Court Opinion

ID: 8210393
Source: CourtListenerOpinion
Date Created: 2022-09-29 20:01:41.298356+00
Date Added: 2024-06-11T16:41:50.536156
License: Public Domain

Filed 9/29/22 Pierce v. Gray CA4/3

                      NOT TO BE PUBLISHED IN OFFICIAL REPORTS
California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for
publication or ordered published, except as specified by rule 8.1115(b). This opinion has not been certified for publication
or ordered published for purposes of rule 8.1115.

                IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA

                                     FOURTH APPELLATE DISTRICT

                                                DIVISION THREE

 JANA PIERCE,

      Plaintiff and Appellant,                                           G060104

           v.                                                            (Super. Ct. No. 30-2015-00783934)

 LANA THI GRAY et al.,                                                   OPI NION

      Defendants and Respondents.

                   Appeal from a judgment of the Superior Court of Orange County, Richard
Y. Lee, Judge. Affirmed.
                   Kyle Scott Law and Kyle J. Scott for Plaintiff and Appellant.
                   James T. Shott & Associates, Paul Kevin Wood, Jennifer Leeper and Imran
Khundkar for Defendants and Respondents.
              Jana Pierce appeals from a judgment following a jury trial award of $3,500
in economic damages and no noneconomic damages to Pierce, based on a low-speed
automobile collision. At the time of the collision, Pierce had been receiving treatment for
her neck for a preexisting condition. At trial, she presented a doctor who testified both as
Pierce’s treating surgeon and medical billing expert witness. The trial court allowed
defense counsel to ask the doctor about litigation he had been involved in regarding
improper billing allegations. The doctor disclaimed knowledge and was later impeached
by documents from the lawsuit.
              Also at trial, defense counsel asked questions mentioning Pierce’s workers’
compensation insurance and disability benefits, and, during closing argument, asserted
the doctor had committed perjury, and commented on the absence of testimony by two
medical providers. The trial court precluded Pierce’s presentation of certain illustrations
during closing argument.
              Pierce contends on appeal the judgment should be reversed for:
(1) inadequate damages; (2) improperly allowing the cross-examination and
impeachment of the doctor; (3) judicial bias; and (4) misconduct by defense counsel.
              We affirm. Pierce has not carried her burden to show the jury’s award was
inadequate as a matter of law, that the cross-examination and impeachment of Pierce’s
doctor was unduly prejudicial, or that the trial court was biased. Although we agree
defense counsel committed misconduct, we conclude Pierce has not carried her burden to
show it is reasonably probable that in the absence of defense counsel’s misconduct Pierce
would have obtained a more favorable result.

                                             2
                                           FACTS
I. Auto Collision Incident and Trial Context
              In September 2014, Pierce’s vehicle was rear-ended by Lana Thi Gray’s
vehicle at a red light stop (the 2014 accident). Pierce’s vehicle registered a three and
one-half miles per hour collision. The following day, Pierce went to Hoag Urgent Care
for medical attention. She had a preexisting medical condition in her neck that began two
decades earlier. At the time of the accident, Pierce had been receiving periodic medical
treatments from pain management specialist Dr. Standiford Helm and had been receiving
workers’ compensation insurance and disability benefits for an existing condition.
              Eight days after the accident, Pierce began receiving medical care from Dr.
Gerald Alexander, a spine surgeon who treated Pierce on a lien basis. In May 2015,
Alexander and his medical corporation were named as defendants in a third amended
complaint, styled “State Compensation Insurance Fund v. Michael D. Drobot, Sr., . . .
Michael R. Drobot, Jr., . . . Pacific Inc. d/b/a Pacific Hospital of Long Beach . . .
Southwestern Orthopaedic Medical Corp . . .” (the Drobot lawsuit), alleging improper
medical care billing by healthcare providers. Alexander and his corporation were
subsequently dismissed after a court-approved settlement. On cross-examination,
Alexander disavowed any knowledge of the Drobot lawsuit.
              Pierce filed her complaint in this case in April 2015 and in 2016 underwent
a cervical spine fusion surgery performed by Alexander. In 2017, a jury trial for Pierce’s
case resulted in an award of $10,000 to Pierce, comprised of $2,000 in economic
damages and $8,000 in noneconomic damages. She appealed and we reversed because
the trial court’s rulings about evidence that could be presented on the reasonable value of
Pierce’s medical treatments had improperly limited the jury’s decision about how much it
could award Pierce. (Pierce v. Gray (May 2, 2019, G055432) [nonpub. opn.].)

