James Fernbach v. State of Indiana (mem. dec.) ( 2019 )


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  • MEMORANDUM DECISION
    Pursuant to Ind. Appellate Rule 65(D),
    this Memorandum Decision shall not be                                     FILED
    regarded as precedent or cited before any                            Feb 19 2019, 8:46 am
    court except for the purpose of establishing
    CLERK
    the defense of res judicata, collateral                               Indiana Supreme Court
    Court of Appeals
    estoppel, or the law of the case.                                          and Tax Court
    ATTORNEYS FOR APPELLANT                                  ATTORNEYS FOR APPELLEE
    Stephen T. Owens                                         Curtis T. Hill, Jr.
    Public Defender of Indiana                               Attorney General of Indiana
    Laura L. Volk                                            Ian A. McLean
    Deputy Public Defender                                   Deputy Attorney General
    Indianapolis, Indiana                                    Indianapolis, Indiana
    IN THE
    COURT OF APPEALS OF INDIANA
    James Fernbach,                                          February 19, 2019
    Appellant-Petitioner,                                    Court of Appeals Case No.
    18A-PC-1065
    v.                                               Appeal from the Ripley Circuit
    Court
    State of Indiana,                                        The Honorable Jeffrey Sharp,
    Appellee-Respondent.                                     Special Judge
    Trial Court Cause No.
    69C01-1206-PC-1
    Riley, Judge.
    Court of Appeals of Indiana | Memorandum Decision 18A-PC-1065 | February 19, 2019             Page 1 of 23
    STATEMENT OF THE CASE
    [1]   Appellant-Petitioner, James Fernbach (Fernbach), appeals the post-conviction
    court’s denial of his petition for post-conviction relief.
    [2]   We affirm.
    ISSUE
    [3]   Fernbach raises three issues on appeal, which we consolidate and restate as the
    following single issue: Whether Fernbach was denied the effective assistance of
    Trial Counsel.
    FACTS AND PROCEDURAL HISTORY
    [4]   The relevant facts, as in this court’s opinion issued in Fernbach’s direct appeal,
    are as follows:
    Fernbach has a long history of mental illness. He has struggled
    with depression since elementary school, was committed to an
    institution when he was a teenager, and attempted suicide when
    he was sixteen years old. Fernbach has also had some history of
    violent behavior. When he was a young man, he fathered a child
    with a girlfriend, with whom he had a volatile relationship.
    Fernbach was arrested several times, for domestic violence, for
    threatening his girlfriend with an axe, for trying to strangle her,
    and for destroying items in their residence.
    Fernbach later married his wife, Susan. In the fall of 2008,
    Fernbach began to have paranoid delusions. At one point, he
    fired a shotgun into the woods near his home, claiming that he
    was shooting at intruders. After this incident, his family
    members removed firearms from his home. Fernbach still
    Court of Appeals of Indiana | Memorandum Decision 18A-PC-1065 | February 19, 2019   Page 2 of 23
    displayed symptoms of his paranoia, including barricading the
    sliding door and windows of his home and putting nails in his
    gutters to prevent anyone from getting on his roof.
    On a family vacation in September of that year, Fernbach
    thought his car was being followed. His family took him to an
    emergency room at a hospital in North Carolina, where he was
    prescribed anti-anxiety medication and told to see a mental
    health professional. Fernbach’s symptoms did not improve, and
    he even went so far as to have family members taste his food to
    assure that it had not been poisoned. After Fernbach returned
    from vacation with family, he was taken to the emergency room
    at the Decatur County hospital. He was again treated for anxiety
    and released.
    In October of 2008, Fernbach’s family had him involuntarily
    committed at the University of Cincinnati hospital for seventy-
    two hours. There, Fernbach was diagnosed with bipolar disorder
    with psychotic tendencies. Nevertheless, he was released from
    the hospital after the seventy-two hour[s] hold and continued to
    have delusions that people were talking about him and
    threatening his family.
    Shortly after being released from the hospital in Cincinnati,
    Fernbach overdosed on Tylenol pills and was taken to the
    emergency room. Fernbach’s wife therefore took him to
    [Centerstone], a mental health facility in Batesville.
    [Centerstone] personnel diagnosed Fernbach with bipolar
    disorder and also stated he possibly suffered from schizophrenia.
    [Centerstone] monitored Fernbach and attempted to treat his
    problems with medication. Still, Fernbach continued to suffer
    from paranoid delusions, and eventually, he illegally purchased a
    handgun in Cincinnati.
