State of Maine v. Brandon J. Coleman , 2019 ME 170 ( 2019 )


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  • MAINE SUPREME JUDICIAL COURT                                          Reporter of Decisions
    Decision: 
    2019 ME 170
    Docket:   Cum-19-5
    Argued:   October 8, 2019
    Decided:  December 23, 2019
    Panel:       SAUFLEY, C.J., and ALEXANDER, MEAD, GORMAN, JABAR, HJELM, and HUMPHREY, JJ.
    STATE OF MAINE
    v.
    BRANDON J. COLEMAN
    HJELM, J.
    [¶1] On a summer evening in 2017, a seven-week-old child, while alone
    with her father at their residence, lost consciousness and was rushed to the
    hospital. The infant’s treating physicians determined that she had suffered
    subdural hematomas, retinal hemorrhages, and external bruising—a
    constellation of injuries caused, in this case, by traumatic child abuse. The
    child’s father, Brandon J. Coleman, was charged with two counts of aggravated
    assault and one count of assaulting a child younger than six years old.
    [¶2] Coleman proceeded to trial (Cumberland County, Cashman, J.),
    where a jury found him guilty of all charges. Coleman appeals from the
    judgment of conviction ultimately entered by the court, asserting that the State
    engaged in prosecutorial misconduct during the trial, that the court’s
    2
    instructions to the jury on the elements of the aggravated assault charges were
    erroneous, and that the evidence was insufficient to support the conviction for
    one of the aggravated assault charges. We affirm the judgment.
    I. BACKGROUND
    [¶3] We draw the following account of the case from the procedural
    record and from the evidence as viewed in the light most favorable to the State.
    See State v. Adams, 
    2019 ME 132
    , ¶ 2, 
    214 A.3d 496
    .
    [¶4] In July of 2017, Coleman and his girlfriend lived in an apartment in
    Portland with their infant daughter. In the weeks after the child’s birth, she had
    no known health problems. During the evening hours of July 1, 2017, the child’s
    mother was at work, and Coleman was caring for the child by himself. Earlier
    that day when the mother was caring for the child, the child was experiencing
    no sign of distress and was, according to her mother, “her normal self.”
    Coleman later reported to the child’s treating physicians and an investigator
    that over the course of the evening, the child began to cry and then “went limp
    in his arms as if she had died.” Coleman eventually called 9-1-1. Medical first
    responders brought the child to the hospital, where she was found to have
    subdural hematomas, retinal hemorrhages, and external bruising.
    3
    [¶5] Several months later, in September of 2017, Coleman was indicted
    for one count of Class A aggravated assault, 17-A M.R.S. § 208(1)(A-1) (2018),1
    one count of Class B aggravated assault, 17-A M.R.S. § 208(1)(A) (2018),2 and
    one count of Class C assault on a person younger than six years of age,
    17-A M.R.S. § 207(1)(B) (2018).3 He pleaded not guilty to all charges.
    [¶6] In November of 2018, the court conducted a four-day jury trial. In
    support of the allegation that the child’s injuries resulted from abuse inflicted
    by Coleman, the State presented the testimony of Dr. Lawrence Ricci, a
    board-certified child-abuse pediatrician. Dr. Ricci concluded that, given the
    nature and extent of the child’s injuries and the absence of evidence that she
    was injured accidentally, the child had sustained abusive head trauma—a
    formal medical diagnosis, which he stated was “clear-cut” in this case. Dr. Ricci
    explained that the injury resulted from acceleration/deceleration of the child’s
    1   Section 208(1)(A-1) provides, “A person is guilty of aggravated assault if that person
    intentionally, knowingly or recklessly causes . . . [b]odily injury to another that causes serious,
    permanent disfigurement or loss or substantial impairment of the function of any bodily member or
    organ.” 17-A M.R.S. § 208(1)(A-1) (2018).
    2 Section 208(1)(A) provides, “A person is guilty of aggravated assault if that person intentionally,
    knowingly or recklessly causes[] [b]odily injury to another that creates a substantial risk of death or
    extended convalescence necessary for recovery of physical health.” 17-A M.R.S. § 208(1)(A) (2018).
