Costaras v. Gilson , 2022 Ohio 4011 ( 2022 )


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  • [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
    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.
    Janice further testified that she was surprised to learn that Dr. Shemisa diagnosed
    George with situational anxiety and prescribed him Alprazolam in 2016.
    According to Janice, George’s podiatry business was “down” but the
    insurance “reimbursements have been down since we were married.” Asked if
    George seemed “stressed out” about this, Janice testified as follows: “I wouldn’t use
    the word stress. I would use the word nervous, worried. Because it just — I guess it
    just didn’t seem fair. Do more, get paid less.” Janice testified that they had no
    mortgage on their home in Westlake, and their net worth was estimated at $2.5
    million at the time of George’s death. They purchased a new car on December 31,
    2019, and it was the largest debt the couple had at the time of George’s death.
    Janice and George had plans to spend the day together on Tuesday,
    January 14, 2020.     Janice called George’s office and asked to have George’s
    appointments for that day cancelled or rearranged. George usually worked late on
    Mondays, until “6 or 7.” However, on Monday January 13, 2020, he stayed at work
    until after 10:00 p.m. According to Janice, George “wanted to get all the paperwork
    done because he was not coming in the next day, and he wanted to make sure he was
    fresh with what he had to write down for the patients.”
    Janice spoke to George at 11:00 p.m. that night after he left his office.
    George went to the gas station and the bank to make a deposit of that day’s income.
    He told Janice he would see her in ten minutes. At midnight, George was not home
    and Janice began to worry. She called the police and drove around looking for him.
    She came back home, unsuccessful in her attempts to locate George. At about
    2:00 a.m., two Westlake police officers came to her house and told her that her
    “husband jumped off a bridge and committed suicide.”
    Janice testified that, in the weeks leading up to January 13, 2020, the
    only thing “unusual” about George was that “he was worried because he was in his
    60s, he knew he should retire, but the fact is he really didn’t want to. And so that —
    that bothered him that he wasn’t aligned with a lot of our friends.” Asked if he
    seemed depressed, Janice answered, “No. No, no, no.”
    Nicholas Costaras (“Nicholas”) testified that George was his father
    and they had a close relationship. The two would often work out together, talk on
    the phone, and spend time with family. Asked if his father ever discussed suicide
    with him “in the context of religion,” Nicholas answered, “In the context of religion,
    maybe I recall over the years it was just a no, like it doesn’t compute in our faith.
    And if we do it, then it would not allow us to get into heaven; and therefore, it was
    not a possibility.”
    Nicholas testified that he “took over the managerial elements” of his
    father’s business. In “the years or so leading up to his passing,” he and his father
    talked about “preparing to make the [podiatry] practice attractive for his retirement,
    which from the conversations we had, he was anticipating one to three years at that
    time.” According to Nicholas, the “business was very strong,” although the “patients
    were up and the insurance reimbursements were dropping slightly.”
    According to Nicholas, on January 14, 2020, he got a call from his
    mother “sometime after 2:00 a.m. and I just had that sinking feeling that something
    was wrong. * * * I could barely make out what she was saying. She said come home.
    And I asked is everything okay or what’s wrong. She wouldn’t say. And then I asked
    if my father was alive and she said no.”
    According to Nicholas, he went to his parents’ house and the police
    were already there. Nicholas testified that a detective was asking “questions to kind
    of find the justification of, I guess, what he was making it seem like was a foregone
    conclusion * * * that my father had jumped.”
    Asked if his father had any change in his behavior prior to his death,
    Nicholas answered, “Nothing seemed odd, nothing that I can recall seemed any
    different than normal.” His father “never” said anything about being depressed or
    wanting to end his life. Nicholas knew that his father “sought the services of a
    wellness counselor about a week before he passed away.”
    Asked on cross-examination if he was aware that his father took the
    anti-anxiety and antidepressant medications Wellbutrin, Alprazolam, and Prozac
    “over the course of the past several years,” Nicholas answered, “At the time I was not
    aware of that.” Asked if he knew his father had been diagnosed with situational
    anxiety and depression, Nicholas said, “I did not know that * * * That’s news to me.”
