State v. Dale ( 2021 )


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  •                                SUPERIOR COURT
    OF THE
    STATE OF DELAWARE
    PAUL R. WALLACE                                               NEW CASTLE COUNTY COURTHOUSE
    JUDGE                                                      500 N. KING STREET, SUITE 10400
    WILMINGTON, DELAWARE 19801
    (302) 255-0660
    Date Submitted: November 5, 2021
    Date Decided: November 10, 2021
    Mr. Anthony A. Figliola, Jr., Esq.           Mr. John W. Downs, Esquire
    Greto Law                                    Mr. Marc C. Petrucci, Esquire
    715 N. Tatnall Street                        Department of Justice
    Wilmington, Delaware 19801                   Deputy Attorneys General
    820 N. French Street, 7th Floor
    Wilmington, Delaware 19801
    RE:   State of Delaware v. Anthony Dale
    ID No. 1909010294
    Defendant’s Motion In Limine re: Steven Bojarski, M.D.
    Dear Counsel:
    This Letter Order addresses the Defendant Anthony Dale’s Motion in limine
    to preclude the opinion and testimony of Steven Bojarski, M.D., who the State is
    offering as its expert neurologist. (D.I. 31). Upon review of the parties’ pleadings,
    their arguments at hearing of the motion, and the record in this case, Mr. Dale’s
    Motion in limine is DENIED.
    State of Delaware v. Anthony Dale
    ID No. 1909010294
    November 10, 2021
    Page 2 of 25
    I. FACTUAL AND PROCEDURAL BACKGROUND
    This case arises out of a robbery-homicide that occurred on June 7, 2013, at
    the Printz Market in Wilmington.1 During the robbery, two men were shot—one of
    them, Anthony Berry, fatally.2 Soon thereafter, on June 19, 2013, Mr. Dale was
    arrested by the Wilmington Police Department for unrelated firearms charges.3
    When questioned, Mr. Dale told police that his cousin, Maleke Brittingham, had
    borrowed his firearm and implicated Mr. Brittingham in the Printz Market shooting.4
    Police subsequently searched both Mr. Brittingham’s and Mr. Dale’s apartments, but
    no evidence was found then that linked either of them to the slaying of Anthony
    Berry.5 After those fruitless searches, the case went cold for about five years when,
    in May of 2018, police had occasion to interview Indi Islam. 6
    Ms. Islam had numerous conversations with Wilmington Police Department
    investigators during the summer of 2018 that ultimately led to her admitting her part
    1
    Def.’s Mot. to Exclude Expert Op. Offered by Steven Bojarski, M.D, ¶ 2, Oct. 26, 2020 (D.I.
    31).
    2
    Id.
    3
    Id. at ¶ 3.
    4
    Id.
    5
    Id.
    6
    Id. at ¶ 5.
    State of Delaware v. Anthony Dale
    ID No. 1909010294
    November 10, 2021
    Page 3 of 25
    in the 2013 Printz Market robbery. 7 During Ms. Islam’s several interviews with
    investigators, she identified and described Mr. Dale’s and Mr. Brittingham’s
    involvement in the robbery-homicide.8 Ms. Islam was charged for her participation
    in the robbery, has pleaded guilty to an attempted murder count, and has agreed to
    testify in the trial of Messrs. Dale and Brittingham. 9 Mr. Brittingham has also since
    entered into a plea agreement and is currently awaiting sentencing.10 That leaves
    Mr. Dale—whom the State alleges to be the fatal shooter—as the sole defendant to
    be tried in this matter. He has been charged with two counts of first-degree murder—
    alleging intentional and felony murder for Mr. Berry’s death—and one count of
    attempted first-degree.11
    Detectives obtained a copy of the Printz Market surveillance video from the
    night of the robbery-homicide in an effort to identify the suspect-gunman.12 The
    7
    Id.
    8
    Id.
    9
    Plea Agreement and TIS Guilty Plea Form, State v. Indi Islam, ID No. 1904020331 (Del.
    Super. Ct. Sept. 19, 2019) (D.I. 16).
    10
    Plea Agreement and TIS Guilty Plea Form, State v. Maleke Brittingham, ID No. 1909010295
    (Del. Super. Ct. June 25, 2020) (D.I. 32).
    11
    See Indictment, State v. Anthony Dale, ID. No. 1909010294 (Del. Super. Ct. Sept. 30, 2019)
    (D.I. 2).
    12
    Def.’s Mot. to Exclude, ¶ 6.
