Roger D. Burdette v. Commonwealth of Kentucky ( 2023 )


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  •                                                RENDERED: FEBRUARY 16, 2023
    TO BE PUBLISHED
    Supreme Court of Kentucky
    2022-SC-0015-MR
    ROGER D. BURDETTE                                                    APPELLANT
    ON APPEAL FROM JEFFERSON CIRCUIT COURT
    V.                     HONORABLE A.C. CHAUVIN, JUDGE
    NO. 19-CR-0516
    COMMONWEALTH OF KENTUCKY                                               APPELLEE
    OPINION OF THE COURT BY CHIEF JUSTICE VANMETER
    AFFIRMING
    Roger Burdette appeals as a matter of right1 from the Jefferson Circuit
    Court judgment sentencing him to twenty-seven years’ imprisonment for his
    convictions of murder, four counts of wanton endangerment in the first degree,
    operating a motor vehicle while under the influence, and failure to give right-of-
    way to a stopped emergency vehicle. Burdette raises numerous issues in
    support of his request for a new trial, none of which mandate reversal of his
    convictions and sentence. Accordingly, we affirm.
    1   KY. CONST. § 110(2)(b).
    I. Factual and Procedural Background
    The sad facts of this case involve a fatal vehicular collision on the
    afternoon of Christmas Eve in 2018, which resulted in the death of Louisville
    Metro Police Detective Deidre Mengedoht. Det. Mengedoht had pulled over a
    pickup truck on I-64 for speeding, just under the Belvedere, and activated the
    flashing lights on her vehicle. The Belvedere is an elevated event space located
    on the Riverfront between 4th and 6th streets in downtown Louisville. The
    portion of I-64 under the Belvedere is a sort of tunnel, darkened by the
    overpass above. Due to the lack of a shoulder on that stretch of I-64, Det.
    Mengedoht’s vehicle and the pickup truck were stopped in the right lane of the
    interstate.
    Det. Mengedoht approached the pickup truck and obtained the license of
    the driver, Quintin Brady, who had three passengers in his vehicle: his
    daughter, his girlfriend (Jasmine Parks) and Parks’s sister. Brady described
    the location of his pickup truck as being under the Belvedere from the front of
    his truck to the front windshield, but the rest of his truck was exposed. Det.
    Mengedoht returned to her vehicle, which was entirely exposed and not under
    the Belvedere tunnel, and about five minutes later, a 30,000-pound tanker
    truck driven by Burdette crashed into her vehicle. The force of the collision
    pushed her vehicle against a concrete wall, past Brady’s pickup truck, causing
    her vehicle to ignite in flames. The occupants of Brady’s truck were able to
    escape with no major injuries, but no one could get close enough to rescue Det.
    Mengedoht, as the area all around her vehicle was engulfed in flames. Det.
    2
    Mengedoht died of smoke inhalation, thermal injuries, and blunt force injuries
    sustained in the collision.
    At the time of the collision, Burdette was working as a commercial driver
    for Metropolitan Sewer District (“MSD”). He had been working all day and had
    just dropped off his last load of sludge at a treatment plant. When speaking to
    law enforcement officers at the scene, Burdette stated, “I was in the center lane
    – [inaudible] the slow lane, I’m sorry. And I start to switch over, and, last thing
    I know – I, I’m not even sure I hit the car first, but I think I did. But I was
    lookin’ to get in the other lane. And when I looked up, too late.” He further
    stated that “he saw [Det. Mengedoht] from pretty far back but didn’t think she
    was that close.”
    When asked if he had anything to drink or had taken any medication,
    Burdette said that he took high blood pressure medicine and cholesterol
    medicine. Sergeant Michael Johnson observed that Burdette’s eyes were
    bloodshot, his pupils appeared constricted, and he was very calm and
    nonchalant for someone who had just been in such a wreck. Sgt. Johnson
    testified that Burdette seemed a little slow and sluggish when responding, like
    he was not processing the information as fast as a regular person. To
    determine whether Burdette could safely operate a motor vehicle, Sgt. Johnson
    performed several field-sobriety tests. Based on Burdette’s poor performance
    on these assessments, and Sgt. Johnson’s observations of his demeanor, Sgt.
    Johnson suspected that Burdette might have taken some sort of narcotic
    analgesic and determined Burdette was “under the influence” while operating
    3
    the truck. Several other witnesses at the scene testified that Burdette seemed
    to be unusually relaxed or emotionless, given that he had just been involved in
    a fatal collision. At trial, the defense presented proof that Burdette suffered
    from hearing difficulties and often reacted slowly as a result.
    Based on the circumstances surrounding the collision, law enforcement
    obtained a warrant to draw Burdette’s blood. Burdette was placed under arrest
    and charged with murder, four counts of wanton endangerment in the first
    degree, operating a motor vehicle while under the influence, and failure to yield
    right-of-way to a stopped emergency vehicle. He was transported to Louisville
    Metro Department of Corrections (“LMDC”) for a blood draw. David McCarthy,
    a registered nurse working at LMDC, drew Burdette’s blood pursuant to the
    search warrant and also conducted a routine intake assessment of Burdette in
    conjunction with him being booked into jail. The intake assessment form
    included a full medical and mental-health assessment and is performed on
    every inmate booked at LMDC. One of the questions on the intake assessment
    form is whether the inmate has ingested any drugs or medication. Burdette
    admitted to having consumed hydrocodone that day and that he takes it
    sometimes, without a prescription.
    The testing performed on Burdette’s blood indicated that Burdette had
    ingested two drugs – hydrocodone and clonazepam2 – both of which are
    2  Clonazepam is the generic medicine for the brand name klonopin.
    Clonazepam is a benzodiazepine that is used to treat certain seizure disorders and
    panic disorder. Howard v. Commonwealth, 
    595 S.W.3d 462
    , 466 n.2 (Ky. 2020)
    (citation omitted).
    4
    controlled substances. Burdette did not have a prescription for either.3
    Medical testimony presented at trial explained that both hydrocodone and
    clonazepam affect the central nervous system, which could adversely affect a
    person’s fine motor skills and reaction time, make one appear extremely
    relaxed, and cause constricted pupils. Text messages retrieved from Burdette’s
    cell phone were presented to the jury showing that he had sporadically
    contacted someone who is not a doctor to purchase prescription drugs during
    the two-year period preceding the collision. The exact type of pill he had been
    purchasing was unclear from the texts. The defense presented the testimony of
    three witnesses who interacted with Burdette on the day of the collision and
    who testified to the effect that he did not appear to be intoxicated.
    An analysis of the reconstruction of the scene, based in part on the
    equipment download generated from Burdette’s tanker truck, revealed that
    coming into the collision Burdette maintained a fairly constant speed of 55
    m.p.h. Officer Kisling testified that he did not see lengthy periods on the brake
    prior to the collision, and an inspection of Burdette’s tanker truck revealed the
    brakes were in working order. In Burdette’s defense, James Sobek, an accident
    reconstructionist, testified that very little light seeped into the tunnel where
    Det. Mengedoht’s vehicle was parked and that the lighting would have
    adversely impacted visibility. Sobek further explained that the curvature of the
    road could have made it more difficult to assess lane placement and distance
    3 Burdette also had Zoloft, an antidepressant, in his blood, for which he had a
    prescription.
    5
    ahead, and that Det. Mengdoht’s vehicle was parked in an unexpected location
    for a stop. Sobek acknowledged that – per the video of the collision - Det.
    Mengdoht’s flashing lights on her vehicle were activated at the time. Still,
    Sobek believed that Burdette need not have been doing anything wrong for the
    collision to have occurred. During trial, the jury was permitted to leave the
    courtroom and view the vehicles involved in the collision, which had been
    transported to a street adjacent to the courthouse.
    A forensic examination of Burdette’s cell phone revealed that at the
    approximate time his tanker truck collided with Det. Mengedoht’s vehicle (2:15
    p.m.), his cell phone was streaming a pornographic video of two individuals
    engaged in oral and vaginal sex. By extracting data from Burdette’s phone,
    Detective Aaron Gabhart, a member of the Secret Service Cyber Fraud Task
    Force, was able to discover the actions that the phone’s user – ostensibly,
    Burdette – had performed immediately prior to and during the collision. The
    jury heard evidence that approximately four minutes prior to the collision,
    Burdette had unlocked his phone, activated an internet browser, and began
    streaming a pornographic video from the website “xvideos.com.” The phone
    received the first file at 2:12 p.m. and the last file at 2:16 p.m.; the final entry
    in the phone’s log was 2:20 p.m., when Burdette manually closed the internet
    browser app. Det. Gabhart testified that the video from “xvideos.com” was in
    the foreground of the phone’s screen during this period and contained sexual
    activity with very little audible dialogue. Det. Gabhart further testified the
    6
    Burdette had visited “xvideos.com” several other times on the day of the
    collision: at 8:53 a.m., 10:02 a.m., 12:33 p.m., 1:08 p.m., and 1:36 p.m.
