Steltz, C. v. Meyers, W. ( 2020 )


Menu:
  • J-A21032-19
    NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT I.O.P. 65.37
    CRAIG STELTZ                               :   IN THE SUPERIOR COURT OF
    :        PENNSYLVANIA
    :
    v.                             :
    :
    :
    WILLIAM C. MEYERS, M.D.; VINCERA           :
    CORE INSTITUTE AND VINCERA                 :
    INSTITUTE                                  :   No. 179 EDA 2019
    :
    Appellants              :
    Appeal from the Order Entered December 12, 2018
    In the Court of Common Pleas of Philadelphia County Civil Division at
    No(s): March Term 2016- 01720
    BEFORE: BOWES, J., OLSON, J., and FORD ELLIOTT, P.J.E.
    DISSENTING MEMORANDUM BY BOWES, J.:                      FILED APRIL 14, 2020
    I respectfully dissent. While I recognize that this Court’s standard of
    review over a trial court’s award of a new trial is deferential, this case presents
    that rare circumstance in which the trial court has abused its discretion. In
    particular, I believe that both the trial court and the Majority have
    mischaracterized the context of the question posed by Appellant’s counsel and
    overstated the existence of prejudice. Accordingly, I would reverse the trial
    court’s order granting a new trial, and permit the jury’s verdict to stand.
    Appellee Craig Steltz’s claims for relief were directed at an alleged
    breach of the professional standard of care1 by Appellant William C. Meyers,
    ____________________________________________
    1  Mr. Steltz’s expert David Treen, Jr., M.D. (“Dr. Treen”), espoused his view
    of the applicable standard of care. See N.T. Trial, 8/6/18, at 5 (“[Dr. Treen’s]
    J-A21032-19
    M.D. (“Dr. Meyers”). Specifically, Mr. Steltz underwent surgery on May 1,
    2014, for athletic pubalgia—or a “sports hernia”—in his right leg. Mr. Steltz
    was, at that time, a player for the Chicago Bears of the National Football
    League (“NFL”). During practice on June 19, 2014, Mr. Steltz felt a “pop” in
    his right leg. Mr. Steltz returned to Dr. Meyers for a consultation on June 30,
    2014. At bedrock, this case concerns competing interpretations of an MRI
    taken that day that was reviewed by, inter alia, Dr. Meyers, Adam Zoga, M.D.
    (“Dr. Zoga”), and Peter Read, M.D. (“Dr. Read”).
    Both Dr. Meyers and Dr. Zoga testified that they collectively reviewed
    and discussed the June 30, 2014 MRI of Mr. Steltz’s right leg that same day,
    and concurred in the assessment that the image indicated “a little bit of scar
    breakup” and fluid at the surgery site. See N.T. Trial, 8/7/18 (Part II), at 14;
    see also N.T. Trial, 8/9/18 (Part II), at 47, 49. Based upon this diagnosis,
    Mr. Steltz returned to his training and practice regimen with the Chicago
    Bears. Ultimately, Mr. Steltz was released from the athletic organization.
    As pled, Mr. Steltz’s case focused upon a report that was reviewed and
    approved by Dr. Read,2 and which was provided to Appellants at some point
    ____________________________________________
    testimony revealed the steadfast opinion, whether or not the jury chooses to
    believe it, that [Dr. Read’s interpretation of] the June 30, 2014 MRI should
    have been disclosed to Mr. Steltz, and the failure to do so deprived Mr. Steltz
    of the opportunity for treatment . . . .”).
    2 Although Dr. Read approved the report interpreting the June 30, 2014 MRI
    as showing a “complete tear” of Mr. Steltz’s common adductor muscles, it was
    actually authored by a trainee named Zombor Zoltani. See N.T. Trial, 7/31/18
    -2-
    J-A21032-19
    after their June 30, 2014 assessment of Mr. Steltz had already been
    completed and communicated to Mr. Steltz.3 See Complaint, 5/25/16, at ¶¶
    19-46. That report diverged significantly from the initial assessment rendered
    by Dr. Meyers and Dr. Zoga, and instead concluded that Mr. Steltz had
    suffered a “complete tear” of his adductor muscle. See N.T. Trial, 7/31/18
    (Part I), at 62.     Although this report was ultimately found in Appellants’
    records, it is not clear how or at what point that report was transmitted to
    Appellants.4 See N.T. Trial, 7/31/18 (Part II), at 52-53.
