Mark Adrian Barzar v. State ( 2018 )


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  •                                      In The
    Court of Appeals
    Ninth District of Texas at Beaumont
    ___________________
    NO. 09-16-00436-CR
    ___________________
    MARK ADRIAN BARZAR, Appellant
    V.
    THE STATE OF TEXAS, Appellee
    __________________________________________________________________
    On Appeal from the County Court at Law No. 1
    Montgomery County, Texas
    Trial Cause No. 15-305268
    __________________________________________________________________
    MEMORANDUM OPINION
    A jury convicted appellant, Mark Adrian Barzar, of the misdemeanor offense
    of driving while intoxicated (“DWI”). See Tex. Penal Code Ann. § 49.04(a) (West
    Supp. 2017). Barzar elected to have the trial court judge decide punishment;
    following a punishment hearing, the trial court sentenced Barzar to a 180-day
    sentence and ordered him to pay restitution of $500. In two appellate issues, Barzar
    1
    argues that: (1) the trial court erred by allowing the State’s forensic scientist to
    suggest in Bazar’s trial that the symptoms he exhibited on the day he was stopped
    were consistent with a history of ingesting Tramadol and synthetic marijuana when
    the State’s other evidence failed to establish that the two substances were in his
    blood, found in his car, or found on his person that same day; and (2) the trial court
    erred by allowing a witness, the nurse that treated Barzar in the emergency room, to
    read a statement into evidence from Barzar’s medical records indicating that his
    mother told the emergency room doctor that she suspected that Barzar had ingested
    something that day. We hold the trial court did not abuse its discretion by admitting
    the testimony of the State’s forensic scientist. We further hold that Barzar did not
    properly preserve his complaint about the statement that is in the emergency room
    records for the purpose of appellate review.
    Background
    Since the only issues Barzar raises in his appeal concern the admission of a
    small part of the testimony of the State’s forensic scientist and of an emergency room
    nurse, we limit our discussion of the background to those facts needed to explain our
    resolution of Barzar’s issues.
    The evidence from Barzar’s trial shows that the truck Barzar was driving
    sideswiped a passenger car while the vehicles were traveling in the northbound lanes
    2
    on Interstate Highway 45 in Montgomery County. Barzar stopped his truck on the
    shoulder of the highway after the collision occurred. Trooper Trace Turner, an
    employee of the Texas Department of Public Safety, was on routine patrol on
    February 8, 2015, when he was advised that a crash had occurred in one of the
    northbound lanes of traffic on Interstate 45.
    Trooper Turner testified in Barzar’s trial that shortly after he arrived on the
    scene where the crash had just occurred, he approached Barzar’s truck and asked
    Barzar to tell him what happened. According to Trooper Turner, Barzar did not
    “really [understand] that he had even been in a crash.” Trooper Turner explained that
    Barzar “could barely talk[,]” could not answer “[s]imple questions[,]” and that “[h]is
    speech was extremely slurred.” Trooper Turner described Barzar’s speech as
    “terrible[,]” and he stated that he feared Barzar might be having a stroke or a diabetic
    episode. Nonetheless, Barzar told Trooper Turner that he was not having any
    medical problems, and he denied that he had ingested any prescription drugs. When
    Trooper Turner asked Barzar for his license, Barzar dropped his wallet several times.
    Trooper Turner indicated that Barzar “had basically no use of his coordination with
    his hands[,]” he described Barzar as “very sluggish, very lethargic, having a very
    difficult time walking[,]” and as “extremely unsteady on his feet.” Trooper Turner
    stated that he requested an ambulance so that Barzar could be taken to the hospital
    3
    for a more complete evaluation. According to Trooper Turner, he chose not to
    conduct any field sobriety tests on Barzar while they were on the shoulder of the
    interstate because he believed the tests could not be done safely.1 After the
    ambulance picked Barzar up from the scene, Trooper Turner followed the ambulance
    to Memorial Hermann The Woodlands Hospital.
