Harris County, Texas and Kevin Vailes v. Barbara Coats, Individually, as Personal Representative of the Estate of Jamail Amron, and as Heir to the Estate of Jamail Amron, And Ali Amron, Individually and as Heir to the Estate of Jamail Amron, Barbara Coats ( 2020 )


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  • Reversed and Rendered in Part, Affirmed as Modified in Part, Remanded, and
    Opinion Filed February 6, 2020.
    In The
    Fourteenth Court of Appeals
    NO. 14-17-00732-CV
    HARRIS COUNTY, TEXAS AND KEVIN VAILES, Appellants
    V.
    BARBARA COATS, INDIVIDUALLY, AS PERSONAL
    REPRESENTATIVE OF THE ESTATE OF JAMAIL AMRON,
    DECEASED, AND AS HEIR TO THE ESTATE OF JAMAIL AMRON,
    DECEASED; AND ALI AMRON, INDIVIDUALLY AND AS HEIR TO THE
    ESTATE OF JAMAIL AMRON, DECEASED, Appellees
    On Appeal from the 80th District Court
    Harris County, Texas
    Trial Court Cause No. 2012-55551
    OPINION
    In this civil rights action, a Texas county and a deputy constable appeal a
    judgment following a jury verdict awarding wrongful death and survival damages.
    Appellees and plaintiffs below, Barbara Coats and Ali Amron, asserted a section
    1983 claim against Harris County and Harris County Constable Precinct Four
    Deputy Kevin Vailes, alleging that the defendants’ unconstitutional conduct caused
    the death of appellees’ son, Jamail Amron. A jury found that Deputy Vailes violated
    Jamail’s Fourth Amendment rights to be free from excessive force and unreasonable
    seizure. The jury also answered in appellees’ favor a series of questions submitted
    to establish Harris County’s liability under 42 U.S.C. section 1983 and Monell.1 The
    jury awarded (a) $1,000,000 in survival damages, (b) $10,000,000 in damages
    resulting from Jamail’s death, and (c) $5,000 in exemplary damages against Deputy
    Vailes. The jury apportioned responsibility for Jamail’s death 60% to Harris County,
    20% to Deputy Vailes, and 20% to Jamail.
    Harris County and Deputy Vailes seek reversal and rendition of judgment, in
    whole or in part, or a new trial. Appellees raise a cross-issue challenging the trial
    court’s decision to reduce their recovery of survival damages by 20% because the
    jury was not asked to apportion responsibility for Jamail’s pain and anguish.
    For reasons explained below, we hold the following.
    1.       Appellees did not establish that Deputy Vailes’s constitutional
    violations found by the jury were inflicted pursuant to an act or decision
    of a Harris County final policymaker responsible for the area of county
    business at issue. Thus, Harris County is not liable under section 1983
    for any damages.
    2.       Legally and factually sufficient evidence supports the jury’s findings
    that Deputy Vailes violated Jamail’s constitutional rights to be free
    from excessive force.
    1
    Monell v. New York City Dep’t of Social Servs., 
    436 U.S. 658
    (1978).
    2
    3.     Deputy Vailes is not entitled to qualified immunity from the excessive
    force claim.
    4.     Appellees did not present legally sufficient evidence that Deputy
    Vailes’s constitutional violations found by the jury caused Jamail’s
    death.   Thus, Deputy Vailes is not liable under section 1983 for
    wrongful death damages.
    5.     Deputy Vailes’s jury charge error complaint does not entitle him to a
    new trial because any error is harmless.
    6.     Legally sufficient evidence supports the exemplary damage award
    against Deputy Vailes.
    7.     Based on this jury charge, the trial court erred in reducing appellees’
    recovery for pain and mental anguish damages by 20%.
    We reverse the judgment against Harris County and render judgment that
    appellees take nothing from Harris County. We reverse the portion of the judgment
    awarding wrongful death damages to appellees and render judgment that appellees
    take nothing from Deputy Vailes for damages resulting from Jamail’s death. We
    modify the portion of the judgment awarding pain and mental anguish damages to
    provide that Coats, as personal representative of Jamail’s estate, recover from
    Deputy Vailes $1,000,000 awarded by the jury for those damages, and we affirm as
    modified that part of the judgment. We additionally affirm the portion of the
    judgment awarding appellees $5,000 in exemplary damages against Deputy Vailes.
    Finally, in light of the reduction in damages, we remand the attorney’s fee award to
    the trial court for redetermination. See Tex. R. App. P. 43.3.
    3
    Background
    In September 2010, Jamail and his girlfriend were using cocaine in her
    apartment when he began feeling ill. Worried that the cocaine was “bad,” Jamail
    left the apartment through a bedroom window to call for help. At 1:40 a.m., he called
    911 from a public phone located on the apartment complex property. He told the
    operator that he had taken too many muscle relaxers and was having difficulty
    breathing. The operator dispatched an ambulance with two emergency medical
    technicians (“EMTs”), Sean Richardson and William May, for an “unknown
    possible drug overdose.” For safety purposes, the operator placed a call for police
    back-up and instructed the EMTs to wait for law enforcement to arrive.
    As the EMTs waited near the apartment complex, Richardson saw Jamail
    climb the fence and approach the ambulance, where Richardson spoke with him.
    Richardson described Jamail as distressed, extremely anxious, sweating, and
    hyperventilating. Jamail asked if the EMTs were there to help him. Jamail told
    Richardson that he had taken cocaine, that he thought there was “something in” it,
    and that he was afraid he would die.         Richardson asked Jamail to allow an
    examination in the ambulance, but Jamail refused and ran toward a nearby Burger
    King restaurant.
    The parties’ descriptions of subsequent events vary significantly. Appellees’
    trial evidence centered on the testimony of Cindy Lansdale, a Burger King assistant
    manager working that night. As Lansdale closed out cash registers, she heard
    someone bang on a window. Outside she saw Jamail, wearing only shorts and a
    shirt. Jamail said he did not feel good and asked for a cup of water. She directed
    Jamail to the drive-through window. Lansdale described Jamail as hyperventilating,
    but he was otherwise calm, kind, respectful, and clear-spoken. Lansdale gave Jamail
    4
    a cup of water, which he drank while sitting on the ground near the drive-through
    window. He asked Lansdale to keep an eye on him because he did not feel well.
    Meanwhile, Harris County Precinct Four Deputy Bryan Saintes responded to
    the call for back-up and arrived on the scene. Deputy Saintes spoke with the EMTs,
    who told him that Jamail ran to the Burger King. Watching events from inside the
    drive-through window, Lansdale saw Deputy Saintes drive to the restaurant and park
    his vehicle ten to twelve feet from the window. Deputy Saintes cuffed Jamail’s
    hands behind his back and walked him toward the ambulance. Jamail did not resist,
    but Lansdale heard him say, “I didn’t do anything.” Within two minutes after they
    reached the rear of the ambulance, Jamail became combative, broke away, and,
    hands still cuffed, ran back toward the drive-through window. Deputy Saintes
    pursued Jamail, and the two struggled as the deputy attempted to hold Jamail against
    the driver’s side of the patrol vehicle. At that time, Precinct Four Deputies Jason
    Reese and Kevin Vailes, as well as Precinct Four Corporal Mary Haver, arrived as
    back-up, and they immediately assisted Deputy Saintes in the struggle. Shortly, all
    four officers were holding Jamail against the vehicle.
    Lansdale then saw Richardson approach and stand next to Deputy Saintes. As
    an officer held Jamail, Richardson gave Jamail an injection in his shoulder. Jamail
    immediately collapsed into the officer’s arms and fell to the ground, where he laid
    on his back with his eyes closed. Lansdale saw Deputy Reese place his foot on
    Jamail’s calf muscles, while Corporal Haver “kick-tapped” his body as if she was
    “checking his body functions.” Meanwhile, as Lansdale described, Deputy Vailes
    placed his police boot across Jamail’s nostrils and mouth and pressed down with
    enough force so “that the arch of the neck was going flat along with the asphalt.” 2
    2
    Another Burger King worker said in a written statement that one of the officers “placed
    his foot on [Jamail’s] face.”
    5
    While Jamail was on the ground, Lansdale did not hear him make noises or see him
    move, and his eyes were closed. Lansdale walked away from the drive-through
    window for about two to five minutes. When she returned to the window and looked
    out, she again saw Deputy Vailes’s boot over Jamail’s nose and mouth. Lansdale
    then stepped away from the window for approximately fifteen to twenty minutes.
    Lansdale saw no further interactions between Jamail, the deputies, and the EMTs.
    When she returned to the window a third time, Jamail was gone.
    The officers and EMTs, for their part, generally agreed that Deputy Saintes
    was struggling to restrain Jamail when Deputies Reese and Vailes arrived at the
    scene, and that the group forced Jamail to the ground. Deputy Vailes denied that he
    placed his boot over Jamail’s nose and mouth. Deputy Vailes said that he placed his
    knee, and then his foot, beside Jamail’s head and put his hand on Jamail’s forehead
    because—in contrast to Lansdale’s description that Jamail appeared to be “dead or
    in a coma”—Jamail was banging his head and thrusting his torso up while trying to
    kick, spit, and bite the medical personnel and the deputies. While Jamail was
    restrained on the ground, Richardson said he administered two milligrams of a
    sedative, Versed. Because Jamail continued to struggle, Richardson administered a
    second two milligram dose of Versed, and Jamail “settled down” a few seconds later.
    Deputy Vailes walked to his patrol vehicle, while the other deputies and EMTs
    rolled Jamail on his side and added extra sets of handcuffs so they could place a
    backboard behind him.          At that time, Jamail was seen “breathing heavily.”
    Richardson, May, and Deputy Reese noted that Jamail was breathing when they
    rolled him to his side.3 Deputy Reese also heard Jamail making noises. May
    described Jamail as “very calm and breathing normally.” After the backboard was
    3
    Richardson stated that Jamail had an “open airway,” and Richardson watched “the rise
    and fall of his chest.”
    6
    in place, the deputies and the EMTs lifted Jamail onto a stretcher. Then, Deputy
    Reese commented that Jamail looked pale and asked the EMTs if Jamail was
    breathing. One of the EMTs checked and said he was. Corporal Haver noticed that
    Jamail’s breathing was shallow. She also asked the EMTs if Jamail’s breathing was
    okay, and the EMT told her that the sedative they administered had taken effect. At
    Deputy Reese’s request, an EMT checked Jamail’s airway and said it was “good.”
    After Jamail was placed on the stretcher and while being wheeled toward the
    ambulance, Richardson heard “snoring respirations” and observed that Jamail had
    “turned pale and was presenting with agonal respirations which are deep, labored
    respirations.” May agreed that they “may have a problem.” By the time the EMTs
    reached the ambulance, Richardson noticed that Jamail had stopped breathing; when
    he checked for a pulse, he could not find one and “identified that [Jamail] was in
    cardiac arrest at that time.” The EMTs suctioned a small amount of “emesis” from
    his mouth, performed CPR on him, and transported him to a nearby hospital. Efforts
    to resuscitate Jamail proved unsuccessful, and he was pronounced dead at the
    hospital. After an investigation, the Harris County Sheriff’s Office ruled Jamail’s
    death accidental.
    None of the deputies recorded any part of the encounter and no nearby security
    camera video was introduced.
    Jamail’s parents, individually and as representatives and heirs of Jamail’s
    estate, filed the present suit against Richardson, Mays, Cypress Creek Emergency
    Medical Services (Richardson’s and May’s employer), Deputies Vailes, Saintes, and
    Reese, Corporal Haver, Harris County Precinct Four Constable’s Office, and Harris
    County. Appellees alleged that the defendants violated Jamail’s constitutional rights
    7
    and sought recovery under section 1983. See 42 U.S.C. § 1983.4 Appellees’ central
    allegation was that Deputy Vailes suffocated Jamail with his boot. The EMTs and
    Cypress Creek settled before trial. The trial court dismissed on qualified immunity
    grounds all claims against the law-enforcement defendants other than Deputy Vailes,
    and the court dismissed the Precinct Four Constable’s Office on jurisdictional
    grounds. At the time of trial in April 2017, only Deputy Vailes and Harris County
    remained as defendants.
    After a three-week trial, the jury returned a verdict against Deputy Vailes and
    Harris County. The jury found that Jamail sustained an injury resulting directly from
    Deputy Vailes’s use of excessive force that was objectively unreasonable, and that
    Deputy Vailes unreasonably seized Jamail. As to Harris County, the jury found that:
    (a) a final policymaker for the county acted with deliberate indifference to a
    policy that was the moving force behind the violation of Jamail’s
    constitutional rights to be free from excessive force and unreasonable seizure;
    (b) at the relevant time, Harris County Constable Precinct Four had a verbal
    policy that prohibited an officer from using his or her feet as a form of use of
    force unless the life of the officer is threatened;
    (c) a final policymaker for the county acted with deliberate indifference to the
    verbal policy regarding use of feet and that such policy was the moving force
    behind the violation of Jamail’s constitutional rights to be free from excessive
    force and unreasonable seizure;
    (d) a final policymaker for the county failed to train law enforcement officers
    adequately and was deliberately indifferent to the consequences of such
    4
    Section 1983 provides a private right of action in tort against persons acting under color
    of state law who violate rights secured by federal law. See 42 U.S.C. § 1983.
    8
    failure;
    (e) a final policymaker for the county failed to supervise law enforcement
    officers adequately and was deliberately indifferent to the consequences of
    such failure; and
    (f) a final policymaker for the county ratified Deputy Vailes’s conduct that
    violated Jamail’s constitutional rights to be free from excessive force and
    unreasonable seizure.
    The jury awarded appellees $1,000,000 for Jamail’s pain and mental anguish;
    $10,000,000 resulting from Jamail’s death; and $5,000 in exemplary damages
    against Deputy Vailes. In apportionment questions relating to the death damages
    only, the jury apportioned 60% fault for Jamail’s death to Harris County, 20% to
    Deputy Vailes, and 20% to Jamail. The trial court signed a judgment based on the
    verdict, except the court reduced appellees’ recovery for Jamail’s pre-death pain and
    mental anguish by 20%. The judgment grants appellees recovery of 20% of all
    compensatory damages against Deputy Vailes and Harris County jointly and
    severally, plus an additional sum equal to 60% of all compensatory damages against
    Harris County only, plus exemplary damages against Deputy Vailes, plus attorneys’
    fees under 42 U.S.C. § 1988.5
    Issues Presented
    In its first two issues, Harris County challenges its section 1983 liability on
    several grounds. Most stem from the basic premise that appellees’ damages did not
    result from constitutionally deficient policies adopted by a county official vested
    with, or to whom was delegated, final policymaking authority for Harris County as
    to law enforcement. In its third issue, the county argues that it did not cause Jamail’s
    5
    All damages against Deputy Vailes are in his individual capacity.
    9
    death. Finally, the county challenges the legal and factual sufficiency of the
    evidence supporting the jury’s finding that the county is 60% at fault for Jamail’s
    death.
    Deputy Vailes contends that:       (1) the evidence is legally and factually
    insufficient to support the jury’s findings that he used excessive force or
    unreasonably and intentionally seized Jamail; (2) he is entitled to qualified immunity
    as a matter of law; (3) the trial court erred in denying his motions to modify or reform
    the judgment or grant a new trial; (4) appellees presented no evidence that Jamail
    died of suffocation rather than acute cocaine toxicity; (5) the trial court improperly
    charged the jury on unreasonable seizure because that question was effectively a
    double submission of excessive force; and (6) the punitive damages award is not
    supported by legally or factually sufficient evidence.
    In a single cross-issue, appellees contend that the trial court erred in reducing
    Jamail’s survival damages based on the proportionate responsibility findings
    because those findings applied only to the death damages, and the jury was not asked
    to apportion responsibility for survival damages.
    Analysis
    Title 42 U.S.C. section 1983 provides in relevant part:
    Every person who, under color of any statute, ordinance, regulation,
    custom, or usage, of any State . . . subjects, or causes to be subjected,
    any citizen of the United States or other person within the jurisdiction
    thereof to the deprivation of any rights, privileges, or immunities
    secured by the Constitution and laws, shall be liable to the party injured
    in an action at law, suit in equity, or other proper proceeding for
    redress. . . .
    42 U.S.C. § 1983. We apply federal substantive law and state procedural law when
    reviewing a claim brought under a federal statute. In re GlobalSanteFe Corp., 275
    
