Costaras v. Gilson

2022 Ohio 4011, 200 N.E.3d 705
Ohio Court of Appeals·Decided November 10, 2022·No. 111225·Published

Opinion

COURT OF APPEALS OF OHIO

EIGHTH APPELLATE DISTRICT COUNTY OF CUYAHOGA

JANICE COSTARAS, :

Plaintiff-Appellant, :

No. 111225

v. :

THOMAS P. GILSON, ET AL., :

Defendants-Appellees. :

JOURNAL ENTRY AND OPINION

JUDGMENT: AFFIRMED

RELEASED AND JOURNALIZED: November 10, 2022

Civil Appeal from the Cuyahoga County Court of Common Pleas Case No. CV-20-933064

Appearances:

Dean DePeiro and Kelly Zacharias, for appellant.

Michael C. O’Malley, Cuyahoga County Prosecuting Attorney, and Jillian Eckart, Assistant Prosecuting Attorney, for appellees.

LISA B. FORBES, J.: I. Facts and Procedural History On January 14, 2020, Dr. George Costaras (“Dr. Costaras” or “George”) was found deceased on the ground beneath the Brookpark Road bridge in the Cleveland Metroparks in Fairview Park, Ohio. Dr. Elizabeth Mooney, a pathologist at the Cuyahoga County Medical Examiner’s Office (collectively the “Medical Examiner”), conducted an autopsy the next day and issued a report on February 12, 2020, determining that Dr. Costaras “jumped from the Brookpark bridge to the ground below, where he then collapsed and subsequently expired.” The Medical Examiner’s verdict listed the cause of death as “blunt force injuries” and the manner of death as “SUICIDE.”

Dr. Costaras’s wife, Janice Costaras (“Janice”), individually and as executor of the Estate of Dr. Costaras, filed a complaint against the Medical Examiner challenging the Medical Examiner’s verdict regarding the cause and manner of Dr. Costaras’s death pursuant to R.C. 313.19. Specifically, the complaint states that Janice is “seeking a judicial order directing the Medical Examiner of Cuyahoga County to change the cause of death set forth in the Certificate of Death and Supplementary Medical Examiner’s Verdict from ‘Blunt force injuries — SUICIDE’ to ‘Blunt force injuries — UNDETERMINED.’”

On October 5, 2021, the court held a bench trial, and after Janice rested her case, the Medical Examiner moved to dismiss pursuant to Civ.R. 41(B)(2). The court granted the motion to dismiss. On January 20, 2022, the court issued findings of fact and conclusions of law, which stated in pertinent part that

the Medical Examiner’s ruling on the cause and manner of death for * * *Dr. * * * Costaras as “blunt force injuries” — suicide is based upon substantial evidence. * * * [Janice] cannot meet her burden of proof by simply arguing that [the Medical Examiner] should have pursued additional avenues of investigation regarding the manner of death.

[Janice] failed to provide any credible evidence at Trial that would support any other manner of death ruling.

It is from this order that Janice appeals. After reviewing the facts of the case and pertinent law, we affirm the lower court’s judgment. II. Stipulations At the outset, the parties stipulated to three depositions. Dr. Othman A. Shemisa (“Dr. Shemisa”) testified that he is a primary care physician and most recently worked at University Hospitals until he retired in September 2019. He was George’s primary care physician for “at least 10 years.” Dr. Shemisa treated George for hypertension, hyperlipidemia, and elevated blood sugar. In April 2016, George saw Dr. Shemisa for anxiety and feeling “stressed out.” Dr. Shemisa prescribed Alprazolam after George decided against counseling. Dr. Shemisa noted that George’s mood was “slightly anxious” and his affect was “slightly nervous.” Dr. Shemisa diagnosed George with “direct anxiety, social anxiety, situational anxiety.” Additionally, at an October 2018 appointment, George complained about not being able to sleep.

George’s Alprazolam prescription continued through his final appointment with Dr. Shemisa, which was in April 2019. Additionally, Dr. Shemisa refilled the prescription on August 30, 2019, prior to his retirement. Dr. Shemisa testified that it was “surprising, truly” to learn that the Medical Examiner determined that George committed suicide, because his records “don’t indicate a person who was severely depressed * * *.”

Dr. James Thomas Kelly, Jr. (“Dr. Kelly”) testified that he is a “primary care provider, family practice doctor” at University Hospitals, Olmsted

Falls Family Practice Clinic. Dr. Kelly testified from his notes regarding the only patient visit he had with George, on November 18, 2019, because he did not recall the specifics of the appointment. According to Dr. Kelly’s notes, he saw George for the following reasons: hypertension, depression with anxiety, high cholesterol, and hyperglycemia. Dr. Kelly prescribed George Wellbutrin and renewed his Alprazolam prescription because of “a great deal of stress that he was under.” He noted that George was “not homicidal, * * * not suicidal, but would like to possibly go on something.” Dr. Kelly recommended that George make a follow-up appointment with him in four-to-six weeks, to see how he was tolerating the Wellbutrin.

