Wiltz v. Cleveland Clinic

2021 Ohio 62
Ohio Court of Appeals·Decided January 14, 2021·No. 109147, 109483·Published·Cited by 9 cases

Opinion

COURT OF APPEALS OF OHIO

EIGHTH APPELLATE DISTRICT COUNTY OF CUYAHOGA

CASSANDRA WILTZ, :

Plaintiff-Appellant, :

Nos. 109147 and 109483

v. :

THE CLEVELAND CLINIC, ET AL., :

Defendants-Appellees. :

JOURNAL ENTRY AND OPINION

JUDGMENT: AFFIRMED

RELEASED AND JOURNALIZED: January 14, 2021

Civil Appeal from the Cuyahoga County Court of Common Pleas Case No. CV-19-912910

Appearances:

Cassandra Wiltz, pro se.

Reminger Co., L.P.A. and William A. Meadows, for appellees The Cleveland Clinic, The Cleveland Clinic Foundation, Dr. Chung-Jyi Tsai, Dr. Monica Ray, and Joan Kmiecik.

Polling Law and Patrick F. Smith, for appellees Dr. David Sabol, Dr. Brett Sklaw, Dr. Prachi Biyani, Dr. Brian Isler, and Ohio Gastroenterology Group, Inc.

Bricker & Eckler, L.L.P., Karen L. Clouse and Bobbie S.

Sprader, for appellees OhioHealth, OhioHealth Primary Care Physicians, Dr. Jennifer Thomas, Doctors Hospital,

Dr. Matthew Scott Sisson, Heather Price, RN, Jennifer L.S. Smith, CNP, OhioHealth Riverside Methodist Hospital, and Dr. James Cummins.

PATRICIA A. BLACKMON, J.:

Cassandra Wiltz (“Wiltz”), pro se, appeals from various journal entries in favor of 20 defendants in this medical malpractice case. Wiltz assigns six errors for our review.1 Having reviewed the record and pertinent law, we affirm the decision of the trial court. The apposite facts follow.

Facts and Procedural History In this case, Wiltz claims that numerous health care providers “failed and refused to diagnose and treat [her] Cancer and Paraneoplastic Syndrome, delayed the diagnosis of Cancer and Paraneoplastic Syndrome, and Misdiagnosed Cancer and Paraneoplastic Syndrome.”

For ease of discussion, the defendants in the case at hand will be referred to as follows:

“OhioHealth” — OhioHealth, OhioHealth Primary Care Physicians, Jennifer Thomas, M.D., Doctors Hospital, Matthew Scott Sisson, M.D., Heather Price, R.N., Jennifer L.S. Smith, C.N.P., OhioHealth Riverside Methodist Hospital, and James Cummins, M.D.

“Ohio Gastro” — Ohio Gastroenterology Group, Inc., David Sabol, M.D., Brett Sklaw, M.D., Prachi Biyani, M.D., and Brian Isler, M.D.

“Ott” — Julie Ann Ott, D.O.

1 See appendix.

“Cleveland Clinic” — Cleveland Clinic, Cleveland Clinic Foundation, Chung-Jyi Tsai, M.D., Monica Ray, M.D., and Joann Kmiecik, Speech-

Language Pathologist.

The following allegations are taken directly from Wiltz’s complaint and provide a general timeline of events.

In September 2016, Wiltz developed gastrointestinal (“GI”) issues, specifically “difficulty swallowing/eating,” and sought medical treatment from various health care providers. Wiltz first saw doctors at The Ohio State University Wexner Medical Center,2 who allegedly “determined that she had no medical problem, and * * * determined that she had a psychological problem.” In January 2017, a doctor at OhioHealth became Wiltz’s primary care physician and agreed with the previous diagnosis that she “had no medical problems,” but she “had a psychological problem that [she] was allegedly ‘in denial about.’” Also in January 2017, Wiltz was seen by the medical staff at Doctors Hospital, who committed her to the psychiatric unit at Riverside Hospital for ten days.