    10 S.W.3d 477
    , 485 (Tex. 2008). The federal statute at issue, section 1983, is “not a
    source of substantive rights” but creates a cause of action against state actors to
    enforce those rights. Escobar v. Harris County, 
    442 S.W.3d 621
    , 629 (Tex. App.—
    Houston [1st Dist.] 2014, no pet.) (citing Graham v. Connor, 
    490 U.S. 386
    , 393-94
    (1989); City of Lancaster v. Chambers, 
    883 S.W.2d 650
    , 658 (Tex. 1994)). A section
    1983 claimant must show that a person acting under color of state law deprived the
    claimant of rights, privileges, or immunities secured by the Constitution or laws of
    the United States. See Parratt v. Taylor, 
    451 U.S. 527
    , 535 (1981), overruled in part
    on other grounds, Daniels v. Williams, 
    474 U.S. 327
    , 331-32 (1986). Individual
    government actors and, in certain circumstances, local governments can be
    “persons” subject to section 1983 liability. See Howlett v. Rose, 
    496 U.S. 356
    , 375
    (1990); 
    Monell, 436 U.S. at 694
    . Appellees secured a judgment under section 1983
    against both Harris County and Deputy Vailes. We first consider the county’s
    arguments.
    A.    Harris County
    1.      Local government liability under section 1983
    The Supreme Court held in Monell that a local government is liable under
    section 1983 for its policies that cause constitutional torts. 
    Monell, 436 U.S. at 694
    ;
    see also McMillian v. Monroe County, 
    520 U.S. 781
    , 784-85 (1997). For liability to
    attach, a local government must itself subject a person to a deprivation of rights or
    cause a person to be subjected to such a deprivation through official action or
    imprimatur. See Connick v. Thompson, 
    563 U.S. 51
    , 60-61 (2011); Pembaur v.
    Cincinnati, 
    475 U.S. 469
    , 479 (1986) (local governments responsible only for “their
    own illegal acts”); Piotrowski v. City of Houston, 
    237 F.3d 567
    , 578 (5th Cir. 2001).
    Isolated unconstitutional actions by local government employees will almost never
    trigger employer liability because local government employers are not vicariously
    11
    liable under section 1983 for their employees’ unconstitutional or illegal acts. See
    
    Monell, 436 U.S. at 691
    ; 
    Piotrowski, 237 F.3d at 578
    .
    To establish local government liability under section 1983, a claimant must
    prove three critical elements:      an official policy, promulgated by the local
    government unit’s policymaker, that was the “moving force” behind the violation.
    See Culbertson v. Lykos, 
    790 F.3d 608
    , 628 (5th Cir. 2015); 
    Piotrowski, 237 F.3d at 578
    (citing 
    Monell, 436 U.S. at 694
    ). These three principles are “necessary to
    distinguish individual violations perpetrated by local government employees from
    those that can be fairly identified as actions of the government itself.” 
    Piotrowski, 237 F.3d at 578
    . Generally speaking, for instance, when a municipal official follows
    or executes an unconstitutional municipal policy and thereby causes injury, section
    1983 municipal liability may result; whereas, when a municipal official causes injury
    by violating a person’s constitutional rights, but does so contrary to a constitutional
    municipal policy, section 1983 municipal liability will rarely if ever result. The
    former circumstance illustrates the local government’s acts; the latter illustrates only
    the employee’s.
    An official government policy can be proven in more than one way. It
    includes: (1) official decisions promulgated by a local government’s lawmaking
    body; (2) longstanding practices so persistent and widespread as to fairly represent
    government policy or the force of law; and (3) the acts or policies of officials who
    by law or delegation possess final policymaking authority for the local government
    concerning the action alleged to have caused the particular constitutional or statutory
    violation at issue. See 
    Pembaur, 475 U.S. at 480-81
    ; 
    Monell, 436 U.S. at 691
    ;
    Adickes v. S.H. Kress & Co., 398 U.S.144, 167-68 (1970); 
    Culbertson, 790 F.3d at 628
    ; Bennett v. City of Slidell, 
    735 F.2d 861
    , 862 (5th Cir. 1984) (en banc).
    Moreover, a municipality may be held liable for a single act or decision of a final
    12
    policymaker, as when a municipality’s properly constituted legislative body
    approves and executes a single unconstitutional decision. See Jett v. Dallas Indep.
    Sch. Dist., 
    491 U.S. 701
    , 737 (1989); City of St. Louis v. Praprotnik, 
    485 U.S. 112
    ,
    123 (1988) (plurality opinion); 
    Pembaur, 475 U.S. at 480
    .                        But even when
    accountability is sought based on a single act, “municipal liability under § 1983
    attaches where—and only where—a deliberate choice to follow a course of action is
    made from among various alternatives by the official or officials responsible for
    establishing final policy with respect to the subject matter in question.” 
    Pembaur, 475 U.S. at 483
    .
    Appellees sought to establish Harris County’s liability through at least one of
    five independent questions. The jury answered all five questions in appellees’ favor.
    Although the county attacks each question on multiple grounds, the county’s
    challenge to the policymaker element is common to all theories and dispositive of
    Harris County’s appeal, so we address only that issue. See Tex. R. App. P. 47.1.
    Each liability question required appellees to identify a final policymaker for
    Harris County concerning the violation at issue, which the county says was not
    done.6 Regarding policymakers in the section 1983 context, our task is to “identify
    those officials or governmental bodies who speak with final policymaking authority
    for the local governmental actor concerning the action alleged to have caused the
    particular constitutional or statutory violation at issue.” 
    McMillian, 520 U.S. at 784
    -
    85; see 
    Pembaur, 475 U.S. at 482-83
    . Our inquiry is informed by well-known
    principles. First, we must ask whether a particular official or body is a final
    policymaker for the local government “in a particular area” or “on a particular issue.”
    6
    Harris County preserved its argument in the trial court by objecting to the relevant charge
    instruction and asserting in post-trial motions that elected constables are not final policymakers
    for the county.
    13
    
    McMillian, 520 U.S. at 785
    . An official may be a final policymaker with respect to
    some areas but not others. See 
    Pembaur, 475 U.S. at 483
    n.12; Harris County v.
    Nagel, 
    349 S.W.3d 769
    , 786 (Tex. App.—Houston [14th Dist.] 2011, pet. denied).
    Second, whether a local government official is a final policymaker in a
    particular area is a question of state law. 
    McMillian, 520 U.S. at 786
    ; 
    Jett, 491 U.S. at 737
    ; 
    Praprotnik, 485 U.S. at 123
    ; 
    Nagel, 349 S.W.3d at 786
    . State law always
    should direct us “to some official or body that has the responsibility for making law
    or setting policy in any given area of a local government’s business,” 
    Praprotnik, 485 U.S. at 125
    , and the trial court must identify that official or body for the jury.
    
