Reinert v. Larkins , 379 F.3d 76 ( 2004 )


Menu:
  •                                                                                                                            Opinions of the United
    2004 Decisions                                                                                                             States Court of Appeals
    for the Third Circuit
    8-10-2004
    Reinert v. Larkins
    Precedential or Non-Precedential: Precedential
    Docket No. 02-3184
    Follow this and additional works at: http://digitalcommons.law.villanova.edu/thirdcircuit_2004
    Recommended Citation
    "Reinert v. Larkins" (2004). 2004 Decisions. Paper 374.
    http://digitalcommons.law.villanova.edu/thirdcircuit_2004/374
    This decision is brought to you for free and open access by the Opinions of the United States Court of Appeals for the Third Circuit at Villanova
    University School of Law Digital Repository. It has been accepted for inclusion in 2004 Decisions by an authorized administrator of Villanova
    University School of Law Digital Repository. For more information, please contact Benjamin.Carlson@law.villanova.edu.
    PRECEDENTIAL
    THEODORE SIMON, ESQ. (ARGUED)
    Fifth Floor
    IN THE UNITED STATES COURT OF           1600 Market Street
    APPEALS                     Philadelphia, PA 19103
    FOR THE THIRD CIRCUIT
    _________________               Attorney for Appellant
    NO. 02-3184
    _________________               JAMES B. M ARTIN, ESQ.
    District Attorney of Lehigh County
    JOAN L. REINSMITH, ESQ.
    SCOT A. REINERT,                (ARGUED)
    Deputy District Attorney
    Appellant             KELLY B. WALDRON, ESQ.
    Office of District Attorney
    v.                   455 West Hamilton Street
    Lehigh County Courthouse
    DAVID H. LARKINS,                Allentown, PA 18101
    SUPERINTENDENT;
    DISTRICT ATTORNEY OF LEHIGH             Attorneys for Appellees
    COUNTY,
    JAMES MARTIN; *THE ATTORNEY                       _________________
    GENERAL OF
    PENNSYLVANIA, GERALD                      OPINION OF THE COURT
    PAPPERT                              _________________
    *(Pursuant to Rule 43(c) F.R.A.P)
    _________________
    BECKER, Circuit Judge.
    On Appeal from the United States          This appeal by Scot A. Reinert
    District Court For           (“Reinert”), a state prisoner serving a
    The Eastern District of Pennsylvania   sentence of life imprisonment for first
    (D.C. No. 98-cv-05257)          degree murder, from an order of the
    District Judge: Honorable Anita Brody   District Court denying his petition for a
    ______________________            writ of habeas corpus, presents two
    congeries of issues, one dealing with
    Argued May 3, 2004              Miranda rights, and the other with
    ineffective assistance of counsel.
    Before: SLOVITER, FUENTES and          Considering the Miranda issues first, we
    BECKER, Circuit Judges            must evaluate the admissibility of three
    statements made by Reinert when he was
    (Filed: August 10, 2004)          being transported to the hospital by
    emergency medical technicians (“EM Ts”),               Reinert was in custody and that his pre-
    accompanied by police officers. The                    Miranda statement should not have been
    admissibility of the first two statements—             admitted. Deference is not due to the state
    one to an EMT and the other to an officer,             trial judge’s finding and conclusion to the
    both of which were given prior to the                  contrary because she mistakenly stated that
    a d m i n i s t r at i o n of an y M i r a n d a       the second statement was post-Miranda
    warnings—turns on whether Reinert was                  warning. However, due to the fact that the
    in custody at the time he made the                     statement was duplicative of others
    statements. The admissibility of the third             properly received after appropriate
    statement, made to a police officer after a            Miranda warnings were administered, we
    Miranda warning had been given, depends                conclude that the error was harmless.
    on Reinert’s competence at the time to
    Additionally, we are satisfied that when
    waive his Miranda rights. Then we must
    the post-Miranda statement in the
    determine whether Reinert was competent
    ambulance and the subsequent (post-
    to waive his Miranda rights when he made
    surgery) statement was made at the
    a statement to two detectives at the
    hospital, Reinert was alert and oriented
    hospital following surgery. We do not, of
    and that his waiver of Miranda rights was
    course, either write or decide on a blank
    voluntary. The state trial court decision, in
    slate. The record contains fact findings by
    accord with these conclusions, was not
    the state trial judge following a
    based on an unreasonable determination of
    suppression hearing, and our decision
    the facts in light of the evidence presented
    making is constrained by the rigorous
    in the state court proceedings, nor was it
    standard of review under the Antiterrorism
    contrary to or an unreasonable application
    and Effective Death Penalty Act of 1996
    of clearly established federal law as
    (“AEDPA”), codified in relevant part at 28
    determined by the United States Supreme
    U.S.C. §§ 2241-2255.
    Court.
    We are satisfied that, at the time of
    The second set of issues before us
    Reinert’s first statement, made to an EMT
    stems from Reinert’s claims of ineffective
    when he was being transported to the
    assistance of counsel allegedly in violation
    hospital for treatment (at which time he
    of his Sixth Amendment rights. First, he
    was not a crime suspect and indeed was
    complains of his state trial counsel’s
    considered a possible victim), he was not
    failure to call a medical expert to testify at
    in custody, even though a police officer
    the suppression hearing as to his alleged
    was present in the ambulance. However,
    mental and physical inability to voluntarily
    with respect to the second statement made
    and knowingly waive his Miranda rights.
    in the ambulance to a police officer to
    However, our analysis of the record will
    whom Reinert was “turned over” by the
    show that the expert testimony that Reinert
    E M T a f t e r h is f ir s t se e m i n g ly
    believed would have helped him would
    incriminating statement, we conclude that
    have made no difference to the merits of
    2
    his Miranda claim. He also scores his                   Shortly after Mertz’s arrival, three
    counsel’s failure to inform him of his right        more Allentown police officers, Bruce
    to testify at the suppression hearing, but          Zimmerman (“Zimmerman”), Robert
    we conclude that this claim too lacks               Lembach (“Lembach”), and Brian Brader
    merit.     Reinert has thus failed to               (“Brader”), arrived at Reinert’s home,
    demonstrate that he was prejudiced by his           followed by the EMTs. Law enforcement
    counsel’s actions; moreover the state               officers secured the home. The EMTs
    court’s conclusions on the issue were not           examined Reinert; his blood pressure was
    contrary to or an unreasonable application          down and his pulse rate was up. The
    of clearly established federal law as               EMTs helped Reinert to his feet and he
    determined by the United States Supreme             then walked to the ambulance. At this
    Court.                                              juncture, Zimmerman was ordered by his
    superiors to remain with Reinert and told
    We will therefore affirm the order of
    “not to let him leave your custody.”
    the District Court denying the petition.
    Reinert was laid on a stretcher inside
    the ambulance, had an oxygen mask placed
    I. Background Facts                      over his face, was given IVs in his arms,
    and was hooked up to an
    On March 10, 1991, responding to a
    electrocardiograph.       Reinert had been
    telephone call during which Reinert made
    observed to have lacerations to his wrists
    some rather bizarre statements, his mother
    and he complained of an injured ankle.
    Janet Ketner and her husband rushed to his
    When he was in the ambulance, the EMTs
    home and found him sitting on the first
    noticed multiple lacerations to his
    floor covered in blood, with large, visible
    abdomen.         Upon discovery of the
    slashes on both wrists. Mr. Ketner called
    abdominal wound, EMT Timothy Snyder
    911, describing Reinert as delirious.
    (“ Sn yd e r ” ) a s k ed Re ine r t “ w h a t
    Police and ambulance services soon
    happened?” Reinert responded “I stabbed
    arrived. Reinert looked strange, and it was
    him with a butcher knife, then I did
    determined that he had recently attempted
    myself.” Snyder at once turned to Officer
    suicide by drinking alcohol, taking
    Zimmerman and stated, “I think you ought
    sleeping pills, and slashing his wrists. At
    to step in.”
