Dey, C. v. Wilderman, B. ( 2014 )


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  • J-A24041-14
    NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT I.O.P. 65.37
    CAROL DEY,                                       IN THE SUPERIOR COURT OF
    PENNSYLVANIA
    Appellant
    v.
    BRUCE J. WILDERMAN, D.D.S.,
    Appellee                   No. 424 EDA 2014
    Appeal from the Judgment Entered October 25, 2013
    in the Court of Common Pleas of Bucks County
    Civil Division at No.: 2010-04845
    BEFORE: GANTMAN, P.J., BENDER, P.J.E., and PLATT, J.*
    MEMORANDUM BY PLATT, J.:                         FILED NOVEMBER 06, 2014
    Appellant, Carol Dey, appeals from the judgment entered on October
    25, 2013,1 following a jury verdict against her and in favor of Appellee, Dr.
    Bruce J. Wilderman, D.D.S., in this dental malpractice action.      On appeal,
    Appellant challenges several of the trial court’s evidentiary rulings. For the
    reasons discussed below, we affirm.
    We take the underlying facts in this matter from the trial court’s April
    3, 2014 opinion.
    ____________________________________________
    *
    Retired Senior Judge assigned to the Superior Court.
    1
    Appellant purports to appeal from the order denying her post-trial motions.
    However, an appeal does not lie from the denial of post-trial motions.
    Jackson v. Kassab, 
    812 A.2d 1233
    , 1233 n.1 (Pa. Super. 2002), appeal
    denied, 
    825 A.2d 1261
    (Pa. 2003). We have accordingly corrected the
    caption.
    J-A24041-14
    [Appellant] is a sixty-nine (69) year old woman, and a
    dental patient of [Appellee], a licensed dentist. In March of
    2008, [Appellant] went to [Appellee’s] office for an emergency
    dental appointment when she cracked a tooth and needed it
    repaired. [Appellant] had a follow-up appointment on May 29,
    2008. Upon arriving at [Appellee’s] office[,] she had x-rays and
    photographs taken of her mouth. The x-rays were taken, and
    then the photographs were to be taken by the dental assistant,
    Danielle Ficarra (hereinafter, “Ficarra”).
    [Appellant] testified that Ficarra explained the process of
    taking these photographs, and the use of spraying condensed air
    into [Appellant’s] mouth. The purpose of this spray was to blow
    saliva away from the gum line to obtain an accurate photograph.
    Ficarra inadvertently picked up a can of dust remover, rather
    than the can of compressed air.          Ficarra sprayed the dust
    remover to dry the saliva off [Appellant’s] teeth. [Appellant’s]
    testimony was she immediately felt a burning sensation on her
    lips following the first spray, and told Ficarra of this sensation.
    Ficarra assured [Appellant] this was just compressed air and the
    air probably felt cold to her lips. [Appellant] allowed Ficarra to
    continue with another photograph. Ficarra instructed [Appellant]
    to make a broader smile with her face to give a greater
    exposure. Ficarra proceeded to spray the dust remover a second
    time, and [Appellant] felt the same burning sensation.
    [Appellant] again told Ficarra of the burning sensation, who
    reassured [Appellant] that it was “. . . just a can of air. There's
    nothing in here that would burn your lips.”
    Ficarra continued the process of spraying [Appellant’s]
    mouth prior to taking a picture. [Appellant] testified that on one
    occasion, Ficarra attempted to spray the saliva off of
    [Appellant’s] teeth, and air failed to be released from the nozzle.
    [Appellant] stated that Ficarra then used both hands to squeeze
    the nozzle, and “something liquid” came out of the can. The
    liquid came in contact with [Appellant’s] upper lip, in the area
    right below her nose. Ficarra then put down the can and stated,
    “. . . oh, my God, what is that? There’s some white on your
    face.” [Appellant] told Ficarra that whatever the substance was
    had gone up her nostrils, into her throat, and was severely
    burning. Ficarra left the room and came back with wet paper
    towels. Ficarra then wiped off [Appellant’s] face with a wet paper
    towel, at which point [Appellant] told her she was sick to her
    stomach and did not wish to continue.              Ficarra assured
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    J-A24041-14
    [Appellant] that there would only be a few more pictures, and
    that they would be done soon. There were no more sprays of
    the dust remover.
    When the photographs were finished, [Appellant] went into
    the bathroom and vomited twice. The burning sensation had
    travelled from her nose, down her throat and into her stomach.
