Wilson v. Durrani ( 2019 )


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  •         [Cite as Wilson v. Durrani, 2019-Ohio-3880.]
    IN THE COURT OF APPEALS
    FIRST APPELLATE DISTRICT OF OHIO
    HAMILTON COUNTY, OHIO
    ROBERT WILSON,                                   :     APPEAL NO. C-180196
    TRIAL NO. A-1506860
    Plaintiff-Appellant,                      :
    vs.                                             :
    ABUBAKAR ATIQ DURRANI, M.D.,                     :
    CENTER FOR ADVANCED SPINE :
    TECHNOLOGIES, INC.,
    WEST CHESTER HOSPITAL, LLC,                      :
    and                                            :
    UC HEALTH,                                       :
    Defendants-Appellees.                         :
    MIKE SAND,                                       :     APPEAL NO. C-180194
    TRIAL NO. A-1506694
    and                                            :
    O P I N I O N.
    AMBER SAND,                                      :
    Plaintiffs-Appellants,                    :
    vs.                                             :
    ABUBAKAR ATIQ DURRANI, M.D.,                     :
    CENTER FOR ADVANCED SPINE :
    TECHNOLOGIES, INC.,
    WEST CHESTER HOSPITAL, LLC,                      :
    and                                            :
    UC HEALTH,                                       :
    Defendants-Appellees.                         :
    OHIO FIRST DISTRICT COURT OF APPEALS
    Civil Appeals From: Hamilton County Court of Common Pleas
    Judgments Appealed From Are: Reversed and Cause Remanded
    Date of Judgment Entry on Appeal: September 25, 2019
    Robert A. Winter Jr., The Deters Law Firm, P.S.C., and Fred Johnson for Plaintiffs-
    Appellants,
    Lindhorst & Dreidame Co., LPA, Michael F. Lyon, James F. Brockman and James L.
    O’Connell, for Defendants-Appellees Abubakar Atiq Durrani and Center for
    Advanced Spine Technologies, Inc.,
    Frost Brown Todd, LLC, Douglas R. Dennis and Austin W. Musser, for Defendants-
    Appellees West Chester Hospital, LLC, and UC Health.
    2
    OHIO FIRST DISTRICT COURT OF APPEALS
    Z AYAS , Presiding Judge.
    {¶1}   Appellants Robert Wilson, Mike Sand and his wife, Amber Sand
    (collectively, the “appellants”), appeal from judgments entered by the Hamilton
    County Court of Common Pleas granting judgment on the pleadings to appellees Dr.
    Abubakar Atiq Durrani, the Center for Advanced Spine Technologies, Inc., West
    Chester Hospital, LLC, and UC Health. Although the appellants instituted separate
    appeals from separate judgments and we previously denied motions to consolidate
    their appeals, the appellants advance identical assignments of error pertaining to
    very similar facts. We, therefore, consolidate their appeals for purposes of this
    opinion.
    {¶2}   These consolidated appeals are two of many appeals involving alleged
    malpractice by Dr. Durrani, a spine surgeon who fled the country for his native
    Pakistan following a federal indictment. In both cases before us, Dr. Durrani, his
    clinic, and a hospital argued in the trial court that the claims filed against them by a
    patient were untimely under the medical malpractice statute of repose, a statute
    which bars medical claims filed more than four years after the alleged malpractice,
    and that Ohio’s saving statute does not apply to allow actions to survive beyond this
    expiration. The trial court agreed, holding in each case that the saving statute did
    not apply, and therefore, the patient’s claims were barred.
    {¶3}   The Ohio Supreme Court explicitly reserved judgment on this issue in
    Antoon v. Cleveland Clinic Found., 
    148 Ohio St. 3d 483
    , 2016-Ohio-7432, 
    71 N.E.3d 974
    .   The United States District Court for the Southern District of Ohio was
    presented with this very question recently though, and upon surveying Antoon, Ohio
    appellate court decisions, and other state court results, concluded that Ohio’s saving
    statute does apply despite the expiration of the statute of repose. See Atwood v. UC
    Health, S.D.Ohio No. 1:16CV593, 
    2018 WL 3956766
    (August 17, 2018). We find
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    OHIO FIRST DISTRICT COURT OF APPEALS
    Atwood persuasive and reverse the trial court’s judgments. In a matter of first
    impression for this court, we hold that Ohio’s saving statute, properly invoked,
    allows actions to survive beyond expiration of the medical malpractice statute of
    repose, and acts to save the patients’ claims in the cases before us.
