United States v. Joseph E. Espinosa, Sr. ( 2009 )


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  •                      United States Court of Appeals
    FOR THE EIGHTH CIRCUIT
    ___________
    No. 08-3354
    ___________
    United States of America,                 *
    *
    Appellee,                    *
    * Appeal from the United States
    v.                                  * District Court for the
    * District of South Dakota.
    Joseph E. Espinosa, Sr.,                  *
    *
    Appellant.                   *
    ___________
    Submitted: June 11, 2009
    Filed: September 18, 2009
    ___________
    Before SMITH, ARNOLD, and SHEPHERD, Circuit Judges.
    ___________
    SMITH, Circuit Judge.
    A jury convicted Joseph E. Espinosa Sr. of aggravated sexual abuse, in
    violation of 18 U.S.C. §§ 1153, 2241(a)(1), 2241(c), and 2246(2)(A) ("Count IV"),
    and abusive sexual contact, in violation of §§ 1153, 2244(a)(1), and 2246(3) ("Count
    VII").1 The district court sentenced Espinosa to 30 years' imprisonment on the
    aggravated sexual abuse conviction and 20 years' imprisonment on the abusive sexual
    contact conviction, with the sentences to run concurrently. The court also sentenced
    1
    Espinosa's motion for judgment of acquittal was granted as to Counts I, II, V,
    VI, and VIII. The jury was unable to reach a verdict on Count III, and the district court
    dismissed it.
    Espinosa to five years of supervised release on each count, with the sentences to run
    concurrently. On appeal, Espinosa argues that (1) the evidence was insufficient to
    support his conviction; (2) an expert witness improperly bolstered another witness's
    credibility; and (3) inadmissible hearsay was improperly admitted. We now affirm
    Espinosa's conviction on Count IV and reverse his conviction on Count VII because
    insufficient evidence exists as to the victim's age at the time of the offense conduct.
    I. Background
    Espinosa lived with his girlfriend, Marie Flying, in Rosebud, South Dakota, for
    18 years.2 Flying obtained legal custody of her grandniece, T.H.S., when T.H.S. was
    an infant and raised T.H.S. in the home that Flying shared with Espinosa.3 T.H.S.
    suffers from post-traumatic stress disorder, fetal alcohol syndrome, and mild mental
    retardation. At age 12, T.H.S. functioned at a mental level of six or seven years old
    and had a full-scale IQ of 50. T.H.S. resided at a school dormitory during the week
    and at home with Flying and Espinosa on the weekends.
    According to T.H.S., on the weekend of February 25–27, 2007, while she was
    staying with Espinosa and Flying, Espinosa entered her bedroom while she was
    sleeping and undressed himself and T.H.S. T.H.S. alleged that Espinosa "got on me"
    and "stuck his in me." T.H.S. later informed Flying of the incident. Flying called her
    son, David Flying, to come and pick up T.H.S. T.H.S. stayed with David Flying for
    the remainder of the weekend. While there, T.H.S. told David Flying what Espinosa
    did to her. After the weekend, David Flying took T.H.S. back to the dormitory, and
    he advised T.H.S. to recount the incident to the dormitory staff.
    2
    All of the events relevant to this appeal occurred on the Rosebud Sioux Indian
    Reservation.
    3
    Although T.H.S. is Flying's grandniece, Flying referred to T.H.S. as her
    granddaughter, and T.H.S. called Flying "Grandma" and Espinosa "Grandpa."
    -2-
    At school, T.H.S. notified a member of the staff, who then telephoned the
    Rosebud Sioux Tribe Law Enforcement. T.H.S. was transported to Indian Health
    Services Hospital in Rosebud, South Dakota. A physical examination at the hospital
    revealed redness, swelling, and bruising in her vaginal area. Ruth Thomas, a certified
    physician's assistant (PA), testified that the physical examination findings were
    consistent with a forced sexual act that, in her opinion, had occurred within the last
    one, two, or three days. A sexual assault kit did not reveal any physical evidence.
    Later, the Federal Bureau of Investigation interviewed K.H.S., T.H.S.'s sister.
    K.H.S. disclosed that Espinosa had previously sexually abused her. She testified that
    when she and Espinosa were alone at the house, he chased her around the dining room
    table. On one occasion, she said that he cornered her between the wall and the table,
    picked her up, and carried her to a nearby couch. He then rubbed her thighs, genitalia,
    and breasts through her clothing with his hand, despite her objection. According to
    K.H.S., the encounter lasted between five and ten minutes.
    Espinosa was indicted on two counts of aggravated sexual abuse of a child, in
    violation of 18 U.S.C. §§ 1153, 2241(c), and 2246(2)(A) ("Count I and Count II");
    one count of aggravated sexual abuse of a child, in violation of 18 U.S.C. §§ 1153,
    2241(c), and 2246(2)(D) ("Count III"); two counts of aggravated sexual abuse of a
    child, in violation of 18 U.S.C. §§ 1153, 2241(a)(1), 2241(c), and 2246(2)(A) ("Count
    IV and Count V"); one count of aggravated sexual abuse of a child, in violation of 18
    U.S.C. §§ 1153, 2241(a)(1), 2241(c), and 2246(2)(C) ("Count VI"); one count of
    abusive sexual contact, in violation of 18 U.S.C. §§ 1153, 2244(a)(1), and 2246(3)
    ("Count VII"); and one count of abusive sexual contact, in violation of 18 U.S.C.
