PATRICIA A. CZMYR VS. DARLENE S. ALDEROTYÂ (L-4731-14, MIDDLESEX COUNTY AND STATEWIDE) ( 2017 )


Menu:
  •                         NOT FOR PUBLICATION WITHOUT THE
    APPROVAL OF THE APPELLATE DIVISION
    This opinion shall not "constitute precedent or be binding upon any court."
    Although it is posted on the internet this opinion is binding only on the
    parties in the case and its use in other cases is limited. R.1:36-3.
    SUPERIOR COURT OF NEW JERSEY
    APPELLATE DIVISION
    DOCKET NO. A-1091-16T4
    PATRICIA A. CZMYR,
    Plaintiff-Respondent,
    v.
    DARLENE S. ALDEROTY,
    Defendant-Appellant.
    ——————————————————————————————————
    Argued May 10, 2017 – Decided July 28, 2017
    Before Judges Lihotz, Hoffman and Whipple.
    On appeal from Superior Court of New Jersey,
    Law Division, Middlesex County, Docket No. L-
    4731-14.
    Lisa R. Marshall argued the cause for
    appellant (Law Offices of Viscomi & Lyons,
    attorneys; Ms. Marshall, on the brief).
    Charles F. Kenny argued the cause for
    respondent   (LoPiano   Kenny    &   Stinson,
    attorneys; Mr. Kenny of counsel and on the
    brief; Caitlin Rizzo, on the brief).
    PER CURIAM
    Defendant Darlene S. Alderoty appeals from a Law Division
    order granting plaintiff Patricia A. Czmyr a new trial.                     During
    her cross-examination of plaintiff, defense counsel repeatedly
    asked her, despite repeated objections, whether she remembered
    complaining to her doctor about neck, back, and shoulder pain on
    numerous occasions before the underlying accident.          When plaintiff
    said no, defense counsel told the jury she was showing plaintiff
    her medical records to try to refresh her memory.          Defense counsel
    never admitted the records under an exception to inadmissible
    hearsay.    After the trial court issued a curative instruction, the
    jury returned a $3200 verdict in favor of plaintiff.              Plaintiff
    moved for a new trial on damages, which the trial court granted,
    finding    the    $3200   award   "grossly   inadequate"   and    concluding
    defense    counsel's      inappropriate    cross-examination     "improperly
    influenced" the jury.        We affirm.
    I.
    We discern these facts from the trial record.          On October 11,
    2012, plaintiff stopped her car for a red light and then "was hit
    from behind . . . and jolted . . . back and forth."               Defendant
    operated the rear-ending car.         According to plaintiff, when she
    got out of her car, "I just did not feel right, especially in my
    head. . . .      [I]t was very fuzzy, just a nauseous type of feeling,
    very tight and tense, especially through the lower back up through
    my neck."     Plaintiff did not "feel there was a need to" call an
    ambulance, so she drove to her original destination, her eye
    doctor.    When plaintiff's pain increased in the days following the
    2                                  A-1091-16T4
    accident, she scheduled an appointment to see Edward Magaziner,
    M.D., a pain management doctor who previously treated her following
    motor   vehicle   accidents    in   1992   and   2000.         At   her     first
    appointment, plaintiff presented complaints regarding her neck,
    lower back, center back, shoulder, and right elbow.
    Dr. Magaziner saw plaintiff eight times over the course of
    the next year.    He recommended plaintiff undergo two courses of
    physical therapy, which she completed from November 2012 through
    March 2013, and from June 2013 through July 17, 2013.                          Dr.
    Magaziner also referred plaintiff for chiropractic treatment,
    which she received between August 2013 and April 2014.                         For
    plaintiff's left shoulder injury, she received treatment from an
    orthopedist, including three injections into her left shoulder.
    Plaintiff   testified    the    injections       did     not    improve        her
    functioning, but did provide minimal pain relief.              Plaintiff said
    she declined her doctor's recommendation of shoulder replacement
    surgery, but planned to receive another injection.
