Russell Maze v. Jerry Lester , 564 F. App'x 172 ( 2014 )


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  •                 NOT RECOMMENDED FOR FULL-TEXT PUBLICATION
    File Name: 14a0310n.06
    No. 11-6141
    FILED
    Apr 24, 2014
    UNITED STATES COURT OF APPEALS
    FOR THE SIXTH CIRCUIT                          DEBORAH S. HUNT, Clerk
    RUSSELL LEE MAZE,                                        )
    )
    Petitioner-Appellant,                             )       ON APPEAL FROM THE
    )       UNITED STATES DISTRICT
    v.                                        )       COURT FOR THE MIDDLE
    )       DISTRICT OF TENNESSEE
    JERRY LESTER, Warden,                                    )
    )
    Respondent-Appellee.                              )
    )
    BEFORE: COOK, GRIFFIN, and KETHLEDGE, Circuit Judges.
    GRIFFIN, Circuit Judge.
    Petitioner Russell Lee Maze appeals the district court’s judgment denying his petition for a
    writ of habeas corpus filed pursuant to 28 U.S.C. § 2254. Maze was convicted by a Tennessee
    state court jury of one count of first-degree murder and one count of aggravated child abuse
    stemming from the death of his infant son, allegedly the victim of “Shaken Baby Syndrome.” He
    unsuccessfully sought post-conviction relief in the Tennessee state courts, and his subsequent
    petition for a writ of habeas corpus was denied by the United States District Court for the Middle
    District of Tennessee. Our court granted a certificate of appealability with respect to the four
    claims of ineffective assistance of trial counsel raised in Maze’s petition. In this appeal, Maze
    challenges the district court’s judgment as it pertains to two of these issues. For the reasons set
    forth below, we affirm the denial of habeas relief.
    No. 11-6141, Maze v. Lester
    I.
    On May 3, 1999, petitioner Maze’s wife left their home to run an errand after Maze
    returned from work. Maze was alone with their five-week-old son Bryan Alexander Maze during
    her absence. Approximately one hour later, Maze called 911 to report that Bryan had stopped
    breathing. Subsequent testing revealed bruising on Bryan’s head and abdomen, conjunctival and
    retinal hemorrhaging, a fractured clavicle, and severe, irreparable brain damage. Bryan never
    recovered and died eighteen months later after being discharged from the hospital and placed in
    certified foster care.
    A Davidson County, Tennessee, grand jury indicted Maze on one count of class A felony
    aggravated child abuse. Maze’s ensuing jury trial centered on medical evidence, the central
    dispute being whether his son’s injuries resulted from “Shaken Baby Syndrome” (“SBS”). By
    Maze’s own admission, he was the only person with the infant during the time in question.
    Although Maze initially denied to the investigating officers that he shook Bryan, he ultimately
    acknowledged that he had “jostled” the child in an attempt to revive him, yet he insisted that he did
    not shake Bryan in a violent manner that would have caused his son’s extensive injuries.
    In January 2000, the jury found Maze guilty as charged. On direct appeal, the Tennessee
    Court of Criminal Appeals (“TCCA”) reversed Maze’s conviction and remanded the case for a
    new trial due to the trial court’s failure to properly instruct the jury on lesser-included offenses.
    See State of Tennessee v. Maze, No. M2000-02249-CCA-R3-CD, 
    2002 WL 1885118
    (Tenn. Crim.
    App. Aug. 16, 2002) (unpublished). However, the TCCA found no merit in Maze’s contention
    that the trial court erred in admitting a child neurologist’s testimony regarding the devastating
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    No. 11-6141, Maze v. Lester
    injuries suffered by Bryan because of the shaking. The TCCA found the testimony to be highly
    probative of the necessary element of serious bodily injury and not needlessly cumulative. 
    Id. at *5–7.
    Because Bryan died on October 25, 2000, while Maze’s appeal was pending, the State
    obtained a superseding indictment charging Maze with first-degree felony murder and aggravated
    child abuse. In April 2004, following a second trial, a Davidson County jury convicted him on
    both counts.    During the trial, the defense aimed at identifying medical mistakes in the
    prosecution’s case and attempted to link Bryan’s injuries to pre-existing medical conditions,
    including the infant’s premature birth, neonatal jaundice and liver damage, the mother’s
    pregnancy complications (including hypertension and gestational diabetes), and the adverse side
    effects from the Hepatitis B vaccine administered to Bryan.1 Following the guilty verdict, the
    trial court imposed concurrent sentences of life imprisonment and twenty-five years on the two
    charges.
    On appeal, Maze challenged the sufficiency of the evidence, the trial court’s preclusion of
    certain defense expert-witness testimony, and the jury’s alleged exposure to prejudicial extraneous
    influences from third parties. The TCCA considered and rejected each of these claims and
    affirmed Maze’s convictions. See Maze, 
    2006 WL 1132083
    .