                                               3
               The second jury trial, which underlies this appeal, was conducted in 2020.
Relevant to this appeal, the defense’s motion in limine to prohibit evidence about liability
insurance was granted and no motion was filed by either party regarding the Drobot
lawsuit.
II. Trial Testimony and Impeachment
               Alexander testified as both Pierce’s treating surgeon and medical billing
expert witness. On cross-examination, defense counsel asked Alexander if he
remembered testifying in the first trial that plaintiff’s counsel had referred him patients.
Alexander responded he may have said that and explained he does not keep track very
closely; he conceded there may have been a few. Defense counsel then began a question
asking Alexander about fraudulent medical billing claims against him. The question was
interrupted when Pierce’s counsel objected without stating grounds, but the court allowed
the question to proceed. The complete question asked if Alexander had settled his
fraudulent medical billing lawsuit. Pierce’s counsel again objected, indicating “this isn’t
[] proper.”
               The court ruled a proper foundation would need to be laid and defense
counsel asked, “Now, you were sued under RICO charges for fraudulent medical billing,
           1
correct?” There was another objection and Pierce’s counsel said, “This is -- isn’t an
appropriate matter for [defense counsel] to be raising in front of the jury.”
               The parties and trial court held a conference outside of the jury’s presence
to discuss the line of questioning. Pierce’s counsel conceded no motion in limine had
been made regarding the Drobot lawsuit but argued defense counsel’s line of questioning
should be prohibited because requiring Alexander to testify about the lawsuit would be

1
             “RICO” is generally known as the acronym for the Racketeer Influenced
and Corrupt Organizations Act, codified as Title IX of the Organized Crime Control Act
of 1970. (18 U.S.C.A. §§ 1961 to 1968.)
                                              4
more prejudicial than probative. Defense counsel responded: “It goes, basically, to show
the billing and [Alexander’s] credibility regarding any billing matters, which is opinion
regarding billing parties, and the fact that he’s testifying that he’s billing at a rate that’s
even higher than what he is essentially saying it’s worth, because he’s saying that he – he
just said he overcharges.”
               The trial court found the timing of the Drobot lawsuit allegations and
Alexander’s treatments for Pierce sufficiently close, and therefore, entertained Pierce’s
counsel’s argument on why the prejudicial impact about defense counsel’s line of
questioning outweighed the probative value. Pierce’s counsel claimed defense counsel
was improperly conducting discovery in front of the jury and that the questioning
assumed facts not established.
               The trial court stated: “I agree that [defense counsel’s] question has been
positive to this point, has -- is improper. I’ll agree with you there.” The judge sustained
the objection to the initial question on the Drobot lawsuit but, allowed limited
questioning to proceed. The court then admonished the jury to disregard the prior
question. The court reminded the jury the attorneys’ questions are not evidence. The
court then inquired if the instruction was clear to everyone and noted jurors nodding their
heads.
               When defense counsel asked Alexander about the Drobot lawsuit, he
denied knowledge of it. When asked if he was named in a lawsuit by the California State
Compensation Insurance Fund for fraudulent medical billing, Alexander asked during
what time period and was told around 2015 and 2016. Alexander said, “No.” Defense
counsel asked about prior to 2015 and Alexander again said, “No.” When asked if he
was aware of Pacific Hospital in Long Beach, he said he was.

                                                5
             Defense counsel asked if he was named in a lawsuit with Pacific Hospital
of Long Beach by the California State Compensation Insurance Fund, and Alexander
said, “No.” Asked if he was named in a lawsuit with Southwestern Orthopaedic Medical
Corporation by the California State Compensation Insurance Fund , Alexander said, “No.”
Asked if he was named in a lawsuit with a Dr. Drobot by the California State
Compensation Insurance Fund for fraudulent medical billing, Alexander again said,
“No.” When defense counsel asked if he had ever been named in a lawsuit by the
California State Compensation Insurance Fund, Alexander said, “Not that I’m aware of.”
Alexander was then asked if he has ever been named in a lawsuit for RICO, and he said,
“No.” Pierce’s counsel objected, again without stating grounds, and the record reflects
there was no ruling from the court.
             Defense counsel continued with her next question, asking Alexander if he
had ever been named in a lawsuit for “medical fraud -- billing fraud,” and Alexander
said, “No.” Defense counsel asked him if he had ever been named as a defendant in any
case regarding medical billing, and Alexander answered, “Not that I am aware of.”
             After further cross-examination, Pierce’s counsel conducted a brief redirect
examination of Alexander that did not mention the Drobot lawsuit. The trial court
excused Alexander from the witness stand subject to recall by the court. The following
day, defense counsel requested the court to order Alexander to reappear for testimony, to
impeach his testimony about his knowledge of the Drobot lawsuit. As an offer of proof,
defense counsel provided copies of the lawsuit showing Alexander and his company were
named as defendants, a proof of personal service of the lawsuit on Alexander, and a
motion to approve Alexander’s settlement in the lawsuit.
             In response, Pierce’s counsel argued he did not “know the bases yet why
Dr. Alexander said no,” in response to defense counsel’s questions about whether the