    State of Delaware v. Anthony Dale
    ID No. 1909010294
    November 10, 2021
    Page 4 of 25
    surveillance footage revealed some subtle, but detectible, handicapped movement or
    infirmity of the suspect-gunman’s right arm and an obvious favored use of the left
    arm. 13 As part of their investigation of Mr. Dale, detectives obtained copies of his
    medical records from Christiana Care Health Systems. Those records included a
    2011 diagnosis and treatment details for a gunshot injury to his right arm and hand.14
    X-rays of Mr. Dale’s right arm displayed bullet fragments along his mid humeral
    shaft and a possible bone fracture. 15
    The State then consulted Dr. Steven Bojarski to review the Printz Market
    surveillance film, Mr. Dale’s video-recorded interrogation from a wholly unrelated
    January 2014 incident,16 and his 2011 medical records determine whether the
    symptoms and diagnosis of Mr. Dale’s 2011 right arm injury is consistent with the
    movement and stunted lifting of the suspect gunman’s right-arm and hand in the
    Prinz Market surveillance footage. 17 Dr. Bojarski was asked to opine as to whether
    13
    State’s Resp. to Def.’s Mot. to Exclude, ¶ 4, Nov. 23, 2020 (D.I. 32).
    14
    Id. at ¶¶ 1-4.
    15
    Def.’s Mot. to Exclude, ¶ 7.
    16
    Id. at ¶ 8. Upon Mr. Dale’s arrest for unrelated firearms charges in early 2014, he was
    questioned by detectives for more than four hours. Id. at ¶ 4.
    17
    Id.; see also State’s Resp., ¶ 4.
    State of Delaware v. Anthony Dale
    ID No. 1909010294
    November 10, 2021
    Page 5 of 25
    Mr. Dale had any disability to his right arm as a result of his gunshot injury, whether
    that disability existed still in 2014, and whether the suspect-gunman displayed signs
    and symptoms of the same infirmity in the 2013 surveillance video. 18 In his report,
    Dr. Bojarski concluded that Mr. Dale “displayed a right sided wrist drop as well as
    apparent right arm weakness but not total paralysis.” 19 He also opined that Mr.
    Dale’s earlier gunshot injury was consistent with a radial groove injury, and with
    respect to the surveillance video, the “individual behind the counter holding the gun
    in left hand exhibits right upper extremity weakness which could be consistent with
    a radial nerve injury at the radial groove.”20
    According to Mr. Dale, Dr. Bojarksi’s conclusions based on a review of Mr.
    Dale’s medical records and surveillance/interrogation films alone—as well as a lack
    of his own physical examination of Mr. Dale—is not a reliable medical opinion.21
    The State argues that Dr. Bojarksi’s testimony and report are sufficiently
    reliable, will assist the trier of fact, and are “relevant to this case as they address the
    18
    State’s Resp., Ex. A, Dr. Bojarski’s Report, at pp.1-2.
    19
    Id. at p.3.
    20
    Id.
    21
    Def.’s Mot. to Exclude, ¶ 36.
    State of Delaware v. Anthony Dale
    ID No. 1909010294
    November 10, 2021
    Page 6 of 25
    identity of the suspect.” 22 At bottom, says the State, Mr. Dale’s attacks go to the
    weight rather than the admissibility of Dr. Bojarski’s testimony.23
    II. APPLICABLE LEGAL STANDARDS
    Delaware Rule of Evidence 702 governs the admission of expert testimony:
    A witness who is qualified as an expert by knowledge, skill,
    experience, training, or education may testify in the form of an
    opinion or otherwise, if: (a) the expert’s scientific, technical, or
    other specialized knowledge will help the trier of fact to
    understand the evidence or to determine a fact in issue; (b) the
    testimony is based upon sufficient facts or data; (c) the testimony
    is the product of reliable principles and methods; and (d) the
    witness has applied the principles and methods reliably to the
    facts of the case.24
    Delaware’s Rule 702 is substantially similar to Rule 702 of the Federal Rules
    of Evidence. The now well-understood bounds of the latter were interpreted and
    explained in Daubert v. Merrell Dow Pharmaceuticals, Inc., 25 and Kumho Tire Co.,
    Ltd. v. Carmichael.26 And Delaware has expressly adopted the holdings in Daubert
    22
    State’s Resp., ¶¶ 16-21.
    23
    Id.
    24
    D.R.E. 702.
    25
    
    509 U.S. 579
     (1993).
    26
    
    526 U.S. 137
     (1993).
    State of Delaware v. Anthony Dale
    ID No. 1909010294
    November 10, 2021
    Page 7 of 25
    and Kumho to interpret our own analog rule. 27
    When its admission is challenged, a trial judge must ensure that expert
    testimony is both relevant and reliable.28         Consistent with Daubert, Delaware
    requires the gatekeeping judge to engage a five-step analysis to determine the
    admissibility of a proffered expert’s testimony.29              To properly determine
    admissibility, the judge must ensure that:
    (1) the witness is qualified as an expert by knowledge, skill
    experience, training or education;
    (2) the evidence is relevant;
    (3) the expert’s opinion is based on information reasonably relied
    upon by experts in the particular field;
    (4) the expert testimony will assist the trier of fact to understand the
    evidence or to determine a fact in issue; and
    (5) the expert testimony will not create unfair prejudice or confuse or
    mislead the jury.30
    27
    Bowen v. E.I. DuPont de Nemours & Co., Inc., 
    906 A.2d 787
    , 794 (Del. 2006) (citing M.G.