    Regardless, Mr. Steltz’s claims for relief revolve around the allegedly
    delayed disclosure of the opinions expressed in Dr. Read’s report and the
    validity of Dr. Read’s underlying analysis, as made clear in both his opening
    and closing statements. See N.T. Trial, 7/31/18 (Part I), at 23-28; N.T. Trial,
    8/10/18 (Part II), at 16-17 (“The negligence of Dr. Meyers is [his] arrogance
    of certainty about an injury that was interpreted completely different[ly]. His
    failure to communicate to his patient and . . . his patient’s employer . . . that
    there was evidence of a tear.”).          Indeed, even Mr. Steltz testified that he
    ____________________________________________
    (Part II), at 13-14. Dr. Read was the attending radiologist who reviewed it,
    concurred in its analysis, and approved the report.
    Id. 3 Dr.
    Read did not review and approve the report created by Mr. Zoltani until
    July 3, 2014, and he did not dictate it until July 5, 2014. See N.T. Trial,
    7/31/18 (Part II), at 14-16, 53.
    4  Dr. Meyers testified that he “likely” saw the report for the first time on
    August 27, 2014, when Mr. Steltz requested a copy of his medical records
    after being released by his employer.
    Id. at 54,
    56. Mr. Steltz testified that
    he first became aware of the report on September 11, 2014, when he received
    a copy of his records. See N.T. Trial, 8/2/18 (Part II), at 79.
    -3-
    J-A21032-19
    blamed Dr. Meyers specifically because of his alleged misinterpretation of the
    MRI. See N.T. Trial, 8/2/18 (Part II), at 88 (“It wasn’t the Bears’ doctor I
    went and saw, who read the MRI, and so I felt like Dr. Meyers was at fault for
    it and not the Bears.”).
    Despite the critical nature of the June 30, 2014 MRI and Dr. Read’s
    assessment of the injury it depicted, it is undisputed that Mr. Steltz did not
    present any corroborating expert testimony from a musculoskeletal radiologist
    at trial.5 Dr. Read testified on behalf of Mr. Steltz as a fact witness, and was
    never qualified as an expert.6 See Pa.R.E. 702. An expert on musculoskeletal
    ____________________________________________
    5  In relevant part, Appellee presented testimony from David Treen, Jr., M.D.
    (“Dr. Treen”), who was qualified as an expert in “athletic pubalgia” and
    testified that his physical examination of Mr. Steltz indicated that he had a
    torn adductor muscle. See N.T. Trial, 8/1/18 (Part I), at 55-58. However, he
    freely confessed that he could not opine about the competing interpretations
    of the June 30, 2014 MRI.
    Id. at 92-93
    (“The two reports describe two totally
    different findings. I don’t know which one is true and which one is false,
    . . . .” (emphasis added)). Along similar lines, Mr. Steltz also presented
    videotaped testimony from Benton Emblom, M.D., who was qualified as an
    expert in orthopedic surgery. See N.T. Trial, 8/2/18 (Part I), at 40-41. He
    similarly opined that Mr. Steltz had suffered a torn adductor muscle at some
    indeterminate point. See N.T. Trial, 8/2/18 (Part II), at 83-84.
    6   Mr. Steltz went to great lengths to establish Dr. Read’s bona fides with
    respect to musculoskeletal radiology. See N.T. Trial, 7/31/18 (Part I), at 49-
    51; N.T. Trial, 7/31/18 (Part II), at 25-26. However, he freely allowed that
    Dr. Zoga was a far more experienced and accomplished radiologist with
    respect to musculoskeletal imaging. See N.T. Trial, 7/31/18 (Part II), at 6-8.
    The burden for such qualification is quite deferential. “[T]he test to be applied
    when qualifying an expert witness is whether the witness has any reasonable
    pretension to specialized knowledge on the subject under investigation. If he
    does, he may testify and the weight to be given to such testimony is for the
    trier of fact to determine.” Freed v. Geisinger Med. Ctr., 
    971 A.2d 1202
    ,
    -4-
    J-A21032-19
    radiology was listed as potential witness on Mr. Steltz’s pre-trial statement.
    See Plaintiff’s Pretrial Memorandum, 2/15/18, at 4 (identifying Jamie
    Checkoff, M.D. as an “expert”). However, Dr. Checkoff did not testify at trial,
    and no other qualified expert addressed the merits of Dr. Read’s analysis on
    behalf of Mr. Steltz.