    Court of Appeals of Indiana | Memorandum Decision 18A-PC-1065 | February 19, 2019   Page 3 of 23
    On April 4, 2009, Fernbach went to a gas station and
    convenience store in Batesville. After talking to the cashier, he
    walked back out into the parking lot. There, he approached a
    vehicle belonging to Philip and Roberta Cruser, who had stopped
    at the station on their way to Cincinnati. When Mrs. Cruser
    entered the car after paying for fuel, Fernbach raised his two-shot
    derringer pistol to Mr. Cruser’s head and shot him behind the
    ear. Fernbach then turned and saw Benjamin Dick. Fernbach
    walked toward Dick and raised the gun toward Dick’s head.
    Dick grabbed Fernbach’s arm in an attempt to defend himself.
    Fernbach was able to break free from Dick’s grip and fired at
    Dick’s head. The shot instead passed through Dick’s hand and
    narrowly missed his head. As Dick lay on the ground, Fernbach
    tried to kick him in the head. Fernbach then started to reload the
    pistol with ammunition he had in his pocket. Dick tried to
    persuade Fernbach not to shoot him, saying, “man, . . . I’ve got
    kids . . . the cops are coming . . . you need to get the hell out of
    here.” [] Fernbach then got in his vehicle and fled. A bystander
    followed Fernbach, who sped away at a high rate. Once
    Fernbach got home, he told his wife that he “thought [he] killed
    somebody on accident.” []. Fernbach then called the police.
    The police responded and apprehended Fernbach. Fernbach
    initially told the police that he had little recollection of what had
    occurred, claiming that he was in a “daze” but could remember
    “squeezing the trigger.” [] Fernbach later claimed that Dick had
    attacked him and that he was merely defending himself.
    Specifically, Fernbach claimed that he fired his gun in the air and
    that Dick was “coming at [Fernbach].” [] Fernbach also stated
    that “the only thing I remember is swinging and hitting [Dick]
    and then him hitting the ground.” []
    ***
    Fortunately, neither of Fernbach’s victims died. Mr. Cruser was
    gravely injured and suffers from severe disabilities as a result of
    Court of Appeals of Indiana | Memorandum Decision 18A-PC-1065 | February 19, 2019   Page 4 of 23
    the gunshot wound to his head. Although Dick was not shot in
    the head, his hand was also severely injured[,] and he remains
    disabled.
    Fernbach v. State, 
    954 N.E.2d 1080
    , 1089 (Ind. Ct. App. 2011) trans. denied.
    [5]   On April 6, 2009, the State filed an Information, charging Fernbach with two
    Counts of attempted murder. Fernbach pleaded not guilty by reason of
    insanity. On April 7, 2009, the trial court appointed Trial Counsel to represent
    Fernbach. On June 10, 2009, Trial Counsel filed a motion to determine if
    Fernbach was competent to stand trial and a notice of defense to mental disease
    or defect. On June 16, 2009, the trial court ordered Dr. Phillip Coons (Dr.
    Coons) and Dr. Robert Kurzhals (Dr. Kurzhals) to examine Fernbach’s sanity
    and competency to stand trial.
    [6]   On October 26, 2009, a competency hearing was held. At the end of the
    hearing, the trial court decided that Fernbach was incompetent to stand trial.
    The trial court ordered Fernbach to be committed to the Department of Mental
    Health. On February 22, 2010, Logansport State Hospital, where Fernbach had
    been committed, notified the trial court that Fernbach was competent to stand
    trial.
    [7]   A jury trial commenced on January 11, 2011. The parties raised the idea of
    stipulating to Fernbach’s medical records. The trial court interjected and asked
    the parties which records they were discussing, and Trial Counsel replied,
    “Well, there’s an awful lot . . . I mean . . . There’s [sic] medical records from
    several different places.” (Trial Tr. Vol. II, p. 439). The State argued that it
    Court of Appeals of Indiana | Memorandum Decision 18A-PC-1065 | February 19, 2019   Page 5 of 23
    would prefer the admission of all Fernbach’s medical records. Following that
    argument, Trial Counsel responded by stating, “Okay. Uh, the only thing I ask,
    just so I don’t get, so I don’t get surprised by something, just give me a list first
    thing in the morning of the medical records that you want. You . . . don’t have
    to tell me all the . . . particular records, just the places and I don’t think I’ve got
    a problem with it. Because I think [Dr.] Kurzhals had almost all of them, if not
    all of them.” (Trial Tr. Vol. II, p. 440). The following morning, Fernbach’s
    medical records from “Logansport State Hospital, Margaret Mary Community
    Hospital, Tree City Medical, Decatur County Hospital, Dearborn County
    Hospital, Columbus Regional Hospital, Centerstone [], and University of
    Cincinnati Hospital” were stipulated to by the parties (Stipulated Packet).
    (Trial Tr. Vol. II, p. 448).
    [8]   Fernbach’s jury trial concluded on January 18, 2011, and the jury found him
    guilty but mentally ill on the two Counts of attempted murder. On February
    17, 2011, the trial court conducted a sentencing hearing. At the end of the
    hearing, the trial court sentenced Fernbach to consecutive thirty years on both
    Counts. Fernbach appealed.