    The Commonwealth argued to the jury that Burdette acted wantonly with
    extreme indifference to the value of human life because he was impaired and
    watching a pornographic video when he collided with Det. Mengedoht’s vehicle.
    During closing argument, defense counsel argued that the Commonwealth
    failed to meet its burden of proving wantonness, and, if anything, Burdette
    acted recklessly. Defense counsel stated: “Here’s why: You heard from Mr.
    Sobek that clearly he missed something but you also heard from Roger.”
    Defense counsel then played the body camera recording introduced by the
    Commonwealth through Sergeant Elisha Thompson, in which Burdette is
    heard saying, “Last thing I know, I’m not even sure I hit the car first, but I
    think I did.”
    The trial court called the parties to the bench and ruled sua sponte that
    defense counsel could not use Burdette’s statement on the body camera
    recording as proof of what he thought or did, since Burdette did not testify.
    Thereafter, the trial court admonished the jury not to consider Burdette’s
    statement to prove the truth of what he says happened that day.
    Ultimately, the jury concluded that Burdette acted wantonly, and
    convicted him of murder, four counts of wanton endangerment in the first
    degree, operating a motor vehicle while under the influence, and failure to give
    right-of-way to a stopped emergency vehicle. The trial court imposed the jury’s
    7
    recommended sentence of twenty-seven years’ imprisonment. This appeal
    followed.
    II. Analysis
    On appeal, Burdette does not challenge the sufficiency of the evidence
    presented. Rather, he argues the trial court made numerous erroneous rulings
    which he claims resulted in a fundamentally unfair trial. Upon thorough
    review of Burdette’s claims and the record, we affirm.
    a. The trial court’s evidentiary rulings
    Burdette argues that the trial court abused its discretion with respect to
    three evidentiary rulings, each which will be discussed in turn. He contends
    the evidence should not have been admitted as it did not satisfy KRE4 401’s
    relevancy threshold and KRE 403’s balancing test.
    A basic rule of evidence is that evidence must be relevant to be
    admissible. KRE 401 provides that evidence is relevant if it has “any tendency
    to make the existence of any fact that is of consequence to the determination of
    the action more probably or less probable than it would be without the
    evidence.” As the gatekeeper, the trial court must make a threshold
    determination if the proffered evidence is relevant under KRE 401. If relevant,
    then KRE 403 requires the trial court to assess whether its “probative value is
    substantially outweighed by the danger of undue prejudice.” This assessment,
    commonly referred to as the “KRE 403 balancing test” ensures that relevant
    4   Kentucky Rules of Evidence.
    8
    evidence will not be admitted when its value is substantially outweighed by the
    danger of unduly prejudicing the jury. We will apply these basic principles
    below as they related to Burdette’s various claims of error.
    i. The trial court did not abuse its discretion in admitting
    five autopsy photos.
    Burdette first challenges the trial court’s admission of five autopsy
    photos introduced by the Commonwealth through the testimony of Dr. William
    Ralston III, the chief medical examiner for the Commonwealth who performed
    Det. Mengedoht’s autopsy. Prior to Dr. Ralston testifying, Burdette objected to
    the admission of one photo of Det. Mengedoht’s removed trachea as being
    irrelevant and gruesome, and the other four photos of her charred body as
    being cumulative, since photos of the crime scene showing her burned body in
    the car had already been admitted. At a bench conference, the trial court
    analyzed each photo for its probative worth, hesitating slightly to admit the
    photo of the removed trachea. But the Commonwealth insisted the trachea
    photo was relevant to illustrate the cause of death and to show that the soot
    went all the way inside Det. Mengedoht’s trachea. The trial court ultimately
    overruled Burdette’s objection and admitted all five photos, stating: “These
    [photos] will assist the medical examiner in explaining the cause of death. And
    while they are gruesome, she burned to death . . . Can’t sanitize that from the
    jury. . . . The Commonwealth has eliminated probably 75 pictures, I’m
    guessing, to get down to those 5. I think that’s reasonable.”
    Thereafter, Dr. Ralston testified as to the nature of Det. Mengedoht’s
    injuries and the cause of her death. He identified the cause of death as smoke
    9
    inhalation, blunt force and thermal injuries sustained in a motor vehicle
    collision with a subsequent fire. He further stated that the blunt force injuries
    were not immediately fatal, and for a period after the collision, Det. Mengedoht
    was breathing long enough to inhale a fatal amount of smoke. Dr. Ralston was
    unable to say whether she was conscious or not during this time.
    The Commonwealth then introduced and published the five autopsy
    photos, displaying them on a digital projector next to Dr. Ralston, for a total of
    four minutes while Dr. Ralston testified. Dr. Ralston discussed the extent of
    Det. Mengedoht’s thermal injuries, while pointing to and referencing the
    photos. He explained that he had removed the trachea (i.e., windpipe) to look
    for evidence of smoke inhalation and to determine whether Det. Mengedoht was
    breathing when the fire started. Dr. Ralston testified that, as shown in the
    photo, her trachea had soot on the inside, indicative of smoke inhalation.
    Defense counsel did not cross examine Dr. Ralston.
    On appeal, Burdette argues that because he did not contest crashing
    into Det. Mengedoht’s vehicle, killing her, the autopsy photos were
    unnecessary to explain the cause of death, thereby lessening their probative
    value. He further argues the autopsy photos were cumulative, as photos of the
    crime scene and a crime scene video had already been supplied to the jury,
    showing the fiery crash and Det. Mengedoht’s charred and burned body still
    inside the car. Burdette maintains that the admission of the autopsy photos
    was not only unnecessary, but unduly prejudicial.
    10
    The general rule is that “gruesome victim photos are per se admissible
    subject only to clearly delineated exceptions, such as when the body had been
    mutilated or has decomposed.” Hall v. Commonwealth, 
    468 S.W.3d 814
    , 822-
    23 (Ky. 2015). “[A] photograph, otherwise admissible, does not become
    inadmissible simply because it is gruesome and the crime is heinous.” Staples
    v. Commonwealth, 
    454 S.W.3d 803
    , 825-26 (Ky. 2014) (affirming admission of
    five gruesome autopsy photos, as “no more than were reasonably necessary to
    provide illustration for the medical examiner's testimony and to support her
    findings [and] relevant as tending to show not only that the child had been
    fatally injured, but also that the fatal head injury was of a severity almost
    certain to have been inflicted and not likely to have happened accidentally[]”).
    Under the general rule, this Court has “many times upheld the
    Commonwealth’s use of autopsy photographs introduced in conjunction with a
    medical examiner’s testimony concerning the cause and manner of a homicide
    victim’s injuries and death.” Id. at 825. However, autopsy photos are not
    automatically admissible, even under the general rule:
    Like all evidence, [autopsy photos] are subject to the balancing test
    of KRE 403: “Although relevant, evidence may be excluded if its
    probative value is substantially outweighed by the danger of undue
    prejudice, confusion of the issues, or misleading the jury, or by
    considerations of undue delay, or needless presentation of
    cumulative evidence.”
    Hall, 468 S.W.3d at 823 (quoting KRE 403). Under KRE 403, the trial court
    must “weigh the probative value of the gruesome photo in question against the
    harmful effects that might flow from its admission to determine whether the
    11
    photo should be excluded notwithstanding the general rule.” Id. See, e.g.,
    Ragland v. Commonwealth, 
    476 S.W.3d 236
    , 249-50 (Ky. 2015) (admission of 8
    crime-scene and autopsy photos in conjunction with medical examiner’s
    testimony was within the trial court’s discretion: photos were probative of the
    victim’s injuries, facts which are of relevant to the jury's consideration of
    Ragland's claim of self-defense. “And although they depict the victim's battered
    and decomposed corpse, they are not so inflammatory that their probative
    value is so substantially outweighed by their prejudicial effect as to require
    exclusion[]”).
    The task of weighing the probative value and undue prejudice of
    proffered evidence is inherently factual and, therefore, within the discretion of
    the trial court. Ross v. Commonwealth, 
    455 S.W.3d 899
    , 910 (Ky. 2015). This
    Court reviews a trial court’s decision regarding the admissibility of evidence for
    an abuse of discretion. 
    Id.
     “The test for abuse of discretion is whether the trial
    judge’s decision was arbitrary, unreasonable, unfair, or unsupported by sound
    legal principles.” Commonwealth v. English, 
    993 S.W.2d 941
    , 945 (Ky. 1999).
    Here, the trial court considered each photo individually, and
    comparatively, and assessed the purpose for which the photo was being
    offered. The trial court noted the number of the Commonwealth’s autopsy
    photos (approximately 75) and determined that admitting the 5 photos at hand
    was reasonable. This case is distinguishable from Hall, wherein
    Commonwealth presented a 10-minute police video documenting the crime
    12
    scene and a total of 43 crime scene and autopsy photographs, 28 of which were
    admitted over objection. 468 S.W.3d at 820.