    Margaret Costaras (“Margaret”) testified that she has a “very close”
    relationship with her family and had a “fantastic” relationship with her father
    George before he passed. Asked if she noticed any changes in her father’s behavior
    prior to his death, Margaret answered as follows: “I did not notice any changes in
    those behaviors. We got together quite frequently because it was the holidays,
    including my birthday. He did vocalize to needing a nap during Christmas, that he
    wasn’t sleeping through the night, so he seemed a little quieter because he was tired,
    but nothing drastically different from how long I have known him.” Asked, “in the
    weeks to days leading up to his death, did he ever tell you he was depressed or sad,”
    Margaret answered, “No, he never used that word.”
    Margaret testified that she did not know that her father had been
    diagnosed with anxiety and depression or that he was on medication for these
    conditions. In the early morning hours of January 14, 2020, Margaret received a
    call from her mother, who whispered into the phone, “Come now.” When she
    arrived at her parents’ house, the police were there and an officer told her that her
    father was dead. According to Margaret, she said, “I don’t understand.” One of the
    police officers told her that her father “jumped from a bridge.” Margaret testified
    that, at that time, she “had no reason to disbelieve the police.” Asked if her father
    “ever [made] any statements that would give you alarm that he may try to harm
    himself,” Margaret answered, “No, never.”
    Margaret testified that, a few days after her father’s death, she “was
    very concerned [about] the area that [he] was last in. * * * I am very aware of the
    violent crimes that were occurring.” She and her family called one of the detectives
    and expressed their concerns. “[H]is response to us was that the ME’s Office had
    closed the case and that his hands were tied and we had to pursue it further with
    them and to inquire with them about our concerns.”
    Paul Baeppler (“Baeppler”) testified that he is a licensed private
    investigator and a lieutenant with the Cleveland Division of Police. The Costaras
    family hired him to “take a look at the suicide. Alleged suicide.” He has been
    involved in “well over a hundred” suicide investigations in his career. As part of the
    investigation in the case at hand, Baeppler reviewed the police report, including a
    diagram or drawing of the scene, the Medical Examiner investigator’s report, and
    George’s toxicology report from the Medical Examiner. He also went to the scene,
    interviewed the detective, and interviewed Janice.
    Baeppler testified about what he believed should have been, but was
    not, looked into regarding this investigation. According to Baeppler, he would have
    searched for “possible surveillance video cameras in the area that may have had a
    line of sight either directly or indirectly of where the incident happened * * *.”
    Baeppler clarified that he did not have the “subpoena power” to investigate whether
    any cameras “were pointed and in what direction, if they were operational, what the
    zoom capabilities of them were.” Baeppler identified several different cameras in
    the area that may have captured “activity that happened on the bridge” that night.
    Additionally, Baeppler testified that it would have been “potentially”
    valuable for the police to contact the “motorist who called the Fairview Police
    Department to report an inoperable vehicle on the bridge” that night. “It would be
    one of those leads or clues that I think that I would want my officers or myself to
    follow-up on, follow it up to its ultimate conclusion, whatever it could be. It may
    lead to something, it may not.”
    Baeppler also opined that he would have done “forensic investigation
    or network investigation” on Dr. Costaras’s cell phone, home computer, and work
    computer “to see if he had been having communications with any persons * * * in
    the time period * * * before this. You would want to know if anybody had made any
    threats to him.” He also would have been “interested in any kind of searches [Dr.
    Costaras] may have done on the internet * * *.” According to Baeppler, there might
    have been information on Dr. Costaras’s phone regarding “if he was in distress
    * * *[,] if he was having personal problems, marital problems, * * * if he was having
    legal problems, financial problems.”
    Baeppler testified in summary as follows: “From what I know and
    from what my experience is as a police officer, I think that there were a few steps
    that could have possibly been missed. * * * I don’t think that they ran down every
    lead to its ultimate conclusion.” Baeppler testified that it was “my guess or my
    opinion” that the police assumed it was a suicide from the beginning.