                                            6
doctor had been sued. Counsel posited: “It could be because [Alexander]’s -- because
he’s very precise; it could be the way that [defense counsel] phrased her questions.”
              Pierce’s counsel argued the proposed line of impeachment questioning
would be more prejudicial than probative to Pierce’s personal injury action. Counsel also
pointed out the settlement was confidential and under seal in the court where the Drobot
lawsuit was litigated. Defense counsel responded that Alexander had not asserted he
could not talk about the lawsuit but denied outright that he had been a named defendant.
              The trial court stated defense counsel was entitled to cross-examine
Alexander “to have him explain why he answered the way he did.” The court explained
it was inclined to rule that admitting the entire complaint and settlement motion would be
unduly prejudicial but that a redacted version of the complaint’s cover page containing
Alexander and his company’s name as defendants could be admitted.
              Pierce’s counsel responded: “I guess I will have to call Dr. Alexander and
find out if he has a response back.” Later that day, Pierce’s counsel reported he had
talked to Alexander who asserted he had been “absolutely truthful and correct in his
answers” about the Drobot lawsuit. Counsel stated Alexander communicated he had not
been aware of the lawsuit and that in any case it represented a baseless charge against
him.
              After further discussion, the trial court stated: “I’m saying if [Alexander]
makes a statement on the witness stand and [defense counsel] has extrinsic evidence that
shows that that statement is false, I think [defense counsel is] entitled to present that, isn’t
she?” Pierce’s counsel responded: “I don’t think so, your Honor.”
              The trial court explained its inclination to Pierce’s counsel as follows:
“[Defense counsel is] going to be able to publish to the jury the caption page of what I
understand is a civil complaint, which lists the plaintiff’s name and Mr. -- or Dr.

                                               7
Alexander’s name and the name of his medical practice, along with the charges in the
caption heading.” The court then advised counsel he either needed to recall Alexander so
defense counsel could attempt to impeach him, or the court would allow defense counsel
to present documentary evidence of the lawsuit to the jury. The court advised Pierce’s
counsel that if the doctor returned to testify, the court would preclude defense counsel
from presenting the documentary evidence.
              The trial court concluded by telling plaintiff’s counsel, “You have a choice
to make.” The court also indicated that if Pierce’s counsel was willing to stipulate there
was a case where Alexander was named as a defendant and what the charges were, the
court would not allow the defense to present evidence on the matter. The court explained
the problem was that Alexander denied the lawsuit “very adamantly in many, many
different iterations and different ways.” The court indicated it was attempting to find a
balance and explained that, considering the prejudicial impact, the court would not allow
150-plus pages of complaint or multiple different pleadings from the lawsuit to be
presented to the jury. The court added the defense should be allowed to challenge
Alexander’s credibility.
              Pierce’s counsel requested the trial court to wait until he reviewed the
official reporter’s transcript of Alexander’s testimony. The court indicated it had no
problem with that. But the court clarified, if defense counsel has extrinsic evidence that
contradicted the doctor, the court believed the defense was entitled to present it.
              The following day, Pierce’s counsel stated he had reviewed the reporter’s
transcript and was requesting the trial court to declare a mistrial based on defense
counsel’s cross-examination questions to Alexander. The court denied the motion,
recounting that Alexander testified “about his expertise in establishing what’s a
reasonable fee.” The court reiterated that defense counsel had a good-faith basis to ask

                                              8
questions about the Drobot lawsuit regarding billing practices, and that Pierce’s counsel
did not object to that questioning.
              After the trial court ordered Alexander to appear in court to testify, Pierce’s
counsel was given an opportunity to contact Alexander and reported he was unable to do
so. After more discussion, the court allowed counsel to reconsider the court’s earlier
proposal to have a redacted copy of the Drobot lawsuit caption and proof of personal
service on Alexander (collectively the impeachment documents) admitted without re-
calling him for testimony. After verbalizing his understanding of the terms, Pierce’s
counsel agreed, stating: “Okay. We’ll proceed in that way, your Honor.”
              Four days later, after evidence had closed and before closing arguments
began, the trial court advised the jury on publishing the impeachment documents. The
court reminded the jury it had heard a number of questions from counsel inquiring of
witnesses if they were ever accused or aware of allegations of improper billing practices
and other bad acts. The court admonished the jury it had earlier indicated, and was again
advising the jury, that questions of the attorneys were not evidence. The jury was not to
consider the questions of the attorneys as evidence and could only consider questions to
the extent they assisted the jury in understanding the witness’s answers.
              The court then specifically referred to the defense asking Alexander during
cross-examination a number of questions about a lawsuit where the State Compensation
Insurance Fund was named as a plaintiff and Alexander was named as a defendant,
including Alexander’s awareness and knowledge of that lawsuit. The court indicated the
defense was “about to introduce into evidence an exhibit which is a few pages from a
lawsuit that lists the State Compensation Insurance Fund as a plaintiff and Gerald
Alexander, M.D. and others as defendants.” The court admonished the jury the exhibit
was only being admitted for the limited purpose of evaluating the credibility of