    12:11 p.m., Officer Jeffrey Mertz
    (“Mertz”) arrived, checked on Reinert and               Zimmerman then, without advising
    his parents in the first floor living room,         Reinert of his Miranda rights, asked him
    and then went upstairs to check the                 “what happened?” Reinert responded to
    parents’ report of a body on the third floor.       the question by stating, “I think I killed
    When Mertz reached the third floor, he              him. I think I stabbed him.” At that point,
    found the body of Sean Brady, Reinert’s             Zimmerman read Reinert his Miranda
    long time companion, and determined that            rights. See infra note 3. After reading
    he was dead.                                        Reinert his rights, Zimmerman asked him:
    3
    “And with these rights in mind, do you                  At 7:47 p.m., Detectives Joseph
    wish to talk to us now?” Reinert replied:           Stauffer (“Stauffer”) and Glenn Granitz
    “I think I killed him.” When asked whom             (“Granitz”) arrived at the hospital. The
    he had killed, Reinert responded: “Sean,            detectives first spoke to the attending
    Sean Brady,” “with a butcher knife.”                physician, Dr. Homayoun Hashemi (“Dr.
    Hashemi”), wh o testified that he
    Once at the Lehigh Valley Medical
    performed a post-operative check at 7:30
    Center (“LVMC”), Reinert underwent
    p.m. on Reinert, and found him awake,
    preparatory treatment for surgery by
    coherent, and with stable vital signs. After
    Nurses Thomas Gavigan and Patricia
    conferring with Dr. Hashemi, the
    Lombardo. Police officers were ordered
    detectives went to see Reinert. They
    by their superiors to stand guard outside
    testified that they found him conscious,
    his room.1 Reinert entered surgery at
    oriented, alert, and responsive. They
    approximately 1:15 p.m. Prior to surgery,
    proceeded to interview him while he was
    Reinert was, of course, anesthetized.
    laying in the recovery room, wrists and
    Surgery lasted approximately two and one-
    abdomen bandaged, attached to IVs and
    half hours. Reinert lost about half a pint of
    other post-operative equipment. They first
    blood during the operation; he had also
    read him his Miranda rights. The two
    lost a quart of blood prior to being treated
    detectives present differing accounts as to
    by the EMTs. Reinert experienced post-
    how Reinert responded to the question:
    operative pain, and was given Robinal, a
    “Do you waive these [Miranda] rights?”
    sedative and muscle relaxant, at 3:30 p.m,
    Stauffer stated that Reinert answered the
    and Cefoxitan, an antibiotic, at 6:00 p.m.
    question verbally with a “yes,” whereas
    Granitz said that Reinert merely nodded
    his head.     Both detectives, however,
    1                                                 agreed that Reinert clearly communicated
    Zimmerman asked Gavigan prior to
    to them his decision to waive his Miranda
    Reinert’s treatment, at the doors of the
    rights.
    trauma room, “to note down anything
    that Reinert said which may be of use to                The detectives then questioned him for
    him.” During this surgical preparation,             forty-five minutes, during which Reinert
    Gavigan asked Reinert some questions,               stated that he had obtained a knife, had
    to which Reinert responded that he had              gone to see Sean Brady, who was in bed,
    been fighting with his friend with a                and stabbed him.          Reinert’s chart
    knife, they had fallen off the bed and that         indicated no abnormality with regard to his
    he, the friend, might have done this.               ability to answer questions appropriately.
    Reinert also acknowledged he might                  Dr. Hashemi also testified that the first
    have wounded himself, and that he had               administration of medication for pain,
    fallen down the stairs. However,                    spec ifically m orphine, was not
    Reinert’s response to the nurse is not at           administered to the defendant until 10:00
    issue on appeal.
    4
    p.m.   We will amplify this factual                  indicative that the defendant was in
    background in our discussion of the                  their custody.      Their presence
    procedural history and the merits issues,            would be explained by many
    infra.                                               things, including a desire to
    interview an important witness or a
    desire to protect a potential victim.
    II. Procedural History
    We conclude therefore that the
    On or about March 10, 1991, Reinert               statement made to paramedic
    was arrested and charged with the criminal           Snyder was not made while the
    homicide of Sean Brady.           Pre-trial          defendant was in custody and,
    motions, including motions to suppress               furthermore, that it was not made
    physical evidence and statements, were               pursuant to interrogation by police
    heard before Judge Carol K. McGinley of              officers.
    the Court of Common Pleas of Lehigh
    Second, the suppression court concluded
    County. After a hearing, the suppression
    that:
    motions were denied.
    The defendant remained
    The suppression court made a number
    conscious, alert and oriented
    of relevant findings. First, it rejected
    throughout his transport to the
    Reinert’s claim that his pre-Miranda
    hospital.   No medication was
    statement should be dismissed, finding that
    administered to him in the care of
    the statement was “volunteered by the
    the Emergency Medical Service
    defendant to Paramedic Snyder . . . in
    Unit.
    response to a routine question by
    paramedic Snyder.” The court further              Then, after describing his treatment in the
    concluded that:                                   emergency room, the Court found that
    Reinert
    . . . although the police were
    present, there is nothing in the                  . . . remained alert and coherent.
    situation which would lead a                      H e responded to questions
    reasonable man to believe that he                 concerning allergies to medication
    was under arrest or in the custody                and to the approximate time of his
    of the police. The arrival of the                 most recent tetanus inoculation. He
    police at the scene was due to a                  indicated he was allergic to
    request made on his behalf by his                 penicillin. Ms. Lombardo observed
    mother and her husband, and the                   that his blood pressure was stable,
    defendant’s transport to the                      that his pulse was providing him
    Hospital Center was voluntary on                  with adequate oxygenation to the
    his part. The mere fact that police               brain, and she performed the
    were present was not in any way                   Glasgow coma score to determine
    5
    his level of consciousness. In all                   The    defendant,         upon
    categories the defendant received                questioning by Detective Stauffer,
    the highest possible score.                      made incriminating statements. In
    the course of making these
    Turning to the next phase of the
    statements the defendant was
    treatment, the surgery, from which Reinert
    volu ble , and volunteere d
    returned at approximately 4:05 p.m., the
    information not specifically sought
    suppression court found:
    by Detective Stauffer.         The
    At 7:47 p.m. Detective Stauffer              questioning ended at 8:30 p.m.
    arrived at the hospital with
    Dr. Hashemi testified that he
    Detective Granitz. After speaking
    had performed a post-operative
    to the attending physician, Dr.
    check at 7:30 p.m. on the
    Homayoun Hashemi, the detectives
    defendant, that he had seen that the
    proceeded to interview the patient.
    defendant was awake, coherent,
    The questioning began at least five
    and had stable vital signs. His
    hours after the defendant’s surgery
    chart indicated no abnormality with
    had been completed.
    regard to the defendant’s ability to
    Detective Stauffer determined                answer questions appropriately.
    that the patient was conscious and               Dr. Hashemi also testified that the
    oriented. He asked him his date of               first administration of medication
    birth and his social security                    for pain, specifically morphine, was
    number, both of which were later                 not administered to the defendant
    verified as accurate. He asked him               until 10:00 p.m.
    other questions to determine
    Immediately following his
    whether or not the defendant was
    statements to the police, the
    aware of his surroundings and
    defendant was seen by his family,
    received satisfactory answers.
    his close friend Cindy Mellinger,
    After determining that the                   and his mother’s minister. All
    defendant was able to be                         testified that he was extremely soft-
    responsive, Detective Stauffer                   spoken at this time.
    advised him of his rights, following
    A jury trial commenced on January 15,
    which the defendant said he
    1992, resulting in a verdict of guilty of
    understood his rights and he agreed
    murder in the first degree. Reinert was
    to speak with the police. Detective
    sentenced to life imprisonment. Timely
    Granitz also asked questions to
    post-trial motions were denied as to all
    determine the capacity of the
    issues on November 15, 1994.