    Plaintiff    also   testified    regarding        prior   injuries        she
    sustained, including: a 1992 motor vehicle accident, when she
    incurred neck, back, and left knee injuries; a 1995 work-related
    accident, when she sustained a left elbow injury; and a 2000 motor
    vehicle accident, when she sustained neck, back, left shoulder,
    right hand, and right thumb injuries.       Plaintiff stated that prior
    3                                          A-1091-16T4
    to the subject accident, she felt pain in her neck, back, or left
    shoulder on some days, and other days she would feel no pain.                   She
    described this pain as "frustrating," but said it did not interfere
    with her functioning or activities of daily living.                    Plaintiff
    described her left shoulder pain before the subject accident as
    "intermittent," and "a seven" on a one–to-ten scale when she felt
    pain; however, since the accident, she experiences "constant"
    shoulder pain, which she rated "[a]bout a nine."                Plaintiff said
    the injuries to her left shoulder represent her biggest complaint.
    Plaintiff     testified    she    currently    takes    over-the-counter
    medications to alleviate her pain, explaining she does not want
    to   take   narcotics.      Plaintiff      said     she   currently   encounters
    difficulty performing various activities of daily living, such as
    dressing, bathing, and shaving, due to her neck, back, and left
    shoulder pain and other limitations, particularly if the activity
    involves reaching with her left arm.                Plaintiff also described
    difficulty performing yardwork and caring for her elderly rescue
    dog,   a    golden   retriever.         Plaintiff    stated   she    received   no
    treatment for her neck, back, or shoulder for approximately two
    years before the subject accident.
    Plaintiff     also   presented      the    videotaped    de    bene   esse
    deposition of Dr. Magaziner, who testified plaintiff sustained the
    following injuries as a result of the subject accident: L5-S1 disc
    4                                     A-1091-16T4
    herniation;    left     supraspinatus    rotator   cuff   tear;    additional
    ligament injury to the cervical, thoracic and lumbar spine, which
    will not heal to function normally; and right elbow epicondylitis,
    which resolved.
    Dr.   Magaziner    acknowledged    plaintiff's     previous       medical
    issues, noting she
    did have some arthritis in the shoulder. She
    did   have   arthritis  in   the   neck   and
    degenerative disc disease in the neck.    She
    did have arthritis in the lower back and some
    disc bulges in her lower back and some
    degeneration in her lower back. She did have
    a history of what we call carpal tunnel
    syndrome and tarsal tunnel syndrome . . . .
    On     cross-examination,      Dr.   Magaziner     acknowledged       treating
    plaintiff for neck, shoulder, lower back, and forearm injuries
    after an automobile accident in 2000.          He treated her every year
    from 2003 to 2010.           On July 28, 2010, he noted plaintiff was
    "having a flare-up of pain in her left neck, left wrist, lumbar
    back[,] and left shoulder. . . . [S]he has [a] known diagnosis of
    cervical sprain superimposed on degenerative joint disc disease,
    left    shoulder      tendonitis,    tendonitis    of     the     left     wrist
    superimposed       on    a     degenerative    process[,]       and       lumbar
    sprain . . . ."
    Dr. Magaziner ultimately concluded plaintiff
    had an exacerbation of some previous injuries
    with the sprains to the neck, mid and lower
    back which now became chronic muscle spasms
    5                                         A-1091-16T4
    and [a] chronic pain situation. The shoulder
    injury[,] although she did have pre-existing
    degeneration in the shoulder, it was in this
    accident with the seatbelt holding yourself
    back and with the forces that occur with that,
    and we see all the time, it caused that rotator
    cuff . . . to tear[,] and . . . she developed
    a further sprain to that shoulder in terms of
    the AC joint that we discussed about before,
    and if I didn't mention it, the L5-1 disc
    herniation . . . .
    Defendant briefly testified about the accident, which she
    described as "just a tap, that my bumper just tapped hers."
    Defendant stated her vehicle sustained "no damage," and she did
    not see any damage to plaintiff's car, only "a few scuff marks on
    the bumper."
    Defendant    then     presented   the   videotaped    de     bene   esse
    deposition   of   her    medical   expert,   Steven   Hausmann,    M.D.,   an
    orthopedic surgeon.       Dr. Hausmann reviewed plaintiff's MRIs from
    two months before the accident1 and compared them with plaintiff's
    MRIs from after the accident.          He concluded all of plaintiff's
    back and shoulder issues were degenerative, not traumatic, both
    before and after the accident.         He found no "objective evidence
    that [plaintiff] sustained a permanent injury as a result of th[e]
    accident."     He did note, however, that she had "an exacerbation
    1
    The record indicates plaintiff's cardiologist ordered the MRIs
    in August 2012 as part of an initial cardiology workup.