                                             9
Alexander’s testimony in this case. The court repeated the exhibit was being admitted
for the sole limited purpose of evaluating the credibility of Alexander’s testimony in the
present case.
                The court went on to instruct the jurors they should not and must not
speculate as to the issues the lawsuit raised, the merits of that lawsuit, what the outcome
of that lawsuit was, if any, or anything else relating to the lawsuit. The jury was only to
consider the exhibit as evidence of the existence of such a lawsuit and whether the
existence of such a lawsuit affected its determination of Alexander’s credibility and
testimony in the present case.
III. Closing Arguments and Motion for New Trial
                During closing arguments, Pierce’s counsel discussed, among other things,
trial testimony, Pierce’s medical treatment evidence, and a jury instruction on preexisting
injuries. Counsel discussed Pierce’s claimed neck injuries and the conflicting medical
opinions of Alexander and spine surgeon Dr. Nitin Bhatia, the defense’s expert witness.
In his trial testimony, Bhatia did not dispute Pierce’s chronic neck pain complaints but
opined their source was not something medically caused or changed by the 2014
accident, based primarily on his comparative analysis of Pierce’s pre and postcollision
magnetic resonance imaging (MRI).
                Pierce’s counsel asserted a jury award of $222,200 for past economic
damages and $300,000 for past noneconomic damages would be reasonable. When
arguing about future damages, counsel presented the jury with multiple visual slides
which the trial court instructed the jury to disregard. Counsel suggested a total award of
$778,700 to Pierce.
                During defense counsel’s closing argument, she repeatedly asserted that
Alexander committed perjury. Defense counsel told the jury Pierce’s counsel had said

                                              10
Pierce was stable before the 2014 accident and life was good. Defense counsel
commented the evidence showed that three weeks before the accident, Pierce was having
headaches three to four times a week. She was prescribed Norco and Vicodin. She could
not work at a computer for more than 10 minutes at a time and she could not carry more
than 12 pounds. Counsel then posed a rhetorical question, asking if Pierce was doing so
well those three weeks before the accident, why was another epidural injection ordered
three weeks before the accident.
              Also during closing argument, defense counsel commented on the absence
of medical care provider witnesses. Counsel remarked to the jury it had not heard from
Helm, Pierce’s pain management specialist, who Pierce saw prior to the accident.
Pierce’s counsel objected, indicating it was improper argument for counsel to comment
on witnesses who did not testify. The court overruled the objection. Defense counsel
reiterated the jury did not hear any testimony from Helm.
              Defense counsel argued Pierce told her husband how much pain she was in
after the accident, but there was no evidence of medical treatment on the day of the
accident. Pierce did not go to the hospital, did not go to urgent care, and did not go to a
doctor. Defense counsel then commented there was evidence Pierce went to Hoag
Urgent Care the following day, and again indicated Pierce had failed to call a witness
from Hoag Urgent Care. Defense counsel concluded by arguing there was no change in
Pierce’s condition as a result of the accident.
              After deliberation, the jury awarded Pierce $3,500 in past economic
damages and no noneconomic damages and the trial court entered judgment. Pierce then
moved for a new trial or, alternatively, an additur of $722,000. After the trial court
denied the motion, Pierce timely appealed.

                                              11
                                        DISCUSSION
I. Appellate Principles
              While Pierce’s different contentions call for different standards of review,
we apply to all of her contentions “three fundamental principles of appellate review: (1)
a judgment [or order] is presumed correct; (2) all intendments and presumptions are
indulged in favor of correctness; and (3) the appellant bears the burden of providing an
adequate record affirmatively proving error. [Citations.]” (Fladeboe v. American Isuzu
Motors Inc. (2007) 150 Cal.App.4th 42, 58 (Fladeboe).) Additionally, Pierce must
support her contentions with adequate analysis and citation to the record. (Cal. Rules of
Court, rule 8.204(a)(1)(B) & (C).)
II. Inadequate Damages Contention
              We apply the above presumption of correctness to Pierce’s contention that
“[t]here is no logical basis for the jury or the trial court to conclude that Pierce’s pain and
suffering [was] zero.” Under the substantial evidence standard of review (Dodson v. J.
Pacific, Inc. (2007) 154 Cal.App.4th 931, 935-936), we “‘“‘“look[] only at the evidence
supporting the successful party, and disregard[] the contrary showing.”’”’” (Sonic
Manufacturing Technologies, Inc. v. AAE Systems, Inc. (2011) 196 Cal.App.4th 456, 465
(Sonic), internal citations and italics omitted.)
              “‘In the case where the trier of fact has expressly or implicitly concluded
that the party with the burden of proof did not carry the burden and that party appeals, it
is misleading to characterize the failure-of-proof issue as whether substantial evidence
supports the judgment. This follows because such a characterization is conceptually one
that allows an attack on (1) the evidence supporting the party who had no burden of
proof, and (2) the trier of fact’s unassailable conclusion that the party with the burden did
not prove one or more elements of the case [citations].

