# LCA Vision Inc v. Goel

> District Court, S.D. Ohio · November 21, 2020

URL: https://www.frixlaw.com/law-library/cases/10376774

## Case

- **Court:** District Court, S.D. Ohio
- **Decided:** November 21, 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/10376774

## Opinion text

IN THE UNITED STATES DISTRICT COURT
FOR THE SOUTHERN DISTRICT OF OHIO
WESTERN DIVISION

LCA-VISION, INC. d/b/a LASIKPLUS, et :
al., : Case No. 1:19cv818
:
Plaintiffs, : Judge Susan J. Dlott
:
v. : ORDER DENYING PLAINTIFFS’
: MOTION FOR CONTEMPT,
SANJAY DESH GOEL, M.D., : DEFENDANT’S MOTION FOR
: SANCTIONS, AND PLAINTIFFS’
Defendant. : MOTION TO CONFIRM STAY
:

This matter is before the Court on Plaintiffs’ Motion for Contempt (Doc. 30),
Defendant’s Motion for Sanctions (Doc. 51), and Plaintiffs’ Motion to Confirm Stay of
Discovery (Doc. 55). The opposing parties vehemently contest these motions (Docs. 37, 38, 53,
54, 56, 58, 59, 61), and the Court’s efforts to mediate this matter (Doc. 43) have failed.
This litigation began as an action to enforce a restrictive covenant between an
ophthalmologist licensed to perform laser vision correction procedures and his former employer.
Although the parties reached a heavily negotiated settlement agreement and entered a Consent
Judgment and Agreed Permanent Injunction (Doc. 26), this case descended into questionable
conduct and competing motions for sanctions and contempt. For the reasons set forth below, all
pending motions will be DENIED.
I. BACKGROUND
In 1999, Plaintiff LCA-Vision, Inc. hired Defendant Sanjay Desh Goel, an
ophthalmologist, to perform Lasik surgery and related treatments on patients in Baltimore,
Maryland. In 2007, Plaintiff Columbus Eye Associates, Inc., an affiliate or subsidiary of LCA-
Vision, Inc.,1 entered into an employment agreement with Goel. The agreement contained a
restrictive covenant requiring Goel, among other things, not to deliver laser vision correction
services in a specified geographic area (the “Restricted Area”) for 18 months after he terminated
his employment with LCA.
After nearly 20 years of employment, Goel grew disillusioned with LCA. In March

2019, Goel and seven other physicians resigned from LCA. The other seven physicians obtained
employment with Vision Group Holdings (“VGH”), LCA’s primary competitor at that time.2 On
May 25, 2019, Goel informed LCA that he was opening his own practice in Maryland and would
abide by the terms of the 2007 restrictive covenant.
On September 25, 2019, LCA initiated the instant action alleging that Goel breached the
2007 restrictive covenant. Approximately one month later, the parties, as part of a larger
settlement agreement, filed a Consent Judgment and Agreed Permanent Injunction (“Consent
Judgment”). (Doc. 26.) Pursuant to the Consent Judgment, the parties stipulated:
2. For a period of 18 months beginning on June 20, 2019, Goel, his
staff, his employees, his associated and affiliated optometrists and
anyone else acting in concert with him or under his direction and
control are prohibited from performing LASIK/PRK surgeries,
including pre-operative and routine post-operative LASIK/PRK
exams, with the exception of post-operative LASIK/PRK exams for
the 36 patients for whom Goel has already performed LASIK/PRK
surgery since June 20, 2019, within 30 miles of the following
locations: (a) 22 West Road, Suite 201, Towson Maryland; and (b)
10025 Governor Warfield Parkway, Suite 103, Columbia, Maryland
(the “Restricted Area”).

1 In the interest of brevity, the Court will refer to LCA-Vision, Inc. and Columbus Eye Associates, Inc. collectively
as “LCA.”
2 In addition to this action, LCA initiated litigation in Hamilton County, Ohio Court of Common Pleas alleging an
“orchestrated mass resignation” in attempt to “devalue if not destroy LasikPlus and damage its reputation and
position irreparably in the US LASIK market so that [VGH] can assume dominance of the US LASIK market.”
(Doc. 51 at PageID 1162–63 (quoting LCA-Vision, Inc. v. Vision Group Holdings, LLC, Case No. A-1901821 (Ham.
Cty. Ohio C.P. 2019), Doc. 1).) Ultimately, after litigation in Ohio and Florida, LCA purchased VGH’s assets out of
bankruptcy.
Nothing in this paragraph prohibits Goel from performing general
ophthalmology exams or other non-LASIK/PRK surgeries,
including corneal consultation, refractive lenses, cataract surgery,
and posterior capsulotomy within the Restricted Area. . . .

Nothing in this paragraph prohibits Goel from discussing
LASIK/PRK surgery as an option for general ophthalmology
patients or referring a patient for LASIK/PRK surgery outside of the
Restrict Area for evaluation of the patient as a possible candidate for
LASIK/PRK surgery that may be performed by Goel outside of the
Restricted Area on the conditions that: (1) the patient did not
indicate the purpose of their requested evaluation by Goel in the
Restricted Area relates to LASIK/PRK surgery . . . (2) Goel did not
evaluate the patient within the Restricted Area with the purpose of
performing a pre-operative LASIK/PRK correction examination;
and (3) Goel does not perform the LASIK/PRK surgery or any
associated evaluations, pre-operative, or post-operative exams
within the Restricted Area. . . .