    defendant, both at the beginning
    and the end of the statement.                    Through new (and present) counsel,
    Reinert appealed to the Pennsylvania
    6
    Superior Court.      During that appeal               psychiatric testi mon y at
    Rein ert raised the issue of the                      suppression hearing to demonstrate
    effectiveness of his trial counsel,                   that defendant’s mental illness
    submitting a number of affidavits/letters in          prevented proper w aiver of
    support of his ineffectiveness claim. On              Miranda rights where evidence
    January 23, 1996, the Superior Court                  indicated defendant was aware of
    denied relief on all grounds in a                     nature of right and consequence of
    Memorandum Opinion, denying the                       waiver).
    ineffectiveness claims without ordering an
    The Superior Court also rejected Reinert’s
    evidentiary hearing.      Inter alia, the
    contention that he was denied effective
    Superior Court stated:
    assistance of counsel because his attorneys
    After reviewing the record, we find             failed to advise him that he could testify at
    that trial counsel thoroughly cross-            the suppression hearing. The Court found
    examined              all    of  the            that he established neither what his
    C omm onw ealth’s witnesses                     testimony would have been, nor how it
    regarding Reinert’s mental and                  would have altered the outcome of the
    physical state at the time he was               hearing. There was never an evidentiary
    given Miranda warnings and when                 hearing on the ineffectiveness issue, which
    he made statements to both the                  was raised for the first time in the
    police and the medical staff.                   Pennsylvania Superior Court; the Superior
    Moreover, we note that the                      Court rejected that claim on the basis of
    Commonwealth produced                           the record before it.
    o v er w helming evidence that
    A motion for reconsideration and/or
    Reinert had knowingly and
    reargument was denied by the Court. A
    voluntarily waived his Miranda
    petition for allowance of appeal and a
    rights. Thus, we conclude that trial
    petition for reconsideration of denial of
    counsel was not ineffective for
    petition for allowance of appeal were filed
    failing to call medical experts at the
    and denied by the Pennsylvania Supreme
    s u p p r e s si o n hea ring .   See
    Court on September 26, 1996, and
    [Commonwealth v. Williams, 640
    December 11, 1996, respectively. A
    A.2d 1251 (Pa. 1994)] (counsel was
    petition for a writ of certiorari was denied
    not ineffective for failing to call
    by the United States Supreme Court on
    expert witnesses w here he
    October 6, 1997. This petition for a writ
    extensively cross-examined police
    of habeas corpus now before us was filed
    officer and doctor regarding their
    on October 2, 1998, and was denied by the
    testimony);               see   also
    District Court on July 8, 2002. A motions
    Commonwealth v. Logan, 549 A.2d
    panel of this Court granted a certificate of
    531 (Pa. 1988) (counsel was not
    appealability (“COA”). Reinert continues
    ineffective for failing to employ
    to serve a sentence of life imprisonment
    7
    for murder. Because Reinert’s claims                    III. Admissibility of Reinert’s
    were fully adjudicated in state court, we                        Statements
    apply the by now familiar AEDPA
    A. Pre-Miranda Statements to EMT
    standard of review, which we set forth in
    Snyder and Officer Zimmerman
    the margin.2
    As we have set forth above, at the time
    2
    Although our review of the District
    Court’s decision is plenary, Marshall v.           involves “an unreasonable application
    Hendricks, 
    307 F.3d 36
    , 50 (3d Cir.                of” clearly established federal law if it
    2002), under AEDPA and the Supreme                 “unreasonably applies the law of this
    Court’s decision in Williams v. Taylor,            Court to the facts of a prisoner’s case.”
    
    529 U.S. 362
     (2000), we must deny                  Id. at 409. This is an objective test: “[A]
    federal habeas corpus relief to any claim          federal habeas court making the
    which was adjudicated on the merits in a           ‘unreasonable application’ inquiry should
    state court proceeding unless such                 ask whether the state court’s application
    adjudication:                                      of clearly established federal law was
    objectively unreasonable.” Id.
    (1) resulted in a decision that was
    Moreover, “unreasonable” does not mean
    contrary to, or involved an
    “erroneous.” Thus, “a federal habeas
    unreasonable application of,
    court may not issue the writ simply
    clearly established Federal law, as
    because that court concludes in its
    determined by the Supreme Court
    independent judgment that the relevant
    of the United States; or
    state-court decision applied clearly
    (2) resulted in a decision that was          established federal law erroneously or
    based on an unreasonable                     incorrectly. Rather, that application must
    determination of the facts in light          also be unreasonable.” Id. at 411.
    of the evidence presented in the
    This standard does not apply,
    State court proceeding.
    however, to claims that the state courts
    28 U.S.C. §§ 2254(d)(1) and (2). A state           did not address on the merits. In such
    court decision is “contrary to our clearly         instances we exercise the pre-AEDPA
    established precedent if the state court           standard and “conduct a de novo review
    applies a rule that contradicts the                over pure legal questions and mixed
    governing law set forth in our cases . . . .       questions of law and fact. . . . However,
    [or] if the state court confronts a set of         the state court’s factual determinations
    facts that are materially indistinguishable        are still presumed to be correct,
    from a decision of this Court and                  rebuttable upon a showing of clear and
    nevertheless arrives at a result different         convincing evidence. See 28 U.S.C. §
    from our precedent.” Williams, 529 U.S.            2254(e)(1).” Appel v. Horn, 250 F.3d
    at 405-06. A state court decision                  203, 210 (3d Cir. 2001).
    8
    of his initial statement Reinert was in the       that the following colloquy ensued.
    ambulance being tended by the EMTs.
    Q. Did M r. Reinert respond to this
    After asking questions about his past
    first question, “did he understand
    medical history and allergies to
    his right?”
    medications, EMT Snyder, in an effort to
    find out how the injury to the abdomen               A. As best as he could, yeah, he –
    was sustained, asked Reinert what                    they were working on him and he,
    happened, receiving the response “I                  you know, he kind of nodded and
    stabbed him with a butcher knife, then I             then he said yes, or yeah.
    did myself.” At this point, Snyder notified
    Q. Did he actually vocalize words?
    Officer Zimmerman and went on with his
    treatment. When asked whether he was                 A. Right, yeah.
    paying attention to the conversation taking
    Q. He said, “yeah”, correct?
    place between Officer Zimmerman and
    Reinert, Snyder responded: “No, my job is            A. Correct
    to administer emergency care, and my
    Q. And you then asked him a
    patient is my priority.”
    second question, and what did he
    After Snyder asked Zimmerman to step             respond then?
    in, Zimmerman, without advising Reinert
    A. He basically just said, “I think I
    of his Miranda rights, asked him “what
    killed him” He didn’t say yes, and
    happened?” and Reinert responded to the
    then go on – he just started talking.
    question by stating: “I think I killed him.
    I think I stabbed him.” At that point,               Q. And what else did he say, or did
    Zimmerman read Reinert his Miranda                   you ask any further questions?
    rights. More specifically, Zimmerman
    A. Yeah, I said, again, going back
    read to Reinert the standard Miranda Card,
    to that first thing, “I think I killed
    the text of which we set forth in the
    him, I stabbed him.” I said “Who
    margin.3 At trial, Zimmerman testified
    did you kill?” And he said, “Sean.”
    And I asked, “Sean Brady?”
    3
    “My name is Officer Bruce
    Zimmerman of the Allentown Police
    Department. I wish to advise you that             attorney one will be appointed to
    you have an absolute right to remain              represent you, without charge, before any
    silent. That anything you say can and             questioning, if you so desire. And if you
    will be used against you in a Court of            decide to answer any questions you may
    law. That you have the right to talk to an        stop at any time you wish. Do you
    attorney before and have an attorney              understand these rights I’ve explained to
    present with you during questioning.              you? And with these rights in mind, do
    That if you cannot afford to hire an              you wish to talk to us now?”
