State v. James White ( 2023 )


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  •                                            Supreme Court
    No. 2021-216-C.A.
    (P1/17-1457A)
    (Concurrence begins on
    Page 33)
    State                    :
    v.                     :
    James White.                :
    NOTICE: This opinion is subject to formal revision
    before publication in the Rhode Island Reporter. Readers
    are requested to notify the Opinion Analyst, Supreme
    Court of Rhode Island, 250 Benefit Street, Providence,
    Rhode Island 02903, at Telephone (401) 222-3258 or
    Email      opinionanalyst@courts.ri.gov,      of     any
    typographical or other formal errors in order that
    corrections may be made before the opinion is published.
    Supreme Court
    No. 2021-216-C.A.
    (P1/17-1457A)
    (Concurrence begins on
    Page 33)
    State                :
    v.                  :
    James White.               :
    Present: Suttell, C.J., Goldberg, Robinson, Lynch Prata, and Long, JJ.
    OPINION
    Justice Robinson, for the Court. The defendant, James White, appeals
    from a December 11, 2020 judgment of conviction and commitment on one count
    of first-degree sexual assault entered following a jury trial.     On appeal, the
    defendant contends that the trial justice committed prejudicial error by permitting
    the state to introduce into evidence a nurse’s testimony concerning what the
    complaining witness told her about the alleged sexual assault.
    For the reasons set forth in this opinion, we affirm the judgment of the
    Superior Court.
    -1-
    I
    Facts and Travel
    On June 5, 2017, defendant was charged by indictment with one count of
    first-degree sexual assault in violation of G.L. 1956 §§ 11-37-2 and 11-37-3,
    stemming from an alleged sexual assault against Iliana Gomez on December 4,
    2016.1   A jury trial commenced on November 6, 2019, and it continued on
    November 7 and 8, with a guilty verdict being returned on November 12 of that
    year. We relate below the salient aspects of that trial.
    A
    The Testimony of Patrolman Michael Maycock
    Patrolman Michael Maycock testified that, at approximately 2:00 a.m. on
    December 4, 2016, he responded to a call from a neighbor of defendant who had
    reported a disturbance. Officer Maycock testified that, when he arrived at the
    apartment where defendant lived, he “heard some screaming and yelling.” He
    explained that what mainly “stood out” to him was that he “heard a female voice
    for somebody yelling to get off of her.” He testified that the exact words that the
    female voice was yelling were: “Get the f*** off of me.”
    1
    We shall hereinafter usually refer to the complaining witness, Iliana Gomez,
    and her sister, Cynthia Gomez, by their first names. We do so for the sake of
    simplicity, and we intend no disrespect.
    -2-
    Officer Maycock testified that he and another officer began to knock
    aggressively on the door so as to “announce [their] presence as police.” He further
    testified that he heard the lock unlock and that he was able to push his way through
    the door at that point, even though there had been “a force holding the door.”
    Officer Maycock testified that, when he entered the apartment, defendant “was
    naked from the waist down” and that his “genitalia was erect.” He said that
    defendant stated that “he didn’t do anything wrong” and that he “was just trying to
    have sex with [Iliana].”
    Officer Maycock further testified that, when he first came through the door,
    Iliana “was curled up in a ball * * * on the floor;” he added that “she was also
    naked from the waist down.” He testified that Iliana “was very upset, tearful,
    shaking” and that “[t]he only thing she said to [him] is that she just wanted to go
    home.” Officer Maycock added that, during “[t]he whole time that [he] dealt with
    her, she was visibly upset and crying the majority of the time.”
    B
    The Testimony of Sergeant John Martin
    Sergeant John Martin of the Providence Police Department testified that, at
    approximately 2:00 a.m. on December 4, 2016, he responded to a dispatch call
    involving a neighbor “reporting some type of disturbance in an apartment with a
    -3-
    female yelling.”2 He testified that, as he was walking in, another police officer was
    walking out with Iliana and that, as Iliana “was walking past [him,] she was crying,
    visibly shaken and upset, and made a statement that she just wanted to go home.”
    Sergeant Martin added that he went into the stairwell to meet with Officer
    Maycock and defendant and that defendant told him that he had been “horny and
    [that] he tried to have sex with her but that they didn’t have sex.”
    C
    The Testimony of Iliana
    The complaining witness, Iliana Gomez, testified that, on Saturday,
    December 3, 2016, she and her sisters (Cynthia Gomez and Angelica Castro) as
    well as Cynthia’s fiancé, defendant James White, went to Passions, a club in
    Providence. She further testified that, in the early morning hours of Sunday,
    December 4, a friend of Cynthia’s agreed to pick up the three sisters at Passions.
    Iliana added that the friend “started giving attitude and running her mouth because
    she didn’t want to have to drive around dropping people off.” She stated that the
    friend then brought her back to Passions, but Passions would not allow her to
    re-enter because it was about to close. Iliana testified that, after the friend declined
    to provide her with a further ride, Cynthia told her to “wait for [defendant] to leave
    the club and catch a ride with him * * *.”
    2
    At the time of the incident at issue, Sgt. Martin held the rank of patrolman.
    -4-
    It was Iliana’s further testimony that, shortly thereafter, she saw defendant
    outside of Passions and he agreed to give her a ride back to the apartment in
    Providence which he and Cynthia shared. Iliana added that, when she arrived at
    the apartment, she was feeling dizzy and that she therefore lay down on an air
    mattress in the living room. She stated that defendant then told her “to just lie
    down on [Cynthia’s] bed with him because she wouldn’t be home until the
    morning.” Iliana testified that she declined defendant’s suggestion and told him
    that she “was going to stay on the air mattress.”
    Iliana further testified that defendant then “got on top of [her], started
    kissing [her] and biting [her] neck.” Iliana stated that she was on her back while
    defendant’s whole body was on top of her. She further testified that she told him
    “to stop it [and] to get off of [her];” she added that, when he did not comply, she
    began screaming for help.      She said that she “kept pushing him” and “kept
    screaming” while he was “covering [her] mouth and choking [her].” Iliana added
    that defendant pulled her jeans and underwear “down to [her] thighs” and that
    “[h]e kept trying to put his face down there.” She testified that, although she “kept
    pushing him,” he nevertheless, “put his fingers inside of [her].” Iliana stated that
    she “kept fighting him” and kept screaming: “Help. Get off me.”
    Iliana added that, when defendant removed his fingers, she started throwing
    up. She testified that defendant again put his fingers inside of her and then “pulled
    -5-
    [her] pants all the way off.” Iliana also stated that she “kept kicking and pushing
    him, hitting him” and that she “was yelling throughout this whole * * * situation.”
    She further testified that, every time she tried to separate herself from defendant,
    he would pull her by her hair and would push her back down.
