DON E. BURRELL, Judge.

Although this consolidated appeal ostensibly stems from an automobile collision that occurred in Springfield on November 7, 2002, in which Angela Hester ("Hester") was killed and Arthur Rogers ("Plaintiff") was injured, it has instead become a contest about the importance of everyone in court "playing by the rules" and what consequences should flow from a failure to do so. Ann Mills ("Defendant") brought two separate appeals as Hester's Defendant ad Litem. The first (SD30144) purports to challenge a "judgment" entered after a "bench trial." That "judgment" found that Plaintiff, by signing a document entitled "Release and Settlement Agreement"1 after first adding to it an additional term, had not agreed to settle all of his claims arising out of the collision for $50,000.

After the trial court found that no settlement had been reached, Plaintiff's claim against Defendant for injuries he allegedly suffered in the collision was tried to a jury.2 At the conclusion of that trial, the jury found Defendant negligent and returned a $1,451,112 verdict in favor of Plaintiff. The trial court thereafter entered a judgment consistent with that verdict. Defendant's second appeal (SD30167) purports to challenge the trial court's denial of Defendant's subsequent post-trial motion requesting a new trial.3

Defendant presents six points that claim the trial court erroneously: 1) relied on inadmissible parol evidence in ruling that the "Release and Settlement Agreement," as modified by Plaintiff, constituted a counter-offer, not an acceptance; 2) allowed Plaintiff to present seven different types of inadmissible evidence and make improper arguments to the jury; 3) allowed Plaintiff's counsel to misstate the law by asserting "that Defendant had the burden of proof of having Plaintiff examined by a medical doctor and/or valuing plaintiffs case[;]" 4) permitted Plaintiff to submit a claim for future damages unsupported by any evidence, admitted hearsay evidence regarding future damages, and then submitted a jury instruction regarding future damages; 5) admitted improper testimony from lay and expert witnesses; and 6) deprived Defendant of a fair and impartial jury due to the cumulative affect of the errors asserted in points two through five.

Because Defendant disregarded the rules governing how appeals are to be presented and decided, many of her claims of error were not properly preserved for our review and must be dismissed. Finding no merit in those that remain, we affirm the judgment of the trial court.

Background Facts

We here present the facts favorable to the jury's verdict.4 See Reiss & Goodness Eng'rs, Inc. v. City of Goodman, 303 S.W.3d 605, 610 (Mo.App. S.D.2010). On November 7, 2002, Plaintiff was operating a tractor-trailer unit on Division Street when Hester, traveling in the opposite direction in a pick-up truck she was driving, crossed the center line. Plaintiff moved his rig over to try and avoid Hester's oncoming vehicle but was unsuccessful in preventing a collision. Hester died of the injuries she received when the vehicles collided. Plaintiff declined medical attention at the scene but began feeling pain in his neck and back as he was riding from the scene with a co-worker. He "immediately" went to see his doctor, then saw another doctor approximately three-to-five days later, who ordered additional "follow-up."

Eventually, Plaintiff received injections in his neck, spine and shoulder, had surgery on both shoulders, and engaged in physical therapy. He continued to experience neck pain and was no longer able to perform many of his previous activities. When Plaintiff tried to engage in those activities, he subsequently spent several hours at a time lying on the floor with his legs propped up to help relieve his resulting pain.

At the jury trial, in addition to his own testimony, Plaintiff presented the live testimony of a vocational rehabilitation counselor, a physical therapist, a medical evaluation expert, an economist, witnesses to the accident scene, witnesses familiar with Plaintiff and his activities, and the videotaped depositions of two treating doctors.

The only evidence presented by Defendant—other than testimony elicited through the cross-examination of Plaintiff's witnesses—consisted of playing for the jury a portion of Plaintiff's videotaped deposition. Additional relevant facts will be set forth below in the context of our discussion of the particular point to which they relate.

