Hyams v. Cleveland Clinic Found. , 2012 Ohio 3945 ( 2012 )


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  • [Cite as Hyams v. Cleveland Clinic Found., 
    2012-Ohio-3945
    .]
    Court of Appeals of Ohio
    EIGHTH APPELLATE DISTRICT
    COUNTY OF CUYAHOGA
    JOURNAL ENTRY AND OPINION
    No. 97439
    JARED HYAMS, ET AL.
    PLAINTIFFS-APPELLEES
    vs.
    CLEVELAND CLINIC FOUNDATION, ET AL.
    DEFENDANTS-APPELLANTS
    JUDGMENT:
    AFFIRMED
    Civil Appeal from the
    Cuyahoga County Common Pleas Court
    Case No. CV-636016
    BEFORE:            Boyle, P.J., Cooney, J., and Kilbane, J.
    RELEASED AND JOURNALIZED:                             August 30, 2012
    ATTORNEYS FOR APPELLANTS
    Anna M. Carulas
    Ingrid Kinkopf-Zajac
    Douglas G. Leak
    Roetzel & Andress, LPA
    One Cleveland Center, 9th Floor
    1375 East Ninth Street
    Cleveland, Ohio 44114
    ATTORNEYS FOR APPELLEES
    Christopher M. Mellino
    Thomas D. Robenalt
    Allen C. Tittle
    Mellino Robenalt LLC
    19704 Center Ridge Road
    Rocky River, Ohio 44116
    MARY J. BOYLE, P.J.:
    {¶1} Defendants-appellants, the Cleveland Clinic Foundation and Barbara
    Wechsler (collectively “the Clinic”), appeal a jury verdict for plaintiffs-appellees, Jared
    Hyams and his parents, Douglas and Linda Hyams (collectively “the Hyamses”), on their
    medical malpractice action.    The gravamen of their appeal is that the Hyamses’ expert
    witness, Dr. Robert Granacher, was not competent to testify at trial, and therefore the trial
    court should have granted a directed verdict in their favor.          They further challenge
    several evidentiary rulings. Finding no merit to the appeal, we affirm.
    Procedural History and Facts
    {¶2} In April of 2005, Linda and Douglas Hyams took their son, Jared, who was
    nine years old at the time, to the Cleveland Clinic after Jared had developed an
    unexplained limp and unsteady gait. Jared was evaluated by pediatric neurologist Neil
    Friedman, who thought that Jared presented with signs of a “conversion disorder.” A
    conversion disorder is “a neuropsychiatric condition and that the symptom or deficit
    cannot after appropriate investigation be fully explained by a general medical condition.”
    Swaiman, Ashwal, and Ferriero, Swaiman’s Pediatric Neurology: Principles and
    Practice (4th Ed.2007). It is a psychological condition that is believed to be caused by
    some traumatic experience or other difficulty in the person’s life.
    {¶3} Following outpatient physical therapy, Dr. Friedman ultimately referred
    Jared to the day hospital program at the Cleveland Clinic Children’s Hospital for
    Rehabilitation (“day hospital”) for treatment of conversion disorder and inability to walk.
    At the day hospital, Dr. Wechsler, a pediatric rehabilitation specialist, oversaw Jared’s
    treatment.
    {¶4} Jared’s day hospital program included physical and occupational therapy
    daily, multiple counseling sessions with a clinical social worker or psychologist, and
    attendance at school and social interaction programs.      According to Dr. Wechsler’s
    discharge summary, any efforts to “normalize [Jared’s] left foot posture” were
    abandoned, however, when “the factitious nature of Jared’s ambulatory problems became
    apparent.”   The day hospital   staff was committed to enforcing a consistent behavioral
    plan, such that, according to Dr. Wechsler, “Jared is beginning to recognize that his
    behaviors have consequences.”      Jared’s behavior plan at the day hospital      included
    certain reinforcement measures, such as “[i]f he falls during walking he owes 5 sit ups per
    fall; [i]f he touches the wall/chair/person while walking he owes 5 push ups.”
