State v. Gideon , 2021 Ohio 1863 ( 2021 )


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  • [Cite as State v. Gideon, 
    2021-Ohio-1863
    .]
    IN THE COURT OF APPEALS OF OHIO
    THIRD APPELLATE DISTRICT
    ALLEN COUNTY
    STATE OF OHIO,
    PLAINTIFF-APPELLEE,                    CASE NO. 1-18-27
    v.
    JAMES A. GIDEON,                              OPINION
    DEFENDANT-APPELLANT.
    STATE OF OHIO,
    PLAINTIFF-APPELLEE,                    CASE NO. 1-18-28
    v.
    JAMES A. GIDEON,                              OPINION
    DEFENDANT-APPELLANT.
    STATE OF OHIO,
    PLAINTIFF-APPELLEE,                    CASE NO. 1-18-29
    v.
    JAMES A. GIDEON,                              OPINION
    DEFENDANT-APPELLANT.
    Case Nos. 1-18-27, 28 and 29
    Appeals from Lima Municipal Court
    Trial Court Nos. 17CRB01386, 17CRB01387, and 17CRB01385
    Judgments Affirmed
    Date of Decision: June 1, 2021
    APPEARANCES:
    Dennis C. Belli for Appellant
    Anthony L. Geiger for Appellee
    ZIMMERMAN, J.
    {¶1} This case is before this court on remand from the Supreme Court of
    Ohio. State v. Gideon, ___ Ohio St.3d ___, 
    2020-Ohio-5635
    , overruled, State v.
    Gideon, ___ Ohio St.3d ___, 
    2020-Ohio-6961
    . Based on the Supreme Court of
    Ohio’s instructions, we will consider the assignments of error that were rendered
    moot by our prior opinion. For the reasons that follow, we affirm.
    {¶2} This case was originally before this court on appeal from the May 11,
    2018 judgment entries of sentence of the Lima Municipal Court convicting
    defendant-appellant, James. A. Gideon (“Gideon”), of sexual imposition in case
    -2-
    Case Nos. 1-18-27, 28 and 29
    numbers 17CRB01385, 17CRB01386, and 17CRB01387.1 In that appeal, this court
    vacated Gideon’s sexual-imposition convictions and remanded the cases for a new
    trial after we concluded that the trial court should have granted Gideon’s motions to
    suppress evidence under Garrity v. New Jersey. 
    385 U.S. 493
    , 
    87 S.Ct. 616
     (1967).
    On review, the Supreme Court of Ohio concluded on December 15, 2020 that
    Gideon’s subjective belief that his medical license would be penalized for remaining
    silent was not objectively reasonable. Gideon, ___ Ohio St.3d ___, 2020-Ohio-
    5635, at ¶ 24. The court further concluded that assignments of error challenging
    sufficiency of the evidence cannot be considered moot notwithstanding a conclusion
    that evidence was improperly admitted at trial. Id. at ¶ 29.
    {¶3} On December 31, 2020, the Supreme Court of Ohio recognized that it
    applied an incorrect standard of review in its previous opinion and granted Gideon’s
    motion to reconsider that opinion. Gideon, ___ Ohio St.3d ___, 
    2020-Ohio-6961
    ,
    at fn. 1. Applying the correct standard of review, the Supreme Court of Ohio
    reconsidered its previous opinion but remained steadfast in its conclusion that
    Gideon’s subjective belief that his medical license would be penalized for remaining
    silent was not objectively reasonable. Id. at ¶ 24. The court’s sufficiency-of-the-
    evidence conclusion remained unchanged. Id. at ¶ 29. Although not assigned as
    1
    This court and the Supreme Court of Ohio recited much of the factual and procedural background of these
    cases, and we will not duplicate those efforts here. See State v. Gideon, 3d Dist. Allen No. 1-18-27, 2019-
    Ohio-2482, rev’d; State v. Gideon, ___ Ohio St.3d ___, 
    2020-Ohio-5635
    , overruled, State v. Gideon, ___
    Ohio St.3d ___, 
    2020-Ohio-6961
    .
    -3-
    Case Nos. 1-18-27, 28 and 29
    error, the Supreme Court ordered the other assignments of error that this court
    deemed to be moot to be considered on remand. Based on the court’s opinion, we
    will proceed to address the three assignments of error which had been found moot.
    Assignment of Error No. II
    The Trial Court’s Order Consolidating the Separately-Docketed
    Sexual Imposition Charges for the Trial Exposed Defendant-
    Appellant to a Substantial Likelihood that the Jury Would
    “Bootstrap” the Allegations of Different Patients in
    Contravention of Evid.R. 404(B) and R.C. 2907.06(B), and
    Thereby Violated His Sixth and Fourteenth Amendment Right to
    a Fundamentally Fair Jury Trial. (Apx. A-19; 04/20/18 Tr. 82-84;
    04/21/18 Tr. 20-21)
    {¶4} In his second assignment of error, Gideon argues that he was unfairly
    prejudiced by the trial court’s order joining the cases for purposes of trial.
    Specifically, Gideon contends that the trial court abused its discretion by joining the
    cases for purposes of trial because it permitted the jury to “impermissibly use
    testimony supporting one charge as corroboration for other charges.” (Appellant’s
    Brief at 15).
    Standard of Review
    {¶5} “Issues of joinder and severance are generally reviewed under an abuse
    of discretion standard.” State v. Plott, 3d Dist. Seneca No. 13-15-39, 2017-Ohio-
    38, ¶ 52, citing State v. Shook, 3d Dist. Logan No. 8-14-01, 
    2014-Ohio-3987
    , ¶ 22
    and State v. Bell, 3d Dist. Seneca No. 13-12-39, 
    2013-Ohio-1299
    , ¶ 27. An abuse
    -4-
    Case Nos. 1-18-27, 28 and 29
    of discretion implies that the trial court acted unreasonably, arbitrarily, or
    unconscionably. State v. Adams, 
    62 Ohio St.2d 151
    , 157 (1980).
