People v. Goins ( 2013 )


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    2013 IL App (1st) 113201
    THIRD DIVISION
    October 23, 2013
    No. 1-11-3201
    IN THE
    APPELLATE COURT OF ILLINOIS
    FIRST JUDICIAL DISTRICT
    THE PEOPLE OF THE STATE OF ILLINOIS,                         )      Appeal from the
    )      Circuit Court of
    Plaintiff-Appellee,                          )      Cook County.
    )
    v.                                                    )
    )      No. 08 CR 1944
    TYRECE GOINS,                                                )
    )
    )      Honorable
    Defendant-Appellant.                         )      Clayton J. Crane,
    )      Judge Presiding.
    PRESIDING JUSTICE HYMAN delivered the judgment of the court.
    Justices Pucinski and Mason concurred in the judgment.
    OPINION
    ¶1          A jury convicted defendant Tyrece Goins of aggravated battery of a child and
    acquitted him of attempted first degree murder. Goins was sentenced to 11 years in prison.
    Before trial, Goins filed a motion to suppress a statement made to a detective and an assistant
    State's Attorney during his interrogation. He contends that he had not "voluntarily, knowingly
    and intelligently" waived his Miranda rights before making the statement because his "mental,
    educational, emotional and/or psychological state, capacity and condition" prevented him from
    1-11-3201
    fully understanding those rights. After hearing testimony from three experts (one retained by the
    State and two by the defense), Goins' mother, Goins, and the detective and assistant State's
    Attorney who interrogated Goins, the trial court denied the motion, finding that Goins knowingly
    and intelligently waived his Miranda rights. See Miranda v. Arizona, 
    384 U.S. 436
     (1966).
    ¶2       The matter proceeded to a jury trial, where the State introduced Goins' statement as
    evidence. The State also presented testimony from the detective and assistant State's Attorney
    regarding their taking defendant's statement, testimony from Goins' mother concerning Goins'
    ability to care for his young son and to live independently despite his learning disabilities, and
    testimony from medical experts about the victim's injuries.
    ¶3       After trial, Goins sought a new trial, asserting that the trial court made several erroneous
    rulings, including: denying his motion to suppress his statement; limiting Goins' expert's
    testimony to matters relating to Goins' IQ score; and denying his motion for a mistrial when the
    State's witness made reference to a scar on the victim and the long-term effects of the victim's
    injuries. The motion for a new trial also alleged that the State made improper and inflammatory
    remarks during closing and rebuttal arguments. The trial court denied Goins' motion for a new
    trial.
    ¶4       In this appeal, Goins argues that the trial court erred in (1) denying the motion to
    suppress his statement where the evidence did not establish that he knowingly and intelligently
    waived his Miranda rights, owing to his limited mental capacity inhibiting full understanding of
    the meaning of his rights; (2) limiting his expert's testimony to information concerning Goins' IQ
    score; (3) denying his motion for a mistrial where the State's expert testified about a scar on the
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    1-11-3201
    victim and the long-term effects of the victim's injuries; and (4) denying his motion for a new
    trial where the State made improper remarks during closing and rebuttal arguments. We disagree
    and affirm.
    ¶5     We find defendant voluntarily, knowingly, and intelligently waived his Miranda rights,
    where considering the totality of circumstances, including defendant's limited mental capacity,
    the trial court's finding on this issue was not against the manifest weight of the evidence. Also,
    we find the trial court properly limited defendant's expert testimony to factors relating to
    defendant's limited mental capacity and did not deprive defendant of a fair trial based on
    testimony by the State's expert witness or remarks by the prosecutor during closing and rebuttal
    arguments.
    ¶6                                     BACKGROUND
    ¶7                                The Taking of the Statement
    ¶8     On January 28, 2008, the State charged Goins by indictment with attempted first degree
    murder and aggravated battery of a child stemming from injuries sustained by his two-year-old
    son, Wanya, on December 31, 2007. At the time of the incident, Goins believed that Wanya was
    his son from a previous relationship. (Later, Goins learned that he was not Wayna's biological
    father.) Wayne lived with Goins and his girlfriend, Alexandra Smith, in Springfield, Illinois,
    where Goins was enrolled in a GED program at Lincoln Land Community College.
    ¶9    In December 2007, Goins, Smith, and Wanya visited the Chicago area to celebrate the
    holidays. Smith returned to Springfield shortly after December 25, 2007; Goins and Wanya
    remained in Chicago. On December 31, Goins and Wanya were staying at the apartment of
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    Goins' mother, Veronica Goins, and Goins' sister, Donna Goins. On that evening, Goins was
    home alone with Wanya.
    ¶ 10   On the morning of January 1, 2008, Goins' mother and sister returned home and noticed
    that something was wrong with Wanya. The child was moaning. His eyes were rolled into the
    back of his head. And he would not stand unassisted. Goins' mother called the paramedics and
    Wanya was taken to Comer Children's Hospital. Due to Wanya's young age, a child abuse team
    was assigned to evaluate his case and hospital staff contacted the police. The doctors determined
    Wayna suffered extensive injuries, including severe brain injury, hemorrhages in his brain and
    retinas, as well as bruises on his forehead and blood inside his ear canal. Wanya's injuries
    required putting a drain in his head to evacuate excess fluid and blood accumulating on his brain
    and a cervical collar to stabilize his neck. Also, Wanya was attached to IV tubes containing
    various medications to keep him stable and treat seizures.
    ¶ 11   On January 2, 2008, Chicago police detective David Matual interviewed Goins at the
    hospital. Goins told Detective Matual that at the time of the incident, he had gone to the
    washroom while Wanya played on the bed. When he returned from the washroom, Wanya had
    fallen off of the bed and was screaming. Goins did not immediately call 911, but his mother
    called an ambulance the following morning. Detective Matual informed Goins that he was under
    arrest and read Goins his Miranda rights. After Goins requested that an assistant State's Attorney
    (ASA) be present for the interview, Detective Matual brought ASA Marina Para into the
    interview room. ASA Para advised Goins of his Miranda rights, then transcribed a statement
    from Goins by hand on a preprinted form used for taking statements. The form contained a
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    paragraph advising Goins of his Miranda rights. The handwritten statement summarized the
    events that took place on December 31, 2007, leading up to Wanya's injuries.
    ¶ 12    In the statement, Goins explained that on December 31, 2007, he and Wanya, whose
    nickname is "Tank," were staying at his mother's apartment. Goins and Wanya were home alone.
    His mother was working and his sister went out with friends. At about 8 p.m., Goins and Wanya
    were watching television when Goins' father called on the landline telephone. Goins' father told
    Goins that his two-year-old brother passed away that day. Goins stated that the news made him
    "sad, upset, and frustrated so he threw the phone and it hit a chair and the back piece came off
    and he put it back on." From that point on, Goins stated that the telephone cut in and out for the
    rest of the night.
    ¶ 13    Shortly before 9 p.m., Goins took Wanya upstairs to the bedroom to watch
    television while sitting on the bed. "Angry, upset, sad, crying, and frustrated," with " no one
    home for him to talk to about how he felt," Goins was "putting his fists on the side of his face
    and was moving his arms around and was acting more than just crazy because he was so upset."
    Goins was "hollering" and used his right hand to hit Wanya's head "pretty hard" on the right side.
    Goins then saw Wanya's head hit the wall. Wanya fell backwards on the bed, and was "screaming
    very loudly and at a high pitch, which is not how he normally crie[d]." Goins observed that
    Wanya "was not the same as before [Goins] hit him." Goins picked up Wanya and shook him to
    see what was wrong with him. Goins saw that Wanya's head was falling to the side and his eyes
    were rolling back in his head and would not stay open. Wanya could not stand on his own, and
    his arms were limp. Wanya also began vomiting repeatedly.