    {¶5} Jared was in the day hospital program from May 3, 2005 until May 31,
    2005. Upon his discharge, staff members of the day hospital program visited Jared’s
    school for his school re-entry meeting.    Their recommendations focused on the belief
    that Jared “is seeking attention by manipulating the adults around him and falling into the
    sick role and enjoying the attention he is receiving from this.” Consequently, the school
    re-entry recommendations included, among others, the following:
    Jared should be treated as any other child and should receive the natural
    consequences of any other child for being tardy to class or uncooperative to
    perform his work. His gait is currently atypical and no focus should be
    placed on how he is walking in the school environment. He should not be
    assisted during walking with any hand holding. * * * It is important to treat
    him as a healthy young boy and not allow him to manipulate adults.
    {¶6} The Hyamses were also instructed to follow the same behavior plan used at
    the day hospital    for Jared, focusing on the importance of not rewarding Jared with
    attention or help when he failed to walk properly.         Likewise, the Hyamses were
    instructed to specifically withhold privileges from Jared, such as eating at the table with
    the family, if he did not walk properly.
    {¶7} Jared’s condition however continued to deteriorate. Finally, while being
    seen by a psychiatrist unaffiliated with the Cleveland Clinic, a dystonia gene panel was
    ordered and taken in April 2006. Through this blood test, it was discovered that Jared
    does not have a conversion disorder, but instead, a rare genetic disorder — dystonia.
    According to the Dystonia Foundation, dystonia is defined as a movement disorder that
    causes muscles to contract and spasm involuntarily. The dystonia is what caused Jared’s
    inability to walk and his steady physical deterioration.
    {¶8} The Hyamses subsequently filed the underlying medical malpractice suit
    against the Clinic, Dr. Friedman, and Dr. Wechsler, alleging that Dr. Friedman was
    negligent by failing to properly diagnose the dystonia and that, assuming Jared even had a
    conversion disorder, Dr. Wechsler’s treatment plan was a “substandard treatment plan.”
    They alleged that the treatment plan “psychologically traumatized, humiliated, and
    isolated Jared.”    According to the Hyamses’ medical expert, Dr. Granacher, the
    behavioral plan for Jared was punitive and not acceptable for a nine-year-old boy.        Dr.
    Granacher further testified that the treatment plan caused “significant psychological
    injuries” to Jared. Conversely, the Clinic’s expert testified that Jared’s treatment plan
    was a reasonable and acceptable approach to the treatment of a conversion disorder.
    The Clinic’s expert maintained that it was not a punitive plan and that Jared did not suffer
    emotional or psychological injuries as a result of the plan.
    {¶9} The case proceeded to trial where the jury ultimately found that Dr. Friedman
    was not negligent but that Dr. Wechsler was negligent in the following two areas: (1)
    “negligent in creation and implementation of the behavior plan at the day hospital and
    into the Hyams[es’] household”; and (2) “negligent in the creation and implementation of
    the behavior plan into the school reentry recommendation.”          The jury then awarded
    Jared $590,000 in past and future non-economic loss, the mother $200,000 in damages,
    and the father $100,000 in damages.        The trial court subsequently reduced the total
    award to the statutory cap of $500,000.
    {¶10} The Clinic appeals, raising the following five assignments of error:
    “[I.] The trial court abused its discretion in failing to strike the trial testimony of
    plaintiffs-appellees’ expert Robert Granacher, M.D.
    “[II.] The trial court erred in failing to grant defendants-appellants’ motion for a
    directed verdict.
    “[III.] The trial court abused its discretion in allowing plaintiffs-appellees to play
    misleading bits and pieces of videotaped depositions.
    “[IV.] The trial court abused its discretion in allowing plaintiffs-appellees to play a
    videotape of Jared Hyams.
    “[V.] The trial court abused its discretion in excluding relevant evidence pertaining
    to an extramarital affair.”