    Analysis
    {¶6} “In general, the law favors joining multiple offenses in a single trial if
    the offenses charged ‘are of the same or similar character.’” State v. Valentine, 5th
    Dist. Fairfield No. 18 CA 27, 
    2019-Ohio-2243
    , ¶ 43, quoting State v. Lott, 
    51 Ohio St.3d 160
    , 163 (1990), citing State v. Torres, 
    66 Ohio St.2d 340
     (1981). “Under
    Crim.R. 13, a trial court may order two or more indictments to be tried together ‘if
    the offenses or the defendants could have been joined in a single indictment or
    information.’” Plott at ¶ 54, quoting Crim.R. 13. “Two or more offenses may be
    charged in the same indictment if they are of ‘the same or similar character, or are
    based on the same act or transaction, or are based on two or more acts or transactions
    connected together or constituting parts of a common scheme or plan, or are part of
    a course of criminal conduct.’” 
    Id.,
     quoting Crim.R. 8(A).
    {¶7} “Nonetheless, if it appears that a criminal defendant would be
    prejudiced by such joinder, then the trial court is required to order separate trials.”
    Valentine at ¶ 44, citing Crim.R. 14.
    To prevail on a motion to sever, a defendant has the burden of
    demonstrating that “(1) his rights were prejudiced, (2) that at the time
    of the motion to sever he provided the trial court with sufficient
    information so that it could weigh the considerations favoring joinder
    against the defendant’s right to a fair trial, and (3) that given the
    -5-
    Case Nos. 1-18-27, 28 and 29
    information provided to the court, it abused its discretion in refusing
    to separate the charges for trial.”
    Plott at ¶ 55, quoting State v. Schaim, 
    65 Ohio St.3d 51
    , 59 (1992). “A defendant’s
    claim of prejudice is negated when: (1) evidence of the other crimes would have
    been admissible as ‘other acts’ evidence under Evid.R. 404(B) or (2) the evidence of
    each crime joined at trial is simple and direct.” State v. Ahmed, 8th Dist. Cuyahoga
    No. 84220, 
    2005-Ohio-2999
    , ¶ 22, citing Lott at 163, Schaim at 59, and State v.
    Franklin, 
    62 Ohio St.3d 118
    , 122 (1991).
    {¶8} “‘Evid.R. 404(B) provides that “[e]vidence of other crimes, wrongs, or
    acts is not admissible to prove the character of a person in order to show action in
    conformity therewith.”’” State v. Bagley, 3d Dist. Allen No. 1-13-31, 2014-Ohio-
    1787, ¶ 56, quoting State v. May, 3d Dist. Logan No. 8-11-19, 
    2012-Ohio-5128
    , ¶
    69, quoting Evid.R. 404(B). “‘However, there are exceptions to the general rule:
    “It may, however, be admissible for other purposes, such as proof of motive,
    opportunity, intent, preparation, plan, knowledge, identity, or absence of mistake or
    accident.”’” Bagley at ¶ 56, quoting May at ¶ 69, quoting Evid.R. 404(B). See also
    R.C. 2945.59. “‘The list of acceptable reasons for admitting testimony of prior bad
    acts into evidence is non-exhaustive.’” Bagley at ¶ 56, quoting State v. Persohn,
    7th Dist. Columbiana No. 
    11 CO 37
    , 
    2012-Ohio-6091
    , ¶ 23, citing State v. Melton,
    11th Dist. Lake No. 2009-L-078, 
    2010-Ohio-1278
    , ¶ 78, and citing State v. Faye,
    3d Dist. Wyandot Nos. 16-99-08 and 16-99-09, 
    2000 WL 566741
    , *4 (May 4, 2000).
    -6-
    Case Nos. 1-18-27, 28 and 29
    {¶9} “‘Under the second method, the “joinder” test, the state is merely
    required to show that evidence of each crime joined at trial is simple and direct.’”
    Valentine at ¶ 47, quoting Lott 163. The Supreme Court of Ohio has unequivocally
    stated “that ‘when simple and direct evidence exists, an accused is not prejudiced
    by joinder regardless of the nonadmissibility of evidence of these crimes as ‘other
    acts’ under Evid.R. 404(B).” 
    Id.,
     quoting Lott at 163. “Evidence is ‘simple and
    direct’ if (1) the jury is capable of readily separating the proof required for each
    offense, (2) the evidence is unlikely to confuse jurors, (3) the evidence is
    straightforward, and (4) there is little danger that the jury would ‘improperly
    consider testimony on one offense as corroborative of the other.’” (Citations
    omitted.) Id. at ¶ 48, quoting State v. Wright, 4th Dist. Jackson No. 16CA3, 2017-
    Ohio-8702, ¶ 52.
    {¶10} “Courts have held that evidence of multiple offenses is ‘simple and
    direct’ where, for example, the offenses involved different victims, different
    incidents or factual scenarios, and different witnesses.” Id. at ¶ 49, citing State v.
    Dantzler, 10th Dist. Franklin Nos. 14AP-907 and 14AP-908, 
    2015-Ohio-3641
    , ¶ 23
    (concluding that the defendant was not prejudiced by joinder because “[t]he
    evidence relating to each incident was simple and direct: the incidents occurred
    separately, involved different victims, and different eyewitnesses independently
    identified defendant as the shooter at each incident”) and State v. Lewis, 6th Dist.
    -7-
    Case Nos. 1-18-27, 28 and 29
    Lucas Nos. L-09-1224 and L-09-1225, 
    2010-Ohio-4202
    , ¶ 33 (“Ohio appellate
    courts routinely find no prejudicial joinder where the evidence is presented in an
    orderly fashion as to the separate offenses or victims without significant overlap or
    conflation of proof.”).
    {¶11} “If either the ‘other acts’ test or the ‘simple and direct’ test is met, a
    defendant cannot establish prejudice from the joinder.” Id. at ¶ 50. See also Lott at
    163 (“Under the second method, the ‘joinder’ test, the state is not required to meet
    the stricter ‘other acts’ admissibility test, but is merely required to show that
    evidence of each crime joined at trial is simple and direct.”)
    {¶12} Here, the trial court joined seven cases, which involved similar
    offenses—Gideon was charged with sexual imposition in violation of R.C.
    2907.06(A)(1)—occurring separately and with different victims.2           In its entry
    joining the cases for trial, the trial court concluded that joinder was appropriate
    under the simple-and-direct test and the other-acts test. Relative to the simple-and-
    direct test, the trial court concluded that “the evidence reference on each charge
    appears to be simple and direct.” (Case No. 17CRB01385, Doc. No. 27A); (Case
    No. 17CRB01386, Doc. No. 18A); (Case No. 17CRB01387, Doc. No. 15A).
