Allegation: Pretrial detainee’s foot gets infected, stinks foully, turns black; he can’t walk. Rapides Parish, La. jail staff decline to provide care. Ultimately, his toe must be amputated; his kidneys fail in hospital; he needs dialysis. District court: The jail’s paramedics were practicing outside the scope of their training without physician supervision; the detainee can sue the sheriff for that. Fifth Circuit: Nope. Qualified immunity.