    Competency to Testify and Render an Opinion
    {¶11} In their first assignment of error, the Clinic argues that the trial court abused
    its discretion in failing to strike the testimony of Dr. Granacher because he was neither
    competent to testify under Evid.R. 601(D) nor qualified under Evid.R. 702(A). The
    Clinic further argues that the trial court should have at least stricken that portion of Dr.
    Granacher’s testimony relating to causation because it was based merely on speculation.
    We disagree.
    A.      Evid.R. 601(D) and Waiver
    {¶12} The Clinic contends that the Hyamses failed to establish that Dr. Granacher
    was qualified as an expert witness pursuant to the competency requirements of Evid.R.
    601(D).     The rule provides that “[e]very person is competent to be a witness except:
    * * * A person giving expert testimony on the issue of liability in any claim
    asserted in any civil action against a physician, podiatrist, or hospital arising
    out of the diagnosis, care, or treatment of any person by a physician or
    podiatrist, unless the person testifying is licensed to practice medicine and
    surgery, osteopathic medicine and surgery, or podiatric medicine and surgery
    by the state medical board or by the licensing authority of any state, and
    unless the person devotes at least one-half of his or her professional time to
    the active clinical practice in his or her field of licensure, or to its instruction
    in an accredited school.
    (Emphasis added.) Evid.R. 601(D).
    {¶13} The purpose of Evid.R. 601(D) is to discourage testimony regarding the
    proper standard of care by a “professional witness” or a physician who is sequestered in
    the laboratory and has no firsthand knowledge of the duty of care of patients.
    Joyce-Couch v. DeSilva, 
    77 Ohio App.3d 278
    , 292, 
    602 N.E.2d 286
     (12th Dist.1991).
    The rule seeks to prevent “nonclinicians from testifying about the quality of clinical care.”
    
    Id.,
     quoting Price v. Cleveland Clinic Found., 
    33 Ohio App.3d 301
    , 304, 
    515 N.E.2d 931
    (8th Dist.1986). But Evid.R. 601(D) should not be “applied so narrowly that the right of
    redress in a medical claim collapses under an undue burden.” Crosswhite v. Desai, 
    64 Ohio App.3d 170
    , 177, 
    580 N.E.2d 1119
     (2d Dist.1989).
    {¶14} In reviewing the trial court’s decision to deny the Clinic’s motion to strike,
    we afford deference to the trial court’s decision and may not reverse the decision unless
    we find that the trial court abused its discretion.    Ruple v. Midwest Equip. Co., 8th Dist.
    No. 95726, 
    2011-Ohio-2923
    , ¶ 5.           “As such, in order to have an abuse of discretion,
    ‘the result must be so palpably and grossly violative of fact or logic that it evidences not
    the exercise of will but the perversity of will, not the exercise of judgment but the
    defiance of judgment, not the exercise of reason but instead passion or bias.’” Vaught v.
    Cleveland Clinic Found., 
    98 Ohio St.3d 485
    , 
    2003-Ohio-2181
    , quoting Nakoff v.
    Fairview Gen. Hosp., 
    75 Ohio St.3d 254
    , 
    662 N.E.2d 1
     (1996), syllabus.
    {¶15} The Clinic argues that the Hyamses never asked Dr. Granacher on direct (1)
    whether he was licensed, and (2) whether he devoted at least one-half of his professional
    time to the active clinical practice of medicine.    According to the Clinic, Dr. Granacher
    is in the business of being a professional witness — the very type of witness that
    Evid.R. 601(D) is intended to exclude.          Because the Hyamses never elicited direct
    answers to the dual competency requirements of Evid.R. 601(D), the Clinic argues that
    the trial court was required to strike Dr. Granacher’s testimony.
