# Simkins v. McIntosh

> District Court, S.D. Ohio · July 23, 2020

URL: https://www.frixlaw.com/law-library/cases/10375922

## Case

- **Court:** District Court, S.D. Ohio
- **Decided:** July 23, 2020
- **Opinion:** 100trialcourt
- **Cited by:** 0 later opinions in the Frix Law Library

## Citator (automated)

- No negative treatment found by the automated citator. That is not the same as a confirmation that the case is good law; read the citing cases.
- Full citator and citing cases: https://www.frixlaw.com/law-library/cases/10375922

## How later opinions describe it (automated extraction)

- affirming dismissal where the plaintiff “failed to allege with any degree of specificity which of the named defendants were personally involved in or responsible for each of the alleged violations of his federal rights”
- concluding that although a pro se complaints are held to a less stringent standard, “courts should not have to guess at the nature of the claim asserted”
- stating that private medical professionals are not state actors

## Opinion text

UNITED STATES DISTRICT COURT
SOUTHERN DISTRICT OF OHIO
WESTERN DIVISION AT DAYTON

RICHARD LEE SIMPKINS, III,

Plaintiff, Case No. 3:19-cv-227

vs.

GRANDVIEW HOSPITAL, et al., District Judge Walter H. Rice
Magistrate Judge Michael J. Newman
Defendants.
______________________________________________________________________________

REPORT AND RECOMMENDATION1 THAT: (1) THE MOTIONS TO DISMISS FILED
BY PLAINTIFF AND BY DEFENDANTS DAYTON OSTEOPATHIC HOSPITAL (D/B/A
GRANDVIEW HOSPITAL), KETTERING ADVENTIST HEALTHCARE (D/B/A
KETTERING HEALTH NETWORK), CORNEJA, VAN HORNE, JENKINS, MARIEN,
AND REVINE (DOCS. 21, 28) BE GRANTED IN PART AND DENIED IN PART; (2)
THE MOTIONS TO DISMISS FILED BY DEFENDANTS GRANDVIEW
FOUNDATION, BROCHU, AND BRIENZA BE GRANTED (DOCS. 21, 24); (3) THE
MOTION FOR JUDGMENT ON THE PLEADINGS FILED BY DEFENDANT JANSSEN
PHARAMCEUTICALS, INC. BE GRANTED (DOC. 70); AND (4) THE MOTION TO
DISMISS FILED BY DEFENDANTS HORNE AND FUENTES BE GRANTED IN PART
AND DENIED IN PART (AND THE MOTION FOR SUMMARY JUDGMENT, IN THE
ALTERANTIVE, BE DENIED WITHOUT PREJUDICE) (DOC. 78)
***
ORDER DENYING AS MOOT PLAINTIFF’S MOTION FOR ADDITIONAL TIME TO
CONDUCT DISCOVERY (DOC. 83)
______________________________________________________________________________

This civil case is before the Court on the amended complaint filed by pro se Plaintiff
Richard Lee Simpkins, III against twenty Defendants. Doc. 9. The named Defendants are as
follows: (1) Dayton Osteopathic Hospital; (2) EmCare; (3) Grandview Foundation; (4) Kettering
Adventist Healthcare; (5) Janssen Pharmaceuticals, Inc.; (6) Joseph Blake; (7) Nicolas Brienza; (8)
Loredel Corneja; (9) Adan Fuentes, M.D.; (10) Stephanie Horne, M.D.; (11) David Jenkins, D.O.;
(12) Andrew Lane; (13) Brian Lewis; (14) Shawn Marien, D.O.; (15) Christopher McIntosh, D.O;

1 Attached hereto is a NOTICE to the parties regarding objections to this Report and
Recommendation.
(16) Shannon Revine; (17) Joshua Spears; (18) Nicole Van Horne, D.O.; (19) Joseph Wiley; and
(20) Craig Wolfe. See id. at PageID 116-20. Simkins’s amended complaint asserts civil rights and
conspiracy claims under 42 U.S.C. § 1983 and/or § 1985 and the following claims presumably
arising under state law: assault, battery, rape, intentional infliction of emotional distress, and
products liability. Doc. 9. Defendants Kettering Health Network2 and Grandview Hospital,3 in
turn, have pled the following counterclaims against Simkins: defamation and tortious interference
with a business relationship. Doc. 20 at PageID 201-08.

Now pending before the Court are a number of motions. Initially, there are several motions
to dismiss and/or for judgment on the pleadings directed to the amended complaint filed by
Defendants (docs. 21, 24, 70) as well as Simkins’s memoranda in opposition (docs. 30, 52, 53, 76)
and Defendants’ replies (docs. 45, 75, 79). Additionally, there is a motion to dismiss the
counterclaims of Defendants Dayton Osteopathic Hospital and Kettering Adventist Hospital filed
by Simkins (doc. 28) and Defendants’ opposition memorandum (doc. 51). Finally, there is a
motion to dismiss or, in the alternative, for summary judgment filed by Defendants Horne and
Fuentes (doc. 78) as well as Simkins’s opposition memorandum (doc. 83) and Defendants’ reply
(doc. 89). The undersigned has carefully considered the aforementioned motions -- all of which
have been fully briefed and are ripe for decision.