                                              12
               “‘Thus, where the issue on appeal turns on a failure of proof at trial, the
question for a reviewing court becomes whether the evidence compels a finding in favor
of the appellant as a matter of law. [Citations.] Specifically, the question becomes
whether the appellant’s evidence was (1) “uncontradicted and unimpeached” and (2) “of
such a character and weight as to leave no room for a judicial determination that it was
insufficient to support a finding.”’ [Citation.]” (Sonic, supra, 196 Cal.App.4th at pp.
465-466.) In other words, Pierce must show the judgment should be reversed because the
jury awarded insufficient damages as a matter of law. (See Miller v. San Diego Gas &
Electric Co. (1963) 212 Cal.App.2d 555, 558-559 [“Every case depends upon the facts
involved”].)
               Pierce has not shown the trial evidence compels a conclusion the jury was
required to award noneconomic damages as a matter of law. There was substantial
evidence of Pierce’s preexisting condition and history of medical care and pain
management care prior to the 2014 accident. The evidence demonstrated Pierce required
medical treatment and was experiencing pain and suffering prior to the collision. The
defense expert, Bhatia, did not dispute Pierce’s chronic neck pain complaints but opined
their source was not something medically caused or changed by the accident. The jury’s
verdict was consistent with the opinion.
               That the jury only awarded minimal economic damages is telling. The
jury’s verdict can reasonably be viewed as finding Pierce incurred economic damages for
diagnostic tests and exams but did not require treatment or experience pain and suffering
as a result of the 2014 accident, given her undisputed preexisting condition. For
example, the record shows Pierce incurred a $500 initial doctor consultation and also
underwent an MRI that Alexander valued at $1,500. The record is not clear about the
specific charge for Alexander’s initial consultation, but Bhatia testified a reasonable

                                              13
charge for an initial consultation with an orthopedist could be $1,000. These charges,
given potential inflation over the six years since the costs were incurred, may explain
how the jury arrived at $3,500 in economic damages. The issue is not whether the trial
evidence squares precisely with the economic damages decided by the jury, but whether
there is support in the evidence for the amount they reached.
              Because the minimal economic damages did not compensate Pierce for the
cost of the surgery she argued was caused by the accident, it can be inferred the jury
found the 2014 accident was not what necessitated the surgery. (Fladeboe, supra, 150
Cal.App.4th at p. 58; see Choate v. County of Orange (2000) 86 Cal.App.4th 312, 332-
333 [generally, “‘a judgment will not be reversed for a failure to award nominal
damages’”].) Pierce has failed to overcome the presumption of correctness, particularly
given that she does not discuss the evidence that was presented on the reasonable value of
diagnostic services she received, which may be the explanation for the jury’s marginal
award of past economic damages. (See Foreman & Clark Corp. v. Fallon (1971)
3 Cal.3d 875, 881 [record is presumed to contain evidence sustaining every factual
finding and appellants’ failure to “set forth in their brief all the material evidence” results
in forfeiture of the appellate contention].) She has not met her burden to demonstrate the
jury’s award shows reversible error.
III. Evidentiary Rulings
              Next, Pierce argues the trial court erred by allowing Alexander to be cross-
examined and impeached based on the Drobot lawsuit. Specifically, Pierce asserts:
(1) “Alexander should have never been asked about the [Drobot] lawsuit at all, as it was
irrelevant and not brought up on direct examination”; (2) “[a]t a minimum[, Alexander]
should have been shown the lawsuit by [defense counsel] to allow him to explain or deny
it”; and (3) a “witness must have an opportunity to explain or deny [a prior inconsistent]

                                              14
statement.” We presume a trial court’s evidentiary rulings were correct (People v.
Alvarez (1996) 49 Cal.App.4th 679, 694) and review them for abuse of discretion (Pannu
v. Land Rover North America, Inc. (2011) 191 Cal.App.4th 1298, 1317).
              In general, “evidence relevant to the credibility of a witness” can be
admitted at trial (Evid. Code, § 210) and “[e]xcept as otherwise provided by statute . . .
[a] jury may consider in determining the credibility of a witness any matter that has any
tendency in reason to prove or disprove the truthfulness of [the witness’s] testimony at [a]
hearing” (Evid. Code, § 780). As with all relevant evidence, the trial court retains
discretion to admit or exclude evidence offered for impeachment of an expert witness.
(Evid. Code, § 352.)
              Moreover, it “‘“is well settled that the scope of cross-examination of an
expert witness is especially broad . . . .” . . . [Citation.]’ (People v. Peoples (2016)
62 Cal.4th 718, 746.) It is therefore permissible to ‘cross-examine an expert witness
more extensively and searchingly than a lay witness, and . . . to attempt to discredit the
expert’s opinion.’ [Citations.]” (People v. Nieves (2021) 11 Cal.5th 404, 451; Evid.
Code, § 721, subd. (a); see Pen. Code, § 1102 [“The rules of evidence in civil actions are
applicable also to criminal actions, except as otherwise provided in this code”].)
              Under Evidence Code section 352, the trial court is required to balance the
probative value against the potential prejudicial effect, upon a timely and specific
objection. (Robbins v. Wong (1994) 27 Cal.App.4th 261, 264, 274.) “An exercise of
discretion under Evidence Code section 352 will be disturbed on appeal only if the trial
court exercised it in an arbitrary, capricious, or patently absurd manner resulting in a
manifest miscarriage of justice. [Citation.]” (Boeken v. Philip Morris, Inc. (2005)
127 Cal.App.4th 1640, 1685.)