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    ¶ 14   Goins said he "was feeling terrible because he had just hurt his son." Goins then
    called his girlfriend in Springfield and told her that Wanya had fallen off the bed because he was
    afraid to tell the truth. While Goins was speaking with his girlfriend, the telephone cut out.
    Goins then called his mother and left her a message. When she returned his call, Goins told her
    that Wanya had fallen off the bed because he was also scared to tell her the truth. His mother
    advised Goins to try to keep Wanya awake, but Wanya could not keep his eyes open or his head
    up. Wanya continued to cry and scream all night. Goins "did not call the police or 911 all night
    because he was scared and he was the person who hit [Wanya]."
    ¶ 15   The next morning, around 10 or 11 a.m., Goins' mother arrived home. She tried to
    wake Wanya and called 911. Because he was still scared, Goins again told his mother that Wanya
    had fallen off the bed while he was in the washroom. The ambulance arrived and took Wanya to
    the hospital. Goins did not tell anyone what he did to Wanya until his statement to ASA Para.
    ¶ 16   On September 15, 2008, Goins filed an amended motion to suppress the statement he
    made to ASA Para. The motion alleged that Goins did not voluntarily, knowingly, and
    intelligently waive his Miranda rights where his mental deficiencies made him "incapable and
    unable to appreciate and understand the full meaning of his Miranda rights."
    ¶ 17                             Hearing on Motion to Suppress
    ¶ 18   On November 18, 2009, the trial court held a hearing on Goins' motion to
    suppress his statement. Goins presented testimony from two doctors who worked at Forensic
    Clinical Services. Dr. Fidel Echevarria testified that he examined Goins on January 27, 2009.
    Dr. Echevarria concluded that Goins was fit to stand trial, but deferred his evaluation on the issue
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    of whether Goins had the ability to understand Miranda warnings. Dr. Echevarria referred Goins
    to the psychology department for IQ and other cognitive testing. Dr. Echevarria testified that Dr.
    Eric Neu conducted psychological testing and submitted a report. Dr. Neu's report found that
    Goins had an IQ of 61, and diagnosed Goins with mild mental retardation. Dr. Echevarria
    explained that Goins had the ability to read, but had a delay and difficulty understanding certain
    words. Dr. Echevarria testified that nothing indicated that Goins was malingering. Based on Dr.
    Neu's report and his own examination, Dr. Echevarria concluded that Goins did not have the
    ability to understand his Miranda rights at the time of his statement.
    ¶ 19   Dr. Echevarria testified that during his examination, he asked Goins what each Miranda
    right meant. When asked what the right to remain silent meant, Goins responded, "I guess you
    could choose to stay quiet or talk." Dr. Echevarria testified that it would be fair to say that Goins
    understood the right to remain silent. When Dr. Echevarria asked Goins about the Miranda
    warning that anything you say can be used against you later in court, Goins explained, "I guess if
    you give a statement that the State's Attorney can use as evidence of what you told them." Dr.
    Echevarria testified that Goins' response was an accurate understanding of that Miranda right.
    ¶ 20   Dr. Echevarria asked Goins about the right to consult an attorney, whether Goins was able
    to financially afford one or not, and Goins replied, "Well, an attorney is a lawyer so I'm [not] sure
    what consult, that word is, but I guess it means talk to them. This thing about not having money
    means that you can get a PD." Dr. Echevarria testified that in his opinion, Goins provided an
    accurate understanding of that Miranda right. When asked about the right to consult an attorney
    before, and have an attorney present during, questioning, Goins responded, "[T]hat's a little
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    confusing, it sounds like you can have the lawyer in the room with you when police ask
    questions." In Dr. Echevarria opinion, Goins' response indicated an accurate understanding of
    the right to have an attorney present during questioning. Despite Goins' accurate understanding
    of his Miranda rights at the time of his evaluation, Dr. Echevarria concluded that Goins would
    have been unable to understand his Miranda rights at the time of his statement.
    ¶ 21   Dr. Jonathan Kelly also testified on Goins' behalf. Dr. Kelly interviewed Goins twice,
    on September 30 and October 7, 2009. Dr. Kelly testified that he reviewed Goins' evaluation
    reports from Drs. Neu and Echevarria. Dr. Kelly's opinion was that Goins would not have had
    the ability to understand his Miranda rights when questioned by police. Dr. Kelly testified that
    he went over each of the Miranda warnings with Goins, and Goins was able to read each of the
    warnings out loud. When Dr. Kelly asked Goins the meaning of the right to remain silent, Goins
    stated, "Don't know, it will use me in court?" Dr. Kelly asked Goins about the meaning of the
    warning "anything you say can and may be used against you in court or other proceedings,"
    Goins responded, "They can use that against me in court, interrogation, the investigate[,] the
    officers, they can use the statement against me in court." After Dr. Kelly asked him the meaning
    of "the right to talk to a lawyer before we ask you any questions and to have him with you during
    questioning," Goins stated, "They ask me if I want to talk to them or to *** a lawyer. It say[s] I
    have the right to ask them questions or a lawyer. Do I want to talk to a lawyer before they ask me
    questions, have the lawyer with me during questioning?" Dr. Kelly found Goins' responses to be
    indicative of Goins' ability to understand his Miranda warnings at the time of Dr. Kelly's
    interview.
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    ¶ 22   Dr. Kelly testified that Goins stated that he had never had any psychiatric hospitalizations
    or outpatient psychiatric treatment, and had never taken psychotropic medication. Dr. Kelly also
    questioned Goins about his adaptive functioning. Goins indicated that he was able to
    communicate using the telephone, do laundry, cook, and clean. Goins also told Dr. Kelly he had
    a driver's permit in the past, and was able to dial 911 in an emergency. Dr. Kelly opined that
    Goins was capable in the area of home living.
    ¶ 23   During cross-examination, Dr. Kelly testified that he was aware that Goins had met with
    other doctors and that Goins had not been cooperative with Dr. Susan Messina. Dr. Kelly read
    Dr. Messina's report, which stated that Goins "avoided direct answers to questions," replied "I
    don't know" and "gave her misleading information." Dr. Kelly also testified that when he asked
    Goins whether he needed treatment of any kind, Goins stated, "I got a bad temper, I be fighting a
    lot at school, I snap on somebody." Dr. Kelly was aware from reviewing Goins' school records
    that Goins had been expelled from high school in the eleventh grade for fighting.
    ¶ 24   In response, the State presented testimony from Dr. Nishad Nadkarni, another psychiatrist
    from Forensic Clinical Services. Dr. Nadkarni interviewed Goins on December 19, 2008 and
    reviewed a report prepared by Dr. Messina, police reports, and Goins' statement. Dr. Nadkarni
    went through each Miranda right with Goins, asked him what it meant, and wrote down Goins'
    response. When questioned about the right to remain silent, Goins stated, "Thinking I could tell
    or not tell them." Dr. Nadkarni opined that Goins understood the right to remain silent. Next,
    Dr. Nadkarni asked Goins about the meaning of the warning that "anything you say may be used
    against you in court or other proceedings." Goins responded, "They would turn it in" and after
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    Dr. Nadkarni asked Goins, "[W]ho they would turn it in to," Goins replied, "The judge to find
    you guilty." Dr. Nadkarni asked Goins about the third Miranda right to speak to a lawyer before
    and during police questioning. Goins responded that a lawyer in an interrogation situation would
    tell you "be quiet." Dr. Nadkarni asked Goins about the fourth Miranda right, pertaining to the
    right to have a lawyer appointed to you if you could not afford a lawyer, and Goins stated that he
    understood that to mean that a "PD" would be appointed.
    ¶ 25   Dr. Nadkarni opined within a reasonable degree of medical and psychiatric certainty that
    Goins would have been capable of understanding his Miranda rights at the time of his statement.