    [9]   On appeal, Fernbach raised two issues: (1) whether the jury clearly erred in
    finding him guilty but mentally ill instead of not guilty by reason of insanity;
    and (2) whether his sentence was inappropriate. On October 7, 2011, we
    affirmed his convictions. On December 20, 2011, the Indiana Supreme Court
    denied transfer. On June 27, 2012, Fernbach filed a petition for post-conviction
    relief, which was later amended three times. On January 10, 2018, the post-
    Court of Appeals of Indiana | Memorandum Decision 18A-PC-1065 | February 19, 2019   Page 6 of 23
    conviction court conducted an evidentiary hearing and denied Fernbach’s
    petition.
    [10]   Fernbach now appeals. Additional facts will be provided as necessary.
    DISCUSSION AND DECISION
    I. Standard of Review
    [11]   Under the rules of post-conviction relief, the petitioner must establish the
    grounds for relief by a preponderance of the evidence. Ind. Post-Conviction
    Rule 1(5): Strowmatt v. State, 
    779 N.E.2d 971
    , 974-75 (Ind. Ct. App. 2002). To
    succeed on appeal from the denial of relief, the post-conviction petitioner must
    show that the evidence is without conflict and leads unerringly and
    unmistakably to a conclusion opposite that reached by the post-conviction
    court. 
    Id. at 975
    . The purpose of post-conviction relief is not to provide a
    substitute for direct appeal, but to provide a means for raising issues not known
    or available to the defendant at the time of the original appeal. 
    Id.
     If an issue
    was available on direct appeal but not litigated, it is waived. 
    Id.
    [12]   Further, the post-conviction court in this case entered findings of fact and
    conclusions of law in accordance with Indiana Post-Conviction Rule 1, § 6. “A
    post-conviction court’s findings and judgment will be reversed only upon a
    showing of clear error—that which leaves us with a definite and firm conviction
    that a mistake has been made.” Little v. State, 
    819 N.E.2d 496
    , 500 (Ind. Ct.
    App. 2004) (quoting Ben-Yisrayl v. State, 
    729 N.E.2d 102
    , 106 (Ind. 2000), reh’g
    denied), trans. denied. In this review, findings of fact are accepted unless clearly
    Court of Appeals of Indiana | Memorandum Decision 18A-PC-1065 | February 19, 2019   Page 7 of 23
    erroneous, but no deference is accorded to conclusions of law. 
    Id.
    Additionally, we remind Fernbach that he is not entitled to a perfect trial, but is
    entitled to a fair trial, free of errors so egregious that they, in all probability,
    caused the conviction. Averhart v. State, 
    614 N.E.2d 924
    , 929 (Ind. 1993).
    II. Ineffective Assistance of Counsel
    [13]   Fernbach contends that he was denied the effective assistance of Trial Counsel.
    The standard by which we review claims of ineffective assistance of counsel is
    well established. In order to prevail on a claim of this nature, a defendant must
    satisfy a two-pronged test, showing that: (1) his counsel’s performance fell
    below an objective standard of reasonableness based on prevailing professional
    norms; and (2) there is a reasonable probability that, but for counsel’s errors the
    result of the proceeding would have been different. Jervis v. State, 
    28 N.E.3d 361
    , 365 (Ind. Ct. App. 2015) (citing Strickland v. Washington, 
    466 U.S. 668
    ,
    690, 694, (1984) reh’g denied), trans. denied. The two prongs of the Strickland test
    are separate and distinct inquiries. 
    Id.
     Thus, “if it is easier to dispose of an
    ineffectiveness claim on the ground of lack of sufficient prejudice . . . that
    course should be followed.” Timberlake v. State, 
    753 N.E.2d 591
    , 603 (Ind.
    2001) (quoting Strickland, 
    466 U.S. at 697
    ) reh’g denied; cert. denied, 
    537 U.S. 839
    (2002).
    A. Failure to Object
    [14]   To demonstrate ineffective assistance of counsel for failure to object, a
    defendant must prove that an objection would have been sustained if made and
    that he was prejudiced by counsel’s failure to make an objection. Wrinkles v.
    Court of Appeals of Indiana | Memorandum Decision 18A-PC-1065 | February 19, 2019   Page 8 of 23
    State, 
    749 N.E.2d 1179
    , 1192 (Ind. 2001), cert. denied (2002). Fernbach argues
    that Trial Counsel failed to object to (1) the inclusion of Dr. Kurzhals’
    deposition in the Stipulated Packet; (2) the highlights on several pages of the
    Stipulated Packet; and (3) the State’s comments during closing arguments.
    1. Dr. Kurzhals’ Deposition
    [15]   Although the parties agreed only to the stipulation of medical records in the
    Stipulated Packet, four other unapproved documents were included—i.e., Dr.