    After Mr. Steltz had rested his case-in-chief, Appellants offered the
    testimony of Dr. Jana Crain (“Dr. Crain”), a musculoskeletal radiologist who
    was qualified as an expert in “interpreting MRI images of the core muscle
    region.” See N.T. Trial, 8/6/18 (Part II), at 42, 52. Overall, Dr. Crain flatly
    disagreed with the conclusions in the report approved by Dr. Read.
    Id. at 64-
    65, 71. Thereafter, Dr. Zoga testified as both a fact and expert witness. See
    N.T. Trial, 6/7/18 (Part I), at 41-43. However, Appellants’ qualification of Dr.
    Zoga was unusually fraught with an extended series of inflammatory questions
    and remarks by Mr. Steltz’s counsel that directly touched upon the respective
    credibility of not only Dr. Zoga, but also Dr. Read.
    Mr. Steltz’s counsel opened this qualification cross-examination with a
    series of remarks concerning Dr. Zoga’s “enormous, enormous ego.”
    Id. at 29.
      An immediate objection was sustained.
    Id. at 30.
       Moments later,
    however, Mr. Steltz’s counsel again insinuated that Dr. Zoga was inflating his
    professional acumen, asking whether other “doctors come up to you, boy, Dr.
    ____________________________________________
    1209 (Pa. 2009) (emphasis in original; internal citation omitted). Still, Mr.
    Steltz apparently chose to concede the opportunity to allow his key witness to
    explain his interpretation of the MRI.
    -5-
    J-A21032-19
    Zoga, you’re the go-to guy?”
    Id. at 31.
    Another objection was sustained.
    Id. at 32.
    Counsel launched into a series of inquiries concerning Dr. Read’s
    professional qualifications and credibility, first suggesting that Dr. Read must
    be competent and accurate in his work due to the fact that he hadn’t been
    “fired” after this incident.
    Id. at 35-36
    (“Wouldn’t you, if you knew that one
    of your people couldn’t do his job right—you don’t want him analyzing images
    that affect the lives of people, do you?”). For a third time, Appellants objected
    on the ground that this testimony was inappropriately touching upon Dr.
    Read’s credibility. The trial court, again, sustained the objection.
    Id. at 36.
    However, Mr. Steltz’s counsel persisted and continued to cross-examine
    Dr. Zoga about Dr. Read, including adducing testimony that Dr. Read: (1) was
    a board-certified radiologist; (2) completed a fellowship in musculoskeletal
    radiology; (3) was still employed by his then-employer; and (4) continued to
    review and interpret radiology images, including MRI.
    Id. at 36-37.
    Eventually, defense counsel raised another objection when Mr. Steltz’s counsel
    began to examine Dr. Zoga regarding his substantive review of the report
    approved by Dr. Read.
    Id. at 44-47.
    Ultimately, the trial court qualified Dr.
    Zoga as an expert in musculoskeletal radiology without any discrete objections
    to his qualifications. Id at 47.
    Throughout the qualification examination of Dr. Zoga, Mr. Steltz’s
    counsel comported himself in a manner that smacked of unprofessionalism,
    even based upon the cold record. His questions to Dr. Zoga and his responses
    to defense counsel and the trial court were peppered with sarcastic asides and
    -6-
    J-A21032-19
    feigned contrition, despite admonitions from the trial court.
    Id. at 29-31,
    33-
    36, 40-42, 46.
    Immediately after this prolonged and heated exchange, defense counsel
    advanced the line of questioning that precipitated this appeal:
    DEFENSE COUNSEL: [H]ow many musculoskeletal radiologists do
    you think there are in the country[,] ballpark?
    DR. ZOGA: So if the definition is radiologists who interpret
    musculoskeletal imaging, it has to be five thousand.
    DEFENSE COUNSEL: Five thousand. Five thousand of those
    radiologists and [Mr. Steltz] couldn’t find one of them to come into
    this courtroom to support Dr. Read, did you know that?
    Id. at 48.
    The question was not answered, but it did provoke a strenuous
    objection from Mr. Steltz’s counsel, who requested a mistrial. Defense counsel
    responded that: (1) the question was simply a fair response to Mr. Steltz’s
    counsel’s repeated “borderline” comments; and (2) the “only prejudice” to Mr.
    Steltz was that the comment was “factual.”
    Id. at 51.