    Dr. Nadkarni testified that he diagnosed Goins with a rule-out diagnosis of cannabis abuse given
    his history of marijuana usage and provisionally diagnosed Goins with "borderline intellectual
    functioning." Dr. Nadkarni testified that he was aware that Goins had been interviewed by other
    doctors and that at least one doctor had diagnosed Goins with mild mental retardation. Dr.
    Nadkarni opined that "a condition of mental retardation does not preclude one from
    understanding Miranda warnings."
    ¶ 26   Detective Matual testified that he interviewed Goins in an interview room at the police
    station on January 13, 2008, and Goins was not handcuffed. Detective Matual informed Goins
    that he was under arrest and read Goins his Miranda rights one by one. After each Miranda
    right, Detective Matual waited for Goins to respond that he understood the right before going on
    to the next one. Goins gave the same account of the incident that he told Detective Matual
    earlier at the hospital. Detective Matual explained to Goins that his account was not consistent
    with the injuries sustained by Wanya. Goins told the detective that he wanted to tell a State's
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    Attorney what really happened. Detective Matual advised Goins that "somebody will come in to
    speak to you, she's a lawyer, she's not going to be your lawyer, she's not my lawyer, she's what we
    call a prosecutor." Detective Matual then left Goins in the interview room and went to find ASA
    Para.
    ¶ 27    ASA Para testified that she went to the interview room with Detective Matual.
    ASA Para introduced herself to Goins and advised Goins of his Miranda rights one by one,
    asking if he understood each right before proceeding to the next one. Goins stated that he
    understood each Miranda right. ASA Para explained to Goins that he could provide an oral
    statement or she could take a written statement in which she would write down what Goins told
    her and he would review it to make sure it was accurate. Goins chose the handwritten option.
    ¶ 28    ASA Para testified that she used a preprinted form for the handwritten statement,
    which contained a paragraph at the top that advised Goins of his Miranda rights. ASA Para
    testified that she again reviewed the paragraph that explained his Miranda rights. After Goins
    indicated that he understood each right, ASA Para asked him to write his name underneath the
    paragraph on the line provided. After ASA Para wrote down Goins' statement, she asked Goins
    to read the entire first page of the statement to her, which he did. ASA Para then read each page
    of the statement to Goins, stopping at the bottom of each page to ask Goins if he had any changes
    to the statement and then having Goins sign the bottom of each page. ASA Para and Detective
    Matual also signed the bottom of each page. ASA Para made four changes to the statement and
    defendant wrote his initials where each change was made, indicating that he agreed with the
    change.
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    ¶ 29    The defense called Goins in rebuttal. Goins testified that he did not read the first page of
    his statement to ASA Para. Goins testified that he could not have read his statement, because he
    can not read cursive. Goins was asked to read the typewritten Miranda rights in court while on
    the witness stand. Goins read the Miranda rights, stumbling on certain words.
    ¶ 30    After the hearing, the trial court denied Goins' motion to suppress his statement. The trial
    court noted that "the IQ number hangs heavily over this issue, but that's not [conclusive]." The
    trial court found that under "the totality of the circumstances," Goins had the capacity to
    understand his Miranda rights at the time of his statement.
    ¶ 31                                     Evidence at Trial
    ¶ 32    Goins' jury trial began on September 14, 2011. Detective Matual and ASA Para provided
    testimony for the State, which was substantially similar to the testimony they each gave during
    the hearing on Goins' motion to suppress his statement. Veronica Goins, Goins' mother, testified
    Goins had a stutter his whole life and a lifelong history of learning disabilities, which did not
    prevent him from "being a good dad," and taking care of Wanya. Goins was living in Springfield
    with Wanya and attending a GED program. Wanya could sit up and walk, but was not able to
    talk yet.
    ¶ 33        Goins mother testified that when she returned home on the morning of January 1, 2008,
    Wanya's eyes were rolled in the back of his head, and he was moaning and unresponsive. She
    called 911 and an ambulance took Wanya to the hospital.
    ¶ 34    The State also presented testimony from two medical experts. Dr. Sarah Hoehn testified
    that she was the pediatric critical care attending physician at the time Wanya was admitted to the
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    hospital. When Wanya arrived, he had bruising on his forehead, swelling and evidence of
    bleeding in the brain, and been left comatose. As a result, doctors monitored pressure on his
    brain and made an incision in his brain to allow blood and fluid to drain.
    ¶ 35   Dr. Kelley Staley, an expert in the field of pediatric medicine and child abuse and neglect
    testified that she was one of Wanya's treating physicians at the hospital. Dr. Staley testified that
    Wanya had extensive injuries, including a significant and severe brain injury, a black left eye,
    bruising on his face in the left forehead area, and blood inside his ear canal. Wanya was
    intubated, and had a bolt placed in his skull where the neurosurgeon had drilled a hole to allow
    excess fluid and blood accumulating on his brain to drain. A cervical collar was used to stabilize
    Wanya's neck. And, IV tubes, containing six different medications, kept him alive, decreased the
    pressure on his brain, and treated the seizures. The presence of bleeding in two areas of Wanya's
    brain and swelling throughout the brain suggested "a more forceful mechanism for his injury than
    what was stated as a simple fall off a bed." Dr. Staley also noted that Wanya "had a scar on his
    elbow that may have been an old cigarette burn." Defense counsel objected and during a short
    sidebar noted that the trial court had granted a motion in limine barring introduction of Wanya's
    old injury. The trial court denied defense counsel's motion for a mistrial and instructed the jury
    to disregard Dr. Staley's statement.
    ¶ 36   Dr. Staley then testified that Wanya was diagnosed with a schisis cavity, which refers to a
    type of bleeding in the retina and "is formed after the head undergoes significant forceful
    trauma." Schisis cavities are caused by "really significant forces acting on the kid's head," and
    "not just a small fall, a short fall or a bonk on the head that happens in the course of everyday
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    activity." Dr. Staley opined that Wanya's injuries were "inflicted by some sort of blunt trauma
    that probably involved shaking or repetitive action, because this schisis cavity *** has been very
    specifically associated with shaking-type of injury."
    ¶ 37   Dr. Staley said she was familiar with the idea that children who have hydrocephalus, a
    congenital condition, can be more susceptible to a subdural hematoma for a short fall. Based on
    the test results that were performed in the hospital, Dr. Staley did not believe that Wanya had
    hydrocephalus before his injury. Dr. Staley explained that, based on her own clinical experience
    and the published medical literature, children that have hydrocephalus and suffer a short fall
    usually have a single area of bleeding on their brain rather than the multiple bruises and areas of
    bleeding in the back of the eye sustained by Wanya.
    ¶ 38   Regarding the long-term effects of Wanya's injuries, Dr. Staley testified that after treating
    Wanya in the hospital for over a month, "it became clear that he was severely impacted in his
    function." Dr. Staley described Wanya's brain injury as "devastating," leaving him blinded and
    unable to feed himself. Also, as a result of his injuries, Wanya suffered from a seizure disorder
    and needed ongoing treatment and medication. Dr. Staley testified that she was aware that there
    was a delay in taking Wanya for immediate treatment following his injury and that when a child
    had a brain injury like Wanya's, the best thing is to get treatment as soon as possible.
    ¶ 39   Dr. Staley also testified that Wanya "would not have been recognizable in the sense that
    before his father told me he walked, had words, could use a spoon and a fork, and when I last
    saw him he was laying in a hospital bed with not really any meaningful interaction with his
    environment." The trial court overruled defense counsel's objection to the evidence, finding it
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    relevant to prove the element of great bodily harm.
    ¶ 40    The defense presented testimony from Dr. Joseph Scheller, a pediatric neurologist and
    child abuse expert, who reviewed Wanya's medical records. Dr. Scheller testified that Wanya
    suffered from hydrocephalus, which causes excess fluid in the brain, and explains why Wanya
    may have suffered severe injuries from a simple fall off of a bed. During cross-examination, Dr.