    In August 2007, Maze filed a pro se petition for post-conviction relief in the Criminal
    Court of Davidson County, Tennessee. In the petition, he argued that he was denied effective
    1
    A detailed recitation of the evidence is set forth in the TCCA’s 2006 opinion. See State of
    Tennessee v. Maze, No. M2004-02091-CCA-R3-CD, 
    2006 WL 1132083
    , at *1–14 (Tenn. Crim.
    App. April 28, 2006) (unpublished).
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    No. 11-6141, Maze v. Lester
    assistance of trial counsel in multiple respects, in violation of the Sixth and Fourteenth
    Amendments to the U.S. Constitution and Art. 1, § 9 of the Tennessee Constitution. Maze
    subsequently filed a state petition for a writ of error coram nobis, claiming that he had discovered
    medical evidence that his son died as a result of coagulopathy originating from birth-related
    trauma or other disorders, not child abuse. Attached were the affidavits of two physicians—a
    pediatric neuroradiologist and a forensic pathologist, who opined that there was nothing in the
    reviewed medical evidence that was specific for, or characteristic of, non-accidental injury. Maze
    averred that he only recently discovered this evidence and did not know of its existence at the time
    of his trial.
    A post-conviction hearing was held in the Criminal Court on June 9, 2008. Maze
    presented as witnesses the neuroradiologist (Dr. Patrick Barnes), a pediatrician (Dr. Edward
    Yazbak), and his trial attorney. The physicians’ testimony supported a theory that Bryan’s
    injuries were not caused by SBS, but rather were non-abusive in origin.2 In a nutshell, Dr. Barnes
    testified that for many years the SBS diagnosis rested on the presentation of a triad of injuries
    (subdural hemorrhage, retinal hemorrhage, and encephalopathy), but that the diagnostic criteria for
    child abuse had changed substantially in recent years in light of new, rigorous standards of
    evidence-based medicine and advances in imaging technology, particularly MRIs. Dr. Barnes
    opined, after reviewing the victim’s MRIs, CT scans, x-rays, and medical history, that under both
    the old and new diagnostic standards, the damage to Bryan’s brain was not characteristic of SBS.
    2
    This lengthy testimony is set forth in full in the TCCA’s 2010 opinion and order denying
    post-conviction relief. See Maze v. State of Tennessee, No. M2008-01837-CCA-R3-PC, 
    2010 WL 4324377
    , at *1 (Tenn. Crim. App. Nov. 2, 2010) (unpublished).
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    No. 11-6141, Maze v. Lester
    He was of the opinion that Bryan’s injuries were not a result of non-accidental trauma. Dr.
    Yazbak likewise testified to non-abusive causes of the child’s injuries and death. He opined that
    the infant died of hepatic encephalopathy, liver disease, related to the administration of
    vaccinations.
    Dwight Scott, Maze’s trial attorney, testified that, in preparation for Maze’s trial, he
    consulted with a pediatric radiologist (Dr. Boulden) and sent him a copy of the victim’s x-rays (not
    the MRIs, CT scans, or retinal photos), but he did not call Dr. Boulden as a witness because the
    doctor’s conclusion that the victim suffered a fractured clavicle would not have supported the
    defense. Scott also consulted with another expert, Dr. Cleland Blake, a pathologist, about the
    evidence (including the MRIs and scans) but likewise decided not to call him as a witness because
    he was of the opinion that the victim suffered from child abuse or non-accidental trauma.
    Although Scott attempted to call Dr. Yazbak as an expert witness at trial (to testify about the
    adverse effects of Hepatitis B vaccines), Scott recalled that he never presented an offer of proof in
    this regard at trial and his belated pre-trial, in-chambers motion was denied by the trial court,
    which treated the issue as a discovery notification matter. Scott could not recall if he presented
    the trial court with Yazbak’s affidavit or a letter from him as a proffer of his testimony. Scott
    testified that after conducting his own research in preparation for trial, he arrived at the conclusion
    that Dr. Yazbak’s theory was “not something that I was going to readily be able to support through
    his testimony” because it was not in the mainstream of medical opinion at that time.
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    No. 11-6141, Maze v. Lester
    At the conclusion of the hearing, the Criminal Court issued separate orders denying Maze’s
    petitions for post-conviction relief and for the writ.      See R. 19-15, ID 1864-72 (order re
    post-conviction relief) and R. 19-15, ID 1873-82 (order denying writ of error coram nobis).