    Jett, 491 U.S. at 737
    . We may not assume that final policymaking authority lies in
    some entity or person other than where state law places it. See 
    Praprotnik, 485 U.S. at 126
    . Additionally, authority to make local government policy may be granted
    directly by a legislative enactment or may be delegated by an official or body
    possessing such authority. See 
    id. at 124;
    Pembaur, 475 U.S. at 483
    ; 
    Nagel, 349 S.W.3d at 794
    (concluding commissioners court delegated responsibility and
    allocated funds for executing mental health warrants county-wide to single constable
    precinct); see also City of Houston v. Aspenwood Apartment Corp., No. 01-97-
    01378-CV, 
    1999 WL 681939
    , *7 (Tex. App.—Houston [1st Dist.] Aug. 27, 1999,
    pet. denied) (not designated for publication).
    Third, policymaking authority encompasses more than discretionary
    authority.   One who speaks with final policymaking authority for the local
    government is effectively one who “takes the place of the governing body in a
    designated area of city administration.” Webster v. City of Houston, 
    735 F.2d 838
    ,
    841 (5th Cir. 1984). Such a person decides the goals for a particular city or county
    function, devises the means of achieving those goals, acts in the place of the
    governing body in the area of delegated responsibility, and is not supervised except
    14
    as to the totality of performance. Bennett v. City of Slidell, 
    728 F.2d 762
    , 769 (5th
    Cir. 1984). In contrast, that a particular official—even a policymaking official—has
    discretion to exercise particular functions does not automatically give rise to local
    government liability based on the exercise of that discretion. See 
    Pembaur, 475 U.S. at 481-83
    ; 
    Bennett, 728 F.2d at 769
    ; City of Houston v. Leach, 
    819 S.W.2d 185
    , 199
    (Tex. App.—Houston [14th Dist.] 1991, no writ).
    To the extent the policymaker question turns solely on questions of law, we
    apply de novo review. E.g., Godoy v. Wells Fargo Bank, N.A., 
    575 S.W.3d 531
    , 536
    (Tex. 2019). We agree with appellees, however, that when it is alleged that a final
    policymaker received authority by delegation from the relevant lawmakers, whether
    and to what extent delegation in fact occurred may involve evidence. See 
    Nagel, 349 S.W.3d at 794
    . We apply traditional evidentiary sufficiency review standards
    to such determinations when they are present and challenged. See 
    id. (applying legal
    sufficiency review to commissioners court delegation of authority to constable).
    2.     Application
    Over Harris County’s objection, the trial court instructed the jury that “Harris
    County Precinct Four Constable Ron Hickman had final policymaking authority
    from Defendant Harris County concerning the act(s) at issue.” Harris County
    contests the assertion because it contravenes state law and because constables act for
    the state, not the county, in law enforcement matters.7
    At the outset, we consider the particular area of local government at issue.
    
    McMillian, 520 U.S. at 785
    . The policies appellees contend were at the heart of the
    7
    The county also complains of a separate instruction, which allowed the jury to find that
    any constable other than Constable Hickman could also be a Harris County policymaker. We need
    not address the point, however, because on appeal appellees contend that only Constable Hickman
    was the final policymaker for Harris County in the relevant area.
    15
    violations, and for which they say the Precinct Four Constable is solely responsible,
    are law enforcement policies. Appellees’ claim is based on use of force policies
    contained in the Precinct Four Constable Policy and Ethics Manual. For example,
    in the jury charge appellees specifically identified key policies from the manual,
    such as the sections concerning “Necessary Force in Making Arrests,” “Use of
    Force,” and “Policy for Deadly Force.” These policies form the focal point of
    appellees’ argument that Deputy Vailes applied constitutionally excessive force in
    placing his foot on Jamail’s face. Additionally, the function Deputy Vailes was
    performing at the time of the violation was a law enforcement activity. Providing
    safety back-up, he arrived on the scene to find a person in handcuffs engaged in a
    struggle with another officer. We thus conclude that the local government area in
    question is fairly characterized as law enforcement.
    Next we examine whether, in a county consisting of more than one constable
    precinct, state law establishes that a single constable is a final policymaker for that
    county in the area of law enforcement. See 
    McMillian, 520 U.S. at 786
    (state law
    controls policymaker inquiry); 
    Jett, 491 U.S. at 737
    ; 
    Nagel, 349 S.W.3d at 786
    . To
    be a final policymaker for a county, a constable must occupy a relationship to the
    county such that his or her “edicts or acts may fairly be said to represent official
    county policy.” Rhode v. Denson, 
    776 F.2d 107
    , 108 (5th Cir. 1985), cert. denied,
    
    476 U.S. 1170
    (1986). A policymaker not only governs conduct but decides goals
    for a particular local government function and devises means of achieving those
    goals. See 
    id. at 110
    (citing 
    Bennett, 728 F.2d at 769
    ).
    The principal organ of county government in Texas is the commissioners
    court. Comm’rs Court of Titus Cty. v. Agan, 
    940 S.W.2d 77
    , 79 (Tex. 1997) (citing
    Tex. Const. art. V, § 1). The Texas Constitution requires the commissioners court
    of each county over a certain population to divide the county into no less than four
    16
    but not more than eight geographic precincts. Tex. Const. art. 5, § 18. The voters
    of each precinct elect one constable for that precinct. Id.; Merritt v. Harris County,
    
    775 S.W.2d 17
    , 24 (Tex. App.—Houston [14th Dist.] 1989, writ denied). Harris
    County has eight constable precincts and thus eight constables. See Harris County
    Constable        Precincts,        http://www.harriscountytx.gov/Government/Law-
    Enforcement/Harris-County-Constable-Precincts (last visited January 9, 2020); see
    also Maxon v. Franz, 
    525 S.W.2d 714
    , 714 (Tex. App.—Houston [14th Dist.] 1975,
    writ ref’d n.r.e.). A constable’s general powers and duties include attending justice
    court in the precinct and executing and returning processes, warrants, and precepts.
    Tex. Loc. Gov’t Code § 86.021. A constable is also authorized to perform other acts
    as established by law, such as those permitted or required to be performed by “peace
    officers.” Tex. Code Crim. Proc. art. 2.12(2) (constables are peace officers). As
    peace officers, constables have the duty “to preserve the peace within the officer’s
    jurisdiction,” with authority to “use all lawful means” to effect that purpose. 
    Id. art. 2.13(a).
    A peace officer’s primary law enforcement duties include: (1) interfering
    without warrant to prevent or suppress crime; (2) executing all lawful processes; (3)
    notifying magistrates of offenses committed within the officer’s jurisdiction; and (4)
    arresting offenders when authorized by law. See 
    id. art. 2.13(b).
    Generally a peace
    officer’s law enforcement authority is limited to the officer’s geographic
    jurisdiction, but constables may perform any express statutory duties anywhere
    within the county in which the constable’s precinct is located (including within other
    precincts) and may additionally serve civil processes in contiguous counties. See
    Tex. Loc. Gov’t Code § 86.021(c), (d); see also Tex. Att’y Gen. Op. No. GA-0189,
    at *3 (2004). Commissioners courts must compensate constables, but they cannot
    remove them. Tex. Const. art. 16, § 61. Only district courts may remove constables
    from office and then only for limited, specific reasons. Tex. Const. art. 5, § 24; Tex.
    Loc. Gov’t Code § 87.013. In the event of removal, however, the commissioners
    17
    court may fill a constable vacancy. Tex. Loc. Gov’t Code § 87.041(a)(10). If an
    elected constable wants to appoint a deputy, he must apply to the county’s
    commissioners court and show the deputy is needed to properly handle the business
    of the constable’s office that originates in the precinct. 
    Id. § 86.011(a).
    The
    commissioners court must approve and confirm the appointment only if it
    determines that the constable needs a deputy. 
    Id. The constable
    is then responsible
    for the official acts of each deputy. 
    Id. § 86.011(c).
    Appellees emphasize that a constable’s law enforcement jurisdiction extends
    to the entire county. Tex. Loc. Gov’t Code § 81.021(c); see also Tex. Att’y Gen.
    Op. No. GA-0189 at *4 (2004). We are not convinced, however, that a constable’s
    jurisdictional reach can support the trial court’s conclusion that the Precinct Four
    Constable is a law enforcement final policymaker for Harris County. A constable’s
    state-given authority and discretion to perform law enforcement tasks within a
    county-wide geographic area does not equate to authority to define law enforcement
    goals and means of achieving those goals for that county. To the extent law
    enforcement jurisdictional reach is relevant, it certainly is not a weighty factor in the
    policymaker inquiry because constables may perform law enforcement tasks outside
    of their respective counties. See Tex. Loc. Gov’t Code § 86.021(c), (d). Here, the
    Precinct Four Constable Office’s civil process service jurisdiction extends not only
    to the boundaries of Harris County but to its seven contiguous counties—Fort Bend,
    Brazoria, Galveston, Chambers, Liberty, Montgomery, and Waller. No one could
    reasonably argue that Constable Hickman is a final policymaker for law enforcement
    in Galveston County merely because he is authorized to perform certain law
    enforcement functions there.
    More persuasive is appellees’ reliance on state law describing the control
    certain county officials possess over matters within their sphere of authority. Each
    18
    county elected official “has the sphere that is delegated to him by law and within
    which the Commissioners Court may not interfere or usurp.” Pritchard & Abbott v.
    McKenna, 
    350 S.W.2d 333
    , 335 (Tex. 1961). An elected county official’s exclusive
    sphere of authority consists of the officer’s core duties under the Texas Constitution
    and statutes. See Griffin v. Birkman, 
    266 S.W.3d 189
    , 197 (Tex. App.—Austin 2008,
    pet. denied). Appellees cite Texas Attorney General Opinion GA-0994, in which
    the Attorney General opined that a county commissioners court probably lacks
    authority to approve or disapprove the county sheriff’s office policy manual. In
    support of the opinion, the Attorney General stated that county officers such as a
    Texas sheriff hold “virtually absolute sway over the particular tasks or areas of
    responsibility entrusted to [them] by state statute.” Tex. Atty Gen. Op. No. GA-
    0994, at *1 (citing Hooten v. Enriquez, 
    863 S.W.2d 522
    , 531 (Tex. App.—El Paso
    1993, no writ) (citing Familias Unidas v. Briscoe, 
    619 F.2d 391
    , 404 (5th Cir.
    1980))).
    Appellees contend the same is true for constables, as they too are county
    officers.8 Some evidence supports appellees’ position that constables have ultimate
    responsibility within their precincts for matters entrusted to them by law. The policy
    manual states that Constable Hickman is the chief executive for the Precinct Four
    Constable department. Constable Hickman testified that he is the “number one guy”
    in the Precinct Four Constable’s Office as to constable policies, which are not subject
    to review by “higher authority” and are not reviewed by the sheriff. Other county
    8
    Tex. Const. art. 5, § 24; art. 16, § 61; see also Tex. Loc. Gov’t Code § 87.012(12)
    (identifying constables as county officers); 
    id. § 152.001
    (county officers may be paid from county
    general fund or from other funds available for that purpose).
    19
    representatives confirmed that Constable Hickman had ultimate responsibility for
    Precinct Four Constable policies.
    Though the trial court could have credited Constable Hickman’s testimony, it
    is nonetheless insufficient to support the court’s instruction. Constable Hickman has
    the final word in Precinct Four as to office policies, and by extension one could also
    infer that each of the eight constables in Harris County is responsible for policies in
    his or her separate precinct. Appellees’ burden, however, was to identify a final
    policymaker who speaks on law enforcement matters for the local government unit
    at issue—Harris County. Appellees direct us to no authority or evidence showing
    that Constable Hickman had policymaking authority over any precinct other than
    Precinct Four or over the county as a whole. No Texas state court has ever held that
    a constable in a single precinct is the county’s final policymaker for law
    enforcement. State and federal courts construing Texas law have long held that the
    sheriff is a county’s final policymaker as to law enforcement for purposes of county
    liability under section 1983.9 To be sure, policymaking authority in areas of county
    business may be shared among more than one official,10 but accepting appellees’
    view would result in nine law enforcement final policymakers for all of Harris
    County: the county sheriff and all eight constables. In any event, Hickman’s
    testimony is not controlling on the issue whether, as a matter of state law, he was the
    final policymaker for Harris County on law enforcement. Frank v. Harris County,
    9
    See County of El Paso v. Dorodo, 
    180 S.W.3d 854
    , 869 (Tex. App.—El Paso 2005, pet.
    denied); Robinson v. Hunt County, 
    921 F.3d 440
    , 448 (5th Cir. 2019); Jackson v. Ford, 544 F.
    App’x 268 (5th Cir. 2013) (“[I]n Texas, ‘[t]he sheriff is without question the county’s final
    policymaker in the area of law enforcement.’” (quoting Colle v. Brazos County, 
    981 F.2d 237
    , 244
    (5th Cir. 1993))); James v. Harris County, 
    577 F.3d 612
    , 617 (5th Cir. 2009); Turner v. Upton
    County, 
    915 F.2d 133
    , 136-37 (5th Cir. 1990) (citing Familias Unidas v. Briscoe, 
    619 F.2d 391
    ,
    404 (5th Cir. 1980)).
    10
    
