Gilmore v. Washington County Memorial Hospital

CourtDistrict Court, E.D. Missouri
DecidedJune 22, 2023
Docket4:22-cv-01008
StatusUnknown

This text of Gilmore v. Washington County Memorial Hospital (Gilmore v. Washington County Memorial Hospital) is published on Counsel Stack Legal Research, covering District Court, E.D. Missouri primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Gilmore v. Washington County Memorial Hospital, (E.D. Mo. 2023).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF MISSOURI EASTERN DIVISION

MICHAEL GILMORE, M.D., ) ) Plaintiff, ) ) vs. ) Case No. 4:22 CV 1008 JMB ) WASHINGTON COUNTY MEMORIAL ) HOSPITAL, MERCY HOSPITAL ) JEFFERSON, MICHELE MEYER, JENIFER ) FERGUSON, and ANNA MARLER, ) ) Defendants. )

MEMORANDUM AND ORDER This matter is before the Court Defendants Washington County Memorial Hospital, Michele Meyer, Jenifer Ferguson, and Anna Marler’s Motion to Dismiss (Doc. 15). Plaintiff Michael Gilmore, M.D. filed a response in opposition (Doc. 24) to which Defendants’1 replied (Doc. 25). For the reasons set forth below, the Motion is GRANTED in part and TAKEN UNDER ADVISEMENT in part. Background According to the Complaint (Doc. 1), Plaintiff Michael Gilmore, M.D., was employed as the chief of medical staff at the Washington County Memorial Hospital (WCMH) during the COVID-19 pandemic. He alleges that he began treating his patients infected with COVID-19 with the drug Bamlanivimab, which was not “specifically authorized for treating such patients” by the Food and Drug Administration (Doc. 1, ¶ 8). He treated four such patients in November

1 Defendant Mercy Hospital Jefferson has not joined the motion. 2020, achieving some efficacious results in two patients, but no adverse effects. He attempted to treat a fifth patient (“Patient 5”) with Bamlanivimab shortly after Thanksgiving that year.

He was not able to treat Patient 5 as he intended because WCMH administration suspended the use of Bamlanivimab for COVID-19 infections a number of days prior (Doc. 1, ¶ 59). As such, WCMH’s Chief Nursing Officer (CNO), Jenifer Ferguson, reversed the Bamlanivimab order and, along with Charge Nurse Anna Marler, “falsely communicated to the patient and patient’s family that the Bamlanivimab treatment was dangerous and they falsely indicated that Dr. Gilmore’s prescription violated FDA guidelines” (Doc. 1, ¶ 14).2 This action was approved by WCMH’s Chief Executive Officer (CEO), Michele Meyer.3 In speaking to Patient 5 and his family, Plaintiff alleges that Ferguson and Marler made defamatory statements and interfered with the physician/patient relationship (Doc. 1, ¶¶ 74-75). Meyer and Ferguson

then contacted Defendant Rural Physicians Group – Pannu LLP (RPG), which employed Plaintiff and contracted him out to the Hospital pursuant to a “Physician Employment Agreement,” and demanded that they fire him for failing to comply with WCMH policy regarding Bamlanivimab (Doc. 1, ¶ 17, 37-38). The WCMH and RPG then fired Plaintiff, ostensibly for failing to comply with WCMH policy regarding personal protective equipment (PPE) (Doc. 1, ¶ 22). Based on the foregoing, Plaintiff states eight grounds for relief, the first five based on 42 U.S.C. § 1983. In Count I, he alleges a “Class of one” discrimination claim against all Defendants; in Count II, he alleges a substantive due process claim as to the “right to medical

2 Plaintiff alleges that Jessica Stacey, WCMH’s Director of Quality and Risk Management, acted in concert with Nurse Marler and CNO Ferguson to interfere with his treatment decisions as to Patient 5 (Doc. 1, ¶¶ 71-73). Stacey has since been dismissed (Doc. 41) from this lawsuit upon Plaintiff’s request (Doc. 39).

