Court Opinion

ID: 2670929
Source: CourtListenerOpinion
Date Created: 2014-04-22 21:18:33.497158+00
Date Added: 2024-06-11T09:19:24.619615
License: Public Domain

April 22 2014

                                           DA 13-0050

                  IN THE SUPREME COURT OF THE STATE OF MONTANA

                                          2014 MT 108

STATE OF MONTANA,

              Plaintiff and Appellee,

         v.

MICHAEL KENNETH REIM,

              Defendant and Appellant.

APPEAL FROM:            District Court of the First Judicial District,
                        In and For the County of Lewis and Clark, Cause No. DDC 2011-142
                        Honorable James P. Reynolds, Presiding Judge

COUNSEL OF RECORD:

                For Appellant:

                        Wade Zolynski, Chief Appellate Defender, Koan Mercer, Assistant Appellate
                        Defender, Helena, Montana

                For Appellee:

                        Timothy C. Fox, Montana Attorney General, Tammy A. Hinderman,
                        Assistant Attorney General, Helena, Montana

                        Leo J. Gallagher, Lewis and Clark County Attorney, Tara Harris, Deputy
                        County Attorney

                                                     Submitted on Briefs: March 26, 2014
                                                                Decided: April 22, 2014

Filed:

                        __________________________________________
                                          Clerk
Justice Michael E Wheat delivered the Opinion of the Court.

¶1     Michael Kenneth Reim (Reim) appeals from the findings of fact, conclusions of law

and verdict of the Montana First Judicial District Court, Lewis and Clark County, finding

him guilty of aggravated assault related to injuries incurred by Reim’s son, A.R. We affirm.

                                          ISSUES

¶2     We review the following issues:

       1. Did the District Court err when it concluded Reim had waived his right to a
       jury trial?

       2. Should this Court consider whether Reim’s absence from the deposition of
       a State witness violated his right to be present at all critical stages of the
       proceedings?

       3. Does the District Court’s failure to identify which mental state definition it
       was applying require reversal of Reim’s conviction?

                  FACTUAL AND PROCEDURAL BACKGROUND

¶3     On Sunday, January 30, 2011, Reim had been caring for his five-month old son, A.R.,

while A.R.’s mother, Rebecca Stringer (Stringer), was at work. Reim and Stringer had a

troubled relationship. Reim had been staying in Stringer’s garage beginning on or about

January 17, 2011, and she had only recently allowed him to move back into the house.

When Stringer returned home from her shift that day, she noticed A.R. was lying on the

couch, gasping for air. When she picked him up, he began seizing. She became very upset

and asked Reim how long A.R. had been acting this way. Reim said he did not know what

was wrong with A.R. and that the symptoms had begun about 30 to 45 minutes earlier.

Stringer directed Reim to call 911. In the recorded 911 call, Reim described that A.R. was

suffering from seizures, difficulty breathing, and unfocused vision.

                                              2
¶4     An ambulance arrived to transport A.R. to the emergency department at St. Peter’s

Hospital. The emergency department staff did not observe any further seizures. A slight

redness in A.R.’s ears was diagnosed as an ear infection. Since Stringer told the doctor that

A.R. had had a slight fever during the morning and a bit of a runny nose, the doctor

concluded A.R. had suffered a febrile seizure. Febrile seizures are common in young

children and result from a rapid change in body temperature. The hospital discharged A.R.

into his parents’ care with a prescription for Tylenol and the antibiotic Amoxicillin. While at

the hospital, Reim told Stringer that he felt responsible for A.R.’s problems because A.R.

had been in his care.

¶5     Stringer said that after leaving the hospital that evening, A.R.’s health never seemed

right. He appeared lethargic, did not respond normally, ate less than normal and was

generally fussy and inattentive. In the middle of the following night, after A.R. had been in

Reim’s care during the day, Stringer noticed that A.R. was breathing funny and vomiting.

She and Reim returned with A.R. to the emergency room for treatment. The staff examined

A.R., administered medication for the vomiting, and discharged him into his parents’ care for

a follow-up examination the next day with Dr. Keefe.

¶6     Dr. Keefe examined A.R. on February 1, 2011. She did not notice any outward signs

of trauma. She observed that he still had a mild ear infection that seemed to be improving

with treatment. He was fussy, but consolable. She arranged to have A.R. return to the clinic

in a few weeks for some routine shots and sent him home to continue the Amoxicillin.

¶7     On the morning of February 2, 2011, while Stringer and her mother, Diana, were

caring for A.R., they noticed he was having a seizure and was having difficulty breathing.