    Praprotnik, 485 U.S. at 126
    .
    20
    118 F. App’x 799, 802 (5th Cir. 2004). His testimony cannot make it so when the
    people of Texas have not granted him that authority through the constitution or
    statute.
    A constable’s position as a county officer or elected official is insufficient as
    well. An elected constable may be a county agent, but that status does not bring the
    person within the necessarily circumscribed group of people whose “edicts or acts
    may fairly be said to represent official county policy.” 
    Rhode, 776 F.2d at 108
    . As
    Precinct Four Constable, Constable Hickman was not one who “takes the place of
    the governing body in a designated area of [county] administration.” 
    Webster, 735 F.2d at 841
    ; see Bowden v. Jefferson County, 676 F. App’x 251, 256 (5th Cir. 2017)
    (“As the constable of one out of eight precincts in Jefferson County, Saleme may
    have been a decision maker for a single precinct, but he was not a policymaker for
    all of Jefferson County.”). We therefore conclude that the state constitution and
    relevant state and local laws do not vest a precinct constable in Harris County with
    final policymaking authority over law enforcement for the county.
    Though federal courts’ interpretation of state law is not binding on us,11 we
    note that the Fifth Circuit has independently reached the same conclusion. Since
    1985, that court has held repeatedly that a precinct constable is not a final
    policymaker for a Texas county in the area of law enforcement. See Castro v.
    McCord, 259 F. App’x 664, 668 (5th Cir. 2007); Keenan v. Tejeda, 
    290 F.3d 252
    ,
    263 (5th Cir. 2002); Bowles v. Cheek, 44 F. App’x 651 (5th Cir. 2002); Pena v.
    Jimenez, 31 F. App’x 833 (5th Cir. 2002); Sorrells v. Warner, 
    21 F.3d 1109
    (5th Cir.
    1994); 
    Rhode, 776 F.2d at 108
    -09 (reversing judgment against the county for
    constable’s unconstitutional acts during attempted arrest). Federal district courts
    11
    See Stanley v. Reef Sec., Inc., 
    314 S.W.3d 659
    , 677 n.4 (Tex. App.—Dallas 2010, no
    pet.).
    21
    within the circuit are in accord, including, as relevant, in excessive force suits. See,
    e.g., Gremar v. Bexar County, Tex., No. SA-13-CV-434-XR, 
    2014 WL 906796
    , at
    *2 n.1 (W.D. Tex. Mar. 7, 2014); Birge v. Harris County, No. 4:09-CV-660, 
    2009 WL 10693565
    , at *2 (S.D. Tex. May 21, 2009) (constable not county policymaker
    in excessive force suit); Ramos v. Lucio, No. B-08-122, 
    2008 WL 11503546
    , at *3
    (S.D. Tex. Sept. 25, 2008) (in excessive force case resulting from death of hog-tied
    suspect, court held precinct constable not county’s final policymaker for law
    enforcement); Drain v. Galveston County, 
    979 F. Supp. 1101
    , 1103 (S.D. Tex. 1997)
    (shooting during arrest).
    Our conclusion does not end the inquiry, however, because those in whom
    state law vests policymaking power may delegate it to particular local government
    officials, a question we addressed in Nagel. There we considered Harris County’s
    section 1983 liability for a constable’s (or deputy’s) unconstitutional conduct.
    
    Nagel, 349 S.W.3d at 792-94
    . We held that the Harris County Precinct One
    Constable was Harris County’s final policymaker concerning the manner in which
    mental health warrants were executed. 
    Id. at 791.
    The evidence in Nagel showed
    that the commissioners court had delegated to a single constable precinct
    policymaking authority—and concomitant county funds to exercise the authority
    delegated—to serve all mental health warrants county-wide since the early 1970s.
    
    Id. at 793-94.
    The evidence in Nagel showed that the Harris County commissioners
    court, through its budgeting process, allocated funds and responsibility for serving
    mental health warrants to a single precinct and, accordingly, “the County effectively
    designated the constable of that precinct as the final policymaker concerning the
    manner in which those warrants were served.” 
    Id. at 794.
    Appellees say Nagel controls and the Precinct Four Constable is the county
    policymaker for law enforcement because the county impliedly delegated that
    22
    authority to him. Appellees point us to testimony discussed above that Constable
    Hickman had the last word on department policies. But this is not evidence that the
    Constable of Precinct Four “takes the place of the governing body” with respect to
    law enforcement in Harris County. 
    Webster, 735 F.2d at 841
    . In contrast to Nagel,
    the present evidence shows no delegation of responsibility to constables for county-
    wide law enforcement policymaking generally or assisting EMS personnel
    specifically. The record contains no evidence that the commissioners court allocated
    funds to the Precinct Four Constable commensurate with policymaking authority for
    county-wide law enforcement; nor evidence that Harris County impliedly
    acknowledged that Constable Hickman acted in lieu of the county’s governing body
    with respect to law enforcement. See 
    Bennett, 728 F.2d at 769
    . The constable in
    Nagel performed a narrow function for the entire county to the exclusion of all other
    constable precincts and had done so for years, with budgetary support allocated to a
    single precinct for the specific purpose at issue. See 
    Nagel, 349 S.W.3d at 794
    .
    The evidence before us does not support appellees’ argument that a final
    policymaking person or body of Harris County delegated to Constable Hickman
    final policymaking authority over law enforcement for the county. When applicable
    law shows that the person alleged to be a policymaker for a particular area of
    municipal business does not in fact meet the test, and no evidence otherwise
    demonstrates a delegation of sufficient authority, then the municipality can have no
    section 1983 liability arising out of that official’s challenged conduct. See Roberson
    v. City of Austin, 
    157 S.W.3d 130
    , 141 (Tex. App.—Austin 2005, pet. denied);
    Democracy Coalition v. City of Austin, 
    141 S.W.3d 282
    , 293-95 (Tex. App.—Austin
    2004, no pet.); City of Houston, 
    1999 WL 681939
    , at *11.
    We hold as a matter of law that an elected constable of Harris County is not,
    absent specific facts not present in this case, the final policymaker for the county on
    23
    law enforcement matters such that a deputy constable’s unconstitutional conduct is
    chargeable to the county. Additionally, there exists no evidence in this case of
    implied delegation to the Precinct Four Constable of county-wide policymaking
    authority on law enforcement. The trial court’s contrary instruction was error, and
    we sustain Harris County’s first issue. Therefore, the judgment against Harris
    County cannot stand. Given our holding, we need not address Harris County’s
    alternative separation of powers argument that a constable can never be a county
    policymaker when discharging law enforcement duties imposed by state law.
    B.     Deputy Vailes
    Deputy Vailes challenges the judgment against him on several grounds. His
    first issue contains two sub-parts: (1) no legally or factually sufficient evidence
    supports the jury’s findings that he used excessive force or unreasonably seized
    Jamail; and, (2) he is entitled to qualified immunity. In issue two, Deputy Vailes
    challenges the legal and factual sufficiency of the evidence to support the jury’s
    finding that his actions proximately caused Jamail’s death. In his third issue, he
    complains of jury charge error. Finally, he contends that the jury’s punitive damage
    award has no legally or factually sufficient evidentiary support. We address each
    issue in turn.
    1.        Legally and factually sufficient evidence supports the jury’s finding that
    Deputy Vailes used excessive force.
    The trial court’s instruction and question regarding the excessive force claim
    provided:
    First, Plaintiffs claim that Defendant Kevin Vailes violated the
    Fourth Amendment to the Constitution by using excessive force against
    their son, Jamail Amron, on September 30, 2010. The Fourth
    Amendment prohibits a law enforcement officer from using
    unreasonable or excessive force against an individual. To prevail on a
    24
    Fourth Amendment excessive-force claim, Plaintiffs must prove by a
    preponderance of the evidence:
    1. that Jamail Amron sustained an injury resulting directly from
    the use of excessive force; and
    2. that the excessiveness of the force was objectively
    unreasonable.
    The reasonableness of a particular use of force is based on what
    a reasonable officer would do under the circumstances and not on the
    defendant’s state of mind. You must decide whether a reasonable
    officer on the scene would view the force as reasonable, without the
    benefit of 20/20 hindsight. This inquiry must consider the fact that
    police officers are sometimes forced to make split-second judgments—
    in circumstances that are tense, uncertain, and rapidly evolving—about
    the amount of force that is necessary in a particular situation.
    ...
    QUESTION 1
    Do you find that Jamail Amron sustained an injury resulting
    directly from the use of excessive force by Defendant Kevin Vailes and
    that the excessiveness of the force was objectively unreasonable?
    The jury answered, “Yes.” In the first part of Deputy Vailes’s first issue, he
    challenges the legal and factual sufficiency of the evidence supporting the jury’s
    answer to question one.
    a.     Standard of Review
    When a party attacks the legal sufficiency of an adverse finding on which he
    did not have the burden of proof, he must demonstrate on appeal that no evidence
    supports the finding. Graham Cent. Station, Inc. v. Pena, 
    442 S.W.3d 261
    , 263 (Tex.
    2014) (per curiam). We review the evidence in the light most favorable to the
    appealed finding and indulge every reasonable inference that supports it. City of
    Keller v. Wilson, 
    168 S.W.3d 802
    , 821-22, 827 (Tex. 2005); see also Graham Cent.
    