    9
    and—or he said, “Sean Brady,” I                        Furthermore, although the
    said, “Is that the gentlemen upstairs              police were present, there is
    on the third floor?” He said,                      nothing in the situation which
    “Yes.” I said, “How did you do                     would lead a reasonable man to
    it?” He said, “With a butcher                      believe that he was under arrest or
    knife.”                                            in the custody of the police. The
    arrival of the police at the scene
    Reinert argues at great length that he
    was due to a request made on his
    was in custody at the time of the
    behalf by his mother and her
    ambulance statements.        His principal
    husband, and the defendant’s
    contentions are the following: (1) The
    transport to the Hospital Center was
    police had entered his home and controlled
    voluntary on his part. The mere
    it (though they had entered at his mother
    fact that police were present was
    and stepfather’s request); (2) the
    not in any way indicative that the
    investigating officers were directed to
    defendant was in their custody.
    accompany Reinert in the ambulance and
    Their presence could be explained
    keep him in their custody; and (3) the
    by many things, including a desire
    officers were in close proximity to Reinert
    to interview an important witness
    in the ambulance. Reinert contends that
    or a desire to protect a potential
    these factors combined in such a way that
    victim.
    a reasonable man in his situation would
    not think himself “free to leave.”                        We conclude, therefore, that the
    statement made to paramedic
    It is not entirely clear from Reinert’s
    Snyder was not made while the
    brief whether he objects to the statement
    defendant was in custody, and,
    made to the EMT or only to the one made
    furthermore, that it was not made
    to Zimmerman, but we will assume that
    pursuant to interrogation by police
    objection is made to both.
    officers.
    1. The pre-Miranda statement to EMT
    The question, of course, is whether the
    Snyder
    state court’s determination that Reinert
    The state trial judge found as follows:         was not in custody is contrary to, or
    involved an unreasonable application of,
    The first statement is that
    clearly established federal law, as
    statement volunteered by the
    determined by the Supreme Court of the
    defendant to paramedic Snyder. At
    United States, or resulted in a decision that
    the time the statement was made, it
    wa s ba se d on an u n r e a s o n a ble
    was volunteered by the defendant
    determination of the facts in light of the
    in response to a routine question by
    evidence presented in the state court
    paramedic Snyder. It was not
    proceeding. We do not believe that this
    solicited by the police.
    standard is met by Reinert with respect to
    10
    the statement made to the EMTs. Reinert              free not to answer questions. He contrasts
    was not in custody, nor was he a suspect in          his situation with the one at issue in United
    a crime when he entered the ambulance for            States v. Leese, 
    176 F.3d 740
     (3d Cir.
    the purpose of medical treatment and                 1999), where a postal employee suspected
    transport to the hospital. Although police           of having stolen postal funds was found
    officers accompanied Reinert in the                  not to be in custody during the course of
    ambulance, at that time officers had the             an interrogation where she was told she
    limited knowledge that a body was found              was not under arrest, that she would not be
    inside the house and that Reinert appeared           made to go with her questioners when they
    to be wounded. Officers could have                   left, and during the course of which she
    reasonably assumed that Reinert was a                was allowed to take breaks in order to
    victim who could possibly identify a third           consult with her union representative.
    person that may have been in the house.              Reinert argues that unlike in Leese where
    Snyder stated that police officers regularly         the suspect was given ample opportunity to
    ride with him in the ambulance and that he           end questioning and where she was
    requested police officers to accompany               explicitly told that she was not under
    him on this occasion.                                arrest, Reinert was never afforded similar
    information or opportunities.
    Ordinarily, in determining whether an
    individual is in custody, the ultimate                   While the difference is real, it is not
    inquiry is “whether there is a ‘formal arrest        dispositive. Had Zimmerman made an
    or restraint on freedom of movement’ of              explicit statement to Reinert that he was
    the degree associated with a formal arrest.”         not under arrest or that he need not answer
    California v. Beheler, 
    463 U.S. 1121
    , 1125           questions, such a statement would surely
    (1983) (quoting Oregon v. Mathiason, 429             have bolstered the governmen t’s
    U.S. 492, 495 (1977) (per curiam)). When             contention that Snyder’s questioning was
    the individual has not been openly arrested          non-custodial in nature. However, the
    w h e n the sta tements are ma de,                   absence of such a statement does not ipso
    “‘something must be said or done by the              facto turn questioning into a custodial
    authorities, either in their manner of               interrogation, especially wh en the
    approach or in the tone or extent of their           questioning is being done by a medical
    questioning, which indicates they would              professional in the course of providing
    not have heeded a request to depart or to            routine medical care. See Mathiason, 429
    allow the suspect to do so.’” Steigler v.            U.S. at 495 (“[P]olice officers are not
    Anderson, 
    496 F.2d 793
    , 799 (3d Cir.                 required to administer Miranda warnings
    1974) (quoting United States v. Hall, 421            to everyone whom they question. Nor is
    F.2d 540, 545 (2d Cir. 1969)).                       the requirement of warnings to be imposed
    simply because . . . the questioned person
    Reinert argues that the interrogation in
    is one whom the police suspect.”) Given
    the ambulance was custodial because he
    that Reinert was in the ambulance
    was never told that he was free to leave or
    11
    receiving care for an open wound and had             determined by the Supreme Court.
    an oxygen mask covering his face, it seems           Accordingly we will affirm the order of
    unlikely that he could or would have left            the District Court on that issue.
    the EMTs’ care, even if Zimmerman had
    2. The pre-Miranda statement to Officer
    told him that he was at liberty to do so.
    Zimmerman
    Under those circumstances, an explanation
    that he was not required to answer                       The statement made to Officer
    questions would have no doubt been more              Zimmerman in response to his “what
    meaningful and more approp riate.                    happened” question (“I think I killed him,
    However, as we explained above, such a               I stabbed him.”) is another matter. At that
    statement, while helpful to determine the            point Reinert had made an incriminating
    custodial nature of the interrogation, is not        statement, and when the EMT turned him
    required to render an interrogation non-             over to Officer Zimmerman, he had to
    custodial.                                           know that he was a suspect being
    questioned by a police officer. Prior to
    More to the point, although Officer
    starting his question, Zimmerman should
    Zimmerman was present under the
    have, but failed to, read Reinert his
    described circumstances, the case of
    Miranda rights. The state trial judge’s
    ambulance transportation is oblique to the
    treatment of this matter was premised on a
    core of “in custody” jurisprudence where
    misapprehension or misstatement of the
    the focus is on the relationship between the
    facts—that Reinert had been Mirandized
    officers and the suspect in terms of
    already when, in fact, he had not: “The
    putative coercion and freedom to leave. In
    next statement made by the defendant was
    our view, the presence of Zimmerman in
    a statement given to Officer Zimmerman
    the ambulance was a background factor in
    in the ambulance. Prior to this statement,
    terms of Reinert’s statement to Snyder.
    Officer Zimmerman advised the defendant
    Reinert had entered the ambulance
    of his Miranda rights, following which the
    voluntarily and was in the charge of the
    defendant indicated that he wished to
    EMTs who elicited the challenged
    answer questions.” The Commonwealth
    statement innocently (they did not know
    now concedes that the judge was mistaken
    Reinert to be a criminal suspect) in the
    in stating that Reinert was given Miranda
    course of obtaining routine medical
    warnings before the statement to
    information. Under these circumstances,
    Zimmerman. We must therefore reject the
    and others recited above, we do not think
    state court’s finding with respect to the
    that the state trial judge’s determination
    first ambulance statement to Zimmerman.
    w a s b as e d o n a n u nreasona ble
    However, “[w]here a subsequent
    determination of the facts in light of the
    confession is obtained constitutionally, the
    evidence. Nor was the legal conclusion
    a dmission of pri or inad missib le
    based thereon contrary to or an
    confessions [is] harmless error.” United
    unreasonable application of federal law as
    States v. DeSumma, 
    272 F.3d 176
    , 180 (3d
    12
    Cir. 2001) (quoting United States v.                   intelligently.