I.
Accepting his claims pled in the amended complaint as true and liberally construing them
in his favor, as the Court is required to do in this instance, see Erickson v. Pardus, 551 U.S. 89, 94
(2007), Simkins alleges as follows: on September 13, 2017, Defendant Lewis, a Dayton Police

2 Kettering Adventist Healthcare conducts business as Kettering Health Network and is referred to
as such hereinafter. See doc. 20.
3 Dayton Osteopathic Hospital conducts business as Grandview Hospital and is referred to as such
hereinafter. See id.
Officer (or, perhaps, Defendant Brienza claiming to be Lewis) responded to a report of a
motorcycle in the roadway.4 Doc. 9 at PageID 125. Upon Officer Lewis’s arrival, Simkins
requested an attorney, at which time Lewis allegedly beat him with the butt of his pistol until
Simkins was unconscious. Id. Lewis then allegedly “roused [Simkins] by flicking his eye.” Id. at
PageID 126.
Thereafter, Defendants Joseph Wiley and Craig Wolfe arrived at the scene in an ambulance.
Id. Wiley and Wolfe, at Lewis’s instruction, purportedly dragged Simkins to the edge of a bridge

and threatened to throw him into the river. Id. After Wiley and Wolfe put Simkins in the
ambulance, Lewis instructed them to take Simkins to Grandview Hospital, at which time Lewis
allegedly put a gun to the back of Plaintiff’s head and threatened to kill him. Id.
The ambulance took Simkins to Grandview for medical treatment despite his objection to
being taken there. Id. at PageID 127. When he arrived at Grandview, Simkins alleges he was
given Ativan5 in an effort to “facilitate memory loss.” Id. Simkins asserts that, shortly thereafter,
Lewis took him back to the scene allegedly for the purpose of inflicting additional injuries on him.
Id. Simkins was then transported back to Grandview, where Lewis allegedly continued to assault
him, threatened to kill him, and threatened to “remove [Simkins’s] organs.” Id. Lewis also
allegedly ordered Defendant McIntosh to give Simkins certain “drugs.” Id.

Simkins informed the medical staff (including Paul Levy, D.O.) that he did not wish to be
treated at the facility for religious reasons. Id. McIntosh and Levy conferred with Lewis and

4 Although Simkins’s amended complaint refers to this individual as “Lewis,” Simkins later
reiterates that “at all times ‘Lewis’ [c]ould actually be Nicolas Br[ie]nza.” Doc. 9 at PageID 145. Therefore,
while such individual is referred to as “Lewis” herein, the undersigned notes that the allegations against
Lewis could potentially also refer to Brienza.
5 “Ativan is used to treat anxiety, anxiety with depression[,] and insomnia.” Parks v. Comm’r of
Soc. Sec. Admin., No. 1:13-CV-1530, 2014 WL 1493394, at *6 n.10 (N.D. Ohio Apr. 14, 2014).
allegedly decided to have Simkins involuntarily committed, i.e., “pink slipp[ed].” Id. at PageID
128-29. During that time, Defendant Van Horne administered oxygen to Simkins despite his
continued protestation to treatment, and he was subjected to imaging scans against his wishes, such
as a CT scan (which included injecting Simkins with blue and yellow contrast dye) performed by
Defendant Revine, and forty-one (41) x-ray scans conducted by Jenkins under McIntosh’s
supervision. Id. at PageID 129-31. Additionally, Revine and McIntosh prescribed and/or
administered “drugs” to Simkins against his wishes. Id.

Thereafter, Simkins was returned to the emergency room where Defendant Spears, a
Dayton Police Officer, “ma[d]e an appearance.” Id. at PageID 132. Spears and Lewis allegedly
threatened Simkins’s life by pointing a firearm at the back of his head, and subsequently placed
him under arrest. Id. Spears allegedly then punched Simkins several times in the right lower jaw
while he was restrained (allegedly because he demanded an attorney and/or requested copies of
paperwork). Id. at PageID 132-33. Defendant Carpenter was also alleged to be present during
this time. Id. at PageID 133.
Simkins further alleges that Defendants Lewis, Spears and Marien threatened to murder
him by “ripping [Simkins’s] guts out” if he did not sign consent forms (either for consenting to
medical treatment or a search). Id. at PageID 134. He was then subject to further medical

procedures including a colonoscopy and an enema. Id. at PageID 134, 145. Simkins also alleges
that Defendants Lewis, Spears, Jenkins and Marien conspired to perform these invasive medical
procedures against his will. Id. Simkins additionally alleges that, while the enema was being
administered, Lewis “rubb[ed] his crotch[,]” and both he and Spears threatened him with violence.
Id. at PageID 145. Additionally, Simkins contends that Lewis, Spears, and Marien allegedly
conspired to give him an overdose of a drug that stopped his heart three times, and then revived
him with another drug to “traumatize” him, deprive his organs of oxygen, and facilitate memory
loss. Id. at PageID 135. During this time, Marien also allegedly claimed to be Jenkins to confuse
Simkins. Id.
Simkins further alleges that, at the direction of McIntosh, Defendant Corneja -- with the
alleged participation of Lewis, Spears, Marien, Jenkins, and Van Horne -- forcibly injected him
with a number of drugs (including Haldol6) to induce lasting cognitive defects and to “wipe out”
his memory. Id. at PageID 134-35. Simkins alleges that such treatment was performed under the
authority or control of Defendants Grandview Hospital, Kettering Health Network, and EmCare.