    Station, 442 S.W.3d at 263
    . If the evidence at trial would enable reasonable and
    fair-minded people to differ in their conclusions, then the fact finder must be allowed
    25
    to do so, and we may not substitute our judgment for that of the fact finder. City of
    
    Keller, 168 S.W.3d at 822
    .
    When a party attacks the factual sufficiency of the evidence pertaining to a
    finding on which the party did not have the burden of proof, we may set aside the
    finding only if it is so contrary to the overwhelming weight of the evidence as to be
    clearly wrong and unjust. Bennett v. Comm’n for Lawyer Discipline, 
    489 S.W.3d 58
    , 66 (Tex. App.—Houston [14th Dist.] 2016, no pet.). We consider all the
    evidence, but we will not reverse the judgment unless “the evidence which supports
    the [ ] finding is so weak as to [make the finding] clearly wrong and manifestly
    unjust.” Star Enter. v. Marze, 
    61 S.W.3d 449
    , 462 (Tex. App.—San Antonio 2001,
    pet. denied); see also Cain v. Bain, 
    709 S.W.2d 175
    , 176 (Tex. 1986) (per curiam).
    The amount of evidence necessary to affirm is far less than the amount necessary to
    reverse a judgment. GTE Mobilnet of S. Tex. Ltd. P’ship v. Pascouet, 
    61 S.W.3d 599
    , 616 (Tex. App.—Houston [14th Dist.] 2001, pet. denied). “If we determine
    that the evidence is factually insufficient, we must detail the evidence relevant to the
    issue and state in what regard the contrary evidence greatly outweighs the evidence
    in support of the challenged finding; we need not do so when we affirm.” 
    Bennett, 489 S.W.3d at 66
    .
    We apply these standards mindful that this court is not a fact finder. Maritime
    Overseas Corp. v. Ellis, 
    971 S.W.2d 402
    , 407 (Tex. 1998). The trier of fact is the
    sole judge of witness credibility and the weight afforded their testimony. GTE
    
    Mobilnet, 61 S.W.3d at 615-16
    ; see City of 
    Keller, 168 S.W.3d at 819-20
    . Therefore,
    we may not pass upon the witnesses’ credibility or substitute our judgment for that
    of the jury, even if the evidence would also support a different result. GTE 
    Mobilnet, 61 S.W.3d at 615-16
    .
    26
    b.    Excessive Force Claims
    To establish a section 1983 excessive-force claim, a plaintiff must show that
    he was seized and that he “suffered (1) an injury that (2) resulted directly and only
    from the use of force that was excessive to the need and (3) the force used was
    objectively unreasonable.” Flores v. City of Palacios, 
    381 F.3d 391
    , 396 (5th Cir.
    2004). Excessive force claims are fact-intensive, and courts must consider “the
    severity of the crime at issue, whether the suspect poses an immediate threat to the
    safety of the officers or others, and whether he is actively resisting arrest or
    attempting to evade arrest by flight.” Deville v. Marcantel, 
    567 F.3d 156
    , 167 (5th
    Cir. 2009) (citing 
    Graham, 490 U.S. at 396
    ). “The ‘reasonableness’ of a particular
    use of force must be judged from the perspective of a reasonable officer on the scene,
    rather than with the 20/20 vision of hindsight.” Hogan v. Cunningham, 
    722 F.3d 725
    , 734 (5th Cir. 2013) (quoting 
    Graham, 490 U.S. at 396
    ).
    c.    Application
    First, Deputy Vailes argues that because the jury found Jamail was partially
    responsible for his own death, Jamail did not sustain an injury that resulted directly
    and only from the use of force that was excessive to the need. Here, the language of
    question one omitted the words “and only.” Deputy Vailes did not preserve this
    point, however, because only Harris County objected to question one on the ground
    that it omitted the words “and only.” “[O]ne party may not use another party’s
    objection to preserve an error where the record does not reflect a timely expression
    of an intent to adopt the objection.” Daniels v. Yancey, 
    175 S.W.3d 889
    , 892 (Tex.
    App.—Texarkana 2005, no pet.) (citing Scott Fetzer Co. v. Read, 
    945 S.W.2d 854
    ,
    871 (Tex. App.—Austin 1997), aff’d, 
    990 S.W.2d 732
    (Tex. 1998)). The record
    does not reflect that Deputy Vailes timely objected on the ground he asserts in our
    court or that he adopted Harris County’s objection.          Thus, we measure the
    27
    sufficiency of the evidence by the charge as given. See Osterberg v. Peca, 
    12 S.W.3d 31
    , 55 (Tex. 2000).12 In conducting our review, we consider only the
    evidence pertaining to Deputy Vailes’s actions, viewed in the light most favorable
    to the jury’s findings.13
    When officers were dispatched to the scene, they were responding as back-up
    to a medical emergency call. Lansdale testified that Jamail did not appear to be a
    threat to himself or anyone else when Deputy Saintes arrived. After Jamail ran from
    the ambulance toward the restaurant, he struggled with Deputies Saintes and Reese
    as they attempted to secure him against the patrol car. Deputy Vailes arrived during
    the struggle and assisted in immobilizing Jamail while an EMT injected Jamail’s
    shoulder. According to Lansdale, Jamail immediately collapsed into the officer’s
    arms.
    Lansdale testified that Deputy Vailes placed the sole of his boot on Jamail’s
    face as Jamail lay handcuffed and unresponsive on the ground. Lansdale explained
    that Deputy Vailes applied enough force to compress Jamail’s neck to the ground
    even though Jamail was not actively resisting and appeared to her to be
    unconscious.14
    12
    In any event, as we explain below, there exists some support in the record that Jamail
    sustained pain and mental anguish damages resulting “directly and only” from Deputy Vailes’s
    use of excessive force. The jury did not find that Jamail contributed to his survival damages.
    13
    See, e.g., Poole v. City of Shreveport, 
    691 F.3d 624
    , 628 (5th Cir. 2012) (explaining that
    reasonableness of each officers’ actions should be evaluated separately).
    14
    Lansdale’s initial signed statement to the sheriff varied from her trial testimony as to
    whether Jamail resisted. In her statement, Lansdale said, “[Jamail] then began to twitch and was
    moving around. The officers then used their feet to control the male from moving around on the
    concrete. I believe that the officers were just trying to help the male so that he would not hurt
    himself.” We presume the jury resolved factual discrepancies in Lansdale’s testimony favorably
    to appellees.
    28
    Witnesses generally agreed that an officer’s conduct described by Lansdale
    would constitute excessive force under these circumstances.          Deputy Saintes
    testified that an officer putting his foot on Jamail’s face would be improper and
    involve excessive force. Deputy Reese agreed that the only reason for Deputy Vailes
    to use his feet to restrain Jamail’s head would have been to prevent Jamail from
    banging his head on the concrete. He acknowledged that “if you take away the head
    banging, you would have to take away the reason for using the feet as a form of use
    of force.” Corporal Haver testified that nothing that Jamail was doing that evening
    would have justified “having a foot on his face.” Appellees’ expert, Keith Howse,
    testified that it would be objectively unreasonable to step on a person’s face when
    that person was on the ground unconscious. Even Deputy Vailes acknowledged that
    placing his boot on Jamail’s face and pressing down would be “against the law” and
    “excessive for somebody that was under arrest, much less somebody that wasn’t.”
    Deputy Vailes’s appellate argument is grounded on the factual proposition
    that he never placed his booted foot over Jamail’s mouth and nose. Deputy Vailes
    testified that he used his feet to “cradle” Jamail’s head because Jamail was thrashing
    his head and banging it on the ground. None of the other officers saw Deputy Vailes
    place his boot on Jamail’s face or head; Deputies Saintes and Reese testified that
    they saw Deputy Vailes using his hands to keep Jamail from “violently” banging his
    head against the ground.
    The jury rejected that version of events. Viewing the evidence in the light
    most favorable to the jury’s answer to question one and indulging every reasonable
    inference that supports it, we conclude the jury could have reasonably accepted
    Lansdale’s testimony. At the time Lansdale saw Deputy Vailes place his foot on
    Jamail’s face, a reasonable jury could have found that Jamail did not pose an
    immediate threat to the safety of the officers or others, and he was not actively
    29
    resisting arrest or attempting to evade arrest by flight. See 
    Graham, 490 U.S. at 396
    (identifying these factors as important in determining whether a seizure or use of
    force is reasonable); see also 
    Ramirez, 716 F.3d at 378
    ; 
    Marcantel, 567 F.3d at 162
    (police officer’s breaking plaintiff’s window when she refused to exit her vehicle
    after being pulled over for speeding, dragging her out of the car, and throwing her
    against the car window constituted use of excessive force); Bush v. Strain, 
    513 F.3d 492
    , 501 (5th Cir. 2008) (arresting officer who slammed arrestee’s face into rear
    window of her car after she was handcuffed and subdued used excessive and
    objectively unreasonable force). Further, crediting Lansdale’s depiction of events,
    no reasonable officer could have determined that Jamail posed a threat while he was
    lying motionless on the ground in handcuffs such that placing one’s boot over his
    nose and mouth would be reasonable. See Ramirez v. Martinez, 
    716 F.3d 369
    , 378
    (5th Cir. 2013) (“[A] reasonable officer could not have concluded Ramirez posed an
    immediate threat to the safety of the officers by questioning their presence at his
    place of business or laying on the ground in handcuffs.”); cf. also 
    Nagel, 349 S.W.3d at 785
    (collecting cases holding that “officers use excessive force if they apply
    significant pressure to a person who is hogtied”). Thus, legally sufficient evidence
    supports the jury’s finding that Deputy Vailes used objectively unreasonable and
    excessive force.
    Further, considering the evidence both in favor of and contrary to the jury’s
    answer to question one, we cannot say the finding is so contrary to the overwhelming
    weight of the evidence that it is clearly wrong and manifestly unjust.
    We overrule this portion of Deputy Vailes’s first issue.15 It is therefore
    unnecessary to address Deputy Vailes’s evidentiary sufficiency challenges to the
    15
    Because factually sufficient evidence supports the jury’s answer to question one, we also
    overrule Deputy Vailes’s alternative request for a new trial.
    30
    jury’s finding in question two that Deputy Vailes intentionally and unreasonably
    seized Jamail. See Tex. R. App. P. 47.1; see also Hieber v. Percheron Holdings,
    LLC, —S.W.3d—, No. 14-19-00505-CV, 
    2019 WL 6001153
    , at *5 (Tex. App.—
    Houston [14th Dist.] Nov. 14, 2019, pet. filed).
    2.     Deputy Vailes is not entitled to qualified immunity.
    Deputy Vailes next argues he is entitled to qualified immunity as a matter of
    law, and that the trial court erred in denying his post-judgment motion in that regard.
    Qualified immunity shields government officials from civil damages liability
    “insofar as their conduct does not violate clearly established statutory or
    constitutional rights of which a reasonable person would have known.” Harlow v.
    Fitzgerald, 
    457 U.S. 800
    , 818 (1982). “Qualified immunity balances two important
    interests—the need to hold public officials accountable when they exercise power
    irresponsibly and the need to shield officials from harassment, distraction, and
    liability when they perform their duties reasonably.” Pearson v. Callahan, 
    555 U.S. 223
    , 231 (2009); see also 
    Nagel, 349 S.W.3d at 777-78
    . The doctrine protects “all
    but the plainly incompetent or those who knowingly violate the law.” Malley v.
    Briggs, 
    475 U.S. 335
    , 341 (1986).
    Qualified immunity is an affirmative defense. See Gomez v. Toledo, 
    446 U.S. 635
    , 640 (1980); Pasco v. Knoblauch, 
    566 F.3d 572
    , 575 (5th Cir. 2009). Once a
    defendant raises qualified immunity, the burden shifts to the plaintiff to show that
    (1) the official violated a statutory or constitutional right, and (2) the right was
    “clearly established” at the time of the violation. Morgan v. Swanson, 
    659 F.3d 359
    ,
    371 (5th Cir. 2011) (en banc) (citing Ashcroft v. al-Kidd, 
    563 U.S. 731
    , 735 (2011));
    see 
    Pearson, 555 U.S. at 232
    . The jury found that Deputy Vailes violated Jamail’s
    constitutional rights. The court, in denying Deputy Vailes’s post-judgment motion,
    necessarily determined that the right violated was clearly established in September
    31
    2010. See, e.g., Elder v. Holloway, 
    510 U.S. 510
    , 516 (1994) (explaining that
    existence of “clearly established” law is a question for the court).
    As explained above, sufficient evidence supports the jury’s finding that
    Deputy Vailes violated Jamail’s Fourth Amendment right to be free from excessive
    force, the excessiveness of which was objectively unreasonable. The witnesses
    consistently agreed that, if Deputy Vailes acted in the manner described by Lansdale,
    then his actions would be unlawful. Their testimony comports with relevant case
    law. Cf. Samples v. Vadzemnieks, 
    900 F.3d 544
    , 661-62 (5th Cir. 2018) (explaining
    that first prong of qualified immunity inquiry satisfied when officer used a taser
    when there was no reason to believe that Samples “committed a crime, sought to
    flee, or posed a threat of danger to the [officers]”); 
    Ramirez, 716 F.3d at 378
    ; Bolick
    v. City of E. Grand Rapids, 580 F. App’x. 314, 319-20 (6th Cir. 2014) (denying
    officers’ motion for summary judgment because jury could find that officers’ use of
    taser and applying weight to suspect’s body when he was handcuffed and no longer
    resisting arrest constituted objectively unreasonable excessive force); Champion v.
    Outlook Nashville, Inc., 
    380 F.3d 893
    , 903 (6th Cir. 2004) (holding that use of force
    was not objectively reasonable where officers lay on top suspect who had stopped
    resisting arrest and posed no flight risk and sprayed him with pepper spray). Thus,
    we resolve the first prong of the qualified immunity inquiry against Deputy Vailes.
    We turn to whether Jamail’s right to be free of the degree of force applied
    under these circumstances was clearly established as of September 2010. See Turner
    v. Perry, 
    278 S.W.3d 806
    , 814 (Tex. App.—Houston [14th Dist.] 2009, pet. denied);
    see also White v. Pauly, 
    137 S. Ct. 548
    , 551 (2017) (citing Mullenix v. Luna, 
    136 S. Ct. 305
    , 308 (2015)). To be clearly established, a legal principle or right must
    have a sufficiently clear foundation in then-existing precedent. See District of
    Columbia v. Wesby, — U.S. —, 
    138 S. Ct. 577
    , 589-90 (2018). The right must be
    32
    “settled law,” Hunter v. Bryant, 
    502 U.S. 224
    , 228 (1991) (per curiam), which means
    it is dictated by “controlling authority” or “a robust ‘consensus of cases of persuasive
    authority’” that place the constitutional question beyond debate. See 
    Wesby, 138 S. Ct. at 589-90
    ; 
    al-Kidd, 563 U.S. at 741-42
    . Precedent must be clear enough that
    every reasonable official would interpret it to establish the particular rule the plaintiff
    seeks to apply. 
    Wesby, 138 S. Ct. at 590
    . Otherwise, the rule is not one that “every
    reasonable official” would know. 
    Id. Further, as
    the Supreme Court has instructed, we are “not to define clearly
    established law at a high level of generality.” 
    Mullenix, 136 S. Ct. at 308
    ; 
    al-Kidd, 563 U.S. at 742
    . The interests immunity preserves are so great that the Supreme
    Court insists the right and its particular contours be articulated in light of the
    “specific context of the case,” not as a broad general proposition. See Brosseau v.
    Haugen, 
    543 U.S. 194
    , 198 (2004) (per curiam) (citing Saucier v. Katz, 
    533 U.S. 194
    , 201 (2001)).
    We conclude that “controlling authority” or “a robust ‘consensus of cases of
    persuasive authority’”16 as of September 2010 make it sufficiently clear that every
    reasonable official would understand (as did those who testified) that stepping on
    the nose and mouth of someone who is lying on the ground, likely sedated,
    handcuffed, and described by an eyewitness as generally unresponsive, with enough
    force that the person’s neck touches the ground, would constitute an excessive-force
    Fourth Amendment violation under the present circumstances. In September 2010,
    it was clearly established that comparable uses of gratuitous force against a subdued
    and restrained detainee was unreasonable. See, e.g., 
    Bush, 513 F.3d at 501-02
    (officer’s slamming suspect’s face into vehicle when suspect was handcuffed and
    16
    