    Specifically, the trial court concluded that the evidence is unlikely to confuse the
    2
    Case numbers 17CRB01711, 17CRB01712, 17CRB01713, and 17CRB01765 were joined with case
    numbers 17CRB01385, 17CRB01386, 17CRB01387 for purposes of trial; however, case numbers
    17CRB01711, 17CRB01712, 17CRB01713, and 17CRB01765 are not before this court.
    -8-
    Case Nos. 1-18-27, 28 and 29
    jurors or be “difficult for them to consider each charge separately.” (Id.); (Id.); (Id.).
    Furthermore, the trial court noted that the State intended to present “other evidence
    * * * to corroborate the victims’ testimony” and that the trial court would instruct
    the jury to consider each count, and the evidence applicable to each count,
    separately. (Id.); (Id.); (Id.). Relative to the other-acts test, the trial court concluded
    that “the testimony of each victim is admissible in each case and is relevant to
    motive, opportunity, intent, preparation, plan, knowledge or absence of mistake or
    accident” since “the same charge is pending for each” victim and “[t]hey all
    allegedly were patients and were subjected to inappropriate touching by their
    physician” and “[t]he incidents occurred over a relatively brief period of time in
    examination rooms.” (Id.); (Id.); (Id.).
    {¶13} We conclude that the trial court did not abuse its discretion by joining
    the cases for purposes of trial because the evidence is simple and direct.
    Importantly, there was no complicated methodology to Gideon’s crimes. See
    Valentine at ¶ 56. Specifically, Gideon committed the sexual-imposition offenses
    at the same location in Bluffton, Ohio—Gideon’s medical office—between the
    dates of October 2016 and May 2017. Each victim testified as to the sexual contact
    that occurred and the State presented independent corroborating evidence. Compare
    id. at ¶ 55 (concluding that joinder was appropriate because the evidence was simple
    and direct since Valentine “committed these sexual abuse offenses at the same
    -9-
    Case Nos. 1-18-27, 28 and 29
    locations” between a similar period of time; “[e]ach victim testified in detail as to
    the sexual abuse which occurred at [Valentine’s] home”; and “[c]orroboration in the
    form of disclosure to other individuals was also presented”). See also Shook, 2014-
    Ohio-3987, at ¶ 25-26.
    {¶14} Moreover, the trial court cautioned the jury to consider each count,
    and the evidence applicable to each count, separately. See State v. Wilson, 5th Dist.
    No. 16-CAA-08-0035, 
    2017-Ohio-5724
    , ¶ 53 (“‘Courts have held that any prejudice
    that results from the joinder of offenses is minimized when a trial court cautions a
    jury before deliberations to consider each count, and the evidence applicable to each
    count separately, and to state its findings as to each count uninfluenced by its verdict
    on any other counts.’”), quoting State v. Freeland, 4th Dist. Ross No. 12CA003352,
    
    2015-Ohio-3410
    , ¶ 16. “[W]e presume that the jury followed the [trial] court’s
    instructions.” Valentine at ¶ 57, citing State v. Thompson, 
    141 Ohio St.3d 254
    ,
    
    2014-Ohio-4751
    , ¶ 192. This presumption is bolstered by the jury’s not-guilty
    findings in two of the cases that it considered. See Shook at ¶ 28 (concluding that
    “[t]he result of the trial seems to suggest that the testimony was simple and direct
    as the jury acquitted Shook on one of the counts”).
    {¶15} Because it is dispositive, we need address only the trial court’s
    determination that joinder was appropriate under the simple-and-direct test. Accord
    Valentine at ¶ 55 (“While the state argues that the cases could be tried together under
    -10-
    Case Nos. 1-18-27, 28 and 29
    either test, there is no reason for us to look to the more stringent “other acts” test
    because the evidence here was simple and straightforward.”). See also Shook at ¶
    28. Therefore, because the evidence was simple and direct, we cannot conclude that
    Gideon was prejudiced by the joinder of the cases for purposes of trial. See
    Valentine at ¶ 56; Shook at ¶ 29. Thus, the trial court did not abuse its discretion by
    joining the cases for purposes of trial.
    {¶16} Gideon’s second assignment of error is overruled.
    Assignment of Error No. III
    The Trial Court’s Instructions and the Prosecutor’s Closing
    Argument Encouraged the Jurors to Consider the Testimony of
    One Alleged Victim as Corroboration of the Testimony of
    Another Alleged Victim in Contravention of Evid.R. 404(B) and
    R.C. 2907.06(B), and Thereby Violated Defendant-Appellant’s
    Right to a Fundamentally Fair Jury Trial Under the Sixth and
    Fourteenth Amendments to the United States Constitution.
    (04/18/18 Tr. 115-17; 04/21/18 44, 104-05, 114-15)
    {¶17} In his third assignment of error, Gideon argues that the trial court and
    the State improperly encouraged the jury to consider the testimony of one victim as
    corroborating evidence of the veracity of another victim’s testimony.
    Standard of Review
    {¶18} Generally, “‘[a]n appellate court reviews a trial court’s decision to
    give the jury a particular set of jury instructions under an abuse of discretion
    standard.” State v. Harrison, 3d Dist. Logan No. 8-14-16, 
    2015-Ohio-1419
    , ¶ 61,
    quoting State v. Barker, 11th Dist. Portage No. 2010-P-0044, 
    2012-Ohio-522
    , ¶ 91,
    -11-
    Case Nos. 1-18-27, 28 and 29
    citing State v. Martens, 
    90 Ohio App.3d 338
    , 343 (3d Dist.1993). “However, when
    a jury instruction raises a question of law, we apply a de novo standard of review.”
    State v. Sheldon, 3d Dist. Hardin No. 6-18-07, 
    2019-Ohio-4123
    , ¶ 66. “De novo
    review is independent, without deference to the lower court’s decision.” State v.
    Hudson, 3d Dist. Marion No. 9-12-38, 
    2013-Ohio-647
    , ¶ 27.