    [Appellant] drank a glass of water, which made the burning
    sensation much worse, and caused [Appellant] to vomit again.
    [Appellant] then told Ficarra that she did not feel well, and left
    the appointment. [Appellant] walked out to her car to drive
    home, and had to stop a few times to vomit again.
    Upon arriving home, [Appellant’s] condition worsened, as
    she felt shaky, dizzy, and had a “very bad burning in my throat
    and my stomach and my mouth.”              [Appellant] called the
    manufacturer of the dust remover and asked about the
    ingredients. She was instructed to eat a piece of chocolate to
    relieve the burning sensation and to drink some milk. She could
    not taste the chocolate at all, and could not smell her fragrance
    shampoo. [Appellant] went to her office in order to be around
    people in case her condition worsened.         She testified that
    following this incident, her stomach and mouth gradually felt
    better, but her smelling and tasting did not improve. [Appellant]
    testified that her sense of smell and taste has not changed since
    May 29, 2008, the day of the incident.
    Ficarra’s testimony differed from [Appellant’s]. Ficarra
    testified that she sprayed the dust remover into [Appellant’s]
    mouth only one time because there was not enough saliva on
    [Appellant’s] teeth during the first few photographs, and the
    spray was not necessary until the last photograph. Ficarra
    denies that a white substance came out of the can and made
    contact with [Appellant’s] upper lip. Ficarra testified it was not
    her practice to continue using a product if it made a patient
    uncomfortable or hurt them. Ficarra denies she was told that
    the spray was causing a burning sensation, and if told she would
    have stopped and immediately notified [Appellee]. Ficarra did
    testify that after the first spray, [Appellant] was sneezing and
    coughing. [Appellant] then went to the bathroom, and asked
    Ficarra for a drink. Ficarra provided [Appellant] with a soft
    drink, upon which [Appellant] said she was not feeling well and
    left the office.
    -3-
    J-A24041-14
    (Trial Court Opinion, 4/03/14, at 2-5) (footnotes omitted).
    On May 6, 2010, Appellant filed a complaint in dental malpractice. On
    July 23, 2010, Appellee filed an answer and new matter. On May 30, 2013,
    Appellant filed a motion in limine seeking to preclude the testimony of
    Appellee’s expert, Dr. Harry A. Milman.2 (See Motion in Limine, 5/30/13, at
    3). Appellant contended that Appellee had not produced Dr. Milman’s expert
    report in a timely fashion. (See 
    id. at 2).
    Following oral argument on June
    17, 2013, the trial court denied the motion in limine the next day. (See N.T.
    Motion Hearing, 6/18/13, at 3).
    In addition, during the June 18, 2013 hearing, the parties litigated the
    issue of whether Appellant, in her opening statement, could refer to an
    independent medical examination (IME) conducted, by agreement of the
    parties, by Dr. Kenneth Briskin, an ear, nose and throat (ENT) specialist.
    (See 
    id. at 3-5).
    Neither party was calling Dr. Briskin as a witness at trial.
    (See id.). Appellee objected to any references to Dr. Briskin or his findings.
    (See id.).     The trial court sustained the objection as to the mention of Dr.
    Briskin in opening statements, but reserved ruling on whether either party
    could mention Dr. Briskin at trial. (See 
    id. at 13-14).
    On June 19, 2013,
    ____________________________________________
    2
    Both Dr. Milman’s first and last names are spelled differently throughout
    the record in this matter. We will use the spelling listed on his resume, Dr.
    Harry A. Milman. (See Motion in Limine, 5/30/13, at Exhibit B).
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    J-A24041-14
    the trial court revisited its ruling and held that neither party could reference
    Dr. Briskin. (See N.T. Trial, 6/19/13, at 163).
    During the trial, both sides presented expert witnesses.
    [Appellant’s] expert witness was Dr. Richard Doty, Director of
    the Smell and Taste Center at the University Of Pennsylvania
    School Of Medicine. Dr. Doty stated that he performed many
    tests on [Appellant], and she has a complete loss of smell. In
    addition, [Appellant] exhibited some loss of taste, but not as
    drastic as her loss of smell. Dr. Doty said that the dust remover
    incident on May 29, 2008 was the “best explanation I would
    have” for [Appellant’s] loss of smell. This opinion was offered
    with reasonable scientific certainty. [Appellee’s] expert witness
    was Dr. Harry [Milman], an expert on pharmacology and
    toxicology. He testified that the active ingredient in the dust
    remover does not have the ability to cause loss of smell or taste
    in liquid or gas form.
