IN THE COURT OF CRIMINAL APPEALS OF TENNESSEE

AT NASHVILLE

January 14, 2015 Session

STATE OF TENNESSEE v. HENG LAC LIU

Direct Appeal from the Criminal Court for Davidson County

No. 2008-D-3887 Monte Watkins, Judge

No. M2013-02838-CCA-R3-CD - Filed May 19, 2015

A Davidson County jury convicted the Defendant, Hen Lac Liu, of four counts of sexual

battery. On appeal, the Defendant contends: (1) that the trial court improperly admitted

hearsay evidence; (2) that the trial court improperly excluded defense evidence of the

victim’s bias and lack of credibility; and (3) that the cumulative effect of these errors

warrants a new trial. After a thorough review, we conclude that the cumulative effect of the

errors by the trial court warrant a new trial for the Defendant.

Tenn. R. App. P. 3 Appeal as of Right; Judgments of the Criminal Court Reversed

and Remanded

ROBERT W. WEDEMEYER, J., delivered the opinion of the court, in which THOMAS T.

WOODALL, P.J., and ROBERT L. HOLLOWAY, JR., J., joined.

Patrick T. McNally, Nashville, Tennessee, for the appellant, Heng Lac Liu.

Herbert H. Slatery III, Attorney General and Reporter; Clark B. Thornton, Assistant Attorney

General; Glenn Funk, District Attorney General; Leticia Alexander and Deborah Housel,

Assistant District Attorneys General, for the appellee, State of Tennessee.

OPINION

I. Facts

This case arises from the victim’s allegations that the Defendant, an acupuncturist,

sexually assaulted her on July 4, 2008. Based on these allegations, a Davidson County grand

jury indicted the Defendant for two counts of rape and two counts of sexual battery. At the

Defendant’s trial, the following evidence was presented: Alma Melendez testified that she

was a native Spanish speaker, who hailed from Guatemala, but that she had learned some
English since moving to Nashville seven years ago. She said that she lived with her husband,

two young children, and “a lady.” Mrs. Melendez said that she was not working at the time

of the trial but that, before 2008, she had worked as a housekeeper.

Mrs. Melendez testified that the Defendant had raped her on July 4, 2008, while she

was at his clinic. Mrs. Melendez described the events leading up to the rape, saying that in

2008 she had been suffering from back pain for almost two years. She had seen four doctors,

the last of whom told her that the pain was related to her sciatic nerve. She decided to seek

the help of a chiropractor. Mrs. Melendez recalled that the treatment of the chiropractor took

the pain from her back to her leg. While she was in treatment she had difficulty sitting, could

not wear a belt or walk in heels, and could not push a grocery cart. Mrs. Melendez said that,

while she was under the care of her doctors for her back pain, she became pregnant. She

stopped the chiropractic treatment because she was afraid that it would affect her baby. After

she gave birth, she had difficulty carrying her newborn baby and had to walk on her tip toe

on her right foot. Members of her church recommended “Dr. Lee,” who was an acpuncturist

and had helped other members of the church.

Mrs. Melendez said thatshe inquired further about “Dr. Lee,” but the church members

told her that she could find him in the yellow pages. Mrs. Melendez said that she and her

husband looked in the yellow pages and found “Dr. Liu,” an acupuncturist who worked in

close proximity to their house. Mrs. Melendez described her pain as “more than ten,” on a

scale of one to ten, when she went to see Dr. Liu, the Defendant, on July 4, 2008. She said

that her appointment was close to noon that day and that her husband and son, who was six

months old, accompanied her to the Defendant’s office.

Mrs. Melendez said that there was a receptionist and a man seated to her left while she

sat in the waiting room. Mrs. Melendez saw the Defendant walking toward her, and he

called for she and her husband to follow him into his office. Once inside the Defendant’s

office, Mrs. Melendez’s husband interpreted for her, translating what the Defendant was

telling her. Mrs. Melendez and her husband told the doctor about Mrs. Melendez’s

symptoms. The Defendant showed her a diagram of the human body, asked her on which

side she was hurting, and explained to her how acupuncture consisted of putting needles in

her lower back area on the right side. Mrs. Melendez did not recall the Defendant telling her

that she would be required to remove her clothing.

Mrs. Melendez testified that the Defendant then told her husband to stay in his office

with the baby while he took Mrs. Melendez to an examination room. Mrs. Melendez saw in

the room a chair and a stretcher type bed. Mrs. Melendez said that the Defendant handed her

a towel, and swatted her on the behind. He told her to take her pants off. Mrs. Melendez

said that she thought that maybe the Defendant’s contact with her “behind” was an accident.

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She took her pants off and placed the towel that he had given her around her waist.

Mrs. Melendez testified that, when the Defendant returned, he was not looking at her

face but was looking in another direction. Mrs. Melendez asked the Defendant if she needed

to remove her shirt also because it was long, and the Defendant said, “Yes, yes.” Mrs.

Melendez said that she removed her blouse and that she felt uncomfortable with a towel

around her waist and only her bra and panties on. Mrs. Melendez said that the Defendant

indicated that she should get on the stretcher bed face up, so she did. He then removed the

towel covering the lower half of her body. Mrs. Melendez said that the Defendant then “took

hold of [her] panties and took them off of [her.]” Mrs. Melendez said that she did not

question him and repeated to herself “This is for my health.”

Mrs. Melendez testified that the Defendant repeatedly opened and closed her legs and

told her to “relax.” She said she was scared to grab her clothes and leave because she

thought her husband, who did not have immigration documents, might confront the

Defendant. She was scared that they might be deported if police were notified.

Mrs. Melendez testified that the Defendant put his hand “on top of [her] vagina.” She

noticed that he was “sweating” and “laughing.” She said he rubbed her vagina “a bunch of

times” and “opened her legs up again.” He then asked her to turn over and massaged the

backside of her legs. He showed her a needle and then put the needle in her back. The

Defendant then brought a lamp to heat the needles and laid a towel across her body. She said

the Defendant turned on some “Chinese music.”

Mrs. Melendez said that the Defendant left and returned with her husband. Mrs.

Melendez was face down on the table, looking through a hole, when her husband entered.

The Defendant told Mrs. Melendez’s husband that he was going to take the needles out and

then massage Mrs. Melendez to take away the pain. The Defendant and Mr. Melendez both

exited the room. Mrs. Melendez laid on the bed for thirty minutes. She said that she wanted

to scream but she was afraid that no one would believe her that the Defendant had acted

inappropriately towards her.

After thirty minutes, the Defendant returned alone. He removed the needles, got a

bottle of oil and began to massage her legs. The Defendant massaged her “butt cheeks,” and

then he stuck his finger into her anus. Mrs. Melendez said that she was “startled” and said

“it’s hard for me,” which, at the time, she thought meant “it was hurting me.” The Defendant

told her to “relax,” and did not remove his finger. The Defendant then “simply stopped”

touching her anus and asked her to get on her knees on the ground with her “chest towards

the ground.” She said she could not get into the position the Defendant demonstrated for her,

but she attempted to do so. He unhooked her bra and told her to turn around. Mrs. Melendez

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said that she was naked at this point when the Defendant told her to turn around.

Mrs. Melendez said that the Defendant began to massage her legs again and “put his

hand on [her] vagina.” He opened and closed her legs and told her to relax. The Defendant,

she said, began to rub her breasts while he was still “sweating” and “laughing.” The

Defendant observed that one of her breasts was bigger than the other and asked her why. She

said that she did not know. The Defendant told her that he had concluded his examination

of her and left the room.

Mrs. Melendez said that she put her clothes back on and left the room. She went to

the Defendant’s office, where her husband and baby were waiting. The Defendant told Mr.

Melendez that Mrs. Melendez should return the following day. The Defendant also told Mr.

Melendez to take Mrs. Melendez to the doctor because one of her breasts was larger than the

other. The Defendant then sold medicine to Mrs. Melendez. Mr. Melendez went to the

receptionist area to pay for the medication, while the Defendant and Mrs. Melendez remained

in his office. Mrs. Melendez said that the Defendant asked Mrs. Melendez how to say “I love

you” in Spanish. She said that she answered him. He told her that if you said “I love you”

to a person in Chinese they would “hit you in the face.” Mrs. Melendez said she was not

comfortable with this conversation and thought, “Oh, this man is a criminal.” Mrs. Melendez

said that the Defendant asked her if she had sex with her husband and told her that he had

heard “that Mexicans have sex three times a day.” He then asked her if her husband was

strong. She did not respond to him. Mrs. Melendez said the Defendant then asked her “How

many inches is your husband?” She said that, at that point, she got up and went to the

receptionist area and told her husband that she was going to pay and that she wanted to leave.

She said she paid $120.00 for the treatment and medication. The Defendant, she said,

reminded Mr. Melendez that Mrs. Melendez needed to return his office the following day.

Mrs. Melendez testified that, when she got into the car with her husband, she told him

that she was never going to return and started crying. He asked her what was wrong, and she

told him that the Defendant had abused her. He asked her why she did not run or scream, and

she told him that she was in shock. She said that she did not contact the police because she

was afraid she was going to be deported. She testified that she later called the church

member who had recommended the doctor, and he told her that he had recommended “Daniel

Lee” and not the Defendant.

Mrs. Melendez said that, after her treatment with the Defendant she felt better, could

sit down more, and was in less pain. Due to this improvement, Mr. Melendez called Dr.

Daniel Lee to schedule an appointment. Mrs. Melendez brought a friend with her, Olga

Alduenda, and asked that Mrs. Alduenda remain with her.

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Mrs. Melendez described her appointment with Dr. Lee. She said she filled out a form

when she arrived with Mrs. Alduenda. Also present was Mrs. Alduenda’s son and Mrs.

Melendez’s son. She was then called into a room, where Mrs. Alduenda described Mrs.

Melendez’s health problems to the doctor. Dr. Lee examined her with her clothes on and

determined where she was in pain. He showed her a body map. He then put needles into her

right leg. Mrs. Melendez said that she did not remove her clothing but simply lowered her

pants a little bit at the waist.