                                              15
              At the outset, we note Pierce does not dispute the accuracy of the
impeachment documents with respect to Alexander. We also note the trial court
appropriately sustained defense counsel’s initial objection to the question about the
Drobot lawsuit and issued a curative instruction to the jury.
              Pierce has not shown the trial court abused its discretion in allowing
defense counsel a limited scope of questioning about the Drobot lawsuit because the
court reasonably decided the matter was relevant to Alexander’s qualifications as an
expert witness. As the court explained during its discussion with counsel, Alexander was
designated by Pierce as an expert witness and presented opinion testimony to the jury
about the reasonable value of the medical bills Pierce had incurred, including
Alexander’s own services billed by his office. It is not disputed the subject matter of the
Drobot lawsuit involved the validity of Alexander’s medical billing practices and that the
court reasonably found a temporal proximity between the lawsuit allegations and
Alexander’s billed treatments for Pierce.
              After Alexander denied knowing about the Drobot lawsuit, the record
supports the trial court’s decision to authorize further cross-examination through recall
for impeachment purposes. Further cross-examination was the first option the court
offered. The court indicated that if Alexander would not subject himself to further cross-
examination, the court would allow only a redacted version of the caption page, which
listed Alexander’s name and the name of his medical practice. It would not allow the
complaint in its entirety to be published to the jury. As noted, Pierce’s counsel ultimately
stipulated to allowing the jury to consider the impeachment documents as an alternative
to further cross-examination.
              “The two crucial components of [Evidence Code] section 352 are
‘discretion,’ because the trial court’s resolution of such matters is entitled to deference,

                                              16
and ‘undue prejudice,’ because the ultimate object of the [Evidence Code] section 352
weighing process is a fair trial.” (People v. Harris (1998) 60 Cal.App.4th 727, 736, 737-
741.) Here, the record reflects the court engaged in the appropriate weighing process and
determined the evidence was relevant and not unduly prejudicial. We discern no abuse of
discretion.
              We reject Pierce’s assertion that publication of the documents was based on
error for denying Alexander a right to “explain or deny” the documents. The court did
not preclude Alexander from testifying further on cross-examination. For reasons
unknown, Alexander did not avail himself of the opportunity to return for further
examination and explain his previous answers.
              Pierce’s other argument is also unavailing. She asserts the court allowed an
invalid form of impeachment because the impeachment documents lack a predicate prior
inconsistent statement and, therefore, “did not comply with Evid[ence] Code [section]
                       2
780[, subdivision,](h).”   As noted, the statute states that “[e]xcept as otherwise provided
by statute . . . [a] jury may consider in determining the credibility of a witness any matter
that has any tendency in reason to prove or disprove the truthfulness of [the witness’s]
testimony at [a] hearing . . . .” (Evid. Code, § 780.) Pierce’s argument fundamentally
misunderstands the statute, which states that its list of matters a jury may consider
“includ[es] but [is] not limited to” its enumerated categories. (Ibid.)