    [Appellee] stipulated to liability,      and    causation   and
    damages were issues for the jury.
    (Trial Ct. Op., at 5) (footnotes omitted).
    Prior to Appellee’s testifying, Appellant asked for an offer of proof with
    respect to Appellee’s testimony. (See N.T. 6/21/13, at 3). Defense counsel
    stated that he wanted Appellee to testify, as an expert, about the
    photographs taken of Appellant’s teeth. (See 
    id. at 3-4).
    Ficarra took these
    photographs on the date of the incident, and counsel wanted Appellee to
    opine on whether they showed spray on them and draw conclusions from his
    viewing of the pictures.     (See 
    id. at 3-4).
         The trial court ruled that
    Appellee could not testify as an expert about Appellant’s medical problems.
    (See 
    id. at 29,
    32).    However, the trial court did rule that Appellee could
    describe what was on the photographs. (See 
    id. at 32).
    When Appellee took
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    J-A24041-14
    the stand, he testified that saliva was present in some of the photographs of
    Appellant’s mouth. (See 
    id. at 40,
    42-48, 50).
    At the close of evidence, Appellant requested a directed verdict, which
    the trial court denied. (See N.T. 6/24/13, at 28). On June 24, 2013, the
    jury found in favor of Appellee and against Appellant.           On July 2, 2013,
    Appellant filed a motion for post-trial relief, which the trial court denied on
    October 17, 2013.         The Prothonotary entered judgment on October 25,
    2013.        Appellant filed a motion for reconsideration on November 6, 2013,
    which the trial court granted on November 12, 2013.                The trial court
    subsequently held oral argument on the motion for post-trial relief.             On
    January 21, 2014, the trial court again denied the motion for post-trial relief.
    The instant, timely appeal followed. On February 12, 2014, the trial court
    ordered Appellant to file a concise statement of errors complained of on
    appeal. See Pa.R.A.P. 1925(b). On March 10, 2014, Appellant filed a timely
    concise statement.        See 
    id. On April
    3, 2014, the trial court issued an
    opinion. See Pa.R.A.P. 1925(a).
    On appeal, Appellant raises the following questions for our review:
    I.      Whether the trial court committed error of law or abused
    its discretion in denying [Appellant’s] request for a directed
    verdict on the issue of causation?
    II.     Whether the honorable trial court committed error of law
    or abused its discretion in permitting [Appellee] to testify
    about saliva on photographs?
    -6-
    J-A24041-14
    III.   Whether the honorable trial court committed error of law
    or abused its discretion in denying [Appellant’s] motion in
    limine to preclude the testimony of defense expert [Harry]
    Milman, PhD, due to the late identification and production
    of an expert report?
    IV.    Whether the honorable trial court committed error of law
    or abused its discretion in precluding [Appellant] from
    making any references to the medical evaluation
    performed on behalf of the defense by Kenneth B. Briskin,
    M.D., an ENT physician?
    (Appellant’s Brief, at 5).
    In her first claim, Appellant alleges that the trial court erred in denying
    her request for a directed verdict on the factual cause of harm because
    “there was no dispute that the negligence of [Appellee] caused [Appellant]
    some degree of harm.” (Appellant’s Brief, at 13). We disagree.
    A directed verdict may be granted only where the facts are
    clear and there is no room for doubt. In deciding whether to
    grant a motion for a directed verdict, the trial court must
    consider the facts in the light most favorable to the nonmoving
    party and must accept as true all evidence which supports that
    party’s contention and reject all adverse testimony.
    Keffer v. Bob Nolan’s Auto Service, Inc., 
    59 A.3d 621
    , 632 (Pa. Super.
    2012), appeal denied, 
    69 A.3d 602
    (Pa. 2013) (quotation marks and citation
    omitted).
    In reviewing a trial court’s decision whether or not to grant
    judgment in favor of one of the parties, we must consider the
    evidence, together with all favorable inferences drawn
    therefrom, in the light most favorable to the verdict winner. Our
    standard[s] of review when considering the motions for a
    directed verdict and judgment notwithstanding the verdict
    [JNOV] are identical. We will reverse a trial court’s grant or
    denial of a [directed verdict or JNOV] only when we find an
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    J-A24041-14
    abuse of discretion or an error of law that controlled the
    outcome of the case. Further, the standard of review for an
    appellate court is the same as that for a trial court.
