Com. v. Tucker, C. ( 2023 )


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  • J-S28032-22
    NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT I.O.P. 65.37
    COMMONWEALTH OF PENNSYLVANIA               :   IN THE SUPERIOR COURT OF
    :        PENNSYLVANIA
    Appellee                :
    :
    v.                             :
    :
    CHRISTOPHER RYAN TUCKER                    :
    :
    Appellant               :      No. 1297 MDA 2021
    Appeal from the Judgment of Sentence Entered September 14, 2021
    In the Court of Common Pleas of Berks County
    Criminal Division at No(s): CP-06-CR-0006044-2017
    BEFORE: OLSON, J., McLAUGHLIN, J., and KING, J.
    MEMORANDUM BY KING, J.:                                 FILED: MARCH 8, 2023
    Appellant, Christopher Ryan Tucker, appeals from the judgment of
    sentence entered in the Berks County Court of Common Pleas, following his
    jury trial convictions for first-degree murder, third-degree murder, two counts
    of aggravated assault, and two counts of possessing instruments of crime.1
    We affirm.
    In its opinion, the trial court set forth the relevant facts of this case as
    follows:
    The Commonwealth presented evidence at trial that the
    victim, Tara Marie Serino, was last seen shortly after 12:30
    A.M. on October 30, 2017, when she left her residence in
    Lehigh County, Pennsylvania with [Appellant]. The next
    day, the victim’s father, Fred Serino, contacted the
    Pennsylvania State Police Hamburg Barracks (“PSP–
    ____________________________________________
    1 18 Pa.C.S.A. §§ 2502(a), 2502(c), 2072(a)(1), 2072(a)(4), and 907(a),
    respectively.
    J-S28032-22
    Hamburg”), after she failed to contact him as previously
    arranged. Mr. Serino requested they perform a welfare
    check on the victim at [Appellant’s] residence at 282 Roth
    Road, Albany Township, Berks County, Pennsylvania.
    Troopers Jordan Hoffman and Ryan Zimmerman of PSP–
    Hamburg, responded to [Appellant’s] residence [and] were
    unable to contact anyone inside the residence.
    The following day, on November 1, 2017, [Appellant’s]
    father appeared at [the] victim’s father’s house with the
    victim’s purse, identification, medication, and wallet, which
    he indicated he retrieved from [Appellant’s] residence.
    [Appellant’s] father provided the victim’s father with the
    victim’s personal items. While at the Serino residence,
    [Appellant’s] father indicated that his son had been
    committed to a hospital for psychiatric evaluation in the
    Urbana, Illinois area.
    That same day, [the] victim’s father reported her missing to
    his local police department, the Upper Macungie Police
    Department, and provided them with the victim’s personal
    items. At that time, Detective Adam Miller of the Upper
    Macungie Police Department performed a presumptive blood
    test on what appeared to be a bloodstain on the victim’s
    purse, receiving a positive indication for blood. Detective
    Miller confirmed that [Appellant] had been encountered
    attempting to break into a piece of farm equipment near a
    truck stop in Illinois and that the Iroquois County Sheriff’s
    Department transported him to Presence Hospital in
    Urbana, Illinois. The victim was not located in the area.
    Detective Miller requested the Urbana, Illinois Police
    Department to respond to Presence Hospital to speak with
    [Appellant] to obtain information as to the victim’s
    whereabouts. Detective Miller briefed Investigator Doug
    Pipkins of the Urbana Police Department as to the reason
    for his request.
    Dr. Timothy Roberts was [Appellant’s] treating psychiatrist
    and met with [Appellant] the morning of November 1. Dr.
    Roberts testified that while [Appellant] was a [l]ittle sleepy
    at times, he was not “out of it” and he was cooperative and
    capable of answering questions. Dr. Roberts indicated that
    [Appellant] had slept the night prior to his interaction with
    police. Dr. Roberts stated that [Appellant] was capable of
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    giving him a medical history and information about his
    medication, as well as answering questions regarding that
    history.
    While [Appellant] raised that his medication was such that
    he could not understand what was happening, Dr. Roberts
    indicated that he was not prescribed any medication that
    would have precluded him from understanding what was
    going on, and that he was able to consent to the
    administration of medication. Dr. Roberts indicated that
    none of the dosages of the medications prescribed or given
    to [Appellant] would have sedated him to the point of an
    inability to communicate with others, including law
    enforcement officers. Dr. Roberts stated that [Appellant]
    had the ability to consent to medication. Dr. Roberts stated
    that [Appellant] signed a voluntary admission form,
    admitting himself to Presence Hospital.
    Officer Darin McCartney, Officer Collin Dedecker and his
    Field Training Officer Ingram of the Urbana Police
    Department responded to Presence Hospital [to] assist with
    the missing person investigation involving the victim. They
    arrived at the hospital at 2:18 P.M., Central Time, November
    1, 2017.      There, they located [Appellant].        Officers
    Dedecker, Ingram and McCartney met with [Appellant] in a
    conference room on the fifth floor of the hospital.
    The conference room contained a round table, chairs, and
    windows. [Appellant] was present with his social worker,
    Cymi Nappy, who left only once while Officers Dedecker,
    Ingram and McCartney met with him. Officer Dedecker
    informed [Appellant] that they had been referred an
    investigation to search for a missing person from a
    Pennsylvania police department. [Appellant] indicated to
    Officer Dedecker that he knew the victim, that they
    previously dated, but that he did not know her whereabouts
    and hadn’t seen her for three weeks. Officer Dedecker also
    asked [Appellant] about some marks on his hands, and
    [Appellant] indicated he received these marks at work.
    During the time Officer Dedecker spent with him,
    [Appellant] was not in handcuffs, was never told he was
    under arrest, and was informed that the police were simply
    investigating an individual’s disappearance. [Appellant] was
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    willing to speak with Officer Dedecker, he never indicated
    that he did not wish to answer questions, he appeared to
    understand Officer Dedecker’s questions, and he never
    indicated that he did not understand something.
    Before entering the conference room, Officer McCartney was
    told a woman was reported missing by her father, she was
    possibly last seen with [Appellant], and that some of her
    personal belongings may have been found at [Appellant’s]
    residence.     At this point, Officer McCartney had no
    information that the woman may have been harmed. Upon
    entering the conference room, Officer McCartney spoke to
    [Appellant]. He asked for his biographical information,
    which [Appellant] provided. [Appellant] was willing to speak
    with Officer McCartney and did not appear to have any
    difficulty understanding his questions. Officer McCartney
    informed [Appellant] they were meeting because an
    individual who may have been [Appellant’s] acquaintance or
    girlfriend was reported missing. Officer McCartney asked
    [Appellant] if he knew the victim. [Appellant] indicated that
    he did and that they had been dating approximately three
    months. Officer McCartney asked [Appellant] if he knew the
    victim’s location. [Appellant] responded that he had an
    argument with her several days earlier and that after the
    argument, he left in his truck and drove toward Illinois.
    [Appellant] had originally indicated that he last saw the
    victim three weeks prior, but upon stating such, his social
    worker interjected that [Appellant] had indicated previously
    to her it may have only been several days prior. [Appellant]
    acknowledged this as true.
    Officer McCartney also asked about the injuries to his hands,
    which [Appellant] first indicated he sustained from doing
    “sneak attacks” near a rest stop in Illinois, but later
    indicated he sustained doing martial arts. Officer McCartney
    inquired as to whether [Appellant] was concerned regarding
    the victim’s whereabouts, and he indicated he was not.
    Detective McCartney inquired as to whether [Appellant]
    harmed the victim, and he indicated he did not. Officer
    McCartney met with [Appellant] for a total of approximately
    twenty minutes. During this time, [Appellant] did not
    indicate that he was unwilling to talk to the police. He never
    exhibited any signs of discomfort. He never requested to
    use the restroom. He was provided with water to drink. The
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    conference room in which they met was not locked and
    [Appellant] was free to get up and walk away.
    Officer McCartney testified that, in his eleven years with the
    Urbana Police Department, he has been involved in multiple
    missing person investigations. He indicated that many of
    these investigations result in a finding of no harm or foul
    play, especially when it involves college aged individuals.
    However, he also indicated that, in missing person
    investigations, “time is of the essence,” because the sooner
    a person can be located, the sooner they may be spared
    harm, or their life may be saved. At the time he spoke with
    [Appellant], he testified that he had no reason to believe the
    victim had been harmed or killed or that there was anything
    criminal to investigate. After meeting with [Appellant],
    Officer McCartney spoke with a sergeant at the Urbana
    Police [D]epartment to request assistance in the
    investigation.