    Kurzhals’ deposition, Fernbach’s competency report prepared by Dr. Kurzhals,
    Fernbach’s sanity report prepared by Dr. Kurzhals, and a list of Fernbach’s
    prior convictions. Fernbach appears to only challenge the inadvertent inclusion
    of Dr. Kurzhals’ deposition, and he argues that had Trial Counsel objected, the
    trial court would have sustained the objection.
    [16]   Turning to the record, after the State charged Fernbach with two Counts of
    attempted murder in April of 2009, in June 2009, Trial Counsel filed a motion
    to determine Fernbach’s sanity and competency to stand trial. The trial court
    consequently ordered Dr. Coons and Dr. Kurzhals to evaluate Fernbach’s
    sanity and competency. At the time, Fernbach was being held at the
    Logansport State Hospital where he was receiving treatment for his mental
    illness.
    [17]   In August 2009, Dr. Kurzhals examined Fernbach, prepared an insanity and
    competency report, and subsequently testified at Fernbach’s competency
    hearing in October 2009. Following that hearing, the trial court concluded that
    Court of Appeals of Indiana | Memorandum Decision 18A-PC-1065 | February 19, 2019   Page 9 of 23
    Fernbach was incompetent to stand trial and was therefore returned to
    Logansport State Hospital. After several months, Logansport State Hospital
    informed the trial court that Fernbach was competent to stand trial.
    [18]   On August 11, 2010, Dr. Kurzhals’ deposition was conducted. At his
    deposition, Dr. Kurzhals testified that the most important inquiry at the time
    was whether Fernbach appreciated the “wrongfulness” of his actions. (Tr. Exh.
    Vol. IV, p. 931). With respect to Fernbach’s competency to stand trial, Dr.
    Kurzhals was “kind of on the fence because factually, [Fernbach] was able to
    answer most of the questions correctly.” (Tr. Exh. Vol. IV, p. 848). However,
    Dr. Kurzhals “recommended that he be found incompetent” because Fernbach
    “seemed to be somewhat disillusioned about what happened, and [Dr.
    Kurzhals] didn’t feel [that Fernbach] was at his optimum level of functioning.”
    (Tr. Exh. Vol. IV, p. 848). Based on his observations and review, Dr. Kurzhals
    ultimately concluded that Fernbach either suffered from paranoid
    schizophrenia, schizoaffective disorder, or bipolar disorder with psychotic
    features. At Fernbach’s jury trial, Dr. Kurzhals testified as follows:
    [A]s far as diagnosis, my diagnosis of him at the time was that he
    suffered from paranoid schizophrenia. Um, primarily because he
    was experiencing paranoid delusional beliefs. What that means
    is he had false beliefs that people were trying to harm him or his
    family when there was no evidence that anyone was, was
    attempting to do so. And the [] second sort of criteria for the
    insanity defense is that the illness or defect has to be so severe
    that the person didn’t appreciate the wrongfulness of their
    conduct. Um, it is my opinion that in the mental state he was in
    at the time he was so paranoid, so delusional, so confused, that
    Court of Appeals of Indiana | Memorandum Decision 18A-PC-1065 | February 19, 2019   Page 10 of 23
    he actually believed that these people were harming him and that
    he in the state of mind he was in at the time believed that he was
    defending his family or trying, or preventing harm from coming
    to his family.
    (Trial Tr. Vol. IV, p. 937). The post-conviction court compared Dr. Kurzhals’
    deposition and trial testimony and found that
    the testimony given in the deposition regarding his evaluations
    was substantially similar to his trial testimony. The entire
    deposition is almost exclusively Dr. Kurzhals going through his
    report and identifying how he came to his conclusions. Further,
    Dr. Kurzhals’ deposition promoted defendant’s insanity defense.
    Although, it should not have been admitted, the [post-conviction]
    court finds that [Fernbach] was not unfairly prejudiced by its
    inadvertent inclusion. [Trial Counsel] was not deficient or
    ineffective for [not] objecting to their admission.
    (PCR App. Vol. II, p. 248). We remind Fernbach that he is not entitled to a
    perfect trial, but is entitled to a fair trial, free of errors so egregious that they, in
    all probability, caused the conviction. Averhart, 614 N.E.2d at 929. In addition,
    if we can easily dismiss an ineffectiveness claim based upon the prejudice
    analysis, we may do so without addressing whether counsel’s performance was
    deficient. Law v. State, 
    797 N.E.2d 1157
    , 1162 (Ind. Ct. App. 2003).