    In Hall, we held that some of the gruesome photos were admissible to
    allow the Commonwealth to meet its typically onerous burden of proving
    the corpus delicti beyond a reasonable doubt. Indeed, “photos of a victim's
    corpse are relevant to show the nature of the injuries inflicted on the victim.”
    Id. at 825. But the “admission of the entire proffer of 28 photos went well
    beyond that.” Id. at 826. The Hall court noted that photos depicting the same
    scene or subject merely from different vantage points were needlessly
    cumulative, and some photos were left displayed, and magnified, on the digital
    projector while testimony was elicited about details that did not concern the
    photos. Id. On top of the sheer number of photos admitted in Hall, the photos
    “were not addressed one by one or even in comparison to each other; rather,
    their admissibility was determined all at once as a group, with no emphasis on
    their relative or incremental probative value. That is where the trouble lies[.]”
    Id. at 827.
    In Burdette’s case, the autopsy photos were no doubt gruesome, but
    “general gruesomeness by itself, while prejudicial, is an insufficient ground to
    keep out relevant evidence; rather, the gruesomeness must be such that it
    creates substantial undue prejudice or other harmful consequences that
    outweigh the probativeness of the evidence.” Id. Though Burdette naturally
    wished to prevent the jury from seeing the autopsy photos, the Commonwealth
    may “prove its case by competent evidence of its own choosing, and the
    13
    defendant may not stipulate away the parts of the case that he does not want
    the jury to see.” Id. (quoting Pollini v. Commonwealth, 
    172 S.W.3d 418
    , 424
    (Ky. 2005)).
    Notwithstanding that Burdette admitted to causing Det. Mengedoht’s
    death, the five autopsy photos, and Dr. Ralston’s testimony relating to same,
    were relevant to the Commonwealth’s burden of proving the corpus
    delicti beyond a reasonable doubt. The photos were used by Dr. Ralston to
    illustrate the course and results of his autopsy examination and were
    presented in a concise manner. See, e.g., Foley v. Commonwealth, 
    953 S.W.2d 924
    , 935 (Ky.1997) (no reversible error where “the photos were shown only
    briefly, and were not emphasized in any way”). And with respect to Burdette’s
    argument that the trachea photo was unduly prejudicial, we find that photo no
    more gruesome than the photos of Det. Mengedoht’s burned body. See, e.g.,
    Ross, 455 S.W.3d at 911 (holding that “the exposure of the intestines does not
    substantially increase the offensiveness of the photographs, nor is it likely the
    intestines will cause the jury to act on emotion. As between the barely
    recognizable figure of [victim’s] charred body and the intestines protruding
    therefrom, the sight of the intestines is the least objectionable and provides a
    perverse respite from the more haunting portions of [victim’s] seared body[])”.
    Furthermore, the five photos at issue were not duplicative of other
    photos already entered into evidence, or needlessly cumulative. Just because
    the jury had seen photos and a video of the crime scene does not make these
    five autopsy photos less probative of the medical examiner’s explanation of Det.
    14
    Mengedoht’s injuries and cause of death. Under the specific facts of this case,
    we find the KRE 401 relevancy test and the KRE 403 balancing test satisfied
    and thus affirm the trial court’s decision to admit these autopsy photos.
    ii. Admitting evidence of Burdette’s texts about purchasing
    pills illicitly was not an abuse of the trial court’s
    discretion.
    Burdette argues that the trial court abused its discretion by allowing
    Sergeant Omar Lee to testify that Burdette had been texting someone (not a
    doctor) about purchasing prescription pills/controlled substances for
    approximately two years prior to the collision, the last text being on December
    9, 2018, less than two weeks before the collision. Burdette preserved this
    claim by filing a motion in limine in response to the Commonwealth’s Notice of
    Intent to Introduce Evidence of Other Acts Pursuant to KRE 404(b). Burdette
    also renewed his objection at trial. Accordingly, this Court will review the trial
    court’s decision to admit this evidence for an abuse of discretion. Ross, 455
    S.W.3d at 910.
    KRE 404(b) states that “[e]vidence of other crimes, wrongs, or acts is not
    admissible to prove the character of a person in order to show action in
    conformity therewith.” Generally, a defendant’s prior bad acts are inadmissible
    because “[u]ltimate fairness mandates that an accused be tried only for the
    particular crime for which he is charged. An accused is entitled to be tried for
    one offense at a time, and evidence must be confined to that offense. . . . The
    rule is based on the fundamental demands of justice and fair play.” Clark v.
    15
    Commonwealth, 
    223 S.W.3d 90
    , 96 (Ky. 2007) (quoting O'Bryan v.
    Commonwealth, 
    634 S.W.2d 153
    , 156 (Ky. 1982)).
    KRE 404(b) was designed to preclude the admission of character or
    propensity evidence, offered to show “that on other occasions a person has
    acted in a particular way” and thus is “the sort of person who does that sort of
    thing or acts that way” therefore he or she “is likely to have done the same sort
    of thing or acted that same way on the occasion at issue in the case.” Trover v.
    Estate of Burton, 
    423 S.W.3d 165
    , 172 (Ky. 2014).
    While KRE 404(b) is a rule of exclusion, such evidence may be
    admissible:
    (1) If offered for some other purpose, such as proof of motive,
    opportunity, intent, preparation, plan, knowledge, identity, or
    absence of mistake or accident; or
    (2) If so inextricably intertwined with other evidence to the case that
    separation of the two (2) could not be accomplished without
    serious adverse effect on the offering party.
    KRE 404(b).
    To determine the admissibility of prior bad evidence, the following three-
    step analysis is utilized:
    1) If the other crimes evidence relevant for some purpose other than
    to prove the criminal disposition of the accused?
    2) Is the evidence sufficiently probative to warrant its introduction?
    3) Does the potential for prejudice from the use of the other crimes
    evidence outweigh its probative value?
    Bell v. Commonwealth, 
    875 S.W.2d 882
    , 889-91 (Ky. 1994).
    Sgt. Lee testified that after receiving Burdette’s lab report with the results
    of the blood test, investigators checked the Kentucky All-Schedule Prescription
    16
    Electronic Reporting System (“KASPER”) database to see if he had a
    prescription for either hydrocodone or clonazepam, which he did not. Sgt. Lee
    stated that the next line of inquiry was to determine where Burdette had
    obtained the pills, so they inspected his phone for any leads. Sgt. Lee stated
    that “[t]here was communications via text messages from November 2016
    leading up to December 9, 2018. There was multiple text messages where Mr.
    Burdette had contacted someone who was not a doctor to purchase . . . drugs.”
    He then added that the drugs were “prescription drugs or controlled
    substances.”
    Prior to Sgt. Lee testifying, the trial court conducted a hearing on
    whether such testimony would be admissible, specifically balancing its
    relevancy, probative value, and prejudicial effect. Burdette argued that the
    texts did not bear on whether he was impaired at the time of the collision, or
    even whether the pills he was texting about purchasing were the same drugs in
    his system on the day of the incident. Because Sgt. Lee’s testimony was vague
    as to what type of pills the texting parties were discussing, Burdette argued the
    probative value diminished and the prejudicial effect increased. Burdette
    asserted that this text message evidence is the heart of what KRE 404(b) is
    designed to prohibit: evidence that because Burdette had done these bad acts
    in the past, it makes it more likely that he was doing these bad acts now.
    The Commonwealth argued that the testimony about the texts was
    admissible for the limited purpose for which it was being offered: to show
    Burdette’s knowledge on December 24, 2018 when he got behind the wheel of
    17
    his vehicle. The Commonwealth argued his knowledge directly related to its
    burden of proving he acted wantonly, i.e., with extreme disregard to human
    life.5 The Commonwealth asserted that the text messages established that
    Burdette did not have a prescription for these pills; that he deliberately took
    great measures to obtain them, not just once but numerous times over a two-
    year period; and that he undertook these actions all the while knowing that he
    was prohibited from doing so by the terms of his employment, and under the
    law, but did it anyway.6
    The trial court ultimately agreed with the Commonwealth, concluding
    that the evidence was not being offered to show Burdette was a drug addict or
    had bad character, or even that he was impaired on the day of the incident.
    Rather, the texts were being offered to show the measures Burdette took to
    obtain the pills, which the trial court found increased the level of wantonness;
    Burdette knew how dangerous it was to ingest controlled substances while
    driving and knew he was prohibited from doing so, but yet went to great
    lengths again and again to disregard that risk and obtain and ingest them
    anyway. Specifically, the trial court reasoned,
    5 “A person is guilty of wanton endangerment in the first degree when, under
    circumstances manifesting extreme indifference to the value of human life, he
    wantonly engages in conduct which creates a substantial danger of death or serious
    physical injury to another person.” KRS 508.060(1).
    6  Testimony at trial established that Burdette was not permitted to operate a
    commercial vehicle while taking controlled substances. To maintain his commercial
    vehicle license, Burdette was not permitted to drive with any measurable amount of
    drugs in his system. Further, Kentucky law generally prohibits texting and driving
    under KRS 189.292(2).