    3  Section 207(1)(B) provides, “A person is guilty of assault if . . . [t]he person has attained at least
    18 years of age and intentionally, knowingly or recklessly causes bodily injury to another person who
    is less than 6 years of age.” 17-A M.R.S. § 207(1)(B) (2018).
    4
    head due to shaking or blunt trauma or both. The State also offered testimony
    from the child’s neurologist and radiologist that the injuries were caused by
    trauma and were not attributable to natural causes. The neurologist concluded
    that, due to the child’s extensive injuries, she would continue to suffer severe
    neurological delays and faced the possibility of cerebral palsy, epilepsy,
    intellectual disabilities, and impaired verbal communication and vision.
    [¶7] Coleman contended that the child was not assaulted but rather that
    her condition resulted from a nontraumatic medical emergency. To support
    that theory, Coleman presented testimony from Dr. Joseph Scheller, a
    board-certified pediatric neurologist, who told the jury that the child had
    suffered a venous stroke and was not the victim of trauma. Dr. Scheller stated
    that the child possibly had thrombophilia, a potentially deadly vascular
    condition that causes an abnormal amount of clotting. The following exchange
    occurred during the State’s cross-examination of Dr. Scheller:
    Q. Now, at what point, Dr. Scheller, did you reach out to any one of
    these doctors and say [the child] potentially has this
    life-threatening disease?
    A. I haven’t done it.
    Q. Is it not your obligation as a doctor if you believe a child has a
    deadly disease that has gone undiagnosed to reach out and to alert
    them to that?
    5
    A. Well, I did so in the letter. I don’t know who the letter was
    shared with and I’m not her treating physician, I’m a physician who
    is consulted by her lawyer so I am playing a completely different
    role.
    ....
    Q. And you’ve taken a medical ethics class, have you, sir?
    A. Sure.
    [¶8] At this point, Coleman objected, stating, “I think he talked about his
    role in this case as being a consultant, not a treater and I don’t think we’re
    talking about rules of ethics here, I think we are going too far afield.” The court
    overruled the objection, and the State continued its cross-examination:
    Q. So I asked you about your medical ethics class. You took that,
    that’s a standard class you take in medical school, right?
    A. Yes. Yes, ma’am.
    Q. And as part of that class and as part of all of your education to
    become a doctor let alone a pediatrician if you see a child that you
    believe has an undiagnosed potentially life-threatening disorder
    are you not medically obligated to tell her doctors?
    A. Correct.
    Q. You are not medically obligated to do that?
    A. The way I understand my course, yes, ma’am. I have seen 100
    children in my children’s schools that have asthma and I don’t walk
    over to them and say, you know, you have a potentially
    life-threatening condition, has your pediatrician explained that to
    you. Oh, using an inhaler, okay, good luck in your soccer game.
    6
    [¶9]   In its closing argument, the prosecutor drew on that part of
    Dr. Scheller’s testimony and, without objection, told the jury,
    Now, I suggest to you that Dr. Scheller may have some doubts
    about that theory that [the child] does in fact have this clotting
    disorder because if he really believes that [the child] did, if he really
    believes that [the child] has this disorder that could strike at any
    time and he didn’t pick up that phone and he didn’t reach out to
    those doctors is his testimony worth your trust? Are his
    conclusions worth your trust as jurors?
    [¶10] After the parties’ summations, the court instructed the jury both
    orally and in writing on the elements of the three charges. The court gave the
    following instruction on the elements of aggravated assault as charged in count
    1, which alleged a violation of section 208(1)(A-1):
    With respect to the first charge under the law in Maine a
    person is guilty of aggravated assault as charged in Count 1 if he
    intentionally or knowingly or recklessly causes serious bodily
    injury to a family or household member who is less than six years
    of age where the bodily injury caused serious permanent
    disfigurement or loss or substantial impairment of the function of
    any bodily member or organ.
    ....
    . . . In the context of Count 1 serious bodily injury is defined
    in our law as physical pain or physical illness or any impairment of
    physical condition that causes serious permanent disfigurement or
    loss or substantial impairment of the function of any bodily
    member or organ.
