Court Opinion

ID: 9383213
Source: CourtListenerOpinion
Date Created: 2023-03-29 20:03:26.063601+00
Date Added: 2024-06-11T17:17:44.438720
License: Public Domain

2023 IL App (5th) 210148-U
             NOTICE
                                                                                        NOTICE
 Decision filed 03/29/23. The
                                                                             This order was filed under
 text of this decision may be              NO. 5-21-0148                     Supreme Court Rule 23 and is
 changed or corrected prior to
                                                                             not precedent except in the
 the filing of a Petition for
                                              IN THE                         limited circumstances allowed
 Rehearing or the disposition of
                                                                             under Rule 23(e)(1).
 the same.
                                   APPELLATE COURT OF ILLINOIS

                               FIFTH DISTRICT
______________________________________________________________________________

THE PEOPLE OF THE STATE OF ILLINOIS,      )     Appeal from the
                                          )     Circuit Court of
      Plaintiff-Appellee,                 )     St. Clair County.
                                          )
v.                                        )     No. 15-CF-1085
                                          )
LAMARC R. GARRETT,                        )     Honorable
                                          )     Christopher E. Hitzemann,
      Defendant-Appellant.                )     Judge, presiding.
______________________________________________________________________________

         JUSTICE MOORE delivered the judgment of the court.
         Presiding Justice Boie and Justice McHaney concurred in the judgment.

                                              ORDER

¶1       Held: Because this court does not have adequate information to assess three of the
               defendant’s four contentions on appeal, we vacate the circuit court’s order
               following its most recent Krankel proceedings, and we remand this cause with
               directions that the circuit court conduct a retrospective fitness hearing.

¶2       The defendant, Lamarc R. Garrett, appeals his conviction and sentence after a jury trial in

the circuit court of St. Clair County in which he was found guilty of one count of first degree

murder and subsequently was sentenced to serve 65 years in the Illinois Department of Corrections,

followed by 3 years of mandatory supervised release. For the following reasons, we vacate the

circuit court’s order following its most recent Krankel proceedings, and we remand this cause with

directions that the circuit court conduct a retrospective fitness hearing.

                                                  1
¶3                                          I. BACKGROUND

¶4      This case returns to this court following our remand to the circuit court of St. Clair County

for the circuit court to conduct a proper preliminary Krankel inquiry.1 See People v. Garrett, 2021

IL App (5th) 180277-U. We begin with the exposition of the facts necessary to an understanding

of the reasons for our remand, and necessary to our disposition of the issues raised by the defendant

in this appeal, then add the necessary facts from the most recent Krankel proceedings on remand.

¶5      On October 2, 2015, the defendant was indicted on one count of first degree murder. The

indictment charged that on or about September 5, 2015, the defendant shot Oscar Carbajal in the

chest, causing the death of Carbajal. On November 9, 2015, the judge who was then presiding over

the case entered an order in which the judge stated that the defendant’s trial counsel had raised “a

bona fide doubt as to [the defendant’s] ability to understand the nature of the charge against him,

to plead guilty or to stand trial, and cooperate in his own defense.” The order appointed Dr. Daniel

Cuneo to evaluate the fitness of the defendant to stand trial.

¶6      On February 4, 2016, a status hearing was held. At one point during the hearing, the judge

addressed the defendant directly, asking, “do you think you know what’s going on here?” The

transcript of the hearing states that the defendant “indicated no.” The judge then asked, “Dr.

Cuneo—Do you remember talking to Dr. Cuneo?” The transcript again states that the defendant

“indicated no.” Following the hearing, the judge entered an order in which he noted that the parties

stipulated to the expertise of Dr. Cuneo, and in which he noted that the parties were in receipt of a

report from Dr. Cuneo, dated January 18, 2016, in which Dr. Cuneo found that the defendant was

        1
          A preliminary Krankel inquiry is required when a defendant raises a pro se posttrial claim of
ineffective assistance of trial counsel. See, e.g., People v. Jackson, 2020 IL 124112, ¶ 96. If the circuit court
concludes, following the preliminary inquiry, that the defendant’s pro se “allegations show possible neglect
of the case, new counsel should be appointed” to represent the defendant at further proceedings on the
claims, which may include a full evidentiary hearing. Id. ¶ 97.
                                                       2
“presently unfit to stand trial,” but that if the defendant was “provided with a course of inpatient

treatment,” there existed “a substantial probability” that the defendant would “be able to attain

fitness within one year.”

¶7      Dr. Cuneo’s January 18, 2016, report, which is included in the record on appeal, noted that

Dr. Cuneo conducted two interviews of the defendant, consulted clinical records from the St. Clair

County jail, spoke with nursing staff at the jail and with other jail staff, and spoke with the

defendant’s mother “to gather additional information about her son.” When Dr. Cuneo asked the

defendant a question during his first attempt to interview the defendant, the defendant “simply

stared blankly ahead.” Dr. Cuneo noted that the defendant “never spoke during my first attempt to

assess him and would only shake his head or shrug,” which was consistent with behavior the

defendant had exhibited at the jail, as observed by jail staff. While incarcerated at the jail, the

defendant had “been in and out of the Quiet Room at the jail and ha[d] gone from mutism to

mania.” The defendant “refused to give [Dr. Cuneo] any information,” including about relatives.

Dr. Cuneo eventually obtained information about the defendant’s mother, who subsequently

“stated that her son had been diagnosed with paranoid schizophrenia and that he was ‘getting a

shot’ to control his psychosis.” The defendant’s mother informed Dr. Cuneo that the defendant

“had been seeing a psychiatrist in St. Louis,” and that the defendant had “been placed on the

psychiatric wing when he had been at the Jefferson City Correctional Facility.” She also informed

Dr. Cuneo that the defendant had “times when she visits him that he will simply stand mute and

refuse to respond. Other times he will respond to her and complain of voices and people out to get

him.”

¶8      The second time Dr. Cuneo attempted to interview the defendant, which was on January

18, 2016, the defendant initially “would only respond by shrugs.” After Dr. Cuneo told the

defendant that he had spoken to the defendant’s mother, and that she had said that the defendant
                                               3
should talk to Dr. Cuneo, the defendant eventually began to respond. Dr. Cuneo’s report noted that

the defendant’s mental status exam “revealed [the defendant] to be oriented only to person and not

to place or time,” which meant that the defendant “knew who he was, but he was unable to tell

[Dr. Cuneo] where he was or the correct month or year.” When asked where he was, the defendant

“shrugged that he did not know,” then, “when pushed,” the defendant “mumbled that he was in St.

Louis, but he was unsure what state he was in.” Dr. Cuneo noted that the defendant “could tell me

that the day of the week was Monday, but he shrugged that the month was February and that the

year was 1987.” Dr. Cuneo asked the defendant if he ever experienced any type of hallucinations,

to which the defendant “shrugged his head ‘yes,’ ” then, again “when pushed,” the defendant

“mumbled that he hears ‘bad stuff, good stuff, I don’t know.’ ” The defendant “later mumbled that

these voices tell him to kill others and to kill himself,” and the defendant told Dr. Cuneo that the

defendant “had attempted to kill himself once by hanging himself when he was in prison.” Dr.

Cuneo characterized the defendant’s thinking as “delusional,” with the delusions being “paranoid

in nature.” Dr. Cuneo reported that the defendant “mumbled how people ‘were out to get him every

day.’ ” The defendant’s “thinking was extremely impoverished and there appeared to be thought

blockage,” as well as “long pauses both in and between his responses.”

¶9     Dr. Cuneo reported that although “no formal intellectual testing was done,” the defendant

“appeared to be functioning no higher than the Dull Normal Range of Intelligence.” When asked

how far he had gone in school, the defendant “shrugged that he did not know. When pushed, he

mumbled sixth grade and could not tell *** the name of the school.” The defendant’s mother

reported that the defendant “had gone to University High School and had dropped out in either the

tenth or eleventh grade,” although she did not know why he had dropped out. Dr. Cuneo reported

that the defendant’s “memory, both short and long term, was impaired,” and that the defendant

“could only repeat back accurately three numbers forward and three numbers backwards,” and
                                             4
“could not give any type of history.” Dr. Cuneo reported that the defendant’s “affect was flat and

he often would simply respond by shaking his head or shrugging his shoulders.” Although the

defendant denied any type of alcohol use, when asked about his use of drugs, the defendant

“mumbled, ‘Head drugs.’ When pushed on what he meant, he mumbled, ‘Got them at head store.’ ”

Dr. Cuneo noted that the defendant’s records indicated that during his jail admission interview, the

defendant “stated that he used crack cocaine, PCPs, and marijuana on a regular basis.” Dr. Cuneo

reported that when he asked the defendant about the defendant’s past mental health treatment, the

defendant “would only mumble, ‘Shot,’ ” and then “shrugged that he could not remember who had

treated him or the name of the medication.”