    Iliana next testified that she told defendant that she would “do what he wants
    [her] to do” but that first she “just need[ed] to use the bathroom real quick.” She
    stated that it was her intention “to run to the door.” Iliana said that defendant did
    let her use the bathroom, but that he stood “[i]n the bathroom door.” Iliana
    testified that she ran for the door on her way out of the bathroom, while defendant
    kept pulling her hair as she continued screaming for help. She further testified that
    defendant kept covering her mouth and continued to bite her.
    Iliana testified that, after a couple of minutes, she was able to unlock the
    apartment door that led to the outside common hallway. She added that defendant
    pinned her down and that she was slouched in the corner, with her knees up to her
    chest, while defendant proceeded to pull her head back in an attempt to force his
    penis into her mouth. It was also her testimony that she tried to push him off and
    that she kept shoving him when she heard a loud knock at the door. Iliana stated
    that, as the police walked in, defendant was screaming: “Just tell them we just got
    into an argument.” Iliana testified that she told the police that “it was just an
    argument” because she “was scared” and “just wanted to go home.” She stated
    -6-
    that an officer drove her to the police station, where she called her mother to
    request that she be picked up.
    Iliana testified that, after returning home, she tried to lie down, but “was in a
    lot of pain.” She further testified that her “head really hurt” and that she therefore
    took a shower; she added that, when she got out of the shower, she continued
    throwing up. She stated that she told her mother and her aunt about what had
    happened in the apartment with defendant and that they then “took [her] to the
    hospital.”
    In the course of Iliana’s testimony, various communications from defendant
    were introduced into evidence; those communications all occurred subsequent to
    the sexual assault that allegedly occurred in the early morning hours of December
    4, 2016. In the following paragraphs, we summarize those communications.
    1. The Defendant’s Direct Communications with Iliana
    Iliana testified that, in the afternoon or early evening of December 4, she
    received two Facebook Messenger3 messages from defendant, screen shots of
    which were admitted as full exhibits at trial.
    3
    Meta Platforms, Inc., which is the owner of both Facebook and Messenger,
    describes Messenger as “a simple yet powerful messaging application for people to
    connect with friends, family, communities, and businesses across platforms and
    devices through text, audio and video calls.” Meta Platforms, Inc., Annual Report
    (Form 10-K) 7 (Feb. 2, 2023).
    -7-
    The first message was sent at 2:34 p.m. on December 4 to Iliana, who
    testified that her nickname is “Ellie.” The message reads as follows:
    “Hey Ellie I just wanna say I am so so sorry [I don’t
    know] what I was thinking I was jus drunk & I wasn’t
    myself but please Ellie don’t say anything to anyone
    about this please I am sorry & I’ll do anything to show u
    how sorry I am I love u kid please don’t say anything I
    told Cynthia that the cops didn’t come to the House &
    that u left cuz me & u got into a argument please Ellie
    keep this between us I love you & I am sorry I jus can’t
    lose my family over a drunk night I love u & I am sorry
    after you read this delete the message.”
    The second message, which defendant sent to Iliana approximately four
    hours later at 6:36 p.m., reads as follows:
    “Can you please tell your sister the truth please because
    someone told her I tried to rape u & I know it wasn’t u
    that said that cuz that never happen & u know that we
    both as jus mad f***ed up smh.”4
    Iliana testified that the next day she went to the police to report the alleged sexual
    assault.
    Iliana further testified that defendant sent her a third Facebook Messenger
    message several days later, on December 12, 2016; that message reads as follows:
    “Cynthia jus told me that u called her & said that the
    cops is about to pick me up so I guess your ready to get
    locked up to IDC.”5
    4
    Iliana testified that she understands “smh” to mean “[s]haking my head.”
    5
    Iliana testified that she understands “IDC” to mean “I don’t care.”
    -8-
    It was Iliana’s testimony at trial that she did not respond to any of these messages
    from defendant.
    Iliana further testified that at some point in time there was a “three-way” call
    that was meant to involve defendant and Cynthia and Iliana herself. She further
    testified, however, that she ended the call as soon as she heard defendant say: “Just
    hear me out.”
    2. The Affidavit
    Iliana testified that, at a later date,6 while they were in a car together,
    Cynthia provided her with an affidavit that she said defendant had prepared for her
    to sign, which she did. The affidavit, which was admitted as a full exhibit, stated:
    “To whom it may concern,
    “I Iliana Gomez is writing this affidavit to recant
    my statement and be honest and say I lied and that my
    whole testimony was made up. I never liked James
    White. I always hated him but he is not guilty of
    anything but being disloyal to my sister. At one point, he
    did hold me down that’s why I was screaming get off me
    but that’s only because I was trying to hit him and he was
    trying to stop me, but again he not guilty of anything but
    being disloyal to my sister.
    “Thank you!!!”
    6
    Iliana testified that she did not know the exact date on which she signed the
    affidavit.
    -9-
    Iliana testified at trial that the information contained in the affidavit was not true.
    She further testified that she signed the affidavit because at that time she was
    “heavily drinking” and was “pressured” and “overwhelmed.”
    3. The Defendant’s Telephone Call to Cynthia Shortly before the Trial
    On November 2, 2019, four days prior to trial, defendant called Cynthia
    from prison.7 A recording of the call was admitted as a full exhibit at trial. In the
    course of that call, defendant stated:
    “[M]y brother and his wife asked the lawyer well um
    what if uh what if uh home girl don’t show up, and he
    said well if home girl don’t show up then he’s walking
    the f*** outta here. It’s no questions… it’s no questions
    asked, he’s walking the f*** outta here. And the lawyer
    said but that’s not the case this girl is showing up, um
    and my brother said well how could you be so sure * * *.
    And it’s crazy cause my lawyer begged me not to say
    something, but it’s like how do I not say nothing when I
    find out that they’re still tryna come to court and take my
    life away from me. When ain’t nobody gonna get in
    trouble if no…don’t nobody show up. You know what
    I’m saying?”
    Later in the same telephone call, defendant spoke to Cynthia as follows:
    7
    The jury was not made aware that defendant’s call to Cynthia was made
    from prison. The trial justice instructed the jury in that regard as follows:
    “[T]his is a phone call that was recorded. What I do want
    you to know is, number one, you’re not to speculate as to
    the location of the caller or the person who received the
    call and spoke to the caller.
    Number two, you are to know that the recording of
    this call was done legally and permissibly, so don’t
    speculate about that either.”
    - 10 -
    “But I do want you to know that no matter what they tell
    you, if they do tell you anything, if they don’t tell you
    anything, I want you to know because your daughter
    …our daughter, you know what I’m saying, will have her
    father back next week if they don’t show up to court. But
    if they do, * * * I’m not coming home next week * * *.”