    I.   Background and Procedural History
    A. Robert Wilson
    {¶4}   In November 2010, plaintiff-appellant Robert Wilson began seeing Dr.
    Durrani at his clinic in Blue Ash, Ohio, the Center for Advanced Spine Technologies,
    Inc., (“CAST”) seeking relief from headaches and back pain.             Dr. Durrani
    recommended that Wilson undergo back surgery to repair discs along his spine. In
    February and April 2011, Dr. Durrani performed spine surgeries on Wilson at West
    Chester Hospital, which is owned by UC Health. Following the surgeries, Wilson
    experienced worsened pain and immobility. Wilson eventually decided to sue Dr.
    Durrani, claiming that the surgeries were medically unnecessary and improperly
    performed.
    {¶5}   On April 9, 2013, Wilson filed a complaint against Dr. Durrani, CAST,
    and West Chester Hospital/UC Health in the Butler County Court of Common Pleas.
    Wilson sued Dr. Durrani for negligence, battery, intentional infliction of emotional
    distress, fraud, and spoliation of evidence. Wilson sued CAST for vicarious liability
    for the negligent and improper acts of Dr. Durrani, negligent hiring, retention and
    supervision of Dr. Durrani, fraud, intentional infliction of emotional distress, and
    spoliation of evidence. Wilson sued West Chester Hospital/UC Health for negligence,
    negligent credentialing, supervision and retention, fraud, intentional infliction of
    emotional distress, and spoliation of evidence.
    {¶6}   On December 11, 2015, Wilson voluntarily dismissed his complaint
    filed in the Butler County Court of Common Pleas under Civ.R. 41(A)(1)(a), and, on
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    OHIO FIRST DISTRICT COURT OF APPEALS
    December 16, 2015, filed a similar, albeit much longer, complaint in the Hamilton
    County Court of Common Pleas. Wilson added more specific factual allegations
    based upon discovery disclosed in the Butler County case, and added a claim against
    Dr. Durrani for lack of informed consent for the use of a product called Infuse/BMP-
    2 during both surgeries, and claims against CAST and West Chester Hospital/UC
    Health for violations of the Ohio Consumer Sales Practices Act.
    {¶7}    Dr. Durrani and CAST, and West Chester Hospital/UC Health moved
    separately for judgment on the pleadings, asserting that Wilson’s claims against
    them were medical claims that were time-barred pursuant to Ohio’s medical
    malpractice statute of repose, R.C. 2305.113(C), because the complaint alleges that
    the last surgery performed by Dr. Durrani was in or around April 2011, more than
    four years before Wilson filed suit in the Hamilton County Court of Common Pleas.
    The defendants argued that the 2013 filing in the Butler County Court of Common
    Pleas was a nullity.
    {¶8}    Wilson moved to amend his complaint to elaborate on the fraud claims
    and to add a RICO claim. The trial court entered decisions granting the motions for
    judgment on the pleadings and denying Wilson’s motion for leave to amend his
    complaint.
    B. Mike and Amber Sand
    {¶9}    In or around 2008 or 2009, plaintiff-appellant Mike Sand began
    seeing Dr. Durrani to address weakness in his left leg. Dr. Durrani urged Sand to
    undergo back surgery to repair discs along his spine, or else lose the use of his leg.
    On April 5, 2010, Dr. Durrani performed spine surgery on Sand at West Chester
    Hospital. Following his surgery, Sand experienced the same leg pain he had prior to
    the surgery, and began experiencing back pain which severely limited his mobility.
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    OHIO FIRST DISTRICT COURT OF APPEALS
    Like Wilson, Sand decided to sue Dr. Durrani, claiming that the surgery was
    medically unnecessary and improperly performed.
    {¶10} On March 28, 2013, Sand, and his wife, Amber Sand (collectively, “the
    Sands”), filed a complaint against Dr. Durrani, CAST, and West Chester Hospital/UC
    Health in the Butler County Court of Common Pleas. The Sands sued Dr. Durrani for
    negligence, battery, intentional infliction of emotional distress, fraud, spoliation of
    evidence, and loss of consortium. The Sands sued CAST for intentional infliction of
    emotional distress, spoliation of evidence, and loss of consortium. The Sands sued
    West Chester Hospital/UC Health for negligence, vicarious liability, negligent hiring,
    credentialing, supervision and retention, fraud, intentional infliction of emotional
    distress, spoliation of evidence, and loss of consortium.