    {¶19} “The test regarding prosecutorial misconduct during closing
    arguments is whether the remarks were improper and, if so, whether they
    prejudicially affected the defendant’s substantial rights.” Harrison ¶ 50, citing State
    v. Davis, 
    116 Ohio St.3d 404
    , 
    2008-Ohio-2
    , ¶ 231, citing State v. Smith, 
    14 Ohio St.3d 13
    , 14 (1984). “‘To establish prejudice, a defendant must show that a
    reasonable probability exists that, but for the prosecutor’s improper remarks, the
    result of the proceeding would have been different. Thus, “[n]ot every intemperate
    remark by counsel can be a basis for reversal.”’” State v. Liles, 3d Dist. Allen No.
    1-14-61, 
    2015-Ohio-3093
    , ¶ 31, quoting State v. Porter, 4th Dist. Meigs No.
    10CA15, 
    2012-Ohio-1526
    , ¶ 20, quoting State v. Landrum, 
    53 Ohio St.3d 107
    , 112
    (1990).
    Analysis
    {¶20} First, Gideon argues that the trial court “failed to tell Gideon’s jury
    that testimony of one patient could not be considered as substantive proof of a sexual
    imposition charge lodged by another patient.”            (Appellant’s Brief at 20).
    -12-
    Case Nos. 1-18-27, 28 and 29
    Specifically, Gideon contends that he was prejudiced by the trial court’s jury
    instructions because the trial court failed to omit the irrelevant portions of Evid.R.
    404(B). Here, the trial court instructed the jury as follows:
    The charges set forth in each complaint constitute a separate and
    distinct matter. You must consider each complaint and evidence
    applicable to each complaint separately, and you must state your
    findings as to each complaint uninfluenced by your verdict on the
    other complaint. The Defendant may be found guilty or not guilty of
    any one or all of the offenses charged.
    The State called several alleged victims to testify to different
    offenses. You are limited in how you may consider the testimony
    regarding one alleged offense in relation to a separate and distinct or
    other act. You are permitted to consider the other acts evidence only
    for a limited purpose.
    The State cannot convict somebody of bad character so his
    character is not at issue here. And the testimony regarding other
    offenses isn’t being admitted to show the Defendant’s character or he
    acted in conformity with that character. It is being admitted prove
    other elements of the offense, such as motive, opportunity, intent,
    preparation, plan, knowledge, identity, or absence of mistake or
    accident.
    (Apr. 21, 2018 Tr. at 114-115).
    {¶21} Contrary to Gideon’s argument on appeal, the trial court did not
    provide an erroneous jury instruction.      The Supreme Court of Ohio recently
    cautioned that, “when a court issues a limiting instruction with respect to other-acts
    evidence, the instruction should be tailored to the facts of the case. The boilerplate
    language contained in the Ohio Jury Instructions addressing other-acts evidence is
    merely a template.” State v. Hartman, 
    161 Ohio St.3d 214
    , 
    2020-Ohio-4440
    , ¶ 70.
    -13-
    Case Nos. 1-18-27, 28 and 29
    Here, the trial court’s instruction is not only consistent with Ohio’s Jury Instruction,
    but is also tailored to the facts of the cases. See Ohio Jury Instructions, CR Section
    401.25 (Rev. Aug. 16, 2006). Therefore, we conclude that the trial court’s jury
    instruction did not mislead the jury and is a correct statement of law. See State v.
    Burks, 8th Dist. Cuyahoga No. 105975, 
    2018-Ohio-2515
    , ¶ 30-31.
    {¶22} Accordingly, we turn to Gideon’s argument that the State’s suggestion
    in its closing argument that the jury “consider ‘other testimony * * * from the other
    victims * * * to prove the elements of an offense such as motive. You can use it to
    prove elements of an offense such as intent, preparation, plan, knowledge, or
    absence of mistake or accident’” and that the jury “consider the testimony of the
    five patients collectively * * * .” (Appellant’s Brief is at 18, quoting Apr. 21, 2018
    Tr. at 44). Importantly, because Gideon’s trial counsel did not object to the State’s
    closing argument, this argument calls for a plain-error analysis. See State v.
    Wamsley, 
    117 Ohio St.3d 388
    , 
    2008-Ohio-1195
    , ¶ 25; State v. Cleavenger, 11th
    Dist. Portage No. 2019-P-0036, 
    2020-Ohio-73
    , ¶ 13. See also State v. Smith, 3d
    Dist. Hardin No. 6-14-14, 
    2015-Ohio-2977
    , ¶ 63, citing State v. Diar, 
    120 Ohio St.3d 460
    , 
    2008-Ohio-6266
    , ¶ 139 and State v. Saleh, 10th Dist. Franklin No. 07AP-
    431, 
    2009-Ohio-1542
    , ¶ 68.
    {¶23} “Crim.R. 52(B) governs plain-error review in criminal cases.” Bagley,
    
    2014-Ohio-1787
    , at ¶ 55, citing State v. Risner, 
    73 Ohio App.3d 19
    , 24 (3d
    -14-
    Case Nos. 1-18-27, 28 and 29
    Dist.1991). “To demonstrate plain error, the defendant must demonstrate that the
    trial court deviated from a legal rule, the error was an obvious defect in the
    proceeding, and the error affected a substantial right.” State v. Howard, 3d Dist.
    Marion No. 9-10-50, 
    2011-Ohio-3524
    , ¶ 83, citing State v. Barnes, 
    94 Ohio St.3d 21
    , 27 (2002). “The defendant must also demonstrate that the outcome of his trial
    would clearly have been different but for the trial court’s errors.” 
    Id.,
     citing State
    v. Waddell, 
    75 Ohio St.3d 163
    , 166 (1996), citing State v. Moreland, 
    50 Ohio St.3d 58
    .   “We recognize plain error ‘“with the utmost caution, under exceptional
    circumstances and only to prevent a manifest miscarriage of justice.”’” 
    Id.,
     quoting
    State v. Landrum, 
    53 Ohio St.3d 107
    , 110 (1990), quoting State v. Long, 
    53 Ohio St.2d 91
     (1978), paragraph three of the syllabus.
    {¶24} “Prosecutors are afforded considerable latitude in closing argument.”
    State v. Encarnacion, 10th Dist. Franklin No. 16AP-817, 
    2017-Ohio-5530
    , ¶ 9,
    citing State v. Ballew, 
    76 Ohio St.3d 244
    , 255 (1996). “A prosecutor may comment
    on ‘“what the evidence has shown and what reasonable inferences may be drawn
    therefrom.”’” 
