[Cite as Lloyd v. Cleveland Clinic Found., 2019-Ohio-1885.]

Court of Appeals of Ohio

EIGHTH APPELLATE DISTRICT 

COUNTY OF CUYAHOGA 

JOURNAL ENTRY AND OPINION 

No. 107214

SUSAN LLOYD 

PLAINTIFF -APPELLANT 

vs. 

CLEVELAND CLINIC FOUNDATION, ET AL. 

DEFENDANTS-APPELLEES 

JUDGMENT: 

AFFIRMED 

Civil Appeal from the 

Cuyahoga County Court of Common Pleas 

Case No. CV-17-884999 

BEFORE: Kilbane, A.J., Boyle, J., and Headen, J. 

RELEASED AND JOURNALIZED: May 16, 2019 
APPELLANT 

Susan Lloyd 

P.O. Box 2577 

Streetsboro, Ohio 44241 

ATTORNEYS FOR APPELLEES 

Tammi J. Lees 

Leighann K. Fink 

Roetzel & Andress, L.P.A. 

222 South Main Street, Suite 400 

Akron, Ohio 44308 
MARY EILEEN KILBANE, A.J.: 

{¶1} Plaintiff-appellant, Susan Lloyd (“Lloyd”), pro se, appeals from the trial 

court’s decision granting summary judgment in favor of defendants-appellants, The 

Cleveland Clinic Foundation, Cleveland Clinic Health Systems, Cleveland Clinic Solon 

Family Health Center, and Todd Richards, PA (collectively referred to as “defendants”). 

For the reasons set forth below, we affirm. 

{¶2} In August 2017, Lloyd, pro se, filed a complaint against defendants alleging 

claims for defamation, disability discrimination, and intentional infliction of emotional 

distress (“IIED”). The claims arise from Lloyd’s August 26, 2016 visit to the Cleveland 

Clinic Express Care Clinic located in the Solon Family Health Center. On that day, 

Lloyd was treated by Todd Richards, PA (“Richards”), a Physician Assistant with The 

Cleveland Clinic Foundation (“CCF”). Lloyd complained that she had “foam in her 

urine.” She also brought her two service dogs to the visit, which she kept in a pet 

stroller. Richards examined Lloyd and ordered a urinalysis, neither of which provided 

him with adequate information to determine the cause of Lloyd’s complaint. Richards 

made recommendations, including a follow-up appointment with Lloyd’s primary care 

physician for further evaluation. 

{¶3} During the visit, Lloyd told Richards that she felt unsafe at home due to her 

neighbor’s threats to kill her, which were posted on Facebook. Richards then suggested 

that Lloyd to go to the Emergency Department (“ED”), which had resources to assist 

patients who feel unsafe at home. Lloyd did not want to go to the ED and Richards, with 
the assistance of Deborah Stack, RN (“Stack”), eventually arranged for Lloyd to stay with 

her friend and emergency contact. Following Lloyd’s visit, Richards created a Progress 

Note summarizing the visit. 

{¶4} With regard to her defamation claim, Lloyd alleges that an unidentified 

CCF employees made defamatory statements on Facebook and CCF employees Rose 

Ewell-Bencie, Anthony Batone, and Richards made defamatory statements about her. 

With regard to her discrimination, Lloyd alleges that defendants discriminated against her 

by not providing the same quality of care as someone who does not own service dogs. 

She alleges that Richard’s statement that she brought “her two dogs with her in a baby 

stroller because she is ‘afraid that the neighbors will kill them”’ was discriminatory. 

With regard to her IIED claim, Lloyd alleges that defendants “maliciously allowed their 

employees and continue to allow their employees to write offensive defamatory 

comments on social media knowing this will cause Plaintiff injury.” 