    Bancorporation, Inc. v. Le Beau, 
    737 A.2d 513
    , 522 (Del. 1999)).
    28
    Daubert, 
    509 U.S. at 597
    .
    29
    Bowen, 
    906 A.2d at 795
    .
    30
    
    Id.
    State of Delaware v. Anthony Dale
    ID No. 1909010294
    November 10, 2021
    Page 8 of 25
    The party seeking to introduce the expert testimony must shoulder the
    by-a-preponderance-of-the-evidence burden of establishing its admissibility.31 And
    “[a] strong preference exists” for admitting expert opinions “when they will assist
    the trier of fact in understanding the relevant facts or the evidence.” 32
    III. DISCUSSION
    Though Mr. Dale concedes that Dr. Bojarski is qualified in the field of
    neurology, he insists the doctor’s opinions here are not the product of a scientific
    process backed by sufficient facts or data. 33 Mr. Dale suggests four grounds to
    exclude Dr. Bojarksi’s expert opinions: (1) Dr. Bojarksi hasn’t conducted a hands-
    on physical examination of Mr. Dale to discern the current extent and nature of his
    right-arm injury and symptoms; (2) Dr. Bojarski’s observation of Mr. Dale’s 2014
    four-hour interrogation recording is inadequate for evaluating any signs and
    symptoms of a radial nerve injury; (3) Dr. Bojarski’s conclusion that the suspect in
    the surveillance footage displays like symptoms of the same radial nerve injury Mr.
    Dale’s suffered is speculative and devoid of any diagnostic techniques for assessing
    31
    
    Id.
    32
    Delaware ex. rel. French v. Card Compliant, LLC, 
    2018 WL 4151288
    , *2 (Del. Super. Ct.
    Aug. 29, 2018) (quoting Norman v. All About Women, P.A., 
    193 A.3d 726
    , 730 (Del. 2018)).
    33
    See generally Def.’s Mot. to Exclude.
    State of Delaware v. Anthony Dale
    ID No. 1909010294
    November 10, 2021
    Page 9 of 25
    the suspect’s perceived medical condition; and (4) the probative value of Mr. Dale’s
    radial nerve injury is substantially outweighed by the danger of unfair prejudice
    because the introduction of his prior gunshot injury and the extensive police
    interrogation constitute inadmissible character evidence. 34 Mr. Dale also argues, in
    the alternative, that the Court must conduct some further Daubert hearing in the
    event this Court cannot make a determination on the motions and current record
    alone.35
    A. DR. BOJARSKI’S EXPERT OPINIONS ARE (1) RELEVANT, (2) WILL ASSIST
    THE FACT FINDER, AND (3) WILL NOT OCCASION UNFAIR PREJUDICE.
    Without question, Dr. Bojarski is a qualified medical expert witness by
    knowledge, skill, experience, training, and education. 36 So the Court need not
    address that part of the Bowen/Daubert inquiry any further.
    With respect to the remaining factors, Dr. Bojarski’s expert opinions no doubt
    are relevant, will assist the fact finder, and are based on information reasonably
    relied upon by those practicing neurology. 37 And regarding the fifth and final aspect
    34
    Def.’s Mot. to Exclude, pp.7, 10, 13, and 17.
    35
    Id. at ¶ 38.
    36
    Tr. of Mot. Hr’g., Oct. 18, 2021, 17-18 (Mr. Dale’s counsel concedes that he “can’t question
    [Dr. Bojarski’s] credentials.”) (D.I. 49).
    37
    Bowen, 
    906 A.2d at 795
    .
    State of Delaware v. Anthony Dale
    ID No. 1909010294
    November 10, 2021
    Page 10 of 25
    of the Bowen/Daubert inquiry, any prejudice that may result from Dr. Bojarski’s
    testimony can be avoided by redactions and limiting instructions to the jury.38
    Expert testimony is relevant if it assists the fact finder in “understand[ing] the
    evidence or . . . determin[ing] a fact in issue.” 39 And evidence from an expert creates
    a danger of unfair prejudice when it suggests a decision on an improper basis,
    commonly, emotion rather than reason.40
    Here, the central issue is whether Mr. Dale is the suspected gunman seen in
    the Printz Market surveillance video. 41 When viewed carefully, the subject in the
    surveillance footage presents with hampered movement on his right side. 42 The
    abnormal movement and position of the suspect’s hand and arm bears remarkable
    resemblance to symptoms caused by Mr. Dale’s previous gunshot injury to his right
    upper extremity.43 To aid in this determination, Dr. Bojarski’s testimony is relevant
    38
    See, e.g., U.S. v. Salehi, 
    187 Fed.Appx. 157
    , 166-167 (3d Cir. 2006) (noting that redactions in
    proper form and appropriate limiting instructions “can cure the constitutional problem that arises”
    from introduction of potentially prejudicial evidence that might pose a confrontation right issue).