    There are two bases upon which a [directed
    verdict or JNOV] can be entered; one, the movant is
    entitled to judgment as a matter of law and/or two,
    the evidence is such that no two reasonable minds
    could disagree that the outcome should have been
    rendered in favor of the movant. With the first, the
    court reviews the record and concludes that, even
    with all factual inferences decided adverse to the
    movant, the law nonetheless requires a verdict in his
    favor. Whereas with the second, the court reviews
    the evidentiary record and concludes that the
    evidence was such that a verdict for the movant was
    beyond peradventure.
    Hall v. Episcopal Long Term Care, 
    54 A.3d 381
    , 395 (Pa. Super. 2012),
    appeal denied, 
    69 A.3d 243
    (Pa. 2013) (citation omitted).
    Here, Appellant premises her claim entirely on her belief that both her
    expert, and Appellee’s expert, Dr. Milman, testified that she had suffered an
    injury because of being sprayed with dust remover. (See Appellant’s Brief,
    at 19-21). However, Appellant mischaracterizes Dr. Milman’s testimony. In
    relevant part, Dr. Milman testified as follows:
    [Appellant’s Counsel]: Well, you do know, since apparently
    you’re relying upon certain things which were said, you do know
    that my client said that it gave her a burning sensation; is that
    correct?
    [Dr. Milman]: Yes.
    [Appellant’s Counsel]: That’s an indication of some injury, is it
    not?
    [Dr. Milman]: Yes.
    -8-
    J-A24041-14
    [Appellant’s Counsel]: And you acknowledged that for some
    weeks thereafter, although she improved, she continued to
    complain of pain in her throat and in her nostrils. Is that so?
    [Dr. Milman]: That was her testimony, yes.
    [Appellant’s Counsel]:   And that’s an indication of injury, is it
    not?
    [Dr. Milman]: It could be, yes.
    (N.T. Trial, 6/20/13, at 214-15).    Thus, Dr. Milman did not concede that
    Appellant suffered any injury; he testified that he was aware of Appellant’s
    testimony that she believed she suffered an injury.     He also testified that
    there was no scientific proof that being sprayed with the dust remover
    caused Appellant’s injuries. (See 
    id. at 216).
    In Holland v. Zelnick, 
    478 A.2d 885
    (Pa. Super. 1984), the plaintiff
    claimed to have neck pain because of a car accident, a claim supported by
    her experts but not by the defense expert. See Holland, supra at 886. On
    appeal, the plaintiff argued that the trial court should have found for her on
    the issue of causation and she sought a new trial limited to damages. See
    
    id. This Court
    found the plaintiff was not entitled to a new trial on damages,
    stating:
    This is not a case where a defendant is found to be negligent and
    his negligence is found to have caused plaintiff’s injuries, but an
    award of adequate damages is not returned because of some
    subjective view on the part of the jury. In this case despite the
    finding of negligence on defendant’s part for “bumping” plaintiff’s
    vehicle, the jury clearly found that defendant’s actions had
    nothing to do with plaintiff’s condition, real or otherwise.
    Simply put, the jury rejected the testimony of plaintiff’s
    expert medical witnesses and accepted the testimony of
    -9-
    J-A24041-14
    defendant’s expert. The jury simply did not believe that the
    headaches and other severe pain described by plaintiff and her
    parents at her trial were caused by defendant’s negligent action
    in bumping plaintiff’s vehicle. Thus, the jury found that
    defendant's negligence was not the proximate cause of plaintiff’s
    complaints and the failure of it to find proximate cause was fatal
    to plaintiff's claim.
    
    Id. at 887
    (emphasis added).
    Here, as in Holland, there was a disagreement among the experts as
    to whether Appellee’s negligence caused Appellant’s injury. Given this, the
    trial court properly gave the case to the jury to determine the credibility of
    the expert witnesses, because, as in Holland, Appellant was not entitled to
    a directed verdict on causation.3 See 
    id. Appellant’s first
    claim lacks merit.
    ____________________________________________
    3
    Appellant’s reliance on Neison v. Hines, 
    653 A.2d 634
    (Pa. 1995) and
    Mano v. Madden, 
    738 A.2d 493
    (Pa. Super. 1999) (en banc) is misplaced.