3 Plaintiff alleges that Meyer is employed by Mercy Hospital Jefferson which has a “management agreement” with WCMH (Doc. 1, p. 30). privacy & exercise of independent medical judgment”; in Count III, he alleges another substantive due process claim for “egregious government misconduct”; in Count IV, he alleges

retaliation for “expressive conduct”; and in Count V, he alleges a “stigma plus” defamation due process claim. Each of these claims are alleged against each Defendant. As to his state law claims, he alleges slander in Count VI and tortious interference with business expectancy in Count VII against all Defendants, and breach of contract in Count VIII against WCMH only. Prior to filing the Complaint in this case, Plaintiff filed a First Amended Petition (“State Complaint”) in the Circuit Court of Washington County, Missouri, in which he made similar factual allegations to the ones alleged in this case.4 In that State Complaint, Plaintiff alleges that he was employed by WCMH in its clinic and later was employed by RPG as a hospitalist (Doc. 13-2). He alleges that he attempted to treat Patient 5 with Bamlanivimab, that his

treatment decisions were overruled, and that he was terminated because of an alleged and false assertion that he violated the PPE policy. He alleges claims of defamation (2 counts), tortious interference with patient contract, tortious interference with RPG contract, and breach of contract as to his employment contract with WCMH. Plaintiff voluntarily dismissed (without prejudice) all of these claims except for breach of contract (Doc. 13-3). The breach of contract claim in the State Complaint is nearly identical to the breach of contract claim made in Count VIII in the complaint before this Court. Standard The purpose of a motion to dismiss for failure to state a claim is to test the legal sufficiency of the complaint. To survive a motion to dismiss pursuant to Rule 12(b)(6), “a

4 Defendants attached the state court pleading to their motion, of which the Court may take judicial notice. Stutzka v. McCarville, 420 F.3d 757, 760 n.2 (8th Cir. 2005). complaint must contain sufficient factual matter, accepted as true, to ‘state a claim to relief that is plausible on its face.’” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quoting Bell Atlantic

Corp. v. Twombly, 550 U.S. 544, 570 (2007)). A claim for relief “must include sufficient factual information to provide the ‘grounds’ on which the claim rests, and to raise a right to relief above a speculative level.” Schaaf v. Residential Funding Corp., 517 F.3d 544, 549 (8th Cir. 2008) (quoting Twombly, 550 U.S. at 555 & n.3). This obligation requires a plaintiff to plead “more than labels and conclusions, and a formulaic recitation of the elements of a cause of action will not do.” Twombly, 550 U.S. at 555. On a motion to dismiss, the Court accepts as true all of the factual allegations contained in the complaint, even if it appears that “actual proof of those facts is improbable,” and reviews the complaint to determine whether its allegations show that the pleader is entitled to relief. Id.

at 555-56; Fed. R. Civ. P. Rule 8(a)(2). However, the principle that a court must accept as true all of the allegations contained in a complaint does not apply to legal conclusions. Iqbal, 556 U.S. at 678 (“Threadbare recitals of the elements of a cause of action, supported by mere conclusory statements, do not suffice.”); Rossi v. Arch Insurance Company, 60 F.4th 1189, 1193 (8th Cir. 2023) (“We are not bound to accept as true a legal conclusion couched as a factual allegation, and factual allegations must be enough to raise a right to relief above the speculative level” (quotation marks and citation omitted)). “If, on a motion under Rule 12(b)(6) . . . matters outside the pleadings are presented to and not excluded by the court, the motion must be treated as one for summary judgment under Rule 56.” Fed. R. Civ. P. 12(d). “Though ‘matters outside the pleadings’ may not be considered

in deciding a Rule 12 motion to dismiss, documents necessarily embraced by the complaint are not matters outside the pleading.” Zean v. Fairview Health Servs., 858 F.3d 520, 526 (8th Cir. 2017) (citation omitted).

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Gilmore v. Washington County Memorial Hospital, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gilmore-v-washington-county-memorial-hospital-moed-2023.