    The trial court declined to grant a mistrial, noting that both parties had
    made “occasional statements” that were problematic.
    Id. at 52.
    Instead, the
    trial court issued a curative instruction regarding defense counsel’s allegedly
    inappropriate question, addressing the jury as follows:
    When we were last here, there was an exchange between the
    counsel and I just wanted to state, as I stated at the beginning of
    the trial, that the statements and arguments made by counsel do
    not constitute evidence. They are not the facts. Evidence includes
    any testimony of witnesses, documents, and other exhibits
    submitted during the trial constitute facts and I just ask that you
    understand that particular principle, as you evaluate the evidence,
    okay.
    -7-
    J-A21032-19
    So the parties or counsel have agreed to proceed in a civil fashion.
    So we’ll continue. Thank you.
    N.T. Trial, 8/7/18 (Part II), at 4-5.
    During defense counsel’s closing statement, he reiterated his earlier
    point regarding the lack of expert support for Mr. Steltz’s position: “Why
    wouldn’t they come in and hire a radiologist to tell us, yeah, I looked at those
    images and Dr. Read is correct.” N.T. Trial, 8/10/18 (Part II), at 52; see also
    id. at 33
    (“You heard from musculoskeletal radiologists that there was no tear,
    and that there was no retraction . . . . It’s unquestionable, undeniable, and
    [Mr. Steltz] brought in no one to dispute it.”). Pertinent to our review, no
    objection was lodged by Mr. Steltz with respect to these statements.
    Id. Following a
    verdict in favor of Appellants, the trial court ultimately
    granted Mr. Steltz’s post-trial motion for a new trial, grounding its reasoning
    in three separate findings, namely: (1) that defense counsel’s question was
    inappropriate; (2) that the question was also prejudicial as it undermined the
    validity of the entire trial; and (3) that the prejudice was of such a type and
    magnitude that it could not be remedied via a curative instruction. See Trial
    Court Opinion, 12/12/18, at 6-7 (“There was no curative instruction this Court
    could have delivered to the jury to fix the harm caused by [Appellants’]
    counsel’s egregious statement that not one musculoskeletal radiologist among
    the 5,000 who practice in the United States could be found to support [Dr.
    Read’s] reading of the MRI.”).
    -8-
    J-A21032-19
    The learned Majority has largely concurred in the trial court’s legal and
    factual assessment. I must respectfully dissent with respect to each finding.
    The legal standards that govern our review of a trial court’s awarding of
    a new trial are well-established, and admittedly deferential to the trial court’s
    decision. As a general matter, a trial court engages in a two-step process
    when responding to a request for a new trial by determining: (1) whether one
    or more mistakes occurred at trial; and (2) whether that mistake is a sufficient
    basis for granting a new trial. See Ferguson v. Morton, 
    84 A.3d 715
    , 720-
    21 (Pa.Super. 2013).      An appellate court essentially engages in the same
    analysis in reviewing the decision of the trial court:
    First, the appellate court must examine the decision of the trial
    court that mistake occurred. . . . If the mistake involved a
    discretionary act, the appellate court will review for an abuse of
    discretion. If the mistake concerned an error of law, the court will
    scrutinize for legal error.
    If the appellate court agrees with the determination of the trial
    court that a mistake occurred, it proceeds to the second level of
    analysis. The appellate court must then determine whether the
    trial court abused its discretion in ruling on the request for a new
    trial. An abuse of discretion exists when the trial court has
    rendered a judgment that is manifestly unreasonable, arbitrary,
    or capricious, has failed to apply the law, or was motivated by
    partiality, prejudice, bias, or ill will. A finding by an appellate court
    that it would have reached a different result than the trial court
    does not constitute a finding of an abuse of discretion. Where the
    record adequately supports the trial court’s reasons and factual
    basis, the court did not abuse its discretion.
    Id. at 720
    (internal citations and quotation marks omitted).
    Where, as here, the trial court “articulates a single mistake (or a finite
    set of mistakes), the appellate court’s review is limited in scope to the stated
    -9-
    J-A21032-19
    reason, and the appellate court must review the reason under the appropriate
    standard.”7 Harman ex rel. Harman v. Borah, 
    756 A.2d 1116
    , 1123 (Pa.
    2000). However, this assessment is not merely focused upon the mistake
    itself, but also properly includes the attendant “circumstances under which the
    statements were made and the precaution taken by the trial court and counsel
    to prevent such remarks from having a prejudicial effect.”            Siegal v.