    (See Appellant’s Brief, at 14-15). In Neison, the plaintiff went immediately
    to a hospital and physicians treated her there for injury resulting from an
    automobile accident, for which the defendant admitted liability.            See
    Neison, supra at 637-38. Her experts testified as to her lingering injuries,
    and the defendant’s expert, while contesting that her injuries continued
    some two years after the accident, did not contest that she suffered some
    injury because of the accident. See 
    id. at 636.
    However, the jury did not
    award any damages and the trial court granted a motion for a new trial.
    See 
    id. Thus, because
    of the uncontroverted testimony that the plaintiff
    suffered some injury, our Supreme Court held that the trial court correctly
    awarded a new trial as to damages. See 
    id. at 638-39.
    Likewise, in Mano,
    the trial court issued a directed verdict as to the defendant’s negligence in
    an automobile accident and both parties’ medical experts testified the
    plaintiff suffered some injury because of the accident. See Mano, supra at
    495, 497. Thus, we held that, “[i]t is impermissible for a jury, in a personal
    injury case, to disregard the uncontroverted testimony from the experts for
    both parties that the plaintiff suffered some injury as a result of the accident
    in question.” 
    Id. at 497
    (citation omitted). Here, as discussed above, the
    (Footnote Continued Next Page)
    - 10 -
    J-A24041-14
    In her second claim, Appellant alleges that the trial court erred in
    allowing Appellee to testify regarding his review of photographs, which
    allegedly showed saliva on Appellant’s teeth. (See Appellant’s Brief, at 22-
    25). We disagree.
    Our standard of review with respect to the admissibility of evidence is
    narrow:
    [w]hen we review a trial court ruling on admission of
    evidence, we must acknowledge that decisions on admissibility
    are within the sound discretion of the trial court and will not be
    overturned absent an abuse of discretion or misapplication of
    law. In addition, for a ruling on evidence to constitute reversible
    error, it must have been harmful or prejudicial to the
    complaining party.
    An abuse of discretion is not merely an error of judgment,
    but if in reaching a conclusion the law is overridden or
    misapplied,  or    the   judgment       exercised    is   manifestly
    unreasonable, or the result of partiality, prejudice, bias or ill-will,
    as shown by the evidence or the record, discretion is abused.
    Stumpf v. Nye, 
    950 A.2d 1032
    , 1035-36 (Pa. Super. 2008), appeal denied,
    
    962 A.2d 1198
    (Pa. 2008) (quotation marks and citation omitted). A party
    suffers prejudice when the trial court's error could have affected the verdict.
    See Trombetta v. Raymond James Financial Services, Inc., 
    907 A.2d 550
    , 561 (Pa. Super. 2006).
    Here, as discussed above, the trial court did not permit Appellee to
    testify as an expert but only as to his perceptions and matters within his
    _______________________
    (Footnote Continued)
    experts disagreed as to whether Appellant suffered some injury as a result of
    Appellee’s negligence, thus neither Neison nor Mano is apposite.
    - 11 -
    J-A24041-14
    personal knowledge. (See N.T. Trial, 6/21/13, at 28, 32). Appellant argues
    that Appellee violated this ruling by testifying about the presence of saliva in
    the photographs, which, she argues, led to the inference that saliva would
    not have been present if Ficarra had sprayed her with dust remover. (See
    Appellant’s Brief, at 22-24). However, Appellant does not point to, and our
    review of the record does not demonstrate that, the trial court ever
    prohibited Appellee from testifying that he saw saliva on the photographs.
    (See N.T. Trial, 6/21/13, at 3-32). Rather, the trial court ruled that while
    Appellee could testify as to his observations of Appellant’s teeth from the
    photographs, he could not testify about whether there was a causal link
    between the condition of her teeth and her alleged loss of her senses of
    taste and smell. (See 
    id. at 32;
    Trial Ct. Op., at 13-14).
    This Court has stated:
    A lay witness may express an opinion if it is based upon
    his own perceptions and helpful to a clear understanding of his
    testimony or the determination of a fact in issue. Although the
    admission of an opinion on an ultimate issue of fact does not
    constitute error per se, . . . if its admission would confuse,
    mislead, or prejudice the jury, it should be excluded. In order
    for a ruling on evidence to constitute reversible error, it must be
    shown not only to have been erroneous, but harmful to the party
    complaining.    The appellant must prove the court erred in
    admitting the challenged evidence and that the appellant was
    unduly prejudiced thereby.