    Wesby, 138 S. Ct. at 589-90
    .
    33
    subdued was excessive); Tarver v. City of Edna, 
    410 F.3d 745
    , 753 (5th Cir. 2005)
    (fact question on qualified immunity when officer intentionally slammed car door
    on head of suspect, who did not pose immediate threat to anyone’s safety, and posed
    no risk of escape); Gomez v. Chandler, 
    163 F.3d 921
    , 922, 924-25 (5th Cir. 1999)
    (slamming prisoner’s face into concrete floor “while [prisoner’s] hands were
    handcuffed behind his back” could be excessive); see also Shannon v. Koehler, 
    616 F.3d 855
    , 863 (8th Cir. 2010) (“Assuming, then, that Shannon’s story is true—i.e.,
    assuming he was not threatening anyone, not resisting arrest, and so on—it was not
    reasonable for Officer Kohler to use more than de minimis force against him.”);
    Bailey v. Kennedy, 
    349 F.3d 731
    , 745 (4th Cir. 2003) (unarmed person, handcuffed,
    lying face down on floor; officer lifted person by his bound arms and kicked him in
    back; use of force was excessive after person was “secured face down on the floor
    in handcuffs and leg restraints”); Kane v. Hargis, 
    987 F.2d 1005
    , 1006-07 (4th Cir.
    1993) (denying qualified immunity on excessive force claim where, after officer
    secured suspect, he “repeatedly push[ed] her face into the pavement, cracking three
    of her teeth, cutting her nose, and bruising her face”); Lewis v. City of Albany Police
    Dep’t, 
    547 F. Supp. 2d 191
    , 206-10 (N.D.N.Y. 2008), aff’d, 332 F. App’x 641 (2d
    Cir. 2009), cert. denied, 
    558 U.S. 1050
    (2009) (while plaintiff handcuffed on
    pavement, officer stepped on head with full weight and ground his face into
    pavement, causing abrasions, contusion, and closed head injury; court upheld jury
    verdict finding excessive force). Appellees’ expert agreed that an officer aware of
    the law on September 30, 2010, should know that stepping on a restrained person’s
    face with the amount of force described by Lansdale, when the person is on the
    ground and not resisting, violates the law.
    As Deputy Vailes characterizes the issue, the law was not clearly established
    “that any use of feet by an officer during a seizure of a person is a violation of a
    34
    Fourth Amendment right to be free from excessive force in 2010.” Deputy Vailes’s
    description of clearly established law, however, is both impermissibly general and
    contrary to facts the jury accepted. We hold Deputy Vailes is not entitled to qualified
    immunity and overrule this issue.
    3.     The jury’s finding that Deputy Vailes’s constitutional violations caused
    Jamail’s death is not supported by legally sufficient evidence.
    In his second issue, Deputy Vailes challenges the legal and factual sufficiency
    of the evidence to support the jury’s finding in question nine that he proximately
    caused Jamail’s death. Question nine asked:
    Do you find that any individual or entity named below proximately
    caused the death of Jamail Amron?
    a. Defendant Harris County           Yes
    b. Defendant Kevin Vailes            Yes
    c. Jamail Amron                      Yes
    “Proximate cause” means a cause that was a substantial factor in
    bringing about an occurrence, and without which cause such occurrence
    would not have happened. There may be more than one proximate cause of
    an occurrence.
    We address legal sufficiency first and apply traditional legal sufficiency review
    principles outlined above. City of 
    Keller, 168 S.W.3d at 821-22
    , 827.
    a. Applicable Law
    The facts of this case involve an unfortunate and unnecessary death. Even so,
    the plaintiff bears the burden to prove that the challenged conduct caused the death
    at issue. See Christus St. Mary Hosp. v. O’Banion, 
    227 S.W.3d 868
    , 874 (Tex.
    App.—Beaumont 2007, pet. denied); Sisters of St. Joseph of Texas, Inc. v. Cheek,
    
    61 S.W.3d 32
    , 37 (Tex. App.—Amarillo 2001, pet. denied). Causation must be
    shown to a reasonable medical probability. See Jelinek v. Casas, 
    328 S.W.3d 526
    ,
    35
    532-33 (Tex. 2010). Breach of a duty proximately causes an injury if the breach is
    a cause in fact of the harm and the injury was foreseeable. Stanfield v. Neubaum,
    
    494 S.W.3d 90
    , 97 (Tex. 2016); see Columbia Med. Ctr. of Las Colinas, Inc. v.
    Hogue, 
    271 S.W.3d 238
    , 246 (Tex. 2008). Here, the jury charge’s proximate cause
    definition included only the cause in fact element, and Deputy Vailes does not
    complain of the foreseeability element’s omission. See, e.g., IHS Cedars Treatment
    Ctr. of DeSoto, Tex. Inc. v. Mason, 
    143 S.W.3d 794
    , 799 (Tex. 2004). Because
    absent objection we measure the sufficiency of the evidence by the charge given,17
    we consider only whether the record contains legally sufficient evidence of cause in
    fact.
    Cause in fact is established when the act or omission was a substantial factor
    in bringing about the injury, without which the harm would not have occurred.
    
    Stanfield, 494 S.W.3d at 97
    ; Union Pump Co. v. Allbritton, 
    898 S.W.2d 773
    , 775
    (Tex. 1995), abrogated on other grounds by Ford Motor Co. v. Ledesma, 
    242 S.W.3d 32
    (Tex. 2007). A claimant must prove these elements by more than
    conjecture, guess, or speculation.             
    Stanfield, 494 S.W.3d at 97
    ; IHS Cedars
    Treatment 
    Ctr., 143 S.W.3d at 798-99
    .
    b. Application
    Appellees’ theory is that Jamail died because Deputy Vailes placed his boot
    over Jamail’s nose and mouth for two to five minutes and suffocated him. Deputy
    Vailes argues that Jamail died because of acute cocaine toxicity, as the medical
    examiner concluded following Jamail’s autopsy. According to Deputy Vailes,
    appellees offered no competent expert evidence establishing, within a reasonable
    medical probability, that asphyxia was the cause of death and that acute cocaine
    17
    See 
    Osterberg, 12 S.W.3d at 55
    .
    36
    toxicity was not the cause of death. In response, appellees insist expert testimony
    was not required, and that they presented sufficient lay testimony to support the
    causation finding. We agree with Deputy Vailes.
    In cases alleging medical injury or death, expert testimony regarding
    causation is generally the norm. See 
    Jelinek, 328 S.W.3d at 533
    . The only time this
    is not so is when “general experience and common sense will enable a layman to
    determine, with reasonable probability, the causal relationship between the event
    and the condition.” Id.; see JLG Trucking, LLC v. Garza, 
    466 S.W.3d 157
    , 162 (Tex.
    2015); Guevara v. Ferrar, 
    247 S.W.3d 662
    , 665 (Tex. 2007); Mack Trucks, Inc. v.
    Tamez, 
    206 S.W.3d 572
    , 583 (Tex. 2003); Roark v. Allen, 
    633 S.W.2d 804
    , 809 (Tex.
    1982). To be sufficient, lay evidence must establish a “sequence of events which
    provides a strong, logically traceable connection between the event and the
    condition”18 that is “apparent to the casual observer.” 
    Jelinek, 328 S.W.3d at 533
    .
    Additionally, “if evidence presents ‘other plausible causes of the injury or condition
    that could be negated, the [proponent of the testimony] must offer evidence
    excluding those causes with reasonable certainty.’” JLG 
    Trucking, 466 S.W.3d at 162
    (quoting Transcont. Ins. Co. v. Crump, 
    330 S.W.3d 211
    , 218 (Tex. 2010)).
    When expert testimony is required, however, lay evidence supporting liability is
    legally insufficient. City of 
    Keller, 168 S.W.3d at 812
    . Lay testimony as evidence
    of causation sufficed, for example, in cases like Guevara19 and Morgan,20 but not in
    18
    
    Guevara, 247 S.W.3d at 666
    .
    
