Court Opinion

ID: 9405768
Source: CourtListenerOpinion
Date Created: 2023-06-29 13:10:33.966578+00
Date Added: 2024-06-11T17:20:24.230539
License: Public Domain

PRESENT: Goodwyn, C.J., Powell, Kelsey, McCullough, Chafin, and Mann, JJ., and Lemons,
S.J.

CATHERINE ANN TOMLIN
                                                               OPINION BY
v. Record No. 220223                                   JUSTICE D. ARTHUR KELSEY
                                                              JUNE 29, 2023
COMMONWEALTH OF VIRGINIA

                       FROM THE COURT OF APPEALS OF VIRGINIA

       Catherine Ann Tomlin left her 80-year-old mother in a squalid condition lying on the

floor of her apartment for at least two days, resulting in her mother’s need for emergency

medical care and hospitalization. The trial court convicted Tomlin of abuse or neglect of an

incapacitated adult causing serious injury in violation of Code § 18.2-369(B). The Court of

Appeals affirmed the conviction, as do we.

                                                 I.

       “When presented with a sufficiency-of-the-evidence challenge in criminal cases, we

review the evidence in the ‘light most favorable’ to the Commonwealth, the prevailing party in

the trial court.” Commonwealth v. Barney, 302 Va. ___, ___, 884 S.E.2d 81, 88 (2023) (quoting

Commonwealth v. Hudson, 265 Va. 505, 514 (2003)). “Viewing the record through this

evidentiary prism requires us to ‘discard the evidence of the accused in conflict with that of the

Commonwealth, and regard as true all the credible evidence favorable to the Commonwealth and

all fair inferences to be drawn therefrom.’” Commonwealth v. Perkins, 295 Va. 323, 324 (2018)

(citations omitted).

       On April 24, 2020, an exterminator called 911 after he arrived at the Tomlin home to

treat a bed-bug infestation and saw that Betty Tomlin, the defendant’s mother, needed urgent

medical attention. He told the dispatcher that she was “in pretty bad shape” and was “being

eat[en] up with bed bugs.” Def.’s Ex. A at 0:25 to 0:40.
        First responder and firefighter Andy Tanner arrived shortly thereafter with another

firefighter, and they entered the home where they found Betty lying on the floor just inside the

door. Tomlin was standing nearby in the kitchen. Betty was “on her left side covered in feces

and urine” with “what looked to be bed bugs crawling on her.” J.A. at 32. She had visible bug

bites on her legs, and there was excrement on her nightgown and the floor nearby. Id. Tanner

asked Tomlin how long her mother had been lying there, and she said, “about two days.” Id. at

34. When Tanner asked Tomlin why she hadn’t cleaned her mother up, she said, “I do not have

time.” Id. After removing her clothing and Depends, which were “well over saturated” with

“urine and feces,” the firefighters wrapped her in a sheet and transferred her to the ambulance.

Id. at 32, 34.

        At the emergency room, Physician Assistant Tyler Prewett treated Betty. When she came

into the emergency room, she was “highly disheveled” and had “a very uncommonly large

amount of feces on her, [as] well [as] urine.” Id. at 47. She was wrapped in a bed sheet, and

“there [were] bed bugs about her person that fell to the floor.” Id. Prewett observed that Betty

had multiple decubitus ulcers, or bedsores, on her legs and below her buttocks. Based on her

condition, he believed that Betty needed medical care “immediately.” Id. at 67.

        At trial, Prewett explained that a bedsore is dangerous because it is an “open sore[] on the

body” or “skin breakdown” to the point of the skin being “actually broken open.” Id. at 50.