    {¶16} The Clinic, however, never filed a motion in limine on these grounds.      Nor
    did it raise the issue prior to cross-examining Dr. Granacher.           Instead, the Clinic
    thoroughly cross-examined Dr. Granacher and then waited until Dr. Granacher had
    finished testifying and returned home to Kentucky before raising the issue with the trial
    court. At that point, the trial court found that the Clinic had waived the issue. We
    agree.
    {¶17} Evid.R. 103(A)(1) requires that a party timely object when allegedly
    inadmissible evidence is introduced at trial.    A timely objection is, typically, one made at
    the time the error complained of occurred.       “The contemporaneous objection rule is a
    fundamental principle which appellate courts cannot easily disregard.” Mallin v. Mallin,
    
    44 Ohio App.3d 53
    , 54, 
    541 N.E.2d 116
     (8th Dist.1988).                “The purposes of the
    contemporaneous objection rule include allowing the questioner to correct his or her
    mistake or inadvertence, as well as allowing the trial court to avoid error by taking
    corrective action.”   (Citation omitted.) Williams v. Parker Hannifin Corp., 
    188 Ohio App.3d 715
    , 
    2010-Ohio-1719
    , 
    936 N.E.2d 972
    , ¶ 15 (12th Dist.).
    {¶18} One’s failure to object to the use of evidence when the alleged error could
    be remedied waives the issue.         Mallin at 54-55; State v. Girard, 9th Dist. No.
    02CA0057-M, 
    2003-Ohio-7178
    , ¶ 28. Indeed, as this court has previously observed,
    “[a] timely objection also permits the adverse party to take corrective action which would
    eliminate any basis for complaint.” Mahone v. Sternweiler, 8th Dist. No. 52810, 
    1987 Ohio App. LEXIS 8981
     (Oct. 1, 1987).
    {¶19} Here, in ruling on the motion to strike, the trial court specifically noted that
    during Dr. Granacher’s direct testimony, the Clinic objected and a sidebar discussion was
    had between counsel and the court.       At that time, however, no objection was made
    regarding Dr. Granacher’s competency to testify as an expert pursuant to Evid.R. 601(D).
    Nor did the Clinic ever raise the issue before trial out of the presence of the jury.
    While we recognize that a party is not required to file a motion in limine to raise a
    specific evidentiary issue during trial, we find the timing of the Clinic’s objection in this
    case to be fatal to its argument on appeal.
    {¶20} Notably, the Clinic did not raise any issue regarding Dr. Granacher’s
    competency until after Dr. Granacher returned home to Kentucky.       Indeed, following the
    Hyamses’ direct examination of Dr. Granacher, the Clinic thoroughly cross-examined
    him, asking him several questions specific to Dr. Granacher’s practice and his
    professional opinion.    We therefore agree with the trial court that the delay on the part of
    the Clinic in raising the issue operated as a waiver under the specific facts of this case.
    See Coe v. Young, 
    145 Ohio App.3d 499
    , 
    763 N.E.2d 652
     (11th Dist.2001) (concurring
    opinion) (where cross-examination has been engaged in prior to an objection to the direct
    testimony, any objection to the direct testimony has been waived), citing Amie v. Gen.
    Motors Corp., 
    69 Ohio App.2d 11
    , 14, 
    429 N.E.2d 1079
     (8th Dist.1980) (a party waives
    any objection to the introduction of testimony unless the objection is made with
    reasonable promptness).
    {¶21} As for the Clinic’s repeated emphasis that the Hyamses failed to cure or
    rehabilitate Dr. Granacher’s testimony despite having the opportunity to do so during
    their case in chief, we find this argument lacks merit.   The trial court denied the Clinic’s
    motion to strike Dr. Granacher’s testimony, thereby obviating the need for the Hyamses to
    call Dr. Granacher back to the stand.