    §§ 1153, 2244(a)(3), and 2246(3) ("Count VIII"). Counts I through VI alleged
    offenses involving T.H.S., while Counts VII and VIII alleged offenses involving
    K.H.S.
    -3-
    At trial, following the government's case-in-chief, the district court granted
    Espinosa's motion for judgment of acquittal on Counts I, II, V, VI, and VIII. The jury
    returned guilty verdicts on Count IV and Count VII. The jury was unable to reach a
    verdict on Count III, aggravated sexual abuse, and the court dismissed it. The district
    court imposed concurrent sentences of 30 years' imprisonment on Count IV and 20
    years' imprisonment on Count VII. The court also sentenced Espinosa to five years of
    supervised release on each count, with the sentences to run concurrently. Espinosa
    appeals, raising four primary errors, including sufficiency of the evidence.
    II. Discussion
    On appeal, Espinosa argues that the district court erred by (1) failing to grant
    his motion for acquittal because the evidence presented was insufficient to prove
    actual penetration or an attempt at actual penetration; (2) failing to grant his motion
    for acquittal because the government did not provide sufficient evidence of the age of
    the complaining witness at the time of the alleged offense; (3) denying his motion for
    a mistrial after a psychiatrist twice asserted that the complaining witness had been
    sexually abused; and (4) allowing the government to introduce inadmissible hearsay
    and vouching statements. After review, we affirm the district court.
    A. Sufficiency of the Evidence
    Espinosa first attacks the sufficiency of the evidence presented by the
    government. Specifically, he argues that the government did not prove actual
    penetration or an attempt at penetration when trying to prove sexual abuse. He also
    argues that the government did not prove the age of K.H.S., the complaining witness.
    Federal Rule of Criminal Procedure 29(a) provides, in relevant part, that "[a]fter
    the government closes its evidence or after the close of all the evidence, the court on
    the defendant's motion must enter a judgment of acquittal of any offense for which the
    evidence is insufficient to sustain a conviction." Espinosa asserts that the district court
    erred in not granting his motion for judgment of acquittal based on insufficient
    -4-
    evidence. We review a motion for judgment of acquittal under a de novo standard of
    review. United States v. Reddest, 
    512 F.3d 1067
    , 1069–70 (8th Cir. 2008).
    We employ a strict standard of review regarding denials of motions for
    acquittal, viewing the evidence in the light most favorable to the guilty
    verdict, resolving all evidentiary conflicts in favor of the government,
    and accepting all reasonable inferences supported by the evidence. A
    jury verdict will not lightly be overturned and we will reverse only if no
    reasonable jury could have found the defendant guilty beyond a
    reasonable doubt. When reviewing the sufficiency of the evidence to
    support a conspiracy conviction, we will affirm if the record, viewed
    most favorably to the government, contains substantial evidence
    supporting the jury's verdict, which means evidence sufficient to prove
    the elements of the crime beyond a reasonable doubt.
    United States v. Thompson, 
    533 F.3d 964
    , 970 (8th Cir. 2008) (internal quotations and
    citations omitted). In granting or denying the motion, the "district court has very
    limited latitude in ruling upon a motion for judgment of acquittal." United States v.
    Baker, 
    367 F.3d 790
    , 797 (8th Cir. 2004).
    1. Sexual Abuse of T.H.S.
    Espinosa argues that the evidence was insufficient to prove penetration or an
    attempt as required under the statute. To convict a defendant of aggravated sexual
    abuse, as charged in Count IV, the government must prove that "(1) the defendant did
    knowingly cause and attempt to cause another to engage in a sexual act, (2) by the use
    of force or threat of force, (3) the defendant is an Indian, and (4) the offense occurred
    in Indian Country." United States v. Youngman, 
    481 F.3d 1015
    , 1020 (8th Cir. 2007)
    (citing 18 U.S.C. §§ 1153, 2241(a), and 2246(2)). A sexual act requires "contact
    between the penis and the vulva or the penis and the anus, and for purposes of this
    subparagraph contact involving the penis occurs upon penetration, however, [sic]
    slight." 18 U.S.C. § 2246(2)(A). Because Espinosa only challenges the evidence as to
    -5-
    whether he knowingly caused or attempted to cause the victim to engage in a sexual
    act, he necessarily concedes the other elements of the statute.
    Espinosa cites Reddest to support his sufficiency argument. In Reddest, we
    reversed the defendant's conviction for engaging in a sexual act with a person between
    the ages of 12 and 
    16. 512 F.3d at 1071
    –72. The victim testified that the defendant
    reached inside her underwear and put his finger "'[r]ight in my—almost close to my
    [hole].'" 
    Id. at 1072.
    On appeal, we held that this evidence was insufficient to prove
    penetration of the genital opening because it was unclear "where [the defendant's]
    finger was or how 'close' it was to the genital opening." 