Such ulcers are “generally often quite painful” and create “a huge nest for bacteria which can

lead to concomitant or super infection” from which “you can get a skin infection called

cellulitis.” Id. Cellulitis “can be deadly if not treated fairly rapidly.” Id. A bedsore is more

concerning than a cut, Prewett explained, because the “possibility for infection to enter is

greater,” as the wound is “much wider” and the “skin breakdown is larger” than with a cut. Id. at

68. Cellulitis is the “primary way” a bedsore can “become fatal.” Id. at 51.
                                                 2
       Prewett clarified that he is “not [a] wound specialist[],” id. at 48, and without using the

“official grading system by a wound care specialist,” id. at 54, he would generally describe most

of Betty’s wounds as moderate ulcers. But some of these ulcers were “not anywhere near as

serious as the others.” Id. at 76. One or more of the more severe ulcers, Prewett said, was “at

least a moderate grade” of ulcer. Id. at 58 (emphasis added). He made a “conservative” estimate

that Betty’s wounds had taken at least one week “at a minimum” to develop. Id. at 50. The

more severe ulcers would have taken longer than a week to develop and had more likely been

“present for at least three weeks.” Id. at 75.

       Prewett described two of the ulcers as particularly “worrisome, from a medical

perspective,” because they were “of a bigger depth.” Id. at 58. These ulcers had “broken the

dermis and [were] approaching the fascia,” which is “the fat underneath the skin tissue.” Id.

This is an indication of “at least a moderate grade ulcer” and “not a superficial ulcer.” Id.

(emphasis added). Another ulcer he described as smaller in size but similar in depth. This ulcer

was also “concerning” because of the redness around it. Id. at 58-59. The redness was

potentially an indication of “early cellulitis, which means an infection of the skin.” Id. This

wound was “certainly an advancing ulcer, if not skin infection.” Id. at 59.

       While Prewett did not believe Betty was at risk of “imminent death,” id. at 66, he did

believe that death was a risk if she did not receive proper medical care. During cross-

examination, Prewett clarified his position:

               Q. Okay. You didn’t feel a need to report to anyone that we
                  really need to get on this right now because she might die?
               A. We need to get on this because if this was to go untreated . . .
               Q. We need to address these moderate ulcers because she might
                  die.
               A. Correct.
               Q. You did not say anything like that and that was not the case?

                                                 3
               A. Oh no, I do believe those ulcers would need to be, if proper
                  medical care was administered that would need to be started
                  immediately, proper medical care.
Id. at 67. Counsel then attempted to cabin Prewett’s answer by asking, “Would you think the

same if she actually had just cut her finger a little bit because of a splinter? Infection can

certainly come in and that could also kill her, right?” Id. at 67-68. Prewett disagreed: “Most

cuts, technically no. I’d be more concerned about this ulcer than I would be for a cut.” Id. at 68.

The “difference between a cut and the ulcer,” Prewett opined, is that ulcers have a higher risk of

infection than cuts. Id.

       Betty’s condition was worsened, Prewett added, because of the “amount of stool and

urine that she was covered in, essentially from head to toe.” Id. at 60. It was “stuck to her

body,” id., and covered approximately “50% of [the] surface area” of her skin, id. at 69. Prewett

explained that the “feces and urine [had gone] a long way to exacerbate” the condition of Betty’s

ulcers. See id. at 79. Prewett also expressed concern with Betty’s apparent unawareness of her

condition. Anyone who has reached that level of confusion could have suffered from “an

infection that has caused her brain to not think correctly or a stroke,” among other conditions.

Id. at 61. Because Betty’s bedsores needed treatment and could not “go on in the condition [they

were] in,” Prewett recommended that Betty be admitted to the hospital. Id. at 72.

       The Commonwealth charged Tomlin under Code § 18.2-369(B) with abuse or neglect of

an incapacitated adult resulting in serious bodily injury. 1 At a one-day bench trial, the court

heard testimony from the first responder, the physician assistant, and the social worker who had

investigated numerous complaints regarding Tomlin leading up to Betty’s hospitalization. The

       1
         Tomlin was also charged with and convicted of financial exploitation of an
incapacitated adult under Code § 18.2-178.1. The Court of Appeals vacated the conviction on
this count. Only the decision to affirm the neglect conviction is before us on appeal, so we have
limited our discussion accordingly.
                                                 4
trial court also heard the exterminator’s 911 call, saw photographs of Betty’s wounds, and

watched portions of a video of Tomlin’s interview with social services. Tomlin herself also

testified.