    Maze appealed the order dismissing his petition for post-conviction relief to the TCCA,
    arguing that trial counsel rendered ineffective assistance of counsel in (1) failing to make an offer
    of proof regarding the testimony of Dr. Yazbak, and (2) failing to consult with a qualified medical
    expert regarding imaging evidence of the victim’s neurological damage and to call an expert
    witness at trial to contradict the State’s medical evidence regarding the cause of Bryan’s
    neurological injuries. Maze also contended that the post-conviction court erred in denying his
    petition for writ of error coram nobis because Dr. Barnes’ testimony constituted “new evidence.”
    See Maze, 
    2010 WL 4324377
    , at *1.
    The TCCA, applying the ineffective assistance of counsel standard set forth in Strickland v.
    Washington, 
    466 U.S. 668
    (1984), issued an opinion denying all post-conviction relief. Maze,
    
    2010 WL 4324377
    , at *22–28. The court held that Maze failed to show that trial counsel’s
    assistance fell below acceptable standards or that Maze was prejudiced by any aspect of his trial
    counsel’s performance. 
    Id. With regard
    to Maze’s petition for a writ of error coram nobis, the
    TCCA agreed with the Criminal Court that Dr. Barnes’ testimony was cumulative and was not
    “newly discovered evidence” under Tennessee law so as to qualify for the writ; rather, the
    testimony “serve[d] no other purpose than to contradict or impeach the evidence adduced during
    the course of the trial.” 
    2010 WL 4324377
    , at *28–30. On March 9, 2011, the Supreme Court of
    Tennessee denied Maze’s application for permission to appeal.
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    No. 11-6141, Maze v. Lester
    Maze, proceeding pro se, filed a petition for a writ of habeas corpus pursuant to 28 U.S.C.
    § 2254 in the United States District Court, Middle District of Tennessee, in which he raised four
    claims alleging that trial counsel was ineffective in failing to: (1) argue that an intervening cause
    resulted in the victim’s death; (2) obtain a change in venue; (3) submit the testimony of eleven
    medical doctors supporting Maze’s case; and (4) consult with a neurologist. The district court
    denied Maze’s petition in its entirety and declined to issue a certificate of appealability.
    Following Maze’s appeal to this court, we issued an order granting a certificate of
    appealability as to all issues raised in his habeas petition and granted leave to proceed in forma
    pauperis. Maze now challenges the district court’s adverse judgment only as it pertains to his
    third and fourth claims for habeas relief (“Ground Three” and “Ground Four”). Because Maze
    has not raised the first two issues presented in his habeas petition in his appellate brief, these
    claims are properly considered abandoned and waived on appeal. Guilmette v. Howes, 
    624 F.3d 286
    , 292 (6th Cir. 2010) (en banc).
    II.
    In the context of a habeas proceeding, we review the district court’s legal conclusions and
    its determination regarding a petitioner’s procedural default of a claim de novo and its factual
    findings for clear error. Henderson v. Palmer, 
    730 F.3d 554
    , 559 (6th Cir. 2013); Hicks v. Straub,
    
    377 F.3d 538
    , 551 (6th Cir. 2004). Under the Antiterrorism and Effective Death Penalty Act of
    1996 (“AEDPA”), Pub. L. No. 104B132, 110 Stat. 1214, we may not grant a writ of habeas corpus
    to state prisoners seeking relief under 28 U.S.C. § 2254 unless the state court decision denying
    relief on the merits was “1) ‘contrary to’ or an ‘unreasonable application of’ clearly established
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    No. 11-6141, Maze v. Lester
    federal law; or 2) ‘based on an unreasonable determination of the facts in light of the evidence
    presented in the State court proceeding.’” Peoples v. Lafler, 
    734 F.3d 503
    , 510 (6th Cir. 2013)
    (quoting 28 U.S.C. § 2254(d)).
    AEDPA’s standard of review does not apply to claims that have not been properly
    exhausted in the state courts. Hanna v. Ishee, 
    694 F.3d 596
    , 606 (6th Cir. 2012); Jells v. Mitchell,
    
    538 F.3d 478
    , 488 (6th Cir. 2008). “If a state court did not entertain a claim, a federal court will
    not review it where the state court’s omission is due either to the petitioner’s failure to raise those
    claims in the state courts while state remedies were available or to the petitioner’s failure to
    comply with a state procedural rule that prevented the state courts from reaching the merits of the
    claims.” 
    Jells, 538 F.3d at 488
    ; see also 28 U.S.C. § 2254(b)(1). “Proper exhaustion requires
    that a petitioner present every claim in the federal petition to each level of the state courts,
    including the highest state court to which the petitioner is entitled to appeal.” Rayner v. Mills, 
    685 F.3d 631
    , 643 (6th Cir. 2012).