    39
    Daubert, 
    509 U.S. at 591
     (quoting Fed. R. Evid. 702).
    40
    Henlopen Hotel, Inc. v. United Nat’l Ins. Co., 
    2020 WL 233333
    , at *12 (Del. Super. Ct. Jan.
    10, 2020).
    41
    See State’s Resp. at ¶ 16.
    42
    Id. at ¶¶ 4-5.
    43
    Id. at ¶ 5.
    State of Delaware v. Anthony Dale
    ID No. 1909010294
    November 10, 2021
    Page 11 of 25
    because it will assist the fact finder in understanding the lingering side effects or
    range of motion limitations resulting from the type of injury Mr. Dale endured. And,
    though Mr. Dale suggests Dr. Bojarski’s testimony concerning the prior gunshot
    injury and his four-hour long police interrogation will create unfair prejudice, the
    Court may remedy these concerns with curative instructions and redactions.44
    Surely, it would be difficult—if not more prejudicial to Mr. Dale—to point out the
    presence of bullet fragments in his arm without explaining the innocent and
    unfortunate way they reportedly got there, i.e., Mr. Dale’s treatment records
    reviewed by Dr. Bojarski note he was at home and in “his usual state of health” when
    he “heard a gunshot and felt a pain in his right arm.”45
    The jury may credit Dr. Bojarski’s opinions and analysis, or may not, but there
    is nothing in the record to suggest his testimony will appeal to or persuade the jury
    on any improper basis. Whatever persuasive power might lie in his opinions derives
    from the coherence and power of his testimony’s content to explain Mr. Dale’s
    injury, its resulting limitations, and that the suspect’s movements observed in the
    surveillance video are consistent with the symptoms caused by that type of injury.
    44
    See Henlopen Hotel, 
    2020 WL 233333
    , at *5 (Observing that Rule 702 “[e]vidence appeals to
    an unfair prejudice when it tends to suggest decision on an improper basis, commonly but not
    necessarily emotion rather than reason.”).
    45
    State’s Resp., Ex. A, Dr. Bojarksi’s Report at p.1.
    State of Delaware v. Anthony Dale
    ID No. 1909010294
    November 10, 2021
    Page 12 of 25
    B. DR. BOJARSKI’S OPINIONS AND CONCLUSIONS ARE RELIABLE; THEY ARE
    BASED ON A REASONABLE MEDICAL PROBABILITY AND ARE SUPPORTED BY
    THE FACTS AND EVIDENCE IN THIS CASE.
    Dr. Bojarski’s opinions and conclusions that the suspect’s movements
    observed on the surveillance video are consistent with the symptoms and limitations
    expected of one who suffered the same radial nerve injury endured by Mr. Dale are
    reliable.    And the State has demonstrated that Dr. Bojarski is aware of the
    fundamental facts present here and provides a factual basis for his opinion. Reliable
    expert testimony is premised on specialized knowledge, which requires the
    testimony to be grounded in appropriate methods and procedures and “supported by
    appropriate validation—i.e., ‘good grounds,’ based on what is known.”46
    Many scientific, technical, or specialized fields are not subject to peer review
    and publication—that’s why the test of reliability is “flexible” and rigid application
    of each Daubert factor cannot be engaged to determine testimonial reliability in
    every field of expertise. 47 Even with all the advances of medical science, the practice
    of medicine remains an art, and a diagnosis in the practice of clinical medicine “is
    46
    Daubert, 
    509 U.S. at 590
    .
    47
    Henlopen Hotel, 
    2020 WL 233333
    , at *1, *3.
    State of Delaware v. Anthony Dale
    ID No. 1909010294
    November 10, 2021
    Page 13 of 25
    not an exact science.” 48
    In clinical medicine, standard practice of diagnosing a patient and establishing
    cause is through differential diagnosis.49 Differential diagnosis refers to the process
    of determining which affliction the patient is suffering from by means of comparing
    various competing diagnostic hypotheses with the clinical observations and
    findings. 50 And the process of differential diagnosis is one tool Dr. Bojarski engages
    here in deriving his opinion in what is, to be sure, an unusual setting for a physician.
    But—regarding the review of Mr. Dale’s prior medical records and observing his
    movements in the police interview—it is not uncommon for a physician to reach a
    reliable diagnosis without himself performing a first-person physical examination.
    48
    State v. McMullen, 
    900 A.2d 105
    , 114 (Del. Super. Ct. 2006). See Moore v. Ashland Chem.,
    
    126 F.3d 679
    , 688-690 (5th Cir. 1997), vacated on reh’g en banc, 
    151 F.3d 269
     (5th Cir. 1998)
    (“First, the goals of the disciplines of clinical medicine and hard Newtonian science are different.
