IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON

STATE OF WASHINGTON, ) No. 79070-6-I

Respondent,

) DIVISION ONE

v. )

) TERRELL RAKAI WALL, ) UNPUBLISHED OPINION) Appellant. ) FILED: March 11, 2019

MANN, A.C.J. —Terrell Wall appeals his conviction for first degree burglary and

two counts of second degree assault. Wall contends that the trial court erred by

admitting hearsay evidence and not instructing the jury on self-defense for the burglary

charge. We affirm.

The State charged Wall with two counts of first degree assault and first degree

burglary, stemming from an incident on September 17, 2015, when Wall unlawfully

entered Danae Lizotte’s apartment and stabbed Lizotte and her boyfriend James Heim.

The evening before the incident, Wall, Lizotte, and Heim were socializing at the

home of a mutual friend, Nick Caratachea. At some point during the evening, Lizotte
I really didn

t mean anything I said to you last night. Okay. I

ll understand if you want to

end our friendship.” Lizotte did not respond. An hour later, Wall appeared at Lizotte’sbedroom window. Both Heim and Lizotte were still in bed. Lizotte told Heim that she

thought Wall was there to apologize.

Lizotte invited Wall inside the apartment to talk. From the hallway, Wall could

see that Heim was lying in Lizotte’s bed. Wall appeared startled that Heim was there,and asked Lizotte if they could talk outside. Once outside on the porch, Wall grabbedLizotte’s phone and accused her of cheating on Heim. Wall pushed Lizotte against the

wall and smashed her phone.

Helm heard Lizotte yelling “stop hitting me,” “give me my phone back” and heard

the phone hit the ground. Heim, wearing only his undershirt and boxers, went outside to

investigate. Heim positioned himself between Wall and Lizotte. Wall told Heim that

Lizotte had cheated on him and the proof was on her phone.

Heim told Lizotte that they should go inside. As Lizotte followed Heim inside, she

tried to close and lock the door behind her but Wall pushed his way inside theapartment. Wall then shoved Lizotte, causing her to fall against a dresser. Lizotteblacked out from the fall.

Heim, after witnessing Wall shove Lizotte, tried to punch Wall in the left temple.

Heim indicated that his punch had no effect. Lizotte regained consciousness and saw

Wall attacking Helm. Lizotte tried to punch Wall in the stomach, which also had no

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she saw Heim

s 

ear hanging off of his face.

Helm shouted at Wall, 

oh my god, you

punched my ear off” and told Lizotte to call an ambulance. Wall fled the scene. Lizotte

called 911 on Helm’s phone. Lizotte noticed that Heim had two long stab wounds on hisback, was very pale, and that his lips were turning white.

Lizotte’s disabled parents were home during the incident. Before the ambulance

arrived, Lizotte’s mother pointed out that Lizotte also had two long slashes across her

chest. Lizotte and Heim were taken to Tacoma General for treatment.

Shortly after Lizotte called 911, 911 dispatchers received a call from Wall. Wall

told the dispatcher: “I got in a fight with my friend, I took my razor blade and I cut one of

my friend’s ear, my hand is injured, and I punched my friend in the face.” Wall stated

that he threw the weapon when he ran off and identified the weapon as a box cutter.When asked if Wall was injured, he indicated he had a cut on his hand from a boxcutter. Wall also stated he was “turning himself in.” The dispatcher realized that Wall

was associated with the incident that authorities were currently responding to at

Lizotte’s apartment.

Wall went to St. Joseph’s Hospital. While at the hospital, Wall called his friend

Caratachea to tell him about the incident. Caratachea testified at trial that Wall believed

he was cut by Heim’s knife, but that Wall did not say he saw Heim holding a knife.

Caratachea also testified that Heim was known to carry knives.

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of his skull. Dr. Constance described Lizotte as a 

very, very high acuity emergency

patient” because “[s]he had penetrating wounds and lacerations” to her neck and chest

area, which put her at a high risk for injury to her lungs and the blood vessels of the

neck and arms.

Both Lizotte and Heim testified at trial. Neither remembers seeing Wall holding

the box cutter. The box cutter was never recovered. On the day of the attack, Wall waswearing his Costco uniform, which included a box cutter.

