United States v. James White, Jr. , 794 F.3d 913 ( 2015 )


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  •                   United States Court of Appeals
    For the Eighth Circuit
    ___________________________
    No. 14-2585
    ___________________________
    United States of America
    lllllllllllllllllllll Plaintiff - Appellant
    v.
    James White, Jr.
    lllllllllllllllllllll Defendant - Appellee
    ____________
    Appeal from United States District Court
    for the District of Minnesota - St. Paul
    ____________
    Submitted: February 12, 2015
    Filed: July 23, 2015
    ____________
    Before GRUENDER, SHEPHERD, and KELLY, Circuit Judges.
    ____________
    GRUENDER, Circuit Judge.
    A jury found James White, Jr., guilty of assault resulting in serious bodily
    injury in Indian country in connection with injuries suffered by his ten-month old son,
    A.W. See 
    18 U.S.C. §§ 113
    (a)(6), 1151, 1153(a). The district court then granted
    White’s motion for judgment of acquittal, concluding that no reasonable juror could
    find beyond a reasonable doubt that White intentionally assaulted A.W. during a ten-
    minute period when the two were alone. The Government appeals. We reverse and
    remand with instructions to reinstate the jury’s guilty verdict. See United States v.
    Boesen, 
    491 F.3d 852
    , 853 (8th Cir. 2007).
    I.    Background
    On August 30, 2013, ten-month old A.W. lived with his mother, Cheryl
    Maxwell; his father, James White, Jr.; his brother, X.W.; and his three half-siblings,
    L.S., J.S., and J.L.S. At A.W.’s five-month check-up with his pediatrician, A.W. had
    been a “perfectly healthy, thriving infant.” And at his nine-month visit, A.W. had
    been developing normally and meeting all age-appropriate milestones.
    That changed on August 30, 2013. A.W. spent that day at home with Maxwell,
    White, X.W., L.S., and J.S. L.S. and J.S. played inside and outside of the house, and
    A.W. and X.W. stayed inside with Maxwell and White. Maxwell testified that she
    “always” kept A.W. with her. The only time before dinner on August 30 that
    Maxwell could not account for A.W. was when she showered. Maxwell observed that
    A.W. acted normally throughout the day; he was, as she put it, his “usual self.” He
    was not fussy and did not “cry out” at any time. Around 5:00 p.m., the family ate
    dinner together. Maxwell made hamburger and rice soup, which everyone, including
    A.W., ate. During dinner, A.W. continued to act normally. He was not fussy or
    crying, and he did not appear to be ill. After dinner, A.W. became tired, and White
    told Maxwell that he would put A.W. to bed.
    Maxwell decided to walk to her cousin’s house to get a ride to the store. She
    took X.W., L.S., and J.S. with her, leaving A.W. alone with White. Maxwell testified
    that nothing seemed out of the ordinary when she left. Maxwell and the other
    children returned approximately ten minutes later. White met them at the door with
    A.W. in his arms and told Maxwell that A.W. was choking. When Maxwell saw
    A.W., his eyes were “rolled back,” and he had “a little bit of rice coming out of his
    -2-
    mouth and a little bit out of his nose.” White told her that he had found a cigarette
    filter in A.W.’s mouth. Maxwell called 9-1-1 as White performed CPR.
    Officer Guadalupe Ybarra and Officer Dana Lyons responded to the 9-1-1 call.
    White told Officer Ybarra that A.W. was choking, but White “didn’t know if it was
    a cigarette butt or the hamburger . . . that [A.W.] had been fed earlier.” When Officer
    Lyons arrived, White stated that A.W. was eating hamburger and rice and that “all of
    a sudden [A.W.] started choking and he stopped breathing.” White further explained
    that he had tried to “get the object out of [A.W.’s] throat.” The officers looked for
    choking hazards on the floor. They saw none. Officer Ybarra instead observed that
    the home was fairly clean. Maxwell confirmed that she recently had cleaned the
    house. The officers also checked what they could see of A.W.’s body for injuries.
    Neither officer saw any bruising, including on A.W.’s ears. While they waited for an
    ambulance to arrive, Officer Lyons performed back thrusts on A.W., and White gave
    him rescue breaths.
    Maxwell accompanied A.W. to the local hospital, where he was seen by Dr.
    Randall Fryer. Dr. Fryer immediately requested a helicopter to take A.W. to a
    hospital that could provide more care. Dr. Fryer observed that A.W. was seizing, was
    breathing irregularly, had unequal pupils, and had extensor posturing, which means
    that his arm was extended and stiff. Extensor posturing, Dr. Fryer explained, can
    indicate an injury at the deepest part of the brain. Dr. Fryer feared that A.W. was
    going to die.