    {¶22} Moreover, contrary to the Clinic’s insinuation on appeal that Dr. Granacher
    simply could not satisfy the dual competency requirements of Evid.R. 601(D), we find
    that the record reflects otherwise.      Dr. Granacher’s testimony on both direct and
    cross-examination detailed his board certification in psychiatry, his 35 years of work in
    neuropsychiatry, and his current practice, which includes treating patients on a weekly
    basis.    Additionally, the Hyamses filed an affidavit of Dr. Granacher in 2009 that
    establishes he is licensed to practice medicine and that he devotes at least 50 percent of
    his professional time to the active clinical practice of psychiatry.        Dr. Granacher’s
    discovery deposition filed with the court also supports the conclusion that he meets the
    dual competency requirements of Evid.R. 601(D).         Given this evidence, and the Clinic’s
    untimely objection, we find that the trial court did not abuse its discretion in denying the
    Clinic’s motion to strike Dr. Granacher’s testimony.      See generally Witzmann v. Adam,
    2d Dist. No. 23352, 
    2011-Ohio-379
     (even if plaintiff had not waived the issue of the
    doctor’s competency under Evid.R. 601, appellate court likely would have overruled it
    based on doctor’s testimony of his experience and background).
    B.     Application of Turner
    {¶23} The Clinic argues that this court’s decision in Turner v. Cleveland Clinic
    Found., 8th Dist. No. 80949, 
    2002-Ohio-4790
    , is dispositive of the appeal and requires us
    to reverse the trial court’s decision.   We disagree.
    {¶24} In Turner, the plaintiffs brought a medical malpractice action against the
    hospital and surgeon, asserting a lack of informed consent claim.             The plaintiffs,
    however, never obtained their own medical expert and sought to rely on the
    defendant-surgeon for purposes of proving their case. Id. at ¶ 11.          In their case in
    chief, the plaintiffs called the surgeon as if on cross-examination but failed to ask him any
    questions regarding his qualifications or experience. Id. The plaintiffs further failed to
    elicit any testimony from the defendant-surgeon regarding the recognized standard of care
    about what risks of the surgery should have been disclosed.      Id. at ¶ 16. Consequently,
    the trial court granted the hospital’s motion for a directed verdict, finding that plaintiffs
    failed to qualify defendant-surgeon as an expert pursuant to Evid.R. 601(D), and that even
    if qualified, plaintiffs failed to elicit any expert testimony from him regarding the
    standard of care to prove their case.   Id.
    {¶25} On appeal, we affirmed the trial court’s granting of the motion for a directed
    verdict, rejecting plaintiffs’ claim that no expert testimony was necessary to prove a claim
    for lack of informed consent. Id. at ¶ 34-36.          Because the plaintiffs failed to present
    any expert medical evidence as to the standard of care and that it was not met —
    necessary elements to plaintiffs’ claim — the defendant hospital was entitled to judgment
    as a matter of law. Id.     We further recognized that the plaintiffs had failed to establish
    that defendant-surgeon was qualified to render expert testimony under Evid.R. 601(D) or
    702.   Id. at ¶ 41, 43.
    {¶26} We find the facts of Turner completely distinguishable from this case.
    Turner does not address whether a trial court acts within its discretion by denying a
    motion to strike expert testimony when the movant failed to timely object to such
    testimony. Nor does Turner stand for the proposition that an objection under Evid.R.
    601(D) can never be waived.         Moreover, unlike the instant case where the record
    contains evidence of Dr. Granacher satisfying the requirements of Evid.R. 601(D), there
    was no equivalent evidence in Turner.         Indeed, the Turner court noted that, based on the
    defendant-surgeon’s testimony that he was no longer employed by the Cleveland Clinic
    Foundation coupled with the lack of any questioning by the plaintiffs’ counsel as to his
    present employment, it was unclear whether the defendant-surgeon was even practicing
    medicine at the time of trial.