Mrs. Melendez said she told Mrs. Alduenda that Dr. Lee’s treatment was much

different than the Defendant’s treatment of her. She then told Mrs. Alduenda that the

Defendant forced her to remove her clothing. Later, while they were in Dr. Lee’s office,

Mrs. Melendez told her the entire story of what had happened at the Defendant’s office. She

asked Mrs. Alduenda to tell Dr. Lee what had happened at the Defendant’s office. Dr. Lee

and Mrs. Alduenda encouraged her to contact the police.

Mrs. Melendez said that she contacted the police the following day, July 8, 2008. She

spoke with a female officer and attempted to explain to her what had happened. She told the

female officer and two other male officers, one of whom spoke Spanish, what had happened.

Mrs. Melendez said that she sought therapy after this incident. In therapy, she learned

of a “U-visa,” which is a visa given to people who have been the victims of a crime. She also

filed a civil suit against the Defendant. Mrs. Melendez said that she never consented to the

Defendant rubbing the top of her vagina, rubbing her breasts, or penetrating her anus with

his finger.

During cross-examination, Mrs. Melendez testified that she understood that it was

“very important” to be truthful during her interview with detectives. She agreed that she did

not tell detectives about the other man seated in the Defendant’s office when she arrived.

Mrs. Melendez agreed that the Defendant attempted to explain to her what treatment she

would be receiving before he treated her. He used charts of the body in his attempt to

explain. She said that neither she nor her husband told the Defendant that she was in the

country illegally.

Mrs. Melendez agreed that the Defendant’s behavior was “unexpected” in multiple

ways, including when he slapped her behind, told her to take her pants off, told her to take

her blouse off, etc. She agreed that the Defendant placed needles into her back and that he

invited her husband to come and see the needles in her back. She agreed that the Defendant

left her alone with the needles in her back for thirty minutes while quiet music played. Mrs.

Melendez said that she had testified that, during this time, she did not say anything because

she was afraid that “they were not going to believe [her].” She then said that her husband

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would have believed her but expressed concern that he might have engaged in a physical

confrontation with the Defendant. She agreed that she went back to the Defendant’s office

with her husband and paid for the Defendant’s services.

Mrs. Melendez agreed she told Detective Elliott that she reported the Defendant’s

conduct to the Health Department. She also told him that she was not pursuing that claim

because the Health Department was going to make her pay for the cost of pursuing the claim.

She disputed that this was untrue and said that she had been told that she would have to pay

for the processing of the claim at the Health Department.

Mrs. Melendez attempted to explain inconsistencies between her trial testimony and

her statement to detectives. The Defendant’s attorney noted that the two accounts differed

about the time when she told Mrs. Alduenda about the Defendant’s conduct, the time that she

made her appointment with Dr. Lee, and the time she learned Dr. Lee’s name from the

“brother” at her church. Mrs. Melendez agreed that she had previously made a statement that

she had the name of Dr. Lee before she and her husband looked in the yellow pages. She had

previously told someone that she was confused by the names Dr. Lee and Dr. Liu in the

yellow pages.

Mrs. Melendez agreed that, at the time of trial, she and her husband had obtained Uvisas. She agreed that the only reason she and her husband were allowed to stay in the

country was because she was a victim in this case. She said that she also had a plaintiff’s

lawyer who was pursuing a lawsuit against the Defendant for twelve million dollars. Her

attorney in that lawsuit had referred her to Dr. Jorge Boero. Mrs. Melendez agreed that her

first lawsuit was filed by a Sean Lewis, but she said she never met with him. He non-suited

the case, and then a second lawsuit was filed by Mario Ramos. Mrs. Melendez said that she

did not know that her lawsuit alleged that she had suffered “medical expenses” and “lost

wages” as a result of her alleged injuries. She agreed she did not have any medical expenses

and that she was not working at the time of her contact with the Defendant.

During redirect examination, Mrs. Melendez testified that she had no legal training

and that the lawsuit was filed in English. Mrs. Melendez said that she did not think to file

a civil lawsuit until someone from her church, Alma Austin, mentioned that they had seen

a change in her and encouraged her to do so.

During further cross examination, Mrs. Melendez testified that her attorney, Mario

Ramos, was Mrs. Austin’s brother-in-law. Mrs. Melendez said thatshe was unaware that Mr.

Ramos advertised that his law practice included filing applications for U-visas. She denied,

however, that he helped her with her U-visa. She said that, when she met with him, she told

him that she was in the country illegally. She said that he told her about U-visas. She

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explained, however, that she had already applied for her U-visa before she met with Mr.

Ramos. Mrs. Melendez denied knowing that abusive sexual contact would qualify her for

a U-visa. She said she was not aware that it was listed as the first thing on Mr. Ramos’s

website. She stated that she was aware, however, that her husband would qualify for a Uvisa if she obtained one. Mrs. Melendez testified that she understood that her civil trial was

on hold pending the outcome of the criminal trial. Mrs. Melendez testified that, after the

conclusion of the criminal trial, she intended to seek permanent residency in the United

States.

Kim Laymance, an officer with the Metropolitan Police Department, testified that she

was working patrol on July 4, 2008. She and another officer, Larry Carter, responded to a

rape call at Mrs. Melendez’s home. She found Mrs. Melendez crying, upset, and looking

ashamed to talk. Officer Carter, who spoke Spanish, attempted to discern what had taken

place, but he was unable to do so. Officer Laymance said that they, therefore, called a friend

of Mrs. Melendez, who interpreted for the officers.

Officer Laymance testified that, through the interpreter, she learned that Mrs.

Melendez had been assaulted at a doctor’s office. The officer described Mrs. Melendez as

“ashamed,” making it hard for the officer to “get a lot out of her.” Officer Laymance

recounted what Mrs. Melendez had told her, and it comported substantially with Mrs.

Melendez’s trial testimony. Officer Laymance testified that, based upon Mrs. Melendez’s

allegations, she contacted the sex crimes division of her department.

During cross-examination, Officer Laymance testified that her incident report

indicated that Mrs. Melendez was not employed at the time she reported the incident. Officer

Laymance agreed that the incident report she took from Mrs. Melendez indicated that the

Defendant “slapped . . . [her] on the butt,” before telling her to get on the table. While she

was on the table, the Defendant told her to “roll over” and then massaged her “on her

breasts.” The report indicated that Mrs. Melendez stated that the Defendant started touching

her “in the vagina area” and that Mrs. Melendez then told the Defendant that “she had to go

and got dressed and left.” Officer Laymance said that she did not make an arrest in this case

and had no further involvement after taking Mrs. Melendez’s report.

During redirect examination, Officer Laymance testified that she obtained the

information from Mrs. Melendez through an interpreter. She said that she never went over

the report with Mrs. Melendez, and Mrs. Melendez never signed the document.

Olga Alduenda testified that she had lived in Nashville for seventeen years and that

she met Mrs. Melendez in 2006 through the church that they both attended. In 2008, Mrs.

Alduenda, who was very pregnant, noticed that Mrs. Melendez, who was newly pregnant,

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was limping. Mrs. Melendez explained that she suffered pain from her hip all the way to her

heel. Mrs. Melendez told Mrs. Alduenda thatshe had been multiple places to determine what

was wrong with her and that she was spending “a lot” of money attempting to fix the issue

with no resolution. Mrs. Alduenda told Mrs. Melendez about acupuncturist Daniel Lee,

whom Mrs. Alduenda was seeing for treatment. Mrs. Alduenda did not give Mrs. Melendez

Dr. Lee’s information that day because her cell phone was broken.

Mrs. Alduenda said that, a few days later, Mrs. Melendez called her and asked for Dr.

Lee’s information, which Mrs. Alduenda provided to her. In the same conversation, Mrs.

Melendez asked Mrs. Alduenda to accompany her to the appointment. Mrs. Melendez told

Mrs. Alduenda that she had been to another acupuncturist but “didn’t like it.”

Mrs. Alduenda met Mrs. Melendez at Dr. Lee’s office. Mrs. Alduenda noticed that

Mrs. Melendez seemed sad so she asked Mrs. Melendez how she was feeling. Mrs.

Melendez responded that her pain went “all the way to the floor again” and that it was too

hard for her to “carry [her] baby with the car seat.” Mrs. Alduenda and Mrs. Melendez went

into the office together and registered her. When they were brought to the treatment room,

Mrs. Alduenda reassured Mrs. Melendez that everything would be fine and that Dr. Lee had

been treating Mrs. Alduenda for fifteen years.

Dr. Lee, she said, asked Mrs. Melendez about her symptoms. He briefly examined

Mrs. Melendez and then asked her to lift up her pant leg. He placed some needles close to

her feet. He then asked her to pull down the waist line of her pants and put some needles

there also. After placing these needles in her back, he told them that he was going to leave

and then return. Mrs. Alduenda said that, when the doctor left the room, Mrs. Melendez

started crying. Mrs. Alduenda asked her what was wrong, and she told her that “Something

went really wrong with the other doctor.” Mrs. Melendez told her that the other doctor asked

her to undress and that she complied. Mrs. Alduenda said Mrs. Melendez told her that the

other doctor never put needles in her but that he only massaged her. Mrs. Alduenda said that

Mrs. Melendez kept crying and told her that the other doctor had touched her breasts and

massaged her “vagina area.” Mrs. Alduenda asked Mrs. Melendez how she responded, and

Mrs. Melendez said “I said nothing. I was just, you know, crying. I didn’t know what to

do.”

Mrs. Alduenda testified that Dr. Lee returned and asked Mrs. Melendez why she was

crying. Mrs. Alduenda told Dr. Lee about Mrs. Melendez’s other experience with the

Defendant. Dr. Lee said that Mrs. Melendez was not properly treated and that Mrs.

Melendez should make a police report. Mrs. Alduenda encouraged Mrs. Melendez to report

it, but Mrs. Melendez said that she should forgive the other doctor. Mrs. Alduenda asked

Mrs. Melendez if she would want another women to have to experience the same thing.

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When Mrs. Melendez said, “No, of course not,” Mrs. Alduenda told her that she should

report it then.

Mrs. Alduenda said that Dr. Lee asked Mrs. Melendez more questions, and Mrs.