Wall rested without presenting evidence. During closing arguments, the defense

argued that Wall was acting in self-defense when he assaulted Lizotte and Helm, and

that the State did not prove beyond a reasonable doubt that Wall had the requisite intentto find him guilty of burglary. The jury convicted Wall of first degree burglary and twocounts of second degree assault. The jury also returned a special verdict form that Wall

was armed with a deadly weapon during the commission of the burglary and assaults.Wall appeals.

Wall first contends that the trial court wrongfully admitted statements made by

Heim and Lizotte to medical personnel under the hearsay exception to medical

diagnosis. We disagree.

We review admission of evidence under ER 803(a)(4), the hearsay exception for

statements made for purposes of medical diagnosis or treatment, under an abuse of

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such rulings will be reversed only if based on manifestly unreasonable or untenablegrounds. Statev. Dye, 178 Wn.2d 541, 548, 309 P.3d 1192 (?013).

ER 803(a)(4) provides that “[s]tatements made for purposes of medical diagnosis

or treatment and describing medical history, or past or present symptoms, pain, or

sensations, or the inception or general character of the cause or external source thereof

insofar as reasonably pertinent to diagnosis or treatment” are not excluded by the rule

against hearsay. “The medical treatment exception applies to statements reasonablypertinent to diagnosis or treatment.” Woods, 142 Wn.2d at 602 (citation omitted).

Statements as to the causation of the injury are admissible, while statements attributing

fault are excluded. Woods, 142 Wn.2d at 602 (citing 5A KARL B. TEGLAND, WASHINGTON

PRACTICE § 367, at 224 (2d ed. 1982)). A statement is “reasonably pertinent when (1)

the declarant’s motive in making the statement is to promote treatment and (2) the

medical professional reasonably relied on the statement for purposes of treatment.”

State v. Williams, 137 Wn. App. 736, 746, 154 P.3d 322 (2007).

Wall objects to two statements, one by Heim and one by Lizotte, as attributing

fault to Wall and not being reasonably pertinent to diagnosis or treatment. During directexamination, Dr. Constance described the importance of a patient’s “subjective history”

in accurately treating the patient. Dr. Constance stated “[un the history of present

illness, the patient’s subjective history and the history that is provided by the patient is

summarized as it pertains to the nature of the illness and it helps us in making a

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box knife.

Dr. Constance also testified to Lizotte’s description of how she sustained her

injuries stating “the patient alleges that she was involved in an altercation . . . her

gentleman friend also involved in this altercation, having been occurred with somebody

that was a known entity as well, and I believe she referred to him as a friend. I do not

recall any recollection specific to what was used in the altercation.” The State contends

that neither of these statements identify a responsible party, and thus are not

statements attributing fault to Wall.

Dr. Constance’s testimony about Heim stating that he was stabbed with a “box

knife” was properly admitted as reasonably pertinent to medical treatment. Heim’s

motive in making the statement was so doctors could adequately assess the necessary

course of treatment. Dr. Constance indicated that he reasonably relied on the “natureor mechanism of injury” in course of treating the injury. Thus, the statement wasproperly admitted under ER 803(a)(4).

However, Dr. Constance’s testimony that Lizotte identified her assailant as a

“friend” and Heim indicated he was injured while “defending a female,” are moreproblematic as they attribute fault. State v. Redmond, 150 Wn.2d 489, 78 P.3d 1001

(2003) is illustrative. In Redmond, our Supreme Court held that the trial court abused its

discretion by admitting two unredacted portions of medical records that attributed fault

to the defendant. The Court concluded that the statements “[Johnson] . . . was leaving

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[Johnson] . . . was leaving school yesterday and was accosted in the parking lot by

another male” was inappropriate. Redmond, 150 Wn.2d at 497.

The inadmissible statements in Redmond and Dr. Constance’s testimony that

identified the assailant as a “friend” are similar. While describing an assailant as a

“friend” or “student” does not specifically identify the assailant, it does attribute fault to

limited category of possible persons, including Wall. “Defending a female” also implies

that Wall caused Heim’s injuries, and thus attributes fault. Neither of these statementsare reasonably pertinent to diagnosis or treatment. Thus, we conclude the trial courtabused its discretion in failing to exclude this portion of Dr. Constance’s testimony.

