MEMORANDUM **

Charles Bernard Parke appeals from his 262-month sentence imposed following his guilty-plea conviction for possession with intent to distribute methamphetamine, in violation of 21 U.S.C. § 841(a)(1). We have jurisdiction pursuant to 28 U.S.C. § 1291, and we affirm.

Parke contends that his sentence is unreasonable because the district court failed *238 to consider his extraordinary medical problems. The record reflects that the district court thoroughly considered Parke’s arguments for a downward departure based on his health issues, but found the circumstances insufficient to warrant a sentence below the bottom of the advisory Guidelines range. The district court did not procedurally err, and the sentence is substantively reasonable under the totality of the circumstances. See Gall v. United States, 552 U.S. 38, 51, 128 S.Ct. 586, 169 L.Ed.2d 445 (2007); see also United States v. Carty, 520 F.3d 984, 995 (9th Cir. 2008) (en banc).

Parke’s request for new counsel is denied.

AFFIRMED.