[Cite as Antoon v. Cleveland Clinic Found., 2015-Ohio-421.]

Court of Appeals of Ohio 

EIGHTH APPELLATE DISTRICT 

COUNTY OF CUYAHOGA 

JOURNAL ENTRY AND OPINION 

No. 101373

DAVID ANTOON, ET AL. 

PLAINTIFFS-APPELLANTS 

vs. 

CLEVELAND CLINIC FOUNDATION, ET AL. 

DEFENDANTS-APPELLEES 

JUDGMENT: 

REVERSED AND REMANDED 

Civil Appeal from the 

Cuyahoga County Court of Common Pleas 

Case No. CV-13-817237 

BEFORE: Keough, J., Jones, P.J., and Stewart, J. 

RELEASED AND JOURNALIZED: February 5, 2015 
ATTORNEYS FOR APPELLANTS 

Dwight D. Brannon 

Matthew C. Schultz 

Kevin A. Bowman 

Brannon & Associates 

130 West Second Street, Suite 900 

Dayton, Ohio 45402 

ATTORNEYS FOR APPELLEES 

Martin T. Galvin 

William A. Meadows 

Reminger Co., L.P.A. 

1400 Midland Building 

101 Prospect Avenue, West 

Cleveland, Ohio 44115 

KATHLEEN ANN KEOUGH, J.: 
{¶1} Plaintiffs-appellants, David and Linda Antoon (“the Antoons”), appeal the trial 

court’s decision dismissing their complaint pursuant to Civ.R. 12(B)(6). For the reasons that 

follow, we reverse and remand. 

{¶2} On November 14, 2013, the Antoons filed the instant complaint against the 

defendants-appellees, the Cleveland Clinic Foundation, Jihad Kaouk, M.D., Raj Goel, M.D., and 

Michael Lee, M.D. (collectively “appellees”), alleging various causes of action arising from a 

surgical procedure that occurred on January 8, 2008. In response, the appellees moved to 

dismiss the complaint pursuant to Civ.R. 12(B)(6) arguing that the Antoons’ complaint failed 

because it was not commenced within the one-year statute of limitations for medical malpractice 

claims, including all the derivative and related claims raised, pursuant to R.C. 2305.113(A). 

The appellees further moved to dismiss the Antoons’ complaint because it was in violation of 

R.C. 2305.113(C), Ohio’s statute of repose, which requires that a medical claim be filed no more 

than four years after the alleged malpractice. 

{¶3} The Antoons opposed the motion arguing that their complaint was filed within the 

relevant statute of limitations period because it was filed within 30 days after their federal 

complaint was dismissed, citing 28 U.S.C. 1367(d). 

{¶4} The trial court agreed with the appellees and dismissed the complaint. In granting 

the appellees’ motion, the court concluded: 

On June 1, 2010, plaintiff’s case was originally filed in this court as CV-728174. 

The case was voluntarily dismissed without prejudice on June 3, 2011. The case 

was not refiled until the filing of this case on November 14, 2013. The case was 

filed outside the applicable statute of limitations and outside the one year allowed 

by the Ohio Savings statute. R.C. 2305.19. Further, this filing is also outside 

the statute of repose, R.C. 2305.113(c) which requires that a medical claim be 

filed no more than four years after the alleged malpractice. Plaintiff”s position is 

that 28 USCS [Section] 1367 applies. However, the court finds [Section] 1367(d) 
would only apply to protect claims while pending in federal court. The request to 

amend the federal complaint to include medical malpractice and other claims was 

denied. Therefore, plaintiff’s claims at issue were never pending in federal court 

and are not protected under 28 USCS [Section] 1367. Therefore, defendants’ 

motion is granted. 

{¶5} The Antoons appeal this decision, raising two assignments of error, which will be 

addressed together. 

{¶6} In their first assignment of error, the Antoons contend that the trial court erred by 

granting appellees’ motion to dismiss regarding the medical claims. In their second assignment 

of error, the Antoons contend that the trial court erred by granting the appellees’ motion to 

dismiss with regard to the non-medical claims raised, by failing to consider the periods of 

limitation for all the different claims included in their complaint. 