    Id. Espinosa also
    relies on United States v. Plenty Arrows, which overturned an
    aggravated sexual abuse conviction for insufficiency of the evidence. 
    946 F.2d 62
    , 65
    (8th Cir. 1991). In Plenty Arrows, the defendant was accused of sexual abuse of a
    nine-year-old boy. 
    Id. at 63.
    The victim testified that "while his pants were off, [the
    defendant] touched him 'from my back of my behind' and that [the defendant] had
    done this 'with his private part.'" 
    Id. at 64.
    On appeal, the defendant argued that the
    victim's testimony was insufficient to establish "that contact occurred between his
    penis and the victim's anus." 
    Id. We agreed,
    holding that the victim's testimony alone
    was "too vague to support the inference that contact involving penetration occurred
    between the penis and anus" because the "statute is anatomically specific, and the
    testimony lacks the necessary specificity." 
    Id. at 65.
    Unlike in Reddest and Plenty Arrows, the evidence presented here sufficiently
    supported the jury's verdict. At trial, T.H.S. testified that Espinosa removed her
    clothes, got on top of her, and "stuck his in me." She stated that his "part" was
    touching her body. Using an anatomically correct diagram of an unclothed female,
    T.H.S. circled the genital area and stated that he touched her there. She testified that
    her legs were apart when he was on top of her. Then, using an anatomically correct
    diagram of an unclothed male, T.H.S. circled the genital area, indicating which "part"
    -6-
    of Espinosa had touched her. She also testified that it hurt when Espinosa got on top
    of her.
    Moreover, physical evidence gathered following the incident corroborated
    T.H.S.'s testimony. Thomas, the PA, examined T.H.S.'s vaginal area and testified that
    part of T.H.S.'s vaginal area was abraded, sore, raw, swollen, red, and "irritated-
    looking." She also testified that T.H.S. was in pain during the vaginal examination and
    opined that the injuries she observed were caused within the past one to three days.
    Accordingly, the evidence was sufficient to establish the first element of the
    aggravated sexual abuse charge. We affirm the district court's denial of Espinosa's
    motion for acquittal.
    2. Age of K.H.S.
    Next, Espinosa argues that the government failed to prove that K.H.S.'s age was
    below 12 when the alleged abusive sexual contact occurred for purposes of Count VII.
    In support of his argument, Espinosa points out that the government (1) never
    introduced K.H.S.'s birth date into evidence and (2) failed to introduce evidence of a
    particular date upon which the alleged sexual contact occurred. According to
    Espinosa, the government failed to prove that K.H.S. was under the age of 12 during
    the entire period in which the offense conduct could have occurred.
    The elements of abusive sexual contact are that Espinosa "(1) knowingly and
    intentionally engaged in sexual contact with a person under the age of 12; (2) intended
    to abuse, humiliate, harass, degrade, or arouse or gratify the sexual desire of any
    person; (3) is an Indian; and (4) committed the act in Indian country." United States
    v. Hollow Horn, 
    523 F.3d 882
    , 890 (8th Cir. 2008) (18 U.S.C. §§ 1153, 2244(a)(1),
    2241(c), and 2246(3)). Espinosa only attacks the first element, arguing that the
    government did not prove that K.H.S. was under the age of 12.
    -7-
    The Plenty Arrows case contains helpful analysis for determining the
    sufficiency of evidence on K.H.S.'s age. In Plenty Arrows, "[t]he victim testified that
    [the defendant] put his penis in the victim's mouth, but was unable to state when that
    
    occurred." 946 F.2d at 65
    . When asked whether the incident occurred over Christmas
    vacation, the victim responded, "I don't know." 
    Id. On appeal,
    the defendant argued
    that the evidence was insufficient to support his conviction for aggravated sexual
    abuse under 18 U.S.C. § 2245(2)(B) because the government failed to prove that "the
    aggravated sexual abuse occurred 'on or about' December 28, 1988, as alleged in the
    indictment." 
    Id. In response,
    the government maintained that the jury could have
    concluded "that the abuse occurred on any date between October 1986 and July
    1990—the only period of time that [the defendant] had access to the victim—and that
    any date during that period would be reasonably near the December 1988 date in the
    indictment." 
    Id. With regard
    to the time span alleged in the indictment, we acknowledged that
    [i]f the date is not a material element of the crime charged, "a variance
    between the date in the indictment and the proof is not fatal if the proof
    shows that the acts charged were committed on a date within the statute
    of limitations and prior to the return date of the indictment."
    
    Id. (quoting United
    States v. Joyner, 
    539 F.2d 1162
    , 1164–65 (8th Cir. 1976)
    (emphasis added in Plenty Arrows). But in Plenty Arrows, "[t]he indictment was
    returned on September 20, 1989," and "[t]he victim's testimony provided no limitation
    as to the period of time when the oral sodomy occurred." 
    Id. As a
    result, "the act could
    have occurred . . . at any time up until the trial in July 1990 if [the defendant] had
    access to the victim during that time." 
    Id. The government
    conceded that the victim
    was, in fact, around the defendant "up until the time of trial." 
    Id. We held
    that "[a] verdict cannot be based on an act that could have occurred
    after the return of the indictment, and the jury had no basis for inferring that the act
    -8-
    occurred before that date." 
