    recognized that it was necessary to obtain expert testimony.
    We recognize that it still may be difficult for appointed
    counsel to obtain and afford an expert; yet, we believe that
    appointed counsel will have a much better opportunity to
    obtain an expert than would an indigent prisoner.
    Consequently, this factor tips towards appointing counsel.
    (4) The amount a case is likely to turn on credibility
    determinations.
    The district court's decision in this case did not appear to
    rely upon credibility determinations. While the case
    ultimately may have relied upon credibility, it is difficult to
    imagine a case that does not. Thus, when considering this
    factor, courts should determine whether the case was solely
    a swearing contest. In this instance, it does not appear to
    12
    be a swearing contest. Thus, this factor alone does not
    encourage the appointment of counsel.
    (5) Whether the case will require the testimony of
    expert witnesses.
    After the district court's judgment as a matter of law,
    there is no doubt that Parham needed an expert witness.
    When the district court was issuing its judgment as a
    matter of law, it stated "you haven't produced any expert
    medial opinion, which [in] . . . this case you must." J.A. at
    315 (emphasis added) (citing Boring v. Kazkiewicz, 
    833 F.2d 468
    , 473 (3d Cir. 1987) (holding that expert testimony
    is necessary when the seriousness of injury or illness would
    not be apparent to a lay person)). Thus, according to the
    district court, Parham had to produce an expert witness.
    This finding by the district court is especially startling
    because when the district court denied Parham's motion for
    court-appointed counsel, the district court stated that it did
    not seem likely that expert testimony would be needed in
    this case. Yet, in dismissing the case, the same district
    judge cited as a deficiency in Parham's case the lack of
    expert testimony, which the district judge now deemed
    essential. It is troublesome that the court could use the
    lack of expert testimony as a shield to protect its denial of
    the motion for counsel and then as a sword to slay the
    indigent plaintiff's case.
    Consequently, this factor weighs heavily in favor of
    appointment of counsel.
    (6) Whether the plaintiff can attain and afford
    counsel on his own behalf.
    There is no evidence that Parham could have afforded
    counsel. Furthermore, it appears that he made every effort
    possible, including six motions, to obtain counsel, but it
    was to no avail. This factor also weighs heavily in favor of
    appointment of counsel.
    III.
    The district court abused its discretion by not appointing
    counsel. This is especially true in light of the fact that the
    13
    magistrate judge ordered that counsel be appointed.
    Courts, of course, should be aware of the scarcity of
    counsel willing to accept pro bono appointments. However,
    where a plaintiff's case appears to have merit and most of
    the aforementioned factors have been met, courts should
    make every attempt to obtain counsel. See, e.g., Mallard v.
    United States District Court, 
    490 U.S. 296
    , 310 (1989) ("[I]n
    a time when the need for legal services among the poor is
    growing and public funding for such services has not kept
    pace, lawyers' ethical obligation to volunteer their time and
    skills pro bono publico is manifest."); Tabron, 
    6 F.3d at 157
    ("Representation of indigent litigants is not only an
    important responsibility of members of the bar, but it also
    provides an excellent opportunity for newer attorneys to
    gain courtroom experience."). The Tabron factors will ensure
    that courts do not appoint counsel to frivolous cases.
    No evidence exists that the court made an attempt to
    obtain counsel in this case, even after it granted the
    plaintiff 's motion for appointment of counsel. The decision
    of the district court was not consistent with the sound
    exercise of discretion.8
    Thus, we REVERSE and REMAND this case for further
    proceedings consistent with this opinion.
    A True Copy:
    Teste:
    Clerk of the United States Court of Appeals
    for the Third Circuit
    _________________________________________________________________
    8. Parham also argues that the court below abused its discretion by not
    providing him guidance as to how to try his case, how to deal with
    motions, not explaining the "legal jargon," and etc. We, however, are
    hesitant to direct a district court how to act at every stage of the
    proceedings. In this case, the district court could have provided more
    guidance than it did, but its choice not to provide as much guidance as
    possible was not an abuse of discretion.
    14