    Still later in the telephone call, he said to Cynthia:
    “I just wish like hell you can just block everything out
    your mind for one day, just one f***ing day, one day,
    and just take into consideration that it’s a possibility that
    they would listen to you, and if they don’t then they
    don’t. You know what I’m saying, but at least honestly
    God forbid my shit went left you can say well look I tried
    to get them not to show up, that’s it.”
    After a voice on the recording device indicated that there was one minute
    remaining on the call, defendant said:
    “Cynthia, * * * if it’s the last f***ing thing I ever ask for
    yo all jokes aside, at least try. Try to talk to these people
    and tell them please do not show up.”
    D
    The Testimony of Nurse Katherine Plante
    On the second day of trial, November 7, 2019, Katherine Plante, a registered
    nurse employed by Kent County Hospital, testified as to her interactions with
    Iliana in the late afternoon of December 4, 2016.              Nurse Plante’s testimony
    provided in pertinent part as follows:
    “[PROSECUTOR]: The sex assault exam, could you
    describe it for the jury? What do you do initially upon
    encountering a patient as a resource nurse?
    - 11 -
    “[NURSE]: You will go in a room and there’s a box that
    you get. It’s chain of custody. So you open it up and
    there’s policy and protocols that you go through, and
    there’s paper that you take out. The person needs to
    change, and there’s a lot of documentation that you go
    through and --
    “* * *
    “[PROSECUTOR]: During this exam, do you speak with
    the patient?
    “[NURSE]: Yes.
    “[PROSECUTOR]: What is the point of speaking with
    the patient?
    “[NURSE]: To get what they’re saying happened[,] to
    understand what they’re saying. Then to also offer
    support after.
    “* * *
    “[PROSECUTOR]: When you first encountered [Iliana],
    what did you do?
    “[NURSE]: At first I introduced myself, spoke with her,
    and just explained that it was going to be a lengthy
    procedure what we were doing. I explained to her what
    would happen, and that the information she gave me
    would not leave with me until it’s locked up and secured.
    “[PROSECUTOR]: So did you speak with her? Did you
    have a conversation with her?
    “[NURSE]: Yes.
    - 12 -
    “[PROSECUTOR]: Describe her appearance,                 her
    demeanor, during this initial conversation.
    “[NURSE]: She was very anxious, shaking, disheveled.
    She really didn’t -- she would answer my questions, but
    didn’t elaborate a lot. It just seemed like she kind of
    wanted to get in and out.
    “[PROSECUTOR]: Did you ask her what happened?
    “[NURSE]: Yes.
    “[PROSECUTOR]: What did she tell you?
    “[NURSE]: She had said that she had gone out with her
    sisters, her sister’s boyfriend and her sister’s boyfriend’s
    friends. And at some point she went back to, I believe it
    was her sister’s apartment, yes, her sister’s apartment,
    that she was alone with James White. She had said that
    --”
    Defense counsel then objected and requested to be heard at sidebar, where
    the following exchange occurred:
    “THE COURT: What is your ground?
    “[DEFENSE COUNSEL]: My ground is hearsay, Your
    Honor. This is supposed to be -- the information being
    provided by the patient, it’s supposed to be for purposes
    of medical diagnosis and treatment and identifying a
    perpetrator, no connection to medical --
    “THE COURT: I’m actually on cases where potentially it
    could be someone close to you. For the protection of the
    patient, sometimes they want the identity. In other
    words, was it a stranger, an assault, all right? You might
    not need the person identified with particularity because
    - 13 -
    that’s not pertinent; whereas, if it is a family member or
    someone close to a family member, it may be pertinent.
    But what do you say?
    “[PROSECUTOR]: Your Honor, I would suggest, for
    that exact reason, this is a situation where the witness is
    examining the complainant who is already disheveled,
    anxious, nervous. Certainly --
    “THE COURT: Is this part of the appropriate hearsay
    exception for medical treatment history?
    “[PROSECUTOR]: Yes.
    “THE COURT: Yes?
    “[PROSECUTOR]: Particularly in getting the patient’s
    history, the nurse wants to discover what kind of risk that
    she has.”
    At that point, the trial justice overruled defense counsel’s objection, and the
    prosecutor continued with the direct examination of Nurse Plante.
    “[PROSECUTOR]: What else did [Iliana] tell you?
    “[NURSE]: She said that she didn’t feel well and that she
    was told to go lie down on the air mattress that was on
    the floor, and she said that she was pushed down on the
    mattress, that the assault was that he used his fingers
    inside of her vagina, pulled her clothes down and that at
    some point he tried to put his penis in her mouth and that
    she was screaming. At some point she was bitten and her
    hair had been pulled.
    “* * *
    “[PROSECUTOR]: In addition to her injuries, did
    [Iliana] talk about any physical reaction she had to being
    assaulted?
    - 14 -
    “[NURSE]: She claimed to just feel very sick, nauseous
    and had been vomiting, she said, all day.”
    The trial then adjourned for the day.
    E
    The Conclusion of the Trial
    Nurse Plante’s testimony continued the next day, November 8, 2019, with
    her explaining the photographs that she had taken of Iliana’s body, including a bite
    mark on Iliana’s neck and bruising on her forearm, knees, wrist, elbow, chest,
    shoulder blades, feet, and neck.8
    After presenting the testimony of a witness from the Rhode Island
    Department of Health that is of no relevance to the issues before us, the state
    rested.9 The defendant chose not to testify and presented no witnesses. Counsel
    then delivered their closing arguments, and the jury was instructed by the trial
    justice before retiring to deliberate.
    8
    The photographs about which Nurse Plante testified were admitted as full
    exhibits.
    9
    After the state rested, defendant moved for a judgment of acquittal pursuant
    to Rule 29 of the Superior Court Rules of Criminal Procedure. That motion was
    denied by the trial justice.
    - 15 -
    F
    The Verdict and the Sentence
    On November 12, 2019, the jury returned a guilty verdict. On November 16,
    2020, the trial justice sentenced defendant to thirty-eight years at the Adult
    Correctional Institutions, with twenty-three years to serve and fifteen years
    suspended, with probation. The defendant filed a timely notice of appeal.
    II
    The Issue on Appeal
    The issue before this Court is whether the trial justice committed prejudicial
    error by permitting the state to introduce into evidence Nurse Plante’s testimony
    relative to what Iliana related to her about the alleged sexual assault. The focus of
    our analysis will be on Rule 803(4) of the Rhode Island Rules of Evidence, entitled
    “Statements for Purposes of Medical Diagnosis or Treatment.”              Rule 803(4)
    describes as follows certain medically related statements that are not barred
    pursuant to the general rule that makes hearsay statements inadmissible:
    “Statements made for purposes of medical diagnosis or
    treatment and describing medical history, or past or
    present symptoms, pain, or sensations, or the inception or
    general character of the cause or external source thereof
    insofar as reasonably pertinent to diagnosis or treatment,
    but not including statements made to a physician
    consulted solely for the purposes of preparing for
    litigation or obtaining testimony for trial.” (Emphasis
    added.)
