OPINION
Appellant, Maria C. Figueroa, appeals from a judgment rendered upon a jury verdict in favor of appellee, Edgar Davis Jr. We determine whether (1) the evidence is legally and factually sufficient to support damages and (2) the trial court abused its discretion in its award of prejudgment interest. We affirm.
BACKGROUND
On July 27, 2002, Figueroa ran a stop sign and hit the car that Davis was driving and in which Diane Gill was his passenger.
In September 2007, Davis’s negligence claim against Figueroa went to trial. Figueroa was again found negligent. Figueroa does not contest this liability finding on appeal. The trial court submitted damages by element, both by type of injury and by whether the injury occurred in past or in future. The jury was instructed:
Consider the elements of damages listed below and none other. Consider each element separately. Do not include damages for one element in any other element....
Do not include any amount for any condition not resulting from the occurrence in question. Do not include any amount for any condition existing before the occurrence in question, except to the extent, if any, that such other condition was aggravated by any injuries that resulted from the occurrence in question.
The jury awarded Davis the following damages:
• $10,000 for past physical pain and mental anguish,
• $450 for future physical pain and mental anguish,
• $10,000 for past disfigurement,
• $450 for future disfigurement,
• $10,000 for past physical impairment,
• $450 for future physical impairment,
• $5,267.78 for past medical care, and
• $5,865 for future medical care.
“Physical pain,” “mental anguish,” “disfigurement,” and “physical impairment” were not defined in the charge, and no party objected to the lack of such definitions.
On September 25, 2007, the trial court signed a judgment on the verdict, awarding, among other things, $42,482.78 in total damages and $14,091.30 in prejudgment interest.
Figueroa timely moved to modify the judgment, with alternative requests for new trial or for remittitur. On December 6, 2007, the trial court signed an order denying Figueroa’s motion, but nonetheless signed an amended judgment. The amended judgment retained the previous damage award, but reduced prejudgment interest to $14,005.83. Figueroa appeals.
SUFFICIENCY OF THE EVIDENCE
Under issue two, Figueroa raises two complaints. First, she argues that there is legally and factually insufficient evidence to show past or future physical pain or mental anguish or future disfigurement. Second, Figueroa contends that there is legally and factually insufficient evidence to support the award of damages for future medical care. In partial support of both of these arguments, Figueroa also contends that the lack of expert medical testimony connecting Davis’s dental injuries with the accident precludes any damages (including past and future medical expenses) based on that injury.
When, as here, an appellant attacks the legal sufficiency of an adverse finding on an issue for which it did not have the burden of proof, it must demonstrate that there is no evidence to support the adverse finding.
Croucher v. Croucher,
In our legal-sufficiency review, “we must view the evidence in a light that tends to support the finding of disputed fact and disregard all evidence and inferences to the contrary.”
Wal-Mart Stores, Inc. v. Miller,
If more than a scintilla of evidence supports the jury’s finding, “the jury’s verdict ... must be upheld.”
Miller,
To the extent that Figueroa preserved certain legal-sufficiency challenges only by motion for new trial, her relief on them is limited to remand, not rendition.
1
See Brown v. Traylor,
In reviewing a factual-sufficiency challenge to a finding on an issue on which the appellant did not have the burden of proof, we consider and weigh all of the evidence and set aside the judgment only if the evidence that supports the challenged finding is so weak as to make the judgment clearly wrong and manifestly unjust.
Cain v. Bain,
B. Expert Testimony on Causation
Under part of her first issue, Figueroa contends that the evidence is legally or factually insufficient to prove any damages related to Davis’s dental injury because Davis failed to present any expert testimony of causation. Specifically, Figueroa contends that (1) the only testimony of causation came from Davis, who was not an expert; (2) lay testimony did not suffice to prove causation in this case; and, in any event, (3) Davis’s testimony on causation was “entirely subjective,” and his initial medical records “omit entirely any mention of’ this injury. 3 Because this third argument does not concern the necessity for expert causation testimony, we construe it as an alternative sufficiency challenge: that if no expert testimony was required, then Davis’s lay testimony that was offered to show causation was legally or factually insufficient for the stated reasons. Figueroa raised these sufficiency challenges for the first time in her motion for new trial.