However, a nonconstitutional error is “harmless unless there is a reasonable

probability, in light of the entire record, that the error materially affected the outcome of

the trial.” State v. Webb, 64 Wn. App. 480, 488, 824 P.2d 1257 (1992) (citation

omitted). Since Wall had the opportunity to cross-examine both Lizotte and Heim,

Wall’s Sixth Amendment confrontation right was not implicated. U.S. Const. amend VI;see also Crawford v. Washington, 541 U.S. 36, 42, 124 S. Ct. 1354, 158 L. Ed. 2d 177

(2004). When the confrontation clause is not implicated, erroneous admission of

evidence is analyzed under the nonconstitutional harmless error standard. State v.

Gower, 179 Wn.2d 851, 854, 321 P.3d 1178 (2014). The admission of Dr. Constance’s

statement attributing fault to a “friend” is harmless error because other overwhelming

evidence attributed fault to Wall. Wall admitted on the 911 call that he had been in a

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harmless.

Ill.

Wall next contends that the trial court erred by refusing to instruct the jury on selfdefense as to the burglary charge, denying Wall the right to present a defense and

relieved the State of its burden of proof. We disagree.

The standard of review for a trial court’s refusal to grant the jury instructions

depends on whether the refusal was based on a matter of law or fact. State v. Walker,

136 Wn.2d 767, 771, 966 P.2d 883 (1998). A defendant is entitled to an instruction on

self-defense when he presents some evidence of both his subjective good faith belief

that he was in imminent danger of great bodily harm, and objectively, whether his belief

was reasonable considering the defendant’s situation. State v. Read, 147 Wn.2d 238,243, 53 P.3d 26 (2002) (citation omitted). When a trial court denies a self-defense

instruction because no reasonable person in the defendant’s position would have acted

as the defendant did, the standard of review is de novo. Read, 147 Wn.2d at 243.

When a trial court denies a self-defense instruction because there is a lack of evidencesupporting the subjective prong, the standard of review is abuse of discretion. Read,

147 Wn.2d at 243. Here, the trial court rejected the defendant’s proposed instruction as

a matter of law, thus the standard of review is de novo.

The trial court instructed the jury on self-defense as to the two assault charges

and included a first aggressor instruction. The trial court refused to instruct the jury on

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or while in the building or in immediate flight therefrom, the actor or another participantin the crime (a) is armed with a deadly weapon, or (b) assaults any person.” Wall

argued his theory of self-defense could negate either the element of being armed with adeadly weapon or assaulting any person.

Wall relies on the following testimony from Caratachea to argue Wall was acting

in self-defense:

I know that [Wall] told me he did something and like in defense of what

had happened. . . . I guess he attacked them, and, um, at some point herealized where, like how far it had gotten, and I guess he stopped at that

point and then he just ran off he said. . . . I know that apparently he had

used his box cutter, but I don’t remember if it was him telling me that or

whatever. I don’t remember exactly what, how he had described it.

[Heim] had just gotten in the way, and he understood why [Heim] hadpushed him or hit him or whatever he had done because, you know, he

had seen him push [Lizotte] and it was apparently a pretty hard push like ahuge shove, and I guess she went flying into a wall or something like that,

so it wasn’t like delicate, and then that’s when [Heim] jumped in. So hesaid he felt bad about what happened to [Heim], but I guess he just kind ofgot in the way.[1J

Additionally, Wall relied on evidence that Heim often carried a knife and had one in his

pants pocket in Lizotte’s bedroom, to support his self-defense claim.

Self-defense can be a defense to the assault predicate of burglary. Here, the

trial court concluded that Wall was entitled to a self-defense instruction for the assaultcharges, but concluded as a matter of law, that the same evidence did not warrant aself-defense instruction for the assault predicate of burglary. Wall relied on identical

1 (Emphasis added.)

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The trial court

s error, however, was harmless. 

An error affecting a defendant

s

self-defense claim is constitutional in nature.” State v. Arth, 121 Wn. App. 205, 213, 87

P.3d 1206 (2004). Under the constitutional error analysis, an error in jury instructions is

harmless if within the entire context of the record, it is harmless beyond a reasonable

doubt. State v. Grimes, 165 Wn. App. 172, 187, P.3d 454 (2011). The trial court

instructed the jury on self-defense as applied to the assault charges, and the jury found

that the State proved beyond a reasonable doubt that Wall was not acting in selfdefense. Wall relied on the same evidence for both theories of self-defense. Therefore,

even if the trial court had instructed the jury on self-defense as to the burglary charge,

Wall cannot establish the jury verdict would have been any different.

We affirm.

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WE CONCUR:

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