    Where a petitioner has not exhausted his claims, but is now procedurally barred from doing
    so because state-court remedies are no longer available, he must show cause for the
    noncompliance and actual prejudice to his defense at trial or on appeal. Id.; Jones v. Bagley,
    
    696 F.3d 475
    , 484 (6th Cir. 2012). “‘Cause’ for default requires a showing that ‘some objective
    factor external to the defense impeded counsel’s efforts to comply with the State’s procedural
    rule.’”    
    Jells, 538 F.3d at 488
    (quoting Murray v. Carrier, 
    477 U.S. 478
    , 488 (1986)).
    “Prejudice,” in turn, requires a demonstration that mistakes during the trial “‘worked to
    [petitioner’s] actual and substantial disadvantage, infecting his entire trial with error of
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    No. 11-6141, Maze v. Lester
    constitutional dimensions.’” 
    Id. at 488–89
    (emphasis omitted) (quoting United States v. Frady,
    
    456 U.S. 152
    , 170 (1982)). A claim of ineffective assistance of counsel invoking Strickland is
    cognizable to show cause and prejudice for a procedural default. 
    Jones, 696 F.3d at 484
    . “A
    petitioner may also obtain review of his claim if review would prevent a fundamental miscarriage
    of justice, such as when the petitioner submits new evidence showing that a constitutional
    violation has probably resulted in a conviction of one who is actually innocent.” 
    Id. III. In
    Ground Three of his habeas petition, Maze alleged as follows:
    Trial counsel refused to Submit the Amicus Brief that was going to be favorable
    evidence for the Petitioner. The Petitioner’s wife holds eleven (11) medical
    doctors[] separate opinions on the medical condition and cause of death of the
    Petitioner and his wife’s infant son. All these doctors wanted to testify at the
    Petitioner’s trial free of charge or fees and without any prejudice. SEE
    ATTACHED: Opinions.
    Supporting FACTS . . . . A chronological timeline of events was submitted to the
    above Doctors, who formed their opinions without being paid and without
    prejudice. Their professional opinion is solely based on a case[-]by[-]case basis.
    This timeline of events was submitted by Petitioner’s trial counsel as a[n] Exhibit.
    The “Amicus Brief” referenced in the habeas petition and submitted to the district court as an
    exhibit was a compilation of affidavits and opinions of eleven medical experts, all of whom set
    forth various non-abusive causes and explanations for Bryan’s injuries and death. The “Amicus
    Brief” also included a “Chronology of Events for [Bryan] Alex Maze” from the time of his birth to
    his death, constructed by Maze’s wife and provided to the eleven medical doctors.
    In its decision denying habeas relief, the district court held that Ground Three was never
    raised in the state courts on direct appeal or during post-conviction proceedings; that state-court
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    No. 11-6141, Maze v. Lester
    remedies for this unexhausted claim were no longer available under Tenn. Code Ann. § 40-30-102
    (providing a one-year limitations period for post-conviction relief and a restriction on successive
    state petitions); and, therefore, this claim was procedurally defaulted for purposes of federal
    habeas review. The district court further determined that Maze had not shown the requisite cause
    and prejudice to excuse his procedural default, or a fundamental miscarriage of justice, despite his
    claim of actual innocence. Consequently, the court found that Maze forfeited the right to federal
    review of his ineffective assistance of trial counsel claim stated in Ground Three—a determination
    that Maze challenges in the present appeal.
    A.
    In Tennessee, exhaustion requires the claim to have been fairly presented to the TCCA.
    Adams v. Holland, 
    330 F.3d 398
    , 402 (6th Cir. 2003) (citing Tenn. Sup. Ct. R. 39). “A claim is
    ‘fairly presented’ for exhaustion purposes where the petitioner presented both the factual and legal
    basis for his claim to the state courts.” 
    Hanna, 694 F.3d at 606
    ; see also 
    Hicks, 377 F.3d at 552
    –
    53 (6th Cir. 2004) (“A petitioner must fairly present to the state courts either the substance of or the
    substantial equivalent of the federal claim that he is presenting to a federal habeas court. . . . [T]he
    exhaustion doctrine requires the petitioner to present ‘the same claim under the same theory’ to the
    state courts before raising it on federal habeas review.”). “Fair presentation does not require
    word-for-word replication.” Bray v. Andrews, 
    640 F.3d 731
    , 735 (6th Cir. 2011) (citation and
    internal quotation marks omitted). However, § 2254 “requires a federal habeas petitioner to
    provide the state courts with a ‘fair opportunity’ to apply controlling legal principles to the facts
    bearing upon his constitutional claim.” Anderson v. Harless, 
    459 U.S. 4
    , 6 (1982). “It is not
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    No. 11-6141, Maze v. Lester
    enough that all the facts necessary to support the federal claim were before the state courts, or that
    a somewhat similar state-law claim was made.” 