                                              3
Stringer called Reim, who had departed with the family’s only car to take Diana’s partner to

a court date, and he drove Stringer and A.R. to the emergency room. At the hospital, A.R.

was treated by Dr. Rabold and Dr. Knowles, who called Dr. Keefe to assist. They ordered a

number of tests, including central nervous system (brain) imaging that began with a non-

contrast CT (computed tomography) scan.

¶8     Dr. Murphy was the radiologist at St. Peter’s Hospital. Although she did not testify at

trial, various experts reviewed her reports. Her report as to the CT scan diagnosed A.R. as

suffering from both chronic and acute subdural hematomas. She cautioned that A.R. could

be a victim of child abuse. A subdural hematoma is an accumulation of blood caused by

bleeding between the hard, outermost layer of the brain known as the dura and the next layer,

a delicate, thinner inner membrane known as the arachnoid. Dr. Murphy recommended that

A.R. needed more definitive testing by way of a MRI (magnetic resonance imaging) scan

and a MRI scan with a contrasting agent in the blood. Those scans were performed.

¶9     Dr. Murphy interpreted the MRI scans in the presence of Dr. Keefe. Dr. Keefe

testified that Dr. Murphy expressed uncertainty as to whether the bleeding was caused by a

dural venous sinus thrombosis or non-accidental trauma. Dr. Murphy’s report on reviewing

the MRIs, however, expresses the opinion that the bleeding was caused by a dural venous

sinus thrombosis. A dural venous sinus thrombosis is a rare form of stroke in a child that

results from thrombosis (a blood clot) in one or more of the dural venous sinuses that drain

blood from the brain. Doctors refer to this type of thrombosis as a cerebral venous

thrombosis or CVT.

                                              4
¶10    Because Dr. Keefe recognized the bleeding in A.R.’s brain as a potentially lethal

condition, she arranged to send A.R. to the only pediatric intensive care unit (PICU) in

Montana, at St. Vincent’s Hospital in Billings. Dr. Keefe also recognized that the condition

could be the result of child abuse and reported her suspicions to the Child Abuse Hotline

maintained by the Montana Department of Public Health and Human Services (DPHHS), as

she understood she was obligated to do by Montana law. As a result, child protection

specialist (CPS) Brittany Divine traveled to St. Peters Hospital to begin an investigation.

Detective Cory Olson also heard of the hospitalization and traveled to the hospital, where he

spoke to Dr. Rabold, CPS Divine, Reim and Stringer.

¶11    Upon arrival at St. Vincent’s Hospital, A.R. presented a “triad” of symptoms:

Chronic subdural hematomas (old bleeding in the brain), acute subdural hematomas (new

bleeding in the brain), and asymmetric retinal hemorrhages (bleeding in the eyes).

¶12    At St. Vincent’s, A.R. was treated by Dr. Bakdash, a pediatric neurologist-

epileptologist, Dr. Stears, a diagnostic neuroradiologist, Dr. Weaver, a pediatric

ophthalmologist, and PICU intensivists Dr. King and Dr. Kesavulu. After reviewing the

imaging done at St. Peters, Dr. Stears saw no evidence of dural venous sinus thrombosis. In

Dr. Stears’s view, A.R. suffered from chronic bifrontal subdural hematomas and acute

hematomas. A.R. also underwent additional tests at St. Vincent’s, including a MRV1

(magnetic resonance venogram) and another MRI. The MRI revealed two contusions on the

       1
         The MRI sequences use magnetism to evaluate brain tissue. By modifying those
different sequences, doctors can accentuate or de-accentuate different types of brain tissue.
The MRV is specifically designed to measure velocity within the draining venous structures
of the brain. It is the “gold standard” for evaluation of venous sinus thrombosis.
                                             5
back of A.R.’s brain and two separate blood collections in the front of his skull. The tests, in

Dr. Stears’s opinion, did not disclose evidence of thrombosis, but rather, indicated persistent

bilateral subdural hematomas in a pattern that he considered highly suggestive of non-

accidental trauma. Dr. Stears indicated that the older hematomas were likely at least a month

old, and that the more recent hematomas were likely a few days old. He testified that CVT

in children is rare. Dr. Stears, who has extensive experience interpreting diagnostic imaging

related to adult stroke victims, was convinced A.R.’s injuries were not attributable to a CVT.