    On cross-examination, Baeppler testified that he did not conduct a
    forensic analysis of any of Dr. Costaras’s electronic devices. He informed the
    Costaras family that these options were available, but “it wasn’t something that they
    wanted investigated.” Baeppler further testified that he did not know if the video
    cameras he identified in the area were there on January 14, 2020, he did not inquire
    whether any of the cameras were operational, and he did not request any footage
    from that night.
    Baeppler testified that he had no evidence that Dr. Costaras’s death
    involved “foul play,” that it was a homicide or accident, or that George died of natural
    causes. Asked if he had “any evidence that suggested any other manner of death
    other than suicide,” Baeppler answered as follows: “No, I don’t have any direct
    evidence that there was anything other than that.          But I do believe that an
    investigator has an obligation to rule those other issues out or the fact that this
    wasn’t staged in some way. I think that that would be part of — a lot of the part of
    the investigation.”
    After Janice rested her case, the state moved for dismissal under
    Civ.R. 41(B)(2), arguing that she did not provide “the preponderance of evidence she
    needs to provide competent, credible evidence that the law requires in order to
    overturn the medical examiner’s ruling.” In granting this motion, the court found
    that “speculation as to what could have been done in the law enforcement
    investigation does not rise to the burden of proof required to rebut the presumption
    of the validity of a coroner’s report.”
    IV. Law and Analysis
    A. R.C. 313.19 Coroner’s Verdict
    R.C. 313.19, which is entitled “Coroner’s verdict the legally accepted
    cause of death,” states as follows:
    The cause of death and the manner and mode in which the death
    occurred, as delivered by the coroner and incorporated in the coroner’s
    verdict and in the death certificate filed with the division of vital
    statistics, shall be the legally accepted manner and mode in which such
    death occurred, and the legally accepted cause of death, unless the
    court of common pleas of the county in which the death occurred, after
    a hearing, directs the coroner to change his decision as to such cause
    and manner and mode of death.
    In Vargo v. Travelers Ins. Co., 
    34 Ohio St.3d 27
    , 30, 
    516 N.E.2d 226
    (1987), the Ohio Supreme Court held that “the coroner’s factual determinations
    concerning the manner, mode and cause of the decedent’s death, as expressed in the
    coroner’s report and death certificate, create a non-binding, rebuttable presumption
    concerning such facts in the absence of competent, credible evidence to the
    contrary.”
    B. Civ.R. 41(B)(2) Dismissal
    Civ.R. 41(B)(2) governs involuntary dismissals in nonjury actions,
    and states, in part, as follows:
    After the plaintiff, in an action tried by the court without a jury, has
    completed the presentation of the plaintiff’s evidence, the defendant,
    without waiving the right to offer evidence in the event the motion is
    not granted, may move for a dismissal on the ground that upon the facts
    and law the plaintiff has shown no right to relief.
    C. Standard of Review
    This court has recently set forth the trial court’s role in ruling on a
    Civ.R. 41(B)(2) motion to dismiss:
    “to weigh the evidence, resolve any conflicts therein, and render
    judgment for the defendant if the plaintiff has shown no right to relief.”
    * * * Under Civ.R. 41(B)(2), the trial court does not view the evidence
    in the light move favorable to the plaintiff. * * * The trial court’s only
    consideration in ruling on a motion for involuntary dismissal is
    “‘whether [the] plaintiff has made out [her] case by a preponderance of
    the evidence.’”
    Holliday v. Calanni Enters., 
    2021-Ohio-2266
    , 
    175 N.E.3d 663
     ¶ 18 (8th Dist.),
    quoting Bank One, Dayton, N.A. v. Doughman, 
    59 Ohio App.3d 60
    , 63, fn. 4, 
    571 N.E.2d 442
     (1st Dist.1988); and Pacher v. Invisible Fence of Dayton, 
    154 Ohio App.3d 744
    , 
    2003-Ohio-5333
    , 
    798 N.E.2d 1121
     ¶ 29 (2d Dist.), quoting L.W.