¶ 10   Dr. Cuneo noted that while incarcerated at the jail, the defendant was receiving Haldol,

Cogentin, and Zoloft, and Dr. Cuneo stated that his diagnosis for the defendant was

“Schizophrenia, Cannabis Use Disorder in a Controlled Environment, Cocaine Use Disorder in a

Controlled Environment, Phencyclidine Use Disorder in a Controlled Environment, [and]

Borderline Intellectual Functioning.” Dr. Cuneo opined that the defendant’s mental illness

substantially impaired the defendant’s “ability to understand the nature and purpose of the

proceedings against him and his ability to assist in his own defense,” that the defendant was

“disoriented as to place and time,” and “was unable to tell [Dr. Cuneo] where he was and did not

know the year or month.” The defendant could not describe “what he was charged with and thought

he was in a jail in St. Louis.” The defendant could not describe why he was jailed, “could not grasp

the roles of a public defender or state’s attorney due to his very impoverished thinking,” and “could

not cooperate with his attorney in any meaningful manner, much less assist in his own defense due

to his exreme [sic] cognitive confusion.” Dr. Cuneo noted that the defendant’s “attention span is

so limited that he could not follow the court proceedings,” and that, accordingly, in Dr. Cuneo’s

opinion, the defendant was “presently unfit to stand trial.” Dr. Cuneo noted that he believed that if
                                                 5
the defendant “were provided with a course of inpatient psychiatric treatment and stabilized on

psychotropic medication,” there then existed “a substantial probability that [the defendant] would

be able to attain fitness within the course of one year.”

¶ 11   On June 2, 2016, the judge entered an order in which he noted that the parties stipulated to

the expertise of Dr. Rajendra Gupta of the Alton Mental Health Center, and in which he noted that

the parties were in receipt of a report from Dr. Gupta, dated May 18, 2016, in which Dr. Gupta

found the defendant was still unfit for trial, but that there existed a substantial probability that the

defendant would “attain fitness for trial within the one-year statutory limit.” The report, which is

also included in the record on appeal, listed one of the defendant’s “[d]eficits” as “a history of non-

compliance with medication.” The report noted, inter alia, that the defendant was “currently

verbalizing the following symptoms: hallucinations, impaired memory, history of self injurious

behaviors, history of sexual abuse, and paranoia.”

¶ 12   On September 13, 2016, the judge entered an order in which he noted that the parties

stipulated to the expertise of Dr. Nageswararao Vallabhaneni, a psychiatrist at the Chester Mental

Health Center, and in which he noted that the parties were in receipt of a report from Dr.

Vallabhaneni, dated July 29, 2016. The report, which likewise is included in the record on appeal,

reiterated that the defendant was still unfit for trial, and that the defendant continued to be treated

with “psychotropic medication” in an effort “to control the psychotic symptoms including paranoid

delusions.” Dr. Vallabhaneni noted, however, that he believed the defendant had “not cooperated

well” in terms of making progress toward attaining fitness. Dr. Vallabhaneni opined that there

existed “no strong evidence that he is clearly suffering from active psychotic symptoms like

hallucinations and paranoid delusions,” and held out the possibility that the defendant was

“malingering” or faking illness. He noted that the defendant “did not participate in treatment plan

reviews well,” was “not willing to take the fitness test,” and posited that there “seems to be a strong
                                                  6
element of either deception or refusal to cooperate or give the right answers to the questions on

the test.” As a secondary diagnosis, he listed “Anti-Social Personality Disorder.”

¶ 13    On October 24, 2016, the judge entered an order in which he noted that the parties had

“received a report from [the Chester Mental Health Center] indicating that the defendant ha[d]

attained fitness.” This report, which is also included in the record on appeal and also authored by

Dr. Vallabhaneni, contained much information that appears to have been copied and pasted from

Dr. Vallabhaneni’s July 29, 2016, report, but also stated that there had been “significant changes”

since that report. The new report indicated that the defendant “took a full fitness test on his own

with his therapist present during that time,” with the test dated September 22, 2016. The report

indicated that the defendant “took the test willfully and he performed extremely well without any

assistance.” The defendant scored 100% on the test, which Dr. Vallabhaneni opined “not only

indicates his cooperation, also his level of performance, understanding of his current charges and

his understanding of various court proceedings.” Dr. Vallabhaneni added that the defendant

presently had “no clinical indication or reason for remaining unfit to stand trial.” He added,

however, that the defendant still had problems with cooperating with Dr. Vallabhaneni and staff

on working toward his fitness goals, which Dr. Vallabhaneni attributed to a desire on the part of

the defendant “to not return to the court.” He noted that since the July 29, 2016, report, the

defendant had “maintained his behavior without having any difficulties,” and “was not seen as

being clearly psychotic, meaning delusional or depressed.” He further noted that the defendant

“was medication compliant and in fact wanted to remain on medication,” because the defendant

“thought that without medication he would lose control and act out.” Dr. Vallabhaneni stated that

“[f]or that reason, this writer did not intend to change any of his medications; the focus was more

on his legal matters and fitness issues.” In several places in the report, he referred to the defendant’s

cooperation with his treatment team as being “selective,” and noted that most of the defendant’s
                                               7
communication was still nonverbal, consisting of shrugs, body gestures or language, and short

“yes” or “no” answers rather than longer verbal explanations. Dr. Vallabhaneni stated that until

further evidence was available, the defendant’s diagnosis was still “Schizophrenia Paranoid,” with

a secondary diagnosis of “Anti-Social Personality Disorder,” but reiterated that even while on

medication, the defendant was fit to stand trial and assist with his own defense. He specifically

wrote: “Overall, it is this writer’s impression that [the defendant] is not suffering from any acute

psychotic symptoms; however, the diagnosis has not been changed which itself, including the

psychotropic medication that he has been receiving, had no direct impact on his ability to

understand his legal matters including the charges and ability to participate in legal proceedings.”

He concluded his report by noting that the defendant was continuing “the same treatment including

his current antipsychotic and other medications as prescribed,” and was “fully compliant with

treatment and *** not experiencing any adverse effects from this treatment.” Documents that

accompanied the report included various case notes written by Dr. Vallabhaneni and other

members of the defendant’s treatment team, and the fitness tests the defendant had taken or refused

to take during his treatment.

¶ 14   On the following day, October 25, 2016, the judge entered an order appointing Dr. Cuneo,

on the motion of the defendant, to evaluate the defendant’s “sanity at the time of the offense, and

whether he would qualify for a guilty but mentally ill plea.” The order specified that because Dr.

Cuneo was being appointed as an expert witness for the defense, Dr. Cuneo’s report would be

provided to the defendant’s trial counsel only. A subsequent order reserved ruling on the separate

question of the defendant’s fitness to stand trial. No report regarding the defendant’s “sanity at the

time of the offense, and whether he would qualify for a guilty but mentally ill plea”—whether

from Dr. Cuneo or any other expert—was contained in the record on appeal presented to this court

at the time of the defendant’s first appeal.
                                                  8
¶ 15   On December 29, 2016, a status hearing was held before the Honorable Randall W. Kelley,

who was assigned to the case after the judge who was previously assigned to it ended his service

on the bench. Judge Kelley presided over the case for all of the subsequent trial court proceedings

to and including the defendant’s sentencing hearing. At the December 29, 2016, hearing, the

defendant’s trial counsel stipulated that the defendant was fit to stand trial. Following the hearing,

Judge Kelley entered an order finding the defendant fit to stand trial and setting a date for a jury

trial. Shortly before the jury trial, the defendant requested permission to “fire” his public defenders,

claiming that they had “no defense” for him. Judge Kelley noted that both of the defendant’s

attorneys were highly competent and denied the defendant’s request. Following the defendant’s

jury trial—the contents of which are not relevant to this appeal—the defendant was found guilty

on August 2, 2017, of first degree murder, and was found to have personally discharged the firearm

that caused the death of Oscar Carbajal. His attorneys filed a posttrial motion.

¶ 16   On September 12, 2017, a hearing was held on the posttrial motion filed by the defendant’s

attorneys. At the hearing, they argued that during jury deliberations, evidence was inadvertently

provided to the jury about a firearm and ammunition that were found on the person of the defendant

at the time of his arrest, but that were not consistent with the firearm used in the murder, which

potentially prejudiced the jury against the defendant, and which the parties had agreed, prior to

trial, to keep from the jury. The State did not object to the defendant’s factual characterization or

argument, and in fact stated that it had “no objection to the [c]ourt granting the post-trial motion.”

Judge Kelley thereafter entered an order in which he set aside the jury verdict and granted the

defendant a new trial.

¶ 17   The defendant’s second trial—the result of which ultimately led to this appeal—began on

February 5, 2018. Witness testimony began on February 6, 2018. Because it is not relevant to the

issues raised by the defendant in this appeal, we need not consider the substance of the witness
                                                9
testimony in detail, other than to state that, from a strictly factual point of view and aside from

factual and legal questions of the defendant’s mental state at the time of the murder and at the time

of trial, the evidence—including video footage and photographs—overwhelmingly showed that

the defendant committed the acts that caused the death of Carbajal.