    7
    [¶11] The court’s instructions on count 2, which alleged a violation of
    section 208(1)(A), included the following:
    Under the law in Maine a person is guilty of aggravated assault as
    charged in Count 2 if he intentionally or knowingly or recklessly
    causes serious bodily injury to a family or household member
    who’s less than six year[s] of age that created a substantial risk of
    death or extended convalescence necessary for recovery of
    physical health.
    ....
    Now, in the context of Count 2 the definition of serious bodily
    injury is defined in our law as physical pain or physical illness or
    any impairment of physical condition which creates a substantial
    risk of death or extended convalescence necessary for recovery of
    physical health.
    Neither party objected to the court’s instructions.
    [¶12] The jury found Coleman guilty of all three charges. After holding a
    sentencing hearing a month later, on the charge of Class A aggravated assault
    the court imposed a twenty-year prison term with six years suspended and six
    years of probation, and the court imposed concurrent sentences on the other
    two charges. Coleman filed a timely appeal from the resulting judgment of
    conviction. See 15 M.R.S. § 2115 (2018); M.R. App. P. 2B(b)(1).
    II. DISCUSSION
    [¶13] We address Coleman’s appellate contentions seriatim.
    8
    A.       Prosecutorial Misconduct
    [¶14] Coleman first asserts that the prosecutor engaged in misconduct
    by implying, during cross-examination and her closing argument to the jury,
    that Dr. Scheller was unethical because he did not notify the child’s doctors of
    his opinion that the child might have a potentially life-threatening congenital
    medical condition that had resulted in her medical crisis.4
    [¶15] Coleman’s assertion implicates several different standards of
    appellate review. He did not make any objection to the first part of the State’s
    cross-examination of Dr. Scheller at issue, meaning that our review of that part
    of his challenge is for obvious error. See M.R.U. Crim. P. 52(b); see also State v.
    Dolloff, 
    2012 ME 130
    , ¶¶ 35, 53, 
    58 A.3d 1032
    (explaining and applying the
    4Coleman also asserts that the State engaged in prosecutorial misconduct by eliciting testimony
    from Dr. Scheller—and then arguing the points in its summation to the jury—that he had worked on
    cases involving the Innocence Project, an organization that seeks to overturn convictions that it
    contends are wrongful, and by asking Dr. Scheller about the amount he was to be compensated for
    his work in this case. Coleman did not object to any of this, but none of it constitutes error, much less
    obvious error. See M.R. Evid. 611(b) (“Cross-examination may address matters relevant to any issue
    in the case, including the credibility of any witness.”); see also Werner v. Lane, 
    393 A.2d 1329
    , 1338
    (Me. 1978) (determining that payment arrangements between a party and an expert witness “is
    legitimate subject matter for comment to the jury” and “is admissible for whatever effect it may have
    on [the expert witness’s] credibility”); State v. Brown, 
    321 A.2d 478
    , 482 (Me. 1974) (“Great latitude
    is allowed on cross-examination to show the special interests of an individual in testifying.”); cf. State
    v. Haji-Hassan, 
    2018 ME 42
    , ¶ 22, 
    182 A.3d 145
    (concluding that the court did not commit obvious
    error by excluding evidence of a state medical examiner’s removal from a previous job “because the
    low probative value of the removal evidence was substantially outweighed by the dangers described
    in [evidentiary] Rule 403”). Further, because there was no impropriety or error regarding these
    aspects of the State’s cross-examination and summation, Coleman’s assertion of cumulative prejudice
    also fails.