    Shoemaker, M.D., Inc. v. Connor, 
    81 Ohio App.3d 748
    , 752, 
    612 N.E.2d 369
     (10th
    Dist.1992).
    The Holliday Court further held that a “reviewing court may set aside
    a trial court’s decision under Civ.R. 41(B)(2) ‘only if it is erroneous as a matter of law
    or against the manifest weight of the evidence.’” Id. at ¶ 19, quoting Osborne, Inc.
    v. H&R Purchasing, Inc., 11th Dist. Lake No. 2003-L-051, 
    2004-Ohio-3503
    , ¶ 9.
    D. Analysis
    1. Presumption Against Suicide
    In Janice’s first assignment of error, she argues that the trial court
    “erred by finding that the presumption against suicide is inapplicable.”
    “Ohio has recognized the legal presumption that in the absence of
    sufficient evidence to the contrary, a person is presumed not to have taken his own
    life.” Evans v. Natl. Life & Accident Ins. Co., 
    22 Ohio St.3d 87
    , 
    488 N.E.3d 1247
    ,
    1249 (1986). See also Shepherd v. Midland Mut. Life Ins. Co., 
    152 Ohio St. 6
    , 15, 
    87 N.E.2d 156
     (1949) (“[W]here it is shown that death resulted from bodily injury
    caused by violent and external means without a showing as to how the injury was in
    fact sustained, there is a presumption that death did not result from suicide, self-
    infliction of injury, criminal assault of another * * *.”).
    Ohio courts have held that this presumption is rebuttable and
    “disappears or is extinguished upon the production of substantial evidence to the
    contrary to counterbalance it.” Mohn v. Ashland Cty. Chief Med. Examiner, 5th
    Dist. Ashland No. 14-COA-031, 
    2015-Ohio-1985
    , ¶ 31.
    Upon review, we find no error in the court’s handling of the
    presumption against suicide.        Here, the Medical Examiner found, after its
    investigation, that the manner of death was suicide.          Under R.C. 313.19, the
    coroner’s finding “shall be the legally accepted manner and mode in which such
    death occurred * * *.” As discussed in our analysis of Janice’s fourth assignment of
    error, Janice did not present competent and credible evidence to rebut the
    presumption that the Medical Examiner’s verdict is the legally accepted cause of
    death. All evidence pointed toward the conclusion that Dr. Costaras jumped from
    the bridge. His car was parked on the bridge, there was no evidence of foul play, and
    he was found on the ground below the bridge.
    There is an absence of “competent, credible evidence” to contradict
    the Medical Examiner’s findings. Accordingly, we overrule Janice’s first assignment
    of error.
    2. Medical Expert
    In Janice’s third assignment of error, she argues that the trial court
    erred “by finding that [she] needed a medical expert to present competent, credible
    evidence to rebut the coroner’s report.”
    Our review of the trial court’s findings of facts and conclusions of law
    shows that it did not make a finding that Janice “needed a medical expert” to rebut
    the Medical Examiner’s report. Rather, the trial court stated the following:
    Plaintiff cannot meet her burden of proof by simply arguing that
    Defendants should have pursued additional avenues of investigation
    regarding the manner of death. Plaintiff failed to provide any credible
    evidence at Trial that would support any other manner of death ruling.
    Plaintiff did not present a medical expert to rebut the Medical
    Examiner’s verdict, thus failing to present competent, credible
    evidence to the contrary, that the coroner’s opinion was inaccurate.
    The Ohio Supreme Court has held that a “coroner’s verdict as to the
    cause of death and the manner and mode in which the death occurred is entitled to
    much weight.” State v. Manago, 
    38 Ohio St.2d 223
    , 227, 
    313 N.E.2d 10
     (1974),
    citing R.C. 313.19. Ohio’s highest court has further held that the “coroner is a
    medical expert rendering an expert opinion on a medical question. Therefore, to
    rebut the coroner’s determination, as expressed in the coroner’s report and the
    death certificate, competent, credible evidence must be presented.” Vargo, 34 Ohio
    St.3d at 30, 
    516 N.E.2d 226
    .
    Accordingly, Janice’s third assignment of error is overruled.