    18
    In the big picture, a person who doesn’t have a prescription for a
    narcotic, who can’t have a prescription for a narcotic and do their
    job, but wants a narcotic, has to find a different source. And all
    that’s important in this case because all that shows knowledge. It
    shows a disregard of what a medical doctor would have said had
    that person gone there to get that prescription medication, and
    there was a record of it. . . .
    The level of disregard – and arguably the wantonness – increases
    in proportion to your awareness of the risk. And so the more you
    know about it, the more you have to disregard in order to do it.
    And the argument follows that the, the greater the lengths that you
    go to procure this, the more wanton it is. If someone gives it to
    you, it’s different than you going out to get it. If it’s somebody
    else’s prescription and you have easy access to it, it’s still wanton,
    but it’s not the same as having to fly out of the country and come
    back with a suitcase full of it, because every second that you’re
    engaged in that activity is time you have not to do it anymore and
    turn around and stop.
    The trial court determined that any prejudice was minimal because the
    jury had already heard evidence that Burdette had illegally obtained the pills
    that were in his system on the day of the collision and that he should not have
    been taking them while driving. The trial court’s only hesitation in admitting
    the evidence was that no testimony would be presented about what type of pills
    Burdette was purchasing, and thus the jury would be required to make an
    inference.
    On appeal, Burdette emphasizes that knowledge in the context of KRE
    404(b) often means “capacity to commit the act.” Southworth v.
    Commonwealth, 
    435 S.W.3d 32
    , 49 (Ky. 2014). He claims that the text
    messages merely show his capacity to obtain pills without a prescription, which
    he argues is not relevant to whether he had the capacity to drive under the
    influence. Burdette maintains that because he was not charged with a crime
    19
    relating to purchasing, trafficking, or being in possession of pills, the evidence
    that he did so in the past had no bearing on whether he drove under the
    influence on the day of the collision. Furthermore, he points out that no
    evidence showed that the pills he purchased in the two-year span were the
    same as those in his system on the day of the collision. Instead, he contends
    that the test messages are propensity evidence unrelated to the charged
    offenses and were highly prejudicial.
    A person acts wantonly “when he is aware of and consciously disregards
    a substantial and unjustifiable risk that the result will occur or that the
    circumstance exists.” KRS 501.020(3). Further, a person who creates such a
    substantial and unjustifiable risk but “is unaware thereof solely by reason of
    voluntary intoxication also acts wantonly with respect thereto.” 
    Id.
     Whether
    Burdette’s wanton conduct manifests “extreme indifference to human life” is a
    question to be decided by the trier of fact. Brown v. Commonwealth, 
    975 S.W.2d 922
    , 924 (Ky. 1998).
    In Ramsey v. Commonwealth, the Court held that the defendant driving
    while intoxicated and with a child in the car can support a conviction for first-
    degree wanton endangerment. 
    157 S.W.3d 194
    , 197 (Ky. 2005). In reaching
    that conclusion, the Court noted that the defendant “was not simply driving
    under the influence as he tried to argue,” since “his physical acts of driving
    included more than one reported lapse: it was his third time of operating a motor
    vehicle despite a license suspension for DUI; he was driving while intoxicated;
    he suddenly accelerated the vehicle at a speed noticeably higher than the
    20
    normal; and he turned off the vehicle's headlights while still on the road.” Id.
    at 198 (emphasis added). Thus, the Ramsey court considered the defendant’s
    prior driving offenses in determining whether his conduct was wanton.
    On the other hand, in Shouse v. Commonwealth, a murder trial
    concerning a child’s death while left unattended in the car by his mother, this
    Court held that it was error to introduce, pursuant to KRE 404(b), the fact that
    Shouse had left her child in her car unattended in the past. 
    481 S.W.3d 480
    ,
    490 (Ky. 2015). Specifically,
    Proof that Shouse had previously intentionally left her son in the
    car for short periods does not show that she wantonly did so on
    the night in question. Indeed, the proof indicates that she was not
    even aware that she had left the child in the car. To be proper KRE
    404(b) evidence, her prior acts must show more than mere
    propensity to do an act, and must prove something else, such as
    motive, knowledge, absence of mistake, or identity.
    The Commonwealth does not expressly argue any of these
    grounds, saying only that the acts “illuminate what was in her
    mind when she left her child in the car and killed him.” But the
    prior acts cannot show Shouse's wanton mental state, specifically
    that she knew of the risk involved and consciously ignored that
    risk, because they differed too much from what happened here. If
    anything, that she had safely left her child in the car in the past—
    without injury, much less death—would tend to show that she
    was unaware of the risk of leaving the child in a car.
    
    Id.
     at 490–91. The Court concluded such evidence was propensity evidence -
    used only to show that Shouse had a propensity for leaving her son in the car –
    which is forbidden by KRE 404. Nonetheless, the Court found the evidence to
    be harmless since no substantial likelihood existed that it affected the verdict.
    
    Id. at 491
    .
    21
    In Feinauer v. Commonwealth, the Court of Appeals reversed the
    defendant’s reckless homicide convictions on grounds that the trial court
    improperly allowed the Commonwealth to introduce text messages evidencing
    prior bad acts by Feinauer that were insufficiently tethered to the reckless
    homicide charges. 
    640 S.W.3d 47
     (Ky. App. 2021), review denied (Mar. 16,
    2022). In Feinauer, the defendant was on route to attend an event at her
    child’s school when her vehicle left her lane of traffic and collided head-on with
    a vehicle traveling in the opposite direction, tragically killing both occupants.
    Id. at 48. Feinauer’s subsequent blood draw revealed a blood alcohol level of
    0.048%; no alcohol was detected in the subsequent draws, nor were any drugs
    detected in any draws. Id. at 49.
    At trial, the court admitted “about fifteen texts, dating from November
    2015 to March 2016, [Feinauer] had sent regarding speeding, drinking and
    driving, and/or texting and driving.” Id. The Commonwealth argued the texts
    showed Feinauer's “consciousness of guilt since they, generally speaking, show
    she knew it was wrong to drink and drive, text and drive, or speed.” Id.
    However, the Court of Appeals observed that “’everyone is presumed to know
    the law; therefore, ignorance of the law is not an excuse.’ So, the
    Commonwealth did not need the texts to show that Feinauer knew speeding,
    texting and driving, and having open alcoholic beverages in a vehicle are illegal
    because she, like everyone else, was already conclusively presumed to know
    the law.” Id. at 51 (quoting Department of Revenue, Finance and Administration
    22
    Cabinet v. Revelation Energy, LLC, 
    544 S.W.3d 170
    , 176 (Ky. App. 2018))
    (internal citations omitted).
    Importantly, the Commonwealth did not charge Feinauer with speeding,
    driving while impaired, texting while driving, or even for having an open
    container of alcohol in her vehicle at the time of the crash. 640 S.W.3d at 50.
    Nor did it introduce evidence of such at trial. Id. at 51. Accordingly, the Court
    of Appeals discerned “no element(s) of reckless homicide for which the texts
    had material, probative value” since the “evidence that she had drunk while
    driving, texted while driving, or sped in the past . . . has no meaningful
    relationship to whether she did so at the time of the fatal collision.” Id.
    Rather, “the prior instances of misconduct exemplified by the texts seem
    designed to show that Feinauer had a propensity for making poor decisions
    while driving.” Id. Given the emotionally charged nature of the case, with the
    Commonwealth using the texts “to argue repeatedly that Feinauer played a
    deadly game of ‘Russian roulette’ whenever she drove a vehicle[,]” the court
    concluded that admission of the texts was not harmless error. Id. at 52.
    In Burdette’s case, the trial court reasoned that his conduct became
    more and more wanton the longer he did it, and the greater the lengths he went
    to obtain pills illicitly. Whether the prejudicial effect of this evidence
    substantially outweighed its relevancy and probative value is, as it often is, a
    close call. After thoroughly reviewing relevant case law and the record, we
    make particular note of the fact that the most recent text was within two weeks
    of the date of the collision, and we are accordingly unable to say that the trial
    23
    court’s decision was “arbitrary, unreasonable, unfair, or unsupported by sound
    legal principles” so as to qualify as an abuse of discretion. English, 993 S.W.2d
    at 945. Moreover, considering the entirety of the evidence presented to the jury
    about Burdette’s guilt, including his blood test results showing he had
    hydrocodone and clonazepam in his system and evidence that he was watching
    pornography at the time he slammed into the back of Det. Mengedoht’s vehicle,
    which had its flashing lights activated, hardly braking, shows his conduct was
    wanton beyond a reasonable doubt. As a result, even if the trial court did err
    in admitting evidence of the texts, any error was harmless and did not
    substantially affect the outcome of the trial. See Meece v. Commonwealth, 
    348 S.W.3d 627
    , 645 (Ky. 2011) (“[p]reserved evidentiary and other non-
    constitutional errors will be deemed harmless . . . if we can say with fair
    assurance that the judgment was not substantially swayed by the error[]”).
    iii. The trial court did not abuse its discretion in admitting
    evidence of the content of the video (pornography) that
    Burdette was watching at the time of the collision.