    The decision whether testimony constitutes
    fact or opinion may be difficult, for there is no litmus
    test for fact versus opinion. Often testimony that
    might be classified as opinion is nevertheless
    admitted almost as a matter of course. Statements
    such as “it made an awful racket,” “the weather was
    - 12 -
    J-A24041-14
    miserable”, “he looked drunk”, are in a sense all
    opinions, but a little attention to our every day way
    of speaking will show that they are more accurately
    classified as shorthand, or compendious, statements
    of fact, based on personal observation. . . . In such
    cases the experienced trial judge will admit the
    statement.
    Nevertheless, [p]ersonal knowledge remains a prerequisite
    to the admissibility of an expression of lay opinion.
    McManamon v. Washko, 
    906 A.2d 1259
    , 1276 (Pa. Super. 2006), appeal
    denied, 
    921 A.2d 497
    (Pa. 2007) (citations and some quotation marks
    omitted).
    Here, it is questionable that Appellee’s testimony even constituted
    opinion testimony, as it was more in the line of statements of facts based
    upon his personal observations of the photographs.          (See N.T. Trial,
    6/21/13, at 40-52). In any event, even if we were to find that Appellee’s
    testimony constituted opinion testimony, Appellant does not dispute, (see
    Appellant’s Brief,   at 22-25), that    it was within    Appellee’s personal
    knowledge, as a dentist with over twenty-five years’ experience, (see N.T.
    Trial, 6/21/13, at 36), to opine on photographs of his patient’s dentition. We
    see nothing in Appellee’s testimony that constituted impermissible opinion
    testimony. See McManamon, supra at 1276.
    Moreover, Appellant has not demonstrated, beyond a bald statement,
    that the admission of this testimony prejudiced her, (see Appellant’s Brief,
    at 25), because Appellee never testified that the presence of saliva had any
    relationship to Appellant’s claims of injury. This Court has held that where
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    J-A24041-14
    an Appellant fails to explain in what way the testimony was prejudicial or
    provide argument as to prejudice, this Court cannot find that the evidence
    was unduly prejudicial.       See Smith v. Morrison, 
    47 A.3d 131
    , 137 (Pa.
    Super. 2012), appeal denied, 
    57 A.3d 71
    (Pa. 2012) (where appellant made
    only bald statements of prejudice “we cannot find that the evidence was so
    prejudicial as to divert the jury’s attention away from its duty of weighing
    the evidence impartially.”). Thus, because Appellant has not shown that the
    trial court abused its discretion in admitting Appellee’s testimony, her claim
    must fail.4 
    Id. In her
    third claim, Appellant avers that the trial court erred in denying
    her pre-trial motion in limine to exclude the testimony of Dr. Harry A.
    Milman, due to the late production of his expert report.5 (See Appellant’s
    Brief, at 25-29). We disagree.
    ____________________________________________
    4
    Appellant’s reliance on Kurian ex rel. Kurian v. Anisman, 
    851 A.2d 152
    (Pa. Super. 2004), is misplaced. (See Appellant’s Brief, at 24). The issue in
    Kurian was whether, in a medical malpractice action, the trial court could
    admit the report of a treating physician as an expert report where the
    plaintiff had not identified that physician during discovery and the plaintiff
    produced his report for first time in opposition to a motion for summary
    judgment. See Kurian, supra at 155-62. We see nothing in Kurian that is
    helpful to Appellant.
    5
    In her brief, Appellant also appears to contend that Dr. Milman should not
    have been allowed to testify as an expert because he was not a medical
    doctor and/or that he was wrongly permitted to testify beyond the scope of
    his expert report. (See Appellant’s Brief, at 28-29). Appellant has waived
    this claim as it was neither raised in Appellant’s 1925(b) statement nor in
    her statement of questions. (See Concise Statement of Errors Complained
    (Footnote Continued Next Page)
    - 14 -
    J-A24041-14
    Generally, a trial court's decision to grant or deny a
    motion in limine is
    subject to an evidentiary abuse of discretion
    standard of review. The term discretion imports the
    exercise of judgment, wisdom and skill so as to
    reach a dispassionate conclusion, within the
    framework of the law, and is not exercised for the
    purpose of giving effect to the will of the judge.
    Discretion must be exercised on the foundation of
    reason,    as    opposed    to    prejudice,  personal
    motivations, caprice or arbitrary actions. Discretion
    is abused when the course pursued represents not
    merely an error of judgment, but where the
    judgment is manifestly unreasonable or where the
    law is not applied or where the record shows that the
    action is a result of partiality, prejudice, bias or ill
    will.