    Id. Thus, insufficient
    evidence existed to support the
    defendant's conviction for aggravated sexual abuse. 
    Id. at 65–66.
    Regarding the issue of K.H.S.'s age, the present case is substantially similar to
    Plenty Arrows. The indictment alleged that the events occurred "[o]n or about between
    the 1st day of August, 2002, and the 28th day of September, 2003." On April 16,
    2008, K.H.S. testified that she was 16 years old.4 When asked whether she
    remembered how old she was when the alleged sexual abuse occurred, she replied, "I
    don't know." Nor could she recall what grade she was in when the offense conduct
    occurred. Therefore, K.H.S.'s testimony did not establish how old she was at the time
    the alleged sexual abuse occurred.
    But K.H.S. did testify that Flying had a red car when the offense conduct
    occurred. The government attempted to establish K.H.S's age by relying on Flying's
    testimony. According to the government, Flying's testimony shows that the offense
    conduct occurred during the time frames alleged in the indictment—August 1, 2002
    to September 28, 2003—because Flying testified that she once owned a red Ford
    Mustang that was repossessed either (1) by August 1, 2002, or (2) in the summer of
    2003.
    Flying testified that she remembered owning a red Mustang. On direct
    examination, she said that she purchased the car in "2002." When asked during what
    period of time she owned the car, she replied, "I don't know. I think it was 2000. I only
    had it for like three years." While still on direct examination, she reaffirmed that she
    purchased the car in 2002 and owned it for three years. When asked if she had the car
    up until 2005, she replied, "Somewhere in there, yeah."
    4
    K.H.S's birth date, which was never presented at trial, is September 29, 1991.
    The government concedes that Espinosa could not have been convicted of this crime
    if the act occurred after September 28, 2003, because K.H.S. turned 12 years old on
    September 29, 2003.
    -9-
    On cross examination, Flying was asked whether she was "absolutely sure"
    when she bought the car; she replied, "No. Actually, I did. It was 2000." She then said
    that she was "for sure" that she got the car in 2000. Additionally, she testified that she
    had the car for "about three years." When asked if she could have had the car for
    "maybe two years," she replied, "Well, like I said, at the most three years. I'm not too
    sure." (Emphasis added.) According to Flying, it was possible that the car had already
    been taken by August 1, 2002. She said, "For sure, I know they took it by the
    summertime." When the district court tried to clarify with Flying when she bought the
    car and when it was repossessed, she said that she bought it in 2000 and that it was
    repossessed in the summer, but she could not remember "of what year." On further
    cross-examination, she said that she had the car for "approximately about almost three
    years." When the court clarified with her that she had the car "almost three years," she
    replied, "Almost three years." When she was again asked when she bought the car, she
    stated that she could not remember when she bought the car. When asked when the
    car was repossessed, she said, "I can't remember that. It was almost summertime
    then." (Emphasis added.) Then, defense counsel asked, "But it was summertime?"
    Flying replied, "Yes, almost." When asked whether it was before July 4th "in that
    summer," she replied, "I can't remember." (Emphasis added.) Then, she was again
    asked if she had "the car two years," and she answered, "At the most."
    On redirect examination, she clarified that, to her best recollection, she bought
    the car in 2000. She said that she had the car "about two years," 'two to three years at
    the most." She reconfirmed that the car was repossessed in the summertime. Then,
    counsel asked, "Okay. So if you bought it in 2000 and repossessed it in the
    summertime, the latest they would have repossessed it is the summer of 2003,
    correct?" Flying answered, "Yes. I think so. Yeah. Like I said, I can't remember when
    they came after it." 
    Id. at 322.
    She was then asked, "But that's your best recollection;
    is that right?" And Flying responded, "Yes, yeah. I just can't remember." (Emphasis
    added.)
    -10-
    On re-cross examination, Flying was asked whether it was possible that she
    only had the car two years, and it was the summer of 2002, to which she responded,
    "Like I said, I can't remember. At the most, like I say, two to three years. Yeah."
    (Emphasis added.)
    As a threshold matter, Flying's testimony as to when she owned the red Ford
    Mustang is no better than speculative and thus an insufficient basis for concluding
    when the alleged abuse occurred. Repeatedly, throughout her testimony, she stated
    that she could not remember and was not sure of when the car was repossessed. "We
    cannot sustain a conviction based on mere suspicion or the possibility of guilt." United
    States v. Kenyon, 
    481 F.3d 1054
    , 1068 (8th Cir. 2007) (internal quotations and citation
    omitted) (holding that the evidence was insufficient to support conviction on one of
    two counts alleging aggravated sexual abuse of a child on basis of contact between
    defendant's penis and victim's mouth, as victim's testimony that such contact occurred
    "twice maybe" was immediately followed by her statement that she did not know
    whether it happened once or twice, and there was no independent evidence of such
    encounters).
    Flying seemed to settle on the summer of 2003 as the repossession date.