¶13    Dr. Weaver examined A.R. on February 4, 2011, and mapped the retinal hemorrhages

he observed in A.R.’s eyes. The retinal hemorrhage in A.R.’s left eye was one Dr. Weaver

characterized as “severe,” with potential to cause blindness if left untreated. A.R. required

surgery in Salt Lake City to treat this condition. The retinal hemorrhage in the right eye

resolved itself with time. Although A.R.’s vision is improving, he has developed crossed

eyes and will likely require surgery to correct this problem. In Dr. Weaver’s view, A.R.’s

hemorrhages were the result of non-accidental trauma. Most of the injuries like A.R.’s that

Dr. Weaver had seen were attributable to child abuse.

                                               6
¶14    Dr. Bakdash and the other members of A.R.’s medical team determined that A.R. was

a victim of child abuse. To be certain about his opinion, Dr. Bakdash reviewed not only

A.R.’s medical records, but the opinion written by Reim’s expert, Dr. Laposata, as well as all

of the medical literature he could find on the subject, including a 2012 textbook he described

as the “bible” of pediatric neurology. Dr. Bakdash could not find a single case that involved

the triad of injuries A.R. suffered that was accidentally caused. Although any of the injuries

alone could have been caused by child abuse, the presence of the triad convinced Dr.

Bakdash that A.R. was a victim of abuse.

¶15    The doctors ordered blood tests and, on June 18, 2012, the parties received some of

the results of a blood test conducted on A.R. The results showed A.R. had an immeasurably

low protein S level. Protein S is an anticoagulant. A child with a protein S deficiency is

more susceptible to blood clots throughout the body and brain. In A.R.’s case, both parts of

the protein S gene are abnormal. Three days later, the parties received the remaining blood

test results. Those tests revealed that A.R. suffers from an additional blood clotting

abnormality relating to both parts of factor V Leiden. Factor V Leiden is a specific gene

mutation that results in an increased tendency to form blood clots.

¶16    Defense expert Dr. Laposata testified at trial that the results of A.R.’s blood test made

him the most pro-thrombotic person Dr. Laposata has ever seen. Due to these genetic

factors, it was Dr. Laposata’s opinion that even minor risks—for example, an ear infection—

could trigger thrombosis in A.R. Further, Dr. Laposata explained that a clotting disorder and

resulting thrombosis could cause a vein to rupture and develop into a subdural hematoma.

Subdural hematomas, in turn, he testified, were associated with retinal hemorrhages.

                                               7
Vomiting, coughing and other symptoms could also cause retinal hemorrhages. Trauma, he

testified, could also cause subdural hematomas, CVT, or retinal hemorrhages.                Dr.

Laposata’s ultimate opinion was that “to say that the only explanation for these findings is

child abuse and that the child was hit or struck is highly unlikely” because he could “put

together all of the observed findings with objective data.”

¶17    When A.R. arrived at St. Vincent’s, Dr. Bakdash obtained a history from Stringer. At

that time, the hospital staff had identified child abuse as a possible cause of A.R.’s injuries,

but Stringer did not exhibit any knowledge about how A.R. was hurt. She did mention some

history of domestic turmoil between herself and Reim. While A.R. was at St. Vincent’s,

Stringer and Reim stayed in a Ronald McDonald room near the PICU. Reim left after the

two argued sometime around February 5, 2011. Stringer testified this occurred because she

learned A.R.’s doctors believed he was a victim of child abuse. She said Reim was not

behaving normally towards her; that he was trying to “suck up” to her, and even proposed

marriage to her, rather than treating her coldly, as he usually did. She asked him whether he

had hurt A.R. Reim responded that he did not hurt A.R., or that if he had hurt A.R., he had

not meant to. In a later, February 22, 2011, interview with Detective Olson, Reim admitted

that he might have hurt A.R. when he became frustrated because A.R. was fussy and could

not be calmed down. Reim described dropping A.R. on the couch in frustration, eliciting an

audible gasp or moan from the child. He also described a separate incident when he laid

A.R. on the couch in such a way that A.R.’s head struck the arm of the couch loud enough to

hear a sound. He said that after both of those incidents A.R. appeared normal. Reim’s

                                               8
descriptions of events to Detective Olson varied somewhat over the course of two interviews

with the detective.

¶18    Prior to the incidents and A.R.’s diagnosis, A.R. had some significant medical history.

He was born five to six weeks premature. Stringer had a difficult labor. She suffered from

chorioamnionitis (infection of the placenta) during A.R.’s gestation and birth. When he was

born, A.R. was diagnosed with respiratory distress syndrome, was jaundiced, was on

antibiotics for five days, and was on supplemental oxygen for seven days. He also had a

slightly high bilirubin count. On November 10, 2010, when A.R. was about two months old,

Stringer called an ambulance to take A.R. to the hospital’s emergency room because he

appeared “dusky” and had a breathing event lasting about five to ten seconds, while at home.