    Burdette argues that the trial court ran afoul of KRE 404(b) by allowing
    the Commonwealth to refer to several instances in which Burdette accessed a
    pornographic video on the website “xvideos.com” on the day of the collision,
    including during the collision. Burdette claims that the description of the
    video’s pornographic content was irrelevant to the issue of whether he was
    looking at his phone at the time of the collision; likewise, he asserts that his
    browser history from earlier that day was also irrelevant. Under KRE 403’s
    balancing test, Burdette argues this evidence was more prejudicial than
    24
    probative. This claim is preserved, as Burdette filed a motion in limine to
    exclude this evidence, in response to the Commonwealth’s KRE 404(b) Notice.
    The trial court conducted a hearing on its admissibility and ultimately allowed
    testimony regarding the pornography video, but not the title of the video.
    Burdette renewed his objection at trial, which the court overruled on grounds
    that the video was a visual medium, the contents of which go to the attention
    one might pay to the video, how engaged one might be, and one’s anticipated
    reaction to watching such a video. We review the trial court’s ruling for an
    abuse of discretion. Ross, 455 S.W.3d at 910.
    At trial, Det. Gabhart described the forensic examination that he
    conducted of Burdette’s phone and explained that Burdette had accessed a
    pornographic website – “xvideos.com” – during the collision. He further
    testified that Burdette had visited it five other times earlier that day, before the
    collision: at 8:53 a.m., 10:02 a.m., 12:33 p.m., 1:08 p.m., and 1:36 p.m. Det.
    Gabhart described the pornographic video as depicting a male and female in a
    variety of sexual positions, engaging in oral sex and vaginal sex. The
    Commonwealth also offered testimony regarding the pornographic video
    through Sgt. Lee, who testified that Burdette accessed the website
    “xvideos.com” at 2:12 p.m. on the day of the collision. Sgt. Lee stated that the
    video was eight minutes long and depicted one male and one female engaged in
    various sexual acts.
    The Commonwealth asserts that the content of the video was admissible
    under KRE 404(b)(2) as it was inextricably linked to the crime and admissible
    25
    under KRE 404(b)(1) to show that because Burdette visited that website several
    other times that day, Burdette did not access the video mistakenly.
    Specifically, the Commonwealth argues that Burdette streaming pornography
    during the collision formed part of the central question of the case: whether a
    person who watches pornography while driving a vehicle – much less someone
    who does so while operating a semi-truck on the interstate – unquestionably
    engages in wanton behavior. And that the other times Burdette watched
    pornography that day was probative of the absence of mistake or accident, and
    to eliminate any inference that Burdette’s phone could have automatically
    played the video during the collision.
    We agree with the trial court that this evidence was admissible. As the
    trial court reasoned, pornography by its nature is a visual medium requiring
    one’s attention and produces a reaction. Driving while playing a pornographic
    video on your phone demands a different type of engagement than driving
    while, say, having a history channel video playing in the background, in which
    the audio content is the focus, and the driver need not look at the phone to
    absorb its content. Thus, Burdette having a pornographic website streaming
    during the collision is extremely relevant to the Commonwealth’s charge of
    wanton conduct. Further, without evidence that Burdette had visited the same
    pornographic video five times earlier that day, the jury could have inferred that
    the website was simply open in his browser, perhaps by accident or from
    accessing it another day, or just not closing the browser. Thus, that evidence
    was admissible not only to show absence of mistake but was as inextricably
    26
    linked to the crime - necessary and probative to provide the jury with a full
    picture of Burdette’s actions leading up to, and during, the fatal collision. Cf.
    Metcalf v. Commonwealth, 
    158 S.W.3d 740
     (Ky. 2005) (detectives could have
    testified in defendant’s trial on charges of sodomy and sexual abuse of a
    different victim, without mentioning that defendant had videotaped his
    stepdaughter undressing).
    While pornographic evidence is undoubtedly prejudicial, see Chavies v.
    Commonwealth, 
    374 S.W.3d 313
    , 323 (Ky. 2012) (noting the “dangerous quality
    and prejudicial consequences” from this type of evidence), here the prejudice
    was limited and was greatly outweighed by its probative value. No one
    identified the title of the video or testified that Burdette had a history of
    watching pornographic videos while driving or was a porn addict; instead, the
    evidence merely showed that Burdette viewed the same pornographic video
    several times on the day of the collision, including immediately before. The
    evidence was thus properly admitted.
    b. The trial court did not err by allowing the jury to view the
    vehicles involved in the collision.
    Burdette argues that the trial court erred by allowing the jurors to leave
    the courtroom to go outside and view the three vehicles involved in the collision
    on a street behind the courthouse. This claim is preserved as Burdette
    objected to the Commonwealth’s Notice Regarding Physical Evidence That
    Cannot be Presented in the Courtroom and renewed his objection during trial.
    27
    Accordingly, we review the trial court’s decision to allow the jurors to view the
    vehicles for an abuse of discretion. Ross, 455 S.W.3d at 910.
    The Commonwealth sought to introduce the vehicles pursuant to KRS
    29A.310(3), which provides: “When necessary the judge may authorize the jury
    to view the real property which is the subject of the litigation, or the place in
    which any material fact occurred, or the place in which the offense is charged
    to have been committed.” The Commonwealth argued that by viewing the
    vehicles in person the jury would be better able to appreciate the difference in
    their size and factor that into assessing the level of wanton conduct on the part
    of Burdette. In other words, the Commonwealth stated that there was a
    difference in the level of wanton conduct between consuming pills like Burdette
    did and driving a tanker truck versus driving a car the size of a sedan. The
    trial court found that everyone would be better off by allowing the jury to see
    the vehicles in person and ordered the street behind the courthouse to be
    blocked off by police so there would be no chance of the public, or anyone with
    an emotional connection to this case, viewing the vehicles and contaminating
    the jury.
    Burdette now argues that KRS 29A.310 does not apply to this case, since
    vehicles are not real property, see Property, Black’s Law Dictionary (11th ed.
    2019) (defining real property as “land and anything growing on, attached to, or
    erected on it, excluding anything that may be severed without injury to the
    land”). He claims not only was the trip to view the vehicles not authorized
    under KRS 29A.310, it also did not pass muster under KRE 403. He points out
    28
    that the Commonwealth introduced ample evidence of the size and physical
    qualities of the vehicles, including testimony that a tanker truck weights up to
    30,000 pounds, as well as scene videos and photographs. Taking this into
    consideration, Burdette maintains that the viewing of the vehicles in person
    had little probative value and only served to inflame the passions of the jury.
    The Commonwealth concedes on appeal that the vehicles are not “real
    property” within the meaning of KRS 29A.310(3). Nonetheless, it asserts the
    vehicles were substantive evidence necessary to tell the full story of the charges
    against Burdette. See Barnett v. Commonwealth, 
    979 S.W.2d 98
    , 103 (Ky.
    1998) (generally, “the prosecution is permitted to prove its case by competent
    evidence of its own choosing[]”).
    Burdette cites to two cases in support of his position, neither of which is
    directly on point since they concern a jury viewing the place where the crime
    occurred pursuant to KRS 29A.310. In Debruler v. Commonwealth, this Court
    held that the trial court did not abuse its discretion by refusing to allow the
    jury to view a scene of a robbery and kidnapping. 
    231 S.W.3d 752
    , 761 (Ky.
    2007). Because the Commonwealth had introduced multiple photographs and
    maps of the scene, the Court found that “the jury was adequately apprised of
    the physical nature of the two scenes[.]” 
    Id.
    In Tungate v. Commonwealth, this Court similarly affirmed the trial
    court’s decision not to allow the jury to view a daycare where a sexual assault
    had allegedly occurred. 
    901 S.W.2d 41
    , 44 (Ky. 1995). The trial court
    reasoned that it had been over two or three years since the crimes allegedly
    29
    occurred there and that the jury had been provided with photographs and a
    video of the scene. 
    Id.
     This Court affirmed, finding that the jury was familiar
    with the scene from the testimony and visual aids. 
    Id.
    However, these cases are distinguishable from Burdette’s, and not just
    because they involve KRS 29A.310(3). While perhaps not necessary for the
    jury to view the three vehicles in person, that viewing was helpful and
    probative to the jury’s assessment of Burdette’s conduct on the day of the
    incident and the extent to which he acted wantonly. Considering the
    parameters set in place by the trial court to minimize any potential taint on the
    jury, we find any prejudice was minimized. Accordingly, we decline to disturb
    the trial court’s decision on this issue.
    c. The trial court did not err by denying Burdette’s motions to
    suppress.