¶ 18     Of significance to this appeal, during the course of the State’s presentation of its case in

chief late on the morning of February 6, 2018, the defendant began a series of interruptions and

disruptions that are related to the issues raised in this appeal. The defendant attempted to pose

objections and made derogatory comments about the proceedings, the parties, the judge, and

witnesses. Judge Kelley attempted to calm the defendant, at one point stating, “you do want to stay

for the rest of your trial, don’t you?” He assured the defendant that the defendant would have the

opportunity to present his case, which appeared to temporarily appease the defendant. However,

shortly thereafter, the defendant began to interrupt again. Judge Kelley again attempted to

intervene and told the defendant that the defendant had the right to be present “for every minute

of this trial,” unless the defendant chose not to be present. The defendant then repeatedly stated

that he did not wish to be present, and he was taken from the courtroom. At the request of the

defendant’s trial attorneys, the court went into recess, and the jurors were allowed to break for

lunch.

¶ 19     Following the break, and outside the presence of the jury, the parties and Judge Kelley

agreed to recess the proceedings until the following morning. Judge Kelley then addressed the

defendant at length, noting that the defendant had not previously had behavioral issues in Judge

Kelley’s courtroom, and asking the defendant, “Do you feel like you have any needs or desires to

talk to Dr. Cuneo before we start up again?” The defendant responded, “I have a need and a desire

to hire myself as my own attorney.” Judge Kelley assured the defendant that they would discuss

that the following morning. The defendant was thereafter taken from the courtroom, and a
                                           10
discussion continued between Judge Kelley, the State, and the defendant’s attorneys. One of the

defendant’s attorneys stated, with regard to the displeasure the defendant had voiced with regard

to their representation of him, that “my one hesitation would be he’s basically shut down in

wanting to talk to us mid-trial.” Judge Kelley replied, “We’ll see where we are in the morning.”

Judge Kelley thereafter added, “For the record, the Court has been advised that [the defendant]

generally takes certain medications every morning and was not administered those medications

this morning. And so, we’re going to wait and see what tomorrow brings.” One of the defendant’s

attorneys replied that he wished to make a record “that until today, there—even leading up to

today, there had been no instances that would have led us to believe that we would be in this

situation.” Judge Kelley agreed, then added, “I don’t want to just pull the plug on everything at

this point.” The jurors were thereafter summoned and excused for the day.

¶ 20    The following morning, February 7, 2018, proceedings began, outside the presence of the

jury, with the defendant’s attorneys reporting that they had “attempted to speak with” the

defendant, but that the defendant was “refusing to speak with us.” Judge Kelley then attempted to

engage the defendant in conversation, but the defendant mostly responded nonverbally, with what

the transcript characterizes as shaking or nodding his head “yes” or “no.” Judge Kelley admonished

the defendant that “if you become disruptive or threatening to anybody in any fashion, I certainly

have the authority and I will remove you from this proceeding and continue your trial without your

presence.” Thereafter, counsel for the State stated that, “just, I guess to clarify *** [i]t’s my

understanding that the defense has no issues as to fitness of the defendant.” Judge Kelley

responded, “The Court has a prior report from Dr. Cuneo that indicates that [the defendant] is fit

to stand trial. So, we’re proceeding on that.”2 Judge Kelley ordered that all physical restraints be

        2
          The record on appeal contains no report from Dr. Cuneo that states that the defendant was fit to
stand trial. The record contains only the aforementioned report to that effect from Dr. Vallabhaneni.
                                                   11
removed from the defendant prior to the jury entering the courtroom, stating that “there’s nothing

to suggest that he made or threatened any physical harm to himself or anyone else,” and finding

that “restraints at this time are not necessary.” Judge Kelley did not make a record of whether the

defendant had been administered his medications that morning.

¶ 21   The jury returned to the courtroom and the testimony of witnesses resumed. Shortly

thereafter, so did the interruptions and disruptions of the defendant. After the second interruption,

Judge Kelley admonished the defendant to “[b]e quiet.” After several more sporadic and short

comments from the defendant on the proceedings, the defendant began to engage in longer and

more frequent commentary, which Judge Kelley for the most part ignored. Finally, following an

interruption, Judge Kelley stated to the defendant, “you’ve been admonished previously not to be

disruptive. I’ve allowed you to carry on for a while.” The defendant replied, “Oh.” The disruptive

commentary from the defendant temporarily ceased, then began again. Throughout the course of

the day’s testimony, the defendant commented dozens of times, most of which Judge Kelley

continued to ignore. At one point, Judge Kelley stated to the defendant, “I don’t want to have to

stop you from participating.” The defendant’s disruptive commentary continued. Judge Kelley

thereafter stated to the defendant, “there’s a Supreme Court case *** that sets forth the parameters

that I need to follow as far as my discretion in allowing a defendant or a witness to continue to act

out and be disruptive.” He added, “I’ve greatly exceeded the parameters that I would be limited

to. So, just as a fair warning, you either got to tone it down much more—much less frequently, I

should say, or I’ll have to take other measures.” The defendant’s disruptive commentary, utterings

that are characterized in the transcript as “inaudible,” and laughter continued. After the defendant

accused one of the witnesses of “probably” having committed the murder, Judge Kelley stated to

the defendant, “you’re perilously close.” The disruptions continued.

                                                 12
¶ 22   After the State rested its case, Judge Kelley asked the defendant, outside the presence of

the jury, if the defendant wished to testify. When the defendant failed to respond, Judge Kelley

asked again. When the defendant failed a second time to respond, Judge Kelley told the defendant

that if the defendant did not respond, “I have to presume that’s an indication that you do not want

to testify in your own behalf.” The defendant continued to fail to respond, despite Judge Kelley’s

additional repeated attempts to question the defendant. Thereafter, one of the defendant’s attorneys

agreed that the defense was resting. As the State presented its closing argument, the defendant

began yet another series of interruptions and disruptions. Judge Kelley intervened, again

admonishing the defendant that Judge Kelley could have the defendant removed from the

courtroom. The defendant argued that he was now acting as his own attorney. Judge Kelley

eventually ordered the defendant removed from the courtroom, and the trial continued without

him.

¶ 23   Following closing arguments, as Judge Kelley began to instruct the jury, Judge Kelley

stated that, “I must remind you that the defendant remains innocent until proven guilty at this time

and throughout your deliberations. Whether or not the defendant is present in this courtroom

should have no consideration by you in your findings that you will make.” Judge Kelley added,

“Additionally, I must admonish you that you shall not consider any interruptions or disruptions

that may have been indicated by or caused by the defendant during the course of this trial

proceeding.” He told the jury, “None of that is relevant. None of that is evidence or testimony in

this proceeding in any fashion.” He reminded the jury that the defendant “remains, even though

he’s not present here in the courtroom, he remains innocent until you through deliberations would

decide that the State has proved the defendant’s guilt beyond a reasonable doubt.” He added, “So,

I don’t want you to take anything from any of the—of the discourse between the defendant and

myself or anyone else during the course of this trial as anything more than just that.” He reiterated
                                                 13
that “[i]t’s not evidence, it’s not testimony, and it should not be considered either in favor of the

defendant or certainly against the defendant.” After deliberating for fewer than 30 minutes, the

jury found the defendant guilty of first degree murder and found that the defendant personally

discharged the firearm that caused the death of the victim.

¶ 24   On February 20, 2018, the defendant filed a posttrial motion, which was denied, following

argument, at the outset of the defendant’s sentencing hearing on February 26, 2018. At the

sentencing hearing, the defendant’s mother testified that when the defendant takes his medication,

he is “humble” and “real calm,” but that when he does not take his medication, he begins “moving

too much.” She stated that the defendant had struggled with mental health issues for “[a]lmost

eight or nine years,” but added that the defendant had “been like this all his life, but he just been

on the medicine that long.” She testified that she could tell when the defendant was not on

medication, because he would not “be still when he not on it.” She testified that on the date of the

murder, the defendant was not on medication. She added, “I told him he needed to get some rest,

and he needed to go lay down. He wouldn’t. And he was talking real reckless, so I know he wasn’t

on his medicine at the time.” On cross-examination, she agreed with counsel for the State that,

even with the “issues” she had discussed about her son’s mental health, she believed her son knew

“right from wrong.”

¶ 25   The defendant’s father testified that when the defendant “was on his medication, he was a

total different person than without taking it.” He testified that the defendant “explained” to him

that “the night that this thing had transpired, he hearing voices in his head. He don’t know what’s

going on.” The defendant’s father added, “He was diagnosed paranoid schizophrenic. If he ain’t

on his medication, how he going to know what’s going on?” At the conclusion of the defendant’s

father’s testimony, the defendant’s father requested permission to address Judge Kelley directly,

                                                 14
which Judge Kelley allowed. The defendant’s father stated, “I want to ask for the mercy of the

court for my son because he—he not—he not—he not here mentally.”

¶ 26    In argument, the State contended, inter alia, that the murder occurred because the

“defendant was angry and this was not a psychiatric reason.” The State pointed to evidence from

trial that it suggested supported its position, stating, “This is not someone that has a psychiatric

problem that is overreactive. This is someone that shot someone that he was mad at, killed him,

and then tries to get rid of the vehicle and get rid of the evidence that would put him in the car.”

The State added, “There was nothing wrong with him. There was not any problem with his state

of mind at the time.” The State requested a sentence of 65 years’ imprisonment.