    A short time thereafter, Investigators Doug Pipkins and
    Richard Coleman arrived at the hospital. [Appellant] was
    still in the conference room with his social worker. Officer
    McCartney was also still present, but Officers Dedecker and
    Ingram had left. Officer McCartney briefly spoke with
    Investigator Pipkins to explain what [Appellant] had stated,
    and then Officer McCartney, Investigator Pipkins and
    Investigator Coleman entered the conference room. As
    before, at the time Officer McCartney and Investigators
    Pipkins and Coleman entered the conference room,
    [Appellant] was not under arrest, was not physically
    detained in any way and indicated he was willing to speak
    with investigators. Prior to entering the conference room,
    Investigators Pipkins and Coleman spoke with a nurse at the
    hospital who advised that [Appellant] would be “fine” to
    speak with the police. Officer McCartney was in police
    uniform, while Investigators Pipkins and Coleman were not.
    Upon entering the conference room, Investigator Pipkins
    spoke with [Appellant].       He introduced himself and
    described [Appellant’s] initial demeanor as “sleepy.”
    Investigator Pipkins asked [Appellant] some initial questions
    regarding the victim’s whereabouts.        [Appellant] was
    responsive to Investigator Pipkins’ questions. [Appellant’s]
    answers correlated to the questions being asked.
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    [Appellant] never asked Investigator Pipkins to repeat
    questions or [state] that he did [not] understand what
    Investigator Pipkins was saying. Further, at the time he
    entered the conference room, Investigator Pipkins had no
    information as to where [the] victim might be or whether
    she had been harmed. Upon asking about the victim’s
    whereabouts, [Appellant] initially told Investigator Pipkins
    that he had [not] seen her for about three weeks, but he
    eventually said it was about five to seven days. [Appellant]
    initially said he did [not] know where she was located.
    Investigator Pipkins stepped out of the conference room to
    call Detective Miller of the Upper Macungie Police
    Department. Detective Miller informed Investigator Pipkins
    that he believed the information provided by [Appellant]
    probably was [not] accurate and the Upper Macungie Police
    Department had information that [Appellant] had seen the
    victim more recently. Investigator Pipkins re-entered the
    conference room and told [Appellant] that he had just
    spoken with Pennsylvania police and that the time frame
    [Appellant] provided did not match up with the information
    that Pennsylvania authorities had. Investigator Pipkins did
    not ask [Appellant] a question at this point; however,
    [Appellant] just began talking.           [Appellant] asked
    Investigator Pipkins if he wanted to know what really
    happened.        Investigator Pipkins responded “sure.”
    [Appellant] then stated, “I will tell you what happened. I
    fucking killed her.” While Investigator Pipkins had described
    [Appellant’s] demeanor up to this point as “sleepy,” when
    [Appellant] made the statement about killing the victim,
    [Appellant] is described as having “bolted up in his chair and
    was looking directly at us and was very engaged with what
    he was telling us and just very into the conversation.[”]
    Initially, Investigator Pipkins thought [Appellant] “was
    messing with us,” but as [Appellant] continued to speak,
    Investigator Pipkins realized that [Appellant] might be
    serious. Investigator Pipkins stepped back out of the
    conference room and called Detective Miller to advise him of
    [Appellant’s] statements and that the victim might be in
    [Appellant’s] trailer. Investigator Pipkins called his sergeant
    to advise him of the same and then re-entered the
    conference room. Detective Miller subsequently called PSP-
    Hamburg to inform them of the situation. Upon re-entering
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    the conference room, [Appellant] was still in the middle of
    talking about the incident. Investigator Pipkins advised
    [Appellant] he was now being recorded. He then proceeded
    to read [Appellant] his Miranda[2] rights.      [Appellant]
    indicated he did not want a lawyer and agreed to keep
    speaking with the investigators.
    The audio recording was admitted into evidence at
    the…pretrial hearing…for the [c]ourt’s review. The audio
    recording began at approximately 4:30 P.M., Central Time.
    The audio recording lasted about an hour.            Prior to
    [Appellant] stating he killed the victim, Investigator Pipkins
    had been speaking with him for about ten to fifteen minutes.
    During the audio-recorded conversation, [Appellant] was
    provided food and drink. [Appellant] provided specific
    details as to how he killed the victim, even correcting
    Investigator Pipkins at one point regarding a detail. He also
    provided specific details regarding the crime scene.
    [Appellant] was free to move around the conference room,
    getting up out of his chair several times while speaking with
    Investigators Pipkins and Coleman. At the end of his
    conversation with Investigators Pipkins and Coleman,
    [Appellant] left the conference room. [Appellant] remained
    at Presence Hospital for the evening of November 1. The
    next day, November 2, 2017, Officer McCartney responded
    back to the hospital. At that time, he placed [Appellant]
    under arrest and, along with Officer Dedecker, transported
    [Appellant] to the county jail.
    (Trial Court Opinion, 12/20/21, at 1-8).
    After receiving information that the victim may be inside Appellant’s
    home, officers with the Upper Macungie Police Department and the
    Pennsylvania State Police searched the Appellant’s home. There, they saw
    dried blood and an odor consistent with decomposition.          They found the
    victim’s body under a rug, wrapped in a comforter. Her face was smashed,
    ____________________________________________
    2   Miranda v. Arizona, 
    384 U.S. 436
    , 
    86 S.Ct. 1602
    , 
    16 L.Ed.2d 694
     (1966).
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    J-S28032-22
    and she had no signs of life. (N.T. Trial, 5/10/21-5/20/21, at 459-63). A later
    search of Appellant’s residence revealed a marijuana joint, several earrings, a
    tooth, broken glass from a mirror, a bloody 25lb weight, and a bloody hatchet.
    (Id. at 484, 490-91, 500, 503, 505, 513-15, 535).         During their search,
    officers found a dictionary at the crime scene which was open to the page
    containing a definition for the word “insane.” (Id. at 525-27).
    The Commonwealth subsequently charged Appellant with first-degree
    murder and related offenses.     A jury trial commenced on May 10, 2021.
    Detective Pipkins testified at trial, explaining that Appellant admitted to
    strangling the victim, gouging her eyes out, shoving his fingers into her eye
    sockets, and then hitting her on the head with a weight.          (Id. at 375).
    Appellant gave several reasons for having killed the victim including that she
    needed him to kill her, it was necessary for God, and he was attempting to
    liberate her soul. (Id. at 403). Appellant told Detective Pipkins that he was
    an agent for the government. (Id. at 409).
    Dr. Supriya Kuruvilla, an expert in forensic pathology, testified that the
    victim received both blunt force and chop injuries to her head and neck and
    strangulation injuries. (Id. at 565). She stated that both of the victim’s eyes
    were severely displaced.    (Id. at 580).   Dr. Kuruvilla determined that the
    victim was alive when her face and sternum were struck, and the injuries were
    consistent with being struck by the 25lb weight and hatchet. (Id. at 569-70,
    581). Dr. Kuruvilla was unable to determine which injury actually killed the
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    victim, but she determined that the cause of death was massive blunt force
    and chop injuries of the head and neck and manual strangulation; the manner
    of death was homicide. (Id. at 586).
    After the Commonwealth’s case-in-chief, the defense presented a
    defense of legal insanity.   The defense first called several individuals who
    testified as lay witnesses concerning Appellant’s character and reputation in
    the community.    The defense also introduced the testimony of two expert
    witnesses, Stephen Mechanick, M.D., and Gerald Cooke, Ph.D.
    Dr. Mechanick was certified as an expert in the field of forensic
    psychiatry. (Id. at 2919). He testified that Appellant had a long history of
    mental illness and was diagnosed with bipolar disorder in 2006, which causes
    bipolar manic episodes including delusions and hallucinations. (Id. at 2922-
    24). During these delusions, Dr. Mechanick opined that Appellant becomes
    psychotic and believes that he is on a secret mission for the government. (Id.
    at 2927-30). Appellant has been hospitalized for these psychotic episodes
    several times since 2006. Dr. Mechanick testified that he evaluated Appellant
    shortly after his arrest and would diagnose him with schizoaffective disorder.
    He explained that Appellant told him that he killed the victim because she had
    been possessed by a dark spirit and he was freeing her.          (Id. at 2947).
    Appellant told Dr. Mechanick that he left the state after the killing not because
    he was fleeing, but rather because he had other missions to complete, and he
    climbed into a farm combine (where he was finally captured) as part of training
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    for the government. (Id. at 2948-52).
    Dr.    Mechanick   testified   that   he   reviewed   the   report   of   the
    Commonwealth’s expert, John S. O’Brien, M.D., J.D., and disagreed with Dr.
    O’Brien’s conclusions. He emphasized that Appellant had a severe psychotic
    illness, which was present even when he was in prison, and was not on
    marijuana or bath salts, and opined that Appellant’s mental illness was the
    cause of his behavior. (Id. at 2973-75).
