People v. Thomas , 2022 IL App (2d) 200171-U ( 2022 )


Menu:
  •                                   
    2022 IL App (2d) 200171-U
    No. 2-20-0171
    Order filed January 20, 2022
    NOTICE: This order was filed under Supreme Court Rule 23(b) and is not precedent
    except in the limited circumstances allowed und er Rule 23(e)(l).
    ______________________________________________________________________________
    IN THE
    APPELLATE COURT OF ILLINOIS
    SECOND DISTRICT
    ______________________________________________________________________________
    THE PEOPLE OF THE STATE                ) Appeal from the Circuit Court
    OF ILLINOIS,                           ) of Winnebago County.
    )
    Plaintiff-Appellee,              )
    )
    v.                                     ) No. 10-CF-2743
    )
    ALFONSO L. THOMAS,                     ) Honorable
    ) Gary V. Pumilia,
    Defendant-Appellant.             ) Judge, Presiding.
    ______________________________________________________________________________
    JUSTICE HUDSON delivered the judgment of the court.
    Justices Zenoff and Schostok concurred in the judgment.
    ORDER
    ¶1     Held: The evidence presented at trial was sufficient to prove defendant guilty of criminal
    sexual assault and aggravated criminal sexual abuse beyond a reasonable doubt;
    defendant waived a claim of ineffective assistance of trial counsel; and defendant’s
    posttrial counsel was not ineffective for not raising an ineffectiveness claim against
    trial counsel for decisions regarding the medical evidence. Affirmed.
    ¶2     Following a bench trial, defendant, Alfonso L. Thomas, was convicted of two counts of
    criminal sexual assault (720 ILCS 5/12-13(a)(3) (West 2010)) and one count of aggravated
    criminal sexual abuse (720 ILCS 5/12-16(d) (West 2010)). He was sentenced to two six-year
    terms in prison for the criminal sexual assault counts and a four-year term for the aggravated
    
    2022 IL App (2d) 200171-U
    criminal sexual abuse count, to be served consecutively. On appeal, defendant argues that he was
    not proven guilty beyond a reasonable doubt because the victim recanted her accusations both in
    a notarized letter and during her testimony at trial and defense counsel was ineffective for failing
    to present evidence to contradict the opinion testimony of the State’s medical expert. We affirm.
    ¶3                                    I. BACKGROUND
    ¶4                                    A. The Indictment
    ¶5      On September 7, 2010, a criminal complaint was filed against defendant alleging two
    counts of criminal sexual assault (720 ILCS 5/12-13(a) (West 2010)). Defendant was subsequently
    charged by indictment on October 6, 2010, with two counts of criminal sexual assault and three
    counts of aggravated criminal sexual abuse (720 ILCS 5/12-13(a), 5/12-16(d) (West 2010)).
    Counts 1 and 2 of the indictment, as amended on October 15, 2012, alleged that on or about March
    20, 2010, defendant, who was a family member of R.J., committed an act of sexual penetration
    with R.J., who was under the age of 18, by knowingly placing his finger in R.J.’s vagina (count 1)
    and anus (count 2). Counts 3 and 4 of the indictment alleged that on or about March 20, 2010,
    defendant, an individual over the age of 17, committed an act of sexual penetration with R.J., who
    was at least 13 years of age but under 17 years of age, by placing his finger in R.J.’s vagina (count
    3) and anus (count 4). Count 5 of the indictment alleged that on or about March 20, 2010,
    defendant, an individual over the age of 17, committed an act of sexual conduct with R.J., who
    was at least 13 years of age but under 17, by knowingly having R.J. touch his penis with her hand
    for the purpose of sexual gratification or arousal of the defendant or the victim and defendant was
    at least five years older than R.J.
    -2-
    
    2022 IL App (2d) 200171-U
    ¶6      The charges arise from an incident that allegedly occurred in the early morning hours of
    March 20, 2010, between R.J. and defendant, who is married to R.J.’s mother, K.J. 1 On March
    21, 2010, Officer Andrew Seale of the Rockford Police Department responded to a call from R.J.’s
    grandmother’s home where R.J. reported the incident. On May 20, 2010, R.J. went to the public
    safety building in Rockford where she made a statement detailing the incident to Officer Kevin
    Nordberg. Officer Nordberg typed the statement and reviewed it with R.J. R.J. initialed each
    paragraph and signed the bottom of both pages acknowledging that it was her statement and that
    it was the truth. The statement provides as follows:
    “My name is [R.J.] My mother, [K.J.], brought me here to speak with Detective
    Nordberg about what my mother’s boyfriend, Alfonso Thomas, did to me. My mom did
    not want to bring me here but my grandmother made her do it.
    It happened on 03/19/10. I live with my mother, Alfonso, and my four sisters, [Z.J.,
    K.S., A.D., and A.T.]. Around 11:30 [p.m.], I went to sleep in my sister [Z.J’s] room. I
    was sleeping in her twin bed. I had left the TV on to the music channel. Around 4:00
    [a.m.] I was awaken [sic] by Alfonso coming into the bedroom and getting into bed with
    me. He handed me the remote and told me to find a movie to watch. I changed the channel
    to a movie. Alfonso was slurring his speech. I think he might have been drunk. He was
    telling me that nobody downstairs loved him. He was referring to the rest of my family
    because they were all downstairs. He told me to give him a hug, so I did. He then asked
    1
    In her written statement, R.J. refers to defendant as her mother’s boyfriend at the time of
    the alleged incident. However, R.J.’s mother testified that she and defendant have been married
    since December 2009.
    -3-
    
    2022 IL App (2d) 200171-U
    me if I loved him. I told him yes but he told me to say it so I told him I loved him. He
    pulled me close by him and I was just laying there. He was not saying anything. I was not
    feeling uncomfortable at this time. I eventually fell back to sleep.
    I woke up when I felt Alfonso move his hand underneath my pajama bottoms and
    into my underwear. He put his fingers into my pussy. I felt it but was not sure what he
    was doing. Alfonso then moved his fingers and put it [sic] into my butt. I sat up in bed
    and he pulled his hand out. Alfonso took my left hand and put it on his dick through his
    clothing. He asked me if I wanted him to stop. I told him yes and got out of bed and went
    to the bathroom.
    While I was in the bathroom Alfonso went downstairs. I then went downstairs and
    laid on the floor with my sisters who were watching television and sleeping. My mom was
    in the kitchen with Alfonso. When she came into the living room I told her what Alfonso
    had done to me. I told her he was a pervert. My mom looked at me funny, I laid down and
    went back to sleep.
    Later that day Alfonso bought me a pair of custom earrings that I had been asking
    to have for a long time. I knew he was buying it because he was calling me on my phone
    and asking me what I wanted the earrings to say. This was not the way Alfonso normally
    was. I knew he was trying to get me to keep quite [sic] about what he did to me.
    When I got home Alfonso kept trying to pull me aside. He kept telling me how
    much he loved me. This was also not the way Alfonso normally is. He never apologized
    for what he did to me he just kept telling me he loved me more than anything.
    My mom asked me if I wanted her to say anything to Alfonso. I told her that I did.
    She confronted Alfonso and told him what I had told her about him touching on me.
    -4-
    