The Deficiencies in Defendant's Brief Substantially Impede Appellate Review

In both a separate motion to dismiss and in his brief, Plaintiff asks us to dismiss Defendant's appeal based on briefing deficiencies regarding Defendant's statement of facts, points relied on, and argument. See Rule 84.04(a), (c), (d), (i), and Rule 81.12(e).5 "A brief that fails to comply with Rule 84.04 preserves nothing for appellate review. Compliance with the requirements of Rule 84.04 is mandatory." State ex rel Koster v. Allen, 298 S.W.3d 139, 144 (Mo.App. S.D.2009) (internal citation omitted). An appellant who files a brief that violates the requirements of Rule 84.04 risks having his appeal dismissed. Id. at 145. But a dismissal based on briefing deficiencies is not the preferred result, and appellate courts have the discretion to consider a defective point if the deficiencies involved are not so serious as to impede review. See Bolt v. Giordano, 310 S.W.3d 237, 242 (Mo.App. E.D.2010). "A brief impedes disposition on the merits if it fails to give notice to the other parties and to the appellate court of the basis for the claimed error." Bolz v. Hatfield, 41 S.W.3d 566, 571 (Mo.App. S.D. 2001). When review is impeded, "a point must be disregarded, reviewed only for plain error, or the appeal with respect to that point dismissed." Id.

Although none of Defendant's points fully comply with the requirements of Rule 84.04, we find that the nature and degree of the deficiencies involved allow us to place them into two separate categories. Points II, IV, and V are hopelessly deficient and are dismissed.6 Points I, III, and VI are not so deficient as to impede appellate review and will be addressed on the merits.7 Before we address Defendant's points, we begin our review with some examples of problems with the statement of facts and argument sections of her brief.

Defendant's Statement of Facts Violates Rule 84.04(c)

Plaintiff asserts Defendant's statement of facts is deficient because:

Defendant responds that she is not disputing the facts of the accident and is instead focused on the "unfairly prejudicial impact of Plaintiff's counsel's actions and the trial court's ineffective or non-existent attempts to cure Plaintiff's counsel's improprieties before the jury and Plaintiffs improper submission of certain evidence."

Rule 84.04(c) provides that "[t]he statement of facts shall be a fair and concise statement of the facts relevant to the questions presented for determination without argument." Interspersing argument throughout the statement of facts violates Rule 84.04. Allen, 298 S.W.3d at 143. Defendant's statement of facts improperly contains argument. The following is a representative sample with identification of the nature of the offense contained in parenthetical statements.

The statement of facts should also be fair and concise. Rule 84.04(c). In some instances, Defendant's brief asserts facts that are not accurate or are misleading by leaving out additional facts pertinent to the fact cited. For example, Defendant stated, "In voir dire, over defendant's objection, [Plaintiff's counsel] asked the venire panel the `insurance question' and stated: `Is anyone a policy holder, employee, board member or director of Zurich Insurance Company, Progressive Northwestern Insurance Company, or Empire Fire and Marine Insurance Company?'" Contrary to Defendant's claim, the record reveals that Defendant did not object when this question was asked. Although Defendant raised an objection to the question in a pretrial motion, counsel did not object when the question was actually asked during voir dire. Defendant then states that Plaintiff's counsel immediately asked a question about Enterprise Rent-A-Car after asking the insurance question. What Defendant fails to include is that she did not object when the question was asked.

There are similar deficiencies elsewhere in Defendant's statement of facts. For instance, Defendant complains that "references to the death of [Plaintiff's] prior wife continued throughout the trial." Defendant fails to point out that several of these references were made without any objection from Defendant. Defendant did eventually object and was granted a continuing objection. In another instance, Defendant's statement of facts improperly argues that Plaintiff "injected worker's compensation into the civil jury trial[.]" Although Defendant cites the transcript reference for Plaintiff's counsel's first question to the panel about worker's compensation, she does not point out that no objection was made to that question or to any of the discussion that followed it. Defendant did object to a subsequent voir dire question on this topic, but did not object later when Plaintiff's counsel discussed the topic further with two panel members who volunteered additional information about worker's compensation. Finally, while Defendant correctly cites Plaintiffs counsel's references to "company doctors" and "a case manager" in questions she asked Plaintiff's wife, Defendant does not inform us that she failed to object. Defendant also voiced no objection to the use of these terms when Plaintiffs counsel earlier questioned other witnesses about "company doctors" and "a case manager."