    Id.,
     quoting Lott, 51 Ohio St.3d at 165, quoting State v. Stephens, 
    24 Ohio St.2d 76
    , 82 (1970), and citing State v. Leonard, 
    104 Ohio St.3d 54
    , 2004-
    Ohio-6235, ¶ 159 (“A prosecutor may state an opinion if based on evidence
    presented at trial.”). See State v. McGuire, 3d Dist. Allen No. 1-13-47, 2015-Ohio-
    1887, ¶ 81 (“In closing arguments, prosecutors are entitled to some latitude
    -15-
    Case Nos. 1-18-27, 28 and 29
    regarding what the evidence has shown and the inferences that can be drawn.”),
    citing Ballew at 255.
    {¶25} “A prosecutor’s isolated comments are not to be taken out of context
    and given their most damaging meaning.” Encarnacion at ¶ 9, citing State v. Noling,
    
    98 Ohio St.3d 44
    , 
    2002-Ohio-7044
    , ¶ 94, citing Donnelly v. DeChristoforo, 
    416 U.S. 637
    , 647, 
    94 S.Ct. 1868
     (1974). “Instead, an appellate court must review a
    closing argument in its entirety to determine whether prejudicial error occurred.”
    
    Id.,
     citing Noling at ¶ 94, citing State v. Frazier, 
    73 Ohio St.3d 323
    , 342 (1995).
    {¶26} Here, Gideon cannot demonstrate that he was prejudiced by the State’s
    closing argument. Specifically, Gideon cannot demonstrate that the outcome of his
    trial would have been different. See State v. Thompson, 3d Dist. Henry No. 7-16-
    10, 
    2017-Ohio-792
    , ¶ 26. Indeed, as we addressed above, in its jury instructions the
    trial court not only instructed the jury as to how it could consider the testimony of
    each victim, but the trial court instructed the jury that “[t]he evidence does not
    include * * * the opening statements or closing arguments of counsel. The opening
    statements and closing arguments of counsel are designed to assist you. They are
    not evidence.” (Apr. 21, 2018 Tr. at 108). Similar to our assessment in Gideon’s
    second assignment, “[a] jury is presumed to follow and comply with instructions
    given by the trial court.” State v. Palmer, 12th Dist. Butler No. CA2013-12-243,
    
    2014-Ohio-5491
    , ¶ 27, quoting State v. Carpenter, 12th Dist. Butler No. CA2005-
    -16-
    Case Nos. 1-18-27, 28 and 29
    11-494, 
    2007-Ohio-5790
    , ¶ 20, citing Pang v. Minch, 
    53 Ohio St.3d 186
     (1990).
    See also State v. Jones, 
    135 Ohio St.3d 10
    , 
    2012-Ohio-5677
    , ¶ 194. Importantly,
    there is no evidence that the jury failed to follow the trial court’s jury instructions
    in these cases since the jury found Gideon not guilty of two of the charges that were
    presented to it. Therefore, Gideon cannot demonstrate that the trial court provided
    an erroneous jury instruction or that he was prejudiced by the State’s closing
    argument.
    {¶27} Accordingly, Gideon’s third assignment of error is overruled.
    Assignment of Error No. IV
    Defendant-Appellant’s Conviction for Sexual Imposition as to
    Former Patient [M.M.] is Not Supported by Sufficient Evidence
    to Satisfy the Requirements of the Due Process Clause of the
    Fourteenth Amendment to the United States Constitution.
    Alternatively, the Jury’s Guilty Verdict is Against the Manifest
    Weight of the Evidence. (04/20/18 Tr. 79; 04/21/18 Tr. 20-21).
    {¶28} In his fourth assignment of error, Gideon argues that his sexual-
    imposition conviction in case number 17CRB01385 is based on insufficient
    evidence and is against the manifest weight of the evidence. Specifically, Gideon
    alleges that his sexual-imposition conviction in case number 17CRB01385 is based
    on insufficient evidence because the State did not present any evidence that his “use
    of therapeutic massage fell outside the scope of acceptable medical care.”
    (Appellant’s Brief at 22). Gideon argues that his sexual-imposition conviction in
    -17-
    Case Nos. 1-18-27, 28 and 29
    case number 17CRB01385 is against the manifest weight of the evidence because
    the victim—M.M.—was not credible.
    Standard of Review
    {¶29} Manifest “weight of the evidence and sufficiency of the evidence are
    clearly different legal concepts.” State v. Thompkins, 
    78 Ohio St.3d 380
    , 389
    (1997). Therefore, we address each legal concept individually.
    {¶30} “An appellate court’s function when reviewing the sufficiency of the
    evidence to support a criminal conviction is to examine the evidence admitted at
    trial to determine whether such evidence, if believed, would convince the average
    mind of the defendant’s guilt beyond a reasonable doubt.” State v. Jenks, 
    61 Ohio St.3d 259
     (1981), paragraph two of the syllabus, superseded by state constitutional
    amendment on other grounds, State v. Smith, 
    80 Ohio St.3d 89
     (1997). Accordingly,
    “[t]he relevant inquiry is whether, after viewing the evidence in a light most
    favorable to the prosecution, any rational trier of fact could have found the essential
    elements of the crime proven beyond a reasonable doubt.” 
    Id.
     “In deciding if the
    evidence was sufficient, we neither resolve evidentiary conflicts nor assess the
    credibility of witnesses, as both are functions reserved for the trier of fact.” State v.
    Jones, 1st Dist. Hamilton Nos. C-120570 and C-120571, 
    2013-Ohio-4775
    , ¶ 33,
    citing State v. Williams, 
    197 Ohio App.3d 505
    , 
    2011-Ohio-6267
    , ¶ 25 (1st Dist.).
    See also State v. Berry, 3d Dist. Defiance No. 4-12-03, 
    2013-Ohio-2380
    , ¶ 19
    -18-
    Case Nos. 1-18-27, 28 and 29
    (“Sufficiency of the evidence is a test of adequacy rather than credibility or weight
    of the evidence.”), citing Thompkins at 386.