    Scheller testified that the type of injuries that Wanya suffered do not typically occur in children
    who suffer from external hydrocephalus and fall off of a bed.
    ¶ 41    Dr. Eric Neu, the psychologist who evaluated Goins after Dr. Echevarria referred Goins
    for cognitive testing, also testified for the defense. Dr. Neu testified that he conducted IQ testing
    and Goins obtained a full scale IQ score of 61, placing him in the low range of intellectual
    functioning and, as below 70, in the range of someone with mild mental retardation. Goins
    sought to introduce more information from Dr. Neu's evaluation, including that he tested Goins
    and found no signs of malingering and that Goins' responses to certain questions indicated that
    he had mild mental retardation. The State objected, arguing that it did not require an expert to
    understand defense counsel's argument that Goins was more suggestible and more likely to
    provide a statement to police and the ASA based on Goins' low level of mental functioning. The
    trial court granted the State's motion to exclude this portion of Dr. Neu's testimony.
    ¶ 42    The defense called Tyrone Woods, Goins' father, who testified that on December 31,
    2007, he did not call Goins to inform him that his younger brother had passed away. Woods
    testified that Goins' little brother was still alive.
    ¶ 43    After closing arguments, the jury found Goins not guilty of attempted first degree murder,
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    and guilty of aggravated battery of a child. Goins filed a motion for a new trial, which the trial
    court denied. Goins was sentenced to 11 years in prison, and his motion to reconsider sentence
    was denied. Goins timely appealed.
    ¶ 44                                     ANALYSIS
    ¶ 45                                     Miranda Waiver
    ¶ 46     Goins does not contend that his statement resulted from any type of intimidation,
    coercion, or deception; rather, the sole question is whether the statement was made after Goins
    knowingly and intelligently waived his Miranda rights.
    ¶ 47   In reviewing a trial court's ruling on a motion to suppress evidence, we apply the two-part
    standard of review adopted by the Supreme Court in Ornelas v. United States, 
    517 U.S. 690
    , 699
    (1996). People v. Luedemann, 
    222 Ill. 2d 530
    , 542 (2006). Under this standard, the ultimate
    question of whether defendant's statement was voluntary is reviewed de novo. Luedemann, 
    222 Ill. 2d at 542
    . On the other hand, the question of whether a defendant knowingly and
    intelligently waived the Miranda rights is factual in nature and reviewed under a manifest-
    weight-of-the-evidence standard. 
    Id.
     This is true because the trial court is in the superior
    "position to determine and weigh the credibility of the witnesses, observe the witnesses'
    demeanor, and resolve conflicts in their testimony." People v. Pitman, 
    211 Ill. 2d 502
    , 512
    (2004). A finding is against the manifest weight of the evidence "only if the opposite conclusion
    is clearly evident or if the finding itself is unreasonable, arbitrary, or not based on the evidence
    presented." People v. Deleon, 
    227 Ill. 2d 322
    , 332 (2008).
    ¶ 48   A person accused of a criminal offense is constitutionally entitled to the assistance of
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    counsel and to remain silent during in-custody interrogation. Miranda, 
    384 U.S. at 478-79
    . Any
    statements obtained in derogation of those rights are inadmissible in a later criminal prosecution
    unless those rights were voluntarily, knowingly, and intelligently waived. 
    Id. at 479
    ; People v.
    Bernasco, 
    138 Ill. 2d 349
     (1990). A defendant validly waives Miranda when he or she (1) freely
    and deliberately (voluntarily) relinquishes the right and (2) is fully aware of both the nature of the
    right being abandoned and the consequences of the decision to do so. Moran v. Burbine, 
    475 U.S. 412
    , 421 (1986); People v. Crotty, 
    394 Ill. App. 3d 651
    , 662 (2009). At a hearing on a
    motion to suppress, the State has the burden of demonstrating, by a preponderance of the
    evidence, the Miranda waiver was the product of (1) an uncoerced choice and (2) the requisite
    level of comprehension. Id; People v. Reid, 
    136 Ill. 2d 27
    , 54 (1990). Once the State has
    established its prima facie case, the burden shifts to defendant to show that waiver was not
    knowing, intelligent or voluntary. Reid, 
    136 Ill. 2d at 54
    .
    ¶ 49   Goins argues that his statement should have been suppressed by the trial court
    where the evidence established that, due to his limited mental capacity, he was unable to
    knowingly and intelligently waive his Miranda rights. In determining whether a waiver is
    knowing and intelligent, the court must look at the specific facts and circumstances, including the
    defendant's background, experience, and conduct. People v. Braggs, 
    209 Ill. 2d 492
    , 515 (2003).
    A defendant's limited intellectual capacity must be taken into consideration in determining
    whether a waiver is valid. In re W.C., 
    167 Ill. 2d 307
    , 328 (1995). This is because "it is
    generally recognized that the mentally retarded are considered more susceptible to police
    coercion or pressure than people of normal intellectual ability, they are predisposed to answer
    17
    1-11-3201
    questions so as to please the questioner rather than to answer accurately, they are more likely to
    confess to crimes they did not commit, they tend to be submissive, and they are less likely to
    understand their rights." Braggs, 209 Ill. 2d at 514.
    ¶ 50   Nevertheless, a defendant's mental deficiency, by itself, does not render a statement
    inadmissible. Rather, it is one factor that must be considered along with the totality of
    circumstances under which Miranda rights were waived. In re W.C., 
    167 Ill. 2d at 328
    . A
    defendant need not have "the ability to understand far-reaching legal and strategic effects of
    waiving one's rights" but must have "the ability to understand the very words used in the
    warnings." Bernasco, 
    138 Ill. 2d at 363
    .
    ¶ 51    Goins relies on the testimony of Drs. Echevarria and Kelly in asserting that his Miranda
    waiver was invalid. Dr. Echevarria, in turn, relied on the report from Dr. Neu, who found that
    Goins had an IQ of 61 and diagnosed him with mild mental retardation. Dr. Echevarria
    explained that Goins had the ability to read, but had a delay and difficulty understanding certain
    words. Dr. Echevarria ultimately concluded that Goins did not have the ability to understand his
    Miranda rights at the time of his statement. Dr. Kelly also relied on Dr. Neu's diagnosis to
    conclude that Goins would not have been able to understand his Miranda rights at the time of his
    statement.
    ¶ 52   In contrast, the State points to evidence supporting its position that defendant's Miranda
    waiver was made both intelligently and knowingly. The State highlights the testimony from
    Detective Matual and ASA Para that Goins was advised of his Miranda rights multiple times.
    Each time Goins was advised of his Miranda rights, either Detective Matual or ASA Para would
    18
    1-11-3201
    pause between each right and Goins acknowledged that he understood each of his rights. Goins
    signed the statement form indicating that he understood his rights, and signed the bottom of each
    page of his statement and initialed changes ASA Para made to the statement.
    ¶ 53   With respect to the expert testimony, the State notes that the first doctor to examine
    Goins, Dr. Messina, found Goins to be uncooperative and able to give misleading responses.
    The State relies on its expert, Dr. Nadkarni, who testified that Goins understood his Miranda
    rights and would have been able to knowingly and intelligently waive them at the time of his
    statement, based on the answers he provided during his interview with Dr. Nadkarni. While
    Goins asserts that Dr. Nadkarni's evaluation was seriously flawed where it failed to include
    consideration of Goins' mental abilities, the record shows that Dr. Nadkarni did consider Goins'
    mental limitations during his evaluation. Dr. Nadkarni testified that he diagnosed Goins with a
    rule-out diagnosis of cannabis abuse given his history of marijuana usage and provisionally
    diagnosed Goins with "borderline intellectual functioning." Dr. Nadkarni also testified that he
    was aware that at least one doctor had diagnosed Goins with mild mental retardation. While Dr.
    Nadkarni considered Goins' mental deficiencies, he also opined that "a condition of mental
    retardation does not preclude one from understanding Miranda warnings."