    19 247 S.W.3d at 668
    (bone fractures, pain following automobile accident).
    20
    Morgan v. Compugraphic Corp., 
    675 S.W.2d 729
    , 733 (Tex. 1984) (previously healthy
    employee suffered watery eyes, blurred vision, headaches, and swelling of breathing passages
    upon exposure to leaking chemicals).
    37
    Jelinek21 or Roark.22 Courts have also held that expert evidence is required when
    cause of death is at issue, such as in Myers23 and Rodriguez.24
    Appellees assert that no expert evidence is necessary for a jury to understand
    that “depriving a person of air for five minutes will cause death.” As an example,
    they posit that, had the evidence shown that Deputy Vailes placed a plastic bag over
    Jamail’s head, a jury would have been justified in finding that Deputy Vailes caused
    Jamail’s death by suffocation. Assuming that is true, the question is not whether
    suffocation causes death, but whether Deputy Vailes in fact caused Jamail’s death
    by suffocating him with his boot. Appellees rely principally on Lansdale, who said
    she saw Deputy Vailes’s boot on Jamail’s face two times, separated by two to five
    minutes. According to appellees, the jury could have inferred that Deputy Vailes’s
    boot completely obstructed Jamail’s airways for two to five minutes, and that as a
    result Jamail was not breathing and had died once Deputy Vailes removed his foot
    and walked to his patrol car.
    On the present record, we disagree that the jury could have reasonably drawn
    the inference appellees suggest. Lansdale saw Deputy Vailes with his boot on
    Jamail’s face at two moments, but she did not see Deputy Vailes keep his foot on
    Jamail’s face for any sustained period. More important, she was not looking out the
    window at the critical time when Deputy Vailes walked away, so she did not see
    Jamail’s condition at that time or whether he was breathing. Those present with
    
    21 328 S.W.3d at 534
    (cause of infection).
    
    22 633 S.W.2d at 809
    (cause of skull fractures).
    23
    Ins. Co. of N. Am. v. Myers, 
    411 S.W.2d 710
    , 713 (Tex. 1966) (expert required to say
    whether work injury activated and accelerated tumor malignancy and caused death).
    24
    Rodriguez v. Medders, No. 10-11-00369-CV, 
    2012 WL 4862588
    , at *5 (Tex. App.—
    Waco Oct. 4, 2012, no pet.) (whether decubitus ulcers caused death was outside general experience
    of laypersons) (mem. op.).
    38
    Jamail, on the other hand, gave unrefuted testimony that Jamail’s airway was not
    obstructed and that he continued breathing until after Deputy Vailes left the
    immediate scene. Both Richardson and May testified that Jamail was breathing as
    he was rolled onto his side so that he could be placed on a backboard and lifted onto
    a stretcher. Deputy Reese and Corporal Haver also stated that Jamail was breathing
    when he was placed on the backboard;25 it was only when Jamail was lifted onto the
    stretcher that they, and the EMTs, became concerned about Jamail’s breathing.
    According to Richardson, he did not hear “snoring” or “deep, labored respirations,”
    which potentially signaled a problem, until they were wheeling Jamail towards the
    ambulance.
    Even if the jury could have reasonably inferred that Deputy Vailes’s foot
    remained on Jamail’s face for two to five minutes, Lansdale did not say and would
    not know from viewing the scene as a “casual observer” from inside the drive-
    through window whether Jamail’s airway was ever completely obstructed or whether
    he died. She did not testify that Jamail stopped breathing or that she believed he was
    dead.        Though Lansdale said Jamail looked “dead or in a coma” right after
    Richardson gave the first injection, she was describing Jamail’s condition
    immediately upon falling to the ground before she saw Deputy Vailes’s foot on
    Jamail’s face.26 Lansdale did not know whether Jamail was dead or alive at that
    time, and she offered no further testimony whether he appeared dead later.
    25
    According to the Harris County Sheriff’s Office incident report, Deputy Reese became
    concerned about Jamail’s breathing once they had placed him on the backboard, but Jamail was
    breathing and making noises at that time, after Deputy Vailes left. Corporal Haver also became
    concerned after Jamail was placed on the stretcher; she noted that Jamail’s “breathing was shallow”
    at that point. Both Deputy Reese’s and Corporal Haver’s trial testimony was consistent with their
    reports during the Sheriff’s Office investigation.
    26
    Lansdale’s precise words were that “[h]e looked to either be dead or in a coma. I could
    not tell.”
    39
    Appellees also cite an acknowledgement by the defense expert that the events
    described by Lansdale “could have caused” Jamail’s death if “the evidence in this
    case indicated that there was no movement, [Jamail] made no sounds, he was
    unresponsive, and a boot was place over his mouth for a period of five minutes.”
    However, whether the sequence of events described “could” have caused death is
    not legally sufficient. Columbia Med. Ctr. of Las 
    Colinas, 271 S.W.3d at 247
    (“can”
    and “could” are not sufficient to support causation).
    We hold that the lay testimony appellees presented is legally insufficient to
    prove that Deputy Vailes caused Jamail’s death by suffocating him. Appellees’
    evidence, viewed in the light most favorable to the verdict, does not establish a
    “sequence of events which provides a strong, logically traceable connection between
    the event and the condition.” 
    Guevara, 247 S.W.3d at 668
    . Thus, expert evidence
    was necessary to establish appellees’ alleged causal link. See 
    Jelinek, 328 S.W.3d at 534-35
    .
    Moreover, given the circumstances surrounding Jamail’s death, in particular
    the significant medical evidence of a plausible cause of death other than suffocation,
    a jury simply could not have found that Deputy Vailes proximately caused Jamail’s
    death unaided by expert evidence. The evidence showed conclusively that Jamail
    ingested a substantial amount of cocaine on the night in question, which immediately
    prompted his 911 call. Harris County medical examiner Dr. Dwayne Wolf testified
    that Jamail died of “acute cocaine toxicity”—the cause of death identified in the
    medical examiner’s autopsy report.       Although the report contained additional
    pathologic diagnoses—pulmonary edema and congestion, bronchoaspiration of
    gastric contents, and minor blunt trauma, including abrasions on Jamail’s face and
    contusions around his wrists and on his leg, ankle, and one of his toes—Dr. Wolf
    confirmed that Jamail did not choke on his own emesis, or vomit, and suffocate. As
    40
    Dr. Wolf explained, the “little bit of gastric contents” found in Jamail’s lungs was
    consistent with “people dying from all sorts of causes.”27
    The toxicology report identified the cocaine concentration in Jamail’s blood
    as 0.37 mg/L, with the cocaine metabolite benzoylecgonine measuring 0.62 mg/L.
    Harris County chief toxicologist Dr. Teresa Gray explained that a cocaine blood
    concentration of 0.37 mg/L was higher than the vast majority of cocaine deaths in
    Harris County in 2015. She stated, “Only 10 percent of the cocaine deaths [in 2015]
    had concentrations greater than .37.” She also discussed several studies in which
    cocaine blood concentrations in cocaine-related deaths were much higher than that
    measured in Jamail’s death. She testified that studies on cocaine use have wide
    variances in cocaine concentration in the blood, with some people showing no effect,
    an adverse effect, or death at varying degrees of cocaine concentration. In that vein,
    appellees cite a reference text in the toxicology community reporting studies
    showing that in some instances of acute cocaine use, persons with concentrations of
    .75 mg/L had no adverse effects, and one person with a concentration of 3.87 mg/L
    did not exhibit toxicity symptoms. Another text stated that cocaine concentrations
    of less than .3 mg/L are generally considered “clinically therapeutic.”
    Appellants presented the testimony of two additional medical experts: Dr.
    Vincent DiMaio, an expert on excited delirium syndrome, and Dr. Tom Neuman, an
    expert on asphyxiation.        Dr. DiMaio opined that, in all reasonable medical
    probability, Jamail “died of excited delirium syndrome brought on by acute cocaine
    psychosis.” Dr. DiMaio explained that Jamail died of “a cardiac arrhythmia as an
    27
    As appellees emphasize and Dr. Wolf conceded, the particular medical examiner who
    performed the autopsy on Jamail was fired within one year after performing the autopsy because
    she was indicted for insurance fraud. Appellees relied on this fact at trial to undermine the
    autopsy’s credibility and hence the defendants’ theory. Regardless, appellees retained the
    affirmative burden to prove their own theory and establish why it was superior to acute cocaine
    toxicity as another highly plausible cause of death.
    41
    induced irregular beating of the heart due to excited delirium, which is essentially
    an overdose of the body secretions, particularly adrenaline and noradrenaline caused
    by acute cocaine intoxication.” Dr. Neuman explained that Jamail could not have
    died of asphyxiation related to the placement of Deputy Vailes’s boot over Jamail’s
    nose and mouth.
    Based on our review of the record, we cannot say that the cause of Jamail’s
    death is within the “general experience and common sense of laypersons . . . to
    evaluate the conditions and whether they were probably caused by the occurrence.”
    