    In examining A.W., Dr. Fryer noticed a “yellowish brown” bruise on A.W.’s
    forehead, which Dr. Fryer thought was an old bruise. Maxwell stated that the bruise
    came from a sibling throwing something that struck A.W. Dr. Fryer also observed
    almost symmetrical bruising near the base of A.W.’s ears. Dr. Fryer estimated that
    this bruising was hours or minutes old based upon its color. Maxwell reported that
    the bruising on A.W.’s right ear was from a fall the day before. Based upon the
    -3-
    seriousness of A.W.’s condition, the symmetry of the bruising at the base of his ears,
    his extensor posturing, his low neurological score, and his non-responsiveness, Dr.
    Fryer believed that A.W. had been “shaken.”
    A.W. was taken to Sanford Medical Center in Fargo, North Dakota. After
    seeing the trauma team, A.W. was seen by Dr. Kenneth Gheen, a pediatric critical-
    care physician. When Dr. Gheen examined A.W., he noted “obvious bruising” on
    A.W.’s head. Dr. Gheen also reviewed A.W.’s CT scan from the emergency room,
    which showed a brain hemorrhage and a “little bit” of swelling.
    A.W.’s medical team in Fargo also included Dr. Adam Jackson, a
    neurosurgeon. From his review of A.W.’s CT scans, Dr. Jackson saw acute blood
    between the lobes of A.W.’s brain as well as between the skull and the brain on the
    right side of A.W.’s head. Dr. Jackson testified that acute blood is deposited between
    three hours and three days of a CT scan. Dr. Jackson characterized the acute blood
    on A.W.’s brain as a subdural hematoma. According to Dr. Jackson, “in a young
    child, a spontaneous subdural hematoma is exceedingly rare, even in the literature,
    and so the most likely explanation is trauma.” Dr. Jackson explained that although
    blood on the brain can collect slowly, that usually happens in older adults.
    After reviewing A.W.’s MRI and examining him, Dr. Jackson also concluded
    that A.W. had an underlying brain injury as opposed to mere pressure on his brain.
    According to Dr. Jackson, A.W.’s MRI showed a lack of blood flow to part of his
    brain, which “can be from cortical injury or pressure on the brain. And in this case,
    from cortical injury.” Dr. Jackson gave two reasons for this conclusion. First, a child
    A.W.’s age still has an anterior fontanel, the “baby soft spot,” that can be felt to
    determine pressure in the head. In A.W.’s case, the anterior fontanel was not tense,
    meaning that the pressure in his head was not high. Second, Dr. Jackson explained
    that A.W.’s CT scan showed patterns that did not indicate high pressure.
    -4-
    Dr. Arne Graff, a child-abuse specialist, also became involved in A.W.’s care.
    Dr. Graff spoke with Maxwell and White, examined A.W., and reviewed A.W.’s
    medical records. Dr. Graff concluded that his “best estimate” of and the “most likely”
    cause of A.W.’s condition is what is known as a rotational or an acceleration-
    deceleration injury. This type of non-accidental trauma, Dr. Graff recounted, used to
    be known as shaken baby syndrome. Although Dr. Graff acknowledged that an
    impact injury can accompany an acceleration-deceleration injury, he explained that
    doctors now know that “there is an acceleration and a quick deceleration [of the head]
    that then results in a tear in vessels and can result in . . . eye injuries and can result in
    brain injury, nerve injury.” If an acceleration-deceleration injury is significant
    enough, “the person, particularly in kids under the age of two, . . . they stop breathing
    and they lapse into unconsciousness almost immediately.”
    Dr. Graff explained why a non-accidental acceleration-deceleration injury was
    the most likely cause of A.W.’s condition. Dr. Graff observed that A.W. had bleeding
    on the back walls of his eyes, known as retinal hemorrhaging. This bleeding
    infiltrated multiple layers of A.W.’s eyes. According to Dr. Graff, even children who
    fall “a couple stories out of a window and hit the sidewalk or something” exhibit
    limited, dot-and-blot hemorrhaging. By contrast, when blood permeates multiple
    layers of a child’s eyes, there are only a few potential causes. One explanation can
    be high-velocity car accidents, but even then, only about four percent of children
    suffer retinal hemorrhaging like A.W.’s. Another cause, according to Dr. Graff, can
    be acceleration and deceleration of the head. In A.W.’s case, with no family history
    or reported accident that could have caused this condition, Dr. Graff found the retinal
    hemorrhaging to indicate an acceleration-deceleration injury.
    Dr. Graff similarly concluded that A.W.’s subdural hematoma suggested that
    an acceleration-deceleration injury caused A.W.’s condition. According to Dr. Graff,
    with an acceleration-deceleration injury, the resulting subdural hematoma tends to be
    a “very thin layered” subdural hematoma that extends over the curvature of the brain,
    -5-
    between the lobes of the brain, or in the base of the brain. Dr. Graff testified that
    A.W.’s subdural hematoma fit this pattern. Dr. Graff contrasted A.W.’s subdural
    hematoma with that found in a child who merely hits his head. With such an impact
    injury, a context subdural hematoma can occur “right at the point of impact.” Dr.