1. The Law
“The general rule has long been that expert testimony is necessary to establish causation as to medical conditions outside the common knowledge and experience of jurors.”
Guevara v. Ferrer,
2. Discussion
The trial court admitted Davis’s medical records accompanied by a Texas Civil Practice and Remedies Code section 18.001 affidavit, which was not controverted.
See
Tex. Civ. Prac. & Rem.Code Ann. § 18.001(b) (Vernon 2008). This proved only the expenses’ reasonableness and necessity, not causation.
See id.
(“Unless a controverting affidavit is filed as provided by this section, an affidavit that the amount a person charged for a service was reasonable at the time and place that the service was provided and that the service was necessary is sufficient evidence to support a finding of fact by judge or jury that the amount charged was reasonable or that the service was necessary.”); S.W.
Bell Tel., L.P. v. Valadez,
No. 2-07-129-CV,
The accident occurred on July 27, 2002, a Saturday. Davis testified that when the vehicles impacted, his “body went forward” and his “teeth and neck hit the steering wheel.” His mouth was not then bleeding, and his teeth were not knocked out right then from the impact, but they were “cracked.” Davis testified that the officer who came to the scene “asked [him] about — what was wrong with [his] mouth.” Davis explained that the officer’s question was the result of his having told her that he “couldn’t talk, because it was hurting.”
Over the next few days after the wreck, Davis’s teeth “would be in pieces in [his] mouth” when he woke up in the morning, and when he tried brushing his teeth, they “would just fall out” and would “break off.” Eventually, his front teeth fell out entirely, leaving only “pieces up in the roof of [his] mouth.” Davis answered “No, sir” to the question: “Are you aware of any prior record in this case that says that you hit your mouth on anything other than a steering wheel?” A dental patient information form from one of Davis’s treating clinics indicated that Davis had not before been told that he had gum or periodontal disease, although the same form indicated that Davis had not had a dental examination, x-rays, or cleaning in the past six months.
This testimony establishes “a sequence of events which provides a strong, logically traceable connection between the event and the condition is sufficient proof of causation.”
Morgan,
The fact that Davis’s dental injury was not recorded until his second set of medical records, in contrast to his testimony that his injury was immediate upon impact, went to the weight of his testimony — a matter for the jury to resolve.
See City of Dallas v. Allen,
No. 05-01-00158-CV,
C. Norn-Economic Damages
Figueroa next challenges the legal and factual sufficiency of the jury’s award of all non-economic damages, past and future.
“Non-economic damages include compensation for pain, suffering, mental anguish, and disfigurement.”
Golden Eagle Archery, Inc. v. Jackson,
1. Past and Future Physical Pain and Mental Anguish
The jury awarded $10,000 and $450, respectively, for physical pain and mental anguish sustained in the past and future.
Physical pain and suffering may be established by circumstantial evidence.
Johnston,
Davis testified that upon impact, he was thrown forward, and his neck and teeth hit the steering wheel. Within a few days, his attorney sent him to A & I for treatment. Daws claimed that his neck, lower back, and teeth were hurt in the accident. His medical records from both A & I and Americare indicated that within a few days of the accident, he was having headaches and radiating neck and back pain (which Americare’s records indicated was “severe”) and that he was being treated for these things multiple times from August through October 2002 at Americare. Although he had injured his neck and back in an on-the-job accident about five years before trial, Davis was no longer receiving “any kind of treatment” for his neck and back when the instant accident occurred, any residual pain that he had from that prior had resolved after a few months, and he reported to his Americare doctor that “he was in a good state of health and did not suffer from” his symptoms prior to the instant car accident. Although Davis’s back at the time of the second trial was “better,” he believed that “it’s not going to ever be right.”
In contrast, Davis admitted that he was not blaming all of his current back problems on the accident with Figueroa. He also admitted that his prior back injury had not been fully resolved before the instant accident, although it had gotten “better.” Davis voluntarily ceased physical therapy at Americare in October 2002 because he “felt that [he] didn’t need [any] more therapy.” Finally, he testified that he did not plan to return for physical therapy in the future unless he had to do so.