    {¶27} In upholding the trial court’s decision to deny the Clinic’s motion to strike,
    we are not relaxing or ignoring the requirements of Evid.R. 601(D).           The application of
    the rule, however, is not applied in a vacuum.     Here, the purpose of Evid.R. 601(D) was
    served in this case; Dr. Granacher is a practicing clinician, familiar with the standard of
    care.     Further, if the Clinic would have timely raised its objection before
    cross-examining Dr. Granacher at trial, the Hyamses could have easily remedied any
    issue. Thus, our holding today reinforces the fundamental principle embodied by the
    contemporaneous objection rule — a timely objection alerts the questioner to correct his
    or her mistake or inadvertence, as well as allows the trial court to avoid error by taking
    corrective action.   But the failure to timely object will waive the issue.
    C.     Evid.R. 702(B)
    {¶28} The Clinic also argues that Dr. Granacher’s testimony should have been
    stricken because he lacked the necessary qualifications to offer an expert opinion under
    Evid.R. 702(B), contending that Dr. Granacher was not a child psychiatrist, not a
    pediatric rehabilitation specialist (like Dr. Wechsler), and has not developed a treatment
    plan for a child with a conversion disorder for 40 years.      The record reveals, however,
    that the Clinic never raised this objection during trial and therefore has waived it. See
    Evid.R. 103(A); Butler v. Minton, 6th Dist. No. E-05-061, 
    2006-Ohio-4800
    . But even if
    they had properly preserved the issue, we find that it lacks merit.
    {¶29} Evid.R. 702(B) provides that a witness may qualify as an expert by reason of
    his or her specialized knowledge, skill, experience, training, or education.     This court
    has succinctly observed the criteria of Evid.R. 702(B) as follows:
    Neither special education nor certification is necessary to confer expert status upon a
    witness. To qualify as an expert, the witness need not be the best witness on the subject.
    The individual offered as an expert need not have complete knowledge of the field in
    question, as long as the knowledge he or she possesses will aid the trier of fact in
    performing its fact-finding function. Moreover, where the fields of medicine overlap and
    more than one type of specialist may perform the treatment, a witness may qualify as an
    expert even though he does not practice the same specialty as the defendant.
    Porter v. Sidor, 8th Dist. No. 84756, 
    2005-Ohio-776
    , ¶ 7.
    {¶30} Dr. Granacher has spent over 35 years in the practice of medicine, including
    neuropsychiatry.    He is board certified in several fields, including general psychiatry and
    neuropsychiatry. He is experienced in the diagnosis and treatment of movement disorders seen in
    psychiatric medicine. He is familiar with both conversion disorders and dystonia, as well as their
    causes, diagnosis, and treatment.   Dr. Granacher devises behavioral treatment plans for his patients as
    a regular part of his practice.     Additionally, Dr. Granacher personally evaluated Jared on two
    occasions.   Based on this evidence, we find that Dr. Granacher qualified as an expert pursuant to
    Evid.R. 702(B).
    D.     Causation Testimony
    {¶31} The Clinic lastly argues that the trial court should have at least stricken Dr.
    Granacher’s causation testimony as being speculative.       The Clinic contends that Dr.
    Granacher could not differentiate between the emotional/psychological injuries that Jared
    allegedly suffered as a result of the Clinic’s negligence from his pre-existing and
    independent emotional/psychological problems. Based on this failure, the Clinic argues
    that Dr. Granacher’s testimony failed to satisfy the Hyamses’ legal burden of establishing
    proximate cause and that his testimony improperly allowed the jury to speculate as to the
    extent of Jared’s injuries attributable to the Clinic’s negligence. We find, however, that
    this argument lacks merit.
    {¶32} Our review of the record reveals that Dr. Granacher testified, to a reasonable
    degree of medical certainty, that the treatment plan followed for Jared’s conversion
    disorder breached the standard of care and that as a result of Dr. Wechsler’s negligence,
    Jared suffered “significant psychological injuries.”     Dr. Granacher then specifically
    identified those injuries, including that Jared experienced “flashbacks” of the day
    hospital.    According to Dr. Granacher, the flashbacks are a marker for [Jared’s]
    psychological damage; “Jared’s self-esteem has been damaged by this.”          He further
    opined that such trauma experienced by a child in the formative years “changes the brain
    development in a very negative fashion.”      He stated that as a result of the negative
    impact from his treatment, “[Jared’s] social development has been changed.”     He opined
    that it has been “arrested.”   He further testified that Jared was extremely nervous when
    he first examined him— something that Dr. Granacher attributed partly to the fact that
    Jared was made to feel like he was “lying and making up his illness.”       Dr. Granacher
    opined that these injuries are “permanent” because “those memories will persist with him
    the rest of his life.”