3. For a period of 18 months beginning on June 20, 2019, Goel is
prohibited from advertising, whether via radio, television, website,
social media or other medium or in any of his practice locations, that
he is able to perform LASIK/PRK surgeries, including pre-operative
and post-operative LASIK/PRK exams, within the Restricted Area.

Nothing in this paragraph prohibits Goel from advertising in any
territory, including but not limited to the Restricted Area, that he is
able to perform LASIK/PRK surgeries, including pre-operative and
post-operative LASIK/PRK exams, outside of the Restricted Area.
Provided, however, that any advertisements are explicit and
prominent either that Goel is not performing LASIK/PRK in the
Restricted Area or the location that Goel is performing LASIK/PRK
outside the Restricted Area.

Notwithstanding the foregoing, Goel shall not advertise, publicize,
list, or announce himself or his practice as providing LASIK/PRK
surgeries or pre-operation exams in “Baltimore”, in the “Baltimore
Area”, or in any other location within the Restricted Area.

(Doc. 26 at PageID 563–65.)
On November 1, 2019, Goel emailed LCA Chief Executive Officer (“CEO”) Craig Joffe,
stating:
I am writing to make you aware that I plan on bringing “SMILE”
laser eye surgery to Frederick/Baltimore. As you may know,
“SMILE” is an acronym for “Small Incision Lenticule Extraction”
which is neither LASIK nor PRK. None of the machines at
LasikPlus is able to do SMILE at this time. I am hoping that “all
boats rise” when another laser vision correction surgery is being
marketed in the area.

As this is neither LASIK nor PRK it is not a violation of my
obligation to you. But I am letting you know my plans because I am
trying to repair my relationship with you. Please let me know by
Noon on Tuesday, November 5, 2019 if you have any objections to
me doing SMILE so that we can discuss this before I commit to my
lease.

(Doc. 30-2 at PageID 609.) Joffe forwarded Goel’s email to LCA General Counsel, Kevin
Dineen, who emailed Goel saying:
Your non-compete for laser vision correction services encompasses
SMILE laser eye surgery. . . . As such, we do not agree with your
interpretation and will take appropriate action in the event you
decide to perform SMILE in the Restricted Area.

(Id. at PageID 608–09.)
At 5:50 p.m. on November 1, 2019, outside counsel for LCA became aware that Dineen
(an attorney) emailed Goel (who is represented by counsel) directly and notified Goel’s counsel.
(Doc. 30-2 at PageID 608.) LCA’s outside counsel informed Goel’s counsel, “I just became
aware of this and have instructed my client to have no further direct communication with Dr.
Goel.” (Id.)
Goel’s counsel sought agreement from LCA’s outside counsel that Goel could perform
SMILE surgery in the Restricted Area as the Consent Agreement barred only LASIK/PRK.
(Doc. 51-5 at PageID 1230–33.) LCA’s outside counsel refused to respond to that inquiry,
seeking only to ensure that Goel would submit to an interview and produce certain documents
related to VGH. (Id.) Goel then commenced performing SMILE procedures in the Restricted
Area.
Meanwhile, unbeknownst to Goel or his attorneys, Joffe and Dineen discussed having a
“secret shopper” call Goel’s new offices “inquiring about LASIK – we may want to record the
call and/or have him sign a written affidavit as to the discussion. Let’s p[r]ep him re Qs to ask,

etc.” (Doc. 51-7 at PageID 1239–40.) According to the email chain, Dineen noted that “under
Maryland’s Wiretapping and Electronic Surveillance Act, it is unlawful to record a phone
conversation without the consent of both parties. So recording the call is not a viable option.”
(Id. at PageID 1240.) Although they considered whether Goel would recognize the potential
“secret shopper” as an affiliate of LCA, no ethical concerns were raised concerning direct
contact with a represented party or assuming a “secret” identity in contacting Goel. (Id.). LCA’s
outside counsel was copied on this email. (Id. at PageID 1239.)
Over the next few months, again unbeknownst to Goel or his attorney, an LCA Legal
Administrator, Alexa Dorning, created a “spoofed” telephone number with a Baltimore area

code. She used false names, addresses, and email addresses to contact Goel’s office to elicit
evidence that Goel would perform a LASIK pre-operative examination in the Restricted Area.
Dorning made the calls on September 3, 2019, September 4, 2019, November 12, 2019, and
February 14, 2020. She intentionally mispronounced Goel’s name and referenced online reviews
during the calls to ensure her identity remained unknown. She then emailed Dineen a “recap” of
each call. (Doc. 51-8 at PageID 1243–45.) On at least one occasion, Dineen promptly
forwarded the “recap” email to outside counsel who shared it with her law firm colleagues.
(Doc. 51-9 at PageID 1247–48.)
On February 17, 2020, LCA filed a Motion for Contempt and Request for Expedited
Hearing (Doc. 30). In its Motion for Contempt, LCA alleged that Goel violated the Consent
Judgment in three ways: (1) by performing SMILE procedures in the Restricted Area because
“SMILE is essentially ‘small incision LASIK.’” (Doc. 30 at PageID 579 (quoting Norden
Aff.).); (2) by performing SMILE pre- and post-operative examinations in the Restricted Area

because they are essentially the same as LASIK pre- and post-operative examinations; and (3) by
running radio and other advertisements in which the required disclaimers were not explicit and
prominent.
In support of its Motion for Contempt, LCA filed an affidavit of Alexa Dorning
(notarized by General Counsel Dineen). (Doc. 33.) Although Dorning’s affidavit recounted her
February 14, 2020 conversation with Goel’s office and the fact that she scheduled a pre-
operative consultation appointment she had no intention of keeping, it did not disclose the
“spoofed” telephone number, the false identity she assumed in making the call, or the other calls
she had made. (Doc. 33 at PageID 794–95.) In addition, she identified herself as a “Legal