    Dr. Mechanick testified that Appellant’s behavior was not a result of
    polysubstance abuse, but rather Appellant’s psychosis led him to kill the
    victim.   (Id. at 2952).   Ultimately, he opined that Appellant’s psychiatric
    condition at the time of the incident meets the legal definition of not guilty by
    reason of legal insanity. (Id. at 2962).
    Appellant also called Gerald Cooke, Ph.D., as an expert in forensic
    psychology. (Id. at 3046). Dr. Cooke testified that Appellant was one of the
    two most psychotic persons he had ever encountered in his career as a
    forensic psychologist. (Id. at 3058). Dr. Cooke explained that Appellant knew
    the nature and quality of his act in killing the victim, but because of psychosis,
    he did not know that what he was doing was wrong. Rather, Appellant thought
    that what he was doing was right and good. (Id. at 3050, 3065). Dr. Cooke
    concluded that Appellant suffered from severe schizoaffective disorder with
    paranoid features.       Schizoaffective disorder causes hallucinations and
    delusions.   In addition, an individual with this disorder would have severe
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    depressive episodes and severe manic episodes where the individual would be
    most psychotic, delusional, and hallucinatory. (Id. at 3060-61).
    Dr. Cooke explained that Appellant tends to recover from his psychosis
    when he is medicated, well rested, fed, and given water. In those instances,
    he begins to question whether some of the delusions and the things that he
    experiences are real.   (Id. at 3073).   Dr. Cooke explained that when the
    Commonwealth’s expert, Dr. O’Brien, evaluated Appellant, he was no longer
    overtly psychotic and his symptoms were controlled by medication; therefore,
    he had much better insight as to whether his past experiences were delusions.
    (Id. at 3074, 3078). Dr. Cooke stated that he reviewed the expert report of
    Dr. O’Brien and questioned some of the findings and conclusions that were
    contained therein.
    With respect to Appellant’s drug use, Dr. Cooke noted that Appellant
    only tested positive for marijuana. He explained that although marijuana can
    cause psychosis, in this case, Appellant’s psychosis was caused by either
    bipolar or schizoaffective disorder, as documented through many years of
    health professionals’ diagnoses. (Id. at 3089).
    Following the presentation of these witnesses, the Commonwealth
    offered the expert testimony of Dr. O’Brien to rebut the insanity defense. The
    court found that Dr. O’Brien was an expert in general psychiatry and forensic
    psychiatry. (Id. at 3192). Dr. O’Brien explained that marijuana can cause
    substance abuse psychosis and noted that its psychoactive component
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    increases when the drug is vaped. (Id. at 3201).3 Dr. O’Brien then explained
    that although most people regard marijuana as harmless, it can cause
    psychosis and aggressive behavior at high doses or in susceptible individuals.
    (Id. at 3204). Dr. O’Brien explained that he saw evidence of both the mental
    health condition and the substance use disorder in Appellant. He then stated
    that he
    cannot determine the relative contributions of each and so
    I’m not able to say with medical certainty whether it’s
    primarily a bipolar disorder or schizoaffective disorder with
    sort of a sideline diagnosis of cannabis use disorder or
    primarily cannabis use disorder that is making or causing
    [Appellant] to experience psychotic symptoms.
    (Id. at 3206).
    The defense moved to strike, arguing that the testimony was
    inadmissible because Dr. O’Brien’s opinion lacked reasonable professional
    certainty. The court overruled the objection. (Id.) Defense counsel then
    moved for a mistrial or to strike Dr. O’Brien’s entire testimony. The court
    denied the motion explaining that Dr. O’Brien was qualified to testify about
    the interaction of drugs and psychosis. (Id. at 3209).
    Dr. O’Brien testified that Appellant’s actions after the killing indicate an
    awareness that what he did was wrong. He noted that Appellant hid the body
    in a comforter under a rug, fled from the scene, and, when police eventually
    ____________________________________________
    3 The trial court overruled the defense objection to this testimony, explaining
    that there was a foundation for testimony concerning whether Appellant’s
    psychosis was caused by drugs rather than a mental disorder. (Id. at 3203).
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    J-S28032-22
    found him in the corn field, he told them that he was attempting to fix the
    combine.   Then, when Appellant was later questioned about the victim’s
    whereabouts, he minimized his involvement in the killing until he was pressed,
    at which point he eventually confessed. Based on this, Dr. O’Brien opined that
    Appellant knew the difference between right and wrong and knew that what
    he had done was wrong and he was in trouble. (Id. at 3214-15).
    On cross-examination, defense counsel attempted to question Dr.
    O’Brien about his testimony in the case of Commonwealth v. Henry, 
    524 Pa. 135
    , 
    569 A.2d 929
     (1990), which involved a murder that occurred in 1986,
    and during the trial of which Dr. O’Brien had allegedly concluded the defendant
    was legally insane notwithstanding his drug and alcohol use. (N.T. Trial at
    3249-51). The trial court denied counsel’s request to take judicial notice of
    the facts of the case as set forth in our Supreme Court’s opinion when the
    case was later appealed, but permitted defense counsel to question Dr.
    O’Brien about the case. The Commonwealth objected and the court explained
    that there is no meaningful comparison between the two cases and suggested
    that it would be misleading to the jury; however, the court allowed the
    questioning. (Id. at 3255). The Commonwealth objected to defense counsel’s
    manner of refreshing Dr. O’Brien’s recollection through the notes of testimony
    from Henry. (Id. at 3262). The court explained that the line of questioning
    had turned into relitigating what happened in that trial and would mislead the
    jury and so therefore did not allow the questioning to continue. (Id. at 3263).
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    J-S28032-22
    Following Dr. O’Brien’s testimony, defense counsel called Frank Dattilio,
    Ph.D., as a rebuttal witness and expert in forensic psychology. Dr. Dattilio
    opined that Appellant did not know right from wrong when he killed the victim,
    and therefore met the standard for legal insanity. (Id. at 3363).
    After the parties conducted their closing arguments to the jury, the court
    began its charge to the jury, explaining the presumption of innocence, and
    the Commonwealth’s burden of proving Appellant’s guilt beyond a reasonable
    doubt.   (Id. at 3480).   The court described the offenses charged and the
    elements of each offense, noting the Commonwealth’s burden to prove each
    element beyond a reasonable doubt.            The court used the Pennsylvania
    Suggested Standard Jury Instruction (Criminal) 5.01A to explain the
    difference between not guilty by reason of legal insanity and guilty but
    mentally ill; however, the court denied Appellant’s request to read the
    bracketed portion of the instruction.
    During deliberations, the jury returned with questions concerning the
    distinctions between the verdicts of guilty, guilty but mentally ill, and not
    guilty by reason of legal insanity. The court advised the jury that it could find
    Appellant guilty if it unanimously agreed that the defense failed to prove the
    affirmative defense of legal insanity.          (Id. at 3530-33).      Following
    deliberations, the jury found Appellant guilty of all charges.
    On September 14, 2021, the trial court sentenced Appellant to life
    imprisonment for first-degree murder and imposed consecutive sentences of
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    two and a half to five years’ imprisonment for each count of possessing an
    instrument of crime. The remaining counts merged with first-degree murder
    for the purposes of sentencing. Appellant did not file a post-sentence motion.
    Appellant filed a timely notice of appeal on October 8, 2021. On October 14,
    2021, the trial court ordered Appellant to file a concise statement of errors
    complained of on appeal per Pa.R.A.P. 1925(b). Appellant timely filed his Rule
    1925(b) statement on November 1, 2021.4
    Appellant raises the following issues on appeal:
    A. Whether the trial court erred and abused its discretion by
    permitting the Commonwealth’s sole expert witness to
    rebut the insanity defense, John S. O’Brien, MD, JD, to
    opine that [Appellant’s] behavior at the time of the
    offense was not caused by mental illness, but by
    voluntary drugged condition, to wit, the “vaping” of
    marijuana, despite not holding said opinion to within a
    reasonable degree of medical certainty and not disclosing
    the grounds for his “vaping” testimony in his expert
    report?
    B. Whether the trial court erred and abused its discretion by
    unfairly and unreasonably impeding the defense’s cross-
    examination, impeachment, and surrebuttal of the
    Commonwealth’s only rebuttal witness to the insanity
    defense, John S. O’Brien, MD, JD, by: (i) failing to take
    judicial notice of the adjudicative facts contained in the
    official opinions of the Supreme Court of Pennsylvania in
    Commonwealth v. Henry on the grounds that said
    opinions do not contain “trustworthy evidence and
    information” and were “an erroneous summary” by some
    “law clerk”; (ii) failing to allow defense counsel to use the
    ____________________________________________
    4 Appellant’s eight-page statement of errors, containing ten errors with sub
    parts does not comply with Rule 1925(b)’s requirement that the statement
    “concisely identify each error” and that the statement not “provide lengthy
    explanations as to any error.” See Pa.R.A.P. 1925(b)(4).
