Calandra v. Rowbotham

2025 Ohio 5826
CourtOhio Court of Appeals
DecidedDecember 30, 2025
DocketOT-25-001
StatusPublished

This text of 2025 Ohio 5826 (Calandra v. Rowbotham) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Calandra v. Rowbotham, 2025 Ohio 5826 (Ohio Ct. App. 2025).

Opinion

[Cite as Calandra v. Rowbotham, 2025-Ohio-5826.]

IN THE COURT OF APPEALS OF OHIO SIXTH APPELLATE DISTRICT OTTAWA COUNTY

Nicoline M. Calandra Court of Appeals No. OT-25-001

Appellant Trial Court No. 22CV132 v.

Terry R. Rowbotham, et al., DECISION AND JUDGMENT

Appellees Decided: December 30, 2025

***** J. Mark Trimble and Stephen E. House, for appellee.

John K. Fitch, and Kirstin A. Peterson, for appellant.

*****

ZMUDA, J.

I. Introduction

{¶ 1} This matter is an appeal of the trial court’s denial of a motion for judgment

notwithstanding the verdict and motion for new trial, filed by appellant/plaintiff Nicoline

M. Calandra, following a jury trial in her medical negligence suit. Based on the

following, we affirm the trial court’s judgment. II. Background and Procedural History

{¶ 2} Calandra sustained injuries in a motor vehicle accident in Ottawa County,

caused by appellee/defendant Terry Rowbotham. Calandra sought medical treatment for a

closed head injury and concussion, which included CT and MRI scans, neurocognitive

testing, and treatment for dizziness, headache, nausea, and blurred vision. Calandra filed

suit alleging negligence, and the matter proceeded to a jury trial on April 16, 2024.

Rowbotham acknowledged negligence but disputed the extent of Calandra’s claimed

injuries and damages. Because Rowbotham suffers from dementia, he did not attend the

trial.

{¶ 3} The issue at trial concerned the extent to which Calandra’s medical bills

relate to the injury sustained in the accident. Prior to the accident, Calandra had two TMJ

surgeries, in 2018 and 2020, with the TMJ associated with job stress. Calandra also had a

history of migraines, arthritis of the neck, and she had cataracts and wore corrective

lenses. Three months before the accident, Calandra also complained of ear pain and right-

side headaches, and reported discomfort when chewing, related to her TMJ issues. An

MRI of the brain, taken after the accident, revealed existing small vessel ischemia

disease, an age-related condition that is linked with memory loss.

{¶ 4} After the accident, the emergency room doctors diagnosed Calandra with a

closed-head injury without loss of consciousness. Calandra followed up with her primary

care physician, Dr. Bonnie Case, in the following weeks and was diagnosed with

concussion without loss of consciousness. Calandra reported symptoms including

dizziness, nausea, neck pain, blurred and double vision, light sensitivity, anxiety,

2. depression, mental fogginess, hearing difficulties, and memory issues. Her treatment after

the initial assessment in the hospital emergency room included follow-ups with her

primary care physicians, Dr. Case and Dr. Jeffrey Garman, and treatment at the Cleveland

Clinic Neurologic Institute and the University of Pennsylvania Medical Center (UPMC)

concussion clinic. Calandra also received physical therapy and vestibular/ocular therapy.

After four months, Calandra’s treating doctors noted normal physical exams, and by mid-

to late-2021, doctors noted Calandra’s physical concussion symptoms were either

improved to near normal or resolved, based on treatment notes and Calandra’s own report

of her symptoms, as reflected in her medical records. The lingering cognitive deficits

Calandra reported were deemed not inconsistent with the effects of aging throughout the

medical records. However, Calandra’s primary care physicians continued to treat her for

concussion, and she reported continuing or relapsing symptoms, triggered by exertion or

stress.

{¶ 5} While the issue at trial was the extent of Calandra’s injuries and damages,

the issue on appeal concerns whether Rowbotham needed to present his own expert

medical testimony to rebut Calandra’s expert testimony. At trial, Calandra presented two

medical experts, Dr. Jonathan Pedrick, a physician and brain injury specialist, and Dr.

Steven Curtis, an optometrist with specialized training in neuro-optometric rehabilitation.

Calandra’s medical records were also admitted, without objection.1 Rowbotham rested his

1 Calandra did object to Rowbotham’s exhibits for Dr. Goth’s care, based on Dr. Goth’s difficult-to-read handwriting, but she otherwise acknowledged the exhibits had been referenced in testimony. The trial court admitted these records. 3. case without presenting witness testimony, relying on cross-examination of Calandra’s

witnesses and the defense exhibits introduced through that testimony.

{¶ 6} One of the records emphasized by Rowbotham’s counsel at trial concerned

the opinion of Dr. Nicholas DenBesten. In April 2021, Calandra’s primary care physician,

Dr. Garman, referred her to Dr. DenBesten, a neuropsychologist, for “evaluation to assist

with facilitating and informing medical differential diagnosis and clinical decision-

making.” Calandra was evaluated by Dr. DenBesten, and in his report, DenBesten

provided the following opinion as to Calandra’s continuing symptoms:

Current neuropsychological evaluation is largely characterized by reduced attention and processing speed. Memory performance was variable and, when attentive, is expected to be consistent with pre-morbid estimates. A single, uncomplicated concussed event, such as above, is expected to spontaneously resolve within days to weeks of injury. Persisting symptoms beyond that timeframe are typically perpetuated by persisting physical discomfort and/or emotional distress. Her cognitive concerns are in the context of mild depression, moderate anxiety, and persisting physical discomfort such as headache, dizziness, nausea, and blurred vision. She has become quite fixated on these issues and the extreme physical discomfort she is experiencing. As a result, the combination of these factors appears to be sapping her attentional resources, thereby interfering with optimal memory in cognitive efficiency. She may be experiencing posttraumatic headache and persisting cervical vertigo v. labyrinthine concussion; however, current presentation is not consistent with cerebral concussion. Patient is not demonstrating any compelling evidence of persisting cognitive sequela associated with the abovementioned injury.

{¶ 7} Following this evaluation, Calandra completed treatment at the concussion

clinic at UPMC, with the UPMC doctors determining Calandra had recovered from her

concussion. With Calandra’s physical exams showing recovery from the concussion, the

focus shifted to Calandra managing her stress and anxiety. Calandra returned to her

4. primary care physician and continued to receive treatment for recurring concussion

symptoms. She was still receiving treatment at the time of trial.

{¶ 8} At trial, Calandra argued that her ongoing symptoms were all related to the

accident. Rowbotham argued that within months of the accident, Calandra’s accident-

related injuries had all been resolved, and the remaining symptoms either resulted from

preexisting conditions or were age-related. Calandra was 71 years old at the time of trial.

{¶ 9} In addressing Calandra’s argument on appeal, a summary of the trial

testimony is necessary.2

{¶ 10} First, Dr. Jonathan Pedrick testified regarding his review of Calandra’s

medical records and his own evaluation of Calandra in his capacity as a brain injury

specialist. Dr. Pedrick noted that Calandra’s physical examination was normal, showing

normal physical abilities like walking and strength and flexibility. Dr.

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2025 Ohio 5826, Counsel Stack Legal Research, https://law.counselstack.com/opinion/calandra-v-rowbotham-ohioctapp-2025.