    6                             A-1091-16T4
    of her degenerative disease, which means a temporary worsening due
    to the impact from the accident."
    The    focus   of   this     appeal   occurred   during   the     cross-
    examination of plaintiff, when defense counsel asked her four
    times about various medical visits with her primary care doctor.
    Defense counsel posed these questions even though she did not
    intend to call the primary care doctor or any employee of his
    office     to   introduce   any    of    the   doctor's   office     records.
    Nevertheless, defense counsel proceeded with the following cross-
    examination:
    Q: Do you recall going on October 19th of 2012
    to see your doctor for a follow up? It was a
    seven-month follow-up visit?
    A: Which doctor is that?
    Q: This is your primary care doctor . . . .
    Who is your primary care doctor?
    A: Is it Friedman?
    Q: Dr. Friedman.      Yes.
    A: It was probably an appointment I had for
    months. Yes. I do follow up with him.
    Q: And do you remember complaining at that
    time of back and neck pain but no complaint
    of shoulder pain?
    A: That, I don't recall.
    [Defense counsel]: Okay.       Your Honor, may I
    approach the witness?
    [The court]: Sure.
    7                                       A-1091-16T4
    [Plaintiff's counsel]: Your Honor, I object.
    [The court]: To her approaching the witness?
    [Plaintiff's counsel]: Well, I'm anticipating
    the next question. I'm just trying to avoid
    a –
    [The court]:   Well,    let's   hear   what   the
    question is.
    [Plaintiff's counsel]: Okay.
    [Defense counsel]: Thank you.    . . . I'll mark
    this as D-3.
    [The court]: Okay.    What is it?
    [Defense counsel]: . . . .      It's the medical
    record.
    . . . .
    [The court]: D-3 is, you say, her records?
    [Defense counsel]: Yes.
    [The court]: Okay.
    [Defense counsel]: This is the medical record.
    Q: And, at that time, your primary care doctor
    said that you –
    . . . .
    [The court]: That's objectionable.        That's
    hearsay.
    [Defense counsel]: Let me . . . refer you to
    that.
    [Plaintiff's counsel]:     Well,    there's    no
    question pending, right?
    8                                 A-1091-16T4
    [The court]: I know. She's just . . . having
    her look at it to refresh her recollection.
    [Plaintiff]: Okay.
    Q: After reviewing this note, do you remember
    going to see your primary care doctor?
    A: No.   I really don't.
    Q: Okay.     Do you remember      your   doctor
    referring you to Dr. Magaziner?
    A: I know at one point when I was at his
    office, we discussed things like that, but I
    don't remember when that was.
    Q: You don't remember anything about that?
    A: No.
    Q: Do you remember making other complaints of
    back and neck pain to your primary care doctor
    in between that time period that you were just
    asked about the year before the accident, a
    year or two before, between 2010 and 2012? Do
    you remember making any complaints?
    A: Just general discussion.
    Q: What do you mean by "general discussion?"
    A: If he – like when you go to any doctor's
    office, they ask, oh, if you have a pain or
    what's been going on, that type of thing.
    Q: Do you remember going on March 19th of 2010
    and complaining about back pain?
    A: No.
    [Plaintiff's counsel]: Your Honor, . . . I
    object for the same reason.
    [The court]: Again, what are . . . you
    asking if she remembers?
    9                               A-1091-16T4
    [Defense counsel]: Well, I can refresh her
    recollection.
    [The court]: No.   You can't.   It's not her
    document. So the question is, what are you
    asking her to recollect?     If she doesn't
    remember, she doesn't remember.
    [Defense counsel]: I'm asking if she recalls
    going and I thought I would have an
    opportunity for her to look at the notes to
    refresh her recollection.
    [The court]: You can show her that to refresh
    any recollection she may have, so you can go
    through the same exercise again. We'll mark
    it as D-4.
    [Defense counsel]: Okay.