    Stefanyszyn, 
    718 A.2d 1274
    , 1277 (Pa.Super. 1998).
    As the Majority correctly points out, “[i]t is improper for counsel to
    present facts to the jury which are not in evidence and which are prejudicial
    to the opposing party,” such that “counsel may not comment on evidence to
    the effect that it removes an issue of credibility from the jury.” Young v.
    Washington Hosp., 
    761 A.2d 559
    , 563 (Pa.Super. 2000) (emphasis added).
    The Majority relies heavily upon the holding in 
    Siegal, supra
    , to affirm
    the trial court’s conclusion that defense counsel committed a “mistake” by
    questioning Dr. Zoga regarding Mr. Steltz’s self-evident lack of expert
    radiology testimony.        See Majority Memorandum at 11-12.        In Seigal,
    defense counsel in a medical malpractice case made an improper statement
    during closing arguments, which ultimately resulted in the awarding of a new
    ____________________________________________
    7 The trial court stated that it relied solely upon defense counsel’s question in
    granting a new trial. See Trial Court Opinion, 3/4/19, at 4 (“We wish to take
    this opportunity to disabuse [Appellants] of the notion that we might have
    relied on misconduct other than defense counsel’s improper question to Dr.
    Zoga in granting a new trial.”).
    - 10 -
    J-A21032-19
    trial. At the outset of the trial in Siegal, one of plaintiff’s fact witnesses—Dr.
    John Shore—had been precluded from offering expert testimony that the
    defendant’s actions fell below the “applicable standard of care.”
    Id. at 1276.
    During closing, defense counsel directly referred to this lack of testimony from
    Dr. Shore, stating that its absence indicated that no malpractice occurred.
    Id. On appeal,
    this Court concluded that these statements were improper.
    Id. at 1277
    (“[C]ounsel’s argument was clearly improper, as it conveyed to the jury
    something that counsel knew to be untrue, i.e., that Dr. Shore’s opinion was
    not favorable to appellants’ case.”). The statement “so polluted the jury that
    the effect could not be cured by the curative instruction that was given.”
    Id. Instantly, defense
    counsel’s objectionable question was as follows: “Five
    thousand of those radiologists and [Mr. Steltz] couldn’t find one of them to
    come into this courtroom to support Dr. Read, did you know that? N.T. Trial,
    8/7/18 (Part I), at 48. In particular, the Majority has focused upon the use of
    the words “could not find” as proof positive that defense counsel was somehow
    misrepresenting the fact that Mr. Steltz had listed Dr. Checkoff as a potential
    expert witness:
    Appellants’ counsel, having received a copy of [Mr. Steltz’s] pre-
    trial memorandum, was, therefore, put on notice that [Mr. Steltz]
    did find and planned to call as a potential witness another
    radiologist whose findings concurred[8] with Dr. Read’s findings
    ____________________________________________
    8 Like the trial court, the Majority has characterized Dr. Checkoff’s report as
    corroborating Dr. Read’s interpretation of the June 30, 2014 MRI. See
    Majority Memorandum at 11; Trial Court Opinion, 12/12/18, at 11 n.3.
    - 11 -
    J-A21032-19
    that the June 30, 2014 post-surgery MRI revealed a tear in the
    adductor longus muscle, an allegation that formed the basis of
    [Mr. Steltz’s] complaint. As such, when appellant’s counsel stated
    that [Mr. Steltz] “couldn’t find” verses “did not find” another
    radiologist who would agree with Dr. Read’s findings, his comment
    was analogous to the statement made by counsel in Siegal.
    Majority Memorandum at 11.
    With all due respect to the learned Majority, Siegal is inapposite. By
    focusing solely upon the verb utilized by defense counsel to the exclusion of
    all other substance, the Majority has mischaracterized the basic import of
    counsel’s question. In relevant part, defense counsel’s statement betrayed
    no misrepresentation, but drew valid attention to the indisputable fact that
    Mr. Steltz had not presented expert testimony regarding the correctness of
    Dr. Read’s interpretation of the June 30, 2014 MRI, a critical issue in this case.
    In contrast to Siegal, there was no ruling from the trial court precluding Mr.
