Smith v. Wayne County, Georgia

District Court, S.D. Georgia·Decided May 31, 2023·No. 2:23-cv-00027·Unknown

Opinion

In the United States District Court for the Southern District of Georgia Brunswick Division

MADELENE SMITH, as the surviving spouse and wrongful death beneficiary of Hugh Max Smith, Jr., deceased,

Plaintiff, 2:23-CV-27 v.

WAYNE COUNTY, GEORGIA, et al.,

Defendants.

ORDER Before the Court are motions to dismiss filed by Defendant Wayne County Administrator Ed Jeffords, dkt. no 13, and Defendants Wayne County, Wayne County Ambulance Services (“WCAS”), EMS Director Richard Johnson, E-911 Coordinator Donnie Ray, E-911 Dispatcher Jane Doe #1, and E-911 Dispatcher Jane Doe #2, dkt. no 15. In a motions hearing held May 15, 2023, the Court DENIED Defendants’ motions and ORDERED Plaintiff to file an amended complaint within twenty-one days. See Dkt. No. 28. This Order serves to memorialize that ruling. FACTUAL BACKGROUND Plaintiff Madelene Smith initiated this action in January 2023 after the death of her husband, Hugh Smith. See generally

Dkt. No. 1-1. On April 14, 2021, Mr. Smith began experiencing shortness of breath and trouble breathing after returning from his construction job on St. Simons Island, Georgia. Dkt. No. 9 ¶¶ 10– 11. So, Plaintiff drove Mr. Smith to the emergency room at Wayne Memorial Hospital (“Hospital”). Id. After testing Mr. Smith’s oxygen saturation levels, performing diagnostics, and executing a walking test, an emergency room physician and respirologist agreed that because Mr. Smith’s oxygen saturation had remained around 91% during his four hours in the emergency room, he did not require oxygen supplementation. Id. ¶ 18. The emergency room physician “suspected” Mr. Smith “contracted COVID-19 and had symptoms of pneumonia.” Id. The attending physician then diagnosed Mr. Smith

with pneumonia “recommended discharge based on Mr. Smith’s slightly low but consistently stable oxygen saturation at 91%.” Id. ¶ 19. Upon discharge, Mr. Smith was provided with some medications and a series of prescriptions, and he was told to obtain an oximeter to monitor his oxygen levels. Id. ¶ 20. The emergency room physician explained to Plaintiff and Mr. Smith that “although [Mr. Smith’s] oxygen saturation appeared stable, . . . the level was low and of concern, and given the doctor’s findings of pneumonia that it was imperative that Plaintiff and her husband constantly monitor his oxygen saturation level.” Id. ¶ 21. The emergency room physician also expressed concern about Mr. Smith’s pending COVID-19 test and recommended Mr. Smith “follow-up with

his primary care physician within 24 to 28 hours.” Id. ¶¶ 20–21. Further, and “[m]ost importantly, the emergency room physician admonished Plaintiff and Mr. Smith that should his oxygen levels drop below 88% or if his respiratory situation worsened in any way that this was an emergency requiring immediate return to [the Hospital] emergency room.” Id. ¶ 22. Mr. Smith was discharged at approximately 8:30 p.m. Id. ¶ 20. After arriving home from the Hospital, Mr. Smith “started to perceive that he was once again having difficulty breathing or getting enough air and felt it necessary to sit down in a chair.” Id. ¶ 24. Plaintiff and Mr. Smith used the oximeter to check his oxygen saturation level, which showed that Mr. Smith’s “oxygen

level had dropped into the low 80s, and within minutes of that reading it had dropped to 79.” Id. It was clear to Plaintiff and Mr. Smith “that this was a medical emergency,” and pursuant to the “strict instructions” of the emergency room physician, “Plaintiff immediately called 911 to avail herself and Mr. Smith of Wayne County’s emergency medical services as instructed.” Id. ¶¶ 24, 26. Plaintiff first called 911 at 10:19 p.m., and the call lasted for one minute and twenty-four seconds, ending at approximately 10:21 p.m. Id. ¶¶ 34, 44. Defendant Jane Doe #1 answered the call, and Plaintiff explained Mr. Smith’s urgent medical situation and need for an ambulance. Id. ¶¶ 36–37. Plaintiff informed Defendant Jane Doe #1 that Mr. Smith was almost fifty years old, and his