{¶5} Prior to defendants moving for summary judgment, Lloyd filed several 

motions, including a motion to compel discovery, a motion for sanctions, and a motion to 

disqualify defendants’ attorney. The motion to compel sought to compel defendants’ 

responses to Lloyd’s written discovery. Lloyd’s motion to disqualify was based upon 

Lloyd’s allegation that defendants’ law firm and one of Lloyd’s alleged fact witnesses, 

Brett McClafferty (“McClafferty”), were affiliated because of posts on McClafferty’s 

social media pages. Defendants opposed both motions, arguing that it served Lloyd with 

discovery and Lloyd lacked standing to request disqualification because: she was never a 
client of defendants’ law firm or attorney; there was never an attorney-client relationship 

between McClafferty and defendants’ law firm and attorney; and McClafferty did not 

have a relationship with the law firm. Defendants included with their opposition an 

affidavit and a copy of a cease and desist letter sent by the law firm’s general counsel to 

McClafferty, demanding that he remove any references to an alleged affiliation with the 

law firm from all of the websites and publications cited in Lloyd’s motion. 

{¶6} The trial court held a telephone conference on the motions. Following the 

telephone conference, the trial court denied, in part, and granted, in part, Lloyd’s motion 

to compel discovery by ordering the CCF to “forward any other relevant policies to 

[Lloyd] after an inquiry.” The court denied Lloyd’s motion to disqualify in its entirety 

and ordered Lloyd to provide defendants with a description of all alleged defamatory 

statements that formed the factual basis for her defamation claim. 

{¶7} In an email to defendants’ attorney, Lloyd listed the alleged defamatory 

statements that formed the basis of her defamation claim, which were taken from 

Richard’s Progress Note and were part of Lloyd’s medical records. She also alleged 

Stack defamed her as well to Portage Job and Family Services. In particular, she stated 

that Richards made the following defamatory statements: 

[Lloyd] has “feared” complaint when in reality [Lloyd] had true foamy 

urine with history of excess protein in urine diagnosed at Cleveland Clinic. 

These records were all accessible to Defendants on August 26 2016. 

Stated gang has plans to poison [Lloyd] when in reality [Lloyd] stated her 

neighbor has an entire Facebook page with threat[s] to kill her, blow up her 

house, etc and [Lloyd] told staff that she had these Facebook pages in her 

possession. Nobody would look at them. [Lloyd] never stated anything 
about plans to poison her and there are no threats online in regards to 

[Lloyd] being poisoned. 

[Richards] states that [Lloyd’s] primary Priti Mehta states [Lloyd] has many 

medical complaints which were not to be substantiated medically. Dr 

Mehta adamantly denies this and [Richards] had [Lloyd’s] entire 6 year[s] 

of medical records which adamantly dispute this statement. 

[Richards] states [Lloyd] brings her dogs in baby stroller because she is 

afraid the neighbors will kill them. When in reality [Lloyd’s] dogs are 

licensed in the state of Ohio as service dogs and were in [Gen7] pet stroller 

all of which [Lloyd] explained on arrival. [Lloyd] always shows her Ohio 

tags and state [Lloyd’s] dogs are service dogs. [Lloyd’s] dogs have gone to 

almost every appointment at the Cleveland Clinic and [Lloyd] never had 

any prior issues. 

[Richards] states she wears construction grade face mask because [Lloyd] is 

afraid she may catch something when in reality [Lloyd] was told by her 

Cleveland Clinic Pulmonologists and Immunologists to wear a mask due to 

her asthma and immune deficiency. In fact people were smoking outside in 

Cleveland Clinic smoke free campus. Cigarette smoke is [Lloyd’s] number 

one cause of her asthma and angina and the main reason why she must wear 

a mask. 

[Richards] spoke to Joanne Solak who confirmed what [Lloyd] stated and 

that the threats against [Lloyd] were legitimate and Joanne seemed reliable. 

Stated [Lloyd] needed psychological evaluation and had mental issues. 

Todd Richards defamed [Lloyd] anyway[.] 

{¶8} Lloyd also filed two motions seeking leave to file an amended complaint to 

add Stack as an additional defendant. Defendants opposed both because of procedural 

deficiencies by Lloyd. The trial court denied both motions. 

{¶9} Thereafter, defendants moved for summary judgment and moved to file under 

seal exhibit B (the Progress Note) to their motion for summary judgment. Lloyd opposed 

defendants’ motion, arguing that since she attached the Progress Note to her complaint, 
there is no reason to seal these records now. As a result, defendants withdrew the motion 

to file the Progress Note under seal and submitted a notice of filing exhibit B to the 

motion for summary judgment. Lloyd filed a brief in opposition to defendants’ motion 

for summary judgment. The trial court granted the defendants’ motion, finding that no 

genuine issues of material fact exist. 