Id. at 131-32. Simkins further asserts that Defendant Janssen Pharmaceuticals, Inc. manufactured,
marketed and made Haldol available for “off label use” despite its allegedly “dangerous side
effects.” Id. at PageID 142. Simkins also alleges that Haldol caused headaches, seizures or muscle
spasms, memory loss, agitation, and the “bulk” of the medical injuries he alleges in this case. Id.
Thereafter, Simkins was allegedly given several more CT scans by Dr. McIntosh to
allegedly “poison” Simkins with radiation, “cover[-]up” the damage done to him, and traumatize
him. Id. at PageID 136-37. Hours later, Simkins awoke naked and freezing in a hospital bed,
feeling worse than at the time of his arrival. Id. at PageID 137. As Simkins attempted to put on
his clothes, McIntosh allegedly informed Simkins that he had an “air bubble” in his head, but he
was free to go. Id. Simkins waited to leave until he felt a little better, and fell back asleep. Id.

Defendant Fuentes -- allegedly acting under orders from Lewis and Spears -- thereafter
informed Simkins that he had an infection in his head, but his vision was normal and he did not
have a concussion. Id. Marien interviewed Simkins again alleging to be Jenkins, and Horne also
conducted a “release interview.” Id. at PageID 139-40. PageID 141. Simkins alleges that he
suffered a worsening cognitive state, and Horne allegedly drugged him and told him to “blow [his]

6 Haldol is an antipsychotic drug that is used “in treating psychoses, especially schizophrenia.”
Mills v. Rogers, 457 U.S. 291, 294 n.1 (1982).
f_cking head off.” Id. at PageID 141. He further alleges that Horne’s actions were in concert with
Spears and Lewis. PageID 142.
On January 12, 2018 and February 2, 2018, Simpkins visited Horne for follow-up CT scans
to seek information about his worsening cognitive state. Id. at PageID 142-43. He now claims
such scans were performed against his wishes. Id. at PageID 143. Simkins also alleges Horne
used Defendant Blake to review his CT scans, and Blake did so in violation of a no-contact order.
Id. at PageID 144. Simkins alleges that on January 12, 2018, he was further traumatized when

Van Horne allegedly tried to hug him and apologize. Id.
II.
The Court first addresses the Rule 12(b)(6) motions to dismiss and the Rule 12(c) motions
for judgement on the pleadings. “The only difference between Rule 12(c) and Rule 12(b)(6) is the
timing of the motion to dismiss.” Hunter v. Ohio Veterans Home, 272 F.Supp.2d 692, 694 (N.D.
Ohio 2003). Thus, the standard for reviewing a Rule 12(c) motion for judgment on the pleadings
is the same standard employed for reviewing a Rule 12(b)(6) motion to dismiss. Sensations, Inc.
v. City of Grand Rapids, 526 F.3d 291, 295 (6th Cir. 2008). A motion to dismiss filed pursuant to
Fed. R. Civ. P. 12(b)(6) operates to test the sufficiency of the complaint and permits dismissal for
“failure to state a claim upon which relief can be granted.”

To show grounds for relief, Fed. R. Civ. P. 8(a)(2) requires that the complaint contain a
“short and plain statement of the claim showing that the pleader is entitled to relief.” While Fed.
R. Civ. P. 8 “does not require ‘detailed factual allegations’ . . . it demands more than an unadorned,
the-defendant-unlawfully-harmed-me accusation.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009)
(citing Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555 (2007)). Pleadings offering mere “‘labels
and conclusions’ or ‘a formulaic recitation of the elements of a cause of action will not do.’” Id.
(citing Twombly, 550 U.S. at 555). In determining a motion to dismiss, “courts ‘are not bound to
accept as true a legal conclusion couched as a factual allegation.’” Twombly, 550 U.S. at 555
(citing Papasan v. Allain, 478 U.S. 265, 286 (1986)). Further, “[f]actual allegations must be
enough to raise a right to relief above the speculative level.” Id.
In order “[t]o survive a motion to dismiss, a complaint must contain sufficient factual
matter, accepted as true, to ‘state a claim to relief that is plausible on its face.’” Iqbal, 556 U.S. at
678. In addition to well-pleaded allegations in the complaint, the Court may also consider “matters
of public record, orders, items appearing in the record of the case, and exhibits attached to the

complaint,” as well as documents attached to a defendant’s motion to dismiss that are important to
the plaintiff’s claims or if referred to in the complaint. Amini v. Oberlin College, 259 F.3d 493,
502 (6th Cir. 2001) (citation omitted); Composite Tech., L.L.C. v. Inoplast Composites S.A. de
C.V., 925 F. Supp. 2d 868, 873 (S.D. Ohio 2013).
A claim is plausible where the “plaintiff pleads factual content that allows the court to draw
the reasonable inference that the defendant is liable for the misconduct alleged.” Iqbal, 556 U.S.
at 678. Plausibility “is not akin to a ‘probability requirement,’ but it asks for more than a sheer
possibility that a defendant has acted unlawfully.” Id. “[W]here the well-pleaded facts do not
permit the court to infer more than the mere possibility of misconduct, the complaint has alleged -
- but it has not ‘show[n]’ -- ‘that the pleader is entitled to relief.’” Id. at 679 (alteration in original)