    In issue one, Barzar complains that the trial court should not have admitted
    the testimony from the State’s forensic scientist about the effects that synthetic
    marijuana and Tramadol can have on a person when the evidence admitted during
    the trial did not show that the police recovered those substances from Barzar’s car,
    the substances were not found on Barzar, and the tests done on Barzar’s blood and
    urine did not show that Tramadol or synthetic marijuana were in them. According to
    Barzar, “[w]ithout evidence of whether Barzar used synthetic marijuana or
    [T]ramadol, when Barzar might have used synthetic marijuana or [T]ramadol, or
    how much he might have used, the testimony of the nurse, the state trooper, and the
    forensic scientist” stating that Barzar admitted having ingested these substances was
    irrelevant and should not have been admitted.
    1
    Trooper Turner also explained why he did not ask Barzar to perform a horizontal
    gaze nystagmus test after encountering him on the shoulder of the interstate.
    According to Trooper Turner, Barzar’s pupils “appeared to be of different pupil
    sizes, which would disqualify him as a candidate for that [test.]”
    4
    We agree that the evidence admitted at trial did not show that the police
    recovered synthetic marijuana or Tramadol from Barzar’s car or on his person. We
    also agree that the blood test and urine test performed on the samples that Barzar
    provided while at the hospital did not reveal whether synthetic marijuana or
    Tramadol were in Barzar’s system. Nevertheless, there was also evidence that the
    blood and urine tests were not designed to detect Tramadol, and the blood test was
    also not designed to detect synthetic marijuana. The State’s forensic scientist, Kiara
    Hagan, indicated that the testing she performed on the blood specimen in the Crime
    Lab was not designed to detect the presence of Tramadol or synthetic marijuana in
    a person’s blood.2 Hagan explained that while she had attempted to retrieve Barzar’s
    blood specimen for further testing prior to Barzar’s trial, Barzar’s blood specimen
    was not kept because the test she performed on it had produced a negative result.
    During the trial, Codi Davis, one of the emergency room nurses who treated Barzar,
    testified that she was not surprised that Barzar’s drug screen was negative because
    the urinalysis that was done did not test for the presence of Tramadol. Nurse Davis
    2
    The urine sample that Barzar provided was tested by the hospital. The records
    from the hospital, which were admitted into evidence during the trial, include the
    results of Barzar’s urine test. The information from the urine test reflects that the
    hospital screened the urine for the presence of drugs of various classes, including
    opiates and cannabis. The test does not indicate whether it was designed to determine
    if synthetic marijuana was present in the sample.
    5
    was not asked to explain whether the urine test was designed to detect the presence
    of synthetic marijuana.
    While the record before the trial court does not show that Barzar had Tramadol
    and synthetic marijuana in his system, the evidence regarding the tests also does not
    show they were designed to rule out the presence of Tramadol and synthetic
    marijuana. Given Barzar’s symptoms and his statements that he had ingested these
    substances, a reasonable jury could have determined that the fact he ingested the
    substances logically explained the unusual symptoms that he exhibited the day he
    was taken to the emergency room. For example, the jury heard the testimony of
    Nurse Davis that Barzar told her that he had taken Tramadol that day when she was
    treating him in the emergency room. Additionally, the jury heard Trooper Turner
    testify that Barzar told him at the hospital that he had “smoked synthetic marijuana
    around 5:00 or 6:00 a.m. that morning.”3
    3
    We note that Barzar did not object to Trooper Turner’s testimony when it
    was admitted into evidence. However, the trial court had ruled in a hearing that
    occurred earlier that day that Trooper Turner would be allowed to testify regarding
    the statement he claimed that Barzar made to him while they were at the hospital.
    Trooper Turner also testified before the jury, without objection, that he thought
    Barzar was intoxicated when he saw him on the date of the alleged offense, February
    8, 2015.