Melendez told him that the Defendant had placed needles in her back after he massaged her.

Dr. Lee also encouraged Mrs. Melendez not to drink the medicinal seeds that the Defendant

had provided to her, explaining that she could not be sure what they were. Mrs. Melendez

expressed her inability to contact police, saying that she did not have papers and did not

speak any English. Mrs. Alduenda told her that she should still contact police, and Mrs.

Alduenda offered to help her. Mrs. Alduenda testified that Mrs. Melendez maintained that

she did not want to report the offense and just wanted to forget everything.

At some point later, Mrs. Melendez called Mrs. Alduenda and informed her that the

police were at her home, and she asked Mrs. Alduenda to translate for her. Mrs. Alduenda

testified thatshe translated for Mrs. Melendez. She also later translated when Mrs. Melendez

spoke with Detective Elliot. She learned, at that point, that the Defendant, had “put his finger

in [Mrs. Melendez’s] anus.” Mrs. Melendez did not want Mrs. Alduenda to tell this fact to

the detective, but Mrs. Alduenda convinced Mrs. Melendez to allow her to do so. She said

that Mrs. Melendez had a difficult time telling the detective about the Defendant touching

her vagina and putting his finger in her anus.

During cross-examination, Mrs. Alduenda testified that she first became friends with

Mrs. Melendez in 2006 through their joint affiliation with their church. She said that she was

still friends with Mrs. Melendez at the time of trial but that they did not see each other

frequently because their church had divided. Mrs. Melendez testified that she translated for

the female officer in July 2008. She translated for the male detective in October 2008. She

agreed that Mrs. Melendez told the male detective more details and allegations than she did

to the female officer. Mrs. Alduenda agreed that the first time that she translated for Mrs.

Melendez when Mrs. Melendez spoke with officers, Mrs. Melendez told the officers that she

told the doctor she had to go and got dressed and left.

Gilbert Ramirez, an officer with the Metropolitan Nashville Police Department,

testified that he worked with the “El Protector Program,” a program designed to encourage

police officers to interact with the Hispanic community. He explained that many people in

the Hispanic community were scared to report a crime because they thought they would be

deported automatically even if they were the victim of a crime. Officer Ramirez’s job was

to show the community that the police were there to serve them also. He did this through

education.

Officer Ramirez testified that he translated for Detective Elliott when he interviewed

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Ms. Melendez on July 16, 2008. During the translation, Officer Ramirez learned that Mrs.

Melendez was having pain in her upper thigh area. She spoke with someone at church who

recommended acupuncture. Mrs. Melendez said that she went to an examination room with

the Defendant. He told her that she needed to remove her pants. She did, and she put a towel

over her lower body. The Defendant then began massaging her legs. He massaged the upper

area of her legs. She said he then removed her panties and, at the same time, the towels

“came off.” Mrs. Melendez said the Defendant massaged her vagina. Officer Ramirez

recounted the remainder of Mrs. Melendez’s interview with Detective Elliot, and it

substantially complied with her trial testimony. He described Mrs. Melendez as seeming

“embarrassed” and “uncomfortable” during the interview. Officer Ramirez testified that

Mrs. Melendez’s immigration status was not mentioned during the interview.

During cross-examination, Officer Ramirez testified that he did not know during the

interview that Mrs. Melendez was in the country illegally. The officer agreed that Mrs.

Melendez did not only tell the officer that the Defendant had rubbed her vagina but she also

demonstrated it by rubbing her own body in that area. She also got onto the floor to show

the position that the Defendant had her get into. Officer Ramirez agreed that Mrs. Melendez

brought with her to the interview the medicinal seeds that she had purchased from the

Defendant, and she gave those to the officers. He agreed that she was open and cooperative

during the duration of the interview.

Officer Ramirez testified that Mrs. Melendez said that she had contacted the Health

Department about the Defendant. She said that she did not pursue this course of action

because they were going to charge her money. Detective Elliott responded that he did not

think that this statement was accurate and told her not to worry.

Daniel Lee, an acupuncturist, testified that he had graduated from an accredited

acupuncture school, and he had been practicing for twenty years. He said that acupuncture

was basically the giving of energy to our bodies from different sources. He said acupuncture

could be used to relieve pain, help allergies, and for other reasons. Dr. Lee was licensed in

the state of Tennessee.

Dr. Lee testified that, in July 2008, he treated Mrs. Melendez, who was accompanied

by one of his patients, for leg pain. Mrs. Melendez volunteered what had happened to her

when she went to see a previous acupuncturist. Dr. Lee got the impression that Mrs.

Melendez did not trust him or trust acupuncture therapy. Dr. Lee described how he treated

Mrs. Melendez, saying that he first checked the area around which she was complaining of

pain. He believed she had a bulging disk. He, therefore, sterilized her skin in that area and

gave her acupuncture therapy. He said that, in his expert opinion, Mrs. Melendez did not

need to remove her clothing to be treated. He said that, even if she complained of sciatic

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nerve pain, she would not have had to remove her clothing. Dr. Lee said that he had never

had the experience of needing someone to remove their clothing in order for him to treat

them. He further clarified that it was unnecessary to massage a woman’s vagina or breasts

or penetrate their anus for treatment purposes. Dr. Lee said that he encouraged the victim

to contact police about her previous experience.

During cross-examination, Dr. Lee identified “charts of the body” from pictures of the

Defendant’s office. He said that they showed the physical anatomy of the body and also the

acupuncture channels. These charts were sometimes used to show a patient where the

needles would be inserted. He looked at the pictures of the Defendant’s treatment rooms,

and he said that his own treatment rooms were similar. Dr. Lee testified that Mrs. Melendez

told him that the Defendant had touched her genital area and her breasts. She did not

mention to Dr. Lee that the Defendant had penetrated her anus with his finger.

David Elliot, a detective with the Metropolitan Nashville Police Department, testified

that he investigated sexual assault. He said that victims were often reluctant to come forward

and would sometimes disclose allegationsslowly over time. He also explained that there was

not always physical evidence confirming a victim’s allegations.

In July 2008, Detective Elliot said he received Officer Laymance’s incident report

stating Mrs. Melendez’s allegations. He contacted Mrs. Melendez through an interpreter on

July 14, 2008, and arranged to interview her on July 16, 2008. Detective Elliot stated that

he recorded her interview. Detective Elliot said that he could not communicate with Mrs.

Melendez directly and used the aid of an interpreter. He said that she did, however, use hand

gestures to display some of her allegations against the Defendant. Detective Elliot described

Mrs. Melendez as someone with “a broken spirit.” He said that she had her head down and

cried a few times during the interview. The detective said that Mrs. Melendez gave him the

“seeds” that she had purchased from the Defendant.

During cross-examination, Detective Elliot testified that the night before trial he

tendered to the defense a CD that had recordings of his interviews with Dr. Lee, Mrs.

Alduenda, and Mrs. Melendez’s husband, Hipolito Jimenez. During his interview with Mr.

Jimenez, the detective’s equipment recorded only his questions and not Mr. Jimenez’s

responses.

Detective Elliot said that he went to the Defendant’s clinic on August 1, 2008. He did

not have a Chinese interpreter with him, but the Defendant was present. The Defendant

showed him treatment notes for Mrs. Melendez, but they were written in a foreign language

that the detective could not read. The Defendant also showed him the “body charts.” The

detective estimated that he was at the Defendant’s office for approximately thirty to forty11
five minutes, and he described the Defendant as “[v]ery polite.”

Detective Elliot testified that, in the days following his visit to the Defendant’s office,

he interviewed Mr. Jimenez and Mrs. Alduenda. He then presented the case to the grand jury

in November. After the grand jury returned the indictment, officers arrested the Defendant

on November 26, 2008.

The detective identified multiple photographs of the Defendant’s office, all presented

by the defense. He agreed that, during the course of his investigation, he did not interview

the receptionist or the other man identified by Mrs. Melendez as being present. He also did

not obtain the Defendant’s patient record for his treatment of Mrs. Melendez. The detective

testified he was not aware at the time he went before the grand jury that Mrs. Melendez was

seeking twelve million dollars in compensation from the Defendant. He similarly did not

know that she was in the country illegally and was seeking and obtained a U-visa.

Detective Elliot testified that Mrs. Melendez did not tell him aboutspeaking with Mrs.

Austin from her church, so he did not interview Mrs. Austin. The detective agreed that he

never looked in the yellow pages to ensure that the Defendant or Dr. Lee were listed there.

Hipolito Jimenez, Mrs. Melendez’s husband, testified that he had lived in Nashville

since 2002 and had been married to Mrs. Melendez for seven years. He married her after

meeting her in 2006. He said that in the two years proceeding 2008 she was suffering from

pain in her right leg. He had taken her to several places seeking help for the pain, including

medical doctors. One doctor had prescribed medication, however, Mrs. Melendez stopped

taking the prescribed medication when her pain did not improve. Mr. Jimenez testified that

his wife also sought treatment from a chiropractor. When neither of those had worked, Mrs.

Melendez’s friend suggested acupuncture. She gave Mrs. Melendez a name. Mr. Jimenez

looked in the yellow pages and found “Dr. Liu” listed. He thought this was the doctor that

Mrs. Melendez’s friend had recommended.

Mr. Jimenez testified that he called the Defendant and made an appointment for the

same day. Mr. Jimenez drove Mrs. Melendez and their son to the appointment. Mr. Jimenez

said that there was an Asian receptionist waiting when they arrived. The receptionist did not

have them fill out any paperwork. They went to the Defendant’s office where Mr. Jimenez

told the Defendant about Mrs. Melendez’s pain. The Defendant told him that he believed

that Mrs. Melendez was suffering from sciatic nerve pain. He told him that he would place

needles on her “butt” to make her feel comfortable. The Defendant then took Mrs. Melendez

to an examination room while Mr. Jimenez sat in the waiting room. Mr. Jimenez testified

that the Defendant never took Mrs. Melendez’s blood pressure, weight, or pulse. He never

asked her about allergies or any other medical issues. The Defendant sold Mrs. Melendez

12
some seeds for medicinal use but did not give her any information about what to do with the

seeds.