    9
    obvious error standard of review to unpreserved claims of prosecutorial
    misconduct). Then, when Coleman did object, it was in the nature of a relevance
    objection because he stated only that Dr. Scheller was “a consultant, not a
    treater” and that the State’s inquiry about ethical considerations went “too far
    afield.” For purposes of our analysis, we assume—without deciding—that the
    relevance objection was sufficient to preserve the claim of prosecutorial
    misconduct he presses on appeal, thus resulting in our review for an abuse of
    discretion. See State v. Mannion, 
    637 A.2d 452
    , 455 (Me. 1994) (stating that
    rulings regarding the scope of cross-examination are reviewed for an abuse of
    discretion); M.R. Evid. 611. Finally, Coleman did not object to any aspect of the
    State’s summation, so we review that part of his appellate challenge for obvious
    error. See Dolloff, 
    2012 ME 130
    , ¶ 35, 
    58 A.3d 1032
    .
    [¶16] In discussing the parameters of proper prosecutorial advocacy at
    trial, we have stated that “a prosecutor may use wit, satire, invective and
    imaginative illustration in arguing the State’s case and may present an analysis
    of the evidence in summation with vigor and zeal.” 
    Id. ¶ 41
    (quotation marks
    omitted). “A prosecutor may properly suggest to the jury ways to analyze the
    credibility of witnesses when those arguments are fairly based on the facts in
    evidence.” State v. Hanscom, 
    2016 ME 184
    , ¶ 20, 
    152 A.3d 632
    (quotation marks
    10
    omitted); see State v. Lockhart, 
    2003 ME 108
    , ¶ 48, 
    830 A.2d 433
    (“[A]lthough
    permitted to strike hard blows, [a prosecutor] may not strike foul ones.”
    (quotation marks omitted)).
    [¶17] Here, the State’s cross-examination of Dr. Scheller and the related
    portion of the State’s closing argument did not constitute misconduct that
    required the court to sustain his limited objection or, where Coleman did not
    object at all, warrant judicial intervention sua sponte.
    [¶18] Coleman’s argument to us is based on a misapprehension of the
    State’s point at trial.   As the State explicitly explained to the jury in its
    summation, the purpose of the State’s inquiry and argument about whether
    Dr. Scheller should have notified the child’s medical providers about his
    opinion was to call into question whether Dr. Scheller actually believed that the
    child’s medical crisis was caused by an underlying medical condition rather
    than by an assault. See State v. Hassan, 
    2013 ME 98
    , ¶ 34, 
    82 A.3d 86
    . Thus,
    contrary to Coleman’s assertion on appeal, the State’s argument was not built
    on an acceptance of Dr. Scheller’s opinion, followed by an assertion that
    Dr. Scheller is unethical because he did not report that opinion to the child’s
    medical providers. Instead, the State challenged whether Dr. Scheller in fact
    held that opinion in the first place.
    11
    [¶19] Further, the State’s argument was grounded in the record. When
    the prosecutor asked Dr. Scheller—without objection—whether he had alerted
    any of the child’s treating physicians of his opinion that the child had a
    dangerous medical condition, Dr. Scheller’s very first response was, “Well, I did
    so in the letter [setting out his opinion]. I don’t know who[m] the letter was
    shared with . . . .” This testimony introduced into the record is at least an
    implicit recognition by Dr. Scheller of some responsibility to convey his opinion
    to the child’s providers. On the basis of Dr. Scheller’s own testimony, the State
    was entitled to argue to the jury that the letter was not an effective notification,5
    which in turn was a sufficient basis for the State to challenge the sincerity with
    which Dr. Scheller held that opinion.
    [¶20] On this record, neither the State’s cross-examination nor its
    argument was improper. See State v. Schmidt, 
    2008 ME 151
    , ¶ 17, 
    957 A.2d 80
    (“The prosecutor is . . . permitted to appeal to the jury’s common sense and
    experience without crossing the line into prohibited argument.” (quotation
    marks omitted)). The court did not abuse its discretion or otherwise commit
    5It bears note that, in its summation to the jury, the State did not suggest that there was a specific
    provision in the ethical canons that affirmatively required Dr. Scheller to notify the child’s providers
    about his opinion. Such a suggestion would have misstated the evidence presented at trial.
    12
    error because, viewed in context, there was no underlying prosecutorial
    misconduct.
    B.    Jury Instructions
    [¶21] Coleman next asserts that the court’s instructions on the injury
    elements contained in both counts of aggravated assault were erroneous
    because of the way the court explained the embedded definition of “bodily
    injury.”