2
               Pierce for the first time in her reply brief also contends the impeachment
documents violated Evidence Code section 770, subdivision (a). We decline to entertain
the contention. (See Shade Foods, Inc. v. Innovative Products Sales & Marketing, Inc.
(2000) 78 Cal.App.4th 847, 894-895, fn. 10 [“‘“points raised in the reply brief for the
first time will not be considered, unless good reason is shown for failure to present them
before”’”].)
                                             17
IV. Judicial Misconduct Claim
              Next, Pierce claims the trial court made “demeaning and at times
threatening remarks about” her counsel during trial. We review the issue de novo.
(Wechsler v. Superior Court (2014) 224 Cal.App.4th 384, 391-392; Briggs v. Superior
Court (2001) 87 Cal.App.4th 312, 319; see also Haworth v. Superior Court (2010)
50 Cal.4th 372, 383, fn. 8 [holding independent standard of review applies to arbitrator’s
appearance of bias].)
              “While trial counsel is entitled to argue his interpretation of the evidence to
the jury, he has no right to cite facts unsupported by the evidence.” (Las Palmas
Associates v. Las Palmas Center Associates (1991) 235 Cal.App.3d 1220, 1246 (Las
Palmas).) More fundamentally, “[a]s a general rule, a specific and timely objection to
judicial misconduct is required to preserve the claim for appellate review. (People v.
Geier (2007) 41 Cal.4th 555, 613, overruled on other grounds in Melendez–Diaz v.
Massachusetts (2009) 557 U.S. 305.) Although defendant argues he may be excused
from this general rule because an objection would have been futile, the circumstances in
no way suggest an objection and a request to have the jury admonished would have found
an unsympathetic jurist.” (People v. Seumanu (2015) 61 Cal.4th 1293, 1320.)
              We discern no objection by Pierce claiming judicial misconduct during the
trial proceedings. She therefore forfeited for our review her contention the trial court
unduly prejudiced her case. Notwithstanding, we note that even if Pierce had properly
preserved her contention, it would fail for a lack of an adequate record to review its
merits. (Jameson v. Desta (2018) 5 Cal.5th 594, 609 [“‘Failure to provide an adequate
record on an issue requires that the issue be resolved against’” an appellant]; see Cal.
Rules of Court, rule 8.124(b)(1)(B).) Many of Pierce’s assertions are based on the trial

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court’s preclusion of her presentation of illustrations to the jury. No copy of the
illustrations are provided in the record.
               Further, even if we reached the merits of Pierce’s claims with the record we
do have, we would not be persuaded. Trial courts have “broad discretion” to limit both
the duration and scope of closing arguments. (Herring v. New York (1975) 422 U.S. 853,
862.) While it is generally correct that a party can implement aides when making closing
arguments, the trial court is authorized to limit the type to those that are relevant to the
evidence. From what we can review in the record, the court appeared to have reasonably
decided what aides were not appropriate.
V. Attorney Misconduct Claim
               Finally, we independently review Pierce’s claim of attorney misconduct
(Lafrenz v. Stoddard (1942) 50 Cal.App.2d 1, 9), which is comprised of three categories
of defense counsel’s trial conduct: (1) mentions of Pierce’s insurance during witness
examinations; (2) closing argument assertions that Alexander committed perjury; and
(3) closing argument comments on the lack of witness testimony from Helm and
someone from Hoag Urgent Care. We address each in turn but note at the outset it is not
enough to claim an opposing counsel’s “misconduct”—the appellant must also show
sufficient prejudice to justify reversing a jury’s decisions underlying the judgment.
(Cassim v. Allstate Ins. Co. (2004) 33 Cal.4th 780, 800.)
A. Insurance
               Pierce asserts defense counsel improperly engaged in witness examination
by repeatedly mentioning the existence of Pierce’s workers’ compensation insurance and
disability benefits. Asking witnesses questions intended to draw inadmissible testimony
can constitute attorney misconduct. (See People v. Warren (1988) 45 Cal.3d 471, 482.)

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              Pierce claims defense counsel repeatedly examined Alexander and Pierce
for the purpose of unduly prejudicing the jury against Pierce. She concedes she did not
file a motion in limine as to the issues of worker’s compensation or disability benefits,
but asserts defense counsel’s conduct violated the defense’s own motion in limine that
was granted to exclude mentions of liability insurance. We note that of the 10 instances
when defense counsel mentioned the benefits, Pierce failed to object to four of them.
              As an example of when an objection was timely raised, when defense
counsel asked if Pierce’s visit to Helm weeks before the accident was through her
disability claim, Pierce’s counsel objected and the objection was overruled. Pierce
explained Helm was or is her pain management doctor. Defense counsel asked again,
“Through your disability?” There was another objection that was sustained. Defense
counsel’s questions implicitly referenced worker’s compensation or disability insurance.
              Although we find defense counsel’s references to Pierce’s workers’
compensation and disability benefits improper, the record does not support a conclusion
defense counsel’s cross-examination questions implicating the benefits unduly prejudiced
the jury’s decision-making. (See Cassim v. Allstate Ins. Co. (2004) 33 Cal.4th 780, 800-
805 [analyzing for miscarriage of justice].) In her opening argument, Pierce supported
her “‘eggshell plaintiff’” theory of her case by explicitly mentioning her disability status
and, as Pierce notes in her briefing, the court twice instructed the jury with CACI No.
105, which provides: “You must not consider whether any of the parties in this case has
insurance. The presence or absence of insurance is totally irrelevant. You must decide
this case based only on the law and the evidence.”
              We presume the jury followed the instruction. (Rufo v. Simpson (2001)
86 Cal.App.4th 573, 598.) More importantly, given the context of the arguments and trial
evidence on Pierce’s medical diagnoses, we conclude she has not shown the jury’s