    However, accepting that as the probable date of repossession, in light of the evidence
    provided to the jury as to K.H.S.'s probable age, K.H.S. would have already turned 12
    years old. On April 16, 2008, K.H.S. testified that she was 16 years old. But she could
    have turned 17 years old the very next day—April 17, 2008. As a result, she could
    have turned 12 years old on April 17, 2003, or anytime during the following year
    through April 16, 2004. By the time that the car was repossessed in the summer of
    2003, K.H.S. would have already turned 12 years old.
    Relying on Plenty Chief, the government appears to argue that a failure to prove
    the age element may be ignored if it demonstrates "that the acts charged were
    committed on a date within the statute of limitations and prior to the return date of the
    -11-
    
    indictment." 946 F.2d at 65
    (internal quotations and citation omitted). The government
    points out that Flying testified to owning the car not only in the summer of 2003, but
    also in 2000, 2001, and 2002—periods of time in which K.H.S. would have been
    under the age of 12. Therefore, the government concludes that the jury had before it
    evidence that the offense conduct occurred during the time frames alleged in the
    indictment—August 1, 2002 to September 28, 2003. However, the government misses
    the point. Its proof failed to establish that K.H.S. was under the age of 12 during the
    entire period in which the offense conduct could have taken place. Flying's testimony
    indicated that she owned the red Ford Mustang until at least the summer of 2003;
    therefore, she necessarily owned it both before and after April 17, 2003—the earliest
    date that K.H.S. could have turned 12 years old. The government presented no
    evidence to the jury from which it could infer that the offense conducted occurred
    prior to April 17, 2003.
    Finally, the government asserts that the jury could have drawn an inference
    from the district court's recitation of the indictment allegations during jury selection
    and from the prosecutor's opening statement as to K.H.S.'s age. But "[i]ndictments, of
    course, are not evidence." United States v. Logan, 
    210 F.3d 820
    , 825 n.3 (8th Cir.
    2000). Nor are "statements of counsel" evidence. United States v. Smith, 
    508 F.3d 861
    ,
    866 (8th Cir. 2007).
    Accordingly, we hold that the evidence was insufficient to establish alleged
    abusive sexual contact occurred for purposes of Count VII.
    B. Psychiatrist Testimony
    Next, Espinosa argues that his motion for mistrial should have been granted
    after the psychiatrist improperly bolstered T.H.S.'s credibility. We review a motion
    for mistrial under an abuse of discretion standard. United States v. Street, 
    548 F.3d 618
    , 624 (8th Cir. 2008).
    -12-
    An abuse of discretion occurs when a relevant factor that should have
    been given significant weight is not considered, when an irrelevant or
    improper factor is considered and given significant weight, or when all
    proper and no improper factors are considered, but the court in weighing
    those factors commits a clear error of judgment.
    United States v. West, 
    28 F.3d 748
    , 750 (8th Cir. 1994) (internal quotations and
    citation omitted).
    "It is generally within the discretion of the district court to decide whether the
    fairness of a trial has been compromised by prejudicial testimony . . . ." United States
    v. Brandon, 
    521 F.3d 1019
    , 1026 (8th Cir. 2008). "To determine whether a curative
    instruction or a mistrial is the proper response . . . , the court must consider whether
    an inference about the [improper testimony] may be critical in assessing the witness'[s]
    credibility and whether the witness'[s] credibility is vital to the case." 
    Street, 548 F.3d at 628
    (internal quotations, alterations in Street, and citation omitted). "The district
    court has broad discretion to grant or deny a motion for mistrial because it is in a far
    better position to weigh the effect of improper testimony, and because less drastic
    measures such as a cautionary instruction are generally sufficient to alleviate prejudice
    flowing from improper testimony." United States v. Davidson, 
    122 F.3d 531
    , 538 (8th
    Cir. 1997). "Admission of a prejudicial statement is normally cured by striking the
    testimony and instructing the jury to disregard the remark." 
    Brandon, 521 F.3d at 1026
    . "We assume that the jury followed the district court's instruction." United States
    v. Fletcher, 
    322 F.3d 508
    , 516 (8th Cir. 2003). "When the evidence of guilt is
    substantial, we may find that the allegedly improper testimony was harmless."
    
    Brandon, 521 F.3d at 1026
    .
    During direct examination of Dr. Tamara Vik, a child and adolescent
    psychiatrist who worked directly with T.H.S., the government asked Dr. Vik about her
    diagnostic impressions of T.H.S. Dr. Vik answered that T.H.S. suffers from
    "[p]osttraumatic stress disorder." Then, the government asked Dr. Vick about her
    -13-
    diagnostic impressions of T.H.S. "with respect to fetal alcohol syndrome." Dr. Vick
    answered that T.H.S. had "partial fetal alcohol syndrome with confirmed exposure"
    and that "[t]here is also mild mental retardation and [that T.H.S. is the] victim of
    physical and sexual abuse." Espinosa's counsel objected to the answer, and the district
    court advised the jury that it "should disregard that last opinion as to the fact that
    the—that T.H.S. is a victim of sexual and physical abuse. Disregard that."
    The government then asked Dr. Vik "whether T.H.S.'s posttraumatic stress
    disorder would be consistent or inconsistent with her being sexually abused." After
    the district court overruled a defense objection, Dr. Vik replied that her opinion was
    "[t]hat [T.H.S.] has suffered sexual abuse." After Espinosa's counsel objected, the
    district court stated to the jury:
    The answer is stricken. The jury should disregard that. That's not up to
    her to tell you that, nor is it up to me to tell you that or anybody else.