    6
    On the morning of the second day of the trial, the trial court conducted a
    hearing outside the presence of the jury, and at Barzar’s request, to determine
    whether Hagan should be allowed to address the types of symptoms a person might
    exhibit after ingesting Tramadol and synthetic marijuana. See Tex. R. Evid. 702
    (allowing a witness who is qualified by knowledge, skill, experience, training, or
    education to testify in the form of an opinion or otherwise if the specialized
    knowledge will help the trier of fact to understand the evidence or determine a fact
    in issue). At the conclusion of the hearing, the court indicated that it would allow
    Hagan to explain whether the types of symptoms that Barzar had reportedly
    exhibited on the day he was taken to the emergency room were consistent with
    ingesting Tramadol and smoking synthetic marijuana.
    Barzar’s appellate complaints also challenge the trial court’s decision to allow
    Nurse Davis to testify from a note found in Barzar’s medical records that indicates
    that Barzar’s mother told emergency room staff that “[Barzar] does not sound or
    look like normal but suspects he ingested something.” The records of Barzar’s
    admission to the emergency room show that Barzar’s mother was with him at the
    hospital. The transcript from Barzar’s trial shows that Barzar’s attorney did not
    specifically object to the nurse’s testimony regarding the statement attributed to
    Barzar’s mother on the basis that it was irrelevant; instead, Barzar’s attorney
    7
    objected, as follows: “First of all, I renew my objection to another statement that is
    contained within these records. Second, the first page I just I think 403 it indicates a
    possibility of some kind of non-signed forms, refusal attempt.” We have carefully
    reviewed the transcript from Barzar’s trial, and nothing in it shows that Barzar’s
    attorney lodged a specific prior objection to the mother’s statement that is in the
    medical records on the basis that the statement was not relevant to the decision the
    jury was being asked to make in Barzar’s trial.
    Standard of Review
    We review Barzar’s complaints about the admission of evidence under an
    abuse-of-discretion standard. Tillman v. State, 
    354 S.W.3d 425
    , 435 (Tex. Crim.
    App. 2011); see also Carrasco v. State, 
    154 S.W.3d 127
    , 129 (Tex. Crim. App.
    2005). If the trial court’s decision to admit the evidence being complained about on
    appeal was proper under any theory of law that applies to the case, its ruling will not
    be overturned. See Romero v. State, 
    800 S.W.2d 539
    , 543 (Tex. Crim. App. 1990).
    To demonstrate that an error admitting evidence occurred, a party complaining of
    the trial court’s ruling must establish that the ruling “was so clearly wrong as to lie
    outside the zone within which reasonable people might disagree.” Taylor v. State,
    
    268 S.W.3d 571
    , 579 (Tex. Crim. App. 2008).
    8
    Issue one
    Barzar argues that without evidence of the quantity of the substances he
    ingested and evidence showing that the substances were in his body, the evidence
    before the jury indicating that he had taken Tramadol and smoked synthetic
    marijuana had no relevance to proving a fact of consequence—that he was guilty of
    driving his truck on the interstate while intoxicated. According to Barzar, the
    statements that he is alleged to have made to Trooper Turner and to Nurse Davis
    about smoking synthetic marijuana and taking Tramadol on the day of his crash were
    not relevant “when neither of those substances [were] detected in [his] blood
    specimen and neither was recovered” during the investigation conducted by the
    police. Additionally, Barzar contends that without scientific evidence proving that
    he took Tramadol and smoked synthetic marijuana, Hagan’s testimony about the
    symptoms one might expect to observe in people who ingested these substances was
    unreliable when based solely on a person’s symptoms.
    Generally, evidence is admissible when it is relevant to the facts at issue in
    the dispute. See Tex. R. Evid. 402. Under Rule 401, evidence is relevant if “(a) it
    has any tendency to make a fact more or less probable than it would be without the
    evidence; and (b) the fact is of consequence in determining the action.” Tex. R. Evid.