    . . . Second, the subject matter and conditions of study are different. . . . Finally, clinical medicine
    and hard science have marked different methodologies. . . . In sum, hard Newtonian scientific
    knowledge . . . is knowledge of a particular and limited kind. . . . Although clinical medicine
    utilizes parts of some hard sciences, clinical medicine and many of its subsidiary fields are not
    hard sciences. . . . Consequently, the Daubert factors, which are hard scientific methods selected
    from the body of hard scientific knowledge and methodology generally are not appropriate for use
    in assessing the relevance and reliability of clinical medical testimony.”). The Fifth Circuit’s
    discussion of the significant differences between disciplines in “hard science” and clinical
    medicine still holds true even though the decision in that case was ultimately vacated. 
    Id.
    49
    McMullen, at 116; see also Bowen v. E.I. duPont de Nemours and Co., Inc., 
    2005 WL 1952859
    ,
    at *11 (Del. Super. Ct. May 9, 2005) (noting differential diagnosis is a standard practice for
    establishing cause in clinical medicine).
    50
    McMullen, at 116.
    State of Delaware v. Anthony Dale
    ID No. 1909010294
    November 10, 2021
    Page 14 of 25
    Indeed, consulting physicians regularly arrive at diagnoses by relying on
    examinations and tests performed by other medical practitioners. 51 On that score,
    Dr. Bojarksi testified that while neurologists do spend a significant amount of time
    on their patient examinations, half of the exam is based on observation alone. 52
    A gatekeeping judge has “broad latitude” to determine whether an expert’s
    proffered opinion is based upon the “proper factual foundation and sound
    methodology.”53 This “proper factual foundation” language has been distilled from
    [Delaware Rule] 702.” 54 To meet the criterion for a “proper factual foundation” an
    expert’s opinion must be based on “facts” and not “suppositions.” 55 When applied
    to a medical expert, a causation opinion is admissible when it’s “based on his
    analysis of the circumstances . . . not mere speculation over the cause.”56 And a
    proponent need to show only by a preponderance of the evidence that its expert’s
    51
    Id. at 117; State v. Salasky, 
    2013 WL 5487363
    , at *26 (Del. Super. Ct. Sept. 26, 2013).
    52
    Tr. of Mot. Hr’g., 50:16-20. “There’s a thing called semiotic medicine . . . [i]t’s observation
    for the most likely diagnoses. . . . And as time goes on, you’re going to learn . . . almost half of
    your exam [is done before you enter the exam room.]” Id. at 54:23-55:12.
    53
    Russum v. IPM Dev. P’ship LLC, 
    2015 WL 2438599
    , at *2 (Del. Super. Ct. May 21, 2015).
    54
    Id. at *2.
    55
    Id. at *3.
    56
    Norman, 193 A.3d at 730.
    State of Delaware v. Anthony Dale
    ID No. 1909010294
    November 10, 2021
    Page 15 of 25
    opinions are reliable not that they are correct. 57 So, this Court’s Rule 702 reliability
    examination must focus on principles and methodology and not on the resultant
    conclusions.58
    Delaware courts generally recognize that challenges to the “factual basis of
    an expert opinion go[ ] to the credibility of the testimony, not the admissibility, and
    it is for the opposing party to challenge . . . the expert opinion on cross-
    examination.”59 “The different depth with which [an expert] pursued particular lines
    of investigation and the different assumptions they made are readily subject to cross-
    examination and to evaluation by the fact finder for credibility and weight.” 60 But
    an expert’s testimony will only be excluded in the narrow circumstance that the
    57
    State v. McMullen, 
    900 A.2d 105
    , 114 (Del. Super. 2006) (citing In re Paoli R.R. Yard PCB
    Litig., 
    35 F.3d 717
    , 744 (3d Cir. 1994)).
    58
    Henlopen Hotel, 
    2020 WL 233333
    , at *2 (“At bottom, the Court’s examination of an expert’s
    opinion must be solely focused on principles and methodology, not on the conclusions they
    generate.”) (cleaned up) (quoting Tumlinson v. Advanced Micro Devices, 
    81 A.3d 1264
    , 1269 (Del.
    2013)).
    59
    Perry v. Berkley, 
    996 A.2d 1262
    , 1271 (Del. 2010); Hodel v. Ikeda, 
    2013 WL 226937
    , at *4
    (Del. Super. Ct. Jan. 18, 2013). See also Daubert, 
    509 U.S. 579
    , 596 (1993) (“Vigorous cross-
    examination, presentation of contrary evidence, and careful instruction on the burden of proof are
    the traditional and appropriate means of attacking shaky but admissible evidence.” (citation
    omitted)).
    60
    Henlopen Hotel, 
    2020 WL 233333
    , at *4; Perry, 
    996 A.2d at 1271
     (noting cross-examination
    rather than exclusion can be the proper method of exploring the bases of an expert’s opinion and
    the weight to be ascribed thereto).