She saw another event at the hospital, but the emergency room staff did not observe the

event. Lab work at the hospital revealed A.R. had a high glucose level and he was admitted

to the hospital overnight for observation. When Dr. Keefe examined A.R. the next morning,

his glucose had returned to normal and he seemed healthy, so she discharged him. The high

glucose level indicated to Dr. Keefe that A.R. could have been diabetic, although that

seemed unlikely to her because he lacked other symptoms. The high glucose also could, in

her view, have been a response to a traumatic event, such as a seizure or some other event

that temporarily interrupted A.R.’s breathing. Dr. Keefe’s discharge notes also indicated that

A.R.’s glucose level could have been caused by choking.

¶19    At trial, Dr. Guggenheim, a pediatric neurologist, testified that in her clinical

experience treating epilepsy, the most common cause of elevated glucose in infants is

seizure. Infant seizures are often brief and can occur with little to no outward appearances.

                                              9
Even trained professionals can fail to identify such seizures. Dr. Guggenheim based her

opinion on the symptoms Stringer described and on her independent analysis of the data

charting A.R.’s head size following his birth. A.R.’s growth had been charted on a chart that

did not take into account the fact he was born prematurely. With adjustment for A.R.’s

gestational age, his head circumference grew disproportionately to the rest of his general

physical development between shortly after his birth and October 25, 2010. In Dr.

Guggenheim’s view, this could have been caused by prior bleeding in A.R.’s brain and

consequent swelling, resulting in this abnormal growth. Dr. Guggenheim believed A.R.

likely suffered from a chronic neurologic abnormality of the brain since birth.

¶20    On May 26, 2011, Reim was charged by amended information with felony aggravated

assault related to A.R.’s injuries. An omnibus hearing occurred and a memorandum

documenting the results of that hearing was filed on February 23, 2012. The memorandum

provided that the State waived its right to a jury trial. The box on the item “[t]he Defendant

waives the Defendant’s right to a jury trial and stipulates to the trial taking place without a

jury” is checked “no.” Below that item, the memorandum provided that the expected length

of the trial was five days and the jury would consist of twelve jurors. It also provided that

trial was set for June 19, 2012, and that a jury would be drawn on June 4, 2012. The separate

signature line providing that the defendant waived his right to a jury trial was unsigned.

¶21    On May 15, 2012, Reim, through his attorney, filed a “motion to vacate jury trial and

set for judge trial.” The District Court granted that motion on May 16, 2012, vacating the

scheduled jury trial and setting the matter for a bench trial.

                                              10
¶22    On May 16, 2012, the State filed a motion for an Order directing deposition to

preserve Dr. Bakdash’s testimony for use at trial, because Dr. Bakdash was planning to move

out of state before the trial date. The District Court granted that motion the following day, in

an Order that specifically authorized the State to give notice to the defendant as to the time

and place for taking the deposition. The State served notice of the time, date and location of

the deposition on the defendant and his attorney on May 18, 2012. The notice specifically

invited the defendant and his attorney to attend and examine the deponent. Reim’s attorney

attended the deposition; Reim did not.

¶23    A bench trial was held on June 19-22, 2012. At the outset of the trial, the judge stated

that he had “on the record” a waiver signed by Reim of his right to a jury trial. Therefore, he

stated, the proceeding was a bench trial. Also at the outset, the State announced its intention

to present Dr. Bakdash’s videotaped deposition along with a deposition transcript. Neither

Reim nor his counsel objected during the discussion of these matters.

¶24    During the trial a number of different medical experts testified about A.R.’s injuries.

Stringer testified about the events that transpired and about her relationship with Reim.

Detective Olson testified about his interviews with Reim; and parts of Olson’s two

videotaped interviews with Reim were played at trial. Reim was present, but did not testify.

¶25    On August 21, 2012, the judge issued a verdict supported by extensive findings of fact

and conclusions of law. In his findings and conclusions, the judge found that A.R.’s injuries

were the result of non-accidental trauma; that the injuries were inflicted the weekend before

Wednesday, February 2, 2011, while A.R. was in Reim’s care; that Reim caused the injuries;

and that Reim acted purposely and knowingly when causing the injuries. The judge noted,

                                              11
specifically, that Reim had admitted to being frustrated with A.R., that Reim had failed to

respond to A.R.’s initial breathing event for a significant period of time, and that A.R. had

not had another “thrombotic event” since being removed from Reim’s care. Based on these

findings and conclusions, the judge concluded, beyond a reasonable doubt, that Reim was

guilty of aggravated assault. Following a sentencing hearing, the judge sentenced Reim to

the Montana Department of Corrections for ten years with five suspended. Reim appeals.

