The state's prisons system plans to give the pillow to death row inmate Alva Campbell on Wednesday (15 November) for breathing issues he may experience while lying flat, Fox8 Cleveland reported.
Dr James McWeeney noted that there were no objective findings, such as increased pulse rate or breathing, to verify Campbell's anxiety, WCPO reported.
Meanwhile, prosecutors say Campbell's health claims were ironic - given he faked paralysis to escape court custody the day he killed a teenager during a carjacking.
The inmate has severe chronic obstructive pulmonary disorder as the result of a decades-long two-pack-a-day smoking habit that finally stopped nine years ago.
Nevertheless, he recommended allowing Campbell to lie "in a semi-recumbent position" during the execution. His attorneys have also said the prisoner may have lung cancer.
Campbell has asked the US Supreme Court to stop his execution, saying he is too ill to execute.
That same exam also found he has "unsuitable veins" for inserting an IV into either arm. A federal judge ruled out that as an option for Campbell.
Prison department spokeswoman JoEllen Smith said Monday that Campbell's "medical condition and history are being assessed and considered in order to identify any necessary accommodations or contingencies for his execution".
Campbell had already served 20 years for killing a man. While in a wheelchair, Campbell overpowered the deputy and fled. He's smoked two packets a day for decades. Campbell drove around with Dials for several hours before he shot him twice in the head.
Campbell was regularly beaten, sexually abused and tortured as a child, his attorneys have argued in court filings and before the Ohio Parole Board.
Republican Ohio Gov John Kasich rejected mercy for Campbell last week. If the execution happens, Campbell would be the third inmate to be executed in the state this year.
The Department of Rehabilitation and Correction says Tuesday that the brother and sister of Charles Dials will be in the witness area on Wednesday to watch condemned inmate Alva Campbell be put to death.