    9
    401. In this case, whether Barzar had taken drugs before driving his truck was one
    of the primary facts of consequence that were at issue in his trial.
    The testimony in the trial establishes a direct logical connection between
    Barzar’s admissions about taking Tramadol and smoking synthetic marijuana and
    his symptoms, as described by Trooper Turner and a witness who saw him driving
    his truck erratically. Hagan testified during Barzar’s trial that Tramadol is
    accompanied by warnings that state a person should not drive while taking the
    medication. Hagan testified that the potential side effects of Tramadol include
    causing sleepiness, loss of motor coordination and balance, slowed reaction times,
    and slow judgment. She also testified that Tramadol can cause a person taking it to
    weave in and out of traffic. According to Hagan, Tramadol can affect a person for
    up to twelve hours after being taken.
    Hagan also addressed the possible side effects of synthetic marijuana during
    Barzar’s trial. According to Hagan, synthetic marijuana has a half-life of six hours,
    but causes effects for up to eight hours. Hagan explained that synthetic marijuana is
    a hallucinogen, and that its side effects include drowsiness, problems with balance,
    motor coordination, and reaction times. Hagan further explained that when taken in
    combination with Tramadol, synthetic marijuana can make Tramadol’s effects even
    more pronounced.
    10
    Hagan testified that the various symptoms that Barzar reportedly exhibited
    were consistent with his statement that he took Tramadol and smoked synthetic
    marijuana. On cross-examination, Hagan agreed that the test she performed on
    Barzar’s blood sample at the Crime Lab had been negative. She also stated that she
    could not definitively say whether Barzar had been influenced by a specific drug
    without having a test result showing that he had a specific drug in his system. And,
    Hagan agreed that she could not rule out the possibility that the symptoms that
    Barzar had exhibited on the day he was taken to the emergency room were caused
    by something other than Tramadol and synthetic marijuana.
    While Barzar argues that there was not proof regarding the amounts of
    Tramadol and synthetic marijuana that he ingested, the State was not required to
    prove that Barzar had ingested a certain number of pills or smoked a specified
    amount of synthetic marijuana to prove him guilty of driving while intoxicated. See
    Tex. Penal Code Ann. § 49.01(2) (West 2011) (defining “intoxicated” to include
    “not having the normal use of mental or physical faculties” separately from the per
    se section of the definition, which allows proof of intoxication by proving that the
    person has “an alcohol concentration of .08 or more”). In this case, the State relied
    on the evidence that was relevant to proving that Barzar had lost the normal use of
    his faculties, suggesting in closing argument that the jury should find Barzar guilty
    11
    of driving while intoxicated. It did not rely on the per se part of the definition of the
    term “intoxicated” in closing argument, even though that part of the definition was
    also included in the charge. The testimony the jury was asked to consider included
    the evidence that Barzar admitted that he had smoked synthetic marijuana and had
    taken Tramadol the morning that he was seen driving erratically, that Barzar’s truck
    was seen weaving in and out of traffic, and that his truck sideswiped at least one car
    while he was traveling on Interstate 45.