    [19]   Fernbach’ defense at his trial was that he was not guilty by reason of insanity,
    and our review of Dr. Kurzhals’ deposition shows it does not have a harmful
    effect on Fernbach’s defense as Fernbach argues. To the contrary, if the jury
    considered the deposition it would have found Dr. Kurzhals’ trial testimony
    regarding Fernbach’s sanity to be supplemented, explained, and even
    Court of Appeals of Indiana | Memorandum Decision 18A-PC-1065 | February 19, 2019   Page 11 of 23
    strengthened, by the deposition. Among other similar matters, the deposition
    explains Dr. Kurzhals’ opinion that Fernbach was insane at the time he
    committed the offenses. Further, we note that Fernbach’s medical reports were
    voluminous. In fact, the post-conviction court noted that Fernbach’s medical
    records consisted of about 700 pages. Trial Counsel’s testimony that he
    conducted a brief perusal of the Stipulated Packet on the morning of the trial,
    undermines Fernbach’s assertion that Trial Counsel failed to look through the
    Stipulated Packet. Finding no prejudice, we affirm the post-conviction court.
    2. Admission of Highlighted Medical Records
    [20]   Fernbach’s second premise for his ineffective assistance of counsel claim is
    based on the claim that Trial Counsel did not object when the State used
    highlighted medical records to conduct its case-in-chief. The highlighted
    portions seemed to focus on Fernbach’s use of illegal drugs and the fact these
    drugs contributed to Fernbach’s psychosis and hallucinations.
    [21]   At the post-conviction hearing, Trial Counsel admittedly said that he should
    have objected to the State’s use of highlighted copies of his medical records that
    had been extracted from the Stipulated Packet. Even if we assume without
    deciding that Trial Counsel’s performance was deficient for not objecting to the
    admission of his highlighted medical records, Fernbach has failed to show the
    prejudice component of the Strickland standard and, therefore, cannot succeed
    on his ineffective assistance of counsel claim.
    Court of Appeals of Indiana | Memorandum Decision 18A-PC-1065 | February 19, 2019   Page 12 of 23
    [22]   At Fernbach’s trial, the State called Fernbach’s wife, Susan, to testify to her
    relationship with Fernbach, prior interaction with mental-health practitioners,
    and Fernbach’s behavior both generally as well as before and after the
    shootings. Susan testified that Fernbach had never used illegal drugs, and that
    she had only seen him smoke marijuana once, before they were married in 2002
    or 2003, and that his mental-health issues had begun in late 2007 or early 2008,
    resulting in treatment at various mental-health facilities. Susan testified that
    during a family vacation, Fernbach displayed signs of paranoia, and on their
    return, she said she took Fernbach to the University of Cincinnati Hospital
    where he was kept for several days, diagnosed as “bipolar with psychotic
    tendencies” and prescribed various medications. (Trial Tr. Vol. III, p. 629).
    Susan added that she ensured that Fernbach took his prescribed medicine,
    which appeared to work for a time until Fernbach became worse, at which
    point she took him to Centerstone for outpatient treatment.
    [23]   During redirect, Susan admitted that Fernbach had not seen a mental-health
    professional for three months before the shootings. She also claimed that while
    Fernbach had stopped taking two of his prescribed medications, he did so
    because a doctor had told him to stop taking them. Directing her attention to
    the fall of 2008, the State provided her with a copy of a record from the
    University of Cincinnati Hospital and directed her to read the “highlighted”
    part.” (Trial Tr. Vol. III, p. 652). Susan read the part which said, “smoking
    marijuana made him paranoid.” (Trial Tr. Vol. III, p. 652). Susan agreed that
    the medical report corresponded to her observations of Fernbach’s mental
    Court of Appeals of Indiana | Memorandum Decision 18A-PC-1065 | February 19, 2019   Page 13 of 23
    health worsening when Fernbach used drugs. The State then turned to another
    page of Fernbach’s records, from Columbus Regional Hospital and asked Susan
    to read the “highlighted” section. (Trial Tr. Vol. III, p 654). Susan stated,
    “drug abuse,” and a second highlighted portion which stated, “has not been
    honest with wife about drug use. Denies, minimizes drug problems.” (Trial Tr.
    Vol. III, p 654). Reading from a medical record from Centerstone, Susan
    stated, “Um, it says he reports that he began to use marijuana a couple of weeks
    ago. He thought it might help his anxiety, but he states that it just seems to
    bump the anxiety up.” (Trial Tr. Vol. III, p. 656). Susan agreed that the report
    was dated January 8, 2009, the same time during which Fernbach stopped
    visiting mental-health practitioners.
    [24]   During the State’s case-in-chief, Dr. Kurzhals admittedly said that “smoking
    marijuana. . . can cause paranoia” in a person, however, he dispelled that being
    the only factor to be considered while making such a determination. (Tr. Vol.
    IV, p. 954). In fact, Dr. Kurzhals directed the State to look at a discharge form
    from one hospital which did not stress Fernbach’s drug use as the reason for
    Fernbach’s paranoia; rather, the hospital concluded that Fernbach’s paranoia
    was due to his Bipolar diagnosis.