    Graff also noted the presence of bruising inside of A.W.’s ears. Dr. Graff could not
    determine when this bruising occurred, but he explained that bruising inside of
    someone’s ears, particularly for a child who could not yet stand on his own, can
    suggest an inflicted injury.
    Dr. Graff’s conclusion that an acceleration-deceleration injury was the most
    likely cause of A.W.’s condition also took into account conversations with Maxwell
    and White, both of whom raised concerns about Maxwell’s eight-year old son, J.S.
    Maxwell told the jury about several incidents involving J.S., including that she saw
    him “throwing a little cat up in the air” and that he may have been present or played
    a role in the death of dogs who were thrown against a tree. J.S. also knocked out
    another child’s teeth and threw rocks at children. And a social worker testified that,
    sometime after A.W. was taken to the hospital, J.S.’s sister L.S. had teased him about
    hurting his younger brother.
    Maxwell and White informed Dr. Graff about two specific incidents involving
    J.S. and A.W., one of which had occurred one or two weeks earlier. A.W. had been
    in his “Johnny Jumper,” a chair suspended from the doorframe, and J.S.“wound it up
    a little bit and let it twirl.” As a result, A.W. hit his head on the doorjamb. Maxwell
    told Dr. Graff that A.W. had been “perfectly fine” since that time. Moreover, Dr.
    Graff testified that this incident would not cause injuries as severe as A.W.’s. Dr.
    Graff also learned about a recent incident where J.S. threw a toy that hit A.W. on the
    forehead. This act left a small bruise, which Dr. Graff characterized as simple trauma
    to the skin. Dr. Graff also testified that White raised general concerns about J.S.,
    including about him “potentially choking the infant and dragging him around.” But
    White did not suggest that any such incident had occurred on August 30.
    -6-
    Maxwell and White also told Dr. Graff about an incident in which White
    accidentally dropped A.W. while getting him out of the bathtub. This happened one
    day or so before A.W. was rushed to the hospital. White reported that A.W. hit his
    chin on the bathtub and that the fall left bruises on A.W.’s chin and shoulder.
    These incidents aside, Maxwell told Dr. Graff that A.W. had behaved normally
    on August 30. Dr. Graff concluded that none of these previous incidents could have
    caused A.W.’s condition. Dr. Graff testified that, with the extent of A.W.’s injuries,
    he would expect that “there would have been a change in the infant noticed by the
    parents.” According to Dr. Graff, “[t]he fact that [A.W.] was reported to be down in
    that brief period of time when he’s been doing perfectly fine, then I would expect that
    whatever caused that injury had to occur just prior to him going down.”
    The jury also learned about White’s behavior after the incident. Maxwell
    testified that White came to Fargo after A.W. was taken there, arriving after midnight
    on August 31. However, White went to a hotel, not the hospital, even though the two
    were adjacent. This prompted an argument between White and Maxwell. As
    Maxwell put it, “I wanted him to go over there right away to talk to the doctor, but
    he was tired.” Maxwell testified that White came to the hospital around noon. White
    did not speak with Dr. Graff until about 9:00 p.m. When the two spoke, White
    informed Dr. Graff that A.W.’s symptoms began after he was moved from his high
    chair to a car seat and given a bottle.
    At trial, White offered the testimony of Dr. Jonathan Arden, a forensic
    pathologist. Dr. Arden did not speak to A.W.’s doctors or his parents. Dr. Arden
    concluded that a blunt-impact injury—something striking A.W.’s head or A.W.’s
    head striking something else—caused A.W.’s condition. And Dr. Arden
    hypothesized that an incident similar to the “Johnny Jumper” incident involving A.W.
    could lead to such a blunt-impact injury. Dr. Arden also testified that A.W.’s blunt-
    impact injury could have occurred well before he exhibited symptoms, most likely
    -7-
    several hours before. This was so, Dr. Arden explained, because A.W. did not have
    a direct brain injury. According to Dr. Arden, A.W. only suffered a secondary brain
    injury, meaning that the injury to his brain was caused by pressure from his subdural
    hematoma. That said, Dr. Arden acknowledged that “[i]f you do have a direct brain
    injury and you can demonstrate it, that’s different. Many of those cases do have rapid
    development of symptoms.”
    A.W. ultimately survived. After leaving Sanford Medical Center in mid-
    September 2013, A.W. was placed into a therapeutic foster home for medically fragile
    children. With regard to his long-term prognosis, Dr. Jackson explained that “[t]he
    brain does not regenerate itself, and so injury to [the] brain results in permanent
    injury, and that can lead to paralysis. It can lead to cognitive deficits depending on
    the location [of the injury to the brain].”
    After hearing this and other evidence, the jury found White guilty of assault
    resulting in serious bodily injury in Indian country. Although the district court had
    denied White’s motion for judgment of acquittal at the close of the Government’s
    case, the district court granted his post-verdict motion, finding that “justice requires
    an acquittal.” The Government appeals.