                               STANDARDS OF REVIEW

¶26    This Court’s review of preserved constitutional errors is plenary. State v. Stock, 2011
MT 131, ¶ 16, 361 Mont. 1, 256 P.3d 899. When reviewing judge-made findings of fact on

the substantive elements of a criminal offense, our standard of review is whether, after

reviewing the evidence in a light most favorable to the prosecution, any rational trier of fact

could have found the essential elements of the crime beyond a reasonable doubt. State v.

Bower, 254 Mont. 1, 7, 833 P.2d 1106, 1110 (1992). This Court will affirm a district court’s

decision when it reaches the right result, even though the court’s reasoning is not entirely

correct. State v. Shepard, 2010 MT 20, ¶ 9, 355 Mont. 114, 225 P.3d 1217.

                                              12
¶27 1. Did the District Court err when it concluded Reim had waived his right to a jury
trial?

¶28    Generally, we will not address issues raised for the first time on appeal. State v.

Taylor, 2010 MT 94, ¶ 12, 356 Mont. 167, 231 P.3d 79. Failure to make a timely objection

constitutes a waiver of the objection for purposes of appeal. Section 46-20-104(2), MCA.

We will not put a district court in error for an action in which the appealing party acquiesced

or actively participated. State v. Daniels, 2011 MT 278, ¶ 36, 362 Mont. 426, 265 P.3d 623.

¶29    At our discretion, we may review unpreserved claims alleging violation of

fundamental constitutional rights, under the common law plain error doctrine. Taylor, ¶ 12.

We invoke the plain error doctrine sparingly, on a case-by-case basis. Daniels, ¶ 32. We

will exercise plain error review only when the appellant convinces us that failing to review

the claimed error may result in a manifest miscarriage of justice, may leave unsettled the

question of the fundamental fairness of the trial or proceedings, or may compromise the

integrity of the judicial process. Daniels, ¶ 32; see Taylor, ¶ 12.

¶30    The right to a trial by jury is fundamental, personal to the defendant, and is guaranteed

by both the Montana and Federal Constitutions. Mont. Const. art. II, §§ 24, 26; U.S. Const.

art. III, § 2; U.S. Const. amend. VI; State v. Dahlin, 1998 MT 113, ¶ 15, 289 Mont. 182, 961
P.2d 1247. Waiver of the right to a jury trial can only occur upon written consent of the

parties, filed with the district court. Section 46-16-110(3), MCA; see Dahlin, ¶¶ 19-23. In

Dahlin, this Court exercised plain error review to reach the defendant’s contention that he

had not waived his right to a jury trial, concluding that failure to review that claim would

leave unsettled a question as to the fundamental fairness of the trial. Dahlin, ¶ 15. We

                                              13
conclude the same result is required here; and exercise plain error review to address Reim’s

claim that the District Court improperly concluded he had waived his right to a jury trial.

¶31    A criminal defendant must consent to waiving constitutionally-guaranteed

fundamental rights and there is a reasonable presumption against such a waiver. See State ex

rel. Long v. Justice Court, 2007 MT 3, ¶ 15, 335 Mont. 219, 156 P.3d 5 (“None of [the rights

guaranteed a criminal defendant in Mont. Const. art. II, § 24] can be taken from a defendant

without his or her consent[.]”); State v. Walker, 2008 MT 244, ¶ 18, 344 Mont. 477, 188 P.3d
1069 (“[C]ourts indulge in every reasonable presumption against waiver of fundamental

constitutional rights and will not indulge in any presumption of waiver.”). Thus, as we

explained in Walker, for a waiver to be effective, a defendant must waive a known right

knowingly, intelligently and voluntarily. Walker, ¶ 18. In Montana, as we clarified in our

decision in Dahlin, § 46-16-110(3), MCA, sets forth the process by which a defendant may

waive his or her right to trial by jury. See Dahlin, ¶¶ 19-23.