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    J-S28032-22
    official transcripts from O’Brien’s prior testimony in
    Commonwealth v. Henry to impeach his credibility and
    testimony concerning the insanity defense in [Appellant’s
    case]; and (iii) unduly restricting the qualification and
    direct-examination testimony of forensic psychologist
    Frank M. Dattilio, Ph.D, the defense’s only surrebuttal
    witness to O’Brien’s testimony, to 10 minutes or less,
    while allotting to the Commonwealth an unrestricted
    amount of time for cross-examination, and less than 5
    minutes to the defense for redirect examination?
    C. Whether the trial court erred and abused its discretion by
    refusing to read the full content of paragraph 1 of
    Pennsylvania Suggested Standard Criminal Jury
    Instruction 5.01A (Insanity) requested by defense
    counsel—which differentiates the [not guilty by reason of
    insanity] and [guilty but mentally ill] special verdicts in
    understandable layman’s language and in accordance
    with prevailing caselaw—when the jury interrupted its
    deliberations and returned with two questions indicating
    that it did not understand the trial court’s insanity
    instruction and the differences between the verdicts of
    “Guilty,” “Guilty but Mentally Ill,” and “[Guilty] by Reason
    of Legal Insanity?”
    D. Whether the trial court erred and abused its discretion by
    overruling defense counsel’s objections to the
    prosecutor’s closing argument, to wit, that if the jury
    returns a [not guilty by reason of insanity] verdict
    [Appellant] can be released immediately into the
    community, and that despite an involuntary commitment
    hearing conducted by the court immediately after the
    [not guilty by reason of insanity] verdict for the
    community’s safety, the defense counsel can secure his
    immediate release into the community through expert
    witnesses— “hired guns”—who will say that he does not
    need to be committed, and by justifying said argument
    as “oratorical flair?”
    E. Whether the jury’s “Guilty” verdict is contrary to the law
    and to the weight of the evidence in that it: (i) was
    predicated upon an erroneous jury instruction from the
    trial court authorizing the jury to return a verdict of
    “Guilty” if it rejected the affirmative defense of insanity,
    - 16 -
    J-S28032-22
    in violation of this Court’s pronouncement in
    Commonwealth v. Andre, [
    17 A.3d 951
     (Pa.Super.
    2011),] which requires the jury, after it finds that the
    defendant was not legally insane, to next determine
    whether the defendant was mentally ill at the time of the
    offense; and (ii) ignored substantial and irrefutable
    evidence of the accused’s chronic mental illness,
    including at the time of the offense, introduced by both
    the Commonwealth and the defense?
    (Appellant’s Brief at 5-6).
    Appellant’s first issue on appeal concerns the testimony of the
    Commonwealth’s expert, Dr. O’Brien, and raises four sub-issues: whether Dr.
    O’Brien’s opinion was given to a reasonable degree of medical certainty,
    whether Dr. O’Brien’s opinion concerning the effects of vaping was contained
    within his expert report, whether Dr. O’Brien’s opinion was supported by the
    record, and whether Dr. O’Brien misstated the law with respect to the defense
    of legal insanity. We will address each sub-issue separately.
    This Court’s standard of review for issues regarding the admissibility of
    evidence is well settled:
    Questions concerning the admissibility of evidence are
    within the sound discretion of the trial court...[and] we will
    not reverse a trial court’s decision concerning admissibility
    of evidence absent an abuse of the trial court’s discretion.
    An abuse of discretion is not merely an error of judgment,
    but is rather the overriding or misapplication of the law, or
    the exercise of judgment that is manifestly unreasonable, or
    the result of bias, prejudice, ill-will or partiality, as shown
    by the evidence of record. [I]f in reaching a conclusion the
    trial court [overrides] or misapplies the law, discretion is
    then abused and it is the duty of the appellate court to
    correct the error.
    - 17 -
    J-S28032-22
    Commonwealth v. Belknap, 
    105 A.3d 7
    , 9-10 (Pa.Super. 2014), appeal
    denied, 
    632 Pa. 667
    , 
    117 A.3d 294
     (2015) (internal citations and quotation
    marks omitted).
    With respect to expert witness testimony, Pennsylvania Rule of Evidence
    702 provides:
    Rule 702. Testimony by Expert Witnesses
    A witness who is qualified as an expert by knowledge, skill,
    experience, training, or education may testify in the form of
    an opinion or otherwise if:
    (a) the expert’s scientific, technical, or other specialized
    knowledge is beyond that possessed by the average
    layperson;
    (b) the expert’s scientific, technical, or other specialized
    knowledge will help the trier of fact to understand the
    evidence or to determine a fact in issue; and
    (c) the expert’s methodology is generally accepted in the
    relevant field.
    Pa.R.E. 702. Rule 703 of the Pennsylvania Rules of Evidence provides:
    An expert may base an opinion on facts or data in the case
    that the expert has been made aware of or personally
    observed. If experts in the particular field would reasonably
    rely on those kinds of facts or data in forming an opinion on
    the subject, they need not be admissible for the opinion to
    be admitted.
    Pa.R.E. 703.
    Furthermore, we recognize that for an evidentiary ruling concerning the
    admission of expert testimony to constitute reversible error, “it must have
    been harmful or prejudicial to the complaining party. A party suffers prejudice
    - 18 -
    J-S28032-22
    when the trial court’s error could have affected the verdict.” Commonwealth
    v. Taylor, 
    209 A.3d 444
    , 449 n.3 (Pa.Super. 2019) (citation and quotation
    marks omitted).
    Initially, by way of background, a defense of legal insanity is described
    in Section 315 of the Crimes Code, as follows:
    § 315. Insanity
    (a) General rule.—The mental soundness of an actor
    engaged in conduct charged to constitute an offense shall
    only be a defense to the charged offense when the actor
    proves by a preponderance of evidence that the actor was
    legally insane at the time of the commission of the offense.
    (b) Definition.—For purposes of this section, the phrase
    “legally insane” means that, at the time of the commission
    of the offense, the actor was laboring under such a defect
    of reason, from disease of the mind, as not to know the
    nature and quality of the act he was doing or, if the actor
    did know the quality of the act, that he did not know that
    what he was doing was wrong.
    18 Pa.C.S.A. § 315.
    As authorized by Section 314 of the Crimes Code, a verdict of guilty but
    mentally ill is proper where the defendant has pursued an insanity defense
    and the trier of fact finds that the defendant is guilty and was mentally ill at
    the time of the offense, but not legally insane. See 18 Pa.C.S.A. § 314(a).
    It has long been accepted that criminal defendants may be
    presumed sane for purposes of determining their criminal
    liability. Commonwealth v. Rabold, 
    597 Pa. 344
    , [364],
    
    951 A.2d 329
    , 341 (2008). Thus, under the clear language
    of section 315(a), the burden of proving insanity by a
    preponderance of the evidence is upon the defendant.
    Commonwealth v. Heidnik, 
    526 Pa. 458
    , 466, 
    587 A.2d 687
    , 690–691 (1991); see also Commonwealth v. Reilly,
    - 19 -
    J-S28032-22
    
    519 Pa. 550
    , 564, 
    549 A.2d 503
    , 509–510 (1988)
    (summarizing the history of the defense of insanity in this
    Commonwealth). Moreover, we have long stated that “[t]he
    Commonwealth can prove an accused’s sanity not only by
    psychiatric testimony but also by lay testimony which shows
    that he or she knew the nature and quality of the act
    committed and knew that what had been done was wrong.”
    Commonwealth v. Frisoli, [ 
    419 A.2d 1204
    , 1206
    (Pa.Super. 1980)] (citing Commonwealth v. Demmitt,
    
    456 Pa. 475
    , 
    321 A.2d 627
     (1974)). Furthermore, it is
    within the factfinder’s right to disbelieve an insanity defense
    and    credit    the   testimony     of    the   eyewitnesses.
    Commonwealth v. Holley, 
    945 A.2d 241
    , 249 (Pa.Super.
    2008) (holding that the jury was within their rights to
    disbelieve the defendant’s insanity defense and credit the
    testimony of the eyewitnesses).
    Commonwealth v. Yasipour, 
    957 A.2d 734
    , 738–39 (Pa.Super. 2008),
    appeal denied, 
    602 Pa. 658
    , 
    980 A.2d 111
     (2009).
    Generally, “[n]either voluntary intoxication nor voluntary drugged
    condition is a defense to a criminal charge.”     18 Pa.C.S.A. § 308. As our
    Supreme Court has explained, “an actor should not be insulated from criminal
    liability for acts which result from a mental state that is voluntarily self-
    induced.” Henry, 
    supra at 148
    , 
    569 A.2d at 935
     (quoting Commonwealth
    v. Hicks, 
    483 Pa. 305
    , 311, 
    396 A.2d 1183
    , 1186 (1979)). Hence, where the
    Commonwealth introduces evidence that a defendant was voluntarily
    intoxicated or under the influence of drugs, such evidence precludes a verdict
    of not guilty by reason of insanity, or guilty but mentally ill. Id. at 149, 
    569 A.2d at 935-36
    .