(citing Fed. R. Civ. P. 8(a)(2)).
III.
Here, in moving to dismiss his pro se claims, Defendants argue that Simkins: (1) misjoins
the Grandview Foundation as a party; (2) fails to properly name Defendants Biehl and Brochu as
parties to this action; (3) fails to allege factual allegations of wrongful conduct by each Defendant
sufficient to state claims for relief against them; (4) fails to sufficiently allege facts that support
intentional infliction of emotional distress (“IIED”) claims; and (5) possesses no private right of
action to pursue claims under the criminal provisions of the Ohio Revised Code.
Simpkins moves to dismiss counterclaims asserted by Defendants Grandview Hospital and
Kettering Health Network for defamation and tortious interference with a business relationship.
A. Misjoinder
When misjoinder occurs, pursuant to Fed. R. Civ. P. 21, “parties may be dropped or added
by order of the court on motion of any party or its own initiative at any stage of the action and on

such terms as are just.” Nali v. Mich. Dep’t of Corr., No. 07-10831, 2007 WL 4465247, *3 (E.D.
Mich. Dec. 18, 2007); see also Arista Records, LLC v. Does 1–9, No. 2:07-CV-961, 2008 WL
2982265, at *8 (S.D. Ohio July 29, 2008). A “district court has wide discretion in deciding whether
to dismiss a party as a defendant,” and may do so when the party’s presence does not affect the
issues being litigated. Letherer v. Alger Grp., L.L.C., 328 F.3d 262, 267 (6th Cir. 2003), overruled
on other grounds, Blackburn v. Oaktree Capital Mgmt., LLC, 511 F.3d 633 (6th Cir. 2008).
Although Simkins alludes to Defendant Grandview Foundation as being an entity
synonymous with the Kettering Health Network, public records demonstrate otherwise. See doc.
9 at PageID 131-32, 142-43. Specifically, filings with the Ohio Secretary of State’s office7 -- and
attached as an exhibit to Defendants’ motion to dismiss (doc. 21-1) -- demonstrate that Defendant

Grandview Foundation is a 501(c)(3) nonprofit entity operated exclusively for charitable and

7 When considering a motion to dismiss under Fed. R. Civ. P. 12, “[i]n addition to the allegations
in the complaint, the court may also consider other materials that are integral to the complaint, are public
records, or are otherwise appropriate for the taking of judicial notice.” Wyser–Pratte Mgmt. Co. v. Telxon
Corp., 413 F.3d 553, 560 (6th Cir. 2005). Information available through the Ohio Secretary of State is a
public record that can be considered for deciding a motion to dismiss. See E.E.O.C. v. Jeff Wyler Eastgate,
Inc., No. 1:03-CV-662, 2006 WL 2785774, at *3 (S.D. Ohio Jan. 9, 2006); see also Malibu Media, LLC v.
Steiner, 307 F.R.D. 470, 474 (S.D. Ohio 2015) (holding that “the Court may take judicial notice of [a]
registration with the Ohio Secretary of State without converting [a Rule 12] motion into one for summary
judgment, as the registration is a public record”).
educational purposes, that “use[s] its assets exclusively to support osteopathic medical education
programs at [Grandview Hospital] . . . and Kettering Medical Center.” Id. Additionally, Simkins
alleges no facts in his complaint to show that Defendant Grandview Foundation is an alter ego for
Kettering Health Network. See Trs. of Detroit Carpenters Fringe Benefit Funds v. Patrie Constr.
Co., 618 F. App’x 246, 254 (6th Cir. 2015) (“[G]eneralized and conclusory allegations . . . are
plainly insufficient to state a claim of alter ego status”) (citation omitted).
Accordingly, Defendant Grandview Foundation’s motion should be granted, and all claims

against it should be dismissed. See Michaels Bldg. Co. v. Ameritrust Co., 848 F.2d 674, 682 (6th
Cir. 1988) (citation omitted).
B. Naming Parties in a Complaint
With regard to Defendants Biehl and Brochu, the undersigned notes that Simkins’s
amended complaint does not name those Defendants as parties to this case. See doc. 9 at PageID
116-20. Because “[a]n amended complaint supersedes an earlier complaint for all purposes,” and
because neither Biehl nor Brochu are named as parties in the amended complaint, the undersigned
recommends that these Defendants be dismissed from this case. In re Refrigerant Compressors
Antitrust Litig., 731 F.3d 586, 589 (6th Cir. 2013); see also Milter v. Wright Med. Grp., Inc., No.
11-CV-11353, 2011 WL 4360024, at *1 (E.D. Mich. Sept. 19, 2011) (finding that defendants

removed by plaintiff in his or her amended complaint no longer remained as parties to the action).
Even assuming, arguendo, that Simkins’s amended complaint properly named Biehl and
Brochu in the caption, he alleges no specific wrongful conduct on their part. See Wells v. Brown,
891 F.2d 591, 594 (6th Cir. 1989) (concluding that although a pro se complaints are held to a less
stringent standard, “courts should not have to guess at the nature of the claim asserted”).
Accordingly, any claims against Defendants Biehl and Brochu should be dismissed.
C. Section 1983 Claims8
“To prevail on a § 1983 claim, a plaintiff must establish that a person acting under color of
state law deprived the plaintiff of a right secured by the Constitution or laws of the United States.”
Green v. Throckmorton, 681 F.3d 853, 859-60 (6th Cir. 2012) (citing Waters v. City of Morristown,
Tenn., 242 F.3d 353 (6th Cir. 2001)). Undoubtably, many named Defendants in this case are not
traditional state actors, officials, or employees and, instead, are medical professionals, hospitals,
and a pharmaceutical company. See Tahfs v. Proctor, 316 F.3d 584, 590 (6th Cir. 2003) (stating

that a plaintiff may not proceed under § 1983 against a private party); Collyer v. Darling, 98 F.3d
211, 231 (6th Cir. 1996) (stating that private medical professionals are not state actors).
If, however, private persons -- such as physicians -- act jointly with state officials to carry
out a prohibited action, such persons act under the color of law for purposes of § 1983. See Walker
v. Joyce, No. 3:15-CV-136, 2016 WL 8669788, at *2 (S.D. Ohio July 8, 2016) (citing Tahfs, 316
F.3d at 590). “Private persons may [also] . . . become state actors for purposes of § 1983 . . . if
there is cooperation or concerted activity between the state and private actors[,]” Dallas v. Holmes,
137 F. App’x 746, 751 (6th Cir. 2005), such as when “a private party has conspired with state
officials to violate constitutional right[.]” Jackim v. Sam’s East, Inc., 378 F. App’x 556, 563 (6th
Cir. 2010) (citing Cooper v. Parish, 203 F.3d 937, 952 n.2 (6th Cir. 2000)). A civil conspiracy