    2022 IL App (2d) 200171-U
    Alfonso told my mom that I must have been dreaming. He kept asking me if I was serious
    and kept trying to make it look like I was lying.
    Later that day we all went to my grandmother’s house. My sister, [K.S.], told my
    grandmother what Alfonso had done to me. I spent the night at my grandmother’s house
    and she asked me if I wanted to call the police. I told her I did. When my mom found out
    that my grandmother had called the police she kicked Alfonso out of the house.
    I think Alfonso should be put in jail because if he doesn’t [sic] he will move out of
    town with my mom and my little sister will go with her. I don’t want Alfonso to be
    touching on her or any of my other sisters. Before this happened to me I thought Alfonso
    was ok. He was decent to me and my sisters. Now I hate Alfonso for what he did to me.
    I am angry at my mom for not believing me and for still talking to Alfonso.”
    ¶7                                      B. The Bench Trial
    ¶8     A two-day bench trial commenced on October 15, 2012, before Judge Gary V. Pumilia.
    The State’s first witness was K.J., R.J.’s mother. She testified that R.J. is one of her five children.
    She stated that she had been married to defendant, who was born on February 8, 1980, since
    December 2009. On March 20, 2010, she was living with her children and defendant in their home
    in Rockford.
    ¶9     R.J. was called to testify. She testified that she was born on March 29, 1996, and a junior
    in high school. She stated that she knows defendant because he is married to her mom and is her
    three-year-old sister’s dad. She explained that she does not see him any longer because “he just
    doesn’t come around.”
    ¶ 10   R.J. testified that on March 20, 2010, she was 13 years old, though she turned 14 just over
    a week later. At that time, she was living with her mother, defendant, and her siblings, in a two-
    -5-
    
    2022 IL App (2d) 200171-U
    story house in Rockford. She described their home as having a living room, dining room, and
    kitchen on the first floor and four bedrooms on the second floor. She explained that two of her
    sisters shared a bedroom, she and her older sister had their own rooms, and her mother and
    defendant shared a room.
    ¶ 11    On the evening of March 19, 2010, R.J. testified that when she went to bed, she decided to
    sleep in her sister’s bed. Her mother and siblings were all in the living room where they had fallen
    asleep. She was the only person upstairs that night. When asked how she woke up that day, she
    stated “I just woke up.” When asked what happened next, R.J. replied: “Same thing that happens
    any other day” and “Wake up, talk to my mom and my sisters.” When asked if she told her mom
    that morning that defendant had done anything to her, she replied “No.”
    ¶ 12    R.J. stated that she did go to her grandmother’s house the next day, but she denied telling
    her grandmother that defendant had done anything to her. However, she acknowledged that the
    police were called to her grandmother’s house, and she spoke to Officer Seale. Her aunt, cousins,
    and sisters were all at her grandmother’s house that day. She said that her grandmother and aunt
    were with her when she spoke to the police. She admitted that she told Officer Seale that defendant
    had “molested” her. She admitted that she told him that she was lying in bed and defendant came
    upstairs and got into bed with her. R.J. told the police that defendant said none of her sisters would
    cuddle with him. Defendant asked R.J. if she loved him, and she said she told him “yes.” She told
    the police that defendant asked to watch a movie, so she changed the channel to a movie, and then
    she went back to sleep. She testified that she told the police that defendant was sleeping beside
    her, he tickled the outside of her right leg, and he then put his hand in her pants and started touching
    her. She admitted she told Officer Seale that defendant touched her with his hand inside her vagina
    and her butt. She then told the police she got up and went to the bathroom, then she went and told
    -6-
    
    2022 IL App (2d) 200171-U
    her mom what happened. This all occurred around 4 a.m. on March 20, 2010. She admitted that
    she told Officer Seale that after she talked to her mom, she stayed downstairs and slept in the living
    room with her siblings.
    ¶ 13   Later in the day on March 20, 2010, defendant called R.J. to talk to her about buying her
    earrings. She explained that they “were already talking about buying the earrings, and then I guess
    he -- and then he was talking about going to order [the] earrings.” He called to ask her what she
    wanted the earrings to look like. R.J. stated that defendant did buy her the earrings.
    ¶ 14   R.J. testified that two months later, on May 20, 2010, she went to the public safety building
    with her mother to talk to Detective Nordberg. She explained that she was alone with Detective
    Nordberg when she gave her statement. When asked whether her mother wanted to take her to
    make the statement, R.J. replied: “I don’t know if she wanted to bring me or not.” She admitted
    that she told Detective Nordberg about the incident, and he typed it on the computer, gave her a
    printed copy, and allowed her to read it. She admitted that she read the statement, initialed each
    paragraph, and signed both pages acknowledging that it was her statement and that it was the truth.
    She admitted that she told Detective Nordberg it was the truth. However, when asked whether the
    statement was the truth, R.J. stated that it was not and she “made it up.” The following colloquy
    took place:
    Q: Is this statement the truth?
    A: No.
    Q: Why isn’t it?
    A: Because I made it up.
    Q: You did? How come?
    A: Because I thought it was going to stop my mom from taking to [defendant].
    -7-
    
    2022 IL App (2d) 200171-U
    Q: Why would you want that?
    A: Because she wasn’t acting like a mom to her kids.
    Q: So when’s the first time you decided to make this up?
    A: What do you mean?
    Q: When did you decide to make this up?
    A: When my mom started showing him more attention than her kids.
    Q: So at 4:00 a.m. on March 20th, you decided to make this up?
    A: No.
    Q: Well, that’s the first time you told your mom, isn’t it?
    A: Yeah, but I didn’t just pick a date.
    Q: But you admitted that the first time you told your mom that this defendant did
    something to you that he shouldn’t was at 4:00 a.m. on March 20th, 2010, isn’t that right?
    A: No, it was the next morning.
    Q: And that is in March, and two months later [when she made the written
    statement] you are still making this up; is that right?
    A: Yep.”
    ¶ 15   The State then reviewed each line of the written statement with R.J. asking whether the
    information was true. R.J. testified that it was true that her mother took her to speak with Detective
    Nordberg about what defendant did to her. R.J. said she told Detective Nordberg that her mother
    did not want to take her to give her statement and her grandmother made her mom take her, but
    she now said did not know if her mom wanted to bring her or not. She said the statement was true
    that she lived with her mom, defendant, and her siblings. She testified that it was true that on
    March 19, 2010, at around 11:30 p.m. she went to sleep in her sister’s room and left the television
    -8-
    