    ¶ 54   The State points out that although Drs. Echevarria and Kelly relied on Dr. Neu's report to
    find that Goins would have been unable to understand his Miranda rights at the time of his
    statement, they both testified that, during their interviews, Goins' responses indicated his ability
    to understand his rights.
    ¶ 55   Finally, the State notes that at the time of the incident, Goins was 20 years old and
    19
    1-11-3201
    had attended high school until the eleventh grade. Goins was living on his own and caring for his
    young son, while attending GED classes. Goins' mother testified that Goins' learning disabilities
    did not preclude him from living independently and caring for his young son.
    ¶ 56   The trial court agreed with the State, finding defendant's Miranda waiver valid. The trial
    court noted that "the IQ number hangs heavily over this issue, but that's not [conclusive] with any
    findings in this case" and recognized that "61 is a difficult number to deal with" in terms of IQ.
    The trial court then concluded, "I find that [Goins] had the capacity to understand his Miranda
    rights taken under the totality of the circumstances [in this] case."
    ¶ 57   The trial court properly considered all of the evidence presented, which included
    evidence that Goins was advised of his Miranda rights on multiple occasion and conflicting
    expert testimony regarding Goins' ability to understand those rights. As already mentioned, we
    give deference to the trial court as the finder of fact and will not substitute our judgment for that
    of the trial court regarding the weight to be given the evidence or the inferences to be drawn
    therefrom. Deleon, 
    227 Ill. 2d at 332
    . Our supreme court has recognized, "[T]he credibility and
    weight to be given psychiatric testimony are matters for the trier of fact, who is not obligated to
    accept the opinions of defendant's expert witnesses over those opinions presented by the State."
    People v. Urdiales, 
    225 Ill. 2d 354
    , 431 (2007). In light of the entire record, we cannot say that
    the trial court's finding that Goins' Miranda rights were validly waived was "unreasonable,
    arbitrary, or not based on the evidence presented." Deleon, 
    227 Ill. 2d at 332
    .
    ¶ 58   We next address Goins' argument that the trial court improperly based its decision on
    Goins' ability to participate in the hearing, rather than at the time of the statement, and the court's
    20
    1-11-3201
    belief that Goins was attempting to "protect himself" at the time he made the statement.
    ¶ 59   In entering its ruling, the trial court stated:
    "As to whether or not the defendant understood his Miranda [rights] on
    the date in question, the issue becomes whether or not the defendant is aware that
    he has choices on the day in question. The choices are the right to remain silent,
    the right to an attorney, the right to have an attorney provided if he can't afford
    one, and the knowledge that if he does say something, it can be used against him
    in court.
    As concerns the right to remain silent and there's several choices. The
    choice is to remain silent or attempt to talk his way out of it.
    The totality of circumstances here, the IQ number hangs heavily over this
    issue, but that's not conclusory with any findings in this case. It's the defendant's
    ability to understand, that he can attempt to protect himself when he is confined in
    that ten-by-ten room in the Chicago Police Department over a period of three
    hours by himself according to the detective who comes in the second time."
    (Emphasis added.)
    ¶ 60   As we previously explained, in determining whether a waiver is knowing and intelligent,
    the trial court must look at the specific facts and circumstances, including the defendant's
    background, experience, and conduct. Braggs, 209 Ill. 2d at 515. The court is also to consider a
    defendant's limited intellectual capacity in making its determination. In re W.C., 
    167 Ill. 2d at 328
    . Here, the trial court specifically noted that "the IQ number hangs heavily over this issue"
    21
    1-11-3201
    and "61 is a difficult number to deal with," indicating that the court gave proper consideration to
    Goins' limited mental capacity at the time of his statement. While the trial court mentioned that
    it "had no difficulty with the defendant, * * * the [S]tate's [A]ttorney, [or] * * * the doctors" and
    its "observations of Mr. Goins during the pendency of this matter," such factors were part of the
    court's analysis of defendant's background, experience, and conduct. The trial court also
    explained that in considering the validity of Goins' waiver, the court was to determine "whether
    or not the defendant understood his Miranda [rights] on the date in question." The trial court
    further stated "[T]he issue becomes whether or not the defendant is aware that he has choices on
    the day in question" (Emphasis added.) Given the totality of circumstances, we cannot say that
    the trial courts' finding was against the manifest weight of the evidence. Deleon, 
    227 Ill. 2d at 332
    .
    ¶ 61    Goins further argues that the trial court erroneously based its decision on its perception
    that Goins was trying to "protect himself" and "talk his way out of this." In making its ruling, the
    trial court stated "It is clear to people that Mr. Goins knows that he needs to protect himself. He
    did it in his testimony on the chair here as he testified in this court in this case." The trial court
    also commented that at the police station, 13 days after his interview at the hospital, "He chose to
    protect himself by attempting to talk his way out of this." We find that these remarks were part
    of the trial court's assessment of Goins' credibility and demeanor, and the trial court was in the
    better position to make a credibility determination. Pitman, 
    211 Ill. 2d at 512
    . The trial court
    properly considered the totality of circumstances in determining that Goins' waiver was knowing
    and intelligent. We cannot find that the trial court's finding was against the manifest weight of
    22
    1-11-3201
    the evidence.
    ¶ 62                      Trial Court's Limits on Dr. Neu's Testimony
    ¶ 63   We next consider Goins' argument that the trial court erred when it granted the State's
    motion in limine and limited Dr. Neu's testimony to his assessment of Goins' IQ and diagnosis of
    mild mental retardation. Goins contends that Dr. Neu should have been permitted to testify that
    he found no evidence that Goins was malingering or faking a cognitive impairment. Goins also
    argues that Dr. Neu should have been able to testify about his conversation with Goins because
    they provided the basis for Dr. Neu's diagnosis of mental retardation. Goins asserts that this
    evidence was critical to his defense because the jury was charged with the task of weighing the
    veracity of his statement.
    ¶ 64   "Generally, evidentiary motions, such as motions in limine, are directed to the trial court's
    discretion, and reviewing courts will not disturb a trial court's evidentiary ruling absent an abuse
    of discretion." People v. Harvey, 
    211 Ill. 2d 368
    , 392 (2004). An abuse of discretion will be
    found only where the trial court's ruling is "arbitrary, fanciful, unreasonable, or where no
    reasonable person would take the view adopted by the trial court." People v. Hall, 
    195 Ill. 2d 1
    ,
    20 (2000).
    ¶ 65   Whether to admit expert testimony is a matter within a trial court's discretion. People v.
    Howard, 
    305 Ill. App. 3d 300
    , 307 (1999). A trial court should not permit expert testimony if it
    would not help the fact finder understand an aspect of the evidence it otherwise would not
    understand or if it would invade the province of the fact finder to determine witness credibility
    and assess the facts of the case. Howard, 305 Ill. App. 3d at 307-08.
    23
    1-11-3201
    ¶ 66   The trial court did not abuse its discretion in refusing to allow Dr. Neu to testify about the
    lack of evidence that Goins was malingering or trying to deceive him during the evaluation.
    Such testimony would have impinged on the province of the jury to determine Goins' credibility
    and assess the facts of the case. See Howard, 305 Ill. App. 3d at 308 (finding that testimony of
    psychologist, who diagnosed witness with battered woman syndrome, that there was no evidence
    that witness tried to deceive her infringed on jury's role to determine credibility and assess facts
    of case).
    ¶ 67   Goins also argues that the trial court should have permitted Dr. Neu to testify about
    Goins' responses to questions during his evaluation because the responses provided the basis for
    the diagnosis of mild mental retardation. The specific proffered evidence was:
    "That [Goins] displayed minimal interest sub-test scattered, meaning that
    [Goins] tended to answer the most basic questions correctly and struggled with
    moderately difficult items. This pattern is typical for someone suffering from
    mental retardation.