    [¶22] Because Coleman did not object to the jury instructions, we review
    the instructions for obvious error. See Dolloff, 
    2012 ME 130
    , ¶ 35, 
    58 A.3d 1032
    ;
    M.R.U. Crim. P. 52(b). Obvious error is present in jury instructions where there
    is “(1) error, (2) that is plain, and (3) that affects substantial rights.” State v.
    Pabon, 
    2011 ME 100
    , ¶ 29, 
    28 A.3d 1147
    . “If these conditions are met, we will
    exercise our discretion to notice an unpreserved error only if we also conclude
    that (4) the error seriously affects the fairness and integrity or public
    reputation of judicial proceedings.” Id.; see Dolloff, 
    2012 ME 130
    , ¶ 36, 
    58 A.3d 1032
    (“An error is plain if the error is so clear under current law that the trial
    judge and prosecutor were derelict in countenancing it . . . .” (alteration
    omitted) (citation omitted) (quotation marks omitted)). “[W]e review jury
    instructions in their entirety to determine whether they presented the relevant
    13
    issues to the jury fairly, accurately, and adequately, and we will vacate the
    court’s judgment only if the erroneous instruction resulted in prejudice.” State
    v. Hansley, 
    2019 ME 35
    , ¶ 8, 
    203 A.3d 827
    (quotation marks omitted); see also,
    e.g., State v. Weaver, 
    2016 ME 12
    , ¶ 11, 
    130 A.3d 972
    .
    [¶23] Sections 208(1)(A) and 208(1)(A-1) both define the nature of the
    injury that is an element of those crimes of aggravated assault. See 17-A M.R.S.
    § 208(1)(A)-(A-1). The injury elements in the statutes differ, but in each statute
    the qualifying injuries start with “bodily injury.” For aggravated assault as
    defined in section 208(1)(A), the requisite injury is a “[b]odily injury . . . that
    creates a substantial risk of death or extended convalescence necessary for
    recovery of physical health.” As for section 208(1)(A-1), the injury must be a
    “[b]odily injury . . . that causes serious, permanent disfigurement or loss or
    substantial impairment of the function of any bodily member or organ.” These
    aspects of the two injury elements are drawn from the statutory definition of
    “serious bodily injury,”6 but neither of the two definitions of aggravated assault
    6 “Serious bodily injury” is defined to be “a bodily injury which creates a substantial risk of death
    or which causes serious, permanent disfigurement or loss or substantial impairment of the function
    of any bodily member or organ, or extended convalescence necessary for recovery of physical health.”
    17-A M.R.S. § 2(23) (2018). As we explain in the text, of these types of injuries, some are integrated
    into the definition of aggravated assault found in section 208(1)(A), and the rest are contained in the
    definition of aggravated assault found in section 208(1)(A-1). In its instructions, the court told the
    jury that the State was required to prove “serious bodily injury.” This statement was incorrect
    because the State was required to prove only a certain type of “bodily injury” for each charge. The
    substance of the pertinent instruction, however, correctly described the nature of the injury that
    14
    relevant to this case includes the entirety of “serious bodily injury” as the
    Legislature has defined it.7
    [¶24] “Bodily injury” is statutorily defined as “physical pain, physical
    illness or any impairment of physical condition.” 17-A M.R.S. § 2(5) (2018). As
    part of its instructions describing the elements of aggravated assault as defined
    in section 208(1)(A-1), the court told the jury that the State was required to
    prove, among other things, “serious bodily injury . . . where the bodily injury
    caused serious permanent disfigurement or loss or substantial impairment of
    the function of any bodily member or organ.” The court then went on to explain
    certain terms included in its overarching definition. As part of that elaboration,
    the court stated, “[S]erious bodily injury is defined in our law as physical pain
    or physical illness or any impairment of physical condition that causes serious
    permanent disfigurement or loss or substantial impairment of the function of
    any bodily member or organ.” (Emphasis added.) In other words, where
    constituted an element of each charge. There was certainly no obvious error in the court’s mere
    references to “serious bodily injury” because the court did not provide the jury with a full definition
    of that term. And, in any event, if either party was prejudiced by the court’s phraseology, it would
    have been the State because any misimpression would have expanded the elements, thereby making
    each charge more difficult to prove.