¶ 27    The defendant’s trial counsel argued, in mitigation, that the defendant “was suffering from

a serious mental illness at this time. He’s a diagnosed paranoid schizophrenic, and that is just the

tip of the iceberg when it comes to his diagnosis.” Counsel noted that the court had “Dr. Cuneo’s

fitness evaluation,” and that the defendant “was unfit when he first got into the system,” then

“spent a chunk of time at the Chester Mental Health Center,” which counsel suggested “speaks to

his state of mind as it was close to the time of this event.” Counsel added, “We acknowledge that

it doesn’t rise to the level of a defense ***, but it’s still a factor in mitigation.”

¶ 28    Before delivering sentence, Judge Kelley stated that he was “considering in mitigation that

the defendant suffers from a mental illness although the report from the court psychologist clearly

indicated that the defendant was not controlled by that mental illness in such a state that he was

unable to participate in his defense nor would it offer him a legal defense to these charges.” He

added that, based upon his own observation of the evidence at trial, it was his opinion that “mental

illness had little, if any, impact on the actions of the defendant.” Thereafter, Judge Kelley

sentenced the defendant to 65 years (including 25 years for personally discharging the firearm that

                                                    15
caused the death of the victim) in the Illinois Department of Corrections, followed by 3 years of

mandatory supervised release.

¶ 29   On March 7, 2018, the defendant’s counsel filed a motion to reconsider sentence. On April

4, 2018, the defendant filed, pro se, a handwritten document in which, inter alia, he claimed he

had received ineffective assistance of counsel at trial, and that Judge Kelley was biased against

him. The defendant also claimed that the defendant was “incompetent,” that his “mental played

role,” and that he “didn’t get to testify.” A hearing was held approximately two weeks later, on

April 17, 2018. Because Judge Kelley had retired shortly after sentencing the defendant, the

hearing was held before the Honorable Stephen P. McGlynn, who stated during the hearing that

he had reviewed the existent court file in the case. Judge McGlynn began the hearing by noting

the defendant’s pro se filing and stating that it included “an allegation of ineffective assistance of

counsel.” He stated that accordingly he was going to begin by having “a hearing pursuant to People

v. Krankel.” Judge McGlynn then explained the procedure he planned to follow to the defendant,

stating that it would be a “a non-adversarial hearing to allow you to explain to me in your own

words why you thought your counsel was ineffective.” He added that the State would not

participate, and that “[t]he attorneys that have been appointed to represent you in this case are also

not to be allowed to come in and try to explain away why they might disagree with your

assessment.” He then stated to the defendant, “So, in your own words, why don’t you tell me why

you believe your defense attorneys were ineffective.”

¶ 30   The defendant responded, “Because they didn’t represent me in the right way,” thereafter

adding, “[d]uring the course of trial, both trials, they really worked more with the State than with

me. It was—It was real bad.” In response to questions from Judge McGlynn, the defendant stated

that he wished to call as a witness a psychiatrist the defendant had seen “on the street” but that he

was not allowed to do so. The following colloquy then occurred:
                                              16
       “THE COURT: Did you have a defense of insanity?

       THE DEFENDANT: Well, when I first—

       THE COURT: Or guilty but—or sought a decision of guilty but mentally ill?

       THE DEFENDANT: I didn’t—I didn’t—I didn’t get to present anything at the

present or then. But once I was—

       THE COURT: Was this your second—

       THE DEFENDANT: —first incarcerated in St. Clair, they sent me to the Mental

Health Center, Psych Ward, Chester.

       THE COURT: Was this the second trial of this case?

       THE DEFENDANT: The first—

       THE COURT: And did the Appellate Court remand it or was there—was there a

new trial granted in a post-trial motion?

       THE DEFENDANT: Well, I went before the first trial.

       THE COURT: Yeah.

       THE DEFENDANT: And that was through a different judge, before Kelley.

       THE COURT: All right.

       THE DEFENDANT: And then when I was at the treatment place, the counselors or

caseworkers, or whoever was there, they kind of like tricked me into signing some papers

that I really wasn’t aware of what was going on at that moment, and they kind of coerced

me into signing some papers that—something like they had some answers or something

wrote down on it for me or something, and I didn’t really get to read them. But I guess that

was that I hadn’t—

       THE COURT: So, there was a—Previous in this case, there was—there was a

hearing on your fitness to stand trial, was there not?
                                          17
               THE DEFENDANT: Yes.

               THE COURT: Okay.

               THE DEFENDANT: That’s what I’m talking about now. I had—They had found

       not being able to stand trial at that time, and that’s when they sent me to Chester.

               THE COURT: All right. And after you received some treatment at Chestnut [sic],

       there was another hearing, and it was determined that you were fit to stand trial, is that

       correct?

               THE DEFENDANT: I don’t know about that treatment. But I know about the first

       one, though.”

¶ 31   Thereafter, Judge McGlynn asked the defendant if he had anything else to add about how

his attorneys were ineffective. The defendant responded that, during his trials, his attorneys “didn’t

object to anything that was wrong that the State presented” and “basically helped the State to

convict me on charges—over charges.” He complained that his attorneys refused to file motions

he wished to file, lied to him, did not allow him to testify, and conspired with the State and with

Judge Kelley to convict him. He stated that he believed he was “discriminated upon,” and added

that his conspirators “thought because of my mental health and lack of education that they can just

like run over on me, and stuff like that.” He concluded that “it’s just—it’s a real—it was real

corrupted, a real corrupted courtroom.” Immediately thereafter, Judge McGlynn stated, “I think

that listening to the defendant and considering what was set out in his written motion, to the extent

that it’s legible, I believe that issues of ineffective counsel can be raised on appeal and it’s not

necessary at this point for me to appoint new counsel for the defendant.” He added that he also

believed it was “not necessary that I prevent his present counsel from arguing the motion to

reconsider the sentence.” Thereafter, the defendant’s motion to reconsider sentence was argued.

At the conclusion of the State’s argument, the following colloquy occurred:
                                                18
               “THE COURT: Was mental health an element in any of these—

               THE DEFENDANT: No. Can I ask you something, Judge?

               THE COURT: No, sir, no. Not at the moment.

               THE DEFENDANT: Please, Mr.—

               THE COURT: Not at the moment.

               THE DEFENDANT: All right. Thank you.

               THE COURT: Was there—Was mental health made an—even an affirmative

       defense or was it part of this case?

               [COUNSEL FOR THE STATE]: No, Your Honor, other than the—as the Court

       inquired, for the fitness issues originally, no, there was no issues of—

               THE COURT: Okay.

               [COUNSEL FOR THE STATE]: —guilty but mentally ill or anything like that.

               THE COURT: All right.”

¶ 32   Judge McGlynn then asked the defendant’s counsel if counsel had anything to add. Counsel

noted that he believed the defendant wished to speak. Judge McGlynn agreed, but gave counsel a

second opportunity to add to the conversation. Counsel stated, “I have nothing else, Your Honor.”

Judge McGlynn then spoke again with the defendant, who took issue with the State’s arguments

on the motion to reconsider, and with his trial in general. At the conclusion of the hearing, Judge

McGlynn took the motion to reconsider under advisement and subsequently denied it.

¶ 33   The defendant filed a timely appeal in which he contended that (1) “ ‘[t]he trial court and

counsel improperly continued with trial after a bona fide doubt as to fitness should have been

raised [because the defendant] did not take his medication the [second] day of trial and [thereafter

began] acting erratically,’ ” and (2) in the alternative, “ ‘the trial court failed to conduct an

adequate Krankel inquiry into [the defendant’s] pro se allegations that trial counsel provided
                                            19
ineffective assistance.’ ” Garrett, 2021 IL App (5th) 180277-U, ¶ 33. This court agreed with the

latter contention, concluding that a number of issues rendered the first Krankel proceedings

insufficient. Id. ¶¶ 38-43. Because of our conclusion with regard to the defendant’s latter

contention, we declined to reach his first contention. Id. ¶ 43. Instead, we remanded with directions

for the circuit court to conduct proper Krankel proceedings with regard to the defendant’s pro se

assertions of ineffective assistance of trial counsel. Id. ¶¶ 43-45.

¶ 34   Because of what occurred, and did not occur, on remand, we find it necessary to briefly

discuss some of the concerns we raised in the analysis section of our previous order about the

insufficiency of the first Krankel proceedings, and how we hoped they would be remedied by

adequate Krankel proceedings on remand. After explaining the facts also explained above in this

disposition, we first noted that Judge McGlynn did not question the defendant’s trial counsel at the

first Krankel proceedings, even though doing so was permissible and indeed is a quite routine

manner of proceeding in a preliminary Krankel inquiry. Id. ¶ 38.

¶ 35   We also noted that although the defendant told Judge McGlynn that the defendant was not

allowed, at any point, to present an insanity defense or a guilty but mentally ill defense, Judge

McGlynn did not follow up on this contention during the Krankel inquiry. Id. ¶ 40. We further

noted that, instead, during the subsequent hearing on the motion to reconsider sentence, Judge

McGlynn asked the State, rather than the defendant’s trial attorneys, if “ ‘mental health’ ” was

“ ‘made an—even an affirmative defense or was it part of this case?’ ” Id. We noted that counsel

for the State responded, “ ‘No, Your Honor, other than the—as the Court inquired, for the fitness

issues originally, no, there was no issues of *** guilty but mentally ill or anything like that.’ ” Id.