Administrator” employed by LCA-Vision, Inc., but she did not disclose the role any licensed
attorneys played in making the questionable telephone calls. (Id. at PageID 794.)
The Court scheduled an evidentiary hearing on LCA’s Motion for Contempt for March
17, 2020. However, as witnesses were reluctant to travel to Cincinnati due to the coronavirus
pandemic, the Court rescheduled the evidentiary hearing. On July 22, 2020, Goel’s counsel
notified the Court and opposing counsel of a potential ethical concern. The Court conducted a
telephone conference with all counsel on July 23, 2020.
During the telephone conference, Goel’s counsel informed the Court of his belief that
LCA General Counsel, Kevin Dineen, had engaged in unethical conduct by working with Alexa
Dorning to make “pretextual fake calls using essentially fraud to elicit testimony” from Goel’s
office on at least two occasions without Goel’s or his attorneys’ knowledge. (7/23/20 Transcript,
Doc. 42 at PageID 1043.) The pretextual calls served as the bases for two Dorning affidavits
submitted to the Court, one in support of LCA’s Complaint and a second in support of LCA’s
Motion for Contempt. (Docs. 1-15, 33.)

After mediation with a Court-appointed mediator failed, Goel sought additional discovery
related to the alleged unethical conduct and Goel’s belief that LCA had knowingly made
misrepresentations “to generate a claim against Dr. Goel that they knew they didn’t have” and
filed false information with the Court. (8/31/20 Transcript, Doc. 46 at PageID 1091–92.) In
response, LCA offered to withdraw the Dorning affidavits and to provide certain attorney-client
privileged emails to the Court for in camera inspection. (Id. at PageID 1109–10.)
On September 1, 2020, the Court received a package containing 22 email chains related
to Dorning’s affidavits. After in camera inspection, the Court provided four of those email
chains to Goel’s counsel as relevant to the alleged misconduct in this case.

On September 4, 2020, LCA filed a Notice of Withdrawal and Request for Hearing which
stated, in its entirety:
Consistent with its July 30, 2020 (Doc. 44 at 3:24–4:7) and August
31, 2020 (Doc. 46 at 3:24–4:5) representations to the Court,
plaintiffs, LCA-Vision, Inc., d/b/a/ LasikPlus and Columbus Eye
Associates, Inc., hereby formally withdraw all allegations and
arguments regarding, and evidence of, telephone calls made by
Alexa Dorning to Goel Vision including, but not limited to, the
Affidavits of Alexa Dorning in support of plaintiffs’ Verified
Complaint (Doc. 1-15) and Motion for Contempt (Doc. 33).
Plaintiffs are prepared to present other, substantial evidence of
defendant, Sanjay Desh Goel, M.D.’s contempt of the Court’s
Consent Judgment and Agreed Permanent Injunction (Doc. 26) and
hereby respectfully request that the hearing on its motion be
rescheduled forthwith.
(Doc. 48 at PageID 1132.) LCA neither identified nor provided the “other, substantial evidence”
of contempt.
Also on September 4, 2020, Goel filed a Motion for Sanctions (Doc. 51). Goel attempted
to obtain additional discovery related to LCA’s alleged misconduct, and LCA filed a Motion to
Confirm Stay of Discovery (Doc. 55). All pending motions are now ripe for consideration.

II. MOTION FOR CONTEMPT
To ensure that judicial orders are “authoritative rather than advisory,”3 courts possess
inherent authority to punish “a violation of a court order by one who fully understands its
meaning but chooses to ignore its mandate.” Int’l Longshoremen’s Ass’n, Loc. 1291 v. Phila.
Marine Trade Ass’n, 389 U.S. 64, 76 (1967). “A party that seeks civil contempt sanctions must
demonstrate by clear and convincing evidence that the opposing party knowingly ‘violated a
definite and specific order of the court.’” Gascho v. Global Fitness Holdings, LLC, 875 F.3d
795, 800 (6th Cir. 2017) (quoting NLRB v. Cincinnati Bronze, Inc., 829 F.2d 585, 591 (6th Cir.
1987)). If a movant carries this “heavy” burden, “the onus shifts to the opposing party to

demonstrate that it was unable to comply with the court’s order.” Id. (citing Elec. Workers
Pension Trust Fund of Loc. Union # 58, IBEW v. Gary’s Elec. Serv. Co., 340 F.3d 373, 379
2003)).
A court’s contempt power is a mighty weapon and must be exercised with caution.
Gascho, 875 F.3d at 799. “Contempt is a measure of last resort, not first resort.” Id.
In the case at bar, LCA bears the heavy burden of demonstrating by clear and convincing
evidence that Goel violated the Consent Judgment. It has failed to do so.