    Id. (citation omitted).
    In the specific context of
    ineffective assistance of counsel claims, “to the extent that an ineffective assistance of counsel
    claim is based upon a different allegedly ineffective action than the claim presented to the state
    courts, the claim has not been fairly presented to the state courts.” Caver v. Straub, 
    349 F.3d 340
    ,
    346–47 (6th Cir. 2003).
    B.
    Maze contends on appeal that Ground Three raises exactly the same legal and factual
    issues that he presented to, and were addressed by, the TCCA—specifically, that trial counsel was
    unconstitutionally ineffective because he failed to introduce the testimony of a qualified medical
    expert providing a non-abusive explanation for Bryan’s injuries, and because counsel failed to
    make an offer of proof regarding the testimony of Dr. Yazbak. Maze contends that Dr. Yazbak,
    as indicated by his testimony at the post-conviction hearing, would have directly contradicted the
    State’s evidence that the only possible cause of Bryan’s neurological injuries was child abuse.
    Maze maintains that these two post-conviction state-court arguments—considered separately or in
    combination—fully and fairly presented the same factual and legal theories as Ground Three of his
    federal habeas petition. Thus, according to Maze, the district court erred in dismissing his
    petition on the ground that it did not replicate “word-for-word” his state court claims.
    However, Maze has failed to persuade us that Ground Three advances the same legal and
    factual theories as his state-court appellate claims. In arguing that the post-conviction claims
    mirror the same legal theory as Ground Three, Maze relies heavily upon the fact that these claims
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    No. 11-6141, Maze v. Lester
    assert ineffective assistance of trial counsel and generally relate to causation evidence that trial
    counsel allegedly should have introduced. But, as respondent aptly points out, the state and
    federal claims assert that trial counsel was constitutionally ineffective in failing to take very
    different actions. Maze argued to the TCCA that he was prejudiced by trial counsel’s failure to
    call as a witness a “qualified medical expert” to rebut the State’s theory that the victim’s “brain and
    neurological damage” was caused by abuse. He also alleged that he was prejudiced by trial
    counsel’s failure to present Dr. Yazbak’s testimony as an offer of proof after the trial court denied
    trial counsel’s request to call the doctor as a defense witness, arguing that the TCCA would not
    have found that denial harmless had an offer of proof been available.
    By contrast, Ground Three alleges that trial counsel was ineffective in failing to submit into
    evidence a particular document containing affidavits from multiple doctors relating to “the
    medical condition and cause of death of [Bryan]”—a different instance of alleged inaction on
    counsel’s part, requiring separate evaluation of counsel’s conduct in the context of these specific
    medical opinions and any resulting prejudice. The TCCA never had the opportunity to consider
    the claim that trial counsel should have presented the eleven medical opinions contained in the
    Amicus Brief or that counsel’s failure to do so prejudiced Maze’s defense. In arguing otherwise,
    Maze attempts improperly to reformulate all three claims as general allegations that trial counsel
    was ineffective in failing to present medical evidence on the cause of Bryan’s death. His attempt,
    however, does not satisfy the requirements of the exhaustion doctrine. See 
    Caver, 349 F.3d at 346
    –47.
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    No. 11-6141, Maze v. Lester
    Moreover, Maze’s post-conviction claims and Ground Three differ in their factual
    underpinnings, with the latter advancing different and expanded factual theories as to the cause of
    Bryan’s death. Although Dr. Barnes’ and Dr. Yazbak’s medical opinions are common to both the
    post-conviction and habeas claims, the Amicus Brief includes the opinions of nine additional
    physicians who, with varying degrees of certainty, suggest other possible causes of death not
    previously advanced in Maze’s post-conviction arguments—such as hepato-cellular necrosis or
    liver damage, anti-convulsant drugs, vaccinations, and severe anemia. Two of the affiants in the
    Amicus Brief testified on Maze’s behalf at trial, but Maze did not place the testimony of seven of
    the eleven doctors before the TCCA during the post-conviction proceedings. We further note that
    the medical opinions proffered in affidavit form are not signed or notarized and post-date Maze’s
    trial (listing merely the year 2007), and other reports likewise are dated after the fact. Thus, it
    would appear that much of the evidence contained in the Amicus Brief was not even available to
    Maze’s trial counsel to proffer at the time of the trial.3
    Consequently, in light of Maze’s failure to present “the same claim under the same theory”
    to the state and federal courts, 
    Hicks, 377 F.3d at 552
    , the district court did not err in determining
    that Ground Three was procedurally defaulted. See Landrum v. Mitchell, 
    625 F.3d 905
    , 919 (6th
    Cir. 2010) (“Landrum procedurally defaulted his claim that his trial counsel was constitutionally
    ineffective for failing to introduce . . . testimony during the guilt phase because he failed to raise
    this [particular] claim on direct appeal and in his post-conviction petition.”); Wong v. Money,
    
    142 F.3d 313
    , 322 (6th Cir. 1998) (holding that the “[p]etitioner’s second ineffective assistance
    3
    Maze’s trial counsel did not represent him during his post-conviction proceedings.