    While Barzar suggests that the evidence before the jury did not necessarily tie
    his symptoms to ingesting Tramadol and synthetic marijuana, neither the medical
    records, nor the nurse’s testimony, indicates that an injury from a collision or a
    medical condition unassociated with ingesting drugs explained Barzar’s symptoms
    immediately before and after he was taken to the emergency room. For example, the
    CT scans in the medical records, which were done on Barzar’s brain and cervical
    spine, were both normal. He also had a normal chest x-ray, and he was discharged
    from the emergency room around 2:30 p.m. on the afternoon of February 8, 2015,
    with a diagnosis of suffering from an altered mental status.4 Nevertheless, the fact
    4
    The discharge summary defines “altered mental status” as a term that “most
    often refers to an abnormal change in your responsiveness and awareness. It can
    affect your speech, thought, mobility, memory, attention span, or alertness. It can
    range from slight confusion to complete unresponsiveness (coma). Altered mental
    status can be a sign of a serious underlying medical condition. Rapid evaluation and
    12
    the State failed to produce direct scientific evidence or introduce evidence showing
    that Barzar was found to be in possession of Tramadol or synthetic marijuana does
    not mean that Barzar’s admission that he took Tramadol and synthetic marijuana the
    morning before he was seen in the emergency room is not a circumstance relevant
    to whether Barzar’s admitted use of these substances explained his symptoms. It was
    not incumbent upon the State to exclude “every reasonable hypothesis other than
    guilt” before the jury could reasonably link Barzar’s use of these two substances to
    his symptoms. See Geesa v. State, 
    820 S.W.2d 154
    , 159-61 (Tex. Crim. App. 1991)
    (overruled on other grounds by Paulson v. State, 
    28 S.W.3d 570
    , 571 (Tex. Crim.
    App. 2000)).
    In conclusion, Hagan’s testimony about the types of symptoms that could
    result from a person’s ingestion of Tramadol and synthetic marijuana offered the
    jury a logical explanation connecting Barzar’s admitted ingestion of these substances
    with his abnormal behavior. In our opinion, even though Barzar’s specimens were
    not subjected to the types of tests designed to detect the presence of Tramadol and
    synthetic marijuana, the testimony in the record showing what type of symptoms
    these substances can cause was circumstantial evidence that the trial court could
    medical treatment is necessary for patients having an altered mental status.” The
    summary then lists thirteen potential causes, one of which includes “[a] drug or
    alcohol overdose.”
    13
    reasonably determine was relevant to the question of whether the jury would find
    Hagan’s testimony helpful in determining whether Barzar had lost the normal use of
    his faculties due to ingesting Tramadol and synthetic marijuana. Compare Ouellette
    v. State, 
    353 S.W.3d 868
    , 870 (Tex. Crim. App. 2011) (explaining that when the
    drug the police found in the defendant’s vehicle “could have produced the observed
    symptoms of intoxication,” that a “rational juror could have found that the defendant
    [consumed the drug]” even without direct evidence that she did so), with Layton v.
    State, 
    280 S.W.3d 235
    , 242 (Tex. Crim. App. 2009) (holding the trial court erred in
    allowing evidence of the defendant’s use of Xanax and Valium into evidence to show
    intoxication absent testimony from an expert explaining the effect of combining the
    medications with alcohol).
    The jury charge used in Barzar’s case defined the term “intoxicated” as
    including the loss of normal use of a person’s mental or physical faculties by reason
    of the introduction of a controlled substance, a drug, a dangerous drug, or a
    combination of two or more of them into the body.” When considered as a whole,
    the evidence that was before the jury allowed the trial court to exercise its discretion
    to admit Hagan’s testimony regarding the possible side effects of Tramadol and
    synthetic marijuana. See Tex. R. Evid. 401; Tex. R. Evid. 702. We overrule issue
    one.
    14
    Issue two
    In issue two, Barzar argues that the trial court erred by “admitting Barzar’s
    mother’s hearsay statements that are in Barzar’s medical records.” During the trial,
    the prosecutor asked Nurse Davis to read from a clinical note that is included in
    Barzar’s medical records, which had already been admitted into evidence. When
    Nurse Davis read the clinical note, she indicated that it states: “Mother reports
    [Barzar] doesn’t sound or look like normal, suspects he ingested something.” Barzar
    argues that Nurse Davis should not have been allowed to read this statement into
    evidence, and he claims the statement should have been redacted from Barzar’s
    medical records before the records were admitted during his trial. According to
    Barzar, the statement at issue is inadmissible hearsay, and he argues that the
    statement does not fall within any of the exceptions to the rule prohibiting the
    admission of testimony constituting hearsay.