¶32    In Dahlin, we held that both parties must consent in writing in order to waive the

fundamental right to a jury trial. Dahlin, ¶ 23. There, the defendant’s attorney orally waived

his client’s right to a jury trial in open court, in the defendant’s presence. Dahlin, ¶ 5. The

only reference to the defendant’s waiver of his right to a jury trial was the court’s minute

entry documenting the attorney’s statement. Dahlin, ¶ 20. We determined that “this minute

entry, or an oral representation by Dahlin’s attorney, is not sufficient under § 46-16-110(3),

MCA, for Dahlin to have waived his right to a jury trial.” Dahlin, ¶ 20. Pursuant to the

requirements set forth by the legislature in § 46-16-110(3), MCA, we reasoned, a criminal

defendant’s waiver of his right to a jury trial must be in writing, with the consent of both

                                              14
parties, and filed with the district court. Dahlin, ¶¶ 22-23. We expressly overruled the test

we had set forth in State v. McCartney, 179 Mont. 49, 56, 585 P.2d 1321, 1325 (1978), under

which we would examine the totality of the circumstances to determine whether a

defendant’s waiver was intelligent and voluntary. Dahlin, ¶ 23.

¶33    On appeal, Reim relies on a rigid reading of Dahlin to argue that, because he never

personally signed a written waiver of his right to a jury trial, his conviction must be reversed.

But this case is different from Dahlin, where the record was silent as to Dahlin’s waiver of

his right to a jury trial. More than an oral statement by an attorney, documented in court

minutes confirms that Reim waived his right to a jury trial. Here, the Omnibus Hearing

Memorandum shows that the State waived its right to a jury trial. Reim did not originally

waive his right to a jury trial. In fact, the Omnibus Hearing Memorandum specifies the

number of jurors and sets a date for the jury trial. The signature line providing that Reim

waives his right to a jury trial is unsigned. Yet, approximately three weeks after the omnibus

hearing, Reim’s counsel filed a motion with the court to vacate the jury trial and set the

matter for a bench trial. That motion was signed by the attorney and filed with the court. On

the day trial began, when the judge stated in Reim’s presence that Reim had waived his right

to a jury trial, neither Reim nor his attorney objected.

¶34    We conclude that Reim’s attorney’s motion, along with Reim’s acquiescence to the

judge’s statement at trial, provides a sufficient foundation to support our determination that

Reim made an intelligent and voluntary jury trial waiver. Although a signed statement by

Reim providing he waived his right to a jury trial would have been preferable, the motion,

signed by Reim’s attorney, satisfies the statutory requirement for written consent. Reim,

                                               15
through his silence at trial, actively participated in the alleged error he now contests. There

has been a written waiver of the right to a jury trial by both parties, ratified by the defendant

through his failure to object and his acquiescence to the trial being conducted, from

beginning to end, by the judge. We will not put the District Court in error under these

circumstances.

¶35 2. Should this Court consider whether Reim’s absence from the deposition of a State
witness violated his right to be present at all critical stages of the proceedings?

¶36    A criminal defendant has a fundamental right under both the United States

Constitution and the Montana Constitution to be present at all critical stages of the trial.

State v. Matt, 2008 MT 444, ¶¶ 16-17, 347 Mont. 530, 100 P.3d 244, overruled on other

grounds, State v. Charlie, 2010 MT 195, ¶ 45, 357 Mont. 355, 239 P.3d 934. The right to be

present attaches whenever the defendant’s presence “has a relation, reasonably substantial, to

the fullness of his opportunity to defend against the charge.” Charlie, ¶ 40 (citing Matt,

¶ 16). The right to physical presence allows a criminal defendant to participate in the

preservation of his or her rights and safeguards the public’s interest in a fair and orderly

judicial system. See Matt, ¶ 16. In Matt, we employed a three-step analysis to review Matt’s

alleged violation of his right to be present: First, we considered whether the alleged

violation occurred at a “critical stage” of the proceedings; second, we addressed whether the

defendant had validly waived the right to be present; and third, we analyzed whether any

violation of the defendant’s right to be present was harmless error. Matt, ¶ 18; State v.

Wilson, 2013 MT 70, ¶ 12, 369 Mont. 282, 297 P.3d 1208.

                                               16
¶37    Reim argues that his right to be present at critical stages of the proceedings was

violated when Dr. Bakdash was deposed in his absence. The State argues that Reim never

raised this argument below and, thus, that it was not properly preserved for this Court’s

review. The State also points out that Reim does not argue that this issue is appropriate for

plain error review. Instead, Reim cites State v. Bird, 2002 MT 2, 308 Mont. 75, 43 P.3d
266, State v. Kennedy, 2004 MT 53, 320 Mont. 161, 85 P.3d 1279, and Wilson, to support his

view that no objection at trial is necessary to preserve for appellate review a claimed right of

presence violation. Reim further contends that, even if it were necessary for him to

specifically request plain error review, he has effectively done so by relying upon this

Court’s handling of the right of presence claims in Bird, Kennedy, and Wilson. Reim is

correct that we examined right to be present claims in these cases despite the defendant’s

failure to raise the issue first in the trial court; however, Reim misreads the cases as standing

for a rule that defendants need not preserve such claims for appellate review.