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    No. 11-6141, Maze v. Lester
    claim [raised in her habeas petition] rests on a theory which is separate and distinct from the one
    previously considered and rejected in state court” and therefore she procedurally defaulted this
    claim); Pillette v. Foltz, 
    824 F.2d 494
    , 497–98 (6th Cir. 1987) (holding that the habeas petitioner
    did not exhaust his ineffective assistance of counsel claim, which was based on his counsel’s
    failure to object to an expert’s testimony on behalf of a codefendant in joint trial, where his
    ineffective assistance of counsel claims raised during the state-court appeal process relied upon
    different grounds). Maze failed to exhaust Ground Three by presenting it to the TCCA, and he is
    prevented from doing so now by the statute of limitations in Tenn. Code Ann. § 40-30-102.
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    No. 11-6141, Maze v. Lester
    C.
    Maze argues that even if Ground Three is procedurally defaulted, the “actual innocence”
    exception applies in this case. A credible claim of actual innocence may serve to equitably toll
    AEDPA’s statute of limitations. Bell v. Howes, 
    703 F.3d 848
    , 854 (6th Cir. 2012). However,
    such a claim is “extremely rare” and the exception should be applied only in the “extraordinary
    case.” 
    Id. (citations omitted).
    “[A]ctual innocence does not merely require a showing that a
    reasonable doubt exists in the light of the new evidence, but rather that no reasonable juror would
    have found the defendant guilty.” 
    Id. (citations and
    internal quotation marks omitted). “To raise
    the claim, a petitioner must present new reliable evidence—whether it be exculpatory scientific
    evidence, trustworthy eyewitness accounts, or critical physical evidence—that was not presented
    at trial[,]” and the habeas court must then consider “all the evidence, old and new, incriminating
    and exculpatory, without regard to whether it would necessarily be admitted under rules of
    admissibility that would govern at trial.” 
    Id. (citations and
    internal quotation marks omitted).
    Maze contends that he has “new reliable evidence” of actual innocence, asserting that in
    the last ten to fifteen years new scientific studies have discredited the previous consensus that
    infants exhibiting a triad of symptoms are the victims of SBS; rather, it is now known that there are
    other causes of this triad or its components, including accidental injury, non-traumatic medical
    conditions, and diseases. In addition to this medical literature, Maze cites the post-conviction
    hearing testimony of Dr. Barnes, who opined that under both the old and new diagnostic standards,
    the damage to Bryan’s brain was not characteristic of SBS, but more likely was caused by
    coagulopathy, a condition that probably arose well before the May 3, 1999, incident.
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    No. 11-6141, Maze v. Lester
    We are not convinced that this is an “extraordinary case” that qualifies for application of
    the actual innocence exception. Our court has acknowledged the controversy surrounding a
    diagnosis of SBS and the ongoing debate in the scientific community regarding the accuracy of the
    SBS triad. See Flick v. Warren, 465 F. App’x 461, 465 (6th Cir. 2012); Lutze v. Sherry, 392 F.
    App’x 455, 458–59 (6th Cir. 2010). The debate continues and does not suggest that the presence
    of the triad symptoms is inconsistent with abuse.
    Significantly, in the present case, as in Lutze, while “[t]he challenges to the scientific
    underpinnings of SBS center on other, natural explanations for brain injuries that are often
    attributed to shaking[,] [h]ere . . . the diagnosis [of SBS] was not based solely on the [victim’s]
    brain injuries” or triad symptoms, but evidence of blunt force trauma as well. Lutze, 392 F. App’x
    at 459. Although Dr. Barnes reviewed Bryan’s medical records, CT scans, MRI images, and
    x-rays, he testified that he did not review any of the photographs taken of the victim—which
    showed bruising to Bryan’s head and abdomen—or any other evidence of traumatic injury to the
    victim, including a fractured clavicle. The prosecution’s experts agreed that considering all of
    these significant injuries, there was no explanation other than abuse that would account for
    Bryan’s condition. Thus, there was “ample testimony provided at trial demonstrating the severity
    of [Bryan’s] abuse that extended well beyond being shaken.”
    The prosecution also relied upon non-medical evidence, including inconsistencies in
    Maze’s behavior and statements to the police and his concession, after earlier denials, that he
    might have shaken or “jostled” Bryan in an attempt to revive him and thus could have caused the
    injury to Bryan’s clavicle.