    Schmalz v. Manufacturers & Traders Trust Co., 
    67 A.3d 800
    , 802-03
    (Pa. Super. 2013) (citation omitted).
    Appellant claims that Appellee did not furnish Dr. Milman’s expert
    report until April 2013, well after the February 20, 2013 deadline.        (See
    Appellant’s Brief, at 26). Appellant alleges that this late disclosure severely
    _______________________
    (Footnote Continued)
    of on Appeal, 3/10/14, at unnumbered page 1; Appellant’s Brief, at 5). As
    amended in 2007, Pennsylvania Rule of Appellate Procedure 1925 provides
    that issues that are not included in the Rule 1925(b) statement or raised in
    accordance with Rule 1925(b)(4) are waived.                  See Pa.R.A.P.
    1925(b)(4)(vii); see also Commonwealth v. Lord, 
    719 A.2d 306
    , 308 (Pa.
    1998), superseded by rule on other grounds as stated in Commonwealth v.
    Burton, 
    973 A.2d 428
    , 431 (Pa. Super. 2009) (en banc). Further, new legal
    theories cannot be raised for the first time on appeal. See Pa.R.A.P. 302(a)
    (“Issues not raised in the lower court are waived and cannot be raised for
    the first time on appeal.”). Lastly, issues not explicitly raised in the
    statement of questions involved or fairly suggested thereby are waived. See
    Nolt v. TS Calkins & Assoc., LP., 
    96 A.3d 1042
    , 1047 n.4 (Pa. Super.
    2014); Pa.R.A.P. 2116(a).
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    J-A24041-14
    prejudiced her. (See 
    id. at 27).
    Appellant acknowledges that she agreed to
    an extension of time for expert reports but contends that this was to allow
    an IME of her, not to allow Appellee to produce the report of a non-physician
    toxicologist/pharmacologist, which added a new theory of defense.             (See
    id.).
    The Pennsylvania Rules of Civil Procedure govern expert testimony
    discovery.    See Pa.R.C.P. 4003.5. Under Rule 4003.5, a trial court may
    sanction a party for failing to identify an expert by excluding his or her
    testimony.     See Pa.R.C.P. 4003.5(a)(4)(b).         However, we have held that
    “preclusion of testimony is a drastic sanction, and it should be done only
    where the facts of the case make it necessary; the prejudice may not be
    assumed.”      Kurian, supra at 162 (citation omitted).           “The court must
    balance the facts and circumstances of each case to determine the prejudice
    to each party.       In practice, sanctions for noncompliance with discovery
    requests are generally not imposed until there has been a refusal to comply
    with a court order compelling compliance.” Green Const. Co. v. Dept. of
    Transp., 
    643 A.2d 1129
    , 1139 (Pa. Cmwlth. 1994), appeal denied, 
    672 A.2d 311
    (Pa. 1996) (citations omitted).6           We look to four factors to determine
    whether expert testimony should be excluded:
    ____________________________________________
    6
    While decisions of the Commonwealth Court are not binding on us, they
    may serve as persuasive authority. See Commonwealth v. Ortega, 
    995 A.2d 879
    , 885 (Pa. Super. 2010), appeal denied, 
    20 A.3d 1211
    (Pa. 2011).
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    J-A24041-14
    (1) the extent of any actual prejudice or surprise suffered by the
    party against whom the expert testified; (2) the ability of that
    party to cure the prejudice or surprise; (3) the extent to which
    allowance of the testimony disrupted the orderly and efficient
    trial of the case or of other cases in the court; and (4) the bad
    faith or willfulness of the party that has failed to comply with the
    order.
    Neal by Neal v. Lu, 
    530 A.2d 103
    , 109 (Pa. Super. 1987) (citations and
    quotation marks omitted).
    Here, the trial court explained its decision as follows:
    Dr. [Harvey] Millman’s expert report was produced to
    [Appellant’s] counsel on April 11, 2013, more than two months
    prior to the trial date. Both parties had already agreed to extend
    the timeline of expert reports for [Appellee] to produce a report
    from an otolaryngologist. [Appellant] argues that the production
    of Dr. Millman’s report was a bait and switch performed by
    [Appellee]. There is no evidence of bad faith on the part of
    [Appellee]. Further, there was little evidence of any surprise
    suffered by [Appellant], as she had more than two months to
    review Dr. Millman’s findings before the trial started. This late
    identification did not disrupt the orderly and efficient trial of the
    case.