    In other statutes, the Legislature has included “serious bodily injury” in its entirety as an
    7
    element. See, e.g., 17-A M.R.S. § 208-B(1)(A) (2018) (elevated aggravated assault); 17-A M.R.S.
    § 211(1) (2018) (reckless conduct); 17-A M.R.S. § 301(1)(B)(1) (2018) (kidnapping); 17-A M.R.S.
    § 554(1)(B-2)(1) (2018) (endangering the welfare of a child).
    15
    section 208(1)(A-1) refers to “bodily injury,” the court inserted the substantive
    statutory definition of “bodily injury.” The court then used the same approach
    in its instruction for aggravated assault as defined in section 208(1)(A).
    Coleman asserts that the court committed obvious error by substituting the
    plenary definition of “bodily injury” for the term itself because, he claims, the
    instructions conveyed to the jury that any measure of physical pain or physical
    illness alone would suffice to establish the nature of the injury that the State
    was required to prove on each count.
    [¶25] While we acknowledge the court’s effort to avoid presenting the
    jury with layers of definitions, Coleman is correct that the way the court
    combined aspects of statutory language resulted in instructions that were less
    clear than if the court had referred to “bodily injury” when explaining the
    nature of the injuries that constitute elements of the two counts of aggravated
    assault and then separately defined “bodily injury.” Instructing the jury in two
    steps—first explaining the nature of the injury element as a function of “bodily
    injury” and then defining “bodily injury” itself—would eliminate any possibility
    that the critical language in the aggravated assault statute that modifies “bodily
    injury” would become untethered from the starting point of “bodily injury”
    itself.
    16
    [¶26] Nonetheless, for several reasons, the way the court structured its
    instructions on each count of aggravated assault was not error, much less
    obvious error. See Dolloff, 
    2012 ME 130
    , ¶ 36, 
    58 A.3d 1032
    .
    [¶27] First, when the court initially identified the elements of each count,
    the court described the requisite injury in terms of “serious bodily injury,” 
    see supra
    nn. 1-2, but did not further define “bodily injury.” This means, as Coleman
    acknowledges, that the initial instruction did not create any ambiguity. This
    carries significance because, in assessing whether some instructions
    constituted obvious error, we must look at the instructions as a whole. See
    Weaver, 
    2016 ME 12
    , ¶ 11, 
    130 A.3d 972
    .
    [¶28] Second, the follow-up instructions on the injury elements—the
    focus of Coleman’s challenge—were not so unclear as to create a material risk
    that the jury would find Coleman guilty based on a less significant injury than
    the statutes require.    Neither the content nor the structure of the two
    challenged sentences in which the court explained the injury elements supports
    the notion that the jury was likely to be misled. As previously mentioned, 
    see supra
    n.6, any lack of clarity actually would have benefited Coleman rather than
    prejudice him.   More significantly, as for the structure of the challenged
    sentences, the phrase “physical pain” is not so separated from the important
    17
    modifying language to create confusion, particularly given that the initial
    instruction helped to protect against a misunderstanding of the court’s
    elaboration on the injury elements.
    [¶29] Therefore, to the extent that there was any lack of clarity in the
    way the court instructed the jury on the injury element of each aggravated
    assault charge, Coleman has not demonstrated that it constituted error, or that
    any error was obvious or that any such error seriously affected the fairness or
    integrity of the court proceedings. See Dolloff, 
    2012 ME 130
    , ¶ 35, 
    58 A.3d 1032
    ;
    Pabon, 
    2011 ME 100
    , ¶ 29, 
    28 A.3d 1147
    . In short, Coleman is not entitled to a
    new trial based on the court’s instructions.