{¶7} A motion to dismiss a complaint for failure to state a claim upon which relief can be 

granted, pursuant to Civ.R. 12(B)(6), tests the sufficiency of a complaint. In order for a trial 

court to dismiss a complaint under Civ.R. 12(B)(6), it must appear beyond doubt that the plaintiff 

can prove no set of facts in support of the claim that would entitle the plaintiff to the relief 

sought. O’Brien v. Univ. Community Tenants Union, Inc., 42 Ohio St.2d 242, 245, 327 N.E.2d 

753 (1975); LeRoy v. Allen, Yurasek & Merklin, 114 Ohio St.3d 323, 2007-Ohio-3608, 872 

N.E.2d 254, ¶ 14. The allegations of the complaint must be taken as true, and those allegations 

and any reasonable inferences drawn from them must be construed in the nonmoving party’s 

favor. Id. Appellate review of a trial court’s decision to dismiss a complaint pursuant to Civ.R. 

12(B)(6) is de novo. Perrysburg Twp. v. Rossford, 103 Ohio St.3d 79, 2004-Ohio-4362, 814 

N.E.2d 44, ¶ 5. 

{¶8} In this case, the appellees moved to dismiss the Antoons’ complaint contending that 

the complaint is fatally deficient because (1) it was not commenced within the one-year statute of 
limitations for medical malpractice as required pursuant to R.C. 2305.113(A); and (2) it was filed 

in violation of Ohio’s statute of repose pursuant to R.C. 2305.113(C), which requires that a 

medical claim be filed no more than four years after the alleged malpractice. 

{¶9} We first find that the trial court erred in dismissing the Antoons’ complaint under 

the premise that the complaint was not filed within the relevant four-year statute of repose for 

malpractice claims. 

{¶10} “The medical malpractice statute of repose found in R.C. 2305.113(C) does not 

extinguish a vested right and thus does not violate the Ohio Constitution, Article I, Section 16.” 

Ruther v. Kaiser, 134 Ohio St.3d 408, 2012-Ohio-5686, 983 N.E.2d 291, syllabus. “A vested 

right occurs when there is ‘the existence of a duty, a breach of that duty and injury resulting 

proximately therefrom.’” Id. at ¶ 16, quoting Mussivand v. David, 45 Ohio St.3d 314, 318, 544 

N.E.2d 265 (1989). R.C. 2305.113(C) thus bars claims that have not vested within four years of 

the negligent act. Once vesting occurs, the timeliness of the complaint is controlled by the 

statute of limitations and its relevant tolling provisions such as the discovery rule. Ander v. 

Clark, 10th Dist. Franklin No. 14AP-65, 2014-Ohio-2664, ¶ 6. 

{¶11} In this case, it is alleged that the negligent act occurred on January 8, 2008, the day 

David Antoon underwent the surgical procedure. (Complaint, ¶ 53). Accordingly, any claim 

arising from the alleged negligent act needed to vest and a complaint needed to be filed within 

four years or by January 8, 2012. In this case, it appears from the face of the complaint that a 

claim vested prior to January 8, 2012 and the Antoons previously filed an action against the 

defendants, which was dismissed without prejudice in 2011. This filing was within the 

four-year statute of repose. As such, the claim had vested, and the statute of repose no longer 

applies. The timeliness of the complaint is now controlled by the statute of limitations and any 
tolling provisions. See Ander. 

{¶12} R.C. 2305.113 establishes a one-year statute of limitations for medical malpractice 

claims. The Ohio Supreme Court has explained that the statute of limitations begins to run “(a) 

when the patient discovers or, in the exercise of reasonable care and diligence should have 

discovered, the resulting injury, or (b) when the physician-patient relationship for that condition 

terminates, whichever occurs later.” Frysinger v. Leech, 32 Ohio St.3d 38, 512 N.E.2d 337 

(1987), at paragraph one of the syllabus, citing Oliver v. Kaiser Community Health Found., 5 

Ohio St.3d 111, 449 N.E.2d 438 (1983). 

{¶13} A complaint may be dismissed under Civ.R. 12(B)(6) for failing to comply with the 

applicable statute of limitations when the complaint on its face conclusively indicates that the 

action is time-barred. Doe v. Archdiocese of Cincinnati, 109 Ohio St.3d 491, 2006-Ohio-2625, 

849 N.E.2d 268, ¶ 11. However, “‘[t]he affirmative defense of statute of limitations is generally 

not properly raised in a Civ.R. 12(B)(6) motion, as it usually requires reference to materials 

outside the complaint.’” Ryan v. Ambrosio, 8th Dist. Cuyahoga No. 91036, 2008-Ohio-6646, ¶ 

20, quoting Ferry v. Shefchuk, 11th Dist. Geauga No. 2002-G-2480, 2003-Ohio-2535, ¶ 10. “To 

be properly raised, the ‘complaint must show the relevant statute of limitations and the absence 

of factors which would toll the statute or make it inapplicable.’” Lisboa v. Tramer, 8th Dist. 

