MARGARET B. SEYMOUR, Senior District Judge.
Ronald P. Hargrave ("Defendant") is the sole individual named in a seven-Count Superseding Indictment filed on October 17, 2018. ECF No. 37. Counts 1, 2, 4, and 7 charged Defendant with knowingly, intentionally, and unlawfully distributing Schedule II controlled substances (oxycodone and dextroamphetamine) in violation of 21 U.S.C. § § 841(a)(1) and (b)(1)(C).
On September 9, 2019, Defendant filed a motion for a judgment of acquittal or a new trial pursuant to Rules 29 and 33 of the Federal Rules of Criminal Procedure. ECF No. 98. Defendant asserts that there was not enough evidence to convict him and the court should therefore overturn the jury's verdicts. Defendant also asserts that he should receive a new trial because allegedly improper character evidence was introduced in violation of Federal Rules of Evidence Rule 404(b) and because the court did not allow one of Defendant's experts to testify pursuant to Federal Rules of Evidence Rule 702. The government filed a response in opposition on September 18, 2019, asserting that the evidence presented at trial was sufficient to convict Defendant and the court did not err in its evidentiary rulings at trial. ECF No. 99. On September 26, 2019, Defendant filed an amendment to his motion. ECF No. 101. In that amendment, Defendant also argues that the government failed to turn over
Rule 29 of the Federal Rules of Criminal Procedure states in part that "[a]fter the government closes its evidence or after the close of all the evidence, the court on the defendant's motion must enter a judgment of acquittal of any offense for which the evidence is insufficient to sustain a conviction. The court may on its own consider whether the evidence is insufficient to sustain a conviction." Fed. R. Crim. P. 29(a). Furthermore, "[a] defendant may move for a judgment of acquittal, or renew such a motion, within 14 days after a guilty verdict or after the court discharges the jury, whichever is later." Fed. R. Crim. P. 29(c)(1). A defendant bringing a Rule 29 challenge based on the sufficiency of the evidence faces a "heavy burden, as appellate reversal on grounds of insufficient evidence is confined to cases where the prosecution's failure is clear."
Rule 33 of the Federal Rules of Criminal Procedure states in part that "[u]pon the defendant's motion, the court may vacate any judgment and grant a new trial if the interest of justice so requires." Fed. R. Crim. P. 33(a). The decision to grant or deny a Rule 33 motion is left within the discretion of the district court.
At trial, the government had the burden to prove that Defendant provided illegal prescriptions to four individuals: Crystal Kowalski ("Kowalski"), Danielle Williams ("Williams"), Jason Lines ("Lines"), and Mary Flemming ("Flemming"). In order to find Defendant guilty, the government was required to show:
The government offered the following witnesses, among others: 1) Jennifer Pyle ("Pyle"), a Doctor's Care employee; 2) Kowalski; 3) Dr. Curtis Franke ("Dr. Franke"), an expert in the general practice of medicine and the prescribing of controlled substances; and 4) Lisa Fisher ("Fisher"), a pharmacist. ECF No. 81-1. Defendant offered: 1) Dr. Jeffrey Siewicki ("Dr. Siewicki"), a pharmacist (proffer only); and 2) Dr. Matthew Wallen ("Dr. Wallen"), an expert in the general practice of medicine and the prescribing of controlled substances.
Kowalski testified that Lines is a drug dealer in the Summerville, South Carolina community. 7/16/19 Tr. 17, 11. Kowalski testified that she bought "whatever [drugs] [Lines] had. . . Xanax, heroin cocaine. . . ." 7/16/19 Tr. 17, 15. Kowalski stated that she eventually could not obtain drugs from Lines. 7/16/19 Tr. 21, 22-25. However, Lines put Kowalski in contact with Defendant. 7/16/19 Tr. 22, 4-6. Kowalski stated that she called Defendant "to get prescription medications that [she] wanted." 7/16/19 Tr. 22, 10. Kowalski arranged to meet Defendant after hours on March 7, 2017 at his place of employment, Doctor's Care in Moncks Corner, South Carolina, in order to exchange "sexual favors" for drugs and money. 7/16/19 Tr. 22, 11-25. According to Kowalski, she arrived at Doctor's Care and she and Defendant had intercourse. 7/16/19 Tr. 25, 10-11; 20-25. Kowalski testified that she later returned to Doctor's Care and received prescriptions for the agreed upon drugs. 7/16/19 Tr. 34, 2-3.
Defendant argues that there was insufficient evidence to support convictions on Counts 1-3. Defendant specifically asserts that there is insufficient evidence to suggest he "realized he was prescribing drugs to either an addict or a drug dealer." ECF No. 98 at 8. Defendant also asserts that Kowalski "presented at Doctor's Care on March 10, 2017, as someone who had extensive and well-documented legitimate medical needs, who had received these medications in the past. . . ."
A review of the record indicates that when the government asked why Kowalski had sex with Defendant, she stated that it was to receive illegal prescriptions. 7/16/19 Tr. 34, 20-22. Kowalski further testified that she did not complain of a sore throat or any other ailment on her March 10, 2017 return trip to see Defendant at Doctor's Care. 7/16/19 Tr. 35, 5-15;
7/16/19 Tr. 41, 2-5.
