The Sixth Circuit affirmed the district court’s grant of summary judgment in favor of the defendants in this civil rights action brought under 42 U.S.C. § 1983. The court held that neither the jail nurse nor the sheriff’s deputy acted with deliberate indifference to the plaintiff’s serious medical needs, and therefore were entitled to qualified immunity. The court applied the two-prong test for deliberate-indifference claims under the Fourteenth Amendment’s Due Process Clause: (1) whether the detainee had an objectively serious medical need, and (2) whether the defendant acted with subjective recklessness in the face of a known or obvious risk of harm. The court determined that while the plaintiff suffered a stroke, his symptoms prior to hospitalization—including mumbling, elevated blood pressure, increased sleep, and decreased appetite—were not so obvious that a reasonable official would have recognized them as indicative of a stroke requiring emergency intervention. Specifically, the nurse observed that the plaintiff was alert, followed commands, had no mobility issues, and denied pain; thus, her decision to monitor rather than immediately transport him was not reckless. The deputy, lacking medical training, reasonably deferred to the nurse’s judgment and subsequently recommended hospitalization once the plaintiff reported feeling ill on the twelfth day. Because the plaintiff failed to prove that the defendants’ conduct violated clearly established constitutional rights, their qualified immunity defense succeeded. Furthermore, the court ruled that the Monell claims against the county and sheriff failed as a matter of law because there can be no municipal liability without an underlying constitutional violation by an individual official. As a result of this decision, the judgment in favor of the defendants stands, and the plaintiff’s claims for damages regarding the stroke and permanent brain damage are dismissed.