    The Commonwealth obtained Burdette’s medical records from LMDC
    through a grand jury subpoena, which Burdette moved to suppress those
    records and any statements made therein. The trial court denied his motion
    and allowed two witnesses to testify about Burdette’s statements contained in
    the medical records, in which he admitted taking hydrocodone “sometimes”
    and consuming it the day of the collision. We review a trial court’s ruling on a
    suppression motion utilizing a clear error standard for factual findings and a
    de novo standard for conclusions of law. Sykes v. Commonwealth, 
    453 S.W.3d 722
    , 724 (Ky. 2015).
    At trial, the Commonwealth called two witnesses, Nurse McCarthy and
    LMDC records custodian Darlene Jerman, to testify about statements made by
    30
    Burdette which were contained in the LMDC medical records. Nurse McCarthy
    testified that he drew Burdette’s blood pursuant to the search warrant and
    conducted a routine medical intake assessment of Burdette, which he performs
    on every detainee booked into the LMDC jail facility. During Burdette’s
    assessment, Nurse McCarthy asked him if he had ingested any drugs or
    medications and Burdette responded that he had consumed hydrocodone that
    day (December 24, 2018) and “he takes it sometimes.” Nurse McCarthy
    testified that every inmate is asked about ingesting drugs or medications
    because LMDC needs to know about any potential overdoses or withdrawals.
    Darlene Jerman testified that she was one of the custodians of the
    medical records for LDMC. She testified as to the contents of Burdette’s
    medical records from December 24, 2018; specifically, Burdette responding
    “yes” when asked “Do you use drugs not prescribed by a physician?” Burdette
    also stated he used hydrocodone “sometimes” and that December 24, 2018 was
    his “last use.”
    On appeal, Burdette claims the trial court abused its discretion by
    denying his motion to suppress Nurse McCarthy’s and Jerman’s testimony
    about his statements contained in his medical records. He alleges their
    testimony violated his rights under the Fourth Amendment of the United States
    Constitution and Section 10 of the Kentucky Constitution, as well as the Fifth
    Amendment of the United Constitution and Section 11 of the Kentucky
    Constitution. Specifically, Burdette claims that the Fourth Amendment and
    Section 10 were violated by the release of his LMDC medical records without a
    31
    warrant (thereby violating his alleged expectation of privacy in those records),
    and by what he classifies as an interrogation by Nurse McCarthy without him
    being Mirandized first. Burdette further alleges his privilege against self-
    incrimination under the Fifth Amendment and Section 11 were violated by the
    intake assessment process, in which he was compelled to answer Nurse
    McCarthy’s questions because he would have been denied adequate medical
    care otherwise.
    Both the Fourth Amendment and Section 10 protect citizens from
    unreasonable searches and seizures. Burdette asserts that he had a legitimate
    privacy interest in his medical records protected by the Fourth Amendment
    and that “[t]he grand jury is [] without power to invade a legitimate privacy
    interest protected by the Fourth Amendment.” United States v. Calandra, 
    414 U.S. 338
    , 346 (1974). Accordingly, he argues that his statements contained in
    the LMDC medical records – the intake assessment - should have been
    suppressed.
    The Commonwealth argues that the intake assessment was part of the
    routine booking process at LMDC that was administrative in nature and
    performed on every detainee. It argues that Burdette’s expectation of privacy in
    these records is not reasonable and thus no warrant was required to obtain
    them. Additionally, it asserts that the LMDC intake assessment falls within the
    32
    booking exception to Miranda v. Arizona, 
    384 U.S. 436
     (1966) and thus the
    state was not required to Mirandize Burdette beforehand.7
    With respect to Burdette’s alleged expectation of privacy in his LMDC
    medical records, the trial court found that Burdette was not actively seeking
    medical treatment; rather, the booking process was attendant to his arrest and
    required obtaining medical information from him for administrative purposes.
    Absent any Kentucky case law holding that Miranda applies to a nurse’s
    questions during booking, the trial court concluded that Nurse McCarthy and
    Jerman could testify as to Burdette’s statements contained in the records, but
    that the Commonwealth could not admit the records themselves into evidence.
    Application of the Fourth Amendment and Section 10 “depends on
    whether the person invoking its protection can claim a ‘justifiable,’ a
    ‘reasonable,’ or ‘legitimate expectation of privacy’ that has been invaded by
    government action.” Smith v. Maryland, 
    442 U.S. 735
    , 740 (1979). Burdette
    argues that the U.S. Supreme Court has recognized a reasonable expectation of
    privacy in a person’s medical records; specifically, “[t]he reasonable expectation
    of privacy enjoyed by the typical patient undergoing diagnostic tests in a
    hospital is that the results of those tests will not be shared with nonmedical
    personnel without her consent.” Ferguson v. City of Charleston, 
    532 U.S. 67
    ,
    78 (2001). Burdette contends that while his statements were procured
    7 Neither party addresses when Burdette was read his Miranda rights, and
    when/if he invoked his right to counsel. We are left to assume he was Mirandized
    upon his arrest, and he is now claiming he should have been Mirandized again before
    the intake assessment.
    33
    attendant to his incarceration, that should not minimize his expectation of
    privacy; for if an inmate has no legitimate privacy interest in those records,
    then inmates will be incentivized to hide medical conditions that they believe
    might be incriminating or be forced to choose between obtaining medical
    treatment they need or being convicted of a crime with their own medical
    information.
    While inmates are afforded constitutional rights, “[l]awful incarceration
    brings about the necessary withdrawal or limitation of many privileges and
    rights, a retraction justified by the considerations underlying our penal
    system.” Sandin v. Connor, 
    515 U.S. 472
    , 485 (1995) (quoting Jones v. N.C.
    Prisoners’ Labor Union, Inc., 
    433 U.S. 119
    , 125 (1977)). By extension, “[l]oss of
    freedom of choice and privacy are inherent incidents of confinement in such a
    facility.” Bell v. Wolfish, 
    441 U.S. 520
    , 537 (1979). Along these lines, the U.S.
    Supreme Court has held that “society is not prepared to recognize as legitimate
    any subjective expectation of privacy that a prisoner might have in his prison
    cell[.]” Hudson v. Palmer, 
    468 U.S. 517
    , 526 (1984). The Hudson court
    explained,
    A right of privacy in traditional Fourth Amendment terms is
    fundamentally incompatible with the close and continual
    surveillance of inmates and their cells required to ensure
    institutional security and internal order. We are satisfied that
    society would insist that the prisoner's expectation of privacy
    always yield to what must be considered the paramount interest in
    institutional security.
    
    Id.
     at 527–28 (footnote omitted).
    34
    Burdette correctly notes that some federal circuits have recognized the
    constitutional right to privacy in one’s medical information exists in prison.
    See, e.g., Doe v. Delie, 
    257 F.3d 309
    , 317 (3d Cir. 2001); Powell v. Schriver, 
    175 F.3d 107
    , 112 n.3 (2d Cir. 1999); Anderson v. Romero, 
    72 F.3d 518
    , 522 (7th
    Cir. 1995). Even so, “a prisoner does not enjoy a right of privacy in his medical
    information to the same extent as a free citizen. . . . [A prisoner’s]
    constitutional right is subject to substantial restrictions and limitations in
    order for correctional officials to achieve legitimate correctional goals and
    maintain institutional security.” Delie, 
    257 F.3d at 317
    . Indeed, “[i]nmates
    retain those rights that are not inconsistent with their status as prisoners or
    with the legitimate penological objectives of the corrections system.” 
    Id.
     at 315
    (citing Pell v. Procunier, 
    417 U.S. 817
    , 822 (1974)).
    As the trial court reasoned, Burdette was not a “typical patient” and his
    expectation of privacy in the LMDC records is different from the privacy interest
    he would enjoy if voluntarily seeking medical treatment at a hospital or doctor’s
    office. Here, the medical intake assessment of Burdette stemmed from his
    arrest and directly pertained to penological interests in ensuring the safety of
    inmates and the security of the jail facility. “The limits on an inmate’s
    expectations of privacy are particularly strong where the information he seeks
    to protect relates to the institutional safety of the prison.” Payne v. Taslimi,
    
    998 F.3d 648
    , 659 (4th Cir. 2021). We agree with the trial court that
    Burdette’s alleged privacy interest in these records was not reasonable, given
    35
    the circumstances. Thus, no warrant was required for the state to obtain those
    records.
    As to whether Burdette should have been read his Miranda rights before
    the intake assessment, this depends on whether Nurse McCarthy was a state
    actor whose questioning amounted to a custodial interrogation. Under
    Miranda v. Arizona, “a person in custody must be informed of their rights
    before they are interrogated.” Jones v. Commonwealth, 
    641 S.W.3d 162
    , 169
    (Ky. 2022) (citing Miranda, 
    384 U.S. at 498-99
    ). “Law enforcement enjoys a
    limited exception to Miranda in the context of booking and arrest. Questions
    that fall under the booking exception to Miranda are those ‘reasonably related
    to the police’s administrative concerns.” 
    Id.