Kowalski testified that she had no legitimate medical need for the prescriptions Defendant issued, and Defendant was aware of that fact. The jury evaluated Kowalski's testimony and found it to be credible. Further, Dr. Franke examined Kowalski's medical records and determined that Kowalski had no legitimate medical need for the prescriptions that Defendant issued and Defendant issued the prescriptions outside the ordinary course of medical practice. Tr. 7/16/19 164, 3-5; Tr. 7/16/19 166, 18-19; 7/16/19 Tr. 167, 7-8. Finally, in regards to Lines' statement, the court notes that it was not introduced into evidence at trial and therefore was not considered by the jury. In any event, the court cannot evaluate witness credibility at this stage.
The court finds that the jury's verdicts as to Counts 1-3 are substantially supported by the evidence in the record, viewed in the light most favorable to the government.
The government offered evidence through prescription records to prove that Defendant distributed controlled substances outside the usual course of professional practice and without a legitimate medical purpose to Lines and Williams. In addition, Kowalski identified Williams as someone in the "circle of drug people." 7/16/19 Tr. 18, 8-9. The records reviewed by Dr. Franke showed that on February 20, 2017, Williams presented at the Doctor's care in Moncks Corner, South Carolina with tooth pain and Defendant prescribed oxycodone 10 mg. 7/16/19 Tr. 169, 19-20; 7/16/19 Tr. 175, 8-9. Lines also presented at the Doctor's Care in Moncks Corner, South Carolina, on February 20, 2017 with purported urological issues and Defendant prescribed Xanax and oxycodone. 7/16/19 Tr. 177, 10-18; 7/16/19 Tr. 179, 6-9.
The government further offered evidence to prove that Defendant provided prescriptions outside the usual course of professional practice and without a legitimate medical purpose to Flemming. Fisher testified that Flemming presented at the Walgreen's pharmacy on Devine Street in Columbia, South Carolina, in May 2015 with a prescription not issued by a physician from the Columbia area. 7/16/19 Tr. 129, 15. Fisher questioned the prescription and paged Defendant, who was listed as the doctor on the prescription. 7/16/19 Tr. 129, 21-24. Defendant responded to the page and called Fisher back, but the phone number on the caller ID did not match Defendant's number, and the caller ID did not show Defendant's name. 7/16/19 Tr. 130, 13-17. Fisher refused to fill the prescription. 7/16/19 Tr. 132, 1-3. Defendant then arrived at the pharmacy with Flemming in order to get Fisher to fill the prescription in dispute. 7/16/19, Tr. 132, 9. Fisher testified that Defendant and Flemming were "all over" each other, "like they were dating or something." 7/16/19, Tr. 133, 7-9. Fisher ultimately did not fill the prescription. 7/16/19 Tr. 135, 21.
Defendant asserts that there is insufficient evidence to support convictions on Counts 4-7. Defendant specifically indicates that, as to Williams and Lines, "[t]hese two patients came into Doctor's Care complaining of various long-term ailments that they had both been treated for before." ECF No. 98 at 12. Defendant elaborates that "[a]t most, the government proved that [Defendant]'s notes did not appear—to Dr. Franke—to support the prescriptions issued to Williams and Lines, but this is not sufficient evidence to support a criminal conviction."
Dr. Franke testified that, based on the medical records of Williams and Lines and their purported illnesses of a toothache by Williams and urological problems by Lines, there was no legitimate medical purpose for the prescriptions Defendant wrote. Dr. Franke also testified that in his expert opinion, Defendant did not write the prescriptions within the ordinary course of medical practice. 7/16/19 Tr. 174, 11-14; 7/16/19 Tr. 175,14; 7/16/19 Tr. 175, 17-18; 7/16/19 Tr. 181, 11; 7/16/19 Tr. 182, 22. Dr. Franke examined Mary Flemming's extensive medical records, in which she repeatedly presented to Defendant and complained of anxiety and back pain. 7/16/19 Tr. 189, 5. In reviewing Flemming's numerous records, Dr. Franke concluded he was concerned that Defendant was "feeding an addiction" with his prescriptions and that Defendant was prescribing Flemming "massive quantities" of medication. 7/16/19 Tr. 197, 5-8, 14. Dr. Franke concluded that in his expert opinion, there was no legitimate medical purpose for the prescriptions Defendant wrote for Flemming that formed the basis of the Indictment, and those prescriptions were not written within the ordinary course of medical practice. 7/16/19 Tr. 205, 25; 7/16/19 Tr. 206, 5-7. Although Dr. Wallen, Defendant's expert, reached the opposite conclusion, the jury heard both experts' testimony and found Dr. Franke's account to be more credible. The jury also considered the testimony of Fisher
Rule 404(b) of the Federal Rules of Evidence provides "[e]vidence of a crime, wrong, or other act is not admissible to prove a person's character in order to show that on a particular occasion the person acted in accordance with the character." Fed. R. Evid. 404(b)(1). Such evidence is only admissible if it is relevant to an issue unrelated to character, necessary, and reliable.