    - 16 -
    III
    Standard of Review
    It is a basic principle that the “determination of whether an out-of-court
    statement meets an exception to the hearsay rule is within the trial justice’s
    discretion.” State v. Martin, 
    68 A.3d 467
    , 475 (R.I. 2013) (quoting Rhode Island
    Managed Eye Care, Inc. v. Blue Cross & Blue Shield of Rhode Island, 
    996 A.2d 684
    , 692 (R.I. 2010)). When this Court applies this standard, “a trial justice’s
    ruling will be upheld unless abuse of discretion that prejudices the complaining
    party is shown.” State v. Brown, 
    9 A.3d 1240
    , 1247 (R.I. 2010); see also State v.
    Bergevine, 
    942 A.2d 974
    , 978 (R.I. 2008) (“[T]he admission of a statement under
    an exception to the hearsay rule is within the sound discretion of the trial justice
    and shall not be overturned unless clearly erroneous.”) (quoting State v. Ruffner,
    
    911 A.2d 680
    , 689 (R.I. 2006)).10
    IV
    Analysis
    The defendant contends that the trial justice committed prejudicial error by
    allowing the state to introduce into evidence Nurse Plante’s testimony concerning
    what Iliana related to her about the alleged sexual assault. Specifically, defendant
    10
    We have further explained that a “trial justice will not have abused his or her
    discretion as long as some grounds supporting his or her decision appear in the
    record.” State v. Evans, 
    742 A.2d 715
    , 719 (R.I. 1999); see also State v. Nichols,
    
    155 A.3d 1180
    , 1186 (R.I. 2017); State v. Brown, 
    88 A.3d 1101
    , 1116 (R.I. 2014).
    - 17 -
    argues that the state did not provide a proper foundation to establish that the
    statements by Iliana to Nurse Plante were made for the purpose of medical
    diagnosis or treatment pursuant to Rule 803(4). The defendant further contends
    that, even if there had been a proper foundation, certain portions of Nurse Plante’s
    testimony assigned fault and narrated details, including defendant’s name, which
    portions were not connected with Iliana’s treatment and, therefore, were not
    admissible under Rule 803(4).
    For its part, the state argues that “issues other than [Nurse Plante’s]
    mentioning defendant’s name have been waived and are not properly before this
    Court for review.” As for the mentioning of defendant’s name, the state notes that
    “identity was not a disputed issue in this case.” The state also argues that, “apart
    from the identity issue, the nurse’s testimony was cumulative as Iliana testified
    with specificity and was cross-examined at length regarding the events of that
    evening.” In the same vein, the state contends that if “any aspect of [Nurse
    Plante’s] testimony was erroneously admitted, it was harmless beyond a reasonable
    doubt considering the overwhelming evidence of defendant’s guilt.”
    A
    The State’s Waiver Argument
    With respect to its contention that issues other than Nurse Plante’s
    mentioning defendant’s name have been waived, the state argues that “[a]lthough
    - 18 -
    defendant did initially mention hearsay as the basis of his objection, during the
    ensuing side bar, he focused the trial justice’s attention to the specific reason for
    his hearsay objection – arguing that ‘identifying a perpetrator’ had no connection
    to medical diagnosis and treatment.” On that basis, the state contends that all
    issues except the one involving the naming of defendant as the perpetrator are not
    properly before this Court because defendant “never argued that other details
    allegedly unrelated to medical diagnosis and treatment * * * were improperly
    admitted or that an improper foundation was established to introduce any patient
    history as he now argues on appeal * * *.” By contrast, it is defendant’s position
    that his objection “was specific enough to focus the trial justice in on the hearsay
    issues—the same hearsay issue [he] now asserts on appeal.”
    This Court has “repeatedly indicated that it adheres to what is commonly
    called the ‘raise or waive’ rule—i.e., we do not consider issues on appeal which
    were not raised and properly presented during proceedings in the court below.”
    DeMarco v. Travelers Insurance Company, 
    26 A.3d 585
    , 628 (R.I. 2011); see also
    State v. Figuereo, 
    31 A.3d 1283
    , 1289 (R.I. 2011) (“It is well-settled that this
    Court will not review issues that were not presented to the trial court in such a
    posture as to alert the trial justice to the question being raised.”) (internal quotation
    marks omitted); State v. Moreno, 
    996 A.2d 673
    , 684 (R.I. 2010). In our opinion,
    - 19 -
    defendant in this case sufficiently complied with the strictures of the “raise or
    waive” rule.
    The trial transcript reflects that defendant clearly objected on the ground of
    hearsay.11 And, significantly, he added that “the information being provided by the
    patient [is] supposed to be for purposes of medical diagnosis and treatment * * *.”
    He also noted that “identifying a perpetrator [has] no connection to medical * * *.”
    Therefore, although defendant did not, in so many words, argue that the state had
    not established a sufficient foundation for the introduction of Iliana’s statements to
    Nurse Plante, we are more than satisfied that, in the context of this case,
    defendant’s objection was sufficiently focused so as to “alert the trial justice to the
    question being raised” and to allow her to evaluate the objection on that basis.
    Figuereo, 
    31 A.3d at 1289
     (quoting Pollard v. Acer Group, 
    870 A.2d 429
    , 433
    (R.I. 2005)). The defendant’s appeal primarily focuses on whether Nurse Plante’s
    testimony, which paraphrased statements made to her by Iliana on the day of the
    alleged sexual assault detailing what had happened to her, fell within the Rule
    11
    When defense counsel interposed an objection during the testimony of Nurse
    Plante, the trial justice asked: “What is your ground?” Defense counsel’s response
    in its entirety was as follows:
    “[DEFENSE COUNSEL]: My ground is hearsay, Your
    Honor. This is supposed to be -- the information being
    provided by the patient, it’s supposed to be for purposes
    of medical diagnosis and treatment and identifying a
    perpetrator, no connection to medical --”
    - 20 -
    803(4) exception to the hearsay rule; and it is clear to us that this issue was
    sufficiently referenced in defendant’s objection.     Accordingly, we are of the
    opinion that defendant’s arguments on appeal relative to Rule 803(4) were not
    waived and are properly before this Court.
    B
    Nurse Plante’s Testimony and Rule 803(4)
    1. The Foundation for Nurse Plante’s Testimony
    We next must determine whether the state provided an adequate foundation
    to establish that Iliana’s statements as testified to by Nurse Plante were properly
    admitted into evidence as an exception to the hearsay rule pursuant to Rule 803(4).