{¶10} Lloyd now appeals, raising the following seven assignments of error for 

review, which shall be discussed together where appropriate. 

Assignment of Error One 

The [trial] court committed reversible error by dismissing [Lloyd’s] case 

with prejudice and granting defendants’ motion for summary judgment after 

[Lloyd] submitted sufficient evidence to establish a genuine material fact 

exists. 

Assignment of Error Two 

The [trial] court committed reversible error by allowing defendants and 

their attorneys to commit perjury[.] 

Assignment of Error Three 

The [trial] court committed reversible error by denying [Lloyd’s] motion to 

amend her complaint and to add on [Stack]. 

Assignment of Error Four 

The [trial] court committed reversible error by refusing to force defendants 

to comply with discovery[.] 

Assignment of Error Five 

The [trial] court committed reversible error by stating Lloyd did not present 

enough evidence to establish defamation. 

Assignment of Error Six 
The [trial] court committed reversible error by stating Lloyd did not present 

enough evidence to establish disability discrimination. 

Assignment of Error Seven 

The [trial] court erred by stating Lloyd did not present enough evidence to 

establish intentional infliction of emotional distress[.] 

Motion for Summary Judgment 

{¶11} In the first, fifth, sixth, and seventh assignments of error, Lloyd argues that 

the trial court’s grant of defendants’ motion for summary judgment was improper. 

{¶12} We review an appeal from summary judgment under a de novo standard of 

review. Grafton v. Ohio Edison Co., 77 Ohio St.3d 102, 105, 1996-Ohio-336, 671 

N.E.2d 241; Zemcik v. LaPine Truck Sales & Equip. Co., 124 Ohio App.3d 581, 585, 706 

N.E.2d 860 (8th Dist.1998). In Zivich v. Mentor Soccer Club, 82 Ohio St.3d 367, 

369-370, 1998-Ohio-389, 696 N.E.2d 201, the Ohio Supreme Court set forth the 

appropriate test as follows: 

Pursuant to Civ.R. 56, summary judgment is appropriate when (1) there is 

no genuine issue of material fact, (2) the moving party is entitled to 

judgment as a matter of law, and (3) reasonable minds can come to but one 

conclusion and that conclusion is adverse to the nonmoving party, said party 

being entitled to have the evidence construed most strongly in his favor. 

Horton v. Harwick Chem. Corp., 73 Ohio St.3d 679, 1995-Ohio-286, 653 

N.E.2d 1196, paragraph three of the syllabus. The party moving for 

summary judgment bears the burden of showing that there is no genuine 

issue of material fact and that it is entitled to judgment as a matter of law. 

Dresher v. Burt, 75 Ohio St.3d 280, 292-293, 1996-Ohio-107, 662 N.E.2d 

264. 

{¶13} Once the moving party satisfies its burden, the nonmoving party “may not 

rest upon the mere allegations or denials of the party’s pleadings, but the party’s response, 
by affidavit or as otherwise provided in this rule, must set forth specific facts showing 

that there is a genuine issue for trial.” Civ.R. 56(E); Mootispaw v. Eckstein, 76 Ohio 

St.3d 383, 385, 1996-Ohio-389, 667 N.E.2d 1197. Doubts must be resolved in favor of 

the nonmoving party. Murphy v. Reynoldsburg, 65 Ohio St.3d 356, 358-359, 

1992-Ohio-95, 604 N.E.2d 138. 

{¶14} To establish an IIED claim, the plaintiff must demonstrate that: 1) the 

defendant intended to cause the plaintiff serious emotional distress; 2) the defendant’s 

conduct was extreme and outrageous; and 3) the defendant’s conduct was the proximate 

cause of plaintiff’s serious emotional distress. Phung v. Waste Mgt., Inc., 71 Ohio St.3d 

408, 410, 1994-Ohio-389, 644 N.E.2d 286. Extreme and outrageous conduct is conduct 

that goes beyond all possible bounds of decency and is so atrocious that it is “utterly 

intolerable in a civilized community.” Yeager v. Local Union 20, 6 Ohio St.3d 369, 375, 

453 N.E.2d 666 (1983). “Mere insults, indignities, threats, annoyances, petty 

oppressions, or other trivialities” are insufficient to sustain a claim for relief.” Id.