At trial, Pyle testified about footage from a Doctor's Care surveillance camera from the night of March 7, 2017. 7/15/19 Tr. 163, 15. Pyle stated that she recognized Kowalski. 7/15/19 Tr. 165, 5-9. The government asked Pyle "how [did she] recognize [Kowalski]," to which Pyle responded that she recognized "her from different times of seeing her in the parking lot, seeing her come ask for [Defendant,] random times in and out of the office." 7/15/19 Tr. 165, 10-13. Counsel for Defendant then moved for a mistrial at a sidebar, suggesting that the government "elicited testimony to suggest that [Kowalski] had been [to Doctor's Care] often. . . ." 7/15/19 Tr. 167, 1-7. In response, the Assistant United States Attorney stated that the question of whether Pyle had seen Kowalski before was to determine only if Pyle had seen Kowalski before testifying in court. 7/15/19 Tr. 169, 2-4. The Assistant United States Attorney elaborated that he was simply trying to establish that Kowalski, the individual set to testify later, was the "woman [Pyle] saw that night." 7/15/19 Tr. 171, 4-6. The court declined to declare a mistrial and suggested that any potential prejudice would be cured with cross examination. Counsel for Defendant declined to do so, stating that would "inv[ite] more speculation and more improper character fixation by the jurors." 7/15/19 Tr. 172, 18-20. Counsel for Defendant also did not request for Pyle's comment to be stricken.
Defendant argues that he was prejudiced by the testimony of Pyle and should therefore receive a new trial as a result of that prejudice. Pyle testified that she had seen Kowalski at Doctor's Care on numerous occasions when this was not the case. ECF No. 98 at 22. Defendant claims that the government "introduced unduly prejudicial character evidence into this trial" and attempted to introduce improper Rule 404(b) evidence.
The Assistant United States Attorney's stated at the sidebar that the government was merely seeking to place Kowalski at the scene of the incident on the night of March 7, 2017. Pyle volunteered information that may or may not have been correct; the government had no way of knowing what Pyle would say when queried. Rule 404(b) is not implicated because no evidence was introduced to prove Defendant's character. The interests of justice do not require a new trial on this ground.
Rule 702 of the Federal Rules of Evidence states:
Fed. R. Evid. 702.
Federal district courts perform "an important gatekeeping function in deciding whether to admit expert testimony under Federal Rule of Evidence 702."
At trial, the Assistant United States Attorney objected to Dr. Siewicki testifying. The Assistant United States Attorney argued that Dr. Siewicki is not a medical doctor and can only fill prescriptions and not issue them, thus making it difficult for a pharmacist to determine if a patient had a legitimate medical need for a prescription in dispute. 7/17/19 Tr. 37, 10-21. More specifically, the Assistant United States Attorney asserted that a pharmacist "has no part in the diagnosis." 7/17/19 Tr. 37, 25. The court questioned counsel for Defendant as to whether the witness could assert an opinion as to "whether or not in [the situations in this case, the] prescription was appropriate and evidence of a legitimate medical need at the time it was prescribed based on the patient's symptoms and the diagnosis of the doctor." Tr. 7/17/19 39, 18-24. Counsel for Defendant asserted that Dr. Siewicki could not testify as to Defendant's "reasoning" in prescribing what he prescribed, but he could testify as to how frequently certain drugs are prescribed, and thus reach a conclusion as to whether a prescription was issued for a legitimate medical need. 7/17/19 Tr. 39, 25-Tr. 40, 1; 7/17/19 Tr. 42, 4-7; 7/17/19 Tr. 43, 1; 7/19/19 Tr. 43, 20-24. After allowing Dr. Siewicki to proffer his testimony and questioning him about his qualifications and his responsibilities as a pharmacist, the court concluded:
7/17/19 Tr. 73, 21-25; 7/17/19 Tr. 74, 1-8.
In summary, the court ultimately found Dr. Siewicki's testimony to be irrelevant to the case and precluded him from testifying. 7/17/19 Tr. 74, 10-17.
Defendant argues that the court erred by not allowing Dr. Siewicki to testify, and that he should receive a new trial because of this error. ECF No. 98 at 25. Defendant asserts that Dr. Siewicki's testimony would have been relevant, as he was qualified to speak to the issue of "whether [Defendant] prescribed [the] medications for legitimate medical needs" and he would have "rebutted Dr. Franke's testimony. . . ."
The central issue of the case was whether Defendant prescribed drugs for a legitimate purpose. Dr. Siewicki, as a pharmacist, could not testify as to whether the prescriptions Defendant issued were for a legitimate medical purpose and within the ordinary course of practice, as he cannot diagnose patients or practice medicine. Therefore, his testimony would not help the trier of fact to understand the evidence or to determine a fact at issue. The court declines to grant a new trial on this ground.
In
Defendant argues that he has "reason to believe that there is an on-going federal criminal investigation into Lines, Crystal Kowalski, and others which was on-going at the time of [Defendant's] trial." ECF No. 101 at 1-2. Defendant asserts that this information would have constituted impeachment evidence against Kowalski.
For the foregoing reasons, Defendant's motion for a judgment of acquittal or a motion for a new trial, ECF No. 98, is