    In making this determination we are mindful of the following statement from
    a previous case: “[T]he simple fact that a statement could be helpful in diagnosis is
    not in itself sufficient for admission under Rule 803(4); there must be a proper
    foundation establishing that the challenged statements were in fact made for the
    purpose of treatment or diagnosis.” State v. Watkins, 
    92 A.3d 172
    , 188 (R.I. 2014)
    (first emphasis in original; second emphasis added). After carefully reviewing the
    record in the instant case, it is our opinion that the statements of Iliana that were
    - 21 -
    relayed by Nurse Plante “were in fact made for the purpose of treatment or
    diagnosis.” 
    Id.
     (emphasis added).12
    We begin by directing attention to the crystalline language of the Rule. In
    pertinent part, Rule 803(4) makes admissible the following:
    “Statements made for purposes of medical diagnosis or
    treatment and describing * * * past or present symptoms,
    pain, or sensations, or the inception or general character
    of the cause or external source thereof insofar as
    reasonably pertinent to diagnosis or treatment * * *.”
    It is important to note that the focus of the just-quoted language is on the purpose
    for which a person consults with someone deemed to be capable of providing
    medical diagnosis or treatment. See State v. Lynch, 
    854 A.2d 1022
    , 1031 (R.I.
    12
    The contrast between the facts in State v. Watkins, 
    92 A.3d 172
     (R.I. 2014),
    and those in the present case is striking. The defendant in that case had been
    arrested on or about February 23, 2010, but it was not until March 3 that Amy
    Goldberg, M.D., performed her examination of the complaining witness
    (pseudonymed “Jessica”). Watkins, 
    92 A.3d at 177-78
    . Doctor Goldberg is
    identified in the Watkins opinion as “a pediatrician at Hasbro Children’s Hospital
    and the supervisor of the Child Protection Program, a program that evaluates
    children who are potential victims of maltreatment.” 
    Id. at 178
    . It was during that
    examination that “Jessica recounted a lengthy history of sexual abuse at the hands
    of [the defendant in that case].” 
    Id.
     Significantly, this Court in Watkins went out of
    its way to note that Dr. Goldberg “did not specifically testify that the statements
    Jessica made about her mounting fear of [the defendant in that case] or those
    regarding the exchange of sex for school attendance were made for the purpose of
    diagnosis or treatment.” 
    Id. at 188
    .
    By contrast, in the present case, Iliana chose to go to Kent County Hospital
    on the same day that the sexual assault had allegedly occurred; and on that same
    day, she described to Nurse Plante what had happened. Also, Nurse Plante’s
    testimony makes it clear that she was alert to the possible need for diagnosis or
    treatment of Iliana’s complaints as well as the need to fulfill her forensic role.
    - 22 -
    2004) (“A declarant’s motive in making the statement must be consistent with
    seeking diagnosis or treatment.”).      We have commented that “[t]he rationale
    behind [the Rule 803(4)] exception is that ‘a person will presumably be truthful to
    a physician from whom he expects to receive medical attention.’” State v. Benitez,
    
    266 A.3d 1221
    , 1227 (R.I. 2022) (quoting State v. Pina, 
    455 A.2d 313
    , 315 (R.I.
    1983)).
    It is clear to us, having carefully reviewed the record in its vital context, that
    Nurse Plante’s testimony falls within the parameters of Rule 803(4). The record
    reveals that, before ever going to the police station to file charges, Iliana chose to
    go to Kent County Hospital, being taken there by her mother and aunt on the very
    day of the alleged sexual assault. Once at the hospital, she described to Nurse
    Plante in some detail what had allegedly happened to her. It is a completely
    logical inference that Iliana did so for the purpose of obtaining whatever relief the
    nurse and the hospital could provide—namely such diagnosis or treatment as might
    be appropriate, whether it be through traditional hands-on medical intervention or
    the prescription of medication or intelligent and supportive counsel from a medical
    professional.13 In other words, Iliana’s statements were clearly “made for purposes
    13
    The following exchange between Iliana and the prosecutor is noteworthy:
    “[PROSECUTOR]: Despite being uncomfortable about
    everything, why did you tell your aunt and your mom?
    - 23 -
    of medical diagnosis or treatment” and, therefore, are of the type referenced in
    Rule 803(4).14
    It is noteworthy that Iliana went to the hospital in the company of her mother
    and aunt after she had been throwing up for hours and had been feeling ill. She
    testified that she had provided her mother and aunt with details about the alleged
    “[ILIANA]: Because they needed to know, and I was in a
    lot of pain.”
    For her part, Nurse Plante testified that, when called upon as a nurse to
    speak with a person complaining of a sexual assault, in addition to conducting a
    forensic exam, she also speaks with the patient for two reasons: (1) to try “to get
    what they’re saying happened[,] to understand what they’re saying” and (2) “to
    also offer support after.”
    14
    The case of State v. Lynch, 
    854 A.2d 1022
     (R.I. 2004), is radically
    distinguishable from the instant case. In the course of holding that the statements
    to the certified school psychologist by the alleged victim (pseudonymed “Mary”)
    should not have been admitted, this Court in Lynch wrote as follows:
    “There must * * * be a proper foundation showing that
    the statements in question were made for the purposes of
    medical diagnosis or treatment. Here, Mary did not seek
    out the psychologist for a diagnosis or treatment of her
    problems; rather, the psychologist sought out Mary.
    * * * [T]here was no showing that Mary’s purpose in
    making the statements was for diagnosis or treatment
    from [the psychologist] * * *.” Lynch, 
    854 A.2d at 1031-32
     (internal quotation marks omitted).
    By contrast, in the instant case, the record is clear that Iliana went to the
    hospital of her own volition and that she did so even before going to law
    enforcement. Her purpose in doing so was to obtain medical attention relative to
    the fact that she was “in a lot of pain,” had been vomiting, and “had bruises all
    over.”
    - 24 -
    sexual assault and the fact that she was “in a lot of pain” and “had bruises all over”
    and that they then “took [her] to the hospital.” She further testified that at the
    hospital she told Nurse Plante that she had been vomiting, and she described the
    pain that she was feeling at the time.
    We are unpersuaded by defendant’s contention that the statements at issue
    “centered on reporting a crime, not treating a medical condition * * *.” Iliana was
    brought to the hospital by her mother and her aunt after she had explained to them
    that she had been sexually assaulted and that she was “in a lot of pain.”
    Significantly, at that point in time, Iliana had not reported the alleged sexual
    assault to the police. Nurse Plante testified that, upon their first meeting, Iliana
    “was very anxious, shaking, [and] disheveled.” She explained that Iliana “would
    answer [her] questions, but didn’t elaborate a lot,” opining that “[i]t just seemed
    like she kind of wanted to get in and out.” Furthermore, in addition to describing
    the alleged sexual assault, Iliana complained to Nurse Plante that “her neck and
    back were hurting her,” and she also “claimed to just feel very sick, nauseous and
    had been vomiting, she said, all day.”