    II.   Discussion
    The only issue before us is whether the Government presented sufficient
    evidence for a reasonable jury to convict White. The crime with which White was
    charged has four elements: “(1) an intentional assault that (2) results in serious bodily
    injury, committed (3) by an Indian and (4) within Indian Country.” United States v.
    Stymiest, 
    581 F.3d 759
    , 766 (8th Cir. 2009). The district court found that no
    reasonable jury could conclude that White intentionally assaulted A.W. We focus our
    analysis on that issue.
    -8-
    We review the district court’s grant of a judgment of acquittal de novo,
    applying the same standards as the district court. United States v. Santana, 
    524 F.3d 851
    , 853 (8th Cir. 2008); Boesen, 
    491 F.3d at 855
    . We therefore do not weigh the
    evidence or assess the credibility of witnesses; that is the province of the jury. United
    States v. Johnson, 
    474 F.3d 1044
    , 1048 (8th Cir. 2007). Instead, we view the
    evidence in the light most favorable to the jury’s verdict and give it the benefit of all
    reasonable inferences. 
    Id.
     The Government’s case need not rule out every reasonable
    hypothesis except guilt, Boesen, 
    491 F.3d at 858
    ; rather, drawing all reasonable
    inferences in favor of the verdict, there must be “an interpretation of the evidence that
    would allow a reasonable minded jury to find the defendant[] guilty beyond a
    reasonable doubt,” 
    id. at 856
     (alteration in original) (quoting United States v.
    Oberhauser, 
    284 F.3d 827
    , 829 (8th Cir. 2002)). This strict standard permits
    overturning a jury’s guilty verdict only if no reasonable jury could find the defendant
    guilty beyond a reasonable doubt. 
    Id. at 855
    . Furthermore, a “verdict may be based
    in whole or in part on circumstantial evidence.” United States v. Anderson, 
    78 F.3d 420
    , 422 (8th Cir. 1996); see also United States v. Iron Hawk, 
    612 F.3d 1031
    , 1036
    (8th Cir. 2010) (finding that “the lack of direct evidence demonstrating [the
    defendant] assaulted [the victim] is not dispositive”).
    Applying this standard here, we cannot agree with the district court that no
    reasonable jury could find beyond a reasonable doubt that White intentionally
    assaulted A.W. We begin with the fact that White was alone with A.W. for the ten-
    minute period during which A.W.’s symptoms were first noticed. Maxwell, who
    spent almost all of that day with A.W., described his behavior before and during
    dinner as normal. Yet something changed during the ten minutes that White was
    alone with A.W. A.W. went from being his “usual self” to being in critical condition.
    By the time A.W. made it to the local emergency room, his condition was dire enough
    that his treating physician feared that he was going to die. This sudden and drastic
    change in A.W.’s condition during the ten minutes that White and A.W. were alone
    provides some circumstantial evidence of White’s guilt.
    -9-
    The Government also presented medical evidence about A.W.’s injuries that
    would allow a reasonable jury to conclude that A.W. was intentionally injured
    immediately before his condition became apparent. In particular, Dr. Jackson
    described how A.W.’s CT scans showed acute blood on his brain that had been
    deposited there between three hours and three days earlier.1 Dr. Jackson also
    provided a reasonable basis to infer that A.W. had suffered trauma to his brain,
    explaining that “in a young child, a spontaneous subdural hematoma is exceedingly
    rare, even in the literature, and so the most likely explanation is trauma.”
    Dr. Graff provided specifics about what may have caused A.W.’s condition.
    Dr. Graff testified that a non-accidental acceleration-deceleration or rotational injury
    was his “best estimate” of and the “most likely” cause of A.W.’s condition. Dr. Graff
    explained that this type of non-accidental trauma formerly was known as shaken baby
    syndrome. Dr. Fryer corroborated Dr. Graff’s ultimate conclusion, telling the jury
    that, based upon A.W.’s symptoms, he believed that A.W. had been “shaken.”
    According to Dr. Graff, when this type of trauma occurs, the resulting subdural
    hematoma looks like A.W.’s did. Dr. Graff also relied on the presence of bleeding
    on the back of A.W.’s eyes. This bleeding permeated multiple layers of A.W.’s eyes,
    a fact that Dr. Graff found to be telling because the potential causes for such an injury
    to a child generally are limited to high-velocity car accidents and acceleration-
    1
    In filings under Federal Rule of Appellate Procedure 28(j), White and the
    Government dispute whether A.W.’s initial CT scans in Fargo were taken within three
    hours of when White was alone with A.W., thus placing A.W.’s injuries within the
    window of time established by Dr. Jackson. It appears that the jury was not presented
    with evidence about exactly when A.W.’s initial CT scans were taken other than that
    they occurred shortly after A.W. arrived in Fargo. For this reason, the Government
    moved to supplement the record with date- and time-stamped copies of these initial
    CT scans. The Government admits that the jury did not consider this evidence and
    offers no reason why it could not have been presented at trial. We thus deny the
    Government’s motion to supplement the record. See United States v. Sykes, 
    356 F.3d 863
    , 865 (8th Cir. 2004).