    Steltz from presenting Dr. Checkoff’s expert testimony.          Hence, defense
    counsel was not exploiting an adverse ruling, but properly referring to an
    ____________________________________________
    However, Dr. Checkoff’s report concludes that the June 30, 2014 MRI indicates
    only a “partial tear” of the adductor muscle.         See Plaintiff’s Pretrial
    Memorandum, 2/15/18. I also note that “[i]t is well established that a report
    prepared by an expert who is not called to testify as a witness is hearsay.”
    Semieraro v. Commonwealth Utility Equipment Corp., 
    544 A.2d 46
    , 47
    (Pa. 1988); see also Kopytin v. Aschinger, 
    947 A.2d 739
    , 745 (Pa.Super.
    2008) (same). Permitting Mr. Steltz to benefit from the contents of an expert
    report that originated from a non-testifying witness is particularly suspect in
    light of the rationale behind this maxim. See Phillips v. Gerhart, 
    801 A.2d 568
    , 575 (Pa.Super. 2002) (observing that opinions contained in medical
    reports are inadmissible “unless the doctor who prepared the report is
    available for in-court, cross-examination regarding the accuracy, reliability,
    and veracity of his or her opinion”).
    - 12 -
    J-A21032-19
    unforced error: that Mr. Steltz offered no testimony from a musculoskeletal
    radiologist corroborating Dr. Read’s interpretation of the June 30, 2014 MRI.9
    As such, I do not perceive defense counsel’s question to be the flagrant
    misrepresentation of a fact outside of the jury’s knowledge as identified by
    the Majority, but a question duly predicated upon: (1) the lack of expert
    radiology testimony presented by Mr. Steltz; and (2) Dr. Zoga’s testimony
    that there were approximately 5,000 musculoskeletal radiologists potentially
    available for such consultations.              Both of these facts were of-record.
    Moreover, Dr. Read’s interpretation of the June 30, 2014 MRI was both the
    subject upon which Dr. Zoga was called to testify, and the lynchpin of Mr.
    Steltz’s case.     Although inartfully phrased, I do not believe that defense
    counsel’s question here is in the same disfavored category as the statement
    identified in Siegal.
    I also believe that the Majority and the trial court have failed to properly
    view the entirety of the circumstances surrounding defense counsel’s question
    in assessing this “mistake.” Immediately before defense counsel asked his
    question, Mr. Steltz’s counsel had just finished attacking Dr. Zoga’s credibility,
    as bolstering Dr. Read’s interpretation of the June 30, 2014 MRI, over
    numerous sustained objections. See N.T. Trial, 8/7/18 (Part I), at 29-47. I
    note that “[e]ven an otherwise improper comment may be appropriate if it is
    ____________________________________________
    9 At the close of the defense case, Mr. Steltz was afforded an opportunity to
    present rebuttal testimony, but largely limited his presentation to
    demonstrative testimony not relevant to this appeal. See N.T. Trial, 8/10/18
    (Part I), at 41-53. No rebuttal expert testimony was adduced.
    - 13 -
    J-A21032-19
    in fair response to [opposing] counsel’s remarks.”          Commonwealth v.
    Burno, 
    94 A.3d 956
    , 974 (Pa. 2014).
    Stated directly, Mr. Steltz’s counsel’s pursued an inflammatory and
    inappropriate line of interrogation with Dr. Zoga regarding both his credibility,
    and that of Dr. Read.        As Appellants have argued, I believe that the fair
    response doctrine applies quite aptly to these circumstances.10         Counsel’s
    remarks do not constitute reversible error where they are “a reasonable
    response, in both scope and force, to trial counsel’s attack on the witness’
    credibility.” Commonwealth v. Hanible, 
    30 A.3d 426
    , 470 (Pa. 2011).
    Here, defense counsel’s single question appears quite proportional in
    light of the conduct of Mr. Steltz’s counsel detailed above. Specifically, Mr.
    Steltz’s counsel was responsible for initially broaching the subject of credibility
    on multiple fronts during his cross-examination of Dr. Zoga. Moreover, he did
    so in a way that was clearly calculated to buttress Dr. Read’s credibility and
    diminish Dr. Zoga’s credibility. In the face of such gamesmanship during an
    adversarial contest, defense counsel cannot be expected to stand mute.
    In short, I must part ways from the Majority with respect to its
    affirmance of the trial court’ conclusion that defense counsel’s question was
    ____________________________________________
    10 See Appellants’ brief at 22 (arguing that even if defense counsel’s question
    “broached an improper subject,” it was nonetheless a “fair response” to the
    questioning perpetrated by Mr. Steltz’s counsel); see also N.T. Trial, 8/7/18
    (Part I), at 51 (same argument preserved at trial).
