Jаnith Coats appeals from the judgment of the Circuit Court of Buchanan County, Missouri, for the respondent, John Hickman, on her claim for damages for personal injuries arising out of a motor vehicle accident with the respondent.
The appellant raises three points on appeal. In Point I, she claims that the trial court erred in overruling her objection to and motion for new trial with respect to the respondent’s closing argument concerning her medical expert witness’s lack of familiarity with alleged authoritative materials on myofascial pain syndrome (MPS) because this argument was not supported by the evidence in that the materials were never offered and admitted into evidence. In Point II, the appellant claims that the trial court erred in overruling her motion for new trial bаsed on alleged improper closing argument of respondent’s trial counsel because he engaged in improper personalization and referred to matters not in evidence. In Point III, the appellant claims the trial court erred in allowing, over her objection, the respondent’s trial counsel, on cross-examination of Dr. Mark Noble, the appellant’s treating urologist, to rеad a partial answer to a question from his deposition because it misled and confused the jury as to his actual testimony such that she was entitled to a new trial.
We affirm.
Facts
On March 26, 1996, the appellant was a passenger in a pickup truck driven by Samuel Howe (Howe). Howe was driving west on Mitchell Avenue in St. Joseph, Buchanan County, Missouri, when he approached the traffic light at the intersection of Mitchell Avеnue and Tenth Street. The light was green for traffic traveling on Mitchell Avenue when Howe entered the intersection. Howe’s vehicle then collided with a pickup truck being driven north on Tenth Street by John Hickman, the respondent.
The respondent’s vehicle struck the front driver’s side of Howe’s vehicle, causing the appellant to strike the steering column with her neck and left shoulder and slamming her back against the seat.
After the accident, the appellant told the police officer at the scene that she was suffering neck pain, but refused to be taken to the hospital at that time. Later that day, she visited a chiropractor, Dr. James Kinnard, to treat the pain she said she was experiencing. The appellant claims that she told Dr. Kinnard she was experiencing abdominal pain at that visit, but his notes do not mention such a complaint.
The appellant claims that she began to experience incontinence within a month after the аutomobile accident, a problem which she attributed to the collision. The appellant saw a physician about three months after the accident, but she did not discuss any incontinence during the visit. The appellant did not seek treatment for her incontinence until over a year after the accident.
The appellant sued the respondent and Howe in the Circuit Court of Buchanan County for the injuries she claims to have sustained as a result of the automobile accident. On July 13, 1998, the court entered a default judgment against Howe. On that same day, a jury trial commenced on the appellant’s claim against the respondent. The jury retened a verdict in favor of the respondent. On September 16, 1998, the court entered its judgment against the appellant and in favor of the respondent, assessing costs against the appellant.
This appeal follows.
I.
In Point I, the appellant claims that the trial court erred in overruling her objection to and motion for new trial with respect to the respondent’s closing argument concerning her medical expert witness’s lack of familiarity with alleged authoritative materials on MPS because this argument was not supported by the evidence in that the materials never wеre offered and admitted into evidence. Although we find that error occurred as alleged, such error was not prejudicial, as discussed, infra, and, thus, the appellant’s Point I is without merit.
“[T]he trial court is accorded broad discretion in ruling on the propriety of a closing argument to the jury and will suffer reversal only for an abuse of discretion.”
Moore v. Missouri Pac. R.R. Co.,
“The permissible field of closing argument is a broad one, and as long as counsel confines himself to the evidence and does not go beyond the issues and urge prejudicial matters or urgе a claim or defense which the evidence does not justify, he is to be given wide latitude in his comments.”
Whisenand v. McCord,
As to the issue raised, the record reflects that the appellant called in her casein-chief her treating chiropractor, Dr. Kin-nard. On direct, he testified, inter alia, that the appellant suffered from MPS as a result of the accident. On cross-examination, with respect to his diagnosis, the respondent’s counsel аsked whether he was familiar with what counsel represented to be an authoritative treatise on MPS. In this regard, the record reflects:
Q. Had you ever read the Myofascial Pain and Dysfunction Trigger Point Manual?
A. No, I have not read that manual.
Q. Well, you know that’s where the diagnosis started from, don’t you?
A. No, I don’t know that either.
Q. Never heard of Dr. Janet Travell (sp)?
A. No, I haven’t.
Q. Have you ever seen two red books, Volume 1 and 2, called the Myofascial Pain and Trigger Point Manual?
A. No, I have not.
Q. But yet you’re making the diagnosis of myofasсial pain syndrome?
A. Yes, I am.
The appellant did not object to these questions. In closing argument, with respect to his assertion of claim building, the respondent’s trial counsel stated:
Mr. Schmitt: All right. No evidence of claim building. The best evidence is this claim right over here and these figures (indicating). It starts and begins there. And let me tell you that their entire case strikes me as one of claim building.
Let’s begin with Dr. Kinnard. I make a diagnosis of myofascial pain syndrome. Doctor, can you tell us what the diagnostic criteria is and have you read the materials in order -
Mr. Randall Bauman: Objection. It’s a misstatement of the testimony.
The Court: Overruled.
Mr. Schmitt: - and have you read the materials and do you understand, and have you ever even seen the books that it come [sic] from? No.
The books being referenced by respondent’s counsel were Volumes 1 and 2 of the Myofascial Pain and Dysfunction Trigger Point Manual (thе MPS manual), about which he asked during his cross-examination of Dr. Kinnard. It is this argument of counsel that the appellant contends entitled her to a new trial because it referred to matters not in evidence.
Although learned treatises are hearsay and “ ‘are not of themselves direct and independent evidence’ ... [they] may be used during cross-examination to test or challenge an expert’s testimony.”