    {¶31} On the other hand, in determining whether a conviction is against the
    manifest weight of the evidence, a reviewing court must examine the entire record,
    “‘weigh[ ] the evidence and all reasonable inferences, consider[ ] the credibility of
    witnesses and determine[ ] whether in resolving conflicts in the evidence, the [trier
    of fact] clearly lost its way and created such a manifest miscarriage of justice that
    the conviction must be reversed and a new trial ordered.’” Thompkins at 387,
    quoting State v. Martin, 
    20 Ohio App.3d 172
    , 175 (1st Dist.1983). A reviewing
    court must, however, allow the trier of fact appropriate discretion on matters relating
    to the weight of the evidence and the credibility of the witnesses. State v. DeHass,
    
    10 Ohio St.2d 230
    , 231 (1967). When applying the manifest-weight standard,
    “[o]nly in exceptional cases, where the evidence ‘weighs heavily against the
    conviction,’ should an appellate court overturn the trial court’s judgment.” State v.
    Haller, 3d Dist. Allen No. 1-11-34, 
    2012-Ohio-5233
    , ¶ 9, quoting State v.
    Hunter, 
    131 Ohio St.3d 67
    , 
    2011-Ohio-6524
    , ¶ 119.
    Sufficiency of the Evidence Analysis
    {¶32} We will begin by addressing Gideon’s sufficiency-of-the-evidence
    argument as it relates to his sexual-imposition conviction in case number
    17CRB01385. Gideon was convicted of sexual imposition in violation of R.C.
    -19-
    Case Nos. 1-18-27, 28 and 29
    2907.06, which provides in its relevant part, “No person shall have sexual contact
    with another, not the spouse of the offender * * * when * * * [t]he offender knows
    that the sexual contact is offensive to the other person * * * or is reckless in that
    regard.”   R.C. 2907.06(A)(1).     “Sexual contact” means “any touching of an
    erogenous zone of another, including without limitation the thigh, genitals, buttock,
    pubic region, or, if the person is a female, a breast, for the purpose of sexually
    arousing or gratifying either person.” R.C. 2907.01(B).
    {¶33} “To obtain a conviction for sexual imposition in violation of R.C.
    2907.06(A)(1), the State must prove either that the defendant knew that the sexual
    contact was offensive or that the defendant was reckless with respect to whether the
    sexual contact was offensive.” State v. Wrasman, 3d Dist. Auglaize No. 2-20-03,
    
    2020-Ohio-6887
    , ¶ 9. “Thus, the culpable mental state for a violation of R.C.
    2907.06(A)(1) is either knowledge or recklessness.” 
    Id.,
     citing State v. Courie, 11th
    Dist. Ashtabula No. 2014-A-0043, 
    2015-Ohio-2894
    , ¶ 40-42. “A person acts
    knowingly, regardless of purpose, when the person is aware that the person’s
    conduct will probably cause a certain result or will probably be of a certain nature.”
    R.C. 2901.22(B).
    A person has knowledge of circumstances when the person is aware
    that such circumstances probably exist. When knowledge of the
    existence of a particular fact is an element of an offense, such
    knowledge is established if a person subjectively believes that there is
    a high probability of its existence and fails to make inquiry or acts
    with a conscious purpose to avoid learning the fact.
    -20-
    Case Nos. 1-18-27, 28 and 29
    
    Id.
     “A person acts recklessly when, with heedless indifference to the consequences,
    the person disregards a substantial and unjustifiable risk that the person’s conduct
    is likely to cause a certain result or is likely to be of a certain nature.” R.C.
    2901.22(C). “A person is reckless with respect to circumstances when, with
    heedless indifference to the consequences, the person disregards a substantial and
    unjustifiable risk that such circumstances are likely to exist.” 
    Id.
    {¶34} “In addition, ‘[t]he definition of sexual contact includes an express
    culpability requirement of “purpose.”’” Wrasman at ¶ 10, quoting State v. Curtis,
    12th Dist. Butler No. CA2008-01-008, 
    2009-Ohio-192
    , ¶ 90, citing R.C. 2907.01(B)
    and State v. Mundy, 
    99 Ohio App.3d 275
    , 295 (2d Dist.1994), and citing State v.
    Dunlap, 
    129 Ohio St.3d 461
    , 
    2011-Ohio-4111
    , ¶ 23-28. “A person acts purposely
    when it is the person’s specific intention to cause a certain result, or, when the gist
    of the offense is a prohibition against conduct of a certain nature, regardless of what
    the offender intends to accomplish thereby, it is the offender’s specific intention to
    engage in conduct of that nature.” R.C. 2901.22(A). “‘“[T]here is no requirement
    that there be direct testimony regarding sexual arousal or gratification.”’” Wrasman
    at ¶ 10, quoting State v. Young, 12th Dist. Butler No. CA2018-03-047, 2019-Ohio-
    912, ¶ 47, quoting State v. English, 12th Dist. Butler No. CA2013-03-048, 2014-
    Ohio-441, ¶ 69. “Rather, ‘“[w]hether the touching was performed for the purpose
    of sexual arousal or gratification is a question of fact to be inferred from the type,
    -21-
    Case Nos. 1-18-27, 28 and 29
    nature, and circumstances of the contact.”’” 
    Id.,
     quoting Young at ¶ 47, quoting
    State v. Gesell, 12th Dist. Butler No. CA2005-08-367, 
    2006-Ohio-3621
    , ¶ 25.
    However, “a person may not be convicted of sexual imposition ‘solely upon the
    victim’s testimony unsupported by other evidence.’” State v. Roy, 9th Dist. Lorain
    No. 13CA010404, 
    2014-Ohio-5186
    , ¶ 48, quoting R.C. 2907.06(B).
    {¶35} On appeal, Gideon challenges only his sexual imposition conviction
    in case number 17CRB01385. In that case, the State alleged that Gideon was guilty
    of sexual imposition as to M.M.       Accordingly, we need to address only the
    sufficiency of the evidence supporting Gideon’s sexual-imposition conviction as it
    relates to M.M. In that case, the State was required to prove that Gideon had sexual
    contact with M.M., who was not his spouse, and that Gideon knew that the sexual
    contact was offensive to M.M. or was, at least, reckless in that regard. See State v.
    Wine, 3d Dist. Auglaize No. 2-12-01, 
    2012-Ohio-2837
    , ¶ 52.
    {¶36} However, Gideon does not dispute the evidence underlying the
    elements of the sexual imposition conviction as it relates to M.M.; rather, he
    disputes whether the State presented sufficient evidence “that the therapeutic
    massage administered by Gideon fell outside the scope of acceptable medical care.”