    Appellant first claims that the trial court erred when it permitted the
    Commonwealth’s expert, Dr. O’Brien, to opine, in response to Appellant’s
    - 20 -
    J-S28032-22
    assertion of the defense of legal insanity, that Appellant’s psychotic behavior
    was proximately caused by voluntary drug use rather than mental illness.
    (Appellant’s Brief at 29). Specifically, Appellant contends that Dr. O’Brien’s
    statements that he “can’t be sure what [Appellant’s] diagnosis is” and that the
    “issue is more likely to be largely drug related, if not entirely, but I can’t tell,”
    demonstrate the lack of medical certainty which would have been required for
    the expert to form such opinion. (Id. at 29-30). We disagree.
    It is well-settled that in Pennsylvania, “our Supreme Court has
    emphasized [that an] expert must base the substance of [his] opinion on a
    reasonable     degree     of   certainty    instead     of   mere     speculation.”
    Commonwealth v. Gonzalez, 
    109 A.3d 711
    , 727 (Pa.Super. 2015), appeal
    denied, 
    633 Pa. 763
    , 
    125 A.3d 1198
     (2015) (citation omitted). To determine
    whether an expert’s opinion is rendered to the requisite degree of certainty,
    we must examine the expert’s testimony in its entirety. Commonwealth v.
    Spotz, 
    562 Pa. 498
    , 537, 
    756 A.2d 1139
    , 1160 (2000).
    Here, Dr. O’Brien explained:
    In my instance looking at this case and evaluating
    [Appellant], I saw evidence of the two conditions, the
    mental health condition and the substance use disorder
    condition. I cannot determine the relative contributions of
    each and so I’m not able to state with medical certainty
    whether it’s primarily a bipolar disorder or schizoaffective
    disorder with some sort of a sideline diagnosis of cannabis
    use disorder or primarily cannabis use disorder that is
    making or causing [Appellant] to experience psychotic
    symptoms. It could be either, but…
    - 21 -
    J-S28032-22
    (N.T. Trial at 3206). The court overruled defense counsel’s objection to this
    testimony, and denied counsel’s motion for a mistrial based on this testimony,
    explaining that Dr. O’Brien is qualified to testify about the interaction of drugs
    and psychosis. (Id. at 3208-09).
    Reviewing the totality of Dr. O’Brien’s testimony, the record supports
    the trial court’s conclusion. Dr. O’Brien’s statement that he was not able to
    render an opinion to a reasonable degree of certainty was limited solely to a
    mental health diagnosis for Appellant. Dr. O’Brien explained that Appellant’s
    drug abuse was both self-reported and evidenced through positive drug tests.
    Because this drug use was ongoing at the time of all relevant medical
    evaluations, Dr. O’Brien explained that he was unable to provide a specific
    mental health diagnosis to a reasonable degree of certainty.
    Appellant’s attempt to enlarge Dr. O’Brien’s lack of certainty to
    encompass all opinions rendered is unavailing. As the court explained, Dr.
    O’Brien’s other opinions concerning the interaction of drugs and psychosis,
    were all made to a reasonable degree of medical certainty. Significantly, Dr.
    O’Brien’s opinion that Appellant was not legally insane when he murdered the
    victim, was given to a reasonable degree of medical certainty.
    Accordingly, we conclude that the trial court did not abuse its discretion
    when it permitted Dr. O’Brien’s testimony, despite Dr. O’Brien’s statement
    that he could not render an opinion on Appellant’s precise diagnosis to the
    requisite degree of certainty. See Belknap, 
    supra.
    - 22 -
    J-S28032-22
    Appellant next claims the trial court abused its discretion by admitting
    Dr. O’Brien’s testimony concerning the effects of vaping marijuana, where
    such opinion was not mentioned in Dr. O’Brien’s expert report. (Appellant’s
    Brief at 30).    Appellant complains that the defense was surprised and
    prejudiced at trial by this testimony, and the trial court should have either
    granted his motion to strike the testimony or granted a mistrial. We disagree.
    Generally, in civil cases, an expert’s testimony on direct examination is
    limited to the fair scope of the expert’s report.    See Pa.R.C.P. 4003.5(c).
    However, in criminal law, there is no rule of procedure similarly limiting expert
    testimony. Commonwealth v. Roles, 
    116 A.3d 122
    , 131 (Pa.Super. 2015),
    appeal denied, 
    633 Pa. 786
    , 
    128 A.3d 220
     (2015) (stating: “[T]here are no
    specific procedural rules governing expert reports in criminal cases aside from
    Pa.R.Crim.P. 573, which relates to discovery”). See also Pa.R.Crim.P. 573
    (requiring Commonwealth to disclose to defense results of any expert
    opinions, and providing that both parties have continuing duty to disclose
    evidence that is requested prior to trial and subject to disclosure).
    Nevertheless, this Court has explained that neither the Commonwealth
    nor defendant has “carte blanche to allow an expert to testify beyond the
    information contained in his or her report.” Roles, supra at 131-32. See
    also Commonwealth v. Stith, 
    644 A.2d 193
    , 198 (Pa.Super. 1994) (holding
    that where report contained language sufficient to notify defendant of expert’s
    intent to testify in certain area, such testimony did not exceed fair scope of
    - 23 -
    J-S28032-22
    expert’s report).
    Here, a review of Dr. O’Brien’s expert report reveals several instances
    where Dr. O’Brien refers to Appellant’s recorded medical history of substance
    abuse and describes instances where Appellant admits to using various drugs
    including marijuana. (See Commonwealth’s Exhibit No. 130, at 2-11, 17, 22-
    23, 25-26). Although he does not specifically discuss “vaping” of marijuana,
    we conclude that the language in Dr. O’Brien’s expert report sufficiently
    notified Appellant about Dr. O’Brien’s intent to testify concerning the effects
    of marijuana use. Therefore, the trial court did not abuse its discretion in
    permitting Dr. O’Brien to testify concerning the psychotic effects of marijuana
    use, including the effects of vaping marijuana.    See Stith, 
    supra;
     Roles,
    
    supra;
     Belknap, 
    supra.
    Further, Appellant argues that Dr. O’Brien’s opinion concerning
    Appellant’s voluntarily drugged condition was not supported by the record.
    (Appellant’s Brief at 31).    Appellant contends that the toxicology tests
    performed after his arrest were negative for alcohol and all controlled
    substances other than marijuana. Therefore, Appellant argues the “corpus
    delecti rule” was violated because there was no real evidence that he was
    using drugs. (Id.) Accordingly, Appellant insists that Dr. O’Brien should not
    have been able to render an opinion as to Appellant’s voluntarily drugged
    condition, because although he confessed to having done so, there was no
    evidence that Appellant used drugs. (Id. at 31-35). We disagree.
    - 24 -
    J-S28032-22
    The corpus delecti rule is an evidentiary rule designed to guard against
    the danger of conviction based on a confession or admission where no crime
    was in fact committed.     Specifically, “[t]he corpus delicti rule places the
    burden on the prosecution to establish that a crime has actually occurred
    before a confession or admission of the accused connecting him to the crime
    can be admitted.”     Commonwealth v. Hernandez, 
    39 A.3d 406
    , 410
    (Pa.Super. 2012), appeal denied, 
    619 Pa. 700
    , 
    63 A.3d 1244
     (2013) (quoting
    Commonwealth v. Young, 
    904 A.2d 947
    , 956 (Pa.Super. 2006), appeal
    denied, 
    591 Pa. 664
    , 
    916 A.2d 633
     (2006)). “The historical purpose of the
    rule is to prevent a conviction based solely upon a confession or admission,
    where in fact no crime has been committed.” 
    Id.
    As the Commonwealth has noted, Appellant does not cite any authority
    applying the corpus delecti rule to evidence that experts may consider in
    forming their opinions.   Traditionally, the rule is used to emphasize the
    Commonwealth’s burden in a criminal proceeding to prove that a crime had
    been committed. In this case, there is no question that a crime has been
    committed, in that Appellant killed the victim.     The question of whether
    Appellant used drugs and was therefore suffering from a voluntary drugged
    condition is not an element of the offense itself; rather, it is a component of
    the Commonwealth’s attempt to disprove Appellant’s asserted insanity
    defense. Appellant identifies no legal precedent applying the corpus delecti
    rule in such circumstances.