    It is clear to us from our review of the record that Nurse Plante was, in
    effect, wearing two hats when she met with Iliana. While Nurse Plante was
    undeniably collecting potential evidence in accordance with her forensic role, the
    record additionally reflects that she was also paying attention to the medical
    - 25 -
    symptoms and concerns being disclosed to her by Iliana—who, it must be
    emphasized, had opted to come to the hospital very soon after the alleged assault.15
    See United States v. Gonzalez, 
    533 F.3d 1057
    , 1062 (9th Cir. 2008) (noting that the
    “forensic function” performed by the nurse in that case “did not obliterate her role
    as a nurse, in a hospital”). See generally State v. Tsosie, 
    516 P.3d 1116
     (N.M.
    2022).
    We are satisfied that the vast majority of statements which Iliana provided to
    Nurse Plante during their colloquy were pertinent to Nurse Plante’s professional
    consideration of potential diagnosis or treatment options for Iliana because those
    statements provided relevant background information as to the cause of Iliana’s
    pain and other physical complaints, including her distressed mental state. See
    Benitez, 266 A.3d at 1229 (holding that there was “no reversible error in the trial
    justice’s determination that the statements at issue were ‘inextricably intertwined’
    with [the doctor’s] examination and with her need to obtain all the reasonably
    pertinent information needed to treat [the complaining witness]”); see also United
    States v. Gabe, 
    237 F.3d 954
    , 957-58 (8th Cir. 2001) (“In general, a patient’s
    15
    A hospital is by definition a place where a person “in a lot of pain” would go
    to seek medical diagnosis or treatment. The American Heritage Dictionary defines
    “hospital” as “[a] facility that provides emergency, inpatient, and usually
    outpatient medical care for sick or injured people.” The American Heritage
    Dictionary of the English Language 850 (5th ed. 2011).
    - 26 -
    statement describing how an injury occurred is pertinent to a physician’s diagnosis
    and treatment * * *.”).
    It is true that Nurse Plante did testify as to what Iliana said about what
    defendant refers to as “the details of the alleged assault.” The point is, however,
    that the bulk of those “details” were pertinent to the nurse’s role of providing
    diagnosis and treatment. For example, such details as Iliana’s statements to the
    nurse that the alleged assailant “used his fingers inside of her vagina” and that “[a]t
    some point she was bitten and her hair had been pulled” are instances of
    information that clearly would assist the nurse in assessing the patient’s overall
    status (both physical and emotional) so that she could properly carry out her
    diagnostic and treatment role to provide patient-centered care. Moreover, even less
    obviously relevant details (like the allegation that Iliana was pushed down on a
    mattress or had her pants pulled down) were part and parcel of the explanation that
    Iliana was providing to the nurse as to why she was experiencing physical pain and
    was in such an emotionally agitated state.16
    We have meticulously scrutinized the record in this case, taking into account
    defendant’s well-articulated legal arguments.       In the end, however, we have
    concluded that (with the exception of the assigning of fault issue discussed infra)
    16
    It is important to bear in mind that Nurse Plante was confronted with a
    patient who was clearly in an unsettled emotional state in addition to the fact that
    she presented with perceptible physical issues. Unquestionably, part of the nurse’s
    role in such a situation was to deal with the patient’s emotional state.
    - 27 -
    the trial justice acted within her discretion in admitting the testimony of Nurse
    Plante. See State v. Merida, 
    960 A.2d 228
    , 234 (R.I. 2008) (“[Q]uestions as to the
    admissibility vel non of evidence are confided to the sound discretion of the trial
    justice, and this Court will not interfere with a trial justice’s decision in that regard
    unless there was a clear abuse of discretion and the evidence was both prejudicial
    and irrelevant.”). We are satisfied that the state provided a sufficient foundation to
    support the conclusion that Iliana articulated her statements to Nurse Plante for the
    purpose of medical diagnosis or treatment, even if Nurse Plante was
    simultaneously performing a forensic function.
    2. Harmless Error17
    Although we have, after careful scrutiny of the record, concluded that we
    should affirm the discretionary decision of the trial justice to admit Nurse Plante’s
    testimony under Rule 803(4), we recognize that the question is close. However,
    we hasten to indicate that, even if we had reached a contrary conclusion and
    decided that the trial justice erred, we would have considered such error to
    constitute harmless error beyond a reasonable doubt.
    The basic standard for determining whether an error is harmless has been
    articulated as follows: “In order to meet the harmless-error test, there must be
    17
    In this section of this opinion, we prescind from the portion of Nurse
    Plante’s testimony which identifies defendant by name as the person who
    committed the alleged sexual assault. That issue we address in the next section of
    this opinion.
    - 28 -
    proof ‘beyond a reasonable doubt that the error complained of did not contribute to
    the verdict obtained.’” State v. Mercurio, 
    89 A.3d 813
    , 822 (R.I. 2014) (quoting
    State v. Smith, 
    446 A.2d 1035
    , 1036 (R.I. 1982)).
    Cumulative evidence is evidence that tends “to prove the same point to
    which other evidence has been offered.” Benitez, 266 A.3d at 1229 (quoting Lynch,
    
    854 A.2d at 1032
    ); see also Watkins, 
    92 A.3d at 189
    . We have similarly stated that
    “the admission of hearsay evidence is not prejudicial when the evidence is merely
    cumulative and when [the] defendant’s guilt is sufficiently established by proper
    evidence.” State v. Robinson, 
    989 A.2d 965
    , 979 (R.I. 2010) (quoting Lynch, 
    854 A.2d at 1032
    ); see also Benitez, 266 A.3d at 1229; State v. Micheli, 
    656 A.2d 980
    ,
    982 (R.I. 1995); State v. Angell, 
    122 R.I. 160
    , 168, 
    405 A.2d 10
    , 14 (1979). We
    have further indicated that “[t]he test to be applied is a retrospective one,
    administered at the close of all the evidence to determine whether the admission of
    certain evidence was harmless in light of all the evidence admitted on that point.”
    Benitez, 266 A.3d at 1229 (internal quotation marks omitted); see also State v.
    Johnson, 
    13 A.3d 1064
    , 1068 (R.I. 2011) (“[T]here is an inescapable conclusion
    that, even if there were a question about the admissibility of [certain] testimony,
    * * * such testimony was merely cumulative and therefore not prejudicial to [the
    defendant].”); State v. Ramirez, 
    936 A.2d 1254
    , 1267 (R.I. 2007) (“Viewing the
    abundant evidence in this case that supports the jury’s verdict, we are satisfied that
    - 29 -
    admitting [a particular] out-of-court statement amounts, at best, to harmless
    error.”).