8 Simkins cites to no specific Code provision under which he asserts a claim of conspiracy to
deprive him of his constitutional rights. See doc. 9. While 42 U.S.C. § 1985 allows a plaintiff to bring such
a claim, Simkins fails to state a claim under § 1985(1) because he sets forth no allegation regarding any
conspiracy to prevent an officer from performing his or her duties. See Moniz v. Cox, 512 F. App’x 495,
500 n.2 (6th Cir. 2013). Similarly, no claim under § 1985(2) is stated because Simkins asserts no allegations
of witness intimidation or the interference of due process in state courts. Fox v. Mich. State Police Dep’t,
173 F. App’x 372, 376 (6th Cir. 2006). Finally, Simkins sets forth no claim under § 1985(3) because he
alleges no class-based discrimination. See Walker v. Joyce, No. 3:15-CV-136, 2016 WL 8669788, at *2 n.3
(S.D. Ohio July 8, 2016). Accordingly, Simkins’s conspiracy claim is construed under 42 U.S.C. § 1983.
claim consists of “an agreement between two or more persons to injure another by unlawful
action.” Hooks v. Hooks, 771 F.2d 935, 943-44 (6th Cir. 1985).
Nevertheless, individuals against whom civil rights claims are asserted under § 1983 are
“only liable for his or her own misconduct.” Iqbal, 556 U.S. at 677; see also Marcilis v. Twp. of
Redford, 693 F.3d 589, 596 (6th Cir. 2012). As a result, claims alleging “violations of
constitutional rights must allege, with particularity, facts that demonstrate what each defendant did
to violate the asserted constitutional right.” Lanman v. Hinson, 529 F.3d 673, 684 (6th Cir. 2008).

In addition, where conspiracy is alleged, “pleading requirements . . . are relatively strict” and such
“claims must be pled with some degree of specificity[.]” Fieger v. Cox, 524 F.3d 770, 776 (6th
Cir. 2008). “[V]ague and conclusory allegations unsupported by material facts will not be
sufficient to state . . . a [civil conspiracy] claim under § 1983.” Id.
In asserting § 1983 claims, the mere “listing [of] names in the caption of the complaint and
alleging constitutional violations in the body of the complaint is not enough to sustain recovery[.]”
Gilmore v. Corr. Corp. of Am., 92 F. App’x 188, 190 (6th Cir. 2004) (citing Flagg Bros. v. Brooks,
436 U.S. 149 (1978)); see also Frazier v. Mich., 41 F. App’x 762, 764 (6th Cir. 2002) (affirming
dismissal where the plaintiff “failed to allege with any degree of specificity which of the named
defendants were personally involved in or responsible for each of the alleged violations of his

federal rights”). Further, simply “lumping all the defendants together in each claim and providing
no factual basis to distinguish their conduct’” fails “‘to satisfy [the] minimum standard that a
complaint give each defendant fair notice of what the plaintiffs claim is and the ground upon which
it rests[.]” Marcilis, 693 F.3d at 596 (citation and internal quotations omitted).
Simkins has plausibly stated § 1983 claims against Defendants Lewis, Wiley, Wolfe, and
Spears, all of whom are alleged to be state actors. These claims arise, inter alia, from allegations
that Defendants Lewis, Wiley, Wolfe, and Spears allegedly threatened the use of deadly force
against him. See Holland ex rel. Overdorff v. Harrington, 268 F.3d 1179, 1192 (10th Cir. 2001)
(“The display of weapons, and the pointing of firearms directly at persons inescapably involves the
immediate threat of deadly force” and “[s]uch a show of force should be predicated on at least a
perceived risk of injury or danger to the officers or others, based upon what the officers know at
that time”).
Simkins also plausibly alleges § 1983 claims against Lewis, Spears, Jenkins, and Marien
relating to the alleged forced enema, which Simkins alleges as not only a search, but also rape.

While the undersigned acknowledges that Jenkins and Marien are both private physicians, they can
be treated as state actors in certain circumstances, such as those alleged by Simkins in his amended
complaint. See United States v. Booker, 728 F.3d 535, 541 (6th Cir. 2013); Booker v. LaPaglia,
617 F. App’x 520, 524 (6th Cir. 2015).
Except for the foregoing, Simkins fails to allege instances of individual conduct sufficient
to state § 1983 claims against any of the other Defendants -- namely, Defendants Blake, Corneja,
Fuentes, Horne, Lane, Revine, and Van Horne -- and, therefore, such claims should be dismissed.
With regard to Defendant Brienza, Simkins makes only a conclusory assertion that Lewis
could actually be Defendant Brienza. Absent further explanation or any specific factual allegations
of unconstitutional conduct, Simkins fails to sufficiently plead a § 1983 or other claim against