3 Gascho v. Global Fitness Holdings, LLC, 875 F.3d 795, 798 (6th Cir. 2017).
A. SMILE Procedures in the Restricted Area
LCA initially alleged that, by performing SMILE procedures in the Restricted Area, Goel
should be held in contempt because “the Settlement Agreement and Court’s Order require Dr.
Goel to be out of the laser vision correction business in Baltimore and surrounding environs for
18 months.” (Doc. 38 at PageID 1010; see Doc. 30 at 578–79 (arguing that “SMILE is

essentially ‘small incision LASIK.’”).) LCA wisely appeared to abandon this contention later.
(See Doc. 38 at PageID 1012–17 (challenging only Goel’s pre- and post-operative examinations
and post-settlement advertising).) Indeed, in responding to Goel’s Motion for Contempt, LCA
finally admitted, “While SMILE was not specifically prohibited by the first paragraph of Section
2 of the Consent Judgment, it was also not identified as a procedure that Dr. Goel would be able
to perform under the revised non-compete in the second paragraph of Section 2.”4 (Doc. 54 at
PageID 1921.)
Regardless of whether LCA’s contention was abandoned, it fails on the merits. Both
LCA and Goel were thoroughly represented by a cadre of experienced legal counsel in this and

all related litigation. The underlying settlement agreement and the Consent Judgment and
Agreed Permanent Injunction were heavily negotiated and involved several iterations before the
final versions that prohibit Goel from “performing LASIK/PRK surgeries” in the specifically
defined Restricted Area. (Doc. 26 at PageID 563.) There is no mention of removing him from

4 LCA goes on to state, “With Dr. Goal [sic] having no experience, equipment or training in SMILE surgery, LCA
read Dr. Goel’s email as a ‘gotcha.’” (Doc. 54 at PageID 1921.) The Court has trouble comprehending how Goel’s
transition to SMILE surgeries was perceived as a “gotcha.” First, the Consent Judgment provides, “Nothing in this
paragraph prohibits Goel from performing general ophthalmology exams or other non-LASIK/PRK surgeries,
including corneal consultation, refractive lenses, cataract surgery, and posterior capsulotomy within the Restricted
Area.” (Doc. 26 at PageID 564.) The plain language of the Consent Judgment is open-ended and does not purport
to list every procedure Goel could properly perform. Second, Goel did exactly what he was supposed to do after the
settlement, i.e., pivoted his practice to focus on procedures that do not compete with LCA.
the “laser vision correction business.” The Consent Judgment identified two specific surgical
procedures in which Goel could not engage in the Restricted Area—PRK and LASIK.
Despite LCA’s attempts to imply otherwise, SMILE is different than PRK and LASIK.
The procedures require different types of lasers, and “[t]he FDA recognizes them as distinct
novel procedures and requires companies to do unique clinical trials for approval.” (Durrie Aff.,

Doc. 37-8 at PageID 945.) In addition, Goel performed only PRK and LASIK procedures for
LCA as LCA does not perform SMILE procedures. (Goel Dec., Doc. 37-1 at PageID 837.)
Indeed, LCA does not own the Zeiss VisuMax laser required to perform SMILE procedures, but
Goel spent $250,000 on one to perform SMILE procedures at his Towson, Maryland office
(inside the Restricted Area). The only excimer laser (for LASIK/PRK) to which Goel has access
is in Frederick, Maryland (outside the Restricted Area). (Id.) Finally, LCA’s website
specifically differentiates LASIK (which it performs) and the “newly introduced,” “novelty”
SMILE (which it does not). (https://www.lasikplus.com/faq/does-lasikplus-offer-smile/ (last
viewed on November 17, 2020).)

Accordingly, the Court concludes that Goel’s performance of SMILE procedures within
the Restricted Area in no way violates the Consent Judgment. If LCA contends otherwise, it has
failed to demonstrate by clear and convincing evidence that the SMILE surgeries violate a
definite and specific Court order.
B. Pre- and Post-Operative Eye Examinations in the Restricted Area
LCA contends that Goel’s performance of SMILE pre- and post-operative examinations
in the Restricted Area warrants a finding of civil contempt. As recited more fully above, the
Consent Judgment prohibits Goel “from performing LASIK/PRK surgeries, including pre-
operative and routine post-operative LASIK/PRK exams” in the Restricted Area. (Doc. 26 at
PageID 563.) However, “Nothing in this paragraph prohibits Goel from performing general
ophthalmology exams or other non-LASIK/PRK surgeries.” (Id. at PageID 564.)
In its Motion for Contempt and related filings, LCA offered two sources of evidence that
Goel violated this provision: (1) the now-withdrawn Alexa Dorning affidavits; and (2) Goel’s
statement during a required interview with LCA’s counsel5 that “all eye exams are very similar .

. . whether you’re doing a glaucoma eye exam or a retinal eye exam, an eye exam is going to be
an eye exam.” (Doc. 30 at PageID 587–88; Doc. 38 at PageID 1012–14.) This evidence falls far
short of the clear and convincing evidence that Goel violated a definite and specific court order
required to support a contempt finding.
First, while the Consent Judgment prohibits Goel from performing “pre-operative and
routine post-operative LASIK/PRK exams” except under certain circumstances, it specifically
permits him to perform “general ophthalmology exams” in the Restricted Area. (Doc. 26 at
PageID 563–64.) In addition, the Consent Judgment specifically allows Goel to discuss
LASIK/PRK as an option for general ophthalmology patients and to refer patients for

LASIK/PRK outside the Restricted Area as long as “the patient did not indicate the purpose of
their requested evaluation,” “Goel did not evaluate the patient within the Restricted Area with
the purpose of performing a pre-operative LASIK/PRK correction examination,” and “Goel does
not perform the LASIK/PRK surgery or any associated evaluations, pre-operative, or post-
operative exams within the Restricted Area.” (Id. at PageID 564.)
LCA’s evidence of violation provides, in its entirety:

5 Although LCA claims that their relentless pursuit of Goel has nothing to do with VGH, LCA conditioned the
settlement in this matter on Goel agreeing to be interviewed by LCA’s outside counsel to “provide information to
her (including all communications in every form with VGH, its affiliates, and [VGH executive Mark] Cohen . . . )
about his involvement with VGH and VGH’s efforts to recruit LasikPlus affiliated physicians.” (Settlement
Agreement, Doc. 51-3 at PageID 1218.)
MS. MITCHELL [LCA’s outside counsel]: Right. When patients
call in and they’re interested in LASIK and they call the number on
your website, what do your staff tell them?
DR. GOEL: We tell them that we can see them for a LASIK exam
in Frederick [outside the Restricted Area] where I can do LASIK or
we can see them for a SMILE exam, a SMILE laser eye surgery
exam in my Towson or Columbia locations [inside the Restricted
Area].
MS. MITCHELL: What is the difference between a preoperative
exam for SMILE and a preoperative exam for LASIK?
DR. GOEL: Well, all eye exams are very similar, where you’re
going to do a complete examination of the eye and looking for
pathology within the eye, and then doing a corneal topography to
check the health of the cornea and the thickness of the cornea.
MS. MITCHELL: It sounds to me that that’s what you’re describing
as a SMILE exam?
DR. GOEL: That is a basic –
MS. MITCHELL: Sounds to me like a LASIK preop exam. That’s
why I’m asking what the difference is between the two, if there is
any.
DR. GOEL: Well, an eye exam is an eye exam. I’m not sure you
can – you know, whether you’re doing a glaucoma eye exam or a
retinal eye exam, an eye exam is going to be an eye exam.
MS. MITCHELL: Are there any different things that you have to
look for to do SMILE that you don’t have to look for when you do
LASIK? Any difference in what you do on a SMILE exam?

(Doc. 30-3 at PageID 659–60.) At this point in Mitchell’s interview, Goel’s attorney objected to
the questioning as outside the scope of his required interview. (Id. at PageID 661.) The
attorneys then discussed the terms of the Settlement Agreement and ultimately agreed that
Mitchell’s line of questioning was outside the “language of the cooperation paragraph.” (Id. at
PageID 662.) This exchange falls woefully short of establishing that Goel fully understood but
chose to ignore a court mandate. See Int’l Longshoremen’s Ass’n, Loc. 1291, 389 U.S. at 76. If,
as LCA contends, “an eye exam is an eye exam,” the Consent Judgment’s prohibition of
LASIK/PRK pre-operative exams while specifically permitting “general ophthalmology exams”
lacks the clarity and specificity required to support a contempt finding.
To the extent that LCA implies that this exchange proves Goel is using SMILE exams as
a pretext to conduct LASIK pre-operative exams in the Restricted Area, Goel’s undisputed
testimony indicates otherwise. Specifically, Goel prefers to perform SMILE surgeries over
LASIK/PRK because he performs those closer to his home and because he owns the VisuMax
Laser used for SMILE (as opposed to paying rental fees for the lasers he uses to perform

LASIK/PRK). (Doc. 37-1 at PageID 837.) In addition, Goel believes that SMILE yields similar
results with less patient discomfort and downtime, even though he is “required by the Medical
Code of Ethics to inform a patient of all possible medical and surgical alternatives to a SMILE
procedure (or any surgery) for which they qualify,” and he does “not even know what corrective
options will be available to a prospective patient until after performing a full eye exam and
completing certain tests on that patient.” (Id. at PageID 837–38.)
Second, although given multiple chances to do so, LCA has failed to present significant
evidence—let alone clear and convincing evidence—of Goel’s alleged contempt. Indeed, once
LCA admitted that the Dorning affidavits had been questionably obtained, the Court suggested

denying the Motion for Contempt without prejudice so LCA could refile it without reliance on
any Dorning affidavit. (Doc. 44 at PageID 1079.) Indeed, Goel’s counsel specifically stated,
during the conference with the Court, “Frankly, if they’re pulling evidence, I’m not really sure
what is even left as a motion anymore.” (Id. at PageID 1080.) However, LCA’s counsel twice
refused the Court’s invitation. (Id. at PageID 1080, 1081.) In subsequently withdrawing the
Dorning affidavits, LCA claimed it was “prepared to present other, substantial evidence” of
Goel’s contempt, but LCA failed to identify or produce such evidence.
C. Advertisements and Social Media
As explained above, if LCA were able to carry the heavy burden of establishing by clear
and convincing evidence that Goel violated a clear and specific court order, the burden would
shift to Goel to establish that he was unable to comply. See Gascho, 875 F.3d at 800. In this
case, the Consent Judgment prohibits Goel from “advertising, whether via radio, television,

website, social media or other medium or in any of his practice locations, that he is able to
perform LASIK/PRK surgeries, including pre-operative and post-operative LASIK/PRK exams,
within the Restricted Area.” (Doc. 26 at PageID 565.) However, the Consent Judgment
expressly permits Goel to advertise that he performs LASIK/PRK and associated exams outside
the Restricted Area as long as “any advertisements are explicit and prominent either that Goel is
not performing LASIK/PRK in the Restricted Area or the location that Goel is performing
LASIK/PRK outside the Restricted Area.” (Id.) In addition, he is prohibited from advertising
that he performs LASIK/PRK in “Baltimore,” the “Baltimore Area,” or any other location within
the Restricted Area. (Id.)