    Johnson, 
    816 F.2d 918
    , 923 (3d Cir.
    ***
    1987)) (first alteration in original).
    Because we conclude that Reinert made                  If the interrogation continues
    subsequent, constitutionally obtained,                 without the presence of an attorney
    admissible statements that mirrored his                and a statement is taken, a heavy
    earlier un-M irandized statement, see infra            burden rests on the government to
    Parts III.B and III.C, we hold that                    demonstrate that the defendant
    admission of the initial statement was                 knowingly and intelligently waived
    harmless error, even under the stringent               his pri v i le g e a g ainst self -
    constitutional error standard where we                 incrimination and his right to
    may affirm only if the error is harmless               retained or appointed counsel.
    beyond a reasonable doubt. See United                  Escobedo v. Illinois, 
    378 U.S. 478
    ,
    States v. Molina-Guevara, 
    96 F.3d 698
    ,                 490, n.14 [(1964)]. This Court has
    703 (3d Cir. 1996) (citing Chapman v.                  always set high standards of proof
    California, 
    386 U.S. 18
    , 24 (1967)).                   for the waiver of constitutional
    rights, Johnson v. Zerbst, 304 U.S.
    B. The Post-Miranda Statement to
    458 (1938), and we reassert these
    Officer Zimmerman
    standards as applied to in-custody
    At this point, Zimmerman read Reinert              interrogation.
    his Miranda rights. The issues presented
    Id. at 444, 475 (emphasis added).
    by Reinert are twofold. He contends (1)
    that he was not physically and mentally                The Court made clear in Moran v.
    capable of knowingly, intelligently, and            Burbine, 
    475 U.S. 412
    , (1986), the two-
    voluntarily waiving his Miranda rights and          pronged test for waiver:
    (2) that even if he were, the post-Miranda
    First, the relinquishment of the
    statement was not validly obtained in light
    right must have been voluntary in
    of his pre-Miranda confession.
    the sense that it was the product of
    1. Competence and waiver                        a free and deliberate choice rather
    than intimidation, coercion, or
    The Supreme Court has frequently
    deception. Second, the waiver
    articulated the applicable waiver standard.
    must have been made with a full
    In Miranda v. Arizona, 
    384 U.S. 436
    awareness of both the nature of the
    (1966), the Court held as to waiver and
    right being abandoned and the
    burden:
    consequences of the decision to
    The defendant may waive                             abandon it. Only if the totality of
    effectuation of these rights,                       the circumstances surrounding the
    provided the waiver is made                         interrogation reveal both an
    v o l u n tarily, k n o w i n g l y a n d           uncoerced choice and the requisite
    13
    level of comprehension may a court                that there was no physical or
    properly conclude that the Miranda                psychological coercion in the
    rights have been waived.                          situation, nor in the questioning
    te c hnique use d by Of f ic er
    Id. at 421 (internal quotations marks and
    Zimmerman.
    citations omitted).
    This finding is clearly supported in the
    We have also explained that:
    record. EMT Snyder testified at the
    This inquiry requires us to consider           suppression hearing that Reinert remained
    the totality of the circumstances              “conscious, alert, and oriented throughout
    surrounding the interrogation,                 our transport” and that he was “very much
    which includes examining the                   aware and awake, and knew what was
    events that occurred and the                   going on. I explained every part of the
    background, expe rience, and                   treatment that I was doing for him, and he
    conduct of the defendant. Miranda              understood that fully.” When asked, “And
    rights will be deemed waived only              this was during the entire time when
    whe re the to tality of th e                   Officer Zimmerman was talking to Mr.
    circumstances “reveal[s] both an               Reinert as well?”, Snyder responded,
    uncoerced choice and the requisite             “That’s correct.” In sum, Snyder stated
    level of comprehension.”                       that Reinert answered all questions posed
    to him “ intelligently.”           Officer
    United States v. Sriyuth, 
    98 F.3d 739
    , 749
    Zimmerman testified that Reinert was
    (3d Cir. 1996) (quoting Moran, 475 U.S. at
    “lucid and coherent.”        And Officer
    421) (citations omitted).
    Lembach, who was also in the ambulance,
    The state trial judge concluded, after        testified that Reinert was alert and
    the suppression hearing, that Reinert’s           coherent, and that his answers to questions
    mental and physical states were such that         asked in the ambulance were responsive
    he was “conscious, alert and oriented on          and pertinent and did not go off on
    three spheres.” She added that:                   tangents.
    [T]he interview by Officer                         As noted above, Reinert had walked to
    Zimmerman w as brief , the                     the ambulance. The record of treatment
    interrogation routine, and the                 administered to him in the ambulance was
    detention basically the result of              unexceptional. Reinert was wearing an
    circumstances created by the                   oxygen mask but that did not impair
    defendant. Clearly there was no                communication. He was receiving IV
    physical threat to the defendant               fluids and was connected to an
    from the police inasmuch as the                electrocardiograph. His vital signs were
    interview took place in the                    monitored. But none of this impaired his
    ambulance in the presence of                   coherence. Supporting this conclusion is
    paramedics. We firmly conclude                 the testimony of Nurse Patricia Lombardo
    14
    of LVMC who, shortly after Reinert’s                  Drefke, 
    707 F.2d 978
    , 983 (8th Cir. 1983)
    admission, observed him and administered              (holding efforts to supplement record by
    the Glasgow coma test, about which she                affidavits or attachments to brief
    discoursed at some length. The short of it            improper)). Reinert counters with the
    is that Reinert received the highest                  argument that consideration of these
    (Glasgow) score for verbal and motor                  affidavits is necessary to demonstrate the
    response, and for being alert and oriented.           ineffectiveness of his trial counsel in not
    His respiratory rate, vital signs, etc., were         presenting expert evidence at the
    all good. Independently, Nurse Lombardo               suppression hearing.          This “counter”
    concluded that Reinert was alert.                     seems inadequate because the affidavits
    are being presented in support of two
    In opposition to this welter of
    different contentions: a merits issue
    testimony the state trial judge had only the
    involving Miranda rights and a collateral
    testimony of Reinert’s mother and
    issue involving the ineffective assistance
    stepfather, which it had the clear right not
    of counsel. Given that these affidavits
    to credit, and did not credit. In this appeal,
    were not part of the record before the trial
    Reinert relies largely on the affidavits of
    court, Reinert most likely procedurally
    two psychiatrists whose affidavits were
    defaulted this line of argument on his
    offered at the Pennsylvania Superior Court
    Miranda claims, and should be allowed
    level as appendices to his direct appeal
    only to use the affidavits insofar as his
    brief. The Superior Court declined to
    claim for ineffectiveness is concerned.
    consider these affidavits and none of them
    However, since the affidavits relate both to
    were before the trial court. They were also
    the Miranda and ineffectiveness issues,
    attached to his federal habeas petition.
    and since we will need to examine the
    These psychiatrists, Dr. Lynn Bornfriend
    a f f i d av i t s w h e n w e r e a c h t h e
    (“Dr. Bornfriend”) and Dr. Robert Sadoff
    ineffectiveness claims, we will, out of an
    (“Dr. Sadoff”), did not examine or witness
    abundance of caution, consider the
    Reinert during the time period in which he
    substance of the Sadoff and Bornfriend
    was in the hospital or in the ambulance,
    affidavits— both of which conclude that
    and relied solely upon the narratives of
    Reinert was not competent physically or
    Reinert’s family and friends and excerpts
    mentally to waive Miranda rights or to
    from the (subsequent) medical records of
    make statements either in the ambulance or
    LVMC.
    post-operatively at the hospital—in terms
    The Commonwealth submits that we                  of the Miranda claims as well.
    cannot consider these affidavits which
    Dr. Bornfriend relies on a number of
    were not a matter of record and which are
    factors: (1) several nursing entries
    presented to the Court merely as
    describing Reinert as confused after his
    attachments to a pleading, citing United
    admission to LVMC; (2) lab evidence of
    States v. Madkins, 
    994 F.2d 540
    , 542-43
    dehydration, blood loss, liver damage and
    (8th Cir. 1993) (citing United States v.