    {¶33} We find no basis by which the trial court should have stricken this
    testimony.   And to the extent that Dr. Granacher could not specifically “quantify” or
    “put a number on the difference between Jared now and before his involvement with the
    Cleveland Clinic,” we do not find that such testimony undermines Dr. Granacher’s
    causation testimony.    As explained by Dr. Granacher, “there are certain things you
    cannot do that on,” such as “pain.” And the assessment of such damages as pain and
    suffering are not intended to be given by an expert; instead, they are “solely for the
    determination of the trier of fact.” Fantozzi v. Sandusky Cement Prod. Co., 
    64 Ohio St.3d 601
    , 612, 
    597 N.E.2d 474
     (1992). Indeed, as recognized by the Ohio Supreme
    Court, “there is no standard by which such pain and suffering may be measured. * * *
    ‘[N]o substitute for simple human evaluation has been authoritatively suggested.’”   
    Id.,
    quoting Flory v. New York Cent. RR. Co., 
    170 Ohio St. 185
    , 190, 
    163 N.E.2d 902
     (1959).
    {¶34} The first assignment of error is overruled.
    Motion for a Directed Verdict
    {¶35} In their second assignment of error, the Clinic argues that the trial court
    erred in denying their motion for a directed verdict because (1) Dr. Granacher’s expert
    testimony should have been stricken as being incompetent under Evid.R. 601(D), and (2)
    Dr. Granacher’s causation testimony was legally insufficient. But having already found
    that Dr. Granacher’s testimony should not have been stricken and that his causation
    testimony was legally sufficient, we find that this argument lacks merit.
    {¶36} Applying a de novo standard of review, we find that the trial court properly
    denied the Clinic’s motion for a directed verdict. See Civ.R. 50(A)(4). Indeed, the
    Hyamses presented evidence in support of all three elements of their medical malpractice
    action — (1) the existence of a standard of care within the medical community; (2) Dr.
    Wechsler’s breach of that standard in failing to provide treatment in conformity with that
    standard; and (3) proximate cause between the medical negligence and the injury. See
    Bruni v. Tatsumi, 
    46 Ohio St.2d 127
    , 130-131, 
    346 N.E.2d 673
     (1976). Therefore, the
    Clinic was not entitled to judgment as a matter of law, and the trial court properly denied
    it. See TLT-Babcock, Inc. v. Serv. Bolt & Nut Co., 
    16 Ohio App.3d 142
    , 
    474 N.E.2d 1223
     (9th Dist.1984).
    {¶37} The second assignment of error is overruled.
    Other Evidentiary Rulings
    {¶38} In their last three assignments of error, the Clinic argues that the trial court
    abused its discretion in (1) allowing the Hyamses to present only portions of Clinic
    employees’ depositions but not requiring them to present the entire deposition despite the
    Clinic’s request; (2) allowing the Hyamses to play a video of Jared; and (3) prohibiting
    the Clinic from discussing Douglas Hyams’s extramarital affair.
    {¶39} “Error may not be predicated upon a ruling which admits or excludes
    evidence unless a substantial right of the party is affected * * *.”   Evid.R. 103(A).   The
    trial court is vested with broad discretion in the admission and the exclusion of evidence,
    and a reviewing court will not reverse a trial court’s ruling unless the trial court has
    clearly abused its discretion to the prejudice of the complaining party.         Yaeger v.