LCA has established—at best—that Goel ran some advertisements to which LCA
objected, and Goel either changed or discontinued them. Dr. Goel’s website, goelvision.com,
contains identifiers on each page indicating that he performs LASIK surgery and pre- and post-
operative care only at his Frederick, Maryland location (outside the Restricted Area) and that he
performs SMILE surgery, cataract surgery, and ICL surgery at his Towson and Columbia
locations. In addition, under the “contact” tab where a potential patient may click an adjacent
button to “Request an Appointment,” the disclaimers are explicit and in a large, clear font.
(https://www.goelvision.com/contact/ (last viewed 11/17/20).) Although LCA objected to
Goel’s social media activity, it also acknowledged that he changed his LinkedIn, Facebook and
Twitter pages in response to the objections. (Doc. 30 at PageID 584.) Again, LCA falls
woefully short of establishing by clear and convincing evidence that Goel was ignoring a Court
order. Accordingly, the Court declines LCA’s invitation to employ the “last resort” of finding
Goel in civil contempt.
III. MOTION FOR SANCTIONS

Goel seeks sanctions from LCA pursuant to Federal Rule of Civil Procedure 11(b), 28
U.S.C. § 1927, and the Court’s inherent authority. Specifically, he claims that he is entitled to
reimbursement of the attorneys’ fees and costs incurred defending LCA’s Motion for Contempt,
to dismissal of the Motion for Contempt, and to Court-ordered depositions of Dineen, Joffe,
Dorning, and outside counsel. (Doc. 51 at PageID 1177.)
Pursuant to Rule 11(b), by presenting a motion to the court, an attorney certifies that the
motion “is not being presented for any improper purpose, such as to harass, cause unnecessary
delay, or needlessly increase the cost of litigation [and] the factual contentions have evidentiary
support.” Fed. R. Civ. P. 11(b)(1) and (3). The Court applies an objective reasonableness

standard in evaluating Rule 11 claims. Specifically, “The focus here is narrow and concerned
only with whether ‘the attorney believes on the basis of reasonable inquiry that there is a
reasonable basis in law and fact for the position taken and that the paper is not filed for an
improper purpose.’” Oakstone Community Sch. v. Williams, 615 F. App’x 284, 288 (6th Cir.
2015) (quoting Jackson v. Law Firm of O’Hara, Ruberg, Osborne and Taylor, 875 F.2d 1224,
1229 (6th Cir. 1989)).
Pursuant to 28 U.S.C. § 1927, “Any attorney . . . who so multiplies the proceedings in
any case unreasonably and vexatiously may be required by the court to satisfy personally the
excess costs, expenses, and attorneys’ fees reasonably incurred because of such conduct.”
“Sanctions are appropriate under § 1927 ‘when an attorney has engaged in some sort of conduct
that, from an objective standpoint, falls short of the obligations owed by a member of the bar to
the court and which, as a result, causes additional expense to the opposing party.’” Saenz v.
Kohl’s Dept. Stores, Inc., No. 20-1517, ___ F. App’x ___, 2020 WL 6393335, at *4 (6th Cir.
Nov. 2, 2020) (quoting Holmes v. City of Massillon, 78 F.3d 1041, 1049 (6th Cir. 1996))

(internal quotation marks omitted). This standard—intended to deter dilatory litigation
practices—does not require subjective bad faith, but “something more than negligence or
incompetence must be demonstrated.” Oakstone Community Sch., 615 F. App’x at 289.
In the case at bar, there is ample evidence that LCA’s conduct—and potentially that of its
outside counsel—is sanctionable. On August 16, 2019, LCA CEO Joffe, in consultation with
General Counsel Dineen, discussed candidates for a “secret shopper” to call Goel’s new phone
number using prepared questions to gather evidence that Goel violated his restrictive covenant.
(Joffe Email, Doc. 51-7 at PageID 1239–40.) They copied LCA’s outside counsel on the email.
(Id.) On September 5, 2019, Dorning, a Legal Administrator at LCA, emailed Dineen recounting

her creation of a “spoof caller ID with a 410 area code” to contact Goel’s office to obtain
evidence for use in an affidavit. (Dorning Email, Doc. 51-8 at PageID 1243.) Less than three
weeks later, LCA filed the instant action, offering a very brief affidavit of Alexa Dorning in
support. (Doc. 1-15 at PageID 232.) On October 28, 2019, the parties settled the case, and
provided the Court with the Consent Judgment and Agreed Permanent Injunction, which the
Court signed. (Doc. 26.)
Two weeks later, Dorning again emailed Dineen recounting in more detail another
incident in which she used a “spoofed” phone number to contact Goel’s office, providing false
information taken from a review on Goel’s Facebook page to make a phony appointment for “an
all-comprehensive eye exam.” (Dorning Email, Doc. 51-8 at PageID 1244.) Dineen
immediately forwarded Dorning’s email to LCA’s outside counsel, Jennifer Mitchell, saying,
“Let’s discuss.” (Dineen Email, Doc. 51-9 at PageID 1247.) Rather than objecting to the
deception or to contacting Goel’s office without consulting his attorney, Mitchell forwarded the
email to law firm colleagues, saying, “Of course this is what he is doing. . .” (Mitchell Email,