Defendant's Argument Section Violates Rule 84.04(i)

Rule 84.04(i) requires that "[a]ll statements of fact and argument shall have specific page references to the legal file or the transcript." (Emphasis added). "If the court were to take the time on its own initiative to comb the record for support of factual assertions in a brief, we would, in effect, become an advocate for the non-complying party." Woods v. Friendly Ford, Inc., 248 S.W.3d 699, 713 (Mo.App. S.D.2008). While Defendant's statement of facts generally provides citations to the transcript and legal file (albeit with the deficiencies noted above), the argument section of Defendant's brief only occasionally cites the record. The vast majority of factual allegations presented in the argument section of Defendant's brief contain no references to the record and are also general, not specific. In her response to Plaintiff's motion to dismiss, Defendant maintains that "each and every fact stated in Appellant's Brief is clearly cited to the record in her Statement of Facts." But the requirements of Rule 84.04(i) are not limited to the statement of facts; the argument section of a brief must also include citations to the record.

Some examples may be helpful here. The following is a portion of Defendant's argument in support of her second point: "Beginning in opening, [Plaintiffs counsel] began her studied effort to gain the sympathy of the jury through improper means [no citation to the record]. Defendant objected to each such reference and every objection was overruled [no citation to the record]." Defendant then argues, "Although the trial court verbally acknowledged the prejudicial effect of such testimony and arguments, the trial court, nonetheless, allowed [Plaintiffs counsel] to seize the opportunity to gain the sympathy of the jury through irrelevant and improper means beginning in opening arguments and continuing through the evidence portion of the case and into closing arguments [no citations to the record]."

In her argument supporting point IV, Defendant states, "At trial, over Defendant's objection, Dr. Bennoch was allowed to testify that Plaintiff `might' or `may' need a future neck surgery [no citation to the record]. He did not testify with proper evidentiary certainty that a future surgery was necessary [no citation to the record]." Defendant then argued, "Additionally, Plaintiff injected hearsay statements, unsupported by evidence, into the trial, advising the jury on multiple occasions that `doctors' would testify that Plaintiff needed a future neck surgery or that a future neck surgery was required [no citation to the record]. No surgeon testified at trial. Only one of Plaintiff's treating doctors testified at trial, Dr. Ball, a non-surgeon [no citation to the record]."

In support of her fifth point, Defendant argues, "Witness Elliot was allowed to testify, over Defendant's objection, about whether [Plaintiff] could have avoided the accident at issue [no citation to the record]. Although the testimony was stricken by the trial court, the bell had been `rung [no citation to the record].'" An appellant's failure to cite the record in the argument section of a brief makes it very difficult to determine whether the facts support (or fail to support) the appellant's legal argument. This is especially true when—as here—the appellant paraphrases the evidence and the paraphrase used in the argument section is not identical to that set forth in the statement of facts.

Points II, IV and v. Violate Rule 84.04(d)(1)

Under Rule 84.04(d)(1), Defendant's brief must present points relied on that "(A) identify the trial court ruling or action the appellant challenges; (B) state concisely the legal reasons for the appellant's claim of reversible error; and (C) explain in summary fashion why, in the context of the case, those legal reasons support the claim of reversible error." "Structuring a point relied on so that it groups together contentions not related to a single issue violates Rule 84.04." Martin v. Reed, 147 S.W.3d 860, 863 (Mo.App. S.D.2004) (footnote omitted). "Such points are multifarious and preserve nothing for appellate review." Rushing v. City of Springfield, 180 S.W.3d 538, 539 (Mo.App. S.D.2006).

Point II

Defendant's second point attempts to group together at least seven different allegations of trial court error. The point states:8

Defendant asserts that "[t]he concise statement of the legal reasons for [Defendant's] claim of reversible error in Point II above is the consideration of improper statements and argument by Plaintiff's counsel." Defendant also argues that the point provides notice to Plaintiff "of the precise matters being appealed and this Court has been informed of the issues presented for resolution[,]" citing Thummel v. King, 570 S.W.2d 679, 686 (Mo. banc 1978). Defendant is correct that the rule requires notice, but it requires more than that; it must alert the opponent and this court that Defendant complains about certain events. As our high court explained in Thummel, a

Id. (emphasis added).