¶38    The general rule is that an objection concerning constitutional matters must be raised

before the trial court, and if the objection is not made, it will not be reviewed on appeal.

State v. LaDue, 2001 MT 47, ¶¶ 28, 30, 304 Mont. 288, 20 P.3d 775 (refusing to review

LaDue’s constitutional claim because he had not raised the issue at trial); §§ 46-20-104(2),

-701(2), MCA. This Court’s common law power of plain error review is an exception to that

rule. See State v. Norman, 2010 MT 253, ¶ 17, 358 Mont. 252, 244 P.3d 737. In order to

obtain review under the plain error doctrine, the defendant must (1) show that the claimed

error implicates a fundamental right and (2) firmly convince this Court that failure to review

the error would result in a manifest miscarriage of justice, leave unsettled the question of the

                                               17
fundamental fairness of the trial or proceedings, or compromise the integrity of the judicial

process. Norman, ¶ 17.

¶39    Reim is correct that we have exercised something akin to plain error review of

unpreserved right to presence violations. In State v. Tapson, 2001 MT 292, ¶¶ 23-24, 307
Mont. 428, 41 P.3d 305, we decided to review Tapson’s unpreserved right to presence claim

despite the State’s argument that Tapson had waived the right. Four weeks after Tapson, in

Bird, we again rejected an argument that a defendant had forfeited the right to argue his right

to presence had been violated where he failed to raise that claim in the court below. Bird,

¶¶ 37-38. In Kennedy we rejected the same argument. Kennedy, ¶¶ 28-30. In Wilson, we

did not consider whether Wilson had properly preserved his right to presence claim for

appeal.

¶40    In light of the parties’ arguments in the present case, we deem it necessary to clarify

the procedural requirement of preserving right of presence claims for appellate review. Our

decisions to reach the merits of the defendants’ claims in Tapson, Bird, Kennedy, and Wilson

should not be understood as excepting all right of presence claims from the general rule that

a constitutional violation must be first presented to the trial court. We hold that, in the

absence of a timely objection in the trial court, the defendant must obtain review of a right of

presence claim under one of the established methods, such as plain error review or an

ineffective assistance of counsel claim. In the present case, as noted, Reim has suggested

that his claim may be reviewed under the plain error doctrine.

¶41    Reim has not persuaded us that plain error review is merited, here. The record reflects

that the State properly served notice of the deposition on Reim’s attorney, inviting Reim and

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his attorney to be present for the deposition (as was Reim’s prerogative, see § 46-15-202(5),

MCA). Reim’s attorney accepted the invitation and cross-examined Dr. Bakdash at the

deposition. The deposition was video-recorded and the recording was played at the bench

trial, at which Reim was present. When the recording was played, Reim asserted no

objection to Dr. Bakdash’s statements or to the fact that he had not been personally present at

the deposition. Reim has not explained how he could have meaningfully contributed to his

counsel’s cross-examination of Dr. Bakdash at the deposition. Reim points out that, in the

analysis of a right of presence violation, the burden is on the State “to demonstrate that there

is no reasonable possibility that the violation prejudiced the defendant[.]” Charlie, ¶ 45.

However, in an analysis of the threshold question of whether this Court should exercise plain

error review of a right of presence claim, the burden is on the defendant to firmly convince

this Court that such review is warranted. Norman, ¶ 17. Reim has not met this burden. We

therefore decline to address his claim any further.

¶42 3. Does the District Court’s failure to identify which mental state definition it was
applying require reversal of Reim’s conviction?

¶43    Finally, Reim argues that the District Court must have applied the conduct-based

definitions of purposely or knowingly when it found Reim guilty of aggravated assault; and

that this error requires that we reverse Reim’s conviction. The State argues that Reim’s

conviction must stand because a reasonable trier of fact could have found the essential

elements of the crime beyond a reasonable doubt. See State v. Meckler, 2008 MT 277, ¶ 9,

345 Mont. 302, 190 P.3d 1104. The State further argues that, in any case, if the court’s order

incorporated the wrong definitions of purposely or knowingly, the error was harmless.

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¶44    Section 45-5-202, MCA, provides that a person commits aggravated assault if “the

person purposely or knowingly causes serious bodily injury to another[.]” “[A] person acts

purposely with respect to a result or to conduct described by a statute defining an offense if it

is the person’s conscious object to engage in that conduct or to cause that result.” Section

45-2-101(65), MCA.