Brienza. See Wells, 891 F.2d at 594. Although Simkins argues that he should be permitted a
minimal amount of discovery to determine Brienza’s involvement, “there is no general right to
discovery upon filing of the complaint.” Yuhasz v. Brush Wellman, Inc., 341 F.3d 559, 566 (6th
Cir. 2003); see also Mitchell v. McNeil, 487 F.3d 374, 379 (6th Cir. 2007) (“[T]he very purpose of
Fed. R. Civ. P. 12(b)(6) is to enable defendants to challenge the legal sufficiency of complaints
without subjecting themselves to discovery”) (citation omitted). Accordingly, all claims against
Brienza should be dismissed.
Further, insofar as Simkins’s amended complaint can be read to assert official capacity
claims against a private entity whose employees can be treated as states actors in certain
circumstances -- such as Defendants Grandview Hospital and Kettering Health Network -- such an
entity cannot be held liable for the acts of employees or officials on a respondeat superior theory
of recovery. See Savoie v. Martin, 673 F.3d 488, 494 (6th Cir. 2012) (“[E]every circuit to consider
the issue has extended to private corporations as well the rule that a defendant cannot be held liable
under section 1983 on a respondeat superior or vicarious liability basis” (internal quotations

omitted)); see also Johnson v. Karnes, 398 F.3d 868, 877 (6th Cir. 2005). “Rather, an entity may
be liable under § 1983 only if its official policies or customs resulted in injury to the plaintiff.”
O’Brien v. Mich. Dep’t of Corr., 592 F. App’x 338, 341 (6th Cir. 2014). Because Simkins alleges
no official policy or custom that resulted in his alleged constitutional injury, any such official
capacity claims should also be dismissed.
D. Medical Assault and Battery Claims
Ohio courts have held that “[a] physician who treats a patient without consent commits a
battery, even though the procedure is harmless or beneficial.” Estate of Leach v. Shapiro, 469
N.E.2d 1047, 1051 (Ohio Ct. App. 1984). In circumstances where a patient expressly refuses
treatment, even in an emergency situation, “any medical treatment is a battery.” Anderson v. St.

Francis-St. George Hosp., 614 N.E.2d 841, 844 (Ohio Ct. App. 1992). Additionally, Ohio courts
have held that providing a patient medical treatment “without [a] patient’s consent constitutes an
assault for which the patient may recover appropriate damages.” Lacey v. Laird, 139 N.E.2d 25,
31 (Ohio 1956). Further, an affidavit of merit and expert testimony is not necessarily required to
sufficiently plead claims of medical battery. See Simpkins v. Grandview Hosp., No. 3:18-CV-309,
2019 WL 3083349, at *6 (S.D. Ohio May 17, 2019), report and recommendation adopted in part,
rejected in part, 2019 WL 3369440 (S.D. Ohio July 26, 2019).
The undersigned finds, in light of the foregoing, that Simkins sufficiently alleges battery
claims against Defendants McIntosh, Jenkins, Van Horne, Marien, Revine, Corneja, and Horne for
allegedly providing medical treatment without his consent. Simkins sufficiently alleges assault
and battery claims against Grandview Hospital and Kettering Health Network by application of
respondeat superior. See Anderson, 614 N.E.2d at 844 (“[U]nder the doctrine of respondeat
superior, any person who controls the physician in a principal-agent relationship is liable for
unlawful acts by the physician that are within the scope of that relationship”). Accordingly, the

motions to dismiss medical claims filed by these Defendants should be denied.
Further, Simkins sufficiently alleges assault and battery tort claims against Lewis, Wiley,
Wolfe, and Spears. However, the undersigned finds that Simkins fails to allege sufficient facts to
state assault and battery claims against the other remaining Defendants and, therefore, such claims
should be dismissed.
E. Intentional Infliction of Emotional Distress
An intentional infliction of emotional distress (“IIED”) claim under Ohio law requires
proof that:
(1) the defendant intended to cause, or knew or should have known that
his actions would result in serious emotional distress; (2) the defendant’s
conduct was so extreme and outrageous that it went beyond all possible
bounds of decency and can be considered completely intolerable in a
civilized community; (3) the defendant’s actions proximately caused
psychological injury to the plaintiff; and (4) the plaintiff suffered serious
mental anguish of a nature no reasonable person could be expected to
endure.

Shugart v. Ocwen Loan Servicing, LLC, 747 F.Supp.2d 938, 944-45 (S.D. Ohio 2010) (citations
omitted).
Simkins’s allegations against Lewis (beating him unconscious; holding a gun to his head
and threatening to kill him; participating with Spears, Jenkins, and Marien in giving him an enema
without his consent; and participating in drugging him to stop his heart three times), Wiley and
Wolfe (dragging him to a bridge and threatening to throw him off), Spears (pointing a gun at his
head; punching him multiple times in the jaw while restraining him; participating in giving him an
enema; and participating in stopping his heart), Jenkins (participating in giving him an enema),
and Marien (participating in giving him an enema and participating in stopping his heart) are
sufficient to state claims of intentional infliction of emotional distress at this early stage of the
litigation.

Based on the foregoing, the motions to dismiss filed by Jenkins and Marien in this regard
should be denied, and the IIED claims against Lewis, Wiley, Wolfe, and Spears should also remain
pending. As Simkins fails to assert specific allegations of conceivably outrageous conduct by other
Defendants, any further intentional infliction of emotional distress claims should be dismissed.
F. Claims Arising from Ohio Criminal Statutes
The Ohio Supreme Court has held that “[c]riminal statutes generally do not create a private
cause of action but give rise only to a right of prosecution by the state.” State ex rel. Bailey v. Ohio
Parole Bd., 97 N.E.3d 433, 437 (Ohio 2017). Thus, insofar as Simkins seeks to enforce criminal
provisions of the Ohio Revised Code (e.g., rape and assault), all such claims should be dismissed.
G. Off-Label Marketing Claim