specific oximeter reading was 79. Id. ¶¶ 38–39. Plaintiff also “explained that Mr. Smith had just left the emergency room, had been diagnosed with pneumonia, and that they told him (referring to [Hospital] medical professionals) if his oxygen saturation dropped below 88, he needed to get back to the hospital.” Id. ¶ 41. Defendant Jane Doe #1 then told Plaintiff, “[a]lright we’ll get them sent out for you,” “referring to the ambulance Plaintiff requested.” Id. ¶ 42. Despite Plaintiff’s “description of this very real medical emergency,” and Mr. Smith’s “life-threatening deficiency in his oxygen saturation,” id. ¶ 46, “[a]t no time during the call did Defendant Jane Doe #1 offer to stay on the line with Plaintiff

until an ambulance arrived, advise her as to when an ambulance could be expected, or advise Plaintiff as to any life-preserving or life-saving techniques that might help Mr. Smith until EMTs could arrive,” id. ¶ 45. After the call, Plaintiff observed that Mr. Smith’s condition seemed to worsen, as he began breathing more rapidly, “sweating profusely,” and “audibly gasping for air.” Id. ¶ 47. At approximately 10:37 p.m., eighteen minutes after Plaintiff first called 911, and sixteen minutes after that call ended, no ambulance had arrived at Plaintiff’s residence. Id. ¶ 48. Though a “sickening feeling began to sink in, as [Plaintiff] realized she could have driven [Mr. Smith] to the hospital herself by 10:30

p.m.,” she knew that calling 911 was the “right thing” because “[t]his was an emergency and that is what you are supposed to do,” and because “Mr. Smith needed medical help she could not provide, namely oxygen supplementation . . . coupled with fast emergency ambulance transport back to the emergency room at [the Hospital].” Id. ¶¶ 48, 49. Because eighteen minutes had passed since her first call, “Plaintiff again dialed 911 to seek reassurance an ambulance was in fact on its way.” Id. ¶ 50. At approximately 10:37 p.m., Plaintiff reached dispatcher Defendant Jane Doe #2. Id. ¶ 51. Plaintiff told Defendant Jane Doe #2, “[t]here is supposed to be an ambulance coming to 400 Old Oak Road” and asked when they would

arrive to her residence. Id. ¶ 52. In response, Defendant Jane Doe #2 explained to Plaintiff that she did not have “an ‘ETA’ on them or anything like that,” but that the ambulance was “on the way.” Id. ¶ 53. Plaintiff also inquired as to whether she should just drive Mr. Smith to the Hospital to get there more quickly, but Defendant “Jane Doe #2 replied, ‘[u]m . . . well, they’re on the way, so I figure . . . I mean they should be there any time.’” Id. ¶¶ 54–55. On two occasions during the call, Defendant Jane Doe #2 exhibited a “seemingly pained and emotional breath after her answer[s]” to Plaintiff. Id. ¶¶ 53, 55. Plaintiff’s second 911 call was fifty seconds long, ending at 10:38 p.m., and “at no time during the call did [Defendant] Jane Doe #2 offer to stay on the

line with Plaintiff until the ambulance arrived, nor did she advise Plaintiff as to any life-preserving or life-saving techniques” to help Mr. Smith. Id. ¶¶ 57–58. After the second 911 call, Plaintiff watched her husband’s condition “deteriorat[e] before her eyes . . . [as] [s]he assured him that the ambulance would be there soon.” Id. ¶ 59. At approximately 10:44 p.m., six minutes after the second 911 call ended, and twenty-five minutes after the initial 911 call, a fire truck from the City of Jesup Fire Department arrived at Plaintiff’s residence. Id. ¶¶ 60–61. The two firefighters were unaware of Mr. Smith’s condition and had no supplemental oxygen. Id. ¶¶ 62-64. Additionally, the firefighters could not render

medical aid to Mr. Smith or transport him to the Hospital. Id. ¶¶ 65–66.

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