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    No. 11-6141, Maze v. Lester
    In light of this substantial evidence of abuse, Maze has not met the high threshold
    necessary to excuse a procedural default.         Importantly, “actual innocence means factual
    innocence, not mere legal insufficiency.” 
    Bell, 703 F.3d at 854
    (citation and internal quotation
    marks omitted). In the case at hand, Maze’s evidence does not demonstrate that had it been
    presented to the jury, “it is more likely than not that no reasonable juror would have found [Maze]
    guilty beyond a reasonable doubt[.]” Cleveland v. Bradshaw, 
    693 F.3d 626
    , 633 (6th Cir. 2012)
    (quoting Schlup v. Delo, 
    513 U.S. 298
    , 327 (1995)).
    IV.
    In Ground Four, Maze contends that trial counsel “was incompetent and failed to test the
    adversary system, by consulting with a radiologist (X-Ray Expert) and not a [n]eurologist an
    [e]xpert on [b]rain function and injuries.”        The district court held that this claim was
    exhausted—having been fully litigated in the state courts and found to be lacking in merit—and
    that the TCCA’s application of the Strickland standard to this claim did not run afoul of 28 U.S.C.
    § 2254(d).    On appeal, Maze argues that the TCCA’s Strickland analysis was objectively
    unreasonable. We disagree.
    Section 2254(d) of AEDPA has been construed by the courts to be a “highly deferential
    standard for evaluating state-court rulings, which demands that state-court decisions be given the
    benefit of the doubt.” Cullen v. Pinholster, 
    131 S. Ct. 1388
    , 1398 (2011) (citation and internal
    quotation marks omitted). The habeas petitioner bears the burden of proof. 
    Id. Review under
    §
    2254(d)(1) is limited to the record that was before the state court that adjudicated the claim on the
    merits. 
    Id. at 1399.
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    No. 11-6141, Maze v. Lester
    “A state-court decision is contrary to clearly established federal law if the state court
    applies a rule that contradicts the governing law set forth in [the Supreme Court’s] cases or if the
    state court confronts a set of facts that are materially indistinguishable from a decision of [the
    Supreme] Court and nevertheless arrives at a result different from [that] precedent.” Foster v.
    Wolfenbarger, 
    687 F.3d 702
    , 706 (6th Cir. 2012) (citation and internal quotation marks omitted).
    “An unreasonable application of federal law is one where the state court either correctly identifies
    the governing legal rule but applies it unreasonably to the facts of a particular prisoner’s case, or
    either unreasonably extends or unreasonably refuses to extend a legal principle from Supreme
    Court precedent to a new context.” 
    Id. (citation and
    internal quotation marks omitted). “In
    conducting our review the proper inquiry is whether the state court decision was objectively
    unreasonable and not simply erroneous or incorrect.” Drummond v. Houk, 
    728 F.3d 520
    , 525 (6th
    Cir. 2013) (citation and internal quotation marks omitted). Thus, in applying the unreasonable
    application clause, we must be careful not to substitute our judgment for that of the state court. 
    Id. We review
    Ground Four under the familiar framework established in Strickland, which
    governs Maze’s ineffective assistance of counsel claim. Under this standard, Maze must show
    not only that his counsel’s performance was constitutionally deficient, but also that the deficiency
    prejudiced the defense sufficiently to undermine the reliability of the trial. 
    Strickland, 466 U.S. at 687
    . “[T]here is no reason for a court deciding an ineffective assistance claim to approach the
    inquiry in the same order or even to address both components of the inquiry if the defendant makes
    an insufficient showing on one.” 
    Id. at 697.
    “In particular, a court need not determine whether
    counsel’s performance was deficient before examining the prejudice suffered by the defendant as a
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    No. 11-6141, Maze v. Lester
    result of the alleged deficiencies[,]” and “[i]f it is easier to dispose of an ineffectiveness claim on
    the ground of lack of sufficient prejudice, . . . that course should be followed.” 
    Id. Here, we
    need not address the deficiency prong, because Maze has failed to show that the
    TCCA’s prejudice determination constituted an unreasonable application of federal law. “In
    order to demonstrate prejudice, a ‘defendant must show that there is a reasonable probability that,
    but for counsel’s unprofessional errors, the result of the proceeding would have been different.’”
    
    Hanna, 694 F.3d at 612
    –13 (quoting 
    Strickland, 466 U.S. at 694
    ). “A reasonable probability is
    defined as ‘a probability sufficient to undermine confidence in the outcome’; certainty of a
    different outcome is not required.” 
    Id. at 613
    (quoting 
    Strickland, 466 U.S. at 694
    ). “Thus,
    analysis focusing solely on mere outcome determination, without attention to whether the
    proceeding was fundamentally unfair or unreliable, is defective.” 
