La Riccia v. Ohio Civ. Rights Comm.

2023 Ohio 1816, 219 N.E.3d 374
CourtOhio Court of Appeals
DecidedJune 1, 2023
Docket111976
StatusPublished
Cited by1 cases

This text of 2023 Ohio 1816 (La Riccia v. Ohio Civ. Rights Comm.) 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
La Riccia v. Ohio Civ. Rights Comm., 2023 Ohio 1816, 219 N.E.3d 374 (Ohio Ct. App. 2023).

Opinion

[Cite as La Riccia v. Ohio Civ. Rights Comm., 2023-Ohio-1816.]

COURT OF APPEALS OF OHIO

EIGHTH APPELLATE DISTRICT COUNTY OF CUYAHOGA

MARY LA RICCIA, :

Plaintiff-Appellant, : No. 111976 v.

OHIO CIVIL RIGHTS COMMISSION, : ET Al.,

Defendants-Appellees. :

JOURNAL ENTRY AND OPINION

JUDGMENT: AFFIRMED RELEASED AND JOURNALIZED: June 1, 2023

Civil Appeal from the Cuyahoga County Court of Common Pleas Case No. CV-22-960591

Appearances:

Mary La Riccia, pro se.

David Yost, Ohio Attorney General, Adrian C. Feiertag, Assistant Attorney General, and David A. Oppenheimer, Principal Assistant Attorney General, for appellee Ohio Civil Rights Commission.

Littler Mendelson P.C., Timothy S. Anderson, and Jennifer B. Orr, for appellee Cleveland Clinic Foundation. MICHAEL JOHN RYAN, J.:

Pro se plaintiff-appellant, Mary La Riccia1 (“La Riccia”) appeals the trial

court’s judgment affirming the decision of defendant-appellee Ohio Civil Rights

Commission’s (“OCRC” or “commission”) finding of no probable cause that

defendant-appellee Cleveland Clinic Foundation (“CCF”) committed a violation of

Ohio’s civil rights laws. La Riccia claimed that CCF discriminated against her and

failed to grant her a reasonable accommodation by terminating her physician-

patient relationship with CCF employee Dr. Neil Cherian. After a thorough review

of the facts and the law, we affirm the judgment of the trial court.

Substantive and Procedural History

La Riccia began seeing Dr. Cherian, a CCF neurologist, in April 2020,

for treatment of her neurological disorder, Mai de Debarquement Syndrome, which

causes dizziness and balance disturbances. The record reflects that Dr. Cherian

treated La Riccia on four occasions consisting of one virtual visit and three in-office

visits between April 23 and August 26, 2020. Between July and October 2020,

La Riccia sent approximately 140 messages to Dr. Cherian through CCF’s online

MyChart system, which is a secure, online health management application that

allows patients to review their medical records, test results, prescriptions, and

appointment history and exchange messages with their health care providers.

1La Riccia’s name is also spelled as “Lariccia” or “LaRiccia” throughout the record and in some citations. For consistency, we will use the spelling “La Riccia” in this opinion. During La Riccia’s course of treatment, Dr. Cherian realized that he

could not effectively treat La Riccia’s symptoms and recommended she establish

care with a primary care provider, a psychologist, and a physical therapist. La Riccia

refused to see other providers unless Dr. Cherian physically accompanied her to the

appointments. La Riccia insisted that Dr. Cherian was the only provider that could

treat her.

In October 2020, a nurse notified Dr. Emad Estemalik, CCF’s Section

Head for Headache and Facial Pain at the Center for Neurological Restoration,

about the MyChart messages. Dr. Estemalik reviewed the messages and concluded

that they were “inappropriate, concerning, and crossed the professional boundary

between physician and patient.”

On October 12, 2020, CCF terminated La Riccia’s treating relationship

with Dr. Cherian. Dr. Estemalik instructed La Riccia to immediately discontinue

her contact with Dr. Cherian and advised her that he would assist with the transition

of her care to another CCF provider. La Riccia was not deterred and continued to

contact Dr. Cherian after obtaining his personal cell phone number. She also mailed

at least one letter to his house.

On March 19, 2021, La Riccia, proceeding pro se, filed a charge of

discrimination against CCF with the OCRC alleging that CCF engaged in unlawful

discriminatory practices. Specifically, La Riccia alleged that CCF discriminated

against her based on her mental disability. La Riccia wanted Dr. Cherian restored

as her treating physician. The commission conducted an eight-month investigation into

La Riccia’s claims. On November 18, 2021, the commission issued a Letter of

Determination finding that there was no probable cause to believe CCF had

committed an unlawful discriminatory practice under Ohio’s civil rights laws. The

commission stated that it “considered relevant documents and testimony” to make

its findings of fact. The commission found that CCF did not deny La Riccia access

due to her disability but that “CCF terminated the physician/patient relationship

between La Riccia and Dr. Cherian due to La Riccia’s inappropriate behavior.” The

commission noted that CCF submitted evidence showing it had discontinued

treatment for other patients in the past based on inappropriate behavior and that

CCF tried to assist La Riccia with finding another provider. The commission

concluded that “CCF has no duty under R.C. Chapter 4112 to accommodate an

individual whose access to its services has been lawfully restricted” and dismissed

the complaint.

La Riccia filed for reconsideration. On reconsideration, the

commission upheld its original finding of no probable cause. The commission noted

that La Riccia’s requested accommodation of continuing treatment with Dr. Cherian

was unreasonable, given that Dr. Cherian himself believed he could no longer help

La Riccia, and given the inappropriate messages La Riccia sent him. The OCRC

reiterated that CCF had offered to assist La Riccia to find another provider and did

not deny La Riccia services. In March 2022, La Riccia and her husband, Travis Horn, petitioned

the Cuyahoga County Common Pleas Court pursuant to R.C. 4112.06 for judicial

review of the OCRC’s finding of no probable cause. In April 2022, La Riccia filed an

amended complaint removing Horn as a petitioner and joining CCF as a defendant.

La Riccia filed numerous motions including motions for injunctive

relief and summary judgment, attaching numerous exhibits. The trial court denied

these motions and issued an order explaining that it was limiting its review to the

commission’s record and the parties’ briefs on the merits and that it would not

consider other motions or papers that were not properly before the court.

On September 20, 2022, the trial court issued its judgment entry and

opinion affirming the OCRC’s finding of no probable cause and holding that the

commission’s decision was not “unlawful, irrational, arbitrary, or capricious.”

Specifically, the court found that the record demonstrated that the physician-patient

relationship had “run its course” and was damaged beyond repair. The court noted

that Dr. Cherian referred La Riccia to providers who could treat her when he

determined that her symptoms were not within his area of expertise. The trial court

reasoned that the clinical relationship was no longer viable considering the nature

of La Riccia’s communications with Dr. Cherian. The court emphasized that La

Riccia never submitted any evidence that verified that her inappropriate conduct

was the result of a disability and found that CCF did not deny La Riccia care; “they

merely attempted to transition her to other providers who could provide more

suitable treatment.” Federal Case

La Riccia pursued other avenues of relief in addition to filing a

complaint with the OCRC and a petition with the Cuyahoga County Common Pleas

Court. La Riccia, and her spouse, Horn, filed suit against CCF and several of its

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Related

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2023 Ohio 1816, 219 N.E.3d 374, Counsel Stack Legal Research, https://law.counselstack.com/opinion/la-riccia-v-ohio-civ-rights-comm-ohioctapp-2023.