Dr. Sandra Lynn Darling (“Dr. Darling”) testified that she is a doctor of osteopathy at the Cleveland Clinic Wellness and Preventative Medicine Department. Dr. Darling met with George on January 7, 2020. Janice also attended this appointment. According to Dr. Darling, the chief complaint was George’s stress. George was not sleeping well, and he said to her, “that he’s been under a lot of stress for the past two to three months related to his business” and “[d]ue to finances.” Dr. Darling testified that George “had anxiety a couple years ago” and “took Alprazolam once in awhile.” George also told Dr. Darling that he lost 10-15 pounds in the last six weeks because he had no appetite, and he stopped exercising because he was “afraid exercise will cause more weight loss, and also doesn’t want to take the time to do it.”

Dr. Darling also testified that George had been prescribed Wellbutrin approximately six weeks prior to his appointment with her. She “assumed it was because he was experiencing depression, stress, and anxiety.” George further reported to Dr. Darling that he “wasn’t able to sleep at all while on Prozac a few years ago” and that “he was seeing a therapist in the past and stated it was helpful.” Dr. Darling asked George if he was depressed, and he said, “Yes.” She also asked him if he suffered from anxiety, and he said, “Yes.”

Dr. Darling asked George “what he had done in the past to treat his anxiety and depression and what he’s willing to do.” George answered that he “really didn’t want to do anything” because he was worried about losing his medical license “if he receives treatment for mental health.” Dr. Darling diagnosed George with “hypertension, uncontrolled due to high stress”; sleep difficulties, for which she prescribed him Trazodone; and anxiety and depression. She also recommended meditation, acupuncture, herbal supplements, essential oils, mind-body therapy, and gentle physical therapy.

Dr. Darling testified that George did not “make any statements about wanting to end his life[,] suicidal thoughts[,] or wanting to harm himself in any way.” After she met with him on January 7, 2020, she did not have “any concern that that would be something that he might do at some point.” Dr. Darling testified that, although it is not her area of expertise, “based on [George’s] symptoms, he was exhibiting signs of depression.”

III. Hearing Testimony Janice testified that she married George in 1978 and they were married 41 and one-half years at the time of his death. George had a healthy lifestyle, watching what he ate and working out. In December 2019, he cut back his workouts. According to Janice, George lost “10 to 15 pounds in the past eight weeks because he ha[d] no appetite.”

Janice testified that George was under a doctor’s care for high blood pressure and sleep apnea. Asked what she knew about George’s diagnosis of depression, Janice said, “You know, depression is not a word that’s in our environment. * * * We are not depressed.”

Janice testified that George saw Dr. Darling for his sleep apnea.

Free access — add to your briefcase to read the full text and ask questions with AI

Costaras v. Gilson, 2022 Ohio 4011, 200 N.E.3d 705 (Ohio Ct. App. 2022).

2022 Ohio 4011 (Costaras v. Gilson) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

Michalic v. Cleveland Tankers, Inc.
364 U.S. 325 (Supreme Court, 1960)
Eastley v. Volkman
2012 Ohio 2179 (Ohio Supreme Court, 2012)
Bank One, Dayton, N.A. v. Doughman
571 N.E.2d 442 (Ohio Court of Appeals, 1988)
Osborne, Inc. v. H R Purchasing, Unpublished Decision (6-30-2004)
2004 Ohio 3503 (Ohio Court of Appeals, 2004)
State v. Martin
485 N.E.2d 717 (Ohio Court of Appeals, 1983)
Pacher v. Invisible Fence of Dayton
798 N.E.2d 1121 (Ohio Court of Appeals, 2003)
L.W. Shoemaker, M.D., Inc. v. Connor
612 N.E.2d 369 (Ohio Court of Appeals, 1992)
Shepherd v. Midland Mutual Life Ins.
87 N.E.2d 156 (Ohio Supreme Court, 1949)
Holliday v. Calanni Ents., Inc.
2021 Ohio 2266 (Ohio Court of Appeals, 2021)
State v. Manago
313 N.E.2d 10 (Ohio Supreme Court, 1974)
Evans v. National Life & Accident Insurance
488 N.E.2d 1247 (Ohio Supreme Court, 1986)
Vargo v. Travelers Insurance
516 N.E.2d 226 (Ohio Supreme Court, 1987)
State v. Thompkins
678 N.E.2d 541 (Ohio Supreme Court, 1997)
State v. Wilson
113 Ohio St. 3d 382 (Ohio Supreme Court, 2007)