The Food, Drug, and Cosmetic Act (“FDCA”) regulates, inter alia, prescription drugs.
Kelley v. Insys Therapeutics, Inc., No. 3:18-CV-1774, 2019 WL 329600, at *2 (N.D. Ohio Jan. 25,
2019). The concept of the off-label use of prescription drugs originates from the FDCA. McDaniel
v. Upsher-Smith Pharms., Inc., 220 F.Supp.3d 707, 711 (W.D. Tenn. 2016) (citations omitted).
Accordingly, “[t]he distinction between on-label and off-label use -- and, hence, between on-label
and off-label promotion -- exists only by virtue of the federal regulatory scheme,” and such claims
have no state law equivalent. Aaron v. Medtronic, Inc., 209 F.Supp.3d 994, 1011 (S.D. Ohio 2016);
see also Kelley, 2019 WL 329600 at *2-3.
Further, the FDCA provides that “all ... proceedings for the enforcement, or to restrain
violations, [of the FDCA] shall be by and in the name of the United States.” 21 U.S.C. § 337(a).
Private enforcement of violations of the FDCA is barred by § 337(a) because those claims would
“usurp the [Food and Drug Administration’s] regulatory oversight role for policing purported
violations of” the statutes and regulations it has exclusive authority to administer. Dawson v.

Medtronic, Inc., No. 3:13-CV-663-JFA, 2013 WL 4048850, at *7 (D.S.C. Aug. 9, 2013).
Accordingly, “[t]he FDCA leaves no doubt that it is the Federal Government rather than private
litigants who is authorized to file suit for noncompliance with its substantive provisions.” Loreto
v. Procter & Gamble Co., 515 F. App’x 576, 579 (6th Cir. 2013) (quoting Buckman Co. v.
Plaintiffs’ Legal Committee, 531 U.S. 341, 349 n.4 (2001) (internal quotations omitted)). Thus,
“[i]f [a] claim would not exist in the absence of the FDCA, it is impliedly preempted.” Id. (citing
Buckman, 531 U.S. at 353). Stated another way, no private right of action exists for plaintiff’s
seeking to enforce the FDCA. See id.
Simkins’s only allegation with regard to Defendant Janssen Pharmaceuticals, Inc. is that
Janssen allegedly marketed (or promoted) Haldol for off-label use. Such a claim is preempted by

the FDCA and, accordingly, the undersigned recommends that Janssen’s motion for judgment on
the pleadings be granted.
H. Counterclaims
Simkins moves to dismiss the counterclaims against him alleging defamation and tortious
interference with a business relationship. See doc. 20; see also doc. 51. Defendants’ counterclaims
are based on a number of Simkins’s posts on internet platforms, LinkedIn, the Nextdoor
Neighborhood application, and a petition he filed on change.org. Doc. 20 at PageID 201-08.
Under Ohio law, to establish a defamation claim, a plaintiff must prove:
(1) that a false statement of fact was made, (2) that the statement was
defamatory, (3) that the statement was published, (4) that the plaintiff
suffered injury as a proximate result of the publication, and (5) that the
defendant acted with the requisite degree of fault in publishing the
statement.

Croce v. New York Times Co., 345 F. Supp. 3d 961, 973-74 (S.D. Ohio 2018), aff’d, 930 F.3d 787
(6th Cir. 2019). “To determine if a statement is defamatory it must first be a statement of fact and
not of opinion.” Alahverdian v. Grebinski, No. 3:13-CV-00132, 2014 WL 2048190, at *5-6 (S.D.
Ohio May 19, 2014). Further, the “words must be of such a nature that courts can presume as a
matter of law that they tend to degrade or disgrace the person of whom they are written or spoken,
or hold him up to public hatred, contempt or scorn.” Moore v. P.W. Pub., 209 N.E.2d 412, 415
(Ohio 1965).
In Ohio, claims of defamation are divided into two categories -- defamation per se and
defamation per quod. Murray v. Knight-Ridder, Inc., No. 2-BE-45, 2004 WL 333250, at *15 (Ohio
Ct. App. 2004). Defamation per se occurs when a statement is defamatory on its face. Helfrich v.
Allstate Ins. Co., No. 12AP-559, 2013 WL 5450931, at *27 (Ohio Ct. App. 2013) (citations
omitted). “In order for a statement to constitute defamation per se, it must consist of words which
import an indictable criminal offense involving moral turpitude or infamous punishment, impute
… some loathsome or contagious disease which excludes one from society or tend[s] … to injure
one in his trade or occupation.” Mc Wreath v. Cortland Bank, No. 2010-T-23, 2012 WL 2522933,
at *43 (Ohio Ct. App. 2012) (internal quotations omitted). For claims of defamation per se,
damages need not be pled nor provided, and will be presumed. Strussion v. Akron Beacon Journal
Pub. Co., No. 20833, 2002 WL 1371166, at *21 (Ohio Ct. App. 2002). Defamation per quod, on
the other hand, occurs where a statement is defamatory through interpretation or innuendo.
Helfrich, 2013 WL 5450931, at *27.
Tortious interference with a business relationship “occurs when a person, without a
privilege to do so, induces or otherwise purposely causes a third person not to enter into or continue
a business relationship with another.” A & B–Abell Elevator Co. v. Columbus/Cent. Ohio Bldg. &
Constr. Trades Council, 651 N.E.2d 1283, 1294 (Ohio 1995). However, where “the predominant
subject matter of [the wrongful] action is the alleged damage to [claimant’s] reputation and adverse
effects on their business or profession caused by the circulation of allegedly false information[,]”
such claims are properly brought as defamation actions. Ra v. Ohio Attorney Gen.’s Office, No.