Mr. Jimenez testified that, after waiting for some period of time in the waiting room,

the Defendant brought him into the examination room. He showed Mr. Jimenez the needles

in Mrs. Melendez’s “right butt.” He then told her that he was going to pull out the needles

and give her a massage to relieve the pain of the needles. Mr. Jimenez said that, at this point,

Mrs. Melendez, who was “almost naked” and wearing only a towel, was face-down on the

bed. Mr. Jimenez said that the Defendant then told him to leave. About thirty minutes later,

the Defendant and Mrs. Melendez exited the treatment room. He joined them in his office.

The Defendant told Mr. Jimenez that one of Mrs. Melendez’s breasts was larger than the

other. Mr. Jimenez explained to the Defendant that he believed that this was because Mrs.

Melendez was breast feeding their son. The Defendant told him that he should see a doctor

because it could be cancer. Mr. Jimenez said he stepped out of the office to help the

receptionist translate a telephone call. Mr. Jimenez said that he went back to the Defendant’s

office, and the Defendant told him that he needed to see Mrs. Melendez the following day.

They then paid in cash and left.

Mr. Jimenez said that after they left Mrs. Melendez started crying. She told him that

the Defendant had touched her private parts. Mr. Jimenez asked her why she did not run.

Mrs. Melendez became angry with him and started crying more and asked him to take her

home. Mr. Jimenez said that he wanted to return to the office and speak with the Defendant

because he was angry but Mrs. Melendez told him not to do so. In response to Mr. Jimenez

asking Mrs. Melendez why she did not tell him or call for him, she said that she was afraid

that they would get into trouble because they were in the country illegally. On the way home,

Mr. Jimenez was angry with Mrs. Melendez for not saying anything to him during the

procedure. The two argued, and Mrs. Melendez told him that she wanted a divorce.

Mr. Jimenez said that, when they got home, he felt badly because she kept crying. She

called her friends and told them about the appointment with the Defendant. Over the days

that followed, Mrs. Melendez told Mr. Jimenez more details about the Defendant’s

inappropriate physical contact with her. She also told him that she felt some relief from her

pain. She got the name and number of the other acupuncturist, Dr. Lee. Mrs. Melendez

called Dr. Lee the following day and set up an appointment for the next Monday. Mrs.

Melendez went to the appointment with her friend, and she told Mr. Jimenez that her friend

would stay with her for the duration of her appointment.

Mr. Jimenez testified that he was out of town for work when Mrs. Melendez called

the police. He said that he spoke with a detective later, and at that time he learned that the

Defendant had also digitally penetrated Mrs. Melendez’s anus. He said that he then felt

13
guilty for being angry with Mrs. Melendez for not telling him during her appointment.

Mr. Jimenez testified that he did not learn about a U-visa until after Mrs. Melendez

had reported this incident to the police. He said that someone at the police department had

informed Mrs. Melendez about the U-visa.

During cross-examination, Mr. Jimenez testified that he learned about the digital

penetration from the psychologist report. He agreed that this was several years after his

wife’s original accusations. Mr. Jimenez testified that the psychologist was the doctor to

whom Mrs. Melendez’s civil attorney had referred her. He then said he was unsure when he

learned about Mrs. Melendez’s allegation of digital penetration but that it was after he spoke

with Detective Elliot.

Mr. Jimenez acknowledged that he previously testified that he did not see the

Defendant take any notes. He then identified some notes from the Defendant’s office which

bore Mr. Jimenez’s name and signature. He said he did not remember signing his name.

At this point in the trial, the State elected facts to support each count alleged in the

indictment. For Count 1, rape, the State elected the allegation that the Defendant digitally

penetrated Mrs. Melendez’s anus while she was on the examination table. For Count 2, rape

by fraud, the State elected the allegation that the Defendant digitally penetrated Mrs.

Melendez’s anus while she was on the examination table. For Count 3, sexual battery, the

State elected the allegation that the Defendant placed his palm on the victim’s vagina and

rubbed his hand on her vagina in a circular motion while she was on the examination table.

For Count 4, sexual battery by fraud, the State elected the allegation that the Defendant

placed his palm on the victim’s vagina and rubbed his hand on her vagina in a circular

motion.

Glenn Balletto, the Chief Deputy Clerk for the Circuit Court of Davidson County,

testified that Mrs. Melendez filed a civil lawsuit against the Defendant. A certified copy of

1

her complaint was entered into the record.

The Defendant testified through a translator that he was fifty-nine years old and lived

in Nashville, Tennessee, with his wife. He said that he had been practicing acupuncture for

thirty years and owned an acupuncture clinic. He was born in Shanghai, China and went to

college, graduate school, and medical school in China. He completed five years of medical

Three pages of the transcript, page 468-470 are missing from the record. Mr. Balletto testified

1

first in a jury out hearing, to ensure that he only discussed one of the lawsuits filed by Mrs. Melendez, so,

despite the omission, we can accurately restate his trial testimony.

14
school, graduated, and started practicing medicine in China, where he met his wife and the

two were married. At one time, he worked as a surgeon in China specializing in gastrointestinalsurgery. The Defendant explained that he left “Western Medicine” for “Traditional

Chinese [Medicine]” because his eyesight began failing. He said that he had authored books

and articles about acupuncture and traditional Chinese medicine.

The Defendantsaid that, in 1999, he decided to move to the United States of America.

He came to this decision based upon the freedoms in the United States and also the

flourishing of scientific research. The Defendant came to America on a study visa. When

he left China, his wife, who was a Traditional Chinese Medical School professor, initially

stayed behind, but later joined him in America.

The Defendant testified that, after coming to America, he passed the acupuncture

exam. He identified several certifications he had received since residing in America. The

Defendant began practicing in New York in 2003. After visiting a friend in Tennessee and

liking the area, he closed his New York practice and opened one in Tennessee. The

Defendant said that he had never had his license suspended or revoked. The Defendant

identified pictures of his office as it looked at the time that Mrs. Melendez came to see him.

The Defendant described both acupuncture and acupressure. He described the needles

used in acupuncture and said that acupressure was “the stimulation through the finger at the

pressure points to create the sensation of soreness, numbness, swelling.”

The Defendant said that he did not have a receptionist in July 2008. He said that he

answered the phone and scheduled his own appointments. He said that he worked in his

office alone and attempted to communicate with his patients using his limited English. He

said that in the event he could not communicate with them properly he would refer them to

another clinic. The Defendant said he kept notes on all the patients that he treated.

The Defendant identified his notes from his treatment of Mrs. Melendez. He said that

his notes indicated that she and her husband came to his office. She was twenty-eight years

old at the time and from Guatemala. Looking at his daily log, upon which he recorded the

treatment he performed on each patient, the Defendant testified that he noted that Mrs.

Melendez complained of a sciatic nerve problem, pain in her stomach, and pain in her leg.

His notes also indicated that Mrs. Melendez paid $120.00 for treatment and that she

scheduled a follow-up appointment for the following day.

The Defendant testified that, based upon his notes, he recalled treating Mrs. Melendez.

He said that she did not speak any English, but her husband did and interpreted for her. The

Defendant said that he spoke with the couple about Mrs. Melendez’s complaints of pain. He

15
used a rubber model of a body and charts in his office to ensure he understood her pain. The

Defendant said that he informed the couple that he would use acupuncture to treat Mrs.

Melendez’s sciatic nerve pain and that he would use acupressure to treat her stomach pain.

He said he told them also that he would give Mrs. Melendez Chinese herbal medicine, in the

form of pills, to help treat her pain. The Defendant testified he informed the couple of the

cost for his treatment, which was $120.00.

The Defendant testified that he brought Mr. Jimenez and Mrs. Melendez to the

treatment room. He informed them that Mrs. Melendez needed to remove the garments on

her lower body in order to expose the area that he needed to treat for the sciatic nerve pain.

He said that he explained, “in detail,” using the model, showing her “the exact portion that

I need[ed] to have exposed on the bed, naked, so [he] could use the needles.” The Defendant

said he provided a towel to cover his patients’ private areas. The Defendantsaid, “According

to my experience of clinical treatment you first treat for acupuncture and next, afterwards,

you treat with acupressure.” He said that, according to traditional medicine, one should leave

the needles in place for thirty minutes.

The Defendant said that he informed Mr. Jimenez and Mrs. Melendez that there was

a waiting bench outside the room where Mr. Jimenez sat. He said that he went to his office

and waited. He then returned, knocked on the door, and asked if Mrs. Melendez was ready.

She responded she was, and he entered the room where he found her laying face down on the

bed. Mrs. Melendez had exposed the part that the Defendant needed exposed for

acupuncture treatment. He said he got a swab with alcohol, rubbed it on the place where he

intended to apply needles, and applied the needles. He said, “It’s required that acupuncture

be applied in the best manner. You do it at once.” He then turned on the treatment lamp and

left the room.

The Defendant said he returned shortly thereafter with Mr. Jimenez. The Defendant

said that he told Mr. Jimenez that Mrs. Melendez needed to remain there for thirty minutes

and that Mr. Jimenez could remain in the room. Mr. Jimenez said that their child would cry,

and said that he wanted to wait on the waiting bench. The Defendant said that, during the

duration of the treatment, the door to the treatment room remained open because it was July

and “very, very hot.”

The Defendant testified that, after thirty minutes, he told Mr. Jimenez that he would

return to the examination room to remove the needles and complete the acupressure. Mr.

Jimenez told him that he was going to continue sitting in the waiting room with the couple’s

baby. The Defendant said that he entered the examination room and removed the needles.

He then applied an oil and started the acupressure treatment. He said that, starting from Mrs.

Melendez’s waist and going to her buttocks and upper leg, he attempted to find pressure

16
points.

The Defendant said that, after ten minutes or more of doing this, he needed to address

Mrs. Melendez’s stomach pain. He asked her to turn over and face up. He then applied to

pressure points on her front. He said that this did not take “more than a few minutes,” and

it concluded his treatment. He then told her she could dress and return to his office where

Mr. Jimenez was also waiting. There, the Defendant gave Mrs. Melendez the herbal

medicine he suggested as part of her treatment. The Defendant explained to the couple how

to use the medicine. He said that he then asked how Mrs. Melendez felt. She said that she

felt “very good.” The Defendant described the couple as “very polite.” He said that he

explained to them that this type of problem usually took ten treatments to correct. Mr.