    3. Sufficiency and Manifest Weight of the Evidence
    Janice’s second and fourth assignments of error will be discussed
    together. In Janice’s second assignment of error, she argues that the trial court
    “erred in sustaining [the Medical Examiner’s] motion for a directed verdict1 at the
    close of [her] case because there was sufficient evidence offered by [her] to allow
    that reasonable minds could come to more than one conclusion on the
    determinative issue.”
    In Janice’s fourth and final assignment of error, she argues that the
    trial court’s “refusal to direct the coroner to change his decision as to the mode of
    death from suicide to undetermined [is] against the manifest weight of the
    evidence.”
    A manifest weight of the evidence challenge “addresses the evidence’s
    effect of inducing belief. * * * In other words, a reviewing court asks whose evidence
    is more persuasive — the state’s or the defendant’s?” State v. Wilson, 
    113 Ohio St.3d 382
    , 
    2007-Ohio-2202
    , 
    865 N.E.2d 1264
    , ¶ 25. “When a court of appeals reverses a
    judgment of a trial court on the basis that the verdict is against the weight of the
    evidence, the appellate court * * * disagrees with the factfinder’s resolution of the
    conflicting testimony.” State v. Thompkins, 
    78 Ohio St.3d 380
    , 387, 
    678 N.E.2d 54
    1 We note that there was no directed verdict in the case at hand, as suggested in
    Janice’s second assignment of error. Here, the court granted the Medical Examiner’s
    Civ.R. 41(B)(2) motion for dismissal, which concerns the trial court’s weighing the
    evidence.
    (1997). Reversing a conviction under a manifest weight theory “should be exercised
    only in the exceptional case in which the evidence weighs heavily against the
    conviction.”   State v. Martin, 
    20 Ohio App.3d 172
    , 175, 
    485 N.E.2d 717
     (1st
    Dist.1983).
    The Ohio Supreme Court has held that the manifest weight of the
    evidence standard of review “set forth in Thompkins also applies in civil cases.”
    Eastley v. Volkman, 
    132 Ohio St.3d 328
    , 
    2012-Ohio-2179
    , 
    972 N.E.2d 517
    , ¶ 17
    (“neither the constitution nor statutes nor rules of procedure treat civil cases
    differently from criminal cases with regard to appellate review on the issues of
    sufficiency and manifest weight”).
    Upon review, we find that Janice has not rebutted the presumption
    that the Medical Examiner’s determinations are correct with competent, credible
    evidence to the contrary. We agree with the trial court that Janice did not “meet her
    burden of proof by simply arguing that [the Medical Examiner] should have pursued
    additional avenues of investigation regarding the manner of death.”
    “Circumstantial evidence and direct evidence inherently possess the
    same probative value.” Brook Park v. Gannon, 
    2019-Ohio-2224
    , 
    137 N.E.3d 701
    ,
    ¶ 25 (8th Dist.). “Circumstantial evidence is not only sufficient, but may also be
    more certain, satisfying and persuasive than direct evidence.” Michalic v. Cleveland
    Tankers, Inc., 
    364 U.S. 325
    , 330, 
    81 S.Ct. 6
    , 
    5 L.Ed.2d 20
     (1960).
    Janice’s evidence is consistent with the determination that the
    manner of Dr. Costaras’s death was suicide. Although there is no direct evidence of
    suicide, such as a note or a witness, circumstantial evidence of suicide was presented
    at trial. For example, evidence of Dr. Costaras’s mental health, recent weight loss
    and disinterest in exercise, and trouble sleeping are indicative of depression.
    Furthermore, his car was found at the top of the bridge, and he was found on the
    ground below the bridge. There was no evidence of foul play. As such, this is not
    the exceptional case in which the evidence weighs heavily against the trial court’s
    judgment.
    Accordingly, Janice’s second and fourth assignments of error are
    overruled.
    Judgment affirmed.
    It is ordered that appellees recover from appellant 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.
    LISA B. FORBES, JUDGE
    ANITA LASTER MAYS, P.J., and
    EMANUELLA D. GROVES, J., CONCUR