        Tomlin moved to strike the evidence at the conclusion of the Commonwealth’s case,

arguing, among other things, that the Commonwealth had not proven that Betty suffered from a

serious bodily injury as defined under the statute. Code § 18.2-369(C) provides, “‘Serious

bodily injury or disease’ shall include but not be limited to (i) disfigurement, (ii) a fracture, (iii) a

severe burn or laceration, (iv) mutilation, (v) maiming, or (vi) life-threatening internal injuries or

conditions, whether or not caused by trauma.”2 Tomlin’s counsel argued that the statutory

definition contained an exclusive list of examples that did not include any mention of ulcers:

                [W]e even have a definition of serious bodily injury . . . [s]hall
                include but not be limited to disfigurement, fracture, severe burn or
                laceration, mutilation, maiming, life threatening internal injuries or
                conditions. They don’t have moderate ulcers here. So I think the
                Commonwealth is not going to succeed on that element either.

J.A. at 106-07. In response, the prosecutor challenged counsel’s characterization of Prewett’s

testimony regarding the severity of the ulcers. The prosecutor also disagreed with counsel’s

assertion that the statutory definition contained an exclusive list of examples. The “includes but

not limited to” phrase, the prosecutor argued, directly refuted this assertion. Id. at 109.

        The trial court denied the motion to strike and, at the end of the trial, found Tomlin guilty

of the abuse or neglect of an incapacitated adult causing serious injury. The court concluded that

Prewett’s testimony and the photographs of Betty’s wounds had sufficiently demonstrated that

        2
          Throughout this opinion, we have referenced Code § 18.2-369 as it was at the time of
Tomlin’s conviction in March 2021. The General Assembly recently amended Code § 18.2-369.
See 2022 Acts chs. 259, 642. The definition of “serious bodily injury” under Subsection C now
reads: “‘Serious bodily injury or disease’ includes but is not limited to (i) disfigurement, (ii) a
fracture, (iii) a severe burn or laceration, (iv) mutilation, (v) maiming, or (vi) life-threatening
internal injuries or conditions, whether or not caused by trauma.”
                                                    5
her injuries met the statutory definition of a serious bodily injury. Betty’s injuries were

“horrible,” the court found, noting that “the pictures may make it clearer to see.” Id. at 113. The

court also rejected Tomlin’s interpretation of Prewett’s testimony. His testimony fully

supported, the court stated, the conclusion that Betty had suffered “serious injuries that could

lead to death” and needed immediate “medical attention.” Id. at 154-55.

          Tomlin appealed, and the Court of Appeals affirmed. It held that Tomlin’s proposed

definition of “serious bodily injury” was too narrow because an injury does not need to “threaten

near-certain death to be sufficiently serious” nor be incapable of recovery with proper treatment.

Tomlin v. Commonwealth, 74 Va. App. 392, 405 (2022). The Court of Appeals concluded that

the totality of the evidence was sufficient to support the trial court’s finding of a serious bodily

injury.

                                                   II.

          On appeal to us, Tomlin argues that the Court of Appeals erred when it affirmed the

conviction for abuse or neglect of an incapacitated adult because no rational factfinder could

conclude that Betty’s bedsores constituted “serious bodily injury” under Code § 18.2-369(B)-

(C). We disagree.

                                                   A.

          The judgment of the trial court, sitting without a jury, is “entitled to the same weight as a

jury verdict.” Cole v. Commonwealth, 294 Va. 342, 361 (2017) (citation omitted). And for good

reason — in a bench trial, a “trial judge’s major role is the determination of fact, and with

experience in fulfilling that role comes expertise.” Perkins, 295 Va. at 327 (quoting Anderson v.

Bessemer City, 470 U.S. 564, 574 (1985)). In both bench and jury trials, “we review factfinding

with the highest degree of appellate deference.” Bowman v. Commonwealth, 290 Va. 492, 496

(2015).
                                                    6
       When considering the evidence in the light most favorable to the Commonwealth, supra

at 1, “[a]n appellate court does not “ask itself whether it believes that the evidence at the trial

established guilt beyond a reasonable doubt.”’” Barney, 302 Va. at ___, 884 S.E.2d at 89

(citations omitted). “[I]t is not for this [C]ourt to say that the evidence does or does not establish

[the defendant’s] guilt beyond a reasonable doubt because as an original proposition it might

have reached a different conclusion.” Cobb v. Commonwealth, 152 Va. 941, 953 (1929). The

only “relevant question is, after reviewing the evidence in the light most favorable to the

prosecution, whether any rational trier of fact could have found the essential elements of the

crime beyond a reasonable doubt.” Sullivan v. Commonwealth, 280 Va. 672, 676 (2010).