    [The court]: And then you can ask the witness
    if she remembers it.
    . . . .
    [The court]: Just take a look at it and tell
    us if you recall that visit to that doctor.
    A: My name is on here.         I guess I was there.
    [The court]: The question is, do you recall
    being at that visit?
    A: No.   I don't.
    [The court]: Okay.       Next?
    Q: Do you remember making a complaint to the
    doctor August 25th of 2010 that you were
    having neck and back pain here and there?
    [Plaintiff's counsel]: Your Honor, –
    [The court]:   Again,      –   again,   let's   go   to
    sidebar.
    10                                    A-1091-16T4
    [Defense counsel]: Okay.
    (Off-the-record discussion at side bar)
    [The court]: Ladies and gentlemen of the jury,
    just so you understand and I am instructing
    you that these records are not authenticated,
    not to be held by a witness, so they're
    basically hearsay documents, which we don't
    know how genuine they are or not.          So,
    therefore, that's why [h]e objected . . . [,]
    and the objection is appropriate because
    that's why they cannot even be read to the
    witness at this time.    So I'm going to ask
    that [defense counsel] just continue the line
    of questioning[,] and we'll continue from
    there.
    Q: Do you remember going to your doctor about
    January 18th of 2011 because you had injured
    your back while shoveling snow?
    A: No.   I don't.
    [Plaintiff's counsel]: Your Honor, –
    [The court]: Again, – well, –
    [Plaintiff's counsel]: The same objection.
    [Defense counsel]: Well, –
    [The court]: Well, no.     . . . [T]hat has
    nothing to do with anything other than whether
    or not she remembers having ever done that.
    The answer is, no.      The question is not
    evidence. It's just the answer. So the answer
    is no, she doesn't remember any such thing.
    [Defense counsel]: May –
    [The court]: You may continue.
    11                           A-1091-16T4
    [Defense counsel]: May I show the witness a
    document just to see if it will refresh her
    recollection?
    [The court]: No. It's not her document.   None
    of her documents are here.
    Q: And at the time of the . . . accident in
    2012, . . . do you remember if you were still
    feeling some pain in your neck and back around
    that time? You don't remember whether or not
    you were, correct?
    A: No.   I don't remember that.
    Q: And . . . you can't say whether or not you
    were feeling pain in your left shoulder at the
    time of the 2012 accident either.     Is that
    right?
    A: That's correct.
    By the end of plaintiff's testimony, the court realized that
    defense counsel's cross-examination improperly presented plaintiff
    with inadmissible documents in front of the jury.2     Recognizing
    the need for a curative instruction, the next morning, before
    summations, the judge gave the jury the following instruction:
    I . . . want to talk to you . . . before
    we get started about the defense [c]ounsel's
    2
    At the new trial motion hearing, the judge offered the following
    explanation for what occurred during the cross-examination of
    plaintiff:
    I just think that it was unfortunate that
    these    were    records   that   were    not
    authenticated.   I, frankly, when they first
    started, I thought they were authenticated
    records.    I thought there was no question
    about them being – you know, being identified
    and put into evidence and they weren't.
    12                            A-1091-16T4
    cross-examination of plaintiff and several
    questions you asked regarding statements
    allegedly made to a doctor.
    I want to remind you that the questions
    were, in fact, improper.        You have to
    disregard the questions and any answers that
    may have been given.    Just because there's
    been no evidence presented in this case
    indicating that plaintiff complained to any
    doctor regarding any pain or injury, other
    than as testified to by Dr. Magaziner. What
    he testified to is obviously evidence in this
    case. You can disregard any assertion to the
    contrary.
    While defense [c]ounsel may have been
    reading from some document, those documents
    have not been offered or admitted as evidence
    in this case[,] and, therefore, they're
    unauthenticated, unreliable, and inadmissible
    under our rules of court[,] and as I explained
    to you earlier when I gave you preliminary
    instructions, the questions the attorneys ask
    are not evidence.     Only the answers are[,]
    and . . . if I exclude something from evidence,
    don't speculate or guess what it might even
    say.   And so only the answers given by the
    witness are evidence. So you can at this point
    disregard the line of questioning from the
    defense [c]ounsel and the implications made
    from those questions.