    [25]   In his brief, Fernbach argues
    The [State] sought to establish Fernbach’s behavior and paranoia
    was due to his use of illegal drugs []. [The State] combed the
    over seven hundred pages of the stipulation packet and plucked
    five pages out that referenced Fernbach’s illegal drug use []. The
    [State] copied those pages, highlighted the portions of each
    Court of Appeals of Indiana | Memorandum Decision 18A-PC-1065 | February 19, 2019   Page 14 of 23
    mentioning Fernbach’s drug use, and individually offered the
    highlighted pages into evidence a second time . . . The [State]
    sought to have the jury focus on the few extracted highlighted
    pages introduced in a much less cumbersome group rather than
    the entire stipulation packet containing all of Fernbach’s mental
    health and medical records. Had [Trial Counsel] objected, the
    jury would have been left to review the unaltered seven hundred
    pages of original records, allowing it to have unbiased and
    accurate documents depicting Fernbach’s mental health.
    (Appellant’s Br. p. 41). Fernbach contends that the State’s use of highlighted
    pages extracted from the Stipulated Packet, without any objection from Trial
    Counsel, allowed undue emphasis on the State’s evidence, and that he was
    prejudiced. In support of his claim of prejudice, Fernbach relied on our
    supreme court’s holding in Proctor v. State, 
    584 N.E.2d 1089
    , 1091 (Ind. 1992).
    [26]   In Proctor, the defendant was charged with the murder of a fellow inmate during
    a prison riot. 
    Id.
     After the jury appeared to be deadlocked in their
    deliberations, the trial court called the jury back at 2:30 a.m., and informed the
    jury that the defendant had moved for a mistrial and that it was prepared to
    grant the request. Id. at 1092. The jury was sent back for further deliberations.
    Id. After about forty minutes, the jury returned with a unanimous guilty
    verdict. Id. Our supreme court determined that by allowing the jury to return
    to deliberations and render a verdict after being informed that the defendant’s
    counsel had moved for a mistrial and that the court was prepared to grant it, the
    judge allowed considerations of economy to outweigh the facilitation of the
    ascertainment of truth. Id. In vacating the defendant’s conviction, our supreme
    Court of Appeals of Indiana | Memorandum Decision 18A-PC-1065 | February 19, 2019   Page 15 of 23
    court determined that the trial court’s comments had a prejudicial effect since
    the comments had tainted the regularity of the proceedings. Id.
    [27]   We find Fernbach’s reliance of Proctor misplaced since the considerations in
    Proctor do not apply here. Proctor related to a situation where the trial court’s
    comments had a prejudicial effect on jury deliberations. Fernbach’s case
    pertains to a situation where counsel failed to object to the admission of
    evidence. Unlike the jury in Proctor, the jury in Fernbach’s case was not
    directed to consider only the highlighted portions of Fernbach’s medical records
    which the State sought to use during its case-in-chief.
    [28]   In rejecting Fernbach’s claim of prejudice, the post-conviction court
    determined:
    After reviewing the transcript and the documents, it is apparent
    that portions of exhibits were highlighted in yellow by the State
    for witnesses to read into the record. It is completely reasonable
    for parties to argue a point in a document. The jury is then left to
    decide whether they accept or reject that argument. The entire
    document was submitted for the jury’s review.
    ***
    [Trial Counsel] sufficiently brought out through his questioning
    of Dr. Kurzhals that in all those highlighted documents the
    primary diagnosis was mental illness. [Fernbach] was not
    unfairly prejudiced by documents being admitted that were
    highlighted because that was simply the State pointing out certain
    references in the document to support their position, just as the
    defense did to point out their position.
    Court of Appeals of Indiana | Memorandum Decision 18A-PC-1065 | February 19, 2019   Page 16 of 23
    (PCR App. Conf. Vol. II, p. 20).
    [29]   In the instant case, we also find a lack of prejudice because any advantage that
    the State derived from the use of the highlighted medical records during its case-
    in-chief was compensated for by Dr. Kurzhals’ testimony which dispelled
    Fernbach’s drug use as the reason for Fernbach’s psychosis and delusions. Dr.
    Kurzhals testified that Fernbach’s bipolar diagnosis could have been the reason
    why Fernbach experienced paranoid delusions. See Harrison v. State, 
    644 N.E.2d 1243
    , 1253 (Ind. 1995) (holding that “[p]sychiatry is an extremely
    uncertain field dealing with the mysteries of the human mind where expert
    opinions can be expected to and do differ widely”). Moreover, the trial court
    duly instructed the jury to consider all the evidence and not just the highlighted
    evidence that State used while questioning Susan. See Duncanson v. State, 
    509 N.E.2d 182
    , 186 (Ind. 1987) (holding that “When the jury is properly
    instructed, we will presume they followed such instructions”). If we must
    presume the jury followed the instructions, then we cannot assume, as
    Fernbach does, that the jury considered only the highlighted portions that the
    State stressed upon at his trial. Similarly, we find that the post-conviction court
    did not err in denying Fernbach’s claim on this issue.