    2022 IL App (2d) 200171-U
    on to the music channel. She said it was true that around 4:20 a.m., she was awakened by defendant
    coming into the bedroom and getting into bed with her. She said it was true that he handed her the
    remote and told her to find a movie to watch and she changed the channel to a movie. She said
    she did not remember if defendant was slurring his speech or was drunk. When asked why she
    would think he might be drunk, she replied “If he was slurring his speech, then he was probably
    drunk.” When asked again, “So he was slurring his speech?”, she replied “Sure.”
    ¶ 16     At this point, the State asked R.J. if she wanted to be in court, and she said no. She
    acknowledged that her mom was not happy about having to bring her to court. When asked “When
    you guys leave here, she makes it clear she’s not happy about coming here and not happy about
    me [State’s attorney]; isn’t that right?” R.J. replied “yeah.” When asked whether “it would be
    much easier for you if this never happened and you didn’t have to go through this?”, she answered
    “Yes.”
    ¶ 17     R.J. admitted it was true that defendant told her that “nobody downstairs loved him” and
    he told her to give him a hug. She admitted it was true that defendant asked her if she loved him
    and told her to say it, so she did. When asked if it was true that he pulled her close to him, she
    said no. She admitted that she was not feeling uncomfortable at that time. She then fell back to
    sleep.
    ¶ 18     When asked about her statement to the police where she said that she woke up when
    defendant moved his hands underneath her pajama bottoms and into her underwear, R.J. stated
    that it was not true. She said that the parts of her statement describing that defendant put her fingers
    into her vagina and anus were not true. R.J. also admitted that she told the police in her statement
    that defendant took her left hand and put it on his penis through his clothing, but she testified that
    this was not true. When asked about her statements that she went into the bathroom, then
    -9-
    
    2022 IL App (2d) 200171-U
    downstairs to lay on the floor with her sisters who were watching television and sleeping, she said
    that was not true. She denied any interaction with her mother at that time, including telling her
    that defendant did anything inappropriate to her that night or telling her defendant was a pervert.
    ¶ 19   She admitted that the statement describing that defendant purchased her custom earrings
    that she had been asking to have for a long time was true. R.J. said that her statement that she
    knew defendant was trying to keep her quiet about what he did to her was not true. She also stated
    that it was not true that defendant kept trying to pull her aside or tell her how much he loved her.
    R.J. testified that the statements regarding her conversation with her mother about confronting
    defendant and her mom’s confrontation with defendant and were not true.
    ¶ 20   When asked whether her statement that “Later that day we all went to my grandmother’s
    house” was true, she said no, they did not go to her grandmother’s house. She said it was not true
    that her sister told her grandmother about what defendant did to her. When asked whether she
    spent the night at her grandmother’s house and her grandmother asked if she wanted to call the
    police, she stated this was true. R.J. said it was true that when her mother found out that her
    grandmother called the police, her mother kicked defendant out of the house. When asked about
    the last sentence of her statement “I am angry at my mom for not believing me and still talking to
    [defendant]” she answered “Yeah.”
    ¶ 21   R.J. testified that she never told the State’s attorney that her previous statements to the
    police were untrue, and the following colloquy took place:
    Q: This is – this has been tough on your family?
    A: Yeah.
    Q: Your mom is still married to the defendant?
    A: I guess.
    - 10 -
    
    2022 IL App (2d) 200171-U
    Q: And you don’t like to see your mom upset?
    A: No
    Q: And you’ve had to come to court several times and miss school for this case;
    isn’t that right?
    A: Yes.
    Q: And every time your mom brings you?
    A: Yeah.
    Q: And your mom is not happy about having to do that either, is she?
    A: No.
    Q: On September 26, 2012, you wrote a note saying that you had made this whole
    thing up; isn’t that right?
    A: Yeah.
    Q: Who—where did you write that note?
    A: At home.
    Q: And who did you give it to?
    A: What do you mean?
    Q: Well, you wrote the note. What did you do with it?
    A: I went and got it notarized.
    ***
    Q: And how did you know you had to have it notarized?
    A: Because I know that you have to have it notarized.
    Q: How do you know that?
    A: My mom told me.”
    - 11 -
    
    2022 IL App (2d) 200171-U
    ¶ 22   On cross-examination, R.J. testified that defendant bought the custom earrings for her right
    around the time her interaction with the police was happening which was two or three days before
    her birthday. She explained that she had talked to defendant weeks before this alleged incident
    about the earnings which she wanted for her birthday. After restating that many of the things she
    put in her statement were not true, R.J. was asked whether she was telling the truth then or now;
    she answered, “I’m telling the truth now.”
    ¶ 23   R.J. stated that she has not had much contact with defendant since the incident. She did
    not know how long her mother and defendant had been married prior to the incident, but she stated
    that her relationship with her mom changed after the marriage. R.J. was asked further about that:
    “Q: In what way [did your relationship with your mother change]?
    A: We – it was just – do you mean like in a bad way or how? It just was like we
    don’t talk or nothing. We didn’t do stuff like we used to.
    Q: Did you feel like the amount of attention that you would seek from your mom
    was less after she got married to [defendant]?
    A: Yeah.
    Q: How did that feel?
    A: Bad.
    Q: Did you want it to go back to the way it was before?
    A: Yeah.
    Q: And do you think it would have gone back to the way it was before if [defendant]
    wasn’t there anymore?
    A: Yeah.”
    - 12 -
    
    2022 IL App (2d) 200171-U
    ¶ 24   R.J. was then asked again about her written statement regarding the interaction between
    her and defendant that morning in her sister’s room. She denied any inappropriate touching
    occurred. She admitted that she put all of those things in her statement and said that they were
    true when she spoke with Officer Nordberg.
    ¶ 25   R.J. was asked about her handwritten letter dated September 26, 2012. She testified that
    her intention in writing that letter was “To let them know that what I said – that I lied about what
    I said.” Although the handwritten letter was admitted into evidence, it is not in the record on
    appeal. The following colloquy took place regarding the letter:
    “Q: Did anyone tell you what words to use?
    A: No.
    Q: In that statement, you said that you’re writing to state that this is a whole
    misunderstanding?
    A: Yeah.
    Q: That you didn’t believe that the situation would go this far. I’m sorry I lied
    about the whole thing?
    A: Yeah.
    Q: I lied because I was angry with my mom?
    A: Yeah.
    Q: I just wanted her to put more attention into us, her kids, more than she was with
    her husband?
    A: Yeah.
    Q: I was angry and didn’t realize this was serious and didn’t even think it would
    go far?
    - 13 -
    
    2022 IL App (2d) 200171-U
    A: Yeah.
    Q: I know what I did was wrong, but I just wanted to take the time to say I’m sorry
    for all this confusion and misunderstanding?
    A: Yeah.
    Q: What I said was a lie, and I know lying is wrong, but at the time I really didn’t
    care?
    A: Yeah.
    Q: And then you signed that, right?
    A: Yes.”
    ¶ 26   R.J. acknowledged that she met with defense counsel believing that he was going to take
    her recantation statement and type it for her. However, R.J. explained that she subsequently took
    her handwritten letter to defense counsel at which time he informed her that it must be notarized.
    R.J. was asked further about the letter:
    “Q: When you said in this handwritten statement that you didn’t think things would
    go this far, were you saying that you didn’t think you would have to come and testify and
    be uncomfortable, or you just didn’t think anything would happen because of what you told
    your mom?
    A: I didn’t think that anything would happen. I didn’t think that I was going to
    have to go through court and all that.
    Q: Did you think that by talking to the police that that would result in the end of
    your mom’s relationship with [defendant]?
    A: Yes.
    Q: Is that what you wanted?
    - 14 -
    