    I also want to remind you or instruct you
    that plaintiff's [c]ounsel's objections were
    proper[,] and that's to protect the jury from
    unreliable and inadmissible evidence. So he
    was obligated to make those instructions,
    those objections. I wanted to make sure that
    you understand that the plaintiff's [c]ounsel
    could not be considered to have making any
    objections to prevent you from hearing any
    evidence or hiding anything from you.      Any
    evidence that's admissible will go to the
    jury, just so you understand.
    13                              A-1091-16T4
    After the defense rested, plaintiff moved for a directed
    verdict on liability, citing Dolson v. Anastasia, 
    55 N.J. 2
     (1959),
    which the trial court granted.        After the jury awarded damages of
    only $3200, plaintiff filed a motion for a new trial or additur.
    At the beginning of oral argument, the court said, "[C]learly,
    it's a fairly low damage award.         The question is why.           I mean,
    that's   really   the   issue   and   is    there    anything    about      that
    questioning, which, you know, pretty much makes the jury suspicious
    of her[,] and that's really the issue."            The court added:
    There's no question that there is evidence to
    support a jury verdict that she did not
    sustain   significant    long-term   injuries
    . . . . But the problem is, to what extent
    is the jury verdict a reflection of that
    nagging credibility issue. That's the . . .
    crux of what [plaintiff's] argument is and,
    frankly, . . . at the time, . . . I thought
    there was a request for a mistrial, if I
    recall. And I . . . was willing to let the
    jury hear it and hope . . . maybe they would
    rehabilitate it[,] or he would be able to
    rehabilitate it. . . . [T]o me, the verdict
    is exceedingly low. There's no question about
    it.
    In response to defendant's argument that defense counsel's
    cross-examination could not shock the jury because they knew
    plaintiff had neck, back, and shoulder pain before the accident,
    the   court   said,   "I   appreciate      that,    but   the   test   is    not
    whether . . . the jury was shocked by it.           The question is whether
    it shocks my conscience that they came up with a number, which I
    14                                     A-1091-16T4
    think is just grossly inadequate to even pain and suffering,
    frankly."
    At   the   conclusion    of   oral   argument,   the   court   granted
    plaintiff a new trial.       The court explained,
    . . . I heard the whole trial[,] and . . . I
    can see the jury's reaction[,] and that, to
    me, is a significant issue[,] and I was
    concerned about it[,] and . . . I said on the
    record or at side bar . . . we'll see what the
    jury does with it[,] and I think the jury was
    influenced by it[,] and I think they were
    improperly influenced by it[,] and I think
    [plaintiff's    counsel]   characterized    my
    curative instruction as valiant, which is
    nice, but it just seemed ineffective[,] and
    that's what it comes down to.
    Defendant then filed this appeal.
    II.
    A jury verdict is entitled to considerable deference, Risko
    v. Thompson Muller Auto. Grp. Inc., 
    206 N.J. 506
    , 521 (2011), and
    should not be set aside by a trial court unless, "after canvassing
    the record and weighing the evidence, . . . the continued viability
    of the judgment would constitute a manifest denial of justice."
    Baxter v. Fairmont Food Co., 
    74 N.J. 588
    , 597-98 (1977); see Risko,
    
    supra,
     
    206 N.J. at 521
     ("[A] motion for a new trial should be
    granted only after 'having given due regard to the opportunity of
    the jury to pass upon the credibility of the witnesses, it clearly
    and convincingly appears that there was a miscarriage of justice
    under the law.'" (quoting R. 4:49-1(a)). Trial courts must refrain
    15                            A-1091-16T4
    from substituting their own conclusions for that of the jury
    "merely because he [or she] would have reached the opposite
    conclusion."     
    Ibid.
     (alteration in original) (quoting Dolson,
    supra, 55 N.J. at 6).
    Appellate review is guided by a similar standard.      This court
    reverses the grant or denial of a motion for a new trial only when
    "it clearly appears that there was a miscarriage of justice under
    the law."    R. 2:10-1; see Bender v. Adelson, 
    187 N.J. 411
    , 431
    (2006).