    - 14 -
    J-A21032-19
    inappropriate.11 With specific reference to our standard of review, I do not
    believe that the record sufficiently supports the legal and factual assessments
    rendered by both the Majority and the trial court. While my own analysis
    would end at this point, I will also briefly address the remainder of the
    Majority’s contentions.
    “A new trial is not warranted merely because some irregularity occurred
    during the trial . . . .” Harman, supra at 1121. The award of a new trial as
    a result of improper conduct by counsel is an extraordinary remedy, and is
    only appropriate if “the unavoidable effect of the conduct or language was to
    prejudice the factfinder to the extent that the factfinder was rendered
    incapable of fairly weighing the evidence and entering an objective verdict.”
    Poust v. Hylton, 
    940 A.2d 380
    , 385 (Pa.Super. 2007).
    The Majority’s assessment of the second prong of our analysis, i.e., the
    prejudicial effect of defense counsel’s question, also relies quite heavily on its
    presumption that defense counsel somehow took “liberties” with the facts.
    See Majority Memorandum at 14 (citing Young, supra at 561; 
    Siegal, supra
    at 1277). As indicated above, I do not concur in the assessments of defense
    counsel’s statements under the rubric provided by Siegal and Young. In the
    absence of the factual distortion relied upon by the Majority, I find the
    following discussion from Ferguson instructive:
    ____________________________________________
    11 See Demosthenes, The Oration of Demosthenes on the Crown, (1st ed.,
    1868) at 33 (translated by Sir R.P. Collier) (“But the facts speak for
    themselves, they are too plain.”).
    - 15 -
    J-A21032-19
    A trial in an American court is distinctly an adversary proceeding
    and is therefore bound at times to excite counsel into making
    statements overladen with partiality.        However, so long as
    decorum is maintained, and there is no leaving the highway of fact
    to agitate in the marshes of palpable exaggeration, unwonted
    characterizations, hortatory appeals to latent prejudices, and
    improper imputations of gross motives, there is no reason why
    lawyers should not be permitted to express themselves in such
    manner as they believe best serves the interests of justice.
    Ferguson, supra at 723 (quoting Rondinelli v. City of Pittsburgh, 
    180 A.2d 74
    , 77-78 (Pa. 1962)).
    To my mind, the conclusion that defense counsel’s single question
    undermined confidence in the trial as a whole is not adequately supported by
    the record or the law. Accord Ferguson, supra at 725 (“[I]t is self-evident
    that prejudice mounts as the tenor of the comments in question grows more
    flagrantly improper and the frequency of similar comments increases.”). To
    the extent that the Majority claims that defense counsel’s question “removed”
    the determination of Dr. Read’s credibility from the jury, I re-emphasize that
    it was Mr. Steltz’s counsel who first raised that issue with Dr. Zoga during an
    extensive cross-examination. See N.T. Trial, 6/7/18 (Part I), at 33-47.
    Finally, the Majority also relies upon Siegal in support of its conclusion
    that the trial court’s curative instruction was insufficient.     See Majority
    Memorandum at 14. In Siegal, the trial court’s curative instruction was found
    to be insufficient because it “did not accurately convey to the jury what was
    true, i.e., that [defense] counsel knew that Dr. Shore’s opinion would have
    favored [plaintiff’s] position.” 
    Siegal, supra
    at 1277.
    - 16 -
    J-A21032-19
    As explained above, I do not find Siegal to be an adequate parallel to
    the instant case. Here, the trial court issued a curative instruction directing
    the jury to disregard the contents of defense counsel’s question. See N.T.
    Trial, 8/7/18 (Part II), at 4-5. Accordingly, I also fail to see why this curative
    instruction was insufficient to dispel any potential for prejudice.          See
    Ferguson, supra at 725 (“Jurors are presumed to obey the court’s
    instructions, and, if ever an inappropriate comment could be cured by
    sufficient correction and admonition from the bench, the trial court’s efforts in
    this case would suffice.”); see also In re Smith, 
    579 A.2d 889
    , 896
    (Pa.Super. 1990) (“[T]he jury is presumed to have acted within the legal
    parameters established by the court and with a proper evaluation and
    weighing of the evidence.”).
    Based on the foregoing discussion, I respectfully dissent.
    - 17 -