    {¶11} On November 25, 2015, the Sands voluntarily dismissed their
    complaint filed in the Butler County Court of Common Pleas under Civ.R.
    41(A)(1)(a), and, on December 9, 2015, filed a similar complaint in the Hamilton
    County Court of Common Pleas. The Sands added more specific factual allegations
    based upon discovery disclosed in the Butler County case, and added a claim against
    Dr. Durrani for lack of informed consent and claims against CAST for vicarious
    liability, and negligent hiring, credentialing, supervision and retention.
    {¶12} Asserting the same arguments from Wilson’s case, Dr. Durrani and
    CAST, and West Chester Hospital/UC Health moved separately for judgment on the
    pleadings. The Sands moved to amend their complaint to elaborate on the fraud
    claims and to add a RICO claim. The trial court entered decisions granting the
    motions for judgment on the pleadings and denying the Sands’ motion for leave to
    amend their complaint.
    {¶13} Wilson and the Sands now appeal, asserting the same two assignments
    of error for review.
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    OHIO FIRST DISTRICT COURT OF APPEALS
    II. Legal Analysis
    {¶14} In their first assignment of error, the appellants assert that the trial
    court erred in granting judgment on the pleadings, arguing that Ohio’s saving
    statute, R.C. 2305.19(A), allows their claims to survive beyond the expiration of the
    four-year medical malpractice statute of repose, R.C. 2305.113(C). The appellants
    also argue that the trial court misapplied Antoon v. Cleveland Clinic Found., 
    148 Ohio St. 3d 483
    , 2016-Ohio-7432, 
    71 N.E.3d 974
    , when it determined that the
    voluntary dismissal of their Butler County complaints precluded the filing of their
    Hamilton County complaints when the later filings were outside of the four-year time
    period.
    {¶15} In order to grant a judgment on the pleadings, “the trial court must
    construe the material allegations in the complaint, as well as reasonable inferences
    arising from them, in favor of the plaintiff and conclude beyond a doubt that the
    plaintiff can show no set of facts that would entitle him to relief.” (Internal citations
    omitted.) Euvrard v. The Christ Hosp., 
    141 Ohio App. 3d 572
    , 575, 
    752 N.E.2d 326
    ,
    329 (1st Dist.2001).     Our review is de novo, which requires an independent
    determination of whether judgment has properly been entered as a matter of law. 
    Id. Statute of
    Repose
    {¶16} A statute of repose bars “any suit that is brought after a specified time
    since the defendant acted * * * even if this period ends before the plaintiff has
    suffered a resulting injury.”    Antoon, 
    148 Ohio St. 3d 483
    , 2016-Ohio-7432, 
    71 N.E.3d 974
    , at ¶ 8, quoting Black’s Law Dictionary 1637 (10th Ed.2014).               By
    contrast, a statute of limitations establishes “a time limit for suing in a civil case,
    based on the date when the claim accrued (as when the injury occurred or was
    discovered).” 
    Id., quoting Black’s
    Law Dictionary 1636 (10th Ed.2014). While both
    share the “goal of limiting the time for which a putative wrongdoer must be prepared
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    OHIO FIRST DISTRICT COURT OF APPEALS
    to defend a claim,” a statute of repose measures this liability from the date of the last
    culpable act. 
    Id., citing CTS
    Corp. v. Waldburger, 
    573 U.S. 1
    , 8, 
    134 S. Ct. 2175
    , 
    189 L. Ed. 2d 62
    (2014).
    {¶17} Ohio’s medical malpractice statute of repose provides:
    Except as to persons within the age of minority or of unsound mind as
    provided by section 2305.16 of the Revised Code, and except as
    provided in division (D) of this section, both of the following apply:
    (1) No action upon a medical, dental, optometric, or chiropractic claim
    shall be commenced more than four years after the occurrence of the
    act or omission constituting the alleged basis of the medical, dental,
    optometric, or chiropractic claim.
    (2) If an action upon a medical, dental, optometric, or chiropractic
    claim is not commenced within four years after the occurrence of the
    act or omission constituting the alleged basis of the medical, dental,
    optometric, or chiropractic claim, then, any action upon that claim is
    barred.