    A "miscarriage of justice" has been described
    as a "pervading sense of 'wrongness' needed
    to justify [an] appellate or trial judge
    undoing of a jury verdict . . . [which] can
    arise . . . from [the] manifest lack of
    inherently credible evidence to support the
    finding,   obvious   overlooking  or   under-
    valuation of crucial evidence, [or] a clearly
    unjust result. . . .'"
    [Risko, supra, 
    206 N.J. at 521
     (alterations
    in original) (quoting Lindenmuth v. Holden,
    
    296 N.J. Super. 42
    , 48 (App. Div. 1996),
    certif. denied, 
    149 N.J. 34
     (1997)).]
    "[A] civil plaintiff has a constitutional right to have a
    jury decide the merits and worth of [his or] her case."       Johnson
    v. Scaccetti, 
    192 N.J. 256
    , 279 (2007) (citing N.J. Const. art.
    I, ¶ 9).    Our Supreme Court has long held:
    The decision on whether inadmissible evidence
    is of such a nature as to be susceptible of
    being cured by a cautionary or limiting
    instruction, or instead requires the more
    severe response of a mistrial, is one that is
    16                               A-1091-16T4
    peculiarly within the competence of the trial
    judge, who has the feel of the case and is
    best equipped to gauge the effect of a
    prejudicial comment on the jury in the overall
    setting.
    [State v. Winter, 
    96 N.J. 640
    , 646-47 (1984).]
    The same is true in civil cases, Khan v. Singh, 
    397 N.J. Super. 184
    , 202 (App. Div. 2007), aff'd, 
    200 N.J. 82
     (2009), and for
    comments by counsel, State v. Yough, 
    208 N.J. 385
    , 397 (2011).
    "The   determination   of   whether   the   appropriate    response   is   a
    curative instruction, as well as the language and detail of the
    instruction, is within the discretion of the trial judge[.]" State
    v. Wakefield, 
    190 N.J. 397
    , 486 (2007) (quoting State v. Loftin
    (I), 
    146 N.J. 295
    , 365-66 (1996)), cert. denied, 
    552 U.S. 1146
    ,
    
    128 S. Ct. 1074
    , 
    169 L. Ed. 2d 817
     (2008).
    N.J.R.E. 612 allows the use of a writing, such as a medical
    record, to refresh a witness's recollection.              However, when a
    writing is used for this purpose, "[t]he admissible evidence is
    the recollection of the witness, and not the extrinsic paper."
    State v. Carter, 
    91 N.J. 86
    , 123 (1982).       Therefore, a trial court
    has an obligation to prevent a witness or party "from putting into
    the record the contents of an otherwise inadmissible writing under
    the guise of refreshing recollection."         State v. Caraballo, 
    330 N.J. Super. 545
    , 557 (App. Div. 2000).         Notably, defendant does
    not argue for the application of any hearsay exceptions commonly
    17                                 A-1091-16T4
    used to introduce prior treatment records.                  See, e.g., N.J.R.E.
    803(c)(6)    (the     exception    for     records     of   regularly     conducted
    activity);        N.J.R.E.     803(c)(5)     (the      exception    for      recorded
    recollection); N.J.R.E. 803(c)(4) (the exception for statements
    for purposes of medical treatment or diagnosis). As noted, defense
    counsel had no plan to call the primary care doctor or any employee
    of his office to introduce any of the doctor's office records.
    "It    is     improper     'under     the     guise   of     "artful     cross-
    examination," to tell the jury the substance of inadmissible
    evidence.'"        United States v. Sanchez, 
    176 F.3d 1214
    , 1222 (9th
    Cir. 1999) (quoting United States v. Hall, 
    989 F.2d 711
    , 716 (4th
    Cir. 1993)).        "The reason for this rule is that the question of
    the cross-examiner is not evidence and yet suggests the existence
    of evidence . . . which is not properly before the jury."                       State
    v. Spencer, 
    319 N.J. Super. 284
    , 305 (App. Div. 1999).
    Nevertheless, defendant argues, "[b]ased on the evidence at
    trial it was logical that a jury would find [plaintiff] sustained
    only a temporary strain and award damages accordingly." To support
    her argument, defendant cites Cuevas v. Wentworth, 
    226 N.J. 480
    ,
    486 (2016), in which our Supreme Court stated a trial judge may
    not   rely   "on     personal     knowledge       of   other     verdicts     and    on
    purportedly       comparable     verdicts    presented      by    the   parties      in
    deciding whether to remit a pain-and-suffering damages award."