    Nurse Plante’s relatively brief testimony summarizing the statements that
    Iliana made to her was simply a condensed mirroring of Iliana’s own lengthy trial
    testimony, which spanned 183 pages of trial transcript and was highly detailed. See
    Benitez, 266 A.3d at 1229 (noting that the testimony of the doctor in that case was
    “simply a repetition of [the complaining witness’s] own lengthy testimony which
    was highly specific”). Significantly, Nurse Plante did not opine as to the veracity
    or credibility of Iliana’s statements. See id. at 1229-30; Lynch, 
    854 A.2d at 1033
    .
    Furthermore, Officer Maycock testified that he found defendant “naked from the
    waist down” and that his “genitalia was erect.” He further testified that defendant
    stated that “[h]e was just trying to have sex with [Iliana].” Additionally, Sgt.
    Martin testified that defendant also stated that he “was horny and he tried to have
    sex with [Iliana] but that they didn’t have sex.” Accordingly, because the jury had
    before it Iliana’s own extensive testimony as well as the testimony of Officer
    Maycock and Sgt. Martin in addition to the photographs of Iliana’s injuries, and
    the evidence of defendant’s several inculpatory communications made subsequent
    to the alleged sexual assault, we are satisfied that the statements at issue were
    cumulative evidence, the admittance of which was harmless beyond a reasonable
    doubt. See Benitez, 266 A.3d at 1229-30.
    - 30 -
    3. Statements Assigning Fault to Defendant
    The defendant vigorously contends that certain portions of Iliana’s
    statements as recalled by Nurse Plante in her rendition of Iliana’s statements to her
    were not pertinent to Iliana’s medical care. Notably, defendant points to the
    testimony to the effect that “James White, identified by name, pushed [Iliana] on
    the mattress, pulled her clothing off, assaulted her by putting his fingers in her
    vagina, and tried to put his penis in her mouth, all while she was screaming.” The
    defendant contends that such statements: (1) were “about assigning blame and
    describing Mr. White’s purported wrongdoing;” and (2) “lacked indicia of
    reliability” because they “centered on reporting a crime, not treating a medical
    condition * * *.”
    This Court has held that “[s]tatements that narrate details unconnected with
    either diagnosis or treatment * * * are inadmissible unless they fall under another
    hearsay exception.” State v. Gaspar, 
    982 A.2d 140
    , 151 (R.I. 2009); see also
    Watkins, 
    92 A.3d at 188
    ; In re Andrey G., 
    796 A.2d 452
    , 456 (R.I. 2002).
    Moreover, “[w]hen statements about causation enter the realm of assigning fault, it
    is unlikely that the patient or the physician consider them related to diagnosis or
    treatment.” Gaspar, 
    982 A.2d at 151
    .
    While we unhesitatingly indicated in Part IV.B.1 of this opinion that the trial
    justice did not abuse her discretion in admitting the great bulk of Nurse Plante’s
    - 31 -
    testimony concerning the statements made to her by Iliana, we nonetheless do
    perceive error in her permitting Nurse Plante to include the fact that Iliana had
    referred to defendant by name in the course of her description of the alleged sexual
    assault and identified him as the perpetrator thereof. At the same time, however, it
    is our view that that particular error on the part of the trial justice constitutes
    harmless error beyond a reasonable doubt. It is our view that this evidentiary error
    was harmless as being “merely cumulative” in view of the fact that defendant’s
    guilt was “sufficiently established by proper evidence.” Robinson, 
    989 A.2d at 979
    (quoting Lynch, 
    854 A.2d at 1032
    ).
    It is also noteworthy that the identity of defendant was not in dispute at the
    trial. Although defendant did not testify, defense counsel, in both his opening
    statement and his closing argument, sought to convince the jury that the evidence
    showed that there had been fighting between defendant and Iliana, but that no
    sexual contact had occurred. In other words, the jury was made aware from the
    outset that defendant was the person involved in the incident in which the alleged
    sexual assault occurred.    And Iliana made the same accusation in her direct
    testimony.
    For these reasons, it is our view that the fact that Nurse Plante in her
    testimony mentioned that Iliana had said that the alleged sexual assault was
    committed by the defendant was clearly harmless cumulative evidence.
    - 32 -
    V
    Conclusion
    For the reasons set forth in this opinion, we affirm the judgment of the
    Superior Court. The record may be returned to that tribunal.
    Chief Justice Suttell, with whom Justice Long joins, concurring.
    Although I concur with the majority’s ultimate conclusion affirming the judgment
    of the Superior Court, I part company with its analysis of the admission of Nurse
    Plante’s testimony under Rule 803(4) of the Rhode Island Rules of Evidence as an
    exception to the hearsay rule for statements made for the purposes of medical
    diagnosis or treatment. In my judgment, the state failed to provide an adequate
    foundation for the admission of the statements made by Iliana to Nurse Plante.
    The majority begins its analysis of the Rule 803(4) issue with pertinent
    language from State v. Watkins, 
    92 A.3d 172
     (R.I. 2014): “[T]he simple fact that a
    statement could be helpful in diagnosis is not in itself sufficient for admission
    under Rule 803(4); there must be a proper foundation establishing that the
    challenged statements were in fact made for the purposes of treatment or
    diagnosis.” Watkins, 
    92 A.3d at 188
    . The majority then goes on to enunciate the
    rule, and from that closer examination of the language, determines that the purpose
    for seeking care is the touchstone for a Rule 803(4) analysis—the rationale being
    - 33 -
    that “a person will presumably be truthful to a physician from whom he expects to
    receive medical attention[,]” which eradicates the unreliability that typically
    plagues hearsay statements. State v. Pina, 
    455 A.2d 313
    , 315 (R.I. 1983).
    Although the patient’s initial motivation for pursuing treatment is
    undoubtedly relevant, the flip side of that coin is “whether what has been related
    by the patient will assist or is helpful in the diagnosis or treatment of the patient’s
    ailment.” State v. Gaspar, 
    982 A.2d 140
    , 151 (R.I. 2009) (brackets omitted)
    (quoting In re Andrey G., 
    796 A.2d 452
    , 456 (R.I. 2002)). To admit statements
    under the Rule 803(4) exception to the hearsay rule, the state must lay an adequate
    foundation to demonstrate that these justifications for admission are present in the
    witness’s testimony. See id. at 153 (noting that the admissibility of statements
    under Rule 803(4) “undoubtedly will depend in large measure on the foundational
    testimony”).    Otherwise, the statements should be excluded as inadmissible
    hearsay. Reviewing this Court’s caselaw pursuant to Rule 803(4), I conclude that
    the foundation here was lacking.
    The majority concludes that, because Iliana visited Kent County Hospital in
    the immediate aftermath of her alleged assault, the purpose for her visit was to
    receive “whatever relief the nurse and the hospital could provide[.]” The majority
    also emphasizes the fact that Iliana was experiencing physical pain and discomfort
    - 34 -
    at the time she went to the hospital and that she conveyed these symptoms to Nurse
    Plante.