A point addressing multiple issues is not concise. For example, in Thummel, although one of appellant's deficient points appeared short on its face, it was actually an

570 S.W.2d at 688.

Although Defendant maintains that, in her case, "[n]o one point contains alleged claims of error involving multiple principles of law[,]" point II clearly constitutes a "shotgun" approach to raising allegations of error. Defendant states that point two is about the single issue of improper argument by Plaintiffs counsel. But the point clearly asserts both improper evidence and argument and challenges the denial of a new trial ultimately based upon multiple events and multiple rulings by the trial court during voir dire, opening statement, the presentation of evidence, and closing argument. As best we understand Defendant's point II, as expounded in the argument section that follows, it raises alleged trial court error in denying the motion for new trial based on the following seven principles:

If properly presented, each of these issues would involve a separate ruling (or non-ruling) by the trial court and whether Defendant had lodged a timely and sufficient objection. In turn, those objections, non-objections, and rulings would involve the application of different legal rules, not the least of which might be differing standards of review.9 The failure to cite the record as each argument is made only compounds the problem. To overcome these material deficiencies would require us to "determine and clarify the nature of the contentions asserted"—an advocacy role wholly improper for a reviewing court to assume. See Thummel, 570 S.W.2d at 686. Because point II is deficient to a degree that impedes appellate review, it is dismissed.

Point IV

Point IV reads as follows:

This point asks us to address multiple legal issues encompassed within what we presume Defendant claims to be a single "principle of law"—the viability of what he claims was a request by Plaintiff for an award of future damages based on a possibility that Plaintiff might someday need to undergo neck surgery. The actual matters contested within this multifarious point include allegations of insufficient evidence, impermissible expert testimony, inadmissible hearsay from an unidentified witness, the improper admission of an exhibit, and the submission of a faulty jury instruction. Like point II, Defendant's fourth point improperly combines multiple, dissimilar claims of error into a single point in violation of Rule 84.04(d). Rushing, 180 S.W.3d at 539. The violation impedes appellate review. Point IV is dismissed.

Point V

In addition to improperly grouping multiple claims of error into a single point, Point V also fails to state the specific trial court rulings alleged to be erroneous and does not state with particularity the testimony that Defendant believes demonstrates the harm caused by the alleged error. Point V states:

To review this allegation on the merits, opposing counsel and this court would have to seine the record and Defendant's argument section in an attempt to identify the rulings about which Defendant complains. Once again, to do so would take us outside of our proper function. As explained in Thummel,

570 S.W.2d at 686. Point V is dismissed.

Points That May be Reviewed on the Merits

Point I—addressing appeal SD30144— The Effect of the Altered "Release and Settlement Agreement"

Defendant's first point claims the trial court erred in ruling after the "bench trial" "that the General Release was a counter offer because the court relied on inadmissible parol[] evidence in that the General Release . . . was clear, unambiguous, and enforceable as written."

Before considering point I, we must address a potential obstacle to appellate review. It does not appear that the trial court's ruling following the "bench trial" constituted a final judgment or decree. In a pretrial conference held on May 4, 2009, the trial court set a "[h]earing on issue of release." The record on appeal contains a transcript of a hearing held on June 11, 2009. That transcript is entitled "bench trial." The transcript indicates that the hearing began with considerable confusion over which party should present evidence first. Ultimately, Defendant went first, producing evidence in support of her affirmative defense of release. During the course of the hearing, Plaintiff made an oral motion "to prevent any evidence of any kind of release coming in for any reason as this was settlement negotiations." No judgment or decision was announced by the trial court at the conclusion of the hearing. A subsequent docket entry entitled "Motion Granted/Sustained" granted Plaintiff's request that Defendant be barred from relying on the release as an affirmative defense at trial.10 That docket entry does not satisfy the provision of Rule 74.01(a) that "[a] judgment is entered when a writing signed by the judge and denominated judgment' or `decree' is filed." Although a docket sheet entry signed by a judge is a sufficient writing, it must still be labeled as a "judgment" or "decree." Lake Osage Condo. Ass'n. v. Prewitt, 179 S.W.3d 331, 335-36 (Mo.App. S.D.2005). The docket entry in this case was not signed by the judge and was not denominated as either a "judgment" or "decree."

