STATE OF NORTH CAROLINA INTHE GENERAL COURT OF JUSTICE
county oF nuNcomBE FAL E De ire ase ogegs
10
STONESMATHERS, by and though Rigg 13. P
Norn, Eg as Guan adits a
ASHLEY SMATHERS, individually an 08.0.
parent ano gurdan of tne BENCOMBE CO.
Smathers, and sae
ZEBULON SMATHERS, individually and as}
parent and natural guardian of Stone
Smathers,
COMPLAINT
Pint, Gury Trial Demanded)
SUMMER K. GILMER, MD and
LAUREL OB-GYN, P.
Defendants,
NOW COME Plaintifs, complaining of Defendants, who allege and say the following
‘upon good faith information and beet
INTRODUCTION AND OVERVIEW
1. This case arises from egregious acts of medical and corporate negligence
committed by the Defendants during the Plaintiffs labor and delivery care experience at Mission
‘Hospital in Asheville, North Carolina in March 2020 *
2, Asis explained in detail below, Ashley Smathers was admitted to the labor and
delivery unit at Mission Hospital on March 19, 2020 forthe labor and delivery of her frst child,
1es “Baby Stone” or “Minor Plaintif).
baby boy Stone Henson Smathers (hereinafter a
3. Zebulon (‘Zeb) Smathers, Ashley’s husband and Stone's father, was present
every step ofthe way as the two were excited to begin this new phase oftheir lives together as a
fail,
1 This vil action arses from the same or similar set of fats and circumstances as thos alleged inthe
Complaint in Stone Smathers etal vs. ICA Healtheare, Ie. eta, Buncombe County Superior Court,
lle No, 22-C¥S-3616.
Page tata4 This labor and delivery of their son was meant to be a joyous occasion. At the
time Ashley first discovered she was pregnant in July of 2019, she was a healthy g2-year-old
‘with no remarkable medical history. This was her first pregnaney. She and Zeb were ecstatic
withthe idea of becoming new parents
5. Ashley had experienced a normal pregnancy and prior to admission had reached
+40 weeks of gestation with a healthy buby. She and Zeb arrived at Mission Hospital on March
19, 2020 for Ashley's scheduled induction of labor. Upon admission to the labor and delivery
epartment at approximately 18:10 (6:10 p.m), the team at Mission noted Ashley to have no
“obstetric risk factors present, and both Ashley and Baby Stone were noted to be heathy with
both showing positive and reassuring signs after each were hooked up to fetal and maternal
‘monitors by Mission Hospital staff
6, As the induction process began on March 19, many hours passed, and Ashley's
labor course progressed slowly. In total, Ashley labored for over twenty-four hours without
Raby Stone making an adequate descent. Achley was instructed to begin pushing at
approximately 21:25 (9:25 p.m.) on March 20, 2020 and pushed for nearly two hours without
7% During the several hours leading up to her pushing, and continuing throughout
the nearly two-hour period of pushing, Baby Stone's fetal heart monitor showed the emergence
of increasingly concerning signs of fetal distress and worsening symptoms consistent with Baby
‘Stone's brain and body not receiving adequate oxygenation during the prolonged and diffieult
labor. These signs and symptoms were prevalent to the point that even more than an hour prlor
to Ashley’s attempt at pushing, her attending physician explained to both she and Zeb that a
delivery by c-section may need to occur in order to protect the health and safety of both Baby
‘Stone and Ashley
8, Finally, after nearly two hours of unsuccessful pushing and a documented arrest
of descent by Baby Stone, Ashley's attending physician at the time, Defendant Summer K.
Gilmer, MD, ordered a delivery by eseetion at 25:00 (81:00 p.m.) on March 20, 2020,
Page 20379. Thereafter, and in a shocking violation of the accepted standards of care,
Defendants and Mission Hospital caused Ashley and Baby Stone's c-section delivery to be
delayed for nearly five hours
10. While Ashley laid in her hospital bed in immense pain, and while Baby Stone's
Jhead remained tightly impacted deep inside the birth canal as Ashley's uterus continued to
contract and foreeflly compress his body, Ashley and Baby Stone were forced to walt util
0:54. before the c-section delivery finally occured
14. Under these circumstances the accepted standards of care required Defendants
and Mission Hospital to complete this c-section order as soon as possible and within tity
minutes from the physician's decision to proceed * Here, due to their negligence, gross
negligence, and reckless disregard for patient safety, Defendants and Mission Hospital violated
‘his standard by over four and half hours, an unheard-of delay that caused disastrous and
permanent injuries and damages tothe Smathers fail.
12. Baby Stone experiensed permanent byporie brain damage and wail Ive fr the
rest of his life with a diagnosis of cerebral palsy with associated delays and disabilities. Ashley
experienced a massive post-partum hemorrhage dve to her unnecessarily prolonged labor. She
Jost atleast ten iter of blood onthe operating table. surgical team was forced to perform an
emergency hysterectomy to save her life, bu the procedure robbed her of ever being able to
naturally bear another child again, Their family now faces lifetime of medial expenses and
‘herapy appointments as Ashley and Zeb continue to care for their beloved son, Stone, who is
just now two and a half years old. Finally, words cannot hope to capture the degree of feat, pin,
and emotional suffering the Plaintiffs have experienced, and will continue to experience, as a
result of Defendants’ and Mission Hospital's negligence and corporate decisions to place profits
‘over patient safety.
