In a significant ruling, the Court of Appeals of Georgia has reversed part of a lower court's decision to dismiss a medical malpractice case filed by Erika Fulton against Fayette Community Hospital, Inc. The court's ruling, issued on August 20, 2026, allows some of Fulton's claims to proceed while affirming the dismissal of others. This decision impacts not only Fulton but also sets a precedent for how medical malpractice claims are evaluated in Georgia.
Fulton, who represented herself in court, originally filed her complaint after receiving treatment at Fayette Community Hospital following a serious car accident in June 2022. She alleged that her treatment was inadequate and that she suffered severe pain due to the hospital's negligence. The case, identified as docket number A26A1637, raises important questions about the requirements for expert testimony in medical malpractice cases.
The dispute began when Fulton sought treatment at the hospital for neck pain and instability after her accident. She claimed that she was not examined by a licensed physician and that a physician assistant misrepresented himself as a doctor. Fulton also alleged racial discrimination and inadequate medical care, claiming she was discharged while still in severe pain. After filing her initial complaint, Fulton faced challenges with the court's requirements for expert affidavits, which are necessary to support medical malpractice claims in Georgia.
In her original complaint, Fulton included an affidavit from Dr. Douglas L. Geiger, a primary care physician, who stated that the hospital's treatment fell below the acceptable standard of care. However, the defendants argued that the affidavit did not meet the legal requirements set forth in OCGA § 9-11-9.1, which mandates that an expert affidavit must detail specific negligent acts and the factual basis for each claim. The trial court agreed and dismissed Fulton's complaint, giving her time to amend it. Despite several amendments, the court ultimately dismissed her case with prejudice, citing a lack of adequate expert testimony.
The Court of Appeals reviewed the trial court's decision and found that while some of Fulton's claims did indeed require expert testimony, others did not. The court stated, "The trial court erred in dismissing all claims," indicating that certain allegations, such as fraud and intentional infliction of emotional distress, do not fall under the medical malpractice umbrella and therefore do not require an expert affidavit. The judges involved in the ruling included Chief Judge Brown, Presiding Judge Mercier, and Judge Epps.
The court affirmed the dismissal of claims related to medical malpractice, including those that required expert testimony. However, it reversed the dismissal of claims that were based on intentional acts, such as fraud and the destruction of medical records. The court emphasized that claims alleging intentional misconduct do not fall under the same requirements as those alleging negligence.
This ruling has significant implications for Fulton and others in similar situations. It clarifies that not all claims arising from medical treatment require expert affidavits, particularly when allegations involve intentional misconduct rather than professional negligence. The decision allows Fulton to pursue her claims related to fraud and emotional distress, potentially leading to a trial where these issues can be fully examined.
Going forward, this ruling may influence how medical malpractice cases are approached in Georgia. It highlights the importance of distinguishing between claims that require expert testimony and those that do not. Legal experts suggest that this case could set a precedent for future cases where plaintiffs allege both negligence and intentional misconduct.
Fulton now has the opportunity to continue her legal battle against Fayette Community Hospital, but details about the next steps in the case were not available in the court filing. It remains to be seen whether the defendants will seek to appeal the decision or if they will prepare for trial on the remaining claims.