Davis smashed his teeth into the steering wheel with such force that they cracked immediately and crumbled shortly thereafter. For just under five years, Davis had small fragments of his front teeth protruding from his gum line. Davis tried to eat every day, but could not always do so. He could not drink anything cold, describing the pain that he felt when he did so as a “chill.” Neither could Davis eat anything hard, such as apples. He had to eat certain foods from the side of his mouth. Anbesol had not helped alleviate his tooth pain, although aspirin did.
Americare’s 2003 estimate for replacing Davis’s teeth with permanent fixtures was $5,865, which Davis could not afford. Davis testified that “because [he] waited so long to hear from these people [sic] about my teeth,” and because he “was about to starve to death,” he decided to obtain a “gold card,” which would allow him to be treated in the Harris County Hospital District (“HCHD”). It took two applications, but Davis finally obtained a gold card shortly before trial. The HCHD’s treatment plan involved pulling Davis’s teeth and replacing them with a removable bridge. About two weeks before the second trial, Davis had HCHD pull four of his teeth, after which he felt “much better.”
Sufficient evidence of either past physical pain or past mental anguish could support the award because the charge did not ask for separate damages figures for each type of injury. The above evidence is some evidence of past physical pain arising from Davis’s teeth, back, and neck injuries; it is also not such weak evidence of past physical pain as to render the $10,000 award manifestly unjust.
See Perez,
2. Past and Future Disfigurement
The jury awarded $10,000 and $450, respectively, for disfigurement in the past and future.
“Disfigurement has been defined as that which impairs the appearance of a person, or that which renders unsightly, misshapen or imperfect, or deforms in some manner.”
Doctor v. Pardue, 186
S.W.3d 4, 18 (Tex.App.-Houston [1st Dist.] 2005, pet. denied). “The matter of future disfigurement is necessarily speculative and there is no mathematical yard stick by which one can measure damages for it.”
Tri-State Motor Transit Co. v. Nicar,
The above evidence showing that Davis’s front teeth crumbled out of his mouth, leaving only small pieces at his gumline, that they were not pulled until almost five years later, and that they were still missing at trial is some evidence that supports the jury’s finding of past-disfigurement damages.
See Perez,
3. Past and Future Physical Impairment
The jury awarded $10,000 and $450, respectively, for physical impairment sustained in the past and future.
“Physical impairment, sometimes called loss of enjoyment of life, encompasses the loss of the injured party’s former lifestyle.”
Gen. Motors Corp. v. Burry,
Figueroa contends on appeal that Davis did not complain of any sport, hobby, or other recreational activity that he could not do as a result of his injuries. She also argues that the evidence does not rise to the level of impairment because Davis “could eat some food, he just had to chew on the side of his mouth or cut things in half’ and “could drink normal liquids, he just had a ‘chill’ when he drank cold water.” This challenge was preserved with respect to Figueroa’s complaints concerning future physical impairment, which she raised by motions for directed verdict and new trial and objections to the charge elements on' future damages. However, this appellate challenge does not comport with her sufficiency challenge made below to the past physical impairment award, which was preserved in her motion for new trial: “[T]he only evidence concerning past physical ‘impairment’ was that [Davis] had difficulty eating his favorite foods due to his dental problems. Yet again, because there was no [expert] evidence linking such problems to the motor vehicle collision, the jury’s award of impairment damages was improper.”
In any event, we hold that there was legally sufficient evidence to support the award of past physical-impairment damages. Davis testified that he tried to eat every day, but could not always do so. Neither could Davis eat anything hard, such as apples, or anything cold. He could not eat some of the foods that he loved, such as hot dogs and hamburgers. He had to eat certain foods from the side of his mouth or had to eat soft foods. This condition lasted for years before trial.
The jury was instructed to award damages separately for each injury, without awarding damages attributable to one injury for another injury; we presume that the jury followed this instruction because nothing in the record indicates that it did not.
See Golden Eagle Archery, Inc.,
D. Future Medical Care
Figueroa further contends that the evidence is legally or factually insufficient to support the award for future medical care because Davis allegedly testified that he was not having his dental work done at the only facility for which a treatment estimate was proved.