    - 25 -
    J-S28032-22
    Moreover, the record contains evidence of Appellant’s drug use other
    than simply his admission to using marijuana. Appellant’s toxicology screen
    when he was apprehended was positive for cannabis and Appellant’s medical
    records, as referenced by experts for both defense and prosecution, detail a
    history of substance abuse. Under these circumstances, we conclude that the
    trial court did not abuse its discretion in permitting the Commonwealth’s
    expert to testify concerning Appellant’s drug use. See Belknap, 
    supra.
    Finally, Appellant contends that the trial court abused its discretion when
    it permitted Dr. O’Brien to give an erroneous standard for determining legal
    insanity. Appellant asserts that Dr. O’Brien’s testimony that no single mental
    health condition makes an individual incapable of knowing right from wrong,
    was based on an incorrect legal standard of legal insanity.         Specifically,
    Appellant contends that legal insanity must be the product of defect of reason
    from disease of the mind.     (Appellant’s Brief at 38).   Therefore, Appellant
    asserts that Dr. O’Brien’s testimony was a misstatement of the law, and the
    court abused its discretion in permitting this testimony. We disagree.
    As this Court has explained, a defendant may successfully assert a legal
    insanity defense when he shows that “at the time of the commission of the
    offense, the actor was laboring under such a defect of reason, from disease of
    the mind, as not to know the nature and quality of the act he was doing or,
    if…what he was doing was wrong.” Rabold, supra at 347–48, 
    951 A.2d at 331
     (quoting 18 Pa.C.S.A. § 315).
    - 26 -
    J-S28032-22
    At trial, during the Commonwealth’s direct examination of Dr. O’Brien,
    the prosecutor asked the following:
    Q: Doctor, you’ve mentioned the different diagnosis
    [Appellant has] received over time.     We have bipolar
    disorder, we have schizoaffective disorder, cannabis use
    disorder. In your medical opinion, does bipolar disorder
    make a person incapable of knowing the difference between
    right and wrong?
    A. Absolutely not.
    Q. Does the schizoaffective disorder make a person
    incapable of knowing the difference between right and
    wrong?
    A. Absolutely not.
    Q. How about psychosis?
    A. Absolutely not.
    Q. Schizophrenia?
    A. No.
    Q. Delusions?
    A. No.
    Q. Hallucinations?
    A. No.
    Q. Does any – cannabis use disorder?
    A. No.
    Q. Does any diagnosis this defendant has ever received
    make a person incapable of knowing the difference between
    right or wrong?
    A. No. The—what I already said is that there is no automatic
    - 27 -
    J-S28032-22
    connection between any diagnosis and a person meeting the
    legal criteria of insanity, including an inability to know the
    difference between right and wrong….
    (N.T. Trial at 3210-11).
    Upon review, we conclude that Dr. O’Brien’s answers did not misstate
    the law. Contrary to Appellant’s assertion, Dr. O’Brien did not state that no
    disease of the mind would ever prevent a person from knowing right from
    wrong. Rather, he opined that there is no automatic connection between
    any diagnosis and a person knowing the difference between right and wrong.
    Accordingly, the trial court did not err in permitting this testimony.      See
    Belknap, 
    supra.
     Appellant’s first issue merits no relief.
    In his second issue presented on appeal, Appellant claims the court
    erred in limiting the defense response to Dr. O’Brien’s testimony.        Again,
    Appellant’s question has two distinct sub parts. First, he complains that the
    court did not take judicial notice of the facts set forth in Henry, and that the
    court erred in limiting defense counsel’s attempt to impeach Dr. O’Brien with
    his testimony in that case.    Second, Appellant argues the court erred by
    imposing time limits on the testimony of the defense surrebuttal witness, Dr.
    Dattilio. We discuss each sub-issue separately.
    Regarding his judicial notice claim, Appellant contends the trial court
    was mandated by Rule of Evidence 201(c) to take judicial notice of the facts
    of the Supreme Court’s opinion in Henry, and pursuant to Rule of Evidence
    201(f) was mandated to instruct the jury that it may, but is not required to,
    - 28 -
    J-S28032-22
    accept as conclusive any fact judicially noticed. (Appellant’s Brief at 41-42).
    We disagree.
    Rule 201 of the Pennsylvania Rules of Evidence concerns a court’s taking
    judicial notice of adjudicative facts. It states:
    Rule 201. Judicial Notice of Adjudicative Facts
    (a) Scope.      This rule governs judicial notice of an
    adjudicative fact only, not a legislative fact.
    (b) Kinds of Facts That May Be Judicially Noticed. The
    court may judicially notice a fact that is not subject to
    reasonable dispute because it:
    (1) is generally known within the trial court’s
    territorial jurisdiction; or
    (2) can be accurately and readily determined from
    sources whose accuracy cannot reasonably be
    questioned.
    (c) Taking Notice. The court:
    (1) may take judicial notice on its own; or
    (2) must take judicial notice if a party requests it and
    the court is supplied with the necessary information.
    (d) Timing. The court may take judicial notice at any stage
    of the proceeding.
    (e) Opportunity to Be Heard. On timely request, a party
    is entitled to be heard on the propriety of taking judicial
    notice and the nature of the fact to be noticed. If the court
    takes judicial notice before notifying a party, the party, on
    request, is still entitled to be heard.
    (f) Instructing the Jury. The court must instruct the jury
    that it may, but is not required to, accept as conclusive any
    fact judicially noticed.
    - 29 -
    J-S28032-22
    Pa.R.E. 201.
    Here, defense counsel requested that the court take judicial notice of
    the facts set forth in our Supreme Court’s decision in Henry, supra. (N.T.
    Trial at 3246). The trial court noted that it was “not going to try that case in
    this case,” observing that laying out the facts of both cases together would be
    misleading to the jury. (Id. at 3248). The court explained that bringing in
    the facts of the Henry case would “take us off into tangents that are out of
    [the court’s] control” and would be asking the jury to “make a comparison
    from a 1986 case, the fact pattern there and all the rest of that and what this
    doctor said.” (Id. at 3250). Defense counsel then explained that if the court
    was not going to let him use transcripts or get into the history of the case, the
    trial court should at least take judicial notice of one sentence from the
    Supreme Court decision in that matter. The trial court refused to do so.
    Upon review, we see no abuse of discretion with the trial court’s refusal
    to take judicial notice of the facts in Henry, a case completely unrelated to
    the one at hand, simply so that defense counsel could refresh the recollection
    of Dr. O’Brien after Dr. O’Brien testified that he did not recall certain portions
    of his testimony in that matter.         See generally Commonwealth v.
    Anderson, 
    448 A.2d 1131
     (Pa.Super. 1982) (holding court properly refused
    to take judicial notice of facts that were irrelevant to charges at issue).
    Appellant further complains it was manifestly unreasonable for the trial
    court to prohibit the defense from using the official notes of testimony from
    - 30 -
    J-S28032-22
    Henry to impeach Dr. O’Brien’s testimony and credibility. (Appellant’s Brief
    at 42). Appellant describes the notes of testimony as “a veritable treasure
    trove of O’Brien’s contradictory and inconsistent statements concerning the
    defense of legal insanity, when compared to his testimony in [the instant
    case.]” (Id. at 43). Appellant argues that O’Brien’s prior testimony in Henry
    was relevant to his testimony in the instant case and should have been
    permitted as either extrinsic or intrinsic evidence to impeach O’Brien’s
    credibility. (Id. at 44). We disagree.
    “Evidence is relevant if it has any tendency to make a fact
    more or less probable than it would be without the
    evidence[,] and the fact is of consequence in determining
    the action.”     Pa.R.E. 401.     “All relevant evidence is
    admissible, except as otherwise provided by law. Evidence
    that is not relevant is not admissible.” Pa.R.E. 402. “The
    court may exclude relevant evidence if its probative value is
    outweighed by a danger of...unfair prejudice, confusing the
    issues, [or] misleading the jury[.]” Pa.R.E. 403.
    Commonwealth v. Kane, 
    188 A.3d 1217
    , 1228 (Pa.Super. 2018), appeal
    denied, 
    649 Pa. 652
    , 
    197 A.3d 1180
     (2018) (brackets in original).
    Here, after the court denied counsel’s request to take judicial notice of
    the facts summarized in the Henry decision, the court stated:
    I think there is no comparison in a meaningful way between
    the facts you’re going to lay out here and the case that is in
    that courtroom. So I think it has to be misleading. It, I
    think, is a mistake on your part to go down that. I think it’s
    prejudicial for the purposes that you’re using it. And so I
    just wanted to let you know I’m going to let you do it. I’m
    going to be listening, though….
    (N.T. Trial at 3255).