    2022 IL App (2d) 200171-U
    A: Yes.”
    When asked when she first told someone that she made up the story, she replied “I don’t know.
    I really didn’t tell anyone that I made it up.” She then said she did tell her mother.
    ¶ 27   Questioning regarding the handwritten statement continued during redirect examination:
    “Q: When you say you never thought things would go this far, you didn’t think the
    defendant was going to get arrested; is that what you were saying?
    A: Yeah, I thought he was going to get arrested, but I didn’t think that I was going
    to have to go to court.
    Q: And a year ago when you met with me, we talked about maybe it would have
    to go to court, right?
    A: Yeah.
    Q: Yeah. And you didn’t tell me a year ago that this didn’t happen; isn’t that right?
    A: Yeah.”
    ¶ 28   When asked when it was that she first decided to make this up, R.J. responded that she did
    not remember. When asked further, she responded that she was at home in her living room when
    she decided to make this up. She thought it was the day before it happened.
    ¶ 29   On redirect, R.J. acknowledged that she was examined by Dr. Davis at the MERIT Clinic
    on June 29, 2010. She admitted that she told Dr. Davis that defendant had put his finger in her
    anus. She admitted that she did not tell Dr. Davis that none of this was true. She admitted that
    she met with the prosecutor’s office in December 2011 and never told them she was lying about
    the incident.
    ¶ 30   On recross, R.J. admitted that she told Dr. Davis all of the things she told Officer Nordberg
    about the incident. She admitted that there was a time when she was worried that her mom and
    - 15 -
    
    2022 IL App (2d) 200171-U
    younger sister would move out of town with defendant. She did not want to move. When asked
    if it was possible that everything in the original statement she gave to Officer Nordberg was true
    and that her handwritten letter and her testimony were lies, she answered “No.”
    ¶ 31   The court then questioned R.J. as follows:
    “Q: You are in a tough spot, aren’t you, R.J.?
    A: Yeah.
    Q: Do you think there’s anything good that can come out of it?
    A: That this will be over.
    Q: Did you think your mom would be mad at you for lying about [defendant]?
    A: Probably.
    Q: Did you think that would help your relationship with your mother?
    A: No, but then again she wouldn’t talk to him anymore.
    Q: Who were you mad at, your mom, or [defendant]?
    A: My mom.
    Q: Why did you take it out on [defendant]?
    A: I don’t know.
    Q: This is a lot for a 16-year-old to carry around, isn’t it?
    A: Yeah.
    Q: It’s been going on for, what is this? Nearly a third year now?
    A: Yep.
    Q: You’ve had to live with it every day?
    A: Yeah.
    Q: When did it start to really get to you?
    - 16 -
    
    2022 IL App (2d) 200171-U
    A: I don’t know, probably when they told me that I had to come to court and testify.
    Q: When did they tell you that?
    A: I don’t remember.
    Q: A long time ago?
    A: Yeah.
    Q: What’s the best thing that could happen out of all of this for you?
    A: What do you mean?
    Q: I mean, what’s the best outcome? How do you want your life to be put back
    together?
    A: Once this is over with, then I don’t have to come.
    Q: I missed part of that. Once it’s over with what?
    A: Then that’s when I don’t have to come to court again.
    Q: Right now you’ve got pressure on you from all over the place, don’t you?
    A: Yeah.
    Q: No matter what you do, it’s the wrong thing?
    A: Yeah.
    Q: Do you feel like that’s the spot you’re in?
    A: Yeah.
    Q: Do you think there’s a right thing for you to do, a way that you can make things
    come out good?
    A: I don’t know.”
    ¶ 32   R.J. said her mom is not happy about the situation and is not happy with her. She said she
    did not know if her mom was happy with defendant. R.J. stated she thought she could make things
    - 17 -
    
    2022 IL App (2d) 200171-U
    right with her mom, but she had not talked to her mom about the situation or what will happen
    when this is all over. She acknowledged that lying is a serious matter, and she assumed she could
    get in trouble for lying. When asked which she thought was worse, lying to the police or lying to
    the court, she replied “Lying to the police.”
    ¶ 33   Office Andrew Seale, a patrol officer with the Rockford Police Department, testified that
    he responded to a call at 10:38 a.m. on March 21, 2010, at R.J.’s grandmother’s house. He spoke
    with R.J. alone, and she told him about the incident that took place in the early morning hours of
    March 20, 2010. R.J. told him she was asleep in an upstairs bedroom in their home when defendant
    came into the room. R.J. told him that defendant asked her if she loved him, and she responded
    that she did. R.J. told him that defendant got into bed with her, pulled her close, and tickled her
    leg. R.J. had fallen asleep and woke up when defendant had his hands inside her pants. R.J. told
    him that defendant put his finger in her anus.
    ¶ 34   Officer Kevin Nordberg, a detective with the Rockford Police Department, testified that in
    March 2010, he was assigned to investigate the allegation of sexual abuse in this case. He met
    R.J. on May 20, 2010, at the public safety building. Officer Nordberg initially spoke with R.J. to
    get a verbal account of the incident. He then typed her statement on his computer, referring to his
    notes and asking R.J. questions that came up as he completed her statement. Officer Nordberg
    then printed the statement, read it aloud to her, and gave her the opportunity to make any
    corrections. He then had R.J. initial each paragraph and sign both pages of the statement. R.J.
    signed the statement affirming that it was true and accurate. Officer Nordberg acknowledged that
    People’s Exhibit No. 1 was an exact photocopy of the statement.
    ¶ 35   Officer Nordberg testified that he met with defendant on June 30, 2010, in the public safety
    building. Detective Joyce was present. Defendant was given his Miranda rights both verbally and
    - 18 -
    
    2022 IL App (2d) 200171-U
    in writing. After acknowledging his Miranda rights, defendant answered questions. Defendant
    said that on the evening and early morning of March 19 and 20, 2010, he had been out drinking.
    He arrived home between 2 and 3 a.m. Defendant told Officer Nordberg that “when he drinks he
    gets very touchy-feely and he likes a lot of hugs and such.” Defendant told the officer that when
    he returned home, everyone on the first floor was asleep, so he went upstairs where R.J. was
    sleeping, woke her up, and started tickling her. Defendant said he got into bed with her and was
    “messing with her.” Officer Nordberg clarified that defendant did not definitively say he got into
    bed with R.J., but he did not deny doing so. When asked if he instructed R.J. to find a movie on
    television, he said that sounded “like something he would do.” When Officer Nordberg explained
    to him what R.J. had said, specifically about him putting his finger in her vagina and anus,
    defendant told the officer that he would not do that and explained “I can get any girl that I want
    even a nerdy girl.” When asked if he knew why R.J. would accuse him, defendant say he did not
    know. Defendant admitted to purchasing earrings for R.J. as a birthday gift. When asked if he
    still sees and speaks to R.J.’s mother, defendant said he sees her and talks to her daily.
    ¶ 36   On cross-examination, Officer Nordberg stated that defendant was not under arrest but
    came to the interview at the officer’s request. The interview was not recorded.
    ¶ 37   Dr. Raymond A. Davis, Jr., testified that he is a board-certified pediatrician with Rockford
    Health Physicians, and he runs the Medical Evaluation Response Initiative Team (MERIT), which
    is a child protection service at the University of Illinois College of Medicine in Rockford. He is
    board-eligible for the subspecialty of child abuse and neglect (which had become a formal specialty
    in 2009). He has been involved in the child-sexual-abuse and neglect medical field since 1988.
    The MERIT program provides expert evaluations for children that have been sexually abused,
    physically abused, or neglected, and provides community education for law enforcement, the
    - 19 -
    