Jimenez said that they could likely not afford ten treatments. The Defendant said he

explained that he could not lower his price. The couple then made an appointment for the

following day.

The Defendant testified that, at no time, did he “slap” Mrs. Melendez or place his

hands on her breasts. He said that he was a licensed doctor and would not risk his license in

that manner. Further, he had a green card and would not risk deportation. The Defendant

said that he had a happy family, with his wife and daughter, and would not want to break up

their family that way.

The Defendant recounted the police coming to his office. He said he reviewed his

notes to recall treating Mrs. Melendez. He said he had difficulty understanding them but that

they used his body charts to relay Mrs. Melendez’s allegations against him. The Defendant

said that he understood and informed the officer that he did not do the things that she alleged

he did. The Defendant said the officers verified that the door to his treatment room had no

lock. The Defendant denied that he ever inquired about the length of Mrs. Melendez’s

husband’s penis. In support of his denial that he did not ask about Mr. Jimenez’s penis size,

he offered that he spoke Chinese, and she spoke Spanish, and he would have had no way to

communicate this question with her.

The Defendant said that he was arrested shortly thereafter. He said he had never been

arrested before. He hired a lawyer to represent him and continued to practice acupuncture

and acupressure for the five years he waited for his trial. He said that the Health Board never

came to investigate his practice. The Defendant also had to hire a lawyer to defend him

against Mrs. Melendez’s twelve-million dollar civil lawsuit.

During cross-examination, the Defendant said that he would have been the person to

make the appointment, but he did not specifically recall making Mrs. Melendez’s

appointment. He said that he did not understand much English but that he was able to

17
communicate with Mr. Jimenez and Mrs. Melendez enough to understand where they were

from. He also felt comfortable that he could communicate with them sufficiently to treat

Mrs. Melendez.

The Defendant said he explained to Mr. Jimenez in his office that Mrs. Melendez

would need to remove her outer clothing to be treated. He said that Mrs. Melendez kept on

her panties and bra. The Defendant testified that he may have indicated on direct

examination that Mrs. Melendez removed her panties, but she in fact did not. The Defendant

said that he left the door to the treatment room partially opened, despite the fact that the

corridor was a shared corridor and Mrs. Melendez was in her bra and panties only.

The Defendant agreed that he was investigated by police about a separate incident in

2007.

The Defendant testified that he did not remove the towel that was on Mrs. Melendez

when he massaged her with oil. He said that he did place some oil on her stomach when he

massaged that area. The Defendantsaid he did not recall Detective Elliot testifying that there

was a female Asian receptionist when he came to interview the Defendant. He said that he

did have difficulty communicating with the detective.

Linda Smith, an English Language Learners(“ELL”) teacher for more than thirty-four

years who resided in Brentwood, Tennessee, testified that she knew Dr. Liu professionally

as an acupuncturist. She said she had been his patient for between five and six years and was

very familiar with both of his clinics. Mrs. Smith testified that Dr. Liu treated her for

sciatica. At the beginning of each appointment, he would take her blood pressure and check

her tongue for signs of her fluid levels. She said that she removed her clothing to be treated

but covered her “rear end” with a towel. Mrs. Smith said that she worked with the Defendant

and the Defendant’s wife in an attempt to help them learn the English language better. Mrs.

Smith said that Dr. Liu did not have a receptionist and that she scheduled her appointments

through Dr. Liu. Mrs. Smith said that four of her family members see the Defendant for

treatment, in addition to one of her close friends. She said that she had referred them to him.

Mrs. Smith said that her daughter-in-law, who was a softball pitching coach at a local

college, saw the Defendant for treatment, and she had referred several of her students. Mrs.

Smith said that the Defendant had a reputation of being professional; “know[ing] what he’s

doing;” being trustworthy; giving a fair price for his services; and being effective.

During cross-examination, Mrs. Smith testified that the Defendant had never made

her remove her bra or panties for treatment. Mrs. Smith said that the door was always

cracked about an inch during her treatment. Mrs. Smith said that, when the Defendant was

treating her sciatica, he placed needles above her panty line and, sometimes, below her panty

18
line. He never removed her panties entirely. Mrs. Smith testified that she never went to

appointments on consecutive days.

Xiaoduan Fan testified that she and her husband lived and resided in Nashville,

Tennessee with their ten-year-old daughter. She said that her grandmother was a traditional

Chinese doctor who worked with both acupuncture and acupressure to heal problems. Mrs.

Fan said that she was from China and had been in the United States since 1997. She

explained that she was here legally pursuant to her green card. In 2006, Fan, who worked

at a computer all day and had resulting physical problems, sought the treatment of a

traditional Chinese doctor. She said that she knew that there were some “Chinese small

business office[s]” on Nolensville Road. In this area, she found the Defendant’s clinic.

When she entered his office, she spoke with both the Defendant and his wife. She asked

them “a lot of questions” about traditional Chinese medicine, and they “answer[ed] [them]

correctly.” Mrs. Fan, therefore, started treatment with them.

Mrs. Fan testified that she never saw a receptionist at the Defendant’s office, and,

when she called, she scheduled the appointments directly with him. She said she had seen

the Defendant’s wife, daughter, and sometimes his friends at the office, but no one who was

employed there besides the Defendant. Mrs. Fan said that the Defendant did not have a

credit card machine, so she was required to pay by cash or check. Mrs. Fan confirmed that

she removed her clothing when the Defendant treated her, which she said was the only way

for him to get the needles into her back. She said that she never had to remove her panties,

but did sometimes remove her bra, and that the Defendant left the room while she undressed

and provided her a towel with which to cover herself. Mrs. Fan said that if she had a

different problem, such as pain in her legs, traditional Chinese medicine would dictate that

she remove her panties for acupuncture. She also confirmed that he followed the

acupuncture with a massage, which was the acupressure portion of the treatment.

Mrs. Fan testified that all of her friends, who were Chinese, recommended the

Defendant. She said that she did refer some people to the Defendant but that she did not

need to because “he [was] popular in our community.” Mrs. Fan said that the Defendant

treated at least five of her co-workers. After he treated each of them, they gave her “very

positive feedback.” Mrs. Fan said that the Defendant was “very good” at what he did, that

he was honest, had integrity, was trust-worthy, and also had a good sense of humor.

During cross-examination, Mrs. Fan said that, each time she saw the Defendant, he

took her blood pressure, pulse, and checked her tongue, which was the traditional Chinese

way to see what was in the body. Mrs. Fan said that she originally saw the Defendant once

per week but had gone down to once per month. She paid him $60 for each visit. Mrs. Fan

said that, each time that the Defendant treated her, he would not completely shut the door and

19
would leave it open about an inch. Mrs. Fan said that the Defendant never rubbed or

massaged her stomach, but she explained that she did not complain of stomach pain.

Morton Wu testified that he was born in China and now resided in Nashville,

Tennessee. He said that he had suffered a neck injury from a car accident in 2007, and began

treatment with the Defendant. He also had bone surgery in 2010, and the Defendant helped

him to reduce his pain from surgery. Mr. Wu testified that he had a PhD and was an

epidemiologist, who studied rare communicable diseases, for the Tennessee Department of

Health. Mr. Wu said that the Defendant had been treating him for several years and that the

two had also developed a friendship. Their respective daughters were also classmates at the

University of Texas and good friends.

Mr. Wu testified that the Chinese community in Nashville was comprised of more

than ten thousand people. He had heard many people talk about the Defendant’s reputation

as a man of “great honors” who could be trusted. He described the Defendant as having a

reputation of being committed to his patients, being kind and compassionate, and helping

people even when they could not pay his fee in full.

During cross-examination, Mr. Wu testified that the Defendant had never inserted his

finger into Mr. Wu’s anus and that it would be improper of him to do so when treating Mr.

Wu. Mr. Wu said he had met the Defendant’s wife, but he believed that she resided in New

York City for some period of time and that she and the Defendant were sometimes in New

York City and sometimes in China.

Fen Wang testified through an interpreter that he was born in China but currently lived

in Nashville, Tennessee, and he worked for Vanderbilt University doing medical research.

Mr. Wang testified that he had known the Defendant for more than eight years and that the

two had met when Mr. Wang sought treatment for pain he was having around his waist area.

He said that, the first time he went to see the Defendant, the two conversed about topics

pertaining to the medical field, as the two were both in that field. As they became more

acquainted, they became friends. Mr. Wang testified that he had to remove his outer clothing

for treatment, and the Defendant provided him a towel with which to cover himself. Mr.

Wang said he had never seen a receptionist at the Defendant’s office.

Mr. Wang testified that the Chinese community had “Chinese festivities” where the

community would gather and meet. He said that “every single occasion” that the Defendant

was mentioned people said that he was “an excellent person, excellent doctor.” He said that

people in their community invited the Defendant to give talks about how to take care of and

maintain their health.

20
Kerry Tang testified that she was born in China and came to the United States to

study. She received both her Bachelors in Accounting and her MBA in the United States.

Mrs. Tang first became acquainted with the Defendant when he was looking for office

space. Mrs. Tang owned a tax service, and the building in which it was operated, and she

wanted to sublease a portion of that building. She said that the Defendant subleased the

space and began operating his acupuncture service in her building. The two shared a main

entrance.

Mrs. Tang said that she never saw a receptionist at the Defendant’s office, and she

passed by his office every day on her way to her own office. Mrs. Tang said that her

community trusted the Defendant because he was of the traditional medical school, was a

professor, and had multiple licenses. Mrs. Tang testified that her community thought him

to be a “very honorable person.”

Gary Certain testified that he was born and raised in Long Island, New York. He said

that he went to a small Catholic undergraduate school in New York State and attended law

school at Georgetown University Law Center. After law school, he began working for the

Bronx County District Attorney’s Office in New York. At the time of trial, he owned part

of a law firm that focused on civil litigation.