    - 31 -
    J-S28032-22
    When defense counsel then asked Dr. O’Brien about the Henry case,
    Dr. O’Brien stated that he did not recall the specifics of the case but
    remembered that it was a brutal random killing.         After defense counsel
    refreshed Dr. O’Brien’s recollection showing him the transcripts from the trial
    in that case, Dr. O’Brien was able to answer several of defense counsel’s
    questions.   However, Dr. O’Brien could not recall specifically whether he
    testified in Henry in support of establishing an insanity defense, or in an
    attempt to reduce the verdict from first-degree murder to a lesser crime based
    on a lack of the requisite mens rea. (Id. at 3262). The court then met with
    counsel at sidebar and stated:
    This is exactly what I was afraid was going to happen. We’re
    going to fight over what actually happened in that trial and
    you’re going to try and use the transcript and … an opinion
    by the what, Supreme Court, maybe whose clerk
    summarized what they thought maybe they saw in the
    transcript that were facts to try and probe the premise that’s
    going to get you – and I can already predict it. It’s probably
    going to get you probably nowhere. But we’re not going to
    do that. If he says he doesn’t recall and you’re going to try
    and refresh his recollection through various summaries of
    other people from 1986 [by way of the facts set forth in the
    Henry decision], nope. And if I am wrong, I’ll live with it.
    But this is exactly what I was afraid was going to happen.
    (Id. at 3262-63).
    Upon review, we conclude that the trial court did not abuse its discretion
    when it limited defense counsel from cross-examining Dr. O’Brien using the
    notes of testimony from Henry or the factual summary set forth in the Henry
    decision. See Belknap, 
    supra.
     Even if such evidence was relevant, the trial
    - 32 -
    J-S28032-22
    court was permitted to exclude otherwise relevant evidence when its
    admission would have misled the jury. See Kane, 
    supra.
     This issue merits
    no relief.
    Next, Appellant claims that it was unreasonable for the trial court to
    limit the time available for the surrebuttal testimony of Dr. Dattilio. Appellant
    insists the court was aware that Dr. Dattilio was only available to testify on
    May 19, 2021, and therefore unreasonably compelled defense counsel to
    conduct the direct examination of Dr. Dattilio “at a frenetic pace, and in a
    piecemeal manner” and then permitted the Commonwealth “to conduct a
    leisurely cross-examination of [Dr.] Dattilio without time restriction.”
    (Appellant’s Brief at 46) (emphasis omitted).       Appellant claims the court
    compounded this error by limiting the redirect examination to under five
    minutes so that the court could adjourn for the end of the day at 4:30 p.m.
    Appellant submits that these time restrictions irreparably damaged his
    insanity defense. (Id. at 48). We disagree.
    Generally, trial courts have broad discretion in controlling trial conduct.
    Commonwealth v. Purnell, ___ Pa. ___, ___, 
    259 A.3d 974
    , 980 (2021).
    Pennsylvania Rule of Evidence 611(a) states:
    The court should exercise reasonable control over the mode
    and order of examining witnesses and presenting evidence
    so as to:
    (1) make those procedures effective for determining the
    truth;
    (2)   avoid wasting time; and
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    J-S28032-22
    (3) protect witnesses       from    harassment    or    undue
    embarrassment.
    Pa.R.E. 611(a). This Court reviews applications of Rule 611 for an abuse of
    discretion. Purnell, supra.
    Here, we discern no abuse of discretion on the part of the trial court.
    The record demonstrates that when Dr. O’Brien’s testimony went late into the
    afternoon, the court expressed its intent to break for the afternoon at that
    point and save Dr. Dattilio’s testimony for the next day.       Defense counsel
    explained that Dr. Dattilio was not available the next day and stated: “I’m on
    for 10 minutes and I’m done,” “and set the clock for 10 minutes. I’ll be done
    with my side.” (N.T. Trial at 3359). Thus, the record shows that any time
    restrictions on the direct examination of Dr. Dattilio were self-imposed by
    Appellant because his expert was not available the following day. It was not
    an abuse of discretion for the court to break for the day at 4:30 p.m., and it
    was Appellant, not the court, who was responsible for making sure his witness
    was available to testify.   Accordingly, Appellant’s second issue on appeal
    merits no relief.
    In his third issue on appeal, Appellant argues the court erred in omitting
    bracketed language from the Suggested Standard Jury Instruction, which was
    intended to assist jurors in distinguishing between the verdicts of not guilty
    by reason of legal insanity and guilty but mentally ill. Appellant asserts that
    he specifically requested that the entire suggested instruction be read and
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    J-S28032-22
    referenced the bracketed portion of the instruction when crafting both his
    opening and closing arguments.         Appellant insists the court abused its
    discretion by excluding the bracketed portion. (Appellant’s Brief at 50-52).
    We disagree.
    Our Supreme Court has set forth the relevant standard for jury
    instructions as follows:
    A trial court has wide discretion in phrasing jury instructions.
    When reviewing an allegation of an incorrect jury
    instruction, the appellate court must view the entire charge
    to determine whether the trial court clearly and accurately
    presented the concepts of the legal issue to the jury and
    should not reverse, as a result of the instruction, unless the
    trial court committed an abuse of its discretion. We will not
    examine a phrase or sentence of an instruction in a vacuum.
    Rather, when we evaluate a challenge to a charge, we must
    consider how each part fits together to convey a complete
    legal principle.
    Commonwealth v. Ragan, 
    560 Pa. 106
    , 120-21, 
    743 A.2d 390
    , 397-398
    (1999). See also Commonwealth v. Lesko, 
    609 Pa. 128
    , 216, 
    15 A.3d 345
    ,
    397 (2008) (reiterating that charge, “as a whole,” must be considered; court
    has broad discretion in phrasing instructions, so long as directions given
    “clearly, adequately, and accurately” reflect law). “The trial court commits an
    abuse of discretion only when there is an inaccurate statement of the law.”
    Commonwealth v. Baker, 
    963 A.2d 495
    , 507 (Pa.Super. 2008), appeal
    denied, 
    606 Pa. 644
    , 
    992 A.2d 885
     (2010).
    Additionally, “[t]he Suggested Standard Jury Instructions themselves
    are not binding and do not alter the discretion afforded trial courts in crafting
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    J-S28032-22
    jury instructions; rather, as their title suggests, the instructions are guides
    only.” Commonwealth v. Eichinger, 
    631 Pa. 138
    , 178, 
    108 A.3d 821
    , 845
    (2014).
    In the instant case, the court instructed the jury as to the following:
    Because the defendant has asserted an insanity defense,
    you will have to consider four possible verdicts. You will
    have to think about the special verdict of not guilty by
    reason of legal insanity and of guilty but mentally ill in
    addition to the ordinary verdicts of guilty and not guilty.
    Legal insanity excuses any crime including murder. A
    defendant has a complete defense to an otherwise criminal
    act if he was legally insane at the time he committed the
    act.
    The test for insanity is legal, not medical. A person is legally
    insane if at the time of committing an alleged crime that
    person is laboring under such a defective reason from
    disease of the mind as to not to know the nature and quality
    of the act he is doing or if the person does know the nature
    and quality of the act, he does not know that what he is
    doing is wrong.
    Stated more simply, a person is legally insane if at the time
    of committing an alleged crime that person is as a result of
    mental disease or defect either incapable of knowing what
    he is doing or if that person does know what he is doing is
    incapable of judging that it is wrong. The defendant has the
    burden of proving an insanity defense by a preponderance
    of the evidence. By preponderance, we mean it is a greater
    weight of the evidence…
    The term mental disease or defect means a disease or
    infirmity of the mind as distinguished from a mere fault of
    character, personality, temperament, or social adjustment.
    Incapable of knowing what he was doing refers to the
    defendant’s ability to know the physical aspects of his act.
    Ask yourselves, was the defendant aware of his physical
    act? Was he aware of the harmful consequences of his act?
    Incapable of judging that what he was doing was wrong
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    J-S28032-22
    refers to the defendant’s ability to judge the legal and moral
    aspects of his act. Ask yourselves, was the defendant aware
    that he should not do the act because it was either legally
    or morally wrong? Even though a person believes that an
    act is right under his or her own individual moral code, the
    person is not insane if he or she…knows that the act is wrong
    under society’s generally accepted moral standards.
    Guilty but mentally ill becomes a possible verdict when a
    defendant offered but fails to prove a legal insanity defense.
    You may return this verdict if you are satisfied beyond a
    reasonable doubt that the defendant committed the crime
    alleged and you are also satisfied by a preponderance of the
    evidence, that is by the greater weight of the evidence, that
    the defendant, although not legally insane, was mentally ill
    at the time of the crime.
    (N.T. Trial at 3488-90). The court went on to describe the legal meaning of
    the term mentally ill, and then explained that the jury should consider all
    relevant evidence when determining the questions of legal insanity and
    mentally ill. (Id. at 3490-91).