Doc. 51-9 at PageID 1247.)
On February 14, 2020, Dorning made yet another questionable phone call to Goel’s
office again without consulting Goel’s attorneys and again immediately sent Dineen a “recap”
email. (Doc. 51-8 at PageID 1245.) Goel’s employee told Dorning—falsely believing she was
speaking with an actual client—that Goel would not do LASIK at his Baltimore office, but she
recommended SMILE surgery and that could be done in Baltimore. (Id.) When Dorning falsely
said she had read online about people committing suicide after having SMILE surgery, the
employee “laughed and reassured me that SMILE is not at all like what I’ve read about [and]
[s]he encouraged me to discuss it with Dr. Goel and told me that he does about six different

types of procedures and that I could discuss options with him during my exam.” (Id.) Three
days later, LCA’s outside counsel filed the instant Motion for Contempt and offered Alexa
Dorning’s affidavit in support. (Doc. 33.) In this affidavit, notarized by Dineen, Dorning
recounted her conversation with Goel’s employee, but she failed to mention the “spoofed” phone
number, the previous calls, or the other phony information provided. (Id. at PageID 794–95.)
Seven months later, in responding to Goel’s Motion for Sanctions, LCA acknowledged:
While Dorning’s decision to use a pseudonym was improper and
misguided, Dorning was never instructed by Joffe, Dineen or LCA’s
counsel to take this approach. There was no “scripting” to Dorning,
as Dr. Goel argues. With the benefit of hindsight, all are in
agreement that these calls should not have occurred.
(Doc. 54 at PageID 1926.) LCA appears to blame Legal Administrator Dorning for the
“improper and misguided” calls rather than looking to the cadre of attorneys—both inside and
outside of LCA—who consulted with her throughout this process, drafted and notarized her
affidavit, filed the Motion for Contempt, and continue to show no ownership or contrition to this
day. While simultaneously blaming Dorning and contending Goel should have caught them

sooner, LCA states that the “LCA attorneys involved in the Dorning affidavit have self-reported
the potential ethical issue, triggering a confidential investigation in accordance with the
mandated process.” (Doc. 54 at PageID 1931.) However, the Court has no information
regarding who self-reported what to whom.
Goel alleges that Dorning’s actions violate federal law6 and that the lawyers7 involved
violated the Ohio Rules of Professional Conduct, specifically Rules 1.2 (prohibiting a lawyer
from assisting a client “in conduct that the lawyer knows is illegal or fraudulent”), 4.1 (requiring
a lawyer to disclose material facts when necessary to avoid assisting client in illegal or
fraudulent act), 4.2 (prohibiting most direct communications with represented parties), and 8.4

(prohibiting a lawyer from engaging in dishonesty or misrepresentation or assisting another in
violating the Ohio Rules of Professional Conduct). However, those determinations are more
appropriately made by other authorities.
Both parties rely heavily on a prior case decided in this Court, Curatola v. American
Electric Power, No. 1:06-cv-839, 2008 WL 2120840 (S.D. Ohio 2008). In Curatola, the
defendant’s attorney sought to determine ownership of Curatola Construction Company and

6 Dorning’s use of “spoofed” telephone numbers, according to Goel, violates the Truth in Caller ID Act of 2009.
(Doc. 51 at PageID 1172.) Pursuant to 47 U.S.C. § 227(e)(1), “It shall be unlawful for any person within the United
States . . . to cause any caller identification service to knowingly transmit misleading or inaccurate caller
identification information with the intent to defraud, cause harm, or wrongfully obtain anything of value,” except
under circumstances not applicable here (e.g., law enforcement investigation or court order).
7 It is undisputed that CEO Joffe is a non-practicing attorney. General Counsel Dineen and LCA’s outside counsel
are all licensed, practicing attorneys. Dorning is not an attorney.
instructed a private investigator (who had been monitoring Curatola and his family) to “contact
Curatola Homebuilders.” Id. at *1. The investigator posed as a homeowner considering home
renovations and “accidentally” met with Curatola and his father to discuss the renovation. Id.
Curatola later discovered that the “client” was actually a private investigator and reported to his
attorney “that someone was harassing him and his family members by following them and

attempting to contact them.” Id. Approximately three weeks after the improper contact with
Curatola, the defendant’s attorney self-reported the ethical violation to the Cincinnati Bar
Association, confirmed to the plaintiff’s attorney that inappropriate contact had occurred, agreed
not to use any evidence obtained from the improper meeting, and made the investigator available
for deposition at the defendant’s expense. Unsatisfied with those actions, Curatola asked the
Court to strike the defendants’ answer or grant summary judgment to Curatola on medical
causation. Finding the requested sanctions “too harsh a response” to the improper actions, the
Court imposed the lesser sanctions of excluding the evidence obtained through improper contact,
ordering no further investigation of Curatola or his family, and producing all evidence obtained

improperly. Id. at *3–4.
In this case, Goel argues, LCA attorneys went beyond the improper conduct in Curatola
because the improper contact with Goel was “intentional, deceptive, repetitive, and specifically
designed to elicit binding admissions to be used against Dr. Goel by experienced attorneys [as]
opposed to a private investigator.” (Doc. 51 at PageID 1176.) In sharp contrast, LCA contends,
“Once LCA became aware of the ethical rules implicated by Dorning’s phone calls, it followed
each step outlined in Curatola — it immediately withdrew Dorning’s affidavit without waiting
for a Court order; and its attorneys retained ethics counsel and self-reported facts to Disciplinary
Counsel.” (Doc. 54 at PageID 1927.) Neither side is entirely correct.
Unlike in Curatola, the deceptive calls in this case did not result in communications with
Goel directly (although that appears to be a fortuitous coincidence), and there is no allegation
that LCA had Goel or his family members followed in any way. However, the Court is troubled
by LCA’s continuing lack of remorse and ongoing efforts to imply that Dorning devised this
scheme on her own while the attorneys played no role in her actions or in submitting misleading