¶ 36   We expressed our puzzlement at this statement from the State, “in light of the fact that on

October 25, 2016, the judge who preceded Judge Kelley entered an order appointing Dr. Cuneo,

on the motion of the defendant, to evaluate the defendant’s ‘sanity at the time of the offense, and
                                                20
whether he would qualify for a guilty-but-mentally-ill plea.’ ” Id. ¶ 41. We also expressed concern

about “why, when subsequently given the opportunity to speak—an opportunity they were not

given during the Krankel inquiry—the defendant’s trial attorneys also failed to reference the

October 25, 2016, order,” and noted that the foregoing was “especially concerning because ***

that order specified that because Dr. Cuneo was being appointed as an expert witness for the

defense, Dr. Cuneo’s report would be provided to the defendant’s trial attorneys only.” Id. We

reasoned that “[b]ecause of the manner in which the Krankel inquiry unfolded, it remain[ed]

unclear from the record if Dr. Cuneo ever produced any such report, and if so, whether the

defendant’s trial attorneys ever received the report, ever read the report, and ever considered

formulating defenses on the basis of the report.” Id. ¶ 42. We added the following:

               “Although, as explained above, at the defendant’s sentencing hearing, one of the

        defendant’s trial attorneys stated, with regard to the defendant’s mental health, that ‘[w]e

        acknowledge that it doesn’t rise to the level of a defense ***, but it’s still a factor in

        mitigation,’ that in no way clarifies the question of whether Dr. Cuneo ever generated such

        a report, and whether the defendant’s attorneys ever received, read, and considered such a

        report when formulating potential defenses in this case, because although counsel

        referenced ‘Dr. Cuneo’s fitness evaluation,’ when making this statement, he did not

        reference any other type of report from Dr. Cuneo or any other expert, such as a report

        discussing potential insanity or guilty but mentally ill defenses.” Id. ¶ 42 n.4.

We thereafter noted that “[d]epending upon the results of the circuit court’s proceedings on remand

in this case, the defendant’s other claim of error may become moot,” but that if it did not, it was

“our expectation that adequate Krankel proceedings [would] produce a more complete record of

matters that may be related to that claim, so that we [could] adequately address the claim.” Id.

¶ 43.
                                                  21
¶ 37    On remand, the judge then handling the case, the Honorable Julie K. Katz, entered an order

on January 25, 2021, in which she noted that the defendant had filed, on March 19, 2020, a

postconviction petition in which he claimed ineffective assistance of counsel. Judge Katz ruled

that in light of our remand, proceedings on the defendant’s postconviction petition should be stayed

pending the outcome of the proper preliminary Krankel inquiry we ordered. On February 12, 2021,

the defendant filed a pro se motion to dismiss the case against him, wherein he also made certain

allegations of, inter alia, ineffective assistance of counsel. Thereafter, the case was assigned to the

Honorable Christopher E. Hitzemann for purposes of the Krankel proceedings.

¶ 38    On April 26, 2021, Judge Hitzemann held a hearing at which he noted that the circuit court

had not yet received copies of the briefs filed by the parties on appeal. He stated that he wanted

“to make sure that we are completely clear as to all the issues that have been raised in the appellate

court so that I can also potentially address them here with you and with the other parties.”

Accordingly, the matter was reset for May 17, 2021.

¶ 39    On May 17, 2021, the Krankel proceedings were held. Judge Hitzemann began the

proceedings by asking the defendant to tell Judge Hitzemann what “issues” the defendant had with

the representation he received from his attorneys at trial. The defendant indicated that he had “a

list of stuff,” which he began to recite orally. He recited over 30 allegations. Judge Hitzemann then

asked if he could see the written list, which the defendant provided to him. A copy of the

defendant’s list was admitted into evidence and is contained within the record on appeal. Judge

Hitzemann then went through the list, asking the defendant for more details about the allegations.

Of relevance to this appeal, although the defendant’s list alleged that his attorneys did not present

a defense at trial, and did not tell him prior to trial that they had no defense to present, and although

the list further alleged that his counsel “didn’t say anything about [his] mental status,” the

defendant’s list did not specifically allege that his attorneys failed to properly investigate the
                                                22
defendant’s sanity at the time of the offense, and/or whether he would qualify for a guilty but

mentally ill plea. The defendant also alleged that his attorneys “failed to let [him] testify.”

¶ 40   During a discussion of the defendant’s claim that his attorneys should have called a Dr.

Muhammad Baber as a witness for the defendant, Judge Hitzemann asked the defendant’s trial

counsel if they were aware of the defendant’s prior relationship with Dr. Baber as a treating

physician for mental health issues. One of his counsel testified that they were aware of it, and that

they told the defendant that because Dr. Cuneo had been appointed to “review [the defendant] for

fitness,” Dr. Cuneo would be their only witness as to the defendant’s fitness. Counsel testified that

they told the defendant that if the defendant wanted another witness to testify about the defendant’s

fitness, they would have to hire that witness, which they did not believe they had the funds to do.

¶ 41   Noting the concerns this court raised in its previous order, Judge Hitzemann then asked

counsel if Dr. Cuneo did in fact evaluate the defendant’s sanity at the time of the offense, as well

as whether the defendant would qualify for a guilty but mentally ill plea. One of the defendant’s

counsel testified that Dr. Cuneo did, and that counsel had the report with him at the hearing. He

offered to share the report with Judge Hitzemann. Counsel then testified that Dr. Cuneo concluded

that the defendant “would not qualify” for a not guilty by reason of insanity (NGRI) defense, but

that the defendant “would qualify for a guilty but mentally ill plea.” Counsel then added the

following:

       “We had numerous conversations with [the defendant] about that, basically with the

       understanding that the only way to get to the guilty but mentally ill plea part of it is *** in

       essence to admit your actions in the role. It was always his claim that he was innocent of

       the charges, and that it was not him on that day, therefore, we did not think it prudent to go

       forward with that type of defense.”

                                                  23
¶ 42   Thereafter, Judge Hitzemann thoroughly reviewed the rest of the defendant’s allegations

with the defendant, giving the defendant the opportunity to add details or further explain the

allegations. With regard to the defendant’s claim that his counsel “didn’t say anything about [his]

mental status,” the defendant explained that in that claim, “I was saying that they didn’t say

anything about my meds because I had been on meds, like, a long time and stuff like that, and it

was kind of playing a role into me not being coherent and be able to respond and stuff like that.”

He added, “And I was off my meds.” Judge Hitzemann then stated, “so you would have had them

mention something about your meds during the course of the trial to the jury?” The defendant

responded, “They were trying to say that my *** mental health condition isn’t legit, and they

wouldn’t let me testify to clear my name or nothing.” He added the following:

               “And at the same time, I was kind of scared to testify, how all these guns was

       coming at me and stuff. It made me hard. I had realized that my counsel was against me.

       The prosecutor was against me. The judge, the jurors, the bailiff, everybody was against

       me, so they told me don’t testify, and at the same [time,] I was scared to testify.”

¶ 43   Judge Hitzemann thereafter indicated that he would ask more questions of the defendant’s

trial counsel. Of relevance to this appeal, he noted that there were concerns about the “defendant’s

behavior during trial or at the beginning of trial,” and asked counsel “if there was any ***

consideration or anything that had been made regarding raising an issue of fitness at that point?”

Counsel testified as follows:

       “[G]iven the different things that Dr. Cuneo had lamented in even the guilty but mentally

       ill NGRI report had to do with [the defendant] making things worse than they were

       medically show when we started the second trial and started to have some of these issues,

       we recessed. Over the course of that evening, Dr. Cuneo—I believe he did it through going

       over to the county jail. I don’t think he did it on their video phone, but Dr. Cuneo did have
                                                  24
       an opportunity to meet with [the defendant]. He then made a phone call with [co-counsel]

       and I, indicating to us that it was his belief that [the defendant] was still fit; and that it was

       basically some of the same underlying issues that we were seeing in the earlier

       evaluations.”

Judge Hitzemann clarified that counsel was referring to the defendant’s second trial. Counsel

agreed that this is what he was referring to, then added:

               “This happened at—we recessed I believe at some point in time on the first day. I

       think it was because we *** figured out that he may not have gotten his medication that

       morning, so we recessed, based—and that—Judge, actually that was one of the other

       reasons why we wanted Dr. Cuneo to go over there was because he hadn’t gotten his

       medication that day[,] we knew that Dr. Cuneo would tell us if he thought there was a

       reason to—to hold up the trial.”

The defendant then raised his hand, and when Judge Hitzemann allowed the defendant to speak,

the defendant stated that he believed Dr. Cuneo was “a dirty doctor” who would do “whatever they

tell him to do.” When asked, the defendant stated that he did not remember speaking to Dr. Cuneo

during the defendant’s second trial, or to anyone else during that trial.