    R.C. 2305.113(C). Under division (D), an additional year to file suit is provided for
    those who could not have discovered the injury within three years but discover it in
    the fourth year, and those with a foreign object left in their bodies. R.C. 2305.113(D).
    {¶18} A medical claim is defined as: “any claim that is asserted in any civil
    action against a physician, * * * [or] hospital * * * that arises out of the medical
    diagnosis, care, or treatment of any person.” R.C. 2305.113(E)(3). It includes the
    following:
    (a) Derivative claims for relief that arise from the medical diagnosis,
    care, or treatment of a person;
    ***
    8
    OHIO FIRST DISTRICT COURT OF APPEALS
    (c) Claims that arise out of the medical diagnosis, care, or treatment of
    any person or claims that arise out of the plan of care prepared for a
    resident of a home and to which both types of claims either of the
    following applies:
    (i) The claim results from acts or omissions in providing medical care.
    (ii) The claim results from the hiring, training, supervision, retention,
    or termination of caregivers providing medical diagnosis, care, or
    treatment.
    
    Id. {¶19} In
    another Durrani case, brought against all but one of these same
    defendants, this court determined that similar claims for negligence, negligent
    credentialing and retention, fraud, and violations of the Ohio Consumer Sales
    Practices Act were “medical claims” subject to the statute of repose.          Young v.
    Durrani, 2016-Ohio-5526, 
    61 N.E.3d 34
    , ¶ 18-25 (1st Dist.).           In that case, we
    concluded that the claims ultimately arose out of the care or treatment of the patient
    and were thus medical claims consistent with the statutory definition. Id.; see also
    Hensley v. Durrani, 1st Dist. Hamilton No. C-130005, 2013-Ohio-4711 (concluding
    that claims for fraud and lack of informed consent were medical claims).
    Accordingly, the claims asserted by the appellants in these consolidated appeals are
    medical claims.
    Saving Statute
    {¶20} Ohio’s saving statute provides:
    In any action that is commenced or attempted to be commenced, if in
    due time a judgment for the plaintiff is reversed or if the plaintiff fails
    otherwise than upon the merits, the plaintiff or, if the plaintiff dies and
    the cause of action survives, the plaintiff’s representative may
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    OHIO FIRST DISTRICT COURT OF APPEALS
    commence a new action within one year after the date of the reversal
    of the judgment or the plaintiff's failure otherwise than upon the
    merits or within the period of the original applicable statute of
    limitations, whichever occurs later. This division applies to any claim
    asserted in any pleading by a defendant.
    R.C. 2305.19(A). Under division (C), the saving statute does not apply to certain
    actions in probate. R.C. 2305.19(C).
    {¶21} Where the saving statute applies, “the date for filing the new action
    relates back to the filing date for the preceding action for limitations purposes.”
    Frysinger v. Leech, 
    32 Ohio St. 3d 38
    , 42, 
    512 N.E.2d 337
    (1987). The Ohio Supreme
    Court has held that, as a remedial statute, the saving statute “should be given a
    liberal construction to permit the decision of cases upon their merits rather than
    upon mere technicalities of procedure.” Cero Realty Corp. v. Am. Mfrs. Mut. Ins.
    Co., 
    171 Ohio St. 82
    , 85, 
    167 N.E.2d 774
    (1960); see Gruelich v. Monnin, 
    142 Ohio St. 113
    , 116, 
    50 N.E.2d 310
    (1943) (holding likewise that a saving statute should be
    liberally construed so as not to deny a litigant the right to commence a new action
    after a previous one has failed otherwise than upon the merits); see also Kinney v.
    Ohio Dept. of Adm. Svcs., 
    30 Ohio App. 3d 123
    , 126, 
    507 N.E.2d 402
    (10th Dist.1986)
    (describing the policy considerations for liberally construing the saving statute to
    apply to a statute of limitations).
    The Saving Statute Applies to Medical Malpractice Claims
    {¶22} In Atwood v. UC Health—incidentally, another Durrani case—the
    court noted that “[i]n several instances, Ohio courts have assumed without any
    discussion that Ohio’s savings statute is applicable to medical malpractice claims.”