    -10-
    deceleration injuries. A reasonable jury could find this testimony to be significant,
    especially because we can find no suggestion in the record that A.W. had been in a
    car accident of any kind. Dr. Graff also noted the presence of bruising inside of
    A.W.’s ears, which was “very concerning for some type of inflicted injury since no
    other medical causes or accidents have been provided.”
    Dr. Graff also provided testimony about the potential timing of A.W.’s injuries.
    In particular, Dr. Graff learned of three specific incidents involving A.W.—the
    “Johnny Jumper” incident, the toy-throwing incident, and the bath-tub incident—but
    ruled them out as a potential cause of A.W.’s condition. Dr. Graff did so for two
    reasons. First, he concluded that none of these incidents could explain the severity
    of A.W.’s injuries. And second, Dr. Graff learned that A.W.’s mood and sleeping and
    eating patterns had not changed before he was rushed to hospital. Dr. Graff told the
    jury that if A.W. had been injured sometime earlier in the day on August 30, he would
    expect that Maxwell and White would have noticed a change in A.W. Dr. Graff thus
    concluded that because A.W. “was reported to be down in that brief period of time
    when he’d been doing perfectly fine . . . I would expect that whatever caused that
    injury had to occur just prior to him going down.” (emphasis added). A reasonable
    jury could find this conclusion to be fully consistent with an acceleration-deceleration
    injury because, as Dr. Graff testified, if such an injury is significant enough, the
    victim, particularly someone under the age of two, “stop[s] breathing and . . . lapse[s]
    into unconsciousness almost immediately.”
    In light of the sudden and drastic change in A.W.’s condition while he was
    alone with White, a reasonable jury could conclude from the testimony of Drs. Graff
    Fryer, and Jackson that A.W. suffered a non-accidental acceleration-deceleration
    injury during that time. As the district court correctly recognized, the medical
    testimony “certainly supports an inference that the event causing A.W.’s injuries
    occurred immediately before White observed the symptoms.”
    -11-
    However, the district court discounted Dr. Graff’s testimony about an
    acceleration-deceleration injury as too uncertain. The court analogized to one of our
    cases where an expert witness testified that a child’s injury “would have been
    immediately symptomatic, which means that the injury must have occurred shortly
    before [the child] was found unresponsive and comatose.” United States v. Brown,
    
    360 F.3d 828
    , 831 (8th Cir. 2004) (emphasis added). Dr. Graff’s testimony, the
    district court emphasized, “is not as certain or strong as the timing testimony in
    Brown.” Merely comparing similar cases was not an error, but we have cautioned
    that “[p]rior cases are instructive but are seldom if ever controlling” because of the
    fact-intensiveness of sufficiency challenges. United States v. Marquez, 
    462 F.3d 826
    ,
    829 (8th Cir. 2006). For example, in Brown, the defendant actually stipulated that the
    victim’s injuries were the result of shaken baby syndrome, something that did not
    occur here, and the victim in Brown suffered a different combination of injuries than
    did A.W. 
    360 F.3d at
    830 n.2 & 831. We also note that, in other child-injury cases,
    we have found sufficient evidence based in part upon expert testimony that was quite
    similar to Dr. Graff’s. See United States v. Red Bird, 
    450 F.3d 789
    , 791-93 (8th Cir.
    2006); Iron Hawk, 
    612 F.3d at 1034-35, 1037
    ; see also Cavazos v. Smith, 565 U.S.
    ---,
    132 S. Ct. 2
    , 6-7 (2011) (per curiam) (finding that a court was “plainly wrong” to
    grant a writ of habeas corpus based upon the sufficiency of the evidence where “[t]he
    State’s experts, whom the jury was entitled to believe, opined that the physical
    evidence was consistent with, and best explained by, death from sudden tearing of the
    brainstem caused by shaking”). Consequently, although a comparison to a prior case
    can be helpful, the ultimate determination of whether sufficient evidence exists to
    support the verdict must be based upon the evidence presented to the jury.