2 Guidelines for Perinatal Cave joint publication by the American College of Obstetricians and
{Gynecologists (ACOG) and the American Academy of Pediatricians (AAP), Fighth Edition, 20%7, tp. 266
(Chiny hospital providing am obstetric service should have the capability of responding to an obstetic
‘emergency. Historically, the consensus has been that hospitals need to have the capability of beginning &
fesarean delivery within 30 minutes ofthe decision to operate"), see aso Table 2-1 CA serub nurse ot
‘surgical technician should be available in house or om call suck that an emergent birth can be
‘accomplished within 30 minutes of the decision to proceed”)
Page gof97PARTIES, JURISDICTION, AND VENUE
13, Plaintiff Stone Smathers sa resident of Haywood County, North Caroling. He is
4 minor, born on March 21,2020, and he an bring an action only through & Guardian ad ite
appointed by the Court. Prior to filing this action, on March 12, 2023, Richard Nordan, Esq, a
practicing atiomey in Wake County, North Carolina, was appointed Guardian ad liter for
Minor Plaintif for purposes of this civil action and he brings the same on Minor Plaintiffs
behalf,
14, Plaintiff Ashley Smathers is an adit citizen and resident of Haywood County,
North Carolina. She is the mother and natural guardian of Plaintiff Stone Smathers, and is
under no legal disability
415, Maitiff Zab Smathers is a resident of Haywood County, North Carolina. He is
the father and natural guardian of Plaintiff Stone Smathers, and is under no legal disability. Zeb
isan elected public official and currently serves asthe Mayor of Canton, North Carona, where
hh, Aaley, and Stone reside.
16. Upon information and belief and at all times relevant to this action, Defendant
Summer K. Gilmer, MD (‘Defendant Gilmer” or "Dr. Gilmer") is citizen and resident of
Brunswick County, North Carolina
37, At al times relevant to this complaint, Defendant Gilmer was a licensed
physician under the laws ofthe State of North Carolina and was practicing specifically in the
field of obstetrics and gynecology ("Ob/Gyn")
18, Upon information and belie, and at all times relevant to this action, Defendant
Gilmer was acting ina physician-patient relationship with Plaintifsand provided medical care
services to Plants as healtheae provider pursuant to N.CGS. § 90-2111,
19, Upon information and belie, at all times relevant to this action, Defendant
Gilmer held herself out as having the education, taining, and sil possessed by other Ob/Gyn
physicians with similar training and experience, practicing in Buncombe County, North
Carolina, or similar communities during the year 2020.
Page gaa720, Defendant Laurel Ob-Gys, PA. ‘Defendant Laurel Ob-Gyn") isa professional
association organized and existing under the laws of the State of North Carlin, with its
principal place of business in Buncombe County, North Carolina, Defendant Laurel Ob-Gyn is
registered withthe North Carolina Secretary of State as having its principal office, registered
office, registered mailing, and mailing addresses in Buncombe County, North Carolin,
21, Upon information and belief, at all times relevant to this action, Defendant
“Laurel Ob-Gyn was operating as an obstetrics and gynecology medical group or practice under
the laws and regulations ofthe State of North Carolina and under other pertinent laws and
regulations.
22, Upon information and belief, at all mes relevant to this actin, Defendant
“Laurel Ob-Gyn held itself ou, both tothe general publi to Plants specially, as an Ob/Gyn
practice with multiple physicians and staff with decades of Ob/Gyn experience between them,
2. Upon information and belief, at all times relevant to this action, Defendant
Citmer was employed by Defendant Laurel Ob-Gyo
24, Upon information and belief, at all times relevant to this action, Defendant
Gilmer was acting as the authorized and/or actual agent of Defendant Laurel Ob-Gyn.
25. Upon information and belief, at all times relevant to this action, Defendant
Gilmer was acting asthe apparent agents of Defendant Laurel Ob-Gyn,
all times relevant to this action, Defendant
26. Upon information and beli
Gilmer was acting within the course and scope of her employment and/or agency relationship
‘with Defendant Laurel Ob-Gyn,
27. Upon information and belief, at all times relevant to this action, Defendant
Gilmer held herself out to Plaintiffs as being the employee and/or agent of Defendant Laurel Ob-
Gyn,
28. Upon information and belief, at all times relevant to this action, Plaintiis
reasonably believed that Defendant Gilmer was acting as the employee and/or agent of
Defendant Laurel Ob-Gyn,
Page sof9729. Upon information and belief, at all times relevant to this action, Defendant
Laurel Ob-Gyn acted through its agents ~ including Defendant Gilmer as well as its other
physicians, nurses, assistants, staff, partners owners, officer, directors, managers, and/or
employees not separately named as defendants in this action ~ as a healtheare provider
providing treatment to Plaintif,
30. All acts and omissions on the part of Defendant Gilmer alleged herein are
{imputed to Defendant Laurel Ob-Gyn via the doctrines of imputed lability, ageney, and/or
respondeat superior.
gi. All acts and omission on the part of other employees or agents of Defendant
‘Laurel Ob-Gyn alleged herein, including those not named as individual defendants in this
action, are imputed to Defendant Laurel Ob-Gya via the doetrnes of imputed liability, agency,
respondeat superior, vicarious liability, corporate or administrative negligence, and/or other
forms of imputed lability.
132, Atallslevant times to this action, physicians working for Defendant Laurel Ob-
Gym, including but not limited to Defendant Gilmer, were responsible for providing on-call
coverage and medical care to certain patients, which included the Plaintiffs in the labor and