    3. State’s Comments during Closing Argument
    [30]   As a general proposition a jury may not be instructed on specific penal
    ramifications of its verdicts. See Schweitzer v. State, 
    552 N.E.2d 454
    , 457 (Ind.
    1990). However, acknowledging the “potential for confusion in cases where the
    jury is faced with the option of finding a defendant not responsible by reason of
    Court of Appeals of Indiana | Memorandum Decision 18A-PC-1065 | February 19, 2019   Page 17 of 23
    insanity or guilty but mentally ill,” our supreme court has determined that
    when such options are before a jury “and the defendant requests a jury
    instruction on the penal consequences of these verdicts, the trial court is
    required to give an appropriate instruction or instructions as the case may be.”
    Georgopulos v. State, 
    735 N.E.2d 1138
    , 1143 (Ind. 2000). An instruction on not
    guilty by reason of insanity was requested by Fernbach, and Final Instruction
    28 advised the jury as follows:
    If the Defendant is found not responsible by reason of insanity at
    the time of the crime, the prosecuting attorney will file a petition
    for mental health commitment with the court. The court will
    hold a mental health commitment hearing at the earliest
    opportunity. The Defendant will be detained in custody until the
    completion of the hearing. If the court finds that the Defendant
    is mentally ill and either dangerous or gravely disabled, then the
    court may order the Defendant to be either placed in an
    outpatient treatment program of not more than ninety (90) days
    or committed to an appropriate mental health facility until a
    court determines commitment is no longer needed.
    (Tr. App. Vol. II, p. 337). In his closing remarks, Trial Counsel read aloud
    Final Instruction 28, and then argued as follows:
    A not responsible by insanity defense doesn’t mean he gets up
    out of his chair and walks out of here a free man. That’s why
    that instruction is allowed to be given to assure that he doesn’t
    just walk out and get out on the street. You have heard three (3)
    days of evidence that can be summed up in six (6) words, not
    responsible by reason of insanity.
    Court of Appeals of Indiana | Memorandum Decision 18A-PC-1065 | February 19, 2019   Page 18 of 23
    (Trial Tr. Vol. V, p. 1205). In the rebuttal portion of the State’s closing
    argument, the State asserted:
    One statement I take serious issue with, [Trial Counsel] said I
    promise you he won’t walk out of here. Well, ladies and
    gentlemen, outpatient [is] outlined in final instruction twenty-
    eight (28) that you will get from the [c]ourt . . . An outpatient
    doesn’t mean incarcerated and it doesn’t mean somewhere
    enclosed. Outpatient reminds me of Centerstone.
    (Trial Tr. Vol. V, p. 1229).
    [31]   Fernbach claims that the State’s closing argument, which discussed the
    possibility of outpatient treatment such as that provided at Centerstone, created
    an erroneous view of the law and violated our supreme court’s holding in
    Caldwell v. State, 
    722 N.E.2d 814
    , 816 (Ind. 2000). In that case, the trial court
    had refused an instruction on the potential consequences of a not guilty by
    reason of insanity verdict, and the State had still informed the jury that a not
    guilty by reason of insanity verdict would mean that the defendant had a license
    to kill. Id. at 816. In this case, by contrast, the trial court agreed with Fernbach
    that the jury should be instructed on the potential consequences of a not guilty
    by reason of insanity verdict and gave such an instruction. See Georgopulos, 735
    N.E.2d at 1143.
    [32]   While the State’s closing argument did not refer to the consequences of a not
    guilty by reason of insanity verdict, Fernbach’s closing argument did. Despite
    the text of the upcoming Final Instruction 28, Trial Counsel argued, “A not
    responsible by insanity defense doesn’t mean he gets up out of his chair and
    Court of Appeals of Indiana | Memorandum Decision 18A-PC-1065 | February 19, 2019   Page 19 of 23
    walks out of here a free man.” (Trial Tr. Vol. V, p. 1205). That argument was
    not entirely correct since the consequences of a not guilty by reason of insanity
    verdict as described in Final Instruction 28 did not include mandatory inpatient
    commitment. In light of that argument, the State’s rebuttal argument was
    appropriate to correct the consequence of the not guilty verdict by reason of
    insanity as stated in Final Instruction 28.
    [33]   As aptly described by the post-conviction court, the State “argued one half of
    the statute while [Fernbach] argued the other. However, jurors were instructed
    to base their decision on the evidence presented to them, not the potential
    outcome of either verdict.” (PCR App. Vol. II, p. 244). Had Trial Counsel
    objected, his argument would not have been sustained, thus, we conclude that
    Fernbach was not prejudiced.