    White directs us to the expert testimony of Dr. Arden, who tied A.W.’s
    condition to a blunt-impact injury that could have occurred well before any symptoms
    were noticed. But the jury was entitled to discredit Dr. Arden’s conclusion as
    inconsistent with the Government’s evidence, especially Dr. Graff’s testimony. See
    Iron Hawk, 
    612 F.3d at 1037
    . Furthermore, Dr. Arden actually gave the jury a reason
    -12-
    to disbelieve his testimony. He acknowledged that his conclusion about the delayed
    presentation of A.W.’s symptoms would change if A.W. had a direct brain injury. To
    quote Dr. Arden, “a direct brain injury can cause a child to become symptomatic very
    rapidly.” Dr. Arden contrasted a direct brain injury with secondary damage to the
    brain from the pressure of a subdural hematoma. There was ample evidence for a
    reasonable jury to conclude that A.W. had a direct brain injury rather than a
    secondary brain injury. First, Dr. Fryer explained that A.W.’s extensor posturing
    shortly after the incident could indicate an injury at the deepest part of the brain. And
    second, and more importantly, Dr. Jackson, A.W.’s treating neurosurgeon, testified
    that “[i]n the situation here, there is an underlying brain injury.” Dr. Jackson
    specifically contrasted A.W.’s underlying brain injury with pressure on the brain and
    gave two reasons why the pressure in A.W.’s head was not high. For these reasons,
    a reasonable jury could reject Dr. Arden’s testimony and even find that it supports
    White’s guilt.
    Other circumstantial evidence also supports the jury’s verdict. Dr. Fryer
    observed bruising that was almost symmetrical at the base of A.W.’s ears. Dr. Fryer
    opined that this bruising was fresh and was consistent with an injury that occurred
    hours or minutes earlier. By the time A.W. made it to Fargo, Dr. Gheen observed
    “obvious bruising” on A.W.’s head, and Dr. Graff noted bruising in A.W.’s ears.
    Although Dr. Graff could not opine about when this bruising occurred, he told the
    jury that it can suggest an inflicted injury. These observations by A.W.’s physicians
    take on more meaning when paired with Officer Ybarra’s and Officer Lyons’s
    testimony that they checked A.W. for injuries upon arriving at his home and did not
    see any bruises on his ears. This evidence would permit a reasonable jury to infer that
    the bruising in and around A.W.’s ears was recent because it became visible during
    the short period of time between when A.W. was examined at the house and when he
    was examined by his doctors.
    -13-
    White’s explanations of what happened during the ten minutes he was alone
    with A.W. provide further circumstantial evidence of guilt. When Maxwell first
    learned of A.W.’s condition, White told her that he had found a cigarette filter in
    A.W.’s mouth. But White then told Officer Ybarra that A.W. could be choking on
    a cigarette butt or on food. And at trial, neither officer mentioned learning from
    White that he actually had removed a choking hazard from A.W.’s mouth. This
    variance in White’s story about whether he removed something from A.W.’s mouth
    is magnified by the fact that none of the experts at trial posited choking as a potential
    cause of A.W.’s injuries and the fact that the officers did not see any choking hazards
    on the floor at the house. White’s statements about what happened during the ten
    minutes that he was alone with A.W. contain another inconsistency. When the
    officers arrived at the house, White told Officer Lyons that A.W. was “eating
    hamburger, rice, and all of a sudden [he] started choking and he stopped breathing.”
    Yet, when White spoke with Dr. Graff, White recalled things somewhat differently,
    stating that A.W.’s symptoms began after being moved from his high chair to his car
    seat and after being given a bottle. These variances in White’s story could be
    explained by the stress that this episode put on White. But that was an argument for
    the jury to field, not a court reviewing a motion for judgment of acquittal. At this
    juncture, we must make every reasonable inference in favor of the verdict. 
    Id. at 1036
    . Doing so, we conclude that the variances in White’s story support an inference
    that he “was seeking to develop an explanation to cover up [his] own misconduct in
    causing injury to [A.W.].” See Red Bird, 
    450 F.3d at 793
    .
    A reasonable jury also could find White’s behavior after the incident to be
    further circumstantial evidence of guilt. After A.W. was airlifted to Fargo, White
    traveled to the hospital there, arriving after midnight on August 31. However, White
    did not immediately go to the hospital. This prompted an argument between White
    and Maxwell. Maxwell explained that “I wanted [White] to go over there right away
    to talk to the doctor, but he was tired.” Even though the hotel where White stayed
    was adjacent to the hospital, he did not come to the hospital until around noon on
    -14-
    August 31. And White did not speak with Dr. Graff until around 9:00 p.m., even
    though Dr. Graff had “made [himself] available.” A reasonable jury could make
    different inferences from White’s failure to rush to his injured son’s side and his
    delay in speaking with Dr. Graff, the child-abuse specialist. White could have been
    too tired to come to the hospital, as he told Maxwell. However, a reasonable jury also
    could interpret White’s actions as a lack of concern for A.W. or unease about being
    questioned by a child-abuse specialist. At this juncture, we must assume the latter.
    See 
    id.