    15
    an extruding wound (the occasion for the            given Miranda warnings, but admitted the
    subsequent surgery); and (3) an increased           written confession. Elstad was convicted,
    white blood cell count. Dr. Bornfriend              but the Oregon Court of Appeals reversed,
    opines that Reinert was in emotional                holding that the confession should also
    shock, largely as the result of having been         have been excluded because of the brief
    in the house with a corpse for two days.            p e r i o d s e p a r a t i n g h i s i n i t i a l,
    She also makes reference to his recent              unconstitutionally obtained statement and
    suicide attempt. Dr. Sadoff relies on: (1)          his subsequent confession. In reversing
    Reinert’s mother’s description of his               the Oregon Court of Appeals, the United
    confusion; (2) the emotional shock of the           States Supreme Court explained that the
    altercation with Sean Brady; and (3)                failure of police to administer Miranda
    Reinert’s low blood pressure and fast heart         warnings does not mean that the
    rate. We find this counter underwhelming,           statements received have actually been
    surely not enough to render the state trial         coerced, but only that courts will presume
    judge’s supported findings unreasonable or          the privilege against compulsory
    to undermine her conclusions of law under           s e l f -i n c r im i n a t io n h a s n o t b e e n
    the AEDPA standard as to the validity of            intelligently exercised. See Elstad, 470
    the waiver and the post-Miranda statement           U.S. at 304-11.
    in the ambulance.
    The Court held that it was “an
    2. Validity of post-Miranda statement              unwarranted extension of Miranda to hold
    that a simple failure to administer the
    Reinert argues that, even had he been
    warnings, unaccompanied by any actual
    competent to waive his Miranda rights in
    coercion or other circumstances calculated
    the amb ulanc e, the p ost-Miranda
    to undermine the suspect’s ability to
    statement would nevertheless be invalid
    exercise his free will, so taints the
    because it followed too quickly on the
    investigatory process that a subsequent
    heels of a non-Mirandized confession. To
    voluntary and informed w aiver is
    support his contention, Reinert attempts,
    ineffective for some indeterminate period.”
    unsuccessfully, to distinguish his case
    Id. at 309. The Court further held that
    from Oregon v. Elstad, 
    470 U.S. 298
    although Miranda “requires that the
    (1985). In Elstad, a man suspected of
    unwarned admission must be suppressed,
    burglary made an incriminating statement
    the admissibility of any subsequent
    in his own home without having been
    sta t e m e n t s h o u ld tur n in t h e se
    Mirandized. He was taken to the police
    circumstances solely on whether it is
    station, and after he was advised of and
    knowingly and voluntarily made.” Id.
    waived his Miranda rights, the suspect
    Absent deliberate coercion or improper
    produced a written confession. In his
    tactics in obtaining an unwarned
    subsequent prosecution for burglary, the
    statement, a careful and thorough
    state trial court excluded from evidence his
    administration of Miranda warnings cures
    first statement because he had not been
    16
    the condition that rendered the unwarned              and second responses to the police
    statement inadmissible. See id. at 311-12.            was “speculative and attenuated,”
    id. at 313. Although the Elstad
    Reinert argues that no cure could be
    Cou rt expressed no explicit
    made in his case because the police created
    conclusion about either officer’s
    coercive circumstances and that other
    state of mind, it is fair to read
    independent circumstances, such as the
    Elstad as treating the living room
    injury and resulting pain, tainted the
    conversation as a good-faith
    investigatory process beyond repair. We
    Miranda mistake, not only open to
    disagree. The Supreme Court’s most
    correction by careful warnings
    recent pronouncement on this issue
    before systematic questioning in
    supports our conclusion. In Missouri v.
    that particular case, but posing no
    Seibert, 
    124 S. Ct. 2601
     (2004), a suspect
    threat to warn-first p ractice
    was questioned for 30 to 40 minutes and
    generally. See Elstad, [470 U.S.] at
    confessed to her role in the crime of
    309 (characterizing the officers’
    second-degree murder. She was given a
    omission of Miranda warnings as
    20-minute break and was only then
    “a simple failure to administer the
    Mirandized. After receiving her Miranda
    warnings, unaccompanied by any
    warnings, she signed a waiver and the
    a c t u a l c o e r c io n o r o t h e r
    questioning resumed. During the post-
    c ir c umsta nc es calc ula te d to
    Miranda questioning, she was confronted
    undermine the suspect’s ability to
    with her prewarning statements, and was
    exercise his free will”).
    made to repeat the information she had
    given before she was Mirandized. In                Id. at 2612.
    holding unconstitutional the interrogation
    We are confident that Reinert’s case
    technique of intentionally withholding
    more closely resembles Elstad’s than
    Miranda rights to obtain a confession and
    Siebert’s. Zimmerman’s initial failure to
    of subsequently reading the Miranda rights
    read Reinert his Miranda rights, though
    and continuing on with the interrogation,
    unfortunate and unexplained, seems much
    the Supreme Court distinguished Seibert
    more likely to have been a simple failure
    from Elstad in the following way:
    to administer the warnings rather than an
    Elstad rejected the “cat out of the             intentional withholding that was part of a
    bag” theory that any short, earlier             larger, nefarious plot. While it would have
    admission, obtained in arguably                 been preferable for Zimmerman to read
    innocent neglect of Miranda,                    Reinert his rights immediately before
    determined the character of the                 eliciting the initial response, we conclude
    later, warned confession, Elstad,               that the cure mandated by Elstad was met
    470 U.S. at 311-14; on the facts of             in this case and that, because Reinert’s
    that case, the Court thought any                waiver was knowing and voluntary, the
    causal connection between the first             post-Miranda statement was properly
    17
    entered into evidence.                                     We have scrutinized the entire LVMC
    record. That record is consistent with the
    C. The Statement at the Hospital
    facts chronicled above, most importantly
    Probably the most incriminating                    that at times relevant Reinert was alert and
    statement made by Reinert was that made                oriented. Initially, the surgeon, Dr. Barry
    to Detectives Stauffer and Granitz after               Slavin, reported that Reinert woke up
    surgery at LVMC. In that statement                     promptly and was awake and alert after
    Reinert admitted that he had obtained a                recovery from anesthesia. Morphine for
    knife and then went to see Brady, who was              pain was not administered until 10:00
    in bed, and stabbed him. We have already               p.m., well after the statement at issue had
    recounted the essential history of the                 been made. Reinert was also given
    events after Reinert’s admission to the                Robinal, a sedative and muscle relaxant, at
    hospital, see supra Part I. We have                    3:30 p.m. and Cefoxitan, an antibiotic, at
    amplified that de scription through                    6:30 p.m. The most important witness,
    recitation of the state trial judge’s findings,        however, was Dr. Hashemi, the chief
    see supra Part II; we will not rescribe that           surgical resident, who had come to LVMC
    material here. However, our review of the              afer three years of surgical residence at
    record confirms that all the facts stated by           Presbyterian and the University of
    Judge McGinley are supported by the                    Pennsylvania Medical Center. As noted
    record.                                                above, Dr. Hashemi testified that he had
    performed a post-operative check at 7:30
    As our frame of reference, we reiterate
    p.m. on the defendant, and that he had seen
    that surgery (on March 10, 1991) lasted
    that Reinert was awake, coherent, and had
    from 1:15 p.m. to 3:45 p.m., and the
    stable vital signs. His chart indicated no
    interrogation took place at about 8:00 p.m.
    abnormality with regard to Reinert’s
    It was discovered during surgery that one
    ability to answer questions appropriately.