    I agree that Iliana’s complaints to Nurse Plante about her pain, nausea, and
    vomiting indicate Iliana’s perception that Nurse Plante was in a position to offer
    her treatment. However, the testimony shows that Nurse Plante’s primary role was
    to assess Iliana’s physical state and collect evidence to be transferred to law
    enforcement. The majority acknowledges that Nurse Plante was “wearing two
    hats[,]” but clearly her forensic hat took precedence.
    By her own testimony, Nurse Plante’s role as the resource nurse was to
    administer a “sex assault forensic exam[,]” which, she explained, involves a box to
    establish a chain of custody with law enforcement for the evidence—i.e., swabs,
    blood, urine, clothes—obtained during the exam. Nurse Plante made clear that all
    of the information from the exam is then routed directly to the police department.
    During an exam, Nurse Plante went on, she speaks with the patient to understand
    what happened during the incident and potentially to “offer support after.” Nurse
    Plante clarified, however, that any “long-term care” falls outside her purview. She
    also stated that, although she took blood and urine samples from Iliana, the actual
    testing of those samples was not something she “deal[s] with[.]”
    Of additional note is Nurse Plante’s testimony that, when she first
    encountered Iliana, she explained the “lengthy procedure” that would ensue.
    - 35 -
    Specifically, Nurse Plante told Iliana that “the information [Iliana] gave [Nurse
    Plante] would not leave * * * until it’s locked up and secured.” Moreover, Nurse
    Plante stated that Iliana “seemed like she kind of wanted to get in and out.”
    Overall, these statements suggest that the interaction between Nurse Plante and
    Iliana was somewhat transactional and that Iliana understood that the results
    yielded from the exam would be passed on to the police. All of this signals that the
    forensic aspect of the exam subsumed any general “support” Nurse Plante may
    have offered.
    While the majority “unhesitatingly” concludes that there was no abuse of
    discretion in admitting much of Nurse Plante’s testimony, I view this as a much
    closer case. Nurse Plante’s multifaceted role is not something this Court should
    have to tease out after poring over the trial testimony. It is the prosecutor’s job to
    lay the proper foundation for the bounds of hearsay testimony given by the state’s
    witness. See In re Rylee A., 
    233 A.3d 1040
    , 1050 (R.I. 2020) (“The proponent of
    the evidence must lay a proper foundation establishing that the statements in the
    record were made for purposes of medical diagnosis or treatment.”).
    In State v. Watkins, we held that the foundation was improperly laid because
    the doctor, a child-abuse specialist, did not explain how the victim’s statements
    about her fear of her abuser factored into the doctor’s treatment. Watkins, 
    92 A.3d at 188
    . At trial, the doctor conceded that her evaluations of the victim “[were]
    - 36 -
    more centered on the physical trauma[,]” even though her typical exams often
    contained a psychological component. 
    Id.
            Nevertheless, this Court held that,
    without a foundation to tether the statements concerning psychological trauma
    directly to the medical diagnosis of that specific patient, the doctor’s testimony
    lacked an adequate foundation to admit the statements under Rule 803(4). 
    Id.
    Here, Nurse Plante’s testimony does not indicate how Iliana’s statements
    identifying defendant or how her account of screaming, being pushed, etc.,
    impacted Nurse Plante’s performance of the forensic exam. This harkens back to
    our reasoning in State v. Gaspar, wherein we perceived an insufficient foundation
    because “[t]he doctor did not provide any medical reason as to why she obtained
    [the complainant’s] narrative.” Gaspar, 
    982 A.2d at 152
    . Under the facts of that
    case, we gleaned that the testimony “suggest[ed] forensics, not medicine.” 
    Id.
    Therefore, we concluded that the statements fell outside the bounds of Rule 803(4).
    
    Id. at 153
    .
    Indeed, this Court readily admits statements under Rule 803(4) where the
    prosecutor elicits testimony from the state’s witness that establishes a clear
    connection between the statements and the relevant diagnosis. See, e.g., State v.
    Moten, 
    64 A.3d 1232
    , 1240 (R.I. 2013) (modeling an “evidentiary foundation laid
    by the prosecutor [that] tracked the hearsay exception found in Rule 803(4)”). In
    State v. Pierce, 
    689 A.2d 1030
     (R.I. 1997), the doctor testified explicitly that the
    - 37 -
    timing of the perpetrator’s last penetration of the victim was “significant [to her
    diagnosis] for several reasons[,]” including that “the latest date of penetration
    would determine how [the doctor] proceeded on the pelvic exam and the timing of
    some of the laboratory tests.” Pierce, 
    689 A.2d at 1033
     (brackets, internal
    quotation marks, and deletions omitted). Likewise, in State v. Benitez, 
    266 A.3d 1221
     (R.I. 2022), we recognized that the prosecutor and the trial justice
    demonstrated “great effort * * * to ensure that [the doctor’s] testimony did not go
    beyond that which is permitted under the medical diagnosis or treatment exception
    to the hearsay rule * * *.” Benitez, 266 A.3d at 1228. Thus, we deemed that the
    statements were handled properly under the rule. Id. It does not appear that similar
    efforts to cabin the testimony were exercised here.
    I am unable to conclude that the mere possibility that Iliana would require
    further “support” from Nurse Plante made the narrative statements about Iliana’s
    assault pertinent to Nurse Plante’s “treatment” of her.        This connection is
    uncomfortably tenuous, especially in light of our precedents that call for a more
    apparent connection between the hearsay statement and the resulting medical
    diagnosis. See, e.g., Pierce, 
    689 A.2d at 1033
    ; Gaspar, 
    982 A.2d at 152
    ; Watkins,
    
    92 A.3d at 188
    ; Moten, 
    64 A.3d at 1240
    .
    For the foregoing reasons, I am of the opinion that the trial justice erred in
    allowing Nurse Plante to testify about the statements made to her by Iliana under
    - 38 -
    Rule 803(4). Because I believe that such error was harmless beyond a reasonable
    doubt, however, I concur in the judgment.
    - 39 -
    STATE OF RHODE ISLAND
    SUPREME COURT – CLERK’S OFFICE
    Licht Judicial Complex
    250 Benefit Street
    Providence, RI 02903
    OPINION COVER SHEET
    Title of Case                            State v. James White.
    No. 2021-216-C.A.
    Case Number
    (P1/17-1457A)
    Date Opinion Filed                       June 30, 2023
    Suttell, C.J., Goldberg, Robinson, Lynch Prata, and
    Justices
    Long, JJ.
    Written By                               Associate Justice William P. Robinson III
    Source of Appeal                         Providence County Superior Court
    Judicial Officer from Lower Court        Associate Justice Netti C. Vogel
    For State:
    Virginia M. McGinn
    Department of Attorney General
    Attorney(s) on Appeal
    For Defendant:
    Kara J. Maguire
    Rhode Island Public Defender
    SU-CMS-02A (revised November 2022)