    Taken together, this evidence was sufficient for a reasonable jury to conclude
    beyond a reasonable doubt that White intentionally assaulted A.W. during the ten
    minutes that they were alone. In reaching a contrary conclusion, the district court
    erred by weighing the evidence. In particular, the court reasoned that White’s defense
    that J.S. could have injured A.W. was “much stronger” than the defenses offered in our
    previous infant-injury cases and that Dr. Arden’s testimony “[f]urther strengthen[ed]”
    White’s defense. The district court ultimately reasoned that, in light of White’s
    defense, it would require “too much speculation” to find White guilty. But the court’s
    task was not to appraise the strength of White’s defense against perceived weaknesses
    in the Government’s case. See Johnson, 
    474 F.3d at 1048
    . That ultimate issue
    belonged to the jury. The court merely had to ask whether, “drawing all reasonable
    inferences in favor of the verdict, there is an interpretation of the evidence that would
    allow a reasonable minded jury to find the defendant[] guilty beyond a reasonable
    doubt.” Boesen, 
    491 F.3d at 856
     (alteration in original) (quoting Oberhauser, 
    284 F.3d at 829
    ).
    Even considering White’s defense about J.S., a reasonable jury could find that
    White intentionally assaulted A.W. In addition to the evidence discussed above, the
    Government’s evidence undermined any real possibility that J.S. had an opportunity
    to injure A.W. on August 30. Maxwell testified that A.W. was “always” with her; the
    only time she could not account for A.W. before dinner on August 30 was when she
    -15-
    showered. Maxwell, moreover, did not hear A.W. “cry out” at any time, and A.W.
    behaved normally until Maxwell left with J.S. and the other children. Viewing the
    evidence in the light most favorable to the verdict, a reasonable jury could reject
    White’s defense in favor of a finding of guilt beyond a reasonable doubt. The district
    court reached the opposite conclusion, reasoning that “[t]he most the jury could have
    concluded from [Maxwell’s] testimony is that during the periods of time which
    Maxwell actually observed A.W., J.S. did not inflict any injuries upon him.” Not only
    did this conclusion fail to view the evidence in the light most favorable to the verdict,
    but the district court also overlooked the rule that the evidence need not rule out every
    reasonable hypothesis except guilt. See 
    id. at 858
     (“[O]ne possible innocent
    explanation for the government’s evidence does not preclude a reasonable jury from
    rejecting the exculpatory hypothesis in favor of guilt beyond a reasonable doubt.”
    (quoting Johnson, 
    474 F.3d at 1050
    )). To survive White’s sufficiency challenge, the
    Government was not required to account for every moment of J.S.’s day. Rather, the
    Government merely had to present enough evidence, viewed most favorably to the
    verdict, for a reasonable jury to find beyond a reasonable doubt that White
    intentionally assaulted A.W. See 
    id.
    White concedes that the district court weighed the evidence but argues that it
    was proper for the court to do so. As support, White directs us to our statement that
    “[w]here the government’s evidence is equally strong to infer innocence as to infer
    guilt, the verdict must be one of not guilty and the court has a duty to direct an
    acquittal.” United States v. Davis, 
    103 F.3d 660
    , 667 (8th Cir. 1996) (quoting United
    States v. Kelton, 
    446 F.2d 669
    , 671 (8th Cir. 1971)). The Government responds by
    citing our statement that “[i]f the evidence rationally supports two conflicting
    hypotheses, the reviewing court will not disturb the conviction.” United States v.
    Baker, 
    98 F.3d 330
    , 338 (8th Cir. 1996) (quoting United States v. Burks, 
    934 F.2d 148
    ,
    151 (8th Cir. 1991)). Several panels of this court have grappled with the arguable
    tension between Davis and Baker, going so far as to label it a “legal swamp.” United
    -16-
    States v. Williams, 
    647 F.3d 855
    , 861 & n.6 (8th Cir. 2011). We have harmonized
    these two lines of cases by concluding that “Davis refers only to the government’s
    evidence, while Baker refers to all of the evidence, including that presented by the
    defense.” Boesen, 
    491 F.3d at 857
     (collecting cases); Williams, 
    647 F.3d at 861
    .
    Consequently, even Davis does not permit a freewheeling weighing of the
    Government’s case against White’s defense. Rather, “[k]ey to Davis is its focus on
    ‘the government’s evidence’ being equivocal.” Williams, 
    647 F.3d at 861
    .
    We have no hesitation concluding that, under Davis, the balance of the
    Government’s case against White favored guilt. The Government’s case did contain
    evidence about J.S., including testimony about his previous behavior and testimony
    that his sister had teased him about hurting his younger brother. But, as exhaustively
    discussed above, the Government’s case also contained evidence that a reasonable jury
    could find to be powerful evidence of White’s guilt as well as evidence that J.S. did
    not injure A.W. on August 30. For these reasons, it cannot be said that the
    Government’s evidence of guilt and innocence was in equipoise. Indeed, the district
    court agreed with this conclusion at the close of the Government’s case, finding that
    “at least on the basis of the Government’s case . . . there is evidence from which a
    reasonable jury could conclude that the Defendant is guilty.” Consequently, even if
    the narrow rule from Davis is considered here, it is of no help to White.
    In sum, a reasonable jury could conclude that White intentionally assaulted
    A.W. The district court’s contrary conclusion rested on its weighing of the evidence.