Mr. Certain said that he met the Defendant about ten years before the trial after

suffering a torn patella tendon. As a result of his injury he had to have his knee

reconstructed. At the same time, he fractured the third metacarpal in his hand, so he could

not use crutches to walk. He said that, after his surgery, he had a lot of pain, swelling, and

circulation problems. His wife suggested acupuncture, and, after researching it, he decided

to go to the Defendant’s office, which was across the street from where he was living in New

York.

Mr. Certain recalled that the Defendant treated him for more than a year, and he said

that the Defendant did not have a receptionist at the time. Mr. Certain recalled that the

Defendant put his “all” into treating him. The two became friends, and their families became

friends. The Defendant also treated Mr. Certain’s wife, sister, and mother, all upon Mr.

Certain’s recommendation.

Mr. Certain testified that he had heard people in their neighborhood talking about the

Defendant. He said the Defendant was well known because he was “very friendly, very

outgoing, very helpful, [and] very generous.” Mr. Certain said that, in their mostly Irish and

Italian neighborhood, the Defendant had a reputation for honesty.

Based upon this evidence, the jury convicted the Defendant of two counts of sexual

21
battery, one count of sexual battery without consent, and one count of sexual battery by

fraud. The trial court merged two of the convictions and sentenced the Defendant to a term

of split-confinement, ordering the Defendant serve a two-year sentence, forty days of which

he would be incarcerated. It is from this judgment that the Defendant now appeals.

II. Analysis

On appeal, the Defendant contends: (1) that the trial court improperly admitted

hearsay evidence; (2) that the trial court improperly excluded defense evidence of the

victim’s bias and lack of credibility; and (3) that the cumulative effect of these errors

warrants a new trial.

A. Hearsay Evidence

The Defendant contends that the trial court erred when it admitted “prejudicial

hearsay,” noting three examples, discussed below. The State counters that the trial court

properly admitted the evidence.

Hearsay evidence consists of out-of-courtstatements offered for the truth of the matter

they assert. Tenn. R. Evid. 801(c). There are concerns with reliability and the inability to

cross-examine such statements, which is why they are excluded as admissible evidence.

Tenn. R. Evid. 802.

Our Supreme Court has recently articulated the standard of review applicable for an

appellate court’s review of a trial court’s hearsay ruling. See Edward Thomas Kendrick, III

v. State, 454 S.W.3d 450, 479 (Tenn. Jan. 16, 2015). The Court stated:

The standard of review for rulings on hearsay evidence has multiple

layers. Initially, the trial court must determine whether the statement is

hearsay. If the statement is hearsay, then the trial court must then determine

whether the hearsay statement fits within one of the exceptions. To answer

these questions, the trial court may need to receive evidence and hear

testimony. When the trial court makes factual findings and credibility

determinations in the course of ruling on an evidentiary motion, these factual

and credibility findings are binding on a reviewing court unless the evidence

in the record preponderates against them. State v. Gilley, 297 S.W.3d at 759-

61. Once the trial court has made its factual findings, the next

questions–whether the facts prove that the statement (1) was hearsay and (2)

fits under one [of] the exceptions to the hearsay rule–are questions of law

subject to de novo review. State v. Schiefelbein, 230 S.W.3d 88, 128 (Tenn.

22
Crim. App. 2007); Keisling v. Keisling, 196 S.W.3d 703, 721 (Tenn. Ct. App.

2005).

If a statement is hearsay, but does not fit one of the exceptions, it is

inadmissible, and the court must exclude the statement. But if a hearsay

statement does fit under one of the exceptions, the trial court may not use the

hearsay rule to suppress the statement. However, the statement may otherwise

run afoul of another rule of evidence. State v. Gilley, 297 S.W.3d at 760-61.

For example, a trial court may decline to admit an excited utterance if it finds

the utterance lacks relevance under Tenn. R. Evid. 401 & 402 or if it finds the

utterance’s “probative value is substantially outweighed by the danger of

unfair prejudice, confusion of the issues, or misleading the jury, or by

considerations of undue delay, waste of time, or needless presentation of

cumulative evidence.” Tenn. R. Evid. 403. If a trial court excludes otherwise

admissible hearsay on the basis of Rule 401, 402, or 403, this determination

is reviewed for abuse of discretion. State v. Harris, 839 S.W.2d 54, 73 (Tenn.

1992); State v. Gilley, 297 S.W.3d at 759-61; see also 1 McCormick § 185, at

1010.

Id. The evidentiary issues to be reviewed in the case under submission involve determining

whether certain statements(1) were hearsay and (2) fit under an exception to the hearsay rule.

These are questions of law subject to de novo review. Id.

1. Dr. Daniel Lee Testimony

The Defendant first contends that the trial court improperly admitted hearsay during

the testimony of Dr. Daniel Lee. He notes that he filed a motion in limine, and the trial court

ruled that Mrs. Melendez’s statements to Dr. Lee were inadmissible hearsay because they

were not for the purpose of a medical diagnosis or treatment. The morning of trial, the State

posited that Dr. Lee had treated Mrs. Melendez for leg pain, so her statements to him

regarding the allegations were admissible. The trial court held a hearing outside the presence

of the jury after which it found:

Again, the Court doesn’t believe that that would fall under the hearsay

exception for medical diagnosis and treatment because it was not related to the

care that she received. However, with respect to his testifying about whether

she told him about these events, yes, he can. But, there is a caveat to that; that,

in the Court’s mind, is, really, cumulative. And we have heard it from other

witnesses, who have testified as to what she said. And, I think, he’s limited to

saying that she told him about her sexual assault, and it shouldn’t really, go

23
further than that.

The Defendant renewed his objection. Dr. Lee testified before the jury that Mrs.

Melendez had told him that the Defendant had sexually abused her. The Defendant contends

that Dr. Lee’s testimony was impermissible hearsay that did not fall within any exception.

The State counters first that the statements are not hearsay because they were not offered to

prove the truth of the matter asserted but, rather, were offered to provide an explanation and

context for Dr. Lee’s observation that Mrs. Melendez behaved as if she did not trust him and

insisted on her friend remaining in the treatment room. The State further contends that, even

if the trial court erred in admitting this testimony, the Defendant cannot prove he was

prejudiced by the ruling.

We find unpersuasive the State’s contention that this evidence was not hearsay. The

State was attempting to convict the Defendant for rape and sexual battery. It offered proof

that the victim had reported to another acupuncturist shortly after her appointment with the

Defendant that the Defendant had sexually assaulted her. This statement was clearly offered

to prove the truth of the matter asserted, i.e. that the Defendant sexually assaulted Mrs.

Melendez. We also find no exception within which this hearsay evidence falls. Mrs.

Melendez’s statement that the Defendant sexually assaulted her was not made to Dr. Lee in

order that he could treat her sciatic nerve pain in her back. Accordingly, the trial court erred

when it admitted this evidence.

We must therefore turn to decide whether this non-constitutional error was harmless.

This issue is analyzed using the framework provided by Tennessee Rule of Appellate

Procedure 36(b). The Tennessee Supreme Court has stated:

Where an error is not of a constitutional variety, Tennessee law places

the burden on the defendant who is seeking to invalidate his or her conviction

to demonstrate that the error “more probably than not affected the judgment

or would result in prejudice to the judicial process.” Tenn. R. App. P. 36(b);

State v. Ely, 48 S.W.3d 710, 725 (Tenn. 2001); State v. Harris, 989 S.W.2d at

315. When the appellate courts are assessing the impact of a

non-constitutional error, Tennessee Rule of Appellate Procedure 36(b) requires

them to consider the whole record. Thus, the courts may appropriately

consider the properly admitted evidence of the defendant’s guilt. State v.

Gilliland, 22 S.W.3d 266, 274 (Tenn. 2000). The greater the amount of

evidence of guilt, the heavier the burden on the defendant to demonstrate that

a non-constitutional error involving a substantial right more probably than not

affected the outcome of the trial. State v. Toliver, 117 S.W.3d 216, 231 (Tenn.

2003); State v. Francis, 669 S.W.2d 85, 91 (Tenn. 1984).

24
When an appellate court undertakes a harmless error analysis its

purpose is to ascertain the actual basis for the jury’s verdict. State v. Mallard,

40 S.W.3d 473, 489 (Tenn. 2001); Momon v. State, 18 S.W.3d at 168. An

inquiry into harmless error does not turn upon the existence of sufficient

evidence to affirm a conviction or even a belief that the jury’s verdict is

correct. See, e.g., State v. Toliver, 117 S.W.3d at 231; State v. Allen, 69

S.W.3d at 191; see also Kotteakos v. United States, 328 U.S. at 764-65, 66

S.Ct. 1239. To the contrary, the crucial consideration is what impact the error

may reasonably be taken to have had on the jury’s decision-making. See e.g.,

Kotteakos v. United States, 328 U.S. at 764, 66 S.Ct. 1239; State v. Denton,

149 S.W.3d at 16-17; State v. Dooley, 29 S.W.3d 542, 555 (Tenn. Crim. App.

2000). Where an error more probably than not had a substantial and injurious

impact on the jury’s decision-making, it is not harmless. Kotteakos v. United

States, 328 U.S. at 776, 66 S. Ct. 1239.

State v. Rodriguez, 254 S.W.3d 361, 371-72 (Tenn. 2008). Viewing the testimony, we

conclude that the Defendant cannot prove that the trial court’s admission of Mrs. Melendez’s

statement to Dr. Lee that the Defendant had sexually assaulted her and that he encouraged

her go to the police more probably than not affected the outcome of the trial. See Tenn. R.

App. P. 36 (b). Mrs. Melendez testified that she told Dr. Lee about the assault and that he

encouraged her to report the incident. Dr. Lee’s testimony in this regard, while admitted in

error, did not rise to the level necessary to have, alone, affected the outcome of the trial.

2. Olga Alduenda

The Defendant next contends that the trial court erred when it allowed the State to

elicit hearsay testimony from Mrs. Alduenda that it had previously ruled was inadmissible.