       The nature of appellate review requires that “we eschew the divide-and-conquer

approach, which examines each incriminating fact in isolation, finds it singularly insufficient,

and then concludes that the sum of these facts can never be sufficient.” Barney, 302 Va. at ___,

884 S.E.2d at 89. When the evidence is “considered as a whole,” Stamper v. Commonwealth,

220 Va. 260, 273 (1979), it may well be that “no single piece of evidence may be sufficient” to

justify the conviction, Commonwealth v. Moseley, 293 Va. 455, 463 (2017) (citation omitted).

Even so, “the combined force of many concurrent and related circumstances . . . may lead a

reasonable mind irresistibly to a conclusion.” Id. (citation omitted). “Relying on this

commonsense observation, we have often ‘emphasized the importance of this totality-of-the-

evidence analysis.’” Barney, 302 Va. at ___, 884 S.E.2d at 89 (citation omitted).

                                                  B.

       Sitting as factfinder, the trial court found Tomlin guilty of Code § 18.2-369, which

prohibits the “[a]buse and neglect of incapacitated adults.” 3 First enacted in 1992, the statute

       3
           See supra note 2. Code § 18.2-369 is now entitled “[a]buse and neglect of vulnerable
adults.”
                                                   7
makes it “unlawful for any responsible person to abuse or neglect any incapacitated adult.” Code

§ 18.2-369(A); see 1992 Acts ch. 551, at 705. Abuse or neglect that “results in serious bodily

injury or disease” qualifies as a felony offense. Code § 18.2-369(B). Tomlin does not contest on

appeal the trial court’s finding that she abused and neglected her mother. Instead, Tomlin claims

that a rational factfinder could not find beyond a reasonable doubt that her mother suffered any

serious bodily injury as a result.

                                                 1.

       On appeal, Tomlin organizes her legal argument around three canons of statutory

construction. The first repeats the contention that Tomlin made in the trial court: Code § 18.2-

369(C) provides an exhaustive list of serious injuries and diseases, and neither a bedsore (no

matter its severity) nor anything “substantially similar” is on the list. Appellant’s Br. at 10. This

conclusion follows from the “rule of ejusdem generis,” Tomlin contends, which treats “the

specific examples as narrowing the general phrase, not as expanding the phrase to its ‘widest

extent.’” Id. at 9 (citation omitted). We recognize this doctrine in Virginia but find fault with

Tomlin’s application of it in this case.

       Properly applied, the rule of ejusdem generis suggests that “when a particular class of

persons or things is enumerated in a statute and general words follow, the general words are to be

restricted in their meaning to a sense analogous to the less general, particular words.” Norton v.

Board of Supervisors of Fairfax Cnty., 299 Va. 749, 759 (2021) (quoting Martin v.

Commonwealth, 224 Va. 298, 301-02 (1982)). In this way, “[t]he effect of general words when

they follow particular words [is] thus restricted.” Rockingham Co-op. Farm Bureau v. City of

Harrisonburg, 171 Va. 339, 344 (1938) (emphasis added). 4

       4
         See also Kappa Sigma Fraternity, Inc. v. Kappa Sigma Fraternity, 266 Va. 455, 470
(2003); Turner v. Reed, 258 Va. 406, 410 (1999); Wood ex rel. Wood v. Henry Cnty. Pub. Sch.,
                                               8
        The rule of ejusdem generis helps explain statutes that list a series of words or phrases in

a specific-to-general sequence, such as “This Act applies to Toyotas, Fords, Hondas, Nissans,

and other vehicles.” The “other vehicles” catch-all would only catch motor vehicles (like

Chevrolet autos and trucks) but not golf carts, snowmobiles, or helicopters. See generally Henry

Campbell Black, Construction and Interpretation of the Laws § 71, at 203-07 (2d ed. 1911)