{¶15} With regard to Lloyd’s defamation claims, we note that defamation is a 

“false publication that injures a person’s reputation, exposes him to public hatred, 

contempt, ridicule, shame or disgrace; or affects him adversely in his trade or business.” 

Kanjuka v. MetroHealth Med. Ctr., 151 Ohio App.3d 183, 2002-Ohio-6803, 783 N.E.2d 

920, ¶ 15 (8th Dist.). To prevail on her defamation claim, Lloyd must prove five 

elements: “‘1) a false statement; 2) about the plaintiff; 3) published to a third party; 4) 

with the required degree of fault by the defendant publisher; and 5) defamatory per se or 
defamatory per quod, causing special harm to the plaintiff.’” Garofolo v. Fairview Park, 

8th Dist. Cuyahoga Nos. 92283 and 93021, 2009-Ohio-6456, ¶ 17, quoting Lynch v. 

Studebaker, 8th Dist. Cuyahoga No. 88117, 2007-Ohio-4014. 

“Defamation per se means that the defamation ‘is accomplished by the very 

words spoken.’ * * * Defamation per quod means that a statement with an 

apparently innocent meaning becomes defamatory through interpretation or 

innuendo. * * * In order for a statement to be defamatory per se, it must 

‘consist of words which import an indictable criminal offense involving 

moral turpitude or infamous punishment, imputes some loathsome or 

contagious disease which excludes one from society or tends to injure one 

in his trade or occupation.’ * * * With defamation per se, damages and 

actual malice are presumed. With defamation per quod, the plaintiff must 

plead and prove special damages resulting from the defamatory statements.” 

Kanjuka at ¶ 16, quoting McCartney v. Oblates of St. Francis De Sales, 80 Ohio App.3d 

345, 609 N.E.2d 216 (6th Dist.1992). Truth, however, is an absolute defense to a 

defamation claim. R.C. 2739.02. 

{¶16} In the instant case, Lloyd cannot prove the elements necessary to establish 

her claims of defamation or intentional infliction of emotional distress. In order to 

establish a prima facie case of defamation, Lloyd must establish the utterance of a 

defamatory statement that is published “to a third person for which defendant is 

responsible, the recipient’s understanding of the defamatory meaning, and its actionable 

character.” Hahn v. Kotten, 43 Ohio St.2d 237, 243, 331 N.E.2d 713 (1975). Lloyd’s 

alleged defamatory statements in the Progress Note were not defamatory because they 

were not subject to publication. Statements made about a patient in a medical record do 

not constitute a publication because such records are confidential under the Health 
Insurance Portability and Accountability Act. Outlaw v. Werner, 8th Dist. Cuyahoga No. 

92297, 2009-Ohio-2362, ¶ 26, citing 45 C.F.R. 164.508. 

{¶17} Here, there is no evidence to establish that the defendants published the 

Progress Note to a third party outside the CCF system. Lloyd’s medical records — the 

Progress Note — were published when she attached it as an exhibit to her complaint. 

Defendants attempted to file this Progress Note under seal, but Lloyd opposed arguing 

that since she attached the Progress Note to her complaint, there is no reason to seal these 

records. Without the CCF’s publication to a third party, Lloyd did not establish her 

defamation claim. Moreover, Lloyd failed to demonstrate that the statements were false.1

 

{¶18} With regard to her IIED claim, Lloyd did not demonstrate that any employee 

of CCF engaged in “extreme or outrageous” conduct as a matter of law. She did not 

present any evidence to show that Richards intended to cause her serious emotional 

distress, or that he acted “beyond all possible bounds of decency” by exhibiting conduct 

that was so atrocious that it is utterly intolerable in a civilized community. Yeager, 6 

Ohio St.3d at 375, 453 N.E.2d 666. Additionally, there is no evidence that Lloyd 

actually suffered serious emotional distress, which must be “severe and debilitating” to 

 1

We note that “[d]efamatory statements are conditionally privileged if they pertain to or are 

motivated by the existence of some special relationship such as the family, lawyer-client, 

doctor-patient, or insurer-insured relationship. It is generally accepted as appropriate and desirable 

that one will take steps to protect the interests of another with whom he shares such a relationship.” 