    Atwood, S.D.Ohio No. 1:16CV593, 
    2018 WL 3956766
    , at *6. See Saunders v. Choi,
    
    12 Ohio St. 3d 247
    , 250, 
    466 N.E.2d 889
    (1984) (stating that R.C. 2305.19 “provided
    10
    OHIO FIRST DISTRICT COURT OF APPEALS
    [the] appellant with another opportunity to revive her cause of action which would
    have been otherwise time-barred, but for this savings provision.”); Frysinger, 
    32 Ohio St. 3d 38
    , 
    512 N.E.2d 337
    (holding that R.C. 2305.19 applied to save a medical-
    malpractice action dismissed under Civ.R. 41(A)(1)(a)); Rall v. Arora, 3d Dist.
    Marion No. 9-12-56, 2013-Ohio-1392, ¶ 20 (concluding that R.C. 2305.19 could not
    save medical-malpractice claims in plaintiffs’ third complaint as the saving statute
    can only be used once).
    {¶23} This was also true for Antoon, 
    148 Ohio St. 3d 483
    , 2016-Ohio-7432,
    
    71 N.E.3d 974
    . The Ohio Supreme Court assumed that the saving statute applied to
    medical claims in Antoon, but specifically declined to go into further discussion due
    to the facts presented. In Antoon, the court upheld the constitutionality of the
    medical malpractice statute of repose, reaffirming its earlier position in Ruther v.
    Kaiser, 
    134 Ohio St. 3d 408
    , 2012-Ohio-5686, 
    983 N.E.2d 291
    . In Ruther, the court
    explained that R.C. 2305.113(C) is “a true statute of repose,” which “ ‘exists to give
    medical providers certainty with respect to the time within which a claim can be
    brought and a time after which they may be free from the fear of litigation.’ ” Antoon
    at ¶ 22, quoting Ruther at ¶ 19. The court reasoned that otherwise, “ ‘if the General
    Assembly cannot legislate a statute of repose, medical providers are left with the
    possibility of unlimited liability indefinitely.’ ” 
    Id. Ultimately, the
    court held the
    four-year expiration permissible because “a party need not be granted an unlimited
    amount of time to bring a vested cause of action, but must receive only a ‘reasonable’
    amount of time in order for a law to pass constitutional muster.” (Internal citations
    omitted.) Antoon at ¶ 28.
    {¶24} The plaintiffs in Antoon had originally filed their complaint in the
    Cuyahoga County Court of Common Pleas in 2010 alleging medical malpractice and
    derivative claims against a clinic and the doctors who provided them care in 2008. A
    11
    OHIO FIRST DISTRICT COURT OF APPEALS
    year later, the plaintiffs dismissed their claims without prejudice. While the case was
    pending, the plaintiffs filed a number of actions in federal court and with federal
    agencies—all related to the surgeries, but not alleging medical malpractice and not
    seeking damages.     The federal claims were eventually dismissed.         In 2013, the
    plaintiffs refiled their complaint in the Cuyahoga County Court of Common Pleas,
    again alleging medical malpractice.
    {¶25} The court found the plaintiffs’ claims barred by the statute of repose,
    rejecting the plaintiffs’ assertion that “filing then dismissing a claim will indefinitely
    suspend the statute of repose by ‘commencing’ the suit on the date of the first filing.”
    
    Id. at ¶
    24. Rather, no action “commenced” until the complaint was filed in 2013,
    more than four years after the act or omission constituting the alleged basis of the
    medical claim. In clarifying this holding, and reserving judgment on the issue now
    before us, the court reiterated that “the Ohio saving statute applies only if a party
    files a substantially similar action within one year of the dismissal without
    prejudice.” 
    Id. at ¶
    31, citing Children’s Hosp. v. Ohio Dept. of Pub. Welfare, 69 Ohio
    St.2d 523, 525, 
    433 N.E.2d 187
    (1982). Because the plaintiffs’ federal actions did not
    expressly assert medical-malpractice claims, they were not “substantially the same”
    as the state court action, and the saving statute did not apply. 
    Id. at ¶
    32.