    2022 IL App (2d) 200171-U
    Department of Children and Family Services, and other groups in the area of child abuse and
    neglect.
    ¶ 38   Dr. Davis examined R.J. on June 29, 2010, at the MERIT exam location on the campus of
    Rockford Memorial Hospital. Dr. Davis met with R.J. and her mom to get a medical history and
    discuss what happened. R.J. told him that she was in an upstairs bedroom when defendant came
    in and told her that no one loved him and asked her to tell him that she loved him. She said she
    fell asleep, but she woke up when defendant had his finger in her anus. She told him that defendant
    wanted her to touch his penis, but she did not. R.J. told Dr. Davis that she then went downstairs
    and reported it to her mother.
    ¶ 39   Dr. Davis performed a routine medical exam on R.J. looking at all areas of the body. He
    then did a colposcopic exam of her vaginal area and rectal area. During his testimony, he referred
    to the medical chart he used to diagram the area of examination.
    ¶ 40   On the rectal exam, R.J. had two small fissures—small splits in the superficial layers of the
    skin—at about the 11 o’clock and 1 o’clock positions in the perineal tissue, which is the tissue
    between the hymenal opening and the rectum. He also observed fissures on the anal canal at 1 and
    5 or 6 o’clock. Regarding her vaginal exam, he noted that R.J. was using a lot of talcum powder
    in this area which made it “difficult to get a good evaluation at this time.” He stated that “it
    appeared that there was a small tear or hymenal notch in the hymenal tissue at 5 o’clock” and some
    overall redness or erythema in the vaginal area. When asked further about the hymenal notch, Dr.
    Davis explained it is a disruption in the normally round or u-shaped hymenal ring, causing it to
    appear v-shaped.
    ¶ 41   Dr. Davis’s opinion was that the findings regarding R.J.’s rectal exam were “most likely
    consistent with probable constipation, although the mother and the child did not state that there
    - 20 -
    
    2022 IL App (2d) 200171-U
    had been problems or issues with constipation.” He noted there was some history of “infrequent
    bowel movements, harder movements, and blood that led me to believe those findings were more
    consistent with constipation, and the fact that there was no healing process, and less likely to be
    from any trauma that may have occurred on March 22nd from a finger.” Regarding the vaginal
    exam, he stated that the “hymenal finding of a notch is a suspicious finding for penetrating trauma
    or vaginal trauma and that’s a highly suspicious legion [sic] for sexual abuse.” He explained
    further that the notch was more consistent with sexual abuse because it is an area that is “well-
    protected, so there’s very little outside trauma that will cause problems” and based on her history
    there are no other explanations, unlike for the anal findings, for the injury (R.J. stated she did not
    use tampons and had not engaged in any sexual activity).
    ¶ 42   On cross-examination, Dr. Davis noted that the patient’s history is an important piece of
    information when conducting an examination to learn if there are “other extenuating circumstances
    that might explain any findings we might see on the exam, and then try to get some kind of
    understanding of what had happened or what had occurred so that we can match those findings or
    match our findings with the history, and also we take that into account then in forming our
    opinion.” Dr. Davis stated that part of the history was R.J. stated that she was asleep and when
    she awoke, she felt something in her anus. Dr. Davis acknowledged that she did not indicate that
    she felt something in her vagina. Dr. Davis testified that a hymenal notch is generally considered
    a traumatic injury, but that it may not require penetration, but stretching or pulling on the hymenal
    tissue. It is suspicious for sexual abuse because that is the most frequent cause of such a tear. He
    opined that 98 percent of the time the hymenal notch is from sexual abuse, two percent of the time
    there are other causes. Dr. Davis said that redness in the vaginal area during the exam in June was
    “probably not” caused by an incident in March. He noted that the anal fissures were newer and
    - 21 -
    
    2022 IL App (2d) 200171-U
    not healed, so “that would be inconsistent three months later to have an acute fissure that had not
    healed.”
    ¶ 43   On redirect, Dr. Davis explained that the redness in the vaginal area could have been caused
    by the use of talcum powder. He stated that although the anal fissures and erythema were probably
    not caused by something that happened in March, it is possible that the notch was caused by
    something that occurred in March. It was not an acute injury; it was a healed notch or injury. Such
    injuries could heal within about a two-week period.
    ¶ 44   Dr. Davis further acknowledged that the hymenal notch injury could have occurred or
    existed prior to March or been caused by something after that date. Dr. Davis stated that he
    examined R.J. one time, but because her extensive use of talcum powder made it difficult to get a
    good evaluation, he recommended that she return for a follow-up exam after avoiding the use of
    powder and doing some sitz baths. R.J. did have a second exam with the nurse practitioner about
    two weeks later.
    ¶ 45   The State moved for the admission of the written statement made to Office Nordberg, the
    Miranda forms from defendant’s interview, and Dr. Davis’s medical chart which included notes
    from his physical examination of R.J. as well as R.J.’s follow-up examination with the nurse
    practitioner, Lori Thompson, on July 12, 2010. The written statement to Officer Nordberg and
    R.J.’s statements to Dr. Davis were admitted as substantive evidence under section 115-10.1 of the
    Code of Criminal Procedure of 1963 (752 ILCS 5/115-10/1 (West 2010)). The State rested.
    ¶ 46   Defendant recalled R.J. as his only witness. R.J. testified that she, personally, wrote and
    signed the handwritten statement and had it notarized. That handwritten statement was entered
    into evidence, but it is not part of the record on appeal.
    ¶ 47                                C. Trial Court’s Decision
    - 22 -
    
    2022 IL App (2d) 200171-U
    ¶ 48   The court found that the State proved the elements of each count beyond a reasonable
    doubt. The court noted it was “baffle[d]” as to why the written statement to the police was so
    detailed and R.J.’s handwritten letter was so general. The court remarked that R.J.’s testimony was
    “useful only as far as impeachment of her.” The court stated:
    “I think the evidence, in this case, is clear regarding the position that this young girl
    finds herself in. If we go to the second line of [R.J.’s written statement], ‘My mom did not
    want to bring me here but my grandmother made her do it’. [sic] And that is clearly the
    position that she’s been in since March 2010, two-and-a-half years, just about.”
    The court concluded that there were details in her written statement that “only somebody who had
    experienced these events could relate.” The court noted that after observing R.J. on the stand and
    watching her answering questions, he concluded that “she was not capable of filling in all of these
    details on her own unless she experienced them.” The court noted considerable agreement between
    defendant’s and R.J.’s statements to the police. The court noted R.J.’s “statements of outrage” and
    “fear of the future” showed her state of mind. Defendant admitted to entering the bedroom and
    interacting with R.J., so the court concluded, “it’s not a question of if there was an opportunity,”
    but only “whether defendant took advantage of the opportunity.” The court decided “[t]he
    evidence, in this case, beyond a reasonable doubt says that he did.” Counts 3 and 4 were merged
    into counts 1 and 2, and judgment was entered on counts 1, 2, and 5.
    ¶ 49                               D. Posttrial Proceedings
    ¶ 50   On November 8, 2012, defendant field a timely motion for a new trial. After obtaining
    new counsel, John Nelson, defendant filed a detailed, supplemental-posttrial motion, arguing
    numerous errors, including several bases for ineffective assistance of trial counsel, Daniel Wilkins.
    The claims of ineffective assistance included waiver of a jury trial, the waiver of an opening
    - 23 -
    