At a motion hearing on the Defendant’s motion in limine to exclude hearsay, the Defendant’s

attorney argued that statements by Mrs. Melendez to Mrs. Alduenda about the Defendant

sexually assaulting her were inadmissible hearsay. The trial court apparently agreed, finding,

“I just don’t see that th[ese statements to Mrs. Alduenda] would fall under [any] exceptions

to the hearsay rule.”

During the trial, the Assistant District Attorney asked Mrs. Alduenda if Mrs.

Melendez had “told [her] that she had already gone to an acupuncturist?” and asked her

“when did she tell [you] that she had gone to an acupuncturist?” The following testimony

was given:

[MRS.] ALDUENDA: And the doctor left. That’s when she started,

like, crying. And I say, “What happened?” And she saying, “Something went

25
really wrong with the other doctor. Now, I find out, this is completely

different.” And I said, “What is different about it?” “Because the other doctor

asked me to undress completely.”

The Defendant objected to hearsay, and the trial court found, “I think she can say what she

told her.” The witness went on:

[MRS.] ALDUENDA: And she started crying and telling me that the

other doctor asked her to undress completely. And I said, “Did you undress?”

She said, “Yes, I didn’t know how was the treatment. It was first time I was

going to acupuncture. I didn’t know how these things, you know, work.” So,

and I said, “Okay.” But she kept crying. I said, “And then he put needles in?”

Said, “No, he give me a massage on my body.”

. . . .

[MRS.] ALDUENDA: And I say, “Is there something you want to tell

me, or you want to talk to me about it?” Because, you know, very personal.

She was crying a lot. And once she said she was undressed, I was, like, “What

happened then?” And she say, “Yeah, well, he touched my breasts. She – he

had (unintelligible) my breasts, and give me a massage.” And, you know, she

keeps crying and crying. And I said, “Oh, that’s – I mean, that’s not good. It

never happened to me.” And . . . she say, “but also, he went down and

massaged my vagina area.” I said, “What did you do?” “I said nothing. I was

just, you know, crying. I didn’t know what to do.”

The Defendant’s attorney again objected on hearsay grounds, and the trial court stated, “If

it’s what Ms. Melendez told her she’s allowed to testify to that. Other things, that’s a

different matter.” Mrs. Alduenda then testified that Mrs. Melendez told her that the

Defendant had put his finger in her anus and that it was like a “ripping inside feeling.” At

no point did the trial court instruct the jury as to how it should consider this evidence.

Later, the Defendant’s attorney moved for a mistrial based upon the admission of this

hearsay. The trial court stated that it had admitted these statements pursuant to the hearsay

exception covering prior consistent statements.

As previously stated, “‘Hearsay’ is a statement, other than one made by the declarant

while testifying at the trial or hearing, offered in evidence to prove the truth of the matter

asserted.” Tenn. R. Evid. 801(c). Hearsay is generally inadmissible except as provided by

the rules of evidence or otherwise by law. Id. at 802. “Prior statements of witnesses,

26
whether consistent or inconsistent with their trial testimony, constitute hearsay evidence if

offered for the truth of the matter asserted[.]” State v. Braggs, 604 S.W.2d 883, 885 (Tenn.

Crim. App. 1980) (citing Mays v. State, 495 S.W.2d 833 (Tenn. Crim. App. 1972); Johnson

v. State, 596 S.W.2d 97 (Tenn. Crim. App. 1979)).

As a general rule, evidence of prior consistent statements is inadmissible to

rehabilitate an impeached witness. Id. However, “prior consistent statements may be

admissible . . . to rehabilitate a witness when insinuations of recent fabrication have been

made, or when deliberate falsehood has been implied.” State v. Benton, 759 S.W.2d 427, 433

(Tenn. Crim. App. 1988);see State v. Hodge, 989 S.W.2d 717, 725 (Tenn. Crim. App. 1998).

In order to be admissible, the witness’s “testimony must have been assailed or attacked to the

extent that the . . . testimony needs rehabilitating.” Hodge, 989 S.W.2d at 725. The

impeaching attack on the witness’s credibility need not be successful in order to admit the

prior consistentstatement, and wide latitude is given when determining whether the witness’s

credibility has been sufficiently assailed or attacked. State v. Albert R. Neese, No. M2005-

00752-CCA-R3-CD, 2006 WL 3831387, at *6 (Tenn. Crim. App., at Nashville, Dec. 15,

2006), perm. app. denied (Tenn. Apr. 23, 2007). If admitted for the purpose of rehabilitating

a witness, the statement is not hearsay because it is not admitted to prove the truth of the

matter asserted. Neil P. Cohen et al., Tennessee Law of Evidence § 8.01[9] (6th ed. 2011).

Prior statements of witnesses, however, may not be admitted as substantive evidence. See

Sutton v. State, 155 Tenn. 200, 204, 291 S.W. 1069, 1071 (1926); see State v. Carpenter, 773

S.W.2d 1, 11 (Tenn. Crim. App. 1989); see also Braggs, 604 S.W.2d at 885. Additionally,

a trial court must instruct the jury that the prior consistent statement cannot be used for the

truth of the matters contained therein. State v. Rogery Wayne Henry, Jr., No. M2013-02490-

CCA-R3-CD, 2015 WL 226113, at *15 (Tenn. Crim. App., at Nashville, Jan. 16, 2015)

(citing State v. Meeks, 867 S.W.2d 361, 374 (Tenn. Crim. App. 1993); see Braggs, 604

S.W.2d at 885) (holding that the trial court’s failure to properly instruct the jury was harmless

error), no Tenn. R. App. P. 11 application filed.

We conclude that, given the court’s wide latitude, it did not abuse its discretion when

it determined that Mrs. Melendez’s statements to Ms. Alduenda were admissible for the

purpose of rehabilitating Ms. Melendez’s testimony. It would by far be a better practice,

especially considering the trial court’s ruling on the Defendant’s motion in limine, for the

trial court to hold a jury-out hearing and then inform the Defendant of its ruling and the basis

for that ruling. The trial court, instead, said simply, “I think [Mrs. Alduenda] can say what

[Mrs. Melendez] told her,” providing no basis for the reversal of its prior ruling on the

motion in limine. That being said, however, the Defendant did attack Mrs. Melendez by

insinuating that she was fabricating this story in order for she and her husband to obtain a UVisa and establish permanent residency in the United States. In light of this attack, the trial

court did not err when it determined that Mrs. Melendez could be rehabilitated by testimony

27
of Mrs. Alduenda about the statements Mrs. Melendez made to her about the Defendant.

We further conclude that the trial court erred when it failed to instruct the jury as to

how it should consider the evidence offered by Mrs. Alduenda. The State’s case was a “hesaid she-said” case consisting solely of Mrs. Melendez’s testimony against the Defendant’s

testimony. The State was attempting to prove that the Defendant had sexually assaulted Mrs.

Melendez. Mrs. Alduenda testified in detail about the statements that Mrs. Melendez made

to her alleging that the Defendant had sexually assaulted her. The jury, with no instruction

from the trial court as is required for the proper admission of prior consistent statements, may

have considered the evidence as substantive evidence against the Defendant. Having

reviewed the record as a whole, the evidence presented against the Defendant, and the

testimony of the witnesses, we cannot conclude that the trial court’s failure to instruct the

jury about the proper consideration of this evidence was harmless. See Tenn. R. App. P.

36(b). Based on this error, as well as the cumulative error to be discussed, we reverse the

Defendant’s convictions and remand the case for a new trial on the charges of sexual battery.

3. Officer Laymance’s Testimony

The Defendant contends that the trial court erred when it allowed Officer Laymance

to testify about Mrs. Melendez’s statements to her. The officer had no independent

recollection of the statements, which were relayed to her via Mrs. Alduenda, who was

interpreting for Mrs. Melendez. The Defendant takes issue with the fact that Mrs. Alduenda

was not a certified translator and was under no duty to accurately translate the conversation.

He asserts that this increased the risk that the hearsay statements contained in the officer’s

report were not reliable. The State counters that this testimony was proper, again citing the

prior consistent statement exception to the hearsay rule.

As previously stated, the trial court is given wide latitude when deciding whether a

witness’s credibility has been attacked to the extent that rehabilitation with a prior consistent

statement is warranted. See Neese, 2006 WL 3831387, at *6. Unfortunately, when the

Defendant objected on grounds of hearsay, saying that the testimony was improper

“corroboration” of Mrs. Melendez, the trial court stated simply, “Well, I’ll allow this.” It

allowed the officer to read her report and then articulate to the jury the information contained

in the report. The trial court offered the jury no instruction about how it should consider this

evidence. We conclude that the trial court did not abuse its discretion when it admitted the

evidence, but that it failed to properly instruct the jury concerning how it should consider the

evidence. This error is a factor in our consideration of the Defendant’s claim that the

cumulative errors in this trial require the reversal of the Defendant’s convictions.

B. Victim’s Bias

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The Defendant next contends that the trial court improperly excluded defense

evidence of the victim’s bias and lack of credibility, thereby violating his right to confront

his accuser. He points out that Mrs. Melendez’s civil attorney referred Mrs. Melendez to a

psychologist, Dr. Boero, to be evaluated to support her damages claim. On the morning of

trial, Mrs. Melendez gave the State Dr. Boreo’s report. The State gave the report to the trial

court for an in camera inspection to determine whether it contained evidence favorable to the

Defendant so as to require its disclosure to the Defendant. After review, the trial court

ordered that the report be disclosed to the Defendant.

Dr. Boreo’s report contains Mrs. Melendez’s account of multiple instances of sexual

and physical abuse performed against her by strangers. According to Mrs. Melendez, she

was first abused at five years of age, and her last reported abuse was in young adulthood.

The State filed a motion in limine to prevent the Defendant from asking Mrs. Melendez any

questions pertaining to this past abuse. The Defendant argued that the questions would be

relevant to explain the witness’s description of Mrs. Melendez as being “broken” and

“otherwise emotionally distraught.”

The Defendant also points out that, during the trial, the trial court allowed the State

to ask Mr. Jimenez about “counseling” that Mrs. Melendez was receiving, and the evidence

implied that the counseling was related to the Defendant’s actions toward her. The

Defendant objected and moved to strike, and the trial court did strike the portion of Mr.