    {¶26} In the cases before us, by contrast, the appellants’ claims in their
    Butler County complaints and their Hamilton County complaints are nearly
    identical.   The appellants merely added a claim against Dr. Durrani for lack of
    informed consent to the surgeries, and, in the Sands’ case, added claims against
    CAST for vicarious liability and negligent hiring, and, in Wilson’s case, added claims
    against West Chester Hospital/UC Health for violations of the Ohio Consumer Sales
    Practices Act. All of the parties named in the voluntarily-dismissed Butler County
    complaints were named again in the Hamilton County complaints—that is, every
    12
    OHIO FIRST DISTRICT COURT OF APPEALS
    party named in the appellants’ new actions had been put on notice in the initial
    action. Thus, the appellants avoided the allegation that their complaints were not
    substantially the same.
    {¶27} However, the trial court, citing to Antoon, determined that the
    appellants’ voluntary dismissal of their Butler County complaints pursuant to Civ.R.
    41 meant the action was a nullity and was not to be considered for purposes of the
    four-year computation under the statute of repose. Antoon indeed states, in applying
    the statute of repose, that an action that has been dismissed without prejudice is
    deemed to never have existed. Antoon at ¶ 24, citing De Ville Photography, Inc. v.
    Bowers, 
    169 Ohio St. 267
    , 272, 
    159 N.E.2d 443
    (1959). This statement was in
    reference to the plaintiffs’ argument that filing and then dismissing a claim will
    indefinitely suspend the statute of repose by “commencing” the suit on the date of
    the first filing—it was not in reference to the saving statute. After all, the saving
    statute could effectively never apply if an action that has been dismissed without
    prejudice is deemed to never have existed: the filing date for the new action could not
    relate back to the filing date for the preceding action if the preceding action was
    considered a nullity.
    {¶28} Only one appellate court has addressed the application of the saving
    statute to medical claims in light of the statute of repose. Wade v. Reynolds, 34 Ohio
    App.3d 61, 
    517 N.E.2d 227
    (10th Dist.1986), involved an earlier version of the statute
    of repose, which applied to medical claims “regardless of legal disability and
    notwithstanding section 2305.16 of the Revised Code.” In Wade, the plaintiff timely
    filed her complaint for medical malpractice on October 31, 1980. The complaint was
    dismissed for reasons other than failure upon the merits on March 21, 1984, and was
    then refiled on March 21, 1985. The Tenth District determined that because the
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    OHIO FIRST DISTRICT COURT OF APPEALS
    statute of repose contained enumerated exceptions which did not include the saving
    statute, the saving statute must apply to save the plaintiff’s claim. 
    Id. at 62.
    {¶29} Atwood pointed out, however, that “[t]he express exceptions, or lack
    thereof, say little about legislative intent.” Atwood, S.D.Ohio No. 1:16CV593, 
    2018 WL 3956766
    , at *7. Quoting a decision critical of Wade from the United States Court
    of Appeals for the Seventh Circuit, the court noted that the exceptions rationale
    “‘could have just as easily cut the other way’ ” because the “ ‘legislature apparently
    knew how to write exceptions into [the statute of repose], but failed to except the
    saving statute.’ ” 
    Id., quoting Hinkle
    by Hinkle v. Henderson, 
    85 F.3d 298
    , 304 (7th
    Cir.1996). Dr. Durrani and CAST made the argument in Atwood, as they do here,
    that the statute of repose for product-liability claims, R.C. 2305.10(C)(1), contains a
    specific exception for the saving statute. The Atwood court responded that in 2009
    the General Assembly added exceptions to the saving statute, explicitly stating that
    the saving statute does not apply to certain probate proceedings. Atwood at *7. In
    other words, just as the legislature could have included the saving statute as an
    exception in the statute of repose, the legislature could have included the statute of
    repose as an exception in the saving statute—but unfortunately, it did neither. Thus,
    we likewise find arguments regarding legislative intent unpersuasive.
    {¶30} While legislative intent is indeterminate, the policy considerations are
    not. As Judge Barrett noted in Atwood, the Ohio Supreme Court has explained that
    “the General Assembly made a policy decision to grant Ohio medical providers the
    right to be free from litigation based on alleged acts of medical negligence occurring
    outside a specified time period.” Ruther, 
    134 Ohio St. 3d 408
    , 2012-Ohio-5686, 
    983 N.E.2d 291
    , at ¶ 21.     The medical malpractice statute of repose gives “medical
    providers certainty with respect to the time within which a claim can be brought and
    a time after which they may be free from the fear of litigation.” 
    Id. at ¶
    19.