Hahn, 43 Ohio St. 2d at 247, 331 N.E.2d 713. If qualified privilege is demonstrated, then the 

plaintiff must demonstrate express malice, which is ill will, hatred, revenge, or wanton and reckless 

disregard for the truth on the defendant's part. Id. at 248.
withstand summary judgment. Paugh v. Hanks, 6 Ohio St.3d 72, 78, 451 N.E.2d 759 

(1983), citing Schultz v. Barberton Glass Co., 4 Ohio St.3d 131 447 N.E.2d 109 (1983). 

{¶19} Accordingly, the trial court properly granted summary judgment on Lloyd’s 

defamation and IIED claims. 

{¶20} The trial court also acted properly in granting summary judgment on Lloyd’s 

disability discrimination claim. Under Ohio Adm. Code 4112-5-06(A)(2), “[i]t shall 

constitute unlawful discrimination * * * for any facility which is a place of public 

accommodation to * * * [d]eny any disabled person any term, condition, privilege, service 

or advantage which, upon entrance to such facility, accrues to the public in general.” 

Similarly, the Americans with Disabilities Act states, “[n]o individual shall be 

discriminated against on the basis of disability in the full and equal enjoyment of the 

goods, services, facilities, privileges, advantages, or accommodations of any place of 

public accommodation by any person who owns, leases (or leases to), or operates a place 

of public accommodation.” 42 U.S.C. 12182. 

{¶21} Lloyd alleges in her complaint that she did not receive the same quality of 

care as someone who does not own a service dog. She bases this allegation on 

Richards’s statements in her Progress Note that Lloyd’s dogs were there because she 

indicated was afraid that her neighbor was going to kill them and that she has them in a 

baby stroller. 

{¶22} These statements do not constitute discrimination in providing equal access 

to public accommodations under the applicable statutes. Morever, Lloyd did not provide 
any evidence to establish that she did not receive the same level of services that ordinarily 

would be provided by the CCF to a patient with similar symptoms. Lloyd did not submit 

any expert medical opinions to establish that she received inadequate care from Richards. 

 As a result, the trial court properly granted summary judgment on the disability 

discrimination claim. 

{¶23} Accordingly, the first, fifth, sixth, and seventh assignments of error are 

overruled. 

Motion for Sanctions 

{¶24} In the second assignment of error, Lloyd argues the trial court’s denial of 

her motion for sanctions was improper. 

{¶25} Generally, appellate courts apply an abuse of discretion standard of review 

to a trial court’s decision to grant or deny a motion for sanctions. Heaton v. Fort Motor 

Co., 8th Dist. Cuyahoga No. 194636, 2017-Ohio-7479, ¶ 27. 

{¶26} Lloyd argues for the first time on appeal that defendants’ attorney 

committed perjury warranting sanctions. We cannot consider this argument, however, 

because it was not raised in the trial court proceedings below. It is well-established that 

“[a]rguments raised for the first time on appeal are generally barred.” Cawley JV, L.L.C. 

v. Wall St. Recycling L.L.C., 2015-Ohio-1846, 35 N.E.3d 30, ¶ 17 (8th Dist.). 

“Such arguments are barred by the doctrine of waiver for failure to raise 

these arguments before the trial court. ‘It is well established that a party 

cannot raise any new issues or legal theories for the first time on appeal.’ 

Dolan v. Dolan, Trumbull App. Nos. 2000-T-0154 and 2001-T-0003, 

2002-Ohio-2440, at ¶ 7, citing Stores Realty Co. v. Cleveland (1975), 41 

Ohio St.2d 41, 43, 322 N.E.2d 629. ‘Litigants must not be permitted to 
hold their arguments in reserve for appeal, thus evading the trial court 

process.’ Mark v. Mellott Mfg. Co., Inc. (1995), 106 Ohio App.3d 571, 

589, 666 N.E.2d 631.” 

Cawley JV at ¶ 17, quoting Hollish v. Maners, 5th Dist. Knox No. 2011CA000005, 

2011-Ohio-4823, ¶ 44, quoting Carrico v. Drake Constr., 5th Dist. Stark No. 

2005CA00201, 2006-Ohio-3138, ¶ 37. 