    C.    Sufficiency of the Evidence
    [¶30] Lastly, with respect to the aggravated assault charge based on
    section 208(1)(A-1), Coleman asserts that the evidence was insufficient to
    support the jury’s determination that the child’s injuries are permanent. See
    17-A M.R.S. § 208(1)(A-1). When examining the sufficiency of the evidence that
    led to a guilty verdict, we consider that evidence in the light most favorable to
    the State to determine whether the fact-finder could rationally have found each
    element of the offense beyond a reasonable doubt. State v. Hall, 
    2019 ME 126
    ,
    ¶ 16, 
    214 A.3d 19
    .
    18
    [¶31]    Section 208(1)(A-1) provides that “[a] person is guilty of
    aggravated assault if that person intentionally, knowingly or recklessly causes
    . . . [b]odily injury to another that causes serious, permanent disfigurement or
    loss or substantial impairment of the function of any bodily member or organ.”
    Coleman construes this statute such that “permanent” modifies not only
    “disfigurement” but also “loss” and “substantial impairment.” This is significant
    because, here, there is no evidence that the child’s injuries were disfiguring.
    Rather, the jury was presented with evidence of a loss or substantial
    impairment of function. Thus, Coleman’s reading of the statute would require
    the State to prove that the loss or substantial impairment will be permanent.
    The State has not challenged Coleman’s construction of section 208(1)(A-1).
    For present purposes, we therefore assume—without deciding—that
    Coleman’s reading of the statute is correct.8
    [¶32] Contrary to Coleman’s contention, even when section 208(1)(A-1)
    is construed as he urges, the evidence was sufficient to allow the jury to
    8It may be that 17-A M.R.S. § 208(1)(A-1) can be interpreted in different ways, creating an
    ambiguity. See State v. Legassie, 
    2017 ME 202
    , ¶ 13, 
    171 A.3d 589
    (“A statute is ambiguous if it is
    reasonably susceptible to different interpretations.” (quotation marks omitted)). The absence of
    helpfully placed commas, combined with multiple conjunctions in the phrase “serious, permanent
    disfigurement or loss or substantial impairment of the function of any bodily member or organ,” may
    make it unclear whether “permanent” modifies only “disfigurement” or also “loss” or “substantial
    impairment.” As noted in the text, however, this case does not provide an occasion for us to address
    the interpretive issue further.
    19
    reasonably find that the child’s injuries are permanent. See Hall, 
    2019 ME 126
    ,
    ¶ 16, 
    214 A.3d 19
    . The child’s mother testified, for example, that the child had
    undergone multiple surgical procedures and that, at the time of the trial, which
    was nearly one-and-a-half years after the assault, the child was
    developmentally delayed as manifested by her inability to walk or sit up by
    herself and by the absence of any meaningful verbal language skills.
    [¶33] Also included in the record was medical evidence of the child’s
    severe neurological injuries, which resulted in seizures, and, when the child
    was treated early on, of the “very guarded neurological prognosis” offered by
    her treating pediatric neurologist, who harbored concerns that the injuries
    could lead to cerebral palsy, intellectual disabilities, epilepsy, lack of vision, and
    lack of verbal communication. In fact, months later, testing revealed that the
    child was in the “extremely low range” for cognitive, language, and motor
    development, and she exhibited abnormal movement patterns. In order for the
    child to make developmental gains, the child will need extensive support and
    interventions. Although the durational extent of the child’s injuries was not
    quantified, the jury was entitled to find, based on evidence of the child’s serious
    injuries and her significant ongoing challenges, that she will suffer tragic,
    life-limiting, and life-long effects from the injuries inflicted by her father.
    20
    III. CONCLUSION
    [¶34] In summary, there was no prosecutorial misconduct, the court’s
    jury instructions did not constitute obvious error, and there was sufficient
    evidence in the record to support the jury’s verdict.
    The entry is:
    Judgment affirmed.
    Rory A. McNamara, Esq. (orally), Drake Law, LLC, Berwick, for appellant
    Brandon J. Coleman
    Jennifer Ackerman, Dep. Dist. Atty. (orally), Cumberland County District
    Attorney’s Office, Portland, for appellee State of Maine
    Cumberland County Unified Criminal Docket docket number CR-2017-5213
    FOR CLERK REFERENCE ONLY