    14
    OHIO FIRST DISTRICT COURT OF APPEALS
    Forcing medical providers to defend against medical claims that
    occurred 10, 20, or 50 years before presents a host of litigation
    concerns, including the risk that evidence is unavailable through the
    death or unknown whereabouts of witnesses, the possibility that
    pertinent documents were not retained, the likelihood that evidence
    would be untrustworthy due to faded memories, the potential that
    technology may have changed to create a different and more stringent
    standard of care not applicable to the earlier time, the risk that the
    medical providers’ financial circumstances may have changed—i.e.,
    that practitioners have retired and no longer carry liability insurance,
    the possibility that a practitioner’s insurer has become insolvent, and
    the risk that the institutional medical provider may have closed.
    
    Id. at ¶
    19-20. Thus, the two goals of the statute of repose are “to eliminate indefinite
    potential liability and to give defendants greater certainty and predictability.” Hinkle
    by 
    Hinkle, 85 F.3d at 303
    .
    {¶31} These policy considerations are not at odds with those of the saving
    statute. As discussed above, the saving statute is given a liberal construction to
    permit the decision of cases upon their merits rather than technicalities. Since the
    saving statute is only available to plaintiffs who timely commenced their claims, the
    statute is compatible with the first goal of the statute of repose—at most, extending
    the statute of repose by one year. With regard to the second goal, certainty and
    predictability are only affected where the defendant is unaware that the first action
    was filed. 
    Id. Where the
    defendant knows that plaintiff has brought an action,
    usually from receiving service, he must be presumed to understand
    that a procedural defect in the action may cause a delay of up to one
    15
    OHIO FIRST DISTRICT COURT OF APPEALS
    year pursuant to the savings statute.          In such a case, his level of
    certainty and predictability is no less than in any other litigated
    matter, and the purpose of the statute of repose is still realized.
    (Internal citations omitted.) 
    Id. Accordingly, we
    conclude that the saving statute,
    properly invoked, allows actions to survive beyond expiration of the medical
    malpractice statute of repose.1
    {¶32} The appeals before us are perhaps a better illustration of the policy
    considerations for the application of the saving statute than the statute of repose.
    These appeals involve the same plaintiffs suing the same defendants for almost
    identical causes of action in complaints that were voluntarily dismissed in one
    jurisdiction and filed in another jurisdiction in five days’ time, in Wilson’s case, and
    15 days’ time, in the Sands’ case. While restricting indefinite liability is a reasonable
    policy consideration, it was barely a consideration of the defendants here, who knew
    they were being sued in a timely-filed action in Butler County. And, as far as
    certainty and predictability go, the same is true. The defendants knew the plaintiffs
    brought actions against them, as they were evidently served the complaints and had
    engaged in discovery in the actions maintained in Butler County. Consequently, as
    the resolution of cases upon technicalities of procedure is disfavored, see Cero Realty
    Corp., 
    171 Ohio St. 82
    , 
    167 N.E.2d 774
    , we hold that the saving statute applies to save
    the appellants’ claims and sustain the appellants’ first assignment of error.
    {¶33} Finally, in their second assignment of error, the appellants assert that
    the trial court erred in denying their motions for leave to file amended complaints.
    1 We note that this case is different from the recently-decided case of Freeman v. Durrani, 1st
    Dist. Hamilton No. C-180197, 2019-Ohio-3643, wherein this court was asked to create a fraud
    exception and equitable-estoppel exception to Ohio’s medical malpractice statute of repose but
    refused. In this case, unlike Freeman, we are tasked with harmonizing coexisting statutes that do
    not definitively speak to the question at hand. The only harmonious construction that does not
    frustrate the purpose of either statute is to create a saving-statute exception to the medical
    malpractice statute of repose.
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    OHIO FIRST DISTRICT COURT OF APPEALS
    The trial court denied the appellants leave on the basis that their amendments would
    be futile as time barred under the medical malpractice statute of repose. In light of
    the preceding analysis, we sustain the appellants’ second assignment of error and
    remand for further consideration of the motions for leave.
    Conclusion
    {¶34} We sustain the appellants’ first and second assignments of error,
    reverse the trial court’s judgments, and remand the cause for further proceedings
    consistent with the law and this opinion.
    Judgments reversed and cause remanded.
    BERGERON and CROUSE, JJ., concur.
    Please note:
    The court has recorded its own entry on the date of the release of this opinion.
    17