    of the knife wounds in Reinert’s abdomen
    This testimony accords with that of the
    had also cut his liver. The surgery
    detectives who questioned Reinert after his
    consisted of an exploratory laparotomy to
    surgery and said that they found him
    examine stab wounds to the abdomen. The
    conscious, oriented, alert, and responsive.
    results were essentially negative, except
    for a non-bleeding laceration of the left                 Arrayed against this solid phalanx of
    lobe of the liver and a large retroperitoneal          evidence is the testimony of Reinert’s
    hematoma. There was no evidence of                     mother, stepfather, a friend Cindy
    injury to any intraabdominal organ.                    Mellinger, and Reinert’s mother’s pastor,
    Because the retroperitoneal hematoma was               Ronald Keller, who saw Reinert after the
    stable, nothing was done, and the abdomen              police left. They all described him as
    was closed after copious irrigation.                   extremely quiet and soft spoken, kind of
    Reinert’s wrist lacerations were then                  “mumbly,” heavily sedated. Reinert also
    repaired, and he was taken to the Shock                contends that he was affected by the pre-
    Trauma Unit for observation.                           surgical med icine, es pecia lly the
    18
    anesthesia, and by the Robinal given at                  IMPRESSIONS: The patient is
    3:30 p.m. Additionally, Reinert relies               a 27 year old white male admitted
    heavily on appeal on a psychiatric consult           to the Lehigh Valley Hospital
    the day after surgery.                               Center on 03/10/91 followed self
    inflicted stab wounds with slashed
    Dr. Joseph Antonowicz, a psychiatrist,
    wrists. He is currently under arrest
    reported that:
    on suspicion of having murdered
    The patient tells me that he                  his roommate. The patient has
    remembers essentially nothing of                  essentially no recollection of events
    the events that led to his                        leading to and including these
    hospitalization here. He tells me                 alleged occurrences. At the present
    that the police have informed him                 time he is confused, overwhelmed,
    that they suspect him of having                   frightened and seemed somewhat
    murdered Shawn. He is quite                       disorganized in his thought
    surprised by this. The patient is                 processes.
    very tearful at the loss of Shawn
    Working diagnoses are:
    and seems to genuinely miss him.
    He states that he currently does                     1. Psychogenic amnesia versus
    have suicidal ideation, although he               malingering.
    does not have a plan at this time.
    2. Possible reactive psychosis.
    The patient is an alert,                      I am uncertain about the presence
    cooperative young man who                         of psychosis in this case, although
    appears quite sad. He also appears                he doe s se em inordina te ly
    very befuddled and shows some                     bewildered and disorganized.
    disorganization in his thought
    These pieces of evidence are used by
    process. He tends to be somewhat
    Drs. Bornfriend and Sadoff in their
    rambling and at times is mildly
    affidavits. Dr. Bornfriend writes:
    loosened in his associations. He
    seems quite bewildered by what’s                  Reinert was in the Operating Room
    going on as well as frightened.                   for laparotomy and tendon repair
    There are no hallucinations. There                until around 4:00 in the afternoon.
    do not appear to be delusions                     During surgery, he was given many
    present at this time. However, the                anesthetics, including Fentanyl, a
    patient is somewhat guarded in his                synthetic narcotic, and Robinal, a
    history.     Affect is depressed.                 sedative and muscle relaxant.
    Sensorium: He is oriented times                   Without the above medications, any
    three. Memory: 2 of 3 objects at 5                patient would be in severe pain
    minutes. Similes: Good. Proverbs:                 after such extensive surgery. It
    Quite concrete. Insight: Limited.                 was, therefore, clear that the
    Judgment: Good on formal testing.                 narcotic and sedative and muscle
    19
    r e l a x an t e f f e c t s o f th e s e        following surgery.
    medications persisted and remained
    Thus, for all the reasons noted
    during the course of Mr. Reinert’s
    above, it is my opinion, within
    being interviewed by the police and
    reasonable medical and psychiatric
    that when these medications wore
    certainty, that at the time of the
    off, Mr. Reinert was in severe pain
    taking of the statement of Scot
    and required 4 mgs. of morphine.
    Reinert, he was not at his clearest
    In addition, the fact that a physician
    thinking and was under the
    told police officers that Mr.
    influence of the shock of the loss of
    Reinert’s health would not be
    his lover, the shock of his own
    threatened by their questioning him
    wounds and recently emerging
    does not imply that he was
    from general anesthesia with
    cognitively and mentally clear
    abdominal surgery and that his will
    enough for them to do so.
    and strength and clarity of mind
    Dr. Sadoff recapitulates the traumatic              were all impaired. It is more likely
    events preceding the stabbing, the                  than not that at the time he was
    impressions of Dr. Antonowicz, the reports          interrogated by the police and given
    of the family members who saw Reinert               his Miranda rights, his emotional
    after the surgery, and the LVMC records.            state was so impaired that he would
    He concludes:                                       not have been able to resist
    effectively the demands of the
    One is usually in a fairly
    police at the time or the requests of
    confused state of mind following
    the police. It would seem that his
    surgery with general anesthesia,
    statement would not be totally
    and is not thinking as clearly
    voluntary, as he may choose, when
    usually, as one does after several
    in a clearer state of mind, to resist
    days. Scot had just been through a
    giving such a statement, especially
    serious altercation with his lover,
    under the advice of his attorney, if
    had lost his lover by death and had
    he had been allowed to see his
    been in a state of shock himself
    attorney prior to the interrogation.
    following loss of large quantities of
    blood due to self-inflicted and other                 The note of Dr. Antonowicz, the
    wounds to his wrists and his                     psychiatrist who examined him in
    abdomen. He appeared confused to                 consultation one day after he was
    his mother on the telephone and                  admitted and then three days later,
    also when she visited him at his                 indicated a clearing of his
    residence shortly thereafter. He                 s e n s o r i u m o n t h e s e co n d
    also appeared less than clear to his             examination. This implies that his
    mother, stepfather, pastor and                   first examination showed Scot to be
    female friend while in the hospital              less than clear, and that was one
    20
    day after his admission or one day                   with those of Judge McGinley, see supra
    after the interrogation. . . .                       Part II, which are entitled to deference.
    See Sumner v. Mata, 
    449 U.S. 539
     (1981).4
    Thus, it is for all these reasons
    that it is my opinion, within
    reasonable medical certainty, that at                  4
    Reinert urges us to follow the
    the time of the taking of the                        example of the Supreme Courts of
    statement by the police, Scot                        Minnesota and Alaska and rule that, in
    Reinert was in such a weakened                       the absence of an electronic record of the
    state of emotional condition                         custodial interrogation in the hospital (by
    following the shock to his system                    either audiotape or videotape), we should
    from the death of his lover, the                     suppress the confession as a violation of
    wounds that he had to his own                        the Fifth Amendment, Sixth Amendment,
    body, the medication that he was                     protections of due process, protection
    under, the loss of blood, the                        against self-incrimination, and provisions
    surgical procedure under general                     for effective assistance of counsel and
    anesthesia, that his mental state was                confrontation. See State v. Scales, 518
    not clear enough for him to be                       N.W.2d 587 (Minn. 1994) (holding that
    competent to waive his Miranda                       custodial interrogations must be recorded
    warnings or to give a truly                          where feasible); Stephan v. State, 711
    voluntary statement.                                 P.2d 1156 (Alaska 1985) (holding that
    We      find     these      a rg u m e n t s        non-recorded statements made during the
    underwhelming, and conclude that they do                course of a custodial interrogation should
    not even come close to rendering the state              be suppressed because they were
    trial judge’s findings of fact unreasonable             obtained in violation of the Due Process
    under the totality of the record, or in any             Clause of the Alaska Constitution).