    Id. (citation and
    internal
    quotation marks omitted). “Surmounting Strickland’s high bar is never an easy task[,]” but
    “[e]stablishing that a state court’s application of Strickland was unreasonable under § 2254(d) is
    all the more difficult.” Harrington v. Richter, 
    131 S. Ct. 770
    , 788 (2011) (internal quotation
    marks omitted). And “because the Strickland standard is a general standard, a state court has even
    more latitude to reasonably determine that a defendant has not satisfied that standard.” Knowles
    v. Mirzayance, 
    556 U.S. 111
    , 123 (2009).
    Maze argues that because of trial counsel’s failure to consult with a radiologist, counsel
    had no basis for challenging the state’s experts’ interpretation of the MRIs and CT scans and their
    conclusions that shaking was the only possible cause of Bryan’s injuries. Maze contends that the
    post-conviction testimony of Dr. Barnes demonstrates that there is a reasonable probability that the
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    No. 11-6141, Maze v. Lester
    outcome of the trial would have been different if trial counsel had shown the brain images to a
    qualified expert. However, we do not find TCCA’s contrary conclusion to be an unreasonable
    application of Strickland.
    In analyzing Maze’s claim on post-conviction appeal, the TCCA correctly identified and
    applied Strickland as controlling legal authority.      The TCCA found neither deficiency nor
    prejudice in trial counsel’s consultation decisions, holding with regard to the prejudice prong that:
    [t]rial counsel effectively cross-examined the State’s expert witnesses concerning
    multiple theories on the cause of the victim’s injuries. Through cross-examination
    of Dr. Ian Jones, trial counsel pointed out various errors and omissions in the
    hospital notes, such as failure to note bruising and to show whether Dr. Jones had
    inquired about birth defects or other aspects of the victim’s medical history. His
    notes also incorrectly reflected that the victim was born full-term. During
    cross-examination of Dr. Suzanne Starling, trial counsel attempted to identify
    medical mistakes and link the victim’s injuries to pre-existing medical conditions.
    She was questioned about the mother’s pregnancy complications, and she agreed
    that retinal hemorrhaging can be the natural result of child birth. Dr. Starling was
    also questioned about the adverse side effects of the Hepatitis B vaccine. She
    conceded that the scientific community disagreed on whether infant shaking,
    without impact, can cause subdural hematomas and retinal hemorrhages. On
    cross-examination by trial counsel, Dr. Mark Jennings testified that there is an
    existing dispute as to whether infant shaking alone can cause subdural
    hemorrhages, and he acknowledged that a traumatic delivery involving forceps can
    cause such hemorrhages. The victim’s pediatrician, Dr. Lesa SuttonBDavis, was
    also cross-examined about mercury contained in the Hepatitis B vaccine that the
    victim received, and she noted that “mercury was later removed from the vaccine
    ‘because there was a theoretical concern about causing brain damage,’ but ‘[i]t was
    never proven.’”
    Furthermore, as noted by the post-conviction court, Dr. Barnes’ testimony at the
    post-conviction hearing was speculative and in direct contravention to the State’s
    experts and to his previous position on the subject. The State presented evidence
    that in addition to the brain injury, the victim suffered a fractured collarbone, and
    there was bruising about his body. Dr. Barnes admitted that his testimony
    concerning coagulopathy was speculative “since the proper testing wasn’t done.”
    He agreed that the medical community regards subdural hemorrhage and
    subarachnoid hemorrhage in a child the victim’s age as evidence of trauma unless
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    No. 11-6141, Maze v. Lester
    proven otherwise. He further agreed with the eye findings in the ophthalmology
    notes which reflected that non-accidental injury should be considered in the
    absence of a blood or clotting disorder. Dr. Barnes was aware that the treating
    physicians in the victim’s case tested for venous thrombosis and ruled it out. We
    conclude that Petitioner has failed to show that trial counsel’s assistance fell below
    acceptable standards or that Petitioner was prejudiced by any aspect of his trial
    counsel’s assistance. Petitioner is not entitled to relief on this issue.
    Maze, 
    2010 WL 4324377
    at *27–28 (citations omitted).
    As the TCCA explained in detail, although trial counsel did not consult with a neurologist
    such as Dr. Barnes, counsel presented a significant amount of medical testimony in an attempt to
    demonstrate that Maze did not abuse the victim and, alternatively, that the victim’s brain injury did
    not cause his death. Under the rigorous AEDPA and Strickland standards, Maze has failed to
    show that the “likelihood of a different result” is “substantial, not just conceivable,” had trial
    counsel consulted with a radiologist. 
    Harrington, 131 S. Ct. at 792
    .
    V.
    For the foregoing reasons, we affirm the district court’s denial of habeas relief to Maze.
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