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decision on the medical causation she needed to prove was unduly prejudiced by defense
counsel’s mentions of Pierce’s workers’ compensation insurance and disability benefits.
Instead, the record supports a conclusion the verdict was anchored by the expert witness
evidence on causation.
B. Perjury
              Next, we consider Pierce’s argument that defense counsel committed
misconduct by using the concept of perjury to challenge Alexander’s credibility at trial.
An attorney “is entitled to comment on the credibility of witnesses based on the evidence
adduced at trial.” (People v. Thomas (1992) 2 Cal.4th 489, 529 [criminal prosecutor
context].)
              “In order to lawfully hold a person to answer on the charge of perjury under
[Penal Code] section 118, evidence must exist of a ‘willful statement, under oath, of any
material matter which the witness knows to be false. [Citation.]’ [Citation.]” (Cabe v.
Superior Court (1998) 63 Cal.App.4th 732, 735, fns. omitted.) Given the undisputed
sworn testimony of Alexander disclaiming knowledge of the undisputed Drobot lawsuit,
the impeachment documents support a good faith basis for defense counsel to have
asserted Alexander had testified untruthfully, but, although not prejudicial, defense
counsel should not have told the jury Alexander committed a crime.
C. Closing Argument Comment on Absence of Witnesses
              Finally, we analyze Pierce’s assertion defense counsel committed
misconduct by commenting during closing argument that Pierce had not presented
testimony by her precollision pain management physician, Helm, and someone from
Hoag Urgent Care, the first healthcare facility Pierce went to after the 2014 accident.
Commenting on treating witnesses not called at trial can be understood as an accusation
that the treated party was concealing evidence unfavorable to her case. We discern

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nothing that prevented the defense from presenting testimony by Helm or a witness from
Hoag Urgent Care, if the defense had decided to do so.
              Although it is within the legitimate range of closing argument for counsel
to comment on an opposing party’s failure to offer stronger available evidence (Evid.
Code, § 412; see CACI No. 203), it is improper for counsel to invite a jury to draw an
adverse inference from the opposing party’s failure to call a particular witness if the
witness is equally available to both parties. (Smith v. Covell (1980) 100 Cal.App.3d 947,
956-957 [“This type of attorney misconduct invites juror speculation”].) Because the
witnesses were equally available, Pierce is correct defense counsel’s closing argument
comments about Helm and Hoag Urgent Care were improper. Therefore, the trial court’s
overrulings of Pierce’s objections to the comments were erroneous and we conclude
defense counsel committed misconduct by commenting on the absence of these
witnesses.
              At oral argument, this court confronted defense counsel about her improper
argument regarding witnesses who were not called. Given an opportunity to concede the
error, she resisted. This is distressing because the law clearly indicates such comments
are improper. We emphasize this point so as to dissuade counsel from engaging in such
misconduct in future trials. We caution that, although not sufficient on this record for
Pierce to prevail, misconduct can result in an adverse finding on appeal.
              Pierce appropriately cites to Las Palmas, supra, 235 Cal.App.3d at pages
1247-1248, to indicate a proper analytical framework for determining whether prejudicial
attorney misconduct has been shown. Factors an appellate court must consider include
the overall record, the nature and seriousness of the misconduct, any admonishments to
the jury, and the strength of the offending attorney’s case.

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              Notwithstanding, Pierce fails to apply the Las Palmas factors or otherwise
show why we should agree with Pierce’s position on prejudice. (Martinez v. Department
of Transportation (2015) 238 Cal.App.4th 559, 568, quoting Garcia v. ConMed Corp.
(2012) 204 Cal.App.4th 144, 149 [“In order to justify a new trial, the party must
demonstrate that the misconduct was prejudicial”].) The only meaningful argument she
presents on the closing argument comments about Helm and Hoag Urgent Care is her
broad contention that “[e]ach instance of misconduct [asserted, including those about
insurance and perjury,] justifies granting a new trial, but collectively the impact of all the
instances of misconduct creates an overwhelming body of prejudice that cannot be
denied.”
              Pierce’s argument about a cumulative effect of multiple categories of errors
is unavailing based on our discussion above, including our view that the verdict was
anchored by expert witness evidence on objective data about causation. As noted,
defense expert Bhatia did not dispute Pierce’s subjective complaints but opined their
source was not something medically caused or changed by the 2014 accident, based
primarily on his comparative analysis of Pierce’s pre and postcollision MRI’s. We
ultimately conclude Pierce has not carried her burden to show the requisite prejudice for
her contention to compel reversal. (Soule v. General Motors Corp. (1994) 8 Cal.4th 548,
574 [reasonable probability appellant would have obtained a more favorable result in the
absence of error].)

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                                  DISPOSITION
            The judgment is affirmed. Respondent is entitled to recover costs on
appeal.

                                              O’LEARY, P. J.

WE CONCUR:

MOORE, J.

GOETHALS, J.

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