In response to the docket entry, Defendant filed a "motion for new trial." The trial court did not rule on the motion until it specifically denied it after having entered its monetary damages judgment in favor of Plaintiff following the jury trial. That judgment made no reference to Defendant's affirmative defense of release or Plaintiff's request that Defendant not be allowed to present any evidence on it during the trial.

Because the trial court's docket entry following the evidentiary hearing held June 11, 2009, was not a judgment, it was not an appealable ruling and amounted to nothing more than an in limine indication of how the trial court would likely handle the matter at trial. "The grant of a motion in limine is an interlocutory order, and therefore not a potential source of reversible error." Columbia Mut. Ins. Co. v. Long, 258 S.W.3d 469, 474 (Mo.App. W.D.2008). When a motion in limine is granted so as to exclude evidence from trial, the party offering the evidence must still offer it at trial in order to preserve the issue for review on appeal. Henderson v. Fields, 68 S.W.3d 455, 469 (Mo.App. W.D.2001); Portis v. Greenhaw, 38 S.W.3d 436, 447 (Mo.App. W.D.2001). "A motion in limine, by itself, preserves nothing for appeal." Hancock v. Shook, 100 S.W.3d 786, 802 (Mo. banc 2003). Here, because the court's docket entry did not constitute a judgment and Defendant did not attempt to offer evidence concerning the release during the jury trial, the matter was not preserved for appeal.

Even if the court's docket entry had qualified as an appealable judgment or decree, we note that the release presented to the trial court at the June 11th hearing has not been included in the record on appeal. The transcript reflects that Defendant's "Release and Settlement Agreement dated 2-29-08" was admitted as Defendant's "Exhibit 1" at that hearing. No such Exhibit 1 is contained in the either the Legal File or Supplemental Legal File, and the only exhibits deposited with this court are Plaintiff's Exhibit 7 and Defendant's Exhibit G. "When exhibits are omitted from the transcript and are not filed with the appellate court, the intendment and content of the exhibits will be taken as favorable to the trial court's ruling and as unfavorable to the appellant." Shadow Lake of Noel, Inc. v. Supervisor of Liquor Control, 893 S.W.2d 835, 839 (Mo. App. S.D.1995). Documents that are not a part of the legal file are generally not considered on appeal, but "a statement of fact asserted in one party's brief and conceded as true in the opposing party's brief may be considered as though it appears in the record." In re Nitsche, 46 S.W.3d 682, 684 (Mo.App. S.D.2001).

Here, while Plaintiff presumably does not contest the content of his own exhibits, and two exhibits Plaintiff attached to his pleadings may be very similar (if not identical) to Defendant's Exhibit 1, Plaintiff objected to Exhibit 1 at the June 11, 2009, hearing and it does not appear that Plaintiff has expressly conceded in his brief the content of Exhibit 1. A copy of a modified release appears in three locations in the supplemental legal file: 1) an exhibit originally attached to Defendant's memorandum in support of her motion for summary judgment; 2) Plaintiff's "Statement of Uncontroverted Facts;" and, 3) Plaintiff's response to Defendant's "Statement of Additional Facts."

Rule 81.12(a) provides that "[t]he record on appeal shall contain all of the record, proceedings and evidence necessary to the determination of all questions to be presented, by either appellant or respondent, to the appellate court for decision." Rule 81.12(e) provides that the "[a]ppellant is responsible for depositing all exhibits that are necessary for the determination of any point relied on." We should not assume that the Exhibit 1 challenged in Defendant's first point is identical to the various other exhibits entitled "Release and Settlement Agreement" that were attached to other pleadings.11 Because Defendant failed to include Exhibit 1 in the record on appeal, we presume its contents would not be favorable to Defendant's position. Shadow Lake, 893 S.W.2d at 839.

If the trial court's ruling had qualified as an appealable judgment and we presumed that Defendant's Exhibit 1 offered in the June 11th hearing was identical to the exhibit attached to Defendant's memorandum in support of her motion for summary judgment (and that we should review it even though it was not offered into evidence at the jury trial), Defendant would still not be entitled to prevail.