    (Appellant’s Brief at 23). Thus, we will address only whether the State must present
    sufficient evidence that a touching falls outside of the scope of acceptable medical
    care for a person to be guilty of sexual imposition.
    -22-
    Case Nos. 1-18-27, 28 and 29
    {¶37} In support of his argument that the State must prove that a touching
    falls outside the scope of acceptable medical care for him to be guilty of sexual
    imposition, Gideon directs us to People v. Burpo and State v. Nucklos.3 
    164 Ill.2d 261
     (1995); 
    121 Ohio St.3d 332
    , 
    2009-Ohio-792
    . In Burpo, the defendant, a
    medical doctor, was charged with violating Illinois’s criminal-sexual-assault statute.
    Here, Gideon contends that this court should add an element to Ohio’s sexual-
    imposition statute requiring the State “‘to establish beyond a reasonable doubt what
    the medical standards were, that the physician intentionally transgressed those
    standards, and that the patient did not consent to the transgressions’” in cases
    involving licensed-medical professionals. (Appellant’s Brief at 22, quoting Burpo
    at 265). Gideon argues that the Illinois statute is applicable in Ohio based on the
    Supreme Court of Ohio’s decision in Nucklos in which the court concluded that “the
    3
    To the extent that Gideon contends that Ohio’s sexual-imposition statute is unconstitutional as applied to
    him because “[o]ther jurisdictions have recognized that principles of constitutional due process preclude the
    state from enforcing a sexual assault statute in a manner that criminalizes bona fide medical or health care
    treatment or procedures,” Gideon failed to raise such constitutional challenge prior to or at trial. (Appellant’s
    Brief at 22, citing State v. Lesik, 
    322 Wis.2d 753
    , 762 (2009). “The Supreme Court of Ohio has held that,
    ‘“[f]ailure to raise at the trial court level the issue of the constitutionality of a statute or its application, which
    issue is apparent at the time of trial, constitutes a waiver of such issue and a deviation from this state’s orderly
    procedure, and therefore need not be heard for the first time on appeal.”’” State v. Heft, 3d Dist. Logan No.
    8-09-08, 
    2009-Ohio-5908
    , ¶ 29, quoting State v. Rice, 3d Dist. Allen Nos. 1-02-15, 1-02-29, and 1-02-30,
    
    2002-Ohio-3951
    , ¶ 7, quoting State v. Awan, 
    22 Ohio St.3d 120
     (1986), syllabus. “However, the waiver
    doctrine set forth by Awan is discretionary; thus, ‘even where waiver is clear, a reviewing court may consider
    constitutional challenges to the application of statutes in specific cases of plain error or where the rights and
    interests involved may warrant it.’” 
    Id.,
     quoting Rice at ¶ 7, citing In re M.D., 
    38 Ohio St.3d 149
     (1988),
    syllabus. Nevertheless, “‘“discretion will not ordinarily be exercised to review such claims, where the right
    sought to be vindicated was in existence prior to or at the time of trial.”’” 
    Id.,
     quoting Rice at ¶ 7, quoting
    State v. 1981 Dodge Ram Van, 
    36 Ohio St.3d 168
    , 170-71 (1988), quoting State v. Woodards, 
    6 Ohio St.2d 14
    , 21 (1966). The constitutional issue Gideon raises on appeal was available to him before and at trial.
    Therefore, Gideon waived the issue on appeal, and we decline to address it.
    -23-
    Case Nos. 1-18-27, 28 and 29
    state bears the burden of proving beyond a reasonable doubt * * * that the licensed
    health professional violated statutes or regulations that define the standard of care
    for dispensing controlled substances.” Nucklos at ¶ 22.
    {¶38} Gideon’s argument is misplaced. Requiring the State to prove that a
    touching falls outside of the scope of acceptable medical care for a person to be
    guilty of sexual imposition adds an additional element to the offense of sexual
    imposition not included by the legislature. “‘[I]t is only the legislature, not the
    judiciary,’ that ‘has the power to engraft or enact additional elements’ of an
    offense.” State v. Bickel, 5th Dist. Fairfield No. 13-CA-44, 
    2014-Ohio-1718
    , ¶ 20,
    quoting State v. O’Connor, 12th Dist. Butler No. CA2001-08-195, 
    2002-Ohio-4122
    ,
    ¶ 30. See also State v. Sullivan, 2d Dist. Montgomery No. 23948, 
    2011-Ohio-2976
    ,
    ¶ 16. Until the legislature acts, that element cannot be judicially engrafted to the
    offense. See State v. Duncan, 10th Dist. Franklin No. 88AP-161, 
    1988 WL 112343
    ,
    *5 (Oct. 18, 1988).
    {¶39} Indeed, the statutes at issue in Burpo and Nucklos include licensed-
    medical-professional exceptions in the statutory construction. See Burpo at 263-
    264 (noting that the criminal-sexual-assault statute set “forth an exception or
    exemption to the offense of aggravated criminal sexual assault: ‘Any medical
    examination or procedure which is conducted by a physician, nurse, medical or
    hospital personnel, parent, or caretaker for purposes of and in a manner consistent
    -24-
    Case Nos. 1-18-27, 28 and 29
    with reasonable medical standards is not an offense’”), quoting 720 Ill. Comp. Stat.
    Ann. 5/12-18 (1991); Nucklos at ¶ 22 (concluding that “to convict a licensed health
    professional of trafficking in drugs under R.C. 2925.03(A), the state bears the
    burden of proving beyond a reasonable doubt the inapplicability of the licensed-
    health-professional exception in R.C. 2925.03(B)(1) by submitting evidence that the
    licensed health professional violated statutes or regulations that define the standard
    of care for dispensing controlled substances”).
    {¶40} Nevertheless, viewing the evidence in a light most favorable to the
    prosecution, we conclude that Gideon’s sexual imposition conviction is based on
    sufficient evidence. That is, the State presented sufficient evidence at trial from
    which the trier of fact could reasonably infer that Gideon knew that the sexual
    contact was offensive to M.M. or was, at least, reckless in that regard. Indeed, even
    though Gideon’s argument highlights evidence that he touched M.M. for legitimate
    medical purposes, his argument does not negate the presence of countervailing
    evidence in the record that, if believed by the trier of fact, established that Gideon
    touched M.M. for his own sexual gratification. Accord State v. Heiney, 6th Dist.