¶ 44   When questioned by Judge Hitzemann, counsel clarified that the date of the “initial NGRI”

report from Dr. Cuneo was December 2, 2016. Judge Hitzemann thereafter stated that “obviously

there was no NGRI defense based” upon Dr. Cuneo’s report, and asked counsel if they had

discussed self-defense with the defendant. Following that discussion, Judge Hitzemann discussed

some of the defendant’s other allegations with counsel. After again allowing the defendant to raise

any other issues about the defendant’s claims that the defendant wished to raise, Judge Hitzemann

again discussed this court’s previous order, and pronounced his findings.

                                                  25
¶ 45   Judge Hitzemann ruled, inter alia, that “many of the claims here that *** were made today

and that have been previously made are the types of things that go to the trial strategy and the

decisions that are left to an attorney to make.” He added:

               “I think the last thing to deal with here is the issue of fitness and whether that the

       *** defendant’s actions on the first day of trial and then thereafter constituted a reason that

       *** a bona fide doubt should have been raised for his fitness *** to stand trial. And a piece

       of information that we’ve learned here today that we hadn’t previously known was that

       there was—I do find, based on what was said here today, that there was—Dr. Cuneo had

       been *** at least, consulted about what was going on. I understand through the NGRI

       defense and through other doctors that had previously seen and evaluated the defendant

       that there were some issues and some concerns about beleaguering [sic] and for failing to

       cooperate and purposely failing to cooperate.

               So, here today, I’m going to find that the defendant’s claims were either without

       merit or were trial strategy, and I am going to dismiss the defendant’s pro se petition here

       *** pursuant to Krankel.”

Judge Hitzemann thereafter stated that Dr. Cuneo’s December 2, 2016, NGRI report would be

filed under seal, and would be available for review if needed. We have reviewed Dr. Cuneo’s

December 2, 2016, NGRI report, which consists of five typewritten pages and is now contained

within the impounded record on appeal, and we find that its contents are consistent with the

testimony about the report that was provided to Judge Hitzemann at the hearing by the defendant’s

trial counsel. In addition to the testimony about the report provided to Judge Hitzemann, we note

that in the report, Dr. Cuneo mentioned Dr. Vallabhaneni’s concern that the defendant was

exaggerating his mental health symptoms to avoid trial, and noted that “[f]or the first 20 minutes

                                                 26
of” Dr. Cuneo’s own evaluation of the defendant for the report, the defendant “played extremely

mentally ill.” Dr. Cuneo gave examples of the defendant’s behavior, then added:

       “Despite [the defendant’s] attempt to play extremely mentally ill, his thinking itself was

       neither loose nor tangential as he could respond logically to questions when he chose to do

       so. I read to him his current charge and parts of the report from Dr. Vallabhaneni. I told

       him that I felt he was playing games with me as his psychiatric symptoms were not

       consistent and that I was going to leave. I told him the interview was over. He then asked

       if we could start over.”

¶ 46   Dr. Cuneo noted that his mental status examination revealed that the defendant was

“oriented in all three spheres—person, time, and place,” and that the defendant “denied currently

experiencing hallucinations,” although “he did admit to experiencing them in the past when he was

not taking his medication.” Dr. Cuneo quoted the defendant as stating that the defendant was “ ‘not

hearing voices on this medication,’ ” even though the defendant reported having hallucinations

when “not on them.” Dr. Cuneo contrasted his earlier examinations of the defendant, in December

2015 and January 2016, when the defendant reported hearing voices, noting that at present, “[n]o

delusional material could currently be elicited in his thinking,” and that the defendant’s “thinking

itself was neither loose nor tangential as he could logically and coherently respond to questions

when he chose to do so.” Dr. Cuneo noted that this was much different than at the earlier two

examinations, when the defendant’s “thinking had been extremely impoverished and there

appeared to be thought blockage.” Dr. Cuneo made other observations about the defendant’s

mental functioning, then noted that “[a]fter our confrontation as to [the defendant] playing

extremely mentally ill, his affect was appropriate to the situation.”

¶ 47   Dr. Cuneo thereafter noted that the defendant’s mother had reported that the defendant

became “extremely angry and irritable when he was not taking his psychotropic medication,” and
                                             27
that she stated that the defendant stopped taking his shots (which Dr. Cuneo characterized as “his

psychotropic medication”) around June 2015, and “ ‘got real negative, angry, cursing,’ ” and had

memory problems. Dr. Cuneo recounted the defendant’s history of dealing with his mental illness

by self-medicating, and noted the defendant’s history of numerous legal problems. He pointed out

that the defendant had “been repeatedly noncompliant with his psychotropic medication, even in

the prison setting, and was placed on enforced medication by the courts.”

¶ 48   Dr. Cuneo listed the following as his diagnoses for the defendant based upon Dr. Cuneo’s

“evaluation to date”: schizophrenia; cannabis use disorder, moderate, in a controlled environment;

cocaine use disorder, moderate, in a controlled environment; phencyclidine use disorder, moderate,

in a controlled environment; methamphetamine use disorder, moderate, in a controlled

environment; opioid use disorder, moderate, in a controlled environment; alcohol use disorder,

moderate, in a controlled environment; antisocial personality disorder; and borderline intellectual

functioning. With regard to the charged offense, Dr. Cuneo noted, inter alia, that the defendant

“denied that he was actively hearing voices or delusional at the time of the offense.” Dr. Cuneo

thereafter opined—as the defendant’s counsel reported to Judge Hitzemann—that the defendant

“was legally sane at the time of the alleged offense,” but that he “would qualify for a guilty but

mentally ill plea” because, inter alia, the defendant’s “mental illness and his substance abuse

played a major role in his actions at the time of the alleged offense.”

¶ 49   Also on May 17, 2021, Judge Hitzemann entered his written order, in which he ruled that

the defendant’s pro se claims of ineffective assistance of counsel “lack merit or pertain only to

matters of trial strategy,” and that accordingly, the defendant was not entitled to relief. This timely

appeal followed. Additional facts will be presented as necessary in the remainder of this order.

                                                  28
¶ 50                                       II. ANALYSIS

¶ 51   On appeal, the defendant contends that (1) Judge Kelley erred when he found, on

December 29, 2016, that the defendant had been restored to fitness; (2) during the defendant’s

second trial, in February 2018, Judge Kelley “erred in not ordering a new fitness evaluation after

being informed that [the defendant] had not received his medications and was not communicating

with counsel, and after witnessing his disruptive and self-destructive conduct during the trial”;

(3) also during the defendant’s second trial, the defendant “was denied the effective assistance of

trial counsel, where counsel failed to raise the issue of [the defendant’s] fitness during the trial and

failed to preserve the issue *** after the trial”; and (4) on remand from this court’s previous order,

Judge Hitzemann “erred in dismissing [the defendant’s] post-trial claim of ineffective assistance

of counsel that implicated the fitness issue.” As a preliminary matter, we note that the State

contends that some of the “facts” in the defendant’s opening brief are impermissibly argumentative

or provide inappropriate commentary, and asks this court to strike them. However, we agree with

the defendant’s appellate counsel that the statements in question are more properly construed as

attempts to make fact-based characterizations of documents or events found or depicted in the

record on appeal, and do not represent impermissible argument or commentary. Accordingly, we

decline to strike the statements. We note, however, that to the extent that there may be

argumentative or otherwise inappropriate aspects to any of the statements, we will disregard said

aspects and draw our own conclusions based upon our independent review of the relevant portions

of the record on appeal.

¶ 52   We turn now to the merits of the defendant’s claims. With regard to his claim that Judge

Kelley erred when he found, on December 29, 2016, that the defendant had been restored to fitness,

the defendant contends that Judge Kelley “summarily adopted the conclusion of Dr. Vallabhaneni

that [the defendant] was fit to stand trial, based solely on the stipulations of counsel, apparently
                                                 29
without even reading Dr. Vallabhaneni’s report, and without conducting any independent inquiry

into [the defendant’s] fitness whatsoever.” The defendant acknowledges that this court will not

reverse the circuit court’s determination that a defendant is fit to stand trial unless that

determination represents an abuse of the circuit court’s discretion, which is a very deferential

standard of review, but argues that in this case there was an abuse of discretion because Illinois

precedent requires that the record show an affirmative exercise of judicial discretion regarding the

fitness determination, which he claims is not present here.

¶ 53   In support of this contention, the defendant posits that the record suggests that at the

December 29, 2016, status hearing at which Judge Kelley found that the defendant had been

restored to fitness, Judge Kelley was handed Dr. Vallabhaneni’s report just “moments” before

making his ruling, which he contends further suggests that Judge Kelley never read Dr.

Vallabhaneni’s report, especially when his oral statement that he “would find that based upon the

reports and stipulations that the defendant is fit to stand trial,” is contrasted with his written

statement, in his subsequent order, that “based on the stipulation,” he found the defendant fit to

stand trial. According to the defendant, Judge Kelley’s failure to state that he read (and thereafter

independently analyzed and evaluated) Dr. Vallabhaneni’s report demonstrates an abuse of

discretion. However, we agree with the State that because Judge Kelley clearly stated that he was

basing his finding “upon the reports,” as well as upon the stipulations, he was clearly indicating

that he had read the reports, including Dr. Vallabhaneni’s report. We decline to conclude that Judge

Kelley would state that he was basing his finding in part on a report he had not read and evaluated,

and further decline to conclude that the record does not show that Judge Kelley affirmatively

exercised his judicial discretion when he made his ruling on this point.