    That during the tests [Dr. Neu] did ask questions. For example, when
    asked to define the word 'repair,' [Goins] replied like I have a pair of socks. When
    asked in what direction does the sun rise, [Goins] stated, all over. When asked
    why many foods need to be cooked, [Goins] responded, might want to eat
    something different and for [sic] the food won't get old."
    ¶ 68   With respect to this evidence, the trial court held that Dr. Neu "cannot testify as to his
    24
    1-11-3201
    conversations with the defendant during the course of that exam, but he can testify [as to]
    the balance of the information, the reasonable fact-finder does not need the aid of a professional
    to arrive at those decisions." The record shows that Dr. Neu testified that he conducted IQ
    testing on Goins and that Goins obtained a full-scale IQ score of 61, placing him in the extremely
    low range of intellectual functioning. Dr. Neu also testified that the IQ score of 70 or below was
    one of the conditions for a diagnosis of mental retardation.
    ¶ 69   The trial court found that the jury, as fact finder, could assess the credibility of the
    expert witness' testimony. That is, the jury did not need to hear the specific responses provided
    by Goins during his interview with Dr. Neu to understand that an individual with an IQ score of
    61 and diagnosis of mild mental retardation might struggle to define certain words. But, Goins
    cites our supreme court's holding in People v. Anderson, 
    113 Ill. 2d 1
     (1986), to argue that Dr.
    Neu should have been allowed to testify about the responses where they contributed to Dr. Neu's
    diagnosis of mild mental retardation.
    ¶ 70   In Anderson, the supreme court held an expert should be allowed to reveal, on direct
    examination, the contents of materials on which he or she reasonably relied in forming an
    opinion. Anderson, 
    113 Ill. 2d at 9
    . The expert may rely on reports compiled by others if the
    materials are of a kind customarily relied on by members of the profession. This procedure
    allows the jury to evaluate the expert testimony. Anderson, 
    113 Ill. 2d at 10-11
    . The court also
    held that a psychiatric expert may testify regarding statements made to him or her by a defendant
    which figure into the professional diagnosis concerning the issue of sanity, regardless of whether
    25
    1-11-3201
    the psychiatrist is a treating or non-treating physician. Anderson, 
    113 Ill. 2d at 12-13
    .
    In Anderson, the expert relied on reports by other psychiatrists, doctors and counselors. The
    expert also relied on statements made by the defendant to him and letters written by or at the
    direction of the defendant in forming his opinion as to defendant's sanity. Anderson, 
    113 Ill. 2d at 7
    .
    ¶ 71    In this case, Dr. Neu testified that after his interview and testing, Goins obtained an IQ
    score of 61 and Dr. Neu diagnosed him as mildly mentally retarded. Goins maintains that under
    the supreme court's analysis in Anderson, Dr. Neu should have been allowed to testify about the
    questions he asked Goins during his interview. But, we find Anderson factually distinguishable,
    where the expert in that case evaluated the defendant's sanity and the testimony concerned
    statements and letters from the defendant that the expert used to form his opinion. In this case,
    the proffered testimony involved Goins' responses to interview questions that were indicative of
    an individual with mental retardation.
    ¶ 72    Even if the trial court improperly limited Dr. Neu's testimony, it would be harmless.
    When inquiring into whether an error is harmless beyond a reasonable doubt, the court should
    ask whether the harm complained of contributed to defendant's conviction. Chapman v.
    California, 
    386 U.S. 18
    , 23-24 (1967). Goins argues that preventing Dr. Neu from testifying
    fully about the process of his examination deprived the jury of a full understanding of Neu's
    opinion, including the fact that there was no evidence of malingering. The record shows that Dr.
    Neu testified regarding Goins' IQ results, low level of mental functioning, and his diagnosis of
    26
    1-11-3201
    mild mental retardation. The proffered testimony involved three questions and answers between
    Dr. Neu and Goins, which where indicative of Goins' mental limitations. But, the admission of
    Goins' responses would not have been determinative of the fact that Goins was not malingering.
    The testimony relating to Goins' low level IQ and diagnosis of mild mental retardation
    sufficiently raised doubt that Goins would not have been capable of malingering. It was within
    the province of the jury, as fact finder, to assess the credibility of the witnesses and the jury could
    consider defense counsel's argument that Goins was more suggestible and more likely to provide
    a statement based on his low level of mental functioning. We cannot say that the trial court's
    limiting of these three interview questions and answers contributed to Goins' conviction. Hence,
    any error in limiting Dr. Neu's testimony was harmless beyond a reasonable doubt. Chapman,
    
    386 U.S. at 24
    . Since we find any error in limiting Dr. Neu's testimony harmless, we need not
    consider Goins' alternative argument that the trial court erred in not allowing the testimony after
    the State "opened the door" to such testimony during its cross-examination of Dr. Neu.
    ¶ 73                    Testimony Regarding the Victim's Prior and Permanent Injuries
    ¶ 74   We next review Goins' argument that he was denied a fair trial when Dr. Staley testified
    regarding a scar on Wanya's elbow and the extent of Wanya's injuries. Goins contends that Dr.
    Staley's testimony was not relevant to any issue at trial but, rather designed to inflame the
    passions of the jury.
    ¶ 75   During trial, the State asked Dr. Staley:
    "Now, Doctor, after you examined Wanya and observed his injuries, can
    27
    1-11-3201
    you describe what exactly his injuries were for the Ladies and Gentlemen of the
    jury?"
    Dr. Staley testified:
    "Well, when I examined him he was in a coma. It was what we call a
    phenobarbital coma. That's a very, very powerful anti-seizure medicine.
    This child was very sick. He was on numerous medications. That meant
    that my physical exam in terms of what he could do neurologically was not
    possible because he was in a coma.
    So I had to do a couple things. Look in his ears and at his skin for bruises,
    and that's why I found the, the three bruises, two on his head and the blood in his
    ear canal.
    He had a scar on his elbow that may have been an old cigarette burn."
    ¶ 76    Defense counsel objected and during a short sidebar noted that the trial court had granted
    a motion in limine barring introduction of Wanya's scar. The State explained that it instructed
    Dr. Staley not to mention the scar and that it would move on to something else. The trial court
    instructed the jury to disregard Dr. Staley's statement and the State moved on to question Dr.
    Staley regarding a CAT scan ordered in Wanya's case. We find that the prompt action by the trial
    court in sustaining the objection cured any prejudicial impact by the brief testimony. People v.
    Sutton, 
    353 Ill. App. 3d 487
    , 500 (2004); People v. Kidd, 
    175 Ill. 2d 1
    , 51 (1996). In addition,
    the State did not revisit the testimony.
    28
    1-11-3201
    ¶ 77   Goins next asserts that the detailed testimony by Dr. Staley describing Wanya's long-term
    injuries while hospitalized was inflammatory, suggesting child abuse, and deprived him of a fair
    trial. Goins states that even if the testimony was relevant, the State already established great
    bodily harm, as an essential element of aggravated battery to a child, when it produced the
    testimony of Dr. Staley and the testimony of Dr. Hoehn, which both described Wanya's injuries
    when he arrived at the hospital.
    ¶ 78   The test of the admissibility of evidence is whether it fairly tends to prove the particular
    offense charged. People v. Ward, 
    101 Ill. 2d 443
    , 455 (1984). Whether what is offered as
    evidence will be admitted or excluded depends on whether it tends to make the question of guilt
    more or less probable, i.e., whether it is relevant. 
    Id.
     The admission of evidence is within the
    sound discretion of the trial court, and its ruling should not be reversed absent a clear showing of
    abuse of that discretion. 
    Id. at 456
    .