    That's entirely up to you, and so that's invading the province of the jury,
    and the answer is stricken. The question is—it's also not responsive. The
    question was whether it's consistent or inconsistent.
    After the government concluded its direct examination of Dr. Vik, Espinosa moved
    for a mistrial. Noting that Dr. Vik's opinion was not necessarily tied to sexual abuse
    by Espinosa, the court observed, outside the hearing of the jury:
    I would declare a mistrial were there not—had the Court not permitted
    the defendant to go into this evidence of other sexual abuse of the
    defendant. So that mitigates it. And I think there is not sufficient grounds
    for a mistrial, given the Court's immediate corrective action, and I may
    instruct the jury further on that. So that motion will be denied.
    Espinosa suggests that Dr. Vik's improper assertions of knowledge that T.H.S.
    suffered sexual abuse critically undermined the jury's ability to fairly evaluate T.H.S.'s
    credibility. But the district court clearly and promptly admonished the jury to
    -14-
    disregard that part of Dr. Vik's testimony that could be construed as having invaded
    the province of the jury, and we have repeatedly held that jurors are presumed to
    follow the court's instructions. See 
    Fletcher, 322 F.3d at 516
    . After having heard the
    entirety of the evidence, the district court again admonished the jury, stating that the
    "[t]estimony and questions that I struck from the record, or told you to disregard, are
    not evidence and must not be considered." After the district court instructed the jury,
    Espinosa's counsel stated, "I appreciate that the Court gave a curative instruction, and
    the Court's demeanor and tone was very firm in addressing the jury."
    Moreover, the district court explained that its ruling was based on "the fact that
    there is going to be evidence that the alleged victim has made statements as to other
    sexual abuse . . . . So it's not tied to the victim necessarily." Later, T.H.S. testified to
    several other allegations she had made in the past concerning sexual abuse that she
    had suffered, none of which involved Espinosa.
    We have also held that where the evidence is substantial, we will find the
    improper testimony harmless. 
    Brandon, 521 F.3d at 1026
    . Here, the jury could have
    disregarded Dr. Vik's testimony and nonetheless found that T.H.S. had been abused.
    T.H.S. testified that Espinosa "stuck his in me." Thomas, the PA, testified that T.H.S.'s
    vaginal area was abraded, sore, raw, swollen, red, and "irritated-looking." Thomas
    also testified that a forced sexual act had occurred within the last few days. Any error
    by the district court in failing to grant a mistrial was harmless. 
    Id. In sum,
    based on
    the evidence presented at trial and the district court's curative instructions as to Dr.
    Vik's testimony, the district court did not abuse its discretion in denying Espinosa's
    motion for a mistrial.
    C. Inadmissible Hearsay
    Finally, Espinosa argues that the district court abused its discretion by admitting
    hearsay statements over his objection. He asserts that the government introduced
    multiple prejudicial statements from witnesses attesting to T.H.S.'s alleged prior
    -15-
    consistent statements accusing Espinosa of abuse. "Evidentiary rulings are reviewed
    for abuse of discretion, and we afford deference to the district judge who saw and
    heard the evidence."5 United States v. Davidson, 
    449 F.3d 849
    , 853 (8th Cir. 2006)
    (internal quotations and citation omitted). In addition to showing an error, Espinosa
    must establish that the error was not harmless. United States v. Eagle, 
    498 F.3d 885
    ,
    888 (8th Cir. 2007). "An error is harmless if we conclude that no substantial rights of
    the defendant were affected and that the error did not influence or had only a very
    slight influence on the verdict." 
    Id. (internal quotations
    and citation omitted). Rule 801
    defines "hearsay" as "a statement, other than one made by the declarant while
    testifying at the trial or hearing, offered in evidence to prove the truth of the matter
    asserted." Fed. R. Evid. 801(c). Hearsay is inadmissible unless it falls within an
    established exception. Fed. R. Civ. 802. Espinosa argues that the district court abused
    its discretion by allowing multiple witnesses to testify to out-of-court statements in
    violation of the hearsay rules. He argues that the cumulative effect of this testimony
    was to improperly bolster T.H.S.'s credibility. We disagree.
    Espinosa first argues that the district court erred when it allowed the
    government to elicit testimony from Marie Flying implying that T.H.S. had accused
    Espinosa of an abusive act. The testimony went as follows:
    Q.      And what did you say to him?
    A.     I just asked him if it was true.
    Q.     And what was his response?
    5
    In its brief, the government advocated a plain error standard of review. But the
    government did not set out which statements were not objected to before the district
    court. Espinosa contends that all of the statements with which he takes issue were
    properly objected to below. We agree with Espinosa and, therefore, apply the abuse-
    of-discretion standard rather than the more deferential plain error standard.
    -16-
    MS. MINER: Objection. Hearsay.
    THE COURT: Overruled.
    Q.     (BY MR. SEILER) You may answer. What was the defendant's
    response after you asked him if it was true what [T.H.S.] said?