(listing examples). In natural conversation as well as legal writing, the linguistic range of the

last, broad entry generally should not be understood as outside the categorical range of the

preceding series of specific entries. The linear order of the objects listed — that is, the “when

they follow” sequencing, Rockingham Co-op. Farm Bureau, 171 Va. at 344 — is what makes the

ejusdem generis rule sensible. The great weight of authority, both in Virginia and elsewhere,

recognizes “that the specific-general sequence is required, and that the rule does not apply to a

general-specific sequence.” Antonin Scalia & Bryan A. Garner, Reading Law: The

Interpretation of Legal Texts 203 (2012).5

        Tomlin’s argument inverts the sequencing requirement of the rule of ejusdem generis.

Code § 18.2-369(C) states: “‘Serious bodily injury or disease’ shall include but not be limited to

(i) disfigurement, (ii) a fracture, (iii) a severe burn or laceration, (iv) mutilation, (v) maiming, or

255 Va. 85, 94-95 (1998); Cape Henry Towers, Inc. v. National Gypsum Co., 229 Va. 596, 603
(1985); East Coast Freight Lines v. City of Richmond, 194 Va. 517, 525 (1953); Standard Ice
Co. v. Lynchburg Diamond Ice Factory, 129 Va. 521, 532 (1921); Stephen Putney Shoe Co. v.
Richmond, Fredericksburg & Potomac R.R., 116 Va. 211, 220 (1914); Button v. State Corp.
Comm’n of Va., 105 Va. 634, 640-42 (1906); Gates & Son Co. v. City of Richmond, 103 Va. 702,
705-06 (1905); American Manganese Co. v. Virginia Manganese Co., 91 Va. 272, 280-81
(1895); City of Lynchburg v. Norfolk & W. R.R., 80 Va. 237, 249 (1885).
        5
         See generally Button, 105 Va. at 640-42 (citing Black, supra, § 71, at 203; G.A.
Endlich, A Commentary on the Interpretation of Statutes § 405, at 567-68 (1888)); American
Manganese Co., 91 Va. at 280-81 (citing Herbert Broom, A Selection of Legal Maxims 650 (8th
Am. ed. 1882); Theodore Sedgwick & John Norton Pomeroy, A Treatise on the Rules which
Govern the Interpretation and Construction of Statutory and Constitutional Law 361 (2d ed.
1874)); City of Lynchburg, 80 Va. at 249 (citing Sir Fortunatus Dwarris & Platt Potter, A
General Treatise on Statutes 236 (1885)).
                                                9
(vi) life-threatening internal injuries or conditions, whether or not caused by trauma.” The

general concept (“serious bodily injury or disease”) precedes the specific examples. And to

further avoid any misinterpretation, the general concept is followed by a phrase (“include but not

be limited to”) that doubles down on the inapplicability of ejusdem generis to the list of specific,

illustrative examples. The “doctrine of ejusdem generis is inapplicable” when the illustrative list

is qualified by the phrase “including, but not limited to.” Cooper Distrib. Co. v. Amana Refrig.,

Inc., 63 F.3d 262, 280 (3d Cir. 1995). To be sure, this common locution serves a “belt-and-

suspenders function” to ensure that the enumerated specifics are not interpreted to limit the

general. Scalia & Garner, supra, at 204-05.

       Tomlin next turns to the maxim noscitur a sociis, but it too has no relevance to our

interpretative task. Correctly viewed, the maxim noscitur a sociis means only that “when general

and specific words are grouped, the general words are limited by the specific and will be

construed to embrace only objects similar in nature to those things identified by the specific

words.” Sainani v. Belmont Glen Homeowners Ass’n, 297 Va. 714, 724 (2019) (emphases

added) (citation omitted); see also Loch Levan Land Ltd. P’ship v. Board of Supervisors of

Henrico Cnty., 297 Va. 674, 685 (2019). That “limited by” principle, however, does not apply

when the general words in a statute are expressly said to not be limited by the specific words.