evidence and arguments to this Court. (Doc. 54 at PageID 1926.) As emails between Joffe,
Dineen and outside counsel readily establish, Joffe and Dineen sought a “secret shopper” before
Dorning’s name appears anywhere in this matter. (Doc. 51-7 at PageID 1240.)
Similarly offensive is LCA’s claim that “Once LCA became aware of the ethical rules
implicated by Dorning’s phone calls, it followed each step outlined in Curatola — it
immediately withdrew Dorning’s affidavit without waiting for a Court order; and its attorneys
retained ethics counsel and self-reported facts to Disciplinary Counsel.” (Doc. 54 at PageID
1927.) The undisputed facts demonstrate otherwise. First, outside counsel was copied on the
initial “secret shopper” email dated August 16, 2019. Second, Dineen immediately forwarded to

outside counsel Dorning’s “recap” emails in which she detailed the false telephone number, the
pseudonyms, and the multiple lies she told in making the calls. (Doc. 51-9 at PageID 1247–48.)
Outside counsel then circulated the “recap” emails to others at her law firm. (Id. at 1247.)
Rather than raising concerns about possible illegal activity or potential ethical violations, the
other attorneys at the firm made comments such as, “Brazen as hell” and “you will have a field
day with this guy.” (Id.) Third, outside counsel—not Dorning—submitted to the Court two
separate Dorning affidavits in which Dorning discussed the calls but never disclosed the multiple
deceptions employed in placing the calls. (Doc. 1-15 at PageID 232, Doc. 33 at PageID 794–
95.)
Outside counsel filed these misleading affidavits on September 25, 2019 and February
17, 2020. Yet, the Dorning affidavits were not withdrawn until September 4, 2020, three days
after the Court provided Goel’s attorney with the emails between LCA and outside counsel and
almost a full year after outside counsel filed the first Dorning affidavit in support of its
Complaint in this matter. Unlike in Curatola, the Court does not find the withdrawal to be

“immediate” and outside counsel has been deliberately glib about “self-reporting.”8
The unprincipled behavior here is disappointing at best and fraudulent at worst.
“Nonetheless, although these actions might have been ‘unprofessional and serious enough to
meet the standard for imposing sanctions,’ we choose to ‘exercise our discretion not to sanction’
counsel.” Saenz, No. 20-1517, 2020 WL 6393335, at *5 (6th Cir. Nov. 2, 2020) (quoting
Williams v. Shelby County Sch. Sys., 815 F. App’x 842, 846 (6th Cir. 2020)). Although
belatedly, LCA wisely chose to employ reputable ethics counsel and then followed his advice.
LCA withdrew the offending affidavits voluntarily and appears to have ceased its questionable
conduct. However, LCA and its outside counsel are hereby notified that any further misleading

or improper behavior in this matter will result in significant and immediate repercussions up to
and including payment of Goel’s attorneys’ fees and costs.
IV. MOTION TO CONFIRM STAY OF DISCOVERY
LCA filed a “Motion to Confirm Stay of Discovery” asking this Court to “formally
confirm the stay of all discovery pending its decision” on Defendant’s Motion for Sanctions.
(Doc. 55 at PageID 1935.) As the Court never entered an order staying discovery, there is
nothing to “confirm.” However, because the Court has resolved the sanctions motion, LCA’s

8 The Court agrees with LCA on one point, however. Attorney David Kamp’s appearance as “ethics counsel” seems
to have precipitated LCA’s decision to withdraw the Dorning affidavits.
discovery motion is now moot. Both Goel and LCA have wasted significant time and resources
in this matter, and they would be well-served to avoid further litigation.
V. SEALED DOCUMENTS
Over Goel’s objection, the Court orally granted LCA’s request “that these briefings be
filed under seal until the Court has an opportunity to review them and sort of triage.” (Doc. 46 at

PageID 1105–08.) The Court has now fully and exhaustively reviewed all filings in this matter
and concludes that LCA has failed to carry its burden of overcoming the “‘strong presumption in
favor of openness’ as to court records.” See Shane Group, Inc. v. Blue Cross Blue Shield of
Michigan, 825 F.3d 299, 305 (6th Cir. 2016) (quoting Brown & Williamson Tobacco Corp. v.
F.T.C., 710 F.2d 1165, 1179 (6th Cir. 1983)). Accordingly, all documents filed in the Court
record must be unsealed.
VI. CONCLUSION
For the reasons discussed above, LCA’s Motion for Contempt (Doc. 30) is DENIED.
Goel’s Motion for Sanctions (Doc. 51) is DENIED. LCA’s Motion to Confirm Stay of

Discovery (Doc. 55) is DENIED AS MOOT. The Clerk is ORDERED to UNSEAL all
documents filed under seal in this matter.
IT IS SO ORDERED.

S/Susan J. Dlott______________
Judge Susan J. Dlott
United States District Court

---

Source: Frix Law Library, https://www.frixlaw.com/law-library/cases/10376774. Public record. Not legal advice.