    Lucas No. L-16-1042, 
    2018-Ohio-3408
    , ¶ 94 (“While Heiney’s arguments highlight
    evidence that he touched M.S. and K.O. for legitimate medical purposes, his
    arguments do not negate the presence of countervailing evidence in the record that,
    if believed by the jury, established that Heiney touched M.S. and K.O. for his own
    -25-
    Case Nos. 1-18-27, 28 and 29
    sexual gratification.”). Specifically, M.M. testified that Gideon rubbed her right
    buttocks “softly and intimately,” which caused her to jump off of the exam table
    and put her clothes back on because she “felt violated.” (Apr. 19, 2018 Tr. at 86-
    87). M.M. further testified that Gideon stated to her (as she pulled away from his
    touching), “don’t worry, you don’t have anything I want.” (Id. at 86). Moreover,
    M.M. unequivocally testified that Gideon did not indicate that it was medically
    necessary for him to touch her intimately and that Gideon’s touching felt
    “provocative.” (Id. at 87, 92).
    {¶41} Based on that evidence, we conclude that a rational trier of fact could
    have found beyond a reasonable doubt that Gideon knew that the sexual contact was
    offensive to M.M. or was, at least, reckless in that regard. Consequently, Gideon’s
    sexual imposition conviction is based on sufficient evidence.
    {¶42} Having concluded that Gideon’s sexual-imposition conviction is
    based on sufficient evidence, we next address Gideon’s argument that his sexual-
    imposition conviction is against the manifest weight of the evidence.
    Manifest Weight of the Evidence
    {¶43} Gideon contends that his sexual-imposition conviction in case number
    17CRB01385 is against the manifest weight of the evidence because M.M. lacked
    credibility and reliability. In particular, Gideon contends that
    [t]he combination of [M.M.’s] dire mental and physical condition, her
    dependence on opioids, Gideon’s refusal to give her the narcotic that
    -26-
    Case Nos. 1-18-27, 28 and 29
    she was seeking, and the confrontation with Gideon’s girlfriend as
    [M.M.] was leaving the office create a situation highly conducive to
    the lodging of a false or mistaken accusation of sexual impropriety”
    and that those “circumstances, coupled with the equivocal nature of
    her accusations – she ‘guessed’ she was being touched ‘intimately’ –
    should give this Court pause.”
    (Appellant’s Brief at 24-25).
    {¶44} “Although we review credibility when considering the manifest
    weight of the evidence, the credibility of witnesses is primarily a determination for
    the trier of fact.” State v. Banks, 8th Dist. Cuyahoga No. 96535, 
    2011-Ohio-5671
    ,
    ¶ 13, citing DeHass, 
    10 Ohio St.2d 230
    , at paragraph one of the syllabus. “The trier
    of fact is best able ‘to view the witnesses and observe their demeanor, gestures[,]
    and voice inflections, and use these observations in weighing the credibility of the
    proffered testimony.’” 
    Id.,
     quoting State v. Wilson, 
    113 Ohio St.3d 382
    , 2007-Ohio-
    2202, ¶ 24, citing Seasons Coal Co., Inc. v. Cleveland, 
    10 Ohio St.3d 77
    , 80-81
    (1984).
    {¶45} After reviewing the evidence, we cannot conclude that the trier of fact
    lost its way and created such a manifest miscarriage of justice in its witness-
    credibility determination requiring that we reverse Gideon’s sexual-imposition
    conviction as to M.M. and order a new trial. Even though M.M. made an equivocal
    statement after attempting to describe the way in which Gideon touched her
    buttocks, in addition to her testimony of the confrontation with Gideon’s significant
    other as she was leaving Gideon’s office, the jury also heard Gideon’s testimony
    -27-
    Case Nos. 1-18-27, 28 and 29
    “and we are mindful of the jury’s ‘superior first-hand perspective in judging the
    demeanor and credibility of witnesses.’” State v. Suffel, 3d Dist. Paulding No. 11-
    14-05, 
    2015-Ohio-222
    , ¶ 33, quoting State v. Phillips, 10th Dist. Franklin No. 14AP-
    79, 
    2014-Ohio-5162
    , ¶ 125, citing DeHass at paragraph one of the syllabus. See
    Roy, 
    2014-Ohio-5186
    , at ¶ 78. Furthermore, the jury heard the testimony of
    additional witnesses, offering testimony regarding similar acts by Gideon. See
    Heiney, 
    2018-Ohio-3408
    , at ¶ 94; Roy at ¶ 74. Likewise, the jury heard the
    testimony of State Medical Board Investigator Chad Yoakam (“Investigator
    Yoakam”) who interviewed Gideon regarding the allegations in these cases.
    Investigator Yoakam also identified State’s Exhibit G (Investigator Yoakam’s
    recorded interview of Gideon), which was subsequently played for the jury, and
    identified State’s Exhibit I (Gideon’s written statement), which was admitted into
    evidence.
    {¶46} In other words, even though Gideon alleged that he touched M.M. for
    medical purposes, the jury was able to compare Gideon’s testimony against the
    balance of the State’s evidence presented at trial and “it is well within the province
    of the trier-of-fact to determine [Gideon’s] credibility in making those statements
    including the prerogative to find [Gideon’s] denials not to be truthful.” State v. Voll,
    3d Dist. Union No. 14-12-04, 
    2012-Ohio-3900
    , ¶ 27. See Heiney at ¶ 130.
    -28-
    Case Nos. 1-18-27, 28 and 29
    {¶47} Accordingly, the evidence that we summarized in our sufficiency-of-
    the-evidence analysis supporting Gideon’s sexual-imposition conviction as to M.M.
    is weightier than the evidence against it. Therefore, we cannot conclude that the
    jury clearly lost its way and created such a manifest miscarriage of justice that
    Gideon’s sexual-imposition conviction as to M.M. must be reversed and a new trial
    ordered.
    {¶48} Gideon’s fourth assignment of error is overruled.
    {¶49} Having found no error prejudicial to the appellant herein in the
    particulars assigned and argued, we affirm the judgments of the trial court.
    Judgments Affirmed
    WILLAMOWSKI, P.J. and SHAW, J., concur.
    /jlr
    -29-