    State of Delaware v. Anthony Dale
    ID No. 1909010294
    November 10, 2021
    Page 16 of 25
    expert has completely neglected the core facts of the case. 61 And under Delaware
    Rule 702, a medical doctor’s opinion “based on his own knowledge” formed by his
    review of a patient’s records may certainly be sufficient to clear the Daubert/Bowen
    reliability threshold. 62    To be sure, the thorough review of treatment records
    Dr. Bojarski engaged is a common and generally accepted method used by medical
    experts to divine causation of a given condition. In other words, Dr. Bojarski did
    not stray from commonly used and accepted principles, i.e., review of medical
    records (here supplemented by examination of video footage), to reach his
    conclusion that the gunman’s movements and limitations demonstrated in the Printz
    Market surveillance video were consistent with that expected from one suffering
    from a radial nerve injury. That said, it’s important to note that Dr. Bojarksi is not
    identifying Mr. Dale in the Printz Market footage; rather, his testimony’s sole focus
    is to identify the arm weakness manifest in the suspect shooter’s right arm and its
    correlation to symptoms and limitations that are consistent with the injury Mr. Dale
    endured in 2011 that were present still in the 2014 interview video.
    61
    Smack-Dixon v. Wal-Mart, Inc., 
    2021 WL 3012056
    , at *6 (Del. Super. Ct. July 16, 2021).
    62
    E.g., Norman, 193 A.3d at 731-32.
    State of Delaware v. Anthony Dale
    ID No. 1909010294
    November 10, 2021
    Page 17 of 25
    1. Dr. Bojarski’s failure to conduct a hands-on physical examination of
    Mr. Dale doesn’t render his opinion unreliable.
    Mr. Dale insists that Dr. Bojarksi’s failure to conduct a physical examination
    to discern the extent and nature of his right arm injury does not comport with any
    standard diagnostic techniques, and thus, he could not properly formulate an opinion
    about Mr. Dale’s radial nerve injury.63 In Mr. Dale’s view, Dr. Bojarksi’s review of
    his medical records and the doctor’s conclusion that followed failed “to bridge the
    ‘analytical gap between the data and the opinion offered.’”64 So, says Mr. Dale, Dr.
    Bojarski’s testimony is inadmissible due to a lack of any established methodology
    supporting his conclusion. 65
    Surely, the circumstances here present a unique use of a medical expert
    witness.       But a medical doctor’s diagnostic opinion formed after his own
    independent review of a patient’s medical records is common stuff both in everyday
    medicine and under Daubert/Bowen examination.66 And nothing Dr. Bojarski did
    here offends the Daubert/Bowen requirement of application of this reliable
    63
    Def.’s Mot. to Exclude, ¶¶ 16-22.
    64
    Def.’s Mot. to Exclude, ¶¶ 16-17 (quoting Hendrix ex rel. G.P. v. Evenflo Co., Inc., 
    609 F.3d 1183
    , 1194 (11th Cir. 2010)).
    65
    Id. at ¶ 22.
    66
    E.g., Norman, 193 A.3d at 731-32.
    State of Delaware v. Anthony Dale
    ID No. 1909010294
    November 10, 2021
    Page 18 of 25
    methodology in this anomalous setting. Dr. Bojarski reviewed Mr. Dale’s prior
    hospital admission and treatment records as well as video footage of Mr. Dale from
    a post-injury police interrogation to assess the nature and extent of his resultant
    symptomology. And Dr. Bojarski studied the Printz Market surveillance video to
    determine whether the subject’s movements corresponded with the type of arm
    injury Mr. Dale suffered. In short, this first point of contention attacks the factual
    sufficiency and bases of Dr. Bojarski’s opinion—such challenge may warrant
    vigorous cross-examination or admission of contrary evidence but not exclusion. 67
    2. Dr. Bojarski’s observation of and conclusions taken from the recording
    of Mr. Dale’s 2014 police interview is consistent with standard
    neurology clinical techniques.
    Mr. Dale next contends that Dr. Bojarski’s study of Mr. Dale’s four-hour
    police interview is an inadequate means of evaluating and concluding whether he
    exhibited the signs and symptoms of a radial nerve injury. 68 But “a physician need
    not conduct every possible test to rule out all possible causes of a patient’s illness,
    67
    Perry, 
    996 A.2d at 1271
    ; Hodel, 
    2013 WL 226937
    , at *4. Daubert, 
    509 U.S. at 596
     (“Vigorous
    cross-examination, presentation of contrary evidence, and careful instruction on the burden of
    proof are the traditional and appropriate means of attacking shaky but admissible evidence.”
    (citation omitted)).
    68
    Def.’s Mot. to Exclude, ¶ 23.