    Jelinek, 328 S.W.3d at 534
    ; 
    Guevara, 247 S.W.3d at 668
    .                               Under these
    circumstances, whether Jamail died from suffocation as a result of Deputy Vailes’s
    actions or died of acute cocaine toxicity is outside the common knowledge and
    experience of jurors and is not a matter “apparent to the casual observer.” 
    Jelinek, 328 S.W.3d at 533
    . Thus, appellees were required to present expert evidence
    establishing a reasonable medical probability that Deputy Vailes proximately caused
    Jamail’s death by suffocation, and excluding with reasonable certainty the other
    plausible cause that Jamail died from acute cocaine toxicity. See JLG 
    Trucking, 466 S.W.3d at 162
    ; 
    Crump, 330 S.W.3d at 218
    .
    Appellees presented their own toxicology expert, Dr. Ernest Lykissa. Dr.
    Lykissa is a Ph.D., but not a physician.28 He testified that findings of pulmonary
    edema congestion and bronchoaspiration of gastric contents, such as those made in
    Jamail’s autopsy, are often seen in autopsies of people who drowned. However, Dr.
    Lykissa did not opine as to the cause of Jamail’s death because he was not qualified
    to do so and the trial court excluded him from expressing an opinion in that regard.
    Despite the court’s ruling, Dr. Lykissa stated that, given his knowledge of the facts
    28
    Dr. Lykissa’s title indicates his Ph.D. in toxicology, not his status as a licensed physician.
    Dr. Lykissa is not a licensed medical doctor in the United States or Canada.
    42
    and evidence in this case, Jamail’s death was not caused by cocaine. Even so,
    because he was unqualified to testify as to the cause of death, he neither stated that
    Jamail died of suffocation nor explained why appellants’ proffered theory that
    Jamail died of suffocation was medically superior to the medical evidence that he
    died of cocaine toxicity. See Gunn v. McCoy, 
    554 S.W.3d 645
    , 665 (Tex. 2018).
    In sum, appellees presented no expert evidence of causation, and the lay
    testimony fails to meet their burden. We therefore conclude that the jury’s proximate
    cause finding pertaining to the wrongful death damages is unsupported by legally
    sufficient evidence. We sustain Deputy Vailes’s second issue. We need not address
    Deputy Vailes’s factual insufficiency argument.
    Deputy Vailes does not challenge the evidence supporting the survival
    damages. Because we have rejected his qualified immunity argument, we leave the
    survival damages undisturbed except as explained below in our discussion of
    appellees’ cross-issue.
    4.     Any jury charge error as to the unreasonable seizure question is
    harmless.
    Deputy Vailes contends the trial court reversibly erred in submitting a jury
    question on unreasonable seizure (question two) because it constituted a “double
    submission” of excessive force (question one). We need not address this point. As
    we have determined, legally and factually sufficient evidence supports the jury’s
    findings in response to question one, which independently support the trial court’s
    judgment even assuming question two had not been submitted. Thus, any error was
    harmless. See Tex. R. App. P. 44.1(a); Shupe v. Lingafelter, 
    192 S.W.3d 577
    , 579
    (Tex. 2006) (per curiam) (explaining that error in charge is harmless “when the
    findings of the jury in answer to other issues are sufficient to support the judgment”).
    We overrule Deputy Vailes’s third issue.
    43
    5.     The exemplary damage award against Deputy Vailes is supported by
    legally sufficient evidence.
    In his fourth issue, Deputy Vailes contends that the jury’s $5,000 exemplary
    damage award against him lacks legally and factually sufficient evidentiary support.
    The trial court instructed the jury that an award of exemplary damages must
    be based on “clear and convincing evidence,” which means “the measure or degree
    of proof that produces a firm belief or conviction of the truth of the allegations sought
    to be established.” Clear and convincing evidence is “that measure or degree of
    proof which will produce in the mind of the trier of fact a firm belief or conviction
    as to the truth of the allegations sought to be established.” State v. K.E.W., 
    315 S.W.3d 16
    , 20 (Tex. 2010). This standard of proof is an intermediate standard
    “falling between the preponderance standard of civil proceedings and the reasonable
    doubt standard of criminal proceedings.” In re G.M.G., 
    444 S.W.3d 46
    , 54 (Tex.
    App.—Houston [14th Dist.] 2014, no pet.). When, as here, the party’s burden of
    proof is heightened, we must apply a heightened standard of review to sufficiency
    of the evidence challenges. See In re C.H., 
    89 S.W.3d 17
    , 25 (Tex. 2002).
    Punitive damages may be awarded in section 1983 cases “when the
    defendant’s conduct is shown to be motivated by evil motive or intent, or when it
    involves reckless or callous indifference to the federally protected rights of others.”
    Heaney v. Roberts, 
    846 F.3d 795
    , 803 (5th Cir. 2017) (citing Smith v. Wade, 
    461 U.S. 30
    , 56 (1983)). The purpose of such damages is to punish as well as to deter
    future egregious conduct in violation of constitutional rights. Sockwell v. Phelps, 
    20 F.3d 187
    , 192 (5th Cir. 1994). A jury has discretion to award punitive damages
    when it deems it necessary to punish and deter the defendant. See 
    id. Deputy Vailes
    argues, and we agree, that appellees presented no evidence that he was motivated by
    malicious or evil intent.      However, crediting Lansdale’s testimony, the jury
    44
    reasonably could have formed “a firm belief or conviction” that Deputy Vailes’s
    conduct amounted to reckless or callous indifference to Jamail’s right to be free from
    excessive force. Deputy Vailes acknowledged that, if he behaved as Lansdale
    described, then he would have committed assault. Cf. Williams v. Kaufman County,
    
    352 F.3d 994
    , 1015-16 (5th Cir. 2003) (explaining that reckless or callous
    indifference requires “recklessness in its subjective form, i.e., a subjective
    consciousness of a risk of injury or illegality and a criminal indifference to civil
    obligations”).
    Under these circumstances, considering the evidence in the light most
    favorable to the jury’s verdict, we conclude that the jury’s award of $5,000 in
    punitive damages against Deputy Vailes is supported by legally sufficient evidence.
    Further, considered in a neutral light, the jury’s finding is not so contrary to the
    overwhelming weight of the evidence as to be clearly wrong and unjust; accordingly,
    factually sufficient evidence likewise supports the jury’s verdict.
    We overrule Deputy Vailes’s fourth issue.
    C.    Appellees’ Cross-Issue
    In their sole cross-issue, appellees contend that the trial court erred by
    reducing Jamail’s survival damages based on the jury response to question ten, the
    only proportionate responsibility question in the court’s charge.       Question ten
    provided:
    For each individual or entity that you found caused or contributed to
    cause the death of Jamail Amron, find the percentage of responsibility
    attributable to each:
    Your answers must be in whole numbers and must equal 100%.
    1. Defendant Harris County               60    %
    2. Defendant Kevin Vailes                20    %
    45
    3. Jamail Amron                         20    %
    (Emphasis added). As the emphasized language shows, the jury’s answer to this
    question apportions responsibility only for Jamail’s death. The jury was not asked
    to apportion responsibility for survival damages. Even though the jury awarded
    survival damages in addition to death damages, the trial court, over appellees’
    objection, reduced appellees’ recovery of survival damages by the 20%
    apportionment finding applicable to the death damages.
    Texas Civil Practice and Remedies Code section 33.003 requires
    proportionate responsibility to be determined for each cause of action. See Tex. Civ.
    Prac. & Rem. Code § 33.003(a). Wrongful death and survivor claims are legally
    distinct causes of action. See Cunningham v. Haroona, 
    382 S.W.3d 493
    , 508 (Tex.
    App.—Fort Worth 2012, pet. denied); see also Tex. Civ. Prac. & Rem. Code
    § 71.002 (defining wrongful death cause of action); 
    id. § 71.021
    (defining survival
    cause of action). The damages recoverable in a survival action are those that the
    decedent suffered while alive. 
    Cunningham, 328 S.W.3d at 508
    ; see also Russell v.
    Ingersoll-Rand Co., 
    841 S.W.2d 343
    , 345 (Tex. 1992). In contrast, the “damages
    recoverable in a wrongful death action are for the exclusive benefit of the defined
    statutory beneficiaries and are meant to compensate them for their own personal
    loss.” 
    Cunningham, 382 S.W.3d at 508
    (citing In re Labatt Food Serv., L.P., 
    279 S.W.3d 640
    , 644 (Tex. 2009) (orig. proceeding)).
    Proportionate responsibility is a defensive issue on which the defendant bears
    the burden of proof. See Austin v. Kroger Tex., L.P., 
    465 S.W.3d 193
    , 209-10 (Tex.
    2015). Here, neither Harris County nor Deputy Vailes secured any finding to
    apportion responsibility for Jamail’s survival damages.       Because survival and
    wrongful death are different causes of action and compensate for different types of
    damage, a proportionate responsibility finding for a wrongful death cause of action
    46
    generally will not by itself support reduction of survival damages. See Tex. Civ.
    Prac. & Rem. Code § 33.003(a); cf. 
    Cunningham, 382 S.W.3d at 502
    (noting that
    trial court properly submitted survival liability, proportionate responsibility, and
    damages questions, in addition to similar wrongful death questions).29 We think this
    general proposition applies here, where no party requested apportionment of survival
    damages, and we have no cause to scrutinize the evidence supporting the award.
    Deputy Vailes neither challenges its sufficiency nor argues that this is the type of
    case where the claimant’s conduct contributing to his death necessarily contributed
    to his pre-death pain and suffering. The jury may have awarded pain and suffering
    damages based solely on its finding that Deputy Vailes stepped on Jamail’s face
    while he was handcuffed and unresponsive. Accordingly, we conclude that the
    jury’s apportionment of responsibility for death damages does not apply to the
    survival damages. The trial court erred in reducing appellees’ recovery of survival
    damages by 20%.
    We sustain appellees’ sole cross-issue.
    Conclusion
    Appellees did not establish that Deputy Vailes’s constitutional violations were
    inflicted pursuant to an act or decision of a Harris County final policymaker
    responsible for the area of county business at issue. Thus, Harris County is not liable
    under section 1983 for any damages, and we reverse and render a take-nothing
    judgment in Harris County’s favor as to all appellees.
    29
    We note that the jury was not asked whether any of the parties proximately caused
    Jamail’s injuries, if any, prior to his death. However, appellants do not raise this issue in their
    briefs, and we treat it as an omitted finding presumptively supported by evidence. See Tex. R.
    Civ. P. 299.
    47
    Additionally, we hold that appellees presented legally and factually sufficient
    evidence that Deputy Vailes used excessive force and that he is not entitled to
    qualified immunity.     Appellees, however, failed to present legally sufficient
    evidence that Deputy Vailes’s constitutional violations caused Jamail’s death, so we
    reverse the portion of the judgment awarding appellees $10,000,000 in wrongful
    death damages. Because Deputy Vailes has not challenged the survival damages,
    and because we have sustained appellees’ cross-issue regarding those damages, we
    modify the judgment to award appellee Coats, in her capacity as personal
    representative of Jamail’s estate, $1,000,000 in damages from Deputy Vailes for
    Jamail’s pain and mental anguish, plus applicable pre- and post-judgment interest,
    and we affirm that portion of the judgment as modified.
    We also hold that legally and factually sufficient evidence supports the jury’s
    award of $5,000 in exemplary damages against Deputy Vailes, and we affirm that
    portion of the judgment.
    Finally, the judgment awards appellees $450,000 in reasonable and necessary
    attorney’s fees through trial, plus a maximum of $260,000 in conditional appellate
    fees, against both Harris County and Deputy Vailes. The parties submitted the issue
    to the court. The award is based on a right of fee recovery under section 1988. See
    42 U.S.C. § 1988. Reasonableness of attorney’s fees under section 1988 is governed
    by a number of factors, but the most “crucial” one is the degree of the claimant’s
    success. Hensley v. Eckerhart, 
    461 U.S. 424
    , 432-37, 439 (1983). We have reversed
    the judgment against Harris County, and we have materially reduced the damages
    recoverable from Deputy Vailes. Therefore, in the interest of justice, we reverse the
    award of attorney’s fees, and we remand the case for reconsideration of attorney’s
    fees to be awarded against Deputy Vailes. See Tex. R. App. P. 43.3(b); Kartsotis v.
    Bloch, 
    503 S.W.3d 506
    , 520-21 (Tex. App.—Dallas 2016, pet. denied) (remanding
    48
    in the interest of justice attorney’s fees award for reconsideration whether fees were
    “equitable and just” after reversal of declaratory judgment on appeal); Drabek v.
    Cavazos, No. 13-14-00063-CV, 
    2014 WL 4402501
    , at *3 (Tex. App.—Corpus
    Christi Aug. 29, 2014, pet. denied) (mem. op.) (“We have broad discretion to remand
    the issue of attorneys’ fees in the interest of justice.”).
    /s/    Kevin Jewell
    Justice
    Panel consists of Justices Christopher, Wise, and Jewell.
    49