    18                                        A-1091-16T4
    Because the trial court declined to grant plaintiff's motion for
    additur and based its decision of the jury's reaction to defense
    counsel's improper cross-examination of plaintiff, we conclude
    Cuevas has no application here.
    Defendant next argues, "[t]he curative instruction in this
    case was thorough in addressing any possible harm caused by [her
    counsel's] cross-examan[ination] of [plaintiff]," and "[t]here is
    no basis for finding that the jury did not follow the court's
    instruction in this case."      We disagree.      Defense counsel asked
    specific   questions   about   three   separate   doctor's   visits,   and
    defense counsel strongly implied she had medical records that
    affirmatively answered those questions.
    First, defense counsel asked whether plaintiff had complained
    of neck, back, or shoulder pain to her primary care physician
    after the accident but before seeing Dr. Magaziner. When plaintiff
    said she did not, defense counsel told the jury she had plaintiff's
    medical records and then asked whether they helped her remember.
    Plaintiff said no, but defense counsel effectively informed the
    jury that she had complained of neck, back, and shoulder pain,
    especially after she asked, "Do you remember your doctor referring
    you to Dr. Magaziner?"
    Second, defense counsel asked whether plaintiff remembered
    complaining to her primary care physician during the two years
    19                                A-1091-16T4
    prior to the accident.           When plaintiff said she only recalled
    general discussions, defense counsel asked whether she remembered
    going to her primary care doctor on March 19, 2010, and complaining
    about back pain. When plaintiff said no, defense counsel presented
    her with medical notes, strongly implying they proved plaintiff
    went to the doctor on March 19, 2010, and complained of back pain.
    Third, defense counsel asked plaintiff if she complained
    about neck and back pain to her doctor on August 25, 2010.                 Once
    again, when plaintiff said no, defense counsel asked the court for
    permission to show another document to try to refresh plaintiff's
    memory.   Although the court denied defense counsel's request, this
    exchange clearly informed the jury she had more medical records
    supporting her questions.
    A trial court has an obligation to prevent a witness or party
    "from    putting   into   the    record   the   contents   of   an   otherwise
    inadmissible writing under the guise of refreshing recollection."
    Caraballo, supra, 
    330 N.J. Super. at 557
    .            These medical records
    were all inadmissible.          Under the hearsay exception for records
    of   regularly     conducted    activity,   N.J.R.E.   803(c)(6),      defense
    counsel failed to present any evidence concerning the method of
    preparation of the records.        Defense counsel never presented proof
    of when the records were prepared, who prepared them, or what they
    meant.    Under the hearsay exception for recorded recollection,
    20                                   A-1091-16T4
    N.J.R.E.    803(c)(5),       the   records   do     not    contain   plaintiff's
    statements.       Instead,         they   contain     only    statements      from
    plaintiff's primary care physician or another medical provider.
    These statements may have shown the doctor's understanding of
    statements made to him by plaintiff, but the record does not
    contain any evidence supporting this conclusion.
    Under the hearsay exception for statements for the purposes
    of medical treatment, N.J.R.E. 803(c)(4), the medical records do
    not contain any statements from plaintiff, only statements from
    her primary care physician.          In the absence of testimony from the
    doctor who wrote the records, defense counsel failed to establish
    their admissibility under any hearsay exception.
    This court defers to a trial court's competence when the
    trial court assesses whether "inadmissible evidence is of such a
    nature as to be susceptible of being cured by a cautionary or
    limiting instructor, or instead requires the more severe response
    of a mistrial."        Winter, supra, 
    96 N.J. 646
    -47.           The trial court
    "was concerned" after it "heard the whole trial" and saw "the
    jury's     reaction"    to    defense     counsel's       inappropriate    cross-
    examination.    It found defense counsel's gamesmanship "improperly
    influenced" the jury, and its "curative instruction . . . just
    seemed ineffective."         We defer to its factual findings and affirm
    its order for a new trial on plaintiff's damages.
    21                                    A-1091-16T4
    Affirmed.
    22   A-1091-16T4