Americare’s estimated cost for replacing Davis’s teeth with permanent fixtures was $5,865. This is the exact amount that the jury awarded for future medical care. Davis could not afford the cost of replacing his teeth under Americare’s plan, however. The HCHD’s treatment plan, in contrast, involved pulling the teeth and replacing them with a removable bridge. About two weeks before the second trial, Davis had
Davis’s testimony was not that he would absolutely receive dental treatment at HCHD. Rather, he testified that he would instead prefer to have permanent teeth installed. HCHD would not install permanent teeth; only Americare would. The jury awarded Davis the amount of Ameri-care’s estimate for permanent teeth. Accordingly, there was legally and factually sufficient evidence to support the finding of future medical care.
E. Conclusion
We hold that there is legally and factually sufficient evidence to support all damages awarded. We thus overrule issue two in its entirety.
PREJUDGMENT INTEREST 4
In issue one, Figueroa contends that the trial court erred in calculating prejudgment interest. Primarily, she contends that the trial court should have tolled the accrual of prejudgment interest for the entire period between her presuit settlement offers (the earlier of which was on September 3, 2004) and the vacating of the first judgment (January 12, 2007) because the amount of the first judgment was less than her settlement offer. Alternatively, if the first judgment cannot be considered, she contends that the trial court erred in tolling prejudgment interest on the amount of her settlement offer based on only the 20 days before her earlier settlement offer was rejected by Davis.
1. The Law
In a personal-injury case, “[ejxcept as provided by Section 304.105 ..., prejudgment interest accrues on the amount of a judgment during the period beginning on the earlier of the 180th day after the date the defendant receives written notice of a claim or the date the suit is filed and ending on the day preceding the date judgment is rendered.” Tex. Fin.Code Ann. § 304.104 (Vernon 2006). Section 304.105 then provides:
(a) If judgment for a claimant is equal to or less than the amount of a settlement offer of the defendant, prejudgment interest does not accrue on the amount of the judgment during the period that the offer may be accepted.
(b) If judgment for a claimant is more than the amount of a settlement offer of the defendant, prejudgment interest does not accrue on the amount of the settlement offer during the period that the offer may be accepted.
Id. § 304.105 (Vernon 2006).
“[B]oth the party seeking prejudgment interest and the party seeking to toll it must provide the court with evidence competent ... to establish the proper amount of the award.”
Quality Beverage, Inc. v. Medina,
“The abuse of discretion standard applies to the trial court’s factual findings as they relate to prejudgment interest; but the de novo standard applies to the trial court’s application of the law to the facts.”
Toshiba Mach. Co., Am. v. SPM Flow Control, Inc.,
2. Procedural History
Davis filed suit on December 2, 2002. The first trial resulted in a verdict for Davis of $500, which was memorialized in a final judgment dated November 10, 2006. The court granted a new trial on January 12, 2007. Upon a second trial, the jury awarded Davis $42,482.78. The trial court rendered judgment accordingly, also awarding $14,091.30 in prejudgment interest.
By motion to modify the judgment, Figueroa contended that the trial court had erred in calculating prejudgment interest. She alleged that she had made a written settlement offer for $3,000 on September 3, 2004. Necessarily invoking section 304.105(a), Figueroa contended that prejudgment interest should not have accrued on the amount of the final judgment ($42,-482.78) from September 3, 2004 (the date of her $3,000 settlement offer) until January 12, 2007 (the date that new trial was granted) because the first judgment had been less than the $3,000 offer. Her motion to modify did not mention whether that offer had been rejected. Portions of the record indicate that Figueroa filed a supplement to the motion to modify, but the appellate record does not contain that supplement.
At the hearing on Figueroa’s motion to modify, Davis’s counsel admitted that Figueroa had made a $3,000 settlement offer on September 3, 2004, 5 but contended that that offer had been rejected on September 23, 2004 by counteroffer. In support, Davis attached to his verified response to the motion to modify a copy of his September 23, 2004 letter making a “formal settlement demand” upon Figueroa for her policy limits. Figueroa acknowledged the rejection, but responded that she had extended a $3,500 settlement offer after that September 23 rejection; however, she produced no evidence of the $3,500 offer, and Davis did not judicially admit that the $3,500 settlement offer had been made. The parties disputed whether the award amount of first judgment, which had been vacated, could be considered for purposes of calculating prejudgment interest, ie., they disputed whether section 304.105(a) applied.