    However, nowhere in the record do we find where Barzar objected to the
    admission of the statement the emergency room records attribute to Barzar’s mother
    on the basis that the statement was inadmissible hearsay, or that he objected to Nurse
    Davis’s testimony about the statement on the basis that the statement was hearsay.
    Under Texas law, “to preserve an issue for appeal, a timely objection must be made
    that states the specific ground of objection, if the specific ground was not apparent
    15
    from the context.” Douds v. State, 
    472 S.W.3d 670
    , 674 (Tex. Crim. App. 2015); see
    also Tex. R. App. P. 33.1(a). Under the rules of procedure that govern error
    preservation, “the record must show that . . . the complaint was made to the trial
    court by a timely request, objection, or motion” stating the grounds for the ruling
    sought “with sufficient specificity to make the trial court aware of the complaint,
    unless the specific grounds were apparent from the context[.]” Tex. R. App. P.
    33.1(a). The specific objection must be timely to (1) inform the trial judge of the
    basis of the objection to afford him an opportunity to rule on it, and (2) allow
    opposing counsel an opportunity to respond to the complaint. See 
    Douds, 472 S.W.3d at 674
    . With respect to specificity, “all a party has to do to avoid the
    forfeiture of a complaint on appeal is to let the trial judge know what he wants, why
    he thinks himself entitled to it, and to do so clearly enough for the judge to
    understand him at a time when the trial court is in a proper position to do something
    about it.” 
    Id. (quoting Lankston
    v. State, 
    827 S.W.2d 907
    , 909 (Tex. Crim. App.
    1992)).
    “A complaint is timely if it is made ‘as soon as the ground of objection
    becomes apparent.’” Pena v. State, 
    353 S.W.3d 797
    , 807 (Tex. Crim. App. 2011)
    (quoting Hollins v. State, 
    805 S.W.2d 475
    , 476 (Tex. Crim. App. 1991)); see also
    Lackey v. State, 
    364 S.W.3d 837
    , 843 (Tex. Crim. App. 2012) (explaining the
    16
    policies underlying the contemporaneous objection rule). To be sufficiently specific,
    “the objection must simply be clear enough to provide the judge and the opposing
    party an opportunity to address and, if necessary, correct the purported error.” 
    Pena, 353 S.W.3d at 807
    (citing Ford v. State, 
    305 S.W.3d 530
    , 533 (Tex. Crim. App.
    2009)). In deciding whether the context in which the objection occurred preserved
    the error being claimed on appeal, we consider the defendant’s objection “in the
    context in which the complaint was made and the parties’ shared understanding of
    the complaint at that time.” 
    Id. (citing Lankston,
    827 S.W.2d at 911).
    The objection that Barzar’s attorney made during the trial failed to alert the
    trial court that he was objecting to the statement that Barzar’s medical records
    attribute to Barzar’s mother. His objection also did not alert the trial court that he
    was objecting to Nurse Davis reading the statement on the basis that it was
    inadmissible under any of the exceptions to the hearsay rule found in Rule 803(4).
    See Tex. R. Evid. 803(4) (exception to hearsay rule that generally gives the trial
    court the discretion to admit statements that are made for a person’s medical
    diagnosis or treatment).
    We hold that the general objection that Barzar made renewing a prior
    objection that is not found in the record failed to identify the objection that he seeks
    to raise about Nurse Davis’s testimony for the first time in his appeal. See Tex. R.
    17
    App. P. 33.1(a). We hold that Barzar waived his right to obtain appellate review
    regarding the argument he makes in support of his second issue.
    Conclusion
    Because Barzar has not shown that the trial court committed reversible error,
    we affirm the trial court’s judgment.
    AFFIRMED.
    ______________________________
    HOLLIS HORTON
    Justice
    Submitted on March 13, 2018
    Opinion Delivered July 25, 2018
    Do Not Publish
    Before, Kreger, Horton and Johnson JJ.
    18