    ¶ 79   Evidence that could be considered inflammatory will not be withheld if relevant and
    necessary to an issue. People v. Villa, 
    93 Ill. App. 3d 196
    , 201 (1981) (detailed testimony by two
    doctors describing brain surgeries performed on police officer, who was allegedly shot by
    defendant, was properly submitted to jury to establish essential elements in aggravated battery
    charge). The nature and the seriousness of the injury is an essential element of aggravated
    battery and the proof thereof is proper. People v. Nard, 
    32 Ill. App. 3d 634
     (1975).
    ¶ 80   Dr. Staley's testimony described Wanya's serious injuries and their consequences, which
    was an essential element in the aggravated battery of a child charge. 720 ILCS 5/12-4.3(a) (West
    2008). It is fundamental that a defendant is responsible for the results of his or her acts and a
    29
    1-11-3201
    jury should be allowed to hear the nature and extent of the great bodily harm inflicted consisted
    of. Villa, 93 Ill. App. 3d at 201. We, therefore, find that it was not improper for the trial court to
    allow Dr. Staley's testimony.
    ¶ 81    Goins, nonetheless, asserts that even if Dr. Staley's testimony was relevant, it was
    unnecessary and prejudicial where other evidence established the element of great bodily harm.
    Dr. Neu and Dr. Staley both testified regarding Wanya's injuries when he first arrived at the
    hospital. Dr. Staley's subsequent testimony, however, related to her treatment of Wanya over the
    course of a month and her observations of Wanya's extensive injuries and the consequences of
    those injuries. We cannot say that such testimony was unnecessary to establish great bodily
    harm.
    ¶82                                     Closing Arguments
    ¶ 83    Next, Goins contends that the prosecutor made improper remarks during closing
    arguments by (1) repeatedly referring to the victim's permanent disabilities; (2) asking the jury to
    obtain justice for the victim; (3) referring to evidence of defendant's cognitive delays as "a pile of
    baloney," and a "story," and telling the jury "don't buy it"; (4) stating that the jury should not
    believe Goins' father's testimony; and (5) referring to a gorilla in the zoo.
    ¶ 84    Generally, the prosecution has wide latitude in making its closing argument. People v.
    Nicholas, 
    218 Ill. 2d 104
    , 121 (2006); People v. Blue, 
    189 Ill. 2d 99
    , 127 (2000). During closing
    arguments, the prosecutor may comment on the evidence and any "fair, reasonable inferences"
    from it, even if those inferences reflect negatively on the defendant. Nicholas, 
    218 Ill. 2d at 121
    .
    30
    1-11-3201
    In doing so, however, the prosecution must make sure the closing argument serves a purpose
    other than merely "inflaming the emotions of the jury." Nicholas, 
    218 Ill. 2d at 121
    ; People v.
    Tiller, 
    94 Ill. 2d 303
    , 321 (1982).
    ¶ 85   We will not interfere with the trial court's determination of the propriety of the
    prosecution's closing argument absent a clear abuse of discretion resulting in manifest prejudice
    to the defendant. People v. Cisewski, 
    118 Ill. 2d 163
    , 175 (1987). A "prosecutor's comments in
    closing argument will result in reversible error only when they engender 'substantial prejudice'
    against the defendant to the extent that it is impossible to determine whether the verdict of the
    jury was caused by the comments or the evidence." People v. Macri, 
    185 Ill. 2d 1
    , 62 (1998). In
    reviewing allegations of prosecutorial misconduct during closing argument, the remarks must be
    considered in light of the entire arguments of both the prosecution and the defense. People v.
    Wheeler, 
    226 Ill. 2d 92
    , 122 (2007). And, a prosecutor may respond to comments made by
    defense counsel which invite a response. People v. Hudson, 
    157 Ill. 2d 401
    , 441 (1993).
    ¶ 86   Goins argues that the State repeatedly urged the jury to consider the case in light of
    Wanya's permanent disabilities. The State argued:
    "[I]n 2007 [Goins] believed he was a father and in November of 2007 he took his
    son Wanya *** to go live with him in Springfield. Now by all accounts this
    seemed like it was going to be a good thing, Wanya was going to get a dad, but on
    December 31st of 2007 that good thing, that dad, that protector and that defender
    turned out to be his abuser because at the hands of this defendant Wanya's life
    changed forever, never again to see –
    31
    1-11-3201
    ***
    No mobility, severely impaired no function."
    ¶ 87   Defense counsel objected and the trial court sustained that objection. Later during
    closing arguments, the State remarked:
    "And then great bodily harm. I just told you what he did, his act, how
    when Wanya Lawson got to that hospital which cannot and has not been disputed
    that child had a black eye, that child had bleeding behind his eyes, that child had
    blood in his ear and that child was bleeding on several multiple areas of his little
    brain. That, Ladies and Gentlemen, is great bodily harm because then the doctor
    told you what those injuries were from, what happened, how is he now. She told
    you about how she saw him and what Baby Wanya could even do. He wasn't
    moving his legs, severely impaired, no mobility, no function, that he walked
    funny. He won't walk funny again. When he was able to feed himself what did
    the doctor tell you? He cannot feed himself because he cannot eat."
    ¶ 88   Defense counsel objected and the trial court sustained that objection.
    ¶ 89   The prosecutor's argument, read in its entirety, shows that the comments related to
    establishing great bodily harm, which is an essential element of aggravated battery of a child.
    720 ILCS 5/12-4.3(a) (West 2008). We find that the prompt action by the trial court in
    sustaining Goins' objections cured the prejudicial impact of any improper comments made while
    arguing that the State established this element of the offense. Sutton, 353 Ill. App. 3d at 500;
    32
    1-11-3201
    Kidd, 
    175 Ill. 2d at 51
    . The jury was also instructed that "neither opening nor closing arguments
    are evidence, and any statement or argument made by the attorneys which is not based on the
    evidence should be disregarded." Jurors are presumed to follow the trial court's instructions.
    People v. Taylor, 
    166 Ill. 2d 414
    , 438 (1995).
    ¶ 90   Goins relies on People v. Williams, 
    333 Ill. App. 3d 204
     (2002), to argue that sustaining
    the objections and appropriate jury instructions were not sufficient to cure any prejudice. In
    Williams, this court explained, " 'Instructing the jury that arguments are not evidence will not, in
    every instance, cure the defect caused by introduction of such evidence. Whether the remarks
    and/or evidence constitute error depends, in each case, on the nature and extent of the statements
    and whether they are probative of defendant's guilt.' " Williams, 333 Ill. App. 3d at 214 (quoting
    People v. Blue, 
    189 Ill. 2d 99
    , 132 (2000)). In that case, the State used unsupported cross-
    examination questioning to argue to the jury that the defendant shot the victim because he knew
    he was going to be declared the father of the victim's child at an upcoming court hearing and
    wanted to avoid child support. Williams, 333 Ill. App. 3d at 214. This court found reversible
    error where the State's comments were not based on the evidence and the State persisted in its
    argument before the jury. This court explained, "We cannot presume that the State's improper
    argument, imputing to defendant a motive, did not affect the jury's verdict." Williams, 333 Ill.
    App. 3d at 214.
    ¶ 91   Unlike Williams, here the State's argument was based on the evidence that Wanya had
    suffered extensive injuries. At trial, Dr. Stanley testified regarding Wanya's "devastating brain
    injury" and the result of those injuries, including the fact that Wanya could not walk, speak, or
    33
    1-11-3201
    feed himself. The State did not improperly ascribe a motive to Goins or rely on arguments not
    based on the evidence. We find that the jury instruction, together with the trial court's action in
    promptly sustaining Goins' objection, precluded substantial prejudice in this case.
    ¶ 92   Goins next contends that the State improperly argued during closing and rebuttal
    arguments that the jury should "obtain justice for the victim." During closing argument, the
    State remarked that "it is time to speak up for Wanya." During rebuttal argument, the State
    commented:
    "Today is the day for Wanya Lawson to receive justice, Ladies and
    Gentlemen.
