Costaras v. Gilson

2022 Ohio 4011, 200 N.E.3d 705
CourtOhio Court of Appeals
DecidedNovember 10, 2022
Docket111225
StatusPublished

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

Opinion

[Cite as Costaras v. Gilson, 2022-Ohio-4011.]

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

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2022 Ohio 4011, 200 N.E.3d 705, Counsel Stack Legal Research, https://law.counselstack.com/opinion/costaras-v-gilson-ohioctapp-2022.