    State of Delaware v. Anthony Dale
    ID No. 1909010294
    November 10, 2021
    Page 19 of 25
    ‘so long as he or she employed sufficient diagnostic techniques to have good grounds
    for his or her conclusion.’”69
    As Dr. Bojarski explained, a common diagnostic technique among
    neurologists is simple observation of their patients: “One of the things with
    neurologists, we spend a lot of time with our examinations. Half of the exam, believe
    it or not, is based on observation. When we diagnose strokes, for example, it’s on
    observation primarily. Then we go about proving it.”70 And, when recounting his
    review of Mr. Dale’s records and the assailant depicted in the Printz Market
    surveillance video, Dr. Bojarski affirmed that observations of both subjects revealed
    an apparent injury to the right arm.71
    He further testified about his use of semiotic medicine (“the observation for
    the most likely diagnoses”) and how the powers of observation allow a neurologist
    to “pick up a lot of subtleties” that direct his testing and what he’s “going to be
    looking for.”72 Thus, even though Dr. Bojarski’s observation of Mr. Dale, vis-à-vis
    69
    Heller v. Shaw Indus., Inc., 
    167 F.3d 146
    , 156 (3d Cir. 1999) (quoting In re Paoli R.R. Yard
    PCB Litig., 
    35 F.3d 717
    , 761 (3d Cir. 1994)).
    70
    Tr. of Mot. Hr’g., 50:17-22.
    71
    Tr. of Mot. Hr’g., 53:18-20. (“That’s right. It’s a wrist drop, which is classic radial nerve
    injury. It doesn’t tell you where it is though, along the line.”).
    72
    Id. at 55:15-17.
    State of Delaware v. Anthony Dale
    ID No. 1909010294
    November 10, 2021
    Page 20 of 25
    the interview video, and of the suspect shooter in the surveillance film, may be
    somewhat unconventional and indirect, his methodology isn’t really that
    extraordinary; it’s merely an atypical engagement of a commonly accepted
    neurology practice of carefully observing a patient in unguided action to discern the
    most likely diagnosis of any noted affliction.
    3. Dr. Bojarski’s testimony that the assailant in the Printz Market
    surveillance footage displays symptomatology of one suffering the
    effects of a radial nerve injury is adequately supported, reliable and
    admissible.
    Mr. Dale posits that Dr. Bojarski’s conclusion that the suspect in the Printz
    Market surveillance recording displays similar symptoms of his same radial nerve
    injury is speculative and derived from diagnostic techniques inadequate to assess the
    suspect’s perceived medical condition.73 Dr. Bojarski is proferred to opine whether
    “the person behind the counter, that is armed with a handgun and is wearing a dark
    colored hooded sweatshirt displays the same type of disability” that’s noted in Mr.
    Dale’s 2011 medical records.74 For the reasons already discussed, Dr. Bojarski’s
    observation of the suspect shooter’s movements in the surveillance video and his
    subsequent opinion that the limited range of motion observed could be attributed to
    73
    Def.’s Mot. to Exclude, ¶ 28.
    74
    Def.’s Suppl., Ex. A1, State’s Letter Req. to Dr. Bojarksi, Nov. 4, 2021 (D.I. 50).
    State of Delaware v. Anthony Dale
    ID No. 1909010294
    November 10, 2021
    Page 21 of 25
    a radial groove injury—like the one Mr. Dale was treated for—does not offend
    commonly accepted diagnostic standards in the field of neurology. Accordingly, his
    testimony is not excludable on this basis.
    4. The probative value of evidence of Mr. Dale’s radial nerve injury is not
    substantially outweighed by any danger of unfair prejudice.
    When a court finds expert testimony admissible under Rules 702 and 703, a
    party might raise an objection to the admissibility of potentially prejudicial evidence
    or testimony using Rule 403 as an independent means of exclusion. 75 Under
    Delaware Rule of Evidence 403, “the court may exclude relevant evidence if its
    probative value is substantially outweighed by a danger of one or more of the
    following: unfair prejudice, confusing the issues, misleading the jury, undue delay,
    wasting time, or needlessly presenting cumulative evidence.” 76 “The determination
    of unfair prejudice is a matter within the bounds of discretion of the trial court.”77
    And, to justify exclusion of potentially prejudicial evidence prior to trial, “the court
    must have before it ‘a record complete enough on the point at issue to be considered
    75
    Hines v. Consol. Rail Corp., 
    926 F.2d 262
    , 274 (3d Cir. 1991).
    76
    D.R.E. 403.
    77
    N. Am. Philips Corp. v. Aetna Cas. & Sur. Co., 
    1995 WL 628447
    , at *4 (Del. Super. Ct. Apr.
    22, 1995).
    State of Delaware v. Anthony Dale
    ID No. 1909010294
    November 10, 2021
    Page 22 of 25
    a virtual surrogate for a trial record.’”78
    Mr. Dale complains the prejudicial value of Dr. Bojarski’s testimony
    substantially outweighs the probative value because his reliance on Mr. Dale’s four-
    hour long 2014 police interview inevitably introduces impermissible character
    evidence suggestive of prior bad acts.79 He suggests that while the jury may have
    sympathy for his gun shot injury, they will be unable to compartmentalize the “prior
    bad acts” aspect of his 2014 police interview. 80 Says Mr. Dale, presentation of the
    2014 police interview is impermissibly prejudicial because he is present in a police
    interrogation room, with armed police officers, being questioned on an unrelated gun
    charge.81 And according to Mr. Dale no amount of sanitization, muting, or paring
    down of the police interview footage can sufficiently remove the undue unacceptable
    prejudice he will suffer.