    2022 IL App (2d) 200171-U
    statement, the decision to not call certain character witnesses, and allegations of counsel being
    generally unprepared for trial because of his belief that R.J.’s recantation foreclosed conviction.
    None of the claims of ineffective assistance pertained to the presentation of medical evidence and
    expert witness testimony. On December 10, 2013, a hearing was held on the posttrial motion and
    Wilkins was called to testify regarding the ineffectiveness claims. The court denied defendant’s
    motion. Defendant was sentenced to two six-year prison terms for criminal sexual assault (counts
    1 and 2) and a four-year prison term for aggravated criminal sexual abuse (count 5); all three terms
    to be served consecutively.
    ¶ 51   Defendant filed a timely notice of appeal on January 19, 2014; however, the appeal was
    dismissed due to defendant’s failure to timely file his appellate brief. On January 26, 2015,
    defendant, represented by new counsel, filed a timely postconviction petition alleging, inter alia,
    that his trial and posttrial counsel rendered ineffective assistance. The petition advanced to the
    second stage and an amended petition was filed on August 3, 2016. On February 27, 2020, the
    parties appeared before Judge Debra D. Schafer and the petition was disposed of by agreement of
    the parties based on appellate counsel’s handling of the original direct appeal. The trial court
    entered the following order: “Upon motion of the petitioner [and] upon the court’s order entered
    [February 27, 2020] allowing the defendant to refile his notice of appeal[,] the amended
    postconviction petition is withdrawn. [Defendant] is further barred from any future postconviction
    petitions based on the issue of ineffective appellate [sic] counsel (John Nelson).” In accordance
    with the court’s order, a new and timely notice of appeal was filed.
    ¶ 52                                   II. ANALYSIS
    ¶ 53                          A.   Sufficiency of the Evidence
    - 24 -
    
    2022 IL App (2d) 200171-U
    ¶ 54   Defendant first argues that his convictions must be reversed because the evidence was
    insufficient to prove him guilty beyond a reasonable doubt. He contends that R.J. gave conflicting
    accounts of the alleged incident in this case, to wit, her statement to Officer Seale, her written
    statement taken by Officer Nordberg, and her statements to Dr. Davis. Thereafter, she recanted
    her allegations of abuse against defendant in a notarized letter and during her trial testimony. He
    asserts that it “defies logic that more weight would be afforded to three unsworn, self-contradictory
    prior inconsistent statements, than two sworn, internally consistent statements given with a
    2
    plausible, unrebutted explanation of the complainant’s prior motive to lie.”       In this regard, he
    asserts that R.J. clearly identified her reasons for making the accusations against defendant (she
    was angry with her mother because defendant was taking her mother’s attention away from her
    and her siblings and she thought this would make her stop talking to him) and why she
    subsequently decided to recant those allegations (she learned she would have to testify about the
    matter in court and admit she lied to the police). Finally, he contends that there is no causal link
    between the alleged incident of abuse and the medical evidence presented.
    2
    In its brief and surreply brief, the State argues that we should disregard portions of
    defendant’s statement of facts because it contains improper argument and misconstrues the State’s
    position regarding the medical evidence. Supreme Court Rule 341(h)(6) (eff. Oct. 1, 2020),
    requires the facts to be “stated accurately and fairly without argument or comment.” The rules of
    procedure concerning appellate briefs are rules and not mere suggestions; therefore, we have
    disregarded any portions of the statement of facts that violate our rules. See In re S.F., 
    2020 IL App (2d) 190248
    , ¶ 16.
    - 25 -
    
    2022 IL App (2d) 200171-U
    ¶ 55   When presented with a challenge to the sufficiency of the evidence, “a reviewing court
    must determine whether, after viewing the evidence in the light most favorable to the prosecution,
    any rational trier of fact could have found the essential elements of the crime beyond a reasonable
    doubt.” People v. Jackson, 
    2020 IL 124112
    , ¶ 64. “It is the trier of fact’s responsibility to
    determine the witnesses’ credibility and the weight given to their testimony, to resolve conflicts in
    the evidence, and to draw reasonable inferences from the evidence; we will not substitute our
    judgment for that of the trier of fact on these matters.” People v. Brooks, 
    187 Ill. 2d 91
    , 132 (1999).
    It is the trier of fact that weighs how flaws in part of a witness’s testimony, including
    inconsistencies with prior statements, affect their credibility as a whole. People v. Cunningham,
    
    212 Ill. 2d 274
    , 283 (2004). “A trier of fact is free to accept or reject ‘as much or as little’ of a
    witness’s testimony as it likes.” People v. Rouse, 
    2014 IL App (1st) 121462
    , ¶ 46 (quoting People
    v. Logan, 
    352 Ill. App. 3d 73
    , 81 (2004)). A criminal conviction will not be set aside on a challenge
    to the sufficiency of the evidence unless the evidence is so improbable or unsatisfactory that it
    creates reasonable doubt of the defendant’s guilt. Jackson, 
    2020 IL 124112
    , ¶ 64.
    ¶ 56   In support of his argument, defendant compares this case to People v. Schott, 
    145 Ill. 2d 188
     (1991). In Schott, the inconsistences in the complaining witness’s statements and testimony
    regarding alleged abuse by the defendant were substantial, including, the location, time of year,
    number of occurrences, and nature of the alleged abusive conduct; that the witness on several
    occasions denied that the defendant had abused her, and said that an uncle had abused her; that the
    witness then admitted the accusations against the uncle were untrue; and that she admitted she lies
    “a lot.” 
    Id. at 191-93
    . Our supreme court concluded that the complaining witness’s testimony was
    “so fraught with inconsistencies and contradictions, that we find her testimony so lacking in
    - 26 -
    