¶ 54   We first note that although the defendant suggests the ruling came “moments” after Judge

Kelley was handed Dr. Vallabhaneni’s report, even if we were to assume, arguendo, that Judge
                                             30
Kelley had not accessed Dr. Vallabhaneni’s report prior to the hearing (despite its existence in the

court file), there is no description in the transcript of the hearing regarding how much time passed

between when the report was handed to Judge Kelley and when he ruled. We further note that it is

not uncommon for a report of proceedings transcript—in the absence of a recess or some other

noteworthy event, such as the beginning or ending of jury deliberations—to fail to describe the

passage of time, especially in the context of how long a document is scrutinized by a witness,

attorney, or judge, prior to that individual responding to the document. Moreover, a circuit court

judge is presumed to know the law and apply it properly (see, e.g., People v. Baugh, 358 Ill. App.

3d 718, 730 (2005)), which in this case would include the requirement that Judge Kelley read and

analyze the report so that he could exercise his judicial discretion in making his ruling.

¶ 55   If it were clear from the record that Judge Kelley could not have done so in this case, we

would agree with the defendant; however, notwithstanding the requirement that the record show

an affirmative exercise of judicial discretion regarding a fitness determination, we decline to find

that under the circumstances of this case, to comply with that requirement Judge Kelley was

required to make an additional statement such as “I have now read and analyzed the document I

am holding.” Where, as here, the judge has stated that he is basing his determination in part on a

report clearly in his immediate possession, we will presume—unless there is definitive evidence

to the contrary—that he has read it and independently evaluated its contents.

¶ 56   We note as well that although we agree with the defendant that according to the record on

appeal, this was the defendant’s first appearance before Judge Kelley in this case—and therefore

agree with the defendant that the State is incorrect when it suggests that Judge Kelley had ample

prior opportunities to observe the defendant—nevertheless Judge Kelley certainly was able to

observe the defendant at the hearing on December 29, 2016, and in our view the record reveals no

behavior on the part of the defendant at the hearing that was disruptive, suggested disorientation,
                                                31
or otherwise should have caused Judge Kelley to question or reassess his determination that the

defendant had been restored to fitness and accordingly was fit for trial. Indeed, as described in

detail above, and discussed in detail below, subsequent to Judge Kelley’s December 29, 2016,

determination of fitness, the first problematic behavior from the defendant did not arise until over

a year later, at the defendant’s second trial in February of 2018. As a result, we are not persuaded

by the defendant’s arguments in support of his first contention on appeal.

¶ 57   We turn therefore to the defendant’s three remaining contentions of error, which we note

are intertwined to the extent that each focuses on the events that transpired on the second and third

days of the defendant’s second jury trial: February 6, 2018, and February 7, 2018. The events of

those days are described in detail above. In this appeal, the defendant’s arguments related thereto

are that (1) even if Judge Kelley “committed no error when [he] found [the defendant] fit on

December 29, 2016, [he] should have suspended or continued the trial on February 6 or 7, 2018,

in order to conduct a new fitness evaluation and hearing, after [the defendant] began repeatedly

disrupting the proceedings, and [Judge Kelley] learned that [the defendant] had not been receiving

his prescribed medications and was refusing to communicate with his attorneys,” because a

bona fide doubt existed as to the defendant’s fitness at that time; (2) notwithstanding Judge

Kelley’s obligation to act on the bona fide doubt that existed as to the defendant’s fitness at that

time, the defendant’s trial counsel provided ineffective assistance of counsel when they too failed

to act on that bona fide doubt (specifically, when they failed to raise the issue and request a new

fitness evaluation, and when they failed to preserve the issue for appeal); and (3) Judge Hitzemann

“erred in dismissing [the defendant’s] post-trial claim of ineffective assistance of counsel that

implicated the fitness issue.”

¶ 58   With regard to the final of these three contentions, we first commend Judge Hitzemann for

his detailed, thorough, and patient handling of the defendant’s second Krankel proceedings. As a
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result of Judge Hitzemann’s diligence related thereto, the vast majority of the defendant’s pro se

claims and related concerns now have been settled, including one of the concerns we noted in our

previous order in this case. As described above, in that order, we noted that although at the

defendant’s first Krankel inquiry, the defendant told Judge McGlynn that the defendant was not

allowed, at any point, to present an insanity defense or a guilty but mentally ill defense, Judge

McGlynn did not follow up on this contention during his Krankel inquiry. See Garrett, 2021 IL

App (5th) 180277-U, ¶ 40. Also as described above, we expressed additional related concerns

about this, and ultimately noted that “[b]ecause of the manner in which the [first] Krankel inquiry

unfolded, it remain[ed] unclear from the record if Dr. Cuneo ever produced [a report with regard

to sanity at the time of the offense, and with regard to a guilty but mentally ill plea], and if so,

whether the defendant’s trial attorneys ever received the report, ever read the report, and ever

considered formulating defenses on the basis of the report.” Id. ¶¶ 41-42. As described above, as

a result of the proceedings held by Judge Hitzemann, that question now has been definitively

answered, and in this appeal, the defendant has not challenged anything related to that question,

and has not challenged any of Judge Hitzemann’s other rulings, with the exception of his ruling

“that implicated the fitness issue.”

¶ 59    Returning to that issue, we conclude that, unfortunately, Judge Hitzemann’s best efforts

notwithstanding, there remain troubling questions related to the fitness of the defendant on the

second and third days of his trial: February 6, 2018, and February 7, 2018. As described above, in

response to Judge Hitzemann’s questions regarding this issue, the defendant’s trial counsel

testified as follows:

        “[G]iven the different things that Dr. Cuneo had lamented in even the guilty but mentally

        ill NGRI report had to do with [the defendant] making things worse than they were

        medically show when we started the second trial and started to have some of these issues,
                                              33
       we recessed. Over the course of that evening, Dr. Cuneo—I believe he did it through going

       over to the county jail. I don’t think he did it on their video phone, but Dr. Cuneo did have

       an opportunity to meet with [the defendant]. He then made a phone call with [co-counsel]

       and I, indicating to us that it was his belief that [the defendant] was still fit; and that it was

       basically some of the same underlying issues that we were seeing in the earlier

       evaluations.”

Judge Hitzemann clarified that counsel was referring to the defendant’s second trial. Counsel

agreed that this is what he was referring to, then added:

               “This happened at—we recessed I believe at some point in time on the first day. I

       think it was because we *** figured out that he may not have gotten his medication that

       morning, so we recessed, based—and that—Judge, actually that was one of the other

       reasons why we wanted Dr. Cuneo to go over there was because he hadn’t gotten his

       medication that day[,] we knew that Dr. Cuneo would tell us if he thought there was a

       reason to—to hold up the trial.”

¶ 60   For the reasons that follow, we conclude that the testimony provided to Judge Hitzemann

by the defendant’s trial counsel simply does not include the critical information necessary for this

court—or any court—to rule on the defendant’s remaining three contentions of error, including

with regard to ineffective assistance of trial counsel, described in detail above. For example, trial

counsel was unable to testify with certainty as to whether Dr. Cuneo even visited the defendant in

person to evaluate him, or whether he did so over a video phone link. With regard to Dr. Cuneo’s

subsequent “belief”—as the defendant’s trial counsel characterized it—that the defendant

remained fit, counsel did not testify as to the level of certainty with which Dr. Cuneo expressed

this “belief,” or whether Dr. Cuneo stated that he would be willing to testify under oath as to this

“belief” that the defendant was still fit. Counsel also described only vaguely his own understanding
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of the reasons for Dr. Cuneo’s “belief,” stating “that it was basically some of the same underlying

issues that we were seeing in the earlier evaluations.”

¶ 61   Moreover, although counsel testified that “we *** figured out that he may not have gotten

his medication that morning, so we recessed, based—and that—Judge, actually that was one of the

other reasons why we wanted Dr. Cuneo to go over there was because he hadn’t gotten his

medication that day[,] we knew that Dr. Cuneo would tell us if he thought there was a reason to—

to hold up the trial,” counsel did not testify that anyone told Dr. Cuneo that the defendant had not

been administered his medication that morning, or that Dr. Cuneo learned of this in some other

way. This is significant, because although it is true, as the State argues in this appeal, that there

existed some evidence from Dr. Vallabhaneni’s reports that he believed the defendant may have

been exaggerating, or even faking, his symptoms, and may not have needed to be on medication

at all, Dr. Vallabhaneni was vague and equivocal about this, and never rendered a definitive

opinion that this was the case. He also never altered the defendant’s medications in accordance

with such an opinion.