    In his view, too, the jury will not be able to “infer anything other than [Dr.]
    Bojarski, an expert, is identifying [Mr.] Dale” as the shooter in the video.82 This is
    78
    
    Id.
    79
    Def.’s Suppl., p.2; see also Def.’s Mot. to Exclude, ¶ 37.
    80
    
    Id.
    81
    Def.’s Suppl., p.2.
    82
    Id. at 3.
    State of Delaware v. Anthony Dale
    ID No. 1909010294
    November 10, 2021
    Page 23 of 25
    so because his testimony, put simply, is that the “shooter has a bad hand,” and before
    coming to that conclusion, he reviewed Mr. Dale’s hospital records and police
    interview which indicated he, too, had a bad hand. 83
    The State has produced a pared down version of the police interview video to
    a 25-minute, muted clip that focuses on Mr. Dale’s arm positions and movements.84
    The Court is satisfied that this now-sanitized version of Mr. Dale’s 2014 police
    interview cures any unnecessarily prejudicial undertones present in the uncut version
    Dr. Bojarski used in his analysis.
    As previously discussed, the identity of the Mr. Berry’s shooter is the key
    issue in this case. So the probative value of any evidence—even circumstantial
    evidence—is at premium here. 85 Without Dr. Bojarski’s testimony, no evidence
    would be presented that Mr. Dale suffered a previous radial nerve injury that—at the
    time of the Printz Market killing—would have limited his range of motion,
    weakened that right extremity, and burdened him with certain classic observable
    83
    Id. at 3.
    84
    State’s Suppl., Ex. 1, Redacted/Muted NCCPD Interview of Mr. Dale, Nov. 5, 2021 (D.I. 52).
    85
    Ciccaglione v. State, 
    474 A.2d 126
     (Del. 1984) (citing Payne v. State, 
    367 A.2d 1010
     (Del.
    1976) (“a jury is permitted to draw inferences from circumstantial evidence as from any other
    evidence submitted.”)).
    State of Delaware v. Anthony Dale
    ID No. 1909010294
    November 10, 2021
    Page 24 of 25
    hand and wrist infirmities. Mr. Dale’s prior right arm injury and its potential to assist
    in identifying the otherwise unrecognizable hooded shooter is properly admissible
    circumstantial evidence for the jury to weigh in its factfinding. To the extent there
    is any lingering concern of undue prejudice attendant to the presentation of this
    evidence, the Court will—in addition to ordering careful redaction of the related
    materials presented—work with the parties to craft and deliver an appropriate
    limiting instruction. But again, a proferred expert’s testimony can’t be excluded
    just because an opponent quarrels with his conclusions. 86                   Accordingly, Dr.
    Bojarski’s testimony, along with the redacted evidence, is admissible.
    IV. CONCLUSION
    Dr. Bojarski’s testimony is admissible because it is relevant, reliable, and will
    aid the fact finder in determining whether Mr. Dale is the gunman seen in the Printz
    Market surveillance video. The identity of the assailant in that footage might
    properly be divined, in part, from the factfinders’ understanding of his or her unique
    right arm movements and presentation. And with the safeguards mentioned, the
    86
    See Daubert, 
    509 U.S. at 595
     (To pass on the “evidentiary relevance and reliability” of a given
    expert’s opinion “[t]he focus, of course, must be solely on principles and methodology, not on the
    conclusions that they generate.”); see also In re Paoli R.R. Yard PCB Litig., 
    35 F.3d at 733
    (Proponents “do not have to demonstrate to the judge by a preponderance of the evidence that the
    assessments of their experts are correct, they only have to demonstrate by a preponderance of the
    evidence that their opinions are reliable.”) (emphasis in original).
    State of Delaware v. Anthony Dale
    ID No. 1909010294
    November 10, 2021
    Page 25 of 25
    probative value of this State’s evidence actually and substantially outweighs any
    perceived danger of unfair prejudice. 87
    Accordingly, Mr. Dale’s motion in limine to preclude the expert testimony
    and report of Dr. Steven Bojarski is DENIED.
    IT IS SO ORDERED.
    _______________________
    Paul R. Wallace, Judge
    Original to Prothonotary
    87
    See D.R.E. 403 (to exclude relevant evidence a Court must find that its probative value is
    substantially outweighed by a danger of, among other things, unfair prejudice). Even where
    evidence might be said to implicate “prior bad acts”—which the Court finds this carefully
    circumscribed presentation would not—the Court “needs to ‘balance the probative value of such
    evidence against its’ potential for prejudice (i.e., a D.R.E. 403 analysis)” in the same way. See
    Trump v. State, 
    753 A.2d 963
    , 971 (Del. 2000) (quoting Getz v. State, 
    538 A.2d 726
    , 734 (Del.
    1988) and providing a detailed explanation of the trial judge’s role when engaging the Rule 404(b)
    and Rule 403 analyses).