    2022 IL App (2d) 200171-U
    credibility that a reasonable doubt of defendant’s guilt remains.” 
    Id. at 206-07
    . After reviewing
    the record in this case, we find the comparison of Schott to this case to be without merit.
    ¶ 57    A review of the evidence presented at trial reveals that R.J.’s testimony and defendant’s
    own account of their initial interaction in the early morning of March 20, 2010, are, in fact,
    consistent with R.J.’s three prior statements. R.J. testified that when she went to bed on the evening
    of March 19, 2010, she decided to sleep in her sister’s twin bed and left the television on the music
    channel. She testified that she was the only person sleeping upstairs because her mother and
    siblings had fallen asleep in the living room. She said it was true that she was awakened around
    4:20 a.m. when the defendant came into the bedroom and got into bed with her. She said it was
    true that he handed her the remote and told her to find a movie to watch and she changed the
    channel to a movie. She said she did not remember if he was slurring his speech or not, but when
    asked why she would think he might be drunk, she replied “If he was slurring his speech, then he
    was probably drunk.” When asked again “So was he slurring his speech?” she replied ‘sure.” R.J.
    admitted that defendant told her that “nobody downstairs loved him” and he told her to give him a
    hug. She admitted defendant asked her if she loved him, told her to say it, and she did. She said
    she was not feeling uncomfortable at this time and said she fell back to sleep. These admissions
    during R.J.’s testimony are consistent with her prior accounts. Also, during an interview with
    Detective Nordberg, defendant admitted that he had been out drinking and arrived home between
    2 and 3 a.m. on the morning of March 20, 2010. Defendant told Office Nordberg that “when he
    drinks he gets very touchy-feely and he likes lots of hugs and such.”        Defendant told Officer
    Nordberg that when he got home, everyone on the first floor was asleep, so he went upstairs where
    R.J. was sleeping, woke her up, and started tickling her. Defendant did not say whether he got into
    bed with her, but he did say he tickled her and was “messing with her.”
    - 27 -
    
    2022 IL App (2d) 200171-U
    ¶ 58   Furthermore, R.J.’s description of defendant’s conduct after their initial interaction that
    morning, while not identical in each of her three prior statements, is not as “self-contradictory” as
    defendant suggests. When Officer Seale was called to her grandmother’s house the day after the
    incident, she described her interaction with defendant and admitted that she told him that after
    defendant got into bed with her, “he put his hand in my pants and started touching me.”
    Specifically, she admitted that she told Officer Seale defendant placed his finger in her vagina and
    “butt.” Two months later, on May 20, 2010, R.J. gave a detailed statement to Detective Nordberg.
    R.J. acknowledged that she signed the written statement detailing the alleged abuse that occurred
    when defendant entered the room and got into bed with her that morning. She had fallen back to
    sleep, but she awoke when she felt defendant “move his hand underneath [her] pajama bottoms
    and into [her] underwear.” She stated that he put his fingers into her vagina and then her butt. She
    then sat up in bed and pulled his hand out, after which defendant “took [her] left hand and put it
    on his dick through his clothing.” He asked her if she wanted him to stop and she said “yes” and
    got out of bed and went to the bathroom. R.J. testified that a month later during her examination
    by Dr. Davis, she told Dr. Davis all of the things that she told Officer Nordberg. Dr. Davis testified
    that R.J. said defendant told her “a bunch of stories about how nobody loved [defendant] and [he]
    wanted [R.J.] to tell him that she loved him.” She told him that after talking with defendant, she
    fell asleep, but woke up and defendant had his “finger in her butt.” Dr. Davis stated that R.J. said
    defendant “wanted her to touch his penis, but she didn’t.”
    ¶ 59   At trial, R.J. recanted the statements she made about defendant touching her
    inappropriately. She said she lied about defendant’s conduct because she was angry with her
    mother for spending more time with defendant than with her and her siblings. She could not recall
    when she decided to make the allegations, but later testified that it was the day before the incident.
    - 28 -
    
    2022 IL App (2d) 200171-U
    She denied that the defendant’s purchase of custom earrings for her was a gesture to keep her quiet
    about what he did to her. She started to become concerned about lying when she realized she
    would have to testify in court. However, she acknowledged that she had been informed that she
    would have to testify in court “a long time ago” but still did not tell anyone she made up the story.
    She explained that she wrote the letter dated September 26, 2012, and had it notarized to explain
    that it was a “whole misunderstanding,” that she “didn’t believe the situation would go this far,”
    and she made up the allegations.
    ¶ 60    “It is well settled that recantation of testimony is generally regarded as unreliable,
    especially where it might have resulted from duress or perceived threat.” Jackson, 
    2020 IL 124112
    , ¶ 67. Under such circumstances, it is for the trier of fact to determine credibility of the
    recantation testimony. 
    Id.
     Here, defendant asks this court to substitute our judgment for that of
    the trial court by accepting R.J.’s recantation testimony and reversing his conviction. Only in
    “extraordinary circumstances” will courts grant a new trial on the basis of recantation testimony.
    People v. Morgan, 
    212 Ill. 2d 148
    , 155 (2004). We conclude that such extraordinary circumstances
    do not exist in this case.
    ¶ 61    After weighing all of the evidence, the court determined that R.J.’s prior statements to
    Officer Seale, Detective Nordberg and Dr. Davis, describing the alleged abuse were credible and
    her recantation was not. The court noted that after observing R.J. on the stand and watching her
    answering questions, he concluded that “she was not capable of filling in all of these details on her
    own unless she experienced them.” The court further noted considerable agreement between
    defendant’s and R.J.’s statements to the police. As the trier of fact, the trial judge was in the best
    position to assess R.J.’s demeanor and credibility. The judge questioned R.J. extensively regarding
    the difficult position she was in because of this case and her relationship with her mom. When the
    - 29 -
    
    2022 IL App (2d) 200171-U
    judge asked R.J. why she took out her anger at her mom on the defendant, she replied she did not
    know. When asked about what she wanted to happen and what the best outcome for all of this
    would be for her, she replied several times for it to be over so she would not have to come to court
    anymore. At one point during cross-examination, R.J. admitted that her mom was not happy with
    her and it would be much easier for her if this never happened, so she did not have to appear in
    court. As the judge noted, R.J. told Detective Nordberg that her mother did not want to take her to
    talk to the police, but R.J.’s grandmother made her. The judge concluded that this seemed to be
    the same position she remained in over two years later. After reviewing the totality of the evidence
    presented, we conclude that a rationale trier of fact could have found the essential elements of the
    crimes charged proven beyond a reasonable doubt.
    ¶ 62   We note that defendant argues further that the lack of evidentiary support for defendant’s
    conviction for aggravated criminal sexual abuse (count 5) is “especially acute, and that conviction
    should be reversed because it is based solely on a bare allegation in an unsworn, contradicted, and
    twice-recanted prior inconsistent statement.” The evidence supporting the inappropriate touching
    alleged in count 5 was in R.J.’s written statement to Detective Nordberg. R.J. said she sat up and
    pulled defendant’s hand away from her after he had placed his finger in her vagina and butt, and
    then defendant took her left hand and placed it on his penis outside of his clothing. She then
    reported that defendant asked her if she wanted him to stop. She replied “yes” and got out of bed
    and went into the bathroom. During her testimony at trial, R.J. said she lied about this conduct.
    Dr. Davis also testified that R.J., who was 14 years old at the time, told him that on the morning
    of the incident defendant wanted her to touch his penis, but she did not. As we previously noted,
    it is for the trier of fact to weigh the credibility of the witnesses and weight to be given to the
    testimony and resolve any conflicts in the evidence.
    - 30 -
    