Phrases like “including but not limited to” and “including without limitation” are specifically

“intended to defeat the negative-implication canon.” Scalia & Garner, supra, at 132-33. These

“cautious phrases” are used in drafting “to defeat three canons of construction: inclusio unius est

exclusio alterius (‘to express one thing is to exclude the other’), noscitur a sociis (‘it is known by

                                                 10
its associates’), and ejusdem generis (‘of the same class or nature’).” Bryan A. Garner, A

Dictionary of Modern Legal Usage 432 (2d ed. 1995). 6

       Neither the rule of ejusdem generis nor the maxim noscitur a sociis supports an

interpretation of Code § 18.2-369(C) that categorically excludes bedsores (no matter how

serious) from the list of injuries covered by the statute. We similarly reject any interpretation

that excludes bedsores (when they are fairly characterized as serious injuries) from the reach of

Code § 18.2-369(C) on the ground that they are not anatomically similar to disfigurements,

fractures, burns, lacerations, mutilations, maiming injuries, or life-threatening internal injuries.

As the “include but not be limited to” phrase makes clear, the statutory list is neither exhaustive

nor is it a series of similitudes limiting the linguistic range of the phrase “serious bodily injury or

disease.”

       Finally, Tomlin argues that the Court of Appeals erred by not construing the definition of

“serious bodily injury” in Code § 18.2-369 to mirror its definition in a different statute, Code

§ 16.1-283(E). The Court of Appeals was obliged to do so, Tomlin reasons, because the canon

of in pari materia dictates that these statutes “should be construed together.” Appellant’s Br. at

11. This maxim is generally true but inapplicable here.

       Code § 16.1-283 addresses judicial orders terminating residual parental rights. Various

factual scenarios must be considered before a parent can lose his or her legal rights to a child.

One is whether the parent has been convicted of felony assault resulting in a “serious bodily

injury.” Code § 16.1-283(E). The statute states that “[a]s used in this section” the term “‘serious

       6
        Many courts have come to exactly this conclusion. See, e.g., F.T.C. v. EDebitPay, LLC,
695 F.3d 938, 943-44 (9th Cir. 2012); United States v. West, 671 F.3d 1195, 1200-01 (10th Cir.
2012); United States v. Migi, 329 F.3d 1085, 1089 (9th Cir. 2003); Cintech Indus. Coatings, Inc.
v. Bennett Indus., Inc., 85 F.3d 1198, 1202-03 (6th Cir. 1996); Cooper Distrib. Co., 63 F.3d at
280; Lyman v. Town of Bow Mar, 533 P.2d 1129, 1133 (Colo. 1975); In re Forfeiture of $5,264,
439 N.W.2d 246, 251 n.7 (Mich. 1989); Yager v. State, 362 P.3d 777, 783-84 (Wyo. 2015).
                                                11
bodily injury’ means bodily injury that involves substantial risk of death, extreme physical pain,

protracted and obvious disfigurement, or protracted loss or impairment of the function of a

bodily member, organ or mental faculty.” Id. (emphasis added). Harmonizing these definitions

of “serious bodily injury,” Tomlin argues, requires that a serious bodily injury under Code

§ 18.2-369 must necessarily be one posing a substantial risk of death.

       This argument, like Tomlin’s earlier ones, overlooks the “include but not be limited to”

phrase that appears in Code § 18.2-369(C) but does not appear in Code § 16.1-283(E), and

conversely, it takes no account of the “means” verb in Code § 16.1-283(E) that does not appear

in Code § 18.2-369(C). These differences wholly change what is being said in each statute.

“[W]hen an interpretation clause states that a word or phrase ‘means . . . ,’ any other meaning is

excluded, whereas the word ‘includes’ indicates an extension of the ordinary meaning which

continues to apply in appropriate cases.” Rupert Cross, Statutory Interpretation 103 (1976).

Thus, a statute stating that some genus term means X, Y, or Z provides an exhaustive list of

subordinate meanings because a statutory “definition which declares what a term ‘means’ usually

excludes any meaning not stated.” 2A Norman J. Singer & Shambie Singer, Statutes and

Statutory Construction § 47:7, at 310-12 (7th ed. rev. April 2014). In contrast, a different statute

defining the same genus term to include but not be limited to X, Y, or Z merely provides a non-

exhaustive, illustrative list of meanings.