       [A] person acts knowingly with respect to conduct or to a circumstance . . .
       when the person is aware of the person’s own conduct or that the circumstance
       exists. A person acts knowingly with respect to the result of conduct . . . when
       the person is aware that it is highly probable that the result will be caused by
       the person’s conduct.

Section 45-2-101(35), MCA. “The existence of a mental state may be inferred from the acts

of the accused and the facts and circumstances connected with the offense.” Section 45-2-

103(3), MCA. In addition:

       If purposely or knowingly causing a result is an element of an offense and the
       result is not within the contemplation or purpose of the offender, either
       element can nevertheless be established if: . . . (b) the result involves the same
       kind of harm or injury as contemplated but the precise harm or injury was
       different or occurred in a different way, unless the actual result is too remote
       or accidental to have a bearing on the offender’s liability or on the gravity of
       the offense.

Section 45-2-201(2)(b), MCA.

¶45    The District Court’s findings of fact and conclusions of law addressed the mental state

with which Reim acted. The District Court found beyond a reasonable doubt “that Reim

acted purposely or knowingly when causing the injuries to [A.R.].” In another finding, the

District Court also took special note of the facts and circumstances connected to the offense:

       Reim was the sole caretaker of [A.R.] during these times. In lying [A.R.] on
       the couch, Reim struck [A.R.]’s head against the arm of the couch loud
       enough to hear a sound, and that Reim placed [A.R.] so forcefully on the

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       couch that [A.R.] gasped for breath and moaned. The Court is also mindful of
       Reim’s self-admitted frustration with [A.R.] during these events. The Court
       considers Reim’s lack of response to [A.R.]’s unusual breathing when Stringer
       returned home on Sunday significant, when he reported that [A.R.] had been
       demonstrating this behavior for a period of [30 to 45] minutes. Finally, the
       Court considers the fact that [A.R.] has not had another thrombotic event since
       February 2011 and his removal from Reim’s care.

The District Court recognized the role A.R.’s clotting disorder might have played in his

injuries, but reasoned:

       The Court does not, however, understand how this proclivity alone, or the
       seizure in November, or [A.R.]’s ear infection, can account for the severe
       retinal hemorrhaging in [A.R.]’s eyes. No doctor convincingly testified
       contrary to Dr. Weaver’s expert opinion that such hemorrhaging was due to
       some form of traumatic event.

In its legal conclusions, the District Court stated: “During January 29, 2011, and up to

February 2, 2011, Reim committed the offense of aggravated assault . . . beyond a reasonable

doubt by purposely or knowingly causing serious bodily injury to [A.R.].” Beyond these

statements, however, the District Court did not identify which definitions of purposely and

knowingly it was applying.

¶46    We conclude that the District Court did not commit reversible error in rendering its

verdict that Reim was guilty of aggravated assault. The weight of the evidence and the

credibility of the witnesses are exclusively within the province of the trier of fact; when the

evidence conflicts, the trier of fact determines which shall prevail. Bower, 254 Mont. at 8,

833 P.2d at 1111. It was reasonable for the court to infer from the evidence and testimony

presented that Reim acted purposely and knowingly with respect to the result of serious

bodily injury. Even if Reim did not intend specifically to inflict subdural hematomas and

retinal hemorrhages on A.R., setting a five-month old infant on the couch, in anger, hard

                                              21
enough that he gasped for air, evidences an intent to cause some injury. Similarly, moving

the infant so that he struck his head on the arm of the couch also shows intent to cause some

harm. Reim cannot escape liability simply because the harm that occurred was different or

occurred in a different way than the injury he anticipated. Nor was the possibility that

Reim’s forceful handling of a small baby could cause such harm too remote to have bearing

on Reim’s liability. We also note that evidence existed from which the District Court could

have inferred that Reim’s conduct towards A.R. was more violent than Reim admitted,

including circumstantial evidence of the extent of A.R.’s injuries and the testimony of the

doctors who treated A.R. The District Court could reasonably have concluded that Reim had

minimized his report of his conduct in an attempt to avoid prison. A reasonable trier of fact,

on this record, could have found the State proved the elements of aggravated assault beyond

a reasonable doubt.

¶47    Because we conclude that the District Court committed no error, we will not engage

in harmless error analysis.

                                      CONCLUSION

¶48    Affirmed.

                                                  /S/ MICHAEL E WHEAT

We Concur:

/S/ LAURIE McKINNON
/S/ BETH BAKER
/S/ PATRICIA COTTER
/S/ JIM RICE

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