Kelly v. St. Luke’s Hosp.,
There can be no dispute that the respondent’s trial counsel’s comments in closing argument concerning Dr. Kinnard’s lack of familiarity on cross-examination with the MPS manual were made in an attempt to discredit his diagnosis of the appellant as suffering from MPS. Thus, as discussed,
supra,
in order to use the MPS manual in this fashion, the respondent was required to have laid a foundation that it was authoritative within Dr. Kinnard’s profession.
Embree,
“ ‘[I]t is axiomatic counsel should neither argue nor draw inferences from matters not in evidence and that a trial court errs in permitting such a discourse.’ ”
Noble v. Lansche,
Although the respondent’s trial counsel had not laid a proper foundation for cross-examining Dr. Kinnard with the MPS manual, as found,
supra,
he nonetheless, after first establishing that Dr. Kinnard had never before seen or read the MPS manual and was not aware of the author of the manual or that it was the genesis of the diagnosis of MPS, proceeded to ask him: “Q. But yet you’re making the diagnosis of myofascial pain syndrome? A. Yes, I am.” The appellant contends that this questioning was not actually done to discredit Dr. Kinnard’s diagnosis, but was simply part of the respondent’s attempt to lay a proper foundation for the use of the MPS manual to accomplish the same, such that no objection was required.
See Frey v. Barnes Hosp.,
Point denied.
II.
In Point II, the appellant claims that the trial court erred in overruling her motion for new trial based on alleged improper closing argument of the respondent’s trial counsel because he engaged in
The appellant challenges the following portions of the respondent’s closing argument as being improper:
1. Mr. Schmitt: It is common for mе to look at a case and where someone has been reasonable, has generally told me the truth when I asked them questions, for me to support them or their claims at least in part and suggest that some of them ought to be paid. And those that make sense.
[Objection made and sustained.]
2. Mr. Schmitt: Ladies and gentlemen, I’m asking you to not support this claim. I’m asking you not to encourage it in this circumstance because if you enсourage-
[Objection made and sustained.]
3. Mr. Schmitt: When you return a verdict do not encourage this claim. How can you not encourage it?
The appellant never objected to this last comment of respondent’s trial counsel. As a result, no error was preserved for review as to it such that the appellant’s only review with respect thereto would be for plain error under Rule 84.13(c),
2
which we discuss,
infra, Williams v. Jacobs,
As to the first two challenged commеnts of the respondent’s counsel’s closing argument, the appellant objected, which objections the trial court sustained. She did not, however, at any time request a mistrial with respect to these comments. “ ‘A party may not assert as error that the trial court failed to do more than was requested.’ ”
Heitner v. Gill,
Whether to grant plain error review under Rule 84.13(c) is a matter оf discretion with this court.
Coleman v. Gil-yard,
In light of the foregoing principles of law and given the circumstances here, we refuse to grant plain error review. On its face, we find no mеrit in the appellant’s claim that the challenged comments of the respondent’s trial counsel during closing argument in any way changed the outcome of this case.
Point denied.
III.
In Point III, the appellant claims the trial court erred in allowing, over her objection, the respondent’s trial counsel, on cross-examination of Dr. Mark Noble, the appellant’s treating urologist, to read a partial answer to a question from his deposition because it misled and confused the jury as to his actual testimony such that she was entitled to a new trial. We disagree.
As part of his cross-examination of Dr. Noble, the respondent’s trial counsel read the following question and answer from Dr. Noble’s deposition.
Question: Would you expect, in the absence of nerve damage, assuming that Ms. Coats had sustained some typе of blunt trauma to her abdomen, would you expect her to begin having incontinence problems if the accident was March 26, 1996[,] by May 1,1996?
Answer: If it’s direct tearing and direct mechanical trauma I would expect the patient to begin to see some leakage if she were doing normal activities, but those are several ifs.
He chose not to read the remaining portion of the doctor’s answer:
As I sаid, with my example of the rope, it could be a type of thing that would have been accelerated by the accident, maybe wouldn’t have bothered her for 10 or 15 years but came a lot earlier because of the accident weakening something that led to her progressive change which ordinarily would have lasted, or support ligaments would have lasted a lot longer - longer and the muscles would have been better for a lot longer.
Initially, there is some question as to whether the appellant actually objected to trial counsel’s failure to read the entire answer of the doctor so as to preserve her claim for appellate review. In the initial transcript provided to this court on appeal, there is no record of any objection by the аppellant to the respondent’s partial reading of the doctor’s answer. A corrected version of the relevant portion of the transcript would reflect that there was a bench conference concerning this issue. Although the corrected version does not reflect a stated objection by the appellant’s trial counsel, it would reflect that the trial court instructed counsel that: “He can read whatever portion he wants to and you whatever portion which you want.” In any event, even assuming,
arguendo,
that the appellant did properly preserve her claim for review by objecting, it must still fail in that we find no prejudice resulted ultimately from the alleged improper action of
Not every error is reversible error. “To be reversible error, the appellant must demonstrate that she was prejudiced by the trial court’s erroneous action.”
State ex rel.. Department of Soc. Servs., Division of Child Support Enforcement v. Maher,
Point denied.
Conclusion
The judgment of the circuit court in favor of the respondent on the appellant’s claim for damages for personal injuries is affirmed.
All concur.
Notes
. Articles from periodic journals are inherently conferred less trustworthy and reliable than texts used in the practice and teaching of medicine.
Grippe v. Momtazee,
. All rule references are to Missouri Rules of Civil Procedure (1998), unless otherwise indicated.