       The error of Tomlin’s argument highlights an even greater problem for her interpretation.

By our count, there are more than 50 statutory provisions in the Code of Virginia using the

phrase “serious bodily injury” or “serious injury” in a host of different contexts. Many of these

statutes give no definition at all. 7 Some, like Code § 16.1-283(E), use the verb “means” in a

       7
         See, e.g., Code §§ 4.1-225(1)(q) (grounds for which liquor licenses might be suspended
or revoked), 8.01-225(A)(1) (exemption from liability for persons rendering emergency care),
                                               12
manner that appears to give an exhaustive definition. 8 One uses the verb “includes” before

introducing a list of examples. See Code § 22.1-289.032. Because of these textual

dissimilarities, we decline Tomlin’s invitation to cull through the dozens of other statutory

provisions in the Code of Virginia to find a singular, comprehensive definition of “serious bodily

injury” to apply to Code § 18.2-369(C).

       In short, Code § 18.2-369(C), which governs abuse and neglect of incapacitated persons,

like its companion statute, Code § 18.2-371.1(A), which governs abuse and neglect of children,

stands alone in its use of the included-but-not-limited-to phrase as a “belt-and-suspenders” effort,

see Scalia & Garner, supra, at 204, to emphasize the nonexclusive nature of the listed examples.

We will not limit its textual reach by excising from the statute this important syntactic clue to its

meaning.

                                                  2.

       Having rejected Tomlin’s proffered canons of construction, we must explain how we will

interpret Code § 18.2-369(C). The answer is hardly startling. We interpret plain, ordinary words

in a plain and ordinary way — hence “the plain meaning rule,” Supinger v. Stakes, 255 Va. 198,

10.1-1455(A) (enforcement of the Virginia Waste Management Act), 16.1-269.1(A)(4)(e)
(factors for determining whether a juvenile should be transferred from juvenile court), 18.2-
52.1(D) (defining an infectious biological substance), 18.2-60(A)(3) (threats to do serious bodily
injury), 29.1-740 (penalties for failing to stop and render assistance after a collision), 52-48(D)
(penalties for disseminating confidential information).
       8
        See, e.g., Code §§ 3.2-6570(F) (cruelty to animals), 16.1-251(A)(2) (emergency
removal orders), 18.2-51.4(E) (maiming resulting from driving while intoxicated), 18.2-58(A)
(aggravated robbery), 63.2-910.2(B) (petitions to terminate parental rights).
        Black’s Law Dictionary, for example, references the definition of “serious bodily injury”
used in the Model Penal Code to govern offenses involving danger to the person. See Black’s
Law Dictionary 940 (11th ed. 2019). Section 210.0(3) of the Model Penal Code provides:
“‘[S]erious bodily injury’ means bodily injury which creates a substantial risk of death or which
causes serious, permanent disfigurement, or protracted loss or impairment of the function of any
bodily member or organ.” (Emphasis added).
                                               13
206 (1998). The expression “serious bodily injury” is not a term of art borrowed from the

lexicon of medical terms. One will search in vain for a definition of “serious bodily injury” or

“serious injury” in any of the recognized medical dictionaries. See, e.g., Mosby’s Medical

Dictionary (10th ed. 2017); Richard Sloane, The Sloane-Dorland Annotated Medical-Legal

Dictionary (1987 & 1992 Supp.); Stedman’s Medical Dictionary (28th ed. 2006); Taber’s

Cyclopedic Medical Dictionary (23d ed. 2017). It would make no sense to treat this phrase as a

technical term of art that must be understood “according to the acceptation of the learned in [the

pertinent] art, trade, and science,” 1 William Blackstone, Commentaries *60, when the

specialized discipline implicated here (the medical profession) does not do so.

       To discover the plain and ordinary meaning of everyday language, we consult general-

purpose dictionaries. One of the most popular defines “serious” to mean “having important or

dangerous possible consequences” as in “a serious injury.” Merriam-Webster Online Dictionary,

https://www.merriam-webster.com/ dictionary/serious (last visited May 24, 2023) (emphasis

added). Another reputable dictionary defines “serious” as “attended with danger” and “giving

cause for anxiety,” as in a “serious illness” or “condition.” 15 The Oxford English Dictionary

15-16 (2d ed. 1989). And yet another states that “serious” means “to cause considerable distress,

anxiety, or inconvenience: attended with danger” as in “a [serious] injury.” Webster’s Third

New International Dictionary 2073 (2002).