{¶27} Lloyd did allege in her motion for sanctions that Richards and Stack 

committed perjury in the affidavits filed in support of defendants’ summary judgment 

motion. In making this allegation, however, Lloyd does not set forth any evidence to 

prove that any statements in these affidavits were false. An accusation of perjury is 

insufficient to establish that an affidavit is false, where there is no objective evidence, 

other than Lloyd’s unsubstantiated allegations, to prove that the affidavits were false. 

Based on the foregoing, the trial court clearly did not abuse its discretion when it denied 

Lloyd’s motion for sanctions. 

{¶28} Therefore, the second assignment of error is overruled. 

Motion to Amend Complaint. 

{¶29} In the third assignment of error, Lloyd argues that the trial court impoperly 

denied her motion to amend her complaint. 

{¶30} Civ.R.15(A) provides that a 

party may amend its pleading once as a matter of course within twenty-eight 

days after serving it or, if the pleading is one to which a responsive pleading 

is required within twenty-eight days after service of a responsive pleading 

or twenty-eight days after service of a motion under Civ.R. 12(B), (E), or 

(F), whichever is earlier. 
{¶31} The decision of whether to grant a motion for leave to amend a pleading is 

within the discretion of the trial court. Turner v. Cent. Local School Dist., 85 Ohio St.3d 

95, 99, 1999-Ohio-207, 706 N.E.2d 1261, citing Wilmington Steel Prods., Inc. v. 

Cleveland Elec. Illum. Co., 60 Ohio St.3d 120, 573 N.E.2d 622 (1991). We will not 

overturn a trial court’s ruling on a motion to amend a pleading without first determining 

that the court abused its discretion. Id. 

{¶32} Lloyd filed two separate motions to amend her complaint. The first motion 

consisted of a single paragraph. Lloyd did not state with particularity the substance of 

the proposed amendment or otherwise provide the trial court with a sufficient factual or 

legal basis for her proposed amended complaint. Defendants opposed the motion the 

same day it was filed. The next day, Lloyd filed her second motion to amend her 

complaint. This time she included with her single paragraph a copy of her amended 

complaint, adding Stack as a defendant. On the same day that defendants opposed this 

motion, the trial court denied both of Lloyd’s motions. 

{¶33} In the instant case, Lloyd did not identify the purpose of amending her 

complaint in either motion, nor did she provide the court with sufficient basis to grant her 

leave to file an amended complaint. We note that while Civ.R. 15(A) allows for liberal 

amendment, there must be some valid, good faith basis for the amendment. Peterson v. 

Teodosio, 34 Ohio St.2d 161, 175, 297 N.E.2d 113 (1973). Since Lloyd did not set forth 

any information in her single paragraph motion that led the trial court to conclude that she 
has an actionable claim, the trial court properly denied both motions to amend the 

complaint. 

{¶34} Accordingly, the third assignment of error is overruled. 

Motion to Compel 

{¶35} In the fourth assignment of error, Lloyd argues the trial court improperly 

denied her motion to compel. 

{¶36} We note that the manner and specifics with which a trial court directs and 

controls discovery in its civil cases rests within the sound discretion of the trial court. 

6750 BMS, L.L.C. v. Drentlau, 2016-Ohio-1385, 62 N.E.3d 928, ¶ 18 (8th Dist.), citing 

State ex rel. V Cos. v. Marshall Cty. Aud., 81 Ohio St.3d 467, 469, 1998-Ohio-329, 692 

N.E.2d 198. Unless the trial court has abused its discretion, an appellate court will not 

disturb a trial court’s decision in this regard. Id. 

{¶37} In the instant case, we cannot say the trial court abused its discretion. Here, 

Lloyd filed a motion to compel discovery. The trial court denied, in part, and granted, in 

part, Lloyd’s motion to compel discovery by ordering the CCF to “forward any other 

relevant policies to [Lloyd] after an inquiry.” The court considered the merits of her 

motion and found merit to part of it. Based on this, the trial court did not abuse its 

discretion. 

{¶38} Therefore, the fourth assignment of error is overruled. 

{¶39} Accordingly, judgment is affirmed. 
It is, therefore, considered that said appellee recover of said appellant their costs 

herein. 

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 EILEEN KILBANE, ADMINISTRATIVE JUDGE 

MARY J. BOYLE, J., and 

RAYMOND C. HEADEN, J., CONCUR