FILED
United States Court of Appeals
Tenth Circuit

MAR 22 2005

PATRICK FISHER
Clerk

UNITED STATES COURT OF APPEALS

TENTH CIRCUIT

SCOTT B. HERL,

		Plaintiff - Appellant,	

No. 04-3423	
	v.	(D. Kansas)	
JOHN GAMBLE, Doctor Employed by Johnson County Adult Detention Center through Prison Health Services; (FNU) CORTRIGHT, Major of Johnson County Jail,

		Defendants - Appellees.	(D.C. No. 04-CV-3228-GTV)		

	ORDER AND JUDGMENT*

Before EBEL, MCKAY, and HENRY, Circuit Judges.

	After examining appellant’s brief and the appellate record, this panel has determined unanimously that oral argument would not materially assist the determination of this appeal.  See Fed. R. App. P. 34(a); 10th Cir. R. 34.1(G).  The case is therefore ordered submitted without oral argument.  
	Plaintiff appeals the district court’s dismissal of his 42 U.S.C. § 1983 complaint. We exercise jurisdiction pursuant to 28 U.S.C. § 1291 and affirm.

I.	     BACKGROUND
	Mr. Herl is incarcerated at the Johnson County Adult Detention Center in Olathe, Kansas.  On July 23, 2004, Mr. Herl filed a 42 U.S.C. § 1983 complaint in federal district court, alleging that defendants Dr. Gamble and Major Cortright were deliberately indifferent to his pain and suffering and intentionally denied him medical care, thereby violating his Eighth Amendment rights.  The district court dismissed Mr. Herl’s complaint for failure to state a claim for relief under 28 U.S.C. § 1915(e)(2)(B)(ii).  We review such a dismissal de novo.  Perkins v. Kansas Dep’t of Corr., 165 F.3d 803, 806 (10th Cir. 1999).

II.     ANALYSIS
	“The Eighth Amendment, applied to the states through the Due Process Clause of the Fourteenth Amendment, prohibits infliction of cruel and unusual punishments on those convicted of crimes.”  Miller v. Glanz, 948 F.2d 1562, 1569 (10th Cir. 1991).  To state a cognizable Eighth Amendment claim for failure to provide adequate medical care, “‘a prisoner must allege acts or omissions sufficiently harmful to evidence deliberate indifference to serious medical needs.’”  Olson v. Stotts, 9 F.3d 1475, 1477 (10th Cir. 1993) (emphasis omitted) (quoting Estelle v. Gamble, 429 U.S. 97, 106 (1976)). The deliberate indifference requirement has two components: (1) an objective component requiring that the pain or deprivation be sufficiently serious, and (2) a subjective component requiring that the offending officials act with a sufficiently culpable state of mind.  Perkins, 165 F.3d at 809 (citing Wilson v. Seiter, 501 U.S. 294, 298-99 (1991)). 
	As the district court noted, Mr. Herl complains of delay and ineffective treatment since April and May 2004 for an abscessed tooth, a swollen testicle, a possible hernia, urinary problems, and problematic hemorrhoids.  It is clear from Mr. Herl’s submissions, which both the district court and this court have construed as supplements to the complaint, that he received ongoing treatment for these concerns, including oral surgery and outside testing.  

	What remains, therefore, is a difference of opinion between Mr. Herl and the defendants as to the adequacy of the treatment he did receive.  A plaintiff’s difference of opinion with the medical judgment of a prison doctor is insufficient to support a claim of cruel and unusual punishment.  Perkins, 165 F.3d at 811 (stating that “a prisoner who merely disagrees with a diagnosis or a prescribed course of treatment does not state a constitutional violation”); Olson, 9 F.3d at 1477 (noting that a difference of medical opinion between plaintiff and prison doctor “does not support a claim of cruel and unusual punishment”).  At most, Mr. Herl has alleged that defendants were negligent in his treatment.  “A negligent failure to provide adequate medical care, even one constituting medical malpractice, does not give rise to a constitutional violation.”  Perkins, 165 F.3d at 811 (citing Estelle, 429 U.S. at 105-106).  The district court did not err in dismissing Mr. Herl’s complaint for failure to state a claim.
	Finally, because Mr. Herl has appealed the district court’s dismissal to this court and we hereby affirm, the district court’s dismissal counts as a “prior occasion” or “strike” for purposes of 28 U.S.C. § 1915(g).  See Jennings v. Natrona County Det. Ctr. Med. Facility, 175 F.3d 775, 780 (10th Cir. 1999) (“A district court dismissal under 28 U.S.C. § 1915(e)(2)(B) does not count as a strike until after the litigant has exhausted or waived his opportunity to appeal. . . .  If we affirm a district court dismissal under 28 U.S.C. § 1915(e)(2)(B), the district court dismissal then counts as a single strike.”).

III.     CONCLUSION
	For the foregoing reasons, we AFFIRM the district court’s dismissal of Mr. Herl’s complaint, DENY all other motions as moot, and remind Mr. Herl that he must continue to make partial payments until the entire balance of the appellate 

filing fee is paid. 
Entered for the Court,

				Robert H. Henry
	Circuit Judge