¶ 62   In contrast, in Dr. Cuneo’s December 2, 2016, report—in which Dr. Cuneo discussed in

detail Dr. Vallabhaneni’s concerns, as well as Dr. Cuneo’s own impressions with regard to this

point—Dr. Cuneo painted a far more concrete, yet nuanced, picture of the defendant’s mental

fitness and its relationship to his medications. As described above, Dr. Cuneo’s report made it

clear that Dr. Cuneo believed that he could determine when the defendant was merely

“attempt[ing] to play extremely mentally ill,” because at such times the defendant’s “thinking itself

was neither loose nor tangential as he could respond logically to questions when he chose to do

so.” Dr. Cuneo noted that at that time, Dr. Cuneo’s mental status examination revealed that the

defendant was “oriented in all three spheres—person, time, and place,” and that the defendant

“denied currently experiencing hallucinations,” although “he did admit to experiencing them in
                                               35
the past when he was not taking his medication.” Dr. Cuneo quoted the defendant as stating that

the defendant was “ ‘not hearing voices on this medication,’ ” even though the defendant reported

having hallucinations when “not on them.”

¶ 63   Dr. Cuneo contrasted his earlier examinations of the defendant, in December 2015 and

January 2016, when the defendant reported hearing voices, noting that at present, “[n]o delusional

material could currently be elicited in his thinking,” and that the defendant’s “thinking itself was

neither loose nor tangential as he could logically and coherently respond to questions when he

chose to do so.” Dr. Cuneo noted that this was much different than at the earlier two examinations,

when the defendant’s “thinking had been extremely impoverished and there appeared to be thought

blockage.” Dr. Cuneo thereafter noted that “[a]fter our confrontation as to [the defendant] playing

extremely mentally ill, his affect was appropriate to the situation.”

¶ 64   Dr. Cuneo also thereafter noted that the defendant’s mother had reported that the defendant

became “extremely angry and irritable when he was not taking his psychotropic medication,” and

that she stated that the defendant stopped taking his shots (which Dr. Cuneo characterized as “his

psychotropic medication”) around June 2015, and “ ‘got real negative, angry, cursing,’ ” and had

memory problems. Dr. Cuneo recounted the defendant’s history of dealing with his mental illness

by self-medicating, noted the defendant’s history of numerous legal problems, and pointed out that

the defendant had “been repeatedly noncompliant with his psychotropic medication, even in the

prison setting, and was placed on enforced medication by the courts.” Ultimately, Dr. Cuneo

continued to include schizophrenia as one of his diagnoses for the defendant based upon Dr.

Cuneo’s “evaluation to date.”

¶ 65   Accordingly, based upon the opinions Dr. Cuneo previously expressed about the defendant,

it is reasonable to conclude that if Dr. Cuneo believed the defendant was medication-compliant

when the defendant began disrupting his trial on February 6, 2018, Dr. Cuneo might well have
                                              36
found the defendant to be fit but malingering on that date, whereas if he had known the defendant

was not medication-compliant, he might have found the defendant had lapsed again into unfitness.

Indeed, not only did Dr. Cuneo—unlike Dr. Vallabhaneni—not question the reality of the

defendant’s prior unfitness when the defendant was not medicated, Dr. Cuneo, as explained above,

is the doctor who initially found the defendant to be unfit in this case, noting in his January 18,

2016, report that the defendant was “presently unfit to stand trial,” but that if the defendant “were

provided with a course of inpatient psychiatric treatment and stabilized on psychotropic

medication” (emphasis added), there then existed “a substantial probability that [the defendant]

would be able to attain fitness within the course of one year.”

¶ 66   In addition to the foregoing problems with the testimony provided to Judge Hitzemann by

the defendant’s trial counsel, even if we were to assume, arguendo, that Dr. Cuneo was told, or

otherwise learned, that the defendant was not administered his medication on the second day of

his trial, there exists no testimony that Dr. Cuneo was aware of what the defendant’s medication

consisted of in February 2018 (well over a year after Dr. Cuneo’s last examination of the

defendant), and in what doses, or that he opined in any way with regard to how his knowledge of

the medications and doses impacted his “belief” that the defendant was still fit, possible concerns

about “malingering” notwithstanding. Likewise, there exists no testimony with regard to whether

Dr. Cuneo opined as to how the defendant missing his medication on the morning of the second

day of his trial would impact the defendant on the third day of his trial if the defendant received

the proper dose on the morning of the third day of the trial. This is significant in light of the fact

that the defendant continued to be disruptive on the third day of his trial. If Dr. Cuneo had opined

that this would not happen if the defendant took his third-day dose, it is clear that effective trial

counsel, seeing the new disruptions, certainly would have been forced to question (and raise with

Judge Kelley) the accuracy of Dr. Cuneo’s opinion as to the defendant’s fitness, if in fact that
                                            37
opinion was based strictly on medication, not malingering. On top of that, as described above,

Judge Kelley did not make a record with regard to whether the defendant received his medication

on the third day of his trial, and the defendant’s trial counsel provided no information to Judge

Hitzemann with regard to that point either, although presumably counsel could have done so.

¶ 67   It is of course possible that Dr. Cuneo was fully aware of the medications, and doses

thereof, that the defendant was not administered on the morning of February 6, 2018, and that he

told the defendant’s trial counsel that missing that medication, in those doses, on one morning

would not cause the defendant to become unfit—or at least not cause him to become unfit as

quickly as he allegedly did—and that therefore Dr. Cuneo’s “belief” that the defendant remained

fit was based upon Dr. Cuneo’s belief that the defendant was exaggerating his symptoms and/or

otherwise malingering. It is also possible that Dr. Cuneo determined that the defendant was

malingering because, during his visit with the defendant on February 6, 2018, he determined, as

he had on a previous occasion, that the defendant’s “thinking itself was neither loose nor tangential

as he could respond logically to questions when he chose to do so,” and that therefore Dr. Cuneo

believed that the defendant was again “attempt[ing] to play extremely mentally ill.” However,

there is at present no testimony in the record to support such possibilities, which means that at this

point they are mere speculations.

¶ 68   We believe that it is possible that upon further questioning, the defendant’s trial counsel

could provide more precise testimony about what happened during the second and third days of

the defendant’s second trial, including with regard to Dr. Cuneo. We also believe it is possible that

documentary evidence exists that would answer some or all of the foregoing questions, and/or that

other witnesses with direct or indirect knowledge of these events could provide testimony and/or

documentation to answer the questions necessary to rule on the defendant’s fitness on February 6

and 7, 2018. That said, at this point this critical information is missing from the record, and we
                                                  38
decline the State’s invitation to conclude that the information currently found in the record

provides sufficient support for us to summarily deny the defendant’s remaining three contentions

of error.

¶ 69    For the foregoing reasons, we conclude that the proper remedy in this case is for this court

to vacate Judge Hitzemann’s order, and to remand this cause to the circuit court for a retrospective

fitness hearing to determine if the defendant was fit to stand trial on February 6 and 7, 2018. See,

e.g., People v. Payne, 2018 IL App (3d) 160105, ¶ 14 (retrospective fitness hearings, once

disfavored, now are appropriate if the court believes that the defendant’s fitness to stand trial can

be fairly and accurately determined on remand). If, following the retrospective fitness hearing, the

circuit court concludes that the defendant’s fitness on February 6 and 7, 2018, can be accurately

assessed and confirmed, despite the passage of time, his conviction and sentence should be

affirmed (see, e.g., People v. Gipson, 2015 IL App (1st) 122451, ¶ 38), because we conclude that

if the defendant was in fact fit on those dates, none of the defendant’s remaining three contentions

of error rise to the level of error necessary to entitle him to a new trial or any other new proceedings.

Under those circumstances, Judge Hitzemann’s order that we are vacating also should be reentered

by the circuit court, because it is otherwise unchallenged on appeal (see Ill. S. Ct. R. 341(h)(7)

(eff. Oct. 1, 2020) (argument must contain the contentions of the appellant, the reasons therefor,

and the citation of authorities; points not argued in an opening brief are forfeited and shall not be

raised in the reply brief, in oral argument, or in a petition for a rehearing)), and even if challenges

to Judge Hitzemann’s other findings had been made, they would not have succeeded, because

Judge Hitzemann correctly dispensed with the remainder of the defendant’s pro se ineffective

assistance of counsel claims in his order.

¶ 70    If, on the other hand, the circuit court on remand determines that the evidence adduced by

the parties on the issue of the defendant’s fitness on February 6 and 7, 2018, is inconclusive, or
                                                 39
suggests that the defendant was not fit on February 6 and/or 7, 2018, then the defendant is entitled

to a new trial on the basis of, inter alia, the arguments and authority cited by the defendant’s

appellate counsel in his briefs on appeal. See Gipson, 2015 IL App (1st) 122451, ¶ 38. Under those

circumstances, it would not be appropriate for the circuit court to reenter Judge Hitzemann’s order

that we are vacating, because that order would be rendered moot by the decision that the defendant

was tried when unfit and accordingly is entitled to a new trial on that basis.

¶ 71                                   III. CONCLUSION

¶ 72   For the foregoing reasons, we vacate Judge Hitzemann’s order and remand this cause with

directions that the circuit court conduct a retrospective fitness hearing to determine whether the

defendant was fit on February 6 and 7, 2018.

¶ 73   Order vacated; cause remanded with directions.

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