    The court did not read the bracketed portion of the instruction, which
    provides:
    [It may help you understand my subsequent instructions if
    you keep in mind why the law permits these two special
    verdicts. The verdict of not guilty by reason of legal insanity
    labels a defendant as sick rather than bad. It signifies that
    in the eyes of the law the person, because of mental
    abnormality at the time of the crime, does not deserve to
    be blamed and treated as a criminal for what he or she did.
    The verdict of guilty but mentally ill labels a defendant as
    both bad and sick. It means that in the law’s eyes that
    person, at the time of the crime, was not so mentally
    abnormal as to be relieved from blame and criminal
    punishment for what he or she did, but that the defendant
    was abnormal enough to make him or her a likely candidate
    for special therapeutic treatment.]
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    J-S28032-22
    Pa. SSJI (Crim), § 5.01A.
    In its opinion, the trial court explained that the subcommittee note to
    Suggested Standard Jury Instruction 5.01A explains that the instruction will
    likely require tailoring to the facts of the particular case, and that the
    bracketed portion is “a summing up that may be omitted if the court wants a
    brief instruction.”   (Trial Court Opinion at 25) (quoting Pa. SSJI (Crim), §
    5.01A, Subcommittee Note). The court suggests that excluding the optional
    commentary was at the discretion of the court and did not manifestly alter the
    presentation of law to the jury.
    Our review of the record shows that the jury instruction, viewed as a
    whole, was sufficient to instruct the jury regarding the verdicts of guilty, guilty
    but mentally ill, not guilty by reason of legal insanity, and not guilty. See
    Ragan, 
    supra.
     The trial court was not required to read the optional bracketed
    portion of the Suggested Standard Jury Instruction, and indeed was not
    required to use any portion of the Suggested Standard Jury Instruction to
    instruct the jury. See Eichinger, supra. Accordingly, we conclude that the
    court did not abuse its discretion, and Appellant’s third issue merits no relief.
    In his fourth issue, Appellant argues the trial court erred when it denied
    his request for a mistrial based on a statement made by the prosecution during
    closing arguments. Specifically, Appellant claims that the prosecutor aimed
    to inflame the jury when he stated that if it rendered a verdict of not guilty by
    reason of legal insanity “[t]here is no criminal consequence. There is nothing
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    J-S28032-22
    hanging over his head.        There is no guarantee he goes anywhere.”
    (Appellant’s Brief at 55) (quoting N.T. Trial at 3460).        Appellant further
    contends that the prosecutor’s suggestion—that if the jury found Appellant not
    guilty by reason of legal insanity, Appellant would find an expert to testify that
    he did not need to be involuntarily committed—was not oratorical flair but was
    calculated to fan the flames of the jury’s fear and prejudice. (Id. at 58-59).
    Appellant insists that the trial court erred in permitting such statement, and a
    mistrial was warranted. We disagree.
    Our standard of review of a claim of prosecutorial misconduct during
    closing arguments to the jury is whether the trial court abused its discretion.
    Commonwealth v. Jones, 
    191 A.3d 830
    , 835 (Pa.Super. 2018).
    [W]ith specific reference to a claim of prosecutorial
    misconduct in a closing statement, it is well settled that any
    challenged prosecutorial comment must not be viewed in
    isolation, but rather must be considered in the context in
    which it was offered. Our review of a prosecutor’s comment
    and an allegation of prosecutorial misconduct requires us to
    evaluate whether a defendant received a fair trial, not a
    perfect trial. Thus, it is well settled that statements made
    by the prosecutor to the jury during closing argument will
    not form the basis for granting a new trial unless the
    unavoidable effect of such comments would be to prejudice
    the jury, forming in their minds fixed bias and hostility
    toward the defendant so they could not weigh the evidence
    objectively and render a true verdict. The appellate courts
    have recognized that not every unwise remark by an
    attorney amounts to misconduct or warrants the grant of a
    new trial. Additionally, like the defense, the prosecution is
    accorded reasonable latitude, may employ oratorical flair in
    arguing its version of the case to the jury, and may advance
    arguments supported by the evidence or use inferences that
    can reasonably be derived therefrom.            Moreover, the
    prosecutor is permitted to fairly respond to points made in
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    J-S28032-22
    the defense’s closing, and therefore, a proper examination
    of a prosecutor’s comments in closing requires review of the
    arguments advanced by the defense in summation.
    
    Id. at 835-36
     (quoting Commonwealth v. Jaynes, 
    135 A.3d 606
    , 615
    (Pa.Super. 2016), appeal denied, 
    636 Pa. 672
    , 
    145 A.3d 724
     (2016)). See
    also Commonwealth v. Bryant, 
    620 Pa. 218
    , 237, 
    67 A.3d 716
    , 728 (2013)
    (stating: “In addition, the prosecutor must be allowed to respond to defense
    counsel’s arguments, and any challenged statement must be viewed not in
    isolation, but in the context in which it was offered”) (citation omitted).
    Furthermore, “prosecutorial misconduct will not be found where comments
    were based on the evidence or proper inferences therefrom or were only
    oratorical flair.” Commonwealth v. Chmiel, 
    585 Pa. 547
    , 619, 
    889 A.2d 501
    , 544 (2005) (citations omitted).
    Here, during closing argument, the prosecutor stated: “[I]f you find the
    defendant insane, there is no criminal consequence. There is nothing hanging
    over his head. There is no guarantee he goes anywhere.” (N.T. Trial at 3460).
    Defense counsel objected, and the court overruled the objection.         The
    prosecutor then continued its argument explaining:
    When a defendant is found not guilty by reason of insanity,
    he is subject to an immediate court proceeding to decide
    whether he should be committed to a mental treatment
    facility. If committed, his commitment should continue until
    he is no longer dangerous to others or to himself. That’s
    the law.
    Now, defense found three experts he retained to tell you
    that despite overwhelming evidence to the contrary,
    [Appellant] didn’t know that killing Tara Serino was wrong.
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    J-S28032-22
    You think they’re not going to find an expert to say he
    doesn’t need to be in a treatment facility[?]
    (Id.) Defense counsel objected again, and the court overruled the objection.
    After the prosecutor’s closing argument, Appellant requested a mistrial
    based on the prosecutor’s statements.         (Id. at 3474-75).   The prosecutor
    responded that he brought up the criminal consequences and the commitment
    hearing because of defense counsel’s statement that Appellant would either
    go to prison or an insane asylum. (Id.)
    A review of the notes of testimony reveals that, during both his opening
    and closing statement, defense counsel explained that if Appellant was found
    not guilty by reason of legal insanity, he would be placed in a mental health
    facility, where “the walls of the prison and the walls of the asylum…they’re the
    same.” (N.T. Trial at 3451). Counsel then qualified this statement explaining
    that they do not have walls like a prison, “[b]ut they do have locked doors
    and it serves the same purpose.” (Id.)
    In this context, the prosecutor’s comment represented a fair and
    permissible response to the defense. During his argument, defense counsel
    reassured the jury of Appellant’s likely commitment if the verdict rendered
    were not guilty by reason of legal insanity. The prosecutor’s statement that
    such commitment was not a guarantee, was made in response to these
    contentions. See Bryant, 
    supra;
     Jones, 
    supra.
     Accordingly, the trial court
    did not abuse its discretion by overruling Appellant’s objections and denying
    a mistrial. Appellant’s claim does not merit relief.
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    J-S28032-22
    In his final issue, Appellant argues that given the overwhelming
    evidence of Appellant’s mental illness, the jury’s verdict of guilty, rather than
    either not guilty by reason of legal insanity or guilty but mentally ill, is a finding
    that shocks one’s conscience and sense of justice. Appellant insists that no
    legal or factual basis existed for the jury to render a guilty verdict. Therefore,
    he claims he is entitled to a new trial because the verdict was against the
    weight of the evidence. (Appellant’s Brief at 60-66).
    Preliminarily, we must consider whether Appellant’s challenge is
    properly before us. A defendant must raise a weight claim with the trial court
    in the first instance.     See Pa.R.Crim.P. 607(A).         Specifically, “a weight
    challenge must be preserved either in a post-sentence motion, a written
    motion before sentencing, or orally prior to sentencing.” Commonwealth v.
    Cox, 
    231 A.3d 1011
    , 1018 (Pa.Super. 2020). “An appellant’s failure to avail
    himself of any of the prescribed methods for presenting a weight of the
    evidence issue to the trial court constitutes waiver of that claim.” 
    Id.
    Instantly, Appellant failed to raise any objection to the weight of the
    evidence in the trial court. Therefore, Appellant’s claim is waived. See id.;
    Pa.R.Crim.P. 607(A).       As such, Appellant’s final issue merits no relief.
    Accordingly, we affirm.
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    J-S28032-22
    Judgment of sentence affirmed.
    Judgment Entered.
    Joseph D. Seletyn, Esq.
    Prothonotary
    Date: 3/8/2023
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