The release presented with Defendant's motion for summary judgment stated: "IT IS UNDERSTOOD AND AGREED THAT ALL OF THE CLAIMS OF ARTHUR ROGERS AND NORMA ROGERS ARISING OUT OF CASE NUMBER 107-CC4274 ARE FULLY AND FOREVER RESOLVED FOR THE CONSIDERATION MORE FULLY SET FORTH HEREIN." However, the title of the document, "Release and Settlement Agreement" bore an asterisk. An asterisk note inserted at the bottom of each of the two pages of the release stated, "Except that Arthur and Norma Rogers specifically reserve their right to pursue their claim for additional damages against Cambridge Insurance in that the settlement as set forth in this release does not completely and fully satisfy all damages sustained by Arthur and Norma Rogers as a result of this accident." The trial court heard evidence that Plaintiff signed the release only after it was so modified.

Plaintiff testified that he did not get any proceeds from the $50,000 check tendered to Plaintiff's counsel "because the lady that sent the check had to okay the changes before, you know, it could be disbursed." The deposition of attorney Laurel Stevenson (former counsel for Defendant) was presented to the court wherein she testified that she had not settled the case before she left her employment with the firm representing Defendant. A letter from Ms. Stevenson was also admitted into evidence. That letter stated that the $50,000.00 draft enclosed with it was to be held in trust until the release was executed. Attorney Mike Archer testified that he took over the defense of Plaintiff's claim after Ms. Stevenson left the firm. Mr. Archer asked Plaintiff's counsel to either make a counter-offer or return the money. Mr. Archer thereafter received a check from Plaintiff's counsel's trust account for $50,000.12

The trial court had previously denied Defendant's motion for summary judgment based upon Plaintiff's execution of the "Release and Settlement Agreement." After the June 11th "bench trial," the trial court ruled that the release did not constitute an affirmative defense, stating, "Notwithstanding [Defendant's] check being cashed and held in escrow by agreement, Plaintiffs amendment of [the] terms is found to rise to the level of a `counter offer' rather than acceptance as advocated by [Defendant]. The Court will therefore sustain Plaintiff's request that [the] `release' will not be an available affirmative defense at trial."

"The general rule is that in reviewing a court-tried case, we will affirm the judgment unless it is against the weight of the evidence, there is no substantial evidence to support it, or the trial court has erroneously applied or declared the law." Muilenburg, Inc. v. Cherokee Rose Design & Build, L.L.C., 250 S.W.3d 848, 851 (Mo.App. S.D.2008). Matters of contract interpretation, however, are questions of law that we review de novo. Id. Settlement agreements are essentially contracts. Custom Builders Corp. v. Chesebro, 825 S.W.2d 15, 17 (Mo.App. E.D.1992).

Defendant argues that the "Release and Settlement Agreement" was a settlement offer "supported by a tender of consideration of a settlement check for $50,000.00." She asserts that "Plaintiffs accepted this settlement by signing the General Release before a notary public and returning the signed [r]elease to [D]efendant." Defendant suggests that while "Cambridge Insurance" may not have been released based upon the additional language added to the release, Defendant was released because the additional language "in itself did not create an ambiguity as to the party's clear intent to release all claims against [Defendant]." Defendant argues that the trial court considered parol evidence in determining whether Plaintiff intended to release Defendant and thereby violated the rule that parol evidence is inadmissible as to the parties' intentions when the contract is unambiguous, citing Mid Rivers Mall v. McManmon, 37 S.W.3d 253, 255-56 (Mo.App. E.D.2000).13

"The parol evidence rule does not prevent relevant parol evidence from being admitted; but prohibits the trier of fact from using that evidence to vary, alter or contradict the terms of a binding, unambiguous and integrated written contract." State ex rel Missouri Highway & Transp. Comm'n v. Maryville Land P'ship, 62 S.W.3d 485, 489 (Mo.App. E.D.2001). If the contract is not complete, then the parol evidence rule does not apply. Kenney v. Vansittert, 277 S.W.3d 713, 719 (Mo.App. W.D.2008) (internal citation omitted). "[A] contract is not complete until the proposition of one is presented to the other and accepted as presented. The acceptance of a proposition presented by one party must be accepted by the other in the form tendered; if the acceptance purports to add or alter the proposition made, then neither party is bound." L.B. v. State Comm. of Psychologists, 912 S.W.2d 611, 617 (Mo. App. W.D.1995) (citations omitted). "Where the purported acceptance of an offer introduces new or variant terms or omits, enlarges or modifies the terms of the offer, no contract has been formed and a response amounts to a counter offer and rejection of the original offer." F.S. Crook Inc. v. C & R Heating & Serv. Co., Inc., 787 S.W.2d 763, 764 (Mo.App. E.D.1990).