    (Trial Ct. Op., at 12) (quotation marks and footnotes omitted). We agree.
    We note that despite Appellant’s claims of unfair surprise and prejudice,
    there is no evidence of record that she sought a continuance in order to
    obtain additional expert reports. Further, it is evident that Appellant knew
    that toxicology would be an issue in the matter, as she had already obtained
    an expert toxicologist to testify on her behalf. (See Appellant’s Brief, at 26
    (noting that she had furnished expert toxicology reports to Appellee in
    2012)). Thus, Appellant has not demonstrated she suffered prejudice that
    would mandate the extreme sanction of preclusion of expert testimony. See
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    J-A24041-14
    Green, supra at 1138-39 (plaintiff did not demonstrate sufficient prejudice
    to mandate sanction of exclusion of expert testimony where it was not
    disclosed until five days prior to trial).    Because Appellant has not shown
    that the trial court abused its discretion in denying her motion in limine, her
    claim must fail.
    In her final issue, Appellant avers that the trial court erred in
    precluding her from making references to a medical evaluation performed on
    behalf of Appellee by Dr. Kenneth Briskin. (See Appellant’s Brief, at 30-31).
    We disagree. As discussed above, we review a trial court’s evidentiary ruling
    for an abuse of discretion or a misapplication of law, and Appellant must
    demonstrate prejudice for any mistake to constitute reversible error.     See
    Stumpf, supra at 1035-36.
    Appellant argues that she was prejudiced by the failure of Appellee to
    comply with Pennsylvania Rule of Civil Procedure 4010(b)(1) and provide her
    with a copy of Dr. Briskin’s expert report. (See Appellant’s Brief, at 30-31).
    However, Appellant waived this argument, as she never argued below that
    Appellee failed to comply with Pa.R.C.P. 4010(b)(1) or that she was
    prejudiced by the lack of an expert report.         (See N.T. Motion Hearing,
    6/18/13, at 3-32). New legal theories cannot be raised for the first time on
    appeal.   See Commonwealth v. Truong, 
    36 A.3d 592
    , 598 (Pa. Super.
    2012) (en banc), appeal denied, 
    57 A.3d 70
    (Pa. 2012); Pa.R.A.P. 302(a).
    Accordingly, we find that Appellant has waived this issue for our review.
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    J-A24041-14
    Further, Appellant’s boilerplate language combined with a two-sentence
    argument that the trial court’s decision not to allow any mention of Dr.
    Briskin prejudiced her is completely undeveloped. (See Appellant’s Brief, at
    30-31).    It is long-settled that failure to argue and to cite any authority
    supporting the argument constitutes a waiver of the issue on appeal. See
    Jones v. Jones, 
    878 A.2d 86
    , 90 (Pa. Super. 2005); see also Pa.R.A.P.
    2119(a), (b).    Accordingly, Appellant waived her claim for this reason as
    well.
    Moreover, under Pennsylvania law, a party is not entitled to draw an
    adverse inference from the absence of a witness if that witness is within the
    reach and knowledge of both parties. See Oxford Presbyterian Church v.
    Weil-McLain Co., Inc., 
    815 A.2d 1094
    , 1102-03 (Pa. Super. 2003) (party
    entitled to draw adverse inference from failure to call witness, where witness
    is only available to one of parties, and it appears witness has special
    information    material   to   issue,   and   testimony   would   not   be   merely
    cumulative). Here, the record reflects that the parties agreed to the IME by
    Dr. Briskin; Dr. Briskin did not issue an expert report, but both counsel had
    copies of his findings; and his testimony was cumulative of that of
    Appellant’s experts, namely that Appellant’s problems were not caused by
    any structural deformity to her nose or mouth. (See N.T. Motion Hearing,
    6/18/13, at 4-6; 8). Thus, because Appellant failed to show she was entitled
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    J-A24041-14
    to draw any adverse inference from Appellee’s failure to call Dr. Briskin to
    testify, her issue lacks merit. See Oxford, supra at 1102-03.
    For the reasons discussed above, Appellant’s claims lack merit.
    Therefore, we affirm the judgment.
    Judgment affirmed.
    Judgment Entered.
    Joseph D. Seletyn, Esq.
    Prothonotary
    Date: 11/6/2014
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