    A.     He was too busy to even do things like that.
    *    *     *
    Q.     (BY MR. SEILER) When you say you had faith in him, that he
    wouldn't do it, you don't know whether he did it or he didn't do it,
    do you?
    MS. MINER: Objection, Your Honor. Improper question, not
    relevant, and invades the province of the jury.
    THE COURT: Overruled. She may answer . . . .
    A.     No . . . .
    Q.     And when you confronted him about the allegations, with respect
    to [T.H.S.], he didn't deny them, did he?
    A.     No.
    Second, Espinosa objects to Flying's testimony regarding conversations she had
    with T.H.S. about Espinosa, Flying's description of T.H.S.'s appearance, and Flying's
    statement that she wanted T.H.S. to get out of the house for T.H.S.'s safety.
    Third, Espinosa objects to the district court's ruling regarding David Flying's
    testimony during direct examination:
    -17-
    A.   I asked [T.H.S.] what happened and she told me, same thing about
    what my mom told me.
    MS. MINER: Objection, Your Honor, as to what was said to him.
    Calls for hearsay.
    THE COURT: Well, he hasn't said yet. Overruled.
    Q.   (BY MR. SEILER) So after you got to your residence, you did
    have a conversation with [T.H.S.]?
    A.   Yes.
    Q.   And what she told you, was that consistent with what your mom
    told you [T.H.S.] said?
    MS. MINER: Your Honor, I would object. It doesn't necessarily
    call for hearsay, but it goes towards vouching for what one person
    apparently said in connection with another person. It's an
    improper question.
    THE COURT: Overruled.
    Q.   (BY MR. SEILER) You may answer, sir.
    A.   What was the question?
    Q.   If what [T.H.S.] told you when you got back to your residence
    was consistent with what your mom said [T.H.S.] told her?
    MS. MINER: Same objection.
    A.   Yes.
    THE COURT: Overruled.
    -18-
    Q.   Now, when you went over to the Espinosa residence after you
    were called by your mother, did your mother indicate if [T.H.S.]
    made accusations with respect to the defendant concerning
    [T.H.S.]?
    MS. MINER: Objection. Hearsay.
    THE COURT: Overruled. Just answer that yes or no, sir.
    Q.   (BY MR. SEILER) Did your mother tell you if [T.H.S.] made
    accusations regarding the defendant?
    A.   Yeah.
    Q.   Okay. And did she repeat those to you?
    A.   Yeah.
    MS. MINER: Objection. Hearsay.
    THE COURT: Same ruling. Overruled. Again, you may have a
    standing objection.
    Q.   (BY MR. SEILER) And describe her demeanor in terms of – as
    she was telling you this, as your mother was telling you this,
    describe her demeanor . . . .
    A.   She was crying and kind of upset a little bit but mostly crying . . . .
    Q.   When your mother told you about the accusation, if you know,
    was the defendant in the area, in the vicinity?
    Q.   (BY MR. SEILER) You are in the house, Mr. Flying, and your
    mother has told you about the accusation. Where was the
    defendant?
    A.   On the couch in the living room.
    -19-
    Q.    Okay. And where were you and your mother standing when she
    told you about the accusations?
    A.    In the living room by the door.
    Q.    Okay. How far from the defendant?
    A.    About a foot.
    Q.    Okay. Did she say it loud enough for the defendant to hear?
    A.    Yeah. She was crying.
    Fourth, Espinosa argues that the following testimony of Cecilia Spotted Tail,
    T.H.S.'s dormitory counselor, constituted inadmissible hearsay:
    Q.    [BY MR. SEILER] And what was the nature of the contact you
    had with [T.H.S.]? You said she came to your office?
    A.    [CECILIA SPOTTED TAIL] Yes . . . .
    Q.    Okay. And if you know, did the special ed coordinator bring her
    to your office?
    A.    Yes, she did.
    Q.    Okay. And again, if you know, was that based upon disclosures
    that [T.H.S.] had made to her?
    A.    Yes.
    MS. MINER: Objection. It calls for—it's based on hearsay.
    THE COURT: Overruled.
    Q.    (BY MR. SEILER) Your answer is yes?
    -20-
    A.   Yes.
    Q.   Okay. And what was the purpose of the special education
    coordinator bringing [T.H.S.] to your office?
    A.   For her to tell me what she had told her.
    Q.   Okay. And at that point did [T.H.S.] make disclosures to you?
    A.   Yes, she did.
    Q.   Okay.
    MS. MINER: Your Honor, I would object again. The answer is
    based on hearsay from [T.H.S.].
    THE COURT: Overruled.
    Q.   (BY MR. SEILER) And based on these disclosures, what did you
    do?
    A.   I took [T.H.S.] into my office and she was upset by them . . . .
    Q.   And was it at that point she made additional disclosures to you?
    A.   Yes.
    MS. MINER: Objection, Your Honor. It goes to hearsay
    statements from [T.H.S.].
    THE COURT: Overruled.
    MS. MINER: I would object to the Government's use of the word
    "disclosures." That has specific prejudicial overtones to it. If he is
    going to ask if [T.H.S.] said something to her, that's one thing, but
    the Government characterizing it as "disclosures," is—well, it's
    prejudicial.