     (quoting Pennsylvania v. Muniz,
    
    496 U.S. 582
    , 601–02 (1990)). Administrative concerns include “information
    whose usefulness is related to record-keeping, incarceration, and pre-trial
    services.” 
    Id.
     (citing Dixon v. Commonwealth, 
    149 S.W.3d 426
    , 432 (Ky. 2004)).
    To be administrative in nature “its immediate purpose [must be] ‘divorced from
    the State’s general interest in law enforcement.’” Williams v. Commonwealth,
    
    213 S.W.3d 671
    , 682 (Ky. 2006) (quoting Ferguson, 
    532 U.S. at 79
    ). As we
    noted in Jones, the U.S. Supreme Court “‘has been reluctant to circumscribe
    the authority of the police to conduct reasonable booking searches,’ giving
    officers some latitude when arresting and booking individuals accused of a
    crime.” 641 S.W.3d at 169-70 (quoting Maryland v. King, 
    569 U.S. 435
    , 456
    (2013)).
    36
    The first step in determining if the booking exception applies is whether
    Nurse McCarthy qualifies as a state actor, as Miranda warnings are only
    required if the state is interrogating someone in custody to gather incriminating
    information. As the party seeking suppression of evidence, the burden of proof
    was on Burdette to present sufficient proof to establish that Nurse McCarthy
    was a state actor, and the intake assessment was a custodial interrogation.
    See United States v. Rodriguez-Suazo, 
    346 F.3d 637
    , 643 (6th Cir. 2003)
    (holding that “[i]t is well settled that in seeking suppression of evidence the
    burden of proof is upon the defendant to display a violation of some
    constitutional or statutory right justifying suppression[]”).
    Burdette alleges that Nurse McCarthy was a state actor because he
    assisted the police in executing a search warrant to obtain a blood sample, was
    aware of the charges filed against Burdette, and knew the potentially
    incriminating effect of the questions he was asking during the intake
    assessment. Because of this, Burdette argues that Nurse McCarthy’s role
    exceeded standard medical care because he assisted the police in gathering
    information to prove the intent of wanton murder.
    The Commonwealth stresses that Nurse McCarthy was not a state actor,
    noting that he was employed by WellPath, a company that contracts with
    LMDC to provide medical care. The Commonwealth further contends that no
    evidence was presented that officers had instructed Nurse McCarthy to gather
    incriminating information, or that Nurse McCarthy was working on behalf of, or
    under the influence of, law enforcement. Even if deemed a state actor, the
    37
    Commonwealth argues that the booking exception applies as the information
    Nurse McCarthy collected from Burdette during the assessment was for
    administrative purposes only.
    As an initial matter, Nurse McCarthy’s employment by WellPath, rather
    than LMDC, does not automatically exempt him from being a state actor.
    Compare Welch v. Commonwealth, 
    149 S.W.3d 407
    , 409-11 (Ky. 2004)
    (counselors assisting with the sex offender treatment program “were state
    actors”) with Fields v. Commonwealth, 
    12 S.W.3d 275
    , 284 (Ky. 2000) (“[t]he
    mere fact that the police transported Appellant to King’s Daughter’s Hospital
    for treatment of his wounds did not, ipso facto, transform Dobson from a
    hospital employee into a state actor[]”). Rather, we must discern the nature
    and purpose of the questions asked by Nurse McCarthy.
    Undoubtedly, Nurse McCarthy is not a law enforcement officer.
    Questioning by a party who is not a law enforcement officer may
    constitute a “custodial interrogation” (which entails state action) in
    two primary circumstances. The first is when the private entity is
    operating in accordance with a court order or governmental
    regulation and is thereby properly viewed as a “state actor.”
    Adkins v. Commonwealth, 
    96 S.W.3d 779
    , 791 (Ky. 2003). In Estelle v. Smith,
    the U.S. Supreme Court held that an interrogation conducted by a court-
    appointed competency psychiatrist at the county jail was “a phase of the
    adversary system,” thereby triggering the defendant’s Miranda rights. 
    451 U.S. 454
    , 467 (1981). See also Skinner v. Railway Labor Executives' Ass'n, 
    489 U.S. 602
    , 614–16 (1989) (holding that heavy government regulation transformed the
    private railway's drug testing into a “search” for purposes of the Fourth
    38
    Amendment). The second circumstance in which state action occurs is “when
    the government otherwise ‘exercised such coercive power or such significant
    encouragement that it is responsible for [the private party’s] conduct.’” Adkins,
    96 S.W.3d at 791 (quoting United States v. Garlock, 
    19 F.3d 441
    , 443 (8th Cir.
    1994)).
    We find Nurse McCarthy was a state actor since the intake assessment
    was conducted at the LMDC facility, and directly pertained to its penological
    interests. That said, we find the booking exception to Miranda applies. In the
    absence of Kentucky precedent on whether a jail nurse’s questions during
    booking qualify for the booking exception, we find two cases cited by the
    Commonwealth to be persuasive and helpful to our analysis. The first is an
    Alabama case, in which that state’s court of appeals held that a suspect’s
    recent use of controlled substances, as admitted through the testimony of a jail
    nurse who drew the defendant’s blood and obtained a urine sample during the
    routine intake assessment of inmates, fell within the booking exception to
    Miranda and was admissible. Henderson v. State, 
    248 So.3d 992
    , 1032-34
    (Ala. Crim. App. 2017) (“questions asked as part of the routine booking
    procedure do not fall within the protections of Miranda”) (citing Pennsylvania v.
    Muniz, 
    496 U.S. 582
     (1990)). In Henderson, the jail nurse (McGinnis) testified,
    in relevant part,
    she was employed at the Russell County jail and that her contact
    with Henderson came as a result of her job to evaluate him as a
    new inmate; that the evaluation took place in the infirmary at the
    Russell County jail; that she asked Henderson questions during
    the evaluation and that none of the law-enforcement officers who
    39
    were also in the room directed her to ask any of those questions,
    including when he last consumed drugs or alcohol; and that her
    questions to Henderson related to his medical history and had
    nothing to do with the case. McGinnis testified that Henderson told
    her that he only used marijuana and alcohol and that he had
    ingested neither in the two days before the incident.
    Id. at 1032.
    Burdette asks us not to consider Henderson since in that case, the jail
    nurse did not assist police, and the prosecutor introduced the nurse’s
    statements in that case on rebuttal, rather than during its case-in-chief, as the
    Commonwealth did here. However, we find that distinction irrelevant for our
    purposes, and the facts and legal analysis of the Henderson court nevertheless
    helpful. That court found:
    Much like conducting a routine booking procedure, McGinnis was
    performing the intake evaluation she conducted on every newly
    admitted inmate, and the questions she asked Henderson were no
    different than those she asked every new inmate. McGinnis
    testified that law-enforcement officers did not direct her to ask any
    questions. She said that no one threatened, coerced, or offered any
    hope of reward to Henderson to make him answer her questions.
    Id. at 1033.
    The second case the Commonwealth cites is an Oregon case, State v.
    Montiel-Delvalle, in which that state’s court of appeals confronted a similar
    situation, where an officer asked an arrestee who was suspected to have been
    involved in a collision about his injuries. 
    304 Or. App. 699
    , 714, 
    468 P.3d 995
    ,
    1005 (2020). That court affirmed the trial court’s denial of the defendant’s
    motion to suppress the statements he made to the officer on the night of his
    arrest, since the officer’s questions were not designed to elicit incriminating
    40
    information and therefore the booking exception to Miranda applied. Id. at
    1005-06. The Montiel-Delvalle court reasoned,
    If anything, having reason to believe that a person is injured or is
    suffering a medical condition makes it more important from an
    administrative perspective to determine the nature and severity of
    the injury or condition before placing the person in jail. . . . [The
    officer’s] recognition that defendant might have injuries related to
    the car crash did not preclude him from asking questions normally
    attendant to arrest and booking that served reasonable
    administrative purposes.
    Id. at 1006.
    Burdette attempts to distinguish State v. Montiel-Delvalle on the basis
    that he did not have any visible injures requiring medical attention, but that
    distinction does not bear on our take-away from State v. Montiel-Delvalle: in
    determining whether the booking exception applies, the focus should be the
    purpose of the questions and whether that purpose was administrative in
    nature or simply designed to elicit an incriminating response.
    Here, Nurse McCarthy’s routine intake assessment questions served an
    administrative purpose, that is, to provide the state with the information
    necessary to attend to an inmate’s medical needs while in police custody. He
    exercised no discretion in the questions asked of Burdette during the booking
    process, as they were set forth on the intake assessment form, nor did the
    evidence show that officers directed him to ask certain other questions not on
    the intake form. Contrary to Burdette’s assertion, Nurse McCarthy’s
    performance of the blood draw, and his knowledge of the charges against
    Burdette, did not affect or change his administration of the intake assessment
    41
    in any way. See, e.g., Jones, 641 S.W.3d at 171 (“[w]hether an officer should
    know that a line of questioning is incriminating and not reasonably related to
    booking will change depending upon the alleged crime and the extent of an
    officer’s knowledge regarding said crime[]”). Accordingly, the booking exception
    to Miranda applies, and Nurse McCarthy’s testimony was admissible on that
    basis.