       When a statute uses the term “serious” but does not define it, both we and the Court of

Appeals employ these common-sense meanings. We have held, for example, that a “serious”

violation of a motor vehicle law means a violation that is “[n]ot trifling; grave; giving rise to

apprehension; attended with danger.” Commonwealth ex rel. Lamb v. Hill, 196 Va. 18, 23

(1954) (citation omitted). A “serious bodily injury” constitutes a violation of a protective order,

                                                 14
the Court of Appeals has held, if the injury meets the Hill standard or otherwise gives “rise to

considerable care.” Nolen v. Commonwealth, 53 Va. App. 593, 599 (2009).

       We see the value of applying these common-sense considerations when determining

whether a “rational trier of fact,” Sullivan, 280 Va. at 676, could have found beyond a reasonable

doubt that Betty suffered a “serious bodily injury” under Code § 18.2-369(C). Viewing the facts

of this case in the light most favorable to the Commonwealth, the record established that:

                An exterminator called 911 when he found Betty lying on the
                 floor of her home “in pretty bad shape” and “being eat[en] up
                 with bed bugs.” Def’s Ex. A at 0:25 to 0:40.

                The first responders, two firefighters, found Betty lying on the
                 floor — where she had been for two days — “covered in feces
                 and urine” with “bed bugs crawling on her.” J.A. at 32. The
                 first responders worked to safely transport her to the hospital
                 where she could receive emergency medical attention.

                The physician assistant at the emergency room observed
                 multiple decubitus ulcers on Betty’s legs and below her
                 buttocks. He concluded that they had taken at least one week “at
                 a minimum” to develop and that the worst of them had likely
                 been “present for at least three weeks.” Id. at 50, 75.

                The most problematic ulcers were “of a bigger depth” and had
                 “broken the dermis and [were] approaching the fascia.” Id. at
                 58. These bedsores were not “superficial ulcer[s].” Id.

                The “redness” around the worst ulcer was evidence of potential
                 “early cellulitis, which means an infection of the skin.” Id. at
                 59. It was “certainly an advancing ulcer, if not skin infection.”
                 Id.

                Cellulitis is the “primary way” a bedsore can “become fatal.” Id.
                 at 51.

                The risk of infection causing dangerous cellulitis was worsened
                 because of the “amount of stool and urine that she was covered
                 in, essentially from head to toe.” Id. at 60, 79.

                The physician assistant concluded that proper medical care
                 needed to begin immediately because Betty “might die” if her
                 ulcers were left untreated. Id. at 67. For this reason, the

                                                15
                 physician assistant recommended that Betty be immediately
                 admitted into the hospital for further treatment and observation.

       The trial court, sitting as factfinder, could have rationally determined that Tomlin’s abuse

and neglect of Betty caused her to suffer a “serious bodily injury” under Code § 18.2-369. The

most advanced ulcer posed a fatal risk of infection for an 80-year-old woman who had been left

on the floor in her own feces and urine for at least two days. The urgent need for institutional

and costly medical care tangibly confirms this factual finding by the trial court. As the Court of

Appeals fairly summarized the case:

               Although Tomlin argues the bed sores were treatable, [Betty] lay
               in her own filth for two days without any treatment or cleaning.
               Her condition was life-threatening because of the combination of
               bed sores, leg sores, and the increased risk of infection created by
               the ubiquitous bed bugs, feces, and urine covering her body.

Tomlin, 74 Va. App. at 408-09.

                                                III.

       In sum, the trial court sitting as factfinder rationally concluded that the evidence proved

beyond a reasonable doubt that Tomlin’s abuse and neglect of her mother caused her mother to

suffer a serious bodily injury under Code § 18.2-369. Agreeing with the Court of Appeals, we

affirm Tomlin’s conviction.

                                                                                          Affirmed.

                                                16