The trial court’s subsequent written order denied the motion to modify, but issued an amended judgment on December 6, 2007, which reduced prejudgment interest to $14,005.83, apparently attempting to take into account the 20-day period before the $3,000 offer was rejected in the calculation of prejudgment interest.
3. Discussion
We reject Figueroa’s primary argument that section 304.105(a) applies because the first judgment was less than her settlement offer. Section 304.105(a) applies when “judgment for a claimant is equal to or less than” the settlement offer. Tex. Fin.Code Ann. § 304.104(a). The only settlement offer that was proved was $3,000. The final judgment rendered in December 2007 was not equal to or less than $3,000. Figueroa’s reliance on the lesser amount awarded in the November 10, 2006 judgment is misplaced because that judgment was vacated when a new trial was granted. “When a motion for
Figueroa alternatively argues:
Appellant should get a prejudgment interest credit of $3,000 off the total judgment from the time when the written offer was tendered until the date the 2007 judgment was signed. Appellant does not agree that she should only get credit for twenty days because Appellant never withdrew the $3,000 offer and, in fact, tendered a $3,500 offer AFTER Appellee rejected the first offer, indicating to Appellee that the offer could still be accepted.
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Furthermore, the trial court’s interpretation of the statutes in regard to the twenty days Appellee took to reject the offer flies in the face of section 304.105’s plain language, which provides that prejudgment interest does not accrue on the amount of the judgment “during the period that the offer may be accepted.” ... According to the face of the statute, a claimant’s rejection of an offer is not necessarily dispositive of whether the offer “may be accepted” — the question is whether the offer could have been accepted. Appellant never withdrew the offer to settle the case and, in fact, extended a second offer of $3,500 after Appellee rejected the first offer....
(Emphasis added.) This argument necessarily invokes section 304.105(b), which applies when the judgment exceeds the settlement offer and provides that “prejudgment interest does not accrue on the amount of the settlement offer during the period that the offer may be accepted.” Tex. Fin.Code Ann. § 304.105(b) (emphasis added).
Figueroa produced no evidence of the $3,500 offer, and it cannot be considered for any purpose relating to prejudgment interest.
See Medina,
We hold that the trial court did not err in awarding prejudgment interest for the reasons that Figueroa argues. We overrule issue one in its entirety.
CONCLUSION
We affirm the judgment of the trial court.
Notes
. Moreover, Figueroa prays only for a remand, not for a rendition.
. Figueroa does not challenge the excessiveness of the damages awarded.
See Golden Eagle Archery, Inc. v. Jackson,
. In one sentence of her appellate brief, Figueroa states, "There was also no expert testimony provided to inform the jury as to the alleged level of pain directly attributable to the collision as opposed to the alleged level of pain directly attributable to [Davis's] preexisting back injury.” She does not brief this argument separately. More importantly, Figueroa does not advise where she preserved such a sufficiency challenge based on lack of expert testimony, and we have not found it in her motion for new trial, her motion for directed verdict, or in her objections at the charge conference. In fact, the only sufficiency challenge based on lack of expert testimony that we have located is that contained in her motion for new trial, which complained solely that expert testimony was required to prove Davis’s dental injuries. We thus do not address this argument. See Tex.R.App. P. 33.1(a)(1).
. In his appellee’s brief, Davis asks us to modify the prejudgment interest award. However, he did not file a notice of appeal, and we may thus not grant the relief that he requests. See Tex.R.App. P. 25.1(c).
. In his appellee's brief, Davis contends that Figueroa produced no evidence of the $3,000 offer. However, Davis's counsel's courtroom admission replaced the need to enter evidence of this fact.
See Bowen v. Robinson,
. Figueroa contends that that $3,000 offer remained open, as a matter of law, even after Davis's counteroffer, but it did not.
See Blackstone v. Thalman,