    As to Burdette’s alleged violation of the Fifth Amendment and Section 10,
    their application likewise requires state action. See Adkins, 96 S.W.3d at 790
    (“It is well-established that only state action implicates a defendant’s rights
    under the Fifth and Sixth Amendments of the United States Constitution and
    Section Eleven of the Constitution of Kentucky[]”) (internal quotations omitted).
    We have determined that Nurse McCarthy was a state actor, thus, Miranda
    prohibits the Commonwealth from using “statements, whether exculpatory or
    inculpatory, stemming from custodial interrogation of the defendant unless it
    demonstrates the use of procedural safeguards effective to secure the privilege
    against self-incrimination.” Miranda, 
    384 U.S. at 444
    . That is, “a person in
    custody must receive certain warnings before any official interrogation,
    including that he has a ‘right to remain silent’ and that ‘anything said can and
    will be used against the individual in court.’” Estelle, 
    451 U.S. at 467
     (quoting
    Miranda, 
    384 U.S. at
    467–69). Here, as we have concluded, the booking
    exception to Miranda applies here and thus Burdette was not required to be
    Mirandized prior to the intake assessment. Thus, the trial court properly
    denied Burdette’s motion to suppress.
    42
    d. The trial court’s error during Burdette’s closing argument was
    harmless.
    Burdette claims the trial court deprived him of his right to present a
    defense by forbidding him from using proof of a statement of his, already
    admitted into evidence, to argue during closing argument that his intent was at
    most reckless, not wanton. He claims the trial court’s ruling violated his
    constitutional rights as set forth in the Sixth and Fourteenth Amendments to
    the U.S. Constitution and Section 11 of the Kentucky Constitution. This Court
    reviews a trial court’s decisions on the parameters of closing argument,
    including evidentiary rulings, for an abuse of discretion. Ross, 455 S.W.3d at
    910; Sizemore v. Commonwealth, 
    42 S.W.2d 328
    , 329 (Ky. 1931).
    During closing argument, defense counsel argued that the
    Commonwealth failed to prove Burdette acted wantonly and, if anything, the
    jury may find he acted recklessly. About ten minutes prior to defense counsel
    making the statement at issue - “Here’s why. You heard from Mr. Sobak that
    clearly he missed something, but you also heard from Roger” - defense counsel
    made a similar comment - “you will get no dispute from Roger that this was a
    tragedy” - after which the trial court sua sponte called defense counsel to the
    bench and warned her not to mention her client again like that because
    Burdette did not testify. The court said, “Please don’t do that. You can’t
    invoke what Roger thinks, what Roger says.” Still, about ten minutes later,
    defense counsel, in arguing Burdette’s conduct was at most reckless, said,
    “You also heard from Roger” then immediately played the body camera
    43
    recording in which Burdette is heard saying, “Last thing I know, I’m not even
    sure I hit the car first, but I think I did.”
    At this point, the trial court again sua sponte called the parties up to the
    bench and reiterated that defense counsel cannot use Burdette’s statement on
    the body camera recording as proof of what happened that day. The trial court
    stated:
    You can’t use that to prove that what he said is true, it’s absolutely
    hearsay and it cannot be used as proof of what he says happened;
    it can only be used against him. It’s really improper and now we
    gotta undo that. The fact that he said it can only be used against
    him as a matter of law, so I don’t know what to do. . . . it’s fixable
    but it has to be fixed because there is no testimony Roger Burdette
    about what happened that day. . . . you can’t use that as
    substitute for his testimony. That’s a bright line rule.
    The trial court asked the Commonwealth what it wanted it to do, and the
    Commonwealth suggested it admonish the jury. Thereafter, the trial court gave
    the jury the following admonition:
    Folks, this is kind of a big deal. The defendant did not testify. And
    he has a right not to testify but if he doesn’t testify, his testimony
    is not in evidence. Testimony is where you get on the stand and
    swear to tell the truth, the whole truth, and nothing but the truth.
    That’s [trial court points at paused video on projector] hearsay and
    the rule says, very clearly, that what a defendant says off the stand
    cannot be used by you all to consider that as the truth of the
    matter asserted. You have no information about, from Roger
    Burdette that you may consider to prove what he did that day. The
    rule is very clear that the only purpose, legitimate purpose for
    using a defendant’s statement off the stand who does not testify is
    against him. The Commonwealth may use that against him. But
    they may not use that to substitute for testimony. You have not
    heard from Roger Burdette what happened that day. And you may
    not consider that statement from Roger Burdette to prove the truth
    of what he says happened that day. You may not do that and if
    you cannot do that, you gotta let me know. Does everybody
    understand the difference? Okay, thank you.
    44
    While the trial court did not state which rule of evidence it was referring
    to, we assume it was KRE 801A(b)(1), which provides:
    (b) Admissions of parties. A statement is not excluded by the hearsay
    rule, even though the declarant is available as a witness, if the
    statement is offered against a party and is:
    (1) The party's own statement, in either an individual or a
    representative capacity[.]
    Burdette’s statement was admitted into evidence as the Commonwealth’s
    Exhibit 3. He argues that forbidding him to draw inferences based on that
    evidence essentially prohibited him from making arguments about his mental
    state, which he claims violated his right to present a defense. See U.S. Const.
    amend. VI (in all criminal prosecutions, the accused enjoys the right to have
    the assistance of counsel for his defense); U.S. Const. amend. XIV § 1 (the
    government is prohibited from “depriv[ing] any person of life, liberty, or
    property without due proves of law[]”); Ky. Const. § 11 (ensuring an accused
    “the right to be heard by himself and counsel” and to not “be deprived of his
    life, liberty or property, unless by the judgment of his peers or the law of the
    land[]”); see also Chambers v. Mississippi, 
    410 U.S. 284
    , 302 (1973) (“[f]ew
    rights are more fundamental than that of an accused to present witnesses in
    his own defense[]”); Dickerson v. Commonwealth, 
    174 S.W.3d 451
    , 471 (Ky.
    2005) (recognizing the accused’s right to present a defense).
    Burdette contends that assuming the jury followed the trial court’s
    admonition, which the law presumes it would, it could not infer from the
    evidence that his conduct was anything but wanton, which he claims
    prejudiced him. See Mayo v. Commonwealth, 
    322 S.W.3d 41
    , 55 (Ky. 2010)
    45
    (“[a]n admonition is presumed to cure the improper comments, and a jury is
    presumed to follow such an admonition[]”). Burdette also argues that the trial
    court violated the long-standing rule that counsel is afforded wide latitude
    during closing arguments. Padgett v. Commonwealth, 
    312 S.W.3d 336
    , 350
    (Ky. 2010).
    The law is clear that during closing arguments, counsel is permitted to
    “discuss the facts proved, draw reasonable deductions therefrom, and may
    attack the credibility of witnesses where his remarks are based on facts
    appearing in the evidence.” Woodford v. Commonwealth, 
    376 S.W.2d 526
    , 528
    (Ky. 1964). Here, Burdette’s statements were already admitted into evidence
    and defense counsel was permitted to try and convince the jury to draw certain
    inferences therefrom. Thus, the trial court erred in its legal reasoning for
    prohibiting defense counsel from making inference from the evidence. We are
    also troubled by the trial court interjecting itself into the trial twice by sua
    sponte objecting to defense counsel’s remarks, without any objection raised by
    the Commonwealth. Such interference by the trial court was unnecessary and
    improper. Still, considering that the evidence presented at trial overwhelmingly
    showed Burdette’s conduct was wanton, beyond a reasonable doubt, we are
    compelled to find the trial court’s error harmless beyond a reasonable doubt.
    The evidence clearly proved that: while impaired and watching pornography,
    Burdette crashed into Det. Mengedoht’s vehicle, which had its flashing lights
    activated, hardly applying his brakes. Given this overwhelming evidence, we
    find the trial court’s error to be harmless beyond a reasonable doubt. See
    46
    Dunlap v. Commonwealth, 
    435 S.W.3d 537
     (Ky. 2013) (holding that to be
    deemed harmless, preserved constitutional errors must be shown to be
    harmless beyond a reasonable doubt), abrogated on other grounds by Abbott,
    Inc. v. Guirguis, 
    626 S.W.3d 475
     (Ky. 2021).
    III.   Conclusion
    For the foregoing reasons, the judgment of the Jefferson Circuit Court is
    affirmed.
    All sitting. All concur.
    COUNSEL FOR APPELLANT:
    Christopher Barrett Thurman
    Louisville Metro Public Defender
    COUNSEL FOR APPELLEE:
    Daniel J. Cameron
    Attorney General of Kentucky
    Christopher Henry
    Assistant Attorney General
    47