    2022 IL App (2d) 200171-U
    ¶ 63                              B. Ineffective Assistance of Counsel
    ¶ 64   Defendant argues that both trial and posttrial counsel were ineffective for failing to
    challenge the opinion testimony of Dr. Davis.
    ¶ 65   Defendant first argues that his trial counsel, Wilkins, was ineffective for failing to bring
    attention to the discrepancies between R.J.’s first and second MERIT exams and challenge Dr.
    Davis’s opinion in this regard. The State argues defendant waived this claim by failing to preserve
    the issue for review. We agree.
    ¶ 66   To preserve an issue for appeal, there must be both an objection at trial and the issue must
    be included in a posttrial motion. People v. Enoch, 122 Ill 2d 176, 186 (1988). The purpose of
    including the specific claimed error in a posttrial motion is to clarify the issues on appeal and to
    allow the trial court the opportunity to correct any errors and grant a new trial if necessary. See
    
    id.
     An attorney who represented a defendant at trial is not expected to file a motion alleging his
    own ineffectiveness. See People v. Keener, 
    275 Ill. App. 3d 1
    , 5 (1995) (“A per se conflict of
    interest arises when attorneys argue motions in which they allege their own ineffectiveness.”).
    However, when defendant has a new attorney representing a defendant in posttrial proceedings,
    posttrial counsel will not face a conflict of interest in claiming ineffectiveness of trial counsel;
    thus, waiver applies if a claim is not raised before the trial court. People v. Ramos, 
    339 Ill. App. 3d 891
    , 900 (2003).
    ¶ 67   After his trial, defendant was appointed new counsel, Nelson. Nelson filed a detailed
    posttrial motion alleging numerous errors, including several bases for ineffective assistance of trial
    counsel. However, none of the claims of ineffective assistance pertained to the presentation of
    medical evidence and expert witness testimony. After a hearing on the motion where Wilkins
    testified, the trial court denied the motion, finding that Wilkins was effective in his representation
    - 31 -
    
    2022 IL App (2d) 200171-U
    of defendant and that he met reasonable standards as to each claim. Having had the opportunity
    to raise this issue before the trial court, and failing to do so, we deem it waived.
    ¶ 68   Accordingly, we will address this matter only in the context of the ineffective assistance of
    counsel claim as to defendant’s posttrial counsel.
    ¶ 69   Defendant argues that his posttrial counsel, Nelson, rendered ineffective assistance by
    failing to raise trial counsel’s ineffectiveness on the issue of the medial evidence. He argues that
    the inconsistency between the hymenal notch findings from R.J.’s first and second MERIT exams
    is “exculpatory medical evidence the defense could have used to meaningfully undermine the
    State’s case and support its theory that [defendant] did not sexually abuse R.J. on March 20, 2010.”
    Therefore, Nelson should have made an additional ineffectiveness claim in the supplemental
    posttrial motion.
    ¶ 70   Illinois courts address ineffective assistance of counsel claims under the two-prong test
    established in Strickland v. Washington, 
    466 U.S. 668
     (1984). Under Strickland, a defendant must
    prove: (1) that his defense counsel’s performance fell below an objective standard of
    reasonableness, and (2) that there is a reasonable probability that, but for this substandard
    performance, the result of the proceedings would have been different. People v. Alvine, 
    173 Ill. 2d 273
    , 293 (1996). “A reasonable probability is a probability sufficient to undermine confidence
    in the outcome.” Strickland, 
    466 U.S. at 694
    . Mere conjecture and speculation are not sufficient
    to establish this probability. People v. Gosier, 
    165 Ill. 2d 16
    , 24 (1995). Because a defendant’s
    failure to establish either part of the Strickland test will defeat an ineffectiveness claim, a court
    need not address both components of the inquiry if defendant makes an insufficient showing on
    one. Strickland, 
    466 U.S. at 697
    . Thus, a court considering such a claim “need not determine
    - 32 -
    
    2022 IL App (2d) 200171-U
    whether counsel’s performance was deficient before examining the prejudice suffered by the
    defendant as a result of the alleged deficiencies.” Strickland, 
    466 U.S. at 697
    .
    ¶ 71   A mistake in trial strategy or an error in judgment by defense counsel will not alone render
    representation constitutionally defective. People v. Perry, 
    224 Ill. 2d 312
    , 355 (2007). Such
    decisions are sufficient to establish ineffectiveness only if trial counsel’s chosen strategy is so
    unsound that counsel completely fails to conduct any meaningful adversarial testing of the State’s
    case. Peterson, 
    2017 IL 120331
    , ¶ 80. After reviewing the evidence, we determine that Nelson’s
    decision to forego a claim of ineffectiveness on the basis of the medical testimony did not
    constitute ineffective assistance.
    ¶ 72   Defendant argues that it should have been apparent to Nelson that Wilkins’s decisions
    regarding the medical testimony and evidence were deficient. Specifically, Dr. Davis should have
    been cross-examined about R.J.’s second MERIT examination which revealed his findings
    regarding the hymenal notches were different than the observations of Lori Thompson, the nurse
    practitioner who competed the second MERIT examination. He also argues Thompson should
    have been called to testify as to her findings. However, determining which witnesses to call and
    what evidence to present are decisions left to the discretion of trial counsel after consulting with
    defendant and ordinarily will not support a claim of ineffective assistance of counsel. People v.
    Peterson, 
    2017 IL 120331
    , ¶ 80. Also, a review of the record reveals that Dr. Davis’s opinion was
    meaningfully challenged by Wilkins and Thompson’s findings were, in fact, admitted into
    evidence. Dr. Davis did observe one hymenal notch, despite his acknowledgement that it was
    difficult to get a good evaluation at the time due to the presence of talcum powder. However, he
    admitted that the notch was healed, which he opined could generally occur within two-weeks.
    Therefore, he acknowledged that the notch could have been caused by trauma on March 20, 2010,
    - 33 -
    
    2022 IL App (2d) 200171-U
    but it also could have been present before that date or it could have been caused by something after
    that date. Further, Dr. Davis noted that the fissures found during the rectal exam were likely caused
    by constipation and not by any trauma on March 20, 2010. Although Thompson was not called to
    testify, her findings were, in fact, admitted into evidence. Thompson’s findings supported Dr.
    Davis’s acknowledgement of the limitation in his examination, namely, that it was difficult for
    him to make a good evaluation due to R.J.’s use of talcum powder and his acknowledgment on
    cross-examination that the timing of injury was uncertain.
    ¶ 73   Based on the foregoing, we conclude that Nelson’s decision to forego including an
    ineffective assistance of counsel claim based on Wilkins’s decisions regarding the medical
    evidence at trial did not, standing alone, constitute ineffective assistance of counsel. “ ‘ Satisfying
    the prejudice prong necessitates a showing of actual prejudice, not simply speculation that
    defendant may have been prejudiced.’ ” People v. Johnson, 
    2021 IL 126291
    , ¶ 55 (quoting People
    v. Patterson, 
    2014 IL 115102
    , ¶ 81). After reviewing the claims regarding the medical evidence in
    the context of the totality of the evidence presented, we conclude defendant was not prejudiced
    because there is no reasonable probability that the result of the proceedings would have been
    different had the claim been raised.
    ¶ 74                                    III. CONCLUSION
    ¶ 75   For the reasons stated, we affirm the judgment of the circuit court of Winnebago County.
    ¶ 76   Affirmed.
    - 34 -