    way undermine her conclusions of law                    While the advocated policy may be a
    under the AEDPA standard.                 The           desirable one, Reinert can point to no
    Bornfriend and Sadoff affidavits are                    Pennsylvania law supporting it; indeed
    extremely generalized and conclusory and,               there is none. Even if there were such a
    at all events, do not counter the                       rule announced in Pennsylvania, we, as a
    considerable evidence of Reinert’s                      federal court sitting in habeas
    competence to waive his Miranda rights                  jurisdiction, would not have the authority
    and to make a statement which was                       to review a violation of the state
    credited by the suppression judge, to                   constitution. It therefore goes without
    whose findings heavy deference is owed                  saying that, given that there is no right to
    under AEDPA. Indeed, they also rely on                  recorded custodial interrogations under
    statements that the judge discredited.                  Pennsylvania law, we are certainly not at
    Additionally, we note that the Superior                 liberty to create one. Insofar as Reinert
    Court also made findings of fact consonant              invokes the Fifth and Sixth Amendments
    of the Federal Constitution, he invokes a
    21
    and medical staff: “We conclude that trial
    counsel was not ineffective for failing to
    IV. The Ineffective Assistance of
    call medical experts at the suppression
    Counsel Claims
    hearing.” Indeed, the state court followed
    A. Failure of State Trial Counsel to Call            the relevant Pennsylvania authority for the
    a Medical Expert to Testify at the                proposition that trial counsel need not
    Suppression Hearing as to Reinert’s                introduce expert testimony on his client’s
    Alleged Mental and Physical Inability to             behalf if he is able effectively to cross-
    Voluntarily and Knowingly Waive His                 examine prosecution witnesses and elicit
    Miranda Rights                           helpful testimony. See Commonwealth v.
    Williams, 
    640 A.2d 1251
    , 1265 (Pa. 1994).
    Reinert claims that his trial counsel
    Trial counsel was surely able to do so here.
    was ineffective for failing to call an expert
    medical or psychiatric witness to testify                The Superior Court’s rejection, under
    about his physical and mental condition at           Williams, of Reinert’s claim that his trial
    the time he waived his Miranda rights. In            counsel was ineffective for failing to call
    order successfully to claim ineffective              an expert witness with respect to his
    assistance of counsel, Reinert must                  mental and physical condition was not an
    establish both that his attorney’s                   unreasonable application of the standards
    performance was objectively unreasonable             set forth in Strickland in light of the
    and that, but for the deficient performance,         evidence from police officers and medical
    there would have been a reasonable                   personnel that Reinert’s waiver of his
    probability of a different outcome. See              Miranda rights was knowing and
    Strickland v. Washington, 
    466 U.S. 668
                   voluntary. Reinert’s claim must therefore
    (1984). Reinert can make neither showing             fail. Furthermore, we reject the notion,
    here. After reviewing the record, the                advanced at oral argument, that Reinert
    Superior Court found that trial counsel              should be entitled to an ineffective
    thoroug hly cross-examined all the                   assistance of counsel hearing at this
    Commonwealth’s witnesses regarding                   juncture. Given the well developed record
    Reinert’s mental and physical state at the           in this case and our analysis of it above,
    time he was given his Miranda warnings               we do not see what more useful
    and when he made statements to the police            information could be elicited at this time.
    B. Failure to Inform Reinert of His
    Right to Testify at the Suppression
    purported federal right to have a                                     Hearing
    custodial interrogation recorded. He
    does not, however, cite any authority for               Reinert contends that his state trial
    this proposition; again there is none. We            counsel was ineffective for not informing
    will, at this juncture, decline to infer a           him of his right to testify at the
    federal right to have custodial                      suppression hearing. At the suppression
    interrogations recorded.                             hearing Reinert’s counsel called his
    22
    mother, stepfather, a female friend, and his
    mother’s pastor to testify about his
    physical condition post-surgery and prior            might have been risky to his defense.
    to his statement to the officers. Reinert’s          Reinert testified extensively at trial about
    mother and stepfather also testified to              the entire incident leading up to and
    Reinert’s condition prior to his transport to        following the death of Sean Brady. By
    the hospital (and prior to his initial               taking the stand at the suppression
    statement).     Additionally the medical             hearing, Reinert may have been
    records of LVMC were before the                      providing the Commonwealth with the
    suppression court. The suppression court             means to impeach his testimony. In
    thus had before it a considerable amount of          United States v. Salvucci, 
    448 U.S. 83
    ,
    evidence supporting Reinert’s position that          93-94 (1980), the Supreme Court
    he was not competent to give a statement             reserved the question whether Simmons
    or to waive Miranda rights. We do not see            v. United States, 
    390 U.S. 377
     (1968),
    that Reinert’s testimony would have added            precludes the use of a defendant’s
    anything to the mix in his favor, and, as            testimony at a suppression hearing to
    the Pennsylvania Superior Court observed,            impeach his testimony at trial. The Court
    Reinert failed to state with any specificity         noted, however, that a number of courts
    what his testimony would have been                   considering the question had held that
    and/or how his testimony would have                  such testimony is admissible as evidence
    altered the outcome of the hearing. The              of impeachment. Id. at 94 & n.8 (citing
    Superior Court concluded that Reinert had            Gray v. State, 
    403 A.2d 853
    , 858 (Md.
    failed to establish that his claim had               Ct. Spec. App. 1979) (noting that nothing
    arguable merit, that his counsel’s actions           in Simmons precludes use of defendant’s
    were unreasonable, or that he suffered               testimony at suppression hearing for
    prejudice. In our view, the District Court           purpose of impeachment at trial); People
    correctly concluded that the state court’s           v. Sturgis, 
    317 N.E.2d 545
    , 547-48 (Ill.
    resolution of this claim was not objectively         1974) (same); People v. Douglas, 136
    unreasonable. The Superior Court also                Cal. Rptr. 358, 363 (Cal. Ct. App. 1977)
    found that Reinert had failed to show that           (holding that defendant’s testimony at
    he was prejudiced by the failure of counsel          suppression hearing was admissible for
    to inform him of his right to testify at the         impeachment purposes because
    suppression hearing, i.e., that there was a          defendant took the stand in his trial and
    reasonable probability that, but for                 testified in a manner inconsistent with his
    counsel’s alleged error, the result of the           pretrial testimony)). Were we to adopt a
    proceeding would have been different. 5              similar interpretation of Simmons and
    conclude that suppression testimony was
    fair game for impeachment purposes, the
    5
    While we need not decide whether                  action of putting Reinert on the stand
    counsel’s performance was deficient, it is           during the suppression hearing could
    worth noting that Reinert’s testimony                have itself potentially become subject to
    23
    Finally, we consider the affidavit              of clearly established federal law as
    submitted by Reinert’s trial attorney Diane         determined by the United States Supreme
    Dickson.     In our view, the Dickson               Court.
    affidavit, which constitutes a conclusory
    We will therefore affirm the order of
    concession of ineffectiveness by trial
    the District Court denying the petition.
    counsel, does not mitigate the propriety of
    the actions taken during the time of trial,
    and does not affect the outcome.
    V. Conclusion
    In light of our extensive review of the
    record before us, we conclude that the
    state trial court’s decision to deny
    Reinert’s motion to su ppress the
    statements at issue was not an
    unreasonable determination of the facts in
    light of the evidence presented in the state
    court proceedings, and that it was neither
    contrary to nor an unreasonable
    application of clearly established federal
    law as determined by the United States
    Supreme Court. To the extent that the
    state trial court’s finding on the one pre-
    Miranda statement made to Officer
    Zimmerman was in fact unreasonable in
    light of the evidence presented before it,
    the statement should have been
    suppressed. However, the admission of
    duplicative statements was proper, and the
    error was therefore harmless.
    As for Reinert’s claims of ineffective
    assistance of counsel, he has failed to
    demonstrate that he was prejudiced by his
    counsel’s performance, and the state
    court’s conclusions on the issue were not
    contrary to or an unreasonable application
    an allegation of ineffectiveness.
    24