    -21-
    THE COURT: Overruled.
    Q.    (BY MR. SEILER) And based upon the information that you
    received from [T.H.S.] what did you do?
    A.    She just started telling me what she—what had happened to her.
    MS. MINER: Objection. That's hearsay.
    THE COURT: Overruled. . . . .
    Q.    (BY MR. SEILER) Did you call anybody? What did you do?
    A.    Yes. I contacted my supervisor.
    Q.    Okay. And do you know, were the police called?
    A.    Yes . . . .
    Q.    (BY MR. SEILER) And are you a mandatory reporter when it
    comes to child abuse or child sexual abuse?
    A.    Yes, I am.
    Finally, Espinosa disputes the admission of the following testimony of
    Melissa Isham:
    Q.    Without saying what [T.H.S.] did, did [T.H.S.] tell you about
    things that happened between her and [Espinosa]?
    MS. MINER: Objection. That calls for hearsay.
    THE COURT: Overruled.
    Q.    (BY MR. SEILER) You can answer.
    -22-
    THE COURT: Just answer that yes or no.
    A.     Yes.
    Q.     (BY MR. SEILER) Okay. On how many different times did she
    tell you?
    MS. MINER: Your Honor, I would like a standing objection to
    this line of questioning. It calls for hearsay.
    THE COURT: Overruled. She may answer.
    Q.      (BY MR. SEILER) Did she tell you about it more than once?
    A.     Yes.
    Espinosa argues that the cumulative effect of these statements undermined his
    credibility and improperly vouched for T.H.S.'s credibility. He relies on Tome v.
    United States, 
    513 U.S. 150
    (1995), for the proposition that prior consistent statements
    are not admissible for bolstering purposes. But this case is distinguishable from Tome.
    In Tome, six witnesses were allowed to tell the jury what the victim had told them
    regarding specific, detailed accounts about how the defendant had sexually abused the
    victim. 
    Id. at 154.
    These witnesses were allowed to "recount [the complaining
    witness's] detailed out-of-court statements to them." 
    Id. at 165.
    The Supreme Court
    held that the victim's hearsay statements about the alleged assault were inadmissible
    as prior consistent statements. 
    Id. at 166–67.
    But, in the instant case, the district court
    never allowed the witnesses to repeat any of T.H.S.'s out-of-court statements. The
    statements were presented, not for the truth of the matter asserted, but merely to show
    that the witnesses had conversations with T.H.S. and the witnesses' subsequent
    actions.
    Espinosa also relies on United States v. Bercier, 
    506 F.3d 625
    (8th Cir. 2007),
    for the proposition that the government may not introduce hearsay statements to
    -23-
    bolster the credibility of the complaining witness. In Bercier, after the defendant was
    convicted of aggravated sexual abuse and abusive sexual contact, he appealed, arguing
    that the district court abused its discretion in admitting hearsay testimony. 
    Id. at 627.
    At trial, after the victim's testimony, the victim's physician testified to exactly what
    the victim told her after the assault. 
    Id. at 631.
    The physician testified that "[the
    victim] stated that [the defendant] had—had sexually assaulted her, and she said that
    he had gone—gone down on her . . . ." 
    Id. The physician
    also testified that the victim
    said that "[the defendant] started kissing her ear and her breasts and doing gross stuff
    and that she—that he started to have oral sex with her. And she pushed him away and
    said no, and that he didn't seem to understand that she was saying no." 
    Id. On appeal,
    we held that the only purpose for this testimony "was to bolster [the victim's] trial
    testimony." 
    Id. at 633.
    Because the entire case turned on the credibility of the victim,
    this bolstering "tipped the scales unfairly." 
    Id. We held
    , therefore, that the district
    court's error in allowing the testimony was not harmless, and we ordered a new trial.
    
    Id. But this
    case is distinguishable from Bercier because, here, the district court did
    not allow the witnesses to repeat the content of what T.H.S. had said. See United
    States v. Two Elk, 
    536 F.3d 890
    , 900 (8th Cir. 2008) (holding that the testimony was
    permissible and did not amount to inadmissable hearsay where the declarant did not
    repeat the out-of-court statements but only answered "yes" or "no" to the questions).
    Instead, each witness, in response to questions regarding their knowledge of the abuse,
    only answered "yes" or "no." The witnesses did not recount the statements that T.H.S.
    made to them.
    Moreover, Espinosa has not shown that any alleged error that may have
    occurred was not harmless. The jury heard testimony from the victim who reported
    the abuse immediately. Evidence was presented that T.H.S. suffered an injury to her
    genital area, which was consistent with sexual abuse. Therefore, Espinosa has not
    shown that any error had more than "a very slight influence on the verdict." 
    Eagle, 498 F.3d at 888
    . The district court did not abuse its discretion in allowing the
    testimony.
    -24-
    III. Conclusion
    For the foregoing reasons, we affirm Espinosa's conviction on Count IV and
    reverse his conviction on Count VII because insufficient evidence exists as to K.H.S.'s
    age at the time of the offense conduct. We remand the case for entry of a judgment of
    acquittal on Count VII and for further proceedings consistent with this opinion.
    ______________________________
    -25-