    ***
    Today is also the day for this defendant to receive justice, and the way that
    the defendant and Wanya Lawson can receive justice for what he did to Wanya is
    to find him guilty, guilty of aggravated battery to a child and guilty of attempt
    murder and nothing, nothing less."
    ¶ 93   During closing arguments, the State may denounce the activities of the defendant and urge
    that justice be administered. People v. Brooks, 
    246 Ill. App. 3d 777
    , 788 (1993). Therefore, this
    argument was not improper.
    ¶ 94   Goins also asserts that the prosecutor made repeated disparaging references to his
    cognitive limitations, by calling the evidence "a pile of baloney, "a story," and telling the jury
    34
    1-11-3201
    "don't buy it." During closing arguments, the prosecutor stated:
    "So if you don't believe that, didn't believe that there is a learning disability
    and the IQ in the 60's means that I'm just not smart enough to know how to call for
    help, I'm just not smart enough to call 911, I'm just not smart enough to know how
    to lie, I'm just not smart enough to know and talk about what really happened, what
    a pile of baloney."
    ¶ 95   Throughout trial, the defense maintained that due to Goins' limited cognitive abilities, he
    was unable to waive his Miranda rights, provide the statement, and seek help for Wanya after his
    injuries. We find the prosecutor's argument was not improper where these remarks were in
    response to Goins' theory of defense and based on the evidence and reasonable inferences drawn
    therefrom. Hudson, 
    157 Ill. 2d at 441
    . Further, the prosecutor was permitted to comment on the
    illogical nature of defense counsel's argument. See People v. Franklin, 
    135 Ill. 2d 78
    , 112 (1990)
    (no substantial prejudicial in State's characterization of defendant's closing arguments as
    "shocking," "insulting," "bunk," and "abominable").
    ¶ 96   Goins also complains that the prosecutor improperly suggested that Goins was a liar where
    the State argued that Goins had "[thrown] that story up here that this defendant has a low IQ and
    didn't give this statement." A defendant can be called a "liar" in argument, provided evidence of
    lying exists or reasonable inferences of lying can be drawn from the evidence. People v. Strange,
    
    125 Ill. App. 3d 43
    , 46 (1984). Goins' defense included asserting that could not have provided the
    statement transcribed by ASA Para, where he could not have read or understood that statement.
    This was inconsistent with the testimony of ASA Para and Detective Matual. Therefore, there
    35
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    was a basis in the record for the State to point out inconsistencies. The State also refrained from
    calling Goins a "liar." The State's argument was not improper in this respect.
    ¶ 97   Goins further contends that he was prejudiced where the State argued during rebuttal that
    his father, Tyrone Woods, "had to be" lying during his testimony. The complained of argument is
    as follows:
    "And Ladies and Gentlemen, the story about the defendant's father, well,
    you can't believe that the defendant made this statement because his father got up
    here and he said, well, I never called him, I never said those things that didn't
    happen. Again, Ladies and Gentlemen, consider a person's interest and bias when
    they testify. They have to come in here and they have to say that."
    ¶ 98   In Goins' statement to ASA Para, he stated that on the night of Wanya's injury, Goins'
    father, Woods, called Goins to tell him that his two-year-old brother had died. Goins stated that
    he was "angry, upset, sad, crying, and frustrated," and "there was no one home for him to talk to
    about how he felt." Goins stated that he then hit Wanya. At trial, Woods testified that he did not
    call Goins that night, and that Goins' brother was still alive. During closing arguments, defense
    counsel argued that Woods' testimony called Goins' entire statement into question. Defense
    counsel argued that since Goins' brother was still alive, there was no motive for Goins to be upset
    and hit Wanya. The State's remarks during rebuttal were a legitimate response to defense
    counsel's argument. See People v. Evans, 
    209 Ill. 2d 194
    , 225 (2004) (prosecution may fairly
    comment on defense counsel's characterizations of evidence and may respond in rebuttal to
    statements of defense counsel that noticeably invite response). Also, the prosecutor's comments
    36
    1-11-3201
    were a permissible comment on the witness' bias and interest in the result of this case. People v.
    Barney, 
    176 Ill. 2d 69
     (1997) (holding that prosecutor may comment on witness', including a
    defendant's, bias and interest in result of case when weighing witness' testimony).
    ¶ 99   Lastly, Goins argues that the State improperly suggested that a gorilla would be a better
    parent than Goins had been to Wanya. During closing arguments, the prosecutor referred to an
    incident that occurred at Brookfield Zoo, where a gorilla picked up a small child, who had fallen
    into the gorilla exhibit, and took the child to the zookeeper's door in an effort to help the child.
    The prosecutor argued:
    "You heard all the facts of this case, you heard all the evidence of this case. This
    has nothing to do with the level of intelligence, it has nothing to do with an IQ.
    You remember the story of the child who fell into the gorilla cage. The gorilla
    picked up the child, cradled the child in its arm, Brookfield Zoo and took the child.
    ***
    Took the child to the zoo keeper's door where it could be rescued. A gorilla
    knew what to do. This is not IQ, this is not intelligence here. The defendant did
    not want to save Wanya's life on that day, he didn't. This has nothing to do with
    reckless conduct. This isn't reckless conduct, this was an intentional act."
    ¶ 100 Goins, relying on People v. Johnson, 
    119 Ill. 2d 119
    , 139 (1987), argues that is was
    improper to compare him to an animal. In Johnson, the court held that is was improper to
    characterize the defendant as an "animal," but where the prosecutor's comment was isolated and
    37
    1-11-3201
    not dwelled upon, it did not amount to reversible error. Johnson, 
    119 Ill. 2d at 140
    . In this case,
    the prosecutor did not characterize Goins as an "animal." While not particularly artful, the
    prosecutor was responding to Goins' theory of defense that due to Goins' limited mental capacity,
    he did not seek help for Wanya immediately after his injury. The evidence at trial showed that
    Goins did not call 911 on the evening of Wanya's injury, and Wanya was not taken to the hospital
    until the following morning when Goins' mother called 911. Dr. Staley also testified that the
    delay in taking Wanya to the hospital was significant when a child has a brain injury. Thus, the
    prosecutor was responding to Goins' theory of defense by arguing that seeking help for an injured
    child is instinctual rather than based on intellectual functioning. Also, the prosecutor's remarks
    related to establishing "intent to kill," an element of attempted first degree murder (720 ILCS 5/9-
    1(a)(1) (West 2008)). The State argued that Goins did not seek medical treatment for Wanya
    following his injuries and, therefore, did not intend to save his life. We find the prosecutor's
    argument was not improper.
    ¶ 101 After a thorough review of the arguments made by both parties, we find no error in the
    State's comments. The State's argument, read in its entirety, shows that the comments Goins
    complains of were based on the evidence presented and the reasonable inferences drawn from the
    evidence. In addition, the State's argument properly responded to Goins' arguments and his theory
    of defense.
    ¶ 102                                 III. CONCLUSION
    ¶ 103 We affirm the trial court's determination that Goins voluntarily, knowingly, and
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    1-11-3201
    intelligently waived his Miranda rights, where considering the totality of circumstances, including
    Goins' limited mental capacity, this finding was not against the manifest weight of the evidence.
    ¶ 104 The trial court properly limited Goins' expert's testimony to his findings that Goins IQ was
    61 and diagnosis of mild mental retardation, where the jury, as trier of fact, was charged with
    determining the credibility of the witnesses and the weight to be given their testimony.
    ¶ 105 Goins was not deprived of a fair trial based on testimony by the State's expert witness
    regarding the victim's long-term injuries and the expert's brief mention of a scar on the victim.
    ¶ 106 The State's closing arguments were proper. After examining the complained of comments,
    within the context of both parties' arguments, we find the prosecutor's remarks did not fall outside
    the bounds of reasonable argument based on the evidence or the reasonable inferences drawn
    therefrom, or as invited by defense counsel's argument.
    ¶ 107 Affirmed.
    39