    But a court reviewing a motion for judgment of acquittal is not a thirteenth juror with
    a veto. See United States v. Porter, 
    409 F.3d 910
    , 915 (8th Cir. 2005). For the
    reasons discussed above, we conclude that it was an error to grant White’s motion for
    judgment of acquittal.
    -17-
    III.   Conclusion
    We reverse the district court’s judgment and remand with instructions to
    reinstate the jury’s verdict.
    KELLY, Circuit Judge, dissenting.
    Upon review of a judgment of acquittal, a jury’s verdict may be reversed only
    if “no reasonable jury could have found the defendant guilty beyond a reasonable
    doubt.” United States v. Serrano-Lopez, 
    366 F.3d 628
    , 634 (8th Cir. 2004) (quoting
    United States v. Frank, 
    354 F.3d 910
    , 916 (8th Cir. 2004)). As the court states, in
    conducting this review we view all evidence in the light most favorable to the
    government and accept all reasonable inferences in support of the jury’s verdict.
    United States v. Boesen, 
    491 F.3d 852
    , 855–56 (8th Cir. 2007). Though this is a strict
    standard that requires a great deal of deference to the jury’s fact-finding, it still
    requires that there be “an interpretation of the evidence that would allow a reasonable
    minded jury to find the defendant[] guilty beyond a reasonable doubt.” 
    Id. at 856
    (alteration in original) (emphasis added) (quoting United States v. Oberhauser, 
    284 F.3d 827
    , 829 (8th Cir. 2002)). It is therefore not enough to find that a reasonable jury
    could believe a particular fact to be true based on the evidence presented. Rather, the
    evidence must be sufficient to allow the jury to find all elements of the offense beyond
    a reasonable doubt.
    This too is a strict standard. As the jury in this case was instructed, beyond a
    reasonable doubt requires “proof of such convincing character that a reasonable person
    would not hesitate to rely and act upon it in the most important of his or her own
    affairs.” Tr. at 523; see EIGHTH CIR. MODEL JURY INSTRUCTIONS 12.02 (rev. 2014).
    Reasonable doubt is “a doubt based upon reason and common sense,” and is “the kind
    of doubt that would make a reasonable person hesitate to act” in the most important
    -18-
    of their own affairs. United States v. Knight, 
    547 F.2d 75
    , 77 (8th Cir. 1976). This
    high standard of proof corresponds to the extraordinarily high stakes of a criminal
    prosecution, and is “bottomed on a fundamental value judgment of our society that it
    is far worse to convict an innocent man than to let a guilty man go free.” In re
    Winship, 
    397 U.S. 358
    , 372 (1970) (Harlan, J., concurring).
    Despite proper instruction on this critical standard, a “jury may occasionally
    convict even when it can be said that no rational trier of fact could find guilt beyond
    a reasonable doubt.” Jackson v. Virginia, 
    443 U.S. 307
    , 317 (1979). I believe that to
    be the case here. In order to conclude that White was guilty of assaulting A.W., the
    jury would have had to find that White suddenly, inexplicably, and intentionally shook
    A.W. during the short 10-minute period that they were alone together on the night of
    August 30, 2013. The jury would have had to find that both the type of injury A.W.
    suffered and the timing of that injury meant that the injury must have been inflicted
    by White in that 10-minute period. The jury would have to arrive at this conclusion
    despite the fact that circumstantial evidence identified other possible causes of the
    injury to A.W. The jury would also have had to conclude that White assaulted A.W.
    despite the uncontroverted evidence that White had no history of violent behavior
    toward his two children and three step-children.
    As the district court noted, a jury’s verdict should be overturned if there is a lack
    of proof beyond a reasonable doubt of even one element of the charged offense.
    United States v. Frausto, 
    616 F.3d 767
    , 772 (8th Cir. 2010). Here, the only evidence
    that White assaulted A.W. is circumstantial, and the jury’s conclusion that White
    intentionally assaulted A.W. requires an inference without a sufficient evidentiary
    basis. A reasonable jury could believe that White may have assaulted his son,
    probably assaulted his son, or even very likely assaulted his son. But to find White
    guilty, the jury must find beyond a reasonable doubt that White intentionally
    committed the assault. Even construing all the medical and other circumstantial
    -19-
    evidence in favor of the jury’s verdict, I believe that no reasonable jury could conclude
    beyond a reasonable doubt that White intentionally assaulted A.W.
    Both this court and the district court have carefully and conscientiously
    reviewed the evidence in this very sad case. There is no doubt that this is a close case,
    and that the jury was required to make a series of difficult decisions with regard to the
    credibility and weight of the evidence. Viewing all the evidence in the light most
    favorable to the jury’s verdict and drawing all favorable inferences in favor of the
    verdict, however, I agree with the district court: I cannot conclude that a reasonable
    jury could have found White guilty beyond a reasonable doubt. Accordingly, I
    respectfully dissent.
    ______________________________
    -20-