When Firing A Sympathetic Employee – Circumstances Matter A Lot


The recent case of Carroll v. Comprehensive Women’s Health illustrates the importance of circumstances and perception when terminating a “sympathetic” employee. Indeed the opinion reads like a case study of facts and circumstances that are unfavorable for the employer. And those “bad” facts are what the court focused in on – rather than evidence that was submitted – in refusing to dismiss the plaintiff’s disability discrimination claims, and thus permitting the case to proceed to trial.

In this case, an employee in the center’s medical records department alleged that she was terminated because during the prior year or so she required medical leave for breast cancer treatment. The employer denied that the cancer or cancer treatment played a role in the termination, instead claiming that the employee was terminated for poor performance and insubordination (after engaging in a shouting match with her direct supervisor). Additionally, the employer argued that the individuals who made the termination decision – the physician owners of the company – had no knowledge of plaintiff’s cancer (so plaintiff’s cancer could not have been the reason for the termination).

Supporting the employer’s defense, the decision makers testified that they did not know of the cancer before the termination, the employee admitted never personally telling the decision makers about her cancer, and she also did not present any witness that testified they personally told the decision makers about the plaintiff’s cancer (which was in remission at the time of her termination). Furthermore, the employee admitted that the employer provided “all the leave she requested for cancer treatment and procedures.”

Notwithstanding this evidence, the court “hypothesized” that under the “totality of the circumstances” the employee’s supervisor could have become frustrated with employee’s medical leave and disability, could have used the shouting/insubordination as a pretext for discrimination and that the decision makers could have had knowledge of the employee’s cancer before the termination.

To be candid, the court engaged in a lot of supposition, and did so because it clearly did not like some of the circumstances surrounding the termination, including:

The takeaway is that circumstances surrounding the termination of sympathetic employees can matter a lot. Therefore, employers should thoroughly analyze how the circumstances could be perceived to effectively evaluate litigation risk – and not rely exclusively on their version of the facts. Sadly, perception can win over truth in some circumstances.


© 2025 Foley & Lardner LLP
National Law Review, Volume VII, Number 289