Here, the purported acceptance of the settlement agreement came with a new term added. The original offer provided, "ALL OF THE CLAMS OF ARTHUR ROGERS AND NORMA ROGERS ARISING OUT OF CASE NUMBER 107-CC4274 ARE FULLY AND FOREVER RESOLVED FOR THE CONSIDERATION MORE FULLY SET FORTH HEREIN." The unmodified release also purported to

(Capitalization as in original, italics added). When the asterisk and new term were added to the document, a significant modification was made—it no longer resolved all claims against all persons or entities. The change amounted to a reservation of a claim and did not release all persons or entities "whomsoever." As a result, it did not constitute an acceptance of the original settlement offer. See L.B., 912 S.W.2d at 617. The addition of the new language reserving the right to seek additional damages was simply "a counter offer and rejection of the original offer." F.S. Crook Inc., 787 S.W.2d at 764. As the face of the document itself supports the trial court's conclusion that the release, as modified, was a counter-offer, it cannot be said that the trial court impermissibly relied on parol evidence in reaching its conclusion. Because the "judgment" challenged in Defendant's first point was an interlocutory ruling only, not a final appealable judgment, and Defendant did not attempt to present any evidence in support of its affirmative defense of release during the jury trial, the matter was not properly preserved for our review. Point I is denied.

Point III—Claiming a Misstatement of Law Regarding the Burden of Proof

Defendant asserts in her third point that the trial court erred in denying her motion for new trial "because the court allowed Plaintiff's counsel to misstate the law in the presence of the jury in that Plaintiffs counsel improperly argued that Defendant had the burden of proof of having Plaintiff examined by a medical doctor and/or valuing Plaintiffs case."

"Whether a new trial should be granted because of jury argument is a determination within the sound discretion of the trial court." Brown v. Cedar Creek Rod & Gun Club, 298 S.W.3d 14, 20 (Mo. App. W.D.2009). "Judicial discretion is abused when the trial court's ruling is clearly against the logic of the circumstances then before the court and is so arbitrary and unreasonable as to shock the sense of justice and indicate a lack of careful consideration." Giddens v. Kansas City Southern Ry. Co., 29 S.W.3d 813, 819 (Mo. banc 2000).

Once again, Defendant failed to cite specific passages in the record in support of her argument. In her reply brief, Defendant points us back to her statement of facts. The reference there is to the following portion of Plaintiff's closing argument:

During Plaintiff's rebuttal closing argument, the following exchange occurred:

Defendant argues that "[i]t is improper and prejudicial for counsel to argue that defendant had the opportunity and the right to have plaintiff examined by any doctor of its choice[,]" citing Hoffman v. Illinois Terminal R.R. Co., 274 S.W.2d 591, 595 (Mo.App.St.L.D.1955). Plaintiff counters that Hoffman "has been distinguished numerous times from cases with similar facts as the one at bar[,]" and cites Hemann v. Camolaur, Inc., 127 S.W.3d 706, 711-12 (Mo.App. W.D.2004), and Chailland v. Smiley, 363 S.W.2d 619, 629 (Mo. banc 1963). In Hoffman, the plaintiff argued that the defendant had a right to have plaintiff examined by a doctor, but the court found that section 510.040 only permitted an examination upon request of a defendant upon order of the court for good cause shown.14 274 S.W.2d at 595. As a result, the argument was improper. The reviewing court declined to decide whether the trial court's curative comment after sustaining the objection was an abuse of discretion because the case was being remanded for another reason. Id.