Additionally in January 2017, Wiltz sought treatment for her GI issues with physicians at Ohio Gastroenterology Group, Inc., who advised her that “her diagnosis was that [she] did not have medical problems and only had a psychological problem.” However, in February and March 2017, Ohio Gastro performed tests on Wiltz and told her that she “had several medical problems that included (but were not limited to) a motility problem and likely esophageal disorder

2 The Ohio State University Wexner Medical Center and its affiliated health care providers are not parties to this case.

and that [she] needed to have another Manometry performed.” Ohio Gastro also informed Wiltz that she had acid reflux.

In April 2017, Wiltz saw a doctor at the Cleveland Clinic who performed a Manometry and told her that “all tests revealed that she did not have any medical problems and that all test results ‘showed that everything was normal’ and ‘were consistent with what OSU staff had stated.’”

In May 2017, Wiltz went to another doctor at Ohio Gastro who performed more tests that “indicated that [Wiltz] had a severe gastric problem, a massive and markedly abnormal distended stomach, a kidney problem, a liver problem, delayed stomach emptying, and other problems related to her gastrointestinal system.” However, yet another doctor at Ohio Gastro told Wiltz in July 2017 that she “did not have a gastric enlargement, distended stomach, or any other medical problem.”

In August 2017, Wiltz saw another doctor at the Cleveland Clinic who told her “that her symptoms and test results suggested that she might have Paraneoplastic Syndrome and Cancer.” On September 21, 2017, Wiltz saw another doctor at the Cleveland Clinic who told her that “her esophagus had been damaged and had stopped functioning * * *, that the damage was irreversible, * * * that she needed a feeding tube, and scheduled surgery.”

On September 25, 2017, Wiltz “was diagnosed with Stage II Breast Cancer that had spread to the lymph nodes and learned that the symptoms that she had for one year were caused by Cancer and Paraneoplastic Syndrome (and were not caused by Acid Reflux * * * or any * * * type of psychological problem).” In December 2017, Wiltz had a mastectomy, but her “pre-surgery symptoms did not disappear.” Additionally, Wiltz learned in May 2018 that she “had permanent bone loss/damage that the actions of the defendants had caused.” Wiltz also claims that she suffered “extreme pain and discomfort, the inability to eat and drink (and related symptoms of malnutrition), extreme anxiety, extreme emotional distress, humiliation, * * * and the inability to work and to participate in activities necessary to obtain work.”

On September 24, 2018, and September 25, 2018, Wiltz “provided the defendants with 180-day Notices of Intent to Sue.” On March 22, 2019, Wiltz filed this lawsuit against the 20 named defendants and two “John Doe” defendants. Wiltz’s complaint lists five claims: negligence; gross negligence; medical malpractice; fraud; and Health Insurance Portability and Accountability Act (“HIPAA”) violations.

On May 16, 2019, the trial court granted the Cleveland Clinic’s motion to dismiss. This dismissal was without prejudice and was based on Wiltz’s failure to file an affidavit of merit required by Civ.R. 10(D)(2)(a). On December 13, 2019, Wiltz filed a Civ.R. 60(B) motion for relief from judgment concerning this dismissal, which the trial court denied on January 15, 2020.

On June 13, 2019, the trial court granted Ohio Gastro’s motion to dismiss based on claims 1 through 4 of the complaint being barred by the statute of limitations and claim 5 being preempted by HIPAA.

On July 5, 2019, the court granted OhioHealth’s motion to dismiss based on claims one through four of the complaint being barred by the statute of limitations and claim 5 being preempted by HIPAA.

On September 26, 2019, the court granted Ott’s motion for judgment on the pleadings for failure to file to an affidavit of merit required by Civ.R. 10(D)(2)(a).

It is from these orders, as well as other interlocutory orders, that Wiltz appeals.

Analysis

The Ohio Supreme Court has repeatedly declared that “pro se litigants * * * must follow the same procedures as litigants represented by counsel.” State ex rel. Gessner v. Gore, 123 Ohio St.3d 96, 2009-Ohio-4150, 914 N.E.2d 376, ¶ 5. Additionally, “[i]t is well-established that pro se litigants are presumed to have knowledge of the law and legal procedures, and that they are held to the same standard as litigants who are represented by counsel.” Sabouri v. Ohio Dept. of Job & Family Servs., 145 Ohio App.3d 651, 654, 763 N.E.2d 1238 (10th Dist.2001).

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