19AP-533, 2020 WL 1686485, at *23 (Ohio Ct. App. 2020) (citing Breno v. Mentor, No. 81861,
2003 WL 21757504, at *12 (Ohio Ct. App. 2003) (“where a claim is expressly premised upon a
communication of false information, it is properly characterized as a disguised defamation
claim”)). Stated another way, if absent the allegedly false internet posts there would be no basis
for Defendants’ claim of tortious interference with business relationships, such a claim is properly
characterized as defamation. “sound[s] in defamation.” See id.
Defendants’ allegations -- that Simkins stated in internet posts, inter alia, that medical staff
“cover-up” rape, torture, and beatings; physicians participate in stealing organs; physicians falsify
records; as well as his filing a national petition “to raise awareness to stop the rape and torture
occurring at Grandview Medical Center in Dayton, Ohio” -- are sufficient to state a claim for

defamation at this early stage of the litigation. See Sky v. Van Der Westhuizen, 136 N.E.3d 820,
831 (Ohio Ct. App. 2019), appeal not allowed, 131 N.E.3d 75 (allegations of false reviews posted
online were sufficient to allege a claim for defamation per se); see also Forinash v. Weber, 87
N.E.3d 759, 760 (Ohio Ct. App. 2017) (concluding that a Facebook post stating a defendant
engaged in criminal behavior was sufficient to allege a claim for defamation per se). However,
absent such allegedly false internet posts, there is no basis for Defendants’ tortious interference
claim. See Ra, 2020 WL 1686485, at *23. Accordingly, such claims “sound in defamation.” Id.
Based on the foregoing, Simkins’s motion to dismiss should be denied in part with regard
to Defendants Grandview Hospital and Kettering Health Network’s defamation counterclaim, and
granted in part with regard to Defendants’ claim for tortious interference with a business
relationship.
IV.
The Court next addresses Simkins request for additional time to conduct discovery (doc.
83) in response to the motion to dismiss, or in the alternative motion for summary judgment, filed

by Defendants Horne and Fuentes (doc. 78). Although Defendants attach affidavits in support of
their motion, the undersigned declines, at this early juncture in the litigation, to consider such
extrinsic evidence and, for the reasons set forth above, construes Defendants’ motion in this regard
solely as a motion to dismiss. Accordingly, Simkins’s request for additional time to conduct
discovery should be denied as moot. Additionally, Defendants’ motion for summary judgment
should be denied without prejudice at this time with the understanding the same can be renewed
following the taking of additional discovery.
V.
For the foregoing reasons, the undersigned RECOMMENDS that: (1) the motions to
dismiss filed by Plaintiff and Defendants Dayton Osteopathic Hospital (d/b/a Grandview Hospital),

Kettering Adventist Healthcare (d/b/a Kettering Health Network), Corneja, Van Horne, Jenkins,
Marien, and Revine, (docs. 21, 28) be GRANTED IN PART AND DENIED IN PART; (2) the
motions to dismiss filed by Defendants Grandview Foundation, Brochu, and Brienza, be
GRANTED (docs. 21, 24); (3) the motion for judgment on the pleadings filed by Defendant
Janssen Pharmaceuticals, Inc. be GRANTED (doc. 70); (4) the motion to dismiss filed by
Defendants Horne and Fuentes be GRANTED IN PART AND DENIED IN PART (and
Defendants’ motion for summary judgment, in the alternative, be DENIED WITHOUT
PREJUDICE) (doc. 78).
Additionally, the Court DENIES AS MOOT Plaintiff’s motion for additional time to
conduct discovery (doc. 83).

Date: July 23, 2020 s/Michael J. Newman
Michael J. Newman
United States Magistrate Judge
NOTICE REGARDING OBJECTIONS
Pursuant to Fed. R. Civ. P. 72(b), any party may serve and file specific, written objections
to the proposed findings and recommendations within FOURTEEN days after being served with
this Report and Recommendation. This period is not extended by virtue of Fed. R. Civ. P. 6(d) if

served on you by electronic means, such as via the Court’s CM/ECF filing system. If, however,
this Report and Recommendation was served upon you by mail, this deadline is extended to
SEVENTEEN DAYS by application of Fed. R. Civ. P. 6(d). Parties may seek an extension of the
deadline to file objections by filing a motion for extension, which the Court may grant upon a
showing of good cause.
Any objections filed shall specify the portions of the Report and Recommendation objected
to, and shall be accompanied by a memorandum of law in support of the objections. If the Report
and Recommendation is based, in whole or in part, upon matters occurring of record at an oral
hearing, the objecting party shall promptly arrange for the transcription of the record, or such
portions of it as all parties may agree upon or the Magistrate Judge deems sufficient, unless the

assigned District Judge otherwise directs.
A party may respond to another party’s objections within FOURTEEN days after being
served with a copy thereof. As noted above, this period is not extended by virtue of Fed. R. Civ.
P. 6(d) if served on you by electronic means, such as via the Court’s CM/ECF filing system. If,
however, this Report and Recommendation was served upon you by mail, this deadline is extended
to SEVENTEEN DAYS by application of Fed. R. Civ. P. 6(d).
Failure to make objections in accordance with this procedure may forfeit rights on appeal.
See Thomas v. Arn, 474 U.S. 140, 153-55 (1985); United States v. Walters, 638 F.2d 947, 949-50
(6th Cir. 1981).

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Source: Frix Law Library, https://www.frixlaw.com/law-library/cases/10375922. Public record. Not legal advice.