Jimenez’s testimony where he stated that he was aware that Mrs. Melendez was receiving

counseling. The Defendant later asked the trial court to allow him to enter Dr. Boero’s report

to show that Mrs. Melendez had a history of sexual and physical abuse, which necessitated

her counseling and that the counseling was not based solely on the Defendant’s alleged

actions. The trial court denied the Defendant’s request.

The Defendant couches his argument in terms of his right to confront his accuser. A

defendant’s constitutional right to confront the witnesses against him includes the right to

conduct meaningful cross-examination. Pennsylvania v. Ritchie, 480 U.S. 39, 51 (1987);

State v. Brown, 29 S.W.3d 427, 431 (Tenn. 2000); State v. Middlebrooks, 840 S.W.2d 317,

332 (Tenn. 1992). Denial of a defendant’s right to effective cross-examination is

“‘constitutional error of the first magnitude’” and may violate the defendant’s right to a fair

trial. State v. Hill, 598 S.W.2d 815, 819 (Tenn. Crim. App. 1980) (quoting Davis v. Alaska,

415 U.S. 308, 318 (1974)). “The propriety, scope, manner and control of the

cross-examination of witnesses, however, rests within the sound discretion of the trial court.”

State v. Dishman, 915 S.W.2d 458, 463 (Tenn. Crim. App. 1995); see Coffee v. State, 188

Tenn. 1, 216 S.W.2d 702, 703 (Tenn. 1948). Furthermore, “a defendant’s right to

confrontation does not preclude a trial court from imposing limits upon cross-examination

which take into account such factors as harassment, prejudice, issue confrontation, witness

29
safety, or merely repetitive or marginally relevant interrogation.” State v. Reid, 882 S.W.2d

423, 430 (Tenn. Crim. App. 1994). This Court will not disturb the limits that a trial court has

placed upon cross-examination unless the court has unreasonably restricted the right.

Dishman, 915 S.W.2d at 463; see State v. Fowler, 213 Tenn. 239, 373 S.W.2d 460, 466

(Tenn. 1963).

The State responds that Tennessee Rule of Evidence 412 specifically addresses the

admission of evidence of a victim’s “sexual behavior,” which is defined as sexual activity

of the alleged victim other than the sexual act at issue in this case. Tenn. R. Evid. 412(a).

The Tennessee Rules of Evidence establish specific guidelines for admitting evidence of a

victim’s sexual behavior. Specifically, Rule 412 governs the admissibility of evidence about

a sex crime victim’s prior sexual acts. According to the Advisory Commission Comments

to Rule 412, these guidelines have been established to maintain “a balance between the

paramount interest of the accused in a fair trial and the important interests of the sexual

assault victim in avoiding an unnecessary, degrading, and embarrassing invasion of sexual

privacy.”

Subsection (c) of Tennessee Rule of Evidence 412 states as follows:

Evidence of specific instances of a victim’s sexual behavior is inadmissible

unless admitted in accordance with the procedures in subdivision (d) of this

rule, and the evidence is:

(1) Required by the Tennessee or United States Constitution, or

(2) Offered by the defendant on the issue of credibility of the

victim, provided the prosecutor or victim has presented evidence

as to the victim’s sexual behavior, and only to the extent needed

to rebut the specific evidence presented by the prosecutor or

victim, or

(3) If the sexual behavior was with the accused, on the issue of

consent, or

(4) If the sexual behavior was with persons other than the

accused,

(i) to rebut or explain scientific or medical

evidence, or

30
(ii) to prove or explain the source of semen,

injury, disease, or knowledge of sexual matters, or

(iii) to prove consent if the evidence is of a

pattern of sexual behavior so distinctive and so

closely resembling the accused’s version of the

alleged encounter with the victim that it tends to

prove that the victim consented to the act charged

or behaved in such a manner as to lead the

defendant reasonably to believe the victim

consented.

Tenn. R. Evid. 412(c). Rule 412 is a rule of relevance, see State v. Brown, 29 S.W.3d 427,

430 (Tenn. 2000), and we will not overturn a trial court’s Rule 412 ruling absent an abuse

of discretion. State v. Sheline, 955 S.W.2d 42, 46 (Tenn. 1997).

Before evidence of a victim’s sexual behavior may be admitted at trial, the accused

must file a written motion ten days prior to trial, accompanied by an offer of proof describing

the specific evidence and the purpose for introducing it. Tenn. R. Evid. 412(d)(1). After

notice has been given, the trial court must conduct a jury-out hearing to determine whether

the evidence is admissible. Tenn. R. Evid. 412(d)(2). “If the court determines that the

evidence which the accused seeks to offer satisfies subdivisions (b) or (c)” of the rule, then

the court must decide whether the probative value of the evidence outweighs the risk of

unfair prejudice to the victim. Tenn. R. Evid. 412(d)(4). “[T]he evidence shall be admissible

in the proceeding to the extent an order made by the court specifies the evidence which may

be offered and areas with respect to which the alleged victim may be examined or

cross-examined.” Id.

As recognized by Rule 412(c)(1), there are instances where otherwise inadmissible

evidence must be admitted in order to protect the constitutional rights of the accused. See

Chambers v. Mississippi, 410 U.S. 284, 295-96 (1973); State v. Brown, 29 S.W.3d 427, 436

(Tenn. 2000). Our State Supreme Court has stated:

The facts of each case must be considered carefully to determine

whether the constitutional right to present a defense has been violated by the

exclusion of evidence. Generally, the analysis should consider whether: (1)

the excluded evidence is critical to the defense; (2) the evidence bears

sufficient indicia of reliability; and (3) the interest supporting exclusion of the

evidence is substantially important.

31
Brown, 29 S.W.3d at 433-34 (citing Chambers, 410 U.S. at 298-301). This Court must

consider and balance the principles of relevance and hearsay under the Tennessee Rules of

Evidence with the rights of the accused to confront and cross-examine witnesses and to call

witnesses in his defense when determining whether the evidence is admissible.

We first conclude that some of the evidence contained in Dr. Boero’s report is not

governed by Rule 412. The report indicates that Mrs. Melendez had been verbally and

physically abused by her father, had been attacked by a man who was beating a pregnant

woman after Mrs. Melendez intervened, had herself attacked a man in a “rage” after he

exposed himself and masturbated in front of her, had participated in counseling while in

Guatemala, had suicidal thoughtsstemming from when her father abused her mother, and left

Guatemala based upon the corruption and violence in that country. None of this information

or evidence falls within the purview of Rule 412. The trial court erred when it did not make

a determination of whether this evidence was relevant evidence for the Defendant to use as

a basis for cross-examination to show why Mrs. Melendez was “broken” and “otherwise

emotionally distraught.” Upon remand, and before the Defendant’s new trial, the trial court

should determine the admissibility of the evidence contained in the report that is not

precluded pursuant to Tennessee Rule of Evidence 412.

We further conclude that the trial court did not err when it denied the Defendant’s

request to admit the evidence contained in the report that did fall within the purview of Rule

412. The State correctly notes that the trial court struck from the record Mr. Jimenez’s

testimony that Mrs. Melendez was in counseling. The trial court did not abuse its discretion

when it did not allow the Defendant to recall Mrs. Melendez to ask her about the prior abuse

based upon Mr. Jimenez’s testimony that she had received “counseling.”

C. Cumulative Error

Finally, the Defendant contends that the cumulative effect of these errors warrants a

new trial. We have already concluded that the Defendant is entitled to a new trial. We will

discuss this issue, however, because we also conclude that the cumulative effect of the errors

in this trial require reversal.

The cumulative error doctrine is a judicial recognition that there may be multiple

errors committed in trial proceedings, each of which in isolation constitutes mere harmless

error, but which when aggregated, have a cumulative effect on the proceedings so great as

to require reversal in order to preserve a defendant’s right to a fair trial. State v. Hester, 324

S.W.3d 1, 77 (Tenn. 2010) (citations omitted). To warrant assessment under the cumulative

error doctrine, there must have been more than one actual error committed in the trial

proceedings. State v. Odom, 137 S.W.3d at 605 (appendix); see State v. Guy, 165 S.W.3d

32
651, 667 (Tenn. Crim. App. 2004); State v. Mickens, 123 S.W.3d 355, 397 (Tenn. Crim. App.

2003); see also United States v. Toles, 297 F.3d 959, 972 (10th Cir. 2002).

The United States Court of Appeals for the First Circuit provided the

following useful general insight into the nature of the considerations regarding

the aggregation of errors that deprive a defendant of a fair trial:

Of necessity, claims under the cumulative error doctrine are sui generis.

A reviewing tribunal must consider each such claim against the background

of the case as a whole, paying particular weight to factors such as the nature

and number of the errors committed; their interrelationship, if any, and

combined effect; how the [trial] court dealt with the errors as they arose

(including the efficacy–or lack of efficacy–of any remedial efforts); and the

strength of the [State’s] case. The run of the trial may also be important; a

handful of miscues, in combination, may often pack a greater punch in a short

trial than in a much longer trial. United States v. Sepulveda, 15 F.3d 1161,

1196 (1st Cir. 1993) (citation omitted); see also United States v. Baker, 432

F.3d 1189, 1223 (11th Cir. 2005); Alvarez v. Boyd, 225 F.3d at 825.

Hester, 324 S.W.3d at 77.

This case was a case that essentially was decided based upon the testimony of Mrs.

Melendez and the Defendant’s testimony. The trial court allowed three witnesses to recount

hearsay evidence of Mrs. Melendez relaying to them her account of the alleged sexual abuse

and provided no instruction to the jury that it could not consider this evidence as substantive

evidence. These errors were further compounded by the trial court’s error in failing to rule

on whether information contained in Dr. Boero’s report that was not excluded pursuant to

Tennessee Rule of Evidence 412 was relevant and admissible. We conclude that the

cumulative effect of these errors entitles the Defendant a new trial. The trial court’s

judgments are, accordingly, reversed, and we remand for a new trial.

III. Conclusion

In accordance with the aforementioned reasoning and authorities, we reverse the trial

court’s judgment, and we remand for a new trial on the charges of sexual battery.

________________________________

ROBERT W. WEDEMEYER, JUDGE

33