    B. Failure to Present Expert Testimony
    [34]   Next, Fernbach argues that Trial Counsel was deficient in not obtaining an
    expert witness who “could have explained the rarity of outpatient treatment”
    after a not guilty by reason of insanity verdict and that the expert would have
    “given his opinion on whether Fernbach met the civil commitment standard
    and placement.” (Appellant’s Br. p. 50).
    [35]   Trial Counsel is given significant deference in choosing a strategy which, at the
    time and under the circumstances, he or she deems best. Potter v. State, 
    684 N.E.2d 1127
    , 1133 (Ind. 1997). “Although egregious errors may be grounds for
    reversal, we do not second-guess strategic decisions requiring reasonable
    Court of Appeals of Indiana | Memorandum Decision 18A-PC-1065 | February 19, 2019   Page 20 of 23
    professional judgment even if the strategy or tactic, in hindsight, did not best
    serve the defendant’s interests.” State v. Moore, 
    678 N.E.2d 1258
    , 1261 (Ind.
    1997). Such is the case here. We cannot say that the post-conviction court
    erred in concluding that Trial Counsel was not ineffective for failing to present
    an additional expert witness.
    [36]   At the post-conviction hearing, Trial Counsel testified that his trial defense
    strategy was to prove that Fernbach “was not guilty by reason of insanity.”
    (PCR Tr. p. 9). Fernbach then called a forensic psychiatrist, Dr. George Parker
    (Dr. Parker) to testify that Trial Counsel should have procured an additional
    expert to testify that Fernbach met the criteria for civil commitment in the event
    the jury found him not guilty by reason of insanity. Fernbach maintains that
    such testimony would have been helpful to support Trial Counsel’s closing
    argument that Fernbach would not walk out of the courtroom upon a finding of
    not guilty by reason of insanity. In its findings, the post-conviction court
    reviewed Trial Counsel’s trial strategy and performance as follows:
    [Trial Counsel] prepared, submitted, and argued proposed final
    jury instructions that supported his insanity defense trial strategy.
    He ensured an instruction that distinctly and explicitly explained
    what would happen to [Fernbach] if found not responsible by
    reason of insanity was included and testified that he believed he
    argued that instruction during his closing argument. [See] Final
    Instruction No. 28. Based on the clear and explicit instruction,
    [Trial Counsel] testified that he did not consider calling an
    additional expert to explain what would happen to [Fernbach] if
    the jury found him not responsible by reason of insanity.
    Court of Appeals of Indiana | Memorandum Decision 18A-PC-1065 | February 19, 2019   Page 21 of 23
    (PCR App. Vol. II, p. 240). Tactical choices by trial counsel do not establish
    ineffective assistance of counsel even though such choices may be subject to
    criticism or the choice ultimately prove[s] detrimental to the defendant.” Garrett
    v. State, 
    602 N.E.2d 139
    , 142 (Ind. 1992). We agree with the post-conviction
    court that counsel was not ineffective in failing to call an additional expert
    witness to testify. Moreover, such evidence would have been cumulative
    evidence to the final instructions and would not lead to a reasonable probability
    that the jury would have reached a different verdict. See Harrison v. State, 
    707 N.E.2d 767
    , 784 (Ind. 1999). Accordingly, we conclude that Fernbach has
    failed to show the outcome of his trial would have been different had an
    additional expert witness testified. Thus, we conclude that Trial Counsel’s
    failure to procure another expert does not overcome the strong presumption of
    counsel’s competence.
    C. Cumulative Error
    [37]   Finally, Fernbach contends that the cumulative effect of Trial Counsel’s errors
    rendered the representation ineffective. “Errors by counsel that are not
    individually sufficient to prove ineffective representation may add up to
    ineffective assistance when viewed cumulatively.” French v. State, 
    778 N.E.2d 816
    , 826 (Ind. 2002) (quotation omitted). Here, however, Fernbach has not
    established any errors by Trial Counsel; therefore, there can be no cumulative
    error. See Lucas v. State, 
    499 N.E.2d 1090
    , 1098 (Ind. 1986) (explaining that
    alleged errors that do not present a single basis for reversal “do not gain the
    stature of reversible error when viewed en masse”).
    Court of Appeals of Indiana | Memorandum Decision 18A-PC-1065 | February 19, 2019   Page 22 of 23
    CONCLUSION
    [38]   Based on the foregoing, we conclude that Fernbach was not denied the effective
    assistance of Trial Counsel.
    [39]   Affirmed.
    [40]   Vaidik, C. J. and Kirsch, J. concur
    Court of Appeals of Indiana | Memorandum Decision 18A-PC-1065 | February 19, 2019   Page 23 of 23