Cuyahoga No. 97526, 2012-Ohio-1549, ¶ 13, quoting Ferry at ¶ 10. 

{¶14} In this case, the trial court clearly considered materials outside the instant 

complaint when it relied on information contained in the Antoons’ first complaint and the 

subsequent federal complaint. This information was not contained in the Antoons’ instant 

complaint and “the court may not take judicial notice of court proceedings in another case, ‘even 

though between the same parties and even though the same judge presided.’” Wick v. Lorain 
Manor, 9th Dist. Lorain No. 12CA010324, 2014-Ohio-4329, ¶ 10, quoting Clayton v. Walker, 

9th Dist. Summit No. 26538, 2013-Ohio-2318, ¶ 11. Pursuant to Civ.R. 12(B), the trial court 

could have converted the motion to one for summary judgment, however there is no indication 

that happened in this case. Moreover, the documents attached to the appellees’ motion to 

dismiss were not proper Civ.R. 56(C) evidence for the trial court to consider. 

{¶15} Under our de novo review of this appeal, we find that insufficient information was 

alleged in the complaint to warrant dismissal pursuant to Civ.R. 12(B)(6). The complaint does 

not allege when the relevant statute of limitations began to run. Specifically, there is no 

allegation when the Antoons discovered the injury or when the physician-patient relationship 

terminated. The complaint stated, “[o]n December 11, 2008, approximately twelve months after 

his surgery, Plaintiffs met with Kaouk. Once again, Kaouk told Antoon that he needed to be 

patient and that Kaouk had not ruled out recovery.” (Complaint, ¶ 105). This statement does 

not indicate whether this was the last time they met for this court to determine that the 

physician-patient relationship terminated. 

{¶16} Furthermore, the complaint stated that “Antoon sent four more e-mails to Kaouk 

before severing all communications. His first e-mail, on January 8, 2009, requested that Kaouk 

draft a letter to the VA that documented Antoon’s symptoms and issues that Antoon had been 

describing.” (Complaint, ¶ 111). Although paragraph 114 states that “Antoon’s last three 

e-mails requested Kaouk’s opinions about his surgical outcomes,” no date was provided when 

these emails were sent for this court to determine if this was when the physician-patient 

relationship terminated. 

{¶17} To determine when the statute of limitations period began or expired, paragraph 

12 of the complaint could provide the most guidance. 
Plaintiff originally filed an action against these Defendants in Cuyahoga Common 

Pleas Court, Case No. CV 10 728174, which was dismissed without prejudice on 

June 13, 2011. Plaintiff then filed a cause of action in the Southern District of 

Ohio on January 31, 2012 within the one year savings period of R.C. 2305.19. 

That case was dismissed by the federal district court on October 16, 2013. 

Plaintiffs’ instant action is being filed within the 30-day period permitted under 

[28] U.S.C. 1367(d). 

{¶18} However, insufficient information is provided in this paragraph to determine if in 

fact the statute of limitations expired prior to the Antoons filing of the instant complaint. For 

instance, if the statute of limitations expired prior to the time when the Antoons filed their federal 

complaint, then the 30-day period permitted under 28 U.S.C. 1367(d) would not revive their 

ability to refile their complaint in the trial court below. Our reading of 28 U.S.C. 1367(d) is that 

it only applies when the statute of limitations expires while the action that contains state causes 

of action is pending in federal court. Such determination cannot be made here. 

{¶19} Construing the allegations in favor of the nonmoving party, which we must do 

under Civ.R. 12(B), the complaint on its face does not conclusively show that the Antoons’ 

claims, both medical and non-medical, are time-barred. Therefore, the trial court erred in 

granting the appellees’ Civ.R. 12(B)(6) motion and dismissing the complaint with prejudice. 

The assignments of error are sustained. 

{¶20} Judgment reversed and remanded. 

It is ordered that appellants recover from appellees 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. 

KATHLEEN ANN KEOUGH, JUDGE 

LARRY A. JONES, SR., P.J., and 

MELODY J. STEWART, J., CONCUR