    Fairview Gen. Hosp., 8th Dist. No. 72361, 
    1999 Ohio App. LEXIS 904
     (Mar. 11, 1999),
    citing Bostic v. Connor, 
    37 Ohio St.3d 144
    , 
    524 N.E.2d 881
     (1988).
    {¶40} Applying the requisite standard of review, we find all three of the Clinic’s
    arguments lack merit.
    A.     Reading of Depositions
    {¶41} Relying on Civ.R. 32(A)(4), the Clinic argues that the trial court committed
    reversible error in allowing the Hyamses to present only “bits and pieces of videotaped
    depositions” of three doctor witnesses — Dr. Cohen, Dr. Abdelsalam, and Dr. Wechsler
    — all of whom were employees of the Clinic.      The rule provides that “[i]f only part of a
    deposition is offered in evidence by a party, an adverse party may require him to
    introduce all of it which is relevant to the part introduced, and any party may introduce
    any other parts.”   Civ.R. 32(A)(4).
    {¶42} The Clinic maintains that the jury never heard the doctors’ entire testimonies
    in proper context, thereby unfairly prejudicing their defense.        But the trial court
    specifically ruled that the Clinic was free to present the entire deposition as part of its
    case. Further, the Clinic fails to point out how they were prejudiced by the manner in
    which the Hyamses presented the evidence.       Thus, based on the record before us, we
    cannot say that the trial court’s decision, even if erroneous, prejudiced the Clinic to
    warrant a reversal. See Yaeger, supra. Accordingly, the third assignment of error is
    overruled.
    B.     Video of Jared
    {¶43} The Clinic argues that the trial court abused its discretion in allowing the
    Hyamses to present a video of Jared taken in May 2006.           The Clinic argues that the
    video was irrelevant to the issues at trial, and therefore should have been excluded under
    Evid.R. 402. The Clinic further maintains that the Hyamses failed to timely notify the
    Clinic of their intent to use the video and that the Hyamses never established the
    authenticity or accuracy of the video as required under Evid.R. 901(A).
    {¶44} After careful consideration of the parties’ arguments and viewing the video
    outside the presence of the jury, the trial court concluded that the video was relevant and
    not unfairly prejudicial. We cannot say that the trial court abused its discretion in
    allowing the video to be played.    The record reveals that the Clinic could not have been
    surprised by the video as it was the party that produced the video to the Hyamses during
    discovery.   The video was relevant because it depicted Jared’s condition on May 6, 2006
    — shortly before he was diagnosed with dystonia. Finally, Jared’s parents, who were
    present during the taking of the video, authenticated the video on direct examination.
    Therefore, we find no merit to the argument that the trial court abused its discretion and
    overrule the fourth assignment of error.
    C.     Extramarital Affair
    {¶45} In their final assignment of error, the Clinic argues that the trial court abused
    its discretion in prohibiting the Clinic from specifically discussing Douglas Hyams’s
    extramarital affair.   The trial court, however, allowed the Clinic to discuss “marital
    discord” or “domestic problems” at home.        The trial court’s ruling fairly allowed the
    Clinic to get their point across without unfairly sensationalizing the matter. We find no
    basis to conclude that the trial court abused its discretion or that the Clinic was prejudiced
    by its ruling.
    {¶46} The final assignment of error is overruled.
    {¶47} Judgment affirmed.
    It is ordered that appellees recover from appellants costs herein taxed.
    The court finds there were reasonable grounds for this appeal.
    It is ordered that a special mandate be sent to said court to carry this judgment into
    execution.
    A certified copy of this entry shall constitute the mandate pursuant to Rule 27 of
    the Rules of Appellate Procedure.
    MARY J. BOYLE, PRESIDING JUDGE
    COLLEEN CONWAY COONEY, J., and
    MARY EILEEN KILBANE, J., CONCUR
    

Document Info

Docket Number: 97439

Citation Numbers: 2012 Ohio 3945

Judges: Boyle

Filed Date: 8/30/2012

Precedential Status: Precedential

Modified Date: 10/30/2014