In Hemann, the court distinguished Hoffman because the plaintiff there did not argue that the defendant had the right or obligation to have the plaintiff examined. 127 S.W.3d at 711. The court stated that Hemann's

Id. (footnote references omitted). Here, Plaintiff's counsel stated that Defendant was "allowed under the law to have the same experts I do and to have my client examined." This statement goes beyond arguing that the medical evidence was uncontroverted and was, therefore, improper. Upon objection, "[t]he trial judge is invested with a judicial discretion in determining what corrective action is appropriate and sufficient in such a case, and although reviewable his action will not be reversed unless it is manifest that he has been guilty of an abuse of judicial discretion." Hoffman, 274 S.W.2d at 595. Defendant objected, but requested no specific relief. The trial court instructed the jury to remember what came in as evidence, and that "[a]ny argument about what was assumed in the trial is improper and don't consider it." Defendant did not object to the relief provided by the trial court. On review, we presume that the jury followed the trial court's instruction. See Brown, 298 S.W.3d at 21. A party who fails to request additional relief may waive further appellate review of the matter. See Woods, 248 S.W.3d at 707. Here, we find nothing to rebut the presumption that the jury followed the trial court's instruction that it should not consider the improper argument.

Plaintiff's counsel, not easily deterred, made a similar argument in her rebuttal closing argument, stating that Defendant "had a right to bring every expert and have the client examined if [s]he doesn't believe any of this." Defendant properly objected but again did not request any specific relief and did not object when the trial court, in response to Defendant's objection, instructed the jury that "Plaintiff does have the burden of proof." While we do not condone counsel's repetition of an argument the trial court had already instructed the jury to disregard, we again find that the trial court's response was not an abuse of its discretion. The curative response plainly emphasized to the jury that the burden of proof continued to rest with Plaintiff. We presume the jury followed that instruction.

Concerning Defendant's claim that Plaintiff improperly argued that Defendant had the burden to "value" Plaintiffs case, the matter was first raised in voir dire in the context of Plaintiff's difficulty in trying to put a monetary value on pain and suffering. The purpose was to emphasize the importance of a juror's obligation to follow the law even if he or she does not agree with it. Plaintiff's closing argument reference to it was:

Defendant eventually lodged a tardy objection, stating "Judge, that's improper. I'd move to strike that argument, the personalizing, it's improper." The objection does not indicate what specific argument Defendant thought improper and Defendant again requested no specific relief. In response to the objection, the trial court told the jury: "any reference to what did not happen at this trial is improper, so you just consider what the evidence was and we'll be fine." Defendant did not object to Plaintiff's counsel's reference to the failure to bring in an expert on the value of pain. Rather, her objection was to what she claimed was Plaintiff's "personalizing" the matter. She also did not object on the grounds that Plaintiffs argument resulted in a shifting of the burden of proof.15

"The scope of the objection may not be broadened or altered on appeal. Parties are prevented from advancing an objection to evidence on appeal that is different from the one presented to the trial court." Lester E. Cox Med. Ctrs. v. Richards, 252 S.W.3d 236, 239 (Mo.App. S.D.2008) (citation omitted). We find no abuse of discretion by the trial court in denying Defendant's motion for a new trial based on improper closing arguments by Plaintiff's counsel. Point III is denied.

Point VI—Alleging Cumulative Error

Defendant argues in her final point that "the cumulative affect of points II-V unfairly prejudiced Defendant by depriving her of her right to a fair and impartial jury." Defendant concedes that it is difficult for such an argument to be persuasive, but maintains that her points, "when considered collectively, clearly illustrate a theme of impropriety, bias and prejudice." Plaintiff responds that points which fail to preserve anything for review are not grounds for cumulative error, citing Roberson v. Weston, 255 S.W.3d 15, 19 (Mo.App. S.D.2008) (cumulative error not preserved in motion for new trial; plain error review for cumulative error declined).

"Although a new trial may be granted due to cumulative effects of trial court errors even absent a decision that any single error would constitute grounds for reversal and a new trial, such relief will not be granted where, as here, `there is no showing that prejudice resulted from any rulings of the trial court.'" Woods, 248 S.W.3d at 712 (quoting Smith v. Wal-Mart Stores, Inc., 967 S.W.2d 198, 205 (Mo.App. E.D.1998)). Defendant failed to properly preserve and support any of his allegations of trial court error. Without any properly preserved errors to aggregate, there can be no showing of prejudice based on an accumulation of such errors.

Defendant